ArticleInternational journal of epidemiology2021
Development of a common scale for measuring healthy ageing across the world: results from the ATHLOS consortium.
Article in International journal of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Integrating natural non-pharmaceutical therapies into medical tourism: a dynamic health portrait-driven model for proactive older adult health and public health services.Frontiers in public health · 2025Pooled it
- Socioeconomic and Behavioral Risk Factors for Cardiovascular Complications Among Hypertensive Adults in Lusaka, Zambia: A Cross-Sectional Study.Health science reports · 2026Article
- Accelerated multimorbidity in early adulthood and long-term functional disability in later life: a life-course epidemiological study.International journal for equity in health · 2026Article
- Factors associated with healthy ageing among older persons in Senior Citizens Activity Centres (Pusat Aktiviti Warga Emas, PAWE), Klang Valley, Malaysia: a cross-sectional study.BMC public health · 2026Article
- Prevalence and outcomes of intrinsic capacity impairments assessed using the WHO Integrated Care for Older People (ICOPE) framework in The Gambia, South Africa, and Zimbabwe: a cross-sectional study.The Lancet. Global health · 2026Article
- Impact of the SARS-CoV-2 pandemic on healthy aging and functionality in older Mexican adults: insights from the MHAS cohort.Aging clinical and experimental research · 2026Article
- Development of a Functioning Measurement Scale for the South Korean Population Using the Korea National Health and Nutrition Examination Survey.International journal of public health · 2026Article
- Parental socioeconomic position, childhood poverty and healthy aging: retrospective and prospective study of six cohorts across 32 wealthy and developing nations.Frontiers in public health · 2026Article
- Article
- Healthy aging: how does a multidimensional construct of functional ability predict objective and subjective outcomes?BMC geriatrics · 2025Article
- Parental socioeconomic position, childhood poverty and healthy ageing: retrospective and prospective study of six cohort surveys across 32 wealthy and developing nations.medRxiv : the preprint server for health sciences · 2025Article
- Healthy ageing and psychological resilience among the empty-nest older adults: a cross-sectional survey in China.BMC geriatrics · 2025Article
- Trajectories of intrinsic capacity decline and related factors in old persons: A 15-year community-based cohort study in Beijing.The journal of nutrition, health & aging · 2025Article
- Article
- Childhood socioeconomic position and healthy ageing: results from five harmonised cohort studies in the ATHLOS consortium.BMJ public health · 2025Article
- Identifying the Factors That Drive Health Service Utilization Among Healthy and Non-Healthy Agers in a Sample of Older Ethiopians: A Cross-Sectional Study.Health science reports · 2025Article
- Conducting cross-cultural, multi-lingual or multi-country scale development and validation in health care research: A 10-step framework based on a scoping review.Journal of global health · 2024Article
- Relationship Between Physical Exercise and Cognitive Function Among Older Adults in China: Cross-Sectional Population-Based Study.JMIR public health and surveillance · 2024Article
- Article
- The World Health Organization Intersectoral Global Action Plan on Epilepsy and Other Neurological Disorders and the headache revolution: from headache burden to a global action plan for headache disorders.The journal of headache and pain · 2024Review
Corrections and comments
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Authors and funding
35 authors.
Funding
Abstract
backgroundResearch efforts to measure the concept of healthy ageing have been diverse and limited to specific populations. This diversity limits the potential to compare healthy ageing across countries and/or populations. In this study, we developed a novel measurement scale of healthy ageing using worldwide cohorts.
methodsIn the Ageing Trajectories of Health-Longitudinal Opportunities and Synergies (ATHLOS) project, data from 16 international cohorts were harmonized. Using ATHLOS data, an item response theory (IRT) model was used to develop a scale with 41 items related to health and functioning. Measurement heterogeneity due to intra-dataset specificities was detected, applying differential item functioning via a logistic regression framework. The model accounted for specificities in model parameters by introducing cohort-specific parameters that rescaled scores to the main scale, using an equating procedure. Final scores were estimated for all individuals and converted to T-scores with a mean of 50 and a standard deviation of 10.
resultsA common scale was created for 343 915 individuals above 18 years of age from 16 studies. The scale showed solid evidence of concurrent validity regarding various sociodemographic, life and health factors, and convergent validity with healthy life expectancy (r = 0.81) and gross domestic product (r = 0.58). Survival curves showed that the scale could also be predictive of mortality.
conclusionsThe ATHLOS scale, due to its reliability and global representativeness, has the potential to contribute to worldwide research on healthy ageing.
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