scholarly journals The consequences of self-reported vision change in later-life: evidence from the English Longitudinal Study of Ageing

Public Health ◽  
2017 ◽  
Vol 142 ◽  
pp. 7-14 ◽  
Author(s):  
K. Matthews ◽  
J. Nazroo ◽  
J. Whillans
2017 ◽  
Vol 75 (1) ◽  
pp. 114-124 ◽  
Author(s):  
Snorri Bjorn Rafnsson ◽  
Martin Orrell ◽  
Eleonora d’Orsi ◽  
Eef Hogervorst ◽  
Andrew Steptoe

Abstract Objectives Social relationships are important for the maintenance of cognitive function at older ages, with both objective features of social networks and perceived social connections (loneliness) being relevant. There is limited evidence about how different aspects of social experience predict diagnosed dementia. Methods The sample comprised 6,677 dementia-free individuals at baseline (2004) from the English Longitudinal Study of Ageing. Baseline information on loneliness, number of close relationships, marital status, and social isolation (contact with family and friends and participation in organizations) was analyzed in relation to incident dementia over an average 6.25 years using Cox regression, controlling for potential confounding factors. Results Two hundred twenty participants developed dementia during follow-up. In multivariable analyses, dementia risk was positively related to greater loneliness (hazard ratio 1.40, 95% confidence interval 1.09–1.80, p = .008), and inversely associated with number of close relationships (p < .001) and being married (p = .018). Sensitivity analyses testing for reverse causality and different criteria for diagnosing dementia confirmed the robustness of these findings. There was no association with social isolation. Discussion Dementia risk is associated with loneliness and having fewer close relationships in later life. The underlying mechanisms remain to be elucidated, but efforts to enhance older peoples’ relationship quality may be relevant to dementia risk.


2017 ◽  
Vol 58 (1) ◽  
pp. 99-108 ◽  
Author(s):  
Mizanur Khondoker ◽  
Snorri Bjorn Rafnsson ◽  
Stephen Morris ◽  
Martin Orrell ◽  
Andrew Steptoe

2013 ◽  
Vol 44 (4) ◽  
pp. 697-706 ◽  
Author(s):  
C. R. Gale ◽  
C. Cooper ◽  
I. J. Deary ◽  
A. Aihie Sayer

BackgroundObservations that older people who enjoy life more tend to live longer suggest that psychological well-being may be a potential resource for healthier ageing. We investigated whether psychological well-being was associated with incidence of physical frailty.MethodWe used multinomial logistic regression to examine the prospective relationship between psychological well-being, assessed using the CASP-19, a questionnaire that assesses perceptions of control, autonomy, self-realization and pleasure, and incidence of physical frailty or pre-frailty, defined according to the Fried criteria (unintentional weight loss, weakness, self-reported exhaustion, slow walking speed and low physical activity), in 2557 men and women aged 60 to ⩾90 years from the English Longitudinal Study of Ageing (ELSA).ResultsMen and women with higher levels of psychological well-being were less likely to become frail over the 4-year follow-up period. For a standard deviation higher score in psychological well-being at baseline, the relative risk ratio (RR) for incident frailty, adjusted for age, sex and baseline frailty status, was 0.46 [95% confidence interval (CI) 0.40–0.54]. There was a significant association between psychological well-being and risk of pre-frailty (RR 0.69, 95% CI 0.63–0.77). Examination of scores for hedonic (pleasure) and eudaimonic (control, autonomy and self-realization) well-being showed that higher scores on both were associated with decreased risk. Associations were partially attenuated by further adjustment for other potential confounding factors but persisted. Incidence of pre-frailty or frailty was associated with a decline in well-being, suggesting that the relationship is bidirectional.ConclusionsMaintaining a stronger sense of psychological well-being in later life may protect against the development of physical frailty. Future research needs to establish the mechanisms underlying these findings.


PLoS ONE ◽  
2016 ◽  
Vol 11 (11) ◽  
pp. e0166825 ◽  
Author(s):  
Juliana Lustosa Torres ◽  
Maria Fernanda Lima-Costa ◽  
Michael Marmot ◽  
Cesar de Oliveira

2016 ◽  
Vol 70 (8) ◽  
pp. 764-770 ◽  
Author(s):  
Clare Holdsworth ◽  
Marina Mendonça ◽  
Hynek Pikhart ◽  
Martin Frisher ◽  
Cesar de Oliveira ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S190-S190
Author(s):  
Dorina Cadar ◽  
Dorina Cadar ◽  
Jessica Abell ◽  
David J Llewellyn ◽  
Andrew Steptoe

Abstract Biological and psychosocial risk factors, particularly those that are malleable across the life course, are important determinants of neurocognitive health in later life. We investigated several determinants of cognitive impairment using the Mini-Mental Status Examination (MMSE), as part of the Harmonised Cognitive Assessment Protocol in 1,200 individuals aged ≥65 years from the English Longitudinal Study of Ageing. More than half the participants (55%) were married, 15% had diabetes, 12% had CHD, and fewer than 10% had a stroke. A longitudinal investigation of various risk factors measured at wave 6 (2012-13) was conducted in relation to neurocognitive impairment ascertained with the MMSE ≤24 in 2018. Our results indicate that certain environmental compensatory factors such as education, a marker of cognitive reserve, wealth and psychological wellbeing are relevant determinants of subsequent neurocognitive impairment six years later. These findings are highly informative for the development of interventions aiming to maintain neurocognitive health.


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