scholarly journals Achieving National Health Objectives: The Impact on Life Expectancy and on Healthy Life Expectancy

2004 ◽  
Vol 94 (3) ◽  
pp. 378-383 ◽  
Author(s):  
Elsie R. Pamuk ◽  
Diane K. Wagener ◽  
Michael T. Molla
Keyword(s):  
Life Expectancy ◽  
National Health ◽  
Healthy Life Expectancy ◽  
Healthy Life ◽  
Health Objectives ◽  
The Impact

scholarly journals Multi-State Analysis of the Impact of Childhood Starvation on the Healthy Life Expectancy of the Elderly in China

2021 ◽  
Vol 9 ◽  
Author(s):  
Huiling Dong ◽  
Chunjing Du ◽  
Bingyi Wu ◽  
Qunhong Wu
Keyword(s):  
Life Expectancy ◽  
Elderly People ◽  
The Elderly ◽  
Income Level ◽  
Healthy Life Expectancy ◽  
Average Life ◽  
Average Life Expectancy ◽  
Healthy Life ◽  
Significant Difference ◽  
The Impact

Background: Child malnutrition is not only common in developing countries but also an important issue faced by developed countries. This study aimed to explore the influence and degree of childhood starvation on the health of the elderly, which provides a reference for formulating health-related policies under the concept of full lifecycle health.Methods: Based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2008, 2011, and 2014, this study took a total of 13,185 elderly people aged 65–99 years as the target population. By IMaCH software, with gender and income level as the control variables, the average life expectancy and healthy life expectancy of the elderly were measured. The x2test was used to explore the differences in the socioeconomic status of elderly people with or without starvation in childhood. Statistical differences between average life expectancy and healthy life expectancy were analyzed by rank tests.Results: (1) The results showed that there was a statistically significant difference in age, gender, residency, education level, and income level between the groups with or without starvation (P < 0.05). (2) Transition probabilities in health–disability, health–death, and disability–death all showed an upward trend with age (P < 0.05), where the elderly who experienced starvation in childhood were higher than those without such an experience (P < 0.05). However, the probability of disability–health recovery showed a downward trend with age (P < 0.05), in which the elderly who experienced starvation in childhood were lower than those without starvation (P < 0.05). (3) For the elderly who experienced starvation in childhood, the health indicators of the average life expectancy, healthy life expectancy, and healthy life expectancy proportion accounted for the remaining life were lower than those of the elderly without childhood starvation (P < 0.05).Conclusions: The average life expectancy and healthy life expectancy of the elderly with childhood starvation are lower than those without childhood starvation. It shows that the negative impact of childhood starvation on health through the life course till old age has a persistent negative cumulative effect on the quantity and quality of life. Therefore, it is important to pay attention to the nutritional status of children in poor families from the perspective of social policymaking.

scholarly journals Age and Frailty as Key Determinants for Nutritional Therapy Individualization in Elderly Adults with Diabetes

2021 ◽  
pp. 1-3
Author(s):  
Zoe Pafili
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Life Expectancy ◽  
Nutritional Therapy ◽  
Diet Therapy ◽  
Healthy Life Expectancy ◽  
Healthy Life ◽  
Social Burden ◽  
Patients With Diabetes ◽  
The Impact

The increasing prevalence of older adults with diabetes has become a major social burden. Diabetes, frailty, and cognitive dysfunction are closely related to the mechanisms of aging. Insulin resistance, arteriosclerosis, chronic inflammation, oxidative stress, and mitochondrial dysfunction may be common mechanisms shared by frailty and cognitive impairment. Hyperglycemia, hypoglycemia, obesity, vascular factors, physical inactivity, and malnutrition are important risk factors for cognitive impairment and frailty in older adults with diabetes. The impact of nutrients on health outcomes varies with age; thus, shifting diet therapy strategies from the treatment of obesity/metabolic syndrome to frailty prevention may be necessary in patients with diabetes who are over 75 years of age, have frailty or sarcopenia, and experience malnutrition. For the prevention of frailty, optimal energy intake, sufficient protein and vitamin intake, and healthy dietary patterns should be recommended. The treatment of diabetes after middle age should include the awareness of proper glycemic control aimed at extending healthy life expectancy with proper nutrition, exercise, and social connectivity. Nutritional therapy in combination with exercise, optimal glycemic and metabolic control, and social participation/support for frailty prevention can extend healthy life expectancy and maintain quality of life in older adults with diabetes mellitus.

scholarly journals Multi-State Analysis of the Impact of Childhood Starvation on the Healthy Life Expectancy of the Elderly in China

2021 ◽  
Author(s):  
Huiling Dong ◽  
Bingyi Wu ◽  
Qunhong Wu
Keyword(s):  
Life Expectancy ◽  
Elderly People ◽  
Transition Probabilities ◽  
The Elderly ◽  
Developed Countries ◽  
Healthy Life Expectancy ◽  
Average Life ◽  
Average Life Expectancy ◽  
Healthy Life ◽  
The Impact

Abstract Background: Child malnutrition is not only common in developing countries, but also an important issue faced by developed countries. This study aimed to explore the influence and degree of childhood starvation on the health of the elderly, which providing a reference for formulating health-related policies under the concept of full-life cycle health. Methods: Based on Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2008, 2011 and 2014, this paper took a total of 13,185 elderly people aged 65-99 years as the target population. By IMaCH software, with age, gender, and income level as the control variables, and the average life expectancy and healthy life expectancy of the elderly was measured. The test was used to explore the differences in socio-economic status of elderly people with or without starvation in childhood. The paired t test was used to analyze the difference both average life expectancy and healthy life expectancy. Results: (1) Transition probabilities in health-disability, health-death, and disability-death all showed an upward trend with age(P<0.05), where the elderly who experienced starvation in childhood were higher than those without such an experience(P<0.05). However, the probability of disability-health recovery showed a downward trend with age(P<0.05), whereas the elderly who experienced starvation in childhood were lower than those without starvation(P<0.05).(2) For the elderly who experienced starvation in childhood, the health indicators of the average life expectancy, healthy life expectancy, and healthy life expectancy proportion accounted for the remaining life were lower than those of the elderly without childhood starvation (P<0.05).Conclusions: The negative impact of childhood starvation on health through the life course till old age, has a persistent negative cumulative effect on the quantity and quality of life for the elderly. Therefore, it is important to pay attention to the nutritional status of children in poor families from the perspective of social policy-making.

scholarly journals Multi-State Analysis of the Impact of Childhood Starvation on the Healthy Life Expectancy of the Elderly in China

2021 ◽  
Author(s):  
Huiling Dong ◽  
Bingyi Wu ◽  
Qunhong Wu
Keyword(s):  
Life Expectancy ◽  
Elderly People ◽  
The Elderly ◽  
Income Level ◽  
Healthy Life Expectancy ◽  
Average Life ◽  
Average Life Expectancy ◽  
Healthy Life ◽  
Significant Difference ◽  
The Impact

Abstract Background Child malnutrition is not only common in developing countries, but also an important issue faced by developed countries. This study aimed to explore the influence and degree of childhood starvation on the health of the elderly, which providing a reference for formulating health-related policies under the concept of full-life cycle health. Methods Based on Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2008, 2011 and 2014, this paper took a total of 13,185 elderly people aged 65–99 years as the target population. By IMaCH software, with gender and income level as the control variables, and the average life expectancy and healthy life expectancy of the elderly was measured. The\({x}^{2}\)test was used to explore the differences in socio-economic status of elderly people with or without starvation in childhood. The paired t test was used to analyze the difference both average life expectancy and healthy life expectancy. Results (1) The results showed that there was a statistically significant difference in age, gender, residency, education level, and income level between the groups with or without starvation (P < 0.05).(2)Transition probabilities in health-disability, health-death, and disability-death all showed an upward trend with age(P < 0.05), where the elderly who experienced starvation in childhood were higher than those without such an experience(P < 0.05). However, the probability of disability-health recovery showed a downward trend with age(P < 0.05), whereas the elderly who experienced starvation in childhood were lower than those without starvation(P < 0.05). (3) For the elderly who experienced starvation in childhood, the health indicators of the average life expectancy, healthy life expectancy, and healthy life expectancy proportion accounted for the remaining life were lower than those of the elderly without childhood starvation (P < 0.05). Conclusions The average life expectancy and healthy life expectancy of the elderly with childhood starvation both are lower than those without childhood starvation. It shows that the negative impact of childhood starvation on health through the life course till old age, has a persistent negative cumulative effect on the quantity and quality of life. Therefore, it is important to pay attention to the nutritional status of children in poor families from the perspective of social policy-making.

Impact of Diabetes on Life and Healthy Life Expectancy Among Older Women

2020 ◽  
Author(s):  
Befikadu L Wubishet ◽  
Julie E Byles ◽  
Melissa L Harris ◽  
Carol Jagger
Keyword(s):  
Life Expectancy ◽  
Older Women ◽  
Healthy Life Expectancy ◽  
Diabetes Diagnosis ◽  
Healthy Weight ◽  
Healthy Life ◽  
Total Life Expectancy ◽  
Increased Risk ◽  
The Impact ◽  
Total Life

Abstract Background Diabetes is a major chronic condition with ever-increasing health and economic burden. This study aimed to measure the impact of diabetes on total life expectancy (TLE) and healthy life expectancy (HLE) at ages 70 and 80 and to assess how educational level, obesity, and comorbidity affected the expectancies. Methods The study involved 9849 population-representative women born between 1921 and 1926 from the Australian Longitudinal Study on Women’s Health (ALSWH). Self-rated health was obtained from the ALSWH surveys. Diabetes diagnosis was ascertained using survey and health care administrative data. Total life expectancy and HLE were estimated for women with and without diabetes using multistate modeling. Results Diabetes was associated with an increased risk of poor health (adjusted risk ratio: 1.63, 95% confidence interval: 1.49–1.79). Diabetes was also associated with a reduction of 0.9 years in HLE and 2.6 years in TLE at age 70 and 0.4 years in HLE and 1.3 years in TLE at age 80. If a woman had low education, obesity, and more than 2 comorbidities in addition to diabetes, these reductions increased to 3.0 years in TLE and 7.9 years in HLE at age 70 and 1.5 years in TLE and 3.8 years in HLE at age 80. Conclusions Diabetes substantially reduced older women’s quantity and quality of life, with further reductions for those with lower education, obesity, and comorbidities. These findings underscore the importance of optimally managing diabetes by maintaining a healthy weight and delaying the onset of comorbidities, to promote healthy aging for older women with diabetes.

scholarly journals Multi-State Analysis of the Impact of Childhood Starvation on the Healthy Life Expectancy of the Elderly in China

2020 ◽  
Author(s):  
huiling dong ◽  
Bingyi Wu ◽  
Qunhong Wu
Keyword(s):  
Life Expectancy ◽  
Elderly People ◽  
Elderly Population ◽  
Transition Probabilities ◽  
The Elderly ◽  
Developed Countries ◽  
Healthy Life Expectancy ◽  
Remaining Life ◽  
Healthy Life ◽  
The Impact

Abstract Background: Child malnutrition is not only common in developing countries, but also an important issue faced by developed countries. This study aimed to explore the influence and degree of childhood starvation on the health of the elderly population, which providing a reference for formulating health-related policies under the concept of full-life cycle health. Methods: Based on CLHLS longitudinal data in 2008, 2011 and 2014, this paper took a total of 13,185 elderly people aged 65-99 years as the target population. By IMaCH software, with age, gender, and income level as the control variables, and the healthy life expectancy of the elderly in China was measured. The[test was used to explore the differences in socio-economic status of elderly people with or without starvation in childhood. The paired t test was used to analyze the difference both of healthy life expectancy and healthy life expectancy proportion accounted for remaining life. Results: (1) Transition probabilities in health-disability, health-death and disability-death(P<0.05) all showed an upward trend with age, where the elderly who experienced starvation in childhood were higher than those without such an experience. However, the probability of disability-health recovery showed a downward trend with age, whereas the elderly who experienced starvation in childhood were lower than those without starvation(P<0.05).(2) For the elderly who experienced starvation in childhood, the health indicators of the average life expectancy, healthy life expectancy, and healthy life expectancy proportion accounted for the remaining life were lower than those of the elderly without childhood starvation (P<0.05).Conclusions: The negative impact of childhood starvation on health through the life course till old age, has a persistent negative cumulative effect on the quantity and quality of life for the elderly population; Therefore, it is important to pay attention to the nutritional status of children in poor families from the perspective of social policy-making.

scholarly journals Nutrition Management in Older Adults with Diabetes: A Review on the Importance of Shifting Prevention Strategies from Metabolic Syndrome to Frailty

Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3367 ◽  
Author(s):  
Yoshiaki Tamura ◽  
Takuya Omura ◽  
Kenji Toyoshima ◽  
Atsushi Araki
Keyword(s):  
Older Adults ◽  
Metabolic Syndrome ◽  
Cognitive Impairment ◽  
Life Expectancy ◽  
Nutritional Therapy ◽  
Diet Therapy ◽  
Healthy Life Expectancy ◽  
Healthy Life ◽  
Social Burden ◽  
The Impact

The increasing prevalence of older adults with diabetes has become a major social burden. Diabetes, frailty, and cognitive dysfunction are closely related to the mechanisms of aging. Insulin resistance, arteriosclerosis, chronic inflammation, oxidative stress, and mitochondrial dysfunction may be common mechanisms shared by frailty and cognitive impairment. Hyperglycemia, hypoglycemia, obesity, vascular factors, physical inactivity, and malnutrition are important risk factors for cognitive impairment and frailty in older adults with diabetes. The impact of nutrients on health outcomes varies with age; thus, shifting diet therapy strategies from the treatment of obesity/metabolic syndrome to frailty prevention may be necessary in patients with diabetes who are over 75 years of age, have frailty or sarcopenia, and experience malnutrition. For the prevention of frailty, optimal energy intake, sufficient protein and vitamin intake, and healthy dietary patterns should be recommended. The treatment of diabetes after middle age should include the awareness of proper glycemic control aimed at extending healthy life expectancy with proper nutrition, exercise, and social connectivity. Nutritional therapy in combination with exercise, optimal glycemic and metabolic control, and social participation/support for frailty prevention can extend healthy life expectancy and maintain quality of life in older adults with diabetes mellitus.

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