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Abstract：
World Health Organization (WHO) has defined healthy ageing by highlighting five functional ability domains to (meet basic needs, make decisions, be mobile, build and maintain relationships, and contribute to society), which also emphasized the importance of addressing loneliness as priorities within United Nations Decade of Healthy Ageing initiative. However, the level and determinants of healthy ageing and its association with loneliness are rarely examined. This study aimed to construct a healthy ageing index to verify the WHO healthy ageing framework, measure five domains of functional ability of older adults and examine the relationship between functional ability domains and loneliness.
A total of 10,746 older adults from the 2018 China Health and Retirement Longitudinal Study (CHARLS) were included. A healthy ageing index ranging from 0 to 17 was constructed using 17 components related to functional ability domains. Univariate and multivariate logistic regression analyses were utilized to determine the association between loneliness and healthy ageing. The STROBE guidelines with the RECORD statement for observational studies using routinely collected health data were observed.
The factor analysis verified the five functional ability domains for healthy ageing. After adjusting for confounders, being mobile, building and maintaining relationships, and learning, growing and making decisions were significantly associated with lesser loneliness among participants.
The healthy ageing index of this study can be utilized and further modified with respect to large-scale research with relevant healthy ageing topics. Our findings will support healthcare professionals to provide patient-centered care when identifying their comprehensive abilities and needs.
A total of 10,746 older adults from the 2018 China Health and Retirement Longitudinal Study (CHARLS) were included. A healthy ageing index ranging from 0 to 17 was constructed using 17 components related to functional ability domains. Univariate and multivariate logistic regression analyses were utilized to determine the association between loneliness and healthy ageing. The STROBE guidelines with the RECORD statement for observational studies using routinely collected health data were observed.
The factor analysis verified the five functional ability domains for healthy ageing. After adjusting for confounders, being mobile, building and maintaining relationships, and learning, growing and making decisions were significantly associated with lesser loneliness among participants.
The healthy ageing index of this study can be utilized and further modified with respect to large-scale research with relevant healthy ageing topics. Our findings will support healthcare professionals to provide patient-centered care when identifying their comprehensive abilities and needs.
摘要：
背景：世界卫生组织（WHO）通过强调五个功能能力领域来定义健康老龄化（满足基本需求，做决定,移动，建立和维护关系，并为社会做出贡献)，其中还强调了将解决孤独问题作为联合国健康老龄化十年倡议的优先事项的重要性。然而,很少研究健康老龄化的水平和决定因素及其与孤独感的关系。本研究旨在构建健康老龄化指数，以验证WHO健康老龄化框架。测量老年人功能能力的五个领域，并检验功能能力领域与孤独感之间的关系。
方法：纳入了2018年中国健康与退休纵向研究（CHARLS）的10,746名老年人。使用与功能能力域相关的17个组件构建了范围从0到17的健康衰老指数。使用单变量和多变量逻辑回归分析来确定孤独感与健康老龄化之间的关联。使用常规收集的健康数据进行观察研究的STROBE指南以及记录声明。
结果：因子分析验证了健康衰老的五个功能能力域。在调整了混杂因素后，移动，建立和维护关系，和学习，成长和决策与参与者的孤独感降低显著相关。
结论：本研究的健康老龄化指数可用于相关健康老龄化主题的大规模研究。我们的发现将支持医疗保健专业人员在确定他们的综合能力和需求时提供以患者为中心的护理。
方法：纳入了2018年中国健康与退休纵向研究（CHARLS）的10,746名老年人。使用与功能能力域相关的17个组件构建了范围从0到17的健康衰老指数。使用单变量和多变量逻辑回归分析来确定孤独感与健康老龄化之间的关联。使用常规收集的健康数据进行观察研究的STROBE指南以及记录声明。
结果：因子分析验证了健康衰老的五个功能能力域。在调整了混杂因素后，移动，建立和维护关系，和学习，成长和决策与参与者的孤独感降低显著相关。
结论：本研究的健康老龄化指数可用于相关健康老龄化主题的大规模研究。我们的发现将支持医疗保健专业人员在确定他们的综合能力和需求时提供以患者为中心的护理。
