Active aging

主动老化
  • 文章类型: Journal Article
    本研究考察了全球人口老龄化对老年人健康和情绪健康的影响,强调创新的技术解决方案,以满足他们的多样化需求。由于衰老,身体和心理功能的变化,伴随着需要关注的情感挑战,被突出显示。凝视估计和互动艺术被用来开发一个为老年用户量身定制的互动系统,通过眼球运动简化交互,以减少技术障碍并提供舒缓的艺术体验。通过采用多感官刺激,该系统旨在唤起积极的情绪,促进有意义的活动,促进主动衰老。命名为“通过眼睛的自然节奏”,它允许用户通过眼球运动与以自然为主题的环境进行交互。通过问卷调查和专家访谈的用户反馈是在老年人环境的公共演示中收集的,以验证系统在提供可用性方面的有效性。快乐,和老年人的互动体验。主要发现包括:(1)增强了老年用户的注视估计界面的可用性。(2)通过以自然为主题的互动艺术增加乐趣和参与度。(3)通过凝视估计和交互艺术的整合对主动衰老的积极影响。这些发现强调了技术在改善老年人应对老龄化挑战的福祉和生活质量方面的潜力。
    The impact of global population aging on older adults\' health and emotional well-being is examined in this study, emphasizing innovative technological solutions to address their diverse needs. Changes in physical and mental functions due to aging, along with emotional challenges that necessitate attention, are highlighted. Gaze estimation and interactive art are utilized to develop an interactive system tailored for elderly users, where interaction is simplified through eye movements to reduce technological barriers and provide a soothing art experience. By employing multi-sensory stimulation, the system aims to evoke positive emotions and facilitate meaningful activities, promoting active aging. Named \"Natural Rhythm through Eyes\", it allows for users to interact with nature-themed environments via eye movements. User feedback via questionnaires and expert interviews was collected during public demonstrations in elderly settings to validate the system\'s effectiveness in providing usability, pleasure, and interactive experience for the elderly. Key findings include the following: (1) Enhanced usability of the gaze estimation interface for elderly users. (2) Increased enjoyment and engagement through nature-themed interactive art. (3) Positive influence on active aging through the integration of gaze estimation and interactive art. These findings underscore technology\'s potential to enhance well-being and quality of life for older adults navigating aging challenges.
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  • 文章类型: Journal Article
    目标:退伍军人的衰老经历为成功的衰老提供了重要的见解,并为受不同健康和社会需求限制的后期生活环境提供了手段。当退伍军人承受如此多的压力并对以后的生活产生严重的健康和社会后果时,他们可以成功地衰老吗?退伍军人可以为开发完善成功衰老的综合方法提供宝贵的经验教训,确保不同老年人群的包容性。基于Rowe和Kahn关于成功衰老的想法,我们利用“主动衰老”的互补概念来探索是否有独特的因素,特点,以及支持退伍军人积极衰老的干预措施,与非退伍军人相比。
    方法:在医学的9个数据库中进行了快速回顾和证据综合,心理学,人类学,社会学,和公共卫生,以搜索同行评审的文章和研究报告。
    结果:研究结果表明,将健康和社会层面联系起来的计划可以支持退伍军人的积极老龄化,即促进积极的身体和认知生活方式以及社会联系和参与的干预措施。此类计划和干预措施有助于预防和打击身心健康下降,并提高生活质量和福祉。
    结论:研究结果对更广泛的退伍军人和非退伍军人人群都有影响,因为即使人们有独特的健康和社会需求,他们也可以积极地衰老。
    OBJECTIVE: The aging experiences of military veterans provide critical insights into what successful aging is and means for later life contexts constrained by distinct health and social needs. Can veterans \'successfully\' age when they are exposed to so many stressors with serious health and social consequences for later life? Veterans can offer valuable lessons for developing comprehensive approaches to refining successful aging, ensuring inclusivity of different older populations. Building on Rowe and Kahn\'s idea of successful aging, we utilize the complementary concept of \'active aging\' to explore if there are unique factors, characteristics, and interventions that support active aging in veterans, compared to non-veteran populations.
    METHODS: A rapid review and evidence synthesis was conducted across 9 databases in medicine, psychology, anthropology, sociology, and public health to search for peer-reviewed articles and research reports.
    RESULTS: Findings suggest that programs linking health and social dimensions can support the active aging of veterans, namely interventions promoting active physical and cognitive lifestyle as well as social connectedness and engagement. Such programs and interventions help prevent and combat mental and physical health decline and increase quality of life and well-being.
    CONCLUSIONS: Findings have implications for veteran and non-veteran populations more broadly, as people can actively age even when they have unique health and social needs.
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    文章类型: English Abstract
    The social service approach for the elderly that emerged in the USSR in the late 1980s and was introduced within the framework of a federal law in 1995 was oriented towards care and service provision. However, various authors have noted that the needs of the elderly and the availability of services often do not coincide, and this gap is growing with the change of generations of the elderly. The modern approach, the founder of which was the Polish demographer E.Rosset, reflected in a number of international documents, prioritizes supporting employment and maintaining independence for the elderly for as long as possible. However, there is still little research clarifying the specific services needed by the elderly themselves. The aim of this article is to demonstrate that the needs and capabilities of the «older generation» are changing noticeably, and the existing approach to the provision of social services, which largely took shape in the 1990s, is outdated. Our research question is: do the digital ecosystems (services) being developed by the Information and Analytical Center of St. Petersburg Government correspond to the needs of the elderly on the one hand, and the provisions enshrined in the Madrid Plan on the other? The study employed qualitative methods: an analysis of a pilot survey of users of the «Active Longevity» service and the opinions of participants in a focus group (age of informants 60-75 years) of elderly individuals conducted on 16.03.2024.
    Подход социального обслуживания пожилых, который складывался в СССР с конца 1980-х гг. и в 1995 г. был введен в рамки федерального закона, ориентирован на заботу о пожилых и предоставление им услуг. Однако разные авторы отмечали, что потребности пожилых и возможности получения услуг во многом не совпадают, и этот разрыв увеличивается со сменой поколений пожилых. В современном подходе, родоначальником которого был польский демограф Э.Россет, отраженном в ряде международных документов, приоритетное место отдается поддержке занятости пожилых и сохранению ими независимости как можно дольше. Но до сих пор мало исследований, где уточняется, в каких услугах нуждаются пожилые с их собственной точки зрения. Цель статьи — показать, что потребности и возможности старшего поколения заметно меняются, а существующий подход к предоставлению социальных услуг, сложившийся в основных чертах в 1990-е гг., устарел. Наш исследовательский вопрос: соответствуют ли проектируемые цифровые экосистемы (сервисы, услуги), которые разрабатываются Информационно-аналитическим центром правительства Петербурга, потребностям пожилых, с одной стороны, и положениям, закрепленным в Мадридском плане, с другой. Для исследования использованы качественные методы — анализ пилотного замера мнений пользователей сервиса «Активное долголетие» и мнений участников фокус-группы пожилых (возраст информантов 60–75 лет), проведенный 16.03.2024.
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  • 文章类型: Journal Article
    数字疗法指的是智能手机应用,软件,和可穿戴设备,提供数字解决方案,以改善医疗保健服务。我们开发了一个数字平台来支持GYM(增长你的肌肉)研究,正在进行的48周随机,通过家庭减少肌少症的对照试验,应用监控的体育锻炼干预。GYM平台由智能手机应用程序组成,包括锻炼程序和体重锻炼的视频教程,在训练期间监测心率的可穿戴设备,以及用于下载训练数据以远程监控演习的网站。本文的目的是详细描述平台,并通过回顾性调查讨论研究过程中出现的技术问题以及与智能手机应用程序可用性相关的技术问题。主要技术问题涉及API33级升级,这使得使用Android操作系统的参与者无法使用可穿戴设备。调查显示,观看视频教程以及互联网或智能手机连接存在一些问题。另一方面,据报道,智能手机应用程序易于使用,有助于指导家庭锻炼。尽管在研究过程中遇到了一些问题,这种数字支持的体育锻炼干预措施可以改善肌肉肌肉减少症的测量。
    Digital therapeutics refers to smartphone applications, software, and wearable devices that provide digital solutions to improve healthcare delivery. We developed a digital platform to support the GYM (Grow Your Muscle) study, an ongoing 48-week randomized, controlled trial on reduction of sarcopenia through a home-based, app-monitored physical exercise intervention. The GYM platform consists of a smartphone application including the exercise program and video tutorials of body-weight exercises, a wearable device to monitor heart rate during training, and a website for downloading training data to remotely monitor the exercise. The aim of this paper is to describe the platform in detail and to discuss the technical issues emerging during the study and those related to usability of the smartphone application through a retrospective survey. The main technical issue concerned the API level 33 upgrade, which did not enable participants using the Android operating systems to use the wearable device. The survey revealed some problems with viewing the video tutorials and with internet or smartphone connection. On the other hand, the smartphone application was reported to be easy to use and helpful to guide home exercising. Despite the issues encountered during the study, this digital-supported physical exercise intervention could provide useful to improve muscle measures of sarcopenia.
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  • 文章类型: Journal Article
    对主动衰老(PEAA)的感知期望反映了对保持活跃和适应老年的社会期望的主观暴露,例如,通过保持健康和社会参与。我们调查了动机和人格因素是否与身体健康领域的PEAA有关,心理健康,和社会参与。
    我们使用了具有全国代表性的德国成年人样本(SOEP-IS),涵盖了整个成人寿命(N=2,007,年龄范围16-94岁),以测试我们预先注册的假设。
    多元回归分析表明,动机(即生活目标和与健康相关的担忧)在匹配领域始终与PEAA相关,并介导了对经验的开放性对PEAA的影响。无其他人格特质与PEAA相关。
    我们的研究结果表明,个人优先注意到对主动衰老的期望,其内容与他们的个人关注和目标有关。
    UNASSIGNED: Perceived expectations for active aging (PEAA) reflect subjective exposure to social expectations about staying active and fit in old age, for example, by maintaining health and social engagement. We investigated whether motivational and personality factors were related to PEAA in the domains of physical health, mental health, and social engagement.
    UNASSIGNED: We used a nationally representative sample of German adults (SOEP-IS) covering the entire adult life span (N = 2,007, age range 16-94 years) to test our pre-registered hypotheses.
    UNASSIGNED: Multiple regression analyses indicated that motivation (i.e. life goals and health-related worries) was consistently associated with PEAA in the matching domains and mediated the effects of openness to experience on PEAA. No other personality trait was associated with PEAA.
    UNASSIGNED: Our findings suggest that individuals preferentially notice the expectations for active aging whose content relates to their personal concerns and goals.
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  • 文章类型: Journal Article
    本研究探讨了时间银行的影响,个人赚取时间积分,非货币货币,在老年人中促进志愿服务。
    这项研究采用了准实验设计,从2021年到2022年,有116名时间库组(TBG)参与者和114名比较组(CG)参与者。TBG获得时间积分以换取奖励,而CG没有收到时间积分(即,像往常一样自愿)。时间银行的干预持续了1年。通过一个应用程序跟踪志愿行为,志愿者的意向在基线(T0)进行评估,6个月后(干预的中点,T1),12个月后(干预的终点,T2).还记录了TBG参与者对奖励的使用情况(例如,供个人使用或与他人分享)。此外,进行了焦点小组访谈,以了解奖励如何影响参与者的志愿服务.
    与CG相比,TBG在T2(β=1.37,p=.021)时的每周志愿者时数显着增加,在T1(β=0.54,p=.001)和T2(β=0.51,p=.001)时的志愿者意愿增加。使用奖励的参与者在T2时自愿参加更多(β=2.09,p=0.014),尽管与家人和朋友分享奖励或向他人捐赠奖励并没有产生相同的效果。定性研究表明,由时间银行产生的感觉可能会鼓励志愿服务的增加,并且个人奖励的使用丰富了志愿者的经验,与家人和朋友分享奖励的个人体验到了一种满足感,并增强了他们的亲社会。
    时间银行有效地鼓励了晚年的志愿服务。该研究为促进老年人志愿服务提供了实际意义。
    UNASSIGNED: This study explores the impact of timebanking, where individuals earn time credits, nonmonetary currency, on promoting volunteerism among older adults.
    UNASSIGNED: This study employed a quasi-experimental design with 116 timebank group (TBG) participants and 114 comparison group (CG) participants from 2021 to 2022. TBG received time credits to exchange for rewards, while CG received no time credits (i.e., volunteering as usual). The intervention of timebanking lasted for 1 year. Volunteering behaviors were tracked via an app, and intentions to volunteer were assessed at baseline (T0), after 6 months (the midpoint of the intervention, T1), and after 12 months (the endpoint of the intervention, T2). The use of rewards by TBG participants was also recorded (e.g., for personal use or sharing with others). Furthermore, focus group interviews were conducted to understand how rewards influenced participants\' volunteerism.
    UNASSIGNED: TBG had significantly higher weekly volunteer hours at T2 (β = 1.37, p = .021) and increased intent to volunteer at T1 (β = 0.54, p = .001) and T2 (β = 0.51, p = .001) compared with CG. Participants using rewards personally volunteered more at T2 (β = 2.09, p = .014), although sharing rewards with family and friends or donating rewards to others did not yield the same effect. The qualitative study suggested that a sense of feeling recognized generated by timebanking may encourage increased volunteering and that personal reward use enriched the volunteer experience, and individuals sharing rewards with family and friends experienced a sense of fulfillment and reinforcement of their prosociality.
    UNASSIGNED: Timebanking effectively encourages late-life volunteering. The study provides practical implications for promoting volunteering among older people.
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  • 文章类型: Journal Article
    随着人口趋势凸显农业社区年龄金字塔的倒置,65岁及以上的人口构成全球农业人口增长最快的亚组,这篇文章强调了一种针对老年农民的社会倡议,叫做农民院子,体现价值观,和农民晚年的愿望,这有助于根据世界卫生组织(WHO)的指导方针在农业中创造一个对年龄友好的环境。通过为老年农民提供持续社会参与和参与农业社区的平台,这一社会倡议符合促进积极健康老龄化的原则,从而在以后的生活中对他们的心理健康和福祉做出积极贡献。在这样做的时候,Farmer\'sYards正在帮助解决欧盟委员会最近的呼吁,即更加重视提供创造性机制,通过社会政策提高老年农民的生活质量。本文概述了这一社会倡议的试点阶段,在爱尔兰西部的牲畜市场(拍卖市场)举行,展示了农民的院子如何通过帮助老年农民保持合法的社会联系来加强玛特作为农村地区社会活动中心的长期地位和声誉,合议,以及与各自地区同龄人的同志关系,反过来,在以后的生活中与社会孤立和孤独作斗争。随后概述了未来研究和扩大农场主院子的建议。
    With demographic trends highlighting an inversion of the farming community age pyramid, with those aged 65 years and over constituting the fastest growing subgroup of the farming population globally, this article highlights a social initiative for older farmers called Farmer\'s Yards, embodying values, and aspirations pertinent to farmers in their later years, that is helping to create an age-friendly environment in farming in line with World Health Organisation (WHO) guidelines. By providing older farmers with a platform for sustained social engagement and inclusion within the farming community, this social initiative aligns with principles promoting active and healthy aging, thereby contributing positively to their mental health and wellbeing in later life. In doing so, Farmer\'s Yards is helping to address recent calls by the European Commission for an increased emphasis on the delivery of creative mechanisms that enhance the quality of life of older farmers through social policy. The pilot phase of this social initiative outlined in this article, held in a Livestock Mart (Auction Market) setting in the west of Ireland, demonstrates how Farmer\'s Yards can strengthen Mart\'s long-standing position and reputation as centres of social activity within rural areas by helping older farmers maintain legitimate social connectedness, collegiality, and comradeship with their peers in advancing age in their respective regions, and in turn, combat social isolation and loneliness in later life. Recommendations for future research and on the expansion of Farmer\'s Yards are subsequently outlined.
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  • 文章类型: Journal Article
    本文介绍了一项开创性研究的结果,该研究探讨了远程代际交流在消除儿童和老年人之间的社会孤立方面的潜力,特别是在COVID-19等流行病的制约下。承认许多老年人行动不便,这项研究旨在提供有关数字平台如何促进世代之间有意义的交流的见解。利用混合方法论方法,该研究首先进行了用户交互分析,以概述参与者参与专门为此目的设计的基于信息和通信技术(ICT)的工具IRAGE(跨代远程访问游戏体验)的指南。随着ICT工具的发展,举行了三场远程代际体验,在此期间记录参与者的相互作用,随后进行定量和定性分析.该研究的主要发现表明,远程代际交流可以显着减轻老年人的孤立感,有助于他们的心理健康和情感幸福。此外,这项研究强调了基于网络的平台在促进这些互动方面的有效性,老年人和儿童发现用户界面直观,整体体验引人入胜。这些结果强调了在充满挑战的时期利用技术维持社会联系的重要性,并为开发满足不同用户群体需求的ICT工具提供了宝贵的指导方针。通过论证远程代际交流的可行性和益处,这项研究有助于更广泛地讨论积极老龄化和数字技术在促进社会包容和情绪健康方面的作用。
    This paper presents the outcomes of a pioneering study that explores the potential of remote intergenerational communication to combat social isolation among children and older adults, especially under constraints posed by pandemics such as COVID-19. Acknowledging the limited mobility of many older adults, this research aims to provide insights into how digital platforms can facilitate meaningful exchanges between generations. Utilizing a mixed methodology approach, the study first conducted a user interaction analysis to outline guidelines for participant engagement with the Information and Communication Technology (ICT)-based tool called IRAGE (Intergenerational Remote Access to Gaming Experiences) designed specifically for this purpose. Following the development of the ICT tool, three sessions of the remote intergenerational experience were held, during which participants\' interactions were recorded and subsequently analyzed quantitatively and qualitatively. Key findings from the study reveal that remote intergenerational communication can significantly mitigate feelings of isolation among older adults, contributing to their mental health and emotional well-being. Moreover, the study highlights the effectiveness of the web-based platform in facilitating these interactions, with older adults and children finding the user interface intuitive and the overall experience engaging. These outcomes underscore the importance of leveraging technology to maintain social connections during challenging times and offer valuable guidelines for developing ICT tools that cater to the needs of diverse user groups. By demonstrating the feasibility and benefits of remote intergenerational communication, this research contributes to the broader discourse on active aging and the role of digital technologies in promoting social inclusion and emotional health.
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  • 文章类型: Journal Article
    目的:许多老年人不认为自己是“病人”,而是希望尽可能积极地生活。然而,大多数健康相关的生活质量(HRQL)指标是为临床人群开发的.该项目的目的是填补这一空白,供国际使用,衡量老年人随着年龄的增长和寻求保持尽可能活跃的因素,老年人积极生活(OPAL)。
    方法:对于内容开发,对来自加拿大的老年人进行了关于积极生活的采访,美国,英国,和英语中的荷兰,法语,西班牙语和荷兰语,分别与随后的主题分析和协调。
    结果:对148名老年人的转录本的分析表明,积极生活是一种“存在方式”,而不仅仅是进行活动。达到饱和度,总共确定了59个内容区域。在将类似的“方式”组合在一起并对重要性进行共识评级之后,剩下19种独特而重要的“方式”。在某些语言中,对于19个中的三个来说,制定是具有挑战性的,导致两个英语单词的变化,并删除了另外两个单词,产生17种“存在方式”的最终列表,用4种语言统一措辞。
    结论:这项研究强调了倾听老年人的重要性,并强调了在测量发展中考虑语言和文化细微差别的重要性。
    OBJECTIVE: Many older persons do not think of themselves as \"patients\" but as persons wishing to live as actively as possible for as long as possible. However, most health-related quality of life (HRQL) measures were developed for use with clinical populations. The aim of this project was to fill that gap and to develop, for international use, a measure of what matters to older persons as they age and seek to remain as active as possible, Older Persons for Active Living (OPAL).
    METHODS: For content development, interviews about active living were conducted with older persons from Canada, USA, UK, and the Netherlands in English, French, Spanish and Dutch, respectively with subsequent thematic analysis and harmonization.
    RESULTS: Analyses of transcripts from 148 older persons revealed that active living was a \"way of being\" and not merely doing activities. Saturation was reached and a total of 59 content areas were identified. After grouping similar \"ways\" together and after conducting a consensus rating of importance, 19 unique and important \"ways\" remained. In some languages, formulating was challenging for three of the 19, resulting in changes to two English words and dropping two other words, yielding a final list of 17 \"ways of being\" with harmonized wording in 4 languages.
    CONCLUSIONS: This study underscores the significance of listening to older adults and highlights the importance of considering linguistic and cultural nuances in measure development.
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  • 文章类型: Journal Article
    全球人口正处于持续增长的轨道上,据估计,到2050年,预计将从2019年的77亿增加到约97亿。长寿也有望迅速上升,随着医疗保健的进步,有助于延长预期寿命和延长最大寿命。衰老过程伴随着不同的变化,通常导致日常生活活动减少和对疾病的易感性增加。年龄相关的变化可导致细胞损伤和随后的细胞死亡。氧化应激和炎症在这一过程中发挥重要作用,导致分子损伤和线粒体功能障碍。主动衰老与生活质量的改善以及发病率和过早死亡率的降低相关。在这种情况下,地中海饮食已成为促进健康衰老和可持续发展的一种有前途的方法。地中海饮食中的植物化学化合物与患心血管疾病的风险较低有关,2型糖尿病,肥胖,癌症和神经退行性疾病。关于使用地中海饮食作为一种健康和可持续的饮食模式的同行评审文章的发现,西班牙语或英语包括在这篇叙述性文献综述中。这种饮食模式强调新鲜和当地食品的消费符合健康和环境可持续性目标。这项工作全面回顾了地中海饮食及其在健康衰老过程中的益处,并强调了这种饮食模式作为可持续方法的重要性。
    The global population is on a trajectory of continuous growth, with estimates projecting an increase from 7.7 billion in 2019 to approximately 9.7 billion by 2050. Longevity is also expected to rise rapidly, with advancements in healthcare contributing to increased life expectancies and an increase in the maximum lifespan. The aging process is accompanied by different changes, often leading to a decline in daily life activities and an increased susceptibility to disease. Age-related changes can cause cellular damage and subsequent cellular death. Oxidative stress and inflammation play significant roles in this process contributing to molecular damage and mitochondrial dysfunction. Active aging has been associated with improved quality of life and a reduced risk of morbidity and premature mortality. In this context, the Mediterranean diet has emerged as a promising approach to promoting healthy aging and sustainability. The phytochemical compounds within the Mediterranean diet have been linked to a lower risk of developing cardiovascular disease, type 2 diabetes, obesity, cancer and neurodegenerative diseases. The findings of peer-reviewed articles regarding the use of the Mediterranean diet as a healthy and sustainable dietary pattern written in Portuguese, Spanish or English were included in this narrative literature review. This dietary pattern\'s emphasis on the consumption of fresh and local food aligns with both health and environmental sustainability goals. This work provides a comprehensive review of the benefits of the Mediterranean diet and its components in a healthy aging process and highlights the importance of this dietary pattern as a sustainable approach.
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