Healthy Aging Samenvatting Maya
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Questions and Answers

How do early life experiences impact cognitive capability?

Early life experiences, such as prenatal and childhood nutrition, exposure to toxins, and maternal health, significantly influence cognitive capability.

What role do lifestyle factors play in cognitive capabilities during adulthood?

Lifestyle factors such as chronic stress and poor health negatively impact cognitive capabilities in adulthood.

Explain the significance of critical periods in cognitive development.

Critical periods, particularly in early childhood, are crucial as they set the foundation for cognitive development that affects health and well-being later in life.

What are some policies that can enhance cognitive capability across the life course?

<p>Policies should focus on early childhood interventions, lifelong learning, health maintenance, and social support to enhance cognitive capability.</p> Signup and view all the answers

How does cognitive decline in old age vary among individuals?

<p>Cognitive decline in old age varies based on lifestyle choices, health habits, and social interactions.</p> Signup and view all the answers

What is the main question addressed in Christensen et al.'s 2009 article regarding life expectancy?

<p>The main question is whether increases in life expectancy are accompanied by a postponement of functional limitations and disability.</p> Signup and view all the answers

List two key findings regarding life expectancy trends in developed countries.

<ol> <li>There has been a remarkable gain in life expectancy in western countries and Japan. 2. Life expectancy is increasing almost linearly in most developed countries.</li> </ol> Signup and view all the answers

What are two effects of population re-aging mentioned in the provided content?

<ol> <li>Increased demand for healthcare services. 2. Economic instability due to a smaller working age population.</li> </ol> Signup and view all the answers

Define successful aging according to Rowe and Kahn (1997) and name one component.

<p>Successful aging is characterized by high physical and cognitive functioning, as well as active engagement in life. One component is the avoidance of disease and disability.</p> Signup and view all the answers

What does active aging incorporate according to Foster and Walker (2015)?

<p>Active aging incorporates policies and practices that support individuals in maintaining their health and participation in society as they age.</p> Signup and view all the answers

How does the aging population affect healthcare demand?

<p>The aging population will increase the demand for healthcare services.</p> Signup and view all the answers

What proactive lifestyle factors are mentioned as characteristics of successful aging?

<p>Proactive lifestyle factors include maintaining health, sustaining mental sharpness, and actively engaging in social activities.</p> Signup and view all the answers

How does individual diet influence healthy aging throughout one's life course?

<p>Individual diet significantly affects healthy aging by modulating cognitive and physical health outcomes across different life stages.</p> Signup and view all the answers

What implication does a smaller working-age population have on the economy?

<p>It can lead to increased pension costs and a higher dependency ratio, causing economic instability.</p> Signup and view all the answers

In what ways can socioeconomic conditions impact nutritional choices?

<p>Socioeconomic conditions can affect the availability and affordability of food, influencing dietary options and preferences.</p> Signup and view all the answers

What is the fetal origins hypothesis and its relevance to maternal nutrition?

<p>The fetal origins hypothesis suggests that maternal nutrition during pregnancy can significantly influence fetal growth and future health outcomes.</p> Signup and view all the answers

How does breastfeeding contribute to the health outcomes in childhood and later life?

<p>Breastfeeding has been found to have positive effects on cognitive development and long-term health outcomes, reducing risks like obesity and diabetes.</p> Signup and view all the answers

Describe how major life events can influence dietary patterns and preferences.

<p>Major life events, such as depression or aging, can alter food preferences and overall food intake, impacting nutritional health.</p> Signup and view all the answers

What artifacts are indicated as influencing the leveling off of life expectancy in various countries?

<p>The leveling off is influenced by laggards catching up and leapers falling behind.</p> Signup and view all the answers

Why is the WHO definition of health considered outdated in the context of chronic diseases?

<p>It is considered outdated because it does not adequately address the ability to adapt and manage chronic illnesses.</p> Signup and view all the answers

What is one criticism of the term 'complete' in the WHO definition of health?

<p>The term 'complete' unintentionally contributes to the medicalization of society.</p> Signup and view all the answers

What is meant by 'allostasis' in the context of physical health?

<p>'Allostasis' refers to the maintenance of physiological homeostasis through adapting to changing circumstances.</p> Signup and view all the answers

How does the proposed redefinition of health shift the focus from the current WHO definition?

<p>The proposed redefinition emphasizes 'the ability to adapt and to self-manage' rather than a static state of health.</p> Signup and view all the answers

In health policy, how do limitations of the current definition of health affect prevention programs?

<p>Limitations affect how outcome measures are determined for prevention programs.</p> Signup and view all the answers

What role does mental health play according to the lecture, and how is it defined?

<p>Mental health involves a 'sense of coherence' that aids in making sense of and managing difficult situations.</p> Signup and view all the answers

What is the importance of measuring health according to the content provided?

<p>Measuring health is important for management, policies, and supporting doctor-patient communication.</p> Signup and view all the answers

How do physical capabilities at older ages relate to activities of daily living (ADL)?

<p>Physical capabilities are essential for performing activities of daily living, as they determine the ability to undertake necessary daily tasks.</p> Signup and view all the answers

What factors contribute to the decline in physical capabilities as individuals age?

<p>Factors include reductions in muscle mass, neurological decline, hormonal changes, and poorer health behaviors over time.</p> Signup and view all the answers

Explain the impact of lifestyle factors on physical capabilities in older adults.

<p>Engaging in continuous physical activity throughout life leads to better physical functioning, while smoking has cumulative detrimental effects on respiratory and cardiovascular systems.</p> Signup and view all the answers

What measurements are typically used to assess physical capabilities in older adults?

<p>Common measurements include grip strength, chair rise time, standing balance, and walking speed.</p> Signup and view all the answers

How do genetic factors influence physical capabilities in older ages?

<p>Genetic factors can explain about 65% of the variation in physical functioning among older adults, impacting their physical capabilities.</p> Signup and view all the answers

What role does body size play in physical capabilities at older ages?

<p>Higher body mass density (BMD) and prolonged obesity negatively affect physical capabilities, contributing to mobility issues.</p> Signup and view all the answers

Describe how immobility and fear of falling affect older adults.

<p>Immobility and fear of falling lead many older adults to avoid leaving their homes, which negatively impacts their physical and psychological well-being.</p> Signup and view all the answers

What immediate effects can a sudden increase in exercise have on older individuals?

<p>A sudden increase in exercise may not be beneficial and can lead to increased risk of injury or adverse health effects.</p> Signup and view all the answers

What is the main attitude shift required for managing increased life expectancy?

<p>We need to adopt a more positive view of aging and focus on increasing disability-free life years.</p> Signup and view all the answers

What have studies shown about late-life disability trends in the US since the 1980s?

<p>There has been a decline in late-life disability due to improvements in healthcare.</p> Signup and view all the answers

What role does an interdisciplinary approach play in studying aging?

<p>It helps to better understand the biological processes and social inequalities affecting health.</p> Signup and view all the answers

Identify one key element of the life course approach to healthy aging.

<p>One key element is understanding social inequalities in health.</p> Signup and view all the answers

What has been a recent focus in aging research compared to past research methods?

<p>Recent focus emphasizes commonalities across disciplines rather than their distinctive features.</p> Signup and view all the answers

What does the life course approach in epidemiology study?

<p>It investigates pathways linking biological, behavioral, and social exposures to health changes.</p> Signup and view all the answers

What aspect of population aging is often debated regarding financial implications?

<p>The expected increase in health and welfare expenditures for the aging population.</p> Signup and view all the answers

Why is studying the whole spectrum of health important in the context of aging?

<p>It allows for a comprehensive understanding of health from best to worst conditions.</p> Signup and view all the answers

Flashcards

Cognitive Capability

Mental abilities like memory, reasoning, and problem-solving that affect health, well-being, and aging.

Life Course Perspective on Cognition

A perspective that views cognitive development as influenced by factors across the lifespan, from birth to old age.

Early Life Influences on Cognition

Early childhood experiences, including nutrition, exposure to toxins, and education, have a significant impact on cognitive development.

Adult Influences on Cognition

Factors like chronic stress, poor health, and unhealthy lifestyle choices can negatively affect cognitive capabilities in adulthood.

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Policy Implications for Cognitive Capability

Policies should focus on early childhood interventions and promote lifelong learning, healthy habits, and social support to enhance cognitive well-being.

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Healthy Aging

The process of living longer and healthier, often associated with preventing diseases and maintaining physical and cognitive function.

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Christensen et al. (2009) study

A study focusing on the relationship between increased life expectancy and the postponement of functional limitations and disabilities.

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Population Aging

The global increase in the proportion of older people due to longer lifespans and lower birth rates.

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Effects of Population Aging

Challenges faced by societies due to an increasing older population, including healthcare demand, economic impacts, and the need for new policies.

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Successful Aging (Rowe and Kahn, 1997)

A model of aging focusing not just on the absence of disease but also on high physical and cognitive function, active engagement in life.

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Avoiding disease and disability

Maintaining health to prevent or delay the limitations associated with illness.

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Active Aging

The policy response in Europe to address challenges related to an aging population, emphasizing active participation in society.

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Active vs. Successful Aging

The idea that active aging differs from successful aging by focusing on active participation in society and addressing societal challenges.

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Life Expectancy Plateau Illusion

The apparent leveling off of life expectancy in certain countries is not a true plateau but an illusion caused by less developed countries catching up in life expectancy while more developed countries experience a slowdown in life expectancy increases.

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Life Expectancy Increase Rate

If life expectancy were nearing its maximum, then the rate of increase in the highest recorded life expectancy would be slowing down. This suggests that life expectancy is not yet close to its maximum potential.

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Criticism of WHO Health Definition

The WHO definition of health, emphasizing complete physical, mental, and social well-being, has been criticized for its idealist nature. It's argued that this definition inadvertently promotes medicalization and increased screenings and interventions even when not always necessary.

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Health Definition's Role in Policy

The definition of health is crucial for shaping health policies and prevention programs. It affects the way outcomes are measured and assessed.

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Ability to Adapt & Self-Manage

This is a proposed framework for a new definition of health, emphasizing the body's ability to adapt and manage challenges effectively.

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Allostasis

This refers to the body's ability to maintain stability through changing circumstances, a key aspect of physical health within the new definition.

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Sense of Coherence

This refers to a sense of understanding, control, and meaningfulness in difficult situations, a key aspect of mental health within the new definition.

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Social Capacity & Participation

This refers to the ability to fulfill potential and responsibilities, and engage in social activities, a key aspect of social health within the new definition.

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Life Course Approach to Aging

A framework that examines the impact of events, experiences, and exposures across a person's lifespan on their health and well-being in later life.

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Biological Processes of Aging

The study of how aging affects the body and its systems on a molecular and cellular level. This involves investigating the mechanisms of aging and how they impact disease risk and overall health.

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Social Inequalities in Health

The differences in health outcomes and access to healthcare based on social factors like income, education, and race.

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Whole Spectrum of Health and Aging

This approach considers the full range of health experiences, from optimal health to severe illness, in older age.

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Social and Psychological Pathways

The study of how social and psychological factors, such as relationships, stress, and lifestyle choices, influence aging and health.

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Cohort Studies

Analyzing multiple groups of people from different age cohorts to improve the reliability and generalizability of research findings on aging.

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Increased Life Expectancy and Healthcare Costs

The increased life expectancy of populations, particularly the baby boomer generation, has led to concerns about the rising costs of health and social care for older adults.

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Common Framework of Aging Research

This approach emphasizes the shared aspects of different research disciplines when studying aging, using the life course perspective as a unifying framework.

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Fetal Origins Hypothesis

The concept that nutritional patterns during early life, particularly the prenatal period, can influence health outcomes later in life. This includes factors like the mother's nutrition and breastfeeding, which can have lasting effects on the child's physical and cognitive development.

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Nutrition Over the Life Course

A set of external factors that can significantly influence dietary choices throughout different stages of life.

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Socioeconomic and Cultural Influences on Diet

The idea that factors like socioeconomic status, access to healthy food, and cultural norms can influence dietary choices - and ultimately health outcomes. These factors often vary across someone's life.

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Residential Environment and Health

The impact that the environment where someone lives can have on their health, especially during vulnerable life stages like childhood and older age. This includes factors like access to healthcare, healthy food options, and safe spaces.

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Long-Term Health Outcomes of Diet

A range of health problems that can develop in later life, often linked to early life factors like nutritional deficiencies or excessive weight gain. Examples include diabetes, heart disease, and cognitive decline.

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Physical Capabilities

The ability to perform everyday physical tasks, such as walking, bathing, and dressing. It is a key indicator of healthy aging and is highly valued by older adults.

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ADLs & IADLs

Activities of Daily Living (ADLs) are basic self-care tasks like eating, dressing, and bathing. Instrumental Activities of Daily Living (IADLs) involve more complex tasks like managing finances, shopping, and using transportation.

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Physical Capabilities & Mortality

Physical capabilities are a strong indicator of future health and longevity. Individuals with better physical functioning have a lower risk of death.

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Declining Physical Capabilities with Age

A decline in physical capabilities over time is a natural part of aging. This decline is influenced by various factors, including reduced muscle mass, changes in the musculoskeletal system, and deterioration in cardiovascular and neurological function.

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Lifestyle & Physical Capabilities

Genetics play a role in physical capabilities, but lifestyle choices and past experiences have a significant impact. For example, regular exercise throughout life contributes to better physical functioning in older age.

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Body Size & Physical Capabilities

Excessive weight, especially prolonged periods of obesity, can negatively affect physical capabilities. Conversely, being underweight or malnourished in childhood can also lead to weaker physical abilities later in life.

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Smoking & Physical Capabilities

Smoking has detrimental effects on the respiratory and cardiovascular systems, contributing to decreased physical capabilities as early as age 53. This highlights the importance of early interventions and healthy habits.

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Exercise & Physical Capabilities

Maintaining physical activity throughout life, even with moderate increases in exercise later in life, can improve overall physical capabilities and contribute to a healthier aging process.

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Study Notes

Healthy Aging

  • Lectures twice per week
  • Group assignment due November 15th
  • Exam is 70% and presentation is 30%
  • Preparation literature required

Literature Summary

  • Christensen, K., Doblhammer, G., Rau, R., & Vaupel J. (2009). Increased lifespan does not automatically improve health. Most people born after 2000 are expected to live longer, without severe disability.
  • Rowe, J., & Kahn, R. (1997). Successful aging can be defined by avoiding disease, maintaining physical and cognitive well-being, and active engagement in life.

Effects of Aging

  • Healthcare Demand: An aging population increases the need for healthcare services
  • Economic Impact: Shrinking workforce leads to higher dependency ratios and increased pension costs.
  • Societal Adaptation: Societies must adapt to the aging population by implementing healthier lifestyles and revising healthcare and social policies.

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Description

This quiz covers the concepts and literature surrounding healthy aging, including definitions of successful aging and its societal implications. It also discusses the healthcare demand and economic impacts of an aging population, emphasizing the need for revised policies and healthier lifestyles.

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