Healthy Aging

Utopia or a Realistic Target?
  • Eino Heikkinen


Both health and aging are multidimensional and complex concepts. When they are used in combination the situation becomes even more difficult to study and interpret. The basic biological mechanisms of aging are not yet known and the numerous theories or metatheoretical notions focusing them have appeared to be difficult to test by experimental research. Consequently there are as yet no specific ways of modifying the process of aging. It seems to be increasingly evident that there are multiple causes of aging and that almost all theories of aging may have some relevance (Baker and Martin, 1994).


Elderly People Functional Capacity Healthy Aging Healthy Life Style Gerontological Research 
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  1. Baker, C.T.III, and Martin, G.R., 1994, Biologicalaging and longevity: Underlying mechanisms and potential interventioinstrategies, JAPA, 2(4): 304–328.Google Scholar
  2. Bezrukov, V., Sachuk, N.N., Pakin, Y.V., andMinaeva, V.P., in press, Socio-Demographic Factors of Health, Adaptation,Quality of Life and in Survivorship (A Longitudinal Study of Kiev AgingResidents), in:“SwinginPendulum.Health Related Quality of Life in Elderly Europeans,” L. Ferrucci, E.W.Waters,E.Hekkinen, and A. Baroni, eds., INCRA/World Health Organization, Florence.Google Scholar
  3. Birren, J.E., and Birren, B.A., 1990, The Concepts,Models and History of thePsychology of Aging, in: “Handbook ofthe psychology of aging”, J.E. Birren, and K.W. Schaie, eds.,Academic Press, NewYork,pp.3–20.Google Scholar
  4. Bokovoy, J.L., Blair, S.N., 1994, Aging andexercise: A health perspective, JAPA, 2(3): 243–260.Google Scholar
  5. Brook, R.H., Ware, J.E., Davies-Avery, A., Stewart, A.L., Donald, C.A., Rogers,W.H., Williams, K.N., andJohnston,S.A., 1979, Overview of adult health status measures fielded in rand’s healthinsurancestudy,Med. Care, 17: 1–55CrossRefGoogle Scholar
  6. Buchner, D.M., 1992, Effects of physicalactivity on health status in older adults II: Intervention studies, Annu. Rev. Publ.Health, 13:469–488.CrossRefGoogle Scholar
  7. Bulpitt, C.J., Benos, A.S., Nicholl, C.G., and Fletcher,A.E., 1990, Should medical screening of the elderly population bepromoted, Gerontology, 36: 230–245.PubMedCrossRefGoogle Scholar
  8. Campbell, A.J., Diep, C., Reinken, J., McCosh, L., 1985,Factors predicting mortality in a total populatioin sample of theelderly, J. Epidemiol Community Health, 39: 337–342.PubMedCrossRefGoogle Scholar
  9. Cheng, S., 1994, “Bone Mineral Density andQuality in Older People”, Studies in Sport, Physical Educatioin and Health, 34,University of Jyväskylä, Jyväskylä, (doctoral thesis).Google Scholar
  10. Era, P., 1987, Sensory, psychomotor, and motorfunctions in men of different ages, Scand. J. Soc. Med., Suppl. 39.Google Scholar
  11. Fiatarone, M.A., Marks, E.C., Ryan, N.D., Meredith,C.N., Lipsitz, L.A., and Evans, W.J., 1990, High intensity strength training in nonagenarians. Effects on skeletal muscle, JAMA,263: 3029–3034.PubMedCrossRefGoogle Scholar
  12. Freer, C.B., 1985, Screening the elderly, SMJ,300: 1447–1448.Google Scholar
  13. Fried, L.P., Herdman, S.J., Kuhn, K.E., Rubin, G., and Turano,K., 1991, Preclinical disability. Hypotheses about the bottomof hte iceberg, Journal of Aging and Health, 3(2): 285–300.CrossRefGoogle Scholar
  14. Fries, J., 1980, Aging, naturaldeath, and the compression of morbidity, New Eng. J. Med., 303: 130–135.PubMedCrossRefGoogle Scholar
  15. Fries, J., 1989, The compression of mordidity: near orfar? Millbank Q. 67(2): 208–232.CrossRefGoogle Scholar
  16. Fylkenes, K., and Førde, O.H., 1991, The Tromsø Study:Predictors of self-evaluated health — has society adopted the expanded healthconcept? Soc. Sci. Med., 32(2): 141–146.CrossRefGoogle Scholar
  17. Fylkenes, K., and Førde, O.H.,1992, Determinants and dimensions involved in self-evaluation of health, Soc. Sci. Med., 35(2): 271–279.CrossRefGoogle Scholar
  18. Gray, J.A.M., Almind, G.,Freer, C., Warshaw, G., 1985, Screening and Case Finding, in: “PreventionofDisease in the Elderly”, J.A. Muir Gray, ed., Churchill Livingstone, Edinburgh, pp. 51–63.Google Scholar
  19. Grimley Evans, J., 1988, Ageingand Disease, in: “Research and the Ageing Population”, Ciba Foundation Symposium 134, John Wiley & Sons, Chichester, pp. 38–57.Google Scholar
  20. Guralnik, J.M., Branch, L.G.,Cummings, S.R., Curb, J.D., 1989, Physical performance measures in aging research, J. Gerontol.,44(5): M141–146.CrossRefGoogle Scholar
  21. Guralnick, J.M., and LaCroix,A.Z., 1992, Assessing Physical Function in Older Populations, in: “The Epidemiologic Study of the Elderly”, R.B. Wallace, and R.F. Woolson, eds., Oxford University Press, New York, pp.159–181.Google Scholar
  22. Guralnick, J.M., and Schneider,E.L., 1987, The compression of morbidity: a dream which may come true someday, GerontologicaPerspecta 1: 8–14.Google Scholar
  23. Harris, S., Suominen, H., Era,P., eds., 1994, “Toward Healthy Aging — International Perspectives,Part 1.Physiological and Biomedical Aspects”, Vol. III, Physical Activity, Aging and Sports, Center for the Study of Aging,Albany, New York.Google Scholar
  24. Heikkinen, E., 1995,Epidemiologic-ecological models of aging, Can. J. Aging. 14(1):82–99.CrossRefGoogle Scholar
  25. Heikkinen, E., 1989, Lifestyles and Life Satisfaction,in: “Health, Lifestyles and Services for the Elderly”, W.E. Waters, E. Heikkinen, and A.S. Dontas, eds., World Health Organization,Publid Health inEurope29, Copenhagen, pp. 39–74.Google Scholar
  26. Heikkinen, E., Arajärvi, R-L.,Era, P., Jylhä, M., Kinnunen, V., Leskinen, A-L., Mässeli, E., Pohjolainen, P., Rahkila, P., Suominen, H., Turpeinen, P., Väisänen, M., and Österback,L., 1984, Functional capacity of men bora in 1906–1910,1926–30 and 1946–50. Abasie report, Scand. J. Soc. Med., Suppl. 33.Google Scholar
  27. Heikkinen, E., Era, P.,Jokela, J., Jylhä, M., Lyyra, A.-L., Pohjolainen, P., 1993, Socioeconomic andLife-StyleFactors as Modulatros of Health and Functional Capacitywith Age, in: “Aging, Health and Competence”, J.J.F. Schroots, ed., Elsevier Science Publishers B.V., The Netherlands, pp. 65–86.Google Scholar
  28. Heikkinen, E., Heikkinen,R.-L., Kauppinen, M., Laukkanen, P., Ruoppila, I., Suutama, T., eds., 1990, “Iäkkäiden henkilöiden toimintakyky. IKIVIHREÄT-projekti, OsaI”, [“Functional Capacity in the Elderly, Evergreen-project, Part I“] Sosiaali-ja terveysministeriö, Suunnitteluosasto, 1990:1, Helsinki, Englishabstract.Google Scholar
  29. Heikkinen, E., Suominen, H.,Era, P., Lyyra, A.-L., 1994, Variations in Aging Parameters, Their Sources, and Possibilities of Predicting Physiological Age, in: “PracticalHandbook of Human Biologic Age Determination”,A.K. Baiin, ed., CRC Press, Boca Raton, Ann Arbor, London, Tokyo, pp. 71–91.Google Scholar
  30. Hirdes, J.P., and Forbes,W.F., 1993, Factors associated with the maintenance of good self-rated health, Journal of Aging andHealth, 5(1):101–122.CrossRefGoogle Scholar
  31. Idler, E.L., and Angel, R.J.,1990, Self-rated health and mortality in the NHANES-I epidemiologic follow-up study, Am. J.Publ. Health, 80: 446–452.CrossRefGoogle Scholar
  32. Idler, K., and Kasl, S., 1991,Health perceptions and survival; do global evaluations of health status really predictmortality? J. Gerontol, Social Sciences, 46: 55–65CrossRefGoogle Scholar
  33. Idler, E.L., Kasl., S.V., and Lemke, J.H., 1990, Self-evaluatedhealth and mortality among the elderly in New Haven,Connecticut, and Iowa and Washington counties, Iowa, 1982–1986, Am. J.Epidemiol, 131(1):91–103PubMedGoogle Scholar
  34. Jylhä, M., 1994, PerceivedHealth in Old Age — Two Methodological Approaches, in: Experiencing Ageing — Kokemuksellinen Vanheneminen — Att Uppleva Åldrandet, P. Öberg, P. Pohjolainen, and I. Ruoppila, eds.,Svenska social- och kommunalhögskolan vid Helsingfors universitet, Helsinki,pp. 171–184.Google Scholar
  35. Jylhä, M., Jokela, J.,Tolvanen, E., Heikkinen, E., Heikkinen, R.-L., Koskinen, S., Leskinen, E.,Lyyra, A.-L.,Pohjolainen, P., 1992, The Tampere longitudinal study onageing, Scand. J. Soc. Med., Suppl. 47.Google Scholar
  36. Jylhä, M., Leskinen, E., Alanen, E., Leskinen, A.-L., andHeikkinen, E., 1986, Self-rated health and associated factors among men of different ages, J. Gerontol, 41(6): 710–717.PubMedCrossRefGoogle Scholar
  37. Kane, R.L., Radosevich, D.M., Vaupel, J.W., 1990, Compression ofmorbidity: issues and irrelevancies, in: “Improvingthe Health of Older People: A World View,” R.L. Kane, J.G. Evans, D. Macfadyen, eds., Oxford UniversityPress, Oxford, pp. 30–49.Google Scholar
  38. Kaplan, G.A., Barell, V., andLusky, A., 1988, Subjective state of health and survival in elderly adults, J. Gerontol., Social Sciences, 43:114–120.CrossRefGoogle Scholar
  39. Kaplan, G.A., Camacho, T., 1983, Perceived health andmortality: A nine-year follow-up of the Human Population Laboratory Cohort, Am.J. Epidemiol., 117: 292–304.PubMedGoogle Scholar
  40. Katz, S., 1983, Assessingself-maintenance: Acitivities of daily living, mobility and instrumentalactivities ofdailyliving, J. Am. Geriatr. Soc. 31: 721–726.PubMedGoogle Scholar
  41. Katz, S., Ford, A.B.,Moskowitz, R.W., Jackson, B.A., and Jaffe, M.W., 1963, Studies of illness inthe aged.The index of ADL: A standardized measure of biologicaland psychological function, JAMA, 185: 914–919.PubMedCrossRefGoogle Scholar
  42. Laukkanen, P., Kauppinen, M.,Era, P., Heikkinen, E., 1993, Factors related to coping with physical and instrumental activities of daily living among people born in 1904–1923,Int. J. Ger. P., 8: 287–296.CrossRefGoogle Scholar
  43. Lawton, M.P., 1970, Thefunctional assessment of elderly people, J. Am. Geriatr. Soc., XIX:465–481.Google Scholar
  44. Lawton, M.P., 1990, Aging and performance of home tasks, Human Factors, 32:527–536.PubMedGoogle Scholar
  45. Liang, J., and Jay, G.M., 1992, Cross-cultural Research on Aging and Health,in: “The Epidemiologic Study of theElderly”, R.B. Wallace, and R.F. Woolson, eds., Oxford UniversityPress, New York, pp.301–312.Google Scholar
  46. Liang, J., Whitelaw, A., 1990,Assessing the Physical and Mental Health of the Elderly, in: “TheLegacy ofLongevity. Health and Health Care in Later Life”, S.M. Stahl, ed.. Sage Publications,Newbury Park,pp.35–54.Google Scholar
  47. Manton, K.G., Stallard, E., and Tolley, H.D., 1991,Limits to human life expctancy, Pop. Dev. Rev., 17: 603–637.CrossRefGoogle Scholar
  48. Martelin, T., 1994, “Differential mortality atolder ages. Sociodemographic Mortality Differences Among the Finnish Elderly”, Publications ofthe Finnish Demographic Society, 16, (doctoral thesis), Helsinki.Google Scholar
  49. Maylath, E., Weyerer, S., andHäfner, H., 1989, Spatial concentration of theincidence of treated psychiatric disorders inMannheim. Acta Psychiatr. Scand., 80: 650–656.PubMedCrossRefGoogle Scholar
  50. McPherson, B.D., 1994,Sociocultural perspectives on aging and physical activity, JAPA, 2(4): 329–353.Google Scholar
  51. Medvedev, Z.A., 1990, An attempt at a rationalclassification of theories of aging, Biological Review, 65: 375–398.Google Scholar
  52. Mellström, D., Nilsson, A.,Odén, B., Rundgren, A., and Svanbprg, A., 1982, Mortality among the widowed in Sweden, Scand.J. Soc. Med., 10: 33–41.PubMedGoogle Scholar
  53. Parker, M.G., Thorslund, M.,Nordström, J.-L., 1992, Predictors of mortality for the oldest old. A 4-year follow-up of community based elderly in Sweden, Arch. Grontol.Geriatr., 14: 227–237.CrossRefGoogle Scholar
  54. Parkerson, G., Broadhead, W., et al., 1992, Quality of life and functional health ofprimary care patient, J. Clin. Epidemiol. 45:1303–1313.PubMedCrossRefGoogle Scholar
  55. Passuth, P.M., Bengtson, V.L.,1988, Sociological Theories of Aging: Current Perspectives and Future Directions, in: “Emergent Theories of Aging”, J.E.Birren, and V.L. Bengtson, eds., Springer Publishing Company, New York, pp.333–355.Google Scholar
  56. Pathy, M.S.J., Bayer, A.,Harding, K., and Dibble, A., 1992, Randomised trial of case finding andsurveillanceofelderly people at home, Lancet, 340: 890–893.PubMedCrossRefGoogle Scholar
  57. Pedich, W., and Bien, B., in press, Quality of Lifeof the Elderly During the Economic and Political Transformationin Poland, in: “Swingin Pendulum. HealthRelated Quality of Life in Elderly Europeans, ”L. Ferrucci, E.W. Waters, E. Hekkinen, and A. Baroni,eds., INCRA/World Health Organization, Florence.Google Scholar
  58. Pijls, L.T.J., Feskens, E.J.M.,and Kronhout, D., 1993, Self-rated health, mortality, and chronic diseases in elderly men. The Zutphen Study, 1985–1990, Am. J. Epidemiol, 138(10):840–848.PubMedGoogle Scholar
  59. Popper, K.R., 1965, “Conjecturesand Refutations”, 2nd edition, Routledge and Kegan Paul, London, p.46.Google Scholar
  60. Robine,J.-M., Mathers, C., and Brouard, N., in press, Trens and Differentials inDisability-Free LifeExpectancy, in: Congress Proceedings of the Congresson “Health and Mortality Trends Among elderly Populations: Determinants and Implications,” City of Sendai, Japan.Google Scholar
  61. Robine, J-M., Michel, J-P.,and Branch, L.G., 1992, Measurement and utilization of healthy life expectancy. conceptual issues, Bulletin of the World Health Organization, 70:791–800.PubMedGoogle Scholar
  62. Rose, G., 1992, “TheStrategy of Preventive Medicine”, Oxford University Press, Oxford.Google Scholar
  63. Sachs, L.,1994, Har begreppet stress något gemensamt med “onda ögat”, in: “Kampen för folkhälsan,” G.Carlsson,and O. Arvidsson,eds.,Naturoch Kultur, BoråsGoogle Scholar
  64. Schipper, H., Clinch, J., and Powell, V., 1990,Definitions and Conceptual Issues, in: Quality of Life Assessments in Clinical Trials”, B. Spilker, ed., Raven Press, New York, pp.11–24.Google Scholar
  65. Spirduso, W.W., 1994, Physical activity and aging:Retrospections and visions for the future, JAPA, 2(3): 233–242.Google Scholar
  66. Stuck, A.E., Siu, A.L., Wieland, G.D., Adams, J., Rubenstein,L.Z., 1993, Comprehensive geriatric assessment: a meta-analysis of controlled trials,Lancet, 342: 1032–1033.PubMedCrossRefGoogle Scholar
  67. Svanborg, A., 1988, The Healthof the Elderly Population: Results from Longitudinal Studies with Age-Cohort Compariso, in: “Research and the Ageing Population”, CibaFoundation Symposium 134, John Wiley & Sons, Chichester, pp 3–16.Google Scholar
  68. Twaddle, A.C., 1974, The concept of health status, Soc.Sci.Med.,8:29–38.PubMedCrossRefGoogle Scholar
  69. van Rossum, E., Frederiks, C.M.a., Philipsen, H., Portengen, K., Wiskerke, J., Knipschild, P., 1993, Effects of preventive homevisits to elderly people, BMJ, 307: 27–32.PubMedCrossRefGoogle Scholar
  70. Verbrugge, L.M., 1990, TheIceberg of Disability, in: “The Legacy of Longevity”, M. Stahl, ed.. Sage Publications, Newbury Park, pp.55–75.Google Scholar
  71. Verbrugge, L.M., Lepkowski,J.M., and Imanaka, Y., 1989, Comorbidity and its impact on disability, Millbank Q., 67(3–4): 450–484.CrossRefGoogle Scholar
  72. Verhasselt, Y., 1993,Geography of health: some trends and perspectives, Soc. Sci. Med. 36(2): 119–123.PubMedCrossRefGoogle Scholar
  73. Wallace, R.B., 1992, Aging and Disease: From Laboratoryto Community, in: “The Epidemiologic Study of the Elderly”, R.B. Wallace, and R.F.Woolson, eds., Oxford University Press, New York, pp. 3–9.Google Scholar
  74. Wagner, E.H., and Larson, E.B., 1992, Effects ofphysical activity on health status in older adults I: Observationalstudies, Annu. Rev. Publ. Health, 13: 451–468.CrossRefGoogle Scholar
  75. Welin, L., Tibblin, G.,Svärdsudd, K., et al., 1985, Prospective study of social influences onmortality, Lancet,i:915–918.CrossRefGoogle Scholar
  76. Williams, T.F., 1990,Geriatrics: A Perspective on Quality of Life and Care for Older People, in: “QualityofLife Assessment in Clinical Trials”, B.. Spilker, ed., Raven Press, New York, pp. 217–223.Google Scholar
  77. World Health Organization,1980, “International Classification of Impairments, Disabilities andHandicaps”,Geneva.Google Scholar

Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • Eino Heikkinen
    • 1
  1. 1.The Finnish Centre for Interdisciplinary Gerontology and Department of Health SciencesUniversity of JyväskyläJyväskyläFinland

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