Skip to main content

Healthy Aging: Definition and Scope

  • Chapter
  • First Online:
Healthy Aging

Abstract

Age is relatively easy to measure. By a long-established standard, human age is measured in years, the amount of time it takes for the planet we live on to make one rotation around our sun. Aging is more difficult to define and measure. Health is also difficult to define and measure. Good health and poor health mean different things to different people and especially to patients and their healthcare providers.

All living things change with increasing age, initially by growing and developing and eventually when they are older, by experiencing age-related changes which affect function and which ultimately make the organism more prone to disease, disability and death. Human life expectancy is increasing, though the maximum age to which a human lives does not appear to be changing at the same rate, if at all. There are clear benefits to a long life, particularly if that life is healthy, functionally independent, happy, secure, and fulfilled. There are great personal, family, and societal burdens when old age is complicated by long periods of disease, disability, and dependency.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. http://www.pewsocialtrends.org/2009/06/29/growing-old-in-america-expectations-vs-reality/. Accessed 31 July 2018.

  2. Lindeman RD, Tobin J, Shock NW. Longitudinal studies on the rate of decline in renal function with age. J Am Geriatr Soc. 1985;33(4):278–85.

    Article  CAS  Google Scholar 

  3. Jackson R. Elderly and sun-affected skin. Distinguishing between changes caused by aging and changes caused by habitual exposure to sun. Can Fam Physician. 2001;47:1236–43.

    CAS  PubMed  PubMed Central  Google Scholar 

  4. Bucala R. Diabetes, aging, and their tissue complications. J Clin Invest. 2014;124(5):1887–8.

    Article  CAS  Google Scholar 

  5. Black D, O’Loughlin K, Kendig H, Wilson L. Cities, environment stressors, ageing and chronic disease. Australas J Ageing. 2012;31(3):147–51.

    Article  Google Scholar 

  6. Mathers CD, Stevens GA, White TB, Tobias MI. Causes of international increase in older age life expectancy. Lancet. 2015;385:540–8.

    Article  Google Scholar 

  7. Onarheim KH, Tessema S, Johansson KA, Norheim OF, Milieteig I. Prioritizing child health interventions in Ethiopia: modeling impact on child mortality, life expectancy and inequality in age at death. PLoS One. 2012;7(8):e41521.

    Article  CAS  Google Scholar 

  8. Thun MJ, Apicella LF, Henley SJ. Smoking vs other risk factors as the cause of smoking-attributable deaths: confounding in the courtroom. JAMA. 2000;284:706–12.

    Article  CAS  Google Scholar 

  9. Di Cesare M, Bennett JE, Best N, Stevens GA, Danaei G, Ezzati M. The contributions of risk factor trends to cardiometabolic mortality decline in 26 industrialized countries. Int J Epidemil. 2013;42(12):838–48.

    Article  Google Scholar 

  10. Kinsella K, Phillips DR. Global aging: the challenges of success. Popul Bull. 2005;60(1). Washington, DC: Population Reference Bureau.

    Google Scholar 

  11. http://www.worldlifeexpectancy.com/world-population-pyramid. Accessed 1 Aug 2018.

  12. https://www.ssa.gov/history/briefhistory3.html. Accessed 1 Aug 2018.

  13. https://www.mercatus.org/publication/how-many-workers-support-one-social-security-retiree. Accessed 1 Aug 2018.

  14. Ginsburg PB, Rivlin AM. Challenges for Medicare at 50. N Engl J Med. 2015;373:1993–5.

    Article  CAS  Google Scholar 

  15. Nolte E, Knaj C, Hofmarcher M, Conklin A, et al. Overcoming fragmentation in health care: chronic care in Austria, Germany and The Netherlands. Health Econ Policy Law. 2012;7(1):125–46.

    Article  Google Scholar 

  16. Picco L, Achilla E, Abdin E, Chong SA, et al. Economic burden of multimorbidity among older adults: impact on healthcare and societal costs. BMC Health Serv Res. 2016;16:173.

    Article  Google Scholar 

  17. https://www.cbo.gov/sites/default/files/cbofiles/ftpdocs/63xx/doc6332/05-03-medispending.pdf. Accessed 1 Aug 2018.

  18. https://www.usatoday.com/story/news/2015/06/05/medicare-costs-seniors-sick-chronic-conditions/27390925/. Accessed 1 Aug 2018.

  19. Goering S. What makes suffering “unbearable and hopeless”? Advance directives, dementia and disability. Am J Bioeth. 2007;7(4):62–3.

    Article  Google Scholar 

  20. Kanauchi M, Kubo A, Kanauchi K, Saito Y. Frailty, health-related quality of life and mental well-being in older adults with cardiometabolic risk factors. Int J Clin Pract. 2008;62(9):1447–51. https://doi.org/10.1111/j.1742-1241.2008.01830.x. Epub 2008 July 16.

    Article  CAS  PubMed  Google Scholar 

  21. Cella DF. Methods and problems in measuring quality of life. Support Care Cancer. 1995;3(1):11–22.

    Article  CAS  Google Scholar 

  22. Unden AL, Elofesson S. Health from the patient’s point of view. How does it relate to the physician’s judgement? Fam Pract. 2001;18(2):174–80.

    Article  CAS  Google Scholar 

  23. http://www.who.int/ageing/healthy-ageing/en/. Accessed 1 Aug 2018.

  24. http://ec.europa.eu/health/ph_projects/2003/action1/docs/2003_1_26_frep_en.pdf. Accessed 1 Aug 2018.

  25. http://publications.gc.ca/collections/Collection/H39-612-2002-1E.pdf. Accessed 1 Aug 2018.

  26. Hunter RH, Anderson LA, Belza B, Bodiford K, et al. Environments for healthy aging: linking prevention research and public health practice. Prev Chronic Dis. 2013;10:E55. https://doi.org/10.5888/pcd10.120244.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Sowa A, Tobiasz-Adamczyk B, Topor-Madry R, Poscia A, Ignazio La Milia D. Predictors of healthy ageing: public health policy targets. BMC Health Serv Res. 2016;16(Suppl 5):289.

    Article  Google Scholar 

  28. Kirkland JL, Tchkonia T, Zhu Y, Niedernhofer LJ, Robbins PD. The clinical potential of Senolytic drugs. J Am Geriatr Soc. 2017;65(10):2297–301. https://doi.org/10.1111/jgs.14969. Epub 2017 Sept 4.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Bussian TJ, Aziz A, Meyer CF, Swenson BL, van Deursen JM, Baker DJ. Clearance of senescent glial cells prevents tau-dependent pathology and cognitive decline. Nature. 2018 t 19;562:578. https://doi.org/10.1038/s41586-018-0543-y.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Lim KT, Yu R. Aging and wisdom: age-related changes in economic and social decision making. Front Aging Neurosci. 2015;7:120. https://doi.org/10.3389/fnagi.2015.00120. eCollection 2015.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Leigh JP, Hubert HB, Romano PS. Lifestyle risk factors predict healthcare costs in an aging cohort. Am J Prev Med. 2005;29(5):379–87.

    Article  Google Scholar 

  32. Oldbridge NB. Economic burden of physical inactivity: healthcare costs associated with cardiovascular disease. Eur J Cardiovasc Prev Rehabil. 2008;15(2):130–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Patrick P. Coll .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Coll, P.P. (2019). Healthy Aging: Definition and Scope. In: Coll, P. (eds) Healthy Aging. Springer, Cham. https://doi.org/10.1007/978-3-030-06200-2_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-06200-2_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-06199-9

  • Online ISBN: 978-3-030-06200-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics