Ageing trajectories of health-longitudinal opportunities and synergies (ATHLOS) Healthy Ageing Scale in adults from 16 international cohorts representing 38 countries worldwide.

Journal: Journal of epidemiology and community health

Volume: 74

Issue: 12

Year of Publication: 2021

Affiliated Institutions:  Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece. Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan De Deu, Sant Boi De Llobregat, Spain. Centro De Investigación Biomédica En Red De Salud Mental (CIBERSAM), Instituto De Salud Carlos III, Madrid, Spain. Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid/Idipaz, Madrid, Spain. Department of Psychiatry, Universidad Autonoma De Madrid, Madrid, Spain. Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece dbpanag@hua.gr.

Abstract summary 

Uniform international measurement tools for assessing healthy ageing are currently lacking.The study assessed the novel comprehensive global Ageing Trajectories of Health: Longitudinal Opportunities and Synergies (ATHLOS) Healthy Ageing Scale, using an Item Response Theory approach, for evaluating healthy ageing across populations.Pooled analysis of 16 international longitudinal studies.38 countries in five continents.International cohort (n=355 314), including 44.4% (n=153 597) males, aged (mean±SD) 61.7±11.5 years old.The ATHLOS Healthy Ageing Scale (including 41 items related to intrinsic capacity and functional ability) was evaluated in a pooled international cohort (n=355 314 from 16 studies) according to gender, country of residence and age group. It was also assessed in a subset of eight cohorts with ≥3 waves of follow-up assessment. The independent samples t-test and Mann-Whitney test were applied for comparing normally and skewed continuous variables between groups, respectively.The ATHLOS Scale (range: 12.49-68.84) had a mean (±SD) value of 50.2±10.0, with males and individuals >65 years old exhibiting higher and lower mean scores, respectively. Highest mean scores were detected in Switzerland, Japan and Denmark, while lowest in Ghana, India and Russia. When the ATHLOS Scale was evaluated in a subset of cohorts with ≥3 study waves, mean scores were significantly higher than those of the baseline cohort (mean scores in ≥3 study waves vs baseline: 51.6±9.4 vs 50.2±10.0; p<0.01).The ATHLOS Healthy Ageing Scale may be adequately applied for assessing healthy ageing across populations.

Authors & Co-authors:  Critselis Elena E Panaretos Dimitris D Sánchez-Niubò Albert A Giné-Vázquez Iago I Ayuso-Mateos José Luis JL Caballero Francisco Felix FF de la Fuente Javier J Haro Josep Maria JM Panagiotakos Demosthenes D

Study Outcome 

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Statistics
Citations : 
Authors :  9
Identifiers
Doi : 10.1136/jech-2020-214496
SSN : 1470-2738
Study Population
Males
Mesh Terms
Adult
Other Terms
Ageing;epidemiology of ageing;public health;research methods;screening
Study Design
Cohort Study,Longitudinal Study,Cross Sectional Study
Study Approach
Country of Study
Ghana
Publication Country
England