The WHO active ageing pillars and its association with survival: Findings from a population-based study in Spain

Archives of Gerontology and Geriatrics
A I Hijas-GómezM J Forjaz

Abstract

The World Health Organization's active ageing model is based on the optimisation of four key "pillars": health, lifelong learning, participation and security. It provides older people with a policy framework to develop their potential for well-being, which in turn, may facilitate longevity. We sought to assess the effect of active ageing on longer life expectancy by: i) operationalising the WHO active ageing framework, ii) testing the validity of the factors obtained by analysing the relationships between the pillars, and iii) exploring the impact of active ageing on survival through the health pillar. Based on data from a sample of 801 community-dwelling older adults, we operationalised the active ageing model by taking each pillar as an individual construct using principal component analysis. The interrelationship between components and their association with survival was analysed using multiple regression models. A three-factor structure was obtained for each pillar, except for lifelong learning with a single component. After adjustment for age, gender and marital status, survival was only significantly associated with the physical component of health (HR = 0.66; 95% CI = 0.47-0.93; p = 0.018). In turn, this component was lo...Continue Reading

Citations

Nov 14, 2020·International Journal of Environmental Research and Public Health·Diego Sánchez-GonzálezGloria Fernández-Mayoralas
May 1, 2021·International Journal of Environmental Research and Public Health·Alba AyalaMaria João Forjaz
Jul 25, 2021·International Journal of Environmental Research and Public Health·Margherita RampioniVera Stara

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