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6 Healthy Aging: What Is It? Are There Acceptable Markers to Utilize in Developing Strategies to Promote It?
Pages 115-122

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From page 115...
... Developing these strategies in turn will require understanding what leads to successful aging, she asserted, including the genetic, lifestyle (including psychosocial interactions) , and environmental factors that determine both rate of aging and disease susceptibility.
From page 116...
... She called attention to the fact that in this study, lifestyle characteristics accounted for 48 percent of the variance in successful aging, while psychosocial-economic factors accounted for 23 percent, leaving only 38 percent explained by clinical characteristics. Meydani also emphasized that studies of successful aging vary considerably in the proportion of individuals considered to have aged successfully depending on how successful aging is defined.
From page 117...
... "Even if you have an illness and disease, you bypass that, and you live." As a microbiologist, he was delighted that the microbiome is being examined over the lifespan, and he suspects that in the near future, this knowledge will have a tremendous influence on healthy aging, given that only part of what people ingest is used to support them directly, with the remainder supporting their microbiome. The many aspects of healthy aging, he continued, including bone structure, skeletal muscle, digestive tract health, appropriate weight, and others, create what he described as a "challenge of choices." In his opinion, the social aspects of healthy aging are extremely important.
From page 118...
... While speakers at the workshop had identified improving social contacts and cognitive function, for example, as important healthy aging interventions, she works in the poorest part of Oakland, California, where many elderly people lack the resources to participate in those interventions. She suggested identifying key targets that are simple and easy to comprehend and can be communicated to the public.
From page 119...
... She argued that health care providers need markers to identify at-risk people and know when intervention is appropriate, governments need markers to develop recommendations for older people regarding nutritional intakes or other lifestyle changes, and the food industry needs markers so they can develop products to meet targets. PANEL DISCUSSION WITH THE AUDIENCE Following these remarks, Busta asked about public use of the Dietary Guidelines for Americans (DGA)
From page 120...
... in long-term studies that could involve lifestyle interventions, supplements, and other factors. She called for building an evidence base with the appropriate outcomes that are going to have an impact and urged considering interventions beyond those that are behavior-based, given the challenges of adult learning.
From page 121...
... King encouraged thinking about early determinants of inappropriate aging processes, such as inflammation. Johnson agreed with Reuben on the need to identify markers based on what older adults themselves consider to be important, but she suggested that markers also need to be developed based on what programs and payers perceive to be important.


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