Successful Aging in the Australian Longitudinal Study of Aging: Applying the MacArthur Model Cross–Nationally

Wide variation in the experience of aging is increasingly recognized and models for identifying groups based on how “successfully” individuals are aging have taken many forms. This study used the criteria developed in the MacArthur studies on successful aging to identify subgroups with higher, intermediate, or lower levels of function, and to compare them across a range of other domains. Data were drawn from the Australian Longitudinal Study of Aging (ALSA) in Adelaide, Australia, which is a population–based, bio–psycho–social study of a cohort of 1947 adults aged 70 years or more. Six waves have been conducted, between 1992 and 2000. At waves 1 and 3, an extensive personal interview and self–complete questionnaires were administered and objective physical and psychological functioning assessed. Eight–year mortality was also examined. Results showed risk and protective effects of successful aging for physical functioning and performance, lifestyle, cognition, affect, and personality. The findings confirm that people age with differing degrees of success and those aging most successfully not only live longer, but also experience a better quality of life. The MacArthur model proved useful for this cross–national comparison of determinants and outcomes of “successful” aging.

[1]  Gerda G. Fillenbaum,et al.  Multidimensional Functional Assessment of Older Adults: The Duke Older Americans Resources and Services Procedures , 1988 .

[2]  S. Kasl,et al.  Can parental longevity and self-rated life expectancy predict mortality among older persons? Results from an Australian cohort. , 1998, The journals of gerontology. Series B, Psychological sciences and social sciences.

[3]  K. Anstey,et al.  Psychosocial factors, gender and late-life mortality , 2002 .

[4]  R. J. Sullivan,et al.  Medication Taking Behaviors in the High- and Low-Functioning Elderly: Macarthur Field Studies of Successful Aging , 1995, The Annals of Pharmacotherapy.

[5]  M. Bond,et al.  The Adelaide Activities Profile: A measure of the lifestyle activities of elderly people , 1995 .

[6]  R. Withers,et al.  Exercise profile and subsequent mortality in an elderly Australian population , 1977, Australian and New Zealand journal of public health.

[7]  J. Bryan,et al.  Challenges to Understanding Age-Related Memory Loss in Late Adulthood: An Introduction , 1999, Gerontology.

[8]  T. Seeman,et al.  Self-efficacy beliefs and perceived declines in functional ability: MacArthur studies of successful aging. , 1999, The journals of gerontology. Series B, Psychological sciences and social sciences.

[9]  M. Tinetti,et al.  Validation and use of performance measures of functioning in a non-disabled older population: MacArthur studies of successful aging , 1994, Aging.

[10]  P A Charpentier,et al.  Behavioral and psychosocial predictors of physical performance: MacArthur studies of successful aging. , 1995, The journals of gerontology. Series A, Biological sciences and medical sciences.

[11]  V. Henderson,et al.  Boston Naming Test: shortened versions for use in Alzheimer's disease. , 1992, Journal of gerontology.

[12]  K. Anstey,et al.  Demographic, health, cognitive, and sensory variables as predictors of mortality in very old adults. , 2001, Psychology and aging.

[13]  Adolescence to Adulthood. , 1980 .

[14]  M P Lawton,et al.  The Philadelphia Geriatric Center Morale Scale: a revision. , 1975, Journal of gerontology.

[15]  M. Rosenberg Society and the adolescent self-image , 1966 .

[16]  J W Rowe,et al.  Predicting changes in physical performance in a high-functioning elderly cohort: MacArthur studies of successful aging. , 1994, Journal of gerontology.

[17]  G. Andrews,et al.  THE AUSTRALIAN LONGITUDINAL STUDY OF AGEING , 1989 .

[18]  Y. Benyamini,et al.  Self-rated health and mortality: a review of twenty-seven community studies. , 1997, Journal of health and social behavior.

[19]  T. Seeman,et al.  Social network characteristics and onset of ADL disability: MacArthur studies of successful aging. , 1996, The journals of gerontology. Series B, Psychological sciences and social sciences.

[20]  M. Albert,et al.  Interrelationships of peak expiratory flow rate with physical and cognitive function in the elderly: MacArthur Foundation studies of aging. , 1995, The journals of gerontology. Series A, Biological sciences and medical sciences.

[21]  J. Rowe,et al.  Human aging: usual and successful. , 1987, Science.

[22]  L. Radloff The CES-D Scale , 1977 .

[23]  Garfein Aj,et al.  Robust Aging among the Young-Old, Old-Old, and Oldest-Old , 1995 .

[24]  Paul B. Baltes,et al.  Successful aging: Perspectives from the behavioral sciences , 1990 .

[25]  I. Rosow,et al.  A Guttman health scale for the aged. , 1966, Journal of gerontology.

[26]  E. Pfeiffer A Short Portable Mental Status Questionnaire for the Assessment of Organic Brain Deficit in Elderly Patients † , 1975, Journal of the American Geriatrics Society.

[27]  K. Anstey,et al.  Mortality Risk Varies According to Gender and Change in Depressive Status in Very Old Adults , 2002, Psychosomatic medicine.

[28]  R. Suzman,et al.  Longitudinal study of physical ability in the oldest-old. , 1989, American journal of public health.

[29]  L. Berkman,et al.  Change in productive activity in late adulthood: MacArthur studies of successful aging. , 1995, The journals of gerontology. Series B, Psychological sciences and social sciences.

[30]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[31]  Factors Associated with Successful Ageing , 1998 .

[32]  Paul B. Baltes,et al.  Multilevel and systemic analyses of old age: Theoretical and empirical evidence for a fourth age , 1999 .

[33]  B. Singer,et al.  Price of adaptation--allostatic load and its health consequences. MacArthur studies of successful aging. , 1997, Archives of internal medicine.

[34]  J. Rowe,et al.  Successful aging. , 1998, Aging.

[35]  L. Schneider,et al.  Alzheimer's dementia: performance on the Mini-Mental State Examination. , 1987, Journal of consulting and clinical psychology.

[36]  J. Guralnik,et al.  Predictors of healthy aging: prospective evidence from the Alameda County study. , 1989, American journal of public health.

[37]  W. Strawbridge,et al.  Successful aging: predictors and associated activities. , 1996, American journal of epidemiology.

[38]  M. Albert,et al.  High, usual and impaired functioning in community-dwelling older men and women: findings from the MacArthur Foundation Research Network on Successful Aging. , 1993, Journal of clinical epidemiology.

[39]  S. Z. Nagi An epidemiology of disability among adults in the United States. , 1976, The Milbank Memorial Fund quarterly. Health and society.

[40]  M. Luszcz A longitudinal study of psychological changes in cognition and self in late life , 1998 .

[41]  M. Luszcz,et al.  SURVEYING THE AGED IN AUSTRALIA , 1987 .

[42]  M. Albert,et al.  Cognitive performance in a high-functioning community-dwelling elderly population. , 1993, Journal of gerontology.