Healthy ageing phenotype in older people in Manizales

Authors：Curcio, Carmen Lucia^*; Giraldo, Andros Fernando; Gomez, Fernando

Source：Biomedica, 2020, 40(1).

• healthy aging
• phenotype
• biomarkers
• social determinants of health
• aging

Introduction: The healthy ageing phenotype describe group individuals that aging with lower comorbidities with ability to be socially engaged, productive and to function independently both at physical and cognitive levels.
Objective: To establish the frequency of healthy ageing phenotype in community-older-people using multidimensional, biomedical and psychosocial models according of measurements and identify factors related with each model.
Material and methods: Cross-sectional, observational and descriptive. Individuals (n= 402; 50.1% female) aged 65 years and over (mean 69.2 years) from Manizales urban area were assessed. HAP included five domains: (bio) markers of physiological and metabolic health, physical capability, cognitive function, social wellbeing, and psychological wellbeing. Associated factors by sociodemographic, socioeconomic and health variables were analyzed.
Results: Multidimensional model including all domains of HAP had a prevalence of 15.5%, biomedical including only three domains, 12.3% and psychosocial domain (social and psychological wellbeing) had a prevalence of 63.3%. Good self-perceived health is an independent predictor of HA in all models assessed. Perceived sufficiency income was predictor for biomedical and psychosocial models, while being married were only predictor for psychosocial model.
Conclusions: Healthy ageing phenotype (HAP) prevalence differs depending of variables included in the model, from one in ten individuals when all or biomedical variables to six in ten when only psychosocial variables are included. Self-perceived health, perceived sufficiency income and be married are predictor factors for healthy aging.