Exploring the bidirectional influence between awareness of age-related change and health outcomes in the second half of life

探索年龄相关变化意识与后半生健康结果之间的双向影响

• 批准号: ES/X007766/1
• 负责人: Serena Sabatini
• 金额: $ 12.7万
• 依托单位: University of Nottingham
• 依托单位国家: 英国
• 项目类别: Fellowship
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FX007766%2F1
• 关键词: Exploring; bidirectional; influence; between; awareness

Our society tends to view older people (i.e., those aged > 65 years) as being frail, sad, and forgetful. However, this is not the reality for many. Older aged people can experience both positive and negative changes. Examples of positive changes are increased free time to spend with friends or increased knowledge. Examples of negative changes are reduced energy and poorer memory. To capture the positive (gains) and negative (losses) changes an individual may experience as they age, a questionnaire assessing Awareness of Age Related Changes (AARC) was created. It asks about the gains and losses people perceive from mid-life to older age in five domains including cognition, mood, physical health, social relations, and lifestyle. My PhD documented for the first time levels of AARC gains and AARC losses among UK residents aged 50 + years. On average, people reported higher AARC gains than AARC losses and the losses they experienced mostly related to reduced energy and having to abandon physically demanding activities such as running. However, one's experience of age-related changes is unique, and each person can report different degrees of AARC gains and AARC losses. For example, healthier people reported higher AARC gains and lower AARC losses, compared to those in poorer health. Hence, my PhD contributed to ageing research by showing that asking people about the age-related changes they experience may help to identify those struggling the most while ageing.However, we do not know what is the causal relationship between AARC and one's health. For example, those people that find it increasingly harder to remember things, experience new illnesses, or have low mood as they age, may notice these negative changes in their daily life and, consequently, report lower AARC gains and higher AARC losses. Alternatively, those who think that losses are an inevitable part of ageing, also tend to believe they have little control over their health and, consequently, are less likely to make the effort to follow a healthy lifestyle. Due to lack of engagement in healthy behaviours, such as physical activity, those who believe that losses are intrinsic in older age may experience poorer health over time and report higher AARC losses and lower AARC gains. Finally, it may be that the occurrence of losses in one health domain shapes individuals' perception of their ageing which in turn influences other aspects of their health. For instance, memory difficulties may lead to perceived AARC losses which may then trigger poor mood. This fellowship aims to start addressing the link between AARC and health. This is important for informing the development of new strategies for promoting health in mid to old age. For example, if we were to find that those people whose cognitive abilities have been decreasing report higher AARC losses, asking people to complete the AARC questionnaire would help to detect those at higher risk of further cognitive decline. Such individuals could be enrolled in cognitive training and other programs aimed at delaying further cognitive impairment. Another example, if we were to find that those who report higher AARC losses experience poorer future health and, that this is somewhat due to them not engaging in healthy behaviours, assessing AARC would help to identify those who would benefit most from programs promoting positive views of older age, positive self-perceptions of ageing, greater self-efficacy, and a healthy lifestyle. I aspire to lead an independent, world renowned program of work in the fields of health and ageing. This fellowship would be the first step toward achieving this goal. It would enable me to extend my PhD research and strengthen the empirical basis for future fellowship applications focused on developing new interventions for promoting more positive self-perceptions of ageing and health in the older population. It would also maximise the dissemination of my work and help widen my network of collaborators.

我们的社会倾向于认为老年人（即，年龄> 65岁的人）为虚弱、悲伤和健忘。然而，这并不是许多人的现实。老年人可以经历积极和消极的变化。积极变化的例子是增加了与朋友共度的空闲时间或增加了知识。负面变化的例子是能量减少和记忆力下降。为了捕捉个体随着年龄增长可能经历的积极（增益）和消极（损失）变化，创建了评估年龄相关变化意识（AARC）的问卷。它询问了人们从中年到老年在五个领域的收益和损失，包括认知，情绪，身体健康，社会关系和生活方式。我的博士学位首次记录了50岁以上英国居民的AARC增益和AARC损失水平。平均而言，人们报告的AARC增益高于AARC损失，他们经历的损失主要与能量减少和不得不放弃跑步等体力活动有关。然而，一个人对年龄相关变化的体验是独特的，每个人都可以报告不同程度的AARC增加和AARC损失。例如，与健康状况较差的人相比，健康的人报告了更高的AARC增益和更低的AARC损失。因此，我的博士学位为老龄化研究做出了贡献，他表明，询问人们与年龄相关的变化，他们的经验可能有助于确定那些在衰老过程中挣扎最多的人。然而，我们不知道AARC和一个人的健康之间的因果关系是什么。例如，那些发现越来越难记住事情，经历新疾病或随着年龄的增长情绪低落的人可能会注意到他们日常生活中的这些负面变化，因此，报告AARC增加和AARC损失。另外，那些认为损失是衰老不可避免的一部分的人也倾向于认为他们对自己的健康几乎没有控制权，因此不太可能努力遵循健康的生活方式。由于缺乏健康行为的参与，如身体活动，那些认为损失是老年人固有的人可能会随着时间的推移而经历更差的健康状况，并报告更高的AARC损失和更低的AARC收益。最后，一个健康领域的损失可能会影响个人对衰老的看法，而这反过来又会影响他们健康的其他方面。例如，记忆困难可能导致感知AARC损失，然后可能引发情绪不佳。该研究金旨在开始解决AARC与健康之间的联系。这对于制定促进中老年人健康的新战略具有重要意义。例如，如果我们发现那些认知能力下降的人报告的AARC损失更高，要求人们完成AARC问卷将有助于发现那些认知能力进一步下降的风险更高的人。这些人可以参加认知训练和其他旨在延缓进一步认知障碍的计划。另一个例子，如果我们发现那些报告AARC损失较高的人未来的健康状况较差，这在某种程度上是由于他们没有从事健康的行为，评估AARC将有助于确定那些从促进老年积极观点的计划中受益最多的人，积极的自我认知老化，更大的自我效能，以及健康的生活方式。我渴望在健康和老龄化领域领导一个独立的、世界知名的工作计划。这项奖学金将是实现这一目标的第一步。这将使我能够扩展我的博士研究，并加强未来奖学金申请的经验基础，重点是开发新的干预措施，以促进老年人对老龄化和健康的更积极的自我认知。这也将最大限度地传播我的工作，并帮助扩大我的合作者网络。

项目成果

Health conditions in spousal caregivers of people with dementia and their relationships with stress, caregiving experiences, and social networks: longitudinal findings from the IDEAL programme

• DOI: 10.1186/s12877-024-04707-w
• 发表时间: 2024-02-19
• 期刊: BMC GERIATRICS
• 影响因子: 4.1
• 作者: Sabatini，Serena;Martyr，Anthony;Clare，Linda
• 通讯作者: Clare，Linda

sj-docx-1-ahd-10.1177_00914150231208686 - Supplemental material for The Role of Awareness of Age-Related Change in the Longitudinal Association between Pain and Physical Activity

sj-docx-1-ahd-10.1177_00914150231208686 - 年龄相关变化意识在疼痛和体力活动之间纵向关联中的作用的补充材料

• DOI: 10.25384/sage.24466810
• 发表时间: 2023
• 作者: Turner S

Correlates of felt age in caregivers of people with dementia: findings from the IDEAL study.

• DOI: 10.3389/fpsyg.2023.1287842
• 发表时间: 2023
• 期刊: FRONTIERS IN PSYCHOLOGY
• 影响因子: 3.8
• 作者: Sabatini, Serena;Turner, Shelbie G;Morris, Robin G;Opdebeeck, Carol;Thom, Jeanette M;Hunt, Anna;Allan, Louise;Pentecost, Claire;Clare, Linda
• 通讯作者: Clare, Linda

Physical and mental health conditions account for variability in awareness of age-related changes.

• DOI: 10.3389/fpsyt.2023.1152177
• 发表时间: 2023
• 期刊: FRONTIERS IN PSYCHIATRY
• 影响因子: 4.7
• 作者: Sabatini, Serena;Turner, Shelbie;Brooker, Helen;Ballard, Clive;Corbett, Anne;Hampshire, Adam
• 通讯作者: Hampshire, Adam

Bidirectional Associations of Awareness of Age-Related Change and Attitudes Toward Own Aging With Social Media Use.

• DOI: 10.1093/geronb/gbad070
• 发表时间: 2023-08-02
• 期刊: JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES
• 影响因子: 6.2
• 作者: Sabatini, Serena;Wilton-Harding, Bethany;Ballard, Clive;Brooker, Helen;Corbett, Anne;Hampshire, Adam;Windsor, Tim D.
• 通讯作者: Windsor, Tim D.