Trajectories of positive aging

Observations from the women's health initiative study

Oleg Zaslavsky, Barbara B. Cochrane, Nancy Fugate Woods, Andrea Z. Lacroix, Jingmin Liu, Jerald R. Herting, Joseph S. Goveas, Karen Johnson, Lewis H. Kuller, Lisa W. Martin, Yvonne L. Michael, Jennifer G. Robinson, Marcia Stefanick, Lesley F. Tinker

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: The purpose of this study was to describe the longitudinal trajectories and bidirectional relationships of the physical-social and emotional functioning (EF) dimensions of positive aging and to identify their baseline characteristics. Methods: Women age 65 and older who enrolled in one or more Women's Health Initiative clinical trials (WHI CTs) and who had positive aging indicators measured at baseline and years 1, 3, 6, and 9 were included in these analyses (N = 2281). Analytic strategies included latent class growth modeling to identify longitudinal trajectories and multinomial logistic regression to examine the effects of baseline predictors on these trajectories. Results: A five-trajectory model was chosen to best represent the data. For Physical-Social Functioning (PSF), trajectory groups included Low Maintainer (8.3%), Mid-Low Improver (10.4%), Medium Decliner (10.7%), Mid-High Maintainer (31.2%), and High Maintainer (39.4%); for EF, trajectories included Low Maintainer (3%), Mid-Low Improver (9%), Medium Decliner (7.7%), Mid-High Maintainer (22.8%), and High Maintainer (57.5%). Cross-classification of the groups of trajectories demonstrated that the impact of a high and stable EF on PSF might be greater than the reverse. Low depression symptoms, low pain, and high social support were the most consistent predictors of high EF trajectories. Conclusion: Aging women are heterogeneous in terms of positive aging indicators for up to 9 years of follow-up. Interventions aimed at promoting sustainable EF might have diffused effects on other domains of healthy aging.

Original languageEnglish (US)
Pages (from-to)1351-1362
Number of pages12
JournalInternational Psychogeriatrics
Volume26
Issue number8
DOIs
StatePublished - Jan 1 2014

Fingerprint

Women's Health
Social Support
Logistic Models
Clinical Trials
Depression
Pain
Growth

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Gerontology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health

Cite this

Zaslavsky, O., Cochrane, B. B., Woods, N. F., Lacroix, A. Z., Liu, J., Herting, J. R., ... Tinker, L. F. (2014). Trajectories of positive aging: Observations from the women's health initiative study. International Psychogeriatrics, 26(8), 1351-1362. https://doi.org/10.1017/S1041610214000593

Trajectories of positive aging : Observations from the women's health initiative study. / Zaslavsky, Oleg; Cochrane, Barbara B.; Woods, Nancy Fugate; Lacroix, Andrea Z.; Liu, Jingmin; Herting, Jerald R.; Goveas, Joseph S.; Johnson, Karen; Kuller, Lewis H.; Martin, Lisa W.; Michael, Yvonne L.; Robinson, Jennifer G.; Stefanick, Marcia; Tinker, Lesley F.

In: International Psychogeriatrics, Vol. 26, No. 8, 01.01.2014, p. 1351-1362.

Research output: Contribution to journalArticle

Zaslavsky, O, Cochrane, BB, Woods, NF, Lacroix, AZ, Liu, J, Herting, JR, Goveas, JS, Johnson, K, Kuller, LH, Martin, LW, Michael, YL, Robinson, JG, Stefanick, M & Tinker, LF 2014, 'Trajectories of positive aging: Observations from the women's health initiative study', International Psychogeriatrics, vol. 26, no. 8, pp. 1351-1362. https://doi.org/10.1017/S1041610214000593
Zaslavsky O, Cochrane BB, Woods NF, Lacroix AZ, Liu J, Herting JR et al. Trajectories of positive aging: Observations from the women's health initiative study. International Psychogeriatrics. 2014 Jan 1;26(8):1351-1362. https://doi.org/10.1017/S1041610214000593
Zaslavsky, Oleg ; Cochrane, Barbara B. ; Woods, Nancy Fugate ; Lacroix, Andrea Z. ; Liu, Jingmin ; Herting, Jerald R. ; Goveas, Joseph S. ; Johnson, Karen ; Kuller, Lewis H. ; Martin, Lisa W. ; Michael, Yvonne L. ; Robinson, Jennifer G. ; Stefanick, Marcia ; Tinker, Lesley F. / Trajectories of positive aging : Observations from the women's health initiative study. In: International Psychogeriatrics. 2014 ; Vol. 26, No. 8. pp. 1351-1362.
@article{ecd4d61580484bfaa865edca12e50407,
title = "Trajectories of positive aging: Observations from the women's health initiative study",
abstract = "Background: The purpose of this study was to describe the longitudinal trajectories and bidirectional relationships of the physical-social and emotional functioning (EF) dimensions of positive aging and to identify their baseline characteristics. Methods: Women age 65 and older who enrolled in one or more Women's Health Initiative clinical trials (WHI CTs) and who had positive aging indicators measured at baseline and years 1, 3, 6, and 9 were included in these analyses (N = 2281). Analytic strategies included latent class growth modeling to identify longitudinal trajectories and multinomial logistic regression to examine the effects of baseline predictors on these trajectories. Results: A five-trajectory model was chosen to best represent the data. For Physical-Social Functioning (PSF), trajectory groups included Low Maintainer (8.3{\%}), Mid-Low Improver (10.4{\%}), Medium Decliner (10.7{\%}), Mid-High Maintainer (31.2{\%}), and High Maintainer (39.4{\%}); for EF, trajectories included Low Maintainer (3{\%}), Mid-Low Improver (9{\%}), Medium Decliner (7.7{\%}), Mid-High Maintainer (22.8{\%}), and High Maintainer (57.5{\%}). Cross-classification of the groups of trajectories demonstrated that the impact of a high and stable EF on PSF might be greater than the reverse. Low depression symptoms, low pain, and high social support were the most consistent predictors of high EF trajectories. Conclusion: Aging women are heterogeneous in terms of positive aging indicators for up to 9 years of follow-up. Interventions aimed at promoting sustainable EF might have diffused effects on other domains of healthy aging.",
author = "Oleg Zaslavsky and Cochrane, {Barbara B.} and Woods, {Nancy Fugate} and Lacroix, {Andrea Z.} and Jingmin Liu and Herting, {Jerald R.} and Goveas, {Joseph S.} and Karen Johnson and Kuller, {Lewis H.} and Martin, {Lisa W.} and Michael, {Yvonne L.} and Robinson, {Jennifer G.} and Marcia Stefanick and Tinker, {Lesley F.}",
year = "2014",
month = "1",
day = "1",
doi = "10.1017/S1041610214000593",
language = "English (US)",
volume = "26",
pages = "1351--1362",
journal = "International Psychogeriatrics",
issn = "1041-6102",
publisher = "Cambridge University Press",
number = "8",

}

TY - JOUR

T1 - Trajectories of positive aging

T2 - Observations from the women's health initiative study

AU - Zaslavsky, Oleg

AU - Cochrane, Barbara B.

AU - Woods, Nancy Fugate

AU - Lacroix, Andrea Z.

AU - Liu, Jingmin

AU - Herting, Jerald R.

AU - Goveas, Joseph S.

AU - Johnson, Karen

AU - Kuller, Lewis H.

AU - Martin, Lisa W.

AU - Michael, Yvonne L.

AU - Robinson, Jennifer G.

AU - Stefanick, Marcia

AU - Tinker, Lesley F.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Background: The purpose of this study was to describe the longitudinal trajectories and bidirectional relationships of the physical-social and emotional functioning (EF) dimensions of positive aging and to identify their baseline characteristics. Methods: Women age 65 and older who enrolled in one or more Women's Health Initiative clinical trials (WHI CTs) and who had positive aging indicators measured at baseline and years 1, 3, 6, and 9 were included in these analyses (N = 2281). Analytic strategies included latent class growth modeling to identify longitudinal trajectories and multinomial logistic regression to examine the effects of baseline predictors on these trajectories. Results: A five-trajectory model was chosen to best represent the data. For Physical-Social Functioning (PSF), trajectory groups included Low Maintainer (8.3%), Mid-Low Improver (10.4%), Medium Decliner (10.7%), Mid-High Maintainer (31.2%), and High Maintainer (39.4%); for EF, trajectories included Low Maintainer (3%), Mid-Low Improver (9%), Medium Decliner (7.7%), Mid-High Maintainer (22.8%), and High Maintainer (57.5%). Cross-classification of the groups of trajectories demonstrated that the impact of a high and stable EF on PSF might be greater than the reverse. Low depression symptoms, low pain, and high social support were the most consistent predictors of high EF trajectories. Conclusion: Aging women are heterogeneous in terms of positive aging indicators for up to 9 years of follow-up. Interventions aimed at promoting sustainable EF might have diffused effects on other domains of healthy aging.

AB - Background: The purpose of this study was to describe the longitudinal trajectories and bidirectional relationships of the physical-social and emotional functioning (EF) dimensions of positive aging and to identify their baseline characteristics. Methods: Women age 65 and older who enrolled in one or more Women's Health Initiative clinical trials (WHI CTs) and who had positive aging indicators measured at baseline and years 1, 3, 6, and 9 were included in these analyses (N = 2281). Analytic strategies included latent class growth modeling to identify longitudinal trajectories and multinomial logistic regression to examine the effects of baseline predictors on these trajectories. Results: A five-trajectory model was chosen to best represent the data. For Physical-Social Functioning (PSF), trajectory groups included Low Maintainer (8.3%), Mid-Low Improver (10.4%), Medium Decliner (10.7%), Mid-High Maintainer (31.2%), and High Maintainer (39.4%); for EF, trajectories included Low Maintainer (3%), Mid-Low Improver (9%), Medium Decliner (7.7%), Mid-High Maintainer (22.8%), and High Maintainer (57.5%). Cross-classification of the groups of trajectories demonstrated that the impact of a high and stable EF on PSF might be greater than the reverse. Low depression symptoms, low pain, and high social support were the most consistent predictors of high EF trajectories. Conclusion: Aging women are heterogeneous in terms of positive aging indicators for up to 9 years of follow-up. Interventions aimed at promoting sustainable EF might have diffused effects on other domains of healthy aging.

UR - http://www.scopus.com/inward/record.url?scp=84903612126&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84903612126&partnerID=8YFLogxK

U2 - 10.1017/S1041610214000593

DO - 10.1017/S1041610214000593

M3 - Article

VL - 26

SP - 1351

EP - 1362

JO - International Psychogeriatrics

JF - International Psychogeriatrics

SN - 1041-6102

IS - 8

ER -