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晚年的生活技能、财富、健康与幸福。

Life skills, wealth, health, and wellbeing in later life.

作者信息

Steptoe Andrew, Wardle Jane

机构信息

Department of Epidemiology and Public Health, University College London, London WC1E 6BT, United Kingdom

Department of Epidemiology and Public Health, University College London, London WC1E 6BT, United Kingdom.

出版信息

Proc Natl Acad Sci U S A. 2017 Apr 25;114(17):4354-4359. doi: 10.1073/pnas.1616011114. Epub 2017 Apr 10.

Abstract

Life skills play a key role in promoting educational and occupational success in early life, but their relevance at older ages is uncertain. Here we measured five life skills-conscientiousness, emotional stability, determination, control, and optimism-in 8,119 men and women aged 52 and older (mean 66.7 y). We show that the number of skills is associated with wealth, income, subjective wellbeing, less depression, low social isolation and loneliness, more close relationships, better self-rated health, fewer chronic diseases and impaired activities of daily living, faster walking speed, and favorable objective biomarkers (concentration of high-density lipoprotein cholesterol, vitamin D and C-reactive protein, and less central obesity). Life skills also predicted sustained psychological wellbeing, less loneliness, and a lower incidence of new chronic disease and physical impairment over a 4-y period. These analyses took account of age, sex, parental socioeconomic background, education, and cognitive function. No single life skill was responsible for the associations we observed, nor were they driven by factors such as socioeconomic status or health. Despite the vicissitudes of later life, life skills impact a range of outcomes, and the maintenance of these attributes may benefit the older population.

摘要

生活技能在促进早年教育和职业成功方面发挥着关键作用,但其在老年时期的相关性尚不确定。在此,我们对8119名52岁及以上(平均66.7岁)的男性和女性的五项生活技能——尽责性、情绪稳定性、决心、自控力和乐观主义进行了测量。我们发现,这些技能的数量与财富、收入、主观幸福感、较少的抑郁情绪、较低的社会孤立感和孤独感、更多的亲密关系、更好的自评健康状况、更少的慢性病以及日常生活活动能力受损、更快的步行速度以及良好的客观生物标志物(高密度脂蛋白胆固醇、维生素D和C反应蛋白的浓度,以及较少的中心性肥胖)相关。生活技能还预测了持续的心理健康、较少的孤独感,以及在4年期间新慢性病和身体损伤的较低发病率。这些分析考虑了年龄、性别、父母的社会经济背景、教育程度和认知功能。我们观察到的这些关联并非由单一生活技能导致,也不是由社会经济地位或健康等因素驱动的。尽管晚年生活充满变迁,但生活技能会影响一系列结果,维持这些特质可能会使老年人群受益。

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