Determinants of successful aging using a multidimensional definition among Chinese elderly in Singapore

Tze Pin Ng, Birit F P Broekman, Matthew Niti, Xinyi Gwee, Ee Heok Kua

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108 Citations (Scopus)


OBJECTIVE: Most studies of successful aging have used restricted definitions based on the absence of disability and identified a small number of predictors. The authors aimed to examine whether a broad multidimensional definition of successful aging has good construct validity and identified a wider range of predictors that are relevant for multifaceted interventions.

METHODS: Cross-sectional and longitudinal data analyses were performed on 1,281 community-living Chinese elderly of 65 years and above in the Singapore Longitudinal Aging Study cohort. Successful aging was measured in multiple dimensions of functioning and wellness: cognitive and affective status, physical health, social functioning and engagement and life satisfaction, and a summary composite measure created across dimensions to form a dichotomous variable. Potential determinants included sociodemographic, psychosocial, behavioral variables.

RESULTS: Successful aging was determined in 28.6% of respondents and in multivariate models was significantly (p <0.05) associated with age (OR = 0.90), female gender (OR = 1.37), > or =6 years of education (OR = 2.31), better housing (OR = 1.41), religious or spiritual beliefs (OR = 1.64), physical activities and exercise (OR = 1.90), and low or no nutritional risk (OR = 2.16).

CONCLUSION: In contrast to findings based on more restricted biomedical definitions of successful aging, a multidimensional definition of successful aging identified more variables including demographic status, psychosocial support, spirituality, and nutrition as salient determinants.

Original languageEnglish
Pages (from-to)407-16
Number of pages10
JournalAmerican Journal of Geriatric Psychiatry
Issue number5
Publication statusPublished - May 2009
Externally publishedYes


  • Aged
  • Aged, 80 and over
  • Aging/physiology
  • Asian Continental Ancestry Group
  • Cross-Sectional Studies
  • Female
  • Geriatric Assessment/methods
  • Health Status
  • Humans
  • Logistic Models
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Personal Satisfaction
  • Quality of Life
  • Residence Characteristics
  • Risk Factors
  • Singapore/epidemiology
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Terminology as Topic

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