IDEAS home Printed from https://ideas.repec.org/a/oup/geronb/v79y2024i10p5478-5486..html
   My bibliography  Save this article

Lifestyle, Cognitive, and Psychological Factors Associated With a Resilience Phenotype in Aging: A Multidimensional Approach on a Population-Based Sample of Oldest-Old (80+)

Author

Listed:
  • Elena Rolandi
  • Michele Rossi
  • Mauro Colombo
  • Laura Pettinato
  • Federica Del Signore
  • Virginia Aglieri
  • Gabriella Bottini
  • Antonio Guaita

Abstract

ObjectivesTo investigate the determinants of resilience phenotype in aging, operationalized as the maintenance of cognitive, physical, and psychological health in very old individuals (80+), we investigated the structure and interrelated impact of the main resilience-enhancing factors, which are usually studied in separate research fields.MethodsParticipants were older adults without dementia recruited for the fifth wave of the InveCe.Ab population-based cohort study (aged 83–87 years). Multidimensional evaluation comprised blood sampling, social and lifestyle survey, and geriatric and neuropsychological assessment. We classified resilient individuals as displaying normal cognition, functional independence, and mental health. First, we performed exploratory factor analysis (EFA) to examine the underlying structure of the relevant cognitive, lifestyle, physical, and psychological resilience-enhancing factors. The factors obtained were included as predictors of the resilience phenotype in the logistic regression model, controlling for sociodemographic and cumulative exposure to physical and psychosocial stressors, including COVID-19 infection.ResultsAmong the 404 enrolled participants, 153 (38%) exhibited the resilience phenotype. EFA resulted in the identification of six factors (59% of variance): cognitive reserve, affective reserve, insecure attachment, current lifestyle, physical reserve, and avoidant attachment. Among these factors, cognitive reserve, affective reserve, and current lifestyle significantly and independently predicted resilience status, controlling for cumulative exposure to age-related stressors and COVID-19 infection.DiscussionOur findings showed that, even in very old age, both early and late life modifiable factors affect individuals’ ability to adapt to the aging process, thus confirming the importance of a life-course approach to improve health outcomes in the aged population.Clinical Trials Registration NumberNCT01345110

Suggested Citation

  • Elena Rolandi & Michele Rossi & Mauro Colombo & Laura Pettinato & Federica Del Signore & Virginia Aglieri & Gabriella Bottini & Antonio Guaita, 2024. "Lifestyle, Cognitive, and Psychological Factors Associated With a Resilience Phenotype in Aging: A Multidimensional Approach on a Population-Based Sample of Oldest-Old (80+)," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 79(10), pages 5478-5486.
    • Handle: RePEc:oup:geronb:v:79:y:2024:i:10:p:5478-5486.
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1093/geronb/gbae132
    Download Restriction: Access to full text is restricted to subscribers.
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:oup:geronb:v:79:y:2024:i:10:p:5478-5486.. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Oxford University Press (email available below). General contact details of provider: https://academic.oup.com/psychsocgerontology .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.