![]() We hypothesized that SA classified by meeting Rowe and Kahn’s criteria may change over time, and older adults not meeting SA criteria may experience greater risk of depressive symptomology. Nevertheless, considering the sizable prevalence of SA and depressive symptoms in Korea, it is necessary to explore how the overall SA framework influences depressive symptoms over time compared to non-successful aging to address gaps in knowledge. Prior research looked at depression as a predictor of SA, as well as the cross-sectional relationship between individual subcomponents of SA and depression. The prevalence of depressive disorders in the Korean older population was reported to be higher than in their western counterparts, and the prevalence was estimated to be 35.4 % in those older than 80 years. Depression in older age is of great public health significance and is linked to increased suicide, mortality, and health deterioration. Increasing evidence shows that mental illnesses and aging trajectories share overlapping pathological pathways, and faster rate of biological aging or “accelerated aging” often coexists with psychiatric disorders such as depression. The estimated prevalence of successful aging in Korea was found to be 25.5 %. compared the prevalence of successful aging between Japan, Korea, and China using the Rowe and Kahn model. Successful aging in Korea, as defined by Rowe and Kahn’s model, was found to be linked to decreased risk of mortality and better mental health outcomes such as improved life satisfaction. ĭue to the large proportion of older adults in South Korea, research regarding successful and healthy aging has been increasing over the years. highlighted the importance of aging and SA, and monitored SA temporally, looking at components of the Rowe and Kahn model, individually and combined. Although many existing studies considered SA as fixed end-point criteria, recent research has begun to shift focus towards the dynamic aspect of SA, suggesting that SA undergoes various changes and trajectories over time. Additionally, the authors named the static view of the Rowe and Kahn model as one of its weak points, emphasizing that SA should be viewed as a lifelong and dynamic process. discussed the wide and prolific use of the Rowe and Kahn model, stating that its use still has great implications in current gerontological research, albeit requiring a few modifications. Previous studies have shown that successful aging is not a final state, but an ever-changing continuum of adaptation and development in the physical and psychosocial context. The Rowe and Kahn model defines successful aging as having: (1) no major chronic diseases or disability, (2) high physical and cognitive functioning, and (3) an active social life. ![]() Nevertheless, a plethora of studies have adopted the Rowe and Kahn model of successful aging, often with a few minor alterations to the model. There is no consensus on the exact characterization of SA. The model of SA is multidimensional and refers to aging healthily despite aging-related challenges. These results could further assist in establishing policies and interventions that promote successful aging and subsequently protect the mental health of the Korean older adult population.Īs the average life expectancy worldwide increases, and we progress towards a more aged society, the world has shifted its focus to tackling the burden that comes along with an aging demographic as well as describing and defining processes leading to healthier, more successful aging. ![]() Korean older adults who continuously failed to attain or maintain successful aging status had the highest risk of depressive symptoms. ![]() Subgroup analysis of the dimensions of successful aging revealed that low or worsening criteria of successful aging status in men and women were associated with depressive symptoms. ResultsĬompared to the SA→SA group, depressive symptom risk in the NSA→NSA and SA→NSA groups were higher in men and in women. Using an adjusted generalized estimating equation model, we examined the association between changes in successful aging status, namely SA and NSA (Non-successful aging), and depressive symptoms. Changes in SA status was determined using the Rowe and Kahn model over two consecutive years. This study comprised a longitudinal sample of older adults aged ≥ 45 years, drawn from the Korean Longitudinal Study of Aging (2006–2018). Therefore, we investigated the longitudinal association between changes in SA and depressive symptoms in Korean older adults. However, the influence of SA and its changes on mental health such as depression remains a relatively unexplored area in gerontology. The importance of SA (Successful aging) has been emphasized in recent years, with focus shifting towards attaining healthier aging rather than longevity.
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