Development of a common scale for measuring healthy ageing across the world: results from the ATHLOS consortium.
Por:
Sánchez-Niubó A, Forero CG, Wu YT, Giné-Vázquez I, Prina M, De La Fuente J, Daskalopoulou C, Critselis E, De La Torre-Luque A, Panagiotakos D, Arndt H, Ayuso-Mateos JL, Bayes I, Bickenbach J, Bobak M, Caballero FF, Chatterji S, Egea-Cortés L, García-Esquinas E, Leonardi M, Koskinen S, Koupil I, Mellor-Marsá B, Olaya B, Pajak A, Prince M, Raggi A, Rodríguez-Artalejo F, Sanderson W, Scherbov S, Tamosiunas A, Tobias-Adamczyk B, Tyrovolas S and Haro JM
Publicada:
9 jul 2021
Ahead of Print:
4 dic 2020
Resumen:
BACKGROUND: Research efforts to measure the concept of healthy ageing have been diverse and limited to specific populations. This diversity limits the potential to compare healthy ageing across countries and/or populations. In this study, we developed a novel measurement scale of healthy ageing using worldwide cohorts. METHODS: In the Ageing Trajectories of Health-Longitudinal Opportunities and Synergies (ATHLOS) project, data from 16 international cohorts were harmonized. Using ATHLOS data, an item response theory (IRT) model was used to develop a scale with 41 items related to health and functioning. Measurement heterogeneity due to intra-dataset specificities was detected, applying differential item functioning via a logistic regression framework. The model accounted for specificities in model parameters by introducing cohort-specific parameters that rescaled scores to the main scale, using an equating procedure. Final scores were estimated for all individuals and converted to T-scores with a mean of 50 and a standard deviation of 10. RESULTS: A common scale was created for 343 915 individuals above 18 years of age from 16 studies. The scale showed solid evidence of concurrent validity regarding various sociodemographic, life and health factors, and convergent validity with healthy life expectancy (r = 0.81) and gross domestic product (r = 0.58). Survival curves showed that the scale could also be predictive of mortality. CONCLUSIONS: The ATHLOS scale, due to its reliability and global representativeness, has the potential to contribute to worldwide research on healthy ageing.
Filiaciones:
Sánchez-Niubó A:
Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
Forero CG:
Department of Medicine, International University of Catalunya, Barcelona, Spain
Wu YT:
Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
Giné-Vázquez I:
Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
Prina M:
Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
Global Health Institute, King's College London, London, UK
De La Fuente J:
Department of Psychiatry, Universidad Autonoma de Madrid, Madrid, Spain
Instituto de Investigación Sanitaria Princesa (IIS Princesa), Hospital Universitario de La Princesa, Madrid, Spain
Daskalopoulou C:
Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
Critselis E:
Department of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University, Athens, Greece
De La Torre-Luque A:
Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
Department of Psychiatry, Universidad Autonoma de Madrid, Madrid, Spain
Instituto de Investigación Sanitaria Princesa (IIS Princesa), Hospital Universitario de La Princesa, Madrid, Spain
Panagiotakos D:
Department of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University, Athens, Greece
Arndt H:
Spring Techno GMBH & Co. KG, Bremen, Germany
Ayuso-Mateos JL:
Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
Department of Psychiatry, Universidad Autonoma de Madrid, Madrid, Spain
Instituto de Investigación Sanitaria Princesa (IIS Princesa), Hospital Universitario de La Princesa, Madrid, Spain
Bayes I:
Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
Bickenbach J:
Swiss Paraplegic Research, Guido A. Zäch Institute (GZI), Nottwil, Switzerland
Department of Health Sciences & Health Policy, University of Lucerne, Lucerne, Switzerland
Bobak M:
Department of Epidemiology and Public Health, University College London, London, UK
Caballero FF:
Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid/Idipaz, Madrid, Spain
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública, CIBERESP, Madrid, Spain
Chatterji S:
Information, Evidence and Research, World Health Organization, Geneva, Switzerland
:
Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
García-Esquinas E:
Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid/Idipaz, Madrid, Spain
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública, CIBERESP, Madrid, Spain
Leonardi M:
Neurology, Public Health, Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
Koskinen S:
Department of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland
Koupil I:
Department of Public Health Sciences, Stockholm University, Stockholm, Sweden
Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
Mellor-Marsá B:
Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
Sanitary Research Institute, Hospital Clínico San Carlos, Madrid, Spain
Olaya B:
Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
Pajak A:
Department of Epidemiology and Population Studies, Jagiellonian University Medical College, Krakow, Poland
Prince M:
Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
Global Health Institute, King's College London, London, UK
Raggi A:
Neurology, Public Health, Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
Rodríguez-Artalejo F:
Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid/Idipaz, Madrid, Spain
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública, CIBERESP, Madrid, Spain
Sanderson W:
Wittgenstein Centre for Demography and Global Human Capital, International Institute for Applied Systems Analysis, Laxenburg, Austria
Department of Economics, Stony Brook University, Stony Brook, NY, USA
Scherbov S:
Wittgenstein Centre for Demography and Global Human Capital, International Institute for Applied Systems Analysis, Laxenburg, Austria
Austrian Academy of Science, Vienna Institute of Demography, Vienna, Austria
International Laboratory of Demography and Human Capital, Russian Presidential Academy of National Economy and Public Administration, Moscow, Russian Federation
Tamosiunas A:
Department of Population Studies Institute of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania
Tobias-Adamczyk B:
Department of Medical Sociology, Jagiellonian University Medical College, Krakow, Poland
Department of Epidemiology, Jagiellonian University Medical College, Krakow, Poland
Tyrovolas S:
Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
Haro JM:
Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
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