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Aging01:26

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Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
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Comprehensive 5P framework for active aging using the ecological approach: an iterative systematic review.

Azadeh Lak1, Parichehr Rashidghalam2, Phyo K Myint3

  • 1Faculty of Architecture and Urban Planning, Shahid Beheshti University, Tehran, 1983963113, Iran. A_Lak@sbu.ac.ir.

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This review identifies key aspects of active aging, emphasizing its multidimensional nature. Findings highlight the interplay between individuals, their environments, and policies for healthy aging populations.

Keywords:
Active agingEcological modelIntegrative systematic review

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Area of Science:

  • Gerontology and Public Health
  • Environmental Psychology
  • Urban Planning

Background:

  • Active aging is a multifaceted concept with diverse definitions across disciplines.
  • Understanding the core components of active aging is crucial for developing effective interventions.
  • An ecological approach provides a comprehensive framework for examining active aging.

Purpose of the Study:

  • To systematically review and identify key aspects contributing to the concept of active aging.
  • To synthesize existing literature on active aging through an ecological lens.
  • To establish a foundational understanding for future research and policy development in aging populations.

Main Methods:

  • A systematic literature search was conducted across seven major online databases (2002-2018).
  • Keywords included "active aging" and "built environment," encompassing "ageing" and "aging."
  • Two independent reviewers screened 1500 records, with 92 articles included in the final review.

Main Results:

  • Fifteen subthemes emerged, categorized into personal characteristics, behavioral attitudes, and various environmental factors (land use, access, housing, social, cultural, economic).
  • Health outcomes (physical, mental, social) were significant components.
  • The ecological themes of active aging were synthesized into the 5P model: person, processes, place, prime, and policymaking.

Conclusions:

  • Active aging is inherently multidimensional, involving micro (person), meso (process), and macro (place, policymaking) systems.
  • The interplay between individuals and their environments across different levels is critical for promoting health.
  • Findings offer insights for future research and policy development to support aging populations.