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Enhancing Healthy Longevity: A Scoping Review of Practices and Interventions
Angela Ym Leung1, Karen Sl Cheung2, Kai Ling Ou2
1WHO Collaborating Centre for Community Health Services, School of Nursing, Hong Kong Polytechnic University, 5th Floor, Core G,Hung Hom, Kowloon, Hong Kong SAR, HK.
This review identifies community-based strategies promoting healthy longevity, emphasizing multi-component programs and social determinants of health. Effective implementation requires stakeholder collaboration and diverse socioeconomic contexts.
Area of Science:
- Gerontology and Public Health
- Health Promotion Strategies
- Longevity Research
Background:
- Distinguishing between lifespan and health span is crucial, as longevity does not guarantee good health.
- The concept of 'healthy longevity' highlights the need for effective strategies to promote well-being in aging populations.
- Current understanding of the most effective practices for achieving healthy longevity remains limited.
Purpose of the Study:
- To identify and synthesize existing and emerging practices and interventions that promote healthy longevity.
- To determine the key components of these identified practices and interventions.
- To explore the contributions of various stakeholders in implementing these health-promoting strategies.
Main Methods:
- A scoping review was conducted using Arksey & O'Malley's six-stage framework.
- The Joanna Briggs Institute Population-Concept-Context framework guided study selection for community-based interventions.
- Data were extracted from six databases (PubMed, Web of Science, Embase, Scopus, CINAHL, Google Scholar) for papers published between January 2010 and February 2025.
Main Results:
- Twenty-one studies met the inclusion criteria, predominantly from high-income settings and published after 2020.
- Identified study types included interventional, intervention development, association, and descriptive studies.
- Interventions often targeted social determinants of health, showing benefits in physical, cognitive, and psychosocial outcomes. Factors like nutrition, housing, and healthcare policy were linked to healthy longevity indicators.
Conclusions:
- Community-based strategies for extending health span involve collaborative efforts from multiple stakeholders and disciplines.
- The identified practices and policies warrant support for implementation to promote healthy longevity.
- Further research is needed in diverse socioeconomic contexts to broaden the applicability of these findings.
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