Geriatrics & Gerontology International

Health ratings showed no clear trend from ages 70 to 100

At assessments from ages 70 to 100, 22% to 44% said they did not feel healthy, without a clear trend over time.

Paper by Irit Stessman Lande, Aliza Rozenberg, Robert Rozenberg, +2 more authorsJochanan Stessman · Faculty of Medicine Hebrew University of Jerusalem
Graphical abstract from Geriatrics & Gerontology International
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Graphical abstract. Stessman Lande et al.

Our read

Populations
Studied:
Cohort study of community-dwelling Jerusalem adults, 1990–2021
What changed:
Poor self-rated health ranged from 22% to 44%, with no clear trend as people aged
The catch:
Comparisons at age 100 included only survivors, leaving out people who died earlier
Why it’s aging research:
It looks at how biology varies with age or lifespan.

Editor of record: Boris Djordjevic · AgingResearch.News

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Community-dwelling Jerusalem adults born in 1920–1921 were assessed between ages 70 and 100 in a cross-sectional and longitudinal observational study spanning 1990–2021. Assessments included 604 people at 70, 1,024 at 78, 1,222 at 85, 729 at 90, 508 at 95 and 205 at 100. A “no” answer to “Do you feel healthy?” counted as poor self-rated health.

Poor ratings showed no clear trend with age. Depression was consistently the strongest factor linked to worsening ratings, with 3–4.6 times the risk compared with people without depression. Poor ratings were linked to shorter life expectancy after adjustment for known risk factors. People with good ratings and a high burden of disease lived longer than those with poor ratings and a low disease burden.

Why it matters

The authors interpreted the results as supporting the idea that perceived health reflects resilience and adaptation in later life, beyond disease burden alone.

Caveats

People with good and poor health ratings may have differed in ways the risk-factor adjustments did not capture. The findings concern one community-dwelling Jerusalem birth cohort, and comparisons at age 100 included only people who survived that long.

Where the evidence stands

Physical inactivity

Humans: replicated by independent labs. Mice: a single group. Cells and worms or flies: nothing yet.
  • 223 independent labs in 56 countries
  • 8 findings against
  • Funders: National Institute on Aging and others
  • 7 of 346 findings with company ties

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