Saturday, May 20, 2023

Subjective Aging ~ The Importance of How Old You Feel





How does subjective aging influence mental and physical health? What is it and how does it influence our health as we grow older?

 

Begun in 1995, the MacArthur Foundation Research Network on Successful Midlife Development established the study and recruited participants ages 25-74 to investigate  “the role of behavioral, psychological, and social factors in accounting for age-related variations in health and well-being in a national sample of Americans” and to define middle age (https://midus.wisc.edu/scopeofstudy.php#History, 2023).  They recruited approximately 3,500 participants. Thirty years later, there is still no definition of middle age. The MIDUS study was expanded and now has 10,000 participants. This longitudinal study has dozens of sub-studies and has produced major findings on aging over the lifespan.

 

There are two types of aging. The biological or chronological age is your birth year, and that date is shown on your driver’s license and passport. Born in 1940? Your biological or chronological age is eighty-three years old. Subjective aging has two components; your preferred age (the age you would like to be) and how old you feel in your head. In your head, you are 25 but you were born in 1950. Therefore, your subjective age is twenty-five years old! Feeling younger is a protective factor (buffer) for stress and health declines.

 

Actress and comedienne Carol Burnett turned 90 years old on April 26, 2023. Interviewed ahead of her tribute birthday television special, Burnett said, “I still feel about 11 years old!” Her comment is a perfect example of subjective aging. She feels 11 years old in her head, celebrating her amazing milestone instead of hiding it.

 

When I presented this to a live audience recently, one man raised his hand and asked me, “It’s like the chicken and egg. What came first? Are they positive and have high self-esteem because they feel younger physically and have money to make them happy and healthy? If they are poor and broke, won’t they feel older?” As I explained to him, researchers do not know the answer to that question. They do know that respondents who feel older than their chronological age are more likely to be living in poverty and have lower educational attainment. However, the cause and effect remain unknown. Compared to adults who feel older, adults who feel younger have…..

Ø More energy and sleep more

Ø Evaluated their health status as EXCELLENT or VERY GOOD

Ø Fewer chronic conditions than those who feel older.

Ø Fewer risk factors for future disease

Ø Have more control and greater life purpose.

Ø Are more socially active. Volunteerism, religious services, contact with friends.

Ø Report less strain and more support from their families.


How MIDUS participants self-reported

their health status:

    Feel YOUNGER:       Excellent to Very Good        70%

    Feel OLDER:           Excellent to Very Good        53%

    Feel YOUNGER:       Good                                 26%

    Feel OLDER             Good                                 36%

    Feel YOUNGER        Fair to Poor                           4%

    Feel OLDER             Fair to Poor                       10%

 

Key findings of the MIDUS Study:

v “MIDUS has shown that positive aging is the ability to remain actively engaged in life, even in the face of age-related challenges, rather than the commonly held belief that only disease-free individuals age well. As George Valliant found in the Harvard Study, older adults can be disease free but are lonely, negative, and toxic.

v Older adults who feel younger in their head have a strong sense of purpose and:

v Lower inflammation

v Lower allostatic load which measures wear and tear in seven biological systems and predicts chronic illness including low morale, fatigue, exhaustion, breakdown, and overload. Allostatic load is the cumulative burden of chronic stress and life events.

v Healthier levels of stress hormone cortisol over the course of a day. Cortisol controls glucose, tissue repair, mood, blood pressure, and weight gain. Secreting too much cortisol is detrimental to health.

v             v  Lower risk of heart attack, stroke, and lived longer.

v Psychological wellbeing impacts physical and mental wellbeing:

v Feeling in charge of your life

v Having good relationships

v Liking yourself” (MIDUS.wisc.edu, 2023).

Do you want to participate in the MIDUS Study? In 2022, the National Institute on Aging (NIH) funded six more years of research! Contact MIDUS via midus.wisc.edu/helpdesk.php

 

References:

How healthy are we? A national study of well-being at midlife. (2004) Brim, OG, Ryff, CD, & Kessler, RC (eds). Chicago, IL The University of Chicago Press, 1-36.

 

Midlife in the United States. (2023) https://www.nia.nih.gov/research/resource/midlife-united-states

 

MIDUS (2023). https://midus.wisc.edu/

 

Photo Credit: Thank you Artyom Kabajey!


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