Document Type : Original Article

Authors

1 PhD Candidate of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran

2 Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

Abstract

CONTEXT: Understanding how middle‑aged people perceive healthy aging and what they need to do
to stay healthy as they age can help public policy planning to enhance the lifestyles of middle‑aged
and elderly people.
AIMS: The purpose of this study was to clarify the concept of healthy aging and strategies to achieve
it from the perspective of middle‑aged people in Tehran, Iran.
SETTING AND DESIGN: This qualitative study was performed on 21 middle‑aged people aged
45–59 years of Tehran in 2019.
SUBJECTS AND METHODS: The data collection was carried out through semi‑structured and
in‑depth interviews; the interviews were audiotaped, transcribed. Sampling was carried out gradually
until data saturation through purposive sampling was achieved.
STATISTICAL ANALYSIS USED: Data collection and analysis were performed simultaneously.
Data were analyzed using conventional content analysis. To establish the reliability and validity of
findings, Graneheim and Landman criteria were considered.
RESULTS: The middle‑aged perspective on healthy aging was included in four main themes:
having good physical and mental health, having financial well‑being, having social support.
Strategies for achieving healthy aging were included in five themes: future financial planning,
promoting physical health, promoting psychological health, maintaining and improving
communication.
CONCLUSION: From the middle‑aged perspective, healthy aging and strategies to achieve it are
multidimensional. Planning for promotional interventions to have a healthy old age should be including
all dimensions and done from the years before old age.

Keywords

  1. World Health Organization. Multisectoral Action for a Life Course
    Approach to Healthy Ageing: Draft Global Strategy and Plan of
    Action on Ageing and Health. Geneva, Switzerland: World Health
    Organization; 2016. p. 1‑37.
    2. Statistical Centre of Iran (SCI). Population and Housing Censuses
    2016. Available from: https://www.amar.org.ir/. [Last accessed
    on 2019 Apr 22].
    3. Zeinalhajlou AA, Amini A, TabriziJS. Consequences of population
    aging in Iran with emphasis on its increasing challenges on the
    health system (Literature Review). Depiction Health 2015;6:54‑64.
    4. Cyarto EV, Dow B, Vrantsidis F, Meyer C. Promoting healthy
    ageing: Development of the Healthy Ageing Quiz. Australas J
    Ageing 2013;32:15‑20.
    5. Park J, Park Y. A systematic review on factors influencing the
    healthy aging: A Korean perspective. J Aging Res Clin Practice
    2018;7:3‑8.
    6. CucinottaD. Preparing for the decade of healthy aging (2020‑2030):
    Prevention plus therapy? Acta Biomed 2018;89:145‑7.
    7. Thanakwang K, Soonthorndhada K, Mongkolprasoet J.
    Perspectives on healthy aging among Thai elderly: A qualitative
    study. Nurs Health Sci 2012;14:472‑9.
    8. Wang J, Lee CM, Chang CF, Jane SW, Chen MY. The development
    and psychometric testing of the geriatric health promotion scale.
    J Nurs Res 2015;23:56‑64.
    9. Kornadt AE, Rothermund K. Preparation for old age in different
    life domains: Dimensions and age differences. Int J Behav Develop
    2013;38:228‑38.
    10. Bowling A, Dieppe P. What is successful ageing and who should
    define it? BMJ 2005;331:1548‑51.
    11. Manasatchakun P, Chotiga P, Hochwälder J, Roxberg Å,
    Sandborgh M, Asp M. Factors associated with healthy aging
    among older persons in Northeastern Thailand. J Cross Cult
    Gerontol 2016;31:369‑84.
    12. Meng X, D’Arcy C. Successful aging in Canada: Prevalence and
    predictors from a population‑based sample of older adults.
    Gerontology 2014;60:65‑72.
    13. Sowa A, Tobiasz‑Adamczyk B, Topór‑Mądry R, Poscia A,
    la Milia DI. Predictors of healthy ageing: Public health policy
    targets. BMC Health Serv Res 2016;16 Suppl 5:289.
    14. Sato‑Komata M, Hoshino A, Usui K, Katsura T. Concept of
    successful ageing among the community‑dwelling oldest old in
    Japan. Br J Community Nurs 2015;20:586‑92.
    15. Mohammadi E, Allahyari T, Darvishpoor‑Kakhki A,
    Aghabakhshi H, Saraei H. Context and causal conditions in
    active aging phenomenon: A qualitative study. J Qualitative Res
    Health Sci 2016;5:158‑74.
    16. Graneheim UH, Lundman B. Qualitative content analysis in
    nursing research: Concepts, procedures and measures to achieve
    trustworthiness. Nurse Educ Today 2004;24:105‑12.
    17. Tavares RE, Jesus MC, Machado DR, Braga VA, Tocantins FR,
    Merighi MA. Healthy aging from the perspective of the elderly:
    An integrative review. Rev Brasileira de Geriatria e Gerontol
    2017;20:878‑89.
    18. Zanjari N, Sharifian Sani M, Hosseini Chavoshi M, Rafiey H,
    Mohammadi Shahboulaghi F. Perceptions of successful ageing
    among Iranian elders: Insights from a qualitative study. Int J
    Aging Hum Dev 2016;83:381‑401.
    19. Waites CE, Onolemhemhen DN. Perceptions of healthy aging
    among African‑American and Ethiopian elders. Ageing Int
    2014;39:369‑84.
    20. Stephens C, Breheny M, Mansvelt J. Healthy ageing from the
    perspective of older people: A capability approach to resilience.
    Psychol Health 2015;30:715‑31.
    21. Chong AM, Ng SH, Woo J, Kwan AY. Positive ageing: The views
    of middle‑aged and older adults in Hong Kong. Ageing Soc
    2006;26:243‑65.
    22. Lu W, Pikhart H, Sacker A. Domains and measurements of
    healthy aging in epidemiological studies: A review. Gerontologist
    2019;59:e294‑310.
    23. Hawash M, Khalil M. Factors affecting post‑retirement satisfaction
    of community‑dwelling older adults. Alexandria Sci Nurs J
    2017;19:103‑18.
    24. Sun F, Norman IJ, While AE. Physical activity in older people:
    A systematic review. BMC Public Health 2013;13:449.
    25. Mahdipour N, Shahnazi H, Hassanzadeh A, Sharifirad G. The effect
    of educational intervention on health promoting lifestyle: Focusing
    on middle‑aged women. J Educ Health Promot 2015;4:51.
    26. Najafi B, Arzaghi M, Fakhrzadeh H, Sharifi F, Shoaei S,
    Alizadeh M, et al. Mental health status and related factors in
    aged population: Urban health equity assessment and response
    tool (Urban‑HEART) study in Tehran. Iran J Diabetes Metabol
    2013;13:62‑73.
    27. Moeini M, Sharifi S, Zandiyeh Z. Does Islamic spiritual program
    lead to successful aging? A randomized clinical trial. J Educ Health
    Promot 2016;5:2.
    28. Imanzadeh A, Alipoor S. Examining the elderly women’s
    experiences of loneliness: A phenomenological study. Aging
    Psychol 2017;3:31‑43.
  2. 29. Taghdisi MH, Doshmangir P, Dehdari T, Doshmangir L.
    Influencing factors on healthy lifestyle from viewpoint of ederly
    people: Qualitative study. Salmand: Iran J Ageing 2013;7:47‑58.
    30. Zanjani S, Tol A, Mohebbi B, Sadeghi R, Jalyani KN, Moradi A.
    Determinants of healthy lifestyle and its related factors among
    elderly people. J Educ Health Promot 2015;4:103.