Εκπαίδευση και ευδόκιμη γήρανση: Μια συστηματική ανασκόπηση και μετά-ανάλυση μελετών κοόρτης


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Δημοσιευμένα: Αυγ 29, 2025
Λέξεις-κλειδιά:
Ευδόκιμη γήρανση Υγιής γήρανση Εκπαίδευση Δια βίου εκπαίδευση Άτομα μεγαλύτερης ηλικίας
Ευαγγελία Τσιλώνη
Έλενα Δραγκιώτη
Μαίρη Γκούβα
Στέφανος Βασιλόπουλος
Μανόλης Μέντης
Περίληψη

Η ευδόκιμη γήρανση περιλαμβάνει ποικίλες διαστάσεις, όπως η σωματική, γνωστική, ψυχική και κοινωνική ευεξία ατόμων μεγαλύτερης ηλικίας. Τα τελευταία χρόνια, παρατηρείται αυξανόμενο ενδιαφέρον για τη διερεύνηση του τρόπου με τον οποίο διάφοροι παράγοντες επηρεάζουν την ευδόκιμη γήρανση. Η παρούσα μελέτη είχε ως στόχο να εξετάσει την επίδραση του μορφωτικού επιπέδου στην ευδόκιμη γήρανση ενηλίκων ηλικίας 65 ετών και άνω, μέσω συστηματικής ανασκόπησης και μετα-ανάλυσης μελετών κοόρτης. Οι ηλεκτρονικές βάσεις δεδομένων PubMed, Scopus, ERIC και PsycINFO ερευνήθηκαν σύμφωνα με τις κατευθυντήριες γραμμές PRISMA. Επιπλέον, εξετάστηκαν οι βιβλιογραφικές αναφορές σχετικών συστηματικών ανασκοπήσεων, μετα-αναλύσεων και των επιλεγμένων μελετών. Η ποιότητα των μελετών αξιολογήθηκε με τη χρήση της Κλίμακας Newcastle-Ottawa (NOS). Οι συνολικές εκτιμήσεις υπολογίστηκαν με μοντέλα τυχαίων επιδράσεων (random-effects) χρησιμοποιώντας τη μέθοδο REML στο R (έκδοση 4.4.0). Συνολικά, 28 μελέτες πληρούσαν τα κριτήρια ένταξης και συμπεριλήφθηκαν στην ανασκόπηση και τη μετα-ανάλυση. Η στατιστική ανάλυση έδειξε ότι η ανώτερη δευτεροβάθμια εκπαίδευση (OR = 1.17, 95% CI = 1.09–1.26), η τριτοβάθμια εκπαίδευση (OR = 1.27, 95% CI = 1.03–1.56), καθώς και ανώτερα ή διαφοροποιημένα μορφωτικά επίπεδα (π.χ. έτη εκπαίδευσης) (OR = 1.11, 95% CI = 1.05–1.18) σχετίζονται σημαντικά με την ευδόκιμη γήρανση. Σύμφωνα με τα διαθέσιμα δεδομένα, τα υψηλότερα επίπεδα εκπαίδευσης συνδέονται σημαντικά με αυξημένες πιθανότητες ευδόκιμης γήρανσης στην τρίτη ηλικία

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Αναφορές
Abud, T., Kounidas, G., Martin, K. R., Werth, M., Cooper, K., & Myint, P. K. (2022). Determinants of healthy ageing: a systematic review of contemporary literature. Aging Clinical and Experimental Research, 34(6), 1215–1223. https://doi.org/10.1007/s40520-021-02049-w
Almeida, O. P., Norman, P., Hankey, G., Jamrozik, K., & Flicker, L. (2006). Successful mental health aging: results from a longitudinal study of older Australian men. The American Journal of Geriatric Psychiatry, 14(1), 27–35. https://doi.org/10.1097/01.JGP.0000192486.20308.42
Arroyo-Quiroz, C., Brunauer, R., & Alavez, S. (2020). Factors associated with healthy aging in septuagenarian and nonagenarian Mexican adults. Maturitas, 131, 21–27. https://doi.org/10.1016/j.maturitas.2019.10.008
Behr, L. C., Simm, A., Kluttig, A., & Grosskopf, A. (2023). 60 years of healthy aging: on definitions, biomarkers, scores and challenges. Ageing Research Reviews, 101934. https://doi.org/10.1016/j.arr.2023.101934
Belachew, A., Cherbuin, N., Bagheri, N., & Burns, R. (2024). A Systematic Review and Meta-analysis of the Socioeconomic, Lifestyle, and Environmental Factors Associated with Healthy Ageing in Low and Lower-Middle-Income Countries. Journal of Population Ageing, 1–23. https://doi.org/10.1007/s12062-024-09444-x
Bell, C. L., Chen, R., Masaki, K., Yee, P., He, Q., Grove, J., Donlon, T., Curb, J. D., Willcox, D. C., & Poon, L. W. (2014). Late‐life factors associated with healthy aging in older men. Journal of the American Geriatrics Society, 62(5), 880–888. https://doi.org/10.1111/jgs.12796
Byles, J. E., Rahman, M. M., Princehorn, E. M., Holliday, E. G., Leigh, L., Loxton, D., Beard, J., Kowal, P., & Jagger, C. (2019). Successful ageing from old to very old: a longitudinal study of 12,432 women from Australia. Age and Ageing, 48(6), 803–810. https://doi.org/10.1093/ageing/afz116
Carmel, S. (2019). Health and well-being in late life: Gender differences worldwide. Frontiers in Medicine, 6, 218. https://doi.org/https://doi.org/10.3389/fmed.2019.00218
Chang, H., Zhou, J., Chen, Y., Wang, X., & Wang, Z. (2023). Developmental trajectories of successful aging among older adults in China: Evidence from the China Health and Retirement Longitudinal Study. Geriatric Nursing, 51, 258–265. https://doi.org/10.1016/j.gerinurse.2023.03.026
Cosco, T. D., Prina, A. M., Perales, J., Stephan, B. C. M., & Brayne, C. (2014). Operational definitions of successful aging: a systematic review. International Psychogeriatrics, 26(3), 373–381. https://doi.org/https://doi.org/10.1017/S1041610213002287
Cosco, T. D., Stephan, B. C. M., Brayne, C., Muniz, G., & CFAS, M. R. C. (2017). Education and successful aging trajectories: A longitudinal population-based latent variable modelling analysis. Canadian Journal on Aging/La Revue Canadienne Du Vieillissement, 36(4), 427–434. https://doi.org/10.1017/S0714980817000344
Curcio, C.-L., Pineda, A., Quintero, P., Rojas, Á., Muñoz, S., & Gómez, F. (2018). Successful Aging in Colombia: the role of disease. Gerontology and Geriatric Medicine, 4, 2333721418804052. https://doi.org/10.1177/2333721418804052
Cutler, D. M., & Lleras-Muney, A. (2010). Understanding differences in health behaviors by education. Journal of Health Economics, 29(1), 1–28. https://doi.org/https://doi.org/10.1016/j.jhealeco.2009.10.003
Daskalopoulou, C., Stubbs, B., Kralj, C., Koukounari, A., Prince, M., & Prina, A. M. (2018). Associations of smoking and alcohol consumption with healthy ageing: a systematic review and meta-analysis of longitudinal studies. BMJ Open, 8(4), e019540. https://doi.org/10.1136/bmjopen-2017-019540
Depp, C. A., & Jeste, D. V. (2006). Definitions and predictors of successful aging: a comprehensive review of larger quantitative studies. The American Journal of Geriatric Psychiatry, 14(1), 6–20. https://doi.org/10.1097/01.JGP.0000192501.03069.bc
Dimou, K., Dragioti, E., Tsitsas, G., Mantzoukas, S., & Gouva, M. (2023). Association of Personality Traits and Self-Care Behaviors in People With Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis. Cureus, 15(12). https://doi.org/10.7759/cureus.50714
Dragioti, E., Dimoliatis, I., Fountoulakis, K. N., & Evangelou, E. (2015). A systematic appraisal of allegiance effect in randomized controlled trials of psychotherapy. Annals of General Psychiatry, 14, 1–9. https://doi.org/https://doi.org/10.1186/s12991-015-0063-1
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997). Bias in meta-analysis detected by a simple, graphical test. Bmj, 315(7109), 629–634. https://doi.org/https://doi.org/10.1136/bmj.315.7109.629
Estebsari, F., Dastoorpoor, M., Khalifehkandi, Z. R., Nouri, A., Mostafaei, D., Hosseini, M., Esmaeili, R., & Aghababaeian, H. (2020). The concept of successful aging: a review article. Current Aging Science, 13(1), 4–10. https://doi.org/https://doi.org/10.2174/1874609812666191023130117
Ford, A. B., Haug, M. R., Stange, K. C., Gaines, A. D., Noelker, L. S., & Jones, P. K. (2000). Sustained personal autonomy: a measure of successful aging. Journal of Aging and Health, 12(4), 470–489. https://doi.org/10.1177/089826430001200402
Grosso, T. (2018). Lifelong learning: The key to successful aging. Journal of Educational Leadership in Action, 5(2), 10. https://doi.org/https://doi.org/10.62608/2164-1102.1046
Gureje, O., Oladeji, B. D., Abiona, T., & Chatterji, S. (2014). Profile and determinants of successful aging in the Ibadan Study of Ageing. Journal of the American Geriatrics Society, 62(5), 836–842. https://doi.org/10.1111/jgs.12802
Hertzog, C., Kramer, A. F., Wilson, R. S., & Lindenberger, U. (2008). Enrichment effects on adult cognitive development: can the functional capacity of older adults be preserved and enhanced? Psychological Science in the Public Interest, 9(1), 1–65. https://doi.org/https://doi.org/10.1111/j.1539-6053.2009.01034.x
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. Bmj, 327(7414), 557–560. https://doi.org/https://doi.org/10.1136/bmj.327.7414.557
Hodge, A. M., English, D. R., Giles, G. G., & Flicker, L. (2013). Social connectedness and predictors of successful ageing. Maturitas, 75(4), 361–366. https://doi.org/10.1016/j.maturitas.2013.05.002
Hodge, A. M., O’dea, K., English, D. R., Giles, G. G., & Flicker, L. (2014). Dietary patterns as predictors of successful ageing. The Journal of Nutrition, Health & Aging, 18, 221–227. https://doi.org/10.1007/s12603-013-0405-0
Hsu, H.-C., & Jones, B. L. (2012). Multiple trajectories of successful aging of older and younger cohorts. The Gerontologist, 52(6), 843–856. https://doi.org/10.1093/geront/gns005
Hung, L.-W., Kempen, G., & De Vries, N. K. (2010). Cross-cultural comparison between academic and lay views of healthy ageing: a literature review. Ageing & Society, 30(8), 1373–1391. https://doi.org/10.1017/S0144686X10000589
Jang, H.-Y. (2020). Factors associated with successful aging among community-dwelling older adults based on ecological system model. International Journal of Environmental Research and Public Health, 17(9), 3220. https://doi.org/10.3390/ijerph17093220
Kaplan, M. S., Huguet, N., Orpana, H., Feeny, D., McFarland, B. H., & Ross, N. (2008). Prevalence and factors associated with thriving in older adulthood: a 10-year population-based study. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 63(10), 1097–1104. https://doi.org/10.1093/gerona/63.10.1097
Kok, A. A. L., Aartsen, M. J., Deeg, D. J. H., & Huisman, M. (2016). Socioeconomic inequalities in a 16-year longitudinal measurement of successful ageing. J Epidemiol Community Health, 70(11), 1106–1113. https://doi.org/10.1136/jech-2015-206938
LaCroix, A. Z., Rillamas-Sun, E., Woods, N. F., Weitlauf, J., Zaslavsky, O., Shih, R., LaMonte, M. J., Bird, C., Yano, E. M., & LeBoff, M. (2016). Aging well among women veterans compared with non-veterans in the women’s health initiative. The Gerontologist, 56(Suppl_1), S14–S26. https://doi.org/10.1093/geront/gnv124
Lee, S. W., & Koo, M. J. (2022). PRISMA 2020 statement and guidelines for systematic review and meta-analysis articles, and their underlying mathematics: Life Cycle Committee Recommendations. Life Cycle, 2. https://doi.org/10.54724/lc.2022.e9
Leveille, S. G., Guralnik, J. M., Ferrucci, L., & Langlois, J. A. (1999). Aging successfully until death in old age: opportunities for increasing active life expectancy. American Journal of Epidemiology, 149(7), 654–664. https://doi.org/10.1093/oxfordjournals.aje.a009866
Light, R. J., & Pillemer, D. B. (1984). DB (1984): Summing up: the science of reviewing research (Harvard University Press. (ed.)). Harvard University Press.
Lin, Y.-H., Chen, Y.-C., Tseng, Y.-C., Tsai, S., & Tseng, Y.-H. (2020). Physical activity and successful aging among middle-aged and older adults: a systematic review and meta-analysis of cohort studies. Aging (Albany NY), 12(9), 7704. https://doi.org/10.18632/aging.103057
Liu, L., & Su, P. (2017). What factors influence healthy aging? A person‐centered approach among older adults in taiwan. Geriatrics & Gerontology International, 17(5), 697–707. https://doi.org/10.1111/ggi.12774
Lövdén, M., Fratiglioni, L., Glymour, M. M., Lindenberger, U., & Tucker-Drob, E. M. (2020). Education and cognitive functioning across the life span. Psychological Science in the Public Interest, 21(1), 6–41. https://doi.org/10.1177/1529100620920576
Lu, W., Pikhart, H., & Sacker, A. (2021). Comparing socio-economic inequalities in healthy ageing in the United States of America, England, China and Japan: evidence from four longitudinal studies of ageing. Ageing & Society, 41(7), 1495–1520. https://doi.org/10.1017/S0144686X19001740
Ma, J., Pender, M., & Welch, M. (2016). Education Pays 2016: The Benefits of Higher Education for Individuals and Society. Trends in Higher Education Series. College Board.
McLaughlin, S. J., Kim, S., Li, L. W., & Zhang, J. (2020). Educational differences in trajectories and determinants of healthy ageing in midlife and older Americans. Maturitas, 134, 21–28. https://doi.org/10.1016/j.maturitas.2020.01.002
Meng, X., & D’arcy, C. (2012). Education and dementia in the context of the cognitive reserve hypothesis: a systematic review with meta-analyses and qualitative analyses. PloS One, 7(6), e38268. https://doi.org/https://doi.org/10.1371/journal.pone.0038268
Newman, A. B., & Brach, J. S. (2001). Gender gap in longevity and disability in older persons. Epidemiologic Reviews, 23(2), 343–355.
Nie, P., Li, Y., Zhang, N., Sun, X., Xin, B., & Wang, Y. (2021). The change and correlates of healthy ageing among Chinese older adults: findings from the China health and retirement longitudinal study. BMC Geriatrics, 21, 1–13. https://doi.org/10.1186/s12877-021-02026-y
Oktaviani, L. W., Hsu, H.-C., & Chen, Y.-C. (2022). Effects of health-related behaviors and changes on successful aging among Indonesian older people. International Journal of Environmental Research and Public Health, 19(10), 5952. https://doi.org/10.3390/ijerph19105952
Organization, W. H. (2015). World report on ageing and health. World Health Organization.
R Core Team. (2023). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. Http://Www. R-Project. Org/. https://www.r-project.org/
Rodrigues, C. E., Grandt, C. L., Alwafa, R. A., Badrasawi, M., & Aleksandrova, K. (2023). Determinants and indicators of successful aging as a multidimensional outcome: a systematic review of longitudinal studies. Frontiers in Public Health, 11, 1258280. https://doi.org/10.3389/fpubh.2023.1258280
Rowe, J. W., & Kahn, R. L. (1997). Successful Aging. The Gerontologist, 37(4), 433–440. https://doi.org/10.1093/GERONT/37.4.433
Shields, M., & Martel, L. (2006). Healthy living among seniors. Health Reports, 16, 7.
Sirven, N., & Debrand, T. (2008). Social participation and healthy ageing: an international comparison using SHARE data. Social Science & Medicine, 67(12), 2017–2026. https://doi.org/10.1016/j.socscimed.2008.09.056
Sloane-Seale, A., & Kops, B. (2008). Older adults in lifelong learning: Participation and successful aging. Canadian Journal of University Continuing Education, 34(1). https://doi.org/https://doi.org/10.21225/D5PC7R
Stern, Y. (2012). Cognitive reserve in ageing and Alzheimer’s disease. The Lancet Neurology, 11(11), 1006–1012. https://doi.org/vhttps://doi.org/10.1016/S1474-4422(12)70191-6
Strawbridge, W. J., Cohen, R. D., Shema, S. J., & Kaplan, G. A. (1996). Successful aging: predictors and associated activities. American Journal of Epidemiology, 144(2), 135–141. https://doi.org/10.1093/oxfordjournals.aje.a008900
Terry, D. F., Pencina, M. J., Vasan, R. S., Murabito, J. M., Wolf, P. A., Hayes, M. K., Levy, D., D’Agostino, R. B., & Benjamin, E. J. (2005). Cardiovascular risk factors predictive for survival and morbidity‐free survival in the oldest‐old Framingham Heart Study participants. Journal of the American Geriatrics Society, 53(11), 1944–1950. https://doi.org/10.1111/j.1532-5415.2005.00465.x
Tsiloni, E., Dragioti, E., Gouva, M., Vassilopoulos, S. P., & Mentis, M. (2024). Psychosocial effects of intergenerational learning on primary school children and older Adults: A systematic review. Gerontology & Geriatrics Education, 45(2), 289–322. https://doi.org/https://doi.org/10.1080/02701960.2023.2189248
Urtamo, A., Huohvanainen, E., Pitkälä, K. H., & Strandberg, T. E. (2019). Midlife predictors of active and healthy aging (AHA) among older businessmen. Aging Clinical and Experimental Research, 31, 225–231. https://doi.org/10.1007/s40520-018-1100-0
Vaillant, G. E., & Western, R. J. (2001). Healthy aging among inner-city men. International Psychogeriatrics, 13(4), 425–437. https://doi.org/10.1017/S1041610201007840
Viechtbauer, W. (2010). Conducting meta-analyses in R with the metafor package. Journal of Statistical Software, 36(3), 1–48. https://doi.org/https://doi.org/10.18637/jss.v036.i03
Wagg, E., Blyth, F. M., Cumming, R. G., & Khalatbari-Soltani, S. (2021). Socioeconomic position and healthy ageing: A systematic review of cross-sectional and longitudinal studies. Ageing Research Reviews, 69, 101365. https://doi.org/10.1016/j.arr.2021.101365
Wang, X., Xie, J., Shang, M., Yin, P., & Gu, J. (2024). Healthy aging trajectories and their predictors among Chinese older adults: evidence from a 7-year nationwide prospective cohort study. Archives of Gerontology and Geriatrics, 105331. https://doi.org/10.1016/j.archger.2024.105331
Wells, G. A., Shea, B., O’Connell, D., Peterson, J., Welch, V., Losos, M., & Tugwell, P. (2000). The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Oxford. https://web.archive.org/web/20210716121605id_/http://www3.med.unipmn.it/dispense_ebm/2009-2010/Corso Perfezionamento EBM_Faggiano/NOS_oxford.pdf
White, C. M., St. John, P. D., Cheverie, M. R., Iraniparast, M., & Tyas, S. L. (2015). The role of income and occupation in the association of education with healthy aging: results from a population-based, prospective cohort study. BMC Public Health, 15(1). https://doi.org/10.1186/s12889-015-2504-9
Whitley, E., Benzeval, M., & Popham, F. (2018). Associations of successful aging with socioeconomic position across the life-course: The West of Scotland Twenty-07 Prospective Cohort Study. Journal of Aging and Health, 30(1), 52–74. https://doi.org/10.1177/0898264316665208
Willcox, B. J., He, Q., Chen, R., Yano, K., Masaki, K. H., Grove, J. S., Donlon, T. A., Willcox, D. C., & Curb, J. D. (2006). Midlife risk factors and healthy survival in men. Jama, 296(19), 2343–2350. https://doi.org/10.1001/jama.296.19.2343
World Health Organization. (2021). Decade of Healthy Ageing (2021-2030). https://www.decadeofhealthyageing.org/about/join-us/collaborative
World Health Organization. (2022). Ageing and health. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
Xu, X., Liang, J., Bennett, J. M., Botoseneanu, A., & Allore, H. G. (2015). Socioeconomic stratification and multidimensional health trajectories: evidence of convergence in later old age. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 70(4), 661–671. https://doi.org/10.1093/geronb/gbu095
Zhang, H., Chen, X., Xie, F., Yang, B., Zhao, F., & Quan, Y. (2022). Factors influencing successful ageing in middle-aged and older adults in developing countries: A meta-analysis. Ageing Commun, 4(3), 17. https://doi.org/10.53388/AGING202204017