Friday, December 16, 2016

Old, living alone and surprisingly healthy

This post came out from The Straits Times (8 December 2016)

The first study here that seeks to unlock the secrets behind the longevity of the oldest Singaporeans has thrown up a surprising observation: Living alone may not be as big a problem as one might think. Of the Singaporeans aged 85 and older who were found to be in excellent health, one in five - or 20 per cent - lived by themselves. Among those in the study who were considered unhealthy, 8.9 per cent lived alone.
According to 2012 figures, about 7 per cent of seniors older than 65, or 35,000 seniors, live alone. Said Professor Koh Woon-Puay from Duke-NUS Medical School, who lauded the resilience and independence of the seniors: "This is more than what I expected. I actually thought more would live with spouses, children and grandchildren." She is leading an ongoing longitudinal study tracking about 1,000 Singaporeans who are 85 years old and older for over two decades.
This has implications for ageing policy and caregiving arrangements, given the rising number of seniors who live alone here, say researchers. The group will grow to about 92,000 by 2030. The preliminary finding may also debunk assumptions that living alone necessarily equates to social isolation and poor quality of life.
Within the healthy group, those who lived alone were found to be more socially active than those living with family and friends. "This means that it is viable for people who are healthy and old to live on their own. It is not that they all must be put into nursing homes," said Associate Professor Chong Yap Seng, executive director at the Singapore Institute for Clinical Sciences, and an adviser to the SG90 Longevity study that was launched last year.
"Since seniors' desire for independence may have likely led to them having long and healthy lives, others can adopt similar mindsets to achieve the same goals," said Prof Chong. Dr Ng Wai Chong, chief of clinical affairs at Tsao Foundation, which specialises in ageing issues, said the finding was important for social services. "Social services should not target only elders who live alone. Seniors, whatever living arrangement they are in, should be assessed for social isolation instead," said Dr Chong.
The study was among several global studies presented at the first conference here that delves into centenarian research and explores whether centenarians are the realisation of successful ageing. Centenarians, or people who are 100 years old and older, are the fastest-growing age segment in the world. There were nearly half a million centenarians in the world last year and the group is projected to grow eightfold by 2050. In Singapore, their number went up more than fivefold from 232 in 2000 to 1,200 last year.
At the opening session of the three-day conference held at the Duke-NUS Medical School yesterday, Senior Minister of State for Health Amy Khor said people need not worry about ageing. "Longevity is actually good news. It is a result of advancement in public health, medicine, science and technology," said Dr Khor. "Ageing will only present itself as a worry when people lose their social or economic relevance as they age or if they live longer years in ill health and disability."
Associate Professor Angelique Chan, executive director of the Centre for Ageing Research and Education, which organised the conference, said longevity is a product of advances in medicine and technology but the quality of those extra years is largely a social issue. "Understanding these social and medical interactions will ensure that we are well placed to identify strategies for successful aging," said Prof Chan.
The SG90 study aims, in two years, to identify the markers of healthy ageing, such as genetics, diet or lifestyle factors, in order to come up with practical solutions to help people live longer and keep healthy.
Said Prof Chong: "We want to see if we can come up with a particular diet, exercise, drug or nutritional supplement regime that will maximise your health span."
Thoughts anyone?

Yours,
Something Small Thinking Big


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