Swipe om te navigeren naar een ander artikel
Personal values influence behavior and decision making, but their long-term associations with health-related quality of life (HRQoL), frailty, and mortality are less clear. We studied these associations from midlife to old age in a 26-year follow-up of the Helsinki Businessmen Study (HBS) cohort.
In 1974, 1320 clinically healthy men (born 1919–1934) reported in a 12-item questionnaire their personal values. In 2000, a mailed questionnaire, including assessment of HRQoL with RAND-36 (SF-36) instrument, was sent to survivors, and 1025 men responded. In 2000, the presence of phenotypic frailty was assessed using modified Fried criteria including indicators of shrinking, physical weakness, exhaustion, and physical inactivity. Mortality through December 31, 2000 was verified from national registries.
Using a factor analysis, the data of the 12-item questionnaire of personal values were loaded in 3 factors: valuing health (“Health”), enjoyable and varying life (“Enjoyment”), and comfort and work-oriented life (“Work-life-balance”). Adjusted for age, we found a significant positive association between valuing “Health” in midlife and RAND-36 domains of Physical functioning (p = .032) and Vitality (p = .005) in old age. “Health” also predicted less frailty (p = .008), and “Enjoyment” was associated with higher mortality (p = .017).
Value priorities of men assessed in midlife had long-term associations with HRQoL and frailty in old age, and they may also predict mortality.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Schwartz, S. H. (2012). An overview of the Schwartz theory of basic values. Online readings in Psychology and Culture. https://doi.org/10.9707/2307-0919.1116.
Schwartz, S. H. (1992). Universals in the content and structure of values: Theoretical advances and empirical tests in 20 countries. In M. P. Zanna (Ed.), Advances in experimental social psychology (pp. 1–65). San Diego, CA: Academic Press.
Rokeach, M. (1973). The nature of human values. New York: Free Press.
Feather, N. T. (1995). Values, valences, and choice: The influence of values on the perceived attractiveness and choice of alternatives. Journal of Personality and Social Psychology, 68(6), 1135–1151. https://doi.org/10.1037/0022-35184.108.40.2065. CrossRef
Aavik, T., Aavik, A., & Punab, M. (2014). Personal values that support and counteract utilization of a screening test for prostate cancer. Behavioral Medicine, 40(1), 22–28. https://doi.org/10.1080/08964289.2013.831805. CrossRefPubMed
Dobewall, H., Tark, R., & Aavik, T. (2017). Health as a value and its association with health-related quality of life, mental health, physical health, and subjective well-being. Applied Research in Quality of Life, 1–14.
Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., et al. (2001). Frailty in older adults: Evidence for a phenotype. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(3), 146–156. CrossRef
Rodriquez-Manas, L., Féart, C., Mann, G., Vina, J., Chatterji, S., et al. (2012). Searching for an operational definition on frailty: A Delphi method based consensus statement. The frailty operative definition – Consensus conference project. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 68(1), 62–67. https://doi.org/10.1093/gerona/gls119. CrossRef
Lafortune, L., Martin, S., Kelly, S., Kuhn, I., Remes, O., Cowan, A., & Brayne, C. (2016). Behavioural risk factors in mid-life associated with successful ageing, disability, dementia and frailty in later life: A rapid systematic review. PLoS ONE, 11(2), e0144405. https://doi.org/10.1371/journal.pone.0144405. CrossRefPubMedPubMedCentral
Strandberg, A. Y., Strandberg, T. E., Stenholm, S., Salomaa, V. V., Pitkälä, K., & Tilvis, R. S. (2014). Low midlife blood pressure, survival, comorbidity, and health-related quality of life in old age: The Helsinki Businessmen Study. Journal of Hypertension, 32(9), 1797–1804. https://doi.org/10.1097/HJH.0000000000000265. CrossRefPubMed
Hyttinen, L., Strandberg, T. E., Strandberg, A. Y., et al. (2011). Effect of cholesterol on mortality and quality of life up to a 46-year follow-up. American Journal of Cardiology, 108(5), 677–681. https://doi.org/10.1016/j.amjcard.2011.04.016. CrossRefPubMed
Strandberg, A. Y., Strandberg, T. E., Pitkälä, K., Salomaa, V. V., Tilvis, R. S., & Miettinen, T. A. (2008). The effect of smoking in midlife on health-related quality of life in old age: A 26-year prospective study. Archives of Internal Medicine, 168(18), 1968–1974. https://doi.org/10.1001/archinte.168.18.1968. CrossRefPubMed
Strandberg, A. Y., Strandberg, T. E., Salomaa, V. V., Pitkälä, K., Häppölä, O., & Miettinen, T. A. (2004). A follow-up study found that cardiovascular risk in middle age predicted mortality and quality of life in old age. Journal of Clinical Epidemiology, 57(4), 415–421. https://doi.org/10.1016/j.jclinepi.2003.09.013. CrossRefPubMed
Strandberg, T. E., Sirola, J., Pitkälä, K. H., Tilvis, R. S., Strandberg, A. Y., & Stenholm, S. (2012). Association of midlife obesity and cardiovascular risk with old age frailty: A 26-year follow-up of initially healthy men. International Journal of Obesity, 36(9), 1153–1157. https://doi.org/10.1038/ijo.2012.83. CrossRefPubMed
Sirola, J., Pitkala, K. H., Tilvis, R. S., Miettinen, T. A., & Strandberg, T. E. (2011). Definition of frailty in older men according to questionnaire data (RAND-36/SF-36): The Helsinki Business Study. The Journal of Nutrition, Health & Aging, 15(9), 783–787. https://doi.org/10.1007/s12603-011-0131-4. CrossRef
Huohvanainen, E., Strandberg, A., Stenholm, S., Pitkälä, K., Tilvis, R., & Strandberg, T. E. (2016). Association of self-rated health in midlife with mortality and old age frailty: A 26-year follow-up of initially healthy men. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 71(7), 923–928. https://doi.org/10.1093/gerona/glv311. CrossRef
Miettinen, T. A., Huttunen, J. K., Naukkarinen, V., Stranberg, T. E., Mattila, S., Kumlin, T., & Sarna, S. (1985). Multifactorial primary prevention of cardiovascular diseases in middle-aged men: Risk factor changes, incidence, and mortality. JAMA, 254(15), 2097–2102. https://doi.org/10.1001/jama.1985.03360150073027. CrossRefPubMed
Rosenberg, M. (1957). Occupations and values. Glecoe, IL: Free Press.
Aalto, A.-M., Aro, A. R., & Teperi, J. (1999). RAND-36 as a measure of health-related quality of life: Reliability, construct validity, and reference values in the Finnish general population. Helsinki: Stakes; Research Reports No.101.
Ware, J. E., & Kosinski, M. (2001). SF-36 physical and mental health summary scales: A manual for users of version 1 (2nd ed.). Lincoln, RI: Quality Metric Inc.
Pine, G., & Innis, G. (1987). Cultural and individual work values. The Career Development Quarterly, 35, 279–287. https://doi.org/10.1002/j.2161-0045.1987.tb00926.x. CrossRef
Sagiv, L., Roccas, S., & Hazan, O. (2004). Value pathways to well-being: Healthy values, valued goal attainment, and environmental congruence. Positive Psychology in Practice, 68–85. https://doi.org/10.1002/9780470939338.ch5.
Sagiv, L., & Schwartz, S. H. (2000). Value priorities and subjective well-being: Direct relations and congruity effects. European Journal of Social Psychology, 30(2), 177–198. https://doi.org/10.1002/(SICI)1099-0992(200003/04)30:23.0.CO;2-Z. CrossRef
Abel, T. (1991). Measuring health lifestyles in a comparative analysis: Theoretical issues and empirical findings. Social Science & Medicine, 32, 889–908. CrossRef
- Association of midlife value priorities with health-related quality of life, frailty and mortality among older men: a 26-year follow-up of the Helsinki Businessmen Study (HBS)
Kaisu H. Pitkälä
Timo E. Strandberg
- Springer International Publishing