Health  Vol.7 No.6 , June 2015
Assessment of the Determinants of Healthy Ageing among the Rural Elderly of North-Eastern Nigeria
ABSTRACT
Healthy ageing is a lifelong process optimizing opportunities for improving and preserving health and physical, social and mental wellness, independence, quality of life and enhancing successful life-course transition. In Sub-Saharan Africa, it is estimated that the number of elderly persons will rise from about 37.1 million in 2005 to 155.4 million in 2050. The elderly population in Nigeria is estimated at 4 percent and is expected to triple by the year 2020. The increasing number of the older population will increase the burden on the health resources. The objective of this study was to evaluate the determinants of healthy ageing among rural elderly in northern Nigeria in order to promote those that have positive correlation with healthy aging. A cross sectional descriptive study was conducted among 1600 rural elderly aged ≥60 years using interviewer administered semi-structured questionnaire between June and July, 2011. Majority (53.8%) are 60 - 64 years, 24.6% >69 years, 72.4% are males while most are Muslims (85.6%) and 81. 4% are still married. Most are farmers (48.9%) while 73.6% have no formal education. 85.3% earn less than $100 monthly while 47.6% have no income. 93.5% do not take alcohol, 92.1% do not smoke and 89.8% are physically active. 83.1% have normal blood pressure (on examination), 88.3% normal blood glucose level (on examination). Diet, no smoking, high physical activity and adequate sleep are positively correlated with healthy aging (p < 0.05). Good health practices and family support should be sustained while special care for the aged should be established by the government.

Cite this paper
Omotara, B. , Yahya, S. , Wudiri, Z. , Amodu, M. , Bimba, J. and Unyime, J. (2015) Assessment of the Determinants of Healthy Ageing among the Rural Elderly of North-Eastern Nigeria. Health, 7, 754-764. doi: 10.4236/health.2015.76090.
References
[1]   Sainani, G.S. and Sainani, R. (2005) Retarding Ageing—Healthy Aging. Medicine Updates, 173, 854-855.

[2]   Peel, N.M., McClure, R.J. and Bartlett, H.P. (2005) Behavioral Determinants of Healthy Ageing. American Journal of Preventive Medicine, 28, 298-304.
http://dx.doi.org/10.1016/j.amepre.2004.12.002

[3]   Gelberd, A., Haub, C. and Kent, M. (1999) World Population beyond Six Billion. Population Bulletin, March, 38.

[4]   (2008) Nigerian Demographic and Health Survey (NDHS).

[5]   WHO (2011) Definition of Health.
http://www.who.int/about/definition/en/print.html

[6]   Bass, S.A. (2006) Gerontological Theory: The Search for the Holy Grail. Gerontology, 46, 139-144.
http://dx.doi.org/10.1093/geront/46.1.139

[7]   Kalache, A. and Kickbusch, I. (1997) A Global Strategy for Healthy Ageing. World Health, 4, 4-5.

[8]   Omotara, B.A., Padonu, M.K.O., Bassi, A.P. and Amodu, M.O. (1992) Com-munity-Based Medical Education (CBME): University of Maiduguri Experience. Annals of Community-Oriented Education, 5, 41-46.

[9]   (2006) Federal Republic of Nigeria National Census.

[10]   Timmis, A. (2007) Cardiovascular System. In: Swash, M. and Glynn, M., Eds., Hutchinson’s Clinical Methods, 22nd Edition, Saunders Elsevier, Philadelphia, 77.
http://dx.doi.org/10.1016/b978-0-7020-2799-4.50012-1

[11]   Powell-Tuck, J. (2007) Nutritional Assessment. In: Swash, M. and Glynn, M., Eds., Hutchinson’s Clinical Methods, 22nd Edition, Saunders Elsevier, Philadelphia, 45-46.

[12]   New York Access to Health (accessed 29 June 2012) Sleep Disorder-Ageing and Sleep.
www.noahhealth.org/en/sleep/concern/elderly.html

[13]   Naughton, C., Bennett, K. and Feely, J. (2006) Age and Ageing. Oxford Journals, 35, 633-636.

[14]   Caughey, G.E., Vitry, A.I., Gilbert, A.L. and Roughead, E.E. (2008) Prevalence of Comorbidity of Chronic Diseases in Australia. BMC Public Health, 8, 221.
http://dx.doi.org/10.1186/1471-2458-8-221

[15]   Calkins, E., Boult, C., Wagner, E., et al. (1999) New Ways to Care for Older People: Building Systems Based on Evidence. Springer, New York.

[16]   Fied, L.P. and Guralnik, J.M. (1997) Disability in Older Adults: Evidence Regarding Significance, Etiology, and Risk. Journal of the American Geriatrics Society, 45, 92-100.
http://dx.doi.org/10.1111/j.1532-5415.1997.tb00986.x

[17]   Abdulraheem, I.S. and Abdulrahman, A.G. (2008) Morbidity Pattern among the Elderly Population in a Nigerian Tertiary Health Care Institution: Analysis of a Retrospective Study. Nigerian Medical Practitioner, 54, 32-38.

[18]   Morgan, K. and Clarke, D. (1997) Customary Physical Activity and Survival in Later Life: A Study in Nottingham, UK. Journal of Epidemiology Community Health, 51, 490-493.
http://dx.doi.org/10.1136/jech.51.5.490

[19]   Fries, J. (1996) Physical Activity, the Compression of Morbidity, and the Health of the Elderly. Journal of the Royal Society of Medicine, 89, 64-68.

[20]   Ho, S.C., Woo, J., Yuen, Y.K., et al. (1997) Predictors of Mobility Decline: The Hong Kong Old-Old Study. The Journals of Gerontology, 25, M356-M362.
http://dx.doi.org/10.1093/gerona/52A.6.M356

[21]   Wolfson, L., Whipple, R., Derby, C., et al. (1996) Balance and Strength Training in Older Adults: Intervention Gains and Tai Chi Maintenance. Journal of the American Geriatrics Society, 44, 498-506.
http://dx.doi.org/10.1111/j.1532-5415.1996.tb01433.x

[22]   Wolf, S.L., Barnhart, H.X., Kutner, N.G., et al. (1996) Reducing Frailty and Falls in Older Persons: An Investigation of Tai Chi and Computerized Balance Training. Journal of the American Geriatrics Society, 44, 489-497.
http://dx.doi.org/10.1111/j.1532-5415.1996.tb01432.x

[23]   Campbell, A.J., Robertson, M.C., Gardner, M.M., et al. (1997) Randomised Controlled Trial of a General Practice Programme of Home Based Exercise to Prevent Falls in Elderly Women. BMJ, 315, 1065-1069.
http://dx.doi.org/10.1136/bmj.315.7115.1065

[24]   MacRae, P.G., Asplund, L.A., Schnelle, J.F., et al. (1996) A Walking Program for Nursing Home Residents: Effect on Walk Endurance, Physical Activity, Mobility and Quality of Life. Journal of the American Geriatrics Society, 44, 175- 180.
http://dx.doi.org/10.1111/j.1532-5415.1996.tb02435.x

[25]   Ruuskanen, J.M. and Ruoppila, I. (1995) Physical Activity and Psychological Well-Being among People Aged 65 to 84 yr. Age and Ageing, 24, 292-296.
http://dx.doi.org/10.1093/ageing/24.4.292

[26]   Haveman-Nies, A., De Groot, L.C.P.G.M. and Van Staveren, W.A. (2003) Dietary Quality, Lifestyle Factors and Healthy Ageing in Europe: The SENECA Study. Age and Ageing, 32, 427-434.
http://dx.doi.org/10.1093/ageing/32.4.427

[27]   Yates, L.B., Djousse, L., Kurth, T., et al. (2008) Exceptional Longevity in Men: Modifiable Factors Associated with Survival and Function to Age 90 Years. Archives of Internal Medicine, 168, 284-290.
http://dx.doi.org/10.1001/archinternmed.2007.77

[28]   Fuhrman, J. (2011) Disease Proof Health and Nutrition News and Commentary. Excess Weight Is Protective in the Elderly? New Research Says No. Posted on 12 October 2011 by Deana Ferreri, PhD.

[29]   Woo, J., Ho, S.C. and Sham, A. (2001) Longitudinal Changes in Body Mass Index and Body Composition over 3 Years and Relationship to Health Outcomes in Hong Kong Chinese Age 70 and Older. Journal of the American Geriatrics Society, 49, 737-746.
http://dx.doi.org/10.1046/j.1532-5415.2001.49150.x

[30]   Ajomale, O. (2007) Country Report: Ageing in Nigeria—Current State, Social and Economic Implications. In: Hoff, A., Ed., Summer Newsletter 2007 of the Research Committee (RC11) on the Sociology of Ageing of the International Sociological Association (ISA), Oxford Institute of Ageing, Oxford, 15-20.

[31]   Kishore, S., Juyal, R., Semwal, J., et al. (2007) Morbidity Profile of Elderly Persons. JK Science, 9, 87-89.

[32]   Prakash, R., Choudhary, S.K. and Singh, U.S. (2004) A study of Morbidity Pattern among Geriatric Population in an Urban Area of Udaipur, Rajasthan. Indian Journal of Community Medicine, 29, 35-40.

[33]   Holden, C. (1992) New Populations of Old Add to Poor Nations’ Burdens. Science, 273, 46-47.

[34]   Asagba, A. (2005) Research and the Formulation and Implementation of Ageing Policy in Africa: The Case of Nigeria. British Society of Gerontology, 15, 39-41.

 
 
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