23-year trends in life expectancy in good and poor physical and cognitive health at age 65 years in the Netherlands, 1993-2016

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Abstract

Objectives. To examine 23-year trends in both physically and cognitively healthy life expectancy from age 65 years in the Netherlands. Methods. We used 8 waves between 1993 and 2016 from the nationally representative Longitudinal Aging Study Amsterdam (12 948 observations). We calculated physically and cognitively healthy life expectancies by using the Sullivan life table method and tested prevalence trends over time by using generalized estimating equations. Results. Total life expectancy at age 65 years rose from 14.7 to 18.7 years (men) and from 19.2 to 21.4 years (women). Life expectancy in poor physical health increased nonlinearly from 1.8 to 2.9 years for men; for women it fluctuated around 5.7 years. Meanwhile, life expectancy in good cognitive health increased linearly from 11.0 to 15.7 years (men) and from 13.4 to 18.0 years (women). The proportion of people with poor physical and poor cognitive health combined did not increase, averaging 5.9% (men) and 8.7% (women). Conclusions. This multiwave study shows that a negative trend in physically healthy life expectancy is accompanied by a positive trend in cognitively healthy life expectancy.
LanguageEnglish
Pages1652-1658
JournalAmerican Journal of Public Health
Volume108
Issue number12
DOIs
StatePublished - 2018

Cite this

@article{0161e99426924a3abb93e92314b73642,
title = "23-year trends in life expectancy in good and poor physical and cognitive health at age 65 years in the Netherlands, 1993-2016",
abstract = "Objectives. To examine 23-year trends in both physically and cognitively healthy life expectancy from age 65 years in the Netherlands. Methods. We used 8 waves between 1993 and 2016 from the nationally representative Longitudinal Aging Study Amsterdam (12 948 observations). We calculated physically and cognitively healthy life expectancies by using the Sullivan life table method and tested prevalence trends over time by using generalized estimating equations. Results. Total life expectancy at age 65 years rose from 14.7 to 18.7 years (men) and from 19.2 to 21.4 years (women). Life expectancy in poor physical health increased nonlinearly from 1.8 to 2.9 years for men; for women it fluctuated around 5.7 years. Meanwhile, life expectancy in good cognitive health increased linearly from 11.0 to 15.7 years (men) and from 13.4 to 18.0 years (women). The proportion of people with poor physical and poor cognitive health combined did not increase, averaging 5.9{\%} (men) and 8.7{\%} (women). Conclusions. This multiwave study shows that a negative trend in physically healthy life expectancy is accompanied by a positive trend in cognitively healthy life expectancy.",
author = "Deeg, {Dorly J. H.} and Comijs, {Hannie C.} and Hoogendijk, {Emiel O.} and {van der Noordt}, Maaike and Martijn Huisman",
year = "2018",
doi = "10.2105/AJPH.2018.304685",
language = "English",
volume = "108",
pages = "1652--1658",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "12",

}

TY - JOUR

T1 - 23-year trends in life expectancy in good and poor physical and cognitive health at age 65 years in the Netherlands, 1993-2016

AU - Deeg,Dorly J. H.

AU - Comijs,Hannie C.

AU - Hoogendijk,Emiel O.

AU - van der Noordt,Maaike

AU - Huisman,Martijn

PY - 2018

Y1 - 2018

N2 - Objectives. To examine 23-year trends in both physically and cognitively healthy life expectancy from age 65 years in the Netherlands. Methods. We used 8 waves between 1993 and 2016 from the nationally representative Longitudinal Aging Study Amsterdam (12 948 observations). We calculated physically and cognitively healthy life expectancies by using the Sullivan life table method and tested prevalence trends over time by using generalized estimating equations. Results. Total life expectancy at age 65 years rose from 14.7 to 18.7 years (men) and from 19.2 to 21.4 years (women). Life expectancy in poor physical health increased nonlinearly from 1.8 to 2.9 years for men; for women it fluctuated around 5.7 years. Meanwhile, life expectancy in good cognitive health increased linearly from 11.0 to 15.7 years (men) and from 13.4 to 18.0 years (women). The proportion of people with poor physical and poor cognitive health combined did not increase, averaging 5.9% (men) and 8.7% (women). Conclusions. This multiwave study shows that a negative trend in physically healthy life expectancy is accompanied by a positive trend in cognitively healthy life expectancy.

AB - Objectives. To examine 23-year trends in both physically and cognitively healthy life expectancy from age 65 years in the Netherlands. Methods. We used 8 waves between 1993 and 2016 from the nationally representative Longitudinal Aging Study Amsterdam (12 948 observations). We calculated physically and cognitively healthy life expectancies by using the Sullivan life table method and tested prevalence trends over time by using generalized estimating equations. Results. Total life expectancy at age 65 years rose from 14.7 to 18.7 years (men) and from 19.2 to 21.4 years (women). Life expectancy in poor physical health increased nonlinearly from 1.8 to 2.9 years for men; for women it fluctuated around 5.7 years. Meanwhile, life expectancy in good cognitive health increased linearly from 11.0 to 15.7 years (men) and from 13.4 to 18.0 years (women). The proportion of people with poor physical and poor cognitive health combined did not increase, averaging 5.9% (men) and 8.7% (women). Conclusions. This multiwave study shows that a negative trend in physically healthy life expectancy is accompanied by a positive trend in cognitively healthy life expectancy.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85056382704&origin=inward

UR - https://www.ncbi.nlm.nih.gov/pubmed/30359113

U2 - 10.2105/AJPH.2018.304685

DO - 10.2105/AJPH.2018.304685

M3 - Article

VL - 108

SP - 1652

EP - 1658

JO - American Journal of Public Health

T2 - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 12

ER -