Subgroups in Late Adulthood Are Associated With Cognition and Wellbeing Later in Life

Objectives: In this study, we aim to discover whether there are valid subgroups in aging that are defined by modifiable factors and are determinant of clinically relevant outcomes regarding healthy aging.Method: Data from interviews were collected in the Longitudinal Aging Study Amsterdam at two mea...

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Autores principales:	Tulsi A. Radhoe, Joost A. Agelink van Rentergem, Almar A. L. Kok, Martijn Huisman, Hilde M. Geurts
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	aging subgroups heterogeneity external validity predictive validity longitudinal stability Psychology BF1-990
Acceso en línea:	https://doaj.org/article/ba467a649cc74fb895e50bf4ae6fa044
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spelling	oai:doaj.org-article:ba467a649cc74fb895e50bf4ae6fa0442021-12-01T23:04:46ZSubgroups in Late Adulthood Are Associated With Cognition and Wellbeing Later in Life1664-107810.3389/fpsyg.2021.780575https://doaj.org/article/ba467a649cc74fb895e50bf4ae6fa0442021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyg.2021.780575/fullhttps://doaj.org/toc/1664-1078Objectives: In this study, we aim to discover whether there are valid subgroups in aging that are defined by modifiable factors and are determinant of clinically relevant outcomes regarding healthy aging.Method: Data from interviews were collected in the Longitudinal Aging Study Amsterdam at two measurement occasions with a 3-year interval. Input for the analyses were seven well-known vulnerability and protective factors of healthy aging. By means of community detection, we tested whether we could distinguish subgroups in a sample of 1478 participants (T1-sample, aged 61–101 years). We tested both the external validity (T1) and predictive validity (T2) for wellbeing and subjective cognitive decline. Moreover, replicability and long-term stability were determined in 1186 participants (T2-sample, aged 61–101 years).Results: Three similar subgroups were identified at T1 and T2. Subgroup A was characterized by high levels of education with personal vulnerabilities, subgroup B by being physically active with low support and low levels of education, and subgroup C by high levels of support with low levels of education. Subgroup C showed the lowest wellbeing and memory profile, both at T1 and T2. On most measures of wellbeing and memory, subgroups A and B did not differ from each other. At T2, the same number of subgroups was identified and subgroup profiles at T1 and T2 were practically identical. Per T1 subgroup 47–62% retained their membership at T2.Discussion: We identified valid subgroups that replicate over time and differ on external variables at current and later measurement occasions. Individual change in subgroup membership over time shows that transitions to subgroups with better outcomes are possible.Tulsi A. RadhoeJoost A. Agelink van RentergemAlmar A. L. KokAlmar A. L. KokMartijn HuismanMartijn HuismanHilde M. GeurtsHilde M. GeurtsFrontiers Media S.A.articleagingsubgroupsheterogeneityexternal validitypredictive validitylongitudinal stabilityPsychologyBF1-990ENFrontiers in Psychology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	aging subgroups heterogeneity external validity predictive validity longitudinal stability Psychology BF1-990
spellingShingle	aging subgroups heterogeneity external validity predictive validity longitudinal stability Psychology BF1-990 Tulsi A. Radhoe Joost A. Agelink van Rentergem Almar A. L. Kok Almar A. L. Kok Martijn Huisman Martijn Huisman Hilde M. Geurts Hilde M. Geurts Subgroups in Late Adulthood Are Associated With Cognition and Wellbeing Later in Life
description	Objectives: In this study, we aim to discover whether there are valid subgroups in aging that are defined by modifiable factors and are determinant of clinically relevant outcomes regarding healthy aging.Method: Data from interviews were collected in the Longitudinal Aging Study Amsterdam at two measurement occasions with a 3-year interval. Input for the analyses were seven well-known vulnerability and protective factors of healthy aging. By means of community detection, we tested whether we could distinguish subgroups in a sample of 1478 participants (T1-sample, aged 61–101 years). We tested both the external validity (T1) and predictive validity (T2) for wellbeing and subjective cognitive decline. Moreover, replicability and long-term stability were determined in 1186 participants (T2-sample, aged 61–101 years).Results: Three similar subgroups were identified at T1 and T2. Subgroup A was characterized by high levels of education with personal vulnerabilities, subgroup B by being physically active with low support and low levels of education, and subgroup C by high levels of support with low levels of education. Subgroup C showed the lowest wellbeing and memory profile, both at T1 and T2. On most measures of wellbeing and memory, subgroups A and B did not differ from each other. At T2, the same number of subgroups was identified and subgroup profiles at T1 and T2 were practically identical. Per T1 subgroup 47–62% retained their membership at T2.Discussion: We identified valid subgroups that replicate over time and differ on external variables at current and later measurement occasions. Individual change in subgroup membership over time shows that transitions to subgroups with better outcomes are possible.
format	article
author	Tulsi A. Radhoe Joost A. Agelink van Rentergem Almar A. L. Kok Almar A. L. Kok Martijn Huisman Martijn Huisman Hilde M. Geurts Hilde M. Geurts
author_facet	Tulsi A. Radhoe Joost A. Agelink van Rentergem Almar A. L. Kok Almar A. L. Kok Martijn Huisman Martijn Huisman Hilde M. Geurts Hilde M. Geurts
author_sort	Tulsi A. Radhoe
title	Subgroups in Late Adulthood Are Associated With Cognition and Wellbeing Later in Life
title_short	Subgroups in Late Adulthood Are Associated With Cognition and Wellbeing Later in Life
title_full	Subgroups in Late Adulthood Are Associated With Cognition and Wellbeing Later in Life
title_fullStr	Subgroups in Late Adulthood Are Associated With Cognition and Wellbeing Later in Life
title_full_unstemmed	Subgroups in Late Adulthood Are Associated With Cognition and Wellbeing Later in Life
title_sort	subgroups in late adulthood are associated with cognition and wellbeing later in life
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/ba467a649cc74fb895e50bf4ae6fa044
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Subgroups in Late Adulthood Are Associated With Cognition and Wellbeing Later in Life

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