In their classic paper, Rowe and Kahn
1
proposed a multidimensional understanding of successful aging, which was to a large
extent due to genetic factors and a healthy lifestyle. There were 3 major components
of successful aging: limited disease-associated disability, high cognitive and physical
function, and continued engagement with life. More recently, they have expanded this
model to include a greater focus on social factors.
2
In our Journal, Young et al
3
,
4
argued that chronic illnesses and disease can coexist with successful aging. At Saint
Louis University, we have argued that to distinguish these 2 viewpoints, “aging successfully”
should be used to distinguish those older persons who have overcome disease and disability
to have a productive third age.
5
Artistic examples of this include Grandma Moses, who took up painting miniatures
when arthritis prevented her from making quilts; Lee Allen, whose macular degeneration
allowed him to create paintings with holes in them; Renoir, who painted with the brush
held in a clenched hand when arthritis crippled his fingers; Monet, whose cataracts
created modern impressionism; and Matisse, whose arthritis led to his famous paper
cutouts.To read this article in full you will need to make a payment
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Article info
Publication history
Published online: November 03, 2015
Footnotes
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant U1QHP28716 Geriatrics Workforce Enhancement Program for $832,079. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the US government.
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© 2015 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.
