Clinical Status, Nutritional Behavior, and Lifestyle, and Determinants of Community Well-Being of Patients from the Perspective of Physicians: A Cross-Sectional Study of Young Older Adults, Nonagenarians, and Centenarians in Salerno and Province, Italy
Open accessAbstract
Longevity is rightly considered one of the greatest achievements of modern society. Biomedical research has shown that aging is the major risk factor for many diseases, so to find the right answers to aging it is necessary to identify factors that can positively influence longevity. This study investigated the clinical status, nutritional behavior, lifestyle, and social and community determinants of the well-being of young older adults and nonagenarians/centenarians in Salerno and province through the judgment of their physicians. Data were collected through an online survey. Multivariate Poisson and logistic regression models were used to calculate significant predictors of the outcomes of interest. The interesting finding was that cardiovascular disease was a risk factor for young older adults, while it was a protective factor for nonagenarians/centenarians, meaning that as age increased, heart problems tended to decrease. Certain foods were found to be a significant protective factor for both young older adult and nonagenarian–centenarian patients. In addition, psychosomatic disorders were found to be determinant for the young older adults, while depression was a risk factor for the nonagenarians/centenarians because they were not always gratified by their long lives and often felt like a burden on the family. The protective significant variable among the determinants of community well-being for both young older adults and nonagenarians/centenarians was the retention of honorary achievement. Based on our results, we are able to support the hypothesis of a difference between the young older adults and the nonagenarians/centenarians in clinical status, nutritional behaviors, lifestyle, and determinants of community well-being. However, societies need more social and educational programs that are able to build “a new idea of old age” by improving and supporting the young older adults and the nonagenarians/centenarians, with the goal of intergenerational solidarity, well-being, and social inclusion, as well as preventive interventions on lifestyles and nutrition, which will allow us to provide a new key to understanding aging.
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Social support and psychological resilience are essential for maintaining health, well-being, and longevity in aging populations.
“Social support and psychological resilience are essential for maintaining health, well-being, and longevity in aging populations.”
From The Power of Environment: A Comprehensive Review of the Exposome's Role in Healthy Aging, Longevity, and Preventive Medicine-Lessons from Blue Zones and Cilento (2025) · cites this paper as [6]
The Introduction (page unavailable) links resilience with better mental well-being in a study of people over 90 and reports an association between responding positively to stress and longevity. Results §3.4 (page unavailable) identifies family or third-party support as possible protective factors for nonagenarians and centenarians. These passages support the general importance of support and resilience, but do not establish that both are essential for maintaining health, well-being, and longevity across aging populations. (LLM, conf=0.84)
Experimental — accuracy not yet measuredStrong social networks provide emotional, instrumental, and informational support, helping older adults navigate age-related challenges.
“Strong social networks—comprising family, friends, and community connection—provide emotional, instrumental, and informational support, helping older adults navigate age-related challenges [6].”
From The Power of Environment: A Comprehensive Review of the Exposome's Role in Healthy Aging, Longevity, and Preventive Medicine-Lessons from Blue Zones and Cilento (2025) · cites this paper as [6]
The Results (§3.4; page unavailable) say that family and third-party support may be protective for nonagenarians and centenarians, and the Discussion (§4; page unavailable) links community activities to well-being. The paper does not describe strong networks of family, friends, and community as providing the claimed emotional, instrumental, and informational forms of support or show that these help older adults navigate age-related challenges. (LLM, conf=0.85)
Experimental — accuracy not yet measuredSocial cohesion and psychological resilience play critical roles in health outcomes.
“Social cohesion [6] and psychological resilience [108] also play critical roles in health outcomes.”
From The Power of Environment: A Comprehensive Review of the Exposome's Role in Healthy Aging, Longevity, and Preventive Medicine-Lessons from Blue Zones and Cilento (2025) · cites this paper as [6]
The citation is attached to social cohesion, not psychological resilience. Results §3.4 identifies family or caregiver support and participation in cultural activities as protective community factors for the older adults studied. The paper does not assess social cohesion as such, or establish its role in health outcomes beyond this population. (LLM, conf=0.78)
Experimental — accuracy not yet measuredMacro- and micro-environmental factors play a crucial role in aging trajectories.
“Macro- and micro-environmental factors play a crucial role in aging trajectories.”
While these mechanisms have a genetic basis, they are profoundly influenced by environmental and lifestyle factors.
“While these mechanisms have a genetic basis, they are profoundly influenced by environmental and lifestyle factors, underscoring the central role of the exposome—the cumulative environmental exposures experienced from conception to death [4,6,21,22].”
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- Authors
- Aliberti, S. M., Funk, R. H. W., Schiavo, L., Giudice, A., Ciaglia, E., Puca, A. A., Gonnella, J., & Capunzo, M.
- Affiliations
- University of Salerno (IT)
- Technische Universität Dresden (DE)
- Thomas Jefferson University (US)
- Corresponding author
- Aliberti, Silvana Mirella
- ORCID
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2022-09-05
- Volume
- 14
- Issue
- 17
- Pages
- 3665
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC9459717
- OpenAlex
- W4295086995
- Cited by
- 22
- References
- 58
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 8 · 2023: 2
- FWCI
- 3.53
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- The Medicine Forum (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Keywords
- longevity, centenarians, nonagenarians, community well-being, nutritional behavior, lifestyle, cardiovascular disease, depression, psychosomatic disorders, aging, physician attitudes, social inclusion
- MeSH terms
- Centenarians, Nonagenarians, Aged, Aged, 80 and over, Cross-Sectional Studies, Humans, Life Style, Nutritional Status, Physicians
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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