Pilares-chave do envelhecimento ativo no contexto da Década do Envelhecimento Saudável (2021–2030): uma revisão integrativa

Silva, Michel Siqueira da; Silva, Ana Laís Gomes da; Silva, Fátima Heloyse Alexandria Firmino da; Luz, Maria Caroline Nascimento Pereira da; Nunes, Vilani Medeiros de Araújo; Torres, Gilson de Vasconcelos

doi:10.1590/1980-5764-DN-2025-0439

person Michel Siqueira da Silva

Conceptualization · Data curation · Formal analysis · Investigation · Methodology · Project administration · Visualization · Writing – original draft · Writing – review & editing

schoolUniversidade Federal do Rio Grande do Norte, Programa de Pós-Graduação em Ciências da Saúde, Natal RN, Brazil.

0000-0002-0391-3249

person Ana Laís Gomes da Silva

Conceptualization · Data curation · Formal analysis · Investigation · Methodology

schoolUniversidade Federal do Rio Grande do Norte, Departamento de Saúde Coletiva, Natal RN, Brazil.

0009-0003-6760-6242

person Fátima Heloyse Alexandria Firmino da Silva

Conceptualization · Data curation · Formal analysis · Investigation · Methodology

schoolUniversidade Federal do Rio Grande do Norte, Departamento de Saúde Coletiva, Natal RN, Brazil.

0009-0009-5599-1079

person Maria Caroline Nascimento Pereira da Luz

Conceptualization · Data curation · Formal analysis · Investigation · Methodology

schoolUniversidade Federal do Rio Grande do Norte, Departamento de Saúde Coletiva, Natal RN, Brazil.

0009-0003-3891-246X

person Vilani Medeiros de Araújo Nunes

Conceptualization · Data curation · Formal analysis · Investigation · Methodology · Supervision · Visualization · Writing – original draft · Writing – review & editing

schoolUniversidade Federal do Rio Grande do Norte, Departamento de Saúde Coletiva, Natal RN, Brazil.

0000-0002-9547-0093

person Gilson de Vasconcelos Torres

Writing – review & editing

schoolUniversidade Federal do Rio Grande do Norte, Programa de Pós-Graduação em Ciências da Saúde, Natal RN, Brazil.

0000-0003-2265-5078

Correspondence: Michel Siqueira da Silva; Email:
michelsiqueira10@gmail.com

This study was conducted by Department of Collective Health, Federal University of Rio Grande do Norte, Natal RN, Brazil.

Disclosure:

The authors report no conflicts of interest.

Editor-in-Chief:

Ricardo Nitrini. https://orcid.org/0000-0002-5721-1525

Associate Editor:

Maira Tonidandel Barbosa. https://orcid.org/0000-0001-7520-3476

No.	Author	Study title	Population mentioned in the title	Main theme	Methodological quality	Level of evidence
1	Alali et al.⁷	Awareness of healthy lifestyle among elderly population during aging in Al-Ahsa, Saudi Arabia	Elderly population	Healthy lifestyle awareness	Moderate	Low
2	Weiner-Light et al.⁸	The role of spirituality in conceptualizations of health maintenance and healthy aging among Latin American immigrants	Latin American immigrants	Spirituality and healthy aging	Moderate	Moderate
3	Andreo-López et al.⁹	Influence of the Mediterranean diet on healthy aging	Not specified in the title	Healthy diet and aging	Moderate	Low
4	Cacciata et al.¹⁰	Digital health technologies to promote healthy eating and physical activity and reduce risk factors for cardiovascular disease in older adults: a pilot study	Older adults	Digital health technologies	Moderate	Moderate
5	Parrott et al.¹¹	The association between dietary pattern adherence, cognitive stimulating lifestyle, and cognitive function among older adults	Older adults from the Quebec Longitudinal Study on Nutrition and Successful Aging	Diet, cognitive stimulation, and	Moderate	Low
6	Eymundsdottir et al.¹²	Lifestyle and 25-hydroxy-vitamin D among community-dwelling old adults with dementia, mild cognitive impairment, or normal cognitive function	Community-dwelling old adults	Lifestyle and vitamin D	Moderate	Low
7	Martin et al.¹³	Healthy aging among centenarians and near-centenarians: findings from the Georgia Centenarian Study	Centenarians and nearcentenarians	Healthy aging determinants	Moderate	Low
8	Dhana et al.¹⁴	Healthy lifestyle and life expectancy with and without Alzheimer’s dementia: population based cohort study	Not specified in the title	Lifestyle and life expectancy	High	High
9	Lee-Bravatti et al.¹⁵	Lifestyle behavioral factors and integrative successful aging among Puerto Ricans living in the mainland United States	Puerto Ricans living in the mainland United States	Multidimensional successful aging	High	High
10	Blotenberg et al.¹⁶	Factors associated with a healthy diet and willingness to change dietary behavior in older adults at increased risk of dementia	Older adults at increased risk of dementia	Healthy diet	Moderate	Low
11	Zadworna et al.¹⁷	Pathways to healthy aging: exploring the determinants of self-rated health in older adults	Older adults	Self-rated health and healthy aging	Moderate	Low
12	Zhang et al.¹⁸	Enhancing understanding of healthy aging based on time-varying dependencies among multidimensional health, life satisfaction, and health behaviors of older adults aged 60 years and over	Older adults aged 60 years and over	Multidimensional determinants of healthy aging	High	High
13	Lallukka et al.¹⁹	Joint trajectories of physical activity, health, and income before and after statutory retirement: a 22-year follow-up	Not specified in the title	Physical activity and socioeconomic determinants	High	High
14	Yoneda et al.²⁰	The importance of engaging in physical activity in older adulthood for transitions between cognitive status categories and death: a coordinated analysis of 14 longitudinal studies	Older adulthood	Physical activity and cognition	High	High
15	Tiraphat et al.²¹	Active aging in ASEAN countries: influences from age-friendly environments, lifestyles, and socio-demographic factors	Not specified in the title	Lifestyle and active aging	Moderate	Low
16	Liu et al.²²	Healthy lifestyles are associated with better vitamin D status in community-dwelling older men: the Health In Men Study (HIMS)	Community-dwelling older men	Lifestyle and vitamin D	Moderate	Low
17	Chu et al.²³	Sedentary behavior, physical activity, social participation, and loneliness among community-dwelling older adults in China	Community-dwelling older adults	Social participation and loneliness	Moderate	Low
18	Szychowska and Drygas²⁴	Physical activity as a determinant of successful aging: a narrative review article.	Not specified in the title	Physical activity and successful aging	Moderate	Low
19	Tcymbal et al.²⁵	Interventions simultaneously promoting social participation and physical activity in community living older adults: a systematic review	Community living older adults	Multicomponent interventions	High	High
20	Hu and Feng²⁶	Association between community-based health services and health lifestyles of	Older adults	Community-based health	Moderate	Low
21	Xu et al.²⁷	Intrinsic capacity and health-promoting lifestyle in older adults: a latent class analysis	Older adults	Intrinsic capacity	Moderate	Low
22	Zainab et al.²⁸	Healthy ageing: assessment of health-promoting lifestyle among the elderly population in Karachi, Pakistan	Elderly population	Health-promoting lifestyle	Moderate	Low
23	Peterson et al.²⁹	Healthy ageing in the far North: perspectives and prescriptions	Not specified in the title	Contextual perspectives on healthy aging	Moderate	Low
24	Jiang et al.³⁰	Effects of personal and health characteristics on the intrinsic capacity of older adults in the community: a cross-sectional study using the healthy aging framework	Older adults in the community	Intrinsic capacity determinants	Moderate	Low
25	Snigdha et al.³¹	Yoga-based lifestyle intervention for healthy ageing in older adults: a two-armed, waitlist randomized controlled trial with multiple primary outcomes	Older adults	Lifestyle intervention	High	High

Article	Author	Study title	Main factors addressed	Associated dimension
1	Alali et al.⁷	Awareness of healthy lifestyle among elderly population during aging in Al-Ahsa, Saudi Arabia	Knowledge about healthy lifestyle	Healthy lifestyle behaviors
2	Weiner-Light et al.⁸	The role of spirituality in conceptualizations of health maintenance and healthy aging among Latin American immigrants	Spirituality and health maintenance	Spirituality
3	Andreo-López et al.⁹	Influence of the Mediterranean diet on healthy aging	Mediterranean diet and healthy aging	Healthy lifestyle behaviors
4	Cacciata et al.¹⁰	Digital health technologies to promote healthy eating and physical activity and reduce risk factors for cardiovascular disease in older adults: a pilot study	Use of digital technologies for health promotion	Digital health technologies
5	Parrott et al.¹¹	The association between dietary pattern adherence, cognitive stimulating lifestyle, and cognitive function among older adults from the Quebec Longitudinal Study on Nutrition and Successful Aging	Cognitively stimulating lifestyle	Healthy lifestyle behaviors
6	Eymundsdottir et al.¹²	Lifestyle and 25-hydroxy-vitamin D among community-dwelling old adults with dementia, mild cognitive impairment, or normal cognitive function	Lifestyle and vitamin D	Healthy lifestyle behaviors
7	Martin and Poon¹³	Healthy aging among centenarians and near-centenarians: findings from the Georgia Centenarian Study	Quality of life and healthy aging	Social engagement
8	Dhana et al.¹⁴	Healthy lifestyle and life expectancy with and without Alzheimer’s dementia: population based cohort study	Lifestyle and life expectancy	Healthy lifestyle behaviors
9	Lee-Bravatti et al.¹⁵	Lifestyle behavioral factors and integrative successful aging among Puerto Ricans living in the mainland United States	Healthy behaviors and frailty	Healthy lifestyle behaviors
10	Blotenberg et al.¹⁶	Factors associated with a healthy diet and willingness to change dietary behavior in older adults at increased risk of dementia	Healthy diet and behavioral change	Healthy lifestyle behaviors
11	Zadworna¹⁷	Pathways to healthy aging: exploring the determinants of self-rated health in older adults	Lifestyle and memory	Healthy lifestyle behaviors
12	Zhang et al.¹⁸	Enhancing understanding of healthy aging based on time-varying dependencies among multidimensional health, life satisfaction, and health behaviors of older adults aged 60 years and over	Multidimensional health and life satisfaction	Social engagement
13	Lallukka et al.¹⁹	Joint trajectories of physical activity, health, and income before and after statutory retirement: a 22-year follow-up	Physical activity, health, and income	Socioeconomic determinants
14	Yoneda et al.²⁰	The importance of engaging in physical activity in older adulthood for transitions between cognitive status categories and death: a coordinated analysis of 14 longitudinal studies	Physical activity and cognition	Healthy lifestyle behaviors
15	Tiraphat et al.²¹	Active aging in ASEAN countries: influences from age-friendly environments, lifestyles, and socio-demographic factors	Lifestyle and chronic diseases	Healthy lifestyle behaviors
16	Liu et al.²²	Healthy lifestyles are associated with better vitamin D status in community-dwelling older men: the Health In Men Study (HIMS)	Physical activity and cognitive decline	Healthy lifestyle behaviors
17	Chu et al.²³	Sedentary behavior, physical activity, social participation, and loneliness among community-dwelling older adults in China	Lifestyle and vitamin D	Healthy lifestyle behaviors
18	Szychowska and Drygas²⁴	Physical activity as a determinant of successful aging: a narrative review article.	Diet and cognitive stimulation	Healthy lifestyle behaviors
19	Tcymbal et al.²⁵	Interventions simultaneously promoting social participation and physical activity in community living older adults: a systematic review	Physical activity and cognitive status	Healthy lifestyle behaviors
20	Hu and Feng²⁶	Association between community-based health services and health lifestyles of older adults: evidence from China	Lifestyle and mental health	Healthy lifestyle behaviors
21	Xu et al.²⁷	Intrinsic capacity and health-promoting lifestyle in older adults: a latent class analysis	Yoga-based intervention	Healthy lifestyle behaviors
22	Zainab et al.²⁸	Healthy ageing: assessment of health-promoting lifestyle among the elderly population in Karachi, Pakistan	Lifestyle, genetics, and cognition	Healthy lifestyle behaviors
23	Peterson et al.²⁹	Healthy ageing in the far North: perspectives and prescriptions	Lifestyle factors	Healthy lifestyle behaviors
24	Jiang et al.³⁰	Effects of personal and health characteristics on the intrinsic capacity of older adults in the community: a cross-sectional study using the healthy aging framework	Multidomain lifestyle intervention	Healthy lifestyle behaviors
25	Snigdha et al.³¹	Yoga-based lifestyle intervention for healthy ageing in older adults: a two-armed, waitlist randomized controlled trial with multiple primary outcomes	Health-promoting lifestyle	Healthy lifestyle behaviors

Article	Author	Study title (original)	Main aspect addressed	Related action area of the Decade of Healthy Ageing
1	Alali et al.⁷	Awareness of healthy lifestyle among elderly population during aging in Al-Ahsa, Saudi Arabia	Promotion of healthy behaviors	Communities that foster the abilities of older people
2	Weiner-Light et al.⁸	The role of spirituality in conceptualizations of health maintenance and healthy aging among Latin American immigrants	Spirituality and health maintenance	Person-centered integrated care
3	Andreo-López et al.⁹	Influence of the Mediterranean diet on healthy aging	Healthy diet	Communities that foster the abilities of older people
4	Cacciata et al.¹⁰	Digital health technologies to promote healthy eating and physical activity and reduce risk factors for cardiovascular disease in older adults: a pilot study	Digital technologies for health promotion	Person-centered integrated care
5	Parrott et al.¹¹	The association between dietary pattern adherence, cognitive stimulating lifestyle, and cognitive function among older adults from the Quebec Longitudinal Study on Nutrition and Successful Aging	Dognitively stimulating lifestyle	Communities that foster the abilities of older people
6	Eymundsdottir et al.¹²	Lifestyle and 25-hydroxy-vitamin D among community-dwelling old adults with dementia, mild cognitive impairment, or normal cognitive function	Lifestyle and cognition	Person-centered integrated care
7	Martin and Poon¹³	Healthy aging among centenarians and near-centenarians: findings from the Georgia Centenarian Study	Quality of life and healthy aging	Combating ageism
8	Dhana et al.¹⁴	Healthy lifestyle and life expectancy with and without Alzheimer’s dementia: population based cohort study	Lifestyle and life expectancy	Person-centered integrated care
9	Lee-Bravatti et al.¹⁵	Lifestyle behavioral factors and integrative successful aging among Puerto Ricans living in the mainland United States	Healthy behaviors and frailty	Person-centered integrated care
10	Blotenberg et al.¹⁶	Factors associated with a healthy diet and willingness to change dietary behavior in older adults at increased risk of dementia	Healthy diet	Person-centered integrated care
11	Zadworna¹⁷	Pathways to healthy aging: exploring the determinants of self-rated health in older adults	Lifestyle and memory	Communities that foster the abilities of older people
12	Zhang et al.¹⁸	Enhancing understanding of healthy aging based on time-varying dependencies among multidimensional health, life satisfaction, and health behaviors of older adults aged 60 years and over	Multidimensional health and well-being	Communities that foster the abilities of older people
13	Lallukka et al.¹⁹	Joint trajectories of physical activity, health, and income before and after statutory retirement: a 22-year follow-up	Physical activity, health, and income	Communities that foster the abilities of older people
14	Yoneda et al.²⁰	The importance of engaging in physical activity in older adulthood for transitions between cognitive status categories and death: a coordinated analysis of 14 longitudinal studies	Physical activity and cognition	Person-centered integrated care
15	Tiraphat et al.²¹	Active aging in ASEAN countries: influences from age-friendly environments, lifestyles, and socio-demographic factors	Lifestyle and chronic diseases	Person-centered integrated care
16	Liu et al.²²	Healthy lifestyles are associated with better vitamin D status in community-dwelling older men: the Health In Men Study (HIMS)	Physical activity and cognitive decline	Person-centered integrated care
17	Chu et al.²³	Sedentary behavior, physical activity, social participation, and loneliness among community-dwelling older adults in China	Healthy lifestyle	Communities that foster the abilities of older people
18	Szychowska and Drygas²⁴	Physical activity as a determinant of successful aging: a narrative review article.	Diet and cognitive stimulation	Communities that foster the abilities of older people
19	Tcymbal et al.²⁵	Interventions simultaneously promoting social participation and physical activity in community living older adults: a systematic review	Physical activity and cognition	Person-centered integrated care
20	Hu and Feng²⁶	Association between community-based health services and health lifestyles of older adults: evidence from China	Lifestyle and mental health	Person-centered integrated care
21	Xu et al.²⁷	Intrinsic capacity and health-promoting lifestyle in older adults: a latent class analysis	Lifestyle-based intervention	Communities that foster the abilities of older people
22	Zainab et al.²⁸	Healthy ageing: assessment of health-promoting lifestyle among the elderly population in Karachi, Pakistan	Lifestyle and cognition	Person-centered integrated care
23	Peterson et al.²⁹	Healthy ageing in the far North: perspectives and prescriptions	Lifestyle factors	Person-centered integrated care
24	Jiang et al.³⁰	Effects of personal and health characteristics on the intrinsic capacity of older adults in the community: a cross-sectional study using the healthy aging framework	Multidomain interventions	Person-centered integrated care
25	Snigdha et al.³¹	Yoga-based lifestyle intervention for healthy ageing in older adults: a twoarmed, waitlist randomized controlled trial with multiple primary outcomes	Health-promoting lifestyle	Communities that foster the abilities of older people

Methodological design	n	%
Cross-sectional studies	10	40
Longitudinal/cohort studies	5	20
Clinical trials/intervention studies	3	12
Qualitative studies	3	12
Literature reviews/narrative reviews	3	12
Pilot study	1	4
Total	25	100

[1] Source: Authors’ elaboration based on the studies included in the integrative review (2020–2025)