If there are a few key secrets to aging well, a nationwide, two-decade long survey of Canadians might unlock those truths.
Two-time cancer survivor Eric Carswell, 76, has his own rules of thumb B次元官网网址 donB次元官网网址檛 drink alcohol and donB次元官网网址檛 smoke. B次元官网网址淚 donB次元官网网址檛 smoke or drink, and I used to do both, and there are health effects from both,B次元官网网址 he offers.
Carswell is Greater VictoriaB次元官网网址檚 very first participant in what is called the Canadian Longitudinal Study on Aging (CLSA), an unprecedented data gathering exercise that aims to plumb the granular details of the health and lifestyles of 50,000 Canadians, between the ages of 45 and 85, over 20 years.
The Victoria resident led the way for randomly selected Greater Victoria residents, 331 so far, who have visited the regionB次元官网网址檚 CLSA data collection centre, housed within the Gorge Road Hospital.
The poking and prodding is comprehensive B次元官网网址 technicians conduct bone density scans, hearing, eye, cardiovascular, cognition, strength and balance tests. The centre takes blood and urine samples for study of biological markers for age related diseases.
Researchers also gather detailed lifestyle and socio-economic information on volunteers through interviews, and will use provincial health records to track medical issues that arise.
The centre can test five or six people per day, at about three hours per person. Carswell laughs as he recalls that his visit in August took more than seven hours. CLSA staff had a few computer kinks to work out.
B次元官网网址淭hey want to find out how to advise people by looking at what the sickies do, and not doing that, and looking at the healthy ones, and doing that,B次元官网网址 Carswell said, succinctly summing up the goals of the CLSA.
B次元官网网址淚 didnB次元官网网址檛 mind at all,B次元官网网址 he says, referring to the long interview and testing process. B次元官网网址淚 believe in volunteering and it sounded interesting being in the study.B次元官网网址
The Gorge Hospital CLSA data collection centre is one of 11 in Canada, and is aiming for 1,000 volunteers per year for the next three years. Once that three-year mark is hit, and every three years after, theyB次元官网网址檒l cycle through the same people again B次元官网网址 or at least those who want to participate. The University of Victoria is hosting a tele-collection site, where another 2,800 randomly selected cohort of people in B.C. are interviewed over the phone.
The drive behind the study is to address the B次元官网网址渁ge tsunamiB次元官网网址 poised to wash over Canada, as remarked by Holly Tuokko, the director for the Centre of Aging at the University of Victoria, which is one of the university partners in the nationwide study.
The number of people age 65 will double and age 85 will quadruple in the next decade, she told guests at the formal opening of the data collection centre on Thursday. Understanding factors behind aging well will become increasingly critical for a growing number of Canadians and for policy makers.
B次元官网网址淔or individuals and as a society, we want to know how to age well to keep costs down and to keep quality of life up,B次元官网网址 Tuokko said. B次元官网网址(With the CLSA) weB次元官网网址檒l be able to look at individuals from how their cells are functioning up to how they function in society. This is ground-breaking in terms of the depth of information.B次元官网网址
Keeping track of thousands of individuals and safeguarding their information, and having those participants return is an enormous task, admits Debra Sheets, one of the lead CLSA investigators in Victoria and an assistant professor in the UVic school of nursing.
The researchers try to make the information collection process as pleasant as possible, and participants are paid a small stipend, but the study is largely dependent on the ongoing goodwill of volunteers.
B次元官网网址淲ith such a long study, attrition is an issue. ItB次元官网网址檚 not just about death, but people not wanting to participate any more,B次元官网网址 Sheets said. B次元官网网址淲e try to make it as comfortable as possible.
B次元官网网址淲e are lucky. We have a lot of older adults here (in Victoria)," she notes. "This is an aging laboratory.B次元官网网址
Decades of less comprehensive studies on health and aging have demonstrated that health outcomes are determined about 70 per cent by lifestyle and environment, and 30 per cent by genetics, Sheets said. The CLSA will allow researchers to examine the complex and often hidden relationships between biology, environment, psychology and socio-economic standing.
The study will not only benefit Canadians as they enter senior years, she says, but give all Canadians a better understanding of what factors weigh in on long term health.
B次元官网网址淲e know diet and exercise and the most important predictors of healthy aging,B次元官网网址 Sheets said. B次元官网网址淏ut there are interrelated multiple factors we donB次元官网网址檛 understand. ItB次元官网网址檚 not just about family relations and exercise.B次元官网网址
Lynne Young, the other lead investigator in Victoria and a professor in the UVic school of nursing, expects the CLSA database to definitively demonstrate the link, for instance, between heart disease and social determinants B次元官网网址 such as education and income levels.
Many studies, she says, focus purely on diet and lifestyle, but poverty and other social factors can deeply influence longevity and health.
B次元官网网址淭his database will allow us to make links for the scientific community and policy makers that we canB次元官网网址檛 make now,B次元官网网址 Young said. B次元官网网址淏ut this is a 20 year project. We need to be patient.B次元官网网址
The CLSA study selects participants through a system of random phone calls to households in the region. For more on the study, see clsa-elcv.ca.
editor@saanichnews.com