Preventive Pathways for Healthy Ageing: A Systematic Literature Review.

Abstract

Background: The world's population is not only growing but also ageing, and healthcare systems should adapt to the needs of an ageing population. Until now, there has been no clear definition of a preventive pathway with the aim of improving lifestyles and promoting healthy and active ageing. The present systematic review aims to provide evidence to support the development of effective ways of delivering preventive pathways for healthy ageing. Methods: Several databases were searched, i.e., MEDLINE, COCHRANE, CINAHL, and PsycINFO, by using specific inclusion criteria, such as elderly population (i.e., subjects aged 65 years and older), preventive interventions for healthy ageing, studies with or without control groups, and effectiveness and methodological structure of the prevention pathway. The risk of bias was assessed by using the Joanna Briggs Institute and mixed methods appraisal tools. Results: A total of 9998 studies were identified after the removal of duplicates, and after screening title, abstracts, and full text, 14 studies were finally included. All the prevention pathways described are based on physical activity (PA) programmes, dietary interventions, and cognitive and mental health. The professional figures involved in the pathways were experts in prevention and health promotion, like family and community nurses, kinesiologists, and experts in stress management. The majority of the preventive pathways were implemented in primary care and community settings. Conclusions: Our systematic review provides evidence for developing an effective preventive healthy ageing pathway through tailored PA, diet, and cognitive health interventions. This co-designed approach should involve a multidisciplinary expert team and be implemented in primary care and community settings to improve psycho-physical health and longevity.