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      COVID-19: Pandemic Risk, Resilience and Possibilities for Aging Research

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          Abstract

          The COVID-19 global crisis is reshaping Canadian society in unexpected and profound ways. The significantly higher morbidity and mortality risks by age suggest that this is largely a “gero-pandemic,” which has thrust the field of aging onto center stage. This editorial emphasizes that vulnerable older adults are also those most affected by COVID-19 in terms of infection risk, negative health effects, and the potential deleterious outcomes on a range of social, psychological, and economic contexts – from ageism to social isolation. We also contend that the pathogenic analysis of this pandemic needs to be balanced with a salutogenic approach that examines the positive adaptation of people, systems and society, termed COVID-19 resilience. This begs the question: how and why do some older adults and communities adapt and thrive better than others? This examination will lead to the identification and response to research and data gaps, challenges, and innovative opportunities as we plan for a future in which COVID-19 has become another endemic infection in the growing list of emerging and re-emerging pathogens.

          RÉSUMÉ

          La crise mondiale de la COVID-19 remodèle la société canadienne de manière inattendue et profonde. Les risques significativement plus élevés de morbidité et mortalité en fonction de l’âge suggèrent qu’il s’agit en grande partie d’une «géro-pandémie», qui a propulsé le domaine du vieillissement à l’avant-scène. Cet éditorial souligne que les personnes âgées vulnérables sont également les plus touchées par la COVID-19 en termes de le risque d’infection, d’effets négatifs sur la santé et de conséquences délétères potentielles sur une gamme de facteurs sociaux, psychologiques, économiques - de l’âgisme à l’isolement social. Nous soutenons également que l’analyse pathogène de cette pandémie doit être équilibrée avec une approche salutogène qui examine l’adaptation positive des personnes, des systèmes et de la société, appelée Résilience COVID-19. Ceci soulève la question: comment et pourquoi certaines personnes âgées et communautés s’adaptent et réussissent mieux que d’autres? Cet examen mènera à l’identification et à la réponse aux lacunes dans la recherche et les données, aux défis et aux opportunités innovantes alors que nous planifions un avenir dans lequel la COVID-19 est devenue une autre infection endémique dans la liste croissante des pathogènes émergents et ré-émergents.

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          Age-ism: another form of bigotry.

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            Health behaviors and multimorbidity resilience among older adults using the Canadian Longitudinal Study on Aging

            Recently, there has been a growing interest in examining forms of illness-related resilience. This study examines associations between lifestyle behavioral factors and multimorbidity resilience (MR) among older adults. Using baseline data from the Comprehensive Cohort of the Canadian Longitudinal Study on Aging, we studied 6,771 Canadian adults aged 65 or older who reported two or more of 27 chronic conditions, and three multimorbidity clusters: cardiovascular/metabolic, osteo-related, and mental health. Associations were explored using hierarchical linear regression modeling, controlling for sociodemographic, social/environmental, and illness context covariates. Among older adults with two or more illnesses, as well as the cardiovascular/metabolic and osteo-related illness clusters, having a non-obese body mass, being a non-smoker, satisfaction with quality of sleep, having a good appetite, and not skipping meals are associated with MR. However, the mental-health cluster resulted in different behavioral lifestyle associations, where MR was not associated with obesity, smoking, or appetite, but inactivity demonstrated moderate positive associations with MR. While there are similar patterns of lifestyle behaviors across multimorbidity and multimorbidity clusters involving physiological chronic illnesses, those associated with mental health are distinct. The results have implications for healthy aging among persons coping with multimorbidity.
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              Author and article information

              Journal
              Can J Aging
              Can J Aging
              CJG
              Canadian Journal on Aging
              Cambridge University Press (New York, USA )
              0714-9808
              1710-1107
              19 May 2020
              : 1-4
              Affiliations
              [ 1 ]Department of Gerontology, Simon Fraser University , Vancouver, British Columbia
              [ 2 ]Department of Epidemiology and Biostatistics, Schulich Interfaculty Program in Public Health, Western University , London, Ontario.
              Author notes
              La correspondance et les demandes de tirés-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: Andrew Wister, Ph.D. Department of Gerontology Simon Fraser niversity 2800-515 Hastings Street Vancouver, BC Canada , V6B 5K3 ( wister@ 123456sfu.ca )
              Article
              S0714980820000215
              10.1017/S0714980820000215
              7322148
              32423497
              4c4c560b-45e8-4f55-9569-e3959250ceec
              © Canadian Association on Gerontology 2020

              This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

              History
              : 21 April 2020
              : 01 May 2020
              Page count
              References: 9, Pages: 4
              Categories
              Article

              vieillissement,covid-19,géro-pandémie,personnes âgées,vulnérabilité,résilience,aging,gero-pandemic,older adults,vulnerability,resilience

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