Successful aging in the oldest old - Who can be characterized as successfully aged?

Background: Successful aging is a worldwide aim, but it is less clear which indicators characterize elderly persons as successfully aged. We explored the meaning of successful aging from 2 perspectives. Methods: Analysis of data from the first cross-sectional part of the longit udinal Leiden 85-plus Study, conducted in Leiden, the Netherlands. All inha bitants of Leiden aged 85 years were eligible. Data were obtained from 599 participants (response rate, 87%). Successful aging from a public health pe rspective was defined as a state of being. All participants were classified as successful or not successful based on optimal scores for physical, soci al, and psychocognitive functioning and on feelings of wellbeing, using val idated quantitative instruments. Qualitative indepth interviews on the pers pectives of elderly persons were held with a representative group of 27 par ticipants. Results: Although 45% (267/599) of the participants had optimal scores for well-being, only 13% (79/599) had optimal scores for overall functioning. I n total, 10% (58/599) of the participants satisfied all the criteria and co uld be classified as successfully aged. The qualitative interviews showed t hat most elderly persons viewed success as a process of adaptation rather t han a state of being. They recognized the various domains of successful agi ng, but valued well-being and social functioning more than physical and psy chocognitive functioning. Conclusions: If successful aging is defined as an optimal state of overall functioning and well-being, only a happy few meet the criteria. However, el derly persons view successful aging as a process of adaptation. Using this perspective, many more persons could be considered to be successfully aged.