The full content of Annals is available to subscribers

Subscribe/Learn More  >
Determinants of Successful Aging: Developing an Integrated Research Agenda for the 21st Century |

The Need for an Integrated Biopsychosocial Approach to Research on Successful Aging

Thomas S. Inui, ScM, MD
[+] Article, Author, and Disclosure Information

From the Regenstrief Institute, Indianapolis, Indiana.

Potential Financial Conflicts of Interest: None disclosed.

Requests for Single Reprints: Thomas S. Inui, ScM, MD, Regenstrief Institute, 1050 Wishard Boulevard RG-6, Indianapolis, IN 46202.

Ann Intern Med. 2003;139(5_Part_2):391-394. doi:10.7326/0003-4819-139-5_Part_2-200309021-00002
Text Size: A A A

In the later stages of the 20th century, an exciting development in science was the emergence of a modern variant of the field of natural history (1). This renascent domain of inquiry, now often referred to as ecological science, is a contemporary version of the scientific discipline that would have comfortably accommodated the likes of Leonardo da Vinci and Goethe. Radically cutting across such traditional disciplines as anthropology, archeology, geology, history, biology, botany, physics, and climatology, individuals who espouse this modern manifestation of an older scientific tradition have many differences. However, they also have in common a proclivity to engage in the first and highest act of science—“leaning into the phenomena”—in order to arrive at a naturalistic understanding of the world in which we live.



First Page Preview

View Large
First page PDF preview


Grahic Jump Location
Figure 1.
A naturalistic understanding of the determinants of health.
Grahic Jump Location
Grahic Jump Location
Figure 2.
Use of the determinants of health model in accordance with the Institute of Medicine performance indicator set for elder health.
Grahic Jump Location
Grahic Jump Location
Figure 3.
Cognitive decline and dementia among Japanese-American persons (the Seattle Kame Study).
Grahic Jump Location




Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $32.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.