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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 and Author 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
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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.

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aging

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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

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