Is car use related with successful aging of older adults? Results from the multinational Mediterranean islands study Academic Article uri icon


  • The aim of the present work was to evaluate the relation between car use and the level of successful aging of a random sample of older adults living in the Mediterranean basin.During 2005-2011, 2749 older (aged 65-100 years) from 22 islands and the rural Mani region (Peloponnesus) of Greece were voluntarily enrolled in the Mediterranean islands cross-sectional study. Sociodemographics, medical conditions, and dietary and lifestyle habits were derived throughout standard procedures. Car use was recorded with a standard binary question. A successful aging index ranging from 0-10 was used.Older adults who used a car on regular basis had significantly higher levels of successful aging, as well as less prevalence of obesity and hypertension while were more physically active (P < .001). After adjusting for several confounders car use was still positively related with elderly islander's successful aging level (beta coefficient [95% confidence interval]: 0.65 [0.54-0.77]).In conclusion, the activity of car use seems to be an indicator of quality of life among older adults, as measured through successful aging.


  • Tyrovolas, Stefanos
  • Polychronopoulos, Evangelos
  • Morena, Marianthi
  • Mariolis, Anargiros
  • Piscopo, Suzanne
  • Valacchi, Giuseppe
  • Bountziouka, Vassiliki
  • Anastasiou, Foteini
  • Zeimbekis, Akis
  • Tyrovola, Dimitra
  • Foscolou, Alexandra
  • Gotsis, Efthimios
  • Metallinos, George
  • Soulis, George
  • Tur, Josep-Antoni
  • Matalas, Antonia
  • Lionis, Christos
  • Sidossis, Labros S
  • Panagiotakos, Demosthenes

publication date

  • 2017