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<jats:p>Community\u2010based cohort study of older adults followed from 1989 to 2015.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Four U.S. communities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Community\u2010living men and women aged 65 and older (N = 5,248, mean age 72.7 \u00b1 5.5, 57% female, 15.2% minority) who were not wheelchair dependent and were able to give informed consent at baseline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      Multiple lifestyle factors, including smoking, alcohol consumption, physical activity, diet, body mass index (\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      ), social networks, and social support, were measured at baseline. Activities of daily living (\n                      <jats:styled-content style=\"fixed-case\">ADL<\/jats:styled-content>\n                      s) were assessed at baseline and throughout follow\u2010up. Years of life (YoL) was defined as years until death. Years of able life (\n                      <jats:styled-content style=\"fixed-case\">YAL<\/jats:styled-content>\n                      ) was defined as years without any\n                      <jats:styled-content style=\"fixed-case\">ADL<\/jats:styled-content>\n                      difficulty.\n                      <jats:styled-content style=\"fixed-case\">YAL<\/jats:styled-content>\n                      \/YoL%, the proportion of life lived able, was used to indicate the relative compression or expansion of the disabled period.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The average duration of disabled years was 4.5 (out of 15.4 mean YoL) for women and 2.9 (out of 12.4 mean YoL) for men. In a multivariable model, obesity was associated with 7.3 percentage points (95% confidence interval (\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ) = 5.4\u20139.2) lower\n                      <jats:styled-content style=\"fixed-case\">YAL<\/jats:styled-content>\n                      \/YoL% than normal weight. Scores in the lowest quintile of the Alternate Healthy Eating Index were associated with a 3.7% (95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 1.6\u20135.9) lower\n                      <jats:styled-content style=\"fixed-case\">YAL<\/jats:styled-content>\n                      \/YoL% than scores in the highest quintile. Every 25 blocks walked in a week was associated with 0.5 percentage points (95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 0.3\u20130.8) higher\n                      <jats:styled-content style=\"fixed-case\">YAL<\/jats:styled-content>\n                      \/YoL%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The effects of healthy lifestyle factors on the proportion of future life lived free of disability indicate that the disabled period can be compressed, given the right combination of these factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.14314","type":"journal-article","created":{"date-parts":[[2016,9,7]],"date-time":"2016-09-07T14:16:22Z","timestamp":1473257782000},"page":"1952-1961","source":"Crossref","is-referenced-by-count":55,"title":["Can a Healthy Lifestyle Compress the Disabled Period in Older Adults?"],"prefix":"10.1111","volume":"64","author":[{"given":"Mini E.","family":"Jacob","sequence":"first","affiliation":[{"name":"Geriatric Research, Education, and Clinical Center Boston Massachusetts"},{"name":"Health and Disability Research Institute School of Public Health Boston University Boston Massachusetts"},{"name":"Department of Physical Medicine and Rehabilitation Harvard Medical School Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura M.","family":"Yee","sequence":"additional","affiliation":[{"name":"Department of Biostatistics University of Washington Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula H.","family":"Diehr","sequence":"additional","affiliation":[{"name":"Department of Biostatistics University of Washington Seattle Washington"},{"name":"Department of Health Services University of Washington Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice M.","family":"Arnold","sequence":"additional","affiliation":[{"name":"Department of Biostatistics University of Washington Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen M.","family":"Thielke","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Washington Seattle Washington"},{"name":"Geriatric Research, Education, and Clinical Center Seattle Veterans Affairs Medical Center Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo H. 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