On Correlation between successful aging and Traditional Chinese Medicine

impacts on the quality of life of elderly diabetic patients


  • Jie Yu Department of Nursing, The First Affiliated Hospital of Shandong First Medical University (Shandong Provincial Qianfoshan Hospital)
  • Hong Ji
  • Wenxiu Ding
  • Yeqing Wang
  • Change Li




Traditional Chinese Medicine, TCM, Diabetes, Elderly, Quality of Life


Aims and objectives: To investigate the correlation between successful aging (SA) and Traditional Chinese medicine (TCM) constitution and quality of life (QOL) in elderly diabetic patients.

Background: Traditional Chinese medicine (TCM) could be used in the management of elderly patients with type 2 diabetes (T2DM) to improve their quality of life (QOL).

Design: This was a cross-sectional study in elderly patients with T2DM.

Methods: The convenience sampling method was used to recruit elderly patients with T2DM at the Community Health Service Center, from May to August 2019. The study methods were compliant with the Strobe checklist (See Supplementary File 1).

Results: The average score of SA was 58.0±7.7 points in 143 participants. The factors associated with SA were sex, education, way of living, drinking habits, exercising, sleeping, health condition, and participation in social activities. The elderly diabetic patients with Yin-Yang harmony had the highest score of SA. The elderly diabetic patients with Yin-Yang harmony had the highest score of QOL in all dimensions. The score of SA was positively correlated with QOL in all dimensions (total score: r=0.498, P<0.001; subscores: r=0.281-0.550, all P<0.05).

Conclusions: The status of the SA of elderly diabetic patients in the community was moderate. TCM constitution, QOL, and SA were correlated with each other.


Amin, I. (2017). Perceptions of Successful Aging among Older Adults in Bangladesh: An Exploratory Study. J Cross Cult Gerontol. 32(2), 191-207. https://doi.org/ 10.1007/s10823-017-9319-3.

Bosnes, I., Almkvist, O., Bosnes, O., Stordal, E., Romild, U., and Nordahl, H.M. (2017). Prevalence and correlates of successful aging in a population-based sample of older adults: the HUNT study. Int Psychogeriatr. 29(3), 431-440. https://doi.org/ 10.1017/S1041610216001861.

Canedo, A.C., Lopes, C.S., and Lourenco, R.A. (2018). Prevalence of and factors associated with successful aging in Brazilian older adults: Frailty in Brazilian older people Study (FIBRA RJ). Geriatr Gerontol Int. 18(8), 1280-1285. https://doi.org/ 10.1111/ggi.13334.

Cao, W.J., Hua, Q.Z., and Wang, Y.J. (2014). Evaluation of psychological characteristics of SF-36 scale application in the elderly in China. Mod Prev Med. 41(06), 964-967.

Carstensen, G., Rosberg, B., Mc Kee, K.J., and Aberg, A.C. (2019). Before evening falls: Perspectives of a good old age and healthy ageing among oldest-old Swedish men. Arch Gerontol Geriatr. 8235-44. https://doi.org/ 10.1016/j.archger.2019.01.002.

Cesari, M., Vellas, B., Hsu, F.C., Newman, A.B., Doss, H., King, A.C., . . . Group, L.S. (2015). A physical activity intervention to treat the frailty syndrome in older persons-results from the LIFE-P study. J Gerontol A Biol Sci Med Sci. 70(2), 216-222. https://doi.org/ 10.1093/gerona/glu099.

Chen, Y., Wu, Y., Wang, Q., & Ji, H. (2022). On difficulties faced by patients following orthopedic day surgery: an update on International Evidence . International Healthcare Review (online). https://doi.org/10.56226/ihr.v1i2.35

Chen, L., Ye, M., and Kahana, E. (2020). A Self-Reliant Umbrella: Defining Successful Aging Among the Old-Old (80+) in Shanghai. J Appl Gerontol. 39(3), 242-249. https://doi.org/10.1177/0733464819842500 .

Chen, S., & Qin, Y. (2023). On Ethics, Biomedical Education and Health Promotion: International and Chinese Perspectives. International Healthcare Review (online). https://doi.org/10.56226/46

Cheng, Y.L. 2014. 'Reliability and Validity of the Chinese Version of Successful Aging Inventory and its application in the study of quality of life, Shandong University.

Chinese Diabetes Society. (2018). Guidelines for the prevention and treatment of type 2 diabetes in China (2017). Chin J Pract Intern Med. 2018,38(04):292-344. https://doi.org/10.19538/j.nk2018040108

Garcia-Lara, J.M., Navarrete-Reyes, A.P., Medina-Mendez, R., Aguilar-Navarro, S.G., and Avila-Funes, J.A. (2017). Successful Aging, a New Challenge for Developing Countries: The Coyoacan Cohort. J Nutr Health Aging. 21(2), 215-219. https://doi.org/10.1007/s12603-016-0728-8 .

Gutierrez, M., Tomas, J.M., and Calatayud, P. (2018). Contributions of Psychosocial Factors and Physical Activity to Successful Aging. Span J Psychol. 21:E26. https://doi.org/10.1017/sjp.2018.27 .

Hamid, T.A., Momtaz, Y.A., and Ibrahim, R. (2012). Predictors and prevalence of successful aging among older Malaysians. Gerontology. 58(4), 366-370. https://doi.org/10.1159/000334671 .

Hank, K. (2011). How "successful" do older Europeans age? Findings from SHARE. J Gerontol B Psychol Sci Soc Sci. 66(2), 230-236. https://doi.org/10.1093/geronb/gbq089 .

Hu, Y.Q., Ding, J., and Zhou, J. (2019). Successful aging and quality of life of retired cadres in Shanghai. Chin J Gerontol. 39(5), 1205-1209.

Kars Fertelli, T., and Deliktas, T. (2019). A study on the relationship between perceptions of successful aging and life satisfaction of Turkish elderly people. Perspect Psychiatr Care. https://doi.org/10.1111/ppc.12446 .

Kehinde, O., Dixon-Lawson, K., & Mendelsohn, A. (2023). On Community Pharmacists and Promotion of Lifestyle Modification in Adults with Hypertension: Practice Protocol. International Healthcare Review (online). https://doi.org/10.56226/49

Li, N., GUO, M., YOU, S., & JI, H. (2022). On Patient Readiness for Hospital Discharge: an update on recent Evidence. International Healthcare Review (online). https://doi.org/10.56226/ihr.v1i2.30 .

Lin, X., Tang, J., and Jiang, Y. (2018). The status of successful aging of the elderly in the community and its influencing factors. Chin J Gerontol. 38(18), 4550-4553.

Liu, X. 2013. 'Development and preliminary application analysis on the elderly version of Traditional Chinese Medicine constitution classification and determination', Beijing University of traditional Chinese Medicine.

Liu, Y. 1995. The Essential Book of Traditional Chinese Medicine: Clinical Practice .New York: Columbia University Press.

Luo, J.L., Zhang, X.X., and Bao, X.Y. (2019). Study on the relationship between the constitution classification and combination of traditional Chinese medicine and elderly patients with type 2 diabetes in the community. Chin Gen Pract. 22(5), 516-521.

Maciocia, G. 2015. The Foundations of Chinese Medicine: A Comprehensive Text. Toronto:Elsevier Canada.

Ng, T.P., Broekman, B.F., Niti, M., Gwee, X., and Kua, E.H. (2009). Determinants of successful aging using a multidimensional definition among Chinese elderly in Singapore. Am J Geriatr Psychiatry. 17(5), 407-416. https://doi.org/10.1097/JGP.0b013e31819a808e .

Parslow, R.A., Lewis, V.J., and Nay, R. (2011). Successful aging: development and testing of a multidimensional model using data from a large sample of older australians. J Am Geriatr Soc. 59(11), 2077-2083. https://doi.org/10.1111/j.1532-5415.2011.03665.x .

Shirani, M., Kheirabadi, G., Sharifirad, G., and Keshvari, M. (2019). The Effect of Education Program on Health Promotion Behavior on Successful Aging. Iran J Nurs Midwifery Res. 24(3), 234-238. https://doi.org/10.4103/ijnmr.IJNMR_31_15 .

Tian, M., Li , X., Zhou, F., Wang , Y., Wang, Q., Pan , N., & Ji , H. (2023). On the Psychological experiences of Hematopoietic stem cell donors: an update on International Evidence. International Healthcare Review (online). https://doi.org/10.56226.31

Troutman, M., Nies, M.A., Small, S., and Bates, A. (2011). The development and testing of an instrument to measure successful aging. Res Gerontol Nurs. 4(3), 221-232. https://doi.org/10.3928/19404921-20110106-02 .

Vaccaro, M.G., Izzo, G., Ilacqua, A., Migliaccio, S., Baldari, C., Guidetti, L., Emerenziani, G.P. (2019). Characterization of the Effects of a Six-Month Dancing as Approach for Successful Aging. Int J Endocrinol. 20192048391. https://doi.org/10.1155/2019/2048391 .

Wang, Q. (2005). Constitution of Traditional Chinese Medicine.People's Medical Publishing House.

Wang, Q., Zhu, Y.B., and Wu, C.Y. (2007). Correlation between constitution of traditional Chinese medicine and health-related quality of life. Chin J Clin Rehab Tissue Eng Res. 499946-9950.

Wang, X.N., Tian, J., and Peng, H.L. (2019). Study on the relationship between Yang asthenia, Qi asthenia and type 2 diabetes. Shanxi Med J. 48(08), 444-446.

Whitley, E., Popham, F., and Benzeval, M. (2016). Comparison of the Rowe-Kahn Model of Successful Aging With Self-rated Health and Life Satisfaction: The West of Scotland Twenty-07 Prospective Cohort Study. Gerontologist. 56(6), 1082-1092. https://doi.org/10.1093/geront/gnv054 .

World Health Organization, National Institute on Aging, National Institutes of Health, and U.S. Department of Health and Human Services. 2011. Global Health and Aging (National Institutes of Health: Bethesda).

Wu, M., Yang, Y., Zhang, D., Sun, Y., Xie, H., Zhang, J., . . . Su, Y. (2017). Prevalence and related factors of successful aging among Chinese rural elders living in nursing homes. Eur J Ageing. 14(4), 419-428. https://doi.org/10.1007/s10433-017-0423-6 .

Yang, W.Y. (2018). Epidemic characteristics and changing trend of diabetes in China. Chin Sci Life Sci. 48(08), 812-819.

You, H., Zhang, T., Feng, W., and Gai, Y. (2017). Association of TCM body constitution with insulin resistance and risk of diabetes in impaired glucose regulation patients. BMC Complement Altern Med. 17(1), 459. https://doi.org/10.1186/s12906-017-1964-0 .

Zhang, K.F., Weng, X.Y., and Luo, H. (2017). Evaluation on the effect of health intervention based on successful aging model. Health Res. 37(03), 248-251.

Zhang, L.Y. 2018. 'Study on the relationship between the constitution type of traditional Chinese medicine and successful aging of the elderly in Jinan community', Shandong University.

Zhao, W.X., Wang, T., and Yin, Y.T. (2018). Correlation analysis of TCM constitution and quality of life of patients with type 2 diabetes in community. Nurs Res. 32(7), 1096-1098.

Xue, X., Wang, Y., Wang, J., Zhao, J., Tang, Y., Song, X., & Xu, C. (2022). On Monitoring Devices for glucose in critical patients during the COVID-19 pandemic: An update on International Evidence. International Healthcare Review (online). https://doi.org/10.56226/ihr.v1i2.29

TCM and Aging



How to Cite

Yu, J., Ji, H., Ding, W., Wang, Y., & Li, C. (2023). On Correlation between successful aging and Traditional Chinese Medicine : impacts on the quality of life of elderly diabetic patients. International Healthcare Review (online). https://doi.org/10.56226/42



Recent Articles

Most read articles by the same author(s)