Background and Objective: Successful aging is a multidimensional concept encompassing physical, psychological, functional, and social dimensions. The aim of this study was to compare the dimensions of successful aging between older adults with type 2 diabetes and non-diabetic older adults attending selected polyclinics in Arak in 2024.
Methods: This comparative cross-sectional study included 244 adults aged ≥60 (122 individuals=diabetes and 122=non-diabetic individuals(selected through convenience sampling. Successful aging was assessed using the 54-item questionnaire covering seven dimensions (physical and psychological health, health-oriented behaviors, functional health, psychological well-being, social support, financial–environmental security, and spirituality). Data were analyzed using SPSS 23.
Findings: Elderly adults with diabetes demonstrated significantly poorer status in five out of the seven dimensions of successful aging compared with the non-diabetic group. In the dimensions of physical and psychological health (p < 0.001) and functional health (p = 0.002), diabetic adults had significantly higher scores (higher scores indicating poorer status in these dimensions). Moreover, scores for health-oriented behaviors (p = 0.018), psychological well-being (p = 0.041), and social support (p = 0.010) were significantly lower in the diabetic group.
Conclusion: Type 2 diabetes has a significant negative impact on the physical, functional, psychological, and social dimensions of successful aging. Effective disease management through the enhancement of health-oriented behaviors and social support plays a crucial role in preventing complications and promoting successful aging. Health policies targeting older adults should adopt a comprehensive approach, emphasizing not only clinical control but also psychological and social interventions.
Type of Study:
Research |
Subject:
General Received: 2025/12/8 | Accepted: 2026/03/15 | Published: 2026/05/31