• Khairul Rafizah H
  • Aniza I ppukm
  • Shamsuddin K
  • Hazlina MM



Successful aging, pre-retirement, public servants, predictors


Following the global trend, Malaysia is moving towards an aging population. With the change in age ratio, there will be more age-related diseases and challenges that need to be managed appropriately. This study aimed to determine the prevalence of successful aging (SA) among pre-retirement Malaysian public servants and the predicting factors. A cross-sectional study has been conducted using multistage sampling for selecting four out of 23 ministries and agencies under each respective ministry. Simple random sampling was used to select the state, agencies and respondents. A total respondent of 1,064 pre-retirement public servants (50-60 years old) working in nine federal government agencies within Klang Valley were finally selected. The respondents completed a self-administered questionnaire and their cognitive function was assessed using the Mini-Mental State Examination (MMSE). SA was defined as being able to fulfil all three criterions i.e. absence of six major chronic diseases and having both good physical and psycho-cognitive functions. The prevalence of SA was 37.5%. Multiple logistic regression showed that the factors with higher odds of having SA were younger age (50–54 years old) (adjusted odds ratio [aOR] 1.32, 95% confidence interval [CI] 1.01-1.73), being physically active (aOR 1.39, 95%CI 1.05 -1.84), non-obese (aOR 2.14, 95%CI 1.52-3.02) and good social support (aOR 1.78, 95%CI 1.30-2.43). A minority of public servants in this study had SA. We conclude that employers in various agencies should play roles in promoting SA aiming for healthy behaviours and providing healthy working environments.


DOS. Population Quick Info. Department of Statistics, Malaysia. 2019.

Rowe JW, Kahn RL. Human aging: usual and successful. Science 1987;237(4811):143–9.

Moeini M, Sharifi S, Zandiyeh Z. Does Islamic spiritual program lead to successful aging? A randomized clinical trial. J Educ Health Promot 2016;5(1):2.

Glatt SJ, Chayavichitsilp P, Depp C, et al. Successful aging: from phenotype to genotype. Biol Psychiatry 2007;62:282–293.

Holmes J, Powell-griner E, Lethbridge-cejku M, et al. Aging Differently : Physical Limitations Among Adults Aged 50 years and Over : United States, 2001 – 2007. NCHS Data Brief. 2009;(20):1‐8.

Musa R, Ramli R, Abdullah K, et al. Concurrent validity of the depression and anxiety components in the Bahasa Malaysia version of the Depression Anxiety and Stress scales (DASS). ASEAN J Psychiatry 2011;12(1):66–70.

Almeida OP, Norman P, Hankey G, et al. Successful mental health aging: results from a longitudinal study of older Australian men. Am J Geriatr Psychiatry 2006;14(1):27–35.

Institute of Public Health (IPU). National Health and Morbidity Survey 2011 (NHMS 2011). Vol.1 : Methodology and General Findings 2011;1:258.

Yang H, Shin D, Park J, et al. The Association Between Perceived Social Support and Continued Smoking in Cancer Survivors. Japanese J of Clin Oncology 2013;43(1):45-54.

McLaughlin SJ, Connell CM, Heeringa SG, et al. Successful aging in the United States: prevalence estimates from a national sample of older adults. J Gerontol Soc Sci 2010;65B(2):216–226.

Meng X, D’Arcy C. Successful aging in Canada: Prevalence and predictors from a population based sample of older adults. Gerontology 2014;60:65–72.

Hamid TA, Yadollah Abolfathi Momtaz RI. Predictors and Prevalence of Successful Aging among Older Malaysians. Gerontology 2012;58:366–70.

Pruchno RA, Wilson-Genderson M. A Longitudinal Examination of the Effects of Early Influences and Midlife Characteristics on Successful Aging. J Gerontol B Psychol Sci Soc Sci 2015;70(6):850–9.

Tzioumis E, Avila J, Adair L. Determinants of Successful Aging in a Cohort of Filipino Women. Geriatrics 2019;4(1):12.

Romo RD, Wallhagen MI, Yourman L, et al. Perceptions of successful aging among diverse elders with late-life disability. Gerontologist 2013;53(6):939–49.

Gu D, Feng Q, Sautter JM, et al. Concordance and discordance of self-rated and researcher-measured successful aging: Subtypes and associated factors. J Gerontol B Psychol Sci Soc Sci 2017;72(2):214–27.

Shi WH, Zhang HY, Zhang J, et al. The status and associated factors of successful aging among older adults residing in longevity areas in China. Biomed Environ Sci 2016;29(5):347–55.

Zamboni M, Mazzali G, Zoico E, et al. Health consequences of obesity in the elderly: a review of four unresolved questions. Int J Obes 2005;29(9):1011–29.

Dorji L, Pornchai Jullamate, Rarcharneepon Subgranon ER. Predicting Factors of Successful Aging among Community Dwelling Older Adults in Thimphu, Bhutan. Bangkok Med J 2019;15(1):38–43.

Adams TR, Rabin LA, Da Silva VG, et al. Social Support Buffers the Impact of Depressive Symptoms on Life Satisfaction in Old Age. Clin Gerontol 2016; 39(2):139–57.

Shin K-Y, Ko J-U. Influence of Elderly People’s Lifestyle on Successful Aging. J Korea Contents Assoc 2015;15(9):243–56.

Li CI, Lin CH, Lin WY, et al. Successful aging defined by health-related quality of life and its determinants in community-dwelling elders. BMC Public Health 2014;14(1):1013.

Gopinath B, Kifley A, Flood VM, et al. Physical Activity as a Determinant of Successful Aging over Ten Years. Sci Rep 2018;8(1):2–6.

Cherry AKE, Brown JS, Kim S, et al. Social Factors and Healthy Aging : Findings from the Louisiana Healthy Aging Study (LHAS). Hum Kinet Journals 2016;5(1):50–6.

Hernandez DC, Johnston CA. Individual and Environmental Barriers to Successful Aging: The Importance of Considering Environmental Supports. Am J Lifestyle Med 2016;11(1):21–3. 72617%0A

Bosnes I, Nordahl HM, Stordal E, et al. Lifestyle predictors of successful aging: A 20-year prospective HUNT study. PLoS One 2019;14(7):1–8.

Daskalopoulou C, Koukounari A, Wu YT, et al. Healthy ageing trajectories and lifestyle behaviour: the Mexican Health and Aging Study. Sci Rep 2019;9(1):1–10.

Tsai ACH, Lin YA, Tsai HJ. Predictors of smoking cessation in 50-66-year-old male Taiwanese smokers: A 7-year national cohort study. Arch Gerontol Geriatr 2012;55(2):295–300.

Alkhodary AA, Syed Mohamed Aljunid, Ismail A et al. The Economic Burden of Frailty among Elderly People: A Review of The Current Literature. Malaysian Journal of Public Health Medicine 2020, Vol. 20 (2): 224-232.

Young Frick KD, Phelan EAY. Can successful aging and chronic illness coexist in the same individual? A multidimentional concept of successful aging. J Am Med Dir Assoc 2009;10:87–92.

Parslow RA, Lewis VJ, Nay R. Successful aging: Development and testing of a multidimensional model using data from a large sample of older Australians. J Am Geriatr Soc 2011;59(11):2077–83.




How to Cite

Hairodin, K. R. ., Ismail, A., SHAMSUDDIN, K. ., & MOHD MISKAM, H. . (2021). DETERMINANTS OF SUCCESSFUL AGING AMONG PRE-RETIREMENT PUBLIC SERVANTS IN KLANG VALLEY, MALAYSIA. Malaysian Journal of Public Health Medicine, 21(2), 124–132.