Older adults 75 and above are a fast-growing segment of the population. However, few studies have investigated what it means to age successfully from their perspective. This group of older adults face challenges that might characteristically differ from younger older adults. Therefore, the aim of this study was to conduct a systematic review of the perspectives of older adults aged 75 and above regarding what it means to age successfully and to summarise the findings through a narrative synthesis. We also aimed to provide a snapshot of inhibitors and facilitators to achieve successful ageing. A systematic review of the 75+ older adults’ perspectives was conducted across PubMed, CINAHL, Scopus, Web of Science and PsycINFO. Qualitative, quantitative and mixed-methods original peer-reviewed studies were included. After reviewing 4,661 articles, 15 articles met the inclusion criteria and 15 themes were identified. They ranged from biomedical components such as physical functioning to psychosocial components such as relationships, reflections on life and past experiences, preparations for death and environmental factors. The findings revealed that as people age, their definition of successful ageing changes, expanding the current conceptualisation of successful ageing by including additional factors that can act as facilitators and/or inhibitors, such as death and environmental factors. The findings also highlight the need for further research on theory development by considering age-related differences and the perspectives of under-studied populations.

75 岁及以上的老年人是人口中快速增长的部分。然而，很少有研究从他们的角度调查成功老龄化意味着什么。这组老年人面临的挑战可能与较年轻的老年人在特征上有所不同。因此，本研究的目的是对 75 岁及以上老年人关于成功变老意味着什么的观点进行系统回顾，并通过叙述综合总结研究结果。我们还旨在提供抑制因素和促进因素的快照，以实现成功的老龄化。通过 PubMed、CINAHL、Scopus、Web of Science 和 PsycINFO 对 75 岁以上老年人的观点进行了系统回顾。包括定性、定量和混合方法的原始同行评审研究。在审阅了 4,661 篇文章后，15 篇文章符合纳入标准，并确定了 15 个主题。它们的范围从生理机能等生物医学成分到人际关系、对生活和过去经历的反思、死亡准备和环境因素等心理社会成分。研究结果表明，随着人们年龄的增长，他们对成功老龄化的定义发生了变化，通过包括可作为促进因素和/或抑制因素的其他因素（例如死亡和环境因素），扩展了当前成功老龄化的概念。研究结果还强调需要通过考虑与年龄相关的差异和未被充分研究的人群的观点来进一步研究理论发展。它们的范围从生理机能等生物医学成分到人际关系、对生活和过去经历的反思、死亡准备和环境因素等心理社会成分。研究结果表明，随着人们年龄的增长，他们对成功老龄化的定义发生了变化，通过包括可作为促进因素和/或抑制因素的其他因素（例如死亡和环境因素），扩展了当前成功老龄化的概念。研究结果还强调需要通过考虑与年龄相关的差异和未被充分研究的人群的观点来进一步研究理论发展。它们的范围从生理机能等生物医学成分到人际关系、对生活和过去经历的反思、死亡准备和环境因素等心理社会成分。研究结果表明，随着人们年龄的增长，他们对成功老龄化的定义发生了变化，通过包括可作为促进因素和/或抑制因素的其他因素（例如死亡和环境因素），扩展了当前成功老龄化的概念。研究结果还强调需要通过考虑与年龄相关的差异和未被充分研究的人群的观点来进一步研究理论发展。他们对成功老龄化的定义发生了变化，通过包括可作为促进因素和/或抑制因素的其他因素（例如死亡和环境因素），扩展了当前成功老龄化的概念。研究结果还强调需要通过考虑与年龄相关的差异和未被充分研究的人群的观点来进一步研究理论发展。他们对成功老龄化的定义发生了变化，通过包括可作为促进因素和/或抑制因素的其他因素（例如死亡和环境因素），扩展了当前成功老龄化的概念。研究结果还强调需要通过考虑与年龄相关的差异和未被充分研究的人群的观点来进一步研究理论发展。