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Archives of Gerontology and Geriatrics

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https://www.readbyqxmd.com/read/29197715/end-of-life-care-of-elderly-patients-with-dementia-a-cross-sectional-study-of-family-carer-decision-making
#1
Rafaella I Peixoto, Vera M da Silveira, Rogério D Zimmermann, Adriana de M Gomes
BACKGROUND: Dementia syndromes pose a major worldwide challenge to public health. In terminal stage of dementia, carers are responsible for decision making in end-of-life treatment and there may be multiple factors that contribute to the choice of a palliative or invasive treatment. AIM: To identify possible factors that influence the decision-making of family caregivers on implementing invasive or palliative interventions for people with end stage dementia. DESIGN: A structured interview with family caregivers of elderly patients addressing aspects of the following categories: elderly with dementia, caregiver, medical treatment history...
November 28, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29202326/substitution-of-fried-s-performance-based-physical-frailty-criteria-with-self-report-questions
#2
Linda P M Op Het Veld, Henrica C W de Vet, Erik van Rossum, Gertrudis I J M Kempen, Sander M J van Kuijk, Anna J H M Beurskens
OBJECTIVE: To identify self-report questions that can substitute Fried's performance-based frailty measures for use in large-scale studies and daily practice. METHODS: A cross-sectional study was conducted among community dwelling older people (65+). Based on a literature search and interviews with older people and experts, 11 questions concerning walk time and 10 on handgrip strength were selected. All participants completed these sets of self-report questions as well as the original Fried criteria (including performance-based tests)...
November 27, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29197259/a-high-sense-of-coherence-protects-from-the-burden-of-caregiving-in-older-spousal-caregivers
#3
Florence Potier, Jean-Marie Degryse, Séverine Henrard, Geneviève Aubouy, Marie de Saint-Hubert
OBJECTIVES: Caregiving is often associated with burden and chronic stress. Sense of coherence (SOC) may help the caregivers in coping with their stress and was identified as a positive factor for health outcomes and quality of life. We aimed to study the links between SOC, burden, depression and positive affects among caregivers of frail older patients. METHODS: Seventy-nine spousal caregivers were recruited via the geriatric outpatient clinic. DATA COLLECTED: Zarit Burden Inventory, SOC-13, Geriatric Depression Scale, Caregiver Reaction Assessment (CRA), sleep, time of supervision, Katz Index, Global Deterioration Scale and Neuropsychiatric Inventory...
November 24, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29190546/age-related-changes-in-balance-performance-during-self-selected-and-narrow-stance-testing
#4
Bryan L Riemann, Monica Lininger, Mary K Kirkland, John Petrizzo
BACKGROUND: Various balance tests have been considered as fall risk screening tools however there is a lot of variability in the methods and outcome measures reported. Based on previous research examining age-related changes in balance and differences between fallers and nonfallers, the purpose of this investigation was to examine age-related balance changes, as reflected in medial-lateral center of pressure (CP) velocity, in community-dwelling/independently living adults (≥60years) during self-selected and narrow stance testing with eyes opened and closed...
November 24, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29190545/six-weeks-of-combined-aerobic-and-resistance-exercise-using-outdoor-exercise-machines-improves-fitness-insulin-resistance-and-chemerin-in-the-korean-elderly-a-pilot-randomized-controlled-trial
#5
Dong-Il Kim, Dong Hoon Lee, Sunghyun Hong, Sung-Won Jo, Young-Shin Won, Justin Y Jeon
BACKGROUND: The aim of this study was to investigate the effect of a six-week-long exercise program using outdoor exercise equipment on fitness, insulin resistance and adipocytokines among Korean elderly. METHODS: A total of 47 participants were randomized into one of the following three groups; control, resistance exercise or combined exercise (aerobic and resistance exercise). The resistance exercise group completed three resistance types of exercise. The combined exercise group completed five exercises, including three resistance types of exercise and two aerobic types of exercise...
November 23, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29190544/the-contribution-of-occupational-factors-on-frailty
#6
REVIEW
Ivo Iavicoli, Veruscka Leso, Matteo Cesari
INTRODUCTION: Frailty is a clinical condition characterized by enhanced vulnerability to stressors and increased risk of developing dependency and/or mortality. It has been described as the multidimensional and dynamic condition that cannot be easily disentangled from psychosocial determinants. To date, the possible role of occupational factors on frailty development and its progression at advanced age are not yet fully understood. The aim of this work is to provide a comprehensive overview of existing evidence exploring the relationship between multiple occupational issues (e...
November 22, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29180131/impact-of-coexisting-overactive-bladder-in-medicare-patients-with-osteoporosis
#7
Eleanor O Caplan, Ibrahim M Abbass, Brandon T Suehs, Daniel B Ng, Katherine Gooch, Cindy Kirby, Paul Abbott
BACKGROUND: Osteoporosis and overactive bladder (OAB) are prevalent conditions in older adults and are independent risk factors for falls and fractures. A paucity of evidence exists examining the impact of coexisting OAB in patients with osteoporosis. OBJECTIVE: To examine the impact of OAB on healthcare resource utilization (HRU), clinical outcomes, and healthcare costs among older adult patients with osteoporosis. METHODS: This retrospective analysis compared patients with osteoporosis with and without OAB...
November 21, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29180130/factors-associated-with-low-levels-of-physical-activity-among-elderly-residents-in-a-small-urban-area-in-the-interior-of-the-brazilian-amazon
#8
Renato Campos Freire Junior, Tiótrefis Gomes Fernandes, Grasiely Faccin Borges, Ricardo Oliveira Guerra, Daniela Cristina Carvalho de Abreu
The aim of the present study was to investigate levels of physical activity and risk factors for inactivity in older adults living in an urban area in the interior of the Amazonas state, Brazil. Data were collected between 2013 and 2015 from 274 individuals 60 years of age or older who resided in the interior of the Brazilian Amazon. Sociodemographic, general health, functional capacity and physical performance were associated with self-referred physical activity level. A multivariate analysis, after adjustment, showed that being a man, having a body mass index above 27kg/m2, never having lived in riverside communities and having less than three associated chronic diseases were independent risk factors for low levels of physical activity among elderly residing in the interior of the Brazilian Amazon...
November 21, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29197258/prevalence-of-mild-cognitive-impairment-and-its-subtypes-in-community-dwelling-residents-aged-65-years-or-older-in-guangzhou-china
#9
Dongping Rao, Xiong Luo, Muni Tang, Yin Shen, Ruoyan Huang, Junchang Yu, Jianjuan Ren, Xiaoying Cheng, Kangguang Lin
BACKGROUND: Prevalence of mild cognitive impairment (MCI) has been reported substantial variations, and mostly in Western countries. Less is known about MCI in the south of China. The study is to estimate the prevalence of MCI and its subtypes in residents aged 65year or older in community-dwelling residents of Guangzhou, China. METHODS: The study was a community-based, cross-sectional study conducted in rural and urban areas of Guangzhou between April and October 2009...
November 20, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29220739/lonelier-than-ever-loneliness-of-older-people-over-two-decades
#10
Lena Dahlberg, Neda Agahi, Carin Lennartsson
To live with feelings of loneliness has negative implications for quality of life, health and survival. This study aimed to examine changes in loneliness among older people, both with regard to prevalence rates, and socio-demographic, social and health-related correlates of loneliness. This study had a repeated cross-sectional design and was based on the nationally representative Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD). Analyses of trends in loneliness covered the years 1992, 2002, 2004, 2011 and 2014, and included people aged 77 years or older (n=2 572)...
November 16, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29172062/association-of-nutrition-and-immune-endocrine-dysfunction-with-muscle-mass-and-performance-in-cognitively-impaired-older-adults
#11
L Tay, B P Leung, S Wee, K S Tay, N Ali, M Chan, W S Lim
BACKGROUND: With lean mass declining early in Alzheimer's disease, muscle quality beyond quantity is relevant to physical performance. We sought to identify potentially modifiable factors for the differential loss of muscle mass (pre-sarcopenia) and its performance (sarcopenia) in older adults with mild cognitive impairment (MCI) and mild-to-moderate Alzheimer's disease (AD). METHODS: This is a cross-sectional study of 108 community-dwelling older adults with MCI and mild-to-moderate AD...
November 16, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29175374/social-capital-and-preventive-care-use-among-the-elderly-under-taiwan-s-national-health-insurance
#12
Yu-I Peng, Tsui-Fang Lin
OBJECTIVE: The National Health Insurance (NHI) system in Taiwan provides free annual preventive care services and other disease-specific preventive care services under low copayments to people aged 65 and older, yet their utilization rates remain low ever since implementation. This study investigates whether social capital is associated with preventive care use among people aged 65 and older. METHOD: Using the 2009 National Health Interview Study, this study measures social capital by the elderly's social network and social participation, and employs the logistic regressions to estimate the association between social capital and the odds of using a variety of preventive care services...
November 15, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29161682/socioeconomic-status-disparities-in-late-life-disability-based-on-age-period-and-cohort-in-japan
#13
Hidehiro Sugisawa, Ken Harada, Yoko Sugihara, Shizuko Yanagisawa, Masaya Shinmei
INTRODUCTION: Effects of disparities in socioeconomic status (SES) on late-life disabilities have been reported around the world. However, there are only a few studies that have examined age, period, and cohort dependent influences of SES disparities on late-life disabilities. We investigated associations between SES disparities and late-life disability based on the Age-Period-Cohort. We also investigated how macro-economic conditions unique to a period, or a cohort might explain the period or the cohort trends...
November 14, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29121542/risk-factors-for-three-month-mortality-after-discharge-in-a-cohort-of-non-oncologic-hospitalized-elderly-patients-results-from-the-reposi-study
#14
Luca Pasina, Laura Cortesi, Mara Tiraboschi, Alessandro Nobili, Giovanna Lanzo, Mauro Tettamanti, Carlotta Franchi, Pier Mannuccio Mannucci, Silvia Ghidoni, Andrea Assolari, Antonio Brucato
BACKGROUND: Short-term prognosis, e.g. mortality at three months, has many important implications in planning the overall management of patients, particularly non-oncologic patients in order to avoid futile practices. The aims of this study were: i) to investigate the risk of three-month mortality after discharge from internal medicine and geriatric wards of non-oncologic patients with at least one of the following conditions: permanent bedridden status during the hospital stay; severely reduced kidney function; hypoalbuminemia; hospital admissions in the previous six months; severe dementia; ii) to establish the absolute risk difference of three-month mortality of bedridden compared to non-bedridden patients...
November 6, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29169045/optimizing-medication-use-in-elderly-people-in-primary-care-impact-of-stopp-criteria-on-inappropriate-prescriptions
#15
Gibert Prudence, Cabaret Maud, Moulis Mélanie, Jean-Luc Bosson, Boivin Jean-Emmanuel, Sebastien Chanoine, Allenet Benoit, Bedouch Pierrick, Gavazzi Gaëtan
BACKGROUND: STOPP (Screening Tool of Older Person's Prescriptions) criteria have been used in acute care and nursing home settings as a screening tool to assess Potentially Inappropriate Medication (PIM) for elderly people. Furthermore, this tool could help General Practitioners (GPs) to lower PIM frequency in primary care. OBJECTIVE: The aim of the study was to measure the impact of STOPP criteria applied by the GP on prescriptions during a primary care consultation...
November 4, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29126080/impact-of-the-disability-trajectory-on-the-mortality-risk-of-older-adults-in-china
#16
Meng Wei, Jun Li, Hongman Wang
Using data from the Chinese Longitudinal Health Longevity Survey of 2005, 2008 and 2011, the authors compared the difference in the disability trajectory (DT) of survivor, decedent and dropped-out survey respondents and examined gender differences in DT using a group-based trajectory model, gender differences in the impact of DT on mortality risk (MR) among older adults, and mediating effects of resources and health status during late life through survival analysis. This analysis shows that the DTs of the survivors, decedents and dropped-out respondents differ remarkably...
November 2, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29107890/potentially-inappropriate-prescribing-according-to-stopp-2-criteria-among-patients-discharged-from-internal-medicine-prevalence-involved-drugs-and-economic-cost
#17
Alfredo José Pardo-Cabello, Victoria Manzano-Gamero, Mónica Zamora-Pasadas, Francisco Gutiérrez-Cabello, David Esteva-Fernández, Juan de Dios Luna-Del Castillo, Juan Jiménez-Alonso
AIM: This study aims to determine the prevalence of potentially inappropriate prescribing (PIP) among patients discharged from Internal Medicine, the drugs and factors associated and economic cost of PIP. METHODS: This retrospective cross-sectional, single-center study included participants aged ≥65 years consecutively discharged from the Internal Medicine Unit in a tertiary hospital of Southern Spain. PIP was defined by the Screening Tool for Older Persons Prescriptions (STOPP-2) criteria version 2 (2015 update)...
November 2, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29128788/inclusion-of-service-robots-in-the-daily-lives-of-frail-older-users-a-step-by-step-definition-procedure-on-users-requirements
#18
Álvaro García-Soler, David Facal, Unai Díaz-Orueta, Lucia Pigini, Lorenzo Blasi, Renxi Qiu
The implications for the inclusion of robots in the daily lives of frail older adults, especially in relation to these population needs, have not been extensively studied. The "Multi-Role Shadow Robotic System for Independent Living" (SRS) project has developed a remotely-controlled, semi-autonomous robotic system to be used in domestic environments. The objective of this paper is to document the iterative procedure used to identify, select and prioritize user requirements. Seventy-four requirements were identified by means of focus groups, individual interviews and scenario-based interviews...
October 31, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29112876/factors-influencing-attitudes-toward-advance-directives-in-korean-older-adults
#19
Ji Eun Lee, Dong Wook Shin, Ki Young Son, Hyun Jung Park, Jae-Young Lim, Mi Soon Song, Yeon-Hwan Park, BeLong Cho
AIM: We aimed to determine the factors influencing attitudes toward advance directives in Korean older adults with consideration of an Asian cultural background. METHODS: We recruited community-dwelling older adults aged 60 years or older at a regional senior welfare center in Korea. Demographic factors and mental and physical health status were examined using questionnaires and a physical examination. The questionnaire also assessed perceived necessity of advance directives and related experiences...
October 31, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29102831/bilateral-deficit-in-explosive-force-related-to-sit-to-stand-performance-in-older-postmenopausal-women
#20
J D Ruiz-Cárdenas, J J Rodríguez-Juan, J M Jakobi, J Ríos-Díaz, E Marín-Cascales, J A Rubio-Arias
The purpose of this study was to determine whether the bilateral deficit (BLD) for maximal voluntary force (MVF) and rate of force development (RFD) influences sit-to-stand in older postmenopausal women. Fourteen women performed unilateral and bilateral maximal voluntary contractions during isometric leg-extension. The MVF and RFD over consecutive 50ms periods (0-50, 50-100 and 100-150ms) after force onset and the time to sit-to-stand test were calculated. There was only a BLD for RFD 0-50ms and 50-100ms. The time of sit-to-stand was moderately correlated to BLD for RFD 0-50ms (r=0...
October 31, 2017: Archives of Gerontology and Geriatrics
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