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Archives of Gerontology and Geriatrics

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https://www.readbyqxmd.com/read/28711765/functional-magnetic-resonance-imaging-response-as-an-early-biomarker-of-cognitive-decline-in-elderly-patients-with-metabolic-syndrome
#1
Nadia Shigaeff, Edson Amaro, Fabio G M Franco, Alessandro F Jacinto, Gabriela Chiochetta, Maysa S Cendoroglo, Vanessa A Citero
OBJECTIVES: We assessed whether potential changes in brain activation patterns of elderly individuals with metabolic syndrome (MetS) who were cognitively healthy (without mild cognitive impairment or dementia) were associated with cognitive decline in executive function in the short-term. METHOD: We analyzed 43 individuals (23 MetS, 20 controls) using a global geriatric evaluation, a neuropsychological battery, and task-related (attention) fMRI exam. Correlation analysis between the fMRI signal at baseline and cognitive impairment after 1year was based on the voxel-based Pearson coefficient, corrected for multiple comparisons...
July 8, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28692833/falls-and-subjective-well-being-results-of-the-population-based-german-ageing-survey
#2
André Hajek, Hans-Helmut König
PURPOSE: The aim of the current study was to determine the relationship between falling in the past 12 months and subjective well-being in a broader sense. METHODS: Cross-sectional data were gathered from a representative sample of community-dwelling individuals in the second half of life (40 to 95 years; n=7808) in Germany. While life satisfaction was quantified using the Satisfaction with Life Scale (SWLS), positive and negative affect was measured using the Positive and Negative Affect Schedule (PANAS)...
July 1, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28697432/racial-and-ethnic-disparities-in-the-healing-of-pressure-ulcers-present-at-nursing-home-admission
#3
Donna Z Bliss, Olga Gurvich, Kay Savik, Lynn E Eberly, Susan Harms, Christine Mueller, Judith Garrard, Kristen Cunanan, Kjerstie Wiltzen
BACKGROUND: Pressure ulcers increase the risk of costly hospitalization and mortality of nursing home residents, so timely healing is important. Disparities in healthcare have been identified in the nursing home population but little is known about disparities in the healing of pressure ulcers. PURPOSE: To assess racial and ethnic disparities in the healing of pressure ulcers present at nursing home admission. Multi-levels predictors, at the individual resident, nursing home, and community/Census tract level, were examined in three large data sets...
June 27, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28672199/changes-in-malnutrition-and-quality-of-nutritional-care-among-aged-residents-in-all-nursing-homes-and-assisted-living-facilities-in-helsinki-2003-2011
#4
Riitta K T Saarela, Seija Muurinen, Merja H Suominen, Niina N Savikko, Helena Soini, Kaisu H Pitkälä
BACKGROUND: While nutritional problems have been recognized as common in institutional settings for several decades, less is known about how nutritional care and nutrition has changed in these settings over time. OBJECTIVES: To describe and compare the nutritional problems and nutritional care of residents in all nursing homes (NH) in 2003 and 2011 and residents in all assisted living facilities (ALF) in 2007 and 2011, in Helsinki, Finland. METHODS: We combined four cross-sectional datasets of (1) residents from all NHs in 2003 (N=1987), (2) residents from all ALFs in 2007 (N=1377), (3) residents from all NHs in 2011 (N=1576) and (4) residents from all ALFs in 2011 (N=1585)...
June 23, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28666213/comparing-the-predictive-value-of-three-definitions-of-frailty-results-from-the-three-city-study
#5
Magali Gonzalez-Colaço Harmand, Céline Meillon, Valérie Bergua, Maturin Tabue Teguo, Jean-François Dartigues, José Alberto Avila-Funes, Hélène Amieva
BACKGROUND: Despite several attempts to reach a single definition of frailty, no consensus has been reached. The definitions previously published have tried to prove its utility in predicting negative health outcomes. The objective of the present study is to compare the predictive value of 3 different frailty instruments, for selected outcomes. METHODS: The study sample includes 1278 participants of the Three-City study, a French prospective population-based study, assessed for frailty using Fried's phenotype criteria, Rockwood's Frailty Index and Tilburg Frailty Indicator...
June 17, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28647615/prevalence-and-associative-factors-of-orthostatic-hypotension-in-older-adults-results-from-the-well-being-of-the-singapore-elderly-wise-study
#6
Hui Lin Ong, Edimansyah Abdin, Esmond Seow, Shirlene Pang, Vathsala Sagayadevan, Sherilyn Chang, Janhavi Ajit Vaingankar, Siow Ann Chong, Mythily Subramaniam
BACKGROUND: Orthostatic hypotension (OH) is commonly reported among older adults and is associated with an increased risk of mortality. This study aimed to describe the prevalence and investigate the possible associations between OH with sociodemographic variables, chronic medical conditions, health service utilisation, dementia and cognitive status among older adults residing in Singapore. METHODS: Data was collected from 2266 participants aged 60 years and older who participated in the Well-being of the Singapore Elderly (WiSE) study in 2013...
June 15, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28633057/predicting-falls-in-community-dwelling-older-adults-using-the-activities-specific-balance-confidence-scale
#7
Kimberly Cleary, Elena Skornyakov
OBJECTIVES: Falls are a significant problem associated with aging, and can lead to serious consequences including injury and death. The purpose of this study was to determine whether balance confidence differed between future fallers and non-fallers, and whether the construct prospectively predicted falls. METHODS: Forty-five community dwelling older adults aged 65 or older completed the Activities-specific Balance Confidence scale (ABC) and reported falls experienced during the next 6 months...
June 13, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28628893/one-year-mortality-after-hip-fracture-in-older-individuals-the-effects-of-delirium-and-dementia
#8
Rebecca Mitchell, Lara Harvey, Henry Brodaty, Brian Draper, Jacqueline Close
BACKGROUND: Delirium is common in older hip fracture patients, yet its association with mortality after hip fracture remains uncertain. This study aimed to determine whether delirium was associated with all-cause one-year mortality after hip fracture in older patients and whether the effect of delirium was independent of dementia status. METHOD: A retrospective analysis of linked hospitalisation and mortality data for patients aged ≥65 years with a hip fracture during 1 January 2010 to 30 June 2014 in New South Wales, Australia...
June 13, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28623800/inpatient-geriatric-care-in-sweden-important-factors-from-an-inter-disciplinary-team-perspective
#9
Anna Cristina Åberg, Anna Ehrenberg
The purpose of this study was to describe factors of importance for the quality of inpatient geriatric care from an inter-disciplinary team perspective, an area that has not been previously studied to our knowledge. The study design was qualitative descriptive with data being collected from focus-group interviews with members of geriatric care teams. The data collection was conducted at a Swedish university hospital with 69 beds for geriatric care. It comprised five group interviews with a total of 32 staff members, including representatives of all the seven professions working with geriatric care...
June 10, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28605644/gender-differences-in-positive-life-orientation-among-the-nursing-home-elders-in-china-a-cross-sectional-study
#10
Cheng Jin, Zhibo Zheng, Wei Xian, Ming Bai, Liying Jin, Yuting Li, Xiufei Yang, Yang Sheng, Wensi Ai, Hongbo Liu
INTRODUCTION: Life orientation among the nursing home elders would differ from those of community-dwelling elders due to the different living environment, but may have greater differences in gender. OBJECTIVES: This study was designed to investigate the positive life orientation and explore the potential risk factors including gender disparities among nursing home elders in China. METHODS: This cross-sectional study was conducted in Northeast China...
June 9, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28667843/the-impact-of-multimorbidity-on-grip-strength-in-adults-age-50-and-older-data-from-the-health-and-retirement-survey-hrs
#11
Amy M Yorke, Amy B Curtis, Michael Shoemaker, Eric Vangsnes
BACKGROUND: Multimorbidity, the presence of two or more chronic diseases, is a public health concern. The measurement of grip strength has been proposed as a measure of overall body strength and is reliable and easy to measure. The purpose of this study was to investigate the relationship between the number of chronic diseases and common co-occurring chronic diseases with grip strength. METHODS: A cross-sectional analysis was conducted of 5877 respondents (2744=male, 3103=female) from the 2008 Health and Retirement Study (HRS) who completed grip strength measurements (kg)...
June 8, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28622606/dementia-correlates-with-anticoagulation-underuse-in-older-patients-with-atrial-fibrillation
#12
Giovanni Viscogliosi, Evaristo Ettorre, Iulia Maria Chiriac
OBJECTIVES: Stroke prevention in older atrial fibrillation (AF) patients remains a challenge. This study aimed to investigate whether a dementia diagnosis is an independent correlate of lower prescription rate of oral anticoagulant treatment (OAT) in a sample of older AF patients. METHODS: Cross-sectional retrospective study. Consecutive older community-dwelling AF patients referred for a comprehensive geriatric assessment, were considered. Evaluation of physical, social and mental health, and administration of the Cumulative Illness Rating Scale (CIRS) and Barthel Index were performed...
June 8, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28709115/development-and-validation-of-the-korea-dementia-comorbidity-index-kdci-a-nationwide-population-based-cohort-study-from-2002-to-2013
#13
Jae-Hyun Kim, Ki-Bong Yoo, Yunhwan Lee
This study develop and validate a simple and accessible measure of comorbidity, named the Korean Dementia Comorbidity index (KDCI), to assist in predicting the onset of dementia. This study used the National Health Insurance Service-Cohort Sample Database from 2002 to 2013 (n=23,856). Cox proportional hazard model was used to estimate incident dementia (International Classification of Disease, 10th edition (ICD-10) codes: F00-F03, G30, G311), with a hazard ratio higher than 1.05 for each comorbid condition being assigned a score...
June 7, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28624752/skin-hydration-and-lifestyle-related-factors-in-community-dwelling-older-people
#14
Shinji Iizaka
OBJECTIVE: This study aimed to investigate skin hydration status of the lower legs by comparing several methods and examining lifestyle-related factors in community-dwelling older people. METHODS: A cross-sectional study was conducted in three community settings in Japan from autumn to winter. Participants were older people aged ≥65 years (n=118). Skin hydration status of the lower legs was evaluated by stratum corneum hydration using an electrical device, clinical symptoms by an expert's observation and the visual analogue scale...
June 7, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28618323/a-systematic-review-of-trends-in-the-selective-exclusion-of-older-participant-from-randomised-clinical-trials
#15
REVIEW
Miriam Thake, Andrew Lowry
INTRODUCTION: The unjustified exclusion of older participants from clinical trials creates research populations that are non-representative, in turn creating difficulties applying research to the target populations. The aim of this study was to assess the proportion of randomised control trials (RCTs) that have unexplained upper age limits and review whether this proportion is reducing over time. METHODS: All RCTs in BMJ, Lancet, JAMA and NEJM from 1998 to 2015 were reviewed to identify any specified upper-age cut off and, if so, whether this exclusion criterion had an explanation in the text...
June 7, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28618322/multiple-inflammatory-markers-and-15-year-incident-adl-disability-in-admixed-older-adults-the-bambui-epigen-study
#16
Maria Fernanda Lima-Costa, Juliana V M Mambrini, Karen C L Torres, Sérgio V Peixoto, Fabíola B Andrade, Cesar De Oliveira, Eduardo Tarazona-Santos, Andrea Teixeira-Carvalho, Olindo A Martins-Filho
BACKGROUND: The ability of inflammatory markers to predict disability in later life has received growing attention. However, the current evidence came predominantly from Caucasians and the role of genomic ancestry has not been investigated. OBJECTIVE: We investigated the prognostic value of multiple citokynes and chemokines for incident disability in admixed older Brazilians and whether genomic African and Native American ancestry affects the association. DESIGN: Population-based longitudinal study...
June 7, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28609674/self-guided-strategy-adaption-training-for-older-adults-transfer-effects-to-everyday-tasks
#17
Sara Bottiroli, Elena Cavallini, John Dunlosky, Tomaso Vecchi, Christopher Hertzog
OBJECTIVES: The goal of the present research was to examine the potential of a learner-oriented approach to improving older adults' performance in tasks that are similar to real-life situations that require strategic deployment of cognitive resources. A crucial element of this approach involves encouraging older adults to explicitly analyze tasks to consider how to adapt trained skills to a new task context. In an earlier study, a specialist-directed intervention produced training gains and transfer to some untrained memory tasks...
June 7, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28599139/risk-factors-associated-with-residential-aged-care-respite-and-transitional-aged-care-admission-for-older-people-following-an-injury-related-hospitalisation
#18
Rebecca Mitchell, Lara Harvey, Brian Draper, Henry Brodaty, Jacqueline Close
OBJECTIVES: To identify factors associated with admission to residential aged care (RAC), respite RAC and transitional care (TC) for older individuals following an injury hospitalisation. METHOD: A retrospective analysis was conducted of individuals aged ≥65 years who had an injury hospitalisation and who were admitted to RAC during 1 July 2008 and 30 June 2013 in New South Wales, Australia. Multinominal logistic regression was used to examine the factors associated with admissions to aged care services compared to returning to the community...
June 4, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28624753/treatment-of-asymptomatic-uti-in-older-delirious-medical-in-patients-a-prospective-cohort-study
#19
Monidipa Dasgupta, Chris Brymer, Sameer Elsayed
BACKGROUND: Despite clinical practice guidelines, asymptomatic bacteriuria (ASB) in older people is frequently treated. A common reason for treating ASB is a change in mental status. OBJECTIVE: To determine how often asymptomatic UTI is treated in older medically ill delirious individuals and its association with functional recovery. METHODS: Consecutive older medical in-patients were screened for delirium, and followed in hospital. Treatment for asymptomatic UTI was defined as documented treatment for a possible urinary tract infection with antibiotics, without concurrent infectious or urinary symptoms...
May 31, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28599140/instruments-to-evaluate-mobility-capacity-of-older-adults-during-hospitalization-a-systematic-review
#20
REVIEW
Karla Vanessa Rodrigues Soares Menezes, Claudine Auger, Weslley Rodrigues de Souza Menezes, Ricardo Oliveira Guerra
Independent mobility is a key factor in predicting morbidity and determining hospital discharge readiness for older patients. The main objective was identify and appraise relevant instruments for the measurement of mobility of hospitalized geriatric patients. A systematic review was performed in two consecutive steps. Based on the definition of mobility of the International Classification of Functioning (ICF). Step 1 identified mobility measurement instruments used to assess patients 60 years of age and over hospitalized in acute care or intensive geriatric rehabilitation unit...
May 27, 2017: Archives of Gerontology and Geriatrics
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