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Archives of Gerontology and Geriatrics

Barbara Resnick, J Richard Hebel, Ann L Gruber-Baldini, Gregory E Hicks, Marc C Hochberg, Denise Orwig, Marty Eastlack, Jay Magaziner
The purpose of this study was to test a model of the factors influencing physical activity, physical function and physical performance at 2 months post hip fracture and compare model fit between men and women. Age, cognitive status, comorbidities, pain, resilience, bone mineral density, total body lean mass, total body fat and grip strength were hypothesized to be directly and/or indirectly related to physical activity, physical function and physical performance. This analysis used data from the seventh Baltimore Hip Studies (BHS-7), a prospective cohort study that included 258 community-dwelling participants, 125 (48%) men and 133 (52%) women, hospitalized for treatment of a hip fracture; survey and objective data were obtained at 2 months post hip fracture...
February 15, 2018: Archives of Gerontology and Geriatrics
Jane Andreasen, Mette Aadahl, Erik Elgaard Sørensen, Helle Højmark Eriksen, Hans Lund, Kim Overvad
OBJECTIVE: To assess whether frailty in acutely admitted older medical patients, assessed by a self-report questionnaire and evaluation of functional level at discharge, was associated with readmission or death within 6 months after discharge. A second objective was to assess the predictive performance of models including frailty, functional level, and known risk factors. METHODS: A cohort study including acutely admitted older patients 65+ from seven medical and two acute medical units...
February 13, 2018: Archives of Gerontology and Geriatrics
Yakir Rottenberg, Arash Naeim, Beatrice Uziely, Tamar Peretz, Jeremy M Jacobs
PURPOSE OF STUDY: To describe the association between increasing age and survival among women aged over 65 years, diagnosed with breast cancer. MATERIALS AND METHODS: A historical prospective cohort study, comparing 3270 breast cancer patients to 13,163 non cancer age matched controls. Baseline characteristics and cancer data gathered from the Israeli Central Bureau of Statistics (1995), the Israel Cancer Registry (2000-2010). Baseline measurements included age, socioeconomic status...
February 13, 2018: Archives of Gerontology and Geriatrics
Koutatsu Nagaia, Toshiaki Miyamato, Akio Okamae, Akira Tamaki, Hiroyuki Fujioka, Yosuke Wada, Yuki Uchiyama, Ken Shinmura, Kazuhisa Domen
INTRODUCTION: Increased physical activity (PA) is a crucial factor in the prevention of physical deterioration, and resistance training (RT) is also a common and effective intervention for older adults. However, the effects of PA as an adjunct to RT on frailty status remains unclear; therefore, we clarified the effect of a PA intervention with feedback, as an adjunct to resistance strength training, on the physical and mental outcomes of frail older adults. MATERIALS AND METHODS: We employed a randomized controlled trial...
February 13, 2018: Archives of Gerontology and Geriatrics
Jakub Kenig, Kinga Mastalerz, Katarzyna Lukasiewicz, Maria Mitus-Kenig, Urszula Skorus
The Surgical Apgar Score (SAS) is a simple and rapid scoring system predicting postoperative mortality and morbidity. However, it remains unknown whether it might be useful in fit and frail older patients undergoing abdominal emergency surgery. METHODS: Consecutive patients ≥65 years, needing emergency abdominal surgery were enrolled in this prospective study. Additionally to the SAS, the G8 screening score was used to determine the frailty status. The logistic regression analysis was conducted investigating the association between the scores and 30-day postoperative outcomes...
February 10, 2018: Archives of Gerontology and Geriatrics
Kudret Keskin, Gökhan Çetinkal, Serhat Sığırcı, Süleyman Sezai Yıldız, Şükrü Çetin, Ahmet Gürdal, Betül Balaban Kocaş, Kadriye Orta Kılıçkesmez
BACKGROUND: The prevalence of coronary artery disease is on the rise as the life expectancy of the population increases. However, treatment of acute coronary syndrome in the elderly patients has its own problems that have not been thoroughly addressed in the clinical trials. Since these patients are generally fragile and have multiple co-morbidities, the course of acute coronary syndrome can frequently be complicated. Infection, which co-exists either at the initial presentation or is acquired during the hospital stay, is a condition about which there is little published data...
February 10, 2018: Archives of Gerontology and Geriatrics
Cristiano Dos Santos Gomes, Catherine McLean Pirkle, Maria Vitoria Zunzunegui, Dimitri Taurino Guedes, Juliana Fernandes De Souza Barbosa, Phoebe Hwang, Ricardo Oliveira Guerra
OBJECTIVE: To estimate the prevalence of frailty in older adults in the IMIAS population, to examine associations between lifelong domestic violence and frailty and possible pathways to explain these associations. METHODS: A cross-sectional study with 2002 men and women in the International Mobility in Aging Study, aged between 65 and 74 years old living in five cities of Tirana (Albania), Natal (Brazil), Kingston and Saint-Hyacinthe (Canada), and Manizales (Colombia)...
February 8, 2018: Archives of Gerontology and Geriatrics
Jie Li, Jian Chen, Qirong Qin, Dongdong Zhao, Bao Dong, Qiongqiong Ren, Dandan Yu, Peng Bi, Yehuan Sun
OBJECTIVES: There is a paucity of epidemiological data on chronic pain and obesity among older adults. This study attempted to present the characterization of chronic pain and its association with obesity among the Chinese elderly. METHODS: A cross-sectional survey was undertaken among 6524 elderly individuals aged ≥60 years in China. Chronic pain was identified by self-reports based on the definition from the International Association for the Study of Pain (IASP)...
February 6, 2018: Archives of Gerontology and Geriatrics
Chen-Wei Pan, Xiao-Ling Cong, Hui-Jun Zhou, Xing-Zhi Wang, Hong-Peng Sun, Yong Xu, Pei Wang
This study aimed to estimate the loss of health-related quality of life (HRQOL) associated with common chronic conditions in older Chinese population.Weitang Geriatric Diseases Study is a community-based health survey on 5557 Chinese aged 60 years or older. The study population was measured with EQ-5D-3L for HRQOL assessment. We also assessed the coexisting chronic conditions of depression, cognitive dysfunction, stroke, heart disease, diabetes, hypertension, obesity, hyperlipidemia and visual impairment based on self-completed questionnaires, biomarkers and medical records...
February 2, 2018: Archives of Gerontology and Geriatrics
Jennifer A Palmer, Elizabeth P Howard, Margaret Bryan, Susan L Mitchell
BACKGROUND: Spiritual well-being enhances older persons' health status. Factors that optimize their spiritual well-being are not well-established. OBJECTIVE: To describe spiritual needs attainment and identify factors associated with such attainment among community-dwelling older persons. DESIGN: Cross-sectional. SETTING: Sixty-five U.S. continuing care retirement communities or independent housing facilities. SUBJECTS: 4077 persons entering the facilities between January 1, 2007 and November 30, 2016...
January 31, 2018: Archives of Gerontology and Geriatrics
Ivana Ivanova, Maarten Wauters, Robert Vander Stichele, Thierry Christiaens, Jonas De Wolf, Tine Dilles, Monique Elseviers
BACKGROUND: Medication use is high among nursing home (NH) residents, but there is a lack of longitudinal studies, determining medication use at admission and its evolution over time. AIM: Describing the evolution of the medication use two years after entering a NH, compared to the baseline observations and exploring the relation to the physical and mental health. METHODS: Data from the observational prospective Ageing@NH study, based on an inception cohort of newly admitted residents at NHs (65+) was used, selecting those consenting and with medication chart available...
January 17, 2018: Archives of Gerontology and Geriatrics
Alvin D Jeffery, Mary S Dietrich, Cathy A Maxwell
PURPOSE: The growing incidence of elderly patients injured from falls, combined with a growing understanding of the contribution of cognition and frailty to mortality, prompted this work. Our objective was to develop a clinical risk prediction model for prognosticating disability and mortality among injured older adults 1 year after hospitalization. METHODS: Secondary analysis of prospective longitudinal data from an urban Level 1 trauma center. A proportional odds regression model was used to model mortality and functional status as ordinal outcomes...
January 6, 2018: Archives of Gerontology and Geriatrics
Hiromichi Kawano, Takahiro Mori, Azusa Kuroki, Toshikazu Nagasaki, Mariko Maruyama, Mineka Yoshikawa, Mitsuyoshi Yoshida, Kazuhiro Tsuga
OBJECTIVES: To develop and assess a dysphagia training method involving lollipop sucking training in older adults with dementia, clarify its effectiveness for improving oral function. METHODS: Twenty-five older adults with dementia (5 males and 20 females, mean age 90.8 ± 6.7 years) were participated in this study. Participants were trained in lollipop sucking once a day, 3 times a week for 6 months. Mini-Mental State Examination (MMSE), Barthel Index (BI), Candy Sucking Test (CST), and BMI values were measured before and after the training...
January 4, 2018: Archives of Gerontology and Geriatrics
Youcai Xiang, Lisha Hao, Li Qiu, Yuan Zhao, Danan Gu
OBJECTIVES: This study aims to address whether associations between financial resources and self-perceived uselessness are different by urban-rural residence and whether the associations are stronger for subjectively-measured than for objectively-measured financial resources among older adults. DESIGN AND METHODS: We relied on the latest four waves of data of a China nationally representative survey with 25,954 community-residing respondents in 2005-2014. Self-perceived uselessness was classified into four categories: high, moderate, and low frequencies plus unable to answer the question...
January 4, 2018: Archives of Gerontology and Geriatrics
Namsoo Kim, Hyun-Jun Nam, Juhwan Noh, Eun-Cheol Park
Most of the behavior change models regard perceived health status as a motivation for healthy behaviors or chronic disease self-management. The aim of this study was to examine the association between the number of chronic diseases and the difference between global and age-comparative self-rated health scores (GSRH and ASRH). We used national representative survey data pertaining to the elderly in 2011 from the Korea Institute for Health and Social Affairs. In total, 10,003 participants (≥60 years old) were selected from those who had completed the survey in 2008...
January 3, 2018: Archives of Gerontology and Geriatrics
Hong Su, Jianqin Cao, Yuqiu Zhou, Lina Wang, Lei Xing
BACKGROUND: Mental health is a growing concern among older people all over the world. China has a rapidly aging population, and the number of elderly empty-nesters, who have no children or whose children have already left home, is on the rise. These older adults live alone or with a spouse. Therefore, we should be concerned about these empty-nester, especially their mental health, due to its vital role. METHODS: This cross-sectional study was performed from March to December 2015...
January 3, 2018: Archives of Gerontology and Geriatrics
Luisa Colucci, Ivana Molino, Francesco Amenta, Giuseppe Lucio Gaeta
OBJECTIVE: Families choice to institutionalize an Alzheimer's disease (AD)-affected relative is hard and possibly painful. Recent literature contributions have investigated the causes of the emergence of desire to institutionalize (DI) who is affected by AD. This paper contributes to the topic by providing an Italy-based empirical analysis of factors correlated with DI in primary informal caregivers of patients affected by AD. METHODS: Data were drawn from an original survey carried out over 2009...
December 30, 2017: Archives of Gerontology and Geriatrics
Teodoro J Oscanoa, José P Amado, Roman Romero-Ortuno, José A Hidalgo
AIM: CKD-EPIcr (Chronic Kidney Disease Epidemiology Collaboration creatinine) and BIS1 (Berlin Initiative Study) are two serum creatinine-based formulae for the estimation of glomerular filtration rate (GFR). However, their comparative accuracy in older people has not been well established. Our aim was to conduct a systematic comparative study of the accuracy of estimation of GFR in older people with these two formulae. METHODS: We conducted a systematic search in Pubmed, EMBASE and Central databases on the validity of the CKD-EPIcr and BIS1 formulae in people aged 60 or more years...
December 30, 2017: Archives of Gerontology and Geriatrics
Mohsen Taghizadeh, Farzaneh Maghaminejad, Mohammad Aghajani, Malihe Rahmani, Mohaddese Mahboubi
BACKGROUND: Memory deficits and age-related memory loss are currently two significant concerns in older adults. In Iranian herbal medicine, there are some prescriptions for memory improvement. OBJECTIVE: This study was designed to investigate the effect of tablet containing Boswellia serrata (BS) extract and Mellisa officinalis (MO) extract on memory of the older adults. METHOD: This is a randomized, parallel, double-blind, placebo-controlled clinical trial that performed among 70 older adults who referred to healthcare centers of Kashan University of Medical Sciences, Iran...
December 28, 2017: Archives of Gerontology and Geriatrics
Ryota Akagi, Momoka Suzuki, Emi Kawaguchi, Naokazu Miyamoto, Yosuke Yamada, Ryoichi Ema
This study aimed to investigate the relationship between muscle volume (MV) and joint torque for the plantar flexors (PF) in 40 young (20 men and 20 women) and 33 elderly (19 men and 14 women) individuals in consideration of the voluntary activation (VA) of PF and ratio of intramuscular adipose tissue within PF assessed by ultrasonographic echo intensity (EI). MV was estimated from the thickness of PF on ultrasonography and the lower leg length using a prediction equation previously reported. The maximal voluntary contraction torque of isometric plantar flexion was measured as TQMVC...
December 27, 2017: Archives of Gerontology and Geriatrics
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