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Archives of Gerontology and Geriatrics

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https://www.readbyqxmd.com/read/28343089/cortisol-and-physical-performance-in-older-populations-findings-from-the-international-mobility-in-aging-study-imias
#1
Ana Carolina Patrício de Albuquerque Sousa, Alain Marchand, Angeles Garcia, Jose Fernando Gomez, Alban Ylli, Jack M Guralnik, Maria-Victoria Zunzunegui, Ricardo Oliveira Guerra
OBJECTIVE: To compare diurnal cortisol profiles across samples of older adults from diverse populations and to examine if differences in circadian cortisol secretion are associated with poor physical performance (SPPB<9). METHODS: Data were collected during the baseline survey of the International Mobility in Aging Study conducted in 2012 in Kingston (Canada), Saint-Hyacinthe (Canada), Tirana (Albania) and Manizales (Colombia). Salivary cortisol was collected from a subsample of 309 participants instructed to collect saliva on two consecutive days, and 5 different intervals each day: upon awakening (M1), 30min (M2) and 60min after awakening, at 15:00h and before bedtime (E)...
March 9, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28279898/concern-about-developing-alzheimer-s-disease-or-dementia-and-intention-to-be-screened-an-analysis-of-national-survey-data
#2
Weizhou Tang, Kristie Kannaley, Daniela B Friedman, Valerie J Edwards, Sara Wilcox, Sue E Levkoff, Rebecca H Hunter, Cheryl Irmiter, Basia Belza
OBJECTIVE: Early diagnosis of Alzheimer's disease (AD) or dementia is important so that patients can express treatment preferences, subsequently allowing caregivers to make decisions consistent with their wishes. This study explored the relationship between people's concern about developing AD/dementia, likelihood to be screened/tested, if experiencing changes in cognitive status or functioning, and concerns about sharing the diagnostic information with others. METHOD: A descriptive study was conducted using Porter Novelli's SummerStyles 2013 online survey data...
March 1, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28273547/depression-and-resilience-mediates-the-effect-of-family-function-on-quality-of-life-of-the-elderly
#3
Canjie Lu, Lexin Yuan, Weiquan Lin, Ying Zhou, Shengmao Pan
BACKGROUND: Family function, which improves individual resilience and strongly link to quality of life (QOL) among the elderly, increases the risk of depression. Because of these demonstrated relationships, it can be hypothesized that both depression and resilience are mediators of the association between family function and QOL. METHODS: To test this hypothesis, the structural equation model (SEM) constructed by Amos 21.0 was employed to assess the indirect effect of depression (Geriatric Depression Scale, GDS) and resilience (Connor-Davidson Resilience Scale, CD-RISC) on the relationship between family function (Family APGAR Score, APGAR) and QOL (12-item Short Form health survey, SF-12) in 474 elderly adults from three communities in Guangzhou, China...
February 27, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28258987/physical-activity-levels-of-community-dwelling-older-adults-are-influenced-by-winter-weather-variables
#4
G R Jones, C Brandon, D P Gill
Winter weather conditions may negatively influence participation of older adults in daily physical activity (PA). OBJECTIVE: Assess the influence of winter meteorological variables, day-time peak ambient temperature, windchill, humidity, and snow accumulation on the ground to accelerometer measured PA values in older adults. METHODS: 50 community-dwelling older adults (77.4±4.7yrs; range 71-89; 12 females) living in Southwestern Ontario (Latitude 42.9°N Longitude 81...
February 22, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28242579/comparison-of-two-frailty-indices-in-the-physicians-health-study
#5
Ariela R Orkaby, Tammy T Hshieh, John M Gaziano, Luc Djousse, Jane A Driver
BACKGROUND: As the population ages it is important to identify frailty, a powerful predictor of morbidity and mortality, and often an important unmeasured confounder. We sought to develop a frailty index in the Physician's Health Study (PHS) and estimate the association with mortality. METHODS: Prospective cohort study. Annual questionnaire assessed mood, function and health status. Two frailty scores were compared - cumulative deficit frailty index (PHS FI) and modified Study of Osteoporotic Fracture (mSOF) frailty score...
February 20, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28242580/tailored-education-program-using-home-floor-plans-for-falls-prevention-in-discharged-older-patients-a-pilot-randomized-controlled-trial
#6
Tetsuya Ueda, Yumi Higuchi, Masakazu Imaoka, Emiko Todo, Tomomi Kitagawa, Suguru Ando
OBJECTIVE: To investigate the effect of a tailored education program using home floor plans on falls prevention in discharged older patients. DESIGN: A single-center, parallel, pragmatic, pilot randomized controlled trial with equal allocation to the intervention and control groups. SETTING: Discharged hospital patients were followed-up in their home settings. PARTICIPANTS: All discharged orthopedic patients aged ≥65 years who experienced ≥1 fall(s) in the past year (n=60)...
February 17, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28237746/cognitive-behavioral-treatment-for-depressed-patients-with-alzheimer-s-disease-an-open-trial
#7
José María García-Alberca
BACKGROUND: Depression has a high prevalence among patients with Alzheimer's disease, and it has a significant negative impact on their functioning. However, despite its significant impact and challenge, few treatment outcomes data are available to guide clinical care of depression among this population. We developed a cognitive-behavioral intervention to persons with AD. In this paper, we describe the intervention and results of an open trial evaluating its feasibility and utility. SETTING: Dementia Unit...
February 14, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28242578/the-role-of-perceived-discrimination-on-active-aging
#8
Rocio Fernandez-Ballesteros, Ricardo Olmos, Marta Santacreu, Antonio Bustillos, Maria Angeles Molina
Among older adults, perceived age discrimination is highly associated with unhealthy outcomes and dissatisfaction. Active aging is a multidimensional concept described by a set of characteristics, particularly health, positive mood and control; most importantly, active aging is currently at the core of public policies. The aim of the present study was to test to what extent perceived discrimination influences active aging. Methods A total of 2005 older adults in three representative samples from regions of Germany, Mexico and Spain participated; they were tested on active aging and perceived discrimination...
February 10, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28219847/normalizing-handgrip-strength-in-older-adults-an-allometric-approach
#9
Geraldo A Maranhao Neto, Aldair J Oliveira, Rodrigo Cunha de Melo Pedreiro, Pedro Paulo Pereira-Junior, Sergio Machado, Silvio Marques Neto, Paulo T V Farinatti
PURPOSE: Handgrip strength is an important variable to assess as part of any health intervention among older adults. Although the use of allometric normalization is the appropriate approach for removing the body size effect in handgrip performance, the best body size variable for this normalization is still unclear. Therefore, the aim of the present study was to compare the use of three body size variables (body mass, fat-free mass and body height) in allometric normalization for Handgrip strength among older adults...
May 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28219846/changing-caregiving-relationships-for-older-home-based-chinese-people-in-a-transitional-stage-trends-factors-and-policy-implications
#10
Lijuan Gu, Mark W Rosenberg, Juxin Zeng
BACKGROUND: In the transitional stage of socioeconomic development, the traditional practice of home-based care in China is being tested. The evolution and factors of home-based care utilization are the prerequisites for the formulation of a support policy. However, no extant research has studied home-based elder care on a national scale. AIM: This paper aims to examine changing caregiving relationships nationwide for home-based elderly individuals and investigate the changing factors of care utilization in a ten-year period, with special attention to the effects of "location" on care patterns...
May 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28214764/recurrent-falls-and-its-risk-factors-among-older-men-living-in-the-veterans-retirement-communities-a-cross-sectional-study
#11
Cheng-Hao Hung, Chih-Jen Wang, Ting-Ching Tang, Liang-Yu Chen, Li-Ning Peng, Fei-Yuan Hsiao, Liang-Kung Chen
AIM: To evaluate the prevalence of recurrent falls and their risk factors among older men living in the Veterans Homes in Taiwan. METHODS: This cross-sectional study enrolled 871 residents and all participants received the comprehensive geriatric assessment, including Barthel Index, Mini-Mental Status Examination (MMSE), Geriatric Depression Scale-5 questions (GDS-5), Mini-Nutrition Assessment Short Form (MNA-SF), the status of urinary incontinence, stool incontinence, polypharmacy, past history of falls, multimorbidity, and medication history...
May 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28214402/relationship-between-chewing-ability-and-cognitive-impairment-in-the-rural-elderly
#12
Eun-Kyong Kim, Sung Kook Lee, Youn-Hee Choi, Makiko Tanaka, Kimiko Hirotsu, Hyeon Chang Kim, Hee-Kyung Lee, Yun-Sook Jung, Atsuo Amano
OBJECTIVE: Relationship between masticatory function and cognitive impairment had been suggested but still understudied. We investigated the association between chewing ability and cognitive impairment among the elderly living in a rural region. METHODS: A total of 295 elderly individuals aged ≥70 years in a rural city of Korea participated in a cross-sectional study. Trained nurses conducted interviews and assessed chewing ability using gum that changed color based on chewing performance...
May 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28214401/association-between-loss-of-bone-mass-due-to-short-sleep-and-leptin-sympathetic-nervous-system-activity
#13
Nagato Kuriyama, Masaaki Inaba, Etsuko Ozaki, Yutaro Yoneda, Daisuke Matsui, Kanae Hashiguchi, Teruhide Koyama, Komei Iwai, Isao Watanabe, Rika Tanaka, Chie Omichi, Shigeto Mizuno, Masao Kurokawa, Motoyuki Horii, Fumitoshi Niwa, Koichi Iwasa, Shinsuke Yamada, Yoshiyuki Watanabe
BACKGROUND: Sleep has been reported to be an important factor in bone metabolism, and sympathetic nervous system activity has been reported to regulate bone metabolism. In this study, we evaluated the association between sleep, sympathetic nervous system activity, and bone mass. METHODS: The study subjects were 221 individuals (108 males; 113 females; mean age: 55.1±7.0years) divided into two groups: those who slept for less than 6h a day (short sleep [SS] group), and those who slept 6h or longer (normal sleep [NS] group)...
May 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28214400/association-between-bisphosphonate-therapy-and-outcomes-from-rehabilitation-in-older-people
#14
James A Goodbrand, Lloyd D Hughes, Lynda Cochrane, Peter T Donnan, Mark McGilchrist, Helen Frost, Marion E T McMurdo, Miles D Witham
BACKGROUND: Bisphosphonate therapy may have actions beyond bone, including effects on cardiovascular, immune and muscle function. We tested whether bisphosphonate treatment is associated with improved outcomes in older people undergoing inpatient rehabilitation. METHODS: Analysis of prospectively collected, linked routine clinical datasets. Participants were divided into never users of bisphosphonates, use prior to rehabilitation only, use after rehabilitation only, and current users (use before and after rehabilitation)...
May 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28192754/life-course-indices-for-social-determinants-of-self-rated-health-trajectory-in-korean-elderly
#15
Jiae Lee, Sung-Il Cho, Heeran Chun, Kyunghee Jung-Choi, Minah Kang, Soong-Nang Jang
OBJECTIVES: This study investigated the self-rated health trajectories of the Korean older population and revealed life-course factors that affect the trajectories over the life course. METHODS: Around 1000 older adults were randomly allocated by stratified multi-stage sampling based on the population census, and underwent face-to-face interviews. Self-rated health status, socioeconomic variables over the life course, and demographic variables were included in the analysis...
May 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28192753/dietary-patterns-in-french-home-living-older-adults-results-from-the-prause-study
#16
C Ferrand, C Féart, G Martinent, C Albinet, N André, M Audiffren
The aim of the present study was to provide descriptive dietary patterns of home-living older adults, and to examine their association with sociodemographic and 'diet-related' variables, and health and psychological factors. Dietary patterns were analyzed using separately cluster analysis for men (N=151,Mage=72.72, SD=8.80, range=56-97) and women (N=251, Mage=76.74, SD=9.95, range=55-97) in 402 older adults aged 55 years and over. Cluster analyses showed four distinct dietary profiles for each gender. In older men, the four distinct dietary clusters were associated with any differences in sociodemographic and diet-related variables, cognitive function, and health and psychological factors...
May 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28182895/validity-test-retest-reliability-sensitivity-to-change-and-feasibility-of-motor-cognitive-dual-task-assessments-in-patients-with-dementia
#17
Nele C Lemke, Stefanie Wiloth, Christian Werner, Klaus Hauer
OBJECTIVE: To investigate validity, test-retest reliability, sensitivity to change, and feasibility of dual task (DT) assessments in patients with dementia. DESIGN: Validation study. SETTING: Post ward-rehabilitation. PARTICIPANTS: Geriatric patients (n=105) with dementia (age 82.7±5.9, MMSE score 21.9). MAIN OUTCOME MEASURES: Psychometric quality of DT performance of different DT-tests. Analyses were performed for motor and cognitive performance, and relative DT costs (DTCs)...
May 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28178601/bone-health-among-older-adults-in-taiwan
#18
Wei-Jen Wang, Kuan-Liang Kuo, Chen-Kun Liaw, Tai-Yin Wu, Wei-Chu Chie, Jer-Min Chen
BACKGROUND AND PURPOSE: There has been much discussion about the risk factors for osteoporosis, but studies involving elderly population in Taiwan are minimal. We aimed to describe variables related to osteoporosis among community dwelling older people in Taiwan. METHODS: This is a cross-sectional study. The 671 participants were randomly selected from 3680 examinees of the annual Senior Citizens Health Examination in year 2010. Participants were interviewed with a detailed questionnaire, and 91 of them were invited for dual-energy X-ray absorptiometry (DXA)...
May 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28171836/content-of-advance-care-planning-among-japanese-elderly-people-living-at-home-a-qualitative-study
#19
Yoshihisa Hirakawa, Chifa Chiang, Esayas Haregot Hilawe, Atsuko Aoyama
PURPOSE OF STUDY: Elderly peoples' values and preferences for end-of-life care have not yet known in details. The aim of the present study was to investigate the end-of-life wishes and decision making among Japanese elderly people who required home care services. The study was designed to qualitative research strategies, using face to face interview data recorded in nursing care records, with a focus on advance care planning. DESIGN AND METHODS: A total of 102 elderly people (47 males, 55 females) of 6 home care support offices in Hyogo prefecture participated...
May 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28161691/piloting-the-older-adult-financial-exploitation-measure-in-adult-safeguarding-services
#20
A Phelan, G Fealy, C Downes
Financial abuse is arguably the most complex form of elder abuse as it may occur remote to the older person and it is impacted by issues such as cultural values, perpetrator intent and family expectations. Financial abuse may not be recognised by either the older person or the perpetrator, thus, its prevention, early identification and amelioration are important. The (Irish) National Centre for the Protection of Older People undertook a study to determine the appropriateness of the Older Adult Financial Exploitation Measure for use by the national safeguarding older person services...
May 2017: Archives of Gerontology and Geriatrics
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