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Archives of Gerontology and Geriatrics

Daniela Figueiredo, Martina Neves
The majority of validation studies with the Falls Efficacy Scale-International (FES-I) are conducted with independent community-dwelling older people, which limits extrapolation to more vulnerable people, namely those receiving adult day care services. This study aimed to analyse the psychometric properties of the FES-I in terms of internal consistency, test-retest reliability, concurrent and convergent validity with users of adult day care centres. A cross-sectional study was conducted. Data collection included a socio-demographic questionnaire, the FES-I, the Activities-specific Balance Confidence Scale (ABC), the Hospital Anxiety and Depression Scale (HADS), the Timed Up and Go test (TUG) and the Five Times Sit to Stand Test (FTSST)...
September 10, 2018: Archives of Gerontology and Geriatrics
Jimmie Kristensson, Magdalena Andersson, Anna Condelius
One strategy to achieve coordination of care for older people with complex care needs is the establishment of shared care plans. The aim of this study was to explore the process of establishing a shared care plan from the perspective of elderly people and their next of kin. Data were collected via 12 semi-structured interviews with 12 older persons targeted in joint care planning and 11 next of kin, either alone or together. The analysis was conducted using content analysis. The results reflect the process of establishing a shared care plan in the three categories; Preparation, Content and Results with belonging sub-categories...
September 1, 2018: Archives of Gerontology and Geriatrics
Gholam Reza Sotoudeh, Reza Mohammadi, Zahra Mosallanezhad, Eija Viitasara, Joaquim J F Soares
BACKGROUND AND AIM: Falling threatens the health, independence and quality of life of older adults. Information about characteristics and predisposing factors of falls is essential to develop and implement effective preventing measure. The aim of this study was to examine the prevalence, circumstances and consequences of falls among community-dwelling older adults in Tehran, Iran, and scrutinize factors (e.g. demographics) associated with falls. METHODS: A cross-sectional study was conducted in Tehran...
August 30, 2018: Archives of Gerontology and Geriatrics
Joseph W Jones, Thomas Ledermann, Elizabeth B Fauth
OBJECTIVE: Self-Rated Health (SRH) and depressive symptoms are important indicators of global quality of life in older adults. Prior research suggests associations between SRH and depressive symptoms. The current study assessed latent groups in levels and trajectories of these two subjective health indicators and how the latent groups relate to each other. METHODS: Participants from the Australian Longitudinal Study of Aging (N = 2,087, ages 65+) were assessed over six waves of data collection, spanning eight years...
August 29, 2018: Archives of Gerontology and Geriatrics
Yu-Cheng Lai, Pei-Ling Tang, Tsu-Jen Kuo, Chien-Jen Hsu
BACKGROUND: Geriatric hip fractures are mostly managed by internal fixation (IF) or hemiarthroplasty (HA). Survivorship of dementia patients following these surgeries has not been extensively compared in literature. By analysis of nationwide database, this study aimed to investigate the impact of dementia on two-year mortality after IF and HA in treating geriatric hip fractures. METHOD: From retrospective review of Taiwan's National Health Insurance Research Database, we enrolled 153,623 subjects aged 65 years and older with hospitalization for first hip fracture operated by IF (93,029 cases) or HA (60,594 cases) between 2000 and 2011...
August 28, 2018: Archives of Gerontology and Geriatrics
Bektas Murat Yalcin, Hasan Pirdal, Esat Veli Karakoc, Erkan Melih Sahin, Onur Ozturk, Mustafa Unal
AIM/BACKGROUND: To investigate levels of depression, quality of life, general health perception, and factors affecting these in grandmothers providing care for their grandchildren. MATERIAL/METHOD: One hundred two family physicians from four cities (Samsun, Amasya, Canakkale, and Izmir) in Turkey investigated 2859 women older than 65 years on their patient lists. Of these, 282 (9.8%) had spent at least 50 h caring for their grandchildren in the previous three months, and these were selected as the study group, while the remaining 2563 (89...
August 27, 2018: Archives of Gerontology and Geriatrics
Oscar H Del Brutto, Robertino M Mera, Mauricio Zambrano, Aldo F Costa
BACKGROUND: Earlobe crease (ELC) has been linked to cardiovascular diseases, but information on its association with cognitive decline is limited. We aimed to assess the association between ELC and cognitive performance in community-dwelling adults living in rural Ecuador. METHODS: Of 863 individuals aged ≥40 years enrolled in the Atahualpa Project, 629 (73%) were included. ELC were visually identified by two independent raters, and cognitive performance was measured by the Montreal Cognitive Assessment (MoCA)...
August 27, 2018: Archives of Gerontology and Geriatrics
Jai N Darvall, Kate J Gregorevic, David A Story, Ruth E Hubbard, Wen K Lim
BACKGROUND/OBJECTIVES: Frail patients are increasingly presenting for both perioperative and intensive care, highlighting the need for simple, valid and scaleable frailty measurement. Frailty indexes comprehensively assess a range of deficits in health, and can incorporate routinely collected data. The purpose of this systematic review was to evaluate the effect of frailty indexes on surgical and intensive care risk stratification and patient outcomes (mortality, complications, length of stay, and discharge location)...
August 19, 2018: Archives of Gerontology and Geriatrics
Ryusuke Miki, Carl B Becker, Kazuki Ide, Koji Kawakami
OBJECTIVES: This study aimed to reveal Japanese elders' perspective on optimal timing and method of receiving unified guidance about advance directives (AD). METHODS: We convened 202 elders (average age 66) to learn about end-of-life at Kyoto University. They listened to a presentation and viewed two videos on advance care planning and AD; then 167 completed detailed questionnaires about unified timing and methods of providing such information. RESULTS: A majority of Japanese elders (79%) agreed with unified guidance in combination with the issue of health insurance cards at age 65 or 75...
August 12, 2018: Archives of Gerontology and Geriatrics
Jae-Hyun Kim, Yongjoo Rhee, Yunhwan Lee
This study investigates the different pattern of change in comorbidity over time and its effect on mortality in older adults in South Korea. Data are from the National Health Insurance Service-Korean Senior (NHIS-Korean Senior) claim database, consisting of a random sample of 10% of adults aged 60 years and older. At baseline in 2002 121,733 subjects, who were admitted to the hospital at least once a year between 2002 and 2008, were analyzed. We used the Cox proportional hazards models after growth mixture modeling (GMM) to estimate trajectories in the combined comorbidity Index scores which is the Gagne's method between 2002 and 2008, and their 1-, 3-, and 5-year mortality rates...
August 9, 2018: Archives of Gerontology and Geriatrics
Boyang Lu, Ruizhi Zhang, Jianqian Chao
The purpose of this study was to evaluate the health status and associated factors of the elderly women in China. A cross-sectional survey from cluster random sampling method was performed between March 2013 and December 2013. 1910 elderly people aged 60 years and over were selected in a community of Nanjing, China, including 977 elderly women. The self-designed elderly health assessment scale questionnaire was used. The data were analyzed through χ2 -test and ordinal logistic regression. The results showed that the older women were higher in proportion than older men, the elderly women had lower in education, higher in divorced or widowed proportions, higher in living alone, and higher in no occupations...
August 8, 2018: Archives of Gerontology and Geriatrics
Chit Wai Wong, Chi Shing Leung, Chung Ping Leung, Jen Ngai Cheng
Elderly people living in long term care institutions are particularly at risk of vitamin B12 deficiency. The prevalence of vitamin B12 deficiency was 34.9% among the 1996 institutionalized elderly residents in our previous study. The present retrospective study evaluated the association of metformin use with vitamin B12 deficiency in the same group of patients. Of 1996 patients, 507 (25.4%) had diabetes, of which 188 received metformin treatment. The prevalence of vitamin B12 deficiency in diabetic patients taking metformin was 53...
July 30, 2018: Archives of Gerontology and Geriatrics
Haibin Li, Jin Guo, Anxin Wang, Deqiang Zhang, Yanxia Luo, Wei Wang, Xia Li, Zhe Tang, Xiuhua Guo
INTRODUCTION: There are few studies on how lifestyle factors and mental conditions modulate the cerebrovascular diseases (CBVD) mortality risk are rare in the Asian elderly. AIM: To comprehensively assess the impact of lifestyle factors and mental conditions on the mortality risk of CBVD among the Chinese older adults. MATERIAL AND METHODS: This community-based prospective cohort study was based on the Beijing Longitudinal Study of Aging. We included 2101 participants aged ≥55 years who were interviewed in August 1992 and followed until December 2015...
July 29, 2018: Archives of Gerontology and Geriatrics
Kanako Yoshimi, Koji Hara, Haruka Tohara, Ayako Nakane, Kazuharu Nakagawa, Kohei Yamaguchi, Yukiko Kurosawa, Saori Yoshida, Chantaramanee Ariya, Shunsuke Minakuchi
BACKGROUND AND OBJECTIVE: A decrease of swallowing muscle strength causes dysphagia, and a relationship between swallowing muscle strength and appendicular muscle mass has been reported. Moreover, the effect of trunk retention function on swallowing function has been clinically recognized. However, the relationship between trunk muscle mass and swallowing muscle strength is unclear. We aimed to clarify the association between these variables in elderly individuals. METHODS: Subjects were 118 healthy community-dwelling individuals aged ≥65 years (men: 37, women: 81)...
July 29, 2018: Archives of Gerontology and Geriatrics
Sarah E Piper, Phoebe E Bailey, Lawrence T Lam, Ian I Kneebone
OBJECTIVES: Older adults exhibit poorer mental health literacy than younger adults, including less accuracy at identifying symptoms of mental disorders, and endorsing fewer sources of treatment for a mental disorder. The current study's intention was to determine if the executive component of cognition is associated with mental health literacy in older adults, when controlling for other established predictors (sex, age, education, and proximity to someone with a mental disorder). METHOD: The sample included 85 cognitively healthy adults aged 60 and over...
July 26, 2018: Archives of Gerontology and Geriatrics
Aleksandra Szybalska, Katarzyna Broczek, Monika Puzianowska-Kuznicka, Przemyslaw Slusarczyk, Jerzy Chudek, Anna Skalska, Malgorzata Mossakowska
OBJECTIVES: Predictive effect of self-rated health (SRH) on mortality in older adults has been observed. The purpose of the study was to analyze this association in Poles aged 65+. METHODS: Data were obtained from the nationwide, multidisciplinary PolSenior project, conducted in a representative sample of older population. The study group comprised 4049 respondents (48.0% women) without significant cognitive deficit. SRH was measured using Visual Analog Scale. The analysis included selected socio-economic, health status and life-style factors...
July 24, 2018: Archives of Gerontology and Geriatrics
Hsiao-Ching Kuo, Ruey-Hsia Wang, Jen-Chyan Wang, Yi-Hsin Yang
PURPOSE: The objective of this study was to test a hypothesized conceptual model for both the clinical and non-clinical status of oral health and health related quality of life (OHRQoL & HRQoL) among community-dwelling elders. MATERIALS AND METHODS: Study participants (n = 517), who were recruited as part of a Taiwanese elderly community survey, were collected via dental examinations and questionnaires. We collected measures of clinical variables, self-reported symptom status, OHRQoL, nutritional status and HRQoL...
July 21, 2018: Archives of Gerontology and Geriatrics
Nicole Atchessi, Valéry Ridde, Seye Abimbola, Maria-Victoria Zunzunegui
This study aimed to examine the factors associated with healthcare-seeking behaviour of Nigeria's older adult population. Data were retrieved from the Nigeria General Household Survey (GHS - year 2013) database, representative at the national level. Bivariate analysis and Poisson regression were performed. Among 3587 adults aged 50 years and over, 850 reported having been sick in the previous four weeks, and 53% of those had consulted a health practitioner in that period. Those consulting were more likely to be women (PR = 1...
July 21, 2018: Archives of Gerontology and Geriatrics
Man Zhang, Jianqian Chao, Dan Li, Jiayi Gu, Wenji Chen, Hui Xu, Mubashir Hussain, Wenjuan Wu, Lin Deng, Tingting He, Ruizhi Zhang
OBJECTIVE: To investigate the effectiveness of the older-centered Integrated Health Management Model Project (OPCHMP) for multiple lifestyle behaviours in the elderly. METHODS: A 2-arm, parallel, randomized controlled trial was conducted in Nanjing. The elderly were recruited from multiple community health service centres. The intervention group was intervened and received a personalized, 2-year OPCHMP. The control group only received usual care. Adherence to healthy lifestyle behaviours (ATHLBS) is the primary outcome, obtained through a self-reported composite health behaviour score...
July 20, 2018: Archives of Gerontology and Geriatrics
He Chen, Yao Chen, Bin Cui
OBJECTIVES: To add evidence to the relationship between multimorbidity and healthcare expenditure. METHODS: The study population comprised patients aged ≥60 in Beijing, covered by the Urban Employee Basic Medical Insurance (UEBMI) (N = 30,774). Multimorbidity was measured with 33 chronic conditions confirmed by doctors. Multivariate linear regression was performed. RESULTS: The prevalence of multimorbidity was 82% among elderly patients in Beijing and was higher in older and female patients...
July 20, 2018: Archives of Gerontology and Geriatrics
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