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Journal of the American Medical Directors Association

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https://www.readbyqxmd.com/read/27914851/dynapenia-and-metabolic-health-in-obese-and-nonobese-adults-aged-70%C3%A2-years-and-older-the-life-study
#1
Mylène Aubertin-Leheudre, Stephen Anton, Daniel P Beavers, Todd M Manini, Roger Fielding, Ann Newman, Tim Church, Stephen B Kritchevsky, David Conroy, Mary M McDermott, Anda Botoseneanu, Mary E Hauser, Marco Pahor
OBJECTIVE: The purpose of this study was to examine the relationship between dynapenia and metabolic risk factors in obese and nonobese older adults. METHODS: A total of 1453 men and women (age ≥70 years) from the Lifestyle Interventions and Independence for Elders (LIFE) Study were categorized as (1) nondynapenic/nonobese (NDYN-NO), (2) dynapenic/nonobese (DYN-NO), (3) nondynapenic/obese (NDYN-O), or (4) dynapenic/obese (DYN-O), based on muscle strength (Foundation for the National Institute of Health criteria) and body mass index...
November 30, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27914850/understanding-what-people-intend-is-it-possible-from-written-advance-directives
#2
EDITORIAL
Jean Abbott
No abstract text is available yet for this article.
November 30, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27914849/age-related-variations-of-muscle-mass-strength-and-physical-performance-in-community-dwellers-results-from-the-milan-expo-survey
#3
Francesco Landi, Riccardo Calvani, Matteo Tosato, Anna Maria Martone, Domenico Fusco, Alex Sisto, Elena Ortolani, Giulia Savera, Sara Salini, Emanuele Marzetti
OBJECTIVES: Declining muscle mass and function are hallmarks of the aging process. The preservation of muscle trophism may protect against various negative health outcomes. Age- and sex-specific curves of muscle mass, strength, and function, using data from a large sample of community-dwelling people, are necessary. MATERIAL AND METHODS: Two surveys (Longevity Check-up and Very Important Protein [VIP]), conducted during EXPO 2015 in Milan, consisted of a population assessment aimed at evaluating the prevalence of specific health metrics in subjects outside of a research setting (n = 3206), with a special focus on muscle mass, strength, and function...
November 30, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27914848/falls-cognitive-impairment-and-gait-performance-results-from-the-good-initiative
#4
Gilles Allali, Cyrille P Launay, Helena M Blumen, Michele L Callisaya, Anne-Marie De Cock, Reto W Kressig, Velandai Srikanth, Jean-Paul Steinmetz, Joe Verghese, Olivier Beauchet
OBJECTIVES: Falls are highly prevalent in individuals with cognitive decline. The complex relationship between falls and cognitive decline (including both subtype and severity of dementia) and the influence of gait disorders have not been studied. This study aimed to examine the association between the subtype (Alzheimer disease [AD] versus non-AD) and the severity (from preclinical to moderate dementia) of cognitive impairment and falls, and to establish an association between falls and gait parameters during the course of dementia...
November 30, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27890352/residential-aged-care-medication-review-to-improve-the-quality-of%C3%A2-medication-use-a-systematic-review
#5
REVIEW
Kaeshaelya Thiruchelvam, Syed Shahzad Hasan, Pei Se Wong, Therese Kairuz
BACKGROUND: Aging is often associated with various underlying comorbidities that warrant the use of multiple medications. Various interventions, including medication reviews, to optimize pharmacotherapy in older people residing in aged care facilities have been described and evaluated. Previous systematic reviews support the positive impact of various medication-related interventions but are not conclusive because of several factors. OBJECTIVES: The current study aimed to assess the impact of medication reviews in aged care facilities, with additional focus on the types of medication reviews, using randomized controlled trials (RCTs) and observational studies...
November 24, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27889507/cyp2c9-genotypes-modify-benzodiazepine-related-fall-risk-original-results-from-three-studies-with-meta-analysis
#6
Annelies C Ham, Gijsbertus Ziere, Linda Broer, Karin M A Swart, Anke W Enneman, Suzanne C van Dijk, Janneke P van Wijngaarden, Nikita L van der Zwaluw, Elske M Brouwer-Brolsma, Rosalie A M Dhonukshe-Rutten, Natasja M van Schoor, M Carola Zillikens, Teun van Gelder, Oscar J de Vries, Paul Lips, Dorly J H Deeg, Lisette C P G M de Groot, Albert Hofman, Renger F Witkamp, André G Uitterlinden, Bruno H Stricker, Nathalie van der Velde
OBJECTIVE: To investigate whether the CYP2C9*2 and *3 variants modify benzodiazepine-related fall risk. DESIGN: Three prospective studies; the Rotterdam Study, B-PROOF, and LASA. SETTING: Community-dwelling individuals living in or near five Dutch cities. PARTICIPANTS: There were 11,485 participants aged ≥55 years. MEASUREMENTS: Fall incidents were recorded prospectively. Benzodiazepine use was determined using pharmacy dispensing records or interviews...
November 23, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27887892/the-third-transition-the-clinical-evolution-oriented-to-the-contemporary-older-patient
#7
EDITORIAL
Leocadio Rodriguez-Mañas, Fernando Rodríguez-Artalejo, Alan J Sinclair
No abstract text is available yet for this article.
November 22, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27887891/high-intake-of-nonmilk-extrinsic-sugars-is-associated-with-protein-and-micronutrient-dilution-in-home-dwelling-and-institutionalized-older-people
#8
Satu K Jyväkorpi, Kaisu H Pitkälä, Taija M Puranen, Mikko P Björkman, Hannu Kautiainen, Timo E Strandberg, Helena Soini, Merja H Suominen
BACKGROUND: High dietary sugar intake may compromise protein and micronutrient intakes in people with low energy intakes. The results of micronutrient dilution studies in older people have been few and conflicting. We examined the nutritional status and nutrient intakes associated with nonmilk extrinsic sugars (NMES) intakes in older people representing a broad spectrum of both healthy and vulnerable older populations. DESIGN AND PARTICIPANTS: This cross-sectional study combined five Finnish data sets covering home-dwelling (n = 526) and institutionalized (n = 374) older people...
November 22, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27876479/implications-of-orthostatic-hypotension-in-older-persons-with-and-without-diabetes
#9
LETTER
Rong Zhang, Theodore K Malmstrom
No abstract text is available yet for this article.
November 18, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27876478/physical-exercise-helped-to-maintain-and-restore-functioning-in-chinese-older-adults-with-mild-cognitive-impairment-a-5-year-prospective-study-of-the-hong-kong-memory-and-ageing-prospective-study-hk-maps
#10
Duan Yang Ma, Candy H Y Wong, Grace T Y Leung, Ada W T Fung, Wai Chi Chan, Linda C W Lam
OBJECTIVE: This study investigated the potential of physical exercise habit as a lifestyle modification against cognitive and functional decline at the community level. METHODS: A total of 454 community-dwelling Chinese older adults without dementia participated in the Hong Kong Memory and Ageing Prospective Study at baseline and follow-up at 5 years. Their cognitive and functional performances were assessed by the Cantonese version of the Mini-Mental State Examination (CMMSE) and the Chinese version of Disability Assessment in Dementia (DAD)...
November 18, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27876477/current-prescribing-practices-for-skin-and-soft-tissue-infections-in-nursing-homes
#11
Diana Feldstein, Philip D Sloane, David Weber, Kimberly Ward, David Reed, Sheryl Zimmerman
OBJECTIVES: Antibiotic stewardship has been called for across all sites of health care, including nursing homes (NHs). Skin and soft tissue infections (SSTIs) are the third most common indication for antibiotics in the NH, and so should be a focus of stewardship. This study audited medical records to identify signs and symptoms of SSTIs treated with antibiotics in relation to the McGeer criteria for surveillance, the Loeb minimum criteria for antibiotic initiation, and prescribing recommendations of the Infectious Disease Society of America...
November 18, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27847264/dietary-patterns-and-12-year-risk-of-frailty-results-from-the-three-city-bordeaux-study
#12
Sophie Pilleron, Soufiane Ajana, Marthe-Aline Jutand, Catherine Helmer, Jean-François Dartigues, Cécilia Samieri, Catherine Féart
OBJECTIVE: To analyze the association between dietary patterns and the 12-year risk of frailty and its components in community-dwelling elderly French adults. DESIGN: A prospective cohort study. SETTING: The Bordeaux sample of the Three-City Study. PARTICIPANTS: A total of 972 initially nonfrail nondemented participants (336 men and 636 women) aged 73 years on average, re-examined at least once over 12 years. MEASUREMENTS: Five sex-specific dietary clusters were previously derived at baseline...
November 12, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27847263/risk-of-hip-fracture-in-benzodiazepine-users-with-and-without-alzheimer-disease
#13
Laura Saarelainen, Anna-Maija Tolppanen, Marjaana Koponen, Antti Tanskanen, Reijo Sund, Jari Tiihonen, Sirpa Hartikainen, Heidi Taipale
OBJECTIVES: To investigate the association between benzodiazepine and related drug (BZDR) use and hip fracture as well as postfracture mortality and duration of hospital stay in community-dwellers with and without Alzheimer disease (AD). DESIGN: Retrospective cohort study. SETTING: The register-based Medication Use and Alzheimer's disease (MEDALZ) study, including all community-dwelling persons diagnosed with AD in Finland during 2005-2011 (n = 70,718) and their matched comparison persons without AD...
November 12, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27838339/cognitive-frailty-and-adverse-health-outcomes-findings-from-the-singapore-longitudinal-ageing-studies-slas
#14
Liang Feng, Ma Shwe Zin Nyunt, Qi Gao, Lei Feng, Keng Bee Yap, Tze-Pin Ng
OBJECTIVES: There is a recent consensus proposal of "cognitive frailty" defined by the presence of both physical frailty and cognitive impairment in the absence of dementia. The relevance, validity, and utilization of cognitive frailty, however, is presently unclear. We determine whether concurrent physical frailty and cognitive impairment, compared with physical frailty alone substantially increased adverse health outcomes (functional disability, hospitalization, poor quality of life [QOL], and mortality)...
November 9, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27838338/associations-between-geriatric-syndromes-and-mortality-in-community-dwelling-elderly-results-of-a-national-longitudinal-study-in-taiwan
#15
Chi-Chang Huang, Jenq-Daw Lee, Deng-Chi Yang, Hsin-I Shih, Chien-Yao Sun, Chia-Ming Chang
OBJECTIVE: Although geriatric syndromes have been studied extensively, their interactions with one another and their accumulated effects on life expectancy are less frequently discussed. This study examined whether geriatric syndromes and their cumulative effects are associated with risks of mortality in community-dwelling older adults. METHODS: Data were collected from the Taiwan Longitudinal Study in Aging in 2003, and the participant survival status was followed until December 31, 2007...
November 9, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27838337/care-related-quality-of-life-of-informal-caregivers-after-geriatric-rehabilitation
#16
Paulien H van Dam, Wilco P Achterberg, Monique A A Caljouw
OBJECTIVES: To describe care-related quality of life (CarerQoL) of informal caregivers after geriatric rehabilitation (GR) and identify associated determinants. DESIGN: A cross-sectional analysis within a prospective longitudinal follow-up study. SETTING: Evaluations at 4 weeks after finishing GR in 16 skilled nursing facilities. PARTICIPANTS: Included were 350 informal caregivers (66.2% female, age 63 years; standard deviation [SD], 13...
November 9, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27838336/visual-hallucinations-and-parkinsonism-in-dementia
#17
LETTER
Abid Iraqi, Terry Lynn Hughes
No abstract text is available yet for this article.
November 9, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27816483/sarcopenia-and-endothelial-function-in-patients-with-chronic-heart-failure-results-from-the-studies-investigating-comorbidities-aggravating-hf-sica-hf
#18
Marcelo R Dos Santos, Masakazu Saitoh, Nicole Ebner, Miroslava Valentova, Masaaki Konishi, Junichi Ishida, Amir Emami, Jochen Springer, Anja Sandek, Wolfram Doehner, Stefan D Anker, Stephan von Haehling
OBJECTIVES: Skeletal muscle wasting, also known as sarcopenia, has recently been identified as a serious comorbidity in patients with heart failure (HF). We aimed to assess the impact of sarcopenia on endothelial dysfunction in patients with HF with reduced ejection fraction (HFrEF) and with preserved ejection fraction (HFpEF). DESIGN: Cross-sectional study. SETTING: Ambulatory patients with HF were recruited at Charité Medical School, Campus Virchow-Klinikum, Berlin, Germany...
November 2, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27815110/hospital-to-post-acute-care-facility-transfers-identifying-targets-for-information-exchange-quality-improvement
#19
Christine D Jones, Ethan Cumbler, Benjamin Honigman, Robert E Burke, Rebecca S Boxer, Cari Levy, Eric A Coleman, Heidi L Wald
INTRODUCTION: Information exchange is critical to high-quality care transitions from hospitals to post-acute care (PAC) facilities. We conducted a survey to evaluate the completeness and timeliness of information transfer and communication between a tertiary-care academic hospital and its related PAC facilities. METHODS: This was a cross-sectional Web-based 36-question survey of 110 PAC clinicians and staff representing 31 PAC facilities conducted between October and December 2013...
November 1, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27815109/diabetes-associated-factors-as-predictors-of-nursing-home-admission-and-costs-in-the-elderly-across-europe
#20
Beatriz Rodríguez-Sánchez, Viola Angelini, Talitha Feenstra, Rob J M Alessie
OBJECTIVE: To identify the main factors associated with the use of nursing home facilities and to calculate their costs among older people with diabetes in Europe. METHODS: The sample included 48,464 individuals aged 50 years and older in 12 European countries participating in the Survey of Health, Aging, and Retirement in Europe study from 2004 to 2010. Cost data were obtained from the Organization for Economic Cooperation and Development and the World Bank. Logit regressions were used to assess the impact of diabetes, comorbidities, and functional status on the frequency of nursing home admission...
November 1, 2016: Journal of the American Medical Directors Association
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