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BMC Geriatrics

Rosanne Blanchet, Nancy Edwards
BACKGROUND: Falls occurring on stairs or in bathrooms are associated with a high risk of injuries among older adults. Home environmental assessments are frequently used to guide fall-prevention interventions. The aims of this review were to describe how, where, by whom, and for whom environmental hazard checklists are used, and to examine the characteristics of environmental hazard assessment checklists with specific attention to features of bathrooms and stairs/steps assessed in them...
November 9, 2018: BMC Geriatrics
Huan-Ji Dong, Britt Larsson, Lars-Åke Levin, Lars Bernfort, Björn Gerdle
BACKGROUND: Obesity and chronic pain are common comorbidities and adversely influence each other. Advanced age is associated with more comorbidities and multi-morbidities. In this study, we investigated the burden of overweight/obesity and its comorbidities and their associations with chronic pain in a random population sample of Swedish older adults. METHODS: The cross-sectional analysis involved a random sample of a population ≥ 65 years in south-eastern Sweden (N = 6243)...
November 8, 2018: BMC Geriatrics
Taishi Tsuji, Merja Rantakokko, Erja Portegijs, Anne Viljanen, Taina Rantanen
BACKGROUND: The purpose of the study was to explore the single and combined contributions of body mass index (BMI) and lower extremity performance as modifiable physical factors, and the influence of use of a private car as an environmental factor on prevalent and incident life-space restriction in community-dwelling older people. METHODS: Community-dwelling people aged 75-90 years (n = 823) participated in the Life-Space Mobility in Old Age (LISPE) two-year follow-up study...
November 8, 2018: BMC Geriatrics
Carla M C Nascimento, Marisa S Zazzetta, Grace A O Gomes, Fabiana S Orlandi, Karina Gramani-Say, Fernando A Vasilceac, Aline C M Gratão, Sofia C I Pavarini, Marcia R Cominetti
BACKGROUND: The complex physiology underpinning the frailty syndrome is responsible for the absence of robust biomarkers that can be used for screening, diagnostic and/or prognostic purposes and has made clinical implementation difficult. Considering socially vulnerable populations, who have poor health status and increased morbidity and mortality, this scenario is even more complex. However, to the best of our knowledge, there are no studies available to investigate frailty biomarkers in socially vulnerable populations...
November 6, 2018: BMC Geriatrics
Carl-Philipp Jansen, Corinna Nerz, Franziska Kramer, Sarah Labudek, Jochen Klenk, Judith Dams, Hans-Helmut König, Lindy Clemson, Clemens Becker, Michael Schwenk
BACKGROUND: The Lifestyle-Integrated Functional Exercise (LiFE) program is effective in improving strength, balance, and physical activity (PA) while simultaneously reducing falls in older people by incorporating exercise activities in recurring daily tasks. However, implementing the original LiFE program includes substantial resource requirements. Therefore, as part of the LiFE-is-LiFE project, a group format (gLiFE) of the LiFE program has been developed, which will be tested regarding its noninferiority to the individually delivered LiFE in terms of PA-adjusted fall incidence and overall cost-effectiveness...
November 6, 2018: BMC Geriatrics
Yoshiaki Tamura, Joji Ishikawa, Yoshinori Fujiwara, Masashi Tanaka, Nobuo Kanazawa, Yuko Chiba, Ai Iizuka, Sho Kaito, Jun Tanaka, Masamitsu Sugie, Takashi Nishimura, Akiko Kanemaru, Keigo Shimoji, Hirohiko Hirano, Ko Furuta, Akihiko Kitamura, Satoshi Seino, Shoji Shinkai, Kazumasa Harada, Shunei Kyo, Hideki Ito, Atsushi Araki
BACKGROUND: Although frailty and cognitive impairment are critical risk factors for disability and mortality in the general population of older inhabitants, the prevalence and incidence of these factors in individuals treated in the specialty outpatient clinics are unknown. METHODS: We recently established a frailty clinic for comprehensive assessments of conditions such as frailty, sarcopenia, and cognition, and planned 3-year prospective observational study to identify the risk factors for progression of these aging-related statuses...
November 6, 2018: BMC Geriatrics
Ling Wu, Zhongrui Yan, Hui Jiang, Huaimei Xing, Haohao Li, Chengxuan Qiu
BACKGROUND: The relationship between kidney function and depressive symptoms among elderly people has been rarely investigated in settings of the general population. The aim of our study was to examine the association of serum cystatin C (cysC) and impaired kidney function with geriatric depressive symptoms among older people living in a rural community in China. METHODS: This population-based cohort study included 1440 individuals (age ≥ 60 years) who were recruited for the Confucius Hometown Aging Project in 2010-2011; of the 1124 persons who were free of depressive symptoms, 669 (59...
November 6, 2018: BMC Geriatrics
Julia Wearing, Peter Konings, Maria Stokes, Eling D de Bruin
BACKGROUND: Handgrip strength is indicative of overall physical health and mobility in the elderly. A reduction in strength below a certain threshold severely increases the risk of mobility limitations and is predictive for adverse outcomes such as dependence in daily activities and mortality. An overview of age- and geography- specific handgrip strength values in older adults provide a reference for further investigations and measures in clinical practice to identify people at risk for clinically meaningful weakness...
November 6, 2018: BMC Geriatrics
Samuel R Nyman, Christopher Hayward, Wendy Ingram, Peter Thomas, Sarah Thomas, Michael Vassallo, James Raftery, Helen Allen, Yolanda Barrado-Martín
BACKGROUND: Falls are a public health issue for the older adult population and more so for people with dementia (PWD). Compared with their cognitively intact peers, PWD are at higher risk of falls and injurious falls. This randomised controlled trial aims to test the clinical and cost effectiveness of Tai Chi to improve postural balance among community-dwelling PWD and to assess the feasibility of conducting a larger definitive trial to reduce the incidence of falls among PWD. METHODS: A 3-centre parallel group randomised controlled trial with embedded process evaluation...
November 3, 2018: BMC Geriatrics
Sergei Muratov, Justin Lee, Anne Holbrook, Andrew Costa, J Michael Paterson, Jason R Guertin, Lawrence Mbuagbaw, Tara Gomes, Wayne Khuu, Jean-Eric Tarride
BACKGROUND: Senior high cost health care users (HCU) are a priority for many governments. Little research has addressed regional variation of HCU incidence and outcomes, especially among incident HCU. This study describes the regional variation in healthcare costs and mortality across Ontario's health planning districts [Local Health Integration Networks (LHIN)] among senior incident HCU and non-HCU and explores the relationship between healthcare spending and mortality. METHODS: We conducted a retrospective population-based matched cohort study of incident senior HCU defined as Ontarians aged ≥66 years in the top 5% most costly healthcare users in fiscal year (FY) 2013...
November 1, 2018: BMC Geriatrics
Jae Myeong Kang, Young-Sung Cho, Soowon Park, Byung Ho Lee, Bo Kyung Sohn, Chi Hyun Choi, Jeong-Seok Choi, Hee Yeon Jeong, Seong-Jin Cho, Jae-Hong Lee, Jun-Young Lee
BACKGROUND: The Montreal Cognitive Assessment (MoCA) is known to have discriminative power for patients with Mild Cognitive Impairment (MCI). Recently Cognitive Reserve (CR) has been introduced as a factor that compensates cognitive decline. We aimed to assess whether the MoCA reflects CR. Furthermore, we assessed whether there were any differences in the efficacy between the MoCA and the Mini-Mental State Examination (MMSE) in reflecting CR. METHODS: MoCA, MMSE, and the Cognitive Reserve Index questionnaire (CRIq) were administered to 221 healthy participants...
October 30, 2018: BMC Geriatrics
Nikki L Hill, Jacqueline Mogle
BACKGROUND: Subjective memory impairment (SMI), or the perception of memory problems in the absence of objective memory deficits, is associated with negative outcomes of individual and societal significance, including a substantially increased risk of Alzheimer's disease (AD). However, little is known regarding the mediators that link SMI and memory decline in some individuals, or which older adults with SMI are at greatest risk for memory decline. In this study, we will examine modifiable AD risk factors (specifically affective symptoms and activity participation) as mediators underlying linkages among SMI and memory decline over time; furthermore, we will characterize SMI subgroups at highest risk for memory decline via this pathway...
October 29, 2018: BMC Geriatrics
Su Hwan Lee, Soo Jung Kim, Yoon Hee Choi, Jin Hwa Lee, Jung Hyun Chang, Yon Ju Ryu
BACKGROUND: There has been a steady increase in the aging population and an increase in the need for long-term care beds in institutions and hospitals (LTCHs) in Korea. The aim of this study was to investigate prognosis and to identify factors contributing to mortality of critically ill patients with respiratory problems who were directly transferred to intensive care units (ICU) from LTCHs. METHODS: Following a retrospective review of clinical data and radiographic findings between July 2009 and September 2016, we included 111 patients with respiratory problems who had visited the emergency room (ER) transferred from LTCHs due to respiratory symptoms and who were then admitted to the ICU...
October 26, 2018: BMC Geriatrics
André Hajek, Hans-Helmut König
BACKGROUND: There is a lack of studies that focus explicitly on the association between social exclusion and obesity. The aim of the present study was to identify whether social exclusion is associated with obesity in older adults, and whether this association is moderated by sex. METHODS: Data were derived from wave 5 (2014) of the German Ageing Survey - a representative sample of individuals residing in private households aged 40 and over in Germany. A validated scale developed by Bude and Lantermann was used to assess social exclusion...
October 25, 2018: BMC Geriatrics
Jepchirchir Kiplagat, Susann Huschke
BACKGROUND: Finding HIV infected persons and engaging them in care is crucial in achieving UNAIDS 90-90-90 targets; diagnosing 90% of those infected with HIV, initiating 90% of the diagnosed on ART and achieving viral suppression in 90% of those on ART. To achieve the first target, no person should be left behind in their access to HIV testing services. In Kenya, HIV prevention and testing services give less emphasis on older adults. This article describes HIV testing experiences of older adults living with HIV and how their age shaped their interaction and treatment received during HIV testing and diagnosis...
October 25, 2018: BMC Geriatrics
Madushika Wishvanie Kodagoda Gamage, Chandana Hewage, Kithsiri Dedduwa Pathirana
BACKGROUND: Although cognitive functions affect the health related quality of life (QoL), the relationship between perceived QoL and cognition including executive functions has not been studied adequately. Available studies show moderate to weak correlations. We evaluated the association of cognition and executive functions, namely working memory (WM) and inhibitory control (IC) with the perceived QoL of a sample of elderly people dwelling in residential aged care facilities (RACFs) in Southern Province of Sri Lanka...
October 24, 2018: BMC Geriatrics
Gindo Tampubolon, Asri Maharani
BACKGROUND: Difference in life expectancy between males and females has been suggested to rest on sex difference in physiological dysregulation. But allostatic load, a physiological index, has not been carefully examined for an extended period beyond middle age. We aim to draw longitudinal trajectories of allostatic load in a national sample of older Americans and Britons; also to examine sex-based trajectories and factors behind their differences. METHODS: We studied men and women aged ≥50 years participating in the Health and Retirement Study Waves 8-11, 2006-2012 (N = 15,583 person-years) and the English Longitudinal Study of Ageing Waves 2, 4 and 6, 2004-2012 (N = 14,765 person-years)...
October 23, 2018: BMC Geriatrics
Maria Bjerk, Therese Brovold, Dawn A Skelton, Astrid Bergland
BACKGROUND: Falls and injuries in older adults have significant consequences and costs, both personal and to society. Although having a high incidence of falls, high prevalence of fear of falling and a lower quality of life, older adults receiving home care are underrepresented in research on older fallers. The objective of this study is to determine the associations between health-related quality of life (HRQOL), fear of falling and physical function in older fallers receiving home care...
October 22, 2018: BMC Geriatrics
Elizabeth G Birkenhäger-Gillesse, Boudewijn J Kollen, Sytse U Zuidema, Wilco P Achterberg
BACKGROUND: Caring for people with dementia imposes heavy burdens on caregivers, especially spouses. This can lead to depression, anxiety, and physical symptoms in the caregiver, with early institutionalization for the patient. An Australian study reported that a residential caregiver training program delivered in medical settings could delay nursing home admission, lower mortality, reduce psychological morbidity in caregivers, and lower healthcare costs. In this replication study, we aim to determine the effectiveness of an adaptation of this program to non-medical settings in the Dutch health care system...
October 22, 2018: BMC Geriatrics
Yuan Zhao, Hong Fu, Aimei Guo, Li Qiu, Karen S L Cheung, Bei Wu, Daniela Jopp, Danan Gu
BACKGROUND: Self-perceived uselessness is associated with poorer health in older adults. However, it is unclear whether there is a difference in self-perceived uselessness between centenarians and non-centenarians, and if so, which factors contributed to the difference. METHODS: We used four waves of a nationwide longitudinal dataset from 2005 to 2014 in China to investigate these research goals. We first performed multinomial logit regression models to examine the risk of the high or moderate frequency of self-perceived uselessness relative to the low frequency among centenarians (5778 persons) in comparison with non-centenarians aged 65-99 (20,846 persons)...
October 22, 2018: BMC Geriatrics
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