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BMC Geriatrics

Dafne Piersma, Anselm B M Fuermaier, Dick De Waard, Ragnhild J Davidse, Jolieke De Groot, Michelle J A Doumen, Rudolf W H M Ponds, Peter P De Deyn, Wiebo H Brouwer, Oliver Tucha
BACKGROUND: Driving is related to social participation; therefore older drivers may be reluctant to cease driving. Continuation of driving has also been reported in a large proportion of patients with cognitive impairment. The aim of this study is to investigate whether patients with cognitive impairment adhere to driving cessation advice after a fitness-to-drive assessment and what the consequences are with regard to mobility. METHODS: Patients with cognitive impairment (n = 172) participated in a fitness-to-drive assessment study, including an on-road driving assessment...
September 17, 2018: BMC Geriatrics
Jing Yang, Fei Wang, Jing Wang, Xu Han, Hua Hu, Caizheng Yu, Jing Yuan, Ping Yao, Xiaoping Miao, Sheng Wei, Youjie Wang, Weihong Chen, Yuan Liang, Huan Guo, Xiaomin Zhang, Dan Zheng, Yuhan Tang, Handong Yang, Meian He
BACKGROUND: Emerging studies have investigated the association between different anthropometric indices with diabetes risk but the results were inconsistent. The aims of the study were to examine the associations of different anthropometric indices with incident diabetes risk and whether novel anthropometric indices improve diabetes prediction beyond traditional indices among elderly Chinese. METHODS: Nine thousand nine hundred sixty-two elderly individuals (age ≥ 60 years old) derived from the prospective Dongfeng-Tongji cohort were included...
September 17, 2018: BMC Geriatrics
Lisa-Marie Rutter, Eva Nouzova, David J Stott, Christopher J Weir, Valentina Assi, Jennifer H Barnett, Caoimhe Clarke, Nikki Duncan, Jonathan Evans, Samantha Green, Kirsty Hendry, Meigan McGinlay, Jenny McKeever, Duncan G Middleton, Stuart Parks, Robert Shaw, Elaine Tang, Tim Walsh, Alexander J Weir, Elizabeth Wilson, Tara Quasim, Alasdair M J MacLullich, Zoë Tieges
BACKGROUND: Delirium is a common and serious clinical syndrome which is often missed in routine clinical care. The core cognitive feature is inattention. We developed a novel bedside neuropsychological test for assessing inattention in delirium implemented on a smartphone platform (DelApp). We aim to evaluate the diagnostic performance of the DelApp in a representative cohort of older hospitalised patients. METHODS: This is a prospective study of older non-scheduled hospitalised patients (target n = 500, age ≥ 65), recruited from elderly care and acute orthopaedic wards...
September 17, 2018: BMC Geriatrics
Shaoqing Ge, Zheng Zhu, Bei Wu, Eleanor S McConnell
BACKGROUND: Individuals with mild cognitive impairment (MCI) are at heightened risk of developing dementia. Rapid advances in computing technology have enabled researchers to conduct cognitive training and rehabilitation interventions with the assistance of technology. This systematic review aims to evaluate the effects of technology-based cognitive training or rehabilitation interventions to improve cognitive function among individuals with MCI. METHODS: We conducted a systematic review using the following criteria: individuals with MCI, empirical studies, and evaluated a technology-based cognitive training or rehabilitation intervention...
September 15, 2018: BMC Geriatrics
Hannah M O'Rourke, Laura Collins, Souraya Sidani
BACKGROUND: Older adults are at risk for loneliness, and interventions to promote social connectedness are needed to directly address this problem. The nature of interventions aimed to affect the distinct, subjective concepts of loneliness/social connectedness has not been clearly described. The purpose of this review was to map the literature on interventions and strategies to affect loneliness/social connectedness for older adults. METHODS: A comprehensive scoping review was conducted...
September 15, 2018: BMC Geriatrics
Sarianna Sipilä, Anna Tirkkonen, Tuomo Hänninen, Pia Laukkanen, Markku Alen, Roger A Fielding, Miia Kivipelto, Katja Kokko, Jenni Kulmala, Taina Rantanen, Sanna E Sihvonen, Elina Sillanpää, Anna Stigsdotter-Neely, Timo Törmäkangas
BACKGROUND: Safe and stable walking is a complex process involving the interaction of neuromuscular, sensory and cognitive functions. As physical and cognitive functions deteriorate with ageing, training of both functions may have more beneficial effects on walking and falls prevention than either alone. This article describes the study design, recruitment strategies and interventions of the PASSWORD study investigating whether a combination of physical and cognitive training (PTCT) has greater effects on walking speed, dual-task cost in walking speed, fall incidence and executive functions compared to physical training (PT) alone among 70-85-year-old community-dwelling sedentary or at most moderately physically active men and women...
September 15, 2018: BMC Geriatrics
Prasun Chatterjee, Prakash Kumar, Ramesh Kandel, Ruchika Madan, Meenakshi Tyagi, Deepa Anil Kumar, Maroof Ahmad Khan, Gaurav Desai, Preeti Chaudhary, Shyama Gupta, Kanika Grover, Aparajit Ballav Dey
BACKGROUND: Identifying and treating people in a pre-frail state may be an effective way to prevent or delay frailty and preserve their functional capacity. This study aimed to assess the efficacy of, and compliance with, a 12 week individualized nutritional supplementation (INS) and Nordic walking (NW) program in pre-frail older Indians. The primary measure is physical performance, as indicated by Fried's Frailty scale. Other measures include: cognition, as indicated by the Hindi Mental Status Examination; mood, by the Geriatric Depression Scale; and nutritional status, by the Mini Nutritional Assessment...
September 14, 2018: BMC Geriatrics
Colleen J Maxwell, Michael A Campitelli, Christina Diong, Luke Mondor, David B Hogan, Joseph E Amuah, Sarah Leslie, Dallas Seitz, Sudeep Gill, Kednapa Thavorn, Walter P Wodchis, Andrea Gruneir, Gary Teare, Susan E Bronskill
BACKGROUND: The identification of contextual factors that modify associations between client frailty and their health and service use outcomes is essential for informed home health care and policy planning. Our objective was to examine variation in the associations between frailty and select 1-year health outcomes by caregiver distress and client sex among community-residing older care recipients. METHODS: We conducted a retrospective cohort study using linked population-based clinical and health administrative databases for all long-stay home care clients (n = 234,552) aged 66+ years assessed during April 2010-2013 in Ontario, Canada...
September 12, 2018: BMC Geriatrics
Kimi Estela Kobayashi-Cuya, Ryota Sakurai, Naoko Sakuma, Hiroyuki Suzuki, Masashi Yasunaga, Susumu Ogawa, Toru Takebayashi, Yoshinori Fujiwara
September 11, 2018: BMC Geriatrics
S Pihet, S Kipfer
BACKGROUND: Persons with dementia experience a progressive decline associated with an increasing dependency. Most of the support they require to stay at home comes from their informal caregivers (IC). Dementia informal caregiving imposes high costs on IC's health and quality of life, related to long periods of chronic stress. Based on evidence that more adequate coping strategies can reduce chronic stress and its negative consequences, and that psycho-educative interventions have the broadest effects on IC quality of life, the program "Learning to feel better… and help better" was developed in French-speaking Canada...
September 10, 2018: BMC Geriatrics
Line Skarsem Reitlo, Silvana Bucher Sandbakk, Hallgeir Viken, Nils Petter Aspvik, Jan Erik Ingebrigtsen, Xiangchun Tan, Ulrik Wisløff, Dorthe Stensvold
BACKGROUND: Making older adults exercise and keeping them in exercise programs is a major challenge. Understanding how older adults prefer to exercise may help developing tailored exercise programs and increase sustained exercise participation in ageing populations. We aimed to describe exercise patterns, including frequency, intensity, type, location and social setting of exercise, in older adults instructed to follow continuous moderate-intensity training (MCT) or high-intensity interval training (HIIT) over a one-year period...
September 10, 2018: BMC Geriatrics
Michael A Steinman, Marcelo Low, Ran D Balicer, Efrat Shadmi
BACKGROUND: Medication-related problems are common in older adults with multiple chronic conditions. We evaluated the impact of a nurse-based primary care intervention, based on the Guided Care model of care, on patient-centered aspects of medication use. METHODS: Controlled clinical trial of the Comprehensive Care for Multimorbid Adults Project (CC-MAP), conducted among 1218 participants in 7 intervention clinics and 6 control (usual care) clinics. Inclusion criteria included age 45-94, presence of ≥3 chronic conditions, and Adjusted Clinical Groups (ACG) score > 0...
September 6, 2018: BMC Geriatrics
Sang Yhun Ju, June Young Lee, Do Hoon Kim
BACKGROUND: Vitamin D deficiency and frailty are common with aging. Previous studies examining vitamin D status and frailty have produced mixed results, and in particular, the shape of the association has not been well established. We examined the association between 25-hydroxyvitamin D (25OHD) serum levels and frailty by performing a systematic review and dose-response meta-analysis. METHODS: We searched the PubMed, EMBASE and Cochrane Library databases of Elsevier through February 2017...
September 4, 2018: BMC Geriatrics
Machelle Wilchesky, Gerhard Mueller, Michèle Morin, Martine Marcotte, Philippe Voyer, Michèle Aubin, Pierre-Hugues Carmichael, Nathalie Champoux, Johanne Monette, Anik Giguère, Pierre Durand, René Verreault, Marcel Arcand, Edeltraut Kröger
BACKGROUND: Medication regimens in nursing home (NH) residents with severe dementia should be frequently reviewed to avoid inappropriate medication, overtreatment and adverse drug events, within a comfort care approach. This study aimed at testing the feasibility of an interdisciplinary knowledge exchange (KE) intervention using a medication review guidance tool categorizing medications as either "generally", "sometimes" or "exceptionally" appropriate for NH residents with severe dementia...
September 4, 2018: BMC Geriatrics
Kjersti Grønning, Geir A Espnes, Camilla Nguyen, Ana Maria Ferreira Rodrigues, Maria Joao Gregorio, Rute Sousa, Helena Canhão, Beate André
BACKGROUND: The increasing proportion of people growing old, demands expanded knowledge of how people can experience successful aging. Having a good life while growing old is dependent on several factors such as nutrition, physical health, the ability to perform activities of daily living, lifestyle and psychological health. Furthermore, unhealthy food intake is found to be a modifiable risk factor for depression in elderly people. To promote elderly's health and wellbeing, the influence of nutrition, lifestyle, physical functioning, and social support on psychological distress needs exploring...
September 4, 2018: BMC Geriatrics
Susan W Hunter, Alison Divine, Courtney Frengopoulos, Manuel Montero Odasso
BACKGROUND: Cognition is a key factor in the regulation of normal walking and dual-task gait assessment is an accepted method to evaluate the relationship. The objective of this study was to create a framework for task complexity of concurrent motor and cognitive tasks with gait in people with mild cognitive impairment (MCI). METHODS: Community-dwelling people with MCI (n = 41, mean age = 76.20 ± 7.65 years) and cognitively normal controls (n = 41, mean age = 72...
September 3, 2018: BMC Geriatrics
Martha Therese Gjestsen, Kolbjørn Brønnick, Ingelin Testad
BACKGROUND: Older persons are substantial consumers of both hospital- and community care, and there are discussions regarding the potential for preventing hospitalizations through high quality community care. The present study report prevalence and factors associated with admissions to hospital for community-dwelling older persons (> 67 years of age), receiving community care in a Norwegian municipality. METHODS: This was a cohort study of 1531 home-dwelling persons aged ≥67 years, receiving community care...
September 3, 2018: BMC Geriatrics
Francesca Cecchi, Silvia Pancani, Desiderio Antonioli, Lucia Avila, Manuele Barilli, Massimo Gambini, Lucilla Landucci Pellegrini, Emanuela Romano, Chiara Sarti, Margherita Zingoni, Maria Assunta Gabrielli, Federica Vannetti, Guido Pasquini, Claudio Macchi
BACKGROUND: Despite progress in surgery and care, hip fracture (HF) remains a catastrophic event, burdened with high risk of mortality and disability. This study aims at identifying predictors of recovering ambulation after intensive inpatient rehabilitation within the Tuscany Region HF rehabilitation pathway. METHODS: All HF patients referred from acute care to the two Massa-Carrara Rehabilitation facilities January 2015-June 2017 were enrolled. Comorbidity Total Score (CIRS) defined high- or low-care setting referral...
August 31, 2018: BMC Geriatrics
Elizaveta Fife, Joanna Kostka, Łukasz Kroc, Agnieszka Guligowska, Małgorzata Pigłowska, Bartłomiej Sołtysik, Agnieszka Kaufman-Szymczyk, Krystyna Fabianowska-Majewska, Tomasz Kostka
BACKGROUND: Myostatin, its inhibitor follistatin, and growth/differentiation factor 11 (GDF11) have been proposed as factors that could potentially modify biological aging. The study aimed to test whether there is a relationship between these plasma circulating proteins and muscle strength, power and optimal shortening velocity (υopt ) of older adults. METHODS: The cross-sectional study included 56 women and 45 men aged 60 years and older. Every participant underwent examination which included anthropometric and bioimpedance analysis measurements, functional and cognitive performance tests, muscle strength of upper and lower extremities, muscle power testing with two different methods and blood analyses...
August 30, 2018: BMC Geriatrics
H D W T Damayanthi, F M Moy, K L Abdullah, S D Dharmaratne
BACKGROUND: Malnutrition in older persons is a public health concern. This study aimed to estimate the prevalence of malnutrition and its associated factors among community-dwelling older persons in Sri Lanka. METHODS: A cross-sectional study was conducted in the Kandy district, Sri Lanka. The nutritional status of older persons was assessed using the Mini Nutritional Assessment -Short Form (MNA-SF). A standardised questionnaire was used to record factors associated with malnutrition: demographic characteristics, financial characteristics, food and appetite, lifestyle, psychological characteristics, physical characteristics, disease and care, oral health, and social factors...
August 30, 2018: BMC Geriatrics
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