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Aging Clinical and Experimental Research

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https://www.readbyqxmd.com/read/28803357/determinants-of-functional-outcome-in-hip-fracture-the-role-of-comorbidity
#1
Bernardo Gialanella, Paola Prometti, Vittoria Monguzzi, Cristina Ferlucci, Paola Baiardi, Laura Comini
BACKGROUND AND AIMS: Executed studies did not clearly identify which index of comorbidity was an independent outcome determinant. The aim of this prospective observational cohort study was to address this issue. METHODS: We analyzed 200 consecutive patients with hip fracture. All patients underwent rehabilitation. At admission comorbidity was assessed through the cumulative severity, severity index, and comorbidity index of the Cumulative Illness Rating Scale. Discharge scores and effectiveness in the Functional Independence Measure motor subscale, and discharge destination were the outcome measures...
August 12, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28795337/the-reverse-metabolic-syndrome-in-the-elderly-is-it-a-catabolic-syndrome
#2
REVIEW
Francesco Curcio, Giuseppe Sasso, Ilaria Liguori, Gaetana Ferro, Gennaro Russo, Michele Cellurale, David Della-Morte, Gaetano Gargiulo, Gianluca Testa, Francesco Cacciatore, Domenico Bonaduce, Pasquale Abete
Traditional risk factors of cardiovascular death in the general population, including body mass index (BMI), serum cholesterol, and blood pressure are also found to relate to outcomes in the geriatric population, but in a differing direction. A higher body mass index, hypercholesterolemia and hypertension are not harmful but even permit better survival at advancing age. This phenomenon is called "reverse epidemiology" or "risk factor paradox" and is also detected in a variety of chronic disease states such as chronic heart failure...
August 9, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28791624/why-older-people-stop-to-drive-a-cohort-study-of-older-patients-admitted-to-a-rehabilitation-setting
#3
Christian Pozzi, Elena Lucchi, Alessandro Lanzoni, Simona Gentile, Sara Morghen, Marco Trabucchi, Giuseppe Bellelli, Alessandro Morandi
The aim of this study is to describe the predictive factors of driving cessation at 6-month follow-up in older patients discharged from a rehabilitation setting and evaluated by an occupational therapist in a multidisciplinary team. Of 95 patients, at 6-month 27.4% ceased to drive. The reasons for driving cessation were a patients' voluntary choice (42.3%) or a choice of their family (23.1%), and only in 34.6% of the patients the license was revoked by a medical commission. In a multivariate analysis greater functional impairment-measured with the Timed Up and Go test-(OR 12...
August 8, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28776280/effects-of-a-10-week-multimodal-exercise-program-on-physical-and-cognitive-function-of-nursing-home-residents-a-psychomotor-intervention-pilot-study
#4
Catarina Pereira, Hugo Rosado, Ana Cruz-Ferreira, José Marmeleira
BACKGROUND: Nursing home institutionalization tends to exacerbate loss of functioning. AIMS: Examine the feasibility and the effect of a psychomotor intervention-a multimodal exercise program promoting simultaneous cognitive and motor stimulation-on the executive (planning ability and selective attention) and physical function of nursing home residents. METHODS: Seventeen participants engaged in a 10-week multimodal exercise program and 17 maintained usual activities...
August 3, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28770478/how-clinical-practitioners-assess-frailty-in-their-daily-practice-an-international-survey
#5
Olivier Bruyère, Fanny Buckinx, Charlotte Beaudart, Jean-Yves Reginster, Juergen Bauer, Tommy Cederholm, Antonio Cherubini, Cyrus Cooper, Alfonso Jose Cruz-Jentoft, Francesco Landi, Stefania Maggi, René Rizzoli, Avan Aihie Sayer, Cornel Sieber, Bruno Vellas, Matteo Cesari
INTRODUCTION: Various operational definitions have been proposed to assess the frailty condition among older individuals. Our objective was to assess how practitioners measure the geriatric syndrome of frailty in their daily routine. METHODS: An online survey was sent to national geriatric societies affiliated to the European Union Geriatric Medicine Society (EUGMS) and to members of the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO)...
August 2, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28770477/psychometric-characteristics-of-the-spanish-version-of-the-barthel-index
#6
Nerea González, Amaia Bilbao, Maria Joao Forjaz, Alba Ayala, Miren Orive, Susana Garcia-Gutierrez, Carlota Las Hayas, Jose Maria Quintana
BACKGROUND: The Barthel Index is one of the most employed questionnaires for the evaluation of functionality, but there is no information on its psychometric properties. OBJECTIVE: The aim was to evaluate the reliability, validity, and responsiveness of the Spanish version of the Barthel Index. METHODS: The data employed in this paper were obtained from four Spanish cohorts of elderly people of 60 years or older. We collected data on age, gender, education level, comorbidities, and questionnaires regarding functionality, health-related quality of life, depression, and social support...
August 2, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28770476/erratum-to-the-impact-of-leisure-on-mental-health-of-sardinian-elderly-from-the-blue-zone-evidence-for-ageing-well
#7
Maria Chiara Fastame, Paul Kenneth Hitchcott, Maria Pietronilla Penna
No abstract text is available yet for this article.
August 2, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28762211/low-prevalence-of-atrial-fibrillation-in-amerindians-a-population-based-study-in-frequent-fish-consumers-living-in-rural-coastal-ecuador-the-atahualpa-project
#8
Oscar H Del Brutto, Aldo F Costa, José A Cano, Ernesto Peñaherrera, Karin J Plaza, Ernesto A Ledesma, Daniel Tettamanti, Mauricio Zambrano
BACKGROUND: Information on the burden of atrial fibrillation (AF) in rural areas of developing countries is limited. Here, we aimed to assess AF prevalence in community-dwelling older adults living in rural Ecuador. METHODS: Atahualpa residents aged ≥60 years (mean age 70.5 ± 8.1 years) underwent 24-h Holter monitoring. Participants belong to the Amerindian ethnic group. The mean height in the study population was 147.9 ± 8.9 cm. Oily fish was a major source of food (mean intake: 8 ± 4 servings/week)...
July 31, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28762210/association-between-the-severity-of-symptomatic-knee-osteoarthritis-and-cumulative-metabolic-factors
#9
Emi Yasuda, Ryuichi Nakamura, Ryo Matsugi, Shinsuke Goto, Yasunori Ikenaga, Kazunari Kuroda, Syunsuke Nakamura, Yasuo Katsuki, Tatsuo Katsuki
BACKGROUND: The association between cumulative metabolic syndrome (MS) factors and knee osteoarthritis (KOA) has been highlighted over the past two decades. AIMS: To clarify the relationship between cumulative MS factors and symptomatic KOA. METHODS: A cross-sectional survey involving 119 women aged 45-88 years who were scheduled to undergo knee surgery was conducted. They were stratified into tertiles of symptoms as assessed by the Japanese Orthopedic Association score for KOA...
July 31, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28755327/comorbidities-and-intensity-modulated-radiotherapy-with-simultaneous-integrated-boost-in-elderly-breast-cancer-patients
#10
Alba Fiorentino, Rosario Mazzola, Niccolò Giaj Levra, Sergio Fersino, Francesco Ricchetti, Gioacchino Di Paola, Stefania Gori, Alberto Massocco, Filippo Alongi
PURPOSE: To evaluate the impact of comorbidity assessment on compliance to intensity modulated radiotherapy with simultaneous integrated boost (SIB-IMRT) in elderly patients affected by early stage breast cancer (BC). MATERIALS AND METHODS: 40 consecutive patients were treated with SIB-IMRT (50 Gy in 25 fractions to the whole breast, and simultaneously 60 Gy to the surgical bed) for invasive BC after conserving surgery. Inclusion criteria were: age ≥ 70 years, pT1-2 disease, pN0-1, no neoadjuvant chemotherapy, non-metastatic disease...
July 28, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28752477/addition-of-biomarker-panel-improves-prediction-performance-of-american-college-of-surgeons-national-surgical-quality-improvement-program-acs-nsqip-calculator-for-cardiac-risk-assessment-of-elderly-patients-preparing-for-major-non-cardiac-surgery-a-pilot-study
#11
Danica Z Marković, Tatjana Jevtović-Stoimenov, Vladan Ćosić, Biljana Stošić, Bojana Marković Živković, Radmilo J Janković
BACKGROUND: Number of elderly patients subjected to extensive surgical procedures in the presence of cardiovascular morbidities is increasing every year. Therefore, there is a need to make preoperative diagnostics more accurate. AIMS: To evaluate the usefulness of American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) calculator as a predictive tool in preoperative assessment of cardiovascular risk in elderly patients. METHODS: This prospective pilot study included 78 patients who were being prepared for extensive non-cardiac surgeries under general anaesthesia...
July 27, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28741145/thigh-muscle-and-subcutaneous-tissue-thickness-measured-using-ultrasound-imaging-in-older-females-living-in-extended-care-a-preliminary-study
#12
Daniella Welch, Laetitia Sungu Ndanyo, Simon Brown, Sandra Agyapong-Badu, Martin Warner, Maria Stokes, Dinesh Samuel
BACKGROUND: Thigh tissue thickness has not been examined in older females living in extended care in UK as an indicator of musculoskeletal health. This study examined the feasibility of using ultrasound imaging to measure the thickness of superficial (fat) and deep layers (muscle) of the thigh in older females living in extended care. METHODS: In ten older females in extended care (aged 80-98 years, mean 88 ± 6.8; body mass: 56.5 ± 12.6 kg) images of the anterior thigh (dominant) were taken in supine using B-mode ultrasound imaging...
July 24, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28730544/sleep-duration-and-cognitive-impairment-in-older-adults-response
#13
LETTER
Michael Malek-Ahmadi, Murali Krishna Kora, Kathy O'Connor, Sharon Schofield, David Coon, Walter Nieri
No abstract text is available yet for this article.
July 20, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28726038/subjective-cognitive-decline-and-fall-risk-in-community-dwelling-older-adults-with-or-without-objective-cognitive-decline
#14
Hidehiko Shirooka, Shu Nishiguchi, Naoto Fukutani, Yuto Tashiro, Yuma Nozaki, Tomoki Aoyama
BACKGROUND: The association between subjective cognitive decline and falls has not been clearly determined. AIMS: Our aim was to explore the effect of subjective cognitive decline on falls in community-dwelling older adults with or without objective cognitive decline. METHODS: We included 470 older adults (mean age 73.6 ± 5.2; 329 women) living in the community and obtained data on fall history directly from the participants. Subjective cognitive decline was assessed using a self-administered question...
July 19, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28702899/complex-antioxidants-in-a-randomized-single-blinded-study-of-memory-in-seniors
#15
William K Summers, Roy L Martin, Yimeng Liu, Bernice Peña, Gary M Marsh
INTRODUCTION: Oxidative injury to the brain and aging are theoretical co-causes of Alzheimer's Disease (AD). Amyloid plaques and tangles are then secondary phenomenon. The preclinical state would then be 'normal' elderly. METHODS: A potent complex antioxidant (antiOx) was tested against a popular one-a-day multivitamin (mV) in a randomized single blind design in 'normal' senior subjects over 6 months. Memory testing was done at baseline, 1, 3, and 6 months. The generalized estimating equation (GEE) approach was used to compare the change score of NLT100 and 20WR between two groups over time...
July 12, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28699000/nature-diversity-and-well-being-in-old-age
#16
Merja Rantakokko, Kirsi E Keskinen, Katja Kokko, Erja Portegijs
BACKGROUND: The research aim was to study the associations of nature diversity with quality of life (QoL) and depressive symptoms among older people, and whether physical activity explains the associations. METHODS: Community-dwelling people aged 75-90 years (n = 848) living in Central Finland were interviewed in their homes. QoL was assessed with a short version of the World Health Organization Quality-of-Life Assessment (range 0-130, higher score indicates better QoL) and depressive symptoms with the Centre for Epidemiologic Studies Depression Scale (range 0-30, higher scores indicate more depressive symptoms)...
July 11, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28688080/the-italian-version-of-the-frailty-index-based-on-deficits-in-health-a-validation-study
#17
Pasquale Abete, Claudia Basile, Giulia Bulli, Francesco Curcio, Ilaria Liguori, David Della-Morte, Gaetano Gargiulo, Assunta Langellotto, Gianluca Testa, Gianluigi Galizia, Domenico Bonaduce, Francesco Cacciatore
BACKGROUND AND AIM: Several measurements were taken for frailty classification in geriatric population. "Frailty index" is based on "deficits in health," but it is still not available in Italian version. Thus, the aim of the present work was to validate a version of "frailty index" for the Italian geriatric community. METHODS: The validation of Italian frailty index (IFi) is based on a cohort study that enrolled 1077 non-disabled outpatients aged 65 years or older (81...
July 7, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28688079/self-perceived-care-needs-in-older-adults-with-joint-pain-and-comorbidity
#18
Lotte A H Hermsen, Emiel O Hoogendijk, Johannes C van der Wouden, Martin Smalbrugge, Stephanie S Leone, Henriëtte E van der Horst, Joost Dekker
BACKGROUND: The aim of this study was to explore self-perceived care needs and determinants of identified needs in older adults with joint pain and comorbidity. METHODS: This is a cross-sectional study using baseline data from a cohort study of older adults in the Netherlands (≥65 years) with joint pain and comorbidity (n = 407). We used the Camberwell Assessment of Need for the Elderly (CANE) to assess self-perceived care needs. Regression analyses were conducted to examine the associations between needs and sociodemographic factors (age, gender, partner status and educational level), physical factors (pain intensity, comorbidity, frailty and physical functioning) and psychosocial factors (anxiety, depression and social support)...
July 7, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28681134/effect-of-body-mass-index-and-fat-mass-on-balance-force-platform-measurements-during-a-one-legged-stance-in-older-adults
#19
Camila Pereira, Rubens A da Silva, Marcio R de Oliveira, Rejane D N Souza, Renata J Borges, Edgar R Vieira
The purpose of this study was to evaluate the impact of body mass index (BMI) and fat mass on balance force platform measurements in older adults. The sample consisted of 257 participants who were stratified into four groups by BMI: low weight, normal weight, pre-obesity and obesity. For fat mass variables, older individuals were classified into low and high-fat mass. All groups investigated performed three trials of one-legged stance balance on a force platform. Center of pressure (COP) domain parameters were computed from the mean across trials...
July 5, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28664458/quality-of-life-assessment-in-musculo-skeletal-health
#20
REVIEW
Charlotte Beaudart, Emmanuel Biver, Olivier Bruyère, Cyrus Cooper, Nasser Al-Daghri, Jean-Yves Reginster, René Rizzoli
Musculoskeletal disorders affect morbidity, quality of life and mortality, and represent an increasing economic and societal burden in the context of population aging and increased life expectancy. Improvement of quality of life should be one of the priorities of any interventions to prevent and treat musculoskeletal disorders in the ageing population. Two main approaches, namely generic and disease-specific instruments, can be applied to measure health-related quality of life. Among the generic tools available in scientific literature, the short form 36 questionnaire (SF-36) and the Euroqol five item questionnaire (EQ-5D) are two of the most popular questionnaires used to quantify the health related quality of life in people with musculoskeletal disorders...
June 29, 2017: Aging Clinical and Experimental Research
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