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Geriatrics & Gerontology International

Helen Yl Chan, Gloria Km Chun, C W Man, Edward Mf Leung
AIM: Although much attention has been on integrating the palliative care approach into services of long-term care homes for older people living with frailty and progressive diseases, little is known about the staff preparedness for these new initiatives. The present study aimed to develop and test the psychometric properties of an instrument for measuring care home staff preparedness in providing palliative and end-of-life care. METHODS: A 16-item instrument, covering perceived knowledge, skill and psychological readiness, was developed...
January 16, 2018: Geriatrics & Gerontology International
Hiroyuki Noda, Kazumasa Yamagishi, Ai Ikeda, Takashi Asada, Hiroyasu Iso
AIM: The aim of the present study was to develop a way of identifying dementia using clinical assessments made by primary care physicians under the existing medical care system in Japan. METHODS: A total of 623 people aged ≥65 years underwent standard clinical assessments by primary care physicians under the long-term-care insurance program to determine their grade of activities of daily living related to dementia. To examine the validity of the diagnosis, neuropsychiatrists carried out further diagnosis of dementia for all the participants...
January 16, 2018: Geriatrics & Gerontology International
Motoko Tago, Jun-Ichi Oyama, Yoshiko Sakamoto, Aya Shiraki, Fumi Uchida, Atsuko Chihara, Hideo Ikeda, Shigetaka Kuroki, Shigeki Gondo, Taketo Iwamoto, Yasufumi Uchida, Koichi Node
AIM: The aim of the present study was to assess the efficacy and safety of sitagliptin in elderly patients with type 2 diabetes mellitus. METHODS: A total of 188 patients were enrolled who had type 2 diabetes mellitus with poor glycemic profiles (hemoglobin A1c [HbA1c] ≥6.2%). Patients were assigned to one of three age groups (<65, 65-74 and ≥75 years) and received 50-100 mg of sitagliptin daily for 12 months. Changes in HbA1c classified by age and body mass index (BMI) were assessed in addition to physiological parameters...
January 4, 2018: Geriatrics & Gerontology International
Fabrizia Lattanzio, Francesco Corica, Roberto Schepisi, Diana Amantea, Francesco Bruno, Annalisa Cozza, Graziano Onder, Stefano Volpato, Antonio Cherubini, Carmelinda Ruggiero, Marcello G Maggio, Andrea Corsonello
AIM: The association between anticholinergic burden and mortality is controversial. We aimed to investigate whether the anticholinergic cognitive burden (ACB) score predicts 1-year mortality in older patients discharged from acute care hospitals. METHODS: Our series consisted of 807 hospitalized patients aged ≥65 years. Patients were followed up for 12 months after discharge. All-cause mortality was the outcome of the study. The ACB score at discharge (0, 1, ≥2) and increasing ACB score from admission to discharge (no increase, +1, +2 or more) were calculated and used as exposure variables...
January 2, 2018: Geriatrics & Gerontology International
Fabiane Ac Rezende, Andréia Q Ribeiro, Sueli A Mingoti, Patrícia F Pereira, João Cb Marins, Silvia E Priore, Sylvia Cc Franceschini
AIM: To identify anthropometric patterns of adiposity and estimate their association with hypertension and diabetes mellitus (DM) in older adults. METHODS: A cross-sectional study with 537 older adults aged ≥60 years was carried out. Weight, height, and waist, hip and calf circumference were measured. The following indices were calculated: a body shape index, body roundness index, conicity index, body adiposity index, body mass index, waist-to-height ratio, waist-to-calf ratio, waist-to-hip ratio and waist-to-hip-to-height ratio...
January 2, 2018: Geriatrics & Gerontology International
Masayuki Satoh, Hirotaka Kida, Sumie Kawagita, Kyoko Yamazaki, Ken-Ichi Tabei, Hidekazu Tomimoto
AIM: To build a dementia screening system in the community to facilitate collaboration among patients/caregiver(s), family clinic physicians and memory clinic specialists. METHODS: We placed a Dementia Network Promoter (DNP) in four cities in Mie prefecture, Japan. Based on requests from patients/caregiver(s), family clinic physicians ordered dementia screening from the DNP. The DNP carried out screenings at the clinic using an IT device (iPad), and sent the results to a dementia specialist at the Mie University Hospital Dementia Center...
January 2, 2018: Geriatrics & Gerontology International
Luisa Costanzo, Claudio Pedone, Matteo Cesari, Luigi Ferrucci, Stefania Bandinelli, Raffaele Antonelli Incalzi
AIM: To date, there is no consensus on which set of variables should be used to identify older persons at risk of disability in activities of daily living. The present study aimed to: (i) evaluate how different deficits cluster in a population of community-dwelling older persons; and (ii) investigate whether the discriminative capacity of physical performance measures towards the development of disability might be improved by adding psychological, social and environmental indicators. METHODS: Data are from 709 non-disabled older persons participating in the "Invecchiare in Chianti" study...
December 28, 2017: Geriatrics & Gerontology International
Hisashi Kawai, Kazushige Ihara, Takeshi Kera, Hirohiko Hirano, Yoshinori Fujiwara, Masashi Tanaka, Motonaga Kojima, Shuichi Obuchi
AIM: Statin-associated muscle symptoms (SAMS) are the muscle-related side-effects of statins, but the association between statin use and physical function among community-dwelling older adults is unclear. The objective of the present study was to examine the association between statin use and physical function among community-dwelling older Japanese adults by considering the risk factors of statin-associated muscle symptoms. METHODS: The participants were 1022 community-dwelling older adults aged 65-88 years, who participated in comprehensive health checkups from 2013 to 2015...
December 26, 2017: Geriatrics & Gerontology International
Ryohei Goto, Hiroki Watanabe, Junji Haruta, Madoka Tsutsumi, Shoji Yokoya, Tetsuhiro Maeno
AIM: We investigated factors that predict the prognosis of activities of daily living (ADL) in elderly patients who had undergone rehabilitation during hospitalization for acute infectious disease. METHODS: The present prospective cohort study included 131 patients who were hospitalized due to acute infectious disease and who had undergone rehabilitation during hospitalization. Patient characteristics collected from medical records included age, sex and comorbidity score...
December 26, 2017: Geriatrics & Gerontology International
Yuki Yamagata, Satoshi Ikeda, Tomoo Nakata, Tsuyoshi Yonekura, Seiji Koga, Takahiro Muroya, Yuji Koide, Hiroaki Kawano, Koji Maemura
AIM: Balloon pulmonary angioplasty (BPA) has recently been established as an effective therapy for peripheral-type chronic thromboembolic pulmonary hypertension (CTEPH). However, the safety and effectiveness of BPA in elderly patients with CTEPH have not been clarified. METHODS: A total of 19 patients with CTEPH who underwent BPA were recruited. The patients were assigned to groups by age, <70 years (non-elderly; n = 11) and ≥70 years (elderly; n = 8). Hemodynamic parameters, right ventricular function and plasma N-terminal pro-brain natriuretic peptide were assessed before and after BPA, and complications arising after BPA were also evaluated...
December 26, 2017: Geriatrics & Gerontology International
Akio Shimizu, Keisuke Maeda, Kei Tanaka, Mei Ogawa, Jun Kayashita
AIM: Texture-modified diets (TMD) have significantly lower energy and protein content than normal diets. Therefore, TMD can cause malnutrition and loss of muscle mass. However, few studies have reported the relationship between TMD and decreased skeletal muscle mass. The aim of the present study was to clarify the association between TMD and decreased skeletal muscle mass. METHODS: We reviewed data of 188 older adult patients who were admitted to a rehabilitation hospital...
December 26, 2017: Geriatrics & Gerontology International
Mario Bo, Valeria Quaranta, Gianfranco Fonte, Yolanda Falcone, Giulia Carignano, Giorgetta Cappa
AIM: Potentially inappropriate prescriptions (PIP) have been highly reported in older patients, but few studies have investigated their association with adverse clinical outcomes. The present study aimed to evaluate the prevalence and predictors of PIP in hospital-discharged older adults, and to explore the association of PIP with death and rehospitalization. METHODS: We carried out a multicenter prospective cohort study on hospital-discharged patients aged ≥65 years...
December 19, 2017: Geriatrics & Gerontology International
Keisuke Watanabe, Masashi Okuro, Tazuo Okuno, Osamu Iritani, Hiroshi Yano, Taroh Himeno, Takuro Morita, Yuta Igarashi, Takeshi Nakahashi, Shigeto Morimoto
AIM: Chronic kidney disease (CKD), diabetes and lower glycated hemoglobin (HbA1c ) range in diabetes patients are associated with higher mortality. We investigated whether these conditions were associated with the risk of loss of independence in community-dwelling older adults. METHODS: We analyzed 1078 older adults with no history of support/care-need certification in Long-Term Care Insurance aged 65-94 years. Associations of baseline CKD, diabetes, and lower HbA1c range of <6...
December 14, 2017: Geriatrics & Gerontology International
Mai Kabayama, Hiroshi Mikami, Kei Kamide
AIM: To clarify the factors associated with loss of independence multidimensionally over a 3-year period among community-dwelling older adults. METHODS: The survey was exclusively carried out by the local government for people aged >65 years who were independent at baseline living in H-City, a mid-sized urban city in Japan. The participants completed a self-administered postal questionnaire, and we obtained data regarding their loss of independence from administrative records 3 years later...
December 13, 2017: Geriatrics & Gerontology International
George Moore, Peter Hartley, Roman Romero-Ortuno
AIM: In the English National Health Service there is an increasing interest in understanding the factors associated with delayed discharges in older hospitalized adults. The present study sought to analyze whether clinical frailty was a significant and independent risk factor for having a delayed discharge when the data were controlled for potential health and social confounders. METHODS: This was a retrospective observational study in an English National Health Service teaching hospital...
December 12, 2017: Geriatrics & Gerontology International
Mitsugu Hachisu, Masahiro Hashizume, Hisashi Kawai, Hirohiko Hirano, Motonaga Kojima, Yoshinori Fujiwara, Shuichi Obuchi, Kazushige Ihara
AIM: Brain-derived neurotrophic factor (BDNF) have been implicated in the progression of neuronal survival, phenotyping differentiation and maintenance of various neurons, as well as neurogenesis. We studied how BDNF affects health parameters of older adults by carrying out a health examination of community-dwelling older adults. METHODS: We measured the serum BDNF concentration of 898 older adults aged 65-84 years who participated in regional health examinations in the Tokyo area and also measured various parameters, such as the thickness of the quadriceps femoris, percentage of body fat, body mass index, grip strength, frequency of walking, and use of sleeping drugs and steroidal anti-inflammatory drugs...
December 8, 2017: Geriatrics & Gerontology International
Seoyoung Lee, Wael Sabbah
AIM: To assess whether there is a relationship between musculoskeletal frailty and number of teeth/denture use, and whether nutritional intake explains this relationship, in a sample of older Americans. METHODS: Data from the National Health and Nutrition Examination Survey 2011/2012 were used. Handgrip strength was used to show musculoskeletal frailty. Number of teeth and denture use were examined by calibrated dentists. Information on sociodemographic factors, nutrients intake and general health status were collected through interviews...
December 7, 2017: Geriatrics & Gerontology International
Kazuhiro Harada, Kouhei Masumoto, Keiko Katagiri, Ai Fukuzawa, Makoto Chogahara, Narihiko Kondo, Shuichi Okada
AIM: Going outdoors more frequently is beneficial for maintaining and improving health-related quality of life (HRQOL) among older adults. However, individual differences can alter the effects of going outdoors. The present study aimed to examine whether relationships between going outdoors and HRQOL were moderated by living alone and employment status. METHODS: The present study was a secondary analysis of 14-month prospective data (n = 613). Variables used in this study were baseline data on the frequency of going outdoors, HRQOL (physical and mental component summary scores assessed using the Japanese version of the Medical Outcomes study Short Form 8-Item Health Survey), living alone, employment status, potential confounders (sex, age, educational level and instrumental activities of daily living) and follow-up data on HRQOL...
December 7, 2017: Geriatrics & Gerontology International
Songee Jung, Yoshiro Okubo, Yosuke Osuka, Satoshi Seino, Joonsung Park, Hosung Nho, Kiyoji Tanaka
AIM: We aimed to compare the level of physical function (PF) and habitual exercise between older Japanese and Korean adults. METHODS: A comparative study was carried out on 1069 community-dwelling older Japanese and Korean adults (mean age 73.9 ± 5.2 years). The participants were asked to complete a self-reported questionnaire regarding habitual exercise and covariates. PF age, a composite measure of PF, was derived from the 12 items, using principal component analysis...
December 7, 2017: Geriatrics & Gerontology International
Lynn Martin, Katherine McKenzie, Hélène Ouellette-Kuntz
AIM: Frailty is understood as a dynamic non-linear process, and used to indicate age-related decline. Recent work has shown that adults with intellectual and developmental disabilities experience higher rates of frailty at much earlier ages than the general population. The present study describes transitions in frailty status (i.e. non-frail, pre-frail, frail) over 1 year, and explores the association between baseline frailty status and worsening/death over time. METHODS: Results are based on secondary analysis of 2893 individuals with intellectual and developmental disabilities receiving community-based home care services in Ontario (Canada)...
December 7, 2017: Geriatrics & Gerontology International
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