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Geriatrics & Gerontology International

Ely L Steinberg, Yaniv Warschawski, Jacob Elis, Dani Rotman, Gil Rachevsky, Shai Factor, Moshe Salai, Tomer Ben-Tov
AIM: Older patients with proximal femoral fractures often undergo preoperative tests due to coexisting morbidities. Our aim was to evaluate these tests and their impact on patient outcome and medical expenses. METHODS: This retrospective study includes data on head computed tomography, carotid ultrasound, echocardiography and pulmonary functional tests calculated according to the type of surgery (osteosynthesis or hip arthroplasty) carried out on 2798 patients. Time-to-surgery, test repeated postoperatively, American Society of Anesthesiology Physical Status score, additional procedures, hospitalization time, 30-day mortality and associated medical expenses were evaluated...
March 7, 2018: Geriatrics & Gerontology International
Chin Y Cheong, Ngoc Hl Ha, Robin Wm Choo, Philip Lk Yap
AIMS: Older adults who live alone are vulnerable physically, emotionally and socially. However, there is a trend towards children not living with their parents. We studied the willingness of teenagers today to live with and care for their aged parents tomorrow, and the reasons for their decision. METHODS: A convenient sample of 1405 teenage students (Mage  = 14.9 ± 1.30) in the north region of Singapore completed a purpose-designed questionnaire. Structural equation modeling was used to explore the relationships between teenagers' closeness to grandparents, challenges faced living with grandparents, positive and negative perceptions towards aging, and willingness to stay with aged parents in the future, stratified by sex...
March 7, 2018: Geriatrics & Gerontology International
Shohei Nishida, Yuichi Hayashi, Akio Suzuki, Ryo Kobayashi, Takashi Inuzuka, Yoshinori Itoh
AIM: Older patients are considered to be at high risk for developing adverse drug reactions (ADR), because they commonly receive multidrug therapy despite changes in pharmacokinetic function with age. In the present study, we assessed the relationship between the number of prescribed drugs and the incidence of ADR or the time to discharge in older patients with neuromuscular disease. METHODS: A retrospective study was carried out among 135 older patients (aged ≥65 years) who were admitted to the neurology ward from October 2007 through December 2011...
March 7, 2018: Geriatrics & Gerontology International
Koshiro Sakai, Shinji Koba, Yuya Nakamura, Yuya Yokota, Fumiyoshi Tsunoda, Makoto Shoji, Yasuki Itoh, Yuji Hamazaki, Youichi Kobayashi
AIM: The study objective was to investigate whether small dense low-density lipoprotein cholesterol (sdLDL-C) is superior to low-density lipoprotein cholesterol (LDL-C) and other biomarkers to predict future cardiovascular events (CE) in secondary prevention. METHODS: sdLDL-C measured by a homogeneous assay, remnant lipoprotein cholesterol, LDL particle diameter and other biomarkers were compared in 345 men aged ≥65 years with stable coronary artery disease...
March 7, 2018: Geriatrics & Gerontology International
Shota Suzumura, Aiko Osawa, Natsumi Maeda, Yuko Sano, Akihiko Kandori, Tomohiko Mizuguchi, Ying Yin, Izumi Kondo
AIM: We have developed a smart terminal device for screening finger function, and investigated the capability of this tool for detecting abnormalities of finger dexterity. METHODS: Finger dexterity was measured for 31 patients with Alzheimer's disease (AD group), 15 people diagnosed with mild cognitive impairment (MCI group) and 48 family members (healthy older adult group) as the control. Cognitive function was assessed using the Mini-Mental State Examination. RESULTS: There were significant differences between the AD and control group in response time, rhythm and contact duration (P ≤ 0...
March 7, 2018: Geriatrics & Gerontology International
Takayuki Ishida, Akinori Oh, Shinzo Hiroi, Yukio Shimasaki, Takuya Tsuchihashi
AIM: To analyze the current use of antihypertensive drug classes in Japanese hypertensive patients stratified by age, highlighting differences between older and younger patients. METHODS: A nationwide medical database was used to evaluate antihypertensive use in patients (aged ≥20 years) who had received a prescription for one or more antihypertensive drug as an outpatient from April 2014 to March 2015. Patients (n = 59 867) were age-stratified into three groups: <65 years (28...
March 6, 2018: Geriatrics & Gerontology International
Tomoya Iida, Kentaro Yamashita, Sae Ohwada, Yosuke Ohkubo, Takehiro Hirano, Takakazu Miyake, Kei Onodera, Toshiyuki Kubo, Hiroo Yamano, Hiroshi Nakase
AIM: Interval gastric cancers (IGC) are defined as those diagnosed after negative results of endoscopy carried out within the past 10 years. We aimed to investigate the characteristics of IGC and the natural history of gastric cancer (GC) from a retrospective view of endoscopic images of older patients with IGC. METHODS: We retrospectively reviewed endoscopic images of 240 patients with GC who were aged >60 years. We compared past endoscopic images with newer ones, in which GC was diagnosed...
March 2, 2018: Geriatrics & Gerontology International
Tamar Freud, Boris Punchik, Ella Kagan, Alex Barzak, Yan Press
AIM: Orthostatic hypotension is a common problem in individuals aged ≥65 years. Its association with mortality is not clear. The aim of the present study was to evaluate associations between orthostatic hypotension and overall mortality in a sample of individuals aged ≥65 years who were seen at the Outpatient Comprehensive Geriatric Assessment Unit, Clalit Health Services, Beer-Sheva, Israel. METHODS: Individuals who were evaluated in the Outpatient Comprehensive Geriatric Assessment Unit between January 2005 and December 2015, and who had data on orthostatic hypotension were included in the study...
March 2, 2018: Geriatrics & Gerontology International
Akira Sawaguchi, Ryo Momosaki, Kiyotaka Hasebe, Masayuki Chono, Seiji Kasuga, Masahiro Abo
AIM: To clarify the effectiveness of preoperative physical therapy for older patients after hip fracture in an acute care hospital. METHODS: In the present retrospective observational study, data from the Japan Rehabilitation Database were analyzed for patients admitted to an acute care hospital with hip fracture between 2005 and 2015. In this study, all eligible patients received surgery within 10 days of admission. Propensity score analysis was used to compare outcomes between patients who underwent preoperative rehabilitation and those who did not...
March 2, 2018: Geriatrics & Gerontology International
Phyo Kyaw Myint, Stephanie Owen, Kathryn McCarthy, Lyndsay Pearce, Susan J Moug, Michael J Stechman, Jonathan Hewitt, Ben Carter
AIM: The determinants of cognitive impairment and delirium during acute illness are poorly understood, despite being common among older people. Anemia is common in older people, and there is ongoing debate regarding the association between anemia, cognitive impairment and delirium, primarily in non-surgical patients. METHODS: Using data from the Older Persons Surgical Outcomes Collaboration 2013 and 2014 audit cycles, we examined the association between anemia and cognitive outcomes in patients aged ≥65 years admitted to five UK acute surgical units...
March 1, 2018: Geriatrics & Gerontology International
Masaki Takahashi, Keisuke Maeda, Hidetaka Wakabayashi
AIM: The relationship between oral health-related quality of life (OHRQoL) and sarcopenia is unknown. The purpose of the present study was to clarify the prevalence of sarcopenia in older dental clinic outpatients and its relationship with OHRQoL and oral health status. METHODS: This cross-sectional study used data from consecutive dental clinic outpatients aged ≥65 years. The Oral Health Impact Profile-14 was used for the evaluation of OHRQoL, and the Oral Health Assessment Tool was used to assess oral health status...
March 1, 2018: Geriatrics & Gerontology International
Jie Li, Dongdong Zhao, Bao Dong, Dandan Yu, Qiongqiong Ren, Jian Chen, Qirong Qin, Peng Bi, Yehuan Sun
AIM: The frailty index is used to measure the health status of older individuals. However, its association with self-neglect, social support and sociodemographic characteristics of older adults is underexplored. The purpose of the present study was to explore such associations among the rural older adults in Anhui Province of China, and to provide scientific evidence for policy-makers to improve the health and well-being of older adults in rural China. METHODS: A cross-sectional survey was undertaken among 3048 older adults in rural China...
March 1, 2018: Geriatrics & Gerontology International
Hiroyuki Umegaki, Taeko Makino, Kazuki Uemura, Hiroyuki Shimada, Xian W Cheng, Masafumi Kuzuya
AIM: Physical activity (PA) and cognition have reportedly been associated with each other. However, it remains to be elucidated what intensities of PA are most strongly associated with cognition. In the current study, we aimed to determine the association between the intensities of objectively measured PA and cognitive function. METHODS: The present study was a cross-sectional analysis of the data obtained at registration in a randomized control trial in Toyota, Japan...
February 28, 2018: Geriatrics & Gerontology International
Ryo Hotta, Hyuma Makizako, Takehiko Doi, Kota Tsutsumimoto, Sho Nakakubo, Keitaro Makino, Hiroyuki Shimada
AIM: To examine the relationship between cognitive function and unsafe driving acts among community-dwelling older adults with cognitive impairments. METHODS: Participants (n = 160) were older residents of Obu, Japan, aged ≥65 years with cognitive impairments. They regularly drove and were assessed for the number of unsafe driving acts without adequate verification during an on-road test. We also evaluated cognitive function (attention, executive function and processing speed)...
February 19, 2018: Geriatrics & Gerontology International
Atsushi Kuroda, Manabu Setoguchi, Yasushi Uchino, Kazuya Nagata, Daisuke Hokonohara
AIM: Alzheimer's disease causes loss of appetite, resulting in bodyweight reduction. This, in turn, causes progression of cognitive dysfunction and physical complications that hasten death. Earlier care for loss of appetite is essential in Alzheimer's disease management. Rivastigmine is a therapeutic agent for Alzheimer's disease that has dual inhibition effects on acetylcholine esterase and butyrylcholine esterase. Butyrylcholine esterase is known to degrade the gastric hormone, ghrelin, which regulates appetite; therefore, we considered that rivastigmine might have an effect on appetite...
February 14, 2018: Geriatrics & Gerontology International
Takao Suzuki
As of 2017, the total Japanese population was 126.7 million, which included 35 million who were aged ≥65 years (27.6%) and 17.3 million aged ≥75 years (13.7%). From now, the old-old aged ≥75 years will increase rapidly in Japan compared with the young-old aged 65-74 years. The characteristics of the old-old include deterioration of activities of daily living (ADL) functions and an increase of chronic diseases, which are unavoidable consequences of advanced age. In the present review article, secular changes of the health status and functional capacity of older people living in communities are described based on representative longitudinal studies on aging in Japan...
February 8, 2018: Geriatrics & Gerontology International
Michiko Furuta, Kenji Takeuchi, Munehisa Adachi, Toshinori Kinoshita, Nobuoki Eshima, Sumio Akifusa, Takeshi Kikutani, Yoshihisa Yamashita
AIM: Severe tooth loss and swallowing dysfunction occur more frequently in dependent older adult populations. Poor oral health and functional status are expected to have a negative impact on general health. We examined whether mortality is related to the number of teeth and swallowing function in dependent older Japanese individuals receiving home care services. METHODS: Older adults aged ≥65 years who were receiving home care were included. The planned follow-up period was 3 years...
February 6, 2018: Geriatrics & Gerontology International
Marina Nara, Masamitsu Sugie, Tetsuya Takahashi, Teruyuki Koyama, Renpei Sengoku, Yoshinori Fujiwara, Shuichi Obuchi, Kazumasa Harada, Shunei Kyo, Hideki Ito
AIM: Physical exercise improves cognitive function in people with mild cognitive impairment (MCI). However, information about whether the degree of MCI before exercise training affects improvement in cognitive function is lacking. Therefore, we aimed to investigate the cut-off value in a MCI screening tool that predicts reversal to normal cognitive function after exercise training in older adults with MCI. METHODS: Participants included 112 Japanese community-dwelling older adult outpatients (37 men, 75 women; mean age 76...
February 2, 2018: Geriatrics & Gerontology International
Sujita W Narayan, Prasad S Nishtala
AIM: To examine the patterns of preventive medicines (PM) use in the last year of life of older adults. METHODS: This study cohort included individuals (n = 99 809) aged ≥75 years who were in their last year of life. PM examined in this study included low-dose aspirin (≤325 mg/day), clopidogrel, dipyridamole, warfarin, dabigatran, statins and bisphosphonates. Logistic regression models examined the influence of age, sex, multimorbidity, socioeconomic status, and a diagnosis of cancer on the number and type of PM prescribed from 2007 to 2012...
February 2, 2018: Geriatrics & Gerontology International
Miki Takeuchi, Satoko Showa, Kazutoshi Kitazawa, Mitsuru Mori
AIM: In order to clarify the risks of institutionalization or mortality among older adults living alone compared with those not living alone, we carried out a prospective study on older adults in Hamanaka Town in the far eastern part of Hokkaido, Japan. METHODS: All 978 community-dwelling residents aged 70-85 years in the town were chosen as study candidates between February and May of 2014. Written informed consent was obtained from 562 residents (57.5%), and a self-administered questionnaire, including a question about living arrangements, was mailed to them...
February 2, 2018: Geriatrics & Gerontology International
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