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Geriatrics & Gerontology International

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https://www.readbyqxmd.com/read/28436154/effects-of-a-simple-home-based-exercise-program-on-fall-prevention-in-older-adults-a-12-month-primary-care-setting-randomized-controlled-trial
#1
Chitima Boongird, Prasit Keesukphan, Soontraporn Phiphadthakusolkul, Sasivimol Rattanasiri, Ammarin Thakkinstian
AIM: To investigate the effects of a simple home-based exercise program on falls, physical functioning, fear of falling and quality of life in a primary care setting. METHODS: Participants (n = 439), aged ≥65 years with mild-to-moderate balance dysfunction were randomly assigned to an exercise (n = 219) or control (n = 220) group. The program consisted of five combined exercises, which progressed in difficulty, and a walking plan. Controls received fall prevention education...
April 24, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28429562/predictors-of-the-health-related-quality-of-life-of-chinese-people-with-major-neurocognitive-disorders-and-their-caregivers-the-roles-of-self-esteem-and-caregiver-s-burden
#2
Daniel Kim-Wan Young, Petrus Yat-Nam Ng, Timothy Kwok
AIM: The present research study aimed to identify and compare the clinical and non-clinical factors that predict the self-reported and proxy-reported health-related quality of life (HRQoL) of people with major neurocognitive disorder (PwND) who are living at home in a Chinese society. METHODS: A total of 57 Chinese PwND-family caregiver dyads that were using the services of local senior centers were recruited through a cross-sectional survey with convenience sampling...
April 20, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28425188/effects-of-age-and-viscosity-on-food-transport-and-breathing-swallowing-coordination-during-eating-of-two-phase-food-in-nursing-home-residents
#3
Tsuyoshi Yamada, Koichiro Matsuo, Masayuki Izawa, Shizuru Yamada, Yuji Masuda, Tadashi Ogasawara
AIM: When eating food that contains both liquid and solid phases, the liquid component frequently enters the hypopharynx before swallowing and can increase the risk of aspiration. Thus, we examined whether the initial viscosity of mixed consistency food could alter pre-swallow food transport and breathing-swallowing coordination in older adults. METHODS: Fiberoptic endoscopy was recorded while 18 healthy young adults and 19 older adults ate 5 g of steamed rice combined with 3 mL of blue-dye water...
April 20, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28422415/impact-of-hospitalization-in-an-acute-geriatric-unit-on-polypharmacy-and-potentially-inappropriate-prescriptions-a-retrospective-study
#4
Marta Gutiérrez-Valencia, Mikel Izquierdo, Vincenzo Malafarina, Javier Alonso-Renedo, Belén González-Glaría, Beatriz Larrayoz-Sola, María Pilar Monforte-Gasque, Pello Latasa-Zamalloa, Nicolás Martínez-Velilla
AIM: Polypharmacy is a highly prevalent geriatric syndrome, and hospitalizations can worsen it. The aim of the present study was to analyze the influence of hospitalization on polypharmacy and indicators of quality of prescribing, and their possible association with health outcomes. METHODS: A retrospective study of 200 patients discharged from an acute geriatric unit was carried out. Indicators of quality of prescription were registered at admission and discharge: polypharmacy defined as ≥5 medications, hyperpolypharmacy (≥10), potentially inappropriate prescribing by Beers and Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) criteria, potentially prescribing omissions by Screening Tool to Alert doctors to the Right Treatment (START) criteria, drug interactions and anticholinergic burden measured with the Anticholinergic Risk Scale...
April 19, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28421715/effect-of-water-bath-temperature-on-physiological-parameters-and-subjective-sensation-in-older-people
#5
Junji Ono, Nobuko Hashiguchi, Hiroyuki Sawatari, Tomoko Ohkusa, Mami Miyazono, Su-Young Son, Chie Magota, Yutaka Tochihara, Akiko Chishaki
AIM: In Japan, the incidence of water bathing-related cardiopulmonary accidents among older people is high in winter. The purpose of the present study was to investigate alterations in physiological characteristics and subjective thermal sensations of older people when bathing in a cool environment. METHODS: We assessed the skin temperature, rectal temperature, blood pressure, pulse rate, body fluid loss (sweat and urine), and subjective thermal responses of 11 older healthy male and 10 young male volunteers throughout 42°C and 39°C bathing in a room at 20°C with 50% humidity...
April 19, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28418196/clinical-frailty-is-independently-associated-with-non-prescription-of-anticoagulants-in-older-patients-with-atrial-fibrillation
#6
Isuru Induruwa, Nicholas R Evans, Ayesha Aziz, Snigdha Reddy, Kayvan Khadjooi, Roman Romero-Ortuno
AIM: Anticoagulants are underused in older patients with atrial fibrillation (AF). Scoring systems, such as CHA2 DS2 -VASc and HAS-BLED, are recommended to guide clinicians in anticoagulation decisions, but patients' frailty might be an underrecognized factor. We investigated the association between the Clinical Frailty Scale (CFS) and community anticoagulant prescribing habits in patients aged ≥75 years with AF admitted acutely to hospital. METHODS: Data were gathered retrospectively over 3 months on individuals admitted under a medical team to a tertiary teaching hospital in the UK...
April 18, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28418165/physical-activities-impact-sense-of-coherence-among-community-dwelling-older-adults
#7
Takafumi Monma, Fumi Takeda, Tomohiro Okura
AIM: The objective of the present study was to investigate bidirectional longitudinal relationships between sense of coherence (SOC) and physical activities (PA) among community-dwelling older adults. METHODS: Self-administered questionnaires were sent to 508 community-dwelling adults aged 65-85 years who expressed their intention to participate in our surveys including cognitive function tests and physical performance tests. Of these, 427 people responded to the baseline survey, and 223 of them participated in the follow-up survey 1 year later...
April 18, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28402084/foreign-bodies-in-the-external-auditory-canal-influence-of-age-on-incidence-and-outcomes-in-a-japanese-population
#8
Yoshio Nakao, Tohru Tanigawa, Kenta Murotani, Jun-Ichi Yamashita
AIM: Otolaryngologists occasionally observe foreign bodies (FB) in the external auditory canal (EAC), although relatively few studies have focused on the role of age in this condition. METHODS: We retrospectively compared the incidences, outcomes and complications of FB in the EAC in different age groups. RESULTS: The patients at our center included 24 children (19%), 46 adults (37%) and 56 older adults (44%). Compared with adults, older adults were significantly more likely to have FB (peak age 75-79 years), be women (18/46 vs 34/56, P = 0...
April 12, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28402074/prevalence-and-risk-factors-of-depression-in-the-empty-nest-elderly-from-the-sichuan-longmenshan-fault-earthquake
#9
Jiuping Xu, Yang Sun, Ziqi Wang
AIM: There have been few recent studies that have systematically investigated the risk factors for psychological illnesses caused by earthquakes in the empty nest elderly. The aim of this study was to determine the prevalence and risk factors for depression in this special group in the hardest hit areas of the 2008 Sichuan Longmenshan fault Earthquake. METHODS: A cross-sectional study was conducted in 10 severely damaged counties from Oct 2015 to Jan 2016 on 1,783 empty nesters, all of whom completed the Geriatric Depression Scale and the Social Support Rating Scale...
April 12, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28402055/effects-of-regular-water-and-land-based-exercise-on-physical-function-after-5%C3%A2-years-a-long-term-study-on-the-well-being-of-older-japanese-adults
#10
Tomoya Tsujimoto, Tatsunori Ikemoto, Makoto Kurisuno, Machiko Akao, Hirofumi Miyagawa, Msayuki Inoue, Young-Chang P Arai, Takahiro Ushida, Masataka Deie
AIM: To investigate the effects of 5 years of physical exercise on functional parameters among older Japanese adults who carried out water- or land-based exercise. METHODS: We retrospectively investigated data from 5707 medical examinations and enrolled 77 older adults into the study. Eligible participants had to be aged ≥60 years, and engaged in water-based exercise (n = 38) or a combination of water- and land-based exercise (n = 39) for at least 80% of their total exercise time for over 5 years at our fitness center...
April 12, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28402049/efficacy-of-rhythmic-exercise-and-walking-exercise-in-older-adults-exercise-participation-rates-and-physical-function-outcomes
#11
Yang Sun Park, Kyung Koh, Ji Seung Yang, Jae Kun Shim
AIM: The purpose of the present study was to evaluate the efficacy of two different exercise types, rhythmic exercise designed from local music and dance (RE) and walking exercise (WE), in terms of exercise participation and physical function changes in older adults over a period of 12 weeks. METHODS: Exercise participation was assessed through the attendance rate and retention rate, and physical function was evaluated through the Short Physical Performance Battery, static balance test and gait test...
April 12, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28401737/identifying-frailty-in-primary-care-a-systematic-review
#12
REVIEW
Linda Lee, Tejal Patel, Loretta M Hillier, Niraj Maulkhan, Karen Slonim, Andrew Costa
AIM: Identification of frailty in the primary care setting could be improved with the availability of easily identifiable markers of frailty. The purpose of this article was to systematically review markers for frailty or risk tools that have been validated in the ambulatory care setting. METHODS: Medline, PubMed, CIHAHL and Embase databases were searched up to March 2016 for studies on frailty markers in community-dwelling individuals 65 years or older. Studies were included for review if they were carried out in primary care or outpatient settings, used a validated definition of frailty, compared two or more markers, and used randomized controlled trial, quasi-experimental or prospective cohort designs...
April 12, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28394089/circulating-irisin-levels-as-a-predictive-biomarker-for-sarcopenia-a-cross-sectional-community-based-study
#13
Jae Seung Chang, Tae Ho Kim, Tuyet Thi Nguyen, Kyu-Sang Park, Nahyun Kim, In Deok Kong
AIM: Myokines are peptides released by the skeletal muscle, and have gained popularity as potential biomarkers for sarcopenia. Irisin is a recently identified myokine, but its role in pathological sarcopenia remains unclear. We investigated the validity and accuracy of circulating irisin levels as a potential biomarker for sarcopenia. METHODS: We evaluated the anthropometrics, body composition, sarcopenia-related parameters and serum irisin levels of 715 community-dwelling Koreans...
April 10, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28393451/similarities-and-differences-between-older-and-young-adult-patients-with-celiac-disease
#14
Çağdaş Kalkan, Fatih Karakaya, Irfan Soykan
AIM: Celiac disease is an autoimmune enteropathy with variable clinical symptoms. Elderly patients can have different manifestations from those of young patients. The aims of the present study were to investigate whether any differences or similarities exist between older and young patients with celiac disease with a special emphasis on concurrent autoimmune diseases. METHODS: Celiac disease patients were stratified as older and younger patients. These two groups were then compared by means of clinical symptoms, laboratory parameters and concurrent autoimmune diseases...
April 10, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28393440/effects-of-a-multifactorial-intervention-comprising-resistance-exercise-nutritional-and-psychosocial-programs-on-frailty-and-functional-health-in-community-dwelling-older-adults-a-randomized-controlled-cross-over-trial
#15
Satoshi Seino, Mariko Nishi, Hiroshi Murayama, Miki Narita, Yuri Yokoyama, Yu Nofuji, Yu Taniguchi, Hidenori Amano, Akihiko Kitamura, Shoji Shinkai
AIM: To examine the effects of a multifactorial intervention on frailty and functional health among community-dwelling older adults, a 6-month randomized, controlled, cross-over trial was carried out within the Hatoyama Cohort Study. METHODS: A total of 77 pre-frail or frail older adults (mean age 74.6 years) were randomly allocated to an immediate intervention group (IIG; n = 38) or delayed intervention group (DIG; n = 39). The IIG participated in a twice-weekly multifactorial intervention comprising resistance exercise, nutritional education and psychosocial programs...
April 10, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28371292/outcomes-of-laparoscopic-sleeve-gastrectomy-in-elderly-obese-japanese-patients
#16
Aiko Hayashi, Yukari Maeda, Minoru Takemoto, Hirotake Tokuyama, Hisashi Koide, Aya Kitahara, Hideki Hayashi, Takumi Kitamoto, Masaya Yamaga, Kazuki Kobayashi, Koutaro Yokote
AIM: Laparoscopic sleeve gastrectomy (LSG) has proven to be the most effective strategy for the treatment of morbid obesity, however its efficacy and safety in an aging population has not yet been confirmed. In this study, we evaluated the effectiveness and safety of LSG in elderly obese Japanese patients. METHODS: Three obese individuals aged >60 years and 11 obese individuals aged <60 years who underwent LSG were enrolled. Pre- and postoperative changes after at least 12 months were examined, including bodyweight, body mass index, total weight loss, excess weight loss, bone mineral density and bone-related markers...
March 30, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28371215/korean-version-of-the-fatigue-resistance-ambulation-illnesses-and-loss-of-weight-questionnaire-versus-the-modified-kihon-checklist-for-frailty-screening-in-community-dwelling-older-adults-the-aging-study-of-pyeongchang-rural-area
#17
Il-Young Jang, Hee-Won Jung, Chang Ki Lee, Kwang Ho Jang, Eun-Il Cho, Ju Jin Jung, Euna Park, Juyoung Kim, Young Soo Lee, Eunju Lee, Dae Hyun Kim
AIM: To compare the five-item Korean version of the Fatigue, Resistance, Ambulation, Illnesses and Loss of weight (K-FRAIL) questionnaire versus the 28-item Kihon + 3 index (the 25-item original Kihon checklist plus multimorbidity, sensory impairment, and Timed Up and Go test) in identifying prefrail or frail older adults. METHODS: We carried out a cross-sectional analysis of 212 community-dwelling older adults (mean age 76 years; 41% male) in PyeongChang County, Korea...
March 30, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28371121/clinical-medication-review-tool-for-polypharmacy-mapping-approach-for-pharmacotherapeutic-classifications
#18
Fumihiro Mizokami, Tomohiro Mizuno, Tomoyo Mori, Tadashi Nagamatsu, Hideharu Endo, Tomoyuki Hirashita, Takanobu Ichino, Masahiro Akishita, Katsunori Furuta
AIM: Polypharmacy is an extremely important problem, because it increases the risk of adverse drug reactions. The aim of the current study was to create a clinical medication review tool to detect inappropriate medication use, and assess this new method with elderly Japanese patients. METHODS: The new method involves optimizing prescription drugs from indications, based on the chronic disease-anatomical therapeutic class code list. The present study investigated the prevalence of potentially inappropriate medications in 5667 Japanese patients aged ≥65 years with polypharmacy (≥5 drugs) in comparison with the Beers criteria 2012...
March 30, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28349639/metabolic-mediators-of-the-impact-of-general-and-central-adiposity-measures-on-cardiovascular-disease-and-mortality-risks-in-older-adults-tehran-lipid-and-glucose-study
#19
Sara Kazempour-Ardebili, Azra Ramezankhani, Ali Eslami, Samaneh Akbarpour, Fereidoun Azizi, Farzad Hadaegh
AIMS: To investigate the relationship between body mass index, waist circumference, waist-to-hip ratio and waist-to-height ratio, as well as the mediating factors through which they might exert their risk for cardiovascular disease/coronary heart disease and mortality events in the older Iranian population during a median follow up of 9.5 years. METHODS: The study population included participants, aged ≥65 years, free of cardiovascular disease at baseline. The confounder-adjusted hazard ratio was calculated for a 1-SD change in each anthropometric measure with and without adjustment for hypercholesterolemia, diabetes and hypertension...
March 28, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28345311/relationships-among-sense-of-coherence-oral-health-status-nutritional-status-and-care-need-level-of-older-adults-according-to-path-analysis
#20
Nanae Dewake, Tomoko Hamasaki, Rie Sakai, Shima Yamada, Yuko Nima, Miki Tomoe, Satoko Kakuta, Masanori Iwasaki, Inho Soh, Yoshihiro Shimazaki, Toshihiro Ansai
AIM: Sense of coherence (SOC) is a measurement of ability of an individual to cope with psychological stress and remain in good health. The aim of the present study was to examine the relationships among SOC score, oral health status, nutritional status and care need level of older adults using path analysis. METHODS: We enrolled 53 older adults (17 men and 36 women) who were attending a day care service (mean age 80.4 ± 6.5 years). SOC was assessed using a 13-item, seven-scale instrument...
March 27, 2017: Geriatrics & Gerontology International
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