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Geriatrics & Gerontology International

Izumi Takeuchi, Yoshihiro Yoshimura, Sayuri Shimazu, Seungwon Jeong, Makio Yamaga, Hiroaki Koga
AIM: To investigate the effects of branched-chain amino acids and vitamin D supplementation on physical function, muscle strength, muscle mass, and nutritional status in sarcopenic older adults undergoing hospital-based rehabilitation. METHODS: We carried out an 8-week, multicenter, randomized, controlled, blinded outcome, two-cohort parallel group intervention trial of sarcopenic older adults undergoing in-hospital rehabilitation. The eligibility criteria included older adults (aged ≥65 years) with low muscle strength (handgrip strength) and low muscle mass (calf circumference) according to the cut-off values for older Asians...
October 24, 2018: Geriatrics & Gerontology International
Chanbeom Kwak, Woojae Han, Jihyeon Lee, Jinsook Kim, Sungkyun Kim
AIM: The purpose of the present study was to evaluate the speech recognition ability and degree of listening effort for older adults in noisy and reverberating environments. METHODS: A total of 80 participants (40 older and 40 younger adults) participated in a sentence recognition test under 20 conditions with four levels of background noise and five levels of reverberation time. In each condition, the degree of listening effort was self-reported using a 5-point Likert scale...
October 16, 2018: Geriatrics & Gerontology International
Jinseok Kim, Jin-Won Noh, Jumin Park, Taewook Huh, Young Dae Kwon
AIM: Employment status has consistently been associated with health-related quality of life. This study investigated the effect of age on the association between work status and health-related quality of life in Korean adults using a large, nationally representative sample. METHODS: We used data from the Korean Health Panel, and ran a series of random effects panel models to test the relationship between quality of life as measured by the EuroQol five-dimension questionnaire and work status...
October 15, 2018: Geriatrics & Gerontology International
Yohko Maki, Takashi Sakurai, Jiro Okochi, Haruyasu Yamaguchi, Kenji Toba
The goal of dementia treatment is to improve the quality of life for both people with dementia and their families. Rehabilitation as a non-pharmacological approach, coordinated with pharmacological treatment, aims to allow patients to live better by slowing the progression, and relieving the behavioral and psychological symptoms of dementia. In dementia, the manifestation of symptoms caused by neurological impairment is modified by various factors; thus, multidimensional assessment and approaches are effective based on the concept of the International Classification of Functioning, which emphasizes the healthy components of every person's functioning...
October 15, 2018: Geriatrics & Gerontology International
Ka-Keung Yam, Yat-Fung Shea, Tuen-Ching Chan, Ka-Chun Chiu, James Ka-Hei Luk, Leung-Wing Chu, Felix Hon-Wai Chan
AIM: To study the prevalence and risk factors of delirium and subsyndromal delirium (SSD) in Chinese older adults with acute medical illnesses. METHODS: A prospective cohort study was carried out in acute general medical wards in a university-affiliated hospital in Hong Kong. Patients were assessed by the confusion assessment method by geriatricians within 6 h after admission and classified into three mutually exclusive groups, namely delirium, SSD and those without both conditions...
October 12, 2018: Geriatrics & Gerontology International
Tokuharu Tanaka, Kei Nishiyama, Osamu Yamamura, Hiroko Watase, Yoshinari Yokoyama, Takayasu Horiguchi, Takashi Konishi, Hiroyuki Hayashi
AIM: The target Geriatric Nutritional Risk Index (GNRI) for patients on chronic maintenance hemodialysis is unclear. We aimed to determine the relationship between the GNRI and independent walking ability in such patients. METHODS: In the present retrospective cohort study, 90 patients receiving chronic maintenance hemodialysis were included. Logistic regression analyses were carried out to evaluate the relationship between the GNRI and independent walking ability...
October 11, 2018: Geriatrics & Gerontology International
Keitaro Makino, Hikaru Ihira, Atsushi Mizumoto, Kotaro Shimizu, Toyoaki Ishida, Ryo Yamaguchi, Yuriko Kihara, Kazunari Ito, Takeshi Sasaki, Taketo Furuna
AIM: The present study aimed to propose a structural model to explain the interaction of physical, cognitive and social domains of health status in the incidence of disability in community-dwelling people aged ≥75 years. METHODS: We analyzed 185 older adults (mean age 79.4 years, 58.4% female) who participated in a baseline assessment from 2012 to 2013. They were followed for incident certification of care needs in the national long-term care insurance certification system during the 2 years...
October 11, 2018: Geriatrics & Gerontology International
Jae Woo Choi, Eun-Cheol Park, Sang Gyu Lee, Sohee Park, Hwang-Gun Ryu, Tae Hyun Kim
AIM: To examine whether long-term care insurance (LTCI) reduces medical utilization and the burden of medical costs of beneficiaries. METHODS: The elderly cohort database of the National Health Insurance Service during 2005-2013 was used. The participants were 3029 beneficiaries who received consecutive LTCI services. We carried out a 1:3 case-control match on the propensity score to select a comparison group, and the final participants were 12 116 people, including 9087 who formed the control group...
October 11, 2018: Geriatrics & Gerontology International
Mario Bo, Maddalena Gibello, Enrico Brunetti, Edoardo Boietti, Matteo Sappa, Yolanda Falcone, Maria Luigia Aurucci, Marina Iacovino, Gianfranco Fonte, Giorgetta Cappa
AIM: To evaluate the prevalence and predictors of potentially inappropriate medications (PIM) and potential prescribing omissions (PPO) in hospital-discharged older patients, according to the recently updated Screening Tool of Older People's Prescriptions and Screening Tool to Alert to Right Treatment version 2 criteria. METHODS: This was a multicenter prospective observational study of patients aged ≥65 years consecutively discharged from geriatric and internal medicine wards...
October 11, 2018: Geriatrics & Gerontology International
Yuki Kakio, Haruhito A Uchida, Hidemi Takeuchi, Yuka Okuyama, Michihiro Okuyama, Ryoko Umebayashi, Kentaro Wada, Hitoshi Sugiyama, Ken Sugimoto, Hiromi Rakugi, Shingo Kasahara, Jun Wada
AIM: Since 1998, the leading cause of chronic hemodialysis in Japan has been diabetic nephropathy. Diabetes mellitus is known to be a risk factor for frailty, but it still remains unknown whether diabetic nephropathy is associated with frailty in chronic dialysis patients. The authors carried out the present study to reveal the association between frailty and diabetic nephropathy in chronic hemodialysis patients. METHODS: A total of 355 patients who were on hemodialysis were recruited...
October 11, 2018: Geriatrics & Gerontology International
Alice Breining, Antonin Negers, Lucie Mora, Laura Moïsi, Jean L Golmard, Ariel Cohen, Marc Verny, Jean P Collet, Jacques Boddaert
AIM: Myocardial infarction without chest pain misleads the clinician, resulting in a diagnosis delay and an increase of mortality. The main objective of the present study was to determine the risk factors of atypical presentation in older patients with myocardial infarction. METHODS: All consecutive patients aged ≥75 years presenting with myocardial infarction and hospitalized in the cardiology intensive care unit were included in the present prospective multicenter observational study...
October 11, 2018: Geriatrics & Gerontology International
Yuji Mitani, Yutaro Oki, Yukari Fujimoto, Takumi Yamaguchi, Yoji Yamada, Kanji Yamada, Takashi Ito, Hideyuki Shiotani, Akira Ishikawa
AIM: Pneumonia ranks high among the causes of death worldwide. However, the predictive values of activities of daily living, the nutrition index and the aspiration index measured objectively remain unclear. The present study aimed to examine the associations of activity, nutrition and dysphagia with pneumonia. METHODS: We assessed 992 hospitalized patients. Logistic regression analysis was used to examine the predictors of pneumonia. Receiver operating characteristic curve analysis was used to determine the cut-off values of variables...
October 5, 2018: Geriatrics & Gerontology International
Varalak Srinonprasert, Chalobol Chalermsri, La-Or Chailurkit, Boonsong Ongphiphadhanakul, Wichai Aekplakorn
AIM: Previous studies on the association between low vitamin D level and increased mortality mainly came from high-income countries. The primary objective of the present study was to examine the effect of sex on the association between 25-hydroxyvitamin D2 and D3 and mortality among community-dwelling older people in Thailand. METHODS: A cohort of individuals aged ≥60 years from the Thai 4th National Health Examination Survey carried out in 2008 were followed and linked to a vital registry in 2015...
October 2, 2018: Geriatrics & Gerontology International
Satoshi Kurita, Takehiko Doi, Kota Tsutsumimoto, Ryo Hotta, Sho Nakakubo, Minji Kim, Hiroyuki Shimada
AIM: Previous studies have obtained inconsistent results regarding the association between sedentary behavior and cognitive impairment. The present study aimed to examine the association between cognitive activity in a sitting position (CAS) and cognitive impairment among older adults. METHODS: Community-dwelling older adults, from Obu or Nagoya in Japan, participated in a survey in 2013. A total of 5300 participants (mean age 75.0 ± 5.1 years; women 52.9%) met the criteria for the present study...
October 2, 2018: Geriatrics & Gerontology International
Shingo Koyama, Hironobu Katata, Daisuke Ishiyama, Takuma Komatsu, Junko Fujimoto, Mizue Suzuki, Minoru Yamada, Masato Yamatoku
AIM: Frailty is a predictor of several adverse health outcomes in older adults. However, the relationship between preadmission frailty status and the incidence of dependency after discharge in hospitalized older patients remains unclear. The aim of the present study was to determine whether preadmission frailty status can predict dependency after discharge among hospitalized older patients. METHODS: We analyzed the cohort data for hospitalized older patients (aged ≥65 years) with internal medical problems obtained from a prospective study...
September 27, 2018: Geriatrics & Gerontology International
Reinhold Kreutz, Insa M Schmidt, Dagmar Dräger, Franca Brüggen, Stefan Hörter, Christine Zwillich, Adelheid Kuhlmey, Paul Gellert
AIM: Evidence on antithrombotic therapy use in centenarians diagnosed with atrial fibrillation (AF) is sparse. Our objective was to investigate a possible underprescribing in centenarians relative to younger cohorts of the oldest-old. We assumed lower AF rates; and, within AF patients, lower use of anticoagulants in those who died as centenarians (aged ≥100 years) than in those who died aged in their 80s (≥80 years) or 90s (≥90 years). METHODS: The present study was a quarterly structured cohort study over the 6 years before death using administrative data from German institutionalized and non-institutionalized insured patients (whole sample n = 1398 and subsample of AF patients n = 401 subclassified according to age-of-death groups [≥80, ≥90, ≥100 years])...
September 26, 2018: Geriatrics & Gerontology International
Mimi M Y Tse, Joyce L Lau, Rick Kwan, Daphne Cheung, Angel S K Tang, Shamay S M Ng, Paul H Lee, Suey S Y Yeung
AIM: The prevalence of chronic pain among nursing home residents with dementia is high. This present study aimed to explore the effectiveness of a play activities program among nursing home residents with dementia. METHODS: Each nursing home was randomly assigned to an experimental group or control group. A 1-h play activities program was offered weekly for 8 weeks to the experimental group, whereas participants in the control group read books and magazines for 15 min weekly for the 8 weeks...
September 25, 2018: Geriatrics & Gerontology International
Tsuyoshi Okamura, Chiaki Ura, Fumiko Miyamae, Mika Sugiyama, Hiroki Inagaki, Edahiro Ayako, Murayama Hiroshi, Keiko Motokawa, Shuichi Awata
AIM: Late-life depression is identified less often by general practitioners than depression in younger adults, but failure to have late-life depression recognized in a primary care setting can have fatal consequences. The aim of the present study was to examine the prevalence of depressed mood and loss of interest, and identify associated factors among community-dwelling older adults in a large-scale study. METHODS: A questionnaire was mailed to all residents (n = 132 005) aged ≥65 years in one Tokyo district...
September 20, 2018: Geriatrics & Gerontology International
Sei Sato, Takeyasu Kakamu, Takehito Hayakawa, Tomohiro Kumagai, Tomoo Hidaka, Yusuke Masuishi, Shota Endo, Tetsuhito Fukushima
AIM: The aim of the present study was to examine whether behavioral and psychological symptoms of dementia at the time of admission could be a predictor of falls in older people with dementia residing in geriatric health service facilities. METHODS: Three geriatric health services facilities located in Fukushima Prefecture, Japan, were the targeted facilities. Of the 305 people admitted between May 2013 and November 2014, 242 (74 men, 168 women) who scored ≤20 points on the Hasegawa Dementia Scale-Revised were targeted for analysis...
September 19, 2018: Geriatrics & Gerontology International
Sunyoung Kim, Jong-Heon Park, Chang Won Won
AIM: Geriatric syndromes are common among older individuals, and can affect their health and quality of life. The present study aimed to determine if combinations of geriatric syndromes affected adverse outcomes among older Koreans. METHODS: Korean national health insurance data were collected for a cohort of 5 058 720 individuals who were aged ≥65 years in 2008. The same data source was used to follow these individuals until 2015. Diagnostic codes were used to assess four major geriatric syndromes (delirium, fall-related fractures, incontinence and pressure ulcers) and adverse outcomes (mortality and nursing home institutionalization)...
September 17, 2018: Geriatrics & Gerontology International
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