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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
Takehiko Doi, Hyuma Makizako, Kota Tsutsumimoto, Sho Nakakubo, Min-Ji Kim, Satoshi Kurita, Ryo Hotta, Hiroyuki Shimada
AIM: The purpose of the present study was to identify risk factors for physical frailty and to understand the transitional status of frailty. METHODS: The participants were 4676 older adults in the National Center for Geriatrics and Gerontology - Study of Geriatric Syndromes. Physical frailty status was classified as robust, pre-frail and frail at baseline and 4-year follow up (mean follow up 47.9 ± 1.8 months). Data for demographic variables, medical conditions, fall, depressive symptoms and cognitive function were also collected...
September 17, 2018: Geriatrics & Gerontology International
Suresh Basnet, Meng Zhang, Martin Lesser, Gisele Wolf-Klein, Guang Qiu, Myia Williams, Renee Pekmezaris, Paola DiMarzio
AIM: We sought to explore the relationship between the number of medications at hospital discharge and 30-day rehospitalization in older adults aged >65 years. METHODS: This was a multicenter cohort study to determine whether an increased number of medications was associated with 30-day rehospitalization in patients aged >65 years. We explored the relationship between rehospitalization and other risk factors. Data were collected from a large health system in the New York metropolitan area from September 2011 to January 2013...
September 17, 2018: Geriatrics & Gerontology International
Kenji Toyoshima, Atsushi Araki, Yoshiaki Tamura, Osamu Iritani, Sumito Ogawa, Koichi Kozaki, Satoru Ebihara, Haruo Hanyu, Hiroyuki Arai, Masafumi Kuzuya, Katsuya Iijima, Takashi Sakurai, Takao Suzuki, Kenji Toba, Hidenori Arai, Masahiro Akishita, Hiromi Rakugi, Koutaro Yokote, Hideki Ito, Shuichi Awata
AIM: The present study aimed to: (i) examine the reliability and validity of the Dementia Assessment Sheet for Community-based Integrated Care System 21-items for classifying patients to the appropriate categories for glycemic targets in older patients; and (ii) develop a short version of the tool and examine its reliability and validity. METHODS: A total of 410 older individuals were recruited for this multicenter cross-sectional study. We classified them into three categories used for determining the glycemic target in older patients in Japan based on cognitive functions and activities of daily living...
September 17, 2018: Geriatrics & Gerontology International
Mark Q Thompson, Olga Theou, Robert J Adams, Graeme R Tucker, Renuka Visvanathan
AIM: Frailty is a state of decreased physiological reserve and vulnerability to stressors. Understanding the characteristics of those most at risk of worsening, or likely to improve their frailty status, are key elements in addressing this condition. The present study measured frailty state transitions and factors associated with improvement or worsening frailty status in the North West Adelaide Health Study. METHODS: Frailty was measured using the frailty phenotype (FP) and a 34-item frailty index (FI) for 696 community-dwelling participants aged ≥65 years, with repeated measures at 4...
September 16, 2018: Geriatrics & Gerontology International
Jae-Hyun Kim, Doukyoung Chon
AIM: The purpose of the present study was to investigate the association between older adults' contact with their adult children and their cognitive decline. Furthermore, contact with children was considered in terms of visual contact and non-visual contact. METHODS: Data from the Korean Longitudinal Study of Aging from 2006 to 2014 was assessed using longitudinal data analysis, and 6634 participants were included at baseline with no missing information. The χ2 -test and generalized linear mixed model with a binary distribution were used to investigate the association between solidarity of adult children and parents, and cognitive decline...
September 9, 2018: Geriatrics & Gerontology International
Eirini Mamalaki, Costas A Anastasiou, Eva Ntanasi, Angeliki Tsapanou, Mary H Kosmidis, Efthimios Dardiotis, Giorgos M Hadjigeorgiou, Paraskevi Sakka, Nikolaos Scarmeas, Mary Yannakoulia
AIM: Although there is some evidence of the relationships between sleep duration/quality and nutrient and/or food intake, the associations between sleep and dietary patterns have been poorly explored. The aim of the present study was to evaluate sleep duration and quality in relation to adherence to the Mediterranean diet (MeDi), and to investigate the sex- and age-specific associations in a population-representative cohort of older adults. METHODS: Participants from the Hellenic Longitudinal Investigation of Aging and Diet were included...
September 5, 2018: Geriatrics & Gerontology International
Hiroshi Murayama, Mika Sugiyama, Hiroki Inagaki, Tsuyoshi Okamura, Fumiko Miyamae, Chiaki Ura, Ayako Edahiro, Keiko Motokawa, Shuichi Awata
AIM: Many studies have reported the preventive effects of community social capital on health outcomes, such as mortality and incidence of diseases. However, evidence on the association between community social capital and dementia-related outcomes remains sparse. The present study examined the contextual association of social capital with subjective symptoms of dementia among community-dwelling older adults in Japan, using a population-based, large-scale questionnaire survey. METHODS: Data were used from a cross-sectional survey for all community-dwelling individuals aged ≥65 years in Adachi Ward, Tokyo (n = 132 005)...
September 5, 2018: Geriatrics & Gerontology International
He Chen, Mengling Cheng, Yu Zhuang, Joanna B Broad
AIM: The knowledge on multimorbidity and its impact on healthcare systems is lacking in low- and middle-income countries. We aimed to estimate the prevalence of multimorbidity, and analyze the health service use of middle-aged and older persons with multimorbidity in urban China. METHODS: Study participants included 3737 urban residents aged ≥45 years from the China Health and Retirement Longitudinal Study 2011. A total of 16 pre-specified self-reported chronic conditions were used to measure multimorbidity, which was defined as having two or more conditions...
September 4, 2018: Geriatrics & Gerontology International
Shuzo Sato, Makiko Yashiro, Naoki Matsuoka, Tomoyuki Asano, Hiroko Kobayashi, Hiroshi Watanabe, Kiyoshi Migita
AIM: Anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV) is commonly seen in older patients. The present study intended to clarify whether elderly-onset AAV (at age ≥75 years) shows any specific clinical features and outcomes in Japanese patients. METHODS: This study was a retrospective cohort study. A total of 36 AAV patients who were initially treated at the Department of Rheumatology, Fukushima Medical University Hospital (Fukushima, Japan) between 2004 and 2016 were included...
August 30, 2018: Geriatrics & Gerontology International
Mari Ito, Michiyuki Kawakami, Emi Ohara, Kaori Muraoka, Meigen Liu
AIM: Pneumonia is a common disease that is often fatal, particularly in older persons. Dysphagia is known to be closely associated with aspiration pneumonia, and hospitalized patients with aspiration pneumonia often have difficulty with oral intake. However, the relationship between acquisition of oral intake and detailed swallowing data has not been explored. The purpose of the present study was to examine the predictors, including videofluoroscopic swallowing evaluation, for achieving oral intake in older patients with aspiration pneumonia...
August 30, 2018: Geriatrics & Gerontology International
Atsumu Yuki, Rei Otsuka, Chikako Tange, Yukiko Nishita, Makiko Tomida, Fujiko Ando, Hiroshi Shimokata
AIM: The association between polypharmacy and the development of frailty is unknown. The present study assessed the longitudinal relationship between polypharmacy and frailty risk in Japanese community-dwelling older adults. METHODS: Participants included 299 non-frail older Japanese adults aged 65-81 years who participated in both baseline and follow-up examinations of a longitudinal study of aging (mean duration 6.2 years). At baseline examination, all prescribed and non-prescribed medications used during the previous 2 weeks were confirmed and coded by physicians...
August 30, 2018: Geriatrics & Gerontology International
Benjumin Hsu, Kerrin Bleicher, Louise M Waite, Vasi Naganathan, Fiona M Blyth, David J Handelsman, David G Le Couteur, Markus J Seibel, Robert G Cumming
AIM: The aim of the present longitudinal study of community-dwelling older men was to examine the association between cognitive status at baseline, and falls, fractures and bone loss over time. METHODS: In the Concord Health and Aging in Men Project, 1705 community-dwelling men aged 70-97 years had detailed baseline clinical assessment of cognitive status (dementia, mild cognitive impairment [MCI] and normal cognition), as well as depression, physical activity, neuromuscular function, health status, sociodemographics, comorbidities, medication use and serum 25 hydroxyvitamin D, 1,25 dihydroxyvitamin D and parathyroid hormone levels...
August 30, 2018: Geriatrics & Gerontology International
Koichi Sato, Tomonori Sugiura, Nobuyuki Ohte, Yasuaki Dohi
AIM: Postprandial hypotension (PPH) is recognized as a clinical problem, constituting a potential risk for cerebral and cardiovascular events, as well as mortality. The present study was designed to test the hypothesis that PPH is prevented by slowing the infusion rate of enteral nutrition through tube feeding and by avoiding the administration of antihypertensive drugs just before the start of tube feeding. METHODS: Participants were older people receiving tube feeding through gastrostomy who used a geriatric health services facility (n = 12; mean age 79...
August 30, 2018: Geriatrics & Gerontology International
Hiroyuki Shimada, Hyuma Makizako, Sangyoon Lee, Takehiko Doi, SungChul Lee
AIM: The prevalence of dementia is rising due to increases in the aging population and chronic health conditions. The present study examined whether lifestyle activities, including instrumental activities of daily living and social roles, were associated with dementia incidence in Japanese community-dwelling older adults. METHODS: This longitudinal study involved 4564 participants (age ≥65 years) who were classified by age and sex. Lifestyle activities, risk factors for dementia and incidence of new dementia were recorded...
August 21, 2018: Geriatrics & Gerontology International
Taishi Tsuji, Katsunori Kondo, Naoki Kondo, Jun Aida, Daisuke Takagi
AIM: The aim of the present study was to develop a risk assessment scale for predicting incident functional disability among older adults. METHODS: We used prospective cohort data from the Japan Gerontological Evaluation Study, a nationwide survey of 90 889 functionally independent older people collected from 23 municipalities. The incidence of functional disability was determined from long-term care information obtained from municipal insurance databases. We constructed a Cox proportional hazards model with forward stepwise selection that used sex, age, and 12 of the essential items of the Public Survey of Long-Term Care Prevention and Needs in Spheres of Daily Life (the Needs Survey)...
August 14, 2018: Geriatrics & Gerontology International
Ken-Ichiro Tomita, Junko Aida, Naotaka Izumiyama-Shimomura, Ken-Ichi Nakamura, Naoshi Ishikawa, Yoko Matsuda, Tomio Arai, Toshiyuki Ishiwata, Toshio Kumasaka, Junko Takahashi-Fujigasaki, Naoki Hiraishi, Misaki Yamada, Mutsunori Fujiwara, Kaiyo Takubo
AIM: The telomere is a structure present at the ends of chromosomes, and is known to shorten with aging and successive rounds of cell division. However, very little is known about telomere attrition in post-mitotic cells, such as neurons. METHODS: Using our originally developed quantitative fluorescence in situ hybridization method, we analyzed age-dependent alterations of telomere length in three types of cells in the human cerebrum: neurons and glial cells in both the gray and white matter...
August 10, 2018: Geriatrics & Gerontology International
Sachiko Morita, Tasuku Matsuyama, Naoki Ehara, Nobuhiro Miyamae, Yohei Okada, Takaaki Jo, Yasuyuki Sumida, Nobunaga Okada, Makoto Watanabe, Masahiro Nozawa, Ayumu Tsuruoka, Yoshihiro Fujimoto, Yoshiki Okumura, Tetsuhisa Kitamura, Yasuyuki Hayashi
AIM: We aimed to evaluate the prevalence and outcomes of accidental hypothermia (AH) among elderly patients in Japan. METHODS: This was a multicenter chart review study of patients with AH (Japanese accidental hypothermia network registry; J-Point registry) that included patients with a body temperature ≤35 °C and those aged ≥18 years who visited the emergency department of 12 institutions in Japan from 1 April 2011 to 31 March 2016. The patients were classified into three groups: adult (aged 18-64 years), young-old (aged 65-79 years) and old-old (aged ≥80 years)...
August 10, 2018: Geriatrics & Gerontology International
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