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Gerontology & Geriatric Medicine

Ryan W Schroeder, Phillip K Martin, Connie Marsh, Susan Carr, Tara Richardson, Jasmine Kaur, Jennifer Rusk, Shiloh Jiwanlal
Background: Neuropsychiatric symptoms are common features of dementia, and these occur in three fourths of patients on psychogeriatric inpatient units. These symptoms have traditionally been treated with pharmacological agents, but many medications are as likely to harm patients with dementia as to help them. As a result, nonpharmacological interventions are increasingly being investigated as ways to reduce these symptoms. Objective: The current study evaluated the impact of an individualized music-based intervention on agitation, negative mood, positive mood, compliance with care, need for one-on-one nursing staff intervention, and need for PRN medication...
January 2018: Gerontology & Geriatric Medicine
Hajime Iwasa, Yuko Yoshida
For healthy longevity, according to the theoretical framework of "successful aging," it is not only essential to avoid disease and disability, and to keep high levels of mental and physical functioning, but also to engage with life. Thus, satisfactory leisure activity is important for the aged. We examined actual conditions of leisure activity among older adults in Japan, which can contribute to the development of a standardized leisure activity scale. Participants were 843 community-dwellers (390 men and 453 women, 70...
January 2018: Gerontology & Geriatric Medicine
Shawnta L Lloyd, Catherine W Striley
Background: Marijuana is the most commonly used illicit drug among older adults. As an older population grows in the United States that has a tolerant attitude toward marijuana use, the dynamics of marijuana use and the effects of marijuana on personal, social, and health outcomes among older adults require attention. Objectives: This review summarizes epidemiological literature on marijuana use among older adults. Method: A literature search was conducted using PubMed, AgeLine, and an online search engine from January 2000 to December 2017, resulting in 18 articles...
January 2018: Gerontology & Geriatric Medicine
Andrea L Hergenroeder, Bethany Barone Gibbs, Mary P Kotlarczyk, Robert J Kowalsky, Subashan Perera, Jennifer S Brach
Objective: The aim of this study is to evaluate accuracy of research activity monitors in measuring steps in older adults with a range of walking abilities. Method: Participants completed an initial assessment of gait speed. The accuracy of each monitor to record 100 steps was assessed across two walking trials. Results: In all, 43 older adults (age 87 ± 5.7 years, 81.4% female) participated. Overall, the StepWatch had the highest accuracy (99.0% ± 1.5%), followed by the ActivPAL (93.7% ± 11.1%) and the Actigraph (51...
January 2018: Gerontology & Geriatric Medicine
Antoneta Granic, Helen Mossop, Gabriella Engstrom, Karen Davies, Richard Dodds, James Galvin, Joseph G Ouslander, Ruth Tappen, Avan A Sayer
Objective: To explore the association between ethnicity, sociodemographic, health, and lifestyle factors, and physical performance (PP) in ethnically diverse community-dwelling older adults from one geographic area. Method: We used multivariable linear regression to identify factors associated with upper (grip strength [GS], arm curls [AC]) and lower (chair stands [CS]) body strength and mobility (gait speed [GSp]) in 577 older adults (mean age 74 ± 8; 104 African American, 142 Afro-Caribbean, 123 Hispanic, and 208 European American) from South Florida...
January 2018: Gerontology & Geriatric Medicine
R C Hamdy, A Kinser, K Dickerson, T Kendall-Wilson, A Depelteau, R Copeland, K Whalen
Insomnia is a common problem in older people, especially in patients with mild cognitive impairment (MCI) whose circadian rhythm is often compromised. Insomnia exerts such a toll on caregivers that it is frequently the primary reason for seeking to institutionalize their loved ones. Three different types of insomnia are recognized: sleep-onset or initial insomnia, sleep maintenance or middle insomnia, and early morning awakening or late insomnia. Nocturnal hypoglycemia, as a cause of middle insomnia, is the main focus of this case study...
January 2018: Gerontology & Geriatric Medicine
R C Hamdy, A Kinser, J E Culp, T Kendall-Wilson, A Depelteau, R Copeland, K Whalen
Patients with dementia, particularly Alzheimer's disease, may not recognize that their clothes are dirty. They may see the food stains and discoloration of the clothes and yet because of their agnosia are unable to integrate these observations and deduce that their clothes are dirty and need to be changed. They will, therefore, resist attempts to get them to change clothes, especially if these clothes happen to be their favorite ones. This often causes caregivers to become frustrated, especially, if it represents a change in the patient's previous habits of only wearing clean clothes...
January 2018: Gerontology & Geriatric Medicine
R C Hamdy, A Kinser, T Kendall-Wilson, A Depelteau, K Whalen, J Culp
Driving is a symbol of autonomy and independence, eagerly awaited during adolescence, cherished during adulthood and reluctantly rescinded during old age. It is nevertheless an individual's privilege, not right, especially as driving may affect other drivers and pedestrians on the road. It is therefore not only the individual patient who is at stake but essentially the entire community. In this case scenario, we describe the situation that arose when a patient with multi-infarct dementia wanted to go for a drive and his son and grandson tried to convince him that he could no longer drive...
January 2018: Gerontology & Geriatric Medicine
Anna Hafström
Background: Severe diminished foot somatosensation, for example, caused by neuropathies and advanced aging, contributes to balance deficits and increased fall risk. However, little is known about somatosensory impairment and functional and subjective balance problems in relatively healthy elderly. Method: Vibration perception thresholds (VPTs) were assessed with a biothesiometer and tactile pressure sensation thresholds (TPSTs) with 20 monofilaments in 34 relatively healthy community-dwelling older adults ( M = 69...
January 2018: Gerontology & Geriatric Medicine
R C Hamdy, A Kinser, Tracey Kendall-Wilson, A Depelteau, R Copeland, K Whalen, J Culp
Visual well-formed hallucinations, fluctuations in the level of cognition, and alertness and extrapyramidal signs are core features of dementia with Lewy bodies. Some patients realize that what they are seeing or hearing are just hallucinations and learn to accept them. Others, however experience these hallucinations as quite real and cannot be dissuaded from the firm belief that they are. In fact, efforts to dissuade them often serve only to confirm the often associated paranoid delusions and this may lead to a catastrophic ending...
January 2018: Gerontology & Geriatric Medicine
Aldis H Petriceks, John C Olivas, Sakti Srivastava
It is no secret that the average age of the U.S. population is increasing, and this has special significance for the U.S. health care system. The number of individuals above 65 years old is predicted to increase 55% by 2030, and all the while, there is a looming physician shortage, one especially relevant for Geriatricians. Therefore, current Geriatricians must have objective information to assess the past, present, and future state of this important specialty. However, little literature exists regarding the recent changes in Geriatrics-related graduate medical education programs...
January 2018: Gerontology & Geriatric Medicine
Celeste Carlucci, Julie Kardachi, Sara M Bradley, Jason Prager, Katarzyna Wyka, Nimali Jayasinghe
Background: Despite the development of evidence-based fall-prevention programs, there remains a need for programming that will engage older adults in real-world settings. Objective: This study aimed to evaluate a community-based group program that integrates joyful movement into fall prevention. The curriculum emphasizes a positive experience of movement, cultivating a healthy body image, and retraining of biomechanics. Design: Program evaluation was conducted using a one-group pre-post test study design. Key outcomes were functional balance and confidence...
January 2018: Gerontology & Geriatric Medicine
Raymond Chi-Fai Chui
Objectives: There is limited research on the meaning in life among Chinese elders. This study aims to examine the association among functional disabilities, meaning in life, social network, and quality of life in community-dwelling Chinese elders with low socioeconomic status. Methods: A cross-sectional survey was used to collect data from 339 poor community-dwelling Chinese elders aged 60 and above. Results: The results showed that meaning in life and social network were significantly related to quality of life...
January 2018: Gerontology & Geriatric Medicine
Marina Janelidze, Nina Mikeladze, Nazibrola Bochorishvili, Ann Dzagnidze, Mariam Kapianidze, Nino Mikava, Irene Khatiashvili, Ekaterina Mirvelashvili, Nino Shiukashvili, John Lynch, Zurab Nadareishvili
Objective: The goal of this study was to estimate the prevalence of mild cognitive impairment (MCI) in Georgia. Method: A population-based study was conducted using Georgian version of the Montreal Cognitive Assessment (MoCA) and its cognitive domain index score. Results: Of the initial cohort of 1,000 subjects, 851 met inclusion criteria. The prevalence of MCI was 13.3%, and it was associated with age >65 years (odds ratio [OR] = 4.51, 95% confidence interval [CI] = [3.00, 6.75]), urban residence (OR = 0...
January 2018: Gerontology & Geriatric Medicine
Narlon C Boa Sorte Silva, Michael A Gregory, Dawn P Gill, Cheri L McGowan, Robert J Petrella
Objectives: To determine whether a dual-task gait and aerobic exercise intervention differentially impacted older adults with normal blood pressure (BP) dipping status (dippers) compared to those with nondipping status (nondippers). Methods: This study was a secondary analysis involving participants (mean age = 70.3 years, 61% women) who attended a laboratory-based exercise intervention over a 6-month period (40 min/day and 3 days/week). Participants were assessed in measures of cognition, mobility, and cardiovascular health at baseline, 3, 6, and 12 months (after a 6-month no-contact follow-up)...
January 2018: Gerontology & Geriatric Medicine
Matthew J Peterson
Background: Identifying impairments prior to onset of physical frailty may inform targeted interventions. An objective, clinically feasible early frailty measure, termed performance-based early frailty (PBEF) was developed, and antecedent and current risk factors were examined. Method: Data were from N = 104 participants of the Fels Longitudinal Study. PBEF was derived from age-specific cut points for time to complete five chair stands and walk four meters. "Pre-PBEF" and "PBEF" were defined as impairment in one or both measures, respectively...
January 2018: Gerontology & Geriatric Medicine
(no author information available yet)
[This corrects the article DOI: 10.1177/2333721416644286.].
January 2018: Gerontology & Geriatric Medicine
Simone Mosole, Sandra Zampieri, Sandra Furlan, Ugo Carraro, Stefan Löefler, Helmut Kern, Pompeo Volpe, Alessandra Nori
Physical activity plays an important role in preventing muscle atrophy and chronic diseases in adults and in the elderly. Calcium (Ca2+ ) cycling and activation of specific molecular pathways are essential in contraction-induced muscle adaptation. This study attains human muscle sections and total homogenates prepared from biopsies obtained before (control) and after 9 weeks of training by electrical stimulation (ES) on a group of volunteers. The aim of the study was to investigate about the molecular mechanisms that support functional muscle improvement by ES...
January 2018: Gerontology & Geriatric Medicine
Debra Dobbs, Sharon Kaufman, Hongdao Meng
As resident acuity levels increase for those who reside in assisted living (AL), states allow for hospice care provision in AL. End-of-life care training for staff can potentially increase the awareness of benefits of hospice care for AL residents. This study examined the association between AL staff trained in end-of-life care and hospice utilization in a sample of ALs ( n = 45) in Florida. The sample included ALs ( n = 21) with a low percentage (≤59%) and ALs ( n = 24) with a high percentage (≥60%) of staff trained in end-of-life care as reported by AL directors...
January 2018: Gerontology & Geriatric Medicine
Heidi D Nelson, Lily Lui, Kris Ensrud, Stephen R Cummings, Jane A Cauley, Teresa A Hillier
Objective: The objective of this study is to determine whether the health effects of smoking and moderate alcohol use persist with aging. Method: Smoking status, alcohol use, and measures of function and health were obtained from 9,704 women aged ≥65 years at baseline and over 10- and 20-year follow-up periods. Adjusted multiple linear and logistic regression and Cox proportional hazard models estimated associations. Results: Current versus never smokers had worse walking speed, self-reported health, difficulty with instrumental activities of daily living (IADLs), and depression at 10 years and higher death rates at 10 and 20 years...
January 2018: Gerontology & Geriatric Medicine
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