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Aged 80 and older health conditions

Kristine Yaffe, Sandy J Lwi, Tina D Hoang, Feng Xia, Deborah E Barnes, Shira Maguen, Carrie B Peltz
OBJECTIVE: To determine whether diagnoses of traumatic brain injury (TBI), posttraumatic stress disorder (PTSD), and depression, alone or in combination, increase dementia risk among older female veterans. METHODS: This cohort study included data from 109,140 female veterans ≥55 years of age receiving care from Veterans Health Administration medical centers in the United States between October 2004 and September 2015 with at least 1 follow-up visit. TBI, PTSD, depression, and medical conditions at study baseline and incident dementia were determined according to ICD-9-CM codes...
December 12, 2018: Neurology
Ana Marcella Rivas, Eneko Larumbe-Zabala, Subhanudh Thavaraputta, Edna Juarez, Avinash Adiga, Joaquin Lado-Abeal
OBJECTIVE: Our institution, a safety net, university, tertiary hospital located in West Texas has a high number of hospital admissions for complicated thyrotoxicosis. We hypothesized that unfavorable socioeconomic conditions result in increased risk of poor outcomes in hyperthyroid patients, and upshot rates of hospitalization for thyrotoxicosis in West Texas. The primary aim of our study was to identify factors associated with admission for complicated thyrotoxicosis in patients living in the Panhandle and Llano Estacado of Texas...
December 7, 2018: Thyroid: Official Journal of the American Thyroid Association
Ingrid Guerra Azevedo, Saionara Maria Aires da Câmara, Catherine McLean Pirkle, Álvaro Campos Cavalcanti Maciel, Elizabel de Souza Ramalho Viana
OBJECTIVE: Previous studies show that multiparity and a number of chronic conditions are correlated among women. Also, low respiratory muscle strength has been associated to adverse health outcomes such as chronic lung disease and early mortality. This study aimed to investigate associations between the number of lifetime pregnancies and maximal inspiratory/expiratory pressures. METHODS: In a cross-sectional study, 204 women ages 41-80 years-old, from the rural community of Santa Cruz, Brazil, provided data regarding demographics, socioeconomic characteristics, health behaviors, and number of lifetime pregnancies (≤3, 4-6 or ≥7)...
2018: PloS One
Ching-Ju Chiu, Hsiang-Min Huang, Tsung-Hsueh Lu, Ying-Wei Wang
BACKGROUND: Characteristics associated with acceptance of dataset linkages and health data linkage data quality were analyzed. METHODS: Participants from the 2011 Taiwan Longitudinal Study on Aging were asked to link their epidemiological data with concurrent and future medical claim datasets. Characteristics associated with acceptance of data linkage, data consistency, under-reporting, and over-reporting of disease conditions were identified. RESULTS: Among the 3727 respondents, 3601 (96...
December 3, 2018: BMC Health Services Research
Fang Yang, Junan Zhang, Jianping Wang
BACKGROUND: Loneliness is a public health concern with serious health consequences in older adults. Despite a large body of research on the correlates of loneliness, little is known about the age group differences in the correlates. Given that the older adult population is heterogeneous, this study aims to examine the correlates of loneliness in older adults in Shanghai, and to explore how the correlates vary across different age groups. METHODS: We used the Shanghai Urban Neighborhood Survey (SUNS) which was conducted in 2016 and 2017...
December 4, 2018: BMC Geriatrics
Andreas D Meid, Andreas Groll, Dirk Heider, Sarah Mächler, Jürgen-Bernhard Adler, Christian Günster, Hans-Helmut König, Walter E Haefeli
OBJECTIVES: To develop and internally validate prediction models for medication-related risks arising from overuse, misuse, and underuse that utilize clinical context information and are suitable for routine risk assessment in claims data (i.e., medication-based models predicting the risk for hospital admission apparent in routine claims data or MEDI-RADAR). METHODS: Based on nationwide claims from health-insured persons in Germany between 2010 and 2012, we drew a random sample of people aged ≥65 years (N = 22,500 randomly allocated to training set, N = 7500 to validation set)...
December 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Mijanur Rahman, Jimmy T Efird, Julie E Byles
BACKGROUND: Women live longer than men and have an increased need for long-term care. The objective of this study was to identify patterns of aged care use among older Australian women and to examine how these patterns were associated with their demographic and health-related characteristics. METHODS: The sample consisted of 8768 women from the 1921-1926 birth cohort of the Australian Longitudinal Study on Women's Health (ALSWH), who had survived to age 75-80 years...
November 19, 2018: Archives of Gerontology and Geriatrics
Jason A Bennie, Duck-Chul Lee, Asaduzzaman Khan, Glen H Wiesner, Adrian E Bauman, Emmanuel Stamatakis, Stuart J H Biddle
INTRODUCTION: Although muscle-strengthening exercise has multiple independent health benefits, little is known about muscle-strengthening exercise participation and associations with adverse health conditions among U.S. adults. METHODS: In 2017, data were analyzed from the U.S. 2015 Behavioral Risk Factor Surveillance System. During telephone surveys, respondents reported how many times during the past week they engaged in muscle-strengthening exercise. Weighted weekly muscle-strengthening exercise frequencies were calculated for the total sample and across sociodemographic and lifestyle characteristics...
December 2018: American Journal of Preventive Medicine
Lina Ma, Guiming Sha, Yaxin Zhang, Yun Li
Purpose: Frailty is associated with adverse health outcomes. Its biological markers are essential to enhance diagnostic ease and would contribute to surveillance of the condition. Considering the involvement of pro-inflammatory and nutritional states in frailty, we aimed to investigate whether inflammatory mediators and adipokines are associated with frailty and their relationship with physical function. Patients and methods: We recruited 130 older adults (90 nonfrail participants and 40 frail participants, mean age: 72...
2018: Clinical Interventions in Aging
Carla M C Nascimento, Marisa S Zazzetta, Grace A O Gomes, Fabiana S Orlandi, Karina Gramani-Say, Fernando A Vasilceac, Aline C M Gratão, Sofia C I Pavarini, Marcia R Cominetti
BACKGROUND: The complex physiology underpinning the frailty syndrome is responsible for the absence of robust biomarkers that can be used for screening, diagnostic and/or prognostic purposes and has made clinical implementation difficult. Considering socially vulnerable populations, who have poor health status and increased morbidity and mortality, this scenario is even more complex. However, to the best of our knowledge, there are no studies available to investigate frailty biomarkers in socially vulnerable populations...
November 6, 2018: BMC Geriatrics
Yoshiaki Tamura, Joji Ishikawa, Yoshinori Fujiwara, Masashi Tanaka, Nobuo Kanazawa, Yuko Chiba, Ai Iizuka, Sho Kaito, Jun Tanaka, Masamitsu Sugie, Takashi Nishimura, Akiko Kanemaru, Keigo Shimoji, Hirohiko Hirano, Ko Furuta, Akihiko Kitamura, Satoshi Seino, Shoji Shinkai, Kazumasa Harada, Shunei Kyo, Hideki Ito, Atsushi Araki
BACKGROUND: Although frailty and cognitive impairment are critical risk factors for disability and mortality in the general population of older inhabitants, the prevalence and incidence of these factors in individuals treated in the specialty outpatient clinics are unknown. METHODS: We recently established a frailty clinic for comprehensive assessments of conditions such as frailty, sarcopenia, and cognition, and planned 3-year prospective observational study to identify the risk factors for progression of these aging-related statuses...
November 6, 2018: BMC Geriatrics
Roberta de Oliveira Máximo, Jair Licio Ferreira Santos, Mônica Rodrigues Perracini, Cesar de Oliveira, Yeda Aparecida de Oliveira Duarte, Tiago da Silva Alexandre
OBJECTIVE: To investigate whether abdominal obesity, dynapenia and dynapenic-abdominal obesity are associated to the prevalence of single or recurrent falls in older adults. METHODS: We analyzed data from 1,046 community-dwelling participants of the SABE Study (Saúde, Bem-estar e Envelhecimento/Health, Well-Being and Ageing). Participants were classified as non-dynapenic/non-abdominal obese, abdominal obese only, dynapenic only, and dynapenic-abdominal obese based on waist circumference (>102cm for men and >88cm for women) and handgrip strength (<26kg for men and <16kg for women)...
October 29, 2018: Brazilian Journal of Physical Therapy
Cédric Rat, Heloise Schmeltz, Sylvain Rocher, France Nanin, Aurélie Gaultier, Jean-Michel Nguyen
BACKGROUND: International guidelines recommend avoiding prostate-specific antigen (PSA)-based prostate cancer screening in the elderly when life expectancy is less than 10 years. For younger men, most recommendations encourage a shared decision-making process taking into account patient comorbidities. OBJECTIVE: The objective was to assess the performance of PSA-based prostate cancer screening in men older than 74 years and assess whether the presence (vs absence) of comorbidities was related to the performance of PSA testing in younger men aged 50 to 74 years who were eligible for screening...
October 23, 2018: JMIR Public Health and Surveillance
Maria Orlando Edelen, Adam J Rose, Elizabeth Bayliss, Lesley Baseman, Emily Butcher, Rosa-Elena Garcia, David Tabano, Brian D Stucky
As measures of health care quality have become more sophisticated, the goals of patient care have expanded into helping patients optimize their functional status and well-being. Patient-reported outcome (PRO) based performance measures (PMs) can measure how well these aspects of care are being delivered and compare the performance of health care systems and different provider groups. Most PMs focus on technical quality of care or such outcomes as survival. For older adults, especially those over age 80 with multiple chronic conditions (MCC), it might be equally important or even more important to have a good quality of life...
October 2018: Rand Health Quarterly
Monique A M Gignac, Vicki Kristman, Peter M Smith, Dorcas E Beaton, Elizabeth M Badley, Selahadin Ibrahim, Cameron A Mustard
The aging of workforces combined with the prevalence of age-related chronic diseases has generated interest in whether large numbers of older workers will need workplace accommodations. This research applied work functioning theory to examine accommodation availability, need and use in workers with arthritis, diabetes, or no chronic disabling diseases; factors associated with accommodation needs; and the relationship of accommodation needs met, unmet or exceeded to job outcomes. Participants were aged 50-67 years, employed, and had arthritis ( n = 631), diabetes ( n = 286), both arthritis/diabetes ( n = 111) or no chronic disabling conditions (healthy controls n = 538)...
September 2018: Work, Aging and Retirement
Kimberly A Fisher, Kelly M Smith, Thomas H Gallagher, Jim C Huang, James C Borton, Kathleen M Mazor
OBJECTIVE: To assess patient comfort speaking up about problems during hospitalisation and to identify patients at increased risk of having a problem and not feeling comfortable speaking up. DESIGN: Cross-sectional study. SETTING: Eight hospitals in Maryland and Washington, District of Columbia. PARTICIPANTS: Patients hospitalised at one of eight hospitals who completed the Hospital Consumer Assessment of Healthcare Providers and Systems survey postdischarge...
September 29, 2018: BMJ Quality & Safety
Agnieszka Beata Ćwirlej-Sozańska, Bernard Sozański, Agnieszka Wiśniowska-Szurlej, Anna Wilmowska-Pietruszyńska
INTRODUCTION: Quality of life (QOL) is an important aspect of life, reflecting health and conditioning the well-being of older adults. Maintaining the QOL is essential in times of demographic changes which resulting longer life spans, and consequently an increased proportion of older adults in society. OBJECTIVE: The aim of the study was to assess the quality of life and its basic determining factors in the elderly living in rural areas of south-eastern Poland. MATERIAL AND METHODS: The study was conducted on 973 respondents aged 60-80 years living in rural areas of south-eastern Poland (Podkarpackie Region)...
September 25, 2018: Annals of Agricultural and Environmental Medicine: AAEM
Melissa T Merrick, Derek C Ford, Katie A Ports, Angie S Guinn
Importance: Early adversity is associated with leading causes of adult morbidity and mortality and effects on life opportunities. Objective: To provide an updated prevalence estimate of adverse childhood experiences (ACEs) in the United States using a large, diverse, and representative sample of adults in 23 states. Design, Setting, and Participants: Data were collected through the Behavioral Risk Factor Surveillance System (BRFSS), an annual, nationally representative telephone survey on health-related behaviors, health conditions, and use of preventive services, from January 1, 2011, through December 31, 2014...
November 1, 2018: JAMA Pediatrics
Jessika I V Buitenweg, Renate M Van De Ven, K Richard Ridderinkhof, Jaap M J Murre
Declining cognitive abilities in older adults can contribute to significant changes in socioemotional health and substantially reduce their perception of well-being. Whereas much attention has been dedicated to creating cognitive training programs to improve cognitive health in old age, there is little emphasis on the consequences of such interventions for subjective mental functioning. We created a randomized controlled trial in which we evaluated the effects of an adaptive computerized cognitive flexibility training...
September 17, 2018: Neuropsychology, Development, and Cognition. Section B, Aging, Neuropsychology and Cognition
Wenjing Huang, Adam J Rose, Elizabeth Bayliss, Lesley Baseman, Emily Butcher, Rosa-Elena Garcia, Maria Orlando Edelen
PURPOSE: The patient-reported outcomes measurement information system 29-item profile (PROMIS-29 v2.0) is a widely used health-related quality of life (HRQoL) measure. Summary scores for physical and mental HRQoL have recently been developed for the PROMIS-29 using a general population. Our purpose was to adapt these summary scores to a population of older adults with multiple chronic conditions. METHODS: We collected the PROMIS-29 v2.0 for 1359 primary care patients age 65+ with at least 2 of 13 chronic conditions...
September 12, 2018: Quality of Life Research
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