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prevalence problems with the elderly

Hasan Kweder, Housam Eidi
Introduction: Vitamin D (VD) deficiency is a major public health problem worldwide. In spite of its high prevalence, particularly among elderly people, VD deficiency is still underestimated by many physicians. Increasingly, VD deficiency is associated with several known geriatric syndromes. Methods: The study sample consisted of 125 patients, aged 75 years and older, admitted to the acute geriatric unit. The plausible association between the serum 25-hydroxyvitamin D [25(OH)D] level and patient age, sex, body mass index, renal function, cholecystectomy history, and the prescribed drugs had been investigated...
October 2018: Avicenna Journal of Medicine
Barbara J Boucher
Vitamin D deficiency is common, world-wide, but vitamin D repletion throughout life, and into older age, has accepted health benefits for bone. Many mechanisms through which vitamin D also benefits soft tissues are understood, and clinical evidence of such benefits is now accumulating, especially following re-analyses of trial data, which are revealing previously missed health benefits with correction of deficiency. Areas covered: The sources of vitamin D, its activation, mechanistic effects; problems of trials of supplementation for reducing health risks, the benefits shown for mortality, cardiovascular disease, infection and cancer; the global problem of vitamin D deficiency; age-related reductions in vitamin D efficacy, and currently recommended intakes...
October 5, 2018: Expert Review of Endocrinology & Metabolism
A Ayala, R Pujol, A Abellán
OBJECTIVE: The number of older people with functional or other problems that prevent them from going out of doors is unknown. The objective of this study was to estimate the prevalence of homebound status in Spain and to determine their main characteristics. MATERIAL AND METHODS: The Classification of Functioning, Disability and Health was used. Homebound status was defined according to the declared difficulty with regard to mobility outside the home: completely homebound (not able to leave home), semi-homebound (have serious difficulties but can leave with help), and the individuals without problems that were not homebound...
October 10, 2018: Semergen
Maria José Molina-Garrido, M Carmen Soriano Rodríguez, Carmen Guillén-Ponce
The growing increase in world population and generalised aging have been accompanied by an increase in the prevalence of cancer in the elderly. Aging is associated with certain physiological changes, some of which are enhanced by the neoplasm itself. Along with this, the elderly oncology patient usually has more problems than the rest of the elderly, and has a multitude of deficits. These characteristics require a special handling of the older patient with cancer, by using the main tool used in Geriatrics, the comprehensive geriatric assessment...
October 5, 2018: Revista Española de Geriatría y Gerontología
Shashi Mawar, Pity Koul, Smita Das, Sanjay Gupta
Context: Elder abuse is a serious problem that has adverse consequence on health. Still, research on elder abuse is sparse in India. Aims: This study aimed to find the nature, prevalence, and factors such as depression and physical problems associated with elder abuse in an urban North Indian community. Materials and Methods: A cross-sectional study was conducted with 222 elders with 97 males, aged 60 years or older residing in an urban community of Delhi...
July 2018: Indian Journal of Community Medicine
Abdulaziz Darraj, Mohamed Salih Mahfouz, Abdullah Alsabaani, Mubarack Sani, Anwar Alameer
Background: Poor sleep quality is common among patients with diabetes. It is associated with negative physical, psychological, and functional consequences. However, the implicated risk factors of poor sleep quality remain uncertain. Objectives: This study aimed to determine the prevalence of poor sleep quality among patients with diabetes and to investigate the factors associated with the poor sleep quality. Patients and methods: An analytical cross-sectional study of 307 diabetic patients in Jazan, Saudi Arabia was conducted in 2018...
2018: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
Nibu Parameswaran Nair, Leanne Chalmers, Gregory M Peterson, Bonnie J Bereznicki, Colin M Curtain, Luke R Bereznicki
PURPOSE: To compare prospective identification of adverse drug reaction (ADR)-related hospital admissions in the elderly with administrative coding using the International Classification of Diseases 10th Revision Australian Modification (ICD-10-AM) coding system. METHODS: We linked the records of 768 enrolled patients from an earlier study, where clinical pharmacists identified ADRs using prospective data collection, to hospital administrative data. We identified patients in the study whose admissions were coded as ADRs using ICD-10-AM codes...
September 28, 2018: Pharmacoepidemiology and Drug Safety
Agnieszka Beata Ćwirlej-Sozańska, Bernard Sozański, Agnieszka Wiśniowska-Szurlej, Anna Wilmowska-Pietruszyńska
INTRODUCTION AND OBJECTIVE: Demographic changes in Europe have resulted in anincreased demand for healthcare and social care for the elderly. The aim of this study was to analyze the factors related to disability in ADL and IADL among elderly inhabitants of rural areas of southeastern Poland. MATERIAL AND METHODS: The study involved 426 subjects aged 71-80 years. To assess their activities of daily living, the Katz ADL Scale was used, and the Lawton IADL Scale was used to assess their instrumental activities in daily living...
September 25, 2018: Annals of Agricultural and Environmental Medicine: AAEM
Shukang Wang, Wei Ma, Shu-Mei Wang, Xiangren Yi
Depression has become a major global public health problem. Many studies have shown the positive effects of physical exercise on depression. However, few studies have examined the relationship between frequency of leisure time physical exercise and depression without considering the time and intensity of exercise among middle-aged and elderly people of urban communities in northern China. We conducted a cross-sectional survey that included 1604 participants among urban residents aged 50 years or older in China to evaluate how the frequency of physical exercise was related to depression...
September 18, 2018: International Journal of Environmental Research and Public Health
Raudah M Yunus, Noran N Hairi, ChooWan Yuen, Rajini Sooryanarayana, Farizah Hairi, Norliana Ismail, Shathanapriya Kandiben, Tey Nai Peng, Zainudin M Ali, Sharifah N Ahmad, Inayah A Razak, Sajaratulnisah Othman, Devi Peramalah, Fadzilah H M Mydin, Awang Bulgiba
BACKGROUND: Elder abuse and neglect (EAN) is a growing public health problem, and numerous adverse health effects of abuse in late life have been documented. Little is known, however, about the impact of elder abuse on sleep quality. This study examines the longitudinal relationship between EAN and sleep quality. METHODS: This was a 2-year prospective cohort study involving 1927 older adults in a rural Malaysian district, Kuala Pilah. A multi-stage cluster sampling strategy was employed...
September 19, 2018: International Journal of Geriatric Psychiatry
Jordi Tomás-Hernández, Jorge Núñez-Camarena, Jordi Teixidor-Serra, Ernesto Guerra-Farfan, Jordi Selga, Juan Antonio Porcel, José Vicente Andrés-Peiró, Vicente Molero
BACKGROUND: Trochanteric fractures are one of the most common fractures in elderly people. The use of intramedullary nails is an option for their treatment, especially in unstable patterns. Nail breakage is a rarely reported complication. The aim of this study was to determine the prevalence of nail breakage in our center. Secondary objectives are to show the management of this complication in our institution as well as the technical problems, complications and final outcomes of these patients in our hands...
September 2018: Injury
Shinichi Nakatoh
BACKGROUND: Although the concept of locomotive syndrome and its relevant test methods have been established, approaches for incorporating them into regular health checkups have not been established. We aimed to assess the utility and problems of including Loco-check and the fracture risk assessment tool (FRAX® ) as primary screening for locomotive syndrome during health checkups under the Act on Assurance of Medical Care for Elderly People (specified health checkup) in the municipality...
September 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Jose M Huguet, Marisa Iborra, Marta Maia Bosca-Watts, Nuria Maroto, Rafael Gil, Xavier Cortes, David Hervás, Jose M Paredes
INTRODUCTION: The fastest growing segment of our population is that of people above 70 years of age. Elderly patients with IBD exhibit several specific problems. Our objective was to evaluate the clinical course, the side effects of the treatments and the need for surgery of elderly patients, regardless of the age of onset. MATERIALS AND METHODS: This was a cross-sectional study wherein retrospective data were collected from multiple centers from seven hospitals within the Valencia metropolitan area...
September 6, 2018: Scandinavian Journal of Gastroenterology
Enzo Ubaldi, Ignazio Grattagliano, Francesco Lapi, Serena Pecchioli, Claudio Cricelli
BACKGROUND: Although very common in Western countries, poor epidemiological data on diverticular disease (DD) is available from the family practice. AIMS: To evaluate the behavior of Italian General Practitioners (GPs) on approaching DD. METHODS: Health Search Database was analyzed retrospectively. RESULTS: On a population of 975,523 individuals, 33,597 patients had a registered diagnosis of DD ("lifetime" prevalence = 3...
July 31, 2018: Digestive and Liver Disease
Sha Lai, Jianmin Gao, Zhongliang Zhou, Xiaowei Yang, Yongjian Xu, Zhiying Zhou, Gang Chen
OBJECTIVES: Non-communicable diseases, which can refer to chronic diseases that are not caused by infectious agents and can endure for a long time, are currently regarded as a critical public health problem in China. This study aimed to estimate the prevalences of self-reported physician-diagnosed chronic diseases among urban and rural populations aged 15 years and older in Shaanxi Province, China, during 2003-2013 and explore how these changes differ by subpopulation. METHODS: Three independent cross-sectional surveys were implemented in 2003, 2008 and 2013 in Shaanxi Province...
2018: PloS One
Joy Swanson Ernst, Tina Maschi
Elder abuse is a global systemic problem in which one or more traumatic or stressful life experiences directly affect older adults, their families, and communities. Despite its devastating impact, the understanding of-and response to-elder abuse has rarely been explored through a trauma-informed lens. Despite the prevalence of traumatic and stressful life experiences, research and practice are just beginning to target the intersection of elder abuse and life course trauma. This article demonstrates how knowledge about the causes, consequences, and responses to elder abuse can be integrated with the principles of trauma-informed care to improve agency and community responses to preventing or intervening with elder abuse and neglect...
August 22, 2018: Journal of Elder Abuse & Neglect
Mohamad Adam Bujang, Pei Xuan Kuan, Xun Ting Tiong, Fatin Ellisya Saperi, Mastura Ismail, Feisul Idzwan Mustafa, Abd Muneer Abd Hamid
Aims: This study aims to determine the all-cause mortality and the associated risk factors for all-cause mortality among the prevalent type 2 diabetes mellitus (T2DM) patients within five years' period and to develop a screening tool to determine high-risk patients. Methods: This is a cohort study of T2DM patients in the national diabetes registry, Malaysia. Patients' particulars were derived from the database between 1st January 2009 and 31st December 2009. Their records were matched with the national death record at the end of year 2013 to determine the status after five years...
2018: Journal of Diabetes Research
Ismail Altintop, Mehmet Tatli
AIM: Elderly physical abuse (EPA) is defined as injury or assault to or the restriction of an elderly person. Although EPA is an important social problem, its diagnosis is difficult because of tendency to cover up the event. In this study, patients aged 65 years and over who presented at the emergency department (ED) for forensic reasons and in whom physical abuse was suspected were examined. The aim of this study was to raise ED awareness of EPA and thereby to contribute to treatment plans for these patients in the ED...
August 13, 2018: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
Paola C Sacco, Paolo Maione, Giovanni Palazzolo, Cesare Gridelli
Lung cancer is predominantly a disease that affects the elderly; about 30-40% of lung cancers are diagnosed in patients aged 70 or more. The increasing number of elderly patients over the next decades is generating a new social and health problem; despite that, these patients are underrepresented in clinical trials and undertreated in clinical practice. Areas covered: The main difficulty in treating elderly patients is to maximize the therapy benefits while minimizing the treatment risk. Elderly patients show a vulnerable clinical profile due to the higher prevalence of comorbid disease, higher polypharmacy interactions and aged organ dysfunction that increase the risk of mortality and toxicity with cancer treatments compared to younger patients...
September 2018: Expert Review of Respiratory Medicine
Sandra C Fuchs, Erno Harzheim, Cirano Iochpe, Caroline N de David, Marcelo R Gonçalves, Guilhermo P Sesin, Cassio M Costa, Leila B Moreira, Flavio D Fuchs
BACKGROUND: Hypertension is a growing problem worldwide, markedly in low- and middle-income countries, where the rate of control slightly decreased. The overall prevalence of hypertension in Brazil is 28.7% among adult individuals and 68.9% in the population aged 60 years and older, and less than a third of patients have controlled blood pressure (BP). The use of technologies-mobile phones and the internet-to implement interventions to reduce blood pressure can minimize costs and diminish cardiovascular risk...
August 7, 2018: JMIR Research Protocols
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