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https://www.readbyqxmd.com/read/29673253/depression-poverty-and-abuse-experience-in-suicide-ideation-among-older-koreans
#1
Shin-Young Lee, Madhu Sudhan Atteraya
We examined to what extent the depression, poverty, and elder abuse experience affect suicide ideation among older Koreans. The data from the Survey of Living Conditions and Welfare Needs of Korean Older Persons were used. A sample of 10,279 members was analyzed. Logistic regression analysis revealed that younger old (65-69 years) were more likely to have suicide ideation that oldest old (80 years and older). After including all predicting variables such as depression, poverty, and abuse experience, results showed that depression, poverty, and abuse experience remained predictors for suicide ideation...
January 1, 2018: International Journal of Aging & Human Development
https://www.readbyqxmd.com/read/29672349/skeletal-muscle-function-in-the-oldest-old-the-role-of-intrinsic-and-extrinsic-factors
#2
Massimo Venturelli, Carlo Reggiani, Russell S Richardson, Federico Schena
Although skeletal muscle function is diminished with advanced age, single muscle fiber function appears to be preserved. Therefore, this review examines the hypothesis that the skeletal muscle fiber, per se, is not the predominant factor responsible for the reduction in force generating capacity in the oldest-old, but, rather, is attributable to a combination of factors external to the muscle fibers.
April 17, 2018: Exercise and Sport Sciences Reviews
https://www.readbyqxmd.com/read/29663067/impact-of-age-on-postoperative-complication-rates-among-elderly-patients-with-hip-fracture-a-retrospective-matched-study
#3
Mitsuhiro Matsuo, Tohru Yamagami, Akiko Higuchi
This study was performed to assess the impact of age of ≥ 90 years on predicting postoperative complications. We retrospectively identified all patients aged ≥ 65 years who underwent surgical repair of hip fractures over a 4.5-year period in our hospital. In total, 261 patients were identified (mean age, 86.2 ± 6.8 years). Ninety-one patients were aged ≥ 90 years (oldest-old group), and the remaining 170 were aged < 89 years (control old group). Postoperative complications developed in 54 of 261 patients (20...
April 16, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29659717/statin-treatment-is-associated-with-a-neutral-effect-on-health-related-quality-of-life-among-community-dwelling-octogenarian-men
#4
Timo E Strandberg, Annele Urtamo, Juuso Kähärä, Arto Y Strandberg, Kaisu H Pitkälä, Hannu Kautiainen
Background: Statin treatment is common among 80+ people, but little is known about statin effects on health-related quality of life (HRQoL) in this oldest age group. Methods: In the Helsinki Businessmen Study (HBS), men born 1919 to 1934 (original n=3490), have been followed-up since the 1960s. In 2015, a questionnaire about lifestyle, diseases and medications, and including RAND-36/SF-36 HRQoL instrument was mailed to survivors. 612 men (72.6%) responded, 530 of them reporting their medications (98% community-living)...
April 12, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/29656837/long-term-care-status-in-centenarians-and-younger-cohorts-of-oldest-old-in-the-last-6-years-of-life-trajectories-and-potential-mechanisms
#5
Paul Gellert, Simon Eggert, Christine Zwillich, Stefan Hörter, Adelheid Kuhlmey, Dagmar Dräger
OBJECTIVES: A large proportion of the oldest old and centenarians live in long-term care facilities. Although there may be distinct care patterns in centenarians compared with other cohorts of oldest old, the exact development concerning prevalence, length of stay, and factors that are associated with long-term care status in the last years before death is unknown. DESIGN: Longitudinal analyses of health insurance data across 6 years before death. SETTING AND PARTICIPANTS: In all, 1398 institutionalized and noninstitutionalized oldest old [deceased at 80-89 (octogenarians), 90-99 (nonagenarians), or over 100 years of age (centenarians)] from Germany were included...
April 13, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29651599/-spirituality-in-old-age-as-dynamic-aging-task
#6
Anna Janhsen, Heidrun Golla, Vanessa Romotzky, Christiane Woopen
BACKGROUND: A multitude of studies have demonstrated a positive effect of spirituality for dealing with difficult situations in life; however, specific studies on spirituality in older age are exceptionally rare within the German gerontological research landscape. The theory of gerotranscendence by Tornstam indicates that spirituality is of particular importance for maintaining life satisfaction especially in older age, due to a change in perspective. OBJECTIVES: This study looked into the research questions of how spirituality is presented in the oldest old (80 years and older) in Germany and to what extent its characteristics are specific to older age...
April 12, 2018: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/29650403/is-age-a-risk-factor-for-depression-among-the-oldest-old-with-cancer
#7
Gil Goldzweig, Lea Baider, Yakir Rottenberg, Elisabeth Andritsch, Jeremy M Jacobs
INTRODUCTION: Age is negatively related to depression among young and middle age patients with cancer. Nevertheless the relationship between age and depression among older patients with cancer is unclear. The goal of the current study is to assess the association of depression with increasing age among older patients with cancer. MATERIALS AND METHODS: Participants were 243 oncology out-patients, aged ≥65, either receiving treatment for active disease or within 6 months of completing treatment for active disease, with a Karnofsky score ≥70...
April 9, 2018: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/29627110/comparison-of-outcomes-of-transfemoral-aortic-valve-implantation-in-patients-90-with-those-90-years-of-age
#8
Jeroen Vendrik, Martijn S van Mourik, Floortje van Kesteren, Marieke J Henstra, Jan J Piek, Jose P S Henriques, Joanna J Wykrzykowska, Robbert J de Winter, M Marije Vis, Karel T Koch, Jan Baan
In patients who underwent transcatheter aortic valve implantation (TAVI), postoperative mortality risk is commonly assessed with risk scores such as the Society of Thoracic Surgeons-Postoperative Risk of Mortality (STS-PROM) and EuroSCORE II, in which age plays a dominant role. However, we reason that in the naturally selected oldest-old patients (nonagenarians), this may not be completely justified and that therefore age should play a minor role in decision-making. The objective of this study was to compare procedural outcome and mid-term mortality of transfemoral (TF)-TAVI patients aged ≥90 years with patients aged <90 years...
March 15, 2018: American Journal of Cardiology
https://www.readbyqxmd.com/read/29614661/hippocampal-sclerosis-in-the-oldest-old-a-finnish-population-based-study
#9
Mia Kero, Anna Raunio, Tuomo Polvikoski, Pentti J Tienari, Anders Paetau, Liisa Myllykangas
BACKGROUND: There are only few population-based studies that have systemically investigated the prevalence of hippocampal sclerosis (HS) in the very old. The frequency of unilateral versus bilateral HS has been rarely studied. OBJECTIVE: We investigated the prevalence and laterality of HS and its association with other neurodegenerative and vascular pathologies in a population-based sample of very elderly. Furthermore, the concomitant presence of immunoreactivity for TDP-43, p62, and HPtau was studied...
March 28, 2018: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/29614655/low-cerebrospinal-fluid-a%C3%AE-42-and-a%C3%AE-40-are-related-to-white-matter-lesions-in-cognitively-normal-elderly
#10
Ingmar Skoog, Silke Kern, Henrik Zetterberg, Svante Östling, Anne Börjesson-Hanson, Xinxin Guo, Kaj Blennow
BACKGROUND: Low cerebrospinal fluid (CSF) levels of Aβ42 may be the earliest manifestation of Alzheimer's disease (AD). Knowledge on how CSF Aβ interacts with different brain pathologies early in the disease process is limited. We examined how CSF Aβ markers relate to brain atrophy and white matter lesions (WMLs) in octogenarians with and without dementia to explore the earliest pathogenetic pathways of AD in the oldest old. OBJECTIVE: To study CSF amyloid biomarkers in relation to brain atrophy and WMLs in 85-year-olds with and without dementia...
March 24, 2018: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/29584857/impaired-muscle-efficiency-but-preserved-peripheral-hemodynamics-and-mitochondrial-function-with-advancing-age-evidence-from-exercise-in-the-young-old-and-oldest-old
#11
Gwenael Layec, Joel D Trinity, Corey R Hart, Yann Le Fur, Jia Zhao, Van Reese, Eun-Kee Jeong, Russell S Richardson
Muscle weakness in the elderly has been linked to recurrent falls and morbidity, therefore, elucidating the mechanisms contributing to the loss of muscle function and mobility with advancing age is critical. To this aim, we comprehensively examined skeletal muscle metabolic function and hemodynamics in 11 young (23±2 yrs), 11 old (68±2 yrs), and 10 oldest-old (84±2 yrs) physical activity-matched subjects. Specifically, oxidative stress markers, mitochondrial function and the ATP cost of contraction as well as peripheral hemodynamics were assessed during dynamic plantar flexion exercise at 40% of maximal work rate (WRmax)...
March 23, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/29566272/association-between-lifetime-risk-of-atrial-fibrillation-and-mortality-in-the-oldest-old
#12
Raya Elfadel Kheirbek, Ali Fokar, Hans J Moore, Nawar Shara, Rami Doukky, Ross D Fletcher
BACKGROUND: Age is the strongest predictor of atrial fibrillation (AF), yet little is known about AF incidence in the oldest old. HYPOTHESIS: AF incidence declines after age 90, and morbidity is compressed into a brief period at the end of life. METHODS: In this retrospective, longitudinal cohort study of patients (born 1905-1935), we examined cumulative lifetime incidence of AF and its impact on mortality. Data included records from 1,062,610 octogenarians; 317,161 nonagenarians; and 3,572 centenarians...
March 22, 2018: Clinical Cardiology
https://www.readbyqxmd.com/read/29562510/response-to-vos-et-al-modifiable-risk-factors-for-prevention-of-dementia-in-midlife-late-life-and-the-oldest-old-validation-of-the-libra-index
#13
Anke Richters, A H Claassen
No abstract text is available yet for this article.
March 16, 2018: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/29543492/social-integration-perceived-discrimination-and-self-esteem-in-mid-and-later-life-intersections-with-age-and-neuroticism
#14
Jeffrey E Stokes
OBJECTIVES: Social relations can influence well-being throughout the life course. Integration in one's community may serve as a source of social support whereas negative interactions such as day-to-day discrimination can be psychosocial stressors, particularly for neurotic persons. Yet social connectedness may vary in importance across the age range. Individuals trim their social networks in later life to optimize emotional well-being, but older adults may also be at heightened risk of social isolation...
March 15, 2018: Aging & Mental Health
https://www.readbyqxmd.com/read/29542215/characteristics-of-older-adults-with-diabetes-what-does-the-current-aged-care-resident-look-like
#15
Olivia Farrer, Alison Yaxley, Karen Walton, Michelle Miller
AIM: The prevalence of diabetes in older adults in residential aged care (RAC) is twice that of community dwelling older adults. Older adults with diabetes have been highlighted as being at high risk of frailty and malnutrition, particularly when managed on a therapeutic diet. However, assumptions may be based on clinical presentation of our oldest old which may be at conflict with the clinical presentation of younger older adults. The aim of this retrospective audit was to identify the characteristics of aged care residents with diabetes, their comorbidities and malnutrition risk...
March 15, 2018: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/29537357/visuospatial-reasoning-trajectories-and-death-in-a-study-of-the-oldest-old-a-formal-evaluation-of-their-association
#16
Graciela Muniz-Terrera, Fernando Massa, Tatiana Benaglia, Boo Johansson, Andrea Piccinin, Annie Robitaille
OBJECTIVES: To model trajectories of visuospatial reasoning measured using Kohs Block Design test under realistic missing data assumptions and evaluate their association with hazard of death. METHODS: A joint longitudinal-survival model was used to estimate trajectories of visuospatial reasoning under a missing not at random assumption of participants from the Origins of Variance in the Old-Old: Octogenarian Twins study. Sensitivity analyses to missing data assumptions were conducted...
March 1, 2018: Journal of Aging and Health
https://www.readbyqxmd.com/read/29534708/feeling-good-in-old-age-factors-explaining-health-related-quality-of-life
#17
Manuela Alcañiz, Aïda Solé-Auró
BACKGROUND: Sustained growth in longevity raises questions as to why some individuals report a good quality of life in older ages, while others seem to suffer more markedly the effects of natural deterioration. Health-related quality of life (HRQL) is mediated by several easily measurable factors, including socio-demographics, morbidity, functional status and lifestyles. This study seeks to further our knowledge of these factors in order to outline a profile of the population at greater risk of poor ageing, and to identify those attributes that might be modified during younger stages of the life course...
March 13, 2018: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/29533311/nationwide-trend-of-sepsis-a-comparison-among-octogenarians-elderly-and-young-adults
#18
Si-Huei Lee, Tzu-Chun Hsu, Meng-Tse Gabriel Lee, Christin Chihh-Ting Chao, Wan-Chien Lee, Chi-Cheng Lai, Chien-Chang Lee
OBJECTIVE: We aimed to compare the sepsis incidence, mortality rates, and primary sites of infection among adult, elderly, and octogenarian patients with sepsis. DESIGN: Population-based cohort study. SETTING: The entire health insurance claims data of Taiwan, which enrolled 99.8% of the 23 million Taiwanese population. PATIENTS: Sepsis patients were identified by International Classification of Diseases, 9th Edition, Clinical Modification codes for both infection and organ dysfunction from January 1, 2002, to December 31, 2012...
March 10, 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29533159/risk-of-social-isolation-among-older-patients-what-factors-affect-the-availability-of-family-friends-and-neighbors-upon-hospitalization
#19
Jung-Hwa Ha, Gavin W Hougham, David O Meltzer
OBJECTIVES: To examine the prevalence of social isolation among older patients admitted to a hospital, and the effects of sociodemographic and health-related factors on the availability of their family, friends, and neighbor networks. METHODS: Analyses are based on interviews with a sample of 2,449 older patients admitted to an urban academic medical center in the United States. A nine-item version of Lubben's Social Network Scale was developed and used to assess the availability of different social networks...
March 2, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29517414/rectangularization-of-the-survival-curve-reconsidered-the-maximum-inner-rectangle-approach
#20
Marcus Ebeling, Roland Rau, Annette Baudisch
Rectangularization of the survival curve-a key analytical framework in mortality research-relies on assumptions that have become partially obsolete in high-income countries due to mortality reductions among the oldest old. We propose refining the concept to adjust for recent and potential future mortality changes. Our framework, the 'maximum inner rectangle approach' (MIRA) considers two types of rectangularization. Outer rectangularization captures progress in mean lifespan relative to progress in maximum lifespan...
March 8, 2018: Population Studies
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