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https://www.readbyqxmd.com/read/28532510/gender-differences-in-psychiatric-diagnoses-in-older-people-with-intellectual-disability-a-register-study
#1
Anna Axmon, Magnus Sandberg, Gerd Ahlström
BACKGROUND: Gender differences regarding psychiatric ill-health are well known in the general population. However, not much research is done on people with intellectual disability, and especially not among older people with intellectual disability. METHODS: People with intellectual disability aged 55+ years in 2012 in Sweden were identified through a register containing information on those receiving support and service for this type of disability. The cohort comprised 3609 women and 4327 men with mean age 65 and 64 years, respectively...
May 22, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28531379/the-association-between-an-inflammatory-diet-and-global-cognitive-function-and-incident-dementia-in-older-women-the-women-s-health-initiative-memory-study
#2
Kathleen M Hayden, Daniel P Beavers, Susan E Steck, James R Hebert, Fred K Tabung, Nitin Shivappa, Ramon Casanova, JoAnn E Manson, Claudia B Padula, Elena Salmoirago-Blotcher, Linda G Snetselaar, Oleg Zaslavsky, Stephen R Rapp
INTRODUCTION: The Mediterranean and Dietary Approaches to Stop Hypertension diets have been associated with lower dementia risk. We evaluated dietary inflammatory potential in relation to mild cognitive impairment (MCI)/dementia risk. METHODS: Baseline food frequency questionnaires from n = 7085 women (aged 65-79 years) were used to calculate Dietary Inflammatory Index (DII) scores that were categorized into four groups. Cognitive function was evaluated annually, and MCI and all-cause dementia cases were adjudicated centrally...
May 19, 2017: Alzheimer's & Dementia: the Journal of the Alzheimer's Association
https://www.readbyqxmd.com/read/28527211/alzheimer-s-disease-in-the-latino-community-intersection-of-genetics-and-social-determinants-of-health
#3
Irving E Vega, Laura Y Cabrera, Cassandra M Wygant, Daniel Velez-Ortiz, Scott E Counts
Alzheimer's disease (AD) is the most common type of dementia among individuals 65 or older. There are more than 5 million diagnosed cases in the US alone and this number is expected to triple by 2050. Therefore, AD has reached epidemic proportions with significant socioeconomic implications. While aging in general is the greatest risk factor for AD, several additional demographic factors that have contributed to the rise in AD in the US are under study. One such factor is associated with the relatively fast growth of the Latino population...
May 17, 2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/28521844/cognitive-reserve-as-a-moderator-of-the-negative-association-between-mood-and-cognition-evidence-from-a-population-representative-cohort
#4
C Opdebeeck, F E Matthews, Y-T Wu, R T Woods, C Brayne, L Clare
BACKGROUND: Cognitive reserve (CR) has been associated with better cognitive function and lower risk of depression in older people, yet it remains unclear whether CR moderates the association between mood and cognition. This study aimed to investigate whether a comprehensive indicator of CR, including education, occupation and engagement in cognitive and social activities, acts as a moderator of this association. METHODS: This was a cross-sectional study utilising baseline data from the Cognitive Function and Ageing Study II (CFAS II), a large population-based cohort of people aged 65+ in England...
May 19, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/28514961/how-many-people-will-need-palliative-care-in-2040-past-trends-future-projections-and-implications-for-services
#5
S N Etkind, A E Bone, B Gomes, N Lovell, C J Evans, I J Higginson, F E M Murtagh
BACKGROUND: Current estimates suggest that approximately 75% of people approaching the end-of-life may benefit from palliative care. The growing numbers of older people and increasing prevalence of chronic illness in many countries mean that more people may benefit from palliative care in the future, but this has not been quantified. The present study aims to estimate future population palliative care need in two high-income countries. METHODS: We used mortality statistics for England and Wales from 2006 to 2014...
May 18, 2017: BMC Medicine
https://www.readbyqxmd.com/read/28505243/association-of-dual-task-gait-with-incident-dementia-in-mild-cognitive-impairment-results-from-the-gait-and-brain-study
#6
Manuel M Montero-Odasso, Yanina Sarquis-Adamson, Mark Speechley, Michael J Borrie, Vladimir C Hachinski, Jennie Wells, Patricia M Riccio, Marcelo Schapira, Ervin Sejdic, Richard M Camicioli, Robert Bartha, William E McIlroy, Susan Muir-Hunter
Importance: Gait performance is affected by neurodegeneration in aging and has the potential to be used as a clinical marker for progression from mild cognitive impairment (MCI) to dementia. A dual-task gait test evaluating the cognitive-motor interface may predict dementia progression in older adults with MCI. Objective: To determine whether a dual-task gait test is associated with incident dementia in MCI. Design, Setting, and Participants: The Gait and Brain Study is an ongoing prospective cohort study of community-dwelling older adults that enrolled 112 older adults with MCI...
May 15, 2017: JAMA Neurology
https://www.readbyqxmd.com/read/28499210/micro-scale-environment-and-mental-health-in-later-life-results-from-the-cognitive-function-and-ageing-study-ii-cfas-ii
#7
Yu-Tzu Wu, A Matthew Prina, Andy Jones, Linda E Barnes, Fiona E Matthews, Carol Brayne
BACKGROUND: Poor micro-scale environmental features, such as graffiti and broken windows, have been associated with crime and signs of social disorder with a potential impact on mental health. The aim of this study is to investigate the association between micro-scale environment and mental health problems in later life, including cognitive (cognitive impairment and dementia) and common mental disorders (depressive and anxiety symptoms). METHODS: The method of visual image audits was used to collect micro-scale environmental data for 3590 participants in the Cognitive Function and Ageing Study II, a population-based multicentre cohort of people aged 65 or above in England...
May 5, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28498887/sex-differences-in-risk-for-alzheimer-s-disease-related-to-neurotrophin-gene-polymorphisms-the-cache-county-memory-study
#8
Joshua Matyi, JoAnn T Tschanz, Gail B Rattinger, Chelsea Sanders, E K Vernon, Chris Corcoran, John S K Kauwe, Mona Buhusi
Neurotrophins, including nerve-growth factor (NGF) and brain-derived neurotrophic factor (BDNF), have been implicated in Alzheimer's disease (AD). Associations between AD and neurotrophin signaling genes have been inconsistent, with few studies examining sex differences in risk. We examined four single-nucleotide polymorphisms (SNPs) involved in neurotrophin signaling (rs6265, rs56164415, rs2289656, rs2072446) and risk for AD by sex in a population-based sample of older adults. 3499 individuals without dementia at baseline [Mean (SD) age = 74...
May 12, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/28498634/older-people-with-type-2-diabetes-including-those-with-chronic-kidney-disease-or-dementia-are-commonly-overtreated-with-sulfonylurea-or-insulin-therapies
#9
C E Hambling, Samuel Seidu, M J Davies, K Khunti
AIM: To evaluate potential overtreatment with sulfonylurea and insulin therapies amongst older people with Type 2 diabetes, including those with chronic kidney disease or dementia. METHODS: Using the ECLIPSE Live software tool, we developed a search to examine data on older people (age ≥ 70 years) with Type 2 diabetes, who were prescribed sulfonylurea or insulin therapies over the previous 90 days. Sixteen Norfolk general practices participated, representing a population of 24 661 older people, including 3862 (15...
May 12, 2017: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/28495467/mobile-health-technology-in-late-life-mental-illness-a-focused-literature-review
#10
Yara Moussa, Artin A Mahdanian, Ching Yu, Marilyn Segal, Karl J Looper, Ipsit V Vahia, Soham Rej
OBJECTIVE: In an era of rising geriatric mental health care needs worldwide, technological advances can help address care needs in a cost-effective fashion. Our objective in this review was to assess whether mobile health technology, such as tablets and smartphones, are feasible to use in patients with late-life mental and cognitive disorders, as well as whether they were generally reliable modes of mental health/cognitive assessment. METHODS: We performed a focused literature review of MEDLINE, PsychInfo, and Embase databases, including papers specifically assessing the implementation of mobile health technologies: electronic tablets (e...
April 6, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28488553/-is-dementia-preventable-through-intensive-vascular-care-the-prediva-trial
#11
E P Moll van Charante, E Richard, L S Eurelings, J W van Dalen, S A Ligthart, E F van Bussel, M P Hoevenaar-Blom, M Vermeulen, W A van Gool
OBJECTIVE: To assess whether intensive vascular care in GP practices can prevent dementia in a population of community-dwelling older people. METHOD: This pragmatic cluster-randomised open-label study (ISRCTN29711771) was conducted in persons aged 70-78 years who were registered with Dutch GP practices. The only exclusion criteria were a diagnosis of dementia and limited life expectancy. Practices were randomly assigned to an intervention arm or a control arm. Participants in the interventional arm underwent a cardiovascular check-up every 4 months for six years by a practice nurse...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28482688/subjective-cognitive-decline-in-preclinical-alzheimer-s-disease
#12
Laura A Rabin, Colette M Smart, Rebecca E Amariglio
Older adults with subjective cognitive decline (SCD) in the absence of objective neuropsychological dysfunction are increasingly viewed as at risk for non-normative cognitive decline and eventual progression to Alzheimer's disease (AD) dementia. The past decade has witnessed tremendous growth in research on SCD, which may reflect the recognition of SCD as the earliest symptomatic manifestation of AD. Yet methodological challenges associated with establishing common assessment and classification procedures hamper the construct...
May 8, 2017: Annual Review of Clinical Psychology
https://www.readbyqxmd.com/read/28482211/neuropsychological-measures-that-detect-early-impairment-and-decline-in-preclinical-alzheimer-disease
#13
Suzanne E Schindler, Mateusz S Jasielec, Hua Weng, Jason J Hassenstab, Ellen Grober, Lena M McCue, John C Morris, David M Holtzman, Chengjie Xiong, Anne M Fagan
Identifying which neuropsychological measures detect early cognitive changes associated with Alzheimer disease (AD), brain pathology would be helpful clinically for the diagnosis of early AD and for the design of clinical trials. We evaluated which neuropsychological measures in our cognitive battery are most strongly associated with cerebrospinal fluid (CSF) biomarkers of AD brain pathology. We studied a large cohort (n = 233) of middle-to older-aged community-dwelling individuals (mean age 61 years) who had no clinical symptoms of dementia and underwent baseline CSF collection at baseline...
April 14, 2017: Neurobiology of Aging
https://www.readbyqxmd.com/read/28482102/apolipoprotein-e4-allele-and-gait-performance-in-mild-cognitive-impairment-results-from-the-gait-and-brain-study
#14
Ryota Sakurai, Manuel Montero-Odasso
Background: The apolipoprotein E polymorphism ε4 allele (ApoE4) and gait impairment are both known risk factors for developing cognitive decline and dementia. However, it is unclear the interrelationship between these factors, particularly among older adults with mild cognitive impairment (MCI) who are considered as prodromal for Alzheimer's disease. This study aimed to determine whether ApoE4 carrier individuals with MCI may experience greater impairment in gait performance. Methods: Fifty-six older adults with MCI from the "Gait and Brain Study" who were identified as either ApoE4 carriers (n = 20) or non-ApoE4 carriers (n = 36) with 1 year of follow-up were included...
May 6, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/28472447/actigraphic-sleep-duration-and-fragmentation-in-older-women-associations-with-performance-across-cognitive-domains
#15
Adam P Spira, Katie L Stone, Susan Redline, Kristine E Ensrud, Sonia Ancoli-Israel, Jane A Cauley, Kristine Yaffe
Study Objectives: To determine the association of actigraphic sleep duration and fragmentation with cognition in community-dwelling older women. Methods: We studied 782 women (mean age = 87.4) of varied cognitive status from the Study of Osteoporotic Fractures who completed wrist actigraphy and the 3MS, California Verbal Learning Test-II-Short Form, digit span, verbal fluency tests, and the Trailmaking Test, Part B (Trails B). Total sleep time (TST) and wake after sleep onset (WASO) tertiles were our primary predictors...
May 2, 2017: Sleep
https://www.readbyqxmd.com/read/28471944/geriatric-syndromes-new-frontiers-in-hiv-and-sarcopenia
#16
Kellie L Hawkins, Todd T Brown, Joseph B Margolick, Kristine M Erlandson
: HIV infection, in many circumstances, can now be managed as a chronic disease due to the marked increase in life expectancy since the introduction of combination antiretroviral therapy (ART). As the patients who first had access to combination ART age into their 50s and 60s, the effects of chronic HIV infection on health have become an important research focus in HIV infection. People living with HIV appear to exhibit an earlier occurrence of some aging-related conditions compared to people without HIV, in part due to higher rates of comorbidities, high-risk behaviors (e...
June 1, 2017: AIDS
https://www.readbyqxmd.com/read/28470836/physicians-report-sleep-apnea-infrequently-in-older-and-older-vulnerable-adults
#17
Andrew M Namen, Daniel J Forest, Karen E Huang, Steven R Feldman, William R Hazzard, Stephen P Peters, Edward F Haponik
OBJECTIVES: To determine how often outpatient physician visits detect sleep apnea (SA) in older persons in the United States. DESIGN: Retrospective Analysis. SETTING: US non hospital and hospital based clinics. PARTICIPANTS: US physicians. MEASUREMENTS: National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey data from 1993 to 2011 were used to assess the frequency of physicians' coding diagnoses of SA in persons aged 65 and older...
May 4, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28467211/hippocampal-sclerosis-in-older-patients-practical-examples-and-guidance-with-a-focus-on-cerebral-age-related-tdp-43-with-sclerosis
#18
Matthew D Cykowski, Suzanne Z Powell, Paul E Schulz, Hidehiro Takei, Andreana L Rivera, Robert E Jackson, Gustavo Roman, Gregory A Jicha, Peter T Nelson
CONTEXT: - Autopsy studies of the older population (≥65 years of age), and particularly of the "oldest-old" (≥85 years of age), have identified a significant proportion (∼20%) of cognitively impaired patients in which hippocampal sclerosis is the major substrate of an amnestic syndrome. Hippocampal sclerosis may also be comorbid with frontotemporal lobar degeneration, Alzheimer disease, and Lewy body disease. Until recently, the terms hippocampal sclerosis of aging or hippocampal sclerosis dementia were applied in this context...
May 3, 2017: Archives of Pathology & Laboratory Medicine
https://www.readbyqxmd.com/read/28456694/predictive-indices-for-functional-improvement-and-deterioration-institutionalization-and-death-among-elderly-medicare%C3%A2-beneficiaries
#19
Jibby E Kurichi, Pui L Kwong, Dawei Xie, Hillary R Bogner
BACKGROUND: Prediction models can help clinicians provide the best and most appropriate care to their patients and can help policy makers design services for groups at highest risk for poor outcomes. OBJECTIVE: To develop prediction models identifying both risk factors and protective factors for functional deterioration, institutionalization, and death. DESIGN: Cohort study using data from the Medicare Current Beneficiary Survey (MCBS) SETTING: Community survey...
April 26, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28452648/irt-analysis-of-the-frontal-systems-behavior-scale-identifying-the-best-items-for-use-with-geriatric-patients-in-primary-care
#20
Allison J Midden, Benjamin T Mast
OBJECTIVE: The Frontal Systems Behavior Scale (FrSBe) (Grace & Malloy, 2001) assesses behavioral dysfunction associated with frontal-subcortical damage; it is often used to measure these indicators of executive dysfunction in older adults with possible dementia. Although prior research supports the FrSBe's clinical utility and factorial validity, little attempt has been made to examine which items are most useful for geriatric cases. The goal of the present study is to identify these items...
January 12, 2017: Clinical Gerontologist
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