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https://www.readbyqxmd.com/read/29033231/the-combination-of-dynapenia-and-abdominal-obesity-as-a-risk-factor-for-worse-trajectories-of-iadl-disability-among-older-adults
#1
Tiago da Silva Alexandre, Shaun Scholes, Jair Licio Ferreira Santos, Yeda Aparecida de Oliveira Duarte, Cesar de Oliveira
BACKGROUND/OBJECTIVES: The concept of dynapenic obesity has been gaining great attention recently. However, there is little epidemiological evidence demonstrating that dynapenic abdominal obese individuals have worse trajectories of disability than those with dynapenia and abdominal obesity alone. Our aim was to investigate whether dynapenia combined with abdominal obesity can result in worse trajectories of instrumental activities of daily living (IADL) among English and Brazilian older adults over eight and ten years of follow-up, respectively...
October 2, 2017: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29028864/predicting-cognitive-functioning-activities-of-daily-living-and-participation-6-months-after-mild-to-moderate-stroke
#2
Madison Bertolin, Ryan Van Patten, Taylor Greif, Robert Fucetola
Objective: Predicting neurocognitive and functional outcomes in stroke is an important clinical task, especially in rehabilitation settings. We assessed acute predictors of cognitive and functional outcomes 6 months after mild to moderate stroke. Methods: We conducted a retrospective analysis of acute clinical data and 6-month follow-up telephone interviews for 498 mild to moderate stroke patients. Predictors were sociodemographic variables, the National Institute of Health Stroke Scale (NIHSS), basic physical measures, the Mesulam Cancellation Test, the Short Blessed Test (SBT), Trails A/B, and the Boston Naming Test...
September 25, 2017: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/28984092/patterns-of-changes-in-functional-and-neurocognitive-status-in-elderly-patients-after-transcatheter-vs-surgical-aortic-valve-replacements
#3
Marta Załęska-Kocięcka, Anna Skrobisz, Sebastian Woźniak, Lidia Greszata, Maciej Dąbrowski, Maciej Grabowski, Katarzyna Piotrowska, Anna Konopka, Marek Banaszewski, Anna Mierzynska
BACKGROUND: Replacement of severely stenotic aortic valve may influence cognitive and physical functioning. The aim of this study was to compare cognitive and functional status after surgical (SAVR) vs transcatheter aortic valve replacements (TAVR) in the elderly with severe aortic stenosis (AS). METHODS: It was a prospective observational study with over 6 months of follow-up. Eighty ≥70-year-old patients with AS underwent TAVR (n=40) or SAVR (n=40). Mini Mental State Exam (MMSE), Activities Daily Living (ADL) score and Instrumental Activities Daily Living (IADL) score were used to assess the cognitive status, fundamental functioning and complex independent living skills, respectively...
October 4, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28974223/ageing-under-unequal-circumstances-a-cross-sectional-analysis-of-the-gender-and-socioeconomic-patterning-of-functional-limitations-among-the-southern-european-elderly
#4
Manuel Serrano-Alarcón, Julian Perelman
BACKGROUND: In a context of population ageing, it is a priority for planning and prevention to understand the socioeconomic (SE) patterning of functional limitations and its consequences on healthcare needs. This paper aims at measuring the gender and SE inequalities in functional limitations and their age of onset among the Southern European elderly; then, we evaluate how functional status is linked to formal and informal care use. METHODS: We used Portuguese, Italian and Spanish data from the Survey of Health, Ageing and Retirement in Europe (SHARE) of 2011 (n = 9233)...
October 3, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28972242/disability-in-the-individual-adl-iadl-and-mobility-among-older-adults-a-prospective-cohort-study
#5
N Bleijenberg, N P A Zuithoff, A K Smith, N J de Wit, M J Schuurmans
OBJECTIVES: To examine the risk of disability in 15 individual ADL, IADL, and mobility in older adults by age; and to assess the association of multimorbidity, gender, and education with disability. DESIGN AND SETTING: A prospective cohort study. The sample included 805 community-dwelling older people aged 60+ living in the Netherlands. MEASUREMENTS: Disability was assessed using the Katz-15 Index of Independence in Basic Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL) and one mobility item...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/28940504/the-association-between-cognitive-fluctuations-and-activities-of-daily-living-and-quality-of-life-among-institutionalized-patients-with-dementia
#6
Meng Sun, Brian J Mainland, Tisha J Ornstein, Sasha Mallya, Alexandra J Fiocco, Gwen Li Sin, Kenneth I Shulman, Nathan Herrmann
OBJECTIVE: Cognitive fluctuations (CFs) occur commonly in dementia of all types. While it is generally accepted that CFs can affect the clinical rating of dementia severity and neuropsychological performance, little is known about their impact on patients' activities of daily living (ADLs) and quality of life (QOL). Our study aims to explore the impact of CFs on ADLs and QOL among institutionalized patients with dementia. METHODS: The present study examined the nature and frequency of CFs in 55 institutionalized dementia patients...
September 22, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28936940/-doctor-is-my-mother-suffering-from-dementia
#7
P Scheltens, F Gillissen, F H Bouwman, W M van der Flier
- The Netherlands health service features a stepwise diagnostic course in primary, secondary and tertiary care. In the diagnostic process for dementia the patient can go to the general practitioner, then to one of the 100 memory clinics and finally to one of the 4 academic Alzheimer centres.- The diagnostic process for dementia is described in the care practice guideline 'Dementia', the NHG (Dutch College of General Practitioners) practice guideline 'Dementia' and the multidisciplinary guideline 'Dementia diagnostics'...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28927235/the-effect-of-complex-interventions-on-supporting-self-care-among-community-dwelling-older-adults-a-systematic-review-and-meta-analysis
#8
Kwan Ching Wong, Frances Kam Yuet Wong, W F Yeung, Katherine Chang
Background: self-care is critical to enable community-dwelling older adults to live independently. Complex interventions have emerged as a strategy to support self-care, but their effectiveness is unknown. Our objective was to review systematically their effectiveness on both positive (increased scores in self-rated health, Activities of Daily Living, Instrumental Activities of Daily Living, quality of life) and negative aspects (increased incidence of falls, fear of falling, hospital and nursing home admission, increased depression score), and to determine which intervention components explain the observed effects...
September 13, 2017: Age and Ageing
https://www.readbyqxmd.com/read/28918654/stakeholders-perceptions-sought-to-inform-the-development-of-a-low-cost-mobile-robot-for-older-adults-a-qualitative-descriptive-study
#9
Justine S Sefcik, Michelle J Johnson, Mark Yim, Tessa Lau, Nicholas Vivio, Caio Mucchiani, Pamela Z Cacchione
Creative solutions are needed to support community-dwelling older adults residing in a variety of settings including their house, apartment, or Supportive Apartment Living (SAL) to promote independence and reduce the risk of nursing home replacement. The objective of this study was to gain an understanding of older adults' needs for physical, mental, and social activities to support the design and functionality of a low-cost mobile assistive robot. A qualitative descriptive study was designed which included three stakeholder focus groups (caregivers, clinicians, and older adults)...
September 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28918171/the-association-between-delirium-and-sarcopenia-in-older-adult-patients-admitted-to-acute-geriatrics-units-results-from-the-glisten-multicenter-observational-study
#10
Giuseppe Bellelli, Antonella Zambon, Stefano Volpato, Pasquale Abete, Lara Bianchi, Mario Bo, Antonio Cherubini, Francesco Corica, Mauro Di Bari, Marcello Maggio, Giovanna Maria Manca, Maria Rosaria Rizzo, Andrea Rossi, Francesco Landi
BACKGROUND & AIMS: To date, studies assessing the relationship between sarcopenia and delirium, two of the most common geriatric syndromes, are lacking. We sought to explore this association by investigating the co-occurrence of these two conditions and the independent association between them in a population of hospitalized older adults. METHODS: Cross-sectional multicenter analysis of older adults consecutively admitted to 12 acute geriatric units (AGUs). Sarcopenia was assessed upon admission by evaluating the presence of low skeletal mass index (kg/m(2)), and either low handgrip strength or low walking speed (European Working Group on Sarcopenia in Older People, EWGSOP criteria)...
September 5, 2017: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/28873220/patterns-and-predictors-of-frailty-transitions-in-older-men-the-osteoporotic-fractures-in-men-study
#11
Lauren R Pollack, Stephanie Litwack-Harrison, Peggy M Cawthon, Kristine Ensrud, Nancy E Lane, Elizabeth Barrett-Connor, Thuy-Tien Dam
OBJECTIVES: To describe the natural history of frailty transitions in a large cohort of community-dwelling older men and identify predictors associated with progression to or improvement from states of greater frailty. DESIGN: Prospective cohort study. SETTING: Six U.S. sites. PARTICIPANTS: Community-dwelling men aged 65 and older (N = 5,086). MEASUREMENTS: Frailty was measured at baseline and an average of 4...
September 5, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28871007/occurrence-of-depressive-tendency-and-associated-social-factors-among-elderly-persons-forced-by-the-great-east-japan-earthquake-and-nuclear-disaster-to-live-as-long-term-evacuees-a-prospective-cohort-study
#12
Yujiro Kuroda, Hajime Iwasa, Aya Goto, Kazuki Yoshida, Kumiko Matsuda, Yumi Iwamitsu, Seiji Yasumura
PURPOSE: This study examined the incidence of depression and associated factors among elderly persons from Iitate village after the March 2011 earthquake. METHOD: This was a prospective cohort study. As a baseline survey, in May 2010 a self-assessment Basic Checklist (BCL) was distributed to 1611 elderly villagers, of which 1277 responded. Of these respondents, 885 without a tendency to depression (69.3%) were given a follow-up survey in May 2013. The BCL was used to assess depression tendency, instrumental activities of daily living (IADL), physical function, nutritional status, oral function, homeboundness, cognitive function and social activities...
September 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/28865465/gender-childhood-and-adult-socioeconomic-inequalities-in-functional-disability-among-chinese-older-adults
#13
Yaqin Zhong, Jian Wang, Stephen Nicholas
BACKGROUND: Gender difference and life-course socioeconomic inequalities in functional disability may exist among older adults. However, the association is less well understood among Chinese older population. The objective is to provide empirical evidences on this issue by exploring the association between gender, childhood and adult socioeconomic inequalities in functional disability. METHODS: Data from the 2013 wave of the China Health and Retirement Longitudinal Study (CHARLS) was utilized...
September 2, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28863724/restricting-back-pain-and-subsequent-disability-in-activities-of-daily-living-among-community-living-older-adults
#14
Una E Makris, Mark A Weinreich, Liana Fraenkel, Ling Han, Linda Leo-Summers, Thomas M Gill
OBJECTIVE: To evaluate the relationship between back pain severe enough to restrict activity (restricting back pain) and subsequent disability in essential (e) and instrumental (i) activities of daily living (ADL) among community-living older adults. METHOD: In this prospective cohort study, we evaluated 754 adults, aged ≥70 years who were initially nondisabled in eADL. Restricting back pain and disability were assessed during monthly interviews for up to 159 months...
September 1, 2017: Journal of Aging and Health
https://www.readbyqxmd.com/read/28863353/predicting-3-year-mortality-and-admission-to-acute-care-hospitals-skilled-nursing-facilities-and-long-term-care-facilities-in-medicare-beneficiaries
#15
Jibby E Kurichi, Hillary R Bogner, Joel E Streim, Dawei Xie, Pui L Kwong, Debra Saliba, Sean Hennessy
PURPOSE: The ability to predict mortality and admission to acute care hospitals, skilled nursing facilities (SNFs), and long-term care (LTC) facilities in the elderly and how it varies by activity of daily living (ADL) and instrumental ADL (IADL) status could be useful in measuring the success or failure of economic, social, or health policies aimed at disability prevention and management. We sought to derive and assess the predictive performance of rules to predict 3-year mortality and admission to acute care hospitals, SNFs, and LTC facilities among Medicare beneficiaries with differing ADL and IADL functioning levels...
November 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28858411/factors-associated-with-cognitive-function-that-cause-a-decline-in-the-level-of-activities-of-daily-living-in-alzheimer-s-disease
#16
Masaki Kamiya, Aiko Osawa, Izumi Kondo, Takashi Sakurai
AIM: The principal aim of the present study was to clarify what type of cognitive decline results in a decrease in the ability to carry out activities of daily living (ADL) in patients with Alzheimer's disease (AD). METHODS: The participants comprised 1384 outpatients with mild AD. We used the Mini-Mental State Examination (MMSE) and Barthel Index (BI) as indicators of basic ADL, and the Lawton Index (LI) as an indicator of instrumental ADL (IADL). We then analyzed the relationships between MMSE and BI, as well as between MMSE and LI...
August 31, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28858217/relationship-between-social-support-networks-and-physical-functioning-in-older-community-dwelling-mexicans
#17
Víctor Manuel Mendoza-Núñez, Fabiola González-Mantilla, Elsa Correa-Muñoz, Raquel Retana-Ugalde
Some studies have demonstrated the relationship between social support networks (SSNs) and health status. In this sense, it has been considered that physical and mental functioning is a key indicator of the health in the age people. The aim of this study was to determine the association between social support networks and physical functioning. A cross-sectional study was carried out including a convenience sample of 150 older community-dwelling Mexicans. We assessed the familial, extra-familial and institutional SSNs; social contacts; the activities of daily living (ADL); the instrumental activities of daily living (IADLs); and physical functioning task (PFT) performance among study participants...
August 31, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28851795/trends-in-disability-of-instrumental-activities-of-daily-living-among-older-chinese-adults-1997-2006-population-based-study
#18
Yajun Liang, Anna-Karin Welmer, Jette Möller, Chengxuan Qiu
BACKGROUND: Data on trends for disability in instrumental activity of daily living (IADL) are sparse in older Chinese adults. OBJECTIVES: To assess trends in prevalence and incidence of IADL disability among older Chinese adults and to explore contributing factors. DESIGN: Population based study. SETTING: 15 provinces and municipalities in China. SUBJECTS: Participants (age ≥60) were from four waves of the China Health and Nutrition Survey, conducted in 1997 (n=1533), 2000 (n=1581), 2004 (n=2028) and 2006 (n=2256), and from two cohorts constructed within the national survey: cohort 1997-2004 (n=712) and cohort 2000-2006 (n=823)...
August 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/28847053/-association-between-the-change-of-daily-living-activities-and-symptoms-of-depression-in-chinese-middle-aged-and-elderly-people
#19
Y N Luo, Z J Wang, X Y Zheng
Objective: To explore the association between the change of daily living activities and the suymtoms of depression in Chinese middle-age and elderly people. Methods: People without symptoms on depression, emotional or spiritual diseases or memories related diseases in baseline survey (2011), those who were aged ≥45 years in the China Health and Retirement Longitudinal Survey (CHARLS) with two waves from 2011 to 2013 were invited to participate in this CHARLS study. Information related to demographic characteristics and health status of the subjects were collected through household-interview...
August 10, 2017: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/28841198/social-environment-of-older-people-during-the-first-year-in-senior-housing-and-its-association-with-physical-performance
#20
Sinikka Lotvonen, Helvi Kyngäs, Pentti Koistinen, Risto Bloigu, Satu Elo
Increasing numbers of older people relocate into senior housing when their physical performance declines. The change in social environment is known to affect their wellbeing, providing both challenges and opportunities, but more information on the relations between social and physical parameters is required. Thus, we elicited perceptions of the social environment of 81 older people (aged 59-93 years, living in northern Finland) and changes in it 3 and 12 months after relocation to senior housing. We also measured their physical performance, then analysed associations between the social and physical variables...
August 25, 2017: International Journal of Environmental Research and Public Health
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