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Arlener D Turner, Andrew S Lim, Sue E Leurgans, David A Bennett, Aron S Buchman, Lisa L Barnes
OBJECTIVE: Assess the relationship of self-reported sleep quality and possible sleep disorders with disability in a racially diverse sample of community-dwelling older adults. METHODS: Participants included 943 non-demented older African Americans (n=452) and Whites (n=491) from two cohort studies, the Minority Aging Research Study (MARS) and the Rush Memory and Aging Project (MAP). Participants completed a 32-item questionnaire assessing sleep quality and the possible presence of three sleep disorders (sleep apnea, restless leg syndrome [RLS] and REM behavior disorder [RBD])...
October 20, 2016: Ethnicity & Disease
Amanda Reichard, Michelle Stransky, Kimberly Phillips, Monica McClain, Charles Drum
BACKGROUND: While it is commonly accepted that disparities in unmet need for care vary by age, race/ethnicity, income, education, and access to care, literature documenting unmet needs experienced by adults with different types of disabilities is developing. OBJECTIVE: The main objective was to determine whether subgroups of people with disabilities are more likely than people without disabilities to delay/forgo necessary care, in general and among the insured. METHODS: We used pooled Medical Expenditure Panel Survey data (2004-2010) to examine delaying or forgoing medical, dental, and pharmacy care among five disability subgroups (physical, cognitive, visual, hearing, multiple) and the non-disabled population...
September 13, 2016: Disability and Health Journal
Markus T Hongisto, Maria Nuotio, Tiina Luukkaala, Olli Väistö, Harri K Pihlajamäki
BACKGROUND: Institutionalization after hip fracture is a socio-economical burden. We examined the predictive value of Instrumental Activities of Daily Living (IADL) and Mini Mental State Examination (MMSE) for institutionalization after hip fracture to identify patients at risk for institutionalization. METHODS: Fragility hip fracture patients ≥65 years of age (n = 584) were comprehensively examined at a geriatric outpatient clinic 4 to 6 months after surgery and followed 1 year postoperatively...
October 22, 2016: BMC Musculoskeletal Disorders
Jiyoung Lyu, Hae-Young Kim
OBJECTIVE: This study investigated gender-specific incidence and predictors of cognitive impairment among community-dwelling older adults in South Korea. METHODS: Using data from the 2006 and 2012 Korean Longitudinal Study of Ageing (KLoSA), 925 females and 834 males aged 65 and over without cognitive impairment at 2006 were analyzed separately. Cognitive impairment was measured based on the Korean version of the Mini-Mental State Exam (K-MMSE) normative score. Generalized Estimating Equations (GEE) was conducted to examine the predictors of cognitive impairment at 6-year follow up...
September 2016: Psychiatry Investigation
Lauren E Griffith, Parminder Raina, Mélanie Levasseur, Nazmul Sohel, Hélène Payette, Holly Tuokko, Edwin van den Heuvel, Andrew Wister, Anne Gilsing, Christopher Patterson
BACKGROUND: We examine the population impact on functional disability and social participation of physical and mental chronic conditions individually and in combination. METHODS: Cross-sectional, population-based data from community-dwelling people aged 45 years and over living in the 10 Canadian provinces in 2008-2009 were used to estimate the population attributable risk (PAR) for functional disability in basic (ADL) and instrumental (IADL) activities of daily living and social participation restrictions for individual and combinations of chronic conditions, stratified by age and gender, after adjusting for confounding variables...
October 17, 2016: Journal of Epidemiology and Community Health
Li-Jung Chen, Andrew Steptoe, Po-Wen Ku
BACKGROUND: Obesity has been associated with increased physical limitations among older adults, although few studies have adjusted for important covariates. There is limited information about the relationship between apolipoprotein E (APOE) polymorphisms and physical limitations, and the findings have been inconsistent. PURPOSE: This study examined the longitudinal associations of obesity and APOE ε4 with difficulties in activities of daily living (ADLs) over a 6-year follow-up period controlling for multiple covariates...
October 13, 2016: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
Simone Reppermund, Rachael C Birch, John D Crawford, Jacqueline Wesson, Brian Draper, Nicole A Kochan, Julian N Trollor, Katharina Luttenberger, Henry Brodaty, Perminder S Sachdev
OBJECTIVES: The distinction between dementia and mild cognitive impairment (MCI) relies upon the evaluation of independence in instrumental activities of daily living (IADL). Self- and informant reports are prone to bias. Clinician-based performance tests are limited by long administration times, restricted access, or inadequate validation. To close this gap, we developed and validated a performance-based measure of IADL, the Sydney Test of Activities of Daily Living in Memory Disorders (STAM)...
October 6, 2016: Journal of the American Medical Directors Association
Danan Gu, Bethany L Brown, Li Qiu
BACKGROUND: Plenty of evidence has shown that self-perceived uselessness among older adults is negatively associated with successful aging in terms of good health in Western societies. It is unclear whether these findings are valid in China where living into older age is more selective due to high mortality at younger ages. METHODS: Using five waves (2000, 2002, 2005, 2008/2009 and 2011/2012) of a large nationally representative survey in China with 29,954 observations from 19,070 older adults aged 65 and older, this study aimed to investigate the association between self-perceived uselessness and successful aging...
October 6, 2016: BMC Geriatrics
V Soler, S Sourdet, L Balardy, G Abellan van Kan, D Brechemier, M E Rougé-Bugat, N Tavassoli, M Cassagne, F Malecaze, F Nourhashémi, B Vellas
OBJECTIVES: To evaluate visual performance and factors associated with abnormal vision in patients screened for frailty at the Geriatric Frailty Clinic (GFC) for Assessment of Frailty and Prevention of Disability at Toulouse University Hospital. DESIGN: Retrospective, observational cross-sectional, single-centre study. SETTING: Institutional practice. PARTICIPANTS: Patients were screened for frailty during a single-day hospital stay between October 2011 and October 2014 (n = 1648)...
2016: Journal of Nutrition, Health & Aging
S Chode, T K Malmstrom, D K Miller, J E Morley
BACKGROUND: Older adult frail diabetics have high mortality risk, but data are limited regarding frail late middle-aged diabetics, especially for African-Americans. The aim of this study is to examine the association of diabetes with health outcomes and frailty in the African American Health (AAH) study. METHODS: AAH is a population-based longitudinal cohort study. Participants were African Americans (N=998) ages 49 to 65 years at baseline. Cross-sectional comparisons for diabetes included disability, function, physical performance, cytokines, and frailty...
2016: Journal of Nutrition, Health & Aging
Eilish King, Theresa Okodogbe, Eilish Burke, Mary McCarron, Philip McCallion, Mary Ann O'Donovan
BACKGROUND: As adults with intellectual disability (ID) in Ireland move to the community from residential settings, the changed environment is intended to increase opportunities for occupational engagement, autonomy and social relationships. It is important to consider how increased resources and opportunities available within the community can be optimized to promote engagement and quality of life. AIMS: This paper investigates if and how ADL and IADL performance of people ageing with ID is related to place of residence...
October 5, 2016: Scandinavian Journal of Occupational Therapy
Yoshitaka Ouchi, Mari Kasai, Kei Nakamura, Masahiro Nakatsuka, Kenichi Meguro
BACKGROUND/AIMS: We investigated quantitative/qualitative changes of instrumental activities of daily living (IADL) in people with a Clinical Dementia Rating (CDR) of 0.5. METHODS: IADLs were evaluated in older residents: CDR of 0 (healthy) and CDR 0.5 (questionable/very mild dementia). The subjects with CDR 0.5 were divided into 2 types: the very mild Alzheimer's disease (vmAD) type and the other type including very mild subcortical vascular dementia. IADLs were evaluated quantitatively using the Lawton and the original qualitative IADL scales...
May 2016: Dementia and Geriatric Cognitive Disorders Extra
Myung Kyung Lee
PURPOSE: Advanced age is a significant risk factor for cancer and functional disabilities increase with age. The purpose of this case-control study of Korean individuals was to determine the effect of cancer and cancer treatment on functional disability and quality of life (QOL). Thus, we compared community-dwelling elderly cancer patients (ECPs) with individuals from the general elderly population (GEP) who never had diagnoses of cancer. METHODS: We selected 1776 ECP who were at least 65 years-old from the 2008 Korean Community Health Survey data and used propensity score matching to randomly select 1766 individuals from the GEP who closely resembled the ECPs...
October 2016: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
Parvin Eftekhar, George Mochizuki, Tilak Dutta, Denyse Richardson, Dina Brooks
Focusing on rehabilitation goals is an effective approach for improving function in individuals with spasticity after stroke. The objectives of this study were to examine and map goals of post-stroke individuals with spasticity using the Goal Attainment Scale (GAS) and International Classification of Functioning, Disability and Health (ICF), and to evaluate the impact of botulinum toxin A (BoNTA) on occupational performance based on the type of rehabilitation goals. Thirty-one patients were recruited from an outpatient spasticity management clinic...
October 3, 2016: Occupational Therapy International
Andrzej Prajsner, Jerzy Chudek, Aleksandra Szybalska, Karolina Piotrowicz, Jan Zejda, Andrzej Więcek
INTRODUCTION: Socioeconomic determinants of prostate-specific antigen (PSA) testing and prevalence of undiagnosed prostate cancer (PCa) in the Polish population are poorly understood. The aim of this study was to identify factors associated with PSA testing in elderly Polish men, and estimate the size of the population at risk of PCa related to PSA non-testing. MATERIAL AND METHODS: We analyzed questionnaire-derived data concerning PSA testing, obtained in 2567 elderly and 332 younger (age: 55-59) participants of the population-based PolSenior study...
October 1, 2016: Archives of Medical Science: AMS
Annemarie de Vos, Jane-Murray Cramm, Jeroen D H van Wijngaarden, Ton J E M Bakker, Johan P Mackenbach, Anna P Nieboer
BACKGROUND: The Prevention and Reactivation Care Program (PReCaP) provides a novel approach targeting hospital-related functional decline among elderly patients. Despite the high expectations, the PReCaP was not effective in preventing functional decline (ADL and iADL) among older patients. Although elderly PReCaP patients demonstrated slightly better cognitive functioning (Mini Mental State Examination; 0.4 [95% confidence interval (CI) 0.2-0.6]), lower depression (Geriatric Depression Scale 15; -0...
September 29, 2016: International Journal of Health Planning and Management
Yuping Tsai
BACKGROUND: Trends in disability among older Americans has declined since the 1980s. The study examines whether the trend continues to decline and whether educational disparities exist in the prevalence of functional limitations. METHODS: I used the 2000-2014 National Health Interview Survey and included adults aged ≥65 years. Functional limitations was measured by three outcomes: the need for help with activities of daily living (ADLs) or instrumental activities of daily living (IADLs) and physical function limitations...
September 27, 2016: Journal of Public Health
Seung Hee Lee, Young Bum Kim
BACKGROUND: Previous studies have found that social activities are beneficial for the reduction of cognitive decline (CD) in the elderly. However, knowledge regarding the types of social activities that reduce CD in later life is limited. The aim of this study is to examine which type of social activities reduce CD 4 years later among young-old (Y-O) and old-old (O-O) adults. METHODS: We conducted a secondary analysis using data from cognitively intact adults 65 years of age or older who participated in the Korean Longitudinal Study of Aging (KLoSA)...
September 27, 2016: BMC Geriatrics
Nicolas Auguste, Marion Moutton, Emilie Achour, Anne Ribes, Régis Gonthier
OBJECTIVE: Loss of autonomy linked to the existence of a neurodegenerative Alzheimer's disease weakens living conditions in patients' homes. The measure 6 of the 2008-2012 Alzheimer's plan has enabled the creation of specialized teams Alzheimer's (ESA) to intervene at a stage beginner to moderate disease. This study aims to highlight the loss of autonomy beginners to moderate Alzheimer's patients and to analyze the population supported by ESA on a 6 months period. MATERIALS/PATIENTS AND METHODS: Retrospective analysis of the population supported by ESA Saint Etienne since October 2014 to May 2015...
September 2016: Annals of Physical and Rehabilitation Medicine
Kimiko Tomioka, Norio Kurumatani, Hiroshi Hosoi
OBJECTIVES: To investigate whether social participation (SP) in older adults is associated with ability to perform instrumental activities of daily living (IADLs). DESIGN: Prospective cohort study. SETTING: Two local municipalities of Nara, Japan. PARTICIPANTS: Individuals aged 65 to 96 (n = 2,774 male, n = 3,586 female) free of IADL disability at baseline. MEASUREMENTS: SP and IADLs were assessed using self-administered questionnaires...
September 27, 2016: Journal of the American Geriatrics Society
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