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https://www.readbyqxmd.com/read/29447253/combined-impairments-in-vision-hearing-and-cognition-are-associated-with-greater-levels-of-functional-and-communication-difficulties-than-cognitive-impairment-alone-analysis-of-interrai-data-for-home-care-and-long-term-care-recipients-in-ontario
#1
Dawn M Guthrie, Jacob G S Davidson, Nicole Williams, Jennifer Campos, Kathleen Hunter, Paul Mick, Joseph B Orange, M Kathleen Pichora-Fuller, Natalie A Phillips, Marie Y Savundranayagam, Walter Wittich
OBJECTIVES: The objective of the current study was to understand the added effects of having a sensory impairment (vision and/or hearing impairment) in combination with cognitive impairment with respect to health-related outcomes among older adults (65+ years old) receiving home care or residing in a long-term care (LTC) facility in Ontario, Canada. METHODS: Cross-sectional analyses were conducted using existing data collected with one of two interRAI assessments, one for home care (n = 291,824) and one for LTC (n = 110,578)...
2018: PloS One
https://www.readbyqxmd.com/read/29438112/executive-functioning-and-daily-living-of-individuals-with-chronic-stroke-measurement-and-implications
#2
Lena Lipskaya-Velikovsky, Gabi Zeilig, Harold Weingarden, Clara Rozental-Iluz, Debbie Rand
Deficits in executive functioning (EF) are often still present at the chronic stage after stroke, which may negatively impact independent living. The objectives of this study were (a) to characterize the EF and independence in daily living of community-dwelling individuals with chronic stroke by using pen-and-paper and performance-based EF assessments, (b) to explore correlations between scores detected by different EF assessments and (c) to assess the correlations between EF and independence in basic activities of daily living (BADL) and instrumental activities of daily living (IADL)...
February 12, 2018: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/29428983/low-grade-systemic-inflammation-is-associated-with-functional-disability-in-elderly-people-affected-by-dementia
#3
Carlo Cervellati, Alessandro Trentini, Cristina Bosi, Giuseppe Valacchi, Mario Luca Morieri, Amedeo Zurlo, Gloria Brombo, Angelina Passaro, Giovanni Zuliani
The decline in basic and instrumental activities of daily living (BADLs and IADLs, respectively) is a well-established clinical hallmark of dementia. Growing evidence has shown that systemic subclinical inflammation may be related to functional impairment. We evaluated the possible association between low-grade systemic inflammation and functional disability in older individuals affected by dementia. We explored the association between high-sensitivity C-reactive protein (hs-CRP) levels and BADLs/IADLs in older individuals affected by late onset Alzheimer's disease (LOAD; n 110), "mixed" dementia (n 135), or mild cognitive impairment (MCI; n 258), and compared them with 75 normal Controls...
February 10, 2018: GeroScience
https://www.readbyqxmd.com/read/29412330/contribution-of-chronic-diseases-to-the-prevalence-of-disability-in-basic-and-instrumental-activities-of-daily-living-in-elderly-brazilians-the-national-health-survey-2013
#4
Antônio Macêdo Costa Filho, Juliana Vaz de Melo Mambrini, Deborah Carvalho Malta, Maria Fernanda Lima-Costa, Sérgio Viana Peixoto
This study's objective was to assess the contribution of selected chronic diseases to the prevalence of disability in elderly Brazilians, based on data from the National Health Survey (PNS 2013). Disability was defined as some degree of difficulty in performing ten activities, considering three levels: (i) without disability; (ii) disabled only in some instrumental activity of daily living (IADL); and (iii) disabled in some basic activity of daily living (BADL). The multinomial additive hazards model was the attribution method used to assess the contribution of each self-reported chronic condition (hypertension, diabetes, arthritis, stroke, depression, heart disease, and lung disease) to the prevalence of disability in this population, stratified by sex and age bracket (60 to 74 years and 75 or older)...
February 5, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29396271/at-the-intersection-of-chronic-disease-disability-and-health-services-research-a-scoping-literature-review
#5
REVIEW
Stephen P Gulley, Elizabeth K Rasch, Christina D Bethell, Adam C Carle, Benjamin G Druss, Amy J Houtrow, Amanda Reichard, Leighton Chan
BACKGROUND: There is a concerted effort underway to evaluate and reform our nation's approach to the health of people with ongoing or elevated needs for care, particularly persons with chronic conditions and/or disabilities. OBJECTIVE: This literature review characterizes the current state of knowledge on the measurement of chronic disease and disability in population-based health services research on working age adults (age 18-64). METHODS: Scoping review methods were used to scan the health services research literature published since the year 2000, including medline, psycINFO and manual searches...
January 10, 2018: Disability and Health Journal
https://www.readbyqxmd.com/read/29394884/effects-of-tai-chi-on-cognition-and-instrumental-activities-of-daily-living-in-community-dwelling-older-people-with-mild-cognitive-impairment
#6
Mei-Yi Siu, Diana T F Lee
BACKGROUND: Cognitive impairment places older adults at high risk of functional disability in their daily-life activities, and thus affecting their quality of life. This study aimed to examine the effects of Tai Chi on general cognitive functions and instrumental activities of daily living (IADL) in community-dwelling older people with mild cognitive impairment (MCI) in Hong Kong. METHODS: The study adopted a multi-site nonequivalent control-group pretest-posttest design...
February 2, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29380845/occurrence-of-malnutrition-and-associated-factors-in-community-dwelling-older-adults-those-with-a-recent-diagnosis-of-cancer-are-at-higher-risk
#7
C Van Den Broeke, T De Burghgraeve, M Ummels, N Gescher, L Deckx, V Tjan-Heijnen, F Buntinx, M van den Akker
OBJECTIVES: In older adults, nutritional health is essential for good quality of life and living independently at home. Especially in cancer patients, malnutrition is common and known to complicate treatment. This study aims to evaluate the nutritional status and its associated factors in community-dwelling older adults with and without cancer. DESIGN: This is an observational study. SETTING: This study focuses on older community-dwelling people...
2018: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/29374358/identifying-older-adults-at-risk-of-delirium-following-elective-surgery-a-systematic-review-and-meta-analysis
#8
Jennifer Watt, Andrea C Tricco, Catherine Talbot-Hamon, Ba' Pham, Patricia Rios, Agnes Grudniewicz, Camilla Wong, Douglas Sinclair, Sharon E Straus
BACKGROUND: Postoperative delirium is a common preventable complication experienced by older adults undergoing elective surgery. In this systematic review and meta-analysis, we identified prognostic factors associated with the risk of postoperative delirium among older adults undergoing elective surgery. METHODS: Medline, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, and AgeLine were searched for articles published between inception and April 21, 2016...
January 26, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29371128/muscle-strength-and-functional-limitations-preserving-function-in-older-mexican-americans
#9
Ryan McGrath, Sheria G Robinson-Lane, Mark D Peterson, Ryan R Bailey, Brenda M Vincent
OBJECTIVES: Understanding the role of muscle strength as a preventive factor for shorter-term declines in function may provide further insights into the disabling process. This study examined if muscle strength was associated with 2-year preservation of instrumental activities of daily living (IADL) function and activities of daily living (ADL) disability status in older Mexican Americans. DESIGN: Longitudinal, panel. SETTING: Urban and rural households in the Southwestern United States...
January 19, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29360647/premorbid-activity-limitation-stages-are-associated-with-post-hospitalization-discharge-disposition
#10
Ling Na, Sean Hennessy, Dawei Xie, Debra Saliba, Qiang Pan, Pui L Kwong, Jibby E Kurichi, Hillary R Bogner, Joel E Streim
OBJECTIVE: Activity of daily living (ADL) stages and instrumental activity of daily living (IADL) stage have demonstrated associations with mortality and health service utilization among older adults. This cohort study aims to assess the associations of premorbid activity limitation stages with acute hospital discharge disposition among community-dwelling older adults. DESIGN: Study participants were Medicare beneficiaries aged 65 years and older who enrolled in the Medicare Current Beneficiary Survey (MCBS) between 2001 and 2009...
January 23, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29351629/housing-conditions-and-risk-of-physical-function-limitations-a-prospective-study-of-community-dwelling-older-adults
#11
Bibiana Pérez-Hernández, Esther Lopez-García, Auxiliadora Graciani, José Luis Ayuso-Mateos, Fernando Rodríguez-Artalejo, Esther García-Esquinas
Background: Poor housing conditions have been associated with an increased risk of morbidity and mortality in old age. Methods: Prospective cohort of 1602 older adults followed from 2012 to 2015. Poor conditions were defined as living in a walk-up building, lacking piped hot water or heating, feeling frequently cold at home, lacking a bathtub/shower, a refrigerator, a washing machine, an own room or a landline. Frailty was assessed with the Fried criteria, lower extremities performance with the Short Physical Performance Battery (SPPB), and disability in instrumental activities of daily living (IADL) with the Lawton and Brody questionnaire...
January 17, 2018: Journal of Public Health
https://www.readbyqxmd.com/read/29318512/health-status-of-older-cancer-survivors-results-of-the-polsenior-study
#12
Joanna Sulicka, Agnieszka Pac, Monika Puzianowska-Kuźnicka, Tomasz Zdrojewski, Jerzy Chudek, Beata Tobiasz-Adamczyk, Małgorzata Mossakowska, Anna Skalska, Andrzej Więcek, Tomasz Grodzicki
PURPOSE: The purpose of this study is to characterize health status of older cancer survivors using data from the population-based PolSenior study. METHODS: We compared cancer survivors and non-cancer subjects according to comorbidities, functional status, mental health, and sociodemographic factors. RESULTS: There were 286 (5.8%) cancer survivors in a population of 4943 adults aged 65 years and older. The mean age of cancer survivors was 79...
January 9, 2018: Journal of Cancer Survivorship: Research and Practice
https://www.readbyqxmd.com/read/29317552/validation-and-refinement-of-the-age-comorbidities-and-albumin-index-in-elderly-patients-with-diffuse-large-b-cell-lymphoma-an-effective-tool-for-comprehensive-geriatric-assessment
#13
Hui Liu, Chun-Li Zhang, Ru Feng, Jiang-Tao Li, Yuan Tian, Ting Wang
BACKGROUND: We aimed to validate and refine the Age, Comorbidities, and Albumin (ACA) index in elderly Chinese patients with diffuse large B-cell lymphoma (DLBCL) and propose a more effective method for comprehensive geriatric assessment (CGA). MATERIALS AND METHODS: Patients ≥65 years of age who had been diagnosed with de novo DLBCL in the Institute of Hematology, Beijing Hospital, were screened for eligibility (n = 99). RESULTS: Based on the ACA index, 39, 31, 26, and 3 patients were categorized into the "excellent," "good," "moderate," and "poor" groups, respectively...
January 9, 2018: Oncologist
https://www.readbyqxmd.com/read/29316721/predictors-of-a-change-and-correlation-in-activities-of-daily-living-after-hip-fracture-in-elderly-patients-in-a-community-hospital-in-poland-a-six-month-prospective-cohort-study
#14
Maria Ganczak, Krzysztof Chrobrowski, Marcin Korzeń
OBJECTIVES: The consequences of hip fractures (HFs) in elderly persons include a deterioration in functional capacity to perform activities that enable independent living. Since prior research into this issue in Central Europe is rather scant, this study sought to assess the change in activities and instrumental activities of daily living (ADL/IADL) after HF surgery among Polish patients, to study predictors of regaining pre-fracture functional status three and six months later, and to evaluate the correlation between ADL and IADL limitations over time...
January 8, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29304204/death-depression-disability-and-dementia-associated-with-self-reported-hearing-problems-a-25-year-study
#15
Hélène Amieva, Camille Ouvrard, Céline Meillon, Laetitia Rullier, Jean-François Dartigues
Background: Hearing loss in older adults is suspected to play a role in social isolation, depression, disability, lower quality of life and risk of dementia. Such suspected associations still need to be consolidated with additional research. With a particularly long follow-up, this study assessed the relationship between hearing status and four major adverse health events: death, dementia, depression, and disability. Methods: Prospective community-based study of 3777 subjects aged ≥ 65 followed-up for 25 years...
January 3, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/29303475/the-active-conceptual-framework-as-a-structural-equation-model
#16
Alden L Gross, Brennan R Payne, Ramon Casanova, Pega Davoudzadeh, Joseph M Dzierzewski, Sarah Farias, Tania Giovannetti, Edward H Ip, Michael Marsiske, George W Rebok, K Warner Schaie, Kelsey Thomas, Sherry Willis, Richard N Jones
Background/Study Context: Conceptual frameworks are analytic models at a high level of abstraction. Their operationalization can inform randomized trial design and sample size considerations. METHODS: The Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) conceptual framework was empirically tested using structural equation modeling (N=2,802). ACTIVE was guided by a conceptual framework for cognitive training in which proximal cognitive abilities (memory, inductive reasoning, speed of processing) mediate treatment-related improvement in primary outcomes (everyday problem-solving, difficulty with activities of daily living, everyday speed, driving difficulty), which in turn lead to improved secondary outcomes (health-related quality of life, health service utilization, mobility)...
January 5, 2018: Experimental Aging Research
https://www.readbyqxmd.com/read/29300812/naturalistic-assessment-using-a-simulated-environment-cognitive-correlates-and-relationship-to-functional-status-in-individuals-with-neurologic-conditions
#17
Kayela Robertson, Maureen Schmitter-Edgecombe, Douglas Weeks, Jane Pimentel
Objective: Research has shown that neurologic conditions, such as traumatic brain injury and multiple sclerosis, result in a number of cognitive and functional deficits. However, little is known about the relationship between various cognitive domains and ability to perform everyday activities. The Community Shopping Task (CST), a naturalistic assessment task conducted in a simulated environment, was used to examine functional abilities and cognitive correlates of everyday functioning in individuals with neurologic conditions...
December 28, 2017: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/29300435/orthostatic-hypotension-and-associated-factors-among-home-care-clients-aged-75-years-or-older-a-population-based-study
#18
A Luukkonen, M Tiihonen, T Rissanen, S Hartikainen, I Nykänen
OBJECTIVES: The aim of this study was to examine orthostatic hypotension (OH) and associated factors among home care clients aged 75 years or older. DESIGN: Non-randomised controlled study. SETTING AND PARTICIPANTS: The study sample included 244 home care clients aged 75 years or older living in Eastern and Central Finland. MEASUREMENTS: Nurses, nutritionists and pharmacists collected clinical data including orthostatic blood pressure, depressive symptoms (15-item Geriatric Depression Scale GDS-15), nutritional status (Mini Nutritional Assessment MNA), drug use, self-rated health, daily activities (Barthel ADL Index and Lawton and Brody IADL scale) and self-rated ability to walk 400 metres...
2018: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/29247308/severe-sarcopenia-might-be-associated-with-a-decline-of-physical-independence-in-older-patients-undergoing-chemotherapeutic-treatment
#19
Hánah N Rier, Agnes Jager, Marieke C Meinardi, Joost van Rosmalen, Marc C J M Kock, Peter E Westerweel, Marija Trajkovic, Stefan Sleijfer, Mark-David Levin
PURPOSE: Assessing physical reserve in older cancer patients before treatment decision-making remains challenging. The maintenance of physical independence during therapy is sometimes just as important for these patients as oncological outcomes. Recently, sarcopenia has been recognized as a possible important prognostic factor for outcome in cancer patients. We investigated the association between different levels of sarcopenia and the decline of physical independence during chemotherapy in older cancer patients (≥ 65 years)...
December 15, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29244089/the-historical-progression-from-adl-scrutiny-to-iadl-to-advanced-adl-assessing-functional-status-in-the-earliest-stages-of-dementia
#20
Robert Fieo, Laura Zahodne, Ming X Tang, Jennifer J Manly, Ron Cohen, Yaakov Stern
Background: Decrements in instrumental activities (IADL) have been observed in the prodromal phase of dementia. Given the long pre-dementia stage in neuro-degenerative diseases, it has been proposed that subtle functional changes may precede clinical IADL impairment. Incorporating more challenging advanced ADLs (e.g., volunteer work) into the assessment process may increase the sensitivity of functional measures, thus expanding the window for monitoring or interventions. Methods: Longitudinal cohort study (follow-ups, 18-24 month), subjects aged >60 (n=3635)...
December 13, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
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