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activities of daily living among elderly

Carl Hörnsten, Hugo Lövheim, Peter Nordström, Yngve Gustafson
BACKGROUND: Few studies have investigated factors associated with depression among elderly people with and without stroke concurrently, using identical settings, procedures and study variables. The aim was to investigate the prevalence of stroke and depression and to compare the factors associated with depression in people with and without stroke. METHODS: A postal mail survey was sent to 65-, 70-, 75- and 80-year-olds in northern Sweden and Finland in 2010 (n = 6098)...
October 7, 2016: BMC Geriatrics
Daigo Morita, Yoshihiro Nishida, Yoshitoshi Higuchi, Taisuke Seki, Kunihiro Ikuta, Hideki Asano, Naoki Ishiguro
Impairment of the activities of daily living (ADL) by osteoporosis is an important concern in developed countries with a super-aging population. Vitamin D, which is a crucial molecule in bone metabolism and mainly produced endogenously with ultraviolet (UV) light exposure, is known to be insufficient in the elderly population. We used an UV Light-Emitting Diode (UV-LED) instrument generating a narrow-range wavelength to analyze the efficacy of endogenous vitamin D production. The primary purpose of this study was to examine the effects of UV irradiation at various narrow-range wavelengths using UV-LED on vitamin D supplementation...
September 29, 2016: Journal of Photochemistry and Photobiology. B, Biology
A Madhavan, L A LaGorio, M A Crary, W J Dahl, G D Carnaby
OBJECTIVES: This review clarifies current information regarding the prevalence of and risk factors associated with dysphagia (swallowing disorders) in the community dwelling elderly (CDE). A better understanding of prevalence and characteristics of dysphagia in the CDE will help to determine the scope of this problem. Understanding the scope of dysphagia is a critical first step towards early identification, management, and prevention of dysphagia related morbidities in the CDE. METHODS: Studies identified from multiple electronic databases (MEDLINE (Pubmed), PsychInfo, Google Scholar, EBSCO, PROQUEST, Web of Science and WorldCat dissertations and theses) evaluating prevalence and risk factors for dysphagia in the CDE were reviewed...
2016: Journal of Nutrition, Health & Aging
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
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
Ling Na, Qiang Pan, Dawei Xie, Jibby E Kurichi, Joel E Streim, Hillary R Bogner, Debra Saliba, Sean Hennessy
BACKGROUND: Activity limitation stages based on activities of daily living (ADLs) and instrumental activities of daily living (IADLs) are associated with 3-year mortality in elderly Medicare beneficiaries, yet their associations with hospitalization risk in this population have not been studied. OBJECTIVE: To examine the independent association of activity limitation stages with risk of hospitalization within a year among Medicare beneficiaries aged 65 years and older...
September 21, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Ting-Yu Chen, Hsing-Yi Chang
Previous research has discussed the factors associated with cognitive impairment, but the patterns of its development have been little described. Our aim was to examine long-term development of cognitive function and the related factors using longitudinal follow-up data. A group-based trajectory model and multinomial logistic regression were applied to identify trajectories and the associated baseline factors, and a mixed model was used to identify the time-varying factors associated with the trajectories. Three trajectories were identified: starting low and declining (30...
2016: Scientific Reports
Charles Van Liew, Maya Santoro, Dhwani Kothari, Jennalee Wooldridge, Terry A Cronan
In the present study, ethnic differences in evaluating the severity and associated needs of medical complications experienced by an elderly man and the likelihood of seeking professional assistance (i.e., hire a healthcare advocate [HCA]) to care for him, and for one's own family or parent should they become ill, as a function of previous caregiving experience, were investigated. The 974 participants were White, Black, Hispanic, or Asian/Pacific Islander. They read a hypothetical vignette about a 75-year-old man, Daryl, who was experiencing health problems...
September 8, 2016: Journal of Cross-cultural Gerontology
Brian Downer, Sunshine Rote, Kyriakos S Markides, Soham Al Snih
OBJECTIVE: To examine the individual and combined effects of depression and diabetes on mortality and disability over 6 years among Mexican Americans aged ≥75. METHOD: The final sample included 1,785 participants from the Hispanic Established Population for the Epidemiological Study of the Elderly. Cox proportional hazards regression models were used to estimate the hazard ratios for incidence for mortality and disability according to diabetes and depressive symptoms...
January 2016: Gerontology & Geriatric Medicine
Sarah L Szanton, Bruce Leff, Jennifer L Wolff, Laken Roberts, Laura N Gitlin
The Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program, funded by the Center for Medicare and Medicaid Innovation, aims to reduce the impact of disability among low-income older adults by addressing individual capacities and the home environment. The program, described in this innovation profile, uses an interprofessional team (an occupational therapist, a registered nurse, and a handyman) to help participants achieve goals they set. For example, it provides assistive devices and makes home repairs and modifications that enable participants to navigate their homes more easily and safely...
September 1, 2016: Health Affairs
Caroline Hepperger, Peter Gföller, Christian Hoser, Hanno Ulmer, Felix Fischer, Wolfgang Schobersberger, Christian Fink
PURPOSE AND HYPOTHESIS: Improvements in pain, function and sports activity are the main goals of patients following total knee arthroplasty (TKA). Participation in sports has become an increasingly important contributor to patients' quality of life (QoL). Hiking is one of the most popular summer activities among elderly people in alpine regions. Consequently, this randomized controlled trial investigates the impact of a 3-month guided hiking programme on patients' functional abilities and QoL following TKA...
September 1, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Marziyeh Ghasemi, Abdollah RezaeiDehaghani, Tayebeh Mehrabi
BACKGROUND: Falling has a great importance among the elderlies. Even if no physical injury occurs, it can cause fear of falling down again and, consequently, reduce older adults' activities. With regard to the prevalence of falling among older adults, its prevention is essential. Therefore, the present study was aimed to define the effect of need-based education on prevention of older adults' falling during their everyday life activities. MATERIALS AND METHODS: This is a quasi-experimental study...
July 2016: Iranian Journal of Nursing and Midwifery Research
Massimo Mariconda, Giovangiuseppe Costa, Mario Misasi, Pasquale Recano, Giovanni Balato, Maria Rizzo
BACKGROUND: Total hip arthroplasty (THA) has not only been associated with best functional outcomes but also with higher dislocation risk when compared with bipolar hemiarthroplasty (HA). The functionality and activities of daily living (ADL) of patients treated with THA or HA for intracapsular hip fracture (IHF) have been scarcely investigated in comparison with the preoperative status. METHODS: Two comparable groups of 60 patients with an IHF who had undergone either THA or bipolar HA were created matching several preoperative characteristics...
July 21, 2016: Journal of Arthroplasty
Myo Nyein Aung, Saiyud Moolphate, Thin Nyein Nyein Aung, Chitima Katonyoo, Songyos Khamchai, Pongsak Wannakrairot
BACKGROUND: Having a diverse social network is considered to be beneficial to a person's well-being. The significance, however, of social network diversity in the geriatric assessment of people aged ≥80 years has not been adequately investigated within the Southeast Asian context. This study explored the social networks belonging to the elderly aged ≥80 years and assessed the relation of social network and geriatric depression. METHODS: This study was a community-based cross-sectional survey conducted in Chiang Mai Province, Northern Thailand...
2016: Clinical Interventions in Aging
Mireya Vilar-Compte, Oscar Martínez-Martínez, Dania Orta-Alemán, Rafael Perez-Escamilla
PURPOSE: To examine factors associated with food insecurity among urban older adults (65 years and older). METHODS: Three hundred and fifty two older adults attending community centers in a neighborhood of Mexico City were surveyed for food insecurity, functional impairments, health and mental health status, cash-transfer assistance, socio-demographic characteristics, social isolation, and the built food environment. RESULTS: Having at least primary education and receiving cash-transfers were significantly associated with a lower probability of being moderately-severely food insecure (OR=0...
2016: Journal of Health Care for the Poor and Underserved
Ryota Sakamoto, Yasushi Miura
[Purpose] This study investigated the long-term effect of a half-day exercise intervention program on health-related quality of life, life function, and physical function in frail elderly in need of care. The program was conducted at a senior day-care facility specializing in functional training. [Subjects and Methods] Subjects included 41 elderly in need of care who had visited the service facility for at least 1 year. Physical function and life function were evaluated at baseline, 6 months, and 12 months...
July 2016: Journal of Physical Therapy Science
Shogo Yokose, Takashi Miura, Koji Hashizume, Youichi Hisata, Kazuki Hisatomi, Kazuyoshi Tanigawa, Kiyoyuki Eishi
PURPOSE: We evaluated the outcomes of open heart surgery and long-term quality of life for patients 85 years and older. METHODS: We enrolled 46 patients 85 years and older who underwent cardiac and thoracic aortic surgery between May 1999 and November 2012. Long-term assessment was performed for 43 patients; three patients who died in the hospital were excluded. Patient conditions were assessed before surgery, 6 months and 12 months after surgery, and during the late period regarding the need for nursing care, degree of independent living, and living willingness...
August 10, 2016: Annals of Thoracic and Cardiovascular Surgery
Enrico Bonicoli, Francesco Niccolai, Giuseppe Pasqualetti, Giacomo Bini, Fabio Monzani, Michele Lisanti
INTRODUCTION: Hip fractures are one of the major causes of morbidity and mortality in the elderly and outcomes following hip fracture have been the focus of several studies over recent decades. Among all types of fall-related injuries, hip fractures cause the greatest number of deaths, lead to severe health problems and reduce quality of life. Improving the outcome of hip fracture surgery has thus become one of the main areas of interest for orthopaedic surgeons. The aim of this study was to compare the difference in activity of daily living (ADL) and mortality between patients aged over 80 years with hip fracture treated with osteosynthesis versus prosthesis at 2 years of follow-up...
August 4, 2016: Injury
Marinela Olaroiu, Minerva Ghinescu, Viorica Naumov, Ileana Brinza, Wim van den Heuvel
Background. The predictive value of frailty assessment is still debated. We analyzed the predictive value of frailty of independent living elderly. The outcomes variables were visits to the general practitioner, hospital admission, and occurrence of new health problems. Methods. A one-year follow-up study was executed among 215 community-living old Romanians. General practitioners reported the outcome variables of patients, whose frailty was assessed one year before, using the Groningen Frailty Indicator. The predictive validity is analyzed by descriptive and regression analysis...
2016: Current Gerontology and Geriatrics Research
Tadashi Kato, Naoyuki Miyashita, Yasuhiro Kawai, Nobuyuki Horita, Shoichiro Yano, Yuko Oka, Takashi Oda, Niro Okimoto
To clarify the functional changes after hospitalization due to pneumonia in elderly Japanese patients, we investigated the changes in physical functioning, nutritional routes, and diet that occurred after hospitalization in patients with nursing and healthcare-associated pneumonia (NHCAP). We analyzed 405 patients with NHCAP and compared findings with 448 patients with community-acquired pneumonia (CAP). Among the NHCAP patients, 140 (34%) patients showed a decline in activities of daily living function between baseline and discharge...
October 2016: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
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