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https://www.readbyqxmd.com/read/28212690/insomnia-and-multimorbidity-in-the-community-elderly-in-china
#1
Yu-Mei Wang, Mei Song, Ran Wang, Le Shi, Jia He, Teng-Teng Fan, Wen-Hao Chen, Lan Wang, Lu-Lu Yu, Yuan-Yuan Gao, Xiao-Chuang Zhao, Na Li, Ying Han, Mei-Yan Liu, Lin Lu, Xue-Yi Wang
STUDY OBJECTIVES: To examine the comorbidity between insomnia and medical problems. METHODS: This cross-sectional study was conducted in community adults, aged 60 y or older, who resided in one of four major cities in northern China. Sociodemographic and clinical data were collected simultaneously. A total of 3,176 elderly adults (1,292 male, 70.2 ± 6.8 y; 1,884 female, 68.8 ± 6.7 y) were interviewed. RESULTS: The prevalence of specific medical conditions in both people with insomnia and people without insomnia was detected...
February 15, 2017: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/28212629/cardiometabolic-risk-in-a-population-of-older-adults-with-multiple-co-morbidities-in-rural-south-africa-the-haalsi-health-and-aging-in-africa-longitudinal-studies-of-indepth-communities-study
#2
Thomas A Gaziano, Shafika Abrahams-Gessel, F Xavier Gomez-Olive, Alisha Wade, Nigel J Crowther, Sartaj Alam, Jennifer Manne-Goehler, Chodziwadziwa W Kabudula, Ryan Wagner, Julia Rohr, Livia Montana, Kathleen Kahn, Till W Bärnighausen, Lisa F Berkman, Stephen Tollman
BACKGROUND: A consequence of the widespread uptake of anti-retroviral therapy (ART) is that the older South African population will experience an increase in life expectancy, increasing their risk for cardiometabolic diseases (CMD), and its risk factors. The long-term interactions between HIV infection, treatment, and CMD remain to be elucidated in the African population. The HAALSI cohort was established to investigate the impact of these interactions on CMD morbidity and mortality among middle-aged and older adults...
February 17, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28207331/a-systematic-review-of-cardiovascular-disease-in-sexual-minorities
#3
Billy A Caceres, Abraham Brody, Rachel E Luscombe, Jillian E Primiano, Peter Marusca, Edward M Sitts, Deborah Chyun
BACKGROUND: Mental health and HIV disparities are well documented among sexual minorities, but there is a dearth of research on other chronic conditions. Cardiovascular disease remains the leading cause of death worldwide. Although sexual minorities have high rates of several modifiable risk factors for cardiovascular disease (including stress, tobacco use, and alcohol consumption), there is a paucity of research in this area. OBJECTIVES: In this systematic review, we synthesized and critiqued the existing evidence on cardiovascular disease among sexual minority adults...
February 16, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28202216/lifestyle-and-health-determinants-of-cardiovascular-disease-among-greek-older-adults-living-in-eastern-aegean-islands-an-adventure-within-the-medis-study
#4
Alexandra Foscolou, Evangelos Polychronopoulos, Efstratia Paka, Stefanos Tyrovolas, Vassiliki Bountziouka, Akis Zeimbekis, Dimitra Tyrovola, Dilek Ural, Demosthenes Panagiotakos
OBJECTIVE: The aim of the present study was to evaluate lifestyle and health determinants of cardiovascular disease (CVD) risk among Greek elderly residents living in Eastern Aegean islands, in both Greece and Turkey. METHODS: Under the context of the MEDIS study, 724 older adults (aged 65 to 100 years) from 8 Eastern Aegean Sea Greek islands (n=100 living in Samothrace, 142 in Lesvos, 150 in Limnos, 76 in Ikaria, 52 in Kassos, 149 in Rhodes and Karpathos) and from Turkey (n=55older adults of Greek origin living on Gökçeada Island) were voluntarily recruited...
November 16, 2016: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/28196524/financial-barriers-and-adverse-clinical-outcomes-among-patients-with-cardiovascular-related-chronic-diseases-a-cohort-study
#5
David J T Campbell, Braden J Manns, Robert G Weaver, Brenda R Hemmelgarn, Kathryn M King-Shier, Claudia Sanmartin
BACKGROUND: Some patients with cardiovascular-related chronic diseases such as diabetes and heart disease report financial barriers to achieving optimal health. Previous surveys report that the perception of having a financial barrier is associated with self-reported adverse clinical outcomes. We sought to confirm these findings using linked survey and administrative data to determine, among patients with cardiovascular-related chronic diseases, if there is an association between perceived financial barriers and the outcomes of: (1) disease-related hospitalizations, (2) all-cause mortality and (3) inpatient healthcare costs...
February 15, 2017: BMC Medicine
https://www.readbyqxmd.com/read/28185718/is-car-use-related-with-successful-aging-of-older-adults-results-from-the-multinational-mediterranean-islands-study
#6
Stefanos Tyrovolas, Evangelos Polychronopoulos, Marianthi Morena, Anargiros Mariolis, Suzanne Piscopo, Giuseppe Valacchi, Vassiliki Bountziouka, Foteini Anastasiou, Akis Zeimbekis, Dimitra Tyrovola, Alexandra Foscolou, Efthimios Gotsis, George Metallinos, George Soulis, Josep-Antoni Tur, Antonia Matalas, Christos Lionis, Labros S Sidossis, Demosthenes Panagiotakos
PURPOSE: The aim of the present work was to evaluate the relation between car use and the level of successful aging of a random sample of older adults living in the Mediterranean basin. METHODS: During 2005-2011, 2749 older (aged 65-100 years) from 22 islands and the rural Mani region (Peloponnesus) of Greece were voluntarily enrolled in the Mediterranean islands cross-sectional study. Sociodemographics, medical conditions, and dietary and lifestyle habits were derived throughout standard procedures...
January 17, 2017: Annals of Epidemiology
https://www.readbyqxmd.com/read/28185594/sleep-apnoea-in-australian-men-disease-burden-co-morbidities-and-correlates-from-the-australian-longitudinal-study-on-male-health
#7
Chamara Visanka Senaratna, Dallas R English, Dianne Currier, Jennifer L Perret, Adrian Lowe, Caroline Lodge, Melissa Russell, Sashane Sahabandu, Melanie C Matheson, Garun S Hamilton, Shyamali C Dharmage
BACKGROUND: Obstructive sleep apnoea is a common disorder with under-rated clinical impact, which is increasingly being recognised as having a major bearing on global disease burden. Men are especially vulnerable and become a priority group for preventative interventions. However, there is limited information on prevalence of the condition in Australia, its co-morbidities, and potential risk factors. METHODS: We used data from 13,423 adult men included in the baseline wave of Ten to Men, an Australian national study of the health of males, assembled using stratified cluster sampling with oversampling from rural and regional areas...
October 31, 2016: BMC Public Health
https://www.readbyqxmd.com/read/28166324/effect-of-intensive-blood-pressure-control-on-gait-speed-and-mobility-limitation-in-adults-75-years-or-older-a-randomized-clinical-trial
#8
Michelle C Odden, Carmen A Peralta, Dan R Berlowitz, Karen C Johnson, Jeffrey Whittle, Dalane W Kitzman, Srinivasan Beddhu, John W Nord, Vasilios Papademetriou, Jeff D Williamson, Nicholas M Pajewski
Importance: Intensive blood pressure (BP) control confers a benefit on cardiovascular morbidity and mortality; whether it affects physical function outcomes is unknown. Objective: To examine the effect of intensive BP control on changes in gait speed and mobility status. Design, Setting, and Participants: This randomized, clinical trial included 2636 individuals 75 years or older with hypertension and no history of type 2 diabetes or stroke who participated in the Systolic Blood Pressure Intervention Trial (SPRINT)...
February 6, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28160451/association-between-carotid-intima-media-thickness-and-fasting-blood-glucose-level-a-population-based-cross-sectional-study-among-low-income-adults-in-rural-china
#9
Liu Gao, Lingling Bai, Min Shi, Jingxian Ni, Hongyan Lu, Yanan Wu, Jun Tu, Xianjia Ning, Jinghua Wang, Yukun Li
AIMS: Carotid intima-media thickness (CIMT) is an established predictor of cardiovascular disease and stroke. We aimed to identify the association between CIMT and blood glucose as well as the risk factors associated with increased CIMT in a low-income Chinese population. MATERIALS AND METHODS: Stroke-free and cardiovascular disease-free residents aged ≥45 years were recruited. B-mode ultrasonography was performed to measure CIMT. RESULTS: There were 2643 participants (71...
February 3, 2017: Journal of Diabetes Investigation
https://www.readbyqxmd.com/read/28160188/disparities-in-hypertension-associated-with-limited-english-proficiency
#10
Eun Ji Kim, Taekyu Kim, Michael K Paasche-Orlow, Adam J Rose, Amresh D Hanchate
BACKGROUND: Limited English proficiency (LEP) is associated with poor health status and worse outcomes. OBJECTIVE: To examine disparities in hypertension between National Health and Nutrition Examination Survey (NHANES) respondents with LEP versus adequate English proficiency. DESIGN: Retrospective analysis of multi-year survey data. PARTICIPANTS: Adults 18 years of age and older who participated in the NHANES survey during the period 2003-2012...
February 3, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28159811/using-heat-as-a-therapeutic-tool-for-the-aging-vascular-tree
#11
Ryan McGinn, Martin P Poirier, Glen P Kenny
Healthy aging in humans is associated with progressive deterioration of various organ systems, the cardiovascular system being one of the most notable. Young arteries have a pronounced ability to dilate and constrict to mediate changes in blood flow in response to various stimuli (e.g. exposure to a cold or hot environment). With increasing age, complex structural and functional changes to the blood vessels occur which are further exacerbated by common comorbidities including hypertension, diabetes mellitus and hypercholesterolemia...
February 3, 2017: American Journal of Physiology. Heart and Circulatory Physiology
https://www.readbyqxmd.com/read/28159505/efficacy-and-safety-of-a-medication-dose-reminder-feature-in-a-digital-health-offering-with-the-use-of-sensor-enabled-medicines
#12
Penjit Moorhead, Ana Zavala, Yoona Kim, Naunihal S Virdi
OBJECTIVES: Over one-half of patients with chronic diseases, such as hypertension and type 2 diabetes (DM), do not take medicines as prescribed. This study assessed the efficacy and safety of "seeing" versus "not seeing" medication dose reminders regarding medication adherence and risk for overdose. DESIGN: Post hoc analysis. SETTING AND PARTICIPANTS: Outpatient setting. Adult subjects (18 years of age or older) with uncontrolled hypertension and DM...
January 31, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/28159057/the-impact-of-parity-and-age-at-first-and-last-childbirth-on-the-prevalence-of-delayed-onset-asthma-in-women-the-korean-national-health-and-nutrition-examination-survey
#13
Ji Ho Choi, Bora Lee, Kyung Do Han, Se Hwan Hwang, Jae Hoon Cho
OBJECT: Asthma is a chronic inflammatory airway disease. The aim of this study was to investigate the relationships between asthma and reproductive factors, including age at first childbirth and parity, in a representative sample of Korean women. MAIN OUTCOME MEASURES: We analyzed data from the Korean National Health and Nutrition Examination Survey (2010-2012). A total of 7837 adults who completed a questionnaire and examination were evaluated. The presence of asthma was based on the Health Interview Survey...
March 2017: Maturitas
https://www.readbyqxmd.com/read/28146334/dementia-and-co-occurring-chronic-conditions-a-systematic-literature-review-to-identify-what-is-known-and-where-are-the-gaps-in-the-evidence
#14
REVIEW
Mark B Snowden, Lesley E Steinman, Lucinda L Bryant, Monique M Cherrier, Kurt J Greenlund, Katherine H Leith, Cari Levy, Rebecca G Logsdon, Catherine Copeland, Mia Vogel, Lynda A Anderson, David C Atkins, Janice F Bell, Annette L Fitzpatrick
OBJECTIVE: The challenges posed by people living with multiple chronic conditions are unique for people with dementia and other significant cognitive impairment. There have been recent calls to action to review the existing literature on co-occurring chronic conditions and dementia in order to better understand the effect of cognitive impairment on disease management, mobility, and mortality. METHODS: This systematic literature review searched PubMed databases through 2011 (updated in 2016) using key constructs of older adults, moderate-to-severe cognitive impairment (both diagnosed and undiagnosed dementia), and chronic conditions...
February 1, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28142261/thirty-day-readmission-and-reoperation-rates-after-single-level-anterior-cervical-discectomy-and-fusion-versus-those-after-cervical-disc-replacement
#15
Niketh Bhashyam, Rafael De la Garza Ramos, Jonathan Nakhla, Rani Nasser, Ajit Jada, Taylor E Purvis, Daniel M Sciubba, Merritt D Kinon, Reza Yassari
OBJECTIVE The goal of this study was to compare 30-day readmission and reoperation rates after single-level anterior cervical discectomy and fusion (ACDF) versus those after cervical disc replacement (CDR). METHODS The authors used the 2013-2014 American College of Surgeons National Surgical Quality Improvement Program database. Included were adult patients who underwent first-time single-level ACDF or CDR for cervical spondylosis or disc herniation. Primary outcome measures were readmission and/or reoperation within 30 days of the original surgery...
February 2017: Neurosurgical Focus
https://www.readbyqxmd.com/read/28135725/pharmacologic-treatment-of-hypertension-in-adults-aged-60-years-or-older-to-higher-versus-lower-blood-pressure-targets-a-clinical-practice-guideline-from-the-american-college-of-physicians-and-the-american-academy-of-family-physicians
#16
Amir Qaseem, Timothy J Wilt, Robert Rich, Linda L Humphrey, Jennifer Frost, Mary Ann Forciea
Description: The American College of Physicians (ACP) and the American Academy of Family Physicians (AAFP) jointly developed this guideline to present the evidence and provide clinical recommendations based on the benefits and harms of higher versus lower blood pressure targets for the treatment of hypertension in adults aged 60 years or older. Methods: This guideline is based on a systematic review of published randomized, controlled trials for primary outcomes and observational studies for harms only (identified through EMBASE, the Cochrane Database of Systematic Reviews, MEDLINE, and ClinicalTrials...
January 17, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28135122/secular-trend-of-metabolic-syndrome-and-its-components-in-a-cohort-of-iranian-adults-from-2001-to-2013
#17
Hossein Khosravi-Boroujeni, Nizal Sarrafzadegan, Masoumeh Sadeghi, Hamidreza Roohafza, Mohammad Talaei, Shu-Kay Ng, Hai Phung, Ali Pourmogaddas, Faruk Ahmed
BACKGROUND: Metabolic syndrome (MetS) and its components increase the risk of developing cardiovascular diseases, type 2 diabetes, and all-cause mortality. Reports on the trends of MetS and its components in longitudinal studies are scarce, especially in low- and middle-income countries. This study was designed to investigate the prevalence and trends of MetS and its components in a cohort of Iranian adults from 2001 to 2013. METHODS: Participants were followed up for 12 years in a longitudinal population-based study of 6500 adults aged 35 years and older in 2001...
January 30, 2017: Metabolic Syndrome and related Disorders
https://www.readbyqxmd.com/read/28134279/carotid-intima-media-thickness-and-its-association-with-conventional-risk-factors-in-low-income-adults-a-population-based-cross-sectional-study-in-china
#18
Bin Liu, Jingxian Ni, Min Shi, Lingling Bai, Changqing Zhan, Hongyan Lu, Yanan Wu, Jun Tu, Xianjia Ning, Junwei Hao, Jinghua Wang
Carotid intima-media thickness (CIMT) is an established predictor of cardiovascular disease and stroke. However, risk factors associated with CIMT remain unclear. Therefore, we aimed to identify factors associated with CIMT in a low-income Chinese population. Stroke-free and cardiovascular disease-free residents aged ≥45 years were recruited. B-mode ultrasonography was performed to measure CIMT. The mean age of participants (n = 3789) was 59.92 years overall, 61.13 years in men, and 59.07 years in women (P < 0...
January 30, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28131651/type-2-diabetes-and-its-correlates-in-a-first-nationwide-study-among-cypriot-adults
#19
Eleni Andreou, Dimitrios Papandreou, Photos Hajigeorgiou, Katia Kyriakou, Thalia Avraam, Georgia Chappa, Procopis Kallis, Christalleni Lazarou, Christiana Philippou, Christoforos Christoforou, Rebecca Kokkinofta, Christos Dioghenous, Savvas Savva, Antony Kafatos, Antonios Zampelas
Obesity rates in Cyprus are very high and epidemiological information on type 2 diabetes mellitus is limited. The correlates of type 2 diabetes among adults remain unknown in the Cypriot population. Thus, the purpose of this study is to provide the first national estimate of the prevalence of type 2 diabetes and investigate its correlates. A randomly stratified nationally sample of 1001 adults aged 18-80 participated in the study. Only 950 subjects completed the study. All subjects were free of any diseases (known diabetes, kidney, liver), medication and supplementation...
January 25, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28129497/metabolic-syndrome-and-symptom-resolution-in-depression-a-5-year-follow-up-of-older-adults
#20
Marianna Virtanen, Jane E Ferrie, Tasnime Akbaraly, Adam Tabak, Markus Jokela, Klaus P Ebmeier, Archana Singh-Manoux, Mika Kivimäki
OBJECTIVE: Although metabolic syndrome is associated with the incidence of depression, little is known about its contribution to the course of depression. We examined whether metabolic syndrome and its components are associated with long-term symptom resolution in older adults with depressive symptoms. METHODS: Data from 965 participants in the Whitehall II cohort study (mean age = 62 years at baseline) were used to generate 1,172 person-observations of metabolic syndrome and its components (abdominal obesity, low level of high-density lipoprotein [HDL] cholesterol, high level of triglycerides, hypertension, and elevated fasting glucose or diabetes)...
January 2017: Journal of Clinical Psychiatry
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