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https://www.readbyqxmd.com/read/28429469/high-body-mass-and-kidney-dysfunction-relate-to-worse-nerve-function-even-in-adults-without-neuropathy
#1
Rens Hanewinckel, M Arfan Ikram, Oscar H Franco, Albert Hofman, Judith Drenthen, Pieter A van Doorn
Polyneuropathy is a prevalent and disabling disorder. Despite extensive evaluation, the cause often remains unknown. Factors that predispose for the development of polyneuropathy need to be identified. We investigated the effect of anthropometric and metabolic factors on peripheral nerve function in 908 participants of the population-based Rotterdam Study without any symptoms or signs of polyneuropathy. Participants underwent nerve conduction studies of the sural and peroneal nerve. Data on age, height, weight, waist circumference, diabetes, lipid levels, hypertension and kidney function were collected...
April 20, 2017: Journal of the Peripheral Nervous System: JPNS
https://www.readbyqxmd.com/read/28420660/education-achievement-and-type-2-diabetes-what-mediates-the-relationship-in-older-adults-data-from-the-esther-study-a-population-based-cohort-study
#2
Christopher J Steele, Ben Schöttker, Adele H Marshall, Anne Kouvonen, Mark G O'Doherty, Ute Mons, Kai-Uwe Saum, Paolo Boffetta, Antonia Trichopoulou, Hermann Brenner, Frank Kee
OBJECTIVE: The study aims to identify the mediating factors of the relationship between education achievement and incident type 2 diabetes mellitus (T2DM) in older adults. DESIGN: Population-based cohort study. SETTING: Participants were recruited from the German federal state of Saarland. PARTICIPANTS: Participants were excluded if they had prevalent T2DM or missing data on prevalent T2DM, missing or zero follow-up time for incident T2DM or were under 50 years of age...
April 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28412945/multimorbidity-associated-with-functional-independence-among-community-dwelling-older-people-a-cross-sectional-study-in-southern-china
#3
Xiao-Xiao Wang, Wei-Quan Lin, Xu-Jia Chen, Ying-Yu Lin, Ling-Ling Huang, Sheng-Chao Zhang, Pei-Xi Wang
BACKGROUND: Multimorbidity, the coexistence of two or more chronic diseases, is common in older adults. And it may lead to many adverse health outcomes, such as disability. However, data on multimorbidity and its relationship with functional independence are scarce in Asian countries. Therefore, this study aims to investigate the relationship between multimorbidity and functional status among older people in China. METHODS: Based on a cross-sectional survey, the information regarding 2705 older adults, who were of at least 60 years of age, was collected through interviews and analyzed...
April 17, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/28407764/severe-hypertriglyceridemia-secondary-to-venlafaxine-use-in-an-older-adult-on-dialysis-case-report
#4
Hsiang-Wen Lin, Cory A Simonavice, Chiung-Ray Lu, Wen-Ling Lin, Po-Lun Wu, Che-Yi Chou, Chun-Hui Liao, Hsieh-Yuan Lane
BACKGROUND: Although the prescribing information for Venlafaxine extended release includes a discussion about possible increases in total cholesterol and triglycerides (TG) seen in healthier adult patients during premarketing clinical trials, no post-marketing studies or case reports, that discuss the effects of venlafaxine on TG in elderly patients with chronic kidney disease. CASE PRESENTATION: We report a 71 year-old male patient with end-stage renal disease on hemodialysis, with a history of coronary artery disease, mild hyperlipidemia, and hypertension...
April 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28403222/comorbidity-and-dementia-a-nationwide-survey-in-taiwan
#5
Ting-Bin Chen, Szu-Yu Yiao, Yu Sun, Huey-Jane Lee, Shu-Chien Yang, Ming-Jang Chiu, Ta-Fu Chen, Ker-Neng Lin, Li-Yu Tang, Chung-Chih Lin, Pei-Ning Wang
BACKGROUND: Comorbid medical diseases are highly prevalent in the geriatric population, imposing hardship on healthcare services for demented individuals. Dementia also complicates clinical care for other co-existing medical conditions. This study investigated the comorbidities associated with dementia in the elderly population aged 65 years and over in Taiwan. METHODS: We conducted a nationwide, population-based, cross-sectional survey; participants were selected by computerized random sampling from all 19 Taiwan counties between December 2011 and March 2013...
2017: PloS One
https://www.readbyqxmd.com/read/28399566/chronic-noncommunicable-diseases-in-6-low-and-middle-income-countries-findings-from-wave-1-of-the-world-health-organization-s-study-on-global-ageing-and-adult-health-sage
#6
Perianayagam Arokiasamy, Uttamacharya, Paul Kowal, Benjamin D Capistrant, Theresa E Gildner, Elizabeth Thiele, Richard B Biritwum, Alfred E Yawson, George Mensah, Tamara Maximova, Fan Wu, Yanfei Guo, Yang Zheng, Sebastiana Zimba Kalula, Aarón Salinas Rodríguez, Betty Manrique Espinoza, Melissa A Liebert, Geeta Eick, Kirstin N Sterner, Tyler M Barrett, Kwabena Duedu, Ernest Gonzales, Nawi Ng, Joel Negin, Yong Jiang, Julie Byles, Savathree Lorna Madurai, Nadia Minicuci, J Josh Snodgrass, Nirmala Naidoo, Somnath Chatterji
In this paper, we examine patterns of self-reported diagnosis of noncommunicable diseases (NCDs) and prevalences of algorithm/measured test-based, undiagnosed, and untreated NCDs in China, Ghana, India, Mexico, Russia, and South Africa. Nationally representative samples of older adults aged ≥50 years were analyzed from wave 1 of the World Health Organization's Study on Global Ageing and Adult Health (2007-2010; n = 34,149). Analyses focused on 6 conditions: angina, arthritis, asthma, chronic lung disease, depression, and hypertension...
March 15, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/28399044/red-meat-consumption-and-cardiovascular-target-organ-damage-from-the-strong-heart-study
#7
Bernhard Haring, Wenyu Wang, Amanda Fretts, Daichi Shimbo, Elisa T Lee, Barbara V Howard, Mary J Roman, Richard B Devereux
OBJECTIVE: The aim of this study was to investigate whether red meat consumption is related to changes in left ventricular mass (LVM), left atrial diameter and carotid atherosclerosis in American Indians. METHODS: We prospectively analyzed echocardiographic and carotid ultrasound data of 1090 adults aged 40 years and older enrolled in the Strong Heart Family Study who were free of cardiovascular disease at baseline - 535 (49%) were hypertensive and 555 (51%) participants were nonhypertensive...
April 10, 2017: Journal of Hypertension
https://www.readbyqxmd.com/read/28396588/association-between-education-and-the-risk-of-incident-coronary-heart-disease-among-middle-aged-and-older-chinese-the-dongfeng-tongji-cohort
#8
Hao Wang, Yu Yuan, Lulu Song, Gaokun Qiu, Xuefeng Lai, Liangle Yang, Yang Xiao, Lue Zhou, Handong Yang, Xiulou Li, Chengwei Xu, Xiaomin Zhang, Mei-An He, Tangchun Wu
Educational achievement was related to cardiovascular disease in some western populations, but prospective evidence on the relationship between education and the risk of incident coronary heart disease (CHD) in Asians is scarce. We aimed to explore this association and the potential modifying effect of major CHD risk factors related to education in middle-aged and older Chinese adults. We included 18,551 participants with mean age 62.8 years at baseline between September 2008 and June 2010, and followed the population until October 2013...
April 10, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28395017/prevalence-of-cardiovascular-risk-factors-and-strokes-in-younger-adults
#9
Mary G George, Xin Tong, Barbara A Bowman
Importance: While stroke mortality rates have decreased substantially in the past 2 decades, this trend has been primarily limited to older adults. Increasing trends in stroke incidence and hospitalizations have been noted among younger adults, but there has been concern that this reflected improved diagnosis through an increased use of imaging rather than representing a real increase. Objectives: To determine whether stroke hospitalization rates have continued to increase and to identify the prevalence of associated stroke risk factors among younger adults...
April 10, 2017: JAMA Neurology
https://www.readbyqxmd.com/read/28394954/-risk-factors-for-the-development-of-lung-cancer-in-a-cohort-of-adult-smokers
#10
Fernando Saldías Peñafiel, José Manuel Elola Aránguiz, Javier Uribe Monasterio, Arturo Morales Soto, Orlando Díaz Patiño
BACKGROUND: Identifying risk factors for lung cancer in the population could improve the cost-effectiveness of early detection programs using thoracic computed tomography (CT). AIM: To examine the risk factors of lung cancer in a cohort of adult smokers. PATIENTS AND METHODS: An annual clinical and respiratory functional assessment, chest computed tomography for three years and clinical follow up for five years was carried out in 270 patients aged 65 ± 9 years, 55% males, active or former smokers of 10 or more pack-years...
November 2016: Revista Médica de Chile
https://www.readbyqxmd.com/read/28394435/real-world-clinical-characteristics-and-treatment-patterns-of-individuals-aged-80-and-older-with-nonvalvular-atrial-fibrillation-results-from-the-real-life-multicenter-survey-evaluating-stroke-study
#11
Murat Biteker, Özcan Başaran, Volkan Doğan, İbrahim Altun, Fatma Özpamuk Karadeniz, Ahmet İlker Tekkesin, Yasin Çakıllı, Ceyhan Türkkan, Mehmet Hamidi, Vahit Demir, Mustafa Ozan Gürsoy, Müjgan Tek Öztürk, Gökhan Aksan, Sabri Seyis, Mehmet Ballı, Mehmet Hayri Alıcı, Serdar Bozyel
OBJECTIVES: To compare the clinical characteristics of and use of oral anticoagulant (OAC) therapy in individuals aged 80 and older with atrial fibrillation (AF) with those of individuals younger than 80 with AF in clinical practice. DESIGN: Observational study. SETTING: The ReAl-life Multicenter Survey Evaluating Stroke prevention strategies in Turkey trial (NCT02344901), a national observational registry. PARTICIPANTS: Turkish adults with nonvalvular AF (NVAF)...
April 10, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28389529/older-patients-perspectives-on-managing-complexity-in-ckd-self-management
#12
C Barrett Bowling, Ann E Vandenberg, Lawrence S Phillips, William M McClellan, Theodore M Johnson, Katharina V Echt
BACKGROUND AND OBJECTIVES: Patients with CKD are asked to perform self-management tasks including dietary changes, adhering to medications, avoiding nephrotoxic drugs, and self-monitoring hypertension and diabetes. Given the effect of aging on functional capacity, self-management may be especially challenging for older patients. However, little is known about the specific challenges older adults face maintaining CKD self-management regimens. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We conducted an exploratory qualitative study designed to understand the relationship among factors facilitating or impeding CKD self-management in older adults...
April 3, 2017: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/28388911/the-impact-of-multi-morbidity-on-disability-among-older-adults-in-south-africa-do-hypertension-and-socio-demographic-characteristics-matter
#13
Philippa Waterhouse, Nele van der Wielen, Pamela Chirwa Banda, Andrew Amos Channon
BACKGROUND: Alongside the global population ageing phenomenon, there has been a rise in the number of individuals who suffer from multiple chronic conditions. Taking the case of South Africa, this study aims, first, to investigate the association between multi-morbidity and disability among older adults; and second, to examine whether hypertension (both diagnosed and undiagnosed) mediates this relationship. Lastly, we consider whether the impact of the multi-morbidity on disability varies by socio-demographic characteristics...
April 8, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28387202/2016-consensus-statement-on-prevention-of-atherosclerotic-cardiovascular-disease-in-the-hong-kong-population
#14
B My Cheung, C H Cheng, C P Lau, C Ky Wong, R Cw Ma, D Ws Chu, D Hk Ho, K Lf Lee, H F Tse, A Sp Wong, B Py Yan, V Wt Yan
INTRODUCTION: In Hong Kong, the prevalence of atherosclerotic cardiovascular disease has increased markedly over the past few decades, and further increases are expected. In 2008, the Hong Kong Cardiovascular Task Force released a consensus statement on preventing cardiovascular disease in the Hong Kong population. The present article provides an update on these recommendations. PARTICIPANTS: A multidisciplinary group of clinicians comprising the Hong Kong Cardiovascular Task Force-10 cardiologists, an endocrinologist, and a family physician-met in September 2014 and June 2015 in Hong Kong...
April 2017: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/28384076/ehealth-literacy-patient-engagement-in-identifying-strategies-to-encourage-use-of-patient-portals-among-older-adults
#15
Eboni G Price-Haywood, Jewel Harden-Barrios, Robin Ulep, Qingyang Luo
Innovations in chronic disease management are growing rapidly as advancements in technology broaden the scope of tools. Older adults are less likely to be willing or able to use patient portals or smartphone apps for health-related tasks. The authors conducted a cross-sectional survey of older adults (ages ≥50) with hypertension or diabetes to examine relationships between portal usage, interest in health-tracking tools, and eHealth literacy, and to solicit practical solutions to encourage technology adoption...
April 6, 2017: Population Health Management
https://www.readbyqxmd.com/read/28376207/the-association-of-dyslipidemia-with-chronic-lymphocytic-leukemia-a-population-based-study
#16
Lee Mozessohn, Craig Earle, David Spaner, Stephanie Y Cheng, Matthew Kumar, Rena Buckstein
Background: Metabolic syndrome (MetS) is a risk factor for development of cancer. Because aberrant lipid metabolism is a pathogenic feature of chronic lymphocytic leukemia (CLL), our objective was to determine if CLL patients have a higher prevalence of MetS preceding diagnosis and to determine the impact of lipid-lowering medications on survival. Methods: We conducted a population-based case-control study in Ontario, Canada, using administrative databases of adults age 66 years and older to compare the prevalence of MetS preceding CLL with age- and sex-matched control subjects...
March 1, 2017: Journal of the National Cancer Institute
https://www.readbyqxmd.com/read/28374461/differences-in-health-related-quality-of-life-by-sleep-duration-and-subjective-oral-health-in-korean-adults-with-coronary-artery-disease
#17
Sanghee Kim, Yoonjung Kim, Haejin Kwon
BACKGROUND: Health-related quality of life management for patients with coronary artery disease should be considered in the context of sleep and oral health, as both associated with heart health. AIM: To identify differences in health-related quality of life by sleep duration and subjective oral health among these patients and to examine factors influencing health-related quality of life. METHODS: A descriptive cross-sectional design using secondary data from the 2013 Korea Community Health Survey...
April 2017: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/28371687/cumulative-incidence-and-risk-factors-of-prediabetes-and-type-2-diabetes-in-a-singaporean-malay-cohort
#18
Ryan E K Man, Sabanayagam Charumathi, Alfred Tau Liang Gan, Eva K Fenwick, Ching Siong Tey, Jacqueline Chua, Tien-Yin Wong, Ching-Yu Cheng, Ecosse L Lamoureux
AIMS: The aim of this work was to determine the cumulative incidence and independent risk factors of prediabetes and type 2 diabetes (T2DM) in a well-characterized cohort of Malays in Singapore. METHODS: We included 1137 participants (mean age [SD]: 55 (10) years; 53.6% female) without diabetes (DM) at baseline from the Singapore Malay Eye Study, a population-based longitudinal study with baseline (2004-2006), and follow-up (2010-2013) examinations. Prediabetes was defined as an HbA1c between 5...
March 22, 2017: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/28371252/home-blood-pressure-monitoring-among-adults-american-heart-association-cardiovascular-health-consumer-survey-2012
#19
Carma Ayala, Xin Tong, Eunice Neeley, Rashon Lane, Karen Robb, Fleetwood Loustalot
Home blood pressure monitoring (HBPM) among hypertensive adults was assessed using the 2012 American Heart Association Cardiovascular Health Consumer Survey. The prevalence of hypertension was 25.5% and 53.8% of those reported HBPM. Approximately 63% of hypertensive adults 65 years and older reported HBPM followed by 51% and 34.6% (35-64 and 18-34 years, respectively; P=.001). Those who had seen a healthcare professional within a year reported HBPM compared with those who had not (54.8% vs 32.8%, P=.047)...
March 31, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28370380/clinical-characteristics-of-adult-dogs-more-than-5-years-of-age-at-presentation-for-patent-ductus-arteriosus
#20
B G Boutet, A B Saunders, S G Gordon
BACKGROUND: The median age at presentation for dogs with patent ductus arteriosus (PDA) is <6 months of age, and closure is associated with a decrease in heart size and increased survival time, which are not well described in older dogs. OBJECTIVES: To describe the clinical characteristics of dogs with PDA ≥5 years of age at the time of presentation to a veterinary referral hospital. ANIMALS: 35 client-owned dogs. METHODS: Retrospective case series...
April 3, 2017: Journal of Veterinary Internal Medicine
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