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Weight loss in the elderly

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https://www.readbyqxmd.com/read/27896893/an-acute-disseminated-encephalomyelitis-like-illness-in-the-elderly-neuroimaging-and-neuropathology-findings
#1
Ulrike W Kaunzner, Elliott Salamon, Elena Pentsova, Marc Rosenblum, Sasan Karimi, Nancy Nealon, Ehud Lavi, Dara G Jamieson
INTRODUCTION: Acute disseminated encephalomyelitis (ADEM) is a rare demyelinating disease of the central nervous system (CNS) that classically occurs in children and adolescents. It characteristically presents with acute inflammation, resulting in demyelination, often following an infectious disease. ADEM has been described in adult patients, but the incidence in the adult and especially elderly population is low. CASES: We describe five older adults (age 57 to 85) who presented with acute neurological symptoms...
November 29, 2016: Journal of Neuroimaging: Official Journal of the American Society of Neuroimaging
https://www.readbyqxmd.com/read/27895390/maslinic-acid-in-olive-fruit-alleviates-mild-knee-joint-pain-and-improves-quality-of-life-by-promoting-weight-loss-in-the-elderly
#2
Satoshi Fukumitsu, Myra O Villareal, Kazuhiko Aida, Akihiro Hino, Noriya Hori, Hiroko Isoda, Yuji Naito
Consumption of olives (Olea europaea L.) is associated with a low incidence of inflammation-related diseases. Olive fruit is rich in bioactive pentacyclic triterpenoids, mainly maslinic acid. This study, a randomized, double-blind, and placebo-controlled trial, examined the effects of an orally administered maslinic acid supplement, olive fruit extract, on 20 middle-aged and elderly volunteers with mild knee joint pain. Each subject (58 ± 7 years) received either olive fruit extract, containing 50 mg maslinic acid (n = 12), or placebo (n = 8) daily for 12 weeks and evaluated for pain and physical functions as primary outcome measures...
November 2016: Journal of Clinical Biochemistry and Nutrition
https://www.readbyqxmd.com/read/27890894/clinical-complete-response-from-chemotherapy-in-an-elderly-patient-with-metastatic-gastric-cancer-a-case-report
#3
Tetsuro Kawagoe, Yuta Maruki, Hiroyuki Nagoya, Yuki Kosugi, Teppei Akimoto, Hiroshi Yamawaki, Yasuhiro Kodaka, Mayumi Shimpuku, Nobue Ueki, Seiji Futagami, Kazumasa Miyake, Katsuhiko Iwakiri
An 81-year-old man was admitted with upper abdominal pain and weight loss. Esophagogastroduodenoscopy revealed a large tumor located from the gastric angle to the body. Histological analysis of a biopsy revealed a moderately differentiated adenocarcinoma. Computed tomography revealed metastases in the liver and lung and the patient was subsequently diagnosed with metastatic advanced gastric cancer. He was treated with chemotherapy using S-1 (80 mg/m(2)) and cisplatin (CDDP) (60 mg/m(2)). Twenty-two months after chemotherapy, the gastric tumor, and the nodules in the liver and lung, had disappeared...
2016: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
https://www.readbyqxmd.com/read/27885226/association-between-the-nutritional-status-and-the-severity-of-sarcopenia-among-community-dwelling-elderly-japanese-people
#4
Satsuki Komai, Yutaka Watanabe, Yoshinori Fujiwara, Hunkyung Kim, Ayako Edahiro, Hisashi Kawai, Hideyo Yoshida, Shuichi Obuchi, Yayoi Tanaka, Hirohiko Hirano
AIM: To investigate the association between nutritional evaluation indices (body mass index, albumin, and weight loss) and sarcopenia severity among community-dwelling elderly people in Japan. METHODS: The subjects consisted of 758 community-dwelling elderly people ≥65 years of age, categorized into two groups by based on Operation of long life medical care system (medical care system for elderly in the latter stage of life), the cut-off value for age used was 75...
2016: Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
https://www.readbyqxmd.com/read/27872739/30-years-retrospective-review-of-tuberculosis-cases-in-a-tuberculosis-dispensary-in-bursa-nilufer-turkey-1985-2014-changes-of-epidemics
#5
Kayıhan Pala, Harika Gerçek, Tuncay Aydin Taş, Rukiye Çakir, Sedef Özgüç, Timur Yildiz
OBJECTIVE: The aim of this study is to describe the epidemiological and clinical aspects of patients who applied to the Bursa Nilufer Tuberculosis Dispensary by investigating the trends in epidemics over three decades. METHOD: In this retrospective observational study, the records of all tuberculosis cases (1630 patients) treated in the last 30 years (1985-2014) at the Bursa Nilufer Tuberculosis Dispensary were examined and statistically analyzed. RESULTS: Males comprised 65...
2016: Mediterranean Journal of Hematology and Infectious Diseases
https://www.readbyqxmd.com/read/27847264/dietary-patterns-and-12-year-risk-of-frailty-results-from-the-three-city-bordeaux-study
#6
Sophie Pilleron, Soufiane Ajana, Marthe-Aline Jutand, Catherine Helmer, Jean-François Dartigues, Cécilia Samieri, Catherine Féart
OBJECTIVE: To analyze the association between dietary patterns and the 12-year risk of frailty and its components in community-dwelling elderly French adults. DESIGN: A prospective cohort study. SETTING: The Bordeaux sample of the Three-City Study. PARTICIPANTS: A total of 972 initially nonfrail nondemented participants (336 men and 636 women) aged 73 years on average, re-examined at least once over 12 years. MEASUREMENTS: Five sex-specific dietary clusters were previously derived at baseline...
November 12, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27843074/testosterone-threshold-for-increased-cardiovascular-risk-in-middle-aged-and-elderly-men-a-locally-weighted-regression-analysis
#7
Pin-Wen Liao, Chia-Chang Wu, Kuan-Chou Chen, Fu-Shan Jaw, Hong-Jeng Yu, Shih-Ping Liu, Chen-Hsun Ho
INTRODUCTION: Although testosterone deficiency has a well-known association with increased risk of cardiovascular disease (CVD), the threshold remains to be determined. AIM: To investigate whether there is a discriminatory testosterone level below which the CVD risk increases. METHODS: The study included 876 men 45 to 74 years old who underwent a general health checkup. The Framingham Risk Score was used to estimate the 10-year CVD risk; a high-sensitivity C-reactive protein (hsCRP) level of at least 1 mg/L was considered an indicator of increased CVD risk...
December 2016: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/27828581/-phenotype-of-frailty-the-influence-of-each-item-in-determining-frailty-in-community-dwelling-elderly-the-fibra-study
#8
Silvia Lanziotti Azevedo da Silva, Anita Liberalesso Neri, Eduardo Ferrioli, Roberto Alves Lourenço, Rosângela Corrêa Dias
The phenotype of frailty is used to assess frailty among the elderly by examining the following items: weight loss; exhaustion; low level of physical activity; weakness; and slow gait speed. The aim of the study was to evaluate the contribution of each item to determine the frailty syndrome among elderly Brazilians. The analysis was done using Multinomial Logistic Regression. The total sample of 5532 randomly selected elderly people in many cities in Brazil between December 2008 and September 2009 was assessed using the phenotype of frailty...
November 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27828570/self-perceived-health-in-institutionalized-elderly
#9
Javier Jerez-Roig, Dyego Leandro Bezerra Souza, Fabienne Louise Juvêncio Paes de Andrade, Bartolomeu Fagundes de Lima, Rafaela Jordânia de Medeiros, Nayara Priscila Dantas de Oliveira, Sadote Macêdo Cabral, Kenio Costa Lima
This study aimed to verify health self-perception, its prevalence and associated factors in institutionalized elderly. A cross-sectional study is presented herein, conducted in 10 Long-Term care Institutions for the Elderly (LTIE) in the city of Natal (Northeast Brazil), between October and December 2013. Sociodemographic variables were analyzed, along with institution-related and health state variables. Descriptive and bivariate analyses were carried out (Chi-squared test, Fisher's exact test or linear trend Chi-squared test), as well as multivariate analysis (logistic regression)...
November 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27825838/the-relationship-between-oral-health-and-oral-health-related-quality-of-life-among-elderly-people-in-united-kingdom
#10
Mohd Masood, Tim Newton, Noor Nazahiah Bakri, Taimur Khalid, Yaghma Masood
OBJECTIVES: To identify the determinants of OHRQoL among older people in the United Kingdom. METHODS: A subset of elderly (≥65year) participants from the UK Adult Dental Health Survey 2009 data was used. OHRQoL was assessed by means of the OHIP-14 additive score. The number of missing teeth; presence of active caries, dental pain, root caries, tooth wear, periodontal pockets>4mm, loss of attachment>9mm; having PUFA>0 (presence of severely decayed teeth with visible pulpal involvement, ulceration caused by dislocated tooth fragments, fistula and abscess); and wearing a denture were used as predictor variables...
November 4, 2016: Journal of Dentistry
https://www.readbyqxmd.com/read/27810620/mapping-the-factors-affecting-the-frequency-and-types-of-micronuclei-in-an-elderly-population-from-southern-bohemia
#11
Andrea Rossnerova, Katerina Honkova, Jitka Pavlikova, Zuzana Freitinger Skalicka, Renata Havrankova, Ivo Solansky, Pavel Rossner, Radim J Sram, Friedo Zölzer
The micronucleus assay is one of the most common methods used to assess chromosomal damage (losses or breaks) in human peripheral blood lymphocytes (PBL) in genetic toxicology. Most studies have focused on analyzing total micronuclei (MN), but identifying the content of MN can provide more detailed information. The main aim of this study was to map the factors affecting the frequency and types of micronuclei in binucleated cells (BNC) in elderly population. Fluorescence in situ hybridization using Human Pan Centromeric Chromosome Paint was used to identify centromere positive (CEN+) or centromere negative (CEN-) MN...
November 2016: Mutation Research
https://www.readbyqxmd.com/read/27804273/baseline-gray-and-white-matter-volume-predict-successful-weight-loss-in-the-elderly
#12
Fatemeh Mokhtari, Brielle M Paolini, Jonathan H Burdette, Anthony P Marsh, W Jack Rejeski, Paul J Laurienti
OBJECTIVE: The purpose of this study was to investigate whether structural brain phenotypes could be used to predict weight loss success following behavioral interventions in older adults with overweight or obesity and cardiometabolic dysfunction. METHODS: A support vector machine with a repeated random subsampling validation approach was used to classify participants into the upper and lower halves of the weight loss distribution following 18 months of a weight loss intervention...
December 2016: Obesity
https://www.readbyqxmd.com/read/27804083/chronic-rhinosinusitis-with-nasal-polyps-is-associated-with-chronic-otitis-media-in-the-elderly
#13
Seung-No Hong, Woo Hyun Lee, Seung Hoon Lee, Chae-Seo Rhee, Chul Hee Lee, Jeong-Whun Kim
Chronic rhinosinusitis (CRS) and chronic otitis media (COM) are common diseases in the otorhinolaryngology field. Although clinicians frequently encounter patients presenting both diseases simultaneously, a few studies have shown relationships between them. We examined whether CRS was associated with COM in adults who participated in the Korea National Health and Nutrition Examination Survey from 2009 to 2012. A total of 27,492 participants were examined in this cross-sectional epidemiological study. Regression analyses was performed and adjusted for socio-demographics, general health behavior, and other comorbidities...
November 1, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27795883/a-comparison-of-outcomes-of-bariatric-surgery-in-patient-greater-than-70-with-18-month-of-follow-up
#14
Hinali Zaveri, Amit Surve, Daniel Cottam, Christina Summerhays, Austin Cottam, Christina Richards, LeGrand Belnap, Walter Medlin
BACKGROUND: There is a scarcity of data available to determine the safety and effectiveness of bariatric surgery in the elderly population. Additionally, there are no studies showing the effect of the single anastomosis duodenal switch (SADS) has on the elderly obese, in comparison with other more popular procedures. Here we compare laparoscopic gastric band surgery (LAGB), Laparoscopic Roux-en-Y gastric bypass surgery (LRYGB), and the SADS to analyze the weight loss, perioperative and postoperative morbidity in the patients >70 years of age at a single US center...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27785316/pharyngoesophageal-obstruction-on-the-killian-laimer-triangle-by-zenker-s-diverticulum-case-report-and-clinical-significance
#15
Tulio F Leite, Carlos A A Chagas, Lucas A S Pires, Rafael Cisne, Marcio A Babinski
Zenker's diverticulum is a form of esophageal and pharyngeal obstruction located at the Killian-Laimer triangle. It is relatively common in elderly man (seventh or eighth decade of life), and its pathophysiology is not completely understood, albeit theories regarding dysfunction of the upper esophageal sphincter were reported. The main symptoms are dysphagia and odynophagia, but it can complicate to aspiration and perforation of the pharyngeal pouch; also, it can be asymptomatic. Diagnosis is provided through a barium esophagogram...
December 2015: Gastroenterology Research
https://www.readbyqxmd.com/read/27780977/weight-loss-surgery-in-adolescents-corrects-high-density-lipoprotein-subspecies-and-their-function
#16
W S Davidson, T H Inge, H Sexmith, A Heink, D Elder, D Y Hui, J T Melchior, T Kelesidis, A S Shah
BACKGROUND/OBJECTIVE: Youth with obesity have an altered high-density lipoprotein (HDL) subspecies profile characterized by depletion of large apoE-rich HDL particles and an enrichment of small HDL particles. The goal of this study was to test the hypothesis that this atherogenic HDL profile is reversible and that HDL function would improve with metabolic surgery. METHODS: Serum samples from adolescent males with severe obesity mean±s.d. age of 17.4±1.6 years were studied at baseline and 1 year following vertical sleeve gastrectomy (VSG)...
November 22, 2016: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/27779822/frailty-is-a-major-related-factor-for-at-risk-of-malnutrition-in-community-dwelling-older-adults
#17
Shu-Fang Chang
PURPOSE: We investigated the relationships among geriatric syndrome, physiological functions, and body composition in community-dwelling older people with varying nutritional statuses. Other factors correlated with nutritional status in community-dwelling older people were also explored. BACKGROUND: The World Health Organization has initiated preventive programs for addressing malnutrition. However, few studies have focused on the correlations among geriatric syndrome, physiological functions, and body composition in older people at risk of malnutrition...
October 25, 2016: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/27756322/effectiveness-of-postoperative-elemental-diet-elental%C3%A2-in-elderly-patients-after-gastrectomy
#18
Yu Ohkura, Shusuke Haruta, Tsuyoshi Tanaka, Masaki Ueno, Harushi Udagawa
BACKGROUND: We aimed to investigate the efficacy of postoperative early intervention with an elemental diet to reduce weight loss and enhance recovery after gastrectomy. Nutritional status and gastrointestinal immune function tend to worsen, and postoperative weight loss is inevitable in these patients; therefore, improvement in their postoperative condition is important, especially in gastric cancer patients aged ≥80 years. METHODS: Clinical outcomes and postoperative nutritional status were compared between 21 and 22 consecutive elderly patients aged ≥80 years who underwent distal gastrectomy before and after the introduction of postoperative oral elemental diet (Elental®, 300 kcal/day), respectively, between October 2011 and June 2016...
October 19, 2016: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27720368/screening-for-frailty-in-thoracic-surgical-patients
#19
Angela K Beckert, Megan Huisingh-Scheetz, Katherine Thompson, Amy D Celauro, Jordan Williams, Paul Pachwicewicz, Mark K Ferguson
BACKGROUND: The presence of frailty or prefrailty in older adults is a risk factor for postsurgical complications. The frailty phenotype can be improved through long-term resistance and aerobic training. It is unknown whether short-term preoperative interventions targeting frailty will help to mitigate surgical risk. The purpose of this study was to determine the proportion of frail and prefrail patients presenting to a thoracic surgical clinic who could benefit from a frailty reduction intervention...
October 4, 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27714526/the-effectiveness-and-safety-of-sleeve-gastrectomy-in-the-obese-elderly-patients-a-systematic-review-and-meta-analysis
#20
Yao Wang, Xiaoyan Yi, Qifu Li, Jun Zhang, Zhihong Wang
BACKGROUND: This systematic review was performed to compare the effectiveness and safety of SG in the obese elderly patients with the young ones. METHODS: Cohort studies that compared outcomes among old and young patients who had undergone SG were included. Summary odds ratios were estimated using a random effect model. RESULTS: Eleven studies were included. Old patients had a worse outcome in percentage of excess weight loss than the young ones (SMD -0...
October 6, 2016: Obesity Surgery
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