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Determinants of trajectories of fatigability and mobility among older medical patients during and after hospitalization; An explorative study
Fatigability is an important marker of functional decline in community dwelling older people, yet its relationship with functional decline after hospitalization is unclear. The objectives of this study were to identify trajectories of fatigability and mobility over time and to examine the association between demographic and clinical characteristics and these trajectories in medical patients aged 70 years and older admitted to a Dutch tertiary care teaching hospital.
4/7/2023 12:49:02 PM +00:00
Comparison of diferent obesity indices associated with type 2 diabetes mellitus among diferent sex and age groups in Nantong, China: A cross-section study
Obesity is associated with type 2 diabetes mellitus (T2DM). However, the obesity index that is most closely related to type 2 diabetes remains controversial. Therefore, the aim of this study was to compare the associations of fve anthropometric indices (body mass index [BMI], body adiposity index, waist circumference [WC], waist-to-hip ratio, and waist-to-height ratio [WHtR]) with T2DM among Chinese adults divided into four groups according to sex and age.
4/7/2023 12:48:56 PM +00:00
Potential value of home square-stepping exercises for inactive older adults: An exploratory case study
Most older adults do not engage in regular physical activity. However, more research on options to partake in regular exercise in this population by reducing barriers and enhancing enablers while still reaching benefits is needed. Methods: Using embedded mixed methods, 10 inactive older adults over the age of 65 completed a 3-week squarestepping exercise intervention to help overcome the initial barriers and activate initial enablers to perform regular exercise.
4/7/2023 12:48:49 PM +00:00
The association between sleep quality and psychological distress among older Chinese adults: A moderated mediation model
Previous research has found a link between sleep quality and psychological distress. However, the underlying mechanisms of this connection have still not been well explored. The aim of this study was to examine the roles of activities of daily living (ADL), physical activity, and perceived social support in the link between sleep quality and psychological distress among older adults.
4/7/2023 12:48:43 PM +00:00
Sarcopenia and coronary heart disease synergistically increase the risk of new onset depressive symptoms in older adults
Coronary heart disease (CHD), sarcopenia and depression are common disorders that markedly impair quality of life and impose a huge financial burden on society. They are also frequently comorbid, exacerbating condition and worsening prognosis. This study aimed to investigate the additive effect of CHD and sarcopenia on the risk of new onset depressive symptoms in older adults.
4/7/2023 12:48:36 PM +00:00
Associations of fruit & vegetable intake and physical activity with poor self-rated health among Chinese older adults
Despite the existing literature highlights the central roles of sociodemographic factors, fruit & vegetable (F&V) intake, and physical activities for maintaining good health, less is known about the associations in the Chinese context. This study attempted to explore the associations of servings of F&V intake and levels of physical activities with poor self-rated health (SRH) among Chinese older adults.
4/7/2023 12:48:30 PM +00:00
Adaptation of the Patient Beneft Assessment Scale for Hospitalised Older Patients: Development, reliability and validity of the P-BAS picture version
The Patient Benefit Assessment Scale for Hospitalised Older Patients (P-BAS HOP) is a tool developed to both identify the priorities of the individual patient and to measure the outcomes relevant to him/her, resulting in a Patient Benefit Index (PBI), indicating how much benefit the patient had experienced from the hospitalisation.
4/7/2023 12:48:23 PM +00:00
Habitual tea consumption and 5-year incident metabolic syndrome among older adults: A community-based cohort study
The effect of tea consumption on metabolic syndrome (MetS) remains controversial. The objective of this study is to examine the prospective association of tea consumption with 5-year incident MetS among aged population in China.
4/7/2023 12:48:16 PM +00:00
Descriptors of living alone for elders: Based on Turkey national data
The objective of this study is to analyze the data of the 2018 Turkey Demographic and Health Survey and determine personal and demographic factors associated with elderly who are 60 and older and living alone. Methods: This cross-sectional study is the secondary analysis of the national data obtained with the 2018 Turkey Demographic and Health Survey.
4/7/2023 12:48:09 PM +00:00
Associations between lifestyle factors and multidimensional frailty: A cross-sectional study among community-dwelling older people
Multidimensional frailty, including physical, psychological, and social components, is associated to disability, lower quality of life, increased healthcare utilization, and mortality. In order to prevent or delay frailty, more knowledge of its determinants is necessary; one of these determinants is lifestyle. The aim of this study is to determine the association between lifestyle factors smoking, alcohol use, nutrition, physical activity, and multidimensional frailty.
4/7/2023 12:48:03 PM +00:00
Embedding audiological screening within memory clinic care pathway for individuals at risk of cognitive decline— patient perspectives
With the evolving knowledge on hearing as a potentially modifiable mid-life risk factor for dementia, identification of people at risk becomes increasingly important. People with mild cognitive impairment (MCI) presenting to specialist memory services represent a key “at-risk” target population for audiological evaluation, but few services have established this pathway. This study sought to examine the patient experience and understanding of this process.
4/7/2023 12:47:54 PM +00:00
National trends in the proportion of inhospital deaths by cause of death among older adults with long-term care: A nationwide observational study in Japan from 2007 to 2017
Japan has promoted end-of-life care at home and in long-term care facilities, and the total proportion of in-hospital deaths has decreased recently. However, the difference in trends of in-hospital deaths by the cause of death remains unclear. We investigated the variation in trends of in-hospital deaths among older adults with longterm care from 2007 to 2017, by cause of death and place of care.
4/7/2023 12:47:47 PM +00:00
Outcomes of advance care directives after admission to a long-term care home: DNR the DNH?
Residents of long-term care homes (LTCH) often experience unnecessary and non-benefcial hospitalizations and interventions near the end-of-life. Advance care directives aim to ensure that end-of-life care respects resident needs and wishes.
4/7/2023 12:47:41 PM +00:00
To see, meet and adapt – an interview study about physiotherapists’ pedagogical approach to dementia
Physiotherapists need to use pedagogical approaches and strategies in their work. However, there is no previous definition of what a pedagogical approach in physiotherapy means neither in general nor specifically to dementia. The purpose of this study was therefore to gain greater insight into physiotherapists’ pedagogical approach to dementia by investigating physiotherapists’ views and working methods in contact with older people with dementia, relatives, and nursing staff in elderly care.
4/7/2023 12:47:33 PM +00:00
Association between body mass index, multi-morbidity and activities of daily living among New Zealand nursing home older adults: A retrospective analysis of nationwide InterRAI data
Obesity is a well-established risk factor for multi-morbidity and disability among older adults in the community and acute care settings. However, nursing home residents with body mass index (BMI) below 18.5 kg/ m2 and above 25.0 kg/m2 have been understudied. We examined the prevalence of multi-morbidity and disability in activities of daily living (ADL) by BMI category and further investigated the association between BMI, multi-morbidity, and disability of ADL in a large cohort of older adults in nursing homes in New Zealand.
4/7/2023 12:47:24 PM +00:00
Persistent polypharmacy and fall injury risk: The Health, Aging and Body Composition Study
Older adults receive treatment for fall injuries in both inpatient and outpatient settings. The effect of persistent polypharmacy (i.e. using multiple medications over a long period) on fall injuries is understudied, particularly for outpatient injuries. We examined the association between persistent polypharmacy and treated fall injury risk from inpatient and outpatient settings in community-dwelling older adults.
4/7/2023 12:47:17 PM +00:00
Changes in the use of diabetes drugs among community-dwelling people with Alzheimer’s disease
Type 2 diabetes is common in persons with Alzheimer’s disease (AD). Management of diabetes in persons with AD is challenging due to changing goals of care and susceptibility to adverse drug events including hypoglycemia. The aim of this study was to investigate the prevalence of diabetes drug use from 5 years before to 5 years after the time of AD diagnosis among persons with and without AD.
4/7/2023 12:47:11 PM +00:00
What do geriatric rehabilitation patients and experts consider relevant? Requirements for a digitalised e-coach for sustainable improvement of nutrition and physical activity in older adults – a qualitative focus group study
During geriatric rehabilitation, attempts are made to increase the patients’ health and functional capacity. In order to maintain these improvements in the medium- and long-term, behavioural changes regarding mobility and nutrition are also targeted, but these are often not sustainable. International studies show positive effects on the sustainability of the improvement of physical activity behaviour in healthy seniors through the use of electronic devices and software applications.
4/7/2023 12:47:04 PM +00:00
Self-management processes, sedentary behavior, physical activity and dietary selfmanagement behaviors: Impact on muscle outcomes in continuing care retirement community residents
Despite the known benefits of non-sedentary behavior, physical activity, and protein and caloric intake to health and muscle mass, strength, and function, many older adults do not meet physical activity and dietary recommendations. A better understanding of the factors associated with sedentary behavior, physical activity and dietary self-management behaviors, and muscle outcomes (muscle mass, strength, and function) is needed, particularly among continuing care retirement community residents.
4/7/2023 12:46:55 PM +00:00
Subsidy policy selection of elderly care service projects under uncertain actual demand: A real options analysis based on China’s experience
Elderly care service projects (ECSPs) aim to provide care services with the help of market forces on the supply side to satisfy the huge demand of the elderly. Subsidies play an important role in motivating the investors to invest in the ECSPs immediately. The optimal subsidy scheme should balance the policy costs and the investors’ interests.
4/7/2023 12:46:48 PM +00:00
Efect of food insecurity on the cognitive problems among elderly in India
Food Insecurity (FI) is a crucial social determinant of health, independent of other socioeconomic factors, as inadequate food resources create a threat to physical and mental health especially among older person. The present study explores the associations between FI and cognitive ability among the aged population in India.
4/7/2023 12:46:42 PM +00:00
Sex differences in impact of sarcopenia on falls in community-dwelling Korean older adults
Falls are one of the most serious health problems among older adults. Sarcopenia is characterized by a decrease in muscle mass, strength, and physical function. Due to potentially age-related conditions, both falls and sarcopenia have common risk factors. However, the association between sarcopenia and falls is controversial. Moreover, the sex differences in the impact of sarcopenia on falls is not yet clear.
4/7/2023 12:46:35 PM +00:00
Efects of physician visit frequency for Parkinson’s disease treatment on mortality, hospitalization, and costs: A retrospective cohort study
The number of patients with Parkinson’s disease among older adults is rapidly increasing. Such patients mostly take medication and require regular physician visits. However, the effect of physician visit frequency for the treatment for Parkinson’s disease has not been evaluated. This study aimed to evaluate the impact of physician visit frequency for Parkinson’s disease treatment on mortality, healthcare days, and healthcare and long-term care costs among older adults.
4/7/2023 12:46:28 PM +00:00
Low muscle mass and Charlson comorbidity index are risk factors for short-term postoperative prognosis of elderly patients with gastrointestinal tumor: A cross-sectional study
Sarcopenia is one of the most frequent syndromes in older adults and one of its main characteristics is low muscle mass. Gastrointestinal tumor is a malignant disease with high incidence. This study aimed to investigate the risk factors of low muscle mass in older adults with gastrointestinal tumor, the prognostic indicators of and shortterm outcomes after resection for gastrointestinal tumor, and to explore the relationship between low muscle mass and short-term postoperative prognosis.
4/7/2023 12:46:21 PM +00:00
Does time-to-surgery afect mortality in patients with acute osteoporotic vertebral compression fractures?
Osteoporotic vertebral compression fractures (VCFs) are common. An increase in mortality associated with osteoporotic VCFs has been well documented. The purpose of this study was to assess the impact of time to surgery on 1-year survival in patients with osteoporotic vertebral compression fractures.
4/7/2023 12:46:15 PM +00:00
Concerns and potential improvements in end-of-life care from the perspectives of older patients and informal caregivers: A scoping review
Overtreatment in advanced age i.e. aggressive interventions that do not improve survival and are potentially harmful, can impair quality of care near the end of life (EOL). As healthcare provider perspectives on care quality may differ from that of service users, the aim of this study was to explore the views of older patients near EOL or their caregivers about the quality of health care at the EOL based on their lived experience, and to identify healthcare service improvements.
4/7/2023 12:46:07 PM +00:00
Health care professionals’ perspectives on self-management for people with Parkinson’s: Qualitative findings from a UK study
Parkinson’s disease is a long-term, complex health condition. To improve or maintain quality of life, people with Parkinson’s can have an active involvement in their care through self-management techniques. Given the complexity and individualization of self-management, people with Parkinson’s will need support and encouragement from their healthcare professionals (HCPs).
4/7/2023 12:45:55 PM +00:00
Assessment of frailty in elderly patients attending a multidisciplinary wound care centre: A cohort study
The incidence of frailty and non-healing wounds increases with patients’ age. Knowledge of the relationship between frailty and wound healing progress is greatly lacking. Methods: The aim of this study is to characterize the degree of frailty in elderly patients attending a multidisciplinary wound care centres (MWCC).
4/7/2023 12:45:49 PM +00:00
Factors affecting the evolution of Chinese elderly depression: A cross-sectional study
In the past decades, China’s rapid economic growth has been accompanied by rapid changes in lifestyle and an increasing prevalence of mental disorders. This study explored the changes and factors associated with depression among the elderly population of China from 2011 to 2018.
4/7/2023 12:45:42 PM +00:00
Utilization of ADCCs and quality of life among older adults: Ethno-regional disparities in Israel
Adult day care centers (ADCCs) are a common service provided for frail older adults in the community. We examined the influence of older adults’ utilization of ADCC’s on their quality of life (QoL), and whether ethno-regional disparities are factors in the gaps found concerning QoL in different regions and between different ethnic groups.
4/7/2023 12:45:36 PM +00:00