Pub Date : 2018-12-01DOI: 10.4172/2167-7182.1000492
M. C. Gudjonsson, O. Geirsdottir, K. Briem, P. Jonsson, I. Thorsdottir, A. Ramel
Background: Hemoglobin transports oxygen in blood yet its concentrations generally decrease with age. The aim of the study was to examine whether hemoglobin is connected with physical function in older age people. Design: Intervention study. Setting: Community. Participants: Older adults (N=236, 73.7±5.7 years, 58.2% female). Intervention: A 12-week resistance exercise program (3 times/week; 3 sets, 6-8 repetitions at 75-80% of the 1-repetition maximum) was conducted to increase strength and muscle mass of major muscle groups. Measurements: Anthropometrics, muscle strength, timed up and go (TUG in sec), six-minute walking distance (6MWD in m) and blood chemical variables were measured at baseline, endpoint and after 10.7 months followup. The linear regression model was used to examine the association between baseline hemoglobin and physical function outcome. Results: Only about 4% of the participants were anemic. According to calculations baseline hemoglobin was associated with TUG (0.14 to 0.36 sec improvement by 10 g/L increase of hemoglobin) at all-time points, even though this was of borderline significance for baseline (p=0.57) and endpoint (p=0.062). Hemoglobin also predicted endpoint 6 MWD (4.88m), but not at baseline (follow up 6 MWD was not available). Statistical correction for compliance did not influences results. Conclusion: Hemoglobin is positively associated to physical function in community dwelling old aged people. Additionally, we found that baseline hemoglobin is associated to adaptions to 12-week resistance exercise training and changes in physical function during the follow-up.
背景:血红蛋白在血液中运输氧气，但其浓度通常随着年龄的增长而降低。这项研究的目的是研究血红蛋白是否与老年人的身体机能有关。设计:干预研究。设置:社区。参与者:老年人(N=236, 73.7±5.7岁，58.2%为女性)。干预:12周阻力运动计划(每周3次;练习3组，重复6-8次(最大重复次数为1次最大值的75-80%)，以增加主要肌肉群的力量和肌肉质量。测量:在基线、终点和随访10.7个月后测量人体测量学、肌肉力量、计时起跑(TUG in sec)、6分钟步行距离(6MWD in m)和血液化学变量。线性回归模型用于检验基线血红蛋白与身体功能预后之间的关系。结果:只有约4%的参与者贫血。根据计算，在所有时间点，基线血红蛋白与TUG相关(10 g/L血红蛋白增加0.14至0.36秒)，尽管这在基线(p=0.57)和终点(p=0.062)具有临界意义。血红蛋白也能预测终点6 MWD (4.88m)，但不能预测基线(没有随访的6 MWD)。依从性的统计校正不影响结果。结论:社区居住老年人血红蛋白水平与身体机能呈正相关。此外，我们发现基线血红蛋白与12周阻力运动训练的适应和随访期间身体功能的变化有关。
{"title":"Hemoglobin Concentrations Predict Physical Function After A 12-Week Resistance Exercise Training and Subsequent Changes After 11 Months of Follow-Up Among Community Dwelling Older Adults","authors":"M. C. Gudjonsson, O. Geirsdottir, K. Briem, P. Jonsson, I. Thorsdottir, A. Ramel","doi":"10.4172/2167-7182.1000492","DOIUrl":"https://doi.org/10.4172/2167-7182.1000492","url":null,"abstract":"Background: Hemoglobin transports oxygen in blood yet its concentrations generally decrease with age. The aim of the study was to examine whether hemoglobin is connected with physical function in older age people. \u0000Design: Intervention study. \u0000Setting: Community. \u0000Participants: Older adults (N=236, 73.7±5.7 years, 58.2% female). \u0000Intervention: A 12-week resistance exercise program (3 times/week; 3 sets, 6-8 repetitions at 75-80% of the 1-repetition maximum) was conducted to increase strength and muscle mass of major muscle groups. \u0000Measurements: Anthropometrics, muscle strength, timed up and go (TUG in sec), six-minute walking distance (6MWD in m) and blood chemical variables were measured at baseline, endpoint and after 10.7 months followup. The linear regression model was used to examine the association between baseline hemoglobin and physical function outcome. \u0000Results: Only about 4% of the participants were anemic. According to calculations baseline hemoglobin was associated with TUG (0.14 to 0.36 sec improvement by 10 g/L increase of hemoglobin) at all-time points, even though this was of borderline significance for baseline (p=0.57) and endpoint (p=0.062). Hemoglobin also predicted endpoint 6 MWD (4.88m), but not at baseline (follow up 6 MWD was not available). Statistical correction for compliance did not influences results. \u0000Conclusion: Hemoglobin is positively associated to physical function in community dwelling old aged people. Additionally, we found that baseline hemoglobin is associated to adaptions to 12-week resistance exercise training and changes in physical function during the follow-up.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"295 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115321066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-31DOI: 10.4172/2167-7182.1000470
C. Launay, E. Jaunin, Frédéric Scholastique, H. Rivière, J. Chabot, O. Beauchet
Objective: To examine the effects of geriatric and gerontological recommendations for the management of geriatric patients visiting an emergency department (ED) on risk of death in the first year following the ED visit. Methods: A total of 131 geriatric patients who visited Angers University hospital ED were prospectively included in this observational cohort study. They were separated in three groups matched on age and gender: two intervention groups (11 patients with geriatric recommendations and 23 patients with gerontological recommendations) and one control group (97 patients without any recommendations). Intervention was provided upon the participant’s ED admission. Incident mortality was collected via the administrative registry of Hospital before patients’ discharge and via a systematic phone call 12 month after the ED visit. Age, gender, place of living, number of daily drugs taken, cognitive decline, and reason for ED admission were used as covariates. Results: Multiple Cox regression model showed that gerontological recommendations were associated with a lower rate of mortality (adjusted Hazard Ratio [HR]=0.12, P=0.038) but not geriatric recommendations (adjusted HR=9.94, P=0.905). Living at home was associated with a greater risk of death (adjusted HR=2.55 with P=0.020). Kaplan-Meier distributions of mortality confirmed that patients who received gerontological recommendations had a lower mortality rate compared to those who did no received recommendations (P=0.005) and those who received geriatric recommendations (P=0.015). Discussion and Conclusion: Our findings show that gerontological, but not geriatric recommendations were associated with a lower risk of mortality after an ED visit in geriatric patients.
{"title":"Recommendations for the Management of Geriatric Patients Visiting Emergency Department and Risk of Death: An Observational Cohort Study","authors":"C. Launay, E. Jaunin, Frédéric Scholastique, H. Rivière, J. Chabot, O. Beauchet","doi":"10.4172/2167-7182.1000470","DOIUrl":"https://doi.org/10.4172/2167-7182.1000470","url":null,"abstract":"Objective: To examine the effects of geriatric and gerontological recommendations for the management of geriatric patients visiting an emergency department (ED) on risk of death in the first year following the ED visit. \u0000Methods: A total of 131 geriatric patients who visited Angers University hospital ED were prospectively included in this observational cohort study. They were separated in three groups matched on age and gender: two intervention groups (11 patients with geriatric recommendations and 23 patients with gerontological recommendations) and one control group (97 patients without any recommendations). Intervention was provided upon the participant’s ED admission. Incident mortality was collected via the administrative registry of Hospital before patients’ discharge and via a systematic phone call 12 month after the ED visit. Age, gender, place of living, number of daily drugs taken, cognitive decline, and reason for ED admission were used as covariates. \u0000Results: Multiple Cox regression model showed that gerontological recommendations were associated with a lower rate of mortality (adjusted Hazard Ratio [HR]=0.12, P=0.038) but not geriatric recommendations (adjusted HR=9.94, P=0.905). Living at home was associated with a greater risk of death (adjusted HR=2.55 with P=0.020). Kaplan-Meier distributions of mortality confirmed that patients who received gerontological recommendations had a lower mortality rate compared to those who did no received recommendations (P=0.005) and those who received geriatric recommendations (P=0.015). \u0000Discussion and Conclusion: Our findings show that gerontological, but not geriatric recommendations were associated with a lower risk of mortality after an ED visit in geriatric patients.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134242144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-23DOI: 10.4172/2167-7182.1000464
S. Hamza, H. Mahmoud, Valine Adib Rafaat, Adel Mohamed
Introduction: Caregivers of patients with Alzheimer’s disease (AD) suffer from psychological and financial burdens. However, the results of the relationship between burden and functional decline have remained inconsistent. Therefore, the aim of this study was to examine the impact of the level of function of dementia patients on the caregiver burden. Methods: A cross-sectional study was conducted in a sample comprised of Ninety-six primary caregiver of elderly patients with dementia. The cognitive function, functional impairments, depressive symptoms for patients and then caregiver burden were assessed. Results: Caregiver burden was investigated using Zarit Burden Interview (ZBI) investigated care giver burden, showed that (38.9%) of the caregivers suffered from severe burden, (37.9%) suffered from moderately severe burden and as regard care recipients’ dependency in basic Activities of Daily Living (ADL) the mean score was 3.68 ± 1.76 indicating moderate to high dependency, it was found that more functional impairment was significantly associated with higher caregiver burden as ZBI were significantly inversely (negatively) correlated with ADL and IADL of care recipients Conclusion: Functional decline of care recipients associated with more care giver burden
{"title":"The Level of Function of Dementia Patients has an Impact on the Caregiver Burden","authors":"S. Hamza, H. Mahmoud, Valine Adib Rafaat, Adel Mohamed","doi":"10.4172/2167-7182.1000464","DOIUrl":"https://doi.org/10.4172/2167-7182.1000464","url":null,"abstract":"Introduction: Caregivers of patients with Alzheimer’s disease (AD) suffer from psychological and financial burdens. However, the results of the relationship between burden and functional decline have remained inconsistent. Therefore, the aim of this study was to examine the impact of the level of function of dementia patients on the caregiver burden. \u0000Methods: A cross-sectional study was conducted in a sample comprised of Ninety-six primary caregiver of elderly patients with dementia. The cognitive function, functional impairments, depressive symptoms for patients and then caregiver burden were assessed. \u0000Results: Caregiver burden was investigated using Zarit Burden Interview (ZBI) investigated care giver burden, showed that (38.9%) of the caregivers suffered from severe burden, (37.9%) suffered from moderately severe burden and as regard care recipients’ dependency in basic Activities of Daily Living (ADL) the mean score was 3.68 ± 1.76 indicating moderate to high dependency, it was found that more functional impairment was significantly associated with higher caregiver burden as ZBI were significantly inversely (negatively) correlated with ADL and IADL of care recipients \u0000Conclusion: Functional decline of care recipients associated with more care giver burden","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127129215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-01DOI: 10.4172/2167-7182.1000465
J. Pasco, Sophia X. Sui, M. Tembo, K. Holloway-Kew, P. Rufus, M. Kotowicz
Background: Sarcopenic obesity refers to age-related loss of skeletal muscle mass and function, in the face of obesity. We aimed to examine the association of falls with sarcopenic obesity and its components, among elderly individuals in the population.Methods: Participants were 353 men and 245 women aged 65-98 yr of the Geelong Osteoporosis Study. Body fat and lean mass were measured using dual energy X-ray absorptiometry; body fat mass was expressed as a percentage of weight (%BF) and appendicular lean mass was adjusted for height (rALM, kg/m2). Poor physical performance was assessed using the timed up-&-go (TUG) test. Sarcopenic obesity referred to low-rALM (Tscore 10 s) and obesity (%BF >25% for men, >35% for women). Fallers were identified by self-report as having had at least one fall in the previous 12 mo. Associations between sarcopenic obesity (and its components) and falls were determined using logistic regression after adjusting for age and sex.Results: In total, 219 (36.6%) had low-rALM, 205 (34.2%) had poor physical performance, 466 (77.9%) were obese and 69 (11.5%) had all three thereby meeting our criteria for sarcopenic obesity. There were 170 (28.4%) fallers; falls were more common for those with sarcopenic obesity than without (28 (40.6%) vs 142 (26.8%); p=0.017). The likelihood of a fall in association with sarcopenic obesity and its components were: sarcopenic obesity OR=1.65 (95%CI 0.96-2.85), sarcopenia OR=1.52 (0.93-2.47), poor physical performance and obesity OR=1.74 (1.16-2.61), low-rALM OR=1.41 (0.96-2.06), poor physical performance OR=1.88 (1.26-2.80), obesity OR=0.88 (0.57-1.35).Conclusion: While obesity per se was not associated with falls, there was an increased risk of falls individuals with sarcopenic obesity that was of borderline statistical significance and this appears to be largely a consequence of poor physical performance.
{"title":"Sarcopenic Obesity and Falls in the Elderly","authors":"J. Pasco, Sophia X. Sui, M. Tembo, K. Holloway-Kew, P. Rufus, M. Kotowicz","doi":"10.4172/2167-7182.1000465","DOIUrl":"https://doi.org/10.4172/2167-7182.1000465","url":null,"abstract":"Background: Sarcopenic obesity refers to age-related loss of skeletal muscle mass and function, in the face of obesity. We aimed to examine the association of falls with sarcopenic obesity and its components, among elderly individuals in the population.Methods: Participants were 353 men and 245 women aged 65-98 yr of the Geelong Osteoporosis Study. Body fat and lean mass were measured using dual energy X-ray absorptiometry; body fat mass was expressed as a percentage of weight (%BF) and appendicular lean mass was adjusted for height (rALM, kg/m2). Poor physical performance was assessed using the timed up-&-go (TUG) test. Sarcopenic obesity referred to low-rALM (Tscore 10 s) and obesity (%BF >25% for men, >35% for women). Fallers were identified by self-report as having had at least one fall in the previous 12 mo. Associations between sarcopenic obesity (and its components) and falls were determined using logistic regression after adjusting for age and sex.Results: In total, 219 (36.6%) had low-rALM, 205 (34.2%) had poor physical performance, 466 (77.9%) were obese and 69 (11.5%) had all three thereby meeting our criteria for sarcopenic obesity. There were 170 (28.4%) fallers; falls were more common for those with sarcopenic obesity than without (28 (40.6%) vs 142 (26.8%); p=0.017). The likelihood of a fall in association with sarcopenic obesity and its components were: sarcopenic obesity OR=1.65 (95%CI 0.96-2.85), sarcopenia OR=1.52 (0.93-2.47), poor physical performance and obesity OR=1.74 (1.16-2.61), low-rALM OR=1.41 (0.96-2.06), poor physical performance OR=1.88 (1.26-2.80), obesity OR=0.88 (0.57-1.35).Conclusion: While obesity per se was not associated with falls, there was an increased risk of falls individuals with sarcopenic obesity that was of borderline statistical significance and this appears to be largely a consequence of poor physical performance.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121361378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-02-26DOI: 10.4172/2167-7182.1000462
A. Brodziak, R. Złotkowska, A. Różyk-Myrta
The authors consider the state of contemporary knowledge related to notion of gullibility and methods of its assessment. They emphasize that there is almost no publication on this subject in medical literature. Increased gullibility makes a person vulnerable to manipulations. The gullible people are often victims of scam. Elderly people are particularly vulnerable to scam and fraud. Thus, the frequency and intensity of gullibility and the ways to its assessment are in particular important in the field of geriatric care. The authors quote some selected items of the proposed self-report measure of gullibility, elaborated recently for evaluations in general population. They argue also that the assessment of the prevalence of gullibility is important for the state of public mental health, because widespread gullibility facilitate manipulations of members of a community and promotions of xenophobic, nationalistic attitudes and populist promises. Then the authors discuss the necessary investigations on the methods of assessment of gullibility among elderly and on the spread of this trait of personality in different age groups of patients.
{"title":"Assessment of Gullibility of Older Patients is Important for their Safety and Health","authors":"A. Brodziak, R. Złotkowska, A. Różyk-Myrta","doi":"10.4172/2167-7182.1000462","DOIUrl":"https://doi.org/10.4172/2167-7182.1000462","url":null,"abstract":"The authors consider the state of contemporary knowledge related to notion of gullibility and methods of its assessment. They emphasize that there is almost no publication on this subject in medical literature. \u0000Increased gullibility makes a person vulnerable to manipulations. The gullible people are often victims of scam. Elderly people are particularly vulnerable to scam and fraud. Thus, the frequency and intensity of gullibility and the ways to its assessment are in particular important in the field of geriatric care. \u0000The authors quote some selected items of the proposed self-report measure of gullibility, elaborated recently for evaluations in general population. They argue also that the assessment of the prevalence of gullibility is important for the state of public mental health, because widespread gullibility facilitate manipulations of members of a community and promotions of xenophobic, nationalistic attitudes and populist promises. Then the authors discuss the necessary investigations on the methods of assessment of gullibility among elderly and on the spread of this trait of personality in different age groups of patients.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125211412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-02-06DOI: 10.4172/2167-7182.1000460
Sunita Rai, P. Khanal, H. Chalise
The number and size of elderly homes are increasing in urban areas in Nepal, indicating that the number of elderly people living in old age homes is increasing. Anecdotal information indicates that some of the elderly residents experienced abuse prior to their residence in old age homes. The main objective of this article is to explore the nature of the abuse they experienced before they arrived at old age homes in the Kathmandu Metropolitan City. This study has used both quantitative and qualitative methods of data collection. Data was collected from five old age homes in Kathmandu. The research was conducted in the month of September in 2016 for three weeks. Total sample size for this study was 76 and three case studies were carried out. Mean age of the respondents was 78.34 (±10.18) years. The findings show that a majority (58 percent) of the respondents experienced five different types of abuse before they arrived at the old age homes. Neglect was the most common form of abuse that was experienced by 46.7% respondents, followed by behavioural or emotional abuse (37%), financial abuse (32%), physical abuse (8%) and 3% of abused elderly reported that they were sexually abused. Main reason of elderly abuse faced by abused elderly were disability (physical, mental) to look after themselves (42%), having no partner (death) (28%), the family was busy and there were no extra persons for care giving task (20%) and 16% reported they had no property. This finding based on sample of small population cannot be generalized to whole population. A detailed in depth study related to abuse of older adults living in urban area is required and government should make strict policy for the control of elder abuse.
{"title":"Elderly Abuse Experienced by Older Adults Prior to Living in Old Age Homes in Kathmandu","authors":"Sunita Rai, P. Khanal, H. Chalise","doi":"10.4172/2167-7182.1000460","DOIUrl":"https://doi.org/10.4172/2167-7182.1000460","url":null,"abstract":"The number and size of elderly homes are increasing in urban areas in Nepal, indicating that the number of elderly people living in old age homes is increasing. Anecdotal information indicates that some of the elderly residents experienced abuse prior to their residence in old age homes. The main objective of this article is to explore the nature of the abuse they experienced before they arrived at old age homes in the Kathmandu Metropolitan City. This study has used both quantitative and qualitative methods of data collection. Data was collected from five old age homes in Kathmandu. The research was conducted in the month of September in 2016 for three weeks. Total sample size for this study was 76 and three case studies were carried out. \u0000Mean age of the respondents was 78.34 (±10.18) years. The findings show that a majority (58 percent) of the respondents experienced five different types of abuse before they arrived at the old age homes. Neglect was the most common form of abuse that was experienced by 46.7% respondents, followed by behavioural or emotional abuse (37%), financial abuse (32%), physical abuse (8%) and 3% of abused elderly reported that they were sexually abused. Main reason of elderly abuse faced by abused elderly were disability (physical, mental) to look after themselves (42%), having no partner (death) (28%), the family was busy and there were no extra persons for care giving task (20%) and 16% reported they had no property. \u0000This finding based on sample of small population cannot be generalized to whole population. A detailed in depth study related to abuse of older adults living in urban area is required and government should make strict policy for the control of elder abuse.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122327695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-29DOI: 10.4172/2167-7182.1000457
M. Blouin, M. Sirois, M. Aubertin-Leheudre, L. Griffith, L. Nadeau, R. Daoust, J. Lee, M. Émond
Background: Frailty is a geriatric syndrome conferring a high risk of declining functional capacities. Some serum biomarkers are associated with frailty, but no study has specifically investigated the possible association between frailty and serum biomarkers in independent community-dwelling seniors who consulted the emergency department (ED) following a minor injury. Objective: 1) To explore baseline associations between six serum biomarkers and the frailty status of independent community-dwelling seniors who were seen in the ED for minor injuries, 2) to determine if ED serum biomarker assay combined with frailty status improves the prediction of 3-month functional decline or mobility impairments in this population, beyond frailty status alone. Methods: The study includes 190 participants (age ≥ 65 years, independent in daily activities and discharged home). Biomarkers were obtained at baseline from blood samples and values were identified as “normal” or “at risk”. Seniors were classified as “robust” or “pre-frail/frail” according to the CHSA-CFS and SOF scales. The seniors were screened for frailty at baseline (ED visit) while their functional status (OARS scale) and mobility characteristics (less than 5 outings/week and fear of falling) were assessed at the ED visit and three months later. Results: When compared to robust, a greater proportion of pre-frail/frail seniors had at-risk creatinine levels (p=0.02) at baseline. All the other biomarkers were not significant. In the prospective analysis, we found that having at least one at-risk biomarker slightly increased the prediction of 3-month mobility impairments in robust seniors (RR:0.44[0.10-1.91]). However, ED frailty status clearly remained the stronger predictor of future mobility impairments in pre-frail/frails having normal biomarkers (RR:3.11(0.98-9.84), p=0.007). Results were not significant for prospective functional decline. Conclusion: ED biomarker assays are not useful in predicting 3-month functional decline or mobility impairments beyond what is predicted by frailty status alone in independent community-dwelling seniors who consulted for minor injuries.
{"title":"In the Emergency Department, Are Serum Biomarkers useful to Screen Independent Frail Seniors Exposed to Future Functional Decline or Mobility Impairments after a Minor Injury?","authors":"M. Blouin, M. Sirois, M. Aubertin-Leheudre, L. Griffith, L. Nadeau, R. Daoust, J. Lee, M. Émond","doi":"10.4172/2167-7182.1000457","DOIUrl":"https://doi.org/10.4172/2167-7182.1000457","url":null,"abstract":"Background: Frailty is a geriatric syndrome conferring a high risk of declining functional capacities. Some serum biomarkers are associated with frailty, but no study has specifically investigated the possible association between frailty and serum biomarkers in independent community-dwelling seniors who consulted the emergency department (ED) following a minor injury. \u0000Objective: 1) To explore baseline associations between six serum biomarkers and the frailty status of independent community-dwelling seniors who were seen in the ED for minor injuries, 2) to determine if ED serum biomarker assay combined with frailty status improves the prediction of 3-month functional decline or mobility impairments in this population, beyond frailty status alone. \u0000Methods: The study includes 190 participants (age ≥ 65 years, independent in daily activities and discharged home). Biomarkers were obtained at baseline from blood samples and values were identified as “normal” or “at risk”. Seniors were classified as “robust” or “pre-frail/frail” according to the CHSA-CFS and SOF scales. The seniors were screened for frailty at baseline (ED visit) while their functional status (OARS scale) and mobility characteristics (less than 5 outings/week and fear of falling) were assessed at the ED visit and three months later. \u0000Results: When compared to robust, a greater proportion of pre-frail/frail seniors had at-risk creatinine levels (p=0.02) at baseline. All the other biomarkers were not significant. In the prospective analysis, we found that having at least one at-risk biomarker slightly increased the prediction of 3-month mobility impairments in robust seniors (RR:0.44[0.10-1.91]). However, ED frailty status clearly remained the stronger predictor of future mobility impairments in pre-frail/frails having normal biomarkers (RR:3.11(0.98-9.84), p=0.007). Results were not significant for prospective functional decline. \u0000Conclusion: ED biomarker assays are not useful in predicting 3-month functional decline or mobility impairments beyond what is predicted by frailty status alone in independent community-dwelling seniors who consulted for minor injuries.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129520454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-26DOI: 10.4172/2167-7182.1000456
Nichole M. Campbell
This study’s goal was to understand how to change neighborhood environments to better support health, wellbeing, and independence for older adults seeking to remain in their family homes even if their capabilities change, commonly referred to as aging in place. To accomplish this, this study considered factors identified in prior research as relevant to supporting successful aging within mainstream neighborhoods. To improve the utility of these earlier findings, this study mathematically identified the highest priority factors among the original 40 factors by using Multi- Attribute Utility Theory (MAUT), a multi-criteria decision-making method. This study connects seniors’ preference for aging in place with helping designers make that an achievable and desirable option.
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Pub Date : 2017-12-22DOI: 10.4172/2167-7182.1000455
F. J. Amaro Gahete, A. de la O, Lucas Jurado Fasoli, Manuel J Castillo, Á. Gutiérrez
Aging is a natural, physiological, and inevitable process, but it can be also influenced. Although aging is not a disease, it has several characteristics that could indicate so, such as a functional decline at different levels, which may determine clinical manifestations, and it is associated with several disease processes. Consequently, it is essential to create and adopt strategies to delay the aging process. Nowadays, any strategy adopted without including physical exercise seems inconceivable. Recent studies published in relation to this population have shown that the maintenance of acceptable levels of physical fitness is associated with the prevention of many of premature aging consequences, good rates of health, and quality of life of the person. cardiorespiratory fitness and muscular strength (as physical fitness components) are excellent life expectancy and quality of life predictors. Therefore, reaching a good fitness level is the most powerful clinical method to prevent and delay the aging process. Not only their years to live increase, but also their quality, with health and without diseases or mobility dependence.
{"title":"Fitness Assessment as an Anti-Aging Marker: A Narrative Review","authors":"F. J. Amaro Gahete, A. de la O, Lucas Jurado Fasoli, Manuel J Castillo, Á. Gutiérrez","doi":"10.4172/2167-7182.1000455","DOIUrl":"https://doi.org/10.4172/2167-7182.1000455","url":null,"abstract":"Aging is a natural, physiological, and inevitable process, but it can be also influenced. Although aging is not a disease, it has several characteristics that could indicate so, such as a functional decline at different levels, which may determine clinical manifestations, and it is associated with several disease processes. Consequently, it is essential to create and adopt strategies to delay the aging process. Nowadays, any strategy adopted without including physical exercise seems inconceivable. Recent studies published in relation to this population have shown that the maintenance of acceptable levels of physical fitness is associated with the prevention of many of premature aging consequences, good rates of health, and quality of life of the person. cardiorespiratory fitness and muscular strength (as physical fitness components) are excellent life expectancy and quality of life predictors. Therefore, reaching a good fitness level is the most powerful clinical method to prevent and delay the aging process. Not only their years to live increase, but also their quality, with health and without diseases or mobility dependence.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122374900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-30DOI: 10.4172/2167-7182.1000454
A. Brodziak, A. Wolińska, A. Różyk-Myrta
The authors draw attention to the effective procedure performed by nurses aimed to counteract the adverse consequences of loneliness, the essence of which is due to the so-called "Story Theory". They recall that this "Story Theory" is one of the so-called "Middle Range Theories for Nursing", proposed by Mary Jane Smith and Patrycja Lier, which is a useful tool in formulating various psychotherapeutic interventions. The authors cite two of their own previous works, related to so-called "life review therapy," in which they also proposed practical therapeutic procedures in line with the essence of the "Story Theory". The cited papers describe the rules of conversation, enabling patients to obtain a "balanced, memorized assessment of one's own live". The authors remark that the present proposal of the Story Theory coincides with the current and increasingly more explicit awareness in the field of sociology and political science of the importance of the so-called narrative, or just constructing new stories, supporting the promotion of new, social ideas.
作者提请注意护士采取的有效程序，旨在抵消孤独的不良后果，其本质是由于所谓的“故事理论”。他们回忆说，这个“故事理论”是由Mary Jane Smith和Patrycja Lier提出的所谓“护理中程理论”之一，它是制定各种心理治疗干预措施的有用工具。作者引用了他们自己之前的两篇与所谓的“生活回顾疗法”相关的作品，在这两篇作品中，他们也提出了符合“故事理论”本质的实用治疗方法。被引用的论文描述了谈话的规则，使患者能够获得“对自己生活的平衡，记忆的评估”。作者指出，目前故事理论的提出与社会学和政治学领域对所谓叙事的重要性的日益明确的认识不谋而合，或者只是构建新的故事，以支持新的社会思想的推广。
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