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Hospital Acquired Depressive Symptoms in Frail Elderly Patients and Its Associations with Zinc Level 老年体弱患者医院获得性抑郁症状及其与锌水平的关系
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-30 DOI: 10.33879/amh.132.2021.03017
Nehal Magdi Abdul-mawla, S. S. E. El Said, M. M. Monier, H. El-Hariri, S. Hamza
Introduction: Frailty is obscure and under-estimated, starts subclinically in elderly who seem to be healthy. Minimal thesis in literature handled the relationship between frailty and depression. The elderly are more subjected to depression and trace elements insufficiency than others. Objective: To assess newly developed depressive and anxiety symptoms in frail elderly admitted to Ain Shams University (ASU) hospitals and the prevalence of zinc deficiency among them. Methods: A cross-sectional study was conducted among 90 older frail inpatients. Hospital-acquired depressive and anxiety symptoms were confirmed using the hospital anxiety and depression scale (HADS). Serum zinc level, hemoglobin, and albumin were measured. Results: There was a significant statistical association between depressive and anxiety symptoms and low serum level of zinc ( p <0.001). Conclusion: There is a strong association between depressive and anxiety symptoms in hospitalized elderly and zinc deficiency.
简介:虚弱是模糊和被低估的,开始于亚临床的老年人谁似乎是健康的。文献中很少有论文论述脆弱和抑郁之间的关系。老年人比其他人更容易患抑郁症和微量元素不足。目的:评价艾因沙姆斯大学(ASU)住院的体弱老年人新出现的抑郁和焦虑症状及锌缺乏症的患病率。方法:对90例老年体弱住院患者进行横断面研究。采用医院焦虑抑郁量表(HADS)对医院获得性抑郁和焦虑症状进行确证。测定血清锌、血红蛋白、白蛋白水平。结果:抑郁、焦虑症状与低血清锌水平有显著的统计学相关性(p <0.001)。结论:住院老年人抑郁、焦虑症状与缺锌有较强的相关性。
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引用次数: 0
Prevalence and Factors Associated with Sarcopenia in Hospitalized Elderly Patients 住院老年患者肌肉减少症的患病率及相关因素
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-30 DOI: 10.33879/amh.132.2021.03012
R. C. Borges, D. I. Correa, Lourdes Jaqueline Sampaio Correa, A. S. Colombo, C. R. F. Carvalho
Background/Purpose: Sarcopenia is a public health problem; however, it remains poorly evaluated during hospitalization. The aim of this study was to evaluate the prevalence of sarcopenia and the factors associated with this condition in hospitalized elderly patients Methods: A total of 122 elderly individuals were evaluated in this case-control study (61=hospitalized and 61=non-hospitalized). Sarcopenia was defined and evaluated according to the criteria of the European Working Group on Sarcopenia in Older People (EWGSOP2). The Charlson comorbidity index, geriatric depression scale, body mass index (BMI), Barthel Index, Mini-Mental State Examination (MMSE), Lawton-Brody index, and Mini Nutritional Assessment Instrument-Short Form (MNA-SF) were also used for the evaluations. Results: The prevalence of sarcopenia was 38% in hospitalized patients compared to 11% in controls. Hospitalized elderly patients showed a significant reduction in functionality, muscle strength, and mental and nutritional status compared to the controls. Sarcopenic patients were older, had a lower BMI, and obtained worse MMSE results than non-sarcopenic individuals. There was an association between the MMSE results and the BMI in patients with sarcopenia that was independent of the group. Conclusion: Sarcopenia is highly prevalent in hospitalized elderly individuals, and it is associated with cognitive state and BMI.
背景/目的:肌肉减少症是一个公共卫生问题;然而,在住院期间,它的评价仍然很差。本研究的目的是评估住院老年患者肌肉减少症的患病率及其相关因素。方法:在本病例对照研究中,共对122名老年人进行了评估(61名住院患者和61名非住院患者)。根据欧洲老年人肌肉减少症工作组(EWGSOP2)的标准定义和评估肌肉减少症。同时采用Charlson合并症指数、老年抑郁量表、体重指数(BMI)、Barthel指数、简易精神状态检查(MMSE)、Lawton-Brody指数和简易营养评估量表(MNA-SF)进行评估。结果:住院患者肌肉减少症患病率为38%,对照组为11%。与对照组相比,住院的老年患者在功能、肌肉力量、精神和营养状况方面表现出明显的下降。肌少症患者年龄较大,BMI较低,MMSE结果比非肌少症患者差。肌少症患者的MMSE结果与BMI之间存在独立于组的关联。结论:骨骼肌减少症在住院老年人中高发,且与认知状态和BMI有关。
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引用次数: 2
Coexistence of Slow Gait Speed and Depressed State is Associated with Poor Health-Related Quality of Life in Community-Dwelling Older Adults 慢速步态和抑郁状态共存与社区居住老年人健康相关生活质量差有关
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-30 DOI: 10.33879/amh.132.2021.09086
D. Ishiyama, Mizue Suzuki, S. Koyama, Takeo Ichikawa, Hiroaki Masuda, Iwao Kojima, M. Yamada
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引用次数: 0
Assessment of Nutritional Status of Elderly Receiving Home Health Care 接受家庭保健的老年人营养状况评估
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-30 DOI: 10.33879/amh.132.2021.04025
Ç. Meriç, Nurcan Yabancı Ayhan, H. Yilmaz
Background/Purpose: This study was carried out to evaluate the nutritional status of elderly who received home health care. Methods: A total of 120 elderly were included in this cross sectional study. Elderly were visited in their homes and nutritional status of them was evaluated by Mini Nutritional Assessment-Short Form (MNA-SF) scale. In questionnaire; general information about elderly, presence of chronic disease, pressure sores, anthropometric measurement, nutritional status of elderly were asked. In addition, current biochemical parameters which were routinely evaluated in elderly were recorded by the researcher. Results: The mean age of elderly (40 males and 80 females) was 81.3±8.3 (65-105) years, and 97.5% of elderly were diagnosed with at least one disease. According to the MNA-SF score, 60.8% of elderly were classified as malnourished, 34.2% at risk for malnutrition and 5.0% as normal nutritional status. Currently, 49.2% of malnourished elderly have pressure sores and 54.8% had at least once before; these rates were higher than elderly without malnutrition ( p <0.001). In addition, total MNA-SF score of elderly is strongly positive with hemoglobin, hematocrit and calf circumference; it was found that there was a strong negative correlation with C-reactive protein (CRP). Conclusion: In this study, it was found that only 5.0% of elderly who received home health care were in good nutritional status and pressure sore was higher in elderly who have risk of malnutrition or malnourished. Nutritional status of elderly receiving home health care should be evaluated by dietitians and more comprehensive scientific studies are needed.
背景/目的:本研究旨在评估接受家庭保健的老年人的营养状况。方法:对120例老年人进行横断面研究。采用迷你营养评估-短表(MNA-SF)量表对老年人进行营养状况评估。在问卷调查;询问老年人的一般信息、慢性病的存在、压疮、人体测量、营养状况。此外,研究者还记录了老年人常规评估的当前生化参数。结果:老年人平均年龄(男40例,女80例)为81.3±8.3(65 ~ 105)岁,97.5%的老年人至少有一种疾病。根据MNA-SF评分,60.8%的老年人营养不良,34.2%的老年人存在营养不良风险,5.0%的老年人营养状况正常。目前,49.2%的营养不良老年人患有压疮,54.8%的人以前至少有过一次;这些比率高于无营养不良的老年人(p <0.001)。此外,老年人MNA-SF总评分与血红蛋白、红细胞压积、小腿围呈强阳性;发现与c反应蛋白(CRP)有较强的负相关。结论:本研究发现,在接受家庭保健的老年人中,仅有5.0%的老年人营养状况良好,而在有营养不良或营养不良风险的老年人中,压疮发生率较高。接受家庭保健的老年人的营养状况应由营养师进行评估,并需要更全面的科学研究。
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引用次数: 1
Potential Beneficial Effect of Honey Cocktail Supplement on Improving Dry Eye-Like Parameters Among Postmenopausal Women 蜂蜜鸡尾酒补充剂对改善绝经后妇女干眼症样参数的潜在有益作用
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-30 DOI: 10.33879/amh.132.2021.05031
Baharuddin Noorlaila, Sivagurunathan Premala-Devi, E. Zunaina, Raja-Norliza Raja-Omar, Nik-Hazlina Nik-Hussain
Background/Purpose: Postmenopausal women are prone to develop dry eye due to hormonal imbalance. Antioxidant’s properties of honey maybe helpful to improve symptoms and signs of dry eye. The objective of this study was to evaluate the effect of honey cocktail on dry eye-like parameters among postmenopausal women. Methods: An interventional study was conducted from November 2015 to May 2017. The eligible postmenopausal women were enrolled in this study. Participants for intervention received 20-gram honey cocktail supplement for 3 months (intervention group). Control group were not given any supplement or placebo. All participants were assessed for Ocular Surface Disease Index (OSDI) score using OSDI questionnaire (dry eye symptoms) and evaluated for Schirmer test value and Tear Break-up Time (TBUT) (dry eye signs) at baseline and at 3 months of the study. Results: A total of 60 postmenopausal women were recruited (30 participants in intervention group and 30 participants in control group). At 3 months, intervention group showed significant reduction of mean OSDI score compared to control group (8.82 SD 8.33 vs 14.17 SD 10.37 scores respectively, p =0.032). There was no significant difference of mean Schirmer test value and TBUT between the two groups. Conclusion: Short duration of honey cocktail supplementation showed no significant beneficial effect on dry eye-like parameters among postmenopausal women. Longer duration of honey supplementation might provide beneficial effect on dry eye-like parameters as systemic honey supplementation has a slow effect on ocular surface.
背景/目的:绝经后的女性由于激素失衡而容易出现干眼症。蜂蜜的抗氧化特性可能有助于改善干眼症的症状和体征。本研究的目的是评估蜂蜜鸡尾酒对绝经后妇女干眼样参数的影响。方法:2015年11月至2017年5月进行介入性研究。符合条件的绝经后妇女被纳入本研究。参与干预的参与者接受20克蜂蜜鸡尾酒补充剂,为期3个月(干预组)。对照组未服用任何补充剂或安慰剂。使用OSDI问卷(干眼症状)评估所有参与者的眼表疾病指数(OSDI)评分,并在基线和研究3个月时评估Schirmer测试值和撕裂时间(TBUT)(干眼体征)。结果:共招募60名绝经后妇女(干预组30名,对照组30名)。3个月时,与对照组相比,干预组的平均OSDI评分显著降低(分别为8.82 SD 8.33和14.17 SD 10.37,p=0.032)。两组之间的平均Schirmer检验值和TBUT没有显著差异。结论:在绝经后妇女中,短时间补充蜂蜜鸡尾酒对干眼样参数没有显著的有益作用。长期补充蜂蜜可能会对干眼样参数产生有益影响,因为全身补充蜂蜜对眼表影响缓慢。
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引用次数: 0
Predictors of Multi-Drug Resistant Gram-Negative Bacterial Infection in Critically Ill Older Adults 危重老年人多重耐药革兰氏阴性细菌感染的预测因素
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-03-31 DOI: 10.33879/amh.131.2020.12052
K. Elsorady
Methods: A prospective cohort study including 297 critically ill older adults. These patients were newly admitted to high dependency units (HDUs) in a tertiary care Geriatrics hospital, from April 1, 2019, to January 4, 2020. Collection of demographic, clinical, and laboratory data on index hospitalization was done through reviewing participant's medical records and direct questioning for each patient/proxy about potential risk factors. Followed by observation of the emergence of MDR-GNB infection during the HDUs stay.
方法:一项前瞻性队列研究,包括297名重症老年人。这些患者于2019年4月1日至2020年1月4日新入住一家三级护理老年医院的高依赖病房(HDU)。通过审查参与者的医疗记录和直接询问每位患者/代理人的潜在风险因素,收集指标住院的人口统计学、临床和实验室数据。随后观察HDU住院期间MDR-GNB感染的出现。
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引用次数: 0
AMH 2021: The Platform for Studies from Countries with Various Status of Population Aging AMH 2021:不同人口老龄化状况国家研究平台
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-03-31 DOI: 10.33879/amh.131.2022.03031
Liang‐Kung Chen
I 2019, the Journal of Clinical Gerontology and Geriatrics (JCGG) changed the title to Aging Medicine and Healthcare (AMH), and started its journey as a new journal in academic publishing. The JCGG was supported by the Asia-Pacific League of Clinical Gerontology and Geriatrics (APLCGG), an international virtual academic platform in Asia-Pacific region with special interest in Geriatrics. When activities of APLCGG ended, the Asian Association for Frailty and Sarcopenia (AAFS) together with the Taiwan Association for Integrated Care (TAIC) took over the mission to continue the journal publishing and changed the title to AMH with a bigger scope. Currently, AMH is the official journal of AAFS and TAIC that welcomes submissions from researchers all over the world. With the new name and new supporting societies, AMH also broadened the aim and scope into a more international journal that published academic research papers on various issues related to population aging, especially the healthcare services and systems. The visibility and submissions of AMH dropped in 2019-2020, which was a common situation at the transitional stage of an academic journal. The indexing in the “Emerging Sources Citation Index” (ESCI) by the Journal Citation Reports (JCR) in 2021 substantially stimulated submissions to AMH. The CiteScore of AMH in the Scopus database was 0.8 in 2020, and significantly increasedto 1.2 in 2021. The Journal Citation Index (JCI) of AMH in the JCR was 0.16 in 2021, and is estimated to increase in 2022 as well. These figures demonstrated the success of the transition of AMH from JCGG, and AMH is expected to grow continuously.
2019年1月,《临床老年医学与老年病学杂志》(JCGG)更名为《老龄医学与保健》(AMH),开启了学术出版新期刊之旅。JCGG由亚太临床老年病学和老年病学联盟(APLCGG)支持,该联盟是亚太地区对老年病学特别感兴趣的国际虚拟学术平台。APLCGG活动结束后,由亚洲衰弱与骨骼肌减少协会(AAFS)联合台湾综合护理协会(TAIC)接手续刊任务,并更名为AMH,范围更大。目前,AMH是AAFS和TAIC的官方期刊,欢迎来自世界各地的研究人员投稿。随着新的名称和新的支持协会,AMH也扩大了目标和范围,成为一本更国际化的期刊,发表与人口老龄化有关的各种问题的学术研究论文,特别是医疗服务和系统。《AMH》的知名度和投稿量在2019-2020年有所下降,这是学术期刊转型阶段的常见现象。期刊引用报告(JCR)在2021年对“新兴资源引文索引”(ESCI)的索引大大刺激了对AMH的提交。Scopus数据库中AMH的CiteScore在2020年为0.8,到2021年显著增加到1.2。JCR中AMH的期刊引用指数(JCI)在2021年为0.16,预计在2022年也会增加。这些数字表明AMH从JCGG转型成功,AMH有望继续增长。
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引用次数: 1
Falls Characteristics and Falls Risk Factors in Middle- and Old-Aged Adults: A Comparison Between Fallers and Non-Fallers 中老年人跌倒特点及危险因素:跌倒者与非跌倒者的比较
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-03-31 DOI: 10.33879/amh.131.2020.10040
P. Suttanon, Sudarat Apibantaweesakul, Piyasiri Ngamsangiam
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引用次数: 2
Training Needs Among Healthcare Professionals Managing Patients with Dementia 管理痴呆症患者的医疗保健专业人员的培训需求
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-03-31 DOI: 10.33879/amh.131.2020.10041
Nicholas Tse Hao Ng, M. Tan
Background/Purpose: The number of persons living with dementia in Malaysia is increasing rapidly. Training on dementia care among healthcare professionals (HCP), however, remains limited. This study aims to identify current barriers, needs and expectations in training from the perspective of HCP to inform future training developments. Methods: A paper-based survey on demographics, training experience, perceived barriers and training needs was conducted among HCP attending a national geriatric conference in Malaysia. Results: The questionnaire was completed by 202 (84%) respondents, 83 (41.3%) doctors, and all respondents currently cared for older patients. 117 (58.8%) had previously received training on dementia care. Respondents who had no prior dementia training were more likely to think that there was no training courses available [odds ratio, OR (95% confidence interval, CI) =3.429 (1.656-7.099)]. Doctors were more likely to have difficulty taking time off for training [OR (95%CI)=2.667 (1.285-5.536)] and prefer weekend courses [OR (95%CI)=4.108 (2.238-7.542)]. HCP who perceived a lack of courses as a barrier were more likely to prefer 2 to 3-day courses in weekday [OR (95%CI)=2.343 (1.122-4.893)]. HCP who perceived difficulty taking time off from work to attend
背景/目的:马来西亚患有痴呆症的人数正在迅速增加。然而,在医疗保健专业人员(HCP)中进行的痴呆症护理培训仍然有限。本研究旨在从HCP的角度确定当前培训中的障碍、需求和期望,为未来的培训发展提供信息。方法:对参加马来西亚全国老年病学会议的HCP进行人口统计学、培训经验、感知障碍和培训需求的纸质调查。结果:共有202名(84%)被调查者和83名(41.3%)医生完成问卷,所有被调查者目前都在护理老年患者。117人(58.8%)曾接受过痴呆症护理培训。之前没有接受过痴呆症培训的受访者更有可能认为没有培训课程可用[优势比,OR(95%置信区间,CI) =3.429(1.656-7.099)]。医生更有可能难以抽出时间进行培训[OR (95%CI)=2.667(1.285-5.536)],更喜欢周末课程[OR (95%CI)=4.108(2.238-7.542)]。认为缺少课程是障碍的HCP更倾向于在工作日进行2天或3天的课程[OR (95%CI)=2.343(1.122-4.893)]。认为很难从工作中抽出时间参加会议的HCP
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引用次数: 3
Evaluating Illness Understanding and Preferences of End-of-Life Care Among Older Patients with Advanced Cancer in Vietnam 评估越南老年晚期癌症患者的疾病理解和临终关怀偏好
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-03-31 DOI: 10.33879/amh.131.2021.08071
T. The, Nguyen Ngoc Hoanh My Tien, T. Nguyen
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引用次数: 0
期刊
Aging Medicine and Healthcare
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