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Current Geriatrics Reports最新文献

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Diabetes, microRNA, and Nutrition in Geriatrics 老年医学中的糖尿病、microRNA和营养
IF 1.2 Q3 Medicine
Current Geriatrics Reports
Pub Date : 2020-11-05 DOI: 10.1007/s13670-020-00336-4
T. A. Corrêa, M. Rogero
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引用次数: 0
Dietary Patterns, Diabetes, and Aging 饮食模式、糖尿病和衰老
IF 1.2 Q3 Medicine
Current Geriatrics Reports
Pub Date : 2020-11-04 DOI: 10.1007/s13670-020-00335-5
Rita de Cássia de Aquino, Á. Previdelli, Érica Line de Oliveira Pedron, A. Machado-Lima
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引用次数: 0
Home Exercise Interventions in Frail Older Adults. 体弱老年人的家庭运动干预。
IF 1.2 Q3 Medicine
Current Geriatrics Reports
Pub Date : 2020-09-01 Epub Date: 2020-08-05 DOI: 10.1007/s13670-020-00326-6
Alyssa D Stookey, Leslie I Katzel

Purpose of review: Frailty is characterized by decreased physiological reserve and increased risk of falls, disability, hospitalization, and mortality. Frail older adults may benefit from exercise interventions targeting their multiple problems and functional deficits; however, most research focuses on center-based interventions, which may present accessibility challenges for frail older adults. Therefore, the purpose of this review is to summarize the most recently published home-based exercise interventions for frail older adults living at home.

Recent findings: Eight manuscripts met inclusion criteria. Research interventions consisted of a variety of modes (strength, strength/nutrition, strength/flexibility/balance/endurance), duration (12 weeks to 6 months), frequency (2-7 days/week), and delivery methods (volunteer-led, videos on a tablet, manuals/brochures). Investigators examined the effects of home-based exercise on a variety of outcomes to include feasibility, frailty status, physical performance, lean body mass, skeletal muscle mass, other physiological outcomes, mental health, nutritional status, and incidence of falls in frail.

Summary: This review demonstrates the feasibility and effectiveness of home-based exercise interventions to improve frailty, functional performance, nutritional status, and incidence of falls in frail older adults. However, the limited literature available provides conflicting reports regarding benefits for mental health outcomes and no evidence of a beneficial effect on skeletal muscle or lean mass. Future research is needed to shed light on the optimal components of home exercise programs most important for maximizing benefits for frail older adults, as well as the most effective delivery method.

综述目的:虚弱的特征是生理储备减少，跌倒、残疾、住院和死亡的风险增加。体弱多病的老年人可能受益于针对其多种问题和功能缺陷的运动干预;然而，大多数研究都集中在以中心为基础的干预措施上，这可能会给体弱的老年人带来可及性挑战。因此，本综述的目的是总结最近发表的针对居住在家中的体弱老年人的基于家庭的运动干预措施。最新发现:8篇论文符合纳入标准。研究干预包括多种模式(力量、力量/营养、力量/柔韧性/平衡/耐力)、持续时间(12周至6个月)、频率(2-7天/周)和交付方式(志愿者主导、平板电脑视频、手册/小册子)。研究人员检查了家庭运动对各种结果的影响，包括可行性、虚弱状态、身体表现、瘦体重、骨骼肌质量、其他生理结果、心理健康、营养状况和虚弱者跌倒的发生率。摘要:本综述论证了以家庭为基础的运动干预在改善虚弱老年人的虚弱、功能表现、营养状况和跌倒发生率方面的可行性和有效性。然而，有限的文献提供了关于心理健康结果的益处的相互矛盾的报告，并且没有证据表明对骨骼肌或瘦质量有有益的影响。未来的研究需要阐明家庭锻炼计划的最佳组成部分，这对身体虚弱的老年人来说是最重要的，也是最有效的交付方法。
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引用次数: 9
Current and Emerging Trends in the Management of Fall Risk in People with Lower Limb Amputation. 下肢截肢患者跌倒风险管理的现状和新趋势。
IF 1.2 Q3 Medicine
Current Geriatrics Reports
Pub Date : 2020-09-01 Epub Date: 2020-07-29 DOI: 10.1007/s13670-020-00328-4
Sheila Clemens, Charissa Doerger, Szu-Ping Lee

Purpose of review: People living with lower limb amputation are at an increased risk of falling compared with the healthy geriatric population. Factors of increased age and increased number of comorbidities could compound the already increased risk. The purpose of this article is to highlight recent research associated with fall risk in amputees and provide the reader with evidence to help guide clinical interventions.

Recent findings: Though research on the topic of falls in people with amputation is becoming more common, there is still a dearth of evidence regarding what contributes to increased fall risk and how to address it in this population. There are recent studies that have examined therapy and prosthetic interventions that could mitigate fall risk in people with amputation, yet there is not enough evidence to develop a consensus on the topic. More research is required to determine what contributes to increased fall rates in people with amputation, and what detriments to an amputee's function or psyche may result after incurring a fall.

Summary: Borrowing from what is known about geriatric fall risk and combining the information with novel and existing approaches to fall mitigation in amputees can offer clinicians the opportunity to develop evidence-based programs to address fall risk in their patients with lower limb amputation.

综述的目的:与健康的老年人群相比，下肢截肢患者发生跌倒的风险增加。年龄增加和合并症数量增加的因素可能使已经增加的风险增加。本文的目的是强调与截肢者跌倒风险相关的最新研究，并为读者提供指导临床干预的证据。最近的发现:尽管对截肢者跌倒的研究越来越普遍，但关于导致跌倒风险增加的原因以及如何在这一人群中解决这一问题的证据仍然缺乏。最近有一些研究检查了治疗和假肢干预可以减轻截肢者跌倒的风险，但没有足够的证据来就这个话题达成共识。需要更多的研究来确定截肢者跌倒率增加的原因，以及发生跌倒后对截肢者的功能或心理可能造成的损害。总结:借鉴已知的老年人跌倒风险，并将这些信息与减轻截肢者跌倒的新方法和现有方法相结合，可以为临床医生提供机会，制定基于证据的方案，以解决下肢截肢患者的跌倒风险。
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引用次数: 4
Endobronchial Treatment of Bronchial Carcinoid in the Elderly 老年人支气管类癌的支气管内治疗
IF 1.2 Q3 Medicine
Current Geriatrics Reports
Pub Date : 2020-08-19 DOI: 10.1007/s13670-020-00322-w
J. Daniels, E. Reuling, C. Dickhoff
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引用次数: 0
Pulmonary Nodules—an Epidemic—Work Up and Management, Specific, and Unique Issues in the Elderly 肺结节-一种流行病-老年人的发病和管理，特殊和独特的问题
IF 1.2 Q3 Medicine
Current Geriatrics Reports
Pub Date : 2020-08-17 DOI: 10.1007/s13670-020-00321-x
M. Ahmed, A. Jackson, M. Pritchard
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引用次数: 0
Dementia-Friendly Communities: a Review of Current Literature and Reflections on Implementation 痴呆症友好社区:当前文献综述及实施思考
IF 1.2 Q3 Medicine
Current Geriatrics Reports
Pub Date : 2020-08-11 DOI: 10.1007/s13670-020-00325-7
Laura S. Novak, Elizabeth Horne, Jennifer R. Brackett, K. Meyer, Rebecca Ajtai
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引用次数: 7
The Role of Enhanced Recovery Programmes in Elderly Patients Undergoing Thoracic Surgery 加强康复方案在老年胸外科患者中的作用
IF 1.2 Q3 Medicine
Current Geriatrics Reports
Pub Date : 2020-08-05 DOI: 10.1007/s13670-020-00324-8
Niamh O' Halloran, A. Soo
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引用次数: 0
Geriatric Mild Traumatic Brain Injury (mTBI) 老年轻度创伤性脑损伤
IF 1.2 Q3 Medicine
Current Geriatrics Reports
Pub Date : 2020-07-31 DOI: 10.1007/s13670-020-00329-3
K. McCulloch, M. Osborne, Crystal R. Ramsey
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引用次数: 3
Gait and Balance Assessment of Older Adults 老年人的步态和平衡评估
IF 1.2 Q3 Medicine
Current Geriatrics Reports
Pub Date : 2020-07-23 DOI: 10.1007/s13670-020-00327-5
D. Klima, Ethan A Hood
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引用次数: 2
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