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Predictors of Inappropriate Proton Pump Inhibitors Use in Elderly Patients. 老年患者不适当使用质子泵抑制剂的预测因素。
Q2 Medicine Pub Date : 2019-01-01 DOI: 10.1155/2019/7591045
Panagiota Voukelatou, Ioannis Vrettos, Georgia Emmanouilidou, Konstantinos Dodos, Georgia Skotsimara, Dimitra Kontogeorgou, Andreas Kalliakmanis

Introduction. Overutilization of Proton Pump Inhibitors (PPIs) both in ambulatory care and in the inpatient setting possesses economic implications and increases the risk for adverse drug reactions. This study was undertaken to identify factors associated with inappropriate PPI use among consecutively unplanned admissions of elderly patients at the time of admission. Materials and Methods. In 758 patients (54.2% women), mean age 80.3±8.0 (M±1SD), demographic characteristics, and medical and medication history were recorded. Parametric tests and multiple logistic regression analysis were applied to identify the predictors of inappropriate PPI use. Results. 232 patients (30.6%) were receiving PPIs. 37 (4.9%) were receiving PPIs appropriately and 195 (25.7%) were receiving PPIs without a proper indication. Consequently, PPIs prescribing was inappropriate in 195/232 (84%). Moreover, 512 patients (67.5%) were not receiving PPIs appropriately and 14 patients (1.8%) were not receiving PPIs but they had a proper indication. When we compared patients receiving PPIs without a proper indication with those who were not receiving PPIs, a statistical difference was found according to Charlson Comorbidity Index (p≤0.001, U=37922.00), number of diseases (p≤0.001, U=33269.00) and medications (p≤0.001, U=31218.50), Katz Index score (p=0.01, U=45328.00), and the use of blood thinners (p≤0.001, χ 2=21.15). In multivariate analysis the only independent predictor of inappropriate PPI use was the number of medications (p=0.001, OR=1.16, 95%CI 1.06-1.27). Conclusions. The main predictor of inappropriate PPI use was the number of received medications. Εfforts needed to apply the predefined criteria for PPI prescription and to deprescribe PPIs received inappropriately.

介绍。质子泵抑制剂(PPIs)的过度使用,无论是在门诊护理和住院设置具有经济影响,并增加药物不良反应的风险。本研究旨在确定在连续非计划住院的老年患者入院时不适当使用PPI的相关因素。材料与方法。758例患者(54.2%为女性),平均年龄80.3±8.0 (M±1SD),记录了人口统计学特征、病史和用药史。应用参数检验和多元逻辑回归分析来确定不适当使用PPI的预测因素。结果:232例患者(30.6%)接受PPIs治疗。37例(4.9%)接受了适当的PPIs, 195例(25.7%)接受了没有适当指征的PPIs。因此,在195/232(84%)中,ppi处方不合适。512例(67.5%)患者未适当使用PPIs, 14例(1.8%)患者虽未适当使用PPIs,但适应症适当。我们比较无适当适应症接受PPIs的患者与未接受PPIs的患者,在Charlson合并症指数(p≤0.001,U=37922.00)、疾病数量(p≤0.001,U=33269.00)、药物(p≤0.001,U=31218.50)、Katz指数评分(p=0.01, U=45328.00)、血液稀释剂使用(p≤0.001,χ 2=21.15)方面存在统计学差异。在多变量分析中,不适当使用PPI的唯一独立预测因子是用药数量(p=0.001, OR=1.16, 95%CI 1.06-1.27)。结论。不适当使用PPI的主要预测因子是接受药物治疗的数量。Εfforts需要应用预先定义的PPI处方标准,并取消不当接受PPI的处方。
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引用次数: 27
Hand Grip Strength and Its Sociodemographic and Health Correlates among Older Adult Men and Women (50 Years and Older) in Indonesia. 印度尼西亚老年男性和女性(50岁及以上)握力及其社会人口统计学和健康相关性
Q2 Medicine Pub Date : 2018-12-03 eCollection Date: 2018-01-01 DOI: 10.1155/2018/3265041
Supa Pengpid, Karl Peltzer

Objective: There is lack of knowledge about the patterns and correlates of hand grip strength (HGS) of older adults in Indonesia. This study aims to assess sociodemographic and health determinants of HGS among older adult men and women in Indonesia.

Methods: Participants were 7097 individuals of 50 years and older (mean age 61.2 years, SD=9.4) that participated in the cross-sectional Indonesia Family Life Survey (IFLS-5) in 2014-15. The assessment measures included a questionnaire on sociodemographic characteristics and health variables and anthropometric and HGS measurements. Linear multivariable regression analysis was conducted to estimate the association of social and health variables and HGS.

Results: The mean HGS was 28.2 kgs for men and 17.2 kgs for women. In adjusted linear regression analysis among both men and women, height, being overweight or obese, and having a good self-rated health status were positively associated with HGS, while age, having underweight, low cognitive functioning, and functional disability were negatively associated with HGS. In addition, among men, higher education and medium economic background were positive and having two or more chronic conditions, having severe depressive symptoms, and having moderate sleep impairment were negatively associated with HGS.

Conclusion: The study contributed to a better understanding of patterns and correlates of HGS among older adults in Indonesia. Gender-specific and health related interventions may be needed so as to improve the physical functioning of the growing older populace in Indonesia.

目的:对印度尼西亚老年人握力(HGS)的模式和相关因素缺乏了解。本研究旨在评估印度尼西亚老年男性和女性中HGS的社会人口学和健康决定因素。方法:选取2014- 2015年参加印度尼西亚家庭生活调查(IFLS-5)的7097名50岁及以上的个体(平均年龄61.2岁,SD=9.4)。评估措施包括关于社会人口特征和健康变量以及人体测量和HGS测量的问卷调查。采用线性多变量回归分析,估计社会和健康变量与HGS的相关性。结果:男性平均体重为28.2公斤,女性平均体重为17.2公斤。在调整后的男女线性回归分析中,身高、超重或肥胖、自我评价健康状况良好与HGS呈正相关,而年龄、体重过轻、认知功能低下和功能残疾与HGS呈负相关。此外,在男性中,高等教育和中等经济背景是积极的,有两种或两种以上慢性疾病、有严重抑郁症状和中度睡眠障碍与HGS呈负相关。结论:该研究有助于更好地了解印度尼西亚老年人HGS的模式和相关因素。可能需要有针对性的和与健康有关的干预措施,以改善印度尼西亚日益增长的老年人口的身体机能。
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引用次数: 24
Ageing, Disability, and Spinal Cord Injury: Some Issues of Analysis. 老龄、残疾和脊髓损伤:一些问题的分析。
Q2 Medicine Pub Date : 2018-11-19 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4017858
Roberto Pili, Luca Gaviano, Lorenzo Pili, Donatella Rita Petretto

Spinal cord injury is a disabling disorder, worldwide spread, with important consequences on functioning and health conditions and impacts on physical, psychological, and social well-being. The consequences are related to the lesion itself and to other complications related to the lesion. In the last decades, there have been an increasing of the mean ages of onset and also an increase in life expectancy after the lesion. So, differently from the past, people with spinal cord injury can age after the lesion. Taking into account the need to share data and information about specific disabling conditions and their relationship with ageing, this paper aims to discuss some issues from recent literature on the relationship between aging and disability in the spinal cord injury, according to a narrative review approach. A narrative review of the literature on ageing and spinal cord injury was undertaken. Search was based on the following electronic databases: PubMed/Medline and Ovid/PsychINFO. A combination of the following keywords was used: (1) "ageing" or "aging" and (2) "spinal cord injury" or "spinal cord lesion" and (3) disability. Data on consequences of the lesion in the life of aging people, secondary health conditions, life expectancy, participation, and quality of life are discussed. Then, a brief discussion of clinical issues and the role of interventions aimed to promote wellbeing, health, quality of life, and participation of people with spinal cord injury is proposed.

脊髓损伤是一种致残性疾病,在世界范围内广泛传播,对功能和健康状况以及对身体、心理和社会福祉产生重要影响。其后果与病变本身以及与病变相关的其他并发症有关。在过去的几十年里,发病的平均年龄在增加,病变后的预期寿命也在增加。所以,与过去不同的是,脊髓损伤的人在损伤后会变老。考虑到需要共享有关特定致残条件及其与衰老的关系的数据和信息,本文旨在根据叙述综述的方法,讨论近年来关于脊髓损伤中衰老与残疾关系的一些问题。对老化和脊髓损伤的文献进行了叙述综述。检索基于以下电子数据库:PubMed/Medline和Ovid/PsychINFO。使用了以下关键字的组合:(1)“老化”或“老化”及(2)“脊髓损伤”或“脊髓病变”和(3)残疾。讨论了老年人生活中病变的后果、二级健康状况、预期寿命、参与和生活质量的数据。然后,简要讨论了临床问题和干预措施的作用,旨在促进福祉,健康,生活质量,以及脊髓损伤患者的参与。
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引用次数: 22
Using Accelerometers to Measure Physical Activity in Older Patients Admitted to Hospital. 使用加速度计测量住院老年患者的身体活动。
Q2 Medicine Pub Date : 2018-10-18 eCollection Date: 2018-01-01 DOI: 10.1155/2018/3280240
Peter Hartley, Victoria L Keevil, Kate Westgate, Tom White, Søren Brage, Roman Romero-Ortuno, Christi Deaton
Background Low levels of physical activity in older patients during hospitalization have been linked to loss of functional ability. Practical methods of measuring physical activity are needed to better understand this association and to measure the efficacy of interventions. The aims of this study were to evaluate the feasibility of using accelerometers to discriminate between lying, sitting, standing, and standing and moving and to determine the acceptability of the method from the patients' perspective. Methods A convenience sample of 24 inpatients was recruited. Participants wore accelerometers on their thigh and on their lower leg (just above the ankle) for 48 hours during their hospitalization. Postural changes and movement during the 48 hours were differentiated using derived pitch angles of the lower leg and thigh, and nongravity vector magnitude of the lower leg, respectively. Results On average, patients were lying for 61.2% of the recording time, sitting for 35.6%, standing but not moving 2.1%, and standing and moving 1.1%. All participants found the accelerometers acceptable to wear. Conclusions The methodology described in this study can be used to differentiate between lying, sitting, standing, and moving and is acceptable from a hospitalized older person's perspective.
背景:住院期间老年患者身体活动水平低与功能丧失有关。需要测量身体活动的实用方法,以便更好地了解这种关联并衡量干预措施的效果。本研究的目的是评估使用加速度计区分躺着、坐着、站立、站立和移动的可行性,并从患者的角度确定该方法的可接受性。方法:选取24例住院患者作为方便样本。在住院期间,参与者在大腿和小腿(脚踝上方)佩戴加速计48小时。48小时内的姿势变化和运动分别使用小腿和大腿的俯仰角和小腿的非重力矢量大小来区分。结果:患者平均躺着的时间占61.2%,坐着的时间占35.6%,站着不动的时间占2.1%,站着动着的时间占1.1%。所有参与者都认为佩戴加速度计是可以接受的。结论:本研究中描述的方法可用于区分躺着、坐着、站着和活动,并且从住院老年人的角度来看是可以接受的。
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引用次数: 37
Telemedicine and Geriatrics in France: Inventory of Experiments. 法国的远程医疗和老年病学:实验清单。
Q2 Medicine Pub Date : 2018-09-17 eCollection Date: 2018-01-01 DOI: 10.1155/2018/9042180
A A Zulfiqar, A Hajjam, S Talha, M Hajjam, J Hajjam, S Ervé, E Andrès

Telemedicine is now in vogue, being deployed through computer and communication tools in various health fields, such as diabetology, nephrology, dermatology, neurology, and cardiology. With population ageing, geriatrics is coming into sharp focus. Telemedicine practices differ for home-based or institutionalized patients in long-term care homes. We take a look at telemedicine projects in France concerning the elderly.

远程医疗现在很流行,通过计算机和通信工具在各种健康领域,如糖尿病学、肾病学、皮肤病学、神经病学和心脏病学进行部署。随着人口老龄化,老年病学成为人们关注的焦点。远程医疗实践不同于家庭和长期护理机构的病人。我们来看看法国有关老年人的远程医疗项目。
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引用次数: 16
Physical Activity Scale for the Elderly: Translation, Cultural Adaptation, and Validation of the Italian Version. 老年人体育活动量表:意大利语版本的翻译、文化适应和验证。
Q2 Medicine Pub Date : 2018-08-08 eCollection Date: 2018-01-01 DOI: 10.1155/2018/8294568
Antonio Covotta, Marco Gagliardi, Anna Berardi, Giuseppe Maggi, Francesco Pierelli, Roberta Mollica, Julita Sansoni, Giovanni Galeoto

Objective: The aim of the study was to translate and culturally adapt the Physical Activity Scale for the Elderly into Italian (PASE-I) and to evaluate its psychometric properties in the Italian older adults healthy population.

Methods: For translation and cultural adaptation, the "Translation and Cultural Adaptation of Patient-Reported Outcomes Measures" guidelines have been followed. Participants included healthy individuals between 55 and 75 years old. The reliability and validity were assessed following the "Consensus-Based Standards for the Selection of Health Status Measurement Instruments" checklist. To evaluate internal consistency and test-retest reliability, Cronbach's α and Intraclass Correlation Coefficient (ICC) were, respectively, calculated. The Berg Balance Score (BBS) and the PASE-I were administered together, and Pearson's correlation coefficient was calculated for validity.

Results: All the PASE-I items were identical or similar to the original version. The scale was administered twice within a week to 94 Italian healthy older people. The mean PASE-I score in this study was 159±77.88. Cronbach's α was 0.815 (p < 0.01) and ICC was 0.977 (p < 0.01). The correlation with the BBS was 0.817 (p < 0.01).

Conclusions: The PASE-I showed positive results for reliability and validity. This scale will be of great use to clinicians and researchers in evaluating and managing physical activities in the Italian older adults population.

目的:本研究的目的是将老年人体育活动量表(PASE-I)翻译成意大利语并进行文化改编,并评估其在意大利老年健康人群中的心理测量特性。方法:在翻译和文化适应方面,遵循“患者报告结果的翻译和文化适应性测量”指南。参与者包括55岁至75岁的健康人。根据“基于共识的健康状况测量仪器选择标准”检查表评估其可靠性和有效性。为了评估内部一致性和重新测试的可靠性,分别计算了Cronbachα和组内相关系数(ICC)。Berg平衡评分(BBS)和PASE-I同时使用,并计算Pearson相关系数的有效性。结果:所有PASE-I项目与原始版本相同或相似。该量表在一周内对94名意大利健康老年人进行了两次测量。本研究的PASE-I平均得分为159±77.88。Cronbachα为0.815(p<0.01),ICC为0.977(p<0.01)。与BBS的相关性为0.817(p<0.01)。该量表将对临床医生和研究人员评估和管理意大利老年人的体育活动有很大用处。
{"title":"Physical Activity Scale for the Elderly: Translation, Cultural Adaptation, and Validation of the Italian Version.","authors":"Antonio Covotta,&nbsp;Marco Gagliardi,&nbsp;Anna Berardi,&nbsp;Giuseppe Maggi,&nbsp;Francesco Pierelli,&nbsp;Roberta Mollica,&nbsp;Julita Sansoni,&nbsp;Giovanni Galeoto","doi":"10.1155/2018/8294568","DOIUrl":"10.1155/2018/8294568","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to translate and culturally adapt the Physical Activity Scale for the Elderly into Italian (PASE-I) and to evaluate its psychometric properties in the Italian older adults healthy population.</p><p><strong>Methods: </strong>For translation and cultural adaptation, the \"Translation and Cultural Adaptation of Patient-Reported Outcomes Measures\" guidelines have been followed. Participants included healthy individuals between 55 and 75 years old. The reliability and validity were assessed following the \"Consensus-Based Standards for the Selection of Health Status Measurement Instruments\" checklist. To evaluate internal consistency and test-retest reliability, Cronbach's <i>α</i> and Intraclass Correlation Coefficient (ICC) were, respectively, calculated. The Berg Balance Score (BBS) and the PASE-I were administered together, and Pearson's correlation coefficient was calculated for validity.</p><p><strong>Results: </strong>All the PASE-I items were identical or similar to the original version. The scale was administered twice within a week to 94 Italian healthy older people. The mean PASE-I score in this study was 159±77.88. Cronbach's <i>α</i> was 0.815 (p < 0.01) and ICC was 0.977 (p < 0.01). The correlation with the BBS was 0.817 (p < 0.01).</p><p><strong>Conclusions: </strong>The PASE-I showed positive results for reliability and validity. This scale will be of great use to clinicians and researchers in evaluating and managing physical activities in the Italian older adults population.</p>","PeriodicalId":39066,"journal":{"name":"Current Gerontology and Geriatrics Research","volume":"2018 ","pages":"8294568"},"PeriodicalIF":0.0,"publicationDate":"2018-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/8294568","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36499132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 35
In Their Voices: Client and Staff Perceptions of the Physical and Social Environments of Adult Day Services Centers in Taiwan. 他们的声音:客户和员工对台湾成人日间服务中心物质和社会环境的看法。
Q2 Medicine Pub Date : 2018-07-29 eCollection Date: 2018-01-01 DOI: 10.1155/2018/5130472
Chih-Ling Liou, Shannon Jarrott

Studies have examined the impact of environments on long-term care residents' quality of life; however, environment gets little attention in adult day services (ADS). The current study gives voice to clients and staff by capturing their perceptions of the physical and social environments of their ADS centers. Data were collected from 23 interviews with staff and clients and 270 hours of participant observations at two ADS centers in Taiwan. The authors triangulated field notes with interview transcriptions and analyzed them with the Grounded Theory coding procedure method. Findings reveal clients' and staff members' perceptions of appropriate and inappropriate physical and social environmental features affecting quality of life at the center and reflecting Taiwanese culture. We address how perceived appropriate features can be sustained or replicated and how perceived inappropriate influences can be remedied. Results can be translated into action research by implementing supportive environments for both staff and clients at ADS centers.

已有研究探讨了环境对长期护理居民生活质量的影响;然而,在成人日间服务(ADS)中,环境却很少受到关注。本研究通过了解客户和员工对日间成人服务中心的物理和社会环境的看法,为客户和员工提供了发言权。研究人员在台湾的两家 ADS 中心对工作人员和服务对象进行了 23 次访谈,并进行了 270 小时的观察。作者将实地记录与访谈记录进行了三角测量,并采用基础理论编码程序法对其进行了分析。研究结果揭示了客户和工作人员对影响中心生活质量和反映台湾文化的适当和不适当的物理和社会环境特征的看法。我们探讨了如何保持或复制所感知的适当特征,以及如何纠正所感知的不适当影响。研究结果可转化为行动研究,为 ADS 中心的员工和客户提供支持性环境。
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引用次数: 0
Surveillance of First-Generation H1-Antihistamine Use for Older Patients with Dementia in Japan: A Retrospective Cohort Study. 日本老年痴呆症患者使用第一代 H1 抗组胺药物的监测:回顾性队列研究
Q2 Medicine Pub Date : 2018-07-02 eCollection Date: 2018-01-01 DOI: 10.1155/2018/3406210
Toshiki Maeda, Akira Babazono, Takumi Nishi

Background: This study aimed to investigate the rate of first-generation H1-antihistamines use for older adults with dementia in Japan.

Methods: The study design was retrospective cohort using claims data between fiscal years 2010 and 2013. Subjects were 75 years or older, diagnosed with dementia, and given H1-antihistamines orally during the study period after being diagnosed with dementia. We investigated the cumulative number of oral H1-antihistamines administered and the relationship between first-generation H1-antihistamine use and each explanatory variable using crude and adjusted odds ratio.

Results: The cumulative total for use of first-generation H1-antihistamine for older adults with dementia accounted for 32.1% of all antihistamine medication. The majority of first-generation H1-antihistamine prescriptions were indicated for cold treatment. Those with upper respiratory infection or asthma had a significantly positive relationship with first-generation H1-antihistamine use.

Conclusion: The study showed that first-generation H1-antihistamine drugs were highly prescribed in older adults with dementia in Japan.

研究背景本研究旨在调查日本老年痴呆症患者使用第一代 H1-抗组胺药的比例:研究设计为回顾性队列,使用 2010 至 2013 财年的索赔数据。受试者年龄为 75 岁或以上,确诊为痴呆症,并在确诊为痴呆症后的研究期间口服过 H1-抗组胺药。我们使用粗略和调整后的几率比对口服 H1-抗组胺药的累计次数以及第一代 H1-抗组胺药的使用与各解释变量之间的关系进行了调查:结果:老年痴呆症患者使用第一代H1-抗组胺药物的累计总数占抗组胺药物总数的32.1%。第一代H1-抗组胺药物处方中的大部分用于治疗感冒。患有上呼吸道感染或哮喘的患者与使用第一代H1-抗组胺药物有明显的正相关关系:研究表明,日本老年痴呆症患者大量使用第一代 H1-抗组胺药物。
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引用次数: 0
Elderly Stroke Rehabilitation: Overcoming the Complications and Its Associated Challenges. 老年脑卒中康复:克服并发症及其相关挑战。
Q2 Medicine Pub Date : 2018-06-27 eCollection Date: 2018-01-01 DOI: 10.1155/2018/9853837
Siew Kwaon Lui, Minh Ha Nguyen

There have been many advances in management of cerebrovascular diseases. However, stroke is still one of the leading causes of disabilities and mortality worldwide with significant socioeconomic burden. This review summarizes the consequences of stroke in the elderly, predictors of stroke rehabilitation outcomes, role of rehabilitation in neuronal recovery, importance of stroke rehabilitation units, and types of rehabilitation resources and services available in Singapore. We also present the challenges faced by the elderly stroke survivors in the local setting and propose strategies to overcome the barriers to rehabilitation in this aging population.

脑血管疾病的治疗已经取得了许多进展。然而,中风仍然是世界范围内造成残疾和死亡的主要原因之一,具有重大的社会经济负担。这篇综述总结了中风对老年人的影响,中风康复结果的预测因素,康复在神经元恢复中的作用,中风康复单位的重要性,以及新加坡现有的康复资源和服务类型。我们还提出了老年中风幸存者在当地面临的挑战,并提出了克服这一老龄化人口康复障碍的策略。
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引用次数: 107
Reaching 100 in the Countryside: Health Profile and Living Circumstances of Portuguese Centenarians from the Beira Interior Region. 农村百岁老人:贝拉内陆地区葡萄牙百岁老人的健康状况和生活状况。
Q2 Medicine Pub Date : 2018-06-13 eCollection Date: 2018-01-01 DOI: 10.1155/2018/8450468
Rosa Marina Afonso, Oscar Ribeiro, Maria Vaz Patto, Marli Loureiro, Manuel Joaquim Loureiro, Miguel Castelo-Branco, Susana Patrício, Sara Alvarinhas, Tatiana Tomáz, Clara Rocha, Ana Margarida Jerónimo, Fátima Gouveia, Ana Paula Amaral

The interest in studying a specific population of centenarians who lives in the country's interior region (PT100-BI) emerged during the first Portuguese systematic study about centenarians (PT100 Oporto Centenarian Study). This region of Portugal is predominantly rural and is one of the regions with the largest number of aged people. The aim of this study is to provide information on the centenarians who live in the Beira Interior region, specifically in terms of their health status and the health services they use. A total of 101 centenarians (mean age: 101.1 years; SD = 1.5 years), 14 males and 87 females, were considered. Most centenarians lived in the community, and 47.6% lived in nursing homes. Nearly half (47.5%) presented cognitive functioning without deficits. A noteworthy percentage presented conditioned mobility and sensory problems. The most common self-reported diseases include urinary incontinence (31.7%), high blood pressure (23.8%), and heart conditions (19.8%). Despite these health and functional characteristics, formal support services and technical assistance were found to be scarcely used. Further research is needed to understand how the role of contextual variables and the countryside environment contribute to the centenarians' adaptation to advanced longevity.

在葡萄牙首次对百岁老人进行系统研究(PT100波尔图百岁老人研究)期间,人们对研究居住在该国内陆地区的特定百岁老人群体(PT100- bi)产生了兴趣。葡萄牙的这个地区主要是农村地区,也是老年人口最多的地区之一。这项研究的目的是提供有关居住在贝拉内陆地区的百岁老人的信息,特别是他们的健康状况和他们使用的保健服务。共有101名百岁老人(平均年龄:101.1岁;SD = 1.5年),男性14例,女性87例。大多数百岁老人住在社区,47.6%住在养老院。近一半(47.5%)表现出无缺陷的认知功能。值得注意的是,有条件的活动能力和感觉问题。最常见的自我报告疾病包括尿失禁(31.7%)、高血压(23.8%)和心脏病(19.8%)。尽管有这些保健和功能特点,但发现很少使用正式支助服务和技术援助。背景变量和乡村环境在百岁老人适应长寿过程中的作用有待进一步研究。
{"title":"Reaching 100 in the Countryside: Health Profile and Living Circumstances of Portuguese Centenarians from the Beira Interior Region.","authors":"Rosa Marina Afonso,&nbsp;Oscar Ribeiro,&nbsp;Maria Vaz Patto,&nbsp;Marli Loureiro,&nbsp;Manuel Joaquim Loureiro,&nbsp;Miguel Castelo-Branco,&nbsp;Susana Patrício,&nbsp;Sara Alvarinhas,&nbsp;Tatiana Tomáz,&nbsp;Clara Rocha,&nbsp;Ana Margarida Jerónimo,&nbsp;Fátima Gouveia,&nbsp;Ana Paula Amaral","doi":"10.1155/2018/8450468","DOIUrl":"https://doi.org/10.1155/2018/8450468","url":null,"abstract":"<p><p>The interest in studying a specific population of centenarians who lives in the country's interior region (PT100-BI) emerged during the first Portuguese systematic study about centenarians (PT100 Oporto Centenarian Study). This region of Portugal is predominantly rural and is one of the regions with the largest number of aged people. The aim of this study is to provide information on the centenarians who live in the Beira Interior region, specifically in terms of their health status and the health services they use. A total of 101 centenarians (mean age: 101.1 years; SD = 1.5 years), 14 males and 87 females, were considered. Most centenarians lived in the community, and 47.6% lived in nursing homes. Nearly half (47.5%) presented cognitive functioning without deficits. A noteworthy percentage presented conditioned mobility and sensory problems. The most common self-reported diseases include urinary incontinence (31.7%), high blood pressure (23.8%), and heart conditions (19.8%). Despite these health and functional characteristics, formal support services and technical assistance were found to be scarcely used. Further research is needed to understand how the role of contextual variables and the countryside environment contribute to the centenarians' adaptation to advanced longevity.</p>","PeriodicalId":39066,"journal":{"name":"Current Gerontology and Geriatrics Research","volume":"2018 ","pages":"8450468"},"PeriodicalIF":0.0,"publicationDate":"2018-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/8450468","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36312558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
期刊
Current Gerontology and Geriatrics Research
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