Revista Espanola de Geriatria y Gerontologia最新文献

英文中文

Colitis linfocítica asociada a duloxetina [与度洛西汀有关的淋巴细胞性结肠炎]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-08 DOI: 10.1016/j.regg.2024.101561

Yanira Aranda Rubio , Beatriz Pallardo Rodil , Francisco Javier Gómez Pavón

引用次数: 0

Anemia: interesante hallazgo en el adulto mayor [贫血：老年人的有趣发现]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-08 DOI: 10.1016/j.regg.2024.101529

Gloria Elizabeth Toapanta Yanza , Ana Merello de Miguel , Viridiana Cabrera Romero , Cecilia Daniella Palacios Revilla , Juan Ignacio González Montalvo

引用次数: 0

Associations between nutritional status and abdominal adiposity with cognitive domains and depressive symptoms in older persons with multimorbidity: Understanding an understudied population 患有多种疾病的老年人的营养状况和腹部脂肪含量与认知领域和抑郁症状之间的关系：了解研究不足的人群。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-05 DOI: 10.1016/j.regg.2024.101558

Mateo Londoño Pereira , Alejandro Estrada Restrepo , Ángela María Preciado Tamayo , Melissa Botero Bernal , Miguel Germán Borda

Background

Malnutrition is a prevalent issue among older persons and has been linked to adverse outcomes. Limited information exists regarding its connection with cognition and depression in older persons burdened by chronic diseases, experiencing heightened nutritional and psychosocial vulnerability. In this study, we examined the association between nutritional status, cognitive performance, and depressive symptomatology, in a cohort of older persons with multimorbidity.

Methods

This was a cross-sectional study of 114 pluripathological older persons. Nutritional status was assessed through Mini Nutritional Assessment (MNA), body mass index (BMI) and waist and calf circumferences. Cognition was assessed using Montreal Cognitive Assessment (MoCA) and depressive symptoms were measured with the 15-item Geriatric Depression Scale (GDS-15).

Results

MNA score was positively correlated with the MoCA's visuospatial score (rho = 0.262) and, participants with normal nutritional status according to MNA, performed better in orientation (p = 0.037) and abstraction (p = 0.013) domains. MNA was also associated with depressive symptoms, with odds 8.6 times higher in malnourished participants (AOR 8.6, 95% CI 2.6–28.8, p = 0.000). Abdominal obesity, meanwhile, was associated with a decrease of 3.33 points in the overall MoCA score (β −3.33, 95% CI = −5.92; −0.73, p = 0.013).

Conclusion

In older persons with multimorbidity, abdominal obesity and malnutrition were factors associated with lower global and domain-specific cognitive performance and increased depressive symptomatology.

背景：营养不良是老年人中普遍存在的问题，并与不良后果有关。对于患有慢性疾病、营养和心理社会脆弱性较高的老年人，有关营养不良与认知和抑郁之间关系的信息十分有限。在这项研究中，我们研究了一组患有多种疾病的老年人的营养状况、认知能力和抑郁症状之间的关系：这是一项针对 114 名多病老年人的横断面研究。营养状况通过迷你营养评估（MNA）、体重指数（BMI）以及腰围和小腿围进行评估。认知能力通过蒙特利尔认知评估（MoCA）进行评估，抑郁症状通过 15 项老年抑郁量表（GDS-15）进行测量：结果：MNA评分与MoCA的视觉空间评分呈正相关（rho=0.262），根据MNA评分，营养状况正常的参与者在定向（p=0.037）和抽象（p=0.013）领域表现更好。MNA 还与抑郁症状有关，营养不良的参与者出现抑郁症状的几率要高出 8.6 倍（AOR 8.6，95% CI 2.6-28.8，p=0.000）。同时，腹部肥胖与MoCA总分下降3.33分有关（β-3.33，95% CI=-5.92；-0.73，p=0.013）：在患有多病的老年人中，腹部肥胖和营养不良与整体和特定领域认知能力下降以及抑郁症状增加有关。

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引用次数: 0

¿Igualdad o equidad? Percepción de normas de no discriminación de la vejez [平等还是公平？对老年非歧视规则的看法]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-05 DOI: 10.1016/j.regg.2024.101569

Claudia Estrada Goic , Yaninee Oyarzún Oyarzún , Carla Huaquin Ulloa , Ismael Gallardo Cuadra

Introduction/objectives

This study aimed to determine adherence to 2 basic non-discrimination norms when evaluated by a stigmatized group (older adults) and a sample of the adult population.

Method

A total of 200 participants, half of them from the adult population and the other half from older adults (stigmatized group), responded to a Non-Discrimination Norms (NND) questionnaire to define their adherence to one norm or the other regarding the category of “old age”. Additionally, they assessed their perception of social support, and only the older adults evaluated their perception of subtle and overt discrimination.

Results and conclusions

The results indicate that both groups agree that the use of the equity NND is more desirable for addressing discrimination. Regarding the equality NND, older adults show higher levels of adherence. Subtle prejudice is reported as more prevalent than overt prejudice. These results are discussed in terms of the challenges of combating discrimination from both the perpetrator and victim perspectives.

导言/目标：本研究旨在确定被鄙视群体（老年人）和成人抽样调查对象对 2 项基本非歧视准则的遵守情况：共有 200 名参与者（其中一半来自成年人，另一半来自老年人（被鄙视群体））回答了非歧视准则（NND）问卷，以确定他们是否遵守有关 "老年 "类别的一种或另一种准则。此外，他们还评估了自己对社会支持的看法，只有老年人评估了自己对微妙和公开歧视的看法：结果表明，两组人都认为使用公平 NND 解决歧视问题更为可取。关于平等国家责任，老年人表现出更高的遵守水平。据报告，微妙的偏见比公开的偏见更为普遍。从施害者和受害者的角度讨论了消除歧视所面临的挑战。

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引用次数: 0

Arteritis de células gigantes: causa atípica de accidente cerebrovascular isquémico, a propósito de un caso [巨细胞动脉炎：缺血性脑血管意外的非典型病因，一例报告]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-05 DOI: 10.1016/j.regg.2024.101567

Gemma Cuesta , Leidy Yohanna Ceballos , Josep M. Aragonès , Matilde Barneto

引用次数: 0

¿Es la fragilidad el mejor marcador de mal pronóstico en el paciente mayor con enfermedad pulmonar obstructiva crónica? [虚弱是慢性阻塞性肺病老年人预后不良的最佳标志吗？］

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-05 DOI: 10.1016/j.regg.2024.101565

Francisco José Tarazona-Santabalbina , Elsa Naval

引用次数: 0

Aging: Disease or “natural” process? A glimpse from regenerative medicine 衰老：疾病还是 "自然 "过程？再生医学一瞥。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-05 DOI: 10.1016/j.regg.2024.101543

Francisco Sotomayor-Lugo , Nataly Iglesias-Barrameda , Imilla Casado-Hernandez , Carlos Agustin Villegas-Valverde , Yendry Ventura-Carmenate , Rene Antonio Rivero-Jimenez

We explore aging as a global phenomenon, questioning whether it constitutes a treatable condition or follows a natural course. Acknowledging its multifactorial nature, we delve into the challenges and opportunities inherent in this intricate biological process. The inclusion of old age in the 11th International Classification of Diseases sparks debate, categorizing it as a disease based on mechanistic explanations, blood-based biomarkers, and anti-aging products. Ethical dilemmas arise, emphasizing the difficulty of defining the transition from normal to pathological states during this process. We suggest that aging should be regarded as a treatable condition without necessarily labeling it a ‘disease.’ While anti-aging research unveils promising interventions like Metformin, Rapamycin, and cellular therapy, achieving biological immortality remains a formidable challenge. The future promises to prolong life and enhance quality by comprehensively understanding aging's implications for human health.

我们将衰老作为一种全球现象进行探讨，质疑衰老是一种可治疗的疾病还是一种自然过程。认识到衰老的多因素性质，我们深入探讨了这一错综复杂的生物过程中固有的挑战和机遇。第 11 版《国际疾病分类》将老年纳入其中引发了争论，根据机理解释、基于血液的生物标志物和抗衰老产品，老年被归类为一种疾病。伦理困境由此产生，强调了在这一过程中难以界定从正常状态到病理状态的转变。我们建议将衰老视为一种可治疗的状态，而不一定要将其称为 "疾病"。虽然抗衰老研究发现了二甲双胍、雷帕霉素和细胞疗法等前景广阔的干预措施，但实现生物永生仍是一项艰巨的挑战。通过全面了解衰老对人类健康的影响，未来有望延长生命并提高质量。

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引用次数: 0

Preparación para afrontar la muerte de pacientes en profesionales geriátricos [卫生专业人员面对病人死亡的专业培训]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-05 DOI: 10.1016/j.regg.2024.101538

Aldo Medina Gamero

引用次数: 0

Grosor del músculo recto femoral y músculo vasto intermedio en adultos mayores mexicanos con fragilidad y sarcopenia [患有虚弱症和肌肉疏松症的墨西哥老年人的股直肌和股间肌厚度]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-04 DOI: 10.1016/j.regg.2024.101557

Karen Lizeth Soto Mejía, Iván Luján Hernández

Background and objective

Frailty in older adults is a geriatric syndrome that has gained importance in the last decade. However, there is still no consolidated information regarding diagnostic tools that allow timely identification, and therefore, provide an appropriate therapeutic approach. The objective is to determine the Thickness of the Rectus Femoris Muscle (GMRF) and Thickness of the Vastus Intermedius Muscle (GMVI) in older Mexican adults with frailty and sarcopenia.

Material and methods

Cross-sectional, descriptive and comparative study in patients ≥65 years of age, admitted to the geriatrics service. The selection was according to the FRAIL (frail vs. non-frail) and SARC-F (high risk vs. low risk) classification; evaluating GMRF and GMVI by ultrasound. The data were analyzed through the statistical software Statistical Package for Social Sciences (SPSS) ver. 25.

Results

The number of patients evaluated in the study and control group were 136 respectively. Significant differences were found regarding frailty status in age (years) (Frail: 75.06 ± 7.92 vs. Non-frail: 71.60 ± 5.56; P<.001), GMRF (mm) (Frail: 8.41 ± 3.08 vs. Non-frail: 11.03 ± 3.50; P<.001) and GMVI (mm) (Frail: 6.53 ± 2.64 vs. Non-frail: 8.66 ± 2.68; P<.001); Considering sarcopenia, there were differences in age (years) (High risk sarcopenia: 75.17 ± 7.84: vs low risk sarcopenia; 71.49 ± 5.60; P<.001), GMRF (mm) (high risk sarcopenia: 8.45 ± 3.11 vs low risk sarcopenia: 10.98 ± 3.50; P<.001) and GMVI (mm) (High risk Sarcopenia: 6.67 ± 2.63 vs Low risk Sarcopenia: 8.52 ± 2.79; P<.001).

Conclusions

The results found show that there is a significant difference in GMRF and GMVI in Mexican older adults with respect to frailty and sarcopenia. In this way, the present investigation establishes clinical bases for the use of ultrasonography assessments in the geriatric population.

背景和目的：老年人体弱是一种老年综合征，在过去十年中日益受到重视。然而，目前仍没有关于诊断工具的综合信息，因此无法及时识别并提供适当的治疗方法。本研究旨在确定患有虚弱症和肌肉疏松症的墨西哥老年人的股直肌厚度（GMRF）和中间阔肌厚度（GMVI）：横断面、描述性和比较性研究，研究对象为老年病科收治的年龄≥65 岁的患者。根据 FRAIL（虚弱与非虚弱）和 SARC-F（高风险与低风险）分类进行选择；通过超声波评估 GMRF 和 GMVI。数据通过社会科学统计软件包（SPSS）25 版进行分析。结果：研究组和对照组接受评估的患者人数分别为 136 人。在年龄（岁）方面，研究组与对照组的虚弱状态存在显著差异（虚弱：75.06±7.92 vs. 非虚弱：71.60±5.56；PC 结论：研究结果表明，虚弱状态与非虚弱状态存在显著差异：研究结果表明，在体弱和肌肉疏松症方面，墨西哥老年人的 GMRF 和 GMVI 存在显著差异。因此，本调查为在老年人群中使用超声波评估奠定了临床基础。

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引用次数: 0

Application of “Point-Of-Care-Ultrasound” (POCUS) in an Acute-Geriatrics-Unit: Case report 在急诊老年病科应用 "护理点超声波"（POCUS）：病例报告

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-09-01 DOI: 10.1016/j.regg.2024.101516

Myriam Teresa Aponte , Juan Ignacio González-Montalvo , Concepción Murillo Gayo , Paola Pastora Reinoso Párraga

引用次数: 0

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