E. Santana, R. Silva, Joana Bernardo, Ricardo Loureiro, I. Gil, T. Mestre, L. Reis
Elder abuse is a multifactorial public health issue deeply affected by silence and discrimination. This paper aims to analyze the social representations of violence among older people with functional dependence based on the theory of social representations. A qualitative exploratory–descriptive study was conducted with a sample of 21 older people enrolled in a home-based program in Vitória da Conquista, Bahia, Brazil. A sociodemographic survey and an interview script were used for data collection. The data were analyzed using the content analysis technique and QSR NVivo® software. Concerning the social representations of violence, older people’s narratives revealed a broad perception of the phenomenon through the following categories: multivariate phenomenon, ageism, neglect, and denial. The identification of the subtle forms of violence against older people and the exploration of this issue from the perspective of these vulnerable people can contribute to the production of new knowledge and the creation of mechanisms by which to raise awareness of and prevent this issue, as well as to break the silence surrounding it through reporting.
虐待老人是一个多因素的公共卫生问题，深受沉默和歧视的影响。本文旨在基于社会表征理论分析功能依赖老年人暴力行为的社会表征。在巴西巴伊亚州Vitória da Conquista，对21名参加家庭项目的老年人进行了定性探索性描述性研究。数据收集采用社会人口学调查和访谈脚本。采用含量分析技术和QSR NVivo®软件对数据进行分析。在暴力的社会表征方面，老年人的叙述通过以下类别揭示了对暴力现象的广泛认知:多元现象、年龄歧视、忽视和否认。识别针对老年人的暴力行为的微妙形式，并从这些弱势群体的角度探讨这一问题，有助于产生新的知识，并有助于建立机制，提高对这一问题的认识和预防，并通过报告打破围绕这一问题的沉默。
{"title":"Social Representations of Violence among Brazilian Older People with Functional Dependence","authors":"E. Santana, R. Silva, Joana Bernardo, Ricardo Loureiro, I. Gil, T. Mestre, L. Reis","doi":"10.3390/jal2030019","DOIUrl":"https://doi.org/10.3390/jal2030019","url":null,"abstract":"Elder abuse is a multifactorial public health issue deeply affected by silence and discrimination. This paper aims to analyze the social representations of violence among older people with functional dependence based on the theory of social representations. A qualitative exploratory–descriptive study was conducted with a sample of 21 older people enrolled in a home-based program in Vitória da Conquista, Bahia, Brazil. A sociodemographic survey and an interview script were used for data collection. The data were analyzed using the content analysis technique and QSR NVivo® software. Concerning the social representations of violence, older people’s narratives revealed a broad perception of the phenomenon through the following categories: multivariate phenomenon, ageism, neglect, and denial. The identification of the subtle forms of violence against older people and the exploration of this issue from the perspective of these vulnerable people can contribute to the production of new knowledge and the creation of mechanisms by which to raise awareness of and prevent this issue, as well as to break the silence surrounding it through reporting.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44314577","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}
A key neuro-cognitive function that promotes autonomy and everyday functioning in old age is prospective memory (PM), defined as the capacity to remember to carry out intentions in the future. This study aimed at understanding if non-cognitive factors of metacognition and motivation are related to event-based and time-based laboratory PM, as well as to naturalistic PM in older adults, above and beyond the influences of neuropsychological determinants. We applied regression analyses predicting individual differences in classical PM tasks, in a sample of 99 healthy older participants (aged 64–88 years). Results indicated that metacognition, measured as memory self-efficacy and perceived competence in cognitive tasks, was related to laboratory time-based PM. Consistency of interests, a motivational factor, was associated with naturalistic PM. None of the non-cognitive factors related to event-based PM. Our study underlines the importance of considering non-cognitive characteristics when evaluating PM capacity, a key component of cognitive aging.
{"title":"The Role of Non-Cognitive Factors in Prospective Memory in Older Adults","authors":"Emmanuelle Grob, P. Ghisletta, M. Kliegel","doi":"10.3390/jal2030018","DOIUrl":"https://doi.org/10.3390/jal2030018","url":null,"abstract":"A key neuro-cognitive function that promotes autonomy and everyday functioning in old age is prospective memory (PM), defined as the capacity to remember to carry out intentions in the future. This study aimed at understanding if non-cognitive factors of metacognition and motivation are related to event-based and time-based laboratory PM, as well as to naturalistic PM in older adults, above and beyond the influences of neuropsychological determinants. We applied regression analyses predicting individual differences in classical PM tasks, in a sample of 99 healthy older participants (aged 64–88 years). Results indicated that metacognition, measured as memory self-efficacy and perceived competence in cognitive tasks, was related to laboratory time-based PM. Consistency of interests, a motivational factor, was associated with naturalistic PM. None of the non-cognitive factors related to event-based PM. Our study underlines the importance of considering non-cognitive characteristics when evaluating PM capacity, a key component of cognitive aging.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42878118","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}
The problems of social isolation and loneliness in older adults have been widely researched but there are still issues regarding their conceptualizations and use in academic research. The terms social isolation and loneliness have often been used interchangeably in research, but evidence suggests they are not the same and sometimes have different implications for health outcomes in older adults. This paper attempts to highlight why proper conceptualization of these terms in research is important.
{"title":"Social Isolation and Loneliness in Older Adults: Why Proper Conceptualization Matters","authors":"S. Asante, Georgina Tuffour","doi":"10.3390/jal2030017","DOIUrl":"https://doi.org/10.3390/jal2030017","url":null,"abstract":"The problems of social isolation and loneliness in older adults have been widely researched but there are still issues regarding their conceptualizations and use in academic research. The terms social isolation and loneliness have often been used interchangeably in research, but evidence suggests they are not the same and sometimes have different implications for health outcomes in older adults. This paper attempts to highlight why proper conceptualization of these terms in research is important.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41466120","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}
Gintarė Vaitkienė, Z. Kuzborska, Milda Žukauskienė
Currently, more than half of the adults worldwide have at least one chronic condition; however, poor medication adherence and self-management are observed. Tools, such as mHealth apps, may play a crucial role for millions of people in increasing the patients’ involvement in the treatment process. The purpose of this study is to evaluate the characteristics and quality of the existing mHealth apps for patients with various chronic conditions. The study was conducted from February 1 to March 31, 2022. The mHealth applications’ search was performed on the iOS platform, and 29 apps were included in the final analysis. The quality of apps was evaluated using Mobile App Rating Scale. The majority of the apps had symptom and medication tracking functionality. The mean score of apps’ overall quality was 3.45 (SD = 0.61) out of five, ranging from 2.04 to 4.50. The highest-rated category was the functionality of the app—3.75 (0.61); followed by aesthetics—3.67 (0.62); subjective quality—3.47 (0.88); engagement—3.33 (0.78); and information—3.04 (0.61). The study revealed that only a few high-quality apps for chronic condition management exist, and there is still some space for improvements.
{"title":"Digital Health Solutions for Chronic Illnesses: A Systematic Review of Mobile Health Apps and Quality Analysis with Mobile App Rating Scale","authors":"Gintarė Vaitkienė, Z. Kuzborska, Milda Žukauskienė","doi":"10.3390/jal2030016","DOIUrl":"https://doi.org/10.3390/jal2030016","url":null,"abstract":"Currently, more than half of the adults worldwide have at least one chronic condition; however, poor medication adherence and self-management are observed. Tools, such as mHealth apps, may play a crucial role for millions of people in increasing the patients’ involvement in the treatment process. The purpose of this study is to evaluate the characteristics and quality of the existing mHealth apps for patients with various chronic conditions. The study was conducted from February 1 to March 31, 2022. The mHealth applications’ search was performed on the iOS platform, and 29 apps were included in the final analysis. The quality of apps was evaluated using Mobile App Rating Scale. The majority of the apps had symptom and medication tracking functionality. The mean score of apps’ overall quality was 3.45 (SD = 0.61) out of five, ranging from 2.04 to 4.50. The highest-rated category was the functionality of the app—3.75 (0.61); followed by aesthetics—3.67 (0.62); subjective quality—3.47 (0.88); engagement—3.33 (0.78); and information—3.04 (0.61). The study revealed that only a few high-quality apps for chronic condition management exist, and there is still some space for improvements.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43823448","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}
This descriptive overview responds to a rising tide of reviews and RCTs which encourage evidence-based interventions from the first moments of life and across the life course that could increase the Flynn effect and improve global statistics on neurocognitive functioning with a healthspan that approximates longer lifespans. We need to learn more from our centenarians who achieve Healthy Ageing. Evolving neuroscience empowers us to drive neuroplasticity in a positive direction in ways that are associated with enhancing neurocognitive functioning across the entire lifespan for vigorous longevity. Music and Dance could meet these urgent needs in ways that also have physical, emotional, neurobiological, neurochemical, immunological, and social health benefits. Interventions using Music and Dance are likely to have high initial and ongoing use because people are more inclined to do what is fun, easy, free (or low cost), portable, and culturally adaptable.
{"title":"Enhancing Neuroplasticity Is Urgent: Music and Dance for the UN/WHO Decade of Action for Healthy Ageing for All","authors":"J. Shaffer","doi":"10.3390/jal2030015","DOIUrl":"https://doi.org/10.3390/jal2030015","url":null,"abstract":"This descriptive overview responds to a rising tide of reviews and RCTs which encourage evidence-based interventions from the first moments of life and across the life course that could increase the Flynn effect and improve global statistics on neurocognitive functioning with a healthspan that approximates longer lifespans. We need to learn more from our centenarians who achieve Healthy Ageing. Evolving neuroscience empowers us to drive neuroplasticity in a positive direction in ways that are associated with enhancing neurocognitive functioning across the entire lifespan for vigorous longevity. Music and Dance could meet these urgent needs in ways that also have physical, emotional, neurobiological, neurochemical, immunological, and social health benefits. Interventions using Music and Dance are likely to have high initial and ongoing use because people are more inclined to do what is fun, easy, free (or low cost), portable, and culturally adaptable.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47598303","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}
The current paper uses comparable data to present an overview of home-based long-term care (LTC) for persons over 65 years of age in Europe. It aims to provide new insights to aid discussions on LTC policy convergence in three areas: the need for services, the extent to which these needs are met and the means employed to do so. It uses data from wave 6 (2015) of the Survey of Health, Ageing and Retirement in Europe (SHARE). Four summary indicators are charted: (i) the care need: how many people need care; (ii) the care gap: the extent to which stated needs remain unmet; (iii) the care mix: how overall provision is divided into formal, informal or a mix of both; and (iv) care satisfaction based on stated preferences by recipients. Heterogeneity at individual level is explained by probit analyses, examining how individual factors (age, severity of need, gender, social networks, prosperity and others) combine with country group and country effects. Scatter plots are used to relate differences among countries to systemic variables, such as public expenditures. The key conclusions are that: (i) Once needs are defined in comparable terms, there remains a surprisingly large number of people across Europe whose needs are not addressed at all, what we call the care gap, especially among the younger group aged 65–80; this is evident everywhere and is not limited to any one type of system or group of countries; (ii) formal and informal care are both significant for the stability of an LTC provision system and for the well-being of care recipients; and (iii) recipients of care are especially sceptical about formal care, as they reward principally informal carers with whom they have personal relationships. The overwhelming finding is that the heterogeneity defies easy generalisations, whether these relate to individual characteristics or systemic effects. This (unexplained) heterogeneity is a challenge for researchers to explain, but it could also represent an untapped resource for policymakers to exploit.
{"title":"Heterogeneity in Long-Term Care for Older Adults in Europe: Between Individual and Systemic Effects","authors":"P. Tinios, Zafiris Valvis, Thomas Georgiadis","doi":"10.3390/jal2020014","DOIUrl":"https://doi.org/10.3390/jal2020014","url":null,"abstract":"The current paper uses comparable data to present an overview of home-based long-term care (LTC) for persons over 65 years of age in Europe. It aims to provide new insights to aid discussions on LTC policy convergence in three areas: the need for services, the extent to which these needs are met and the means employed to do so. It uses data from wave 6 (2015) of the Survey of Health, Ageing and Retirement in Europe (SHARE). Four summary indicators are charted: (i) the care need: how many people need care; (ii) the care gap: the extent to which stated needs remain unmet; (iii) the care mix: how overall provision is divided into formal, informal or a mix of both; and (iv) care satisfaction based on stated preferences by recipients. Heterogeneity at individual level is explained by probit analyses, examining how individual factors (age, severity of need, gender, social networks, prosperity and others) combine with country group and country effects. Scatter plots are used to relate differences among countries to systemic variables, such as public expenditures. The key conclusions are that: (i) Once needs are defined in comparable terms, there remains a surprisingly large number of people across Europe whose needs are not addressed at all, what we call the care gap, especially among the younger group aged 65–80; this is evident everywhere and is not limited to any one type of system or group of countries; (ii) formal and informal care are both significant for the stability of an LTC provision system and for the well-being of care recipients; and (iii) recipients of care are especially sceptical about formal care, as they reward principally informal carers with whom they have personal relationships. The overwhelming finding is that the heterogeneity defies easy generalisations, whether these relate to individual characteristics or systemic effects. This (unexplained) heterogeneity is a challenge for researchers to explain, but it could also represent an untapped resource for policymakers to exploit.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48880022","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}
Gordana Dermody, Jenna Mikus, D. Porock, Dov Sugarman, N. Janjua, Christopher How, Roschelle Fritz
Most older adults desire to be as independent as possible and remain living in their ancestral home as they age. Aging-in-place maximizes the independence of older adults, enhancing their wellbeing and quality of life while decreasing the financial burden of residential care costs. However, due to chronic disease, multimorbidity, and age-related changes, appropriate conditions are required to make aging-in-place possible. Remote monitoring with smart home technologies could provide the infrastructure that enables older adults to remain living independently in their own homes safely. The health-assistive smart home shows great promise, but there are challenges to integrating smart homes on a larger scale. The purpose of this discussion paper is to propose a Design Thinking (DT) process to improve the possibility of integrating a smart home for health monitoring more widely and making it more accessible to all older adults wishing to continue living independently in their ancestral homes. From a nursing perspective, we discuss the necessary stakeholder groups and describe how these stakeholders should engage to accelerate the integration of health smart homes into real-world settings.
{"title":"Perspectives on Wider Integration of the Health-Assistive Smart Home","authors":"Gordana Dermody, Jenna Mikus, D. Porock, Dov Sugarman, N. Janjua, Christopher How, Roschelle Fritz","doi":"10.3390/jal2020013","DOIUrl":"https://doi.org/10.3390/jal2020013","url":null,"abstract":"Most older adults desire to be as independent as possible and remain living in their ancestral home as they age. Aging-in-place maximizes the independence of older adults, enhancing their wellbeing and quality of life while decreasing the financial burden of residential care costs. However, due to chronic disease, multimorbidity, and age-related changes, appropriate conditions are required to make aging-in-place possible. Remote monitoring with smart home technologies could provide the infrastructure that enables older adults to remain living independently in their own homes safely. The health-assistive smart home shows great promise, but there are challenges to integrating smart homes on a larger scale. The purpose of this discussion paper is to propose a Design Thinking (DT) process to improve the possibility of integrating a smart home for health monitoring more widely and making it more accessible to all older adults wishing to continue living independently in their ancestral homes. From a nursing perspective, we discuss the necessary stakeholder groups and describe how these stakeholders should engage to accelerate the integration of health smart homes into real-world settings.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44171747","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}
Rachel M. Creighton, Kyle F. Paradis, N. Blackburn, M. Tully
In previous research, older adults reported they preferred enjoyable exercise programmes. The aim of this systematic review is to identify the components of enjoyable group-based physical activity interventions for older adults. Eleven electronic databases were searched in May 2021. Inclusion criteria were: Community-dwelling, ≥60 years of age, group-based physical activity, controlled intervention studies, designed to promote enjoyment, and included a measure of enjoyment or physical activity. Characteristics of the studies, intervention content, and enjoyment outcomes were extracted. Six studies, involving 1205 participants (Mean = 72.9 years old, 71.3% female, 67% European countries) were included. While enjoyment outcomes (n = 3) appeared to improve, there was wide heterogeneity in measurement tools, making it difficult to compare studies. Enjoyable group-based physical activity for older adults may consist of a supportive instructor and peers, creating a shared positive experience. Components included confidence building through competence, and courage experienced in the company of others. Within a physically supportive environment, older adults have the potential to generate social support to enjoy being physically active together. Future studies should include measures of enjoyment and device-based physical activity. Furthermore, a standardised definition of enjoyable physical activity for older adults is needed to inform the design of future interventions.
{"title":"Group-Based Physical Activity Interventions Targeting Enjoyment in Older Adults: A Systematic Review","authors":"Rachel M. Creighton, Kyle F. Paradis, N. Blackburn, M. Tully","doi":"10.3390/jal2020011","DOIUrl":"https://doi.org/10.3390/jal2020011","url":null,"abstract":"In previous research, older adults reported they preferred enjoyable exercise programmes. The aim of this systematic review is to identify the components of enjoyable group-based physical activity interventions for older adults. Eleven electronic databases were searched in May 2021. Inclusion criteria were: Community-dwelling, ≥60 years of age, group-based physical activity, controlled intervention studies, designed to promote enjoyment, and included a measure of enjoyment or physical activity. Characteristics of the studies, intervention content, and enjoyment outcomes were extracted. Six studies, involving 1205 participants (Mean = 72.9 years old, 71.3% female, 67% European countries) were included. While enjoyment outcomes (n = 3) appeared to improve, there was wide heterogeneity in measurement tools, making it difficult to compare studies. Enjoyable group-based physical activity for older adults may consist of a supportive instructor and peers, creating a shared positive experience. Components included confidence building through competence, and courage experienced in the company of others. Within a physically supportive environment, older adults have the potential to generate social support to enjoy being physically active together. Future studies should include measures of enjoyment and device-based physical activity. Furthermore, a standardised definition of enjoyable physical activity for older adults is needed to inform the design of future interventions.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49146089","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}
Mohammad Meshbahur Rahman, Zaki Farhana, T. Chowdhury, Md. Taj Uddin, Md. Ziaul Islam, M. Hamiduzzaman
People aged 50 years and over often show nutritional vulnerability in South Asia, including Bangladesh. Consequently, they present physical weakness and illness that escalate overtime. Community-focused investigations have the potential to inform healthcare interventions in Bangladesh, but current studies examine older adults’ nutrition status which are not all-encompassing (e.g., wetland communities). We, therefore, assessed the malnutrition status among wetland community-dwelling older adults aged ≥50 years in Bangladesh. A cross-sectional survey was conducted with 400 older adults living in the north-eastern wetland community of the country through simple random sampling. Demographics and general health information were collected using a structured questionnaire, and the Nestlé Mini Nutrition Assessment—Short Form was used to assess nutrition status. Respondents’ socio-demographic and health profiles were assessed, and the Pearson Chi-square test was performed to identify the associated risk factors of malnutrition. The prevalence of malnutrition and risk of malnutrition were 59.75 and 39.75 percent, respectively. The malnutrition prevalence rate was higher with increasing of age and females were more malnourished than males. Age, gender, educational status, occupation, and income were significantly associated with the participants’ malnutrition. The wetland community-dwelling people suffering from sleep disorders and having poor health condition, were found to be more malnourished. The findings confirm that the prevalence of malnutrition and risk of malnutrition are high among the wetland community-dwelling people aged ≥50 years. Our findings suggest health professionals to implement public health nutrition surveillance and clinical interventions simultaneously in wetland elderly to improve nutritional status of this cohort.
{"title":"High Nutritional Vulnerability and Associated Risk Factors of Bangladeshi Wetland Community People Aged 50 Years and Older","authors":"Mohammad Meshbahur Rahman, Zaki Farhana, T. Chowdhury, Md. Taj Uddin, Md. Ziaul Islam, M. Hamiduzzaman","doi":"10.3390/jal2020010","DOIUrl":"https://doi.org/10.3390/jal2020010","url":null,"abstract":"People aged 50 years and over often show nutritional vulnerability in South Asia, including Bangladesh. Consequently, they present physical weakness and illness that escalate overtime. Community-focused investigations have the potential to inform healthcare interventions in Bangladesh, but current studies examine older adults’ nutrition status which are not all-encompassing (e.g., wetland communities). We, therefore, assessed the malnutrition status among wetland community-dwelling older adults aged ≥50 years in Bangladesh. A cross-sectional survey was conducted with 400 older adults living in the north-eastern wetland community of the country through simple random sampling. Demographics and general health information were collected using a structured questionnaire, and the Nestlé Mini Nutrition Assessment—Short Form was used to assess nutrition status. Respondents’ socio-demographic and health profiles were assessed, and the Pearson Chi-square test was performed to identify the associated risk factors of malnutrition. The prevalence of malnutrition and risk of malnutrition were 59.75 and 39.75 percent, respectively. The malnutrition prevalence rate was higher with increasing of age and females were more malnourished than males. Age, gender, educational status, occupation, and income were significantly associated with the participants’ malnutrition. The wetland community-dwelling people suffering from sleep disorders and having poor health condition, were found to be more malnourished. The findings confirm that the prevalence of malnutrition and risk of malnutrition are high among the wetland community-dwelling people aged ≥50 years. Our findings suggest health professionals to implement public health nutrition surveillance and clinical interventions simultaneously in wetland elderly to improve nutritional status of this cohort.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44963878","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}
Objectives: Recently, the SARC-F (Strength, Assistance for walking, Rise from a chair, Climb stairs, and Falls) questionnaire was developed to screen for the risk of sarcopenia in older patients. However, no study has investigated whether SARC-F is linked to food intake. This study aimed to evaluate the relationship between SARC-F and food intake in older hospitalized unselected cancer patients. Methods: A cross-sectional study included 53 older hospitalized unselected cancer patients. The SARC-F score was used to identify muscle function loss (SARC-F ≥ 4) or sarcopenia risk [SARC-F + calf circumference (CC) ≥ 11]. Pearson’s correlation was used to assess the relationship between SARC-F and food intake. Results: We found that 51% of patients presented with SARC-F ≥ 4 and 56.6% with SARC-F + CC ≥ 11. Although these patients had a lower calorie intake (22.4 ± 11.9 kcal/kg/day), they had an adequate distribution of macronutrients. We found a negative correlation between the SARC-F score and the calorie and macronutrient intake. However, SARC-F + CC was not correlated with calories and carbohydrates, only with lipid and protein intake. Conclusions: Approximately half of unselected cancer patients presented with muscle function loss (SARC-F ≥ 4) or sarcopenia risk (SARC-F + CC ≥ 11). In addition, we showed an inverse weak correlation between SARC-F and food intake, but not between SARC-F + CC and calories and carbohydrates, suggesting that the SARC-F questionnaire may be used with caution to screen for muscle function loss and correlation with food consumption.
{"title":"Correlation between Sarcopenia Risk and Food Intake in Older Hospitalized Unselected Cancer Patients","authors":"G. Pimentel, T. C. Borges, T. L. Gomes","doi":"10.3390/jal2020009","DOIUrl":"https://doi.org/10.3390/jal2020009","url":null,"abstract":"Objectives: Recently, the SARC-F (Strength, Assistance for walking, Rise from a chair, Climb stairs, and Falls) questionnaire was developed to screen for the risk of sarcopenia in older patients. However, no study has investigated whether SARC-F is linked to food intake. This study aimed to evaluate the relationship between SARC-F and food intake in older hospitalized unselected cancer patients. Methods: A cross-sectional study included 53 older hospitalized unselected cancer patients. The SARC-F score was used to identify muscle function loss (SARC-F ≥ 4) or sarcopenia risk [SARC-F + calf circumference (CC) ≥ 11]. Pearson’s correlation was used to assess the relationship between SARC-F and food intake. Results: We found that 51% of patients presented with SARC-F ≥ 4 and 56.6% with SARC-F + CC ≥ 11. Although these patients had a lower calorie intake (22.4 ± 11.9 kcal/kg/day), they had an adequate distribution of macronutrients. We found a negative correlation between the SARC-F score and the calorie and macronutrient intake. However, SARC-F + CC was not correlated with calories and carbohydrates, only with lipid and protein intake. Conclusions: Approximately half of unselected cancer patients presented with muscle function loss (SARC-F ≥ 4) or sarcopenia risk (SARC-F + CC ≥ 11). In addition, we showed an inverse weak correlation between SARC-F and food intake, but not between SARC-F + CC and calories and carbohydrates, suggesting that the SARC-F questionnaire may be used with caution to screen for muscle function loss and correlation with food consumption.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45624940","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}
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