Pub Date : 2023-12-31DOI: 10.23937/2469-5858/1510152
do Nascimento Stephany Beatriz, dos Santos Roana Carolina Bezerra, Santos Letícia Sabino, Mendes Taynara de Sousa Rego, da Costa Pereira Jarson Pedro, de Lemos Maria Conceição Chaves, Pinho Cláudia Porto Sabino
Purpose. To evaluate the prevalence of Normal Weight Obesity (NWO) and Normal Weight Central Obesity (NWCO) and its associated factors in hospitalized older adults. Methods. This is a cross-sectional study involving older patients at a University Hospital in Northeastern of Brazil. The NWO was determined by the coexistence of normal BMI (18.5 – 25kg/m 2 ) and high fat percentage (>33.5% for men and >42.8% for women). The NWCO was determined by the coexistence of normal BMI and a very increased waist circumference (> 102cm for men and > 88cm for women). Demographic data, clinical, geriatric, behavior and nutritional aspects were also collected. Results. The prevalence of NWO was 8% and NWCO was 7.4%. NWO was associated to weight loss (p=0.006), calf circumference (p<0.001), low muscle mass (p<0.001) and sarcopenia (p<0.001). The frequency of NWCO was higher in women (p<0.001), also in those who presented weight loss (p=0.04), in patients with lower calf circumference (p<0.001), low muscle mass (p<0.001), low muscle strength (p=0,018), in sarcopenic (p<0.001), in fragile (p=0.049) and those with functional dependency (p=0,004). Conclusion. The risk factors associated with NWO were weight loss >5%, low muscle mass and sarcopenia. The risk factors to NWCO were sex (women), weight loss > 5%, functional dependency, low muscle mass, low muscle strength, sarcopenia and frailty.
{"title":"Normal Weight Obesity and Normal Weight Central Obesity is Associated with Geriatric Syndromes in Hospitalized Older Adults","authors":"do Nascimento Stephany Beatriz, dos Santos Roana Carolina Bezerra, Santos Letícia Sabino, Mendes Taynara de Sousa Rego, da Costa Pereira Jarson Pedro, de Lemos Maria Conceição Chaves, Pinho Cláudia Porto Sabino","doi":"10.23937/2469-5858/1510152","DOIUrl":"https://doi.org/10.23937/2469-5858/1510152","url":null,"abstract":"Purpose. To evaluate the prevalence of Normal Weight Obesity (NWO) and Normal Weight Central Obesity (NWCO) and its associated factors in hospitalized older adults. Methods. This is a cross-sectional study involving older patients at a University Hospital in Northeastern of Brazil. The NWO was determined by the coexistence of normal BMI (18.5 – 25kg/m 2 ) and high fat percentage (>33.5% for men and >42.8% for women). The NWCO was determined by the coexistence of normal BMI and a very increased waist circumference (> 102cm for men and > 88cm for women). Demographic data, clinical, geriatric, behavior and nutritional aspects were also collected. Results. The prevalence of NWO was 8% and NWCO was 7.4%. NWO was associated to weight loss (p=0.006), calf circumference (p<0.001), low muscle mass (p<0.001) and sarcopenia (p<0.001). The frequency of NWCO was higher in women (p<0.001), also in those who presented weight loss (p=0.04), in patients with lower calf circumference (p<0.001), low muscle mass (p<0.001), low muscle strength (p=0,018), in sarcopenic (p<0.001), in fragile (p=0.049) and those with functional dependency (p=0,004). Conclusion. The risk factors associated with NWO were weight loss >5%, low muscle mass and sarcopenia. The risk factors to NWCO were sex (women), weight loss > 5%, functional dependency, low muscle mass, low muscle strength, sarcopenia and frailty.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" 828","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139136709","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}
Pub Date : 2023-03-31DOI: 10.23937/2469-5858/1510142
Fabiola Ávila-Fernández Katia, Teresa Álvarez-Cisneros, Lilia Ruelas-Villavicencio Ana
{"title":"Bullous Pemphigoid in Older Adults Treated with DPP4i: A Case Series","authors":"Fabiola Ávila-Fernández Katia, Teresa Álvarez-Cisneros, Lilia Ruelas-Villavicencio Ana","doi":"10.23937/2469-5858/1510142","DOIUrl":"https://doi.org/10.23937/2469-5858/1510142","url":null,"abstract":"","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44603784","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}
{"title":"Geriatric Medicine and the Challenges of Transition of Care in the Rural Health Sector","authors":"Arvindselvan Mohanaselvan","doi":"10.30564/jgm.v5i1.5502","DOIUrl":"https://doi.org/10.30564/jgm.v5i1.5502","url":null,"abstract":"","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85055381","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}
What methods would you choose apart from purified protein derivative (PPD) skin test and culture for acid-fasting bacilli (AFB) to make a clinical diagnosis of pulmonary tuberculosis (TB) in an aged patient with possible TB? These are two cases of pulmonary TB, that occurred with persistent low-grade fever, fatigue and anorexia due to a mild toxemia of tuberculosis. A final diagnosis of pulmonary tuberculosis was established on the basis of mild toxemia(low-grade fever), debilitation and characteristic pulmonary CT imaging, free of PPD and interferon-gamma release assay (T-spot). The authors realized that the dosage of anti-tuberculosis drugs should be carefully controlled and the improvement of their overall nutritional status to gain better efficacy is much more needed.
{"title":"An Analysis of Two Aged Patients with Pulmonary Tuberculosis","authors":"Zheng Yao Peng, M. Zhou, M. Ye, Yue Chen","doi":"10.30564/jgm.v5i1.5210","DOIUrl":"https://doi.org/10.30564/jgm.v5i1.5210","url":null,"abstract":"What methods would you choose apart from purified protein derivative (PPD) skin test and culture for acid-fasting bacilli (AFB) to make a clinical diagnosis of pulmonary tuberculosis (TB) in an aged patient with possible TB? These are two cases of pulmonary TB, that occurred with persistent low-grade fever, fatigue and anorexia due to a mild toxemia of tuberculosis. A final diagnosis of pulmonary tuberculosis was established on the basis of mild toxemia(low-grade fever), debilitation and characteristic pulmonary CT imaging, free of PPD and interferon-gamma release assay (T-spot). The authors realized that the dosage of anti-tuberculosis drugs should be carefully controlled and the improvement of their overall nutritional status to gain better efficacy is much more needed.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84638981","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}
It has been reported that an 82-year-old man had complained of “anorexia with wasting away (weight loss of 35 pounds) over the past six months”. The cause was unknown, and his appetite dropped to only liquid milk and soy milk every day. On further examination, his CA-199 (a tumor marker) was in the normal range, but the serum IgM level was found to be 4 times higher than normal, and lymphoplasmacytic cells in his bone marrow were 2 times higher than normal. His myeloid differentiation factor (MYD88) was detected to be positive in gene mutations, confirming a diagnosis of “Waldenström’s macroglobulinemia” (WM) complicated with “Bing-Neel syndrome” (BNS); as a result, the anorexia was attributed to it, and the symptomatic treatment with Traditional Chinese Medicine (TCM) was proposed to improve his condition.
{"title":"A Case of Waldenström’s Macroglobulinemia Complained of Anorexia","authors":"W. Mei, M. Zhou, Zhenyao Peng, Yue-Yu Chen","doi":"10.30564/jgm.v5i1.5307","DOIUrl":"https://doi.org/10.30564/jgm.v5i1.5307","url":null,"abstract":"It has been reported that an 82-year-old man had complained of “anorexia with wasting away (weight loss of 35 pounds) over the past six months”. The cause was unknown, and his appetite dropped to only liquid milk and soy milk every day. On further examination, his CA-199 (a tumor marker) was in the normal range, but the serum IgM level was found to be 4 times higher than normal, and lymphoplasmacytic cells in his bone marrow were 2 times higher than normal. His myeloid differentiation factor (MYD88) was detected to be positive in gene mutations, confirming a diagnosis of “Waldenström’s macroglobulinemia” (WM) complicated with “Bing-Neel syndrome” (BNS); as a result, the anorexia was attributed to it, and the symptomatic treatment with Traditional Chinese Medicine (TCM) was proposed to improve his condition.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83360700","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}
Pub Date : 2023-01-01DOI: 10.23937/2469-5858/1510147
Javanmard Gholam Hossein, Javanmard Shahin
{"title":"A Study of the Effects of Learning and Practicing Motor Skills on Cognitive Abilities and Psychological Well-Being among Older Adults with Mild Cognitive Impairment","authors":"Javanmard Gholam Hossein, Javanmard Shahin","doi":"10.23937/2469-5858/1510147","DOIUrl":"https://doi.org/10.23937/2469-5858/1510147","url":null,"abstract":"","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68751953","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}
{"title":"Geriatrician-Performed Point-of-Care Ultrasound for Detection of Deep Venous Thrombosis in Geriatric Inpatients - A Proof of Concept Study","authors":"Brockhattingen Kristoffer Kittelmann, Kvist Marlene, Delhez Sabine Morris, Barat Siar, Falster Casper","doi":"10.23937/2469-5858/1510144","DOIUrl":"https://doi.org/10.23937/2469-5858/1510144","url":null,"abstract":"","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68751937","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}
Pub Date : 2023-01-01DOI: 10.23937/2469-5858/1510149
Jnani Jack
{"title":"Nephrotic Syndrome and Acute Kidney Injury Presenting in an Older Adult with Uncontrolled Diabetes Mellitus Following Recent COVID-19 Infection Case Report","authors":"Jnani Jack","doi":"10.23937/2469-5858/1510149","DOIUrl":"https://doi.org/10.23937/2469-5858/1510149","url":null,"abstract":"","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":"177 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68752005","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}
Pub Date : 2023-01-01DOI: 10.23937/2469-5858/1510141
Edelen Maria Orlando, Rodriguez Anthony, Qureshi Nabeel, Herman Patricia M, H. Ron D.
{"title":"Evaluation of the Impact Stratification Score in a Sample of Older Adult Patients with Multiple Chronic Conditions","authors":"Edelen Maria Orlando, Rodriguez Anthony, Qureshi Nabeel, Herman Patricia M, H. Ron D.","doi":"10.23937/2469-5858/1510141","DOIUrl":"https://doi.org/10.23937/2469-5858/1510141","url":null,"abstract":"","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68751893","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}
Pub Date : 2023-01-01DOI: 10.23937/2469-5858/1510148
Jay Emma, Srinivasan Meena
{"title":"Small Vessel Cerebrovascular Disease and Covert Cerebral Infarcts","authors":"Jay Emma, Srinivasan Meena","doi":"10.23937/2469-5858/1510148","DOIUrl":"https://doi.org/10.23937/2469-5858/1510148","url":null,"abstract":"","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68751992","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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