MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Archives of Gerontology and Geriatrics' source. Wed, 08 Feb 2012 16:54:21 +0100 http://www.medworm.com/index.php?rid=5348921&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431100286X%2Fabstract%3Frss%3Dyes (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348921 Wed, 26 Oct 2011 21:13:10 +0100 5348921 http://www.medworm.com/index.php?rid=5348923&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311002809%2Fabstract%3Frss%3Dyes It is with great pleasure and excitement that I take over the Editorship of Archives of Gerontology and Geriatrics from Professor Zs.-Nagy its founding Editor and who, heroically, has been at the helm for nearly thirty years, a truly gargantuan effort. The last thirty years have seen momentous changes in the fields of gerontology and geriatrics; in particular, the emergence of high quality research from countries where population aging is happening on a massive scale. In this issue there are papers from countries long represented in this area, Canada, Finland, France, Israel, Italy, Japan, Poland, Spain, Sweden and the United States, but also studies from newer research groups in Antigua and Barbuda, Brazil, China, Greece, Korea, Malaysia, Slovenia, Taiwan, and Turkey. This total of ninete... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348923 Thu, 20 Oct 2011 04:00:00 +0100 5348923 http://www.medworm.com/index.php?rid=5348922&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311002652%2Fabstract%3Frss%3Dyes (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348922 Mon, 19 Sep 2011 04:00:00 +0100 5348922 http://www.medworm.com/index.php?rid=5132918&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431100241X%2Fabstract%3Frss%3Dyes (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132918 Tue, 16 Aug 2011 23:16:12 +0100 5132918 http://www.medworm.com/index.php?rid=5348925&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311001300%2Fabstract%3Frss%3Dyes Abstract: Frailty is associated with a pro-inflammatory state, which has been characterized by elevated levels of systemic inflammatory biomarkers, but has not been related to the number of co-existing chronic diseases associated with inflammation. We sought to determine the extent to which a higher number of inflammatory-related diseases is associated with frailty and to identify the most common disease patterns associated with being frail in older adults. We performed binomial regression analyses to assess whether a higher count of inflammatory-related diseases increases the probability of frailty using data from the WHAS I and II, companion cohorts composed of 70–79-year-old community-dwelling older women in Baltimore, Maryland (n=620). An increase of one inflammatory-related disease ... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348925 Fri, 15 Jul 2011 04:00:00 +0100 5348925 http://www.medworm.com/index.php?rid=5021670&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431100197X%2Fabstract%3Frss%3Dyes (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021670 Wed, 13 Jul 2011 17:35:44 +0100 5021670 http://www.medworm.com/index.php?rid=5021728&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431100118X%2Fabstract%3Frss%3Dyes Abstract: Introduction: OA is a multifactorial condition, which predisposes elderly individuals to disabilities. Therefore, aging, especially in women, is considered to be a risk factor for the development and progression of this disease. The aging process and the presence of degenerative diseases lead to losses of strength and proprioceptive acuity. However, studies have reported conflicting results regarding the relationships between these variables. Moreover, it is unclear whether age remains an aggravating factor of these variables in individuals with knee OA. Objectives: To analyze the relationships between measures of muscular performance, proprioceptive acuity, and age in community-dwelling elderly women with knee OA. Methods: This cross-sectional study involved 35 elderly women age... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021728 Wed, 15 Jun 2011 23:00:00 +0100 5021728 http://www.medworm.com/index.php?rid=5021727&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311001178%2Fabstract%3Frss%3Dyes Abstract: The aim of this study is to determine the differences between hip fracture and hip arthrosis groups and to assess pain related fear of injury in patients who were operated using the TPP following hip fracture or hip arthrosis. Fifty-eight patients (mean age=63.9±10.3 years) who were operated using the TPP, following hip fracture (hip fracture group; n=25) or coxarthrosis (coxarthrosis group; n=33) were recruited. All of the measurements were performed after a follow-up time of at least 2 years. Functional level by Harris Hip Scoring System (HHS), pain related fear by Tampa Scale for Kinesiophobia (TSK) and pain intensity by numerical rating scale (NRS) was evaluated. There were no significant differences between demographic and clinical characteristics of two groups. However, pa... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021727 Wed, 15 Jun 2011 23:00:00 +0100 5021727 http://www.medworm.com/index.php?rid=4914585&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311001373%2Fabstract%3Frss%3Dyes (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914585 Fri, 10 Jun 2011 16:53:35 +0100 4914585 http://www.medworm.com/index.php?rid=5021726&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311001051%2Fabstract%3Frss%3Dyes Abstract: Aging is a well-known risk factor associated with oral diseases. The aim of this cross-sectional study was to compare tooth loss and periodontal health between the relatively young elderly (65–74 years) and the old elderly (≥75 years) and to investigate the strength of the age effect on oral health status in the Korean elderly. Study population 65 years of age or older were selected from the participants of the (n=1193). Oral examination was conducted by eight dentists trained in the World Health Organization (WHO) recommended examination procedure. The chi-square test, multiple regression analyses and multinomial logistic regression analyses were performed using SAS 9.1.3. The oral health status including decayed, missing, and filled teeth (DMFT), missing teeth, and residual... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021726 Sun, 05 Jun 2011 23:00:00 +0100 5021726 http://www.medworm.com/index.php?rid=5348949&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311001117%2Fabstract%3Frss%3Dyes Abstract: Studies on the prevalence of symptoms in the general population and its’ relation to LS in the oldest-old are to our knowledge non-existent. The aim of this study was to describe the frequency and experienced severity of elderly subjects’ reported symptoms and how symptoms are related to LS. The study population consisted of 681 individuals aged 78–93 years, drawn from the longitudinal population study, GÅS, part of a national survey (SNAC). Scores on the life satisfaction index were related to scores on a modified version of the Göteborg Quality of Life (GQoL) instrument, covering 32 common symptoms. Musculo-skeletal symptoms like pain were reported by 74%, 80% had depressive symptoms and 68% general fatigue. Less than 6% of men and women reported no metabolic symptoms o... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348949 Wed, 01 Jun 2011 04:00:00 +0100 5348949 http://www.medworm.com/index.php?rid=5348937&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311001038%2Fabstract%3Frss%3Dyes Abstract: BMI is commonly used indicator of malnutrition and 18.5–24.9kg/m2 is generally regarded optimal. However, there is an ongoing debate on ideal range for elderly. BMI cut-off values vary also between ethnic groups. We aimed to investigate relationships between BMI, functional status and malnutrition in elderly living in a nursing home in Turkey. BMIs of 254 residents were calculated. Chronic diseases and currently used drugs were noted. Functional status was evaluated with Katz-activities-of-daily-living (ADL) and Lawton-instrumental-activities-of-daily-living (IADL). Nutritional assessment was performed by Mini-Nutritional-Assessment (MNA) test. Mean age was 75.2±8.2 years. Subjects were classified into 4 groups as BMI (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348937 Tue, 31 May 2011 04:00:00 +0100 5348937 http://www.medworm.com/index.php?rid=5348950&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311001063%2Fabstract%3Frss%3Dyes This study utilizes both survey questionnaires and semi-structured focus group methods to investigate the feelings of loneliness among U.S. Chinese older adults. Based on interviews with 78 community-dwelling Chinese older adults in Chicago Chinatown, this community-based participatory research study (CBPR) shows loneliness is common among U.S. Chinese older adults. It was frequently identified through emotional isolation and social isolation. Social, psychological and physical health factors could contribute to the experience of loneliness. In addition, the health of older adults with loneliness may be associated with worsening overall health, elder mistreatment, health behavior changes and increased healthcare utilizations. This study has implications for healthcare professionals, social... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348950 Mon, 30 May 2011 04:00:00 +0100 5348950 http://www.medworm.com/index.php?rid=5348924&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431100104X%2Fabstract%3Frss%3Dyes Abstract: Differences in frailty between rural and urban older adults have been demonstrated in developed countries. It is not understood how the apparently greater differences in living conditions between different types of regions in China may affect health and outcomes of older Chinese adults. Here, a frailty index (FI) based on the accumulation of health deficits was used to investigate health and survival differences in older Chinese men and women. We studied rural (n=1121) and urban (n=2136) older adults (55–97 years old) in the Beijing Longitudinal Study of Aging (BLSA), of whom 48.9% (rural) and 35.4% (urban) died over 8 years of follow-up. The FI was generated from 35 self-reported health deficits. The mean FI increased exponentially with age (r2=0.87) and was higher in women th... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348924 Mon, 30 May 2011 04:00:00 +0100 5348924 http://www.medworm.com/index.php?rid=5348936&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000926%2Fabstract%3Frss%3Dyes Abstract: The elderly show a loss of both the intellectual functions and of motion ability. This happens also without particular pathologies; possible tests to highlight this loss are the Mini Mental State Examination (MMSE), and the Functional Reach (FR)-test. During 2004–2005 winter 50 healthy subjects were analyzed; the subjects were divided into three age-groups: from 55 to 64 years; from 65 to 74 years; over 75 years of age. The test results showed a significant decline of MMSE and FR from the first group to the other two groups, a same behavior of male and female subjects, a greater decline of physical characteristics compared to psychic characteristics. During 2008–2009 winter several subjects (34 of 50) were again analyzed, and a more accurate facility was used to measure the F... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348936 Wed, 25 May 2011 04:00:00 +0100 5348936 http://www.medworm.com/index.php?rid=5348956&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000860%2Fabstract%3Frss%3Dyes In this study, we investigated whether brain regions including the entorhinal cortex would show early involvement of neurochemical abnormalities in aMCI, and whether magnetic resonance spectroscopy (MRS) abnormalities might be a predictive marker of conversion of aMCI to Alzheimer's disease (AD). MRS was performed on 13 aMCI patients and 11 patients with no cognitive impairment (NCI). Localizing voxels were placed within the entorhinal cortex, hippocampus, posterior cingulate gyrus, and occipital white matter in the dominant hemisphere. N-acetyl aspartate/creatinine (NAA/Cr) ratios in the entorhinal cortex were significantly lower in aMCI patients than in NCI subjects. After a three-year follow-up, seven aMCI patients converted to AD and six remained stable. Baseline NAA/Cr ratios of entor... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348956 Wed, 18 May 2011 04:00:00 +0100 5348956 http://www.medworm.com/index.php?rid=5348928&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000987%2Fabstract%3Frss%3Dyes In conclusion, not only poor muscle strength in handgrip or leg extension, but also nonparticipation in walking test or leg-stepping test were independent predictors of total mortality in a very elderly population. (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348928 Wed, 18 May 2011 04:00:00 +0100 5348928 http://www.medworm.com/index.php?rid=5348958&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000847%2Fabstract%3Frss%3Dyes Abstract: Depression is often associated with illness or injury requiring acute hospitalization, particularly in older adults. We sought to determine patterns of change in depressive symptoms in older adults from hospitalization to 3months post discharge and to examine factors associated with depressive symptoms 3months after discharge. The study included 197 patients aged 65 years or older hospitalized with an acute medical illness. Sociodemographic and clinical measures, including depressive symptoms using the Center for Epidemiologic Study—Depression (CES-D) scale, were collected during the inpatient stay and at 3months post discharge. Mean age was 75.3±7.5 (±S.D.) years, 59% of the participants were female, 61% unmarried, and 72% had a high school education or more. High depressive... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348958 Fri, 13 May 2011 04:00:00 +0100 5348958 http://www.medworm.com/index.php?rid=5348946&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000914%2Fabstract%3Frss%3Dyes Abstract: Mood disorders and the severity of dizziness often interact with each other. However, the impact of age on anxiety and depression in dizzy patients has rarely been explored. The purpose of this study was to evaluate the correlation between the Dizziness Handicap Inventory (DHI) and the Hospital Anxiety and Depression Scale (HADS) in a group of patients with dizziness. The statistical relationships between age and each scale were studied. This cross-sectional study revealed a high correlation between DHI subgroups and HADS subscales. We found statistical correlation between neither age and HADS subscales nor age and DHI subgroups. In addition, Short-Form 36 Health Survey Questionnaires (SF-36) showed a high correlation with the dizziness handicap severity. The present study reveal... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348946 Thu, 12 May 2011 04:00:00 +0100 5348946 http://www.medworm.com/index.php?rid=5348948&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000811%2Fabstract%3Frss%3Dyes Abstract: Few studies have examined the association between LS in the oldest-old and not only health-related, but also psychological and socio-economical factors. The aim of this study was to examine LS in relation to functional capacity, locus of control (LoC) health status and other factors previously known to influence LS in the oldest-old. The study population consisted of 681 individuals aged 78–98 years, drawn from the longitudinal population study “Good Aging in Skåne” (GÅS), part of a national survey (SNAC) who fulfilled a questionnaire. In a regression model was shown that the number of symptoms, marital status, LoC, especially internal and powerful others, depressive mood and age significantly could predict life satisfaction three years later. Specific diagnoses like stro... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348948 Tue, 10 May 2011 04:00:00 +0100 5348948 http://www.medworm.com/index.php?rid=5348935&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000859%2Fabstract%3Frss%3Dyes Abstract: Homebound status is associated with poorer health and disability; however, the impact of community factors on the decision to remain homebound is unclear. We applied multilevel analyses to examine the association between neighborhood environment and homebound status among Japanese community-dwelling elderly. A cross-sectional survey was conducted in February 2009 using a mailed questionnaire. A total of 4123 participants aged 20years and over living in 72 small districts of Kashiwa, Japan, were randomly selected for the survey. Of the 1735 returned questionnaires, the 588 that were completed by individuals aged 65years and over were used for analysis. Frequency of going outdoors was assessed and respondents going outdoors once a week or less were defined as homebound. Neighborhoo... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348935 Tue, 10 May 2011 04:00:00 +0100 5348935 http://www.medworm.com/index.php?rid=5348955&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000835%2Fabstract%3Frss%3Dyes Abstract: The aims were to investigate the prevalence of mild cognitive impairment (MCI) within gender disparities in Malaysian older adults, and to determine the predictors of MCI according to gender disparities. A community-based sample of urban, multiethnic dwelling elderly aged 60 years of age and above from Cheras, Kuala Lumpur was recruited. Prevalence of all-type MCI, amnestic-type MCI (am-MCI) and non-amnestic-type MCI (nam-MCI) was assessed using comprehensive neuropsychological batteries. The association between demography, socioeconomic status, lifestyle practices, and nutritional status and health risk factors with MCI were examined. Predictors of MCI occurrence between gender disparities were determined. The prevalence of all-type MCI, am-MCI and nam-MCI was 21.1%, 15.4% and 5... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348955 Fri, 06 May 2011 04:00:00 +0100 5348955 http://www.medworm.com/index.php?rid=5348968&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000823%2Fabstract%3Frss%3Dyes Abstract: The aim of this retrospective study is to determine the frequency, type, microbiological characteristics and outcome of HAIs in the elderly (age≥65) and to compare the data with younger patients in a Turkish Training and Research Hospital. From January 2008 to December 2009, the infection control team analyzed HAIs among 60,585 hospitalized patients (20,109 aged≥65 and 40,747 aged between 18 and 64 years) with a total number of 419,017 patient days. A total of 825 HAIs episodes were detected in 607 patients, of which 395 episodes were in 301 elderly patients. The incidence of HAIs per 1000 patient days was 2.49 in the elderly and 1.64 in the younger patients’ group (p (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348968 Mon, 02 May 2011 04:00:00 +0100 5348968 http://www.medworm.com/index.php?rid=5348972&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431100080X%2Fabstract%3Frss%3Dyes Abstract: Previous studies have shown a paradoxical increase in early mortality in older patients (>70 years) with acute STEMI treated with fibrinolytic therapy (FT), which has been attributed to the development of free wall rupture (FWR). Our aim was to assess occurrence of FWR in STEMI patients receiving FT. In this 7-year prospective study, data from 1701 consecutive patients were obtained. We analyzed predictors of the in-hospital mortality in patients>70 years old. The independent contribution of several variables to overall mortality and FWR development was assessed using multiple logistic regression analyses. The mortality of entire cohort was 18% (306/1701). Diabetes mellitus, anterior infarction, smoking, female gender and hypercholesterolemia were independent predictors of in-hos... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348972 Mon, 25 Apr 2011 04:00:00 +0100 5348972 http://www.medworm.com/index.php?rid=5348934&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000793%2Fabstract%3Frss%3Dyes This study has been carried out to investigate the level of loneliness, determine the level of dependence in the ADL and influential factors in the elderly people. This descriptive, cross-sectional study was conducted in 5 Family Healthcare Centers (FHC) located in central Erzincan, Turkey between March and June 2010. The data of the research was collected using a questionnaire that determined the descriptive and UCLA Loneliness Scale (UCLA-LS). Mean score of the UCLA-LS was determined as 51.59±4.44. It was determined that 2% of the elderly ADL were completely dependent, 14.5% were semi-dependent. Factors such as being old, a widow/divorced, having a lower level of education and/or income, living alone, having a chronic disease, poor self-perceived health, lack of visits by relatives or a... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348934 Mon, 25 Apr 2011 04:00:00 +0100 5348934 http://www.medworm.com/index.php?rid=5348964&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000513%2Fabstract%3Frss%3Dyes Abstract: The purpose was to check the influence of enteric nutrition on BUN in very elderly patients. Clinical data on patients in whom enteral feeding was initiated after a period of poor oral intake are presented. Patients with evidence of volume depletion, signs of gastrointestinal bleeding or medicines that might increase BUN were excluded. We evaluated 5 patients (mean age 90.6±3 years) who were admitted to geriatric department. Mean plasma creatinine concentration was 1.17±0.34mg/dl, but mean estimated glomerular filtration rate (eGFR) was 41.6±17ml/min/1.73m2. Enteral nutrition was administered at a dose of mean 1580±53ml/day at mean duration of 9±4 days. Mean BUN was 52±30mg/dl at baseline, increases to 109±9.4mg/dl after initiation of feeding and decreased to 82±1.1mg/dl ... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348964 Fri, 15 Apr 2011 04:00:00 +0100 5348964 http://www.medworm.com/index.php?rid=5348959&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000501%2Fabstract%3Frss%3Dyes In conclusion, pulse pressure was found to be independently associated with leukoaraiosis regardless of classical cardiovascular risk factors in elderly men. (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348959 Thu, 14 Apr 2011 04:00:00 +0100 5348959 http://www.medworm.com/index.php?rid=5348971&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000483%2Fabstract%3Frss%3Dyes Abstract: The aim of this observational study was to describe the characteristics (including functional measures) of the elderly patients hospitalized in the acute geriatric unit (AGU) and diagnosed with HF as well as to determine the variables associated with mortality at one year after discharge. A prospective study including patients aged 70 and over hospitalized for acute decompensated HF was performed. The baseline measures were demographics, comorbidity, clinical, functional and cognitive status. The outcome for this study was death within one year from the index hospital admission date. During the length of the study, 32.7% patients died (20.7% within the first three months). The clinical features associated with HF-related mortality in the univariate analysis were institutionalizat... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348971 Mon, 11 Apr 2011 04:00:00 +0100 5348971 http://www.medworm.com/index.php?rid=5348966&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000525%2Fabstract%3Frss%3Dyes Abstract: The SOC is an important determinant of life satisfaction of elderly people. It determines the level of coping with various difficult situations, which accompany an old age stage. The aim of the study was to determine the connection between the SOC levels and life satisfaction among the U3A students. Another analyzed relationship was the SOC level against the background of socio-demographic factors. The study comprised 257 students of the U3A in Poland, located in the city of Bydgoszcz. The study group consisted of 237 women and 20 men, at the average age of 64.54±6.01 years. The vast majority of the study group included individuals at the secondary education level, as well as married individuals. Just over half of the group claimed to be in good health, and have no afflictions. ... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348966 Mon, 11 Apr 2011 04:00:00 +0100 5348966 http://www.medworm.com/index.php?rid=4914586&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000495%2Fabstract%3Frss%3Dyes Since the beginnings of nursing homes in Constantinople as a place to allow persons to die with dignity, nursing homes have evolved to be the centerpiece of the long term care continuum in developed countries (). The percent of the population over 65 years in developed countries living in nursing homes varies from 0.2 percent in South Korea to 7.9 percent in Sweden. As the aging population continues to grow, there will be a need for the rapid development of nursing homes in developing countries. There is evidence that quality of care in nursing homes is higher in countries where physicians specialize in nursing home care, such as The Netherlands () or when training and certification for medical directors is offered (). Generally, most older persons do not want to go to nursing homes, and t... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914586 Sun, 10 Apr 2011 23:00:00 +0100 4914586 http://www.medworm.com/index.php?rid=5348967&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431100046X%2Fabstract%3Frss%3Dyes Abstract: PD is an age-related neurodegenerative disorder that affects as many as 1–2% of persons aged 60 years and older. In the latest decade, the approach to PD was dramatically changed. In fact, although for many years PD has been considered only “a disease that affects walking”, with a key role of the neurotransmitter dopamine, recently the neurological approach has been substantially modified. The approach for this disease is not only a neurological issue. Given the complexity of its clinical aspects, such as depression, anxiety, dementia, sleep disorder, pneumonia dysfagia-related and malnutrition, a multidisciplinary evaluation and not just a neurological evaluation is needed. We suggest a n multidisciplinary approach for this old actor, underlying a subtle link between neuro... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348967 Mon, 04 Apr 2011 04:00:00 +0100 5348967 http://www.medworm.com/index.php?rid=5348963&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000458%2Fabstract%3Frss%3Dyes Abstract: Besides increasing calcium absorption in the bowel and promoting the normal formation and mineralization of bone, vitamin D exerts relevant pleiotropic effects in different tissues. Serum levels of vitamin D show correlation with the risk of infections, cardiovascular diseases, cancer and autoimmune disorders. The possible therapeutic role of vitamin D in different kind of diseases: inflammatory, immunologic, infectious and neoplastic ones, explains the growing interest in this vitamin due to its pleiotropic effects, and makes it a candidate to become a potential drug in the next future. (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348963 Mon, 04 Apr 2011 04:00:00 +0100 5348963 http://www.medworm.com/index.php?rid=5348954&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000471%2Fabstract%3Frss%3Dyes Abstract: There is an undeniable concern among the elderly about the mental changes they experience as they grow older. In general, the elderly tend to regard mental deterioration as a pathological condition, however these changes should be considered inherent in the aging process and in the last few years cognitive stimulation programs have been developed in order to address these concerns among the elderly. The purpose of this study is to analyze the influence of a cognitive training program on 53 subjects with age-related memory loss. The results of cognitive performance have been compared with a control group consisting of 51 subjects with no cognitive training. Moreover, this research analyses the relationship between cognitive changes and the variation in the perceived quality of lif... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348954 Mon, 04 Apr 2011 04:00:00 +0100 5348954 http://www.medworm.com/index.php?rid=5348930&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000446%2Fabstract%3Frss%3Dyes Abstract: Although an association between SA concentrations and mortality in the patients is well known, this association is not conclusive in elderly community-dwelling populations. We therefore attempted to determine whether this association could be extended to a Japanese 70-year-old community-dwelling population. Seventy-year-old subjects residing in Niigata City, Japan participated. Baseline examinations including a determination of SA concentrations were performed in June 1998 in 600 participants, and they were followed for 10 years. During the 10-year follow up, 80 subjects died. Albumin levels were divided into four groups (highest>45g/l, higher 43–44g/l, lower 41–42g/l, lowest (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348930 Mon, 04 Apr 2011 04:00:00 +0100 5348930 http://www.medworm.com/index.php?rid=4665627&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000689%2Fabstract%3Frss%3Dyes (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665627 Fri, 01 Apr 2011 20:30:09 +0100 4665627 http://www.medworm.com/index.php?rid=5348932&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000434%2Fabstract%3Frss%3Dyes Abstract: This paper analyses variables associated with community-dwelling older people's engagement in physical activity (PA). Data were examined using the results from the European ZINCAGE study on 306 community-dwelling Italians aged 65years and over. The lifestyle questionnaire was used to evaluate the data. Levels of regular/non-regular PA were based on ≥1h of weekly exercise. Logistic regression analysis was used to analyze the predictors of PA. Participants reported the time they had spent per week engaging in PA over the last year. Overall, 56.2% of them engaged in regular physical exercise. PA levels decreased in subjects with probable cognitive decline, depression and high perceived stress levels (p (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348932 Fri, 01 Apr 2011 04:00:00 +0100 5348932 http://www.medworm.com/index.php?rid=5132941&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000070%2Fabstract%3Frss%3Dyes Abstract: Pneumonia is the second most common infection in long term care (LTC) residents and is a leading cause of death from infection in those groups of patients. Atypical presentations and fewer presenting signs and symptoms in older patients complicate diagnosis and delay initiation of adequate treatment. The aim of this study was to compare laboratory CRP levels to pneumonia severity scores, in prediction of short-term death from pneumonia. Diagnosis of pneumonia was performed according to the criteria of McGeer for the identification of pneumonia at an LTC facility. The severities of pneumonia and mortality prediction were assessed by three indices: PSI (pneumonia severity index), Missouri study index and the nursing home associated pneumonia (NHAP) severity index. A strong positive... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132941 Fri, 25 Mar 2011 00:00:00 +0100 5132941 http://www.medworm.com/index.php?rid=5348951&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000410%2Fabstract%3Frss%3Dyes Abstract: This non-randomized, controlled trial assessed the effects of ceasing fall-risk-increasing drugs (FRIDs) (psychotropics or opiates or potent anticholinergics) on the risk of falls requiring medical treatment as a sub-analysis of a randomized, controlled multifactorial fall prevention. The population in this 12-month study consisted of 528 community-dwelling subjects aged 65years or older with a history of at least one fall. The subjects were divided retrospectively into three groups according to the use of any FRID, any psychotropic drug, and benzodiazepine or related drug (BZD/BZDRD). The subjects in the intervention group (IG) ceasing the drug use were compared with the subjects in IG and the control group (CG) not ceasing the use of the corresponding type of drugs during the i... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348951 Mon, 21 Mar 2011 04:00:00 +0100 5348951 http://www.medworm.com/index.php?rid=5348933&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000422%2Fabstract%3Frss%3Dyes Abstract: The current study examines the prevalence and correlates of homebound status aiming to elucidate the predictors and implications of being homebound. Analyzed sample was drawn from two representative cohorts of older persons in Israel, including 1191 participants (mean age=83.10±5.3 years) of the first wave of the Cross-Sectional and Longitudinal Aging Study (CALAS) and 418 participants (mean age=83.13±5.2 years) of the Israeli Multidisciplinary Aging Study (IMAS). Cross-sectional and longitudinal analyses were conducted. Homebound prevalence rates of 17.7–19.5% were found. Homebound participants tended to be older, female, have obese or underweight body mass index (BMI), poorer health, lower functional status, less income, higher depressed affect, were significantly lonelier ... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348933 Mon, 21 Mar 2011 04:00:00 +0100 5348933 http://www.medworm.com/index.php?rid=5348957&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000367%2Fabstract%3Frss%3Dyes Abstract: This retrospective study determines the role of cognitive decline as a predictor of functional dependence. In a representative 600 community-dwellers aged 65 or older, we examined using a logistic regression model, the association between cognitive status (taking into account age and educational level) and dependence on basic and instrumental activities of daily living (ADL and IADL, resp.), controlling for socio-demographic variables and health conditions. The Mini-Mental State Examination (MMSE) scores were compared in participants with functional disability to perform basic and instrumental activities. Cognitive status influenced functional dependence on activities of daily living, basic (OR=4.1, 95%CI=2.7–6.1) and instrumental (OR=5.7, 95%CI=3.5–9.3), independently of gen... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348957 Mon, 14 Mar 2011 04:00:00 +0100 5348957 http://www.medworm.com/index.php?rid=5348953&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000409%2Fabstract%3Frss%3Dyes Abstract: Mild cognitive impairment (MCI) can be a stage of pre-dementia. There is no consensus about pharmacological treatment for this population, so it is important to structure non-pharmacological interventions for increasing their cognitive reserve. We intended to analyze the effects of non-pharmacological interventions in the cognitive functions in older people with MC, in form of a systemic review. Data sources were the Web of Science, Biological Abstracts, Medline, Pub Med, EBSCHost, Scirus and Google Scholar. All studies were longitudinal trials, with MCI sample, aged>60 years, community-dwelling, and having cognitive functions as dependent variable. Seven studies, from 91 previously selected ones, were identified according to the inclusion criteria. Six studies used cognitive int... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348953 Mon, 14 Mar 2011 04:00:00 +0100 5348953 http://www.medworm.com/index.php?rid=5348947&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000379%2Fabstract%3Frss%3Dyes Abstract: Elderly suicide rates are the highest of any age group. Greece is among the countries with the highest proportion of elderly people in the European Union (EU). Elderly suicide victims seem to possess different characteristics. Aim of our study was to elucidate the different characteristics of elderly suicide victims. Data was collected from a two-year psychological autopsy study, conducted at the Athens’ Department of Forensic Medicine, the largest in Greece. Elderly suicide victims represented 35% of total suicides. The majority (69.5%) were males. Only 12.4% had previous psychiatric hospitalization but more than half (65.2%) had psychiatric history (81% of them had history of depression). As expected, there was a high incidence of physical illness (81.6%). The majority (82%) ... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348947 Mon, 14 Mar 2011 04:00:00 +0100 5348947 http://www.medworm.com/index.php?rid=5348929&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000380%2Fabstract%3Frss%3Dyes The objective was to determine the relationship between a high score on the ERA index and 2-year mortality and nursing home placement. As of January 1, 2005, 12,650 community-dwelling patients over 60 years of age were impaneled with a primary care practice at the Mayo Clinic in Rochester, MN. This was a retrospective cohort study utilizing an administrative risk score, the ERA score. Primary outcomes were 2-year mortality and 2-year nursing home placement. The predictor variable was ERA score. Relative risk estimates were used to describe the association between the ERA index and mortality and nursing home placement. The relative risk of 2-year mortality was 51.4 (95% confidence interval=CI=28.0–94.4) in patients in the highest risk group compared to the lowest group. The relative risk ... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348929 Mon, 14 Mar 2011 04:00:00 +0100 5348929 http://www.medworm.com/index.php?rid=5348960&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000392%2Fabstract%3Frss%3Dyes In conclusion, the 16-week program of physical activity significantly improved the cardiorespiratory capacity of older individuals. (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348960 Thu, 10 Mar 2011 05:00:00 +0100 5348960 http://www.medworm.com/index.php?rid=5348943&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000239%2Fabstract%3Frss%3Dyes Abstract: The main purpose of this study was to examine the association of education and adequacy of income with self-rated health (SRH) among home-dwelling older people aged 75 and over living in the urban area. A cross-sectional survey from 2008 was used to study 1395 older adults aged 75 and over living in one of the central areas of the city center of Helsinki, the capital of Finland. Associations of SRH with, education and adequacy of income were tested using ordinal regression model. Those with a lower level of education had higher level of poor health. Self-assessed adequacy of income had also a strong association with SRH. For the oldest respondents this association was even stronger than the association between education and SRH. Subjective evaluation of financial situation should... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348943 Thu, 10 Mar 2011 05:00:00 +0100 5348943 http://www.medworm.com/index.php?rid=5348940&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000355%2Fabstract%3Frss%3Dyes This study aimed at determining the characteristics of nonverbal communication (NVC) of caregivers in Slovene nursing homes. The cross-sectional study was performed on 267 randomly selected caregivers from 27 randomly selected nursing homes. Facial expressions/head movements, hand gestures/trunk movements, and modes of speaking/paralinguistic signals were observed. The caregivers manifested altogether 11,324 NVC expressions. Those definitely reflecting positive attitude prevailed and accounted for 59.3% of all expressions, whereas those definitely reflecting negative attitude were very rare and accounted for 9.1% of all expressions, at a ratio of 6.5:1 (p (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348940 Wed, 09 Mar 2011 05:00:00 +0100 5348940 http://www.medworm.com/index.php?rid=5348965&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431100032X%2Fabstract%3Frss%3Dyes This study collected the real HD-data from area scale hospital database with 72 attributes and 18,113 records. The study proposes a novel procedure to assess the patient's HD-quality, including five facets: (1) Delete the unrelated attributes and missing values. (2) Employ expert granularity to cut decision-attributed Kt/V (where K is the dialyzer clearance coefficient of urea nitrogen, t is the time for dialysis and V is the urea nitrogen volume of distribution in the body). (3) Use information-gain to select features, to reduce the total number of attributes to 17. (4) Utilize multiple regression to test the degree of co-linearity and select features, the dimension of dataset is reduced to 8 attributes and 2737 records. (5) Finally, the rules of HD-quality and accuracy performance are ge... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348965 Tue, 08 Mar 2011 05:00:00 +0100 5348965 http://www.medworm.com/index.php?rid=5348969&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000331%2Fabstract%3Frss%3Dyes Abstract: The purpose of this study was to determine the impact of identifying and treating infections on functional outcomes and length of stay (LOS). Our retrospective naturalistic study reviewed all new admissions to a tertiary geriatric psychiatry teaching hospital from 2003 to 2007. Over this four-year period, 390 patients were admitted and discharged with 21% (85) of patients identified as having infections on admission. Those with infections were compared to the group without to determine and compare clinical characteristics. Factors included in analysis were: age, gender, diagnoses, medical comorbidity, neuropsychiatric symptoms, functional outcomes, medications and LOS. Both groups were similar in gender, psychiatric diagnoses and severity of dementia. Those requiring antibiotics ... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348969 Mon, 07 Mar 2011 05:00:00 +0100 5348969 http://www.medworm.com/index.php?rid=5348945&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000343%2Fabstract%3Frss%3Dyes Abstract: Depression may play an important role in determining frequent physician visits in the older population. Our aim is to examine the relationships between socio-demographic variables, co-morbidity, memory complaints, functional status, depressive symptomatology, and health care utilization among community dwelling older patients. The study was conducted in urban primary health care clinics in Beer-Sheva, Israel. Two groups were identified: low care utilizers (LCU), with ≤6 visits to family physicians (FP)/year and high care utilizers (HCU) with ≥16 visits to FP/year. Data were collected during a structured face-to-face individual interview. The study population included 180 patients, of them 86 (47.7%) were LCU and 94 (52.2%) were HCU. In all clinical measurements the HCU group ... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348945 Mon, 07 Mar 2011 05:00:00 +0100 5348945 http://www.medworm.com/index.php?rid=5348931&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000264%2Fabstract%3Frss%3Dyes Abstract: The proportion of elderly people in the global population is rapidly increasing. Their nutritional status indicates many deficiencies that are risky to health. The aim of this paper was to assess the nutrition and nutritional status in elderly individuals above 60 years old living in their family houses in rural areas. Dietary intake and nutritional status were measured in 174 elderly women and 64 men living in the rural areas of Oleśnica (near Wrocław, SW Poland). Energy intake, consumption of nutrients, selected anthropometric and biochemical indicators, were measured in two groups: one at risk of malnutrition and one with adequate nutrition. Using the mini nutritional assessment (MNA) questionnaire, 238 persons over 60 years of age were qualified according to their nutrition... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348931 Thu, 03 Mar 2011 05:00:00 +0100 5348931 http://www.medworm.com/index.php?rid=5348927&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000318%2Fabstract%3Frss%3Dyes Abstract: The aim was to determine the validity and usefulness of hand-held dynamometry for measuring muscle strength in independent community-dwelling older persons. Cross-sectional study was performed in 281 subjects aged over 65, mean age of 74.3 years. The strength of six muscle groups was measured in three consecutive attempts using JAMAR hand-held dynamometers. Individual values, maximums and means, intra- and inter-individual variability, test–retest reliability and concurrent validity with functional tests are described. The main results were: strength increased with each attempt for all muscle groups, suggesting technique learning, except for pinch and grip, suggesting muscle fatigability. Relative intra- and inter-individual variability was higher in women; it was lower for the... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348927 Thu, 03 Mar 2011 05:00:00 +0100 5348927 http://www.medworm.com/index.php?rid=5348961&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431100029X%2Fabstract%3Frss%3Dyes Abstract: Some studies suggest that previous treatment with antiplatelet agents (AA) might reduce ischemic stroke severity and improve outcomes in terms of clinical deficits or mortality. We evaluated the effect of the prior chronic use of AA on short-term (30 days) mortality in a sample of consecutive patients with AIS. Four hundred thirty-nine older patients (>65 years) with “major” AIS (modified Rankin scale≥3) consecutively admitted to the University ward of Internal Medicine or Geriatrics were enrolled. Stroke was classified according to Oxfordshire Community Stroke Project (OCSP). Data recorded included: (1) clinical features; (2) medical history including home therapies, and vascular risk factors; (3) routine clinical chemistry analyzes (verb)/analyses (noun). Short-term (30 d... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348961 Mon, 28 Feb 2011 05:00:00 +0100 5348961 http://www.medworm.com/index.php?rid=5348942&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000227%2Fabstract%3Frss%3Dyes Abstract: The loss of autonomy at advanced ages is not only associated with ageing, but also with the characteristics of the physical and social environment. Recent investigations have shown that social networks, social engagement and participation act like predictors of disability among the elderly. The aim of this study is to determine whether social networks are related to the development and progression of disability in the early years of old age. The source of data is the first wave of the survey “Processes of Vulnerability among Spanish Elderly”, carried out in 2005 to a sample of 1244 individuals. The population object of study is the cohort aged 70–74years in metropolitan areas (Madrid and Barcelona) and not institutionalized. Disability is measured by the development of basi... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348942 Mon, 28 Feb 2011 05:00:00 +0100 5348942 http://www.medworm.com/index.php?rid=5348939&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000276%2Fabstract%3Frss%3Dyes Abstract: This research involved a descriptive study with the goal of examining the attitudes of 145 Turkish nursing students studying toward ageism and the factors affecting ageism views. A Student Description Form and the Ageism Attitude Scale (AAS) were the data collection instruments used in this study. Statistical evaluation of the data included percentage, median and Kruskal Wallis Test and Mann–Whitney U-test. The average age of student participants was 20.10±3.52; further 37.9% of these students were 1st year nursing students, 25.5% of were 2nd year, 11.7% were 3rd year, and 24.8% were 4th year students. Of the students in this study 63.4% had completed coursework in elderly health as part of undergraduate study. Average scores on the AAS students were 84.01±7.61 points. Most f... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348939 Mon, 28 Feb 2011 05:00:00 +0100 5348939 http://www.medworm.com/index.php?rid=5348952&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000306%2Fabstract%3Frss%3Dyes Abstract: Drug-related problems (DRPs) were identified from baseline data of 193 Medication Safety Review Clinic (MSRC) patients. MSRCs enroll older adults (≥65 years) with either (1) prescriptions of ≥8 chronic medications (drugs prescribed for ≥28 days) or (2) a visit to ≥3 different physicians at the two participating hospitals in Taipei, Taiwan from August to October 2007. The Pharmaceutical Care Network Europe (PCNE) Classification Version 5.01 was used to report DRPs. Mean age was 76.2±6.2 years and 53% of participants were male. Participants had, on average, 9.0±2.6 chronic conditions and took 8.9±3.1 chronic medications and 1.7±1.8 dietary supplements. Eighty-seven percent had at least one DRP. Being older, having orthostatic hypotension and taking more chronic medicati... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348952 Fri, 25 Feb 2011 05:00:00 +0100 5348952 http://www.medworm.com/index.php?rid=5348944&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000288%2Fabstract%3Frss%3Dyes Abstract: This paper provides the results of three focus groups organized in the framework of the ROBADOM project, aiming at designing a service type assistive robot for the elderly with mild cognitive impairment living at home. The main objective of these focus groups was to give some recommendations to engineers in charge of the design of the robot's appearance. Results showed that although many humanoid robots were criticized by most participants, some small creative humanoid robots were appreciated. However, beyond the issue of the robot appearance, many ethical and social issues were raised. These focus groups offered an opportunity for participants to discuss the very idea of an assistive robot and to challenge some implicit preconceptions of the roboticists. Finally, we discuss how ... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348944 Thu, 24 Feb 2011 05:00:00 +0100 5348944 http://www.medworm.com/index.php?rid=5348926&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000215%2Fabstract%3Frss%3Dyes This study aimed to compare the predictive accuracy for several frailty-related adverse health outcomes of a cumulative index derived from the Italian population-based elderly cohort of the Conselice Study of Brain Aging (CSBA), which takes into account multiple different domains (demographic, clinical, functional, and nutritional parameters), with that of an index derived from the Study of Osteoporotic Fractures (SOF), modified for application to the CSBA database and henceforth called mSOF, which is exclusively focused on muscular fitness. Data are for 1007 CSBA participants aged ≥65 years. Investigated adverse outcomes included 4- and 7-year risk of death and 4-year risk of fractures, falls, disability, hospitalization, and nursing home placement. Accuracy for prediction of these outc... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348926 Tue, 22 Feb 2011 05:00:00 +0100 5348926 http://www.medworm.com/index.php?rid=5132940&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000069%2Fabstract%3Frss%3Dyes Abstract: Hsp are highly conserved cytoprotective proteins which have been repeatedly portrayed at elevated levels in various infectious diseases, and there are suggestions that the presence of infectious agents may possibly be the root cause of Hsp induction. As organisms age the vulnerability to illnesses such as infection and inflammation increases and late complications due to infectious agents are mostly observed in the older part of the population. Although it is well known that environmental conditions can modulate the susceptibility to infection, and that poor nutritional status can increase the risk of contracting infection when exposed to an infectious agent, the effects of environmental conditions and nutritional status on the heat shock response have not been investigated. Ther... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132940 Mon, 21 Feb 2011 00:00:00 +0100 5132940 http://www.medworm.com/index.php?rid=5348970&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000057%2Fabstract%3Frss%3Dyes Abstract: The aim of this study was to investigate the overall clinical characteristics of elderly patients with acute pancreatitis. We retrospectively evaluated 227 consecutively enrolled patients who were admitted with acute pancreatitis. The clinical features, the radiological and laboratory data and the clinical outcome were analyzed according to the age groups (≥65 years vs. (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348970 Fri, 18 Feb 2011 05:00:00 +0100 5348970 http://www.medworm.com/index.php?rid=4466206&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000112%2Fabstract%3Frss%3Dyes (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4466206 Sat, 12 Feb 2011 17:13:36 +0100 4466206 http://www.medworm.com/index.php?rid=5132936&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000045%2Fabstract%3Frss%3Dyes Abstract: The purpose of this study was to clarify the difference in muscle coactivation during postural control between older and young adults and to identify the characteristics of postural control strategies in older adults by investigating the relationship between muscle coactivation and postural control ability. Forty-six healthy older adults (82.0±7.5 years) and 34 healthy young adults (22.1±2.3 years) participated. The postural tasks selected consisted of static standing, functional reach, functional stability boundary and gait. Coactivation of the ankle joint was recorded during each task via electromyography (EMG). The older adults showed significantly higher coactivation than the young adults during the tasks of standing, functional reach, functional stability boundary (forward... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132936 Fri, 11 Feb 2011 00:00:00 +0100 5132936 http://www.medworm.com/index.php?rid=5132928&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003274%2Fabstract%3Frss%3Dyes Abstract: The study aimed to examine the determinants of needing formal care and the factors impacting care arrangements in elderly Taiwanese by analyzing the 1999 and 2003 data of “The Survey of Health and Living Status of the Elderly in Taiwan”, a prospective cohort study of older Taiwanese. For the purpose of this study, only participants 70 years or older were analyzed. The association of sociodemographic, lifestyle and health-related variables with care need and care arrangements at baseline and four years later were analyzed. Results showed that the major predictors of needing formal care in elderly Taiwanese were old age, cognitive impairment and functional disability. Self-perceived poor health and prior nursing-home admission were marginally significant. Results also showed th... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132928 Fri, 04 Feb 2011 00:00:00 +0100 5132928 http://www.medworm.com/index.php?rid=5132937&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003432%2Fabstract%3Frss%3Dyes The objective of this study was to evaluate the effect of physical activity from the “Menopause in Form” program on physical aptitude, functional capacity, corporal balance and QoL among elderly women. In addition, correlations among these variables were examined. The present work was a longitudinal study that was quasi-experimental and correlational. A total of 323 elderly women (age: 69.0±5.53 years) participated in this study. Subjects were non-institutionalized, post-menopausal individuals residing at the Elderly Care Center in Belém Municipality (Pará, Brazil) and practiced one activity (i.e., dancing or walking) over a 10-month period. The assessment protocols used were the following: the Fullerton functional fitness test battery (physical aptitude); the activities of daily li... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132937 Thu, 03 Feb 2011 00:00:00 +0100 5132937 http://www.medworm.com/index.php?rid=5132934&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003341%2Fabstract%3Frss%3Dyes Abstract: In elderly patients cognitive dysfunction and other adverse events (AEs) can impair the outcome of surgical procedures. As THR is performed with increasing frequency in aging populations, it is important to know the impact of these problems on the postoperative result. In this prospective cohort study 60 patients older than 65 years (66.7% female, 33.3% male) who received THR were included. The cognitive function was measured preoperatively, one week and six months postoperatively by the mini-mental state test (MMSE). Shortly after surgery 4 patients (6.7%) developed postoperative cognitive dysfunction, which has recovered at six-months-follow-up. In 41 patients (68.3%) AEs were recorded. Postoperative anemia occurred as the most common AE (n=32; 53.3%). During hospital stay olde... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132934 Thu, 03 Feb 2011 00:00:00 +0100 5132934 http://www.medworm.com/index.php?rid=5132939&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000021%2Fabstract%3Frss%3Dyes Abstract: Aging is determined as the product of an interaction among genetic, environmental and lifestyle factors. As interleukin-6 (IL-6) and metallothioneins (MTs) are related to inflammation and oxidative stress response, their genes are appropriate candidate for aging, age related diseases and infections. The aim of this study was to investigate the association between the IL-6 −174 G/C promoter region and MT2A −5 A/G core promoter region single nucleotide polymorphisms (SNPs) with longevity in Turkish population. Blood samples were collected from 354 individuals between 18 and 95 years of age. Individuals were classified into four groups according to their ages as 20–40, 41–60, 61–80, >80. IL-6 and MT2A polymorphisms were genotyped by polymerase chain reaction-restriction fr... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132939 Mon, 31 Jan 2011 00:00:00 +0100 5132939 http://www.medworm.com/index.php?rid=5021725&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494311000033%2Fabstract%3Frss%3Dyes Abstract: Despite known positive association between body mass and bone mineral density (BMD), relative contribution of fat and lean tissue to BMD remains under debate. We aimed at investigating the effect of selected anthropometric parameters, including fat content and lean body mass (LBM) on BMD in postmenopausal, osteoporotic women with body mass index (BMI)>20kg/m2. The study involved 92 never-treated women (mean age 69.5±7.3). L1–L4 and femoral neck (FN) BMD were measured by dual energy X-ray absorptiometry (DEXA). Absolute (kg) and relative (%) fat and LBM were assessed by means of electric bioimpedance method. We showed both FN and L1–L4 BMD were positively correlated with body mass, waist circumference (WC), hip circumference (HC) and LBM (kg). Fat content correlated with FN B... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021725 Mon, 31 Jan 2011 00:00:00 +0100 5021725 http://www.medworm.com/index.php?rid=5021724&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003420%2Fabstract%3Frss%3Dyes This study examined FF-associated physical and psychosocial factors in older Chinese men living in a veterans home in southern Taiwan. Subjects with a recent episode of delirium, of bed-ridden or wheelchair-bound status, severe hearing impairment or impaired cognition were excluded. Overall, 371 residents (mean age 82.1±5.11 years, all males) participated. The prevalence of FF was 25.3%. Univariate analysis revealed that subjects in the FF group were older age, having lower education level, poorer sitting and standing balance, poorer activities of daily living (ADL), more depressive symptoms, higher chances of using walking aids, neurologic diseases, and a history of fall within the past 6 months. Logistic regression showed that depressive symptoms (odds ratio=OR=6.73, 95%CI: 3.03–14.93... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021724 Mon, 31 Jan 2011 00:00:00 +0100 5021724 http://www.medworm.com/index.php?rid=5132920&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003407%2Fabstract%3Frss%3Dyes In this study the elderly people living in three different residential homes were investigated for this purpose. A total of 269 subjects, 119 males (mean age 73.9±8.8) and 150 females (mean age 78.5±7.2) were involved in this study. All subjects were interviewed and clinically examined. Age, sex, educational status, financial status, general health, dental visiting, overnight denture wearing, brushing habits and frequency were recorded using a structured questionnaire. The prevalence of edentulism, the presence and type of dental prostheses, denture cleanliness and the presence of denture stomatitis were evaluated. Forty-one percent of subjects were non-educated. Fifty-one percent of subjects had low income. The majority of people (66.6%) were edentulous. Among the edentulous subjects 32... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132920 Thu, 27 Jan 2011 00:00:00 +0100 5132920 http://www.medworm.com/index.php?rid=5132930&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431000333X%2Fabstract%3Frss%3Dyes This study examined the extent to which predictors of nursing home entry vary in their salience as a function of length of follow-up. Participants were 201 persons attending five senior day care centers. The impact of baseline assessment on nursing home entry was examined at one, two, and three-year follow-up periods. Analysis revealed that MMSE, IADL, physical non-aggressive agitated behavior, and 4 indicators of caregiver burden had significantly changing impacts on time to nursing home entry. Only depressed affect and age remained significant predictors at all three follow-up periods in the multivariate analysis. Physical and verbal aggressive agitation and declining caregiver health were significant predictors in the short term. Socializing and ethnicity became predictors at year three... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132930 Thu, 20 Jan 2011 00:00:00 +0100 5132930 http://www.medworm.com/index.php?rid=5132921&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003389%2Fabstract%3Frss%3Dyes The objective of this study was to determine the prevalence of edentulism in Mexican elders aged 60 years and older, and the associated risk indicators. A cross-sectional study was undertaken in 139 elders living in either of two long-term care (LTC) facilities, or attending an adult day center (ADC) in Pachuca, Mexico. A subject was edentulous when natural teeth were completely absent, determined through a clinical examination. Risk indicators were collected using questionnaires. Analyses were performed using binary logistic regression in STATA 9.0. Mean age was 79.0±9.8 years. Many subjects were women (69.1%). The prevalence of edentulism was 36.7%. In multivariate analysis, after adjusting for age and sex, the variables that were inversely associated (p (Source: Archives of Gerontology... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132921 Tue, 18 Jan 2011 00:00:00 +0100 5132921 http://www.medworm.com/index.php?rid=5132938&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003262%2Fabstract%3Frss%3Dyes Abstract: Oxidative damage to lipoproteins, in particular low density lipoprotein (LDL), is known to play a role in a number of diseases associated with aging such as cardiovascular disease (CVD) and dementia. Exercise can alter the balance of oxidative and anti-oxidative species within the human body and may cause oxidative damage to lipoproteins. The purpose of this study was to assess the effect of a moderate intensity exercise program on markers of oxidative stress in older age adults. Parameters of lipoprotein protein and lipid oxidation, and lipoprotein nitration were assessed in aged individuals who undertook a program of moderate physical activity for a period of 8 weeks. There were no significant changes in LDL protein oxidation or nitration which could be attributed to 8 weeks of... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132938 Fri, 14 Jan 2011 00:00:00 +0100 5132938 http://www.medworm.com/index.php?rid=5132919&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003390%2Fabstract%3Frss%3Dyes In conclusion, an appropriated evaluation of nutritional status could prevent and treat nutrition-related problems even in the elderly demented patients living at home. (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132919 Fri, 14 Jan 2011 00:00:00 +0100 5132919 http://www.medworm.com/index.php?rid=5132935&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003377%2Fabstract%3Frss%3Dyes Abstract: The pre- and post-operative cardiac autonomic nervous functions were compared in elderly, non-cardiac surgery patients with diabetes mellitus (DM) and without diabetes mellitus (NDM). A group of 30 unpremedicated elderly patients scheduled to undergo elective non-cardiac surgery were studied, including 15 DM patients and 15 NDM patients. Each component of heart rate variability (HRV) analysis in the frequency domain was monitored with Holter during the nights of the day before and on 1st and 2nd day after operation. After surgery, total power (TP), high frequency (HF), low frequency (LF) and very low frequency (VLF) significantly decreased as compared to the baseline values before operation in both groups (p (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132935 Thu, 13 Jan 2011 00:00:00 +0100 5132935 http://www.medworm.com/index.php?rid=5348941&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003419%2Fabstract%3Frss%3Dyes Abstract: The aim of the present study is to examine job role quality relating to intention to leave current facility and to leave profession among direct care workers in residential facilities for elderly in Japan. Direct care workers completed a paper questionnaire on October 2009. From 746 facilities in three prefectures (Tokyo, Shizuoka, and Yamagata) 6428 direct care workers with complete data were included in the analyses. The Job Role Quality (JRQ) scale was translated into Japanese language to assess job role quality. Hierarchical multiple regression analysis showed that intention to leave current facility was primarily associated with job role quality: poor skill discretion, high job demand, and poor relationship with supervisor. Intention to leave profession was primarily associa... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348941 Wed, 12 Jan 2011 05:00:00 +0100 5348941 http://www.medworm.com/index.php?rid=5132923&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003316%2Fabstract%3Frss%3Dyes In conclusion, in geriatric patients presenting with AR symptoms, systemic treatment should not be initiated before performing skin prick test, due to the adverse effects of the drugs. (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132923 Wed, 12 Jan 2011 00:00:00 +0100 5132923 http://www.medworm.com/index.php?rid=5132926&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003304%2Fabstract%3Frss%3Dyes Abstract: Little is known about the main features of the emergent population of PP. Our objective was to determine the clinical, care and social characteristics of a multi-institutional population of PP, by means of a cross-sectional study including a reference population of hospital-based PP from 36 hospitals. The main clinical, functional, mental and social features and their associated factors were assessed: 1632 PP (53% males, mean age 77.9±9.8 years) were included. An informal caregiver was required by 52% (78% of caregivers were close female relatives). The mean inclusion criteria (Cat): were 2.7±0.8 (49.5% presented ≥3 Cat). The most frequent inclusion Cat were heart (77.5%), lung (45.6%), neurological (38.2%), and kidney diseases (32.2%), whereas the mean of other comorbidities... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132926 Mon, 10 Jan 2011 00:00:00 +0100 5132926 http://www.medworm.com/index.php?rid=5132925&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003353%2Fabstract%3Frss%3Dyes Abstract: The aim of this study was to evaluate the relationship between physical and functional capacity and quality of life (QoL) among elderly people who have a chronic disease. The study included 100 elderly individuals aged 65 years and older, who have a chronic disease. The study examined the marital and educational status, social security status, kind of chronic disease, number of chronic diseases and whether participants use assistive devices for walking. The Nottingham health profile (NHP) was used to evaluate QoL related to health; the physical mobility scale (PMS) was used to evaluate mobility in daily life and the functional independent measure (FIM) was used to evaluate functional independence in daily activities. In both female and male individuals, a statistically significan... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132925 Mon, 10 Jan 2011 00:00:00 +0100 5132925 http://www.medworm.com/index.php?rid=5132932&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003328%2Fabstract%3Frss%3Dyes This study suggests that rate of cognitive deterioration in dementia is not linear over time and that dementia subtypes have different rates of cognitive deterioration. (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132932 Wed, 05 Jan 2011 00:00:00 +0100 5132932 http://www.medworm.com/index.php?rid=5021694&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003298%2Fabstract%3Frss%3Dyes In conclusion, the nature of the patient's disease and the presence of visiting nurses influenced the decision regarding the patient's place of death. More study is necessary to better understand the end stages of death at home. (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021694 Wed, 05 Jan 2011 00:00:00 +0100 5021694 http://www.medworm.com/index.php?rid=5132931&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003286%2Fabstract%3Frss%3Dyes Abstract: There is a high mortality rate in patients admitted to hospitals acutely from care homes. In a retrospective case analysis study of 3772 older people admitted to the Department of Medicine for the Elderly between January and June 2005, 340 (9.0%) were from care homes, and 93 (27.3%) of the residents died during the index admission. Nearly 40% of these deaths occurred within 24h of admission indicating a high level of less appropriate admissions. Investigating eight nursing homes which admitted the highest number of patients from one primary care trust revealed that the most cited reasons for admission were the lack of advance care plans, access to General Practitioners (GPs) out of hours, as well as general access to palliative care and specialist nurses, and poor communication b... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132931 Mon, 03 Jan 2011 00:00:00 +0100 5132931 http://www.medworm.com/index.php?rid=5132924&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003213%2Fabstract%3Frss%3Dyes The objective of this study is to investigate how family support affects the PA middle-aged and elderly people engage in before and after they suffer from chronic diseases. We interviewed 428 middle-aged and elderly people using a structured questionnaire to measure their aerobic PA. Eighteen percent of middle-aged and elderly people did participate in PA after suffering from chronic diseases. Using multivariate logistic regression models, we found that middle-aged and elderly people who rely on family members when they are sick (OR=1.87, 95%CI=1.08–3.25) and who are accompanied by family members (OR=2.09, 95%CI=1.20–3.62) when they are healthy are more likely to exercise. The more middle-aged and elderly people are supported by their family, the more likely they are to exercise. Stren... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132924 Mon, 03 Jan 2011 00:00:00 +0100 5132924 http://www.medworm.com/index.php?rid=5132927&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003225%2Fabstract%3Frss%3Dyes Abstract: The main objective of this study was to analyze the similarities and differences in cognitive performance, level of dependency, cognitive plasticity and QoL in a sample of young–old adults and old–old adults, bearing in mind both the age-group (under or over 80 years) and the cognitive status of the participants. The study population consisted of 220 people living in sheltered accommodation for elderly people in the South of Spain, with an average age of 80.75 years. Participants were evaluated by means of cognitive performance tests, a QoL questionnaire, a depression scale and a dependency assessment scale. The results indicate that the main differences in the variables analyzed are due to the cognitive status of the sample and not to the fact that the participants are under... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132927 Thu, 30 Dec 2010 00:00:00 +0100 5132927 http://www.medworm.com/index.php?rid=5021675&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003134%2Fabstract%3Frss%3Dyes Abstract: The aim of this study was to examine predictors of functional outcome in hospitalized geriatric patients with a focus on psychological variables, as these have been somewhat neglected in this population. A prospective study was conducted in aged-care wards in Melbourne, Australia. Consecutively admitted patients (n=100, mean age 82 years) completed measures of health status, anxiety, depression, self-efficacy, personality and coping. Two months later data were collected with respect to three outcomes, namely overall functioning, ability to carry out activities of daily living as measured by the Barthel Index (BI), and quality of life (QoL), as measured by the assessment of quality of life (AQoL) instrument. Syndromal depression was highly prevalent (28%) and syndromal anxiety was... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021675 Wed, 29 Dec 2010 00:00:00 +0100 5021675 http://www.medworm.com/index.php?rid=5348938&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003250%2Fabstract%3Frss%3Dyes Abstract: The determination of the approximately truest value in height measurement is important in many fields, but it is difficult to perform true measurements, especially in the elderly individuals. We planned to investigate the following items in geriatric Turkish population: to calculate the decrease in height with advancing age by using the standing height measurement and estimated height derived from the knee height; to evaluate the significance of difference between the two measurement methods in the calculation of body mass index (BMI) and waist/height ratio (WHtR); to determine the cut-off value of WHtR according to estimated height in elderly individuals. We studied 551 cases aged between 19 and 97 years. Knee height was measured using a sliding caliper in a sitting position. Li... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348938 Fri, 24 Dec 2010 05:00:00 +0100 5348938 http://www.medworm.com/index.php?rid=5021692&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003195%2Fabstract%3Frss%3Dyes Abstract: The aim of the study was to examine the influence of mandibular two-implant retained overdentures on life quality of elderly Turkish patients. The study population comprised 78 edentulous complete denture wearers (aged 65–82) seeking implant-retained mandibular overdentures at Istanbul University, Turkey. Every patient received 2 dental implants in the interforaminal region of the mandible and maxillary conventional dentures and mandibular implant retained overdentures 6 weeks after surgery. Turkish versions of oral health impact profile (OHIP-14) and the United Kingdom oral health-related quality of life (OHQoL-UK) were used for the evaluation of life quality before and after treatment. Compared to pretreatment scores, subjects had statistically significant improvements in lif... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021692 Thu, 23 Dec 2010 00:00:00 +0100 5021692 http://www.medworm.com/index.php?rid=5132944&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003201%2Fabstract%3Frss%3Dyes Abstract: The aging of the population is one of the most important demographic events of the 21st century. The aim of this study is to define the basic variables related with criminal behavior among the elderly for cases over 60 years. A retrospective assessment of the criminal data (255 cases) consists of the period between 2000 and 2005 of the Council of Forensic Medicine, Turkish Ministry of Justice. Of the cases whose average age is 68.2±6.9, 25 of the 56 cases were diagnosed as ill. Out of 225 elderly who had committed a criminal act 56 of them had a medical antecedent which is a psychiatric diagnosis. Whether or not they had a medical antecedent the Board made 90 psychiatric diagnosis. This comprised of 25 out of the 56 who also had a medical antecedent and 65 out of the 199 who did... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132944 Wed, 22 Dec 2010 00:00:00 +0100 5132944 http://www.medworm.com/index.php?rid=5021723&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003237%2Fabstract%3Frss%3Dyes Abstract: The aim of the study was to evaluate disability in patients with elderly stroke, multiple sclerosis (MS) and epilepsy, and to analyze its relationship with demographic characteristics. We conducted a cross-sectional study involving 113 patients with neurological diseases. The data were collected with a Personal Information Form, the Rivermead Mobility Index (RMI), and the Brief Disability Questionnaire (BDQ) were used. The data were evaluated using percentage, variance analysis, the Kruskal–Wallis test and the Pearson correlation analysis. The study results demonstrate that among three disorders, the severity of disability increased in patients with stroke, epilepsy and MS, respectively. It was also found that in patients with stroke, MS and epilepsy experiencing disability in ... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021723 Wed, 22 Dec 2010 00:00:00 +0100 5021723 http://www.medworm.com/index.php?rid=4665651&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003249%2Fabstract%3Frss%3Dyes Abstract: With advanced aging, main components of the kidney are altered, including blood vessels, glomeruli and tubulointerstitium. Disruption in these 3 elements is interconnected and associated with several modifications, such as loss of kidney mass and systemic, metabolic and immunologic diseases. In this review we focus on renal blood vessels, the key role of hypertension and angiogenesis in the elderly kidney, the hemodynamic and molecular mechanisms underlying this aging process and the main factors involved. So far, the present data suggests a strong association between renal disease and hypertension and the impairment of regulatory mechanisms, such as angiogenesis in the aging kidney. The endothelium is a key player in vascular control and appears to be also disrupted in many comp... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665651 Wed, 22 Dec 2010 00:00:00 +0100 4665651 http://www.medworm.com/index.php?rid=5021691&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431000316X%2Fabstract%3Frss%3Dyes Abstract: With increasing age of the general population, the necessity for cardiac surgery in the collective of patients aged 90 and older has been increasing. To aid in the choice of adequate therapy we investigated our experience for the group of nonagenarians undergoing surgical interventions. From 6/2000 to 9/2007, 17 patients aged 90 and older underwent open-heart surgery at our institution. We performed a retrospective data analysis including baseline preoperative clinical status, intra- and postoperative results and the long-term survival in the further postoperative course. We performed cardiac surgical procedures in 17 patients (male/female ratio 6/11), including isolated aortic valve replacement (n=7), aortic root replacement (n=2), isolated coronary bypass surgery (n=4), combine... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021691 Mon, 20 Dec 2010 00:00:00 +0100 5021691 http://www.medworm.com/index.php?rid=4914623&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002785%2Fabstract%3Frss%3Dyes Abstract: The purpose of this study was to investigate dental/denture status of the elderly people living in different residential homes. In 346 elderly people from different residential homes two belonging to the state (Group 1 and Group 2) and one supported by private foundations (Group 3) were examined. Sixty percent of participants were edentulous and 22.8% of participants had no complete dentures which 9 (7.4%) of them were in Groups 1 and 2. Over 50% of the participants had no or low income and 45% of participants were illiterate. All of the participants who were illiterate and had low income were in Group 1 and Group 2. Oral hygiene was good for 15.4% and only 19.4% of participants removed their dentures overnight. Denture stomatitis was observed in 61.7% of subjects. Significant co... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914623 Mon, 20 Dec 2010 00:00:00 +0100 4914623 http://www.medworm.com/index.php?rid=5348962&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003146%2Fabstract%3Frss%3Dyes This study was designed in a prospective manner. Twenty-two elderly women diagnosed with osteoporosis were included. During a 2-month treatment period, participants received strontium ranelate 2g/day. Hemorheological parameters including erythrocyte deformability, erythrocyte aggregation and plasma viscosity were measured before and after 2 months therapy with strontium ranelate. The median age of the patients was 70.0 (range=65–80) years. After 60 days of treatment, there was no statistically significant change in hemorheological parameters. None of the subjects developed clinical venous thromboembolic event (VTE) during the 2-month period of strontium ranelate treatment. Our study demonstrated that in elderly women, treatment of osteoporosis with strontium ranelate did not change hemor... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348962 Fri, 17 Dec 2010 05:00:00 +0100 5348962 http://www.medworm.com/index.php?rid=5021677&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002773%2Fabstract%3Frss%3Dyes Abstract: The aim of this study was to assess the levels of flexibility, functional autonomy and QoL in elderly yoga practitioners. The subjects were divided into a yoga group (YG; n=52; age=66.79±3.30 years; BMI=24.77±3.18) and control group (CG; n=31; age=69.33±4.84 years; BMI=24.32±3.71) and submitted to flexibility tests through goniometry, the LADEG autonomy protocol and QoL, using the WHOQOL-Old questionnaire. Repeated measures ANOVA showed increases in articular range of motion in shoulder abduction (Δ%SA=14.11%; p=0.0001), horizontal shoulder extension (Δ%HSE=33.90%; p=0.0001), lumbar spine flexion (Δ%LSF=50.74%; p=0.0001), hip flexion (Δ%HF=35.75%; p=0.0001), hip extension (Δ%HE=10.93%; p=0.021) and knee flexion (Δ%KF=3.90%; p=0.001) and in the GDLAM autonomy index (Δ%A... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021677 Fri, 17 Dec 2010 00:00:00 +0100 5021677 http://www.medworm.com/index.php?rid=4665668&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002761%2Fabstract%3Frss%3Dyes Abstract: The present study examined the effect of functional mobility and balance on HRQoL among elderly people living at home and those living in nursing homes. The study included 122 elderly people aged 65 and over. With regard to the individuals whose socio-demographic data were collected in the scope of the study, balance and functional mobility levels were evaluated using the timed up and go test (TUG) and Berg balance scale (BBS); HRQoL was evaluated using the Nottingham health profile (NHP); physical independence in daily activities was evaluated using the Barthel index (BI); and basic mobility in daily life was evaluated using the Rivermead mobility index (RMI). Statistically significant differences were found between the TUG, BBS and NHP values of the elderly people living in a h... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665668 Fri, 17 Dec 2010 00:00:00 +0100 4665668 http://www.medworm.com/index.php?rid=5132943&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003110%2Fabstract%3Frss%3Dyes This study was conducted to determine the prevalence of metabolic syndrome (MS) in Turkish elderly. All data were collected in a cross-sectional based survey on 266 elderly aged above 65 years living in capital city of Turkey, Ankara. MS was defined according to National Cholesterol Education Program: Adult Treatment Panel III (NCEP ATP III) criteria. In the total sample of participants, the 61.7% (n=164) of the group has been diagnosed as MS. High blood pressure (BP) and waist circumference (WC) and low high density lipoprotein cholesterol (HDL-C) were the criteria of MS with highest prevalence in both gender. In addition female participants have higher systolic blood pressure (93.4%) and WC (79.1%) and lower HDL-C (69.2%) than the men (74.4%, 31.1% and 52.2% respectively). Weight correla... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132943 Thu, 16 Dec 2010 00:00:00 +0100 5132943 http://www.medworm.com/index.php?rid=5021722&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003158%2Fabstract%3Frss%3Dyes Abstract: Several studies have suggested that the presence of dementia increases the risk of developing DIP. However, these prior studies exclusively focused on the underlying conditions before the development of DIP and there are no studies about the characteristics and prognosis of the cognitive status associated with DIP. We investigate the cognitive impairments associated with DIP by comparing neuro-psychological test results in patients with Parkinson's disease (PD) and normal controls and the longitudinal outcome of cognition in DIP. The cohort in this study included 13 consecutive patients with DIP and 91 patients with PD; all subjects completed a clinical assessment, neuropsychological investigation, and magnetic resonance imaging of brain. All patients with DIP were followed close... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021722 Thu, 16 Dec 2010 00:00:00 +0100 5021722 http://www.medworm.com/index.php?rid=5021721&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003092%2Fabstract%3Frss%3Dyes Abstract: The purpose of this study was to investigate whether mitochondrial DNA (mtDNA) content of peripheral blood leukocyte is related to depression in community-dwelling old women. A total of 142 community-dwelling women, older than 60 years, were included in the study. The mtDNA copy number, which represents the mtDNA content, was measured using real-time PCR methods. Patients with depression defined as the subjects whose 15-question geriatric depression scale (GDS) score was ≥8 or who were taking anti-depressant medication. We also measured cognitive function, physical performances (gait speed, chair-stand times, tandem standing times) and metabolic parameters. The depression group had a significantly lower mtDNA copy number than the control group (71.5 vs. 107.3; interquartile ran... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021721 Thu, 16 Dec 2010 00:00:00 +0100 5021721 http://www.medworm.com/index.php?rid=5021693&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003122%2Fabstract%3Frss%3Dyes Abstract: The porosity of denture base resins continues to be one of the undesirable characteristics of acrylic resins. It is commonly accepted that porosity of the denture not only often leads to denture fractures, but also may function as a reservoir of potential pathogens. The purpose of this study was to present the first OCT images of finished dentures using a new advanced-type OCT scanner we have developed, and to discuss the application of our new OCT system for nondestructive inspection of dentures. Ten newly fabricated full dentures of outpatient of the National Center for Geriatrics and Gerontology in Japan were selected for this study. Two types of denture base resins were used for inspection by OCT, which provided clear images of all the dentures examined. Internal structures, ... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021693 Thu, 16 Dec 2010 00:00:00 +0100 5021693 http://www.medworm.com/index.php?rid=5021690&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003079%2Fabstract%3Frss%3Dyes Abstract: The adverse drug reactions caused by potentially inappropriate medications (PIMs) are closely related to emergency department visits and acute hospital admissions in the elderly population. It has been reported that 11.5–14% of community-dwelling elderly patients were prescribed for at least one PIM, but little is known regarding to it in rural Taiwan. The purpose of this study was to evaluate the prevalence and risk factors of PIMs among older patients visiting the outpatient clinic of a community health center in rural Taiwan. In August of 2008, all elderly patients attended the outpatient clinic of a community health center in I-Lan County were enrolled for study. PIMs are evaluated by Beers’ criteria. In total, 327 patients (mean age: 74.8±5.3 years old, 49.5% males) wer... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021690 Thu, 16 Dec 2010 00:00:00 +0100 5021690 http://www.medworm.com/index.php?rid=5021689&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003109%2Fabstract%3Frss%3Dyes Abstract: The aim of this study was to examine the relation between UI and cognitive function among non-disabled middle-aged and elderly community-dwelling people. A total of 201 participants (86 men and 115 women) were given a structured questionnaire regarding their condition of UI as well as a cognitive assessment battery (memory, attention, verbal fluency, information processing speed, and visuospatial function). The results showed a significant relation between UI and cognitive tasks for letter fluency, attention, and information processing speed, while no relation was found in cognitive tasks for memory and visuospatial function. Based on these findings, possible mechanisms regarding the relation between UI and cognitive function, and preventive methods to reduce the prevalence of UI... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021689 Thu, 16 Dec 2010 00:00:00 +0100 5021689 http://www.medworm.com/index.php?rid=4665677&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310003080%2Fabstract%3Frss%3Dyes Abstract: Influence of sun exposure and physical activity on cognition has not been evaluated simultaneously. We aimed to evaluate predictors of clock drawing test (CDT) performance on n=125 patients attending an internal medicine outpatient clinic. Interview data was gathered on sociodemographic, health-related and lifestyle factors referring to the last year. Factors associated with obtaining a score >0 and a full score (10/10) were analyzed by univariate (UVA) and multivariate (MVA) logistic regression analyses. Mean age of the participants was 72±5, 58% were women and 17% were illiterate. Mean CDT score was 4.70±2.27, 61.6% scored >0 and 21.6% scored 10/10. Both duration of walking and summer sun exposure predicted a CDT score >0 in UVA. However only summer sun exposure was an indepe... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665677 Thu, 16 Dec 2010 00:00:00 +0100 4665677 http://www.medworm.com/index.php?rid=4665676&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002943%2Fabstract%3Frss%3Dyes This study examined if leg muscle strength correlates to functional balance and mobility among geriatric inpatients. Fifty inpatients, 29 women and 21 men (mean age 79.6 years) were included. Functional balance was assessed with the Berg Balance Scale (BBS) and mobility was assessed with the Physiotherapy Clinical Outcome Variable Scale (COVS). Strength in the leg extension muscles was measured as 1 Repetition Maximum (1RM) in a leg press and strength in the ankle muscles was measured with Medical Research Council grades (MRC, 0–5). The sum scores, and most of the single items, of the BBS and the COVS significantly correlated to 1RM/body weight, ankle dorsiflexion, and plantar flexion. In a stepwise multiple regression, ankle dorsiflexion and 1RM/body weight together accounted for 39% of... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665676 Tue, 14 Dec 2010 00:00:00 +0100 4665676 http://www.medworm.com/index.php?rid=5132942&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002931%2Fabstract%3Frss%3Dyes Abstract: The aim of this study was to evaluate the outcome and treatment quality of transfer percutaneous coronary intervention (PCI) in older patients with acute STEMI. In this prospective study all patients with diagnosed acute (pain-to-balloon≤12h) STEMI transferred to our institution for primary PCI (n=400) between January 2005 and October 2007 were under investigation. Overall 125 older patients with age ≥70 years were included (mean age 77.5±4.9 years; 77 males). Pre-hospital delays were more common in older patients with longer pain-to-balloon: median (range)=85 (5–629) vs. 66 (1–688) p=0.031, and pain-to-first medical-contact-times: median: 206 (84–711) vs. 172 (45–720); p=0.001. A trend towards a higher (non-significant) rate of major 5/125 (5%) vs. 5/275 (1.8%), p=0... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132942 Mon, 13 Dec 2010 00:00:00 +0100 5132942 http://www.medworm.com/index.php?rid=5021672&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002815%2Fabstract%3Frss%3Dyes Abstract: The purpose of this study was to determine the interrelationships between lower limb muscle performance, balance, gait and falls in older people using structural equation modeling. Study participants were two hundred and thirteen people aged 65 years and older (mean age, 80.0±7.1 years), who used day-care services in Japan. The outcome measures were the history of falls three months retrospectively and physical risk factors for falling, including performance in the chair stand test (CST), one-leg standing test (OLS), tandem walk test, 6m walking time, and the timed up-and-go (TUG) test. Thirty-nine (18.3%) of the 213 participants had fallen at least one or more times during the preceding 3 months. The fall group had significantly slower 6m walking speed and took significantly lo... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021672 Thu, 09 Dec 2010 00:00:00 +0100 5021672 http://www.medworm.com/index.php?rid=4914624&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002839%2Fabstract%3Frss%3Dyes This study examines the role of WM capacity in resisting interference in the Hayling task, in samples of younger and older adults. In each age group, high and low WM span individuals had to complete high-cloze sentences with either expected words (initiation) or words providing no meaning to the sentences (interference). Results showed increased response times and decreased correct responses in interference, as compared to initiation. As interference increased, older adults demonstrated lower accuracy than younger ones. Further, low spans demonstrated higher interference costs than high spans on accuracy, while the reverse pattern was found for response times. Our findings suggest that both age and individual differences in WM capacity need to be considered to account for differences in th... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914624 Thu, 09 Dec 2010 00:00:00 +0100 4914624 http://www.medworm.com/index.php?rid=4665674&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431000292X%2Fabstract%3Frss%3Dyes Abstract: Falling is a major complication seen in stroke patients. The purpose of this study was to investigate the frequency, features, and factors for falls affecting subacute stroke patients hospitalized for rehabilitation. Ninety-nine subacute stroke patients, hospitalized for rehabilitation were evaluated prospectively in this study. All patients were evaluated using the functional independence measurement (FIM), the Barthel index (BI), the Berg balance scale (BBS), the mini mental state examination (MMSE), the hospital anxiety depression scale (HADS), and the Downton index (DI), performed by the same physician. Proximal femur bone mineral density (BMD) measurements were performed using the dual-energy X-ray absorbtiometry (DXA). During the period of hospitalization, 17 patients (17.2... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665674 Thu, 09 Dec 2010 00:00:00 +0100 4665674 http://www.medworm.com/index.php?rid=4665672&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431000289X%2Fabstract%3Frss%3Dyes Abstract: Functional efficiency is the ability to be independent in fulfilling the basic needs of everyday life. Independence in meeting these needs is important to maintain a good quality of life (QoL). Chronic diseases affecting elderly people may, to some extent, limit fulfilling numerous needs, however, the acquired ability to live with a disease enables such patients to cope well with their needs. The aim of the study was to evaluate in the examined patients the independence in meeting their bio-psycho-social needs in relation to functional efficiency and QoL. The study group was recruited among hospitalized patients in the Department and Clinic of Geriatrics, 91 women and 59 men, for a total of 150 people. The mean age of the study group was 73.4 years. The research was carried out u... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665672 Thu, 09 Dec 2010 00:00:00 +0100 4665672 http://www.medworm.com/index.php?rid=4665671&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002888%2Fabstract%3Frss%3Dyes This study was to examine an effect of such an exercise program on preventing conditions requiring long-term care in the Japanese frail elderly who participated in a Tai Chi Yuttari-exercise program. The first-intervention group underwent an intervention program by participating in a Tai Chi Yuttari-exercise session once a week for 3 months. Each session lasted 90min including a break time. Moreover, the subjects received a video recording of the exercise, and instructions to carry out the exercise at home. The same program was administered to the second-intervention group. Physical function improved significantly in the first-intervention group, with single-leg balance (SLB) increasing, and trunk anteflexion increasing after the intervention program. Furthermore, the total score of the Mo... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665671 Thu, 09 Dec 2010 00:00:00 +0100 4665671 http://www.medworm.com/index.php?rid=4665669&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002803%2Fabstract%3Frss%3Dyes Abstract: The goal of this study was to examine the relationship between BP variations and neurological deficit outcome in old–old patients after AIS. Fifty-four patients (66–96 years), admitted consecutively for stroke were assessed, using a non-invasive BP monitoring (NIBPM), measuring mean systolic (SBP) and diastolic (DBP) blood pressure and their variation between days 1 and 7. Neurological assessment and cognitive function were evaluated using the NIH stroke Scale (NIHSS) and the short portable mental status Questionnaire (SPMSQ), respectively. Functional status was assessed using the modified Rankin scale (RS) and the Barthel index (BI). NIHSS on the 1st day positively correlated with SPMSQ score and with BI on day 21. The NIHSS variation (ΔNIHSS) between days 21 and 1 negative... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665669 Thu, 09 Dec 2010 00:00:00 +0100 4665669 http://www.medworm.com/index.php?rid=5132929&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002876%2Fabstract%3Frss%3Dyes Abstract: Identifying the utilization behaviors of LTC residents is necessary in order to forecast the demand and the level of resource use for health services. The purpose of this study is to understand the utilization behaviors and their predictors among residents of community-based LTC facilities in Taiwan. A prospective design was used in this study. Subjects were from six community-based LTC facilities in Beitou district of Taipei, Taiwan. A one-month time sheet was developed comprising subjects’ socio-demographic characteristics, health status, and their use of LTC services. Among five types of LTC services examined in this study, assistance with activities of daily living (ADL) were the most commonly used (mean=67.3±46.0). ADL score was the strongest predictor of service utilizat... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132929 Mon, 06 Dec 2010 00:00:00 +0100 5132929 http://www.medworm.com/index.php?rid=5021688&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002852%2Fabstract%3Frss%3Dyes Abstract: There is little empirical data about the impact of digital inclusion on cognition among older adults. This paper aimed at investigating the effects of a digital inclusion program in the cognitive performance of older individuals who participated in a computer learning workshop named “Idosos On-Line” (Elderly Online). Forty-two aged individuals participated in the research study: 22 completed the computer training workshop and 20 constituted the control group. All subjects answered a sociodemographic questionnaire and completed the Addenbrooke's cognitive examination, revised (ACE-R), which examines five cognitive domains: orientation and attention, memory, verbal fluency, language, and visuo-spatial skills. It was noted that the experimental group's cognitive performance sign... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021688 Mon, 06 Dec 2010 00:00:00 +0100 5021688 http://www.medworm.com/index.php?rid=5021671&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002906%2Fabstract%3Frss%3Dyes This study aimed to examine useful items for screening the fall risk of community dwelling elderly from various perspectives, including fall experience, physical function level, and age level difference. 968 independently living elderly persons over the age of 60 (age: 70.0±7.0) responded to 80 fall risk items representing 7 factors (physical function, fall history, using devices, fear of falling and inactivity, dosing, disease and disability, and environment) and an ADL questionnaire. The high fall risk response rate was calculated for each item and tested for statistical significance among age groups and those with and without fall experience. Cramer's V was calculated to examine the relationship between each item and the ADL. In addition, we selected items with significant differences ... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021671 Mon, 06 Dec 2010 00:00:00 +0100 5021671 http://www.medworm.com/index.php?rid=4665673&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002918%2Fabstract%3Frss%3Dyes This study aims to explore the medical needs of patients who have different combinations of multiple chronic diseases in order to improve care strategy for chronic patients. This study was based on a national probability proportional to size (PPS) sampling to older adults over 50 years old. We collaborated the files of the 2000–2001 health insurance claims and selected 8 types of common chronic diseases among seniors, for the discussion of multiple combinations of chronic diseases, including hypertension, diabetes, heart disease, stroke, dementia, cancer, arthritis and chronic obstructive pulmonary disease. Among the NHI users, there are 50.6% of the cases suffering from at least one chronic disease, 27.3% suffering from two types of chronic diseases and above. From possible combinations... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665673 Mon, 06 Dec 2010 00:00:00 +0100 4665673 http://www.medworm.com/index.php?rid=4665667&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002748%2Fabstract%3Frss%3Dyes In conclusion, the age-level difference in hand grip power using relative loads depends more greatly on MVC than velocity in females. The muscle tensile related to hand grip movement decreases with age. (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665667 Mon, 06 Dec 2010 00:00:00 +0100 4665667 http://www.medworm.com/index.php?rid=5132933&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002840%2Fabstract%3Frss%3Dyes Abstract: Our aim was to investigate the relationships between sleep disturbance and activities of daily living (ADL) and 24-h blood pressure patterns in institutionalized dementia patients. Using 107 institutionalized dementia patients (32 males and 75 females, mean age 76.3 years), patients with a mini mental state examination (MMSE) score (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132933 Fri, 03 Dec 2010 00:00:00 +0100 5132933 http://www.medworm.com/index.php?rid=4221457&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002980%2Fabstract%3Frss%3Dyes (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4221457 Thu, 02 Dec 2010 16:06:14 +0100 4221457 http://www.medworm.com/index.php?rid=4665670&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002827%2Fabstract%3Frss%3Dyes Abstract: The current study examines the contribution of a number of metacognitive and motivational variables in explaining specific, transfer and maintenance effects of a strategic memory training program, based on the use of mental imagery, in older adults. Participants were assessed before and after the training (immediately post-test, and at 3- and 6-month follow-up) on list recall (criterion) and working memory (transfer) tasks. At the pre-test, metacognition (use of strategies, belief about memory, control on memory) and motivational measures (cognitive engagement, self-efficacy) were also collected. The training produced a benefit in both the criterion and transfer tasks, which was maintained at follow-up. Some of the metacognitive and motivational measures, over and above the level... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665670 Thu, 02 Dec 2010 00:00:00 +0100 4665670 http://www.medworm.com/index.php?rid=5021685&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431000261X%2Fabstract%3Frss%3Dyes Abstract: Healthy longevity is associated with environmental conditions, but its significance is still unclear. In China, different age groups of old people may be influenced by different factors. For people aged 65 and above, their distribution may be more influenced by the economical factor, decreasing from east to west. However, for people aged 100 and above, they may be more influenced by the environmental factors. The number of centenarians per 100,000 is opposite to the percentage of people above 65, decreasing from west to east. Longevity index (LI%) and centenarity index (CI%) may be as index to evaluate the longevity level. The biggest LI% is in the south provinces of China, whereas the biggest CI% is in the northwestern provinces of China. The South China and Northwestern China a... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021685 Fri, 26 Nov 2010 00:00:00 +0100 5021685 http://www.medworm.com/index.php?rid=5021687&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002797%2Fabstract%3Frss%3Dyes Abstract: Dementia is one of the most relevant illnesses due to its functional impact on the elderly. The aim of the present study was to determine the influence of socio-demographic, clinical, cognitive and functional factors on the severity of dementia in elderly individuals. One hundred six elderly individuals with a diagnosis of dementia as determined by the DSM-IV/APA participated in the study. Cognition was assessed by the mini-mental state examination (MMSE); functional performance of basic and instrumental activities of daily living (BADLs and IADLs) was assessed by the Katz index (KI), Lawton–Brody index (LBI) and Pfeffer index (PI). The severity of dementia was established through the clinical dementia rating (CDR). In order to determine the influence of factors on the degree o... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021687 Thu, 25 Nov 2010 00:00:00 +0100 5021687 http://www.medworm.com/index.php?rid=5021684&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002712%2Fabstract%3Frss%3Dyes Abstract: Aging is related to a chronic increase in inflammatory cytokines. Adverse socioeconomic conditions are associated with increased plasma levels of these molecules, especially interleukin (IL)-6. Considering the differential profile of elderly Brazilians regarding their socioeconomic and cultural aspects, the objectives of this study were: to assess the correlation and differences between levels of IL-6 and socioeconomic status (education and income) in elderly women. IL-6 levels were measured using ELISA. The Spearman test was used to determine the correlation between IL-6 and socioeconomic status, and the Kruskal–Wallis and Mann–Whitney tests for cytokine level differences across education and income. IL-6 showed a significant inverse correlation with education (r=−0.205, p... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021684 Thu, 25 Nov 2010 00:00:00 +0100 5021684 http://www.medworm.com/index.php?rid=4914616&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002578%2Fabstract%3Frss%3Dyes Abstract: We sought to determine if ANSS used for evaluating pressure sore risk also correlate with rehabilitation outcome and length following hip arthroplasty in elderly patients. This was a retrospective study conducted in a geriatric rehabilitation department during 2009. ANSS, admission albumin serum levels, mini-mental state examination (MMSE) scores, discharge walking functional independence measure (FIM) scores, and rehabilitation length were studied. The final cohort included 201 patients: 160 (79.6%) females and 41 (20.4%) males. Mean age was 82.7±6.5 years. Mean discharge walking FIM score was 5.2±0.9. Mean length of rehabilitation was 19.9±7.8 days. ANSS correlated with discharge walking FIM scores (r=0.28; p=0.002), and with length of rehabilitation (r=−0.22; p=0.014) fol... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914616 Thu, 25 Nov 2010 00:00:00 +0100 4914616 http://www.medworm.com/index.php?rid=5021678&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002724%2Fabstract%3Frss%3Dyes Abstract: The association between adverse health and loneliness among aging people is known, but most of the studies are cross-sectional. In addition, the associations between changes in loneliness with health are less well known, especially in the case of aging people. The present study examined whether absence of loneliness in 2005 predicted subsequent good SRH in 2008, and whether changes in loneliness were associated with SRH in 2008. Longitudinal, questionnaire-based data were collected from three age cohorts (born in 1926–30, 1936–40, and 1946–50) living in southern Finland. Baseline data was collected in 2002 (n=2815, 66%); the follow-ups were done in 2005 (n=2476, 60%) and 2008 (n=2064, 73%). Logistic regression analyses were used to derive the results. Never or seldom experi... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021678 Fri, 19 Nov 2010 00:00:00 +0100 5021678 http://www.medworm.com/index.php?rid=4914622&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431000275X%2Fabstract%3Frss%3Dyes Abstract: The object of this study was to evaluate the effectiveness of a phonoaudiology rehabilitation program directed towards the degenerative changes of the neurophysiological mechanisms responsible for the upper digestive system compromised by the age between 80 and 90 years, in a regime of internment in a long permanence institution in the city of Rio de Janeiro, which express, bodily, their difficulty in swallowing food of liquid or pasty consistency. To achieve such an object, the current study was developed in an experimental format or design, comprised of a sample group of 23 elderly subjects, of both genders, undergoing evaluation by the phonoaudiology protocol for evaluating the risk of dysphagia (abbreviated from the Portuguese name: Protocolo de Avaliação do Risco para Disf... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914622 Fri, 19 Nov 2010 00:00:00 +0100 4914622 http://www.medworm.com/index.php?rid=4665666&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002736%2Fabstract%3Frss%3Dyes Abstract: The occurrence of AF increases sharply with age. The aim of this study was to explore and compare prevalent co-morbidity and self-estimated health-related quality of life (HRQoL) in subjects with AF versus subjects with sinus rhythm or pacemaker in 85 years old subjects. We analyzed data from a population of 336 eighty-five years old subjects participating in the Elderly in Linköping Screening Assessment (ELSA-85) study. Medical history was obtained from postal questionnaire, medical records and during medical examination that included a physical examination, cognitive tests, non-fasting venous blood samples and electrocardiographic (ECG) examination. 19% had an ECG showing AF. There were very few significant differences regarding medical history, self-estimated quality of life ... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665666 Fri, 19 Nov 2010 00:00:00 +0100 4665666 http://www.medworm.com/index.php?rid=4665665&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002700%2Fabstract%3Frss%3Dyes Abstract: The aim of this observational study was to investigate the occurrence of postoperative delirium (POD) in elderly patients undergoing urological surgery and to identify those factors associated with delirium. Ninety consecutive patients (81 males and 9 females; average age of 74.3±0.40 years), undergoing urological surgery in University-Hospital Urological Clinic were selected. Personal, medical, cognitive and functional data, biochemical parameters, preoperative medications, conduct of surgery and anesthesia and details of hemodynamic control were collected as predictors of delirium. After surgery, the subjects were divided on the basis of delirium onset within a week observation period. Delirium was diagnosed by the Confusion Assessment Method. Delirium started the first post-o... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665665 Wed, 17 Nov 2010 00:00:00 +0100 4665665 http://www.medworm.com/index.php?rid=5132922&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002694%2Fabstract%3Frss%3Dyes In conclusion, psychological status, psychiatric medications, flow rate SWS, and initial symptom severity can be outcome predictors of the initial treatment approach for patients with BMS. (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132922 Mon, 15 Nov 2010 00:00:00 +0100 5132922 http://www.medworm.com/index.php?rid=5021683&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002645%2Fabstract%3Frss%3Dyes Abstract: Erythrocyte sedimentation rate (ESR) might represent a less expensive alternative to C-reactive protein (CRP) as a marker of systemic inflammation in stable chronic obstructive pulmonary disease (COPD). We tried to verify this hypothesis in 223 consecutive outpatients aged 65 years or more with stable COPD enrolled in a multicenter observational study. Patients were grouped according to normal/increased ESR/CRP values and groups were compared with regard to clinical and laboratory characteristics. Correlations between CRP, ESR and selected variables of interest were assessed by Spearman's ζ-test and multivariate linear regression analysis. CRP was weakly and inversely correlated with the forced expiratory volume in the first second (FEV1%) (Spearman's ζ=−0.15; p (Source: Arch... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021683 Mon, 15 Nov 2010 00:00:00 +0100 5021683 http://www.medworm.com/index.php?rid=4914621&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002669%2Fabstract%3Frss%3Dyes Abstract: Aim of the study was to investigate the replicability and reliability of the multi-dimensional health assessment questionnaire (MDHAQ) and visual analog scale (VAS) in young and elderly individuals with chronic pain. Ambulatory patients, 20 of them aged above 65 years and complaining about chronic pain and 20 patients with the age of 40 and younger working in a factory were assessed with VAS and MDHAQ. The assessment was repeated to investigate the replicability and reliability of both tests. According to MDHAQ disability index (DI), the elderly had more complains on the first and second day of the study (p (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914621 Mon, 15 Nov 2010 00:00:00 +0100 4914621 http://www.medworm.com/index.php?rid=4665664&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002682%2Fabstract%3Frss%3Dyes Abstract: The considerable growth in the elderly population in Turkey has brought with it problems as well as concerns regarding gerontological education for health care professionals. The quality of care provided for older people is directly related to the attitudes of health care professionals. Validated instruments are needed in order to study attitudes toward old people. Aim of this study was to assess the reliability and validity of a Turkish version of KAOP among faculty of health sciences (health management, nutrition and dietetics, nursing, physical therapy, social workers and sports) students (n=594) at a university. The scale was translated using the back-translation technique. A two-phase data collection design was used. Four weeks following the first completion, another KAOP fo... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665664 Mon, 15 Nov 2010 00:00:00 +0100 4665664 http://www.medworm.com/index.php?rid=4665663&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002670%2Fabstract%3Frss%3Dyes This study evaluated the associations between executive function and physical performance in a representative sample of older adults. Cross-sectional data were analyzed from a population-based sample of 629 men and women aged 65 or older and living in one typical city in Korea. Specific aspects of executive function were assessed using the trail making test, digit span test, and lexical fluency test to measure set shifting, working memory and cognitive flexibility functions. Physical performance was measured using performance-oriented mobility assessment (POMA) scores and isokinetic muscle strength. Subjects’ self-efficacy was also assessed using the activities-specific balance confidence (ABC) scale. Results of the lexical fluency test were associated with POMA scores and muscle strengt... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665663 Mon, 15 Nov 2010 00:00:00 +0100 4665663 http://www.medworm.com/index.php?rid=4665661&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002517%2Fabstract%3Frss%3Dyes Abstract: The patent foramen ovale (PFO) is a controversial risk factor for CVA or TIA. In our center, adult PFO patients diagnosed with post cryptogenic CVA/TIA undergo trans-catheter closure of the PFO to decrease the risk of recurrent stroke. The aim of the study was to compare levels of functioning, depression and anxiety in post PFO closure patients following cryptogenic CVA/TIA and in other patients post CVA/TIA without PFO. Eighty-nine patients who had undergone trans-catheter PFO closure and 56 non-PFO post-CVA patients completed demographic, functioning, anxiety and depression questionnaires. Additional medical data were recorded from the medical files. Patients who had undergone trans-catheter PFO closure post CVA or TIA reported better level of functioning and substantially lowe... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665661 Mon, 15 Nov 2010 00:00:00 +0100 4665661 http://www.medworm.com/index.php?rid=4914620&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002657%2Fabstract%3Frss%3Dyes In conclusion, cancer accounts for only 16.9% of all elderly patients with UUWL in this study, tumor markers are very commonly used for screening of occult cancer. Compared with internists, geriatricians are more likely to order PSA and to establish neuropsychiatric diagnosis, and internists are more prone to order carbohydrate (CA 19-9) and gastrointestinal endoscopy. (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914620 Fri, 12 Nov 2010 00:00:00 +0100 4914620 http://www.medworm.com/index.php?rid=4914619&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002621%2Fabstract%3Frss%3Dyes Abstract: The purpose of this study was to compare the care-needs certification proportion of participants and non-participants in a geriatric health examination targeting community-dwelling seniors aged 70 years and older over 3 years. We implemented a geriatric health examination for 1347 community-dwelling adults aged 70 years and older in a local region of Japan in 2004. We followed the occurrence of new care-needs certification for 3 years in 443 subjects who participated in the health examination and in the 395 non-participants. Among the 838 subjects, there were 94 new certifications (11%) during the observation period. Non-participants had a significantly higher proportion of dependent, required assistance with walking and bathing, a history of stroke, poor self-reported health, te... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914619 Fri, 12 Nov 2010 00:00:00 +0100 4914619 http://www.medworm.com/index.php?rid=5021682&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002530%2Fabstract%3Frss%3Dyes Abstract: Most elderly patients admitted for hip fracture suffer functional decline. Previous studies with MK-0677 in hip fracture patients suggested possible benefits to functional recovery. This is a randomized, double-blind study of 123 elderly hip fracture patients assigned to receive 25mg/day of MK-0677 (n=62) or placebo (n=61). Primary outcomes were a rank analysis of change during the study in objective functional performance measurements and insulin-like growth factor-1 (IGF-1) levels in blood. At 24-weeks, the mean stair climbing power increased by 12.5 W in the MK-0677 group (95% confidence interval (CI)=−10.95–35.88; p=0.292) compared with placebo. Gait speed increased by a 0.7-score difference in the means (95% CI=0.17–1.28; p=0.011). There was no improvement in MK-0677 t... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021682 Wed, 10 Nov 2010 00:00:00 +0100 5021682 http://www.medworm.com/index.php?rid=5021681&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002633%2Fabstract%3Frss%3Dyes Abstract: The aim of the study was to investigate Na+-course of hip fracture patients in relation to demographic and clinical parameters. Data on 155 older hip fracture patients were analyzed retrospectively. Clinical parameters and serum Na+ on admission (Na1), during 24h pre-op. (Na2), during 24h post-op. (Na3), and pre-discharge (Na4) were recorded. Hyponatremia and hypernatremia rates pre- and post-operation were 26.5%, 2.6%, 24.5% and 5.8%. Higher Na3 (138.76±4.4mEq/l) vs. Na1 (137.69±4.5mEq/l) (p=0.004) and correlation between age and Na3 (p=0.021) was found. Mean serum Na+ of impaired mental status (IMS) vs. normal patients and of partially/independent vs. dependent patients were higher (p (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021681 Wed, 10 Nov 2010 00:00:00 +0100 5021681 http://www.medworm.com/index.php?rid=5021679&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002608%2Fabstract%3Frss%3Dyes This study examined the associations between social connections and risk of mortality among older adults aged ≥70 using data (n=9246) from the United States LSOA II. Social connections were measured at baseline (1994–96), and survival status and cause of mortality were identified in December 2002. A weighted sum score of lack of social connections (LSC) was estimated. Associations between LSC score by quartiles and risk of mortality were examined prospectively using Cox's proportional hazard regression models. The results show that within an eight-year follow-up, African Americans (AA) had the highest age-adjusted all-cause mortality (48.7%), followed by white Americans (WA) (44.7%), and Asian Americans (ASA) (38.4%). Participants within the highest quartile of LSC score had 2 times hi... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021679 Wed, 10 Nov 2010 00:00:00 +0100 5021679 http://www.medworm.com/index.php?rid=5021674&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002499%2Fabstract%3Frss%3Dyes Abstract: The aim of the present study was to explore the effect of baseline physical activity on hospitalization over one year in a representative sample of older adults in Taiwan. We conducted a prospective study of persons aged 65 and above (N=2064) participating in the National Health Interview Survey in Taiwan, 2001. A total of 1521 participants had complete data on physical activity and were successfully linked to 2002 National Health Insurance claims data. Participants reporting physical activity of ≥1000kcal per week had a significantly lower risk of hospitalization, fewer admissions, and fewer hospital bed days compared with inactive individuals. However, the strength of these associations was substantially reduced after adjustment for number of chronic diseases, activities of d... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021674 Wed, 10 Nov 2010 00:00:00 +0100 5021674 http://www.medworm.com/index.php?rid=4914618&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002591%2Fabstract%3Frss%3Dyes This study used fall experience and 50 fall risk assessment items representing the five risk factors (symptoms of falling, physical function, disease and physical symptom, environment, and behavior and character), as we described before. The accuracy of predicting fall experience from the total score or each risk factor score was examined by discriminant analysis. The percentage correctly distinguishing the faller from the total score was 14.4%, and that from the five risk factor scores was 39.7%. This percentage, when using each risk factor score as an independent variable, was 42.5% (symptom of falling), 0.6% (physical function score), 0.6% (disease and physical symptoms score), 0.0% (environment score), and 1.1% (behavior and character score), respectively. The best predictor of fall ex... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914618 Tue, 09 Nov 2010 00:00:00 +0100 4914618 http://www.medworm.com/index.php?rid=4914617&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS016749431000258X%2Fabstract%3Frss%3Dyes Abstract: The aim of the study was to assess the effects of SPB on a range of postural stability changes occurring after moderate exercise in elderly people. Twenty-seven males from the age of 65–81 years old (mean 71.6±4.9 years) took part in the study. The postural stability during bipedal quiet standing was tested directly before and after 10-min of exercise on a cycloergometer. The level of exercise intensity was predefined on the basis of subject's heart rate (HR). The study demonstrated that only small fractions of variation in post-exercise values of path length and area 95% could be explained by SPB at rest by the application of linear model (R2=5.3%, or 10.8%, respectively). The application of non-linear model, graphically represented by a parabola, revealed that the percentage... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914617 Tue, 09 Nov 2010 00:00:00 +0100 4914617 http://www.medworm.com/index.php?rid=4914615&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002566%2Fabstract%3Frss%3Dyes Abstract: The aim of the study was to describe the quantitative and qualitative aspects of pharmacotherapy of Polish centenarians. The studied group consisted of 92 centenarians (mean age: 101.7±1.2 years, 77 females, mean age: 101.5±1.2; 15 males mean age: 102.2±1.2). Among the studied subjects, 18 individuals (19.6% of all subjects) did not use any drugs in his or her daily regimen. The mean number of drugs per person was 2.5±2.5 drugs (prescription drugs: 1.9±2.2 and non-prescription drugs: 0.5±0.8). Fifty-six centenarians (60.9% of all studied subjects) took concomitantly 0–3 drugs daily while 36 (39.1%) took more than 3 drugs daily. Within this group, 30 centenarians (32.6%) took 5 or more drugs concomitantly every day. The most commonly used groups of drugs were: gastrointest... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914615 Tue, 02 Nov 2010 00:00:00 +0100 4914615 http://www.medworm.com/index.php?rid=4665653&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002153%2Fabstract%3Frss%3Dyes Abstract: The purpose of this study is to provide the evidence of individualized/personalized care by evaluating multi-dimensional outcomes of chronic diseases in the elderly. We used primary osteoporosis as an example, to evaluate the outcomes of three treatments (calcium combined vitamin D=Ca+vit.D; estrogen and disphosphonates) at the same time with biological dimension (bone-mineral density=BMD) and socio-psychological dimension (health-related quality of life=HR-QOL), using the medical outcomes study short-form 36-item health survey (SF-36) and cost dimension (drug cost). Using BMD as the outcome index, disphosphonate was the most effective treatment, in terms of HR-QOL, estrogen was the most effective while Ca+vit.D was the cheapest treatment, namely, different dimensional outcomes w... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665653 Mon, 01 Nov 2010 00:00:00 +0100 4665653 http://www.medworm.com/index.php?rid=5021714&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002207%2Fabstract%3Frss%3Dyes Abstract: The CDT requires a patient to draw the face of a clock, insert all the numbers and set the hands for a specified time. This task engages a number of cognitive abilities including verbal understanding, memory, spatially coded knowledge, planning, concentration and visuoconstructive skills. Although CDT has been regarded as a simple and useful screening tool in dementia, little is known about the longitudinal changes in CDT performance and error types, according to dementia subtypes and their severity. Materials and methods: Two hundred thirty-five consecutive patients with dementia (Alzheimer disease=AD, n=94, Parkinson's disease with dementia (PDD), n=119, Vascular dementia=VaD, n=22) were recruited from the memory clinic at Chungnam University hospital from January 2005 to July ... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021714 Thu, 28 Oct 2010 23:00:00 +0100 5021714 http://www.medworm.com/index.php?rid=5021686&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002554%2Fabstract%3Frss%3Dyes Abstract: Motor programming theory suggests that an integral component in an effective outcome is an adequate action (mental) representation of the movements; a representation reflected in the ability to use motor imagery. Recent reports show a decline with advanced age (>64 years) using a variety of motor simulation tasks. Here, we examined the possible effects of advanced age on motor imagery ability in the context of estimation of reachability – that is, estimating whether an object is within reach or out of grasp. Thirty young adults (mean age: 20) and 23 older adults (mean age: 77) were instructed to estimate, using motor imagery, whether randomly presented targets in peripersonal (within actual reach) and extrapersonal (beyond reach) space were within or out of reach of their domin... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021686 Thu, 28 Oct 2010 23:00:00 +0100 5021686 http://www.medworm.com/index.php?rid=5021680&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002529%2Fabstract%3Frss%3Dyes Abstract: Elderly patients with heart failure (HF) may be troubled by thirst, despite the fact that elderly have an impaired ability to sense thirst. The present study was undertaken to compare the intensity of thirst in patients with and without HF and to evaluate how this symptom relates to the health-related quality of life and indices of the fluid balance. Forty-eight patients (mean age 80 years) admitted to hospital with worsening HF (n=23) or with other acute illness (n=25) graded their thirst and estimated their health-related quality of life (HRQoL). Serum sodium was measured and urine samples were assessed for color and electrolyte content. The HF patients reported significantly more intensive thirst (median=75mm) compared with those in the control group (median=25mm; p (Source: A... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021680 Thu, 28 Oct 2010 23:00:00 +0100 5021680 http://www.medworm.com/index.php?rid=5021676&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002542%2Fabstract%3Frss%3Dyes In conclusion, physical activity was related to different domains of both the physical and mental components of HRQoL and to decreased depressive symptoms. Results emphasize the positive effects of physical activity in both community-dwelling and institutionalized older adults. (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021676 Thu, 28 Oct 2010 23:00:00 +0100 5021676 http://www.medworm.com/index.php?rid=4914611&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002104%2Fabstract%3Frss%3Dyes Abstract: The purpose of the study was to compare the level of energy expenditure due to physical activity (EEPA) and functional fitness (FF) in 59 women and 82 men aged 70–80 years, divided into three groups: permanent residents in assisted-living facilities (ALFs), participants in adult day care centers (DCCs) and older people living independently, members in community senior centers (CSCs). EEPA and FF were analyzed taking into consideration sex differences. The energy expenditure tended to be lower in DCCs and ALFs subjects than in CSCs members, but significant differences were obtained only in women. Women in different living settings differed only in endurance. In men, the differences were clear in most tests (endurance, strength, agility/dynamic balance) except for flexibility. In... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914611 Thu, 28 Oct 2010 23:00:00 +0100 4914611 http://www.medworm.com/index.php?rid=4665660&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002505%2Fabstract%3Frss%3Dyes This study uses the Delphi method in interviewing experts to identify critical risks in the development of assistive devices. Critical risks included product planning, technology development, production, performance, schedule management, and cost management, comprising 26 risk factors in 6 constructs. This study determined which factors were of high importance, finding a total of 7 market analysis errors. Mind mapping was used to create a knowledge map; and layer expansion was used to understand risk distribution to facilitate risk mitigation and monitoring. Organizational risk strategies could be developed to reduce risk and maintain stability while achieving the objective of developing new products. (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665660 Thu, 28 Oct 2010 23:00:00 +0100 4665660 http://www.medworm.com/index.php?rid=4665646&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310001275%2Fabstract%3Frss%3Dyes This study aims to compare the effects of once and twice weekly WE on bodily functions of frail elderly requiring nursing care in six months. The design is a prospective cohort study. Participants were assigned to two different exercise groups (once weekly group or twice weekly group; n=35). Once weekly group participate in a 60-min exercise session once a week, for six months while twice weekly group attended the session twice a week. Exercise sessions were divided into a 10-min warm-up on land and 50min of exercise in water. The 50-min WE program consisted of 20min walking, 10min activities of daily living (ADL) exercise, 10min stretching and strength exercises, and 10min relaxation in water. Muscle strength, flexibility, balance, mobility and ADL disability were measured before the begi... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665646 Wed, 20 Oct 2010 23:00:00 +0100 4665646 http://www.medworm.com/index.php?rid=5021720&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002360%2Fabstract%3Frss%3Dyes In conclusion, we reconstructed an integrated QFD model which will not only reduce costs but also reveal the crucial outpatient service items that will improve the quality of medical care for elderly people. (Source: Archives of Gerontology and Geriatrics) Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=5021720 Thu, 14 Oct 2010 23:00:00 +0100 5021720 http://www.medworm.com/index.php?rid=4914614&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002335%2Fabstract%3Frss%3Dyes Abstract: Dementia screening is of great importance in various health settings for older people, long-term care facilities are no exception. The need for an effective dementia screening tool being culture sensitive is important. Minimum data set (MDS) is a population instrument for health care management in the world, which also covers dementia screening. The main purpose of this study was to evaluate the effectiveness of the MDS-based dementia screening tools among older Chinese men in the Veteran Home in Taiwan. Overall, 576 participants (mean age: 80.9±5.3 years, all males, 92.7% physically independent), 18.6% had cognitive impairment according to the mini-mental state examination (MMSE) (mean score: 26.7±3.9). However, the prevalence of cognitive impairment was 5.5% by MDS cognitive ... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914614 Thu, 14 Oct 2010 23:00:00 +0100 4914614 http://www.medworm.com/index.php?rid=4665659&cid=s_38441_18_f&fid=38441&url=http%3A%2F%2Fwww.aggjournal.com%2Farticle%2FPIIS0167494310002359%2Fabstract%3Frss%3Dyes This study examined the association between SES and depressive symptoms in older adults. The study population consisted of a representative community sample of 4165 persons aged 65 and older from Wave 1 of the Korean Longitudinal Study of Aging. The Center for Epidemiologic Studies Depression scale was used to measure the extent of depressive symptoms. Socioeconomic indicators included education, household income, and net worth. Analyses were conducted by gender, using multiple linear regression analysis, to identify independent effects of socioeconomic variables on depressive symptoms, controlling for demographics and health-related variables. There was an inverse association between higher levels of socioeconomic factors and depressive symptoms in the study population. A clear difference... Archives of Gerontology and Geriatrics journals http://www.medworm.com/rss/comments.php?id=4665659 Thu, 14 Oct 2010 23:00:00 +0100 4665659