scholarly journals Operational definitions of sarcopenia and their associations with 5-year changes in falls risk in community-dwelling middle-aged and older adults

2013 ◽  
Vol 25 (1) ◽  
pp. 187-193 ◽  
Author(s):  
D. Scott ◽  
A. Hayes ◽  
K. M. Sanders ◽  
D. Aitken ◽  
P. R. Ebeling ◽  
...  
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Middle Aged ◽  
Falls Risk

scholarly journals SOCIAL ISOLATION AND FALLS RISK AMONG COMMUNITY DWELLING OLDER ADULTS: THE MEDIATING ROLE OF DEPRESSION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S293-S293
Author(s):  
Jeffrey Burr ◽  
Lien Quach
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Social Isolation ◽  
Perceived Social Support ◽  
Well Being ◽  
Community Dwelling ◽  
Outcome Variable ◽  
Falls Risk ◽  
Risk Of Falls ◽  
Perceived Social Isolation

Abstract Relatively little is known about the relationship between social isolation and the risk of falls among older adults. Yet, a considerable amount of research demonstrates that lack of sufficient social relationships, broadly defined, represents a modifiable risk factor for many indicators of well-being in later life. This study examines the association between two types of social isolation and the risk of falls. The study also examines whether depression mediates the association between social isolation and risk of falls. Longitudinal data from the Health and Retirement Study (2006-2012) were collected from community-dwelling participants aged 65 and older (N=8,464). The outcome variable was number of falls self-reported over the observation period. Independent variables included perceived isolation (feeling lonely, perceptions of social support), social disconnectedness (e.g., having no friends or relatives living nearby, living alone), and number of depressive symptoms. Results from regression models indicated that social disconnectedness was associated with a 5% increase in the risk of falls (IRR=1.05, 95% CI=1.01-1.09). Perceived social support was associated with a 21% increase in the risk of falls; when examined together, perceived social support and loneliness were associated with a combined 37% increase in falls risk. Depression was associated with a 47% increase in falls. Depression mediated the association between perceived isolation and falls. Further, perceived isolation mediated the association between social disconnectedness and falls. Reducing perceived social isolation and social disconnectedness may be an avenue for designing interventions to reduce the risk of falls, especially for older adults with depression.

scholarly journals Neurocognitive markers of passive suicidal ideation in late-life depression

2020 ◽  
pp. 1-11
Author(s):  
Joshua T. Jordan ◽  
Christina F. Chick ◽  
Camarin E. Rolle ◽  
Nathan Hantke ◽  
Christine E. Gould ◽  
...  
Keyword(s):  
Older Adults ◽  
Suicidal Ideation ◽  
Cognitive Flexibility ◽  
Early Stage ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Late Life Depression ◽  
Middle Aged ◽  
Cross Sectional ◽  
Inhibitory Ability

ABSTRACT Objectives: (1) To delineate whether cognitive flexibility and inhibitory ability are neurocognitive markers of passive suicidal ideation (PSI), an early stage of suicide risk in depression and (2) to determine whether PSI is associated with volumetric differences in regions of the prefrontal cortex (PFC) in middle-aged and older adults with depression. Design: Cross-sectional study. Setting: University medical school. Participants: Forty community-dwelling middle-aged and older adults with depression from a larger study of depression and anxiety (NIMH R01 MH091342-05 PI: O’Hara). Measurements: Psychiatric measures were assessed for the presence of a DSM-5 depressive disorder and PSI. A neurocognitive battery assessed cognitive flexibility, inhibitory ability, as well as other neurocognitive domains. Results: The PSI group (n = 18) performed significantly worse on cognitive flexibility and inhibitory ability, but not on other neurocognitive tasks, compared to the group without PSI (n = 22). The group with PSI had larger left mid-frontal gyri (MFG) than the no-PSI group. There was no association between cognitive flexibility/inhibitory ability and left MFG volume. Conclusions: Findings implicate a neurocognitive signature of PSI: poorer cognitive flexibility and poor inhibitory ability not better accounted for by other domains of cognitive dysfunction and not associated with volumetric differences in the left MFG. This suggests that there are two specific but independent risk factors of PSI in middle- and older-aged adults.

scholarly journals Age Moderates Perceived COVID-19 Disruption on Well-Being

2020 ◽  
Author(s):  
Amy Knepple Carney ◽  
Allyson S Graf ◽  
Grace Hudson ◽  
Ellen Wilson
Keyword(s):  
Older Adults ◽  
Negative Affect ◽  
Perceived Stress ◽  
Large Scale ◽  
Negative Impact ◽  
Well Being ◽  
Community Dwelling ◽  
Middle Aged ◽  
Age Related ◽  
Design And Methods

Abstract Background and Objectives It is not fully understood how large-scale events affect well-being. Older adults showed the highest levels of resilience following the September 11th (9/11) terrorist attacks, but during the severe acute respiratory syndrome outbreak, there were no age-related differences in well-being. The current study examined the Coronavirus Disease 2019 (COVID-19) disruption on well-being throughout adulthood. Research Design and Methods Perceived stress and affect were examined in 166 community-dwelling adults (Mage = 35.65; SD = 15.53; range = 18–79) in relation to the perceived disruption of the COVID-19 pandemic to their lives. Results A significant moderation was found for age and COVID-19 disruption on perceived stress [F(5, 153) = 8.88, p < .05, R2 = .22] and negative affect [F(5, 154) = 4.91, p < .05, R2 = .14], but not for positive affect. For participants over 50, those who rated COVID-19 as a low or high disruption had similar scores on stress and negative affect, but with younger aged participants, perceiving high disruption corresponded with higher levels of stress and negative affect. Discussion and Implications Findings are consistent with the strength and vulnerability integration (SAVI) model, wherein older adults try to maintain positive emotional well-being, with middle-aged and older adults in the current study having experienced less negative impact on well-being. Middle-aged and older adults may be better able to regulate negative emotions from COVID-19 than younger adults. SAVI proposes a greater negative impact on older adults when they experience sustained stressors; as the challenges with COVID-19 continue, further data will need to be examined.

scholarly journals Socioeconomic differences in hearing among middle-aged and older adults: cross-sectional analyses using the Health Survey for England

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e019615 ◽  
Author(s):  
Shaun Scholes ◽  
Jane Biddulph ◽  
Adrian Davis ◽  
Jennifer S. Mindell
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Health Survey ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Community Dwelling ◽  
Middle Aged ◽  
Cross Sectional ◽  
Hearing Aid Use ◽  
Health Survey For England

BackgroundHearing loss impacts on cognitive, social and physical functioning. Both hearing loss and hearing aid use vary across population subgroups. We examined whether hearing loss, and reported current hearing aid use among persons with hearing loss, were associated with different markers of socioeconomic status (SES) in a nationally representative sample of community-dwelling middle-aged and older adults.MethodsHearing was measured using an audiometric screening device in the Health Survey for England 2014 (3292 participants aged 45 years and over). Hearing loss was defined as >35 dB HL at 3.0 kHz in the better-hearing ear. Using sex-specific logistic regression modelling, we evaluated the associations between SES and hearing after adjustment for potential confounders.Results26% of men and 20% of women aged 45 years and over had hearing loss. Hearing loss was higher among men in the lowest SES groups. For example, the multivariable-adjusted odds of hearing loss were almost two times as high for those in the lowest versus the highest income tertile (OR 1.77, 95% CI 1.15 to 2.74). Among those with hearing loss, 30% of men and 27% of women were currently using a hearing aid. Compared with men in the highest income tertile, the multivariable-adjusted odds of using a hearing aid nowadays were lower for men in the middle (OR 0.50, 95% CI 0.25 to 0.99) and the lowest (OR 0.47, 95% CI 0.23 to 0.97) income tertiles. Associations between SES and hearing were weaker or null among women.ConclusionsWhile the burden of hearing loss fell highest among men in the lowest SES groups, current hearing aid use was demonstrably lower. Initiatives to detect hearing loss early and increase the uptake and the use of hearing aids may provide substantial public health benefits and reduce socioeconomic inequalities in health.

Strengths and Satisfaction Across the Adult Lifespan

2003 ◽  
Vol 57 (2) ◽  
pp. 181-201 ◽  
Author(s):  
Derek M. Isaacowitz ◽  
George E. Vaillant ◽  
Martin E. P. Seligman
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Community Dwelling ◽  
Middle Aged ◽  
Lower Strength ◽  
Younger Adults ◽  
Adult Lifespan ◽  
The World ◽  
Community Dwelling Older Adults

Positive psychology has recently developed a classification of human strengths (Peterson & Seligman, in press). We aimed to evaluate these strengths by investigating the strengths and life satisfaction in three adult samples recruited from the community (young adult, middle-aged, and older adult), as well as in the surviving men of the Grant study of Harvard graduates. In general, older adults had higher levels of interpersonal and self-regulatory strengths, whereas younger adults reported higher levels of strengths related to exploring the world. Grant study men tended to report lower strength levels than older adults from the community. Among the young adults, only hope significantly predicted life satisfaction, whereas among the middle-aged individuals, the capacity for loving relationships was the only predictor. Among community-dwelling older adults, hope, citizenship, and loving relationships all positively and uniquely predicted life satisfaction, compared with loving relationships and appreciation of beauty in the Grant sample.

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