scholarly journals Quality of Life for 19,114 participants in the ASPREE (ASPirin in Reducing Events in the Elderly) study and their association with sociodemographic and modifiable lifestyle risk factors

2018 ◽  
Vol 28 (4) ◽  
pp. 935-946 ◽  
Author(s):  
Nigel P. Stocks ◽  
◽  
David A. González-Chica ◽  
Robyn L. Woods ◽  
Jessica E. Lockery ◽  
...  
2021 ◽  
Vol 10 ◽  
pp. 216495612110013
Author(s):  
Xiaotao Zhang ◽  
Sharmila Anandasabapathy ◽  
Julian Abrams ◽  
Mohamed Othman ◽  
Hoda J Badr

Background and Aims Lifestyle counseling to achieve a healthy weight, quit smoking, and reduce alcohol is a cornerstone in the management of Barrett’s Esophagus (BE). However, little is known about whether patients make these recommended lifestyle changes or the impact of non-adherence on their quality of life (QOL). This study characterized the lifestyle risk factors, QOL, and intervention preferences of BE patients as a first step toward developing lifestyle change interventions for this population. Methods Patients with a confirmed BE diagnosis (N = 106) completed surveys at a surveillance endoscopy visit (baseline) and at 3- and 6-month follow-ups. Patients reported on lifestyle risk factors, adherence determinants (e.g., perceived benefits/barriers, risk, intentions), QOL, and intervention preferences. Results Most patients (56%) had uncontrolled reflux, were overweight/obese (65.1%), and had low dietary fiber intake (91%). Many (45%) reported poor QOL. Patients’ perceived risk of developing esophageal cancer was high, but their behavior change intentions were low. Despite receiving lifestyle counseling from physicians, there were no significant changes in patients’ QOL or lifestyle risk factors over time. Nonetheless, patients indicated strong interest in internet (62.6%) and multimedia programs (57.9%) addressing acid reflux and weight control. Conclusion BE patients reported uncontrolled reflux, poor QOL, and multiple lifestyle risk factors that did not change over time. Despite low levels of intention for making lifestyle changes, patients were interested receiving more information about controlling acid reflux, suggesting a potential teachable moment and opportunity for web-based and multimedia multiple behavior interventions that seek to control acid reflux symptoms through weight loss and a high fiber diet.


2020 ◽  
Vol 1 ◽  
pp. 425-435
Author(s):  
Sergey Afanasyev ◽  
◽  
Sergey Rokutov ◽  
Viktoriya Proskura ◽  
Alexander Afanasieva ◽  
...  

Introduction. The data of the analysis of scientific and methodical literature on physical therapy of musculoskeletal lesions in elderly people with osteoarthritis, depending on sex, age and other risk factors are presented. Currently, osteoarthritis (OA) is a fairly common disease, especially in the elderly. As life expectancy increases, the problem becomes even more important. In Ukraine, the frequency of OA has remained quite high in recent years and continues to increase. The purpose of the study is systematization and generalization of modern scientific and methodical knowledge and practical experience in physical therapy of large joints of elderly patients taking into account risk factors. Material and Methods: analysis of special scientific methodical literature and Internet resources. Results. Chronic pain syndrome and the functional inability of the joints that accompany OA lead to a restriction of domestic physical activity and a decrease in quality of life. With age, the frequency of OA increases and among those over 65 years of age reaches 97%. Other factors include female sex, excessive body weight, low economic status, alcohol and smoking, congenital joint dysplasia, hormone changes, imbalance of cytokines. Local OA (mono- and oligoartrosis) and generalized (polyarthrosis) with the defeat of three or more joints are distinguished. Gonarthrosis is more common, because the knee joints are under constant load of body weight, more often exposed to traumatic factors. Treatment of OA using physical therapy methods is aimed at reducing pain and local inflammation, reducing the frequency of exacerbations, improving the quality of life, slowing the progression of the disease, reducing the probability of development disability of patients with this pathology. Scientists mainly pay attention to the treatment and rehabilitation of patients in the early stages of the disease. Conclusions. Many aspects of this problem have already been well studied and described. At the same time, a significant number of issues remain that require further study and discussion, in particular insufficient work on OA prevention; the problem of a differentiated approach to the development of modern rehabilitation programs for patients taking into account age, sex and complications remains incompletely investigated. Keywords: knee-joint arthrosis, aged, methods of physical rehabilitation


Author(s):  
Haewon Byeon

Background and Objectives: This study developed a support vector machine (SVM) algorithm-based prediction model with considering influence factors associated with the swallowing quality-of-life as the predictor variables and provided baseline information for enhancing the swallowing quality of elderly people’s lives in the future. Methods and Material: This study sampled 142 elderly people equal to or older than 65 years old who were using a senior welfare center. The swallowing problem associated quality of life was defined by the swallowing quality-of-life (SWAL-QOL). In order to verify the predictive power of the model, this study compared the predictive power of the Gaussian function with that of a linear algorithm, polynomial algorithm, and a sigmoid algorithm. Results: A total of 33.9% of the subjects decreased in swallowing quality-of-life. The swallowing quality-of-life prediction model for the elderly, based on the SVM, showed both preventive factors and risk factors. Risk factors were denture use, experience of using aspiration in the past one month, being economically inactive, having a mean monthly household income <2 million KRW, being an elementary school graduate or below, female, 75 years old or older, living alone, requiring time for finishing one meal on average ≤15 min or ≥40 min, having depression, stress, and cognitive impairment. Conclusions: It is necessary to monitor the high-risk group constantly in order to maintain the swallowing quality-of-life in the elderly based on the prevention and risk factors associated with the swallowing quality-of-life derived from this prediction model.


1970 ◽  
Vol 7 (3) ◽  
pp. 142-145
Author(s):  
Pummarak S ◽  
Samrongtong R ◽  
Ramesh Kumar

Background: Previous evidence indicates that older people allocate more of their attentional resources toward their gait and that the attention-related changes that occur during aging increase the risk of falls. Methods: A cross sectional study was conducted in Banna District and Ongkarak District, Nakornnayok Province, Thailand. One hundred elderly people participated in this study. Gait was assessed by a Time Up and Go Test (TUGT) while the One legged stance test (OLST) assessed balance performance. The Falls Efficacy Scale (FES) measured fear of falling of the elderly people. A WHOQOL-BREF instrument assessed the quality of Life among elderly people. Results: The findings revealed that 58% of the participants were female, aged between 60-74 years (mean = 66.39, SD 3.65). Over a 12 month period, 57% of participants had experienced a fall once, 41% had experienced 2 falls while 2% had experienced 3 or more falls. One-third of the elderly people who participated in the study had a fear of falling. Almost all of the elderly participants (76%) had a moderate fall risk perception score. The mean score of total quality of life was moderate (80.43). Conclusion: Study concluded that the elderly people face a valid risk of falling based on prevalent risk factors that results in a fear of falling. An assessment of fall risk factors are important in establishing a fall prevention program for the elderly faced with fall risk factor from fear of falling and. Assessment fall risk factors are important to provide the suitable falls prevention program for the elderly.


2020 ◽  
Vol 10 (4) ◽  
pp. 330-333
Author(s):  
Walid Kamal Abdelbasset

The present review aims to identify the prevalence of falls, to describe the factors related to falls among elderly stroke patients, and to demonstrate the desired interventions to prevent falling among those patients. This review was conducted using PubMed, SCOPUS, Web of Science, and Medline to determine the incidence, risk factors, and favorable procedures to prevent and manage falls among elderly stroke patients. Falls lead to injuries, fractures, and impairments of the quality of life. Elderly stroke patients are more susceptible to falling than their healthy peers, which may result in greater restrictions on activity and mobility. Previous studies have documented the incredible prevalence of falls among the elderly who have suffered a stroke. Our study led to the conclusion that falls should be assessed to determine how to prevent and control them among elderly stroke patients. Physical therapy and rehabilitation modalities have a key role to play in improving the health status and prevent falling among those patients.


Medicina ◽  
2021 ◽  
Vol 57 (10) ◽  
pp. 1119
Author(s):  
Filippo Migliorini ◽  
Riccardo Giorgino ◽  
Frank Hildebrand ◽  
Filippo Spiezia ◽  
Giuseppe Maria Peretti ◽  
...  

Given the progressive ageing of Western populations, the fragility fractures market has a growing socioeconomic impact. Fragility fractures are common in the elderly, negatively impacting their quality of life, limiting autonomy, increasing disability, and decreasing life expectancy. Different causes contribute to the development of a fractures in frail individuals. Among all, targeting fragile patients before the development of a fracture may represent the greatest challenge, and current diagnostic tools suffer from limitations. This study summarizes the current evidence on the management of fragility fractures, discussing risk factors, prevention, diagnosis, and actual limitations of the clinical therapeutic options, putting forward new ideas for further scientific investigation.


2019 ◽  
Vol 15 (2) ◽  
pp. 78-84 ◽  
Author(s):  
Pasquale Palmiero ◽  
Annapaola Zito ◽  
Maria Maiello ◽  
Annagrazia Cecere ◽  
Anna Vittoria Mattioli ◽  
...  

Primary prevention of cardiovascular events in older adults is a relevant problem, due to lack of evidence for safe and efficacious therapy, its costs and elderly quality of life, Italy’s aging population is constantly increasing, so cardiovascular disease (CVD) primary prevention in the elderly is a prime objective. Life expectancy has dramatically increased over the last 2 decades, the proportion of individuals aged 80 years and older has grown rapidly in Europe and the United States, but cost / effective ratio of CVD prevention through risk factors control is debated. It is therefore important to implement cardiovascular risk factors estimation in the elderly to maximize the quality of life of patients and to lengthen their healthy life expectancy, choosing the better treatment for each patient sharing the choice with himself when it is possible, always remembering that elderly patients often have multiple co-morbidities that require a high number of concurrent medications; this may increase the risk for drug-drug interactions, thereby reducing the potential benefits of CVD prevention therapy. Nevertheless, CVD is not an inevitable concomitant of aging. Sometimes, autopsy in the elderly reveals atheroma-free coronary arteries, a normal-sized heart and unscarred valves. All primary prevention strategy decisions should consider estimated life expectancy and overall function and not just the cardiovascular event risks, magnitude and time to benefit or harm, potentially altered adverse effect profiles, and informed patient preferences. CVD primary prevention needs to be more implemented in the elderly, this might contribute to improve health status and quality of life in this growing population if correctly performed.


2021 ◽  
Vol 100 (8) ◽  
pp. 863-868
Author(s):  
Elena V. Katamanova ◽  
Natalya V. Efimova ◽  
Polina V. Kazakova ◽  
Oksana V. Ushakova ◽  
Irina N. Kodinets

Introduction. Elderly people are among the most important social groups in Russian society, remaining the least protected, socially and biologically vulnerable part of the population. The objective of the study is to rank and assess the risk factors and health status of older people. Materials and Methods. 40 elderly persons aged 60 to 87 years were examined. The average age was 71.2 ± 7.4 years. Clinical, audiometric, stabilometric, psychological examination, biochemical blood test, osteodensitometry, ultrasound examination were carried out. An assessment of the health-related quality of life and diet is given. Statistica software was used for statistical processing. V.10 Results. On average, 5.3 diseases were found to be detected per one older person. This indicates the polymorbidity of the pathology. At the same time, more than half of the examined persons were found to have combined vascular lesions (52.5%) with lesions of the vessels of the brain and heart, accompanied by impaired cholesterol metabolism. The analysis of the indicators of the quality of life scales in the elderly population made it possible to establish pronounced problems associated with physical and emotional health and the deficit in the intake of B vitamins and protein in the diet. Conclusion. The older persons differ due to polymorbidity pathology. The analysis of the indicators of the quality of life scales in the elderly allowed establishing the presence of pronounced problems associated with physical and emotional health. It demonstrates the presence of increased depletion of mental activity and fatigue, and the lack of activation processes, which may further affect the limitation of daily activities and reduce the health-related life quality.


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