How Dietary Patterns are Related to Inflammaging and Mortality in Community-Dwelling Older Chinese Adults in Hong Kong — A Prospective Analysis

Objectives. To investigate the preferences of ACP and healthcare autonomy in community-dwelling older Chinese adults.Methods. A community-based cross-sectional study was conducted with older adults living in the residential estate of Chaoyang District, Beijing.Results. 900 residents were enrolled. 80.9% of them wanted to hear the truth regarding their own condition from the physician; 52.4% preferred to make their own healthcare decisions. Only 8.9% of them preferred to endure life-prolonging interventions when faced with irreversible conditions. 78.3% of the respondents had not heard of an ACP; only 39.4% preferred to document in an ACP. Respondents with higher education had significantly higher proportion of having heard of an ACP, as well as preferring to document in an ACP, compared to those with lower education. Those aged <70 years had higher proportion of having heard of an ACP, as well as refusing life-prolonging interventions when faced with irreversible conditions, compared to those aged ≥70 years.Conclusions. Although the majority of community-dwelling older Chinese adults appeared to have healthcare autonomy and refuse life-prolonging interventions in terms of end-of-life care, a low level of “Planning ahead” awareness and preference was apparent. Age and education level may be the influential factors.

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The effects of an intervention group with the support of non-pharmacological Chinese medicine on older Chinese adults with insomnia

International Social Work ◽

10.1177/0020872806069083 ◽

2006 ◽

Vol 49 (6) ◽

pp. 791-803 ◽

Cited By ~ 2

Author(s):

Kai-fong Chan ◽

Petrus Ng ◽

Ka-ying Ng

Keyword(s):

Hong Kong ◽

Chinese Medicine ◽

Group Intervention ◽

Behavioral Treatment ◽

Intervention Group ◽

Work Practice ◽

Social Work Practice ◽

Chinese Adults ◽

Older Chinese ◽

Older Chinese Adults

English This article reports a pilot study on an intervention group which integrated behavioral treatment and non-pharmacological Chinese medicine to reduce the problem of insomnia for older Chinese adults. Findings showed that the six-session group intervention was effective. The highlight of each session was presented and implications for social work practice discussed. French Cet article présente les résultats d'un projet pilote en intervention de groupe, mené pour répondre aux problèmes d'insomnie de la population âgée de Hong Kong. Ce projet a fait appel à des traitements comportementaux et à la pharmacopée traditionnelle chinoise. Les résultats indiquent que les interventions de groupe ont été concluantes. On aborde également les implications pour le travail social en Chine et ailleurs. Spanish Se informa sobre un estudio piloto de una intervención de grupo para tratar los problemas de insomnio entre personas mayores en Hong Kong. Esta intervención integra los tratamientos de conducta y medicina china no farmacológica. Los resultados sugieren que la intervención de grupo fue efectiva. Se exponen las implicaciones para el trabajo social en China y en otros lugares.

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Association Between Malnutrition and Depression Among Community-Dwelling Older Chinese Adults

Asia Pacific Journal of Public Health ◽

10.1177/1010539518760632 ◽

2018 ◽

Vol 30 (2) ◽

pp. 107-117 ◽

Cited By ~ 7

Author(s):

Junmin Wei ◽

Linlin Fan ◽

Yuhui Zhang ◽

Shirley Li ◽

Jamie Partridge ◽

...

Keyword(s):

Older Adults ◽

Health Care ◽

Community Dwelling ◽

Chinese Adults ◽

Community Based ◽

Related Cost ◽

Important Concern ◽

Older Chinese ◽

Older Chinese Adults ◽

Care Costs

Malnutrition and depression are of important concern among older adults. We investigated the association between malnutrition and depression among community-dwelling older Chinese adults and how both affect health care costs. Data from 4916 older adults (age ≥60 years) collected as part of 2013-Wave II China Health and Retirement Longitudinal Study (CHARLS) survey were analyzed. Measures of body mass index and weight loss were used as indicators of malnutrition. Malnourished subjects were 31% more likely to be depressed than their non-malnourished counterparts (odds ratio = 1.311, P < .1). Health care–related cost was ¥591.8 higher for malnourished older adult per year compared to a non-malnourished counterpart ( P < .1), thus confirming that incidence of depression coupled with malnutrition significantly increases health care–related costs. These results highlight the importance of malnutrition and depression screening and treatment for older Chinese community-dwelling adults, and the importance of community-based nutrition-specific programs that could address the needs of the affected populations.

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Muscle mass rather than muscle strength or physical performance is associated with metabolic syndrome in community-dwelling older Chinese adults

BMC Geriatrics ◽

10.1186/s12877-021-02143-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Peiyu Song ◽

Peipei Han ◽

Yinjiao Zhao ◽

Yuanyuan Zhang ◽

Liyan Wang ◽

...

Keyword(s):

Metabolic Syndrome ◽

Muscle Strength ◽

Muscle Mass ◽

Physical Performance ◽

Walking Speed ◽

Community Dwelling ◽

Chinese Adults ◽

High Waist Circumference ◽

Older Chinese ◽

Older Chinese Adults

Abstract Objective The purpose of this study was to examine whether muscle mass, muscle strength, and physical performance were associated with metabolic syndrome (MetS) in community-dwelling older Chinese adults. Methods The study comprised of 1413 community-dwelling Chinese participants (577 men; mean ± standard deviation age: 71.3 ± 5.9) recruited from Tianjin and Shanghai, China who were invited to participate in a comprehensive geriatric assessment. The International Diabetes Federation metabolic syndrome guidelines were used to define MetS, including high waist circumference, elevated blood pressure, elevated fasting blood glucose, elevated triglycerides, and reduced HDL cholesterol. Muscle mass was measured by appendicular skeletal muscle mass/weight (ASM/weight), and ASM was measured by BIA. Muscle strength was measured using grip strength. Physical performance was represented by walking speed and the time up and go test (TUGT). Results The overall prevalence of MetS was 46.8% (34.1% in males and 55.5% in females). In the final logistic regression model, there was a significant, graded inverse association between muscle mass and MetS (p for trend = 0.014). Muscle strength and physical performance, including walking speed and TUGT, were not associated with overall MetS. In the components of MetS, muscle mass and grip strength were significantly inversely associated with high waist circumference and elevated blood pressure (p < 0.05), while physical performance was not associated with components of MetS. Conclusions Compared with muscle strength and muscle function, muscle mass was inversely associated with MetS in a community-dwelling elderly Chinese population. Among muscle mass、muscle strength and physical performance, muscle mass appears to have the strongest association with MetS in the elderly.

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Raising Self-esteem through Social Networking Intervention for Older Chinese Adults in Hong Kong

Asia Pacific Journal of Social Work and Development ◽

10.1080/21650993.2009.9756054 ◽

2009 ◽

Vol 19 (1) ◽

pp. 66-81 ◽

Cited By ~ 1

Author(s):

ESTHER OI-WAH CHOW ◽

CHAU-KIU CHEUNG

Keyword(s):

Hong Kong ◽

Social Networking ◽

Self Esteem ◽

Chinese Adults ◽

Older Chinese ◽

Older Chinese Adults

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Metabolic syndrome and 5-year incident hyperuricemia among older Chinese adults: a community-based cohort study

10.21203/rs.3.rs-62307/v1 ◽

2020 ◽

Author(s):

Jing-Hong Liu ◽

Qing-Hua Ma ◽

Yong Xu ◽

Xing Chen ◽

Chen-Wei Pan

Keyword(s):

Diabetes Mellitus ◽

Older Adults ◽

Metabolic Syndrome ◽

Cohort Study ◽

Community Dwelling ◽

Special Focus ◽

Chinese Adults ◽

Community Based ◽

Older Chinese ◽

Older Chinese Adults

Abstract Background There was a lack of studies focusing on older adults about the longitudinal association between metabolic syndrome (MetS) and hyperuricemia (HUA). We aimed to assess the association of baseline MetS and incident HUA among older Chinese adults, with a special focus on the associations between different combinations of MetS components and HUA. Methods Data of 3,247 Chinese adults aged 60 years or older included in a community-based longitudinal cohort study were analyzed. Anthropometric examinations and collection of blood sample were conducted both at baseline and follow-up. HUA was defined as 7 mg/dl or above for men and 6 mg/dl or greater for women. MetS was assessed based on the National Cholesterol Education Program-Adult Treatment Panel Ⅲ, and older adults with presence of at least three of MetS components were considered as having MetS. Results MetS and its components including high blood pressure (BP), high body mass index, diabetes mellitus and high triglycerides were significantly related to incident HUA. The association between high BP and incident HUA is strongest among the five MetS components. Among all combinations of MetS components, the group consisting of diabetes mellitus, high BP and high triglycerides had the highest odds for incident HUA (OR = 13.07, 95%CI = 4.95–34.54). Conclusions MetS and its components except for low high-density lipoprotein cholesterol could increase the risk of HUA among community-dwelling older adults and high BP may be the most important determinant.

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