Underprescription of medications in older adults: causes, consequences and solutions—a narrative review

Author(s):  
F. Lombardi ◽  
L. Paoletti ◽  
B. Carrieri ◽  
G. Dell’Aquila ◽  
M. Fedecostante ◽  
...  
Author(s):  
Charlotte C. Gupta ◽  
Christopher Irwin ◽  
Grace E. Vincent ◽  
Saman Khalesi

2011 ◽  
Vol 9 (6) ◽  
pp. 378-391 ◽  
Author(s):  
Emily P. Peron ◽  
Shelly L. Gray ◽  
Joseph T. Hanlon

2020 ◽  
Vol 2020 ◽  
pp. 1-15 ◽  
Author(s):  
Adria Quigley ◽  
Marilyn MacKay-Lyons ◽  
Gail Eskes

Physical activity and exercise have emerged as potential methods to improve brain health among older adults. However, there are currently no physical activity guidelines aimed at improving cognitive function, and the mechanisms underlying these cognitive benefits are poorly understood. The purpose of this narrative review is to present the current evidence regarding the effects of physical activity and exercise on cognition in older adults without cognitive impairment, identify potential mechanisms underlying these effects, and make recommendations for exercise prescription to enhance cognitive performance. The review begins with a summary of evidence of the effect of chronic physical activity and exercise on cognition. Attention then turns to four main biological mechanisms that appear to underlie exercise-induced cognitive improvement, including the upregulation of growth factors and neuroplasticity, inhibition of inflammatory biomarker production, improved vascular function, and hypothalamic-pituitary-adrenal axis regulation. The last section provides an overview of exercise parameters known to optimize cognition in older adults, such as exercise type, frequency, intensity, session duration, and exercise program duration.


2020 ◽  
Vol 40 (1) ◽  
pp. 3-13
Author(s):  
Julie A. Gorenko ◽  
Chelsea Moran ◽  
Michelle Flynn ◽  
Keith Dobson ◽  
Candace Konnert

The COVID-19 pandemic is associated with several short- and long-term negative impacts on the well-being of older adults. Physical distancing recommendations to reduce transmission of the SARS-CoV2-19 virus increase the risk of social isolation and loneliness, which are associated with negative outcomes including anxiety, depression, cognitive decline, and mortality. Taken together, social isolation and additional psychological impacts of the pandemic (e.g., worry, grief) underscore the importance of intervention efforts to older adults. This narrative review draws upon a wide range of evidence to provide a comprehensive overview of appropriate remotely-delivered interventions for older adults that target loneliness and psychological symptoms. These include interventions delivered by a range of individuals (i.e., community members to mental health professionals), and interventions that vary by implementation (e.g., self-guided therapy, remotely-delivered interventions via telephone or video call). Recommendations to overcome barriers to implementation and delivery are provided, with consideration given to the different living situations.


2020 ◽  
Vol 19 (2) ◽  
pp. 835-856 ◽  
Author(s):  
Anna Jędrusek‐Golińska ◽  
Danuta Górecka ◽  
Maciej Buchowski ◽  
Katarzyna Wieczorowska‐Tobis ◽  
Anna Gramza‐Michałowska ◽  
...  

2013 ◽  
Vol 22 (2) ◽  
pp. 303-305 ◽  
Author(s):  
Larry E. Humes

Purpose The purpose of this article was to review recent research from our laboratory on the speech-understanding problems of older adults. Method The method involved a narrative review of previously reported data from our laboratory. Conclusion To date, the results from most of our studies have indicated that peripheral and cognitive factors are the primary contributors to the speech-understanding problems of older adults, with the relative mix of these 2 factors changing for unaided (primarily peripheral) and aided (primarily cognitive) listening conditions.


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