Endogenous plasma and urinary beta-hydroxy-beta-metylbutyrate (hmb) levels are positively associated with nutritional biomarkers and muscle health in community-dwelling older adults at risk of malnutrition

2021 ◽  
Vol 46 ◽  
pp. S785
Author(s):  
S.L. Tey ◽  
D.T.T. Huynh ◽  
Y. Berde ◽  
G. Baggs ◽  
S. Pereira ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Community Dwelling ◽  
Muscle Health ◽  
Community Dwelling Older Adults

scholarly journals LONELINESS AND PHYSICAL ACTIVITY IN OLDER AGE: RESULTS OF THE RANDOMISED CONTROLLED STUDY OF PHYSICAL ACTIVITY INTERVENTION FOR LONELINESS (PAIL) IN COMMUNITY-DWELLING OLDER ADULTS

2020 ◽  
Vol 8 (4) ◽  
pp. 99-107
Author(s):  
Anastasia Shvedko
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
At Risk ◽  
Physical Activity Intervention ◽  
Retention Rate ◽  
Community Dwelling ◽  
Feasibility Trial ◽  
Controlled Study ◽  
Study Objective ◽  
Community Dwelling Older Adults

Study objective. The aim of this study was to examine the feasibility of a Physical Activity Intervention for Loneliness (PAIL) in community-dwelling older adults at risk of loneliness. Methods. Study design was a 12-week randomized controlled feasibility trial (RCT). Participants were 25 (mean age 68.5(8.05) years, range 60-92) healthy, inactive, community-dwelling older adults at risk for loneliness. The intervention consisted of group outdoor walking sessions with health education workshops once weekly, with a wait-list control condition. Estimation of recruitment, retention and adherence were feasibility outcomes. Body mass index, blood pressure, physical activity, and psychosocial variables were secondary outcomes. Results. Forty-eight participants were recruited over 4 months with a recruitment rate of 52.1% (25/48); 52% (25/48) met the inclusion criteria and 100% (25/25) were randomized into the intervention (N=12) and wait-listed (WL) control groups (N=13). At 12 weeks, 10/12 (83.3%; 95% CI 55.20 to 95.30) intervention and 10/13 (76.9%; 95% CI 49.74 to 91.82) control participants completed final assessments. The average attendance rate was 69.2% for the intervention group (range 25% – 91.7%) and 55% (range 25% – 91.7%) among controls. The a priori recruitment criteria for progression was not met. The retention rate satisfied the criteria of the study. No serious adverse events occurred. Conclusions. Community-dwelling older adults at risk of loneliness can safely participate in physical activity intervention for loneliness. However, to progress into a large-scale RCT, the design and methodology would need to be changed.

scholarly journals Hip Protectors for Community-Dwelling Older Adults

2021 ◽  
Vol 1 (9) ◽  
Author(s):  
Keeley Farrell ◽  
Melissa Walter
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Hip Fracture ◽  
Hip Fractures ◽  
Pelvic Fractures ◽  
Community Dwelling ◽  
Community Settings ◽  
Hip Protectors ◽  
Frail Older Adults ◽  
Community Dwelling Older Adults

In community-dwelling older adults who wore hip protectors there was no difference in the risk of hip fractures or pelvic fractures, compared to those who did not wear hip protectors. Three guidelines were identified that include recommendations around the use of hip protectors in older adults. One guideline suggests that hip protectors should be considered in adults at risk for falls and hip fracture. One guideline conditionally recommends hip protectors for frail older adults in the appropriate environment. One guideline suggests that hip protectors should not be considered in older adults in community settings.

scholarly journals HOPE AND RESILIENCE AMONG VULNERABLE, COMMUNITY-DWELLING OLDER PERSONS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S531-S531
Author(s):  
Dennis R Myers ◽  
Clay Polson ◽  
Jocelyn S McGee ◽  
Rachel Gillespie
Keyword(s):  
Social Support ◽  
Older Adults ◽  
At Risk ◽  
Social Issues ◽  
Community Dwelling ◽  
Spiritual Experience ◽  
Meals On Wheels ◽  
Improved Outcomes ◽  
Central Texas ◽  
Community Dwelling Older Adults

Abstract Community-dwelling older adults in the U.S. are at risk for experiencing a number of physical, emotional, and social issues including poverty, social isolation, and deteriorating health and daily functioning. Despite such challenges, research indicates that many older adults remain resilient and that factors such as social support, spirituality, and self-esteem contribute to resilience and improved outcomes. One factor that has been found to be particularly important for resilience among older adults is a sense of hopefulness. However, research has not looked specifically at the effects of hope on older adults experiencing severe economic and psychosocial challenges. Utilizing survey data drawn from a unique sample (n = 64) randomly drawn from 224 clients of a Meals on Wheels program, we explore the relationship between hope and resilience among a group of at-risk, community-dwelling older adults in one central Texas community. We find that hope, after accounting for the effects of social support, spiritual experience, health (ADL), and ethnicity, is a strong and significant predictor of resilience among at-risk older adults and that hope tends to mediate the effect of spiritual experience on resilience. Drawing on these findings, we discuss potential implications for social workers and congregational leaders working with older adults and for future scholarship on hope and resilience.

scholarly journals Declining Cognition and Falls: Role of Risky Performance of Everyday Mobility Activities

2014 ◽  
Vol 94 (3) ◽  
pp. 355-362 ◽  
Author(s):  
Barbara L. Fischer ◽  
Carey E. Gleason ◽  
Ronald E. Gangnon ◽  
Jodi Janczewski ◽  
Terry Shea ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Clinical Judgment ◽  
Physical Therapists ◽  
Secondary Analysis ◽  
Community Dwelling ◽  
Prospective Data ◽  
Community Dwelling Older Adults ◽  
The Relationship

Background Declining cognition is a risk factor for falls among older adults. The extent to which impaired judgment in performance of daily activities increases fall risk is unclear. Objective The aim of this study was to determine whether engagement in mobility activities in a risky manner explains the association between declining cognition and rate of falls. Design This study was a secondary analysis of baseline and prospective data from older adults enrolled in the intervention arm of a randomized clinical trial. Methods Two hundred forty-five community-dwelling older adults (79% female; mean age=79 years, SD=8.0) who were at risk for falls received physical, cognitive, and functional evaluations. Cognition was assessed with the Short Portable Mental Status Questionnaire (SPMSQ). Using interview and in-home assessment data, physical therapists determined whether participants were at risk for falls when performing mobility-related activities of daily living (ADL) and instrumental ADL (IADL). Falls were measured prospectively for 1 year using monthly falls diaries. Results Declining cognition was associated with increased number of mobility activities designated as risky (1.5% of mobility activities performed in a risky manner per SPMSQ point) and with increased rate of falls (rate ratio=1.16 for each unit change in SPMSQ score). Risky performance of mobility activities mediated the relationship between cognition and rate of falls. Limitations Risk assessment was based on the clinical judgment of experienced physical therapists. Cognition was measured with a relatively insensitive instrument, and only selected mobility activities were evaluated. Conclusions Engagement in mobility ADL and IADL tasks in a risky manner emerged as a link between declining cognition and increased number of falls, suggesting a mechanism through which the rate of falls may increase. Specifically, declining cognition is associated with performance of mobility activities in an unsafe manner, thereby increasing the risk for falls.

scholarly journals The Influence of Dysphagia on Nutritional and Frailty Status among Community-Dwelling Older Adults

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 512
Author(s):  
Takahiro Nishida ◽  
Kazumi Yamabe ◽  
Sumihisa Honda
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Short Form ◽  
Multiple Logistic Regression Analysis ◽  
Community Dwelling ◽  
Health Study ◽  
Cardiovascular Health Study ◽  
Swallowing Function ◽  
Frailty Status ◽  
Community Dwelling Older Adults

Malnutrition is a core symptom of the frailty cycle in older adults. The purpose of this study was to investigate whether dysphagia influences nutrition or frailty status in community-dwelling older adults. The study participants were 320 Japanese community-dwelling older adults aged ≥65 years. All participants completed a questionnaire survey that included items on age, sex, family structure, self-rated health, nutritional and frailty status, and swallowing function. Nutritional status was categorized as malnourished, at risk of malnutrition, and well-nourished based on the Mini Nutrition Assessment-Short Form. The participants were then classified into a malnutrition (malnourished/at risk) or a well-nourished group (well-nourished). Frailty was assessed using the Cardiovascular Health Study criteria. The participants were then divided into a frailty (frail/pre-frail) or a non-frailty group (robust). Dysphagia was screened using the 10-item Eating Assessment Tool. Multiple logistic regression analysis was conducted to determine whether dysphagia was associated with nutritional or frailty status. The results revealed that dysphagia influenced both nutrition (odds ratio [OR]: 4.0; 95% confidence interval [CI]: 1.9–8.2) and frailty status (OR: 2.3; 95% CI: 1.0–5.2); therefore, the swallowing function would be an important factor for community-dwelling older adults on frailty prevention programs.

scholarly journals PREVALENCE AND CHARACTERISTICS ASSOCIATED WITH ALCOHOL USE AND ALCOHOL RELATED PROBLEMS IN COMMUNITY DWELLING OLDER ADULTS

2019 ◽  
pp. 1-11
Author(s):  
Y. van Gils ◽  
E. Franck ◽  
S.J.P. van Alphen ◽  
E. Dierckx
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Alcohol Use ◽  
Binge Drinking ◽  
Associated Factors ◽  
Alcohol Problems ◽  
Hazardous Drinking ◽  
Community Dwelling ◽  
Community Dwelling Older Adults ◽  
Alcohol Related Problems

Objective: This study examine the prevalence, characteristics and associated factors of alcohol use and alcohol related problems among Belgian community dwelling older adults. Design: Retrospective cross-sectional study by extensive examination survey. Setting: The participants were questioned in their homes or in community centres. Participants: Overall, 1,366 adults ≥65 years participated in this study. Method: Information about self-reported alcohol use during the past year, Health Related Quality of Life (HRQL) and alcohol related problems was gathered with respectively the AUDIT, SF36 and MAST-G. Results: Of the total sample, 84.4% reported alcohol consumption. Using the NIAAA guidelines, the overall prevalence for at risk drinking was 26.6% and for binge drinking 14.8%, both risky alcohol patterns. Logistic regression analyses were performed on the drinking sample to determine the predictors associated with at risk drinking, binge drinking and hazardous drinking. Being male, a smoker of former smoker and living alone were associated with at risk drinking. Being male, being aged 65-74 years, being a smoker, reporting polypharmacy, MCS and having recent loss experience were associated with binge drinking. More than 25% of respondents were classified as hazardous drinking (score ≥5 on MAST-G). Associated factors with hazardous drinking were being male, having a family history of alcohol problems, PCS and MCS. Conclusions: The prevalence rates for at risk alcohol patterns and alcohol related problems were higher than in previous studies. As older adults are more vulnerable to the adverse consequences of alcohol use, awareness about alcohol use should be raised among older adults, as well as amongst health care givers and researchers.

scholarly journals COAST: A Comprehensive Older-Adult Screening Tool

EDIS ◽  
2020 ◽  
Vol 2020 (4) ◽  
Author(s):  
Karima Alabasi ◽  
Nancy J. Gal ◽  
Wendy Dahl
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Older Adult ◽  
Screening Tool ◽  
Community Dwelling ◽  
Lower Socioeconomic Status ◽  
Nutrition Risk ◽  
Lower Socioeconomic ◽  
Practical Tool ◽  
Community Dwelling Older Adults

Nutrition risk screening is a first step to quickly identify individuals who might be malnourished or at risk of malnutrition. A malnutrition screening tool should be easy to use, quick to administer, and valid&mdash;able to correctly identify those at risk of malnutrition. The Comprehensive Older Adult Screening Tool (COAST) is a valid and practical tool to determine if community-dwelling older adults, specifically older adults of lower socioeconomic status, are at risk for malnutrition. This new 6-page publication of the UF/IFAS Food Science and Human Nutrition Department, written by Karima Alabasi, Nancy J. Gal, and Wendy J. Dahl, provides an introduction to COAST as well as the 5-question screening tool.<br /><a href="https://edis.ifas.ufl.edu/fs393">https://edis.ifas.ufl.edu/fs393</a>

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