Arterial compliance in older people

2000 ◽  
Vol 10 (1) ◽  
pp. 43-54
Author(s):  
C. Rajkumar ◽  
S. Bonapace ◽  
C. J. Bulpitt
Keyword(s):  
Cardiovascular Diseases ◽  
Elderly Population ◽  
Arterial Compliance ◽  
The Elderly ◽  
Arterial System ◽  
Mortality And Morbidity ◽  
Risk Of Death ◽  
The Past ◽  
Life Expectancy At Birth ◽  
The Uk

IntroductionLongevity has lengthened in recent times. This has resulted in an increase in the elderly population, with life expectancy at birth in men in the UK being approximately 72.5 years and women, 78.5 years. Despite the risk of death from cardiovascular diseases decreasing in the past 40 years, these still continue to be the largest cause of mortality in the elderly. Cardiovascular mortality and morbidity are lower in women. However, this is not true in the later years of life. After the age of 80, the risk of cardiovascular problems increases to that of men. The cardiovascular changes occurring with aging consists of changes in the heart and arterial system.

The assessment of the aging artery

2005 ◽  
Vol 15 (2) ◽  
pp. 71-82 ◽  
Author(s):  
F Fantin ◽  
C Rajkumar ◽  
CJ Bulpitt
Keyword(s):  
Cardiovascular Disease ◽  
Life Expectancy ◽  
Cause Of Death ◽  
Elderly Population ◽  
The Elderly ◽  
Life Expectancy At Birth ◽  
The Uk

The elderly population has greatly increased in the last few decades as life expectancy has risen. In 2005 life expectancy at birth for females born in the UK is 80.2 years, compared with 75.2 years for males. This is in contrast to 49 and 45 years respectively in 1901. Cardiovascular disease is still the most important cause of death in the population over the age of 65, causing 40% of deaths in women and 42% in men of this age.

scholarly journals A Theoretical Framework on the Determinants of Food Purchasing Behavior of the Elderly: A Bibliometric Review with Scientific Mapping in Web of Science

Foods ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 688
Author(s):  
Khaled Alhammadi ◽  
Luna Santos-Roldán ◽  
Luis Javier Cabeza-Ramírez
Keyword(s):  
Elderly Population ◽  
Web Of Science ◽  
The Elderly ◽  
Purchasing Behavior ◽  
Food Purchasing ◽  
The Past ◽  
Bibliometric Review ◽  
Food Market ◽  
The Common ◽  
Elderly Consumers

The past few years have seen significant demographic changes in most regions, including an increased elderly population. Subsequently, elderly citizens comprise an important market segment of consumers, with the food industry one of the most affected areas in this context. However, food market managers previously believed that elderly consumers’ needs were stereotyped in nature. The lack of focus on this sector, therefore, left elderly consumers as an untapped market, without realizing the financial independence of this segment regarding their nutrition. This research will attempt to provide the key determinant factors on elderly consumers’ behavior related to food. For that purpose, a complete literature review of more than 123 papers regarding these concepts has been carried out. Once analyzed, we highlight the common insights to give clear guidance for supermarket managers and food manufacturers to have a better knowledge of the reasons behind elderly people’s food acquisitions.

Drug use in an Ambulatory Elderly Population: A Five-Year Update

1987 ◽  
Vol 21 (6) ◽  
pp. 530-535 ◽  
Author(s):  
William E. Hale ◽  
Franklin E. May ◽  
Ronald G. Marks ◽  
Ronald B. Stewart
Keyword(s):  
Vitamin E ◽  
Drug Use ◽  
Vitamin C ◽  
Elderly Population ◽  
Nutritional Supplements ◽  
The Elderly ◽  
General Philosophy ◽  
Drug Usage ◽  
The Past ◽  
Nonprescription Drug

Drug usage was studied in an ambulatory elderly population in Dunedin, Florida. Prescription and nonprescription drug use in these 2834 participants was compared with use during a period five years earlier. The average number of medications increased from 3.2 in 1978–80 to 3.7 in 1983–85. The most commonly prescribed medications in this population were hydrochlorothiazide-triamterene (13.5 percent), digoxin (9.6 percent), and hydrochlorothiazide (8.4 percent). There was a large increase in the use of nutritional supplements in the past five years, with 18.0 percent of these subjects reporting the use of vitamin E and 15.7 percent taking vitamin C. The general philosophy in geriatrics is to use the fewest drugs possible; however, it appears that the elderly are, in fact, receiving an increasing number of medications.

THE OLDER GENERATION AND SYNDEMIC AS A CONSEQUENCE OF COVID-19

2021 ◽  
pp. 22-30
Author(s):  
Valentina G. Dobrokhleb ◽  
◽  
Keyword(s):  
High Risk ◽  
Elderly People ◽  
Social Inequalities ◽  
The Elderly ◽  
Age Group ◽  
Vulnerability Factors ◽  
Risk Of Death ◽  
The Past ◽  
The World ◽  
Socio Economic Development

The relevance of the publication is due to the ongoing COVID-19 pandemic, which provokes an increase in mortality and a reduction in opportunities for socio-economic development. The aim of the study is to identify the vulnerability factors of the older generation of Russia during the pandemic. In terms of the number of cases, our country is in fourth place in the world. In Russia, the disease has affected more than 3.9 million people, including 16,688 people infected over the past day, more than 3.4 million were cured. The group with a high risk of death from coronavirus is elderly people with chronic diseases. But such «privileges» — "not a step out of the house!" — many did not want and do not want. Elderly people are at risk for the incidence and severity of COVID-19. However, this age group is differentiated. In social policy towards the elderly, the total isolation of people aged 65+ has become a step backwards. In sociology under the ageism refers to discrimination based on age. "The syndemic nature of the COVID-19 threat calls for not only treating every ailment, but also urgently addressing the underlying social inequalities that shape them.

Grandma as Revolutionary: Elderly Women and Some Modern Patterns of Social Change

1983 ◽  
Vol 17 (4) ◽  
pp. 249-266 ◽  
Author(s):  
Janet Roebuck
Keyword(s):  
Elderly Population ◽  
Elderly Women ◽  
The Elderly ◽  
Past Century ◽  
Social Changes ◽  
Scarce Resources ◽  
Material Resources ◽  
The Past ◽  
Female Aging ◽  
Personal Changes

Despite the disadvantages they face, women in western nations have coped very successfully with the problems of aging during the past century and, with limited material resources, have responded positively to great social and personal changes. Although women make up the majority of the elderly population, these achievements have received little attention. As we face the continued aging of the population and its attendant massive social changes in a setting of increasingly scarce resources, it is essential that all aspects of female aging be studied more closely. They may well provide us with the insights necessary to clarify our vision of the past and future and provide us with appropriate models for survival in a less-than-ideal world.

The living arrangements of elderly people

1997 ◽  
Vol 7 (1) ◽  
pp. 63-72 ◽  
Author(s):  
Karen Glaser
Keyword(s):  
Elderly People ◽  
Living Arrangements ◽  
Elderly Population ◽  
The Elderly ◽  
Exchange Relationships ◽  
Residential Patterns ◽  
The Usa ◽  
Intergenerational Ties ◽  
The Uk ◽  
Widespread Interest

The growth of the elderly population in the UK and other Western societies, as well as in the USA, Australia and Japan, has led to widespread interest in the living arrangements of this group. Although co-residence patterns within the household alone are not sufficient indicators of the strength of conjugal and intergenerational ties, they do provide a measure of potential intra-household support for the elderly. Studies have shown that children who live at home provide greater assistance to their parents (both financially and with domestic tasks) than non-co-resident children. Thus, residential patterns appear to be important for exchange relationships between the elderly and their kin.

scholarly journals A matter of frailty: the modified Subdural Hematoma in the Elderly (mSHE) score

2021 ◽  
Author(s):  
Silvia Hernández-Durán ◽  
Daniel Behme ◽  
Veit Rohde ◽  
Christian von der Brelie
Keyword(s):  
Subdural Hematoma ◽  
Elderly Population ◽  
Predictive Power ◽  
Operating Characteristic ◽  
Chronic Subdural Hematoma ◽  
The Elderly ◽  
Clinical Frailty Scale ◽  
Mortality And Morbidity ◽  
Exercise Interventions ◽  
Elderly Individuals

AbstractThe Subdural Hematoma in the Elderly (SHE) score was developed as a model to predict 30-day mortality from acute, chronic, and mixed subdural hematoma in the elderly population after minor or no trauma. Emerging evidence suggests frailty to be predictive of mortality and morbidity in the elderly. In this study, we aim to externally validate the SHE for chronic subdural hematoma (CSDH) alone, and we hypothesize that the incorporation of frailty into the SHE may increase its predictive power. A retrospective cohort of elderly patients with CSDH after minor or no trauma being treated at our institution was evaluated with the SHE. Thirty-day mortality and outcome were documented. Patients were assessed with the Clinical Frailty Scale (CFS), which was incorporated into a modified SHE (mSHE). Both the SHE and the mSHE were then assessed in their predictive powers through receiver operating characteristic statistics. We included 168 patients. Most (n = 124, 74%) had a favorable outcome at 30 days. Mortality was low at n = 7, 4%. The SHE failed to predict mortality (AUC = .564, p = .565). Contrarily, the mSHE performed well in both mortality (AUC = .749, p = .026) and outcome (AUC = .862, p < .001). A threshold of mSHE = 3 is predictive of mortality with a sensitivity of 50% and a specificity of 75% and of poor outcome with a sensitivity of 88% and a specificity of 64%. Frailty should be routinely evaluated in elderly individuals, as it can predict outcome and mortality, providing the possibility for medical, surgical, nutritional, cognitive, and physical exercise interventions.

Acute oesophageal necrosis: an important differential in the elderly population with haematemesis

2021 ◽  
Vol 14 (7) ◽  
pp. e243055
Author(s):  
Sophie Laverick ◽  
Udoka Ogbuneke ◽  
Ioannis Koumoutsos ◽  
Zahed Ahmed
Keyword(s):  
Elderly Population ◽  
Outlet Obstruction ◽  
The Elderly ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Mortality And Morbidity ◽  
First Case ◽  
The Impact ◽  
Duodenal Disease

Acute oesophageal necrosis is a rare cause of haematemesis associated with high mortality and morbidity in elderly patients with multiple comorbidities. Acute oesophageal necrosis is thought to be caused by a combination of hypoperfusion, vascular disease and duodenal disease causing transient gastric outlet obstruction and therefore reflux of gastric contents. The subsequent necrosis is associated with significant morbidity and mortality. We present a case of an 83-year-old man presenting with sepsis secondary to gallstone cholangitis, who developed haematemesis 2 days post admission. Oesopho-gastro-duodenoscopy demonstrated necrosis to the oesophagus and duodenal ulceration. This was the first case of acute oesophageal necrosis observed within our hospital. We review the literature on the management of acute oesophageal necrosis and discuss the impact of acute oesophageal necrosis and its complications on the patient’s long-term outcome.

PREVALENCE, STRUCTURE, AND RISK FACTORS FOR MENTAL DISORDERS IN OLDER ADULTS

2021 ◽  
pp. 152-159
Author(s):  
Н.Н. Петрова ◽  
Д.А. Хвостикова
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Mental Disorders ◽  
Elderly Population ◽  
Psychotic Disorders ◽  
Nursing Home Residents ◽  
Cognitive Disorders ◽  
The Elderly ◽  
The Past ◽  
Significant Incidence

Обзор посвящен оценке распространенности и факторов риска психических расстройств у людей старшего возраста на современном этапе, включая пандемию COVID-19. Проведен систематический обзор литературы за последние 10 лет в PubMed, Elsevier, Google с использованием ключевых слов. Показано, что данные о распространенности психических расстройств у пожилых лиц существенно расходятся. Подчеркивается значительная встречаемость психических расстройств у жителей домов престарелых. Продемонстрирована актуальность непсихотических расстройств депрессивного и тревожного круга у лиц старшего возраста, трудность диагностики психических расстройств, ассоциированных с соматической патологией, а также с когнитивными нарушениями. Факторами риска психических расстройств старшего возраста являются как социально-демографические, так и экономические, психологические и соматические факторы. Дана характеристика проблемы психического здоровья пожилых людей в условиях пандемии COVID-19, ассоциированной со специфическими факторами риска психических расстройств. Отмечен дефицит доказательных исследований лечения психических расстройств в старшем возрасте и актуальность совершенствования организации психиатрической помощи таким пациентам. Понимание структуры и распространённости психических расстройств у пожилых людей позволит оптимизировать работу системы здравоохранения. This review focuses on assessing the prevalence and risk factors of mental disorders in older adults in the current era, including the COVID-19 pandemic. A systematic review of the literature in PubMed, Elsevier, Google, using keywords over the past 10 years was conducted. It is shown that data on the prevalence of psychiatric disorders in the elderly population, including in comparison with young adults, diverge significantly. The significant incidence of mental disorders among nursing home residents is highlighted. The relevance of non-psychotic disorders of the depressive and anxiety spectrum in older adults is demonstrated. The difficulty of diagnosing mental disorders associated with somatic pathology as well as cognitive disorders in elderly patients is demonstrated. Risk factors for mental disorders in older adults are socio-demographic as well as economic, psychological and somatic factors. The problem of mental health of the elderly under the COVID-19 pandemic associated with specific risk factors for mental disorders is characterized. The shortage of evidence-based research in the treatment of mental disorders in old age and the urgency to improve the organization of psychiatric care for such patients are noted. Understanding the structure and prevalence of mental disorders among the elderly will allow to optimize the work of the healthcare system.

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