scholarly journals Malnutrition-Sarcopenia Syndrome and its Associated Factors Among Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 823-823
Author(s):  
Murad Taani
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Muscle Mass ◽  
Sedentary Time ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Retirement Communities ◽  
Continuing Care ◽  
Convenience Sample ◽  
Continuing Care Retirement Communities

Abstract Malnutrition and sarcopenia are present in parallel in older adults and characterized by a combination of inadequate nutrient intake and decreased muscle mass, strength, and/or function. The presence of both conditions has been termed Malnutrition-Sarcopenia Syndrome (MSS) and is associated with negative health outcomes. The objective of this correlational study was to identify the prevalence and factors associated with the malnutrition-sarcopenia syndrome among older adults living in continuing care retirement communities. A convenience sample of 104 older adults living in CCRCs participated in this study. Muscle mass, strength, and function were measured using bioimpedance analysis, Jamar digital hand dynamometer, and the Short Physical Performance Battery test, respectively. Physical activity, sedentary time, and nutritional status were measured using ActiGraph GT3X and Mini Nutritional Assessment, respectively. Questionnaires were used to measure self-efficacy for exercise and goal congruence for physical activity and protein intake. Of the 104 participants, 37 (35.2%) had sarcopenia, 19 (18.1%) had malnutrition, and 14 (13.5 %) had MSS. Compared with those without MSS, older adults with MSS were more than two times more likely to have a sedentary lifestyle (Odd ratio, 2.028; 95% confidence interval, 2.012–2.044). Findings showed that sarcopenia, malnutrition, and MSS are prevalent in older adults living in continuing care retirement communities. Older adults should be screened and assessed for both malnutrition and sarcopenia. The results also suggest that decreasing the sedentary time could help in preventing MSS among older adults living in continuing care retirement communities.

Validity of the Multidimensional Outcome Expectations for Exercise Scale in Continuing-Care Retirement Communities

2012 ◽  
Vol 20 (4) ◽  
pp. 456-468 ◽  
Author(s):  
Katherine S. Hall ◽  
Thomas R. Wójcicki ◽  
Siobhan M. Phillips ◽  
Edward McAuley
Keyword(s):  
Older Adults ◽  
Factor Structure ◽  
Functional Performance ◽  
Factor Model ◽  
Outcome Expectations ◽  
Retirement Communities ◽  
Continuing Care ◽  
Continuing Care Retirement Communities ◽  
Confirmatory Factor ◽  
Best Fit

Objective:The current study examined the psychometric properties and validity of the Multidimensional Outcome Expectations for Exercise Scale (MOEES) in a sample of older adults with physical and functional comorbidities.Methods:Confirmatory factor analysis was used to examine the hypothesized 3-factor model in 108 older adults (M age 85 yr) residing in continuing-care retirement communities.Results:Analyses supported the 3-factor structure of the MOEES reflecting physical, social, and self-evaluative outcome expectations, with a 12-item model providing the best fit. Theorized bivariate associations between outcome expectations and physical activity, self-efficacy, and functional performance were all supported.Conclusions:The 12-item version of the MOEES appears to be a reliable and valid measure of outcome expectations for exercise in this sample of older adults with physical and functional comorbidities. Further examination of the factor structure and the longitudinal properties of this measure in older adults is warranted.

scholarly journals Envy and Jealousy of Living-Apart-Together Relationships in Continuing Care Retirement Communities

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 382-382
Author(s):  
Chaya Koren ◽  
Liat Ayalon
Keyword(s):  
Older Adults ◽  
Social Workers ◽  
Thematic Analysis ◽  
Qualitative Interviews ◽  
Retirement Community ◽  
Retirement Communities ◽  
Continuing Care ◽  
Staff Members ◽  
Living Apart Together ◽  
Continuing Care Retirement Communities

Abstract Moving to a continuing care retirement community (CCRC) and living apart together (LAT) as a repartnering form, represent new late-life beginnings. A larger qualitative study on LAT relationships constructed in the CCRC identified envy and jealousy yet they were not examined in-depth. Envy is wanting something we lack whereas jealousy is fear of losing something that is ours to another. These emotions are rarely explored in the context of older adults’ relationships. Our aim is to examine experiences of envy and jealousy from perspectives of residents aged 79 to 96 and staff, heuristically using Goffman’s framework on (semi)-totalitarian institutions. 30 semi structured qualitative interviews were conducted in three CCRCs in Israel with 10 LAT residents, 10 residents not LAT, and 10 CCRC staff members including social workers. Analysis was conducted based on principles of thematic analysis and triangulation. Findings refer to kinds of envy, ignoring envy, and the development and consequences of jealousy and/or envy related to LAT in the CCRC. Conclusions address how semi-totalitarian CCRC features influence envy and jealousy experiences including implications for assisting social workers, older adults and their family members to adjust to life in the CCRC and assist CCRC management and staff to address possible consequences of envy and jealousy.

scholarly journals Enhancing Collaborations between our Age-Friendly Community and University Initiatives

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 100-100
Author(s):  
Brian Pastor ◽  
Wendy Rogers
Keyword(s):  
Older Adults ◽  
Community Involvement ◽  
Local Governments ◽  
Holistic Approach ◽  
Retirement Communities ◽  
Continuing Care ◽  
Continuing Care Retirement Communities ◽  
Aging Services ◽  
State And Local ◽  
The University

Abstract Community involvement and synergistic partnerships are key to fostering a holistic approach to programming and outreach that assess and meet the needs of the older adults in our communities. The University of Illinois Urbana-Champaign has created an Age-Friendly network to facilitate these partnerships featuring our designation of Age-Friendly City and Age-Friendly University as well as partnerships with our state and local governments, community aging services providers, and continuing care retirement communities. Through these partnerships, we have identified the landscape of the community, assessed the unique needs older adults, and identified novel solutions. We will discuss our plans for activities that will empower older adults in our community and at our university by promotion connection, collaboration, and inclusion.

scholarly journals Assessing physical and cognitive function of older adults in continuing care retirement communities: Who are we recruiting?

2015 ◽  
Vol 40 ◽  
pp. 159-165 ◽  
Author(s):  
Abbie P. Wrights ◽  
Christie W. Fain ◽  
Michael E. Miller ◽  
W. Jack Rejeski ◽  
Jeff D. Williamson ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Retirement Communities ◽  
Continuing Care ◽  
Continuing Care Retirement Communities

scholarly journals The contributions of self-efficacy, trait anxiety, and fear of falling to physical activity behavior among residents of continuing care retirement communities

2010 ◽  
Vol 1 (1) ◽  
pp. 4 ◽  
Author(s):  
J. Carson Smith ◽  
Kathryn R. Zalewski ◽  
Robert W. Motl ◽  
Mark Van Hart ◽  
Jacob Malzahn
Keyword(s):  
Physical Activity ◽  
Trait Anxiety ◽  
High Intensity ◽  
Self Efficacy ◽  
Fear Of Falling ◽  
Moderate Intensity ◽  
Retirement Communities ◽  
Continuing Care ◽  
Continuing Care Retirement Communities ◽  
Anxiety And Fear

Self-efficacy for exercise has been shown to be an independent predictor of physical activity (PA) in community dwelling older adults. There is relatively little known, however, regarding the strength and independence of the relationship between self-efficacy and objectively measured PA among residents of continuing care retirement communities (CCRCs). We examined the independent contribution of self-efficacy on PA behavior and assessed whether the explanation of variance in PA behavior was incrementally improved by considering trait anxiety and fear of falling as theoretical impediments to PA. Fifty-two men and women (83.5±5 yrs) residing in one of four CCRCs in metro Milwaukee wore an accelerometer on their ankle for 7 days to measure number of steps per day, the percentage of time spent active and inactive, and moderate and high intensity PA. Self-efficacy for exercise, self-efficacy for overcoming barriers to exercise, trait anxiety, and fear of falling were assessed. Multiple linear regression was utilized to examine the independently explained variance in PA. Exercise self-efficacy significantly and independently explained 13.4% of the variance in number of steps/day (P<0.05). The explanation of variance in moderate intensity activity was incrementally improved when trait anxiety was factored into the model. Overcoming barriers self-efficacy was significantly related to time spent in high intensity activity (r=0.30, P<0.05), but did not significantly and independently explain variance in high intensity PA behavior. Trait anxiety and fear of falling were not identified as significant impediments to PA in CCRC residents. Furthermore, trait anxiety was shown to facilitate, not impede, moderate intensity PA. Self-efficacy for physical activity may serve as a representative target for interventions aimed at increasing physical activity in CCRC residents.

scholarly journals Discontinued Information and Communication Technology Usage among Older Adults in Continuing Care Retirement Communities in the United States

Gerontology ◽  
2017 ◽  
Vol 64 (2) ◽  
pp. 188-200 ◽  
Author(s):  
R.V. Rikard ◽  
Ronald W. Berkowsky ◽  
Shelia R. Cotten
Keyword(s):  
Older Adults ◽  
Health Information ◽  
Independent Living ◽  
General Information ◽  
Retirement Communities ◽  
Continuing Care ◽  
Ict Use ◽  
Continuing Care Retirement Communities ◽  
Information And Communication ◽  
Ict Training

Background: Older adults are increasingly using information and communication technologies (ICTs). Recent studies show beneficial effects of using ICTs for older adults, particularly in terms of reducing loneliness and depression. However, little is known about the factors that may prevent discontinued ICT use in populations that may be at greater risk, such as those in continuing care retirement communities (CCRCs). Objectives: The purpose of this study is to examine a range of factors that may influence discontinued (1) ICT use, (2) searching for health information, and (3) searching for general information over time among CCRC residents. Methods: We use longitudinal data from a randomized controlled trial conducted with residents of 19 CCRCs. We use flexible parametric models to estimate the hazard ratio or hazard rate over 5 waves of data to determine what factors significantly predict discontinued (1) ICT use, (2) health information searching, and (3) general information searching. Results: The analysis reveals that independent living residents who took part in an 8-week ICT training intervention were less likely to stop using ICTs. Age and the number of instrumental activities of daily living (IADL) impairments significantly predicted an increased likelihood of stopping ICT use. When examining specific ICT-related activities, the analysis reveals that independent living residents who took part in the ICT training intervention were less likely to stop searching for health information and general information online. In addition, age and the number of IADL impairments were associated with increased likelihood of discontinued health information searches and discontinued general information searches. Conclusion: ICT training interventions may motivate residents of CCRCs to stay connected by increasing the ICT skill level and promoting confidence, thus decreasing the probability that they will discontinue using ICTs and searching for general information. However, the effects of ICT training on motivating continued ICT usage may be more pronounced among independent living residents. Limitations in the number of IADL impairments is a key factor leading to discontinued use of ICTs among CCRC residents, suggesting that designers of ICTs should be cognizant of the cognitive and physical limitations among this group.

scholarly journals The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3716
Author(s):  
Itxaso Mugica-Errazquin ◽  
Idoia Zarrazquin ◽  
Jesús Seco-Calvo ◽  
Javier Gil-Goikouria ◽  
Ana Rodriguez-Larrad ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Nutritional Status ◽  
Functional Status ◽  
Physical Performance ◽  
Barthel Index ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Multiple Linear Regression Model

Among older adults living in long-term nursing homes (LTNHs), maintaining an adequate functional status and independence is a challenge. Whilst a poor nutritional status is a potential risk factor for a decreased function in this population, its role is not fully understood. Here, using a transversal multicenter study of 105 older adults living in 13 LTNHs, we analyzed the associations between nutritional status, as measured by the Mini Nutritional Assessment (MNA), and the parameters of functional status, physical performance, physical activity, and frailty as well as comorbidity and body composition. The MNA scores were positively correlated with the Barthel Index, handgrip strength, Short Physical Performance Battery (SPPB) scores, absolute muscle power, and Assessment of Physical Activity in Frail Older People (APAFOP) scores and were negatively correlated with dynamic balance and frailty. In a multiple linear regression model controlling for gender and age, the APAFOP score (β = 0.386), BMI (β = 0.301), and Barthel Index (β = 0.220) explained 31% of the variance in the MNA score. Given the observed close relationship between the MNA score and functional status, physical performance and activity, and frailty, interventions should jointly target improvements in both the nutritional status and functional status of LTNH residents. Strategies designed and implemented by interdisciplinary professional teams may be the most successful in improving these parameters to lead to better health and quality of life.

Sign in / Sign up

Export Citation Format

Share Document