scholarly journals Prevalence of Musculoskeletal Pain and Analgesic Treatment Among Home-Dwelling Older Adults: Changes 1999–2019

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 891-892
Author(s):  
Tuuli Lehti ◽  
Kaisu Pitkälä
Keyword(s):  
Musculoskeletal Pain ◽  
Temporal Trends ◽  
Community Dwelling ◽  
Western World ◽  
Prescription Medications ◽  
Opioid Use ◽  
Older Population ◽  
Cross Sectional ◽  
Medical Diagnoses ◽  
Aging Study

Abstract Pain has been shown to be undertreated in the older population. At the same time, the increased opioid use is of concern in the Western world. This study analyzes temporal trends in pain management among home-dwelling people aged 75 to 95 using cross-sectional cohort data spanning 20 years. The Helsinki Aging Study recruited random samples aged 75, 80, 85, 90, and 95 in 1999, 2009, and 2019. In total, 5,707 community-dwelling people participated in the questionnaire survey. Participants reported their medical diagnoses, regular prescription medications, and the presence of back pain or joint pain within the last 2 weeks (never, sometimes, or daily). We compared analgesics use in people reporting musculoskeletal pain and in people not reporting pain in 1999, 2009, and 2019. Of participants, 57–61% reported intermittent or daily musculoskeletal pain. The percentage of people taking a daily analgesic increased from 9% in 1999 to 16% in 2019. The use of NSAIDs decreased from 1999 to 2019, while the use of paracetamol increased from 2% to 11%. Of participants, 3% took daily opioids in 2019. Of those reporting daily musculoskeletal pain, 20% in 1999, 35% in 2009 and 32% in 2019 took regular pain medication. Pain remains undertreated in the older population, although the use of regular prescribed analgesics increased from 1999. The use of NSAIDs diminished, while the use of paracetamol increased. Daily opioid use remained modest from 1999 to 2019.

scholarly journals Symptom burden in community-dwelling older people: temporal trends in the Helsinki Aging Study

2021 ◽  
Author(s):  
T. E. Lehti ◽  
H. Öhman ◽  
M. Knuutila ◽  
H. Kautiainen ◽  
H. Karppinen ◽  
...  
Keyword(s):  
Temporal Trends ◽  
Symptom Burden ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Men And Women ◽  
Significant Difference ◽  
Aging Study ◽  
Comorbidity Index ◽  
Questionnaire Surveys ◽  
Loss Of Appetite

Abstract Background Changes in older people’s symptoms across recent decades have not been investigated. Aims We analyzed temporal trends in symptom burden by comparing data from independent, cross-sectional cohorts retrieved in 1989, 1999, 2009, and 2019. Furthermore, we compared the association between symptom burden and psychological wellbeing (PWB) in older men and women. Methods The Helsinki Aging Study recruited a random sample of people aged 75, 80, and 85 in 1989, and random samples aged 75, 80, 85, 90, and 95 in 1999, 2009, and 2019 (four study waves). Altogether, 6263 community-dwelling people answered the questions concerning symptoms in the questionnaire surveys. The symptoms inquired in all study waves were dizziness, back pain, joint pain, chest pain, shortness of breath, and loss of appetite. Symptom burden was calculated according to the number of symptoms and their frequency (score range: 0–6). PWB and the Charlson comorbidity index were calculated. Results Symptom burden decreased in both men and women aged 75 and 80 from 1989 to 2019. Changes in cohorts aged 85 + were nonsignificant. There was a significant difference in symptom burden between men and women in all ages with men having fewer symptoms. PWB decreased with increasing symptom burden. Men had greater PWB than women up to severe levels of symptom burden. Conclusions Symptom burden decreased from 1989 to 2019 in cohorts aged 75–80, whereas changes remained nonsignificant in cohorts aged 85 +. To our knowledge, this is the first study to examine temporal trends in symptom burden.

Prevalence of Impaired Kidney Function in the German Elderly: Results from the Berlin Aging Study II (BASE-II)

Gerontology ◽  
2017 ◽  
Vol 63 (3) ◽  
pp. 201-209 ◽  
Author(s):  
Maximilian König ◽  
Maik Gollasch ◽  
Ilja Demuth ◽  
Elisabeth Steinhagen-Thiessen
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
The Elderly ◽  
Community Dwelling ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Increased Risk ◽  
Aging Study

Background: In aging populations with an ever-growing burden of risk factors such as obesity, diabetes, and hypertension, chronic kidney disease (CKD) is on the rise. However, little is known about its exact prevalence among elderly adults, and often albuminuria is not included in the definition of CKD. Moreover, novel equations for the estimated glomerular filtration rate (eGFR) have recently emerged, which have not been applied comprehensively to older adults. Data on CKD awareness among the elderly are sparse. Objectives: To determine the prevalence of CKD among older adults by eGFR and albumin/creatinine ratio (ACR), compare the performance of 6 established and novel eGFR formulas, explore risk factors, and determine the awareness of CKD in a large cohort of community-dwelling elderly from Germany. Methods: A total of 1,628 subjects from the Berlin Aging Study II (BASE-II) were included in this analysis (mean age 68.7 years; 51.2% female). Extensive cross-sectional data on sociodemographics, lifestyle, medication, and diagnoses were inquired during structured interviews and a medical examination, and blood and urine parameters were measured. Results: In all, 77.1% of the subjects had hypertension, 12.4% had diabetes, and 18.3% were obese. The prevalence of CKD strongly depended on the eGFR equations used: 25.4% (full age spectrum [FAS] equation), 24.6% (Berlin Initiative Study), 23.1% (Lund-Malmö revised), 19.3% (Cockcroft-Gault), 16.4% (Chronic Kidney Disease-Epidemiology Collaboration [CKD-EPI]), and 14.7% (Modification of Diet in Renal Disease [MDRD]). Of the subjects with an eGFRFAS <60 mL/min/1.73 m2 and/or an ACR >30 mg/g, only 3.9% were aware of having CKD. Polypharmacy, age, BMI, coronary artery disease, non-HDL cholesterol, and female sex were independently associated with CKD. Conclusions: CKD is prevalent among older adults in Germany, but awareness is low. The FAS equation detects higher rates of CKD than MDRD and CKD-EPI, which are most widely used at present. Also, when CKD is defined based on eGFR and albuminuria, considerably more people are identified than by eGFR alone. Finally, polypharmacy is associated with an increased risk for CKD in the elderly.

Opioid Use Disorder during Antepartum and Postpartum Hospitalizations

2019 ◽  
Vol 37 (14) ◽  
pp. 1467-1475
Author(s):  
Adina R. Kern-Goldberger ◽  
Yongmei Huang ◽  
Melanie Polin ◽  
Zainab Siddiq ◽  
Jason D. Wright ◽  
...  
Keyword(s):  
Opioid Dependence ◽  
Nationwide Inpatient Sample ◽  
Temporal Trends ◽  
Opioid Use Disorder ◽  
Opioid Overdose ◽  
Opioid Use ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Sectional Analysis

Objective This study aimed to evaluate temporal trends in opioid use disorder (OUD) during antepartum and postpartum hospitalizations. Study Design This repeated cross-sectional analysis analyzed data from the National (Nationwide) Inpatient Sample. Women aged 15 to 54 years admitted antepartum or postpartum were identified. The presence of OUD was determined based on a diagnosis of opioid abuse, opioid dependence, or opioid overdose. Temporal trends in OUD were evaluated using the Rao–Scott chi-square test. Temporal trends in opioid overdose were additionally evaluated. Results An estimated 7,336,562 antepartum hospitalizations and 1,063,845 postpartum readmissions were included in this analysis. The presence of an OUD diagnosis during antepartum hospitalizations increased from 0.7% of patients in 1998 to 1999 to 2.9% in 2014 (p < 0.01) and during postpartum hospitalizations increased from 0.8% of patients in 1998 to 1999 to 2.1% of patients in 2014 (p < 0.01). Risk of overdose diagnoses increased significantly for both antepartum hospitalizations, from 22.7 per 100,000 hospitalizations in 1998 to 2000 to 70.3 per 100,000 hospitalizations in 2013 to 2014 (p < 0.001), and postpartum hospitalizations, from 18.8 per 100,000 hospitalizations in 1998 to 2000 to 65.2 per 100,000 hospitalizations in 2013 to 2014 (p = 0.02). Discussion Risk of OUD diagnoses and overdoses increased over the study period for both antepartum and postpartum hospitalizations.

scholarly journals A Frailty Index from Next-of-Kin Data: A Cross-Sectional Analysis from the Mexican Health and Aging Study

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Mario Ulises Pérez-Zepeda ◽  
Matteo Cesari ◽  
María Fernanda Carrillo-Vega ◽  
Guillermo Salinas-Escudero ◽  
Pamela Tella-Vega ◽  
...  
Keyword(s):  
Older Adults ◽  
Frailty Index ◽  
Community Dwelling ◽  
Next Of Kin ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Aging Study ◽  
The Mean ◽  
Number Of Visits ◽  
Sectional Analysis

Objectives. To construct a frailty index from next-of-kin information of the last year of life of community-dwelling 50 years old or older adults and test its association with health services utilization. Methods. Cross-sectional analysis from next-of-kin data available from the last wave of the Mexican Health and Aging Study (MHAS). Measurements. Along with descriptive statistics, the frailty index (FI) was tested in regression models to assess its association with adverse outcomes previous to death: number of hospitalized days in the previous year and number of visits to a physician in the previous year, in unadjusted and adjusted models. Results. From a total of 2,649 individuals the mean of age was 74.8 (±11.4) and 56.3% (n = 1,183) were women. The mean of the FI was of 0.279 (±SD 0.131, R = 0.0–0.738) and distribution was biased to the right. There was a significant association (p < 0.001) between the FI and number of hospitalized days (β = 45.7, 95% CI 36.1–55.4, p < 0.001) and for the number of visits to a physician (β = 25.93, 95% CI 19.27–32.6, p < 0.001) both models adjusted for age and sex. Conclusion. The FI constructed with next-of-kin data showed similar characteristics to similar indexes of older adults. It was independently associated with health care use.

scholarly journals Development and evaluation of a method for calculating the Healthy Eating Index-2005 using the Nutrition Data System for Research

2010 ◽  
Vol 14 (2) ◽  
pp. 306-313 ◽  
Author(s):  
Paige E Miller ◽  
Diane C Mitchell ◽  
Priscilla L Harala ◽  
Janet M Pettit ◽  
Helen Smiciklas-Wright ◽  
...  
Keyword(s):  
Healthy Eating ◽  
Healthy Eating Index ◽  
Community Dwelling ◽  
Data System ◽  
Cross Sectional ◽  
Dietary Analysis ◽  
Software Application ◽  
Nutrition Research ◽  
Aging Study ◽  
The Individual

AbstractObjectiveTo develop and evaluate a method for calculating the Healthy Eating Index-2005 (HEI-2005) with the widely used Nutrition Data System for Research (NDSR) based on the method developed for use with the US Department of Agriculture’s (USDA) Food and Nutrient Dietary Data System (FNDDS) and MyPyramid Equivalents Database (MPED).DesignCross-sectional.SettingNon-institutionalized, community-dwelling adults aged 70 years and above.SubjectsTwo hundred and seventy-one adults participating in the Geisinger Rural Aging Study (GRAS) and 620 age- and race-matched adults from the National Health and Nutrition Examination Survey 2001–2002 (NHANES) were included in the analysis. The HEI-2005 scores were generated using NDSR in GRAS and compared to scores generated using FNDDS and MPED in NHANES.ResultsSimilar total HEI-2005 scores (mean 62·0 (se 0·75) in GRAS v. 57·4 (se 0·55) in NHANES) were estimated, and the individual components most strongly correlated with total score in both samples were compared. Cronbach’s coefficient α values of HEI-2005 were 0·52 in GRAS and 0·43 in NHANES.ConclusionsSince NDSR is commonly used for educational purposes, in clinical settings and in nutrition research, it is important to develop methodology for assessing diet quality through the use of HEI-2005 with this dietary analysis software application and its accompanying food and nutrient database. Results from the present study show that HEI-2005 scores can be generated with NDSR using the method described in the present study and the detailed USDA Center for Nutrition Policy and Promotion technical report as guidance.

scholarly journals Association Between Kinesiophobia and Life Space Among Community-Dwelling Older People with Chronic Musculoskeletal Pain

Pain Medicine ◽  
2020 ◽  
Vol 21 (12) ◽  
pp. 3360-3365
Author(s):  
Kazuaki Uchida ◽  
Shunsuke Murata ◽  
Rika Kawaharada ◽  
Yamato Tsuboi ◽  
Tsunenori Isa ◽  
...  
Keyword(s):  
Older People ◽  
Musculoskeletal Pain ◽  
Brief Pain Inventory ◽  
Community Dwelling ◽  
Chronic Musculoskeletal Pain ◽  
Pain Severity ◽  
Linear Regression Models ◽  
Life Space ◽  
Cross Sectional ◽  
Community Dwelling Older People

Abstract Objective Kinesiophobia (i.e., fear of movement caused by pain) is increasingly acknowledged as a determinant of disuse among patients with chronic musculoskeletal pain. Kinesiophobia may affect life space—a crucial indicator of an active lifestyle among older people. This study aimed to investigate the previously unexamined association between kinesiophobia and life space among community-dwelling older people with chronic musculoskeletal pain. Design Cross-sectional study. Setting Community. Subjects We analyzed data from 194 community-dwelling older people (age ≥65 years, mean age = 75.7 years, 71.6% women) with chronic musculoskeletal pain. Methods Kinesiophobia, life space, and pain severity were assessed using the Tampa Scale for Kinesiophobia, Life Space Assessment, and Brief Pain Inventory. Linear regression models were applied to analyze the associations between kinesiophobia and life space, and pain severity and life space. Results In our sample, the prevalence rates for chronic musculoskeletal pain were 10.82% (N = 21) for neck, 55.15% (N = 107) for lower back, 25.26% (N = 49) for shoulder, and 50.00% (N = 97) for knee. The results suggest that higher kinesiophobia is associated with smaller life space (adjusted beta = −0.91, 95% CI = −1.43 to −0.45, P &lt; 0.001), even after adjustment for age, gender, years of education, pain severity, and presence of comorbidity. On the contrary, no significant association between pain severity and life space was observed (adjusted beta = −0.61, 95% CI = −2.92 to 1.72, P = 0.624). Conclusions Our findings suggest that kinesiophobia plays an important role in the determination of life space among older people with chronic musculoskeletal pain.

scholarly journals Impact of resilience on health in older adults: a cross-sectional analysis from the International Mobility in Aging Study (IMIAS)

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e023779 ◽  
Author(s):  
Siu Yu Zoe Lau ◽  
Ricardo Oliveira Guerra ◽  
Juliana Fernandes de Souza Barbosa ◽  
Susan P Phillips
Keyword(s):  
The Elderly ◽  
Community Dwelling ◽  
International Mobility ◽  
Cross Sectional ◽  
Childhood Experiences ◽  
Mortality And Morbidity ◽  
Objective Health ◽  
Adverse Childhood ◽  
Aging Study ◽  
Sectional Analysis

ObjectivesSelf-rated health (SRH) is a predictor of objective health measures, including mortality and morbidity. The link between resilience and SRH among the elderly is unclear. We aim to examine whether resilience aligns with SRH and, secondarily, whether resilience can override the negative health consequences of adverse childhood experiences (ACE).Design and settingWe use 2012, 2014 and 2016 data from the International Mobility in Aging Study, a longitudinal cohort study that collects survey and biophysical data from Albania, Brazil, Colombia and Canada. The main independent variables were resilience and ACE (social and economic).ParticipantsCommunity-dwelling 65–74 year olds (in 2012) were recruited through primary care registers. The sample size of the study was 1506.Primary outcomeThe outcome measure was SRH.ResultsWe found that sex, site, economic ACE, current income sufficiency, current depressive symptoms, current physical function and current resilience were associated with current SRH. In regression analyses, we showed that the association between ACE and SRH disappeared once factors such as sex, site, income, depression, physical health and resilience were considered.ConclusionsThe association between resilience and health poses a compelling argument for building resilience throughout life.

scholarly journals NUTRITION STATUS IN COMMUNITY DWELLING OLDER POPULATION IN AN EGYPTIAN URBAN AREA

2014 ◽  
pp. 1-7
Author(s):  
H.M.M. Abdelrahman ◽  
A.E.E. Elawam
Keyword(s):  
Cognitive Impairment ◽  
Nutritional Assessment ◽  
Elderly Person ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Nutrition Status ◽  
Older Population ◽  
Cross Sectional ◽  
Significant Difference ◽  
Older Subjects

Objectives: To evaluate the nutrition status in community dwelling Egyptian older subjects, living in Cairo, and the factors that may be associated with malnutrition. Design: A cross-sectional study. Setting: Egyptian social clubs, in Cairo. Participants: 318 older subjects, 60 years old and above. Measurements: Comprehensive Geriatric Assessment and Mini Nutritional Assessment. Results: The nutrition status of the sample was: 44 % (140 subjects) were well nourished, 41.5% (132 subjects) had risk of malnutrition and 14.5 % (46 subjects) were malnourished. the mean age of the well-nourished patients was 64 ± 3.16, while for malnourished patients was 72.3 ± 4.83 [P: <0.001]. Sex did not show a significant difference between well-nourished and malnourished patients [P: 0.35]. Also marital status did not show significant affection of nutritional status [P: 0.254]. While education level and employment status showed significant difference between well-nourished and malnourished patients [P: <0.001]. The functional state assessed by ADL showed a significant difference between well-nourished and malnourished patients [P: <0.007]. Also the Cognitive impairment was more among malnourished than well-nourished patients [P: 0. <0.001]. Depression and polypharmacy were significantly found more among malnourished than well-nourished patients [P: 0.009, 0. 001] respectively. logistic regression analysis revealed that increased age, low score of MMSE, less years of education and increased number of medications were independent risk factor for malnutrition. Conclusion: Malnutrition and risk of malnutrition were prevalent in community dwelling older population, especially with increased age, less education, living alone, unemployment, cognitive impairment, depression and taking multiple medications. So we recommend that nutritional assessment to be included in any assessment of elderly person.

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