Prevalence and associated socioeconomic factors of multimorbidity in 10 regions of China: an analysis of 0.5 million adults

2020 ◽  
Author(s):  
Siyu Zou ◽  
Zhicheng Wang ◽  
Maria Bhura ◽  
Guoting Zhang ◽  
Kun Tang
Keyword(s):  
Elderly Population ◽  
The Elderly ◽  
Absolute Number ◽  
Health Concern ◽  
Multiple Chronic Conditions ◽  
Middle Aged ◽  
Multivariable Logistic Regression Model ◽  
Lower Socioeconomic ◽  
Elderly Males ◽  
Middle Aged Adults

Abstract Background The epidemiology of multiple chronic conditions in China is poorly understood. We investigated the prevalence of multimorbidity among the middle-aged and elderly population in China and analyzed its demographic and socioeconomic correlates. Methods Data were obtained from the baseline of the China Kadoorie Biobank Study, which recruited over 0.5 million participants between 2004 and 2008. We calculated the prevalence by the characteristics of multimorbidity. The demographic and socioeconomic correlates were analyzed using a multivariable logistic regression model. Results 15.9% of the participants were multimorbid. Although the prevalence of multimorbidity increased with age, the absolute number of people with multimorbidity was much higher among middle-aged adults (30–60 years, n = 42 041) than the elderly group (>60 years, n = 38 834). The odd of multimorbidity was higher in males (aOR =1.09, 95% CI: 1.07–1.11) and among those who were unemployed (aOR = 1.58, 95% CI: 1.55–1.62). Those who received the highest level of education were most likely to be multimorbid compared with those with no education (aOR = 1.14, 95% CI: 1.09–1.19). Such an association was similar when treating multimorbidity as multinomial variable. Conclusions Multimorbidity is a public health concern, with higher prevalence among the elderly, males and those who belong to a lower socioeconomic stratum. Actions are needed to curb multimorbidity epidemic in China.

scholarly journals The Influence of the Interface Button Design of Touch Screens on Operation and Interpretation by Elderly and Middle-Aged Adults

Designs ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 35
Author(s):  
Yeh Po-Chan
Keyword(s):  
Elderly People ◽  
The Elderly ◽  
Middle Aged ◽  
Aged People ◽  
Display Position ◽  
Ideal Image ◽  
Self Testing ◽  
Middle Aged Adults ◽  
Good Interpretation ◽  
The Ideal

Body function begins to decline in middle age, with changes becoming increasingly noticeable over time. With the popularization of educational and information technology, people know more about healthcare and are becoming accustomed to self-testing using health equipment. Technological changes are reflected in products, which present innovations including the switch from traditional to touch-controlled interface designs. This can cause difficulties in the interpretation and interface operation for older adults, who may be facing physiological and psychological alterations. Understanding users’ physiological limitations has become an important aspect of product design. This study explored the effects of physiological limitations on touch-screen operation in middle-aged and elderly people, specifically regarding button type, display position, and button size. A total of 64 participants were included in the study: 32 middle-aged people (aged 45–64 years) and 32 elderly people (65 years of age and older). Each participant was asked to complete 32 tasks (two button categories × four button sizes × four presentation positions). The results revealed no differences between the elderly and the middle-aged groups with regard to the interpretation of image buttons and text buttons; however, button size affected the operation and interpretation time. Middle-aged participants demonstrated good interpretation performance when the buttons were displayed in the upper or lower part of the screen, whereas elderly participants only had a good interpretation performance when the buttons were in the upper part. For both groups, the ideal image button size was 16 mm with a text font size of 22.

Apathetic Hyperthyroidism in Middle Age

1991 ◽  
Vol 21 (4) ◽  
pp. 393-400 ◽  
Author(s):  
Antonio Palacios ◽  
Mary Ann Adler Cohen ◽  
Ronald Cobbs
Keyword(s):  
Psychiatric Diagnosis ◽  
Elderly Population ◽  
Medical Literature ◽  
Middle Age ◽  
Rare Complication ◽  
The Elderly ◽  
Aged Patient ◽  
Middle Aged

Apathetic hyperthyroidism was first described in the medical literature by Lahey in 1931. It is a form of hyperthyroidism found principally in the elderly population. In this disorder the usual hyperkinetic presentation of thyrotoxicosis is replaced by apathy and inactivity, often leading to an erroneous psychiatric diagnosis. Although there is a paucity of literature on apathetic hyperthyroidism, it has been described in the elderly and as an extremely rare complication of hyperthyroid disorder in children. It was described only rarely in middle age. The following case highlights the diagnostic and therapeutic dilemmas encountered in a middle-aged patient who presented with dementia and apathetic hyperthyroidism.

Incidence and mortality trends for four major cancers in the elderly and middle-aged adults: An international comparison

2013 ◽  
Vol 22 (2) ◽  
pp. e31-e38 ◽  
Author(s):  
Alberto Quaglia ◽  
Roberto Lillini ◽  
Emanuele Crocetti ◽  
Carlotta Buzzoni ◽  
Marina Vercelli
Keyword(s):  
International Comparison ◽  
The Elderly ◽  
Middle Aged ◽  
Mortality Trends ◽  
Incidence And Mortality ◽  
Middle Aged Adults

Probabilistic Prediction of Microdamage Progression in Bone

2008 ◽  
Author(s):  
X. Neil Dong ◽  
Daniel M. Sparkman ◽  
Huijie Leng ◽  
Harry R. Millwater ◽  
Xiaodu Wang
Keyword(s):  
Bone Quality ◽  
Elderly Population ◽  
Bone Fractures ◽  
The Elderly ◽  
Ultrastructural Level ◽  
Optical Microscope ◽  
Health Concern ◽  
Probabilistic Prediction ◽  
Major Health ◽  
Age Related

Age-related bone fractures are a major health concern to the elderly population. In addition to the loss of bone mass, the deterioration of bone quality is another major reason for such fractures. The decline of bone quality is manifested with the accumulation of microdamage in bone with age [1]. Two major types of microdamage have been observed in bone tissue: linear microcracks and diffuse damage [2]. Linear microcracks are individual cracks at a size of microns or larger and are usually visible under an optical microscope. On the other hand, diffuse damage is detectable only by staining and consists of an extensive network of fine, ultrastructural-level defects. The mechanisms for the formation of these two distinct types of microdamage in bone are still unclear. In this study, probabilistic finite element models of mineral-collagen composites were used to study the progression of microdamage in bone, thereby exploring the conditions under which linear microcracks and diffuse damage are produced in bone.

scholarly journals Edentulism in Brazil: trends, projections and expectations until 2040

2016 ◽  
Vol 21 (4) ◽  
pp. 1239-1246 ◽  
Author(s):  
Mayra Cardoso ◽  
Ivan Balducci ◽  
Daniel de Moraes Telles ◽  
Eduardo José Veras Lourenço ◽  
Lafayette Nogueira Júnior
Keyword(s):  
Oral Health ◽  
Health Surveys ◽  
The Elderly ◽  
Logistic Function ◽  
Population Projections ◽  
Annual Change ◽  
Middle Aged ◽  
Middle Aged Adults ◽  
Edentulous Jaws

Abstract The aim of this study was to examine the edentulism rates in Brazil and make projections for the next years. Data were collected from three national oral health surveys. The percentage of edentulous jaws was calculated. Projections were made for the years 2020, 2030 and 2040, assuming that edentulism follows a logistic function. Population projections were also performed. Annual change in proportion of edentulous jaws was -0.04% for teenagers, -0.96% for adults and 0.76% for the elderly. By 2040, edentulous jaws will be virtually zero among teenagers, 1.77% among adults and 85.96% among the elderly. Teenagers will slightly decrease in number; adults will increase and subsequently decrease; the elderly will continue to increase. In teenagers and adults, the number of edentulous jaws will decrease, being approximately 616,000 in 2040. In the elderly, it will increase alarmingly, reaching over 64 million in 2040. Edentulism is declining in Brazil among teenagers and middle-aged adults, but is still increasing and will continue to increase for the next decades among the elderly.

Suicide in centenarians: the international landscape

2014 ◽  
Vol 26 (10) ◽  
pp. 1703-1708 ◽  
Author(s):  
Ajit Shah ◽  
Sofia Zarate-Escudero ◽  
Ravi Bhat ◽  
Diego De Leo ◽  
Annette Erlangsen
Keyword(s):  
Confidence Interval ◽  
Elderly Population ◽  
The Elderly ◽  
Health Concern ◽  
Age Group ◽  
Public Health Concern ◽  
Suicide Rates ◽  
Icd 10 ◽  
Using Data ◽  
E Mail

ABSTRACTBackground.The elderly population size is growing worldwide due increased life expectancy and decreased mortality in the elderly. This has lead to an increase in the number of centenarians, and their numbers are predicted to increase further. Little is known about suicide rates in centenarians.Methods.Data on the number of suicides (ICD-10 codes, X60–84) in centenarians of both gender for as many years as possible from 2000 were ascertained from three sources: colleagues, national statisics office websites and e-mail contact with the national statistics offices of as many countries as possible. The number of centernarians for the corresponding years was estimated for each country using data provided by the United Nations website.Results.Data were available from 17 countries. The suicide rate was 57 (95% confidence interval 45–69) per 100, 000 person years in men and 6.8 (95% confidence interval 5.1–8.5) per 100,000 person years in women.Conclusions.Suicide rates were sufficiently large amongst centenarians for there to constitute a public health concern given the anticipated rise in the centenarian population and the paucity of data on risk and protective factors for suicide in this age group.

scholarly journals Prevalence of abuse among the elderly population of Syangja, Nepal

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shiva Raj Acharya ◽  
B. K. Suman ◽  
Sandip Pahari ◽  
Yong Chul Shin ◽  
Deog Hwan Moon
Keyword(s):  
Elderly Population ◽  
Elder Abuse ◽  
Psychological Abuse ◽  
The Elderly ◽  
World Health ◽  
Health Concern ◽  
Systematic Sampling ◽  
Cross Sectional ◽  
Face To Face ◽  
Health Organization

Abstract Background Elder abuse is recognized as a serious public health concern and top priority aging issues. World Health Organization reported that around 1 out of 6 old people in the world experienced some form of abuse. This study was carried out to find out the prevalence of different forms of abuse among elderly Nepalese people. Methods The cross-sectional, quantitative analytical study was carried out among 373 elders of the Syangja district of Nepal. The study population was selected through simple, proportionate, and systematic sampling methods. Data was collected through face-to-face interviews using a structured questionnaire. Results The majority of participants were female (54.5%). The prevalence of elderly abuse was found to be 54.5%. The most common form of abuse among the elderly population was neglect (23.1%), psychological abuse (20.6%), physical abuse (6.5%), financial abuse (2.4%), and sexual abuse (1.9%). Elderly females were significantly more likely to experience physical and psychological abuse. Conclusion More than half of the elderly experienced at least one form of abuse. Neglect was found to be the most common form of abuse. The abuse was prevalent among elderly who were ill and with the habit of tobacco and alcohol consumption.

scholarly journals Association of the Healthy Eating Index with Metabolic Abnormalities among Middle-Aged Adults Living in Single-Person Households in Korea

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3937
Author(s):  
Yun-Jung Bae ◽  
Kwang-Won Yu ◽  
Kyung-Haeng Lee ◽  
Keum-Il Jang
Keyword(s):  
Healthy Eating ◽  
The Elderly ◽  
Healthy Eating Index ◽  
Living Alone ◽  
Older Individuals ◽  
Middle Aged ◽  
Health And Nutrition ◽  
Recall Data ◽  
Single Person ◽  
Middle Aged Adults

This study aimed to analyze the association between the dietary lifestyles and health outcomes among middle-aged (40–64 years old) and elderly (65 years old and older) individuals living alone using the Korean Healthy Eating Index (KHEI). The study was conducted with 1442 participants (475 men and 967 women) aged 40 years and older living in single-person households using the Korea National Health and Nutrition Examination Survey from 2016 to 2018. The KHEI scores were calculated based on the 24-h recall data of dietary intake. Among women living alone, the total KHEI score of the participants aged 40–64 years was 65.92, which was significantly lower than the 70.66 of those aged 65 years and older (p = 0.0152). In addition, the total score in the adequacy domain was significantly lower among the 40~64-year-old group than those aged 65 years and older (p = 0.0011). Among the elderly in single-person households, the odds of diabetes in the T1 group were 2.08 times higher than those in the T3 group according to the KHEI (95% confidence interval: 1.36–3.17). The results of this study are expected to be used as baseline data to establish nutrition, home meal replacement utilization, and health policies for the elderly living alone.

Prevalence of Chronic Diseases and Multimorbidity Among Urban Community-Dwelling Elderly Individuals in Northeastern China

2021 ◽  
Author(s):  
Hongmei Yin ◽  
Yuying Li ◽  
Yi Yuan ◽  
Jinying Wei ◽  
Jing Wu
Keyword(s):  
Chronic Diseases ◽  
Chronic Conditions ◽  
Elderly Population ◽  
Urban Community ◽  
Significant Proportion ◽  
The Elderly ◽  
Northeastern China ◽  
Community Dwelling ◽  
Multiple Chronic Conditions ◽  
Elderly Individuals

Abstract Background: To evaluate the prevalence of chronic diseases and multimorbidity in the elderly population in an urban community in northeastern China.Methods: A quantitative, descriptive, cross-sectional study was conducted among an elderly population (≥60 years) in the community of Changchun, China, in 2018. The following were used: a sociodemographic questionnaire, anthropometric data, and laboratory examinations. A total of 2171 elderly residents (1328 male) were finally enrolled. Data on 5 chronic diseases—hypertension, diabetes, dyslipidemia, coronary heart disease (CHD) and chronic kidney disease (CKD) —were collected by interviews and physical check-ups and confirmed by physicians.Results: The age-adjusted prevalences of the five chronic diseases (hypertension, diabetes, dyslipidemia, CHD and CKD) were the following: 67.60%, 63.30%, 61.50%, 51.00% and 8.98%, respectively, in men and 64.10%, 59.70%, 71.10%, 44.80% and 19.70%, respectively, in women. A total of 77.0% of hypertensive subjects were aware of their hypertension status, and 61.0% had their blood pressure controlled. The awareness rate of diabetes was 82.1%, and the controlled rate was 68.4%. A total of 75.4% of the population had two or more chronic conditions, which is called multimorbidity. The elderly individuals had the highest frequency of multiple chronic conditions.Conclusion: The prevalence of chronic diseases in the elderly was high, and a significant proportion was affected by multimorbidity in urban China. Chronic diseases are important diseases threatening the health of the elderly population.

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