scholarly journals BODY MASS INDEX TRAJECTORY BEFORE DEATH IN COMMUNITY-DWELLING OLDER ADULTS. POPULATION-BASED COHORT STUDY

2021 ◽  
Author(s):  
Hari Venkatesh Pai ◽  
Martin C Gulliford
Keyword(s):  
Older Adults ◽  
Body Mass Index ◽  
Cohort Study ◽  
Body Mass ◽  
High Body Mass Index ◽  
Population Based ◽  
Community Dwelling ◽  
Housing Tenure ◽  
Age Related ◽  
Community Dwelling Older Adults

Background and objective: Both low and high body mass index (BMI) have been associated with greater mortality in older adults. This study evaluated the trajectory of BMI in the final years of life. Design: Population-based cohort study. Setting: Community-dwelling adults in the English Longitudinal Study of Ageing between 1998 and 2012. Measurements: Body mass index, years before death and all-cause mortality. Analyses were adjusted for age, gender, educational level, housing tenure and social class. Results: Data were analysed for 16,924 participants with 31,857 BMI records; mean age at study start, 61.6 (SD 10.9) years; mean BMI, 27.5 (4.7) Kg/m2. There were 3,686 participants (4,794 BMI records) who died and 13,238 participants (27,063 BMI records) who were alive at last follow-up. Mean BMI increased with age to 60-69 years but then declined, but the age-related decline was more rapid in decedents. At ages 80-89 years, mean BMI in decedents was 26.1 (4.7) compared with 27.1 (4.4) Kg/m2 in survivors. After adjusting for age and covariates, mean BMI declined in the five years before death. From 9 to 5 years before death or end of study, adjusted mean BMI was 0.51 (95% confidence interval 0.24 to 0.78) Kg/m2 lower for decedents than survivors; and from four to zero years before death, 1.55 (1.26 to 1.84) Kg/m2 lower in decedents. Conclusions: In community-dwelling older adults, mean body mass index enters an accelerating decline during five years before death. Reverse causation may account for the association of lower BMI with mortality.

scholarly journals What influences diet quality in older people? A qualitative study among community-dwelling older adults from the Hertfordshire Cohort Study, UK

2017 ◽  
Vol 20 (15) ◽  
pp. 2685-2693 ◽  
Author(s):  
Ilse Bloom ◽  
Wendy Lawrence ◽  
Mary Barker ◽  
Janis Baird ◽  
Elaine Dennison ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Older People ◽  
Social Engagement ◽  
Community Dwelling ◽  
Related Factors ◽  
Age Related ◽  
Hertfordshire Cohort Study ◽  
The Uk ◽  
Community Dwelling Older Adults

AbstractObjectiveTo explore influences on diet in a group of community-dwelling older adults in the UK.DesignData were collected through focus group discussions with older people; discussions were audio-recorded, transcribed verbatim and transcripts analysed thematically.SettingHertfordshire, UK.SubjectsParticipants were sampled purposively from the Hertfordshire Cohort Study, focusing on those whose diets had been assessed at two time points: 1998–2001 and 2011.ResultsNinety-two adults participated (47 % women; 74–83 years) and eleven focus groups were held. A number of age-related factors were identified that were linked to food choices, including lifelong food experiences, retirement, bereavement and medical conditions, as well as environmental factors (such as transport). There appeared to be variability in how individuals responded to these influences, indicating that other underlying factors may mediate the effects of age-related factors on diet. Discussions about ‘keeping going’, being motivated to ‘not give up’, not wanting to be perceived as ‘old’, as well as examples of resilience and coping strategies, suggest the importance of mediating psychological factors. In addition, discussion about social activities and isolation, community spirit and loneliness, indicated the importance of social engagement as an influence on diet.ConclusionsInterventions to promote healthier diets in older age should take account of underlying psychological and social factors that influence diet, which may mediate the effects of age-related factors.

scholarly journals The relationship between increased body mass index and frailty on falls in community dwelling older adults

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Katie J Sheehan ◽  
Matthew DL O’Connell ◽  
Clodagh Cunningham ◽  
Lisa Crosby ◽  
Rose Anne Kenny
Keyword(s):  
Older Adults ◽  
Body Mass Index ◽  
Body Mass ◽  
Community Dwelling ◽  
Community Dwelling Older Adults ◽  
The Relationship

Association Between Aspects of Oral Health–Related Quality of Life and Body Mass Index in Community-Dwelling Older Adults

2007 ◽  
Vol 55 (11) ◽  
pp. 1808-1816 ◽  
Author(s):  
Sonia K. Makhija ◽  
Gregg H. Gilbert ◽  
Mark S. Litaker ◽  
Richard M. Allman ◽  
Patricia Sawyer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Body Mass Index ◽  
Body Mass ◽  
Community Dwelling ◽  
Related Quality ◽  
Community Dwelling Older Adults

scholarly journals Body Mass Index, Weight Loss, and Mortality in Community-Dwelling Older Adults

2007 ◽  
Vol 62 (12) ◽  
pp. 1389-1392 ◽  
Author(s):  
J. L. Locher ◽  
D. L. Roth ◽  
C. S. Ritchie ◽  
K. Cox ◽  
P. Sawyer ◽  
...  
Keyword(s):  
Older Adults ◽  
Body Mass Index ◽  
Weight Loss ◽  
Body Mass ◽  
Community Dwelling ◽  
Index Weight ◽  
Community Dwelling Older Adults

scholarly journals Urgency urinary incontinence, loss of independence, and increased mortality in older adults: A cohort study

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245724
Author(s):  
Takashi Yoshioka ◽  
Tsukasa Kamitani ◽  
Kenji Omae ◽  
Sayaka Shimizu ◽  
Shunichi Fukuhara ◽  
...  
Keyword(s):  
Older Adults ◽  
Urinary Incontinence ◽  
Cohort Study ◽  
Hazard Analysis ◽  
Population Based ◽  
Incidence Rates ◽  
Community Dwelling ◽  
Urgency Urinary Incontinence ◽  
Longitudinal Association ◽  
Community Dwelling Older Adults

Objectives To investigate the longitudinal association of urgency urinary incontinence (UUI) with loss of independence (LOI) or death among independent community-dwelling older adults. Design Population-based cohort study. Setting The Locomotive Syndrome and Health Outcome in Aizu Cohort Study (LOHAS), Minami-Aizu Town and Tadami Town, Fukushima, Japan. Participants A total of 1,580 participants aged ≥65 years who underwent a health check-up conducted by LOHAS in 2010. Measurements Exposure was defined as the presence of UUI, which was measured by a questionnaire based on the definition of UUI from the International Continence Society. The primary outcome was defined as incidence of LOI or death. After the check-up in 2010, the outcome was monitored until March 2014. A multivariable Cox proportional hazard analysis was performed to estimate the hazard ratio for the outcome. Ten potential confounders were adjusted in the analysis. Furthermore, we defined the secondary outcomes as two separate outcomes, LOI and death, and performed the same analysis. Results Among all participants, 328 reported UUI. The incidence rates of the outcome were 20.4 and 11.4 (per 1,000 person–years) among participants with and without UUI, respectively. After multivariable adjustment, those who experienced UUI showed a substantial association with LOI or death (HR, 1.65; 95% CI, 1.01–2.68). However, they did not show such an association with LOI alone (HR, 1.07; 95% CI, 0.49–2.33). On the other hand, those with UUI exhibited a substantial association with death (HR, 2.23; 95% CI, 1.22–4.31). Conclusions In this study, UUI was associated with the occurrence of LOI or death; however, UUI is not associated with the occurrence of LOI alone among independent community-dwelling older adults. Our results suggest that there may be a difference between UUI-associated diseases that cause LOI and those that cause death.

Steps per Day, Peak Cadence, Body Mass Index, and Age in Community-Dwelling Older Adults

2013 ◽  
Vol 45 (5) ◽  
pp. 914-919 ◽  
Author(s):  
JOHN M. SCHUNA ◽  
ROBERT M. BROUILLETTE ◽  
HEATHER C. FOIL ◽  
STEPHANIE L. FONTENOT ◽  
JEFFREY N. KELLER ◽  
...  
Keyword(s):  
Older Adults ◽  
Body Mass Index ◽  
Body Mass ◽  
Community Dwelling ◽  
Steps Per Day ◽  
Community Dwelling Older Adults

scholarly journals Potentially inappropriate medications in older adults: a population-based cohort study

2019 ◽  
Author(s):  
Barbara Roux ◽  
Caroline Sirois ◽  
Marc Simard ◽  
Marie-Eve Gagnon ◽  
Marie-Laure Laroche
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Chronic Diseases ◽  
Medication Use ◽  
Population Based ◽  
Community Dwelling ◽  
The Public ◽  
Factors Associated ◽  
Community Dwelling Older Adults ◽  
Public Drug

Abstract Background Non-optimal medication use among older adults is a public health concern. A concrete picture of potentially inappropriate medication (PIM) use is imperative to ensure optimal medication use. Objective To assess the prevalence of PIMs in community-dwelling older adults and identify associated factors. Methods A retrospective population-based cohort study was conducted using the Quebec Integrated Chronic Disease Surveillance System (QICDSS). The QICDSS includes data on drug claims for community-dwelling older adults with chronic diseases or at risk of developing chronic diseases aged ≥65 years who are insured by the public drug insurance plan. Individuals aged ≥66 years who were continuously insured with the public drug plan between 1 April 2014 and 31 March 2016 were included. PIMs were defined using the 2015 Beers criteria. We conducted multivariate robust Poisson regression analyses to explore factors associated with PIM use. Results A total of 1 105 295 individuals were included. Of these, 48.3% were prescribed at least one PIM. The most prevalent PIMs were benzodiazepines (25.7%), proton-pump inhibitors (21.3%), antipsychotics (5.6%), antidepressants (5.0%) and long-duration sulfonylureas (3.3%). Factors associated with PIM exposure included being a woman [rate ratio (RR): 1.20; 95% confidence interval (CI): 1.20–1.21], increased number of medications and having a high number of chronic diseases, especially mental disorders (RR: 1.50; 95% CI: 1.49–1.51). Conclusion Almost one out of two community-dwelling older adults use a PIM. It is imperative to reduce the use of PIMs, by limiting their prescription and by promoting their deprescribing, which necessitates not only the active involvement of prescribers but also patients.

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