scholarly journals Interactions of Overweight, Poor Oral Health, and Stress Related to Chronic Disease in an Aging Population

2010 ◽  
Vol 2010 ◽  
pp. 1-6 ◽  
Author(s):  
Julia W. Albright
Keyword(s):  
Developing Countries ◽  
Chronic Disease ◽  
Oral Health ◽  
Body Mass ◽  
Age Groups ◽  
Aging Population ◽  
The Elderly ◽  
Thrifty Genotype ◽  
Aging Populations

The prevalence of excess body mass (XBM), poor oral health (POH), and stress in a secluded population of aged (≥60 years) Hmong immigrants was surveyed. The findings were related to the prevalence of diabetes in the same population. Diabetes was associated separately with POH (OR 2.4; CL 1.3, 4.2) or with XBM (OR 2.5; CL 1.4, 4.8). The association of diabetes with the combination of XBM and POH was striking (OR 5.1; CL 3.4, 7.5); that apparent synergism has not been fully appreciated. We describe a mechanism that explains the synergism. The concept of “thrifty genotype” is a plausible explanation of XBM in the elderly Hmong immigrants and possibly the current older Laotian population. POH is common among elderly Laotians as it is in most developing countries. We conclude that synergism of XBM and POH significantly elevates the prevalence of diabetes among aging populations and probably other age groups as well.

scholarly journals Dental caries among the elderly in Iran: a meta-analysis

2020 ◽  
Author(s):  
Shervan Shoaee ◽  
Farshad Sharifi ◽  
Pooneh Ghavidel Parsa ◽  
Ahmad Sofi-Mahmudi
Keyword(s):  
Systematic Review ◽  
Oral Health ◽  
Dental Caries ◽  
Health Surveys ◽  
Meta Analysis ◽  
Grey Literature ◽  
Age Groups ◽  
The Elderly ◽  
Missing Teeth ◽  
Cross Sectional

Objectives: To conduct a systematic review and meta-analysis on dental caries among the elderly in Iran. Background: The prevalence of dental caries among elderly is high worldwide, and the major burden of oral diseases is caused by dental caries. Methods: Systematic review of the published and grey literature performed. Six international and local databases used to provide the most comprehensive population-based studies. National oral health surveys, as well as national disease and health surveys considered as other primary sources of data. Quality of remained studies was assessed by a modified tool designed based on STROBE statement checklist to evaluate the cross-sectional studies. The target population was 65+-year-olds Iranian population. Results: Overall, 917 English articles who those reported dental caries among all age groups were found in international databases and 2138 Persian articles were found in Iranian databases. After quality assessment, and excluding other age groups, 46 points of data with 10411 aged people ≥ 65 years, were included in the meta-analysis. Mean pooled decayed, missing, and filled teeth among the elderly was 26.84 (26.41-27.28). This index was 26.78 (26.12-27.43) in women and 26.91 (26.32-27.50) in men. Mean number of decayed teeth was 1.48 (1.32-1.65). Mean pooled missing teeth was 24.83 (24.20-25.46), and mean pooled filled teeth was 0.14 (0.12-0.17). The majority (92%) of DMFT was related to missing teeth. Conclusion: Dental caries has a very high burden on the oral health of the elderly in Iran, mainly responded by tooth extraction.

scholarly journals Zinc Nutritional Status and Risk Factors of Elderly in the China Adult Chronic Disease and Nutrition Surveillance 2015

Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3086
Author(s):  
Jiaxi Lu ◽  
Yichun Hu ◽  
Min Li ◽  
Xiaobing Liu ◽  
Rui Wang ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Zinc Deficiency ◽  
Rural Areas ◽  
Age Groups ◽  
Serum Zinc ◽  
The Elderly ◽  
Nutrition Status ◽  
Related Factors ◽  
Chinese Elderly ◽  
Zinc Nutrition

Objectives: To analyze the serum zinc nutrition status of the Chinese elderly, and to assess the risk factor for zinc deficiency. Methods: 3727 elderly people over 60 years old were randomly selected from 302 monitoring points in 31 provinces of China Adult Chronic Disease and Nutrition Surveillance (CACDNS) 2015. Blood samples were selected from the biological sample bank of CACDNS 2015 and the basic information were collected by questionnaires. The criteria of serum zinc deficiency recommended by the International Zinc Nutrition Consulting Group (IZiNCG) were adopted, and the related factors were also analyzed. Results: The median serum zinc concentration of Chinese elderly was 99.2 (84.3~118.7) μg/dL. The overall adjusted prevalence of zinc deficiency was 8.68%, with a 95% confidence interval (CI) of 7.74% and 9.61%. Significant differences were found in different sex, age groups, Body Mass Index (BMI), residence region, race and education level in terms of serum zinc status in the elderly (p < 0.05). Participants who are males, aged above 70y, with BMIs of less than 18.5 kg/m2, living in rural areas, minority, and with the lowest income had a higher prevalence of zinc deficiency in the subgroups under different classifications. The risk of zinc deficiency in the elderly over 70y was 1.44 higher than those aged 60–69y (OR = 1.44, 95%CI 1.14–1.82), and the minority elderly has a 1.39 higher risk than Han nationality (OR = 1.39, 95%CI 1.01–1.91), while overweight/obesity and female elderly were at lower risk (OR < 1, p < 0.05). Conclusions: The overall prevalence of zinc deficiency in the elderly was highest in all adults in the CACDNS. It is recommended that the male elderly, over 70 years, and the minority elderly should pay more attention to the zinc nutrition status of their own.

scholarly journals International strategies in the face of aging population

2016 ◽  
Vol 126 (2) ◽  
pp. 55-58
Author(s):  
Bartłomiej Drop ◽  
Marian Jędrych ◽  
Agnieszka Barańska ◽  
Ewelina Firlej ◽  
Mariola Janiszewska
Keyword(s):  
Population Aging ◽  
Age Groups ◽  
Aging Population ◽  
The Elderly ◽  
Developed Countries ◽  
World Health ◽  
Modern World ◽  
The European Union ◽  
The Face ◽  
International Strategies

Abstract Introduction. Population aging poses many important economic, social, and health challenges to the modern world. This applies mostly to developed countries. The phenomenon requires joint action of Member States of the European Union, the World Health Organization, the United Nations, the Council of Europe as well as some unified strategies for the actions taken by these entities. Aim. The aim of this study was to demonstrate international strategies implemented in the face of demographic changes. Material and methods. The authors analyzed the documents outlining strategies for both organizations and entities, as well as recommendations for international scientific consultation on strategy of the aging population. Results. Analysis of changes happening to the oldest age groups showed the need for cooperation between countries. An overview of the strategies being taken at the moment and those that had been undertaken previously by international entities can contribute to modify the arrangements of the elderly; in order to improve the living conditions in multidimensional aspect. Conclusions. The key to achieving the desired effect through implementing the policies of individual countries is to monitor them on a regular basis.

scholarly journals Normative Static Grip Strength of Saudi Arabia’s Population and Influences of Numerous Factors on Grip Strength

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1647
Author(s):  
Abdalla Alrashdan ◽  
Atef M. Ghaleb ◽  
Malek Almobarek
Keyword(s):  
Body Mass Index ◽  
Grip Strength ◽  
Body Mass ◽  
Handgrip Strength ◽  
Age Groups ◽  
The Elderly ◽  
International Standards ◽  
Curvilinear Relationship ◽  
Strength Data ◽  
Hand Area

Most daily tasks require exerting static grip strength which can be challenging for the elderly as their strength diminishes with age. Moreover, normative static grip strength data are important in ergonomics and clinical settings. The goal of this study is to present the gender, age-specific, hand-specific, and body-mass-index-specific handgrip strength reference of Saudi males and females in order to describe the population’s occupational demand and to compare them with the international standards. The secondary objective is to investigate the effects of gender, age group, hand area, and body mass index on the grip strength. A sample of 297 (146 male and 151 female) volunteers aged between 18 and 70 with different occupations participated in the study. Grip strength data were collected using a Jamar dynamometer with standard test position, protocol, and instructions. The mean maximum voluntary grip strength values for males were 38.71 kg and 22.01 kg, respectively. There was a curvilinear relationship of grip strength to age; significant differences between genders, hand area, and some age groups; and a correlation to hand dimensions depending on the gender.

Ciprofloxacin in Elderly Patients with Underlying Chronic Diseases

1988 ◽  
Vol 16 (5) ◽  
pp. 386-393 ◽  
Author(s):  
W. Bianchi ◽  
F. Maggiolo ◽  
H. Ohnmeiss
Keyword(s):  
Chronic Disease ◽  
Side Effects ◽  
Elderly Patients ◽  
Chronic Diseases ◽  
Age Groups ◽  
The Elderly ◽  
Clinical Failure ◽  
Clinical Resolution ◽  
High Incidence ◽  
Resistance To Infection

Age is not as important in predisposing to infections as are the associated problems peculiar to certain age groups. Factors such as the advanced age of the patients combined with the presence of chronic disease reduce their resistance to infection. This study comprises 212 elderly patients (aged 65–98 years) who were treated with 500–1000 mg/day ciprofloxacin for 1–18 days. Despite the high incidence of associated chronic diseases, microbiology showed that infections were eradicated in 88.5%. Clinical resolution occurred in 75.5% of patients and clinical failure occurred in 6.1%. Treatment was well tolerated, with clinical side-effects reported in only seven patients. Ciprofloxacin may be considered an effective and safe antimicrobial agent for the treatment of infections in the elderly.

scholarly journals Age-dependent differences in the prognostic relevance of body composition-related variables in type A aortic dissection patients

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zeng-Rong Luo ◽  
Xiao-Dong Chen ◽  
Liang-wan Chen
Keyword(s):  
Body Composition ◽  
Aortic Dissection ◽  
Body Mass ◽  
Age Groups ◽  
Type A ◽  
The Elderly ◽  
Young Group ◽  
Type A Aortic Dissection ◽  
Cumulative Mortality ◽  
Cox Proportional Hazard

Abstract Background The current research is allocated to appraise the association between the parameters of body composition and findings in type A aortic dissection (TAAD) cases in diverse age groups. Methods Data from consecutive TAAD patients undergoing implantation of modified triple-branched stent-graft from January 2017 and December 2019 were prospectively collected and analyzed. A regression model of Cox proportional hazard was employed to assess correlations among body composition-related variables (body mass index [BMI], lean body mass [LBM], body surface area [BSA], and LBM index) as well as cumulative mortality. Results Overall, 258 patients (53.9 ± 11.1 years old; 72.9% male) were separated into young (n = 110) and elderly (n = 148) age groups based upon whether they were younger or older than 50 years of age. Of these patients, 247 survivors were included in subsequent analyses over an average 26.8 ± 11.6 month follow-up duration. Multivariate analyses in the elderly group instead of young group indicated that increased BMI (p = 0.042), BMI ≤ 18.5 kg/m2 (p = 0.025), and lower LBM index values (p = 0.019) were significant predictors of increased total all-cause cumulative mortality. BMI was considerably positively correlated with estimated all-cause cumulative mortality in elderly but not young TAAD cases. Conclusion Briefly, these results suggest that BMI and LBM indices are only significant predictors of TAAD patient all-cause mortality in elderly patient cohorts, whereas they do not offer significant prognostic value for younger patients. As such, these age differences must be taken into consideration when conducting stratified risk assessments based upon TAAD patient body composition characteristics.

scholarly journals Prevalence of Tinnitus in an Aging Population and Its Relation to Age and Hearing Loss

2020 ◽  
pp. 019459982095729 ◽  
Author(s):  
Berthe C. Oosterloo ◽  
Pauline H. Croll ◽  
Robert J. Baatenburg de Jong ◽  
M. Kamran Ikram ◽  
André Goedegebure
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Daily Life ◽  
Age Groups ◽  
Aging Population ◽  
Population Based ◽  
Cross Sectional ◽  
Related Disorder ◽  
Age Related ◽  
Aging Populations

Objectives Tinnitus is a common hearing-related disorder, which may have a large impact on daily life. With aging populations worldwide, it is important to gain insight in the occurrence of tinnitus at older ages and to understand its relationship with age-related hearing loss. We investigated the prevalence of tinnitus among a general aging population, across age strata and hearing status. Study Design Cross-sectional. Setting The population-based Rotterdam Study. Methods A total of 6098 participants underwent tinnitus assessment, and 4805 had additional hearing assessment. We determined tinnitus prevalence per 5-year age groups. Hearing impairment was defined as ≥25–dB HL worse ear pure tone average (0.5, 1, 2, 4 kHz). We investigated with multivariable logistic regression the association between hearing impairment and tinnitus. Tinnitus handicap was assessed in 663 participants with daily tinnitus via the Tinnitus Handicap Inventory–screening version (THI-s). Results Tinnitus was prevalent in 21.4% (n = 1304). Prevalent tinnitus was evenly distributed over 5-year age groups. Participants with hearing impairment were more likely to have tinnitus (odds ratio, 2.27; 95% CI, 1.92-2.69) as compared with those without hearing impairment. The median THI-s score was 4 (interquartile range, 0-10), indicating a slight handicap, and 14.6% of the participants reported a moderate or severe handicap (THI-s ≥16). Conclusions In a general elderly population, 1 in 5 persons has tinnitus. Of those with tinnitus, for 1 per 10 persons, the presence of tinnitus interfered with daily life. Participants with hearing impairment were twice as likely to have tinnitus. Despite the age-dependent occurrence of hearing impairment, no such age dependency was found for tinnitus.

scholarly journals Age-Dependent Differences in the Prognostic Relevance of Body Composition-Related Variables in Type a Aortic Dissection Patients

2021 ◽  
Author(s):  
Zeng-Rong Luo ◽  
Xiao-Dong Chen ◽  
Liang-wan Chen
Keyword(s):  
Body Composition ◽  
Aortic Dissection ◽  
Body Mass ◽  
Age Groups ◽  
Type A ◽  
The Elderly ◽  
Young Group ◽  
Type A Aortic Dissection ◽  
Cumulative Mortality ◽  
Cox Proportional Hazard

Abstract Background: The current research is allocated to appraise the association between the parameters of body composition and findings in type A aortic dissection (TAAD) cases in diverse age groups. Methods: Data from consecutive TAAD patients undergoing implantation of modified triple-branched stent-graft from January 2017 and December 2019 were prospectively collected and analyzed. A regression model of Cox proportional hazard was employed to assess correlations among body composition-related variables (body mass index [BMI], lean body mass [LBM], body surface area [BSA], and LBM index) as well as cumulative mortality. Results: Overall, 258 patients (53.9±11.1 years old; 72.9% male) were separated into young (n=110) and elderly (n=148) age groups based upon whether they were younger or older than 50 years of age. Of these patients, 247 survivors were included in subsequent analyses over an average 26.8 ± 11.6 month follow-up duration. Multivariate analyses in the elderly group instead of young group indicated that increased BMI (p=0.042), BMI ≤ 18.5 kg/m2 (p=0.025), and lower LBM index values (p=0.019) were significant predictors of increased total all-cause cumulative mortality. BMI was considerably positively correlated with estimated all-cause cumulative mortality in elderly but not young TAAD cases. Conclusion: Briefly, these results suggest that BMI and LBM indices are only significant predictors of TAAD patient all-cause mortality in elderly patient cohorts, whereas they do not offer significant prognostic value for younger patients. As such, these age differences must be taken into consideration when conducting stratified risk assessments based upon TAAD patient body composition characteristics.

scholarly journals Factors Affecting Customer Intention to Adopt a Mobile Chronic Disease Management Service

2022 ◽  
Vol 34 (4) ◽  
pp. 1-23
Author(s):  
Zhangxiang Zhu ◽  
Yongmei Liu ◽  
Xianye Cao ◽  
Wei Dong
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Age Groups ◽  
The Elderly ◽  
Young Group ◽  
Limited Attention ◽  
Management Service ◽  
Intention To Adopt ◽  
The Impact

The Mobile Chronic Disease Management Service (MCDMS) is an emerging medical service for chronic disease prevention and treatment, but limited attention has been paid to the factors that affect users’ intention to adopt the service. Based on the unified theory of acceptance and use of technology 2 and the protection motivation theory, the authors built an MCDMS adoption model. The authors also verified the differentiating age effect on the service adoption intention from experiential distance perspective of the construal level theory. Empirical results showed that the young group focused more on the impact of effort expectancy, whereas the elderly group focused more on performance expectancy, imitating others, and perceived severity. Furthermore, the young group, however, focused more on the impact of perceived vulnerability, and offline medical habits showed no significant influence on either group’s intention to adopt, which were not consistent with the original hypotheses. The findings can aid MCDMS providers in selecting marketing strategies targeted toward different age groups.

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