scholarly journals Predicting Successful Aging in a Population-Based Sample of Georgia Centenarians

2010 ◽  
Vol 2010 ◽  
pp. 1-9 ◽  
Author(s):  
Jonathan Arnold ◽  
Jianliang Dai ◽  
Lusine Nahapetyan ◽  
Ankit Arte ◽  
Mary Ann Johnson ◽  
...  

Used a population-based sample (Georgia Centenarian Study, GCS), to determine proportions of centenarians reaching 100 years as (1) survivors (43%) of chronic diseases first experienced between 0–80 years of age, (2) delayers (36%) with chronic diseases first experienced between 80–98 years of age, or (3) escapers (17%) with chronic diseases only at 98 years of age or older. Diseases fall into two morbidity profiles of 11 chronic diseases; one including cardiovascular disease, cancer, anemia, and osteoporosis, and another including dementia. Centenarians at risk for cancer in their lifetime tended to be escapers (73%), while those at risk for cardiovascular disease tended to be survivors (24%), delayers (39%), or escapers (32%). Approximately half (43%) of the centenarians did not experience dementia. Psychiatric disorders were positively associated with dementia, but prevalence of depression, anxiety, and psychoses did not differ significantly between centenarians and an octogenarian control group. However, centenarians were higher on the Geriatric Depression Scale (GDS) than octogenarians. Consistent with our model of developmental adaptation in aging, distal life events contribute to predicting survivorship outcome in which health status as survivor, delayer, or escaper appears as adaptation variables late in life.

2015 ◽  
Vol 6 (03) ◽  
pp. 442-1446 ◽  
Author(s):  
Sonali Sarkar ◽  
Shivananand Kattimani ◽  
Gautam Roy ◽  
K. C. Premarajan ◽  
Siddharth Sarkar

ABSTRACT Background: Local language screening instruments can be helpful in early assessment of depression in the elderly in the community and primary care population. This study describes the validation of a Tamil version of Geriatric Depression Scale (short form 15 [GDS-15] item) in a rural population. Materials and Methods: A Tamil version of GDS-15 was developed using standardized procedures. The questionnaire was applied in a sample of elderly (aged 60 years and above) from a village in South India. All the participants were also assessed for depression by a clinical interview by a psychiatrist. Results: A total of 242 participants were enrolled, 64.9% of them being females. The mean score on GDS-15 was 7.4 (±3.4), while the point prevalence of depression was 6.2% by clinical interview. The area under the receiver-operator curve was 0.659. The optimal cut-off for the GDS in this sample was found at 7/8 with sensitivity and specificity being 80% and 47.6%, respectively. Conclusion: The Tamil version of GDS-15 can be a useful screening instrument for assessment of depression in the elderly population.


Retos ◽  
2017 ◽  
pp. 14-19
Author(s):  
Lisbet Guillen Pereira ◽  
Egar Bueno Fernandez ◽  
Manuel Gutierrez Cruz ◽  
José Ramón Guerra Santiesteban

El artículo se enfoca en el análisis de un programa de actividades físicas y su efecto en la mejora de los niveles de depresión y bienestar subjetivo de adultos mayores. Se utiliza un diseño experimental con pre y pos tratamiento en una muestra de 111 adultos mayores seleccionado mediante criterios de inclusión, a la que se le aplicó un procedimiento de proporción de uno a tres para crear el grupo experimental y de control (n=74 grupo experimental y n=37 el grupo de control). La depresión fue medida aplicando la Escala de Depresión Geriátrica de Yesavage y el bienestar subjetivo a partir de la Philadelphia Geriatric Center Morale Scale. Para el análisis del pre con el post tratamiento se utilizó un modelo de análisis de varianza (ANOVA) con medidas repetidas (MR). Los resultados revelaron diferencias significativas en la Depresión Geriátrica (p=.000) y del Bienestar subjetivo en cada dimensión estudiada: afectos positivos (p=.000), afectos negativos (p=.000) y agitación (p=.000), lo que se concluye que las dos variables dependientes mejoraron de manera significativa al aplicar la propuesta.Abstract: This article focuses on the analysis of a program of physical activities and its effect on reducing depression levels and on increasing subjective well-being of older adults. An experimental design with pre- and post-treatment was applied to a sample of 111 older adults selected in accordance with inclusion criteria, using a one-to-three ratio procedure to create experimental and control groups (Experimental group, n = 74; control group, n = 37). Depression was measured by means of the Yesavage Geriatric Depression Scale, whereas subjective well-being with the Philadelphia Geriatric Center Morale Scale. For the pre-post analysis, a variance analysis model (ANOVA) with repeated measures (MR) was used. Results revealed significant differences in Geriatric Depression (p = .001) and subjective well-being in each dimension studied: positive affects (p = .001), negative affects (p = .001) and agitation (p = .001), We can conclude that the two dependent variables improved significantly after applying the program proposed.


2021 ◽  
Author(s):  
José de Paula Barbosa Neto ◽  
Luiz Eduardo Fernandes Lima ◽  
Matheus Carvalho Vasconcelos ◽  
Luis Eduardo Reis Amaral ◽  
Lise Queiroz Lima Verde ◽  
...  

Abstract Purpose: The aim of this study was to assess the presence of depressive symptoms in elderly people with glaucoma and other clinical and epidemiological factors that were associated to the presence depression.Methods: A cross-sectional study was carried out at the Hospital de Olhos Leiria de Andrade, including volunteers aged 60 years or over. Individuals were separated into patients with glaucoma and patients without glaucoma. Volunteers responded a questionnaire, containing data from clinical history and the Geriatric Depression Scale – 15, and were submitted to a complete ophthalmological evaluation.Results: Overall, 42 patients in the glaucoma group and 40 patients in the non-glaucoma group were evaluated. The mean age among cases was 70.2 years, while in the control group it was 65.7 years. The evaluation of the Geriatric Depression Scale – 15 showed an average score of 4.21 and 3.82 in the case and control groups, respectively, with no statistical difference. However, the worsening of visual acuity was related to a greater number of depressive symptoms when comparing individuals with glaucoma. When analyzing the correlation between age, in both groups, and the number of depressive symptoms, there was no statistical significance.Conclusion: The presence of glaucoma was not associated with an increase in the Geriatric Depression Scale-15 score. However, the worsening in visual acuity was correlated to a greater number of depressive symptoms.


2019 ◽  
Vol 92 (1) ◽  
pp. 115-133 ◽  
Author(s):  
Michele Biasutti ◽  
Anthony Mangiacotti

The effectiveness of music training on depressed mood and general cognitive function in elderly participants is verified in this study. Music activities consisted of improvisation exercises for stimulating interpersonal skills, mood, and cognitive functions. A mixed research method was adopted, including standardized measures (Mini-Mental State Examination and Geriatric Depression Scale) and follow-up semistructured interviews. The research design included pre- and postevaluation with randomized experimental and control groups. Participants were 45 care residents aged 62 to 95, healthy and with cognitive impairment. Results revealed a significant improvement in depression index (Geriatric Depression Scale) for the experimental period ( t = 1.450; p < .005; d = 0.453) while the control group had no improvement ( t = 0.080; p > .1; d = 0.025). In addition, a significant improvement was found in the cognitive level (Mini-Mental State Examination) for the experimental ( t = 2.300; p < .005; d =  0.668) than the control group that had a significant reduction ( t = 1.240; p < .05; d = 0.273). This study provides evidence that music training has a positive impact on depressed mood and general cognitive function in elderly participants. These types of music training sessions could provide aid to control the symptoms of depression, delay the deterioration of cognitive function, and enhance social–cognitive function, especially in individuals presenting with cognitive impairment.


2014 ◽  
Vol 48 (3) ◽  
pp. 368-377 ◽  
Author(s):  
Eduardo Lopes Nogueira ◽  
Leonardo Librelotto Rubin ◽  
Sara de Souza Giacobbo ◽  
Irenio Gomes ◽  
Alfredo Cataldo Neto

OBJECTIVE To analyze the prevalence of depression in older adults and associated factors. METHODS Cross-sectional study using a stratified random sample of 621 individuals aged ≥ 60 from 27 family health teams in Porto Alegre, RS, Southern Brazil, between 2010 and 2012. Community health agents measured depression using the 15-item Geriatric Depression Scale. Scores of ≥ 6 were considered as depression and between 11 and 15 as severe depression. Poisson regression was used to search for independent associations of sociodemographic and self-perceived health with both depression and its severity. RESULTS The prevalence of depression was 30.6% and was significantly higher in women (35.9% women versus 20.9% men, p < 0.001). The variables independently associated with depression were: female gender (PR = 1.4, 95%CI 1.1;1.8); low education, especially illiteracy (PR = 1.8, 95%CI 1.2;2 6); regular self-rated health (OR = 2.2, 95%CI 1.6;3.0); and poor/very poor self-rated health (PR = 4.0, 95%CI 2.9;5.5). Except for education, the strength of association of these factors increases significantly in severe depression. CONCLUSIONS A high prevalence of depression was observed in the evaluations conducted by community health agents, professionals who are not highly specialized. The findings identified using the 15-item Geriatric Depression Scale in this way are similar to those in the literature, with depression more associated with low education, female gender and worse self-rated health. From a primary health care strategic point of view, the findings become still more relevant, indicating that community health agents could play an important role in identifying depression in older adults.


Neurosurgery ◽  
2015 ◽  
Vol 78 (2) ◽  
pp. 161-168 ◽  
Author(s):  
Hanna Israelsson ◽  
Per Allard ◽  
Anders Eklund ◽  
Jan Malm

ABSTRACT BACKGROUND: If patients with idiopathic normal pressure hydrocephalus (INPH) also have depression, this could have important clinical ramifications in assessment and management of their cognitive function and response to shunting. In many dementias, depression is overrepresented, but the prevalence of depression in shunted patients with INPH is unknown. OBJECTIVE: The objective of this case-control study was to assess the prevalence of symptoms of depression in shunted INPH patients compared with population-based controls. METHODS: INPH patients consecutively shunted from 2008 to 2010 in Sweden were analyzed. Patients remaining after inclusion (within 60-85 years and not having dementia, ie, mini-mental state examination ≥23) had a standardized visit to their healthcare provider and answered an extensive questionnaire. Age- and sex-matched population-based controls underwent the same procedure. Symptoms of depression were assessed using the Geriatric Depression Scale 15 (suspected depression defined as ≥5 points, suspected severe depression as ≥12 points). This study is part of the INPH-CRasH study. RESULTS: One hundred seventy-six INPH patients and 368 controls participated. After adjustment for age, sex, cerebrovascular disease, and systolic and diastolic blood pressure, patients had a higher mean depression score (patients: 4.9 ± 3.7 SD, controls: 1.9 ± 2.3 SD; OR 1.4, 95% CI 1.3-1.6, P &lt; .001), more patients had suspected depression (46% vs 13%, OR 6.4, 95% CI 3.8-10.9, P &lt; .001), and more patients had suspected severe depression (7.3% vs 0.6%, OR 14.4, 95% CI 3.0-68.6, P &lt; .005). CONCLUSION: Symptoms of depression are overrepresented in INPH patients compared with the population, despite treatment with a shunt. Screening for depression should be done in the evaluation of INPH patients in order to find and treat a coexisting depression.


2019 ◽  
Vol 14 (1) ◽  
pp. 87
Author(s):  
Hasna Rosida Putri ◽  
Triska Susila Nindya

Malnutrition is one of the causes of health problems in the elderly. Nutritional status of the elderly can be affected by many factors, such as food intake, comorbidities, drugs consumption, physical activity, and depression. Depression status has a relationship with the nutritional status of the elderly by influencing the intake of the elderly. The purpose of this study was analyze the correlation and the risk of depression tendency with elderly nutritional status at UPTD Griya Werdha Surabaya. This study was a case-control design. The number of respondents were 30 elderly consist of 15 elderly in each case and control groups. The case group was elderly who had MNA score <24 points, while the control group was elderly who had MNA score of ≥24 points. Depression were measured by Short Geriatric Depression Scale (GDS). Spearman correlation test was used to analyze the data. Most of the elderly do not experience depression (GDS<5). There was a correlation between depression with nutritional status of the elderly (p=0.007). Depression elderly were 9.75 times more likely to malnourished than nutritional status [OR=9.75, 95% CI =`1.63 (1.45-1.81)]. Nutritional status was correlated with the tendency of depression in the elderly. It is necessary to increase more activities at the UPTD Griya Werdha Surabaya to reduce the risk of depression among elderly.


2019 ◽  
Vol 16 (1) ◽  
pp. 301
Author(s):  
Müjde Atıcı ◽  
Ulviye Bilgin

The aim of this research is examination of effects of modified core exercise studies in Alzheimer’s patients over 55 years of age on depression, daily life activities and some physical fitness values. For the study, the consent form was signed by people who have Alzheimer's 1st and 2nd stage report and their relatives and then modified core exercise studies were applied to Alzheimer’s patients over 55 years of age.  There are totally 42 Alzheimer’s patients including experimental (n=21) and control groups (n=21). Control group was only marched and their continuity of daily life activities was observed. Subject group was only made modified core exercises for 1 hour four days a week during a total of 12 weeks. The study was conducted in Gaziantep Moral Home Alzheimer’s Center. The study model consists of pre-test and post-test methods. Weight, height, body mass index and age parameters of the Alzheimer’s patients were determined. Measurements of patients’ reactions, Mini Mental Test Yesavage Geriatric Depression Scale, Katz Daily Life Activities Scale, Mini Nutritional Assessment Form and measurements of functional reach flexibility were taken. After 12 weeks at the end of these modified core exercises, the same measurements were taken from both groups. Statistically, there were no significant difference in height, weight and body mass index data of experimental and control groups. According to the study findings, groups created before the research were homogeneous in terms of all measurements apart from functional reach value when pre-test and post-test values of control groups were compared. Before the study, the differentiation (p<.05) in the functional reach test in favor of the control group was eliminated at the end of the experiment (p>.05). As a result of experiment, there were significant differences (p<.001) in favor of the experimental group in the scores of Katz Daily Life Activities Scale, Yesavage Geriatric Depression Scale (Short Form) and Mini Nutritional Assessment Form. As a result of the pre- and post-test measurement of the experimental group, progresses in right-hand reaction (sound) and left-hand reaction (mixed) values (p<.01) and right-hand reaction (mixed) were made (p<.05).As a result of the pre- and post-test measurement of the experimental group, progresses were identified (p<.001) in the scores of Katz Daily Life Activities Scale, Yesavage Geriatric Depression Scale (Short Form) and Mini Nutrition Evaluation Form. As a result of the pre- and post-test measurement of the control group, regressions were identified (p<.05) in the values of right-hand reaction (light) (p<.01) and left-hand reaction (light) values and right-hand reaction (sound).As a result of the pre- and post-test measurement of the control group, significant decreases were detected (p<.05) in the values of functional reach and Yesavage Geriatric Depression Scale (Short Form) (p<.01) and in the scores of Standardized Mini--Mental Test for Uneducated People and Mini Nutritional Assessment Form.Extended English summary is in the end of Full Text PDF (TURKISH) file. ÖzetBu araştırmanın amacı 55 yaş üstü alzheimer hastalarında modifiye core egzersiz çalışmalarının; depresyon, günlük yaşam aktiviteleri ve bazı fiziksel uygunluk değerlerine etkisinin incelenmesidir. Çalışmaya alzheimer 1. ve 2. evre raporuna sahip ve sorumlu yakınları ile kendilerine izin formu imzalatılarak; yaşları 55 yaş üstü olan alzheimer hastalarına modifiye core egzersiz çalışmaları uygulanmıştır. Deney (n=21), kontrol (n=21) olan toplamda 42 alzheimer hastası bulunmaktadır. Kontrol grubuna sadece yürüyüşler yaptırılarak günlük yaşam aktivitelerine devamlılığı gözlemlenmiştir. Denek grubuna ise; günde 1 saat haftada 4 gün toplam 12 hafta modifiye core egzersiz çalışmaları yaptırılmıştır. Çalışma Gaziantep Moral Evi Alzheimer Merkezinde uygulanmıştır. Çalışmanın modeli ön test ve son test yöntemlerinden oluşmuştur. Alzheimer hastalarının vücut ağırlığı, Boy, beden kitle indeksi ve yaş parametreleri belirlenmiştir. Hastaların reaksiyon ölçümleri, Mini Mental Test Yesavage Geriatrik Depresyon Ölçeği, Katz Günlük Yaşam Aktiviteleri Ölçeği, Mini Nutrisyonel Değerlendirme Formu ve fonksiyonel uzanma esneklik ölçümleri alınmıştır. 12 haftalık bu gruba uygulanan modifiye core egzersizlerinin sonunda her iki gruptan da aynı ölçümler alınmıştır. Deney ve Kontrol grubunun Boy, Kilo ve Beden Kitle İndeksi verilerinde istatistiki olarak anlamlı bir farka rastlanmamıştır. (p>0,05). Çalışma bulgularına göre kontrol grubunun ön test ve son test değerleri karşılaştırıldığında, araştırma öncesinde oluşturulan gruplar fonksiyonel uzanma değeri dışında tüm ölçümler açısından homojendir. Araştırma öncesinde fonksiyonel uzanma testinde kontrol grubu lehine tespit edilen farklılaşma (p<.05) deney sonunda ortadan kalkmıştır (p>.05). Deney sonucunda Katz Günlük Yaşam Aktiviteleri Ölçeği, Yesavage Geriatrik Depresyon Skalası (Kısa Formu) ve Mini Nutrisyonel Değerlendirme Formu skorlarında deney grubu lehine anlamlı farklar ortaya çıkmıştır (p<.001). Deney grubunun ön ve son test ölçümü sonucunda grubun sağ el reaksiyon (ses) ve sol el reaksiyon (karışık) değerleri (p<.01) ile sağ el reaksiyon (karışık) değerlerinde ilerlemeler kaydedilmiştir (p<.05). Deney grubunun ön ve son test ölçümü sonucunda fonksiyonel uzanma, Katz Günlük Yaşam Aktiviteleri Ölçeği, Yesavage Geriatrik Depresyon Skalası (Kısa Formu) ve Mini Nutrisyonel Değerlendirme Formu skorlarında gelişimler tespit edilmiştir (p<.001).Kontrol grubunun ön ve son test ölçümü sonucunda sağ el reaksiyon (ışık) değeri (p<.01) ile sol el reaksiyon (ışık) ve sağ el reaksiyon (ses) değerlerinde gerilemeler tespit edilmiştir (p<.05).Kontrol grubunun ön ve son test ölçümü sonucunda fonksiyonel uzanma ve Yesavage Geriatrik Depresyon Skalası (Kısa Formu) değerleri (p<.01) ile Eğitimsizler için Standardize Minimental Test ve Mini Nutrisyonel Değerlendirme Formu skorlarında anlamlı düşüşler kaydedilmiştir (p<.05).


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