scholarly journals Optimism and Mortality in Older Men and Women: The Rancho Bernardo Study

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Ericha G. Anthony ◽  
Donna Kritz-Silverstein ◽  
Elizabeth Barrett-Connor

Purpose.To examine the associations of optimism and pessimism with all-cause, cardiovascular disease (CVD), coronary heart disease (CHD), and cancer mortality in a population-based sample of older men and women followed ≤12 years.Methods.367 men and 509 women aged ≥50 from the Rancho Bernardo Study attended a 1999–2002 research clinic visit when demographic, behavioral, and medical history were obtained and completed a 1999 mailed survey including the Life Orientation Test-Revised (LOT-R). Mortality outcomes were followed through 2012.Results.Average age at baseline was 74.1 years; during follow-up (mean = 8.1 years), 198 participants died, 62 from CVD, 22 from CHD, and 49 from cancer. Total LOT-R, optimism and pessimism scores were calculated. Participants with the highest optimism were younger and reported less alcohol use and smoking and more exercise. Cox proportional hazard models showed that higher total LOT-R and optimism, but not pessimism scores, were associated with reduced odds of CHD mortality after adjusting for age, sex, alcohol, smoking, obesity, physical exercise, and medication (HR = 0.86, 95% CI = 0.75, 0.99; HR = 0.77, 95% CI = 0.61, 0.99, resp.). No associations were found for all-cause, CVD, or cancer mortality.Conclusions.Optimism was associated with reduced CHD mortality in older men and women. The association of positive attitudes with mortality merits further study.

Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Adriana J van Ballegooijen ◽  
Ilse Reinders ◽  
Marjolein Visser ◽  
Jacqueline M Dekker ◽  
Giel Nijpels ◽  
...  

Introduction Higher parathyroid hormone (PTH) concentrations have been associated with increased cardiovascular disease (CVD) mortality, although data in the general population are scarce. Hypothesis We hypothesize that higher serum PTH concentrations are associated with all-cause and CVD mortality in a prospective, population-based cohort of older men and women. Methods We included 633 participants of the Hoorn Study, a population-based cohort with oversampling of subjects with impaired glucose regulation; mean age 70.1±6.6 years, 50.7% female. Serum intact PTH concentrations were measured using a 2-site immunoassay. Outcomes were all-cause and CVD mortality based on clinical files and coded according to the ICD-9. We used Cox-regression to estimate survival curves and hazard ratios (HR 95% CI) for all-cause and CVD mortality adjusted for potential confounders using season-specific PTH quartiles. Results During a median follow-up of 7.8 years, 112 participants died, of which 26 deaths (23%) were due to CVD. Survival curves showed an impaired survival for all-cause (Log-rank p=0.054) and CVD mortality (Log-rank p=0.022) for people in the highest PTH quartile (Figure 1). In a multivariate model adjusted for age, sex, smoking, education level, BMI, glucose status, systolic blood pressure, anti-hypertensive drug use, the highest PTH quartile was associated with higher all-cause mortality; HR 1.98 (1.08, 3.64). Kidney function (estimated glomerular filtration rate and micro-albuminuria) attenuated the PTH risk association, but risk persisted; HR 1.93 (95% CI 1.04, 3.58). The results for CVD mortality showed a similar pattern, although the association was only significant in a threshold model (Quartile 4 vs. Quartile 1-3) HR 2.56 (1.11, 5.94). Conclusion In conclusion, among older men and women, higher PTH concentrations are associated with higher mortality risk. We suggest to evaluate whether individuals with high PTH concentrations benefit from therapeutic approaches targeted to decrease PTH concentrations.


2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Karoline Lukaschek ◽  
Anushiya Vanajan ◽  
Hamimatunnisa Johar ◽  
Nina Weiland ◽  
Karl-Heinz Ladwig

2005 ◽  
Vol 90 (7) ◽  
pp. 4119-4123 ◽  
Author(s):  
Marieke B. Snijder ◽  
Rob M. van Dam ◽  
Marjolein Visser ◽  
Dorly J. H. Deeg ◽  
Jacqueline M. Dekker ◽  
...  

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Amie C. Hayley ◽  
Lana J. Williams ◽  
Gerard A. Kennedy ◽  
Kara L. Holloway ◽  
Michael Berk ◽  
...  

1998 ◽  
Vol 51 (7) ◽  
pp. 609-616 ◽  
Author(s):  
Carlos F. Mendes de Leon ◽  
Harlan M. Krumholz ◽  
Viola Vaccarino ◽  
Christianna S. Williams ◽  
Thomas A. Glass ◽  
...  

Author(s):  
Benoît Verdon

Since the 1950s, the growing interest of clinicians in using projective tests to study normal or pathological aging processes has led to the creation of several thematic tests for older adults. This development reflects their authors’ belief that the TAT is not suitable to the concerns and anxieties of elderly persons. The new material thus refers explicitly to situations related to age; it aims to enable older persons to express needs they cannot verbalize during consultations. The psychodynamic approach to thematic testing is based on the differentiation between the pictures’ manifest and latent content, eliciting responses linked to mental processes and issues the respondent is unaware of. The cards do not necessarily have to show aging characters to elicit identification: The situations shown in the pictures are linked to loss, rivalry, helplessness, and renunciation, all issues elderly respondents can identify with and that lead them to express their mental fragilities and resources. The article first explains the principles underlying four of these thematic tests, then develops several examples of stories told for card 3BM of the TAT, thus showing the effectiveness of this tool for the understanding and differentiation of loss-related issues facing older men and women.


Author(s):  
Tiffany Hale

To identify Clyde Warrior as an intellectual subverts prevailing notions of intellectualism. We often think of intellectuals as older men and women whose major contributions are revealed late in life, once the passions of youth have been tempered by experience. Warrior was not this. People frequently imagine intellectuals as existing in isolation, insulated from the demands of regular folk. Warrior was not this either. He was a Ponca, born on the reservation and raised with the influence of his grandparents and community. He was also a renowned singer and powwow fancy dancer, as well as a college student, an organizational leader, a husband, and father of two daughters. Warrior’s political consciousness grew out of the deep connections he maintained to his rural Ponca roots, but he took care to educate himself about the problems affecting Native Americans across the United States as well as colonized peoples globally. As an Oklahoman, he was attuned to race relations in the South and empathized with the struggles of Africans and African Americans. His approach to indigenous political struggles was shaped and informed, for example, by his early and active participation with the Student Nonviolent Coordinating Committee (SNCC) and Martin Luther King Jr.’s Poor People’s Campaign.


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