scholarly journals Sleep Environment and Insomnia in Elderly Persons Living at Home

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Jonathan Desaulniers ◽  
Sophie Desjardins ◽  
Sylvie Lapierre ◽  
Alain Desgagné
Keyword(s):  
Logistic Regression ◽  
Elderly Population ◽  
Severity Index ◽  
The Elderly ◽  
Elderly Persons ◽  
Private Households ◽  
Sleep Environment ◽  
Study Participants ◽  
Insomnia Symptoms ◽  
Insomnia Severity

The aim of this study was to draw a portrait of the sleep environment of elderly persons living in private households and to determine its relationship with the presence of insomnia. A sample of 599 individuals aged 70 years and older responded to questions about the comfort of their pillow and mattress and the noise level and brightness of their bedroom at night and in the morning. They were also asked whether or not they shared their bed or bedroom with a sleep partner. The Insomnia Severity Index was used to assess insomnia severity. Over 40% of the study participants were using a pillow that was not very comfortable, and almost 30% said that their bedroom was not completely quiet. Binomial logistic regression results revealed that two variables were significantly associated with insomnia symptoms: a pillow rated as moderately comfortable to very uncomfortable and a bedroom that was not completely quiet. No other sleep environment characteristics considered in this study were associated with the risk of insomnia. These results indicate that a nonnegligible proportion of the elderly population endures a suboptimal sleep environment. Although it is difficult to predict the real impact of changes to the sleep environment, this study supports the proposal that simple, minor changes to the bedroom can promote sleep in the elderly.

scholarly journals The inclusion of elderly persons from the Instituto Henrique da Silva Semente (IHESS) in Indaiatuba, São Paulo, in the digital age: physio-gerontological contributions

2016 ◽  
Vol 19 (4) ◽  
pp. 567-575 ◽  
Author(s):  
Eliana Carvalho ◽  
Rodrigo Caetano Arantes ◽  
Angélica Sartori Rossi Cintra
Keyword(s):  
Information And Communication Technologies ◽  
Information Technologies ◽  
Elderly Population ◽  
Depression Scale ◽  
Well Being ◽  
The Elderly ◽  
Educational Activity ◽  
Elderly Persons ◽  
Convenience Sample ◽  
At Home

abstract Introduction: The evolution of information technologies has become part of our daily life and directly or indirectly affects the elderly population. The presence of these technologies, such as mobile phones, smartphones, computers, and tablets, at home where elderly persons live with their families demonstrates the necessity of including the elderly population in the technological universe. Objective: The aim of the present study was to describe the benefits obtained by the elderly from using such Information and Communication Technologies (ICTs), the effect of such use on their Activities of Daily Living (ADLs) and which physio-gerontological contributions resulted in the best use of the ICTs. Method: A convenience sample (n=30) was performed of individuals aged over 60 years who were students at the Instituto Henrique da Silva Semente (IHESS). Demographic and social data, the Geriatric Depression Scale (GDS) and the Mini Mental State Examination (MMSE) were considered. The data was collected between April and May 2014. Results: The average age was 67.9 years with a predominance of women (76.7%). Among the respondents 83.3% used a computer at home; 66.6% had some kind of difficulty in using computers; and 86.6% used ICTs in their daily lives. Despite the difficulties in using the devices resulting from the limitations imposed by age, it was observed that the equality of the age range encouraged interaction with friends and family, and as a result 100% of respondents displayed excellent interpersonal relationships with the class group. It was also observed that the elderly persons had a great desire to learn and interact through the use of technological devices, and that females were involved in recreational and educational activities, with wives encouraging their husbands to attend the computer class. However, there were exemplary risks of the misuse of these devices, such as poor posture when handling electronic devices or spending long spells in unsuitable positions, demonstrating the need for physical therapy and geriatric guidelines to ensure the well-being of the elderly. Conclusion: The inclusion of elderly persons in the IHESS or in any other educational activity should consider the familiar environment in which they live as well as providing professional support in physiotherapeutic and gerontologic areas in order to assure well-being and quality of life, especially at this stage of life, senescence.

scholarly journals 0482 A Preliminary Study on the Efficacy of Forehead-Cooling for Relieving Menopausal Sleep Difficulties and Hot Flashes

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A185-A185
Author(s):  
F C Baker ◽  
M de Zambotti ◽  
L Chiappetta ◽  
E Nofzinger
Keyword(s):  
Sleep Quality ◽  
Hot Flashes ◽  
Severity Index ◽  
Cooling Device ◽  
Hot Flash ◽  
Subjective Sleep ◽  
Preliminary Study ◽  
Insomnia Symptoms ◽  
Sleep Difficulties ◽  
Insomnia Severity

Abstract Introduction Many women experience sleep difficulties in the approach to menopause and post-menopause, with about 25% experiencing severe symptoms that impact daytime functioning and quality of life. Hot flashes contribute to these sleep difficulties, being associated with nocturnal awakenings, poorer sleep quality, and chronic insomnia. New non-pharmacological sleep solutions have become available, including a forehead cooling device designed to target elevated brain metabolism in insomnia sufferers. Here, we explored whether this device was effective in improving subjective sleep and hot flashes in menopausal-age women with insomnia symptoms. Methods This study was an open-label, in-home investigation of the efficacy of nightly treatment with a forehead cooling device in 20 women (55.1 ± 4.2 years) with insomnia symptoms and daily hot flashes. Participants completed daily diaries assessing sleep quality and hot flashes across a baseline week (no treatment) followed by 4 weeks of treatment. They also completed questionnaires before and after treatment including the insomnia severity index and the hot flash related daily interference scale. Results Women reported better sleep quality with a shorter sleep onset latency and fewer awakenings (between 14-30% improvement) during the first week of device use, with further improvements over time, relative to baseline (p <0.001). Women also reported fewer nocturnal hot flashes that were less severe during treatment (p<0.001). They had lower insomnia severity scores post-treatment (9.3±5.8) compared to pre-treatment (20.0±5.7) (p<0.001), with 17 participants showing a reduction of 6 points or greater on the insomnia severity index. There was also a significant reduction in hot flash related daily interference post-treatment (p<0.001). Conclusion Use of a forehead cooling device during the night improved subjective sleep quality and reduced insomnia symptoms and hot flash frequency and severity in this preliminary study of menopausal-age women. Further large scale randomized controlled trials are required to determine efficacy. Support Ebb Therapeutics

scholarly journals Impact of cognitive performance on the functional capacity of an elderly population in Natal, Brazil

2008 ◽  
Vol 66 (4) ◽  
pp. 809-813 ◽  
Author(s):  
Keithlen Cruz Moreira de Castro ◽  
Ricardo Oliveira Guerra
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Performance ◽  
Functional Capacity ◽  
Elderly Population ◽  
Population Sample ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Elderly Persons ◽  
Cross Sectional ◽  
State Examination

Functional incapacity and cognitive impairment are conditions related to the process of human aging. Cognitive impairment is considered an important predicitve factor for functional impairment in elderly populations. This cross-sectional study analyzes the association between cognitive performance and functional capacity in an elderly population sample in Natal, Brazil. A total of 213 elderly persons were assessed by the BOAS Multidimensional Questionnaire (Brazil Old Age Schedule) and the Mini-Mental State Examination (MMSE). The results of multivariate analysis and linear regression showed that age and schooling level are factors associated with cognitive performance in the elderly of this study. The final explicative model, elaborated by logistic regression, found that cognitive performance was the only predicitve variable of functional incapacity for the activities of daily living even when adjusted for sociodemographic variables.

Incidence and relative risk of dementia in an urban elderly population: findings of a prospective field study

1994 ◽  
Vol 24 (1) ◽  
pp. 179-192 ◽  
Author(s):  
Horst Bickel ◽  
Brian Cooper
Keyword(s):  
Elderly Population ◽  
The Elderly ◽  
Elderly Persons ◽  
Urban Elderly ◽  
Initial Examination ◽  
Community Residents ◽  
Survey Sample ◽  
Dementing Illness ◽  
Living Accommodation

SynopsisTo ascertain the frequency and distribution of new cases of dementing illness in the elderly population of Mannheim (population 308000), a survey sample of community residents of > 65 years of age was re-examined after an interval of 7–8 years, and a sample of elderly persons in long-stay care after 5–6 years. The estimated annual incidence rate for all forms of dementia, after correction for ageing of the samples, was 15·4 per 1000 persons aged > 65, made up of dementia of Alzheimer type (8·9 per 1000), vascular dementia (4·4 per 1000) and other forms (2·1 per 1000). Apart from the expected association with age > 65 years, the most powerful predictors of onset of a dementing illness were residence in long-stay care and the presence of minor cognitive deficits at the initial examination, each of which was associated with a highly significant increase in risk. In addition, a number of socio-demographic characteristics (marital status, occupational history and quality of present living accommodation) was found to be predictive, though analysis of larger samples or pooled research data would be necessary to establish their importance in this respect. The findings suggest that identification of mild cognitive impairment on screening could prove helpful in assessing risk for dementia from two to three years before the condition becomes clinically apparent.

Rural versus Urban Differences in Health Dependence among the Elderly Population

1989 ◽  
Vol 28 (2) ◽  
pp. 141-156 ◽  
Author(s):  
John A. Krout
Keyword(s):  
New York ◽  
Regression Analysis ◽  
Multiple Regression Analysis ◽  
Elderly People ◽  
Elderly Population ◽  
Central City ◽  
The Elderly ◽  
Elderly Persons ◽  
Community Settings ◽  
Elderly Health

This article examines data on rural versus urban differences in health dependency for a random sample of 600 western New York elderly people residing in a range of community settings from farm areas to a metropolitan central city. Data were collected via personal interviews, and health dependency was operationalized as an index composed of nine criterion measures. The nonmetropolitan elderly population is found to be less health dependent as are elderly persons who are younger, white, married, and have higher incomes. However, the rural/urban variable is not a significant predictor of health dependency when included in a multiple-regression analysis. These findings do not support the rural elderly health disadvantage argument and serve to illustrate some of the shortcomings of existing research on this topic.

scholarly journals Intervention on depression and insomnia symptoms during the COVID-19 pandemic

2021 ◽  
Vol 2 ◽  
pp. 5
Author(s):  
Sadhna Verma ◽  
James Donovan ◽  
Surekha Bhat ◽  
Hari Tunuguntla ◽  
Renuka Tunuguntla ◽  
...  
Keyword(s):  
Demographic Data ◽  
Intervention Strategy ◽  
Severity Index ◽  
Screening Tools ◽  
Depression Symptoms ◽  
Effective Interventions ◽  
Travel Restrictions ◽  
Patient Health ◽  
Insomnia Symptoms ◽  
Insomnia Severity

Objectives: The COVID-19 pandemic has created significant psychological challenges globally. Evidence has been mounting of greater emotional distress and possible worsening of underlying psychiatric disorders, due to repercussions of COVID-19. In addition, the pandemic has created barriers to access for help, due to social distancing and travel restrictions. Thus, creating a major need for effective interventions that can be accessed safely from home and provide coping tools which can be learned and practiced while in isolation. An App based Yoga of Immortals (YOI) program is one such strategy to help cope with stressful situations. The objective of this study was to investigate if the YOI program can provide significant benefit for depressive and insomnia symptoms. Material and Methods: Participants in this study were asked to complete two brief online but well validated mental health screening tools before intervention. This was followed by a 7-week long YOI intervention. Following the intervention, participants were once again asked to complete the online validated questionnaires. The survey questionnaires included baseline demographic data and validated scales for measuring insomnia severity Insomnia severity Index (ISI) and levels of depression symptoms patient health questionnaire-8, (PHQ-8). All statistical analysis was performed using the Statistical Package for the Social Science. Results: SY YOI intervention of 7 weeks significantly improved the ISI scores as well as PHQ-8 scores in the study population (P < 0.0001 in all comparisons). Conclusion: YOI intervention is an effective intervention strategy for decreasing insomnia and depression symptoms, even during the pandemic.

scholarly journals ANALISIS KURVA ROC PADA MODEL LOGIT DALAM PEMODELAN DETERMINAN LANSIA BEKERJA DI KAWASAN TIMUR INDONESIA

2020 ◽  
Vol 4 (1) ◽  
pp. 116-135
Author(s):  
Muhammad Rizqi Fachrian Nur ◽  
Siskarossa Ika Oktora
Keyword(s):  
Logistic Regression ◽  
Health Insurance ◽  
Elderly Population ◽  
Descriptive Analysis ◽  
Binary Logistic Regression ◽  
The Elderly ◽  
Family Status ◽  
Explanatory Variables ◽  
The Status ◽  
Elementary School Education

Binary logistic regression is used for probability modeling or to predict binary response variables (Success / Failure) from one or more explanatory variables that are continuous or categorical. In carrying out this analysis, there are several ways to test the suitability of the resulting model, and one of them is the area under the ROC curve. The application of the analysis method in this study is the determinant of the elderly population to work. The population of the elderly in Indonesia is increasing every year. Many views that the elderly depend on other residents, especially in terms of the economy. However, if seen from the percentage of elderly working in Indonesia, it is increasing, including the elderly in KTI. The purpose of this study is to determine the characteristics of the elderly in KTI, know the factors that influence the decision of the elderly population to work in KTI and find out the tendency of variables that affect the decision of the elderly to work in KTI. The data used are raw data from Badan Pusat Statistik (BPS) was Survei Sosial Ekonomi Nasional (Susenas) Kor March 2018. This study using descriptive analysis methods and binary logistic regression. The results are that the variables that significantly influence the decisions of the elderly to work are residence, gender, age, education, family status, marital status, health complaints, and health insurance. Elderly who has characteristics residing in rural, male sex, classified as young elderly (60-69 years old), has the highest level of elementary school education, has the status of KRT in his family, is married, has no complaints health, and not having health insurance will have a greater tendency to decide to work.  

Prevalence of Anemia and its Correlates among Elderly population of an Urban Slum in Meerut

2019 ◽  
Vol 15 (3) ◽  
Author(s):  
Ratandeep Lamba ◽  
Abhishek Agarwal ◽  
Ravi Rana ◽  
Vertika Agarwal
Keyword(s):  
Demographic Transition ◽  
Elderly Population ◽  
Public Health Problem ◽  
The Elderly ◽  
Urban Slum ◽  
Urban Slums ◽  
Major Public Health Problem ◽  
Elderly Persons ◽  
Age Group ◽  
Prevalence Of Anemia

Background: Anaemia is a major public health problem in elderly persons which is often overlooked. With rising urbanization and world is facing demographic transition, there is a need to increase focus on elderly residing in urban slums. Aim: The present study aims to find the prevalence of anaemia and its associated factors among the elderly population in an urban slum of Meerut. Methodology: The present study conducted in an urban slum of Meerut from November 2017 to January 2018. The sample size was calculated as 396, considering the prevalence of anaemia as 45.5% in this age group. Haemoglobin levels were estimated using paper chromatography methodby hemoc-heck rapid diagnostic kit. Data were compiled and analysed using epi info software version 3.7.2. Results: 49.5% of the elderly residing in urban slums were found to be anaemic. The anaemia in the elderly was found to be significantly associated with employment, socioeconomic status and chronic diseases like COPD, hypertension and Tuberculosis

Estimation of morbidity profile and outcomes of geriatric indoor patients in medicine wards of tertiary care center of Bundelkhand region - A retrospective study

2021 ◽  
Vol 11 (2) ◽  
pp. 284-288
Author(s):  
Jyoti Tiwari ◽  
Sumit Rawat ◽  
Amit Jain ◽  
Diwashish Biswas
Keyword(s):  
Elderly Population ◽  
Care Center ◽  
Tertiary Care ◽  
Central India ◽  
The Elderly ◽  
Health Care Facilities ◽  
Elderly Persons ◽  
Total N ◽  
Medical College ◽  
Medical Disorders

The elderly population is increasing rapidly globally, and presently, India has the second largest number of elderly persons in the country. Estimates of health disorders of the elderly in developing countries are required to predict trends in disease burden and to plan better health care facilities for the elderly population in the society. To study the profile of medical disorders & outcomes in the elderly patients admitted in the medicine wards of Bundelkhand Govt. Medical College, Sagar, MP. Which is a rural Government medical college of central India. This is a retrospective, observational study design. The study conducted in the indoor patients of Bundelkhand Medical College & Hospital Sagar, MP in the span of 6 months starting from Feb 2019 to July 2019 & total of 970 patients, aged 60- 90yrs were enrolled. The data were obtained from MRD of BMC Sagar & by review of records, data were collected and statistically analysed. Our study has total (n=970), out of which (n=581, 59.9%) were males & (n=389, 41.1%) were females. Mean age of males- 67.6±7.53, Mean age of females-68.4±7.98. Highest patients were in the age group of 60-69yrs (n=590, 60.8%). Among system involvement, Respiratory system (27%), Cardiovascular system (22.3%), GIT (11.4%), Cerebrovascular (7.7%), Genitourinary (5.7%) , Endocrine (5.1%), Infections (4.7%) and cancers (4.1) .In our patients 75.1% were discharged, 7.2% cases of DOR , 6.2% patients were LAMA. Death was in 4.6% and 0.6% cases were referred to higher center. The study shows highest cases of COPD (15.2%) followed by CAD (13.1%), Pulmonary TB (7.6%), Cerebrovascular accidents (6.1%), Hypertension (6.0%), Diabetes mellitus (4.5%), UTI (4.1%) and cancers (4.1%) in the geriatric patients of our study.

Activities of Daily Living of the Elders — A Task Analytic Approach

1989 ◽  
Vol 33 (3) ◽  
pp. 182-186
Author(s):  
Ruth Weber ◽  
Sara Czaja ◽  
Ram Bishu
Keyword(s):  
Daily Living ◽  
Elderly Population ◽  
Body Part ◽  
The Elderly ◽  
Task Demands ◽  
Analytic Approach ◽  
Elderly Persons ◽  
Human Capabilities ◽  
Human Factors Research ◽  
And Task

Human factors research, which focusses on matching human capabilities and limitations with different environmental and task demands, has been wanting in the areas of elderly population. The main objective of this research was to use a task analytic approach to identify the demand profiles for a list of daily activities of the elderly. 66 independently living elderly persons were videotaped performing 25 separate activities of daily. A computerized task analytic approach was used to analyze the activities. Tasks were described through a set of descriptors such as action (e.g., reposition), demand (e.g., carry), object (e.g., broom), body part (e.g., hand), posture (e.g., bend), location (e.g., wash room) and frequency. Crosstabulations were performed on the data to determine pattern of relationships amongst the various task descriptors, both within, and between activities. In terms of demands, few activities account for a large proportion. Lifting/lowering, push/pull appear to be the predominant actions. Relationship among task, posture, body part and demands were significant.

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