scholarly journals Awareness and Misperceptions of Hospice and Palliative Care: A Population-Based Survey Study

2017 ◽  
Vol 35 (3) ◽  
pp. 431-439 ◽  
Author(s):  
Ariel Shalev ◽  
Veerawat Phongtankuel ◽  
Elissa Kozlov ◽  
Megan Johnson Shen ◽  
Ronald D. Adelman ◽  
...  
Keyword(s):  
New York ◽  
Palliative Care ◽  
Hospice Care ◽  
New York State ◽  
Population Based ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Survey Study ◽  
Cross Sectional ◽  
Comfort Care

Background: Despite the documented benefits of palliative and hospice care on improving patients’ quality of life, these services remain underutilized. Multiple factors limit the utilization of these services, including patients’ and caregivers’ lack of knowledge and misperceptions. Objectives: To examine palliative and hospice care awareness, misperceptions, and receptivity among community-dwelling adults. Design: Cross-sectional study. Subjects: New York State residents ≥18 years old who participated in the 2016 Empire State Poll. Outcomes Measured: Palliative and hospice care awareness, misperceptions, and receptivity. Results: Of the 800 participants, 664 (83%) and 216 (27%) provided a definition of hospice care and palliative care, respectively. Of those who defined hospice care, 399 (60%) associated it with end-of-life care, 89 (13.4%) mentioned it was comfort care, and 35 (5.3%) reported hospice care provides care to patients and families. Of those who defined palliative care (n = 216), 57 (26.4%) mentioned it provided symptom management to patients, 47 (21.9%) stated it was comfort care, and 19 (8.8%) reported it was applicable in any course of an illness. Of those who defined hospice or palliative care, 248 (37.3%) had a misperception about hospice care and 115 (53.2%) had a misperception about palliative care. Conclusions: Most community-dwelling adults did not mention the major components of palliative and hospice care in their definitions, implying a low level of awareness of these services, and misinformation is common among community-dwelling adults. Palliative and hospice care education initiatives are needed to both increase awareness of and reduce misperceptions about these services.

scholarly journals Status of Constipation and Its Association with Sarcopenia in Older Adults: A Population-Based Cohort Study

2021 ◽  
Vol 18 (21) ◽  
pp. 11083
Author(s):  
Hyungchul Park ◽  
Jihye Lim ◽  
Ji Yeon Baek ◽  
Eunju Lee ◽  
Hee-Won Jung ◽  
...  
Keyword(s):  
Older Adults ◽  
Gait Speed ◽  
Population Based ◽  
Cross Sectional Study ◽  
Clinical Suspicion ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Iadl Disability ◽  
Community Dwelling Older Adults

(1) Background: As the clinical relevance of constipation and sarcopenia is not well studied, we aimed to investigate the association between them in older adults. (2) Methods: A cross-sectional study was conducted on 1278 community-dwelling older adults in South Korea. The Rome IV criteria were used to identify patients with clinically defined constipation, while sarcopenia was defined by the Asian Working Group for Sarcopenia consensus. The cohort was classified into three groups: no constipation, self-reported constipation only, and clinically defined constipation. (3) Results: The presence of constipation was associated with sarcopenia and slow gait speed (p < 0.001). After adjustment for possible covariates, the association with sarcopenia attenuated, while that for slow gait speed persisted. In terms of geriatric parameters, both groups with clinically defined and self-reported constipation had a higher burden of cognitive impairment, IADL disability, and lower QOL scores (p < 0.05) compared with those without constipation. (4) Conclusions: Sarcopenia and slow gait speed associated with constipation in community-dwelling older adults. Individuals with self-reported constipation symptoms alone showed comparable sarcopenic and geriatric burden to those with clinically defined constipation. Clinical suspicion for possible co-existing sarcopenia is warranted in older patients with constipation.

scholarly journals Inflammatory potential of the diet and risk of sarcopenia and its components

2020 ◽  
Author(s):  
Amir Bagheri ◽  
Sanaz Soltani ◽  
Rezvan Hashemi ◽  
Ramin Heshmat ◽  
Ahmadreza Dorosty Motlagh ◽  
...  
Keyword(s):  
Muscle Mass ◽  
Handgrip Strength ◽  
Dietary Assessment ◽  
Large Body ◽  
Population Based ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Abnormal Gait ◽  
European Working

Abstract Background: Despite a large body of evidence on the link between dietary inflammatory index (DII) and several chronic conditions, limited data are available about the association of DII and sarcopenia. This study aimed to examine the relationship between inflammatory potential of the diet (as measured by DII) and sarcopenia and its components among community-dwelling elderly population.Methods: This population-based cross-sectional study was performed in 2011 among 300 elderly people (150 men and 150 women) aged ≥55 years, who were selected using cluster random sampling method. Dietary assessment was done using a pre-tested food frequency questionnaire. Energy-adjusted DII was calculated based on earlier studies. Sarcopenia and its components were determined based on the European Working Group on Sarcopenia (EWGSOP) definition.Results: Mean age of study participants was 66.7 ± 7.7 y. Subjects in the highest tertile of DII score (i.e. those with a more pro-inflammatory diet) were more likely to be older (P=0.02). The prevalence of sarcopenia (P=0.016) and low muscle mass (P=0.041) was significantly higher among subjects in the top tertile compared with those in the bottom tertile of DII. After adjustment for potential confounders, those with the highest DII were 2.18 times (95% CI: 1.01-4.74) more likely to have sarcopenia than those with the lowest DII. With regard to components of sarcopenia, subjects in the top tertile of DII had not significantly greater odds of low muscle mass (OR: 1.38; 95% CI: 0.72-2.63), abnormal handgrip strength (OR: 0.97; 95% CI: 0.49-1.89), and abnormal gait speed (OR: 1.61; 95% CI: 0.84-3.08) than those in the bottom tertile.Conclusions: In conclusion, a diet with more pro-inflammatory potential was associated with a greater odds of sarcopenia. Further studies are required to confirm these findings.

scholarly journals Poor diet quality is associated with self-reported knee pain in community-dwelling women aged 50 years and older

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0245630
Author(s):  
Woo-young Shin ◽  
Jung-ha Kim
Keyword(s):  
Knee Pain ◽  
Diet Quality ◽  
Smoking Status ◽  
Population Based ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Multivariate Logistic Regression Model ◽  
Hazardous Alcohol Use ◽  
Cross Sectional ◽  
Poor Diet

In the current study, we aimed to examine the association between knee pain and diet quality in women aged ≥ 50 years using data from the Korea National Health and Nutrition Examination Survey. This was a population-based, cross-sectional study. Diet quality was assessed using the Diet Quality Index-International (DQI-I), and knee pain and osteoarthritis were self-reported. A multivariate logistic regression model was used to adjust for age, body mass index, household income, marital status, education, occupation, smoking status, hazardous alcohol use, regular physical activity, menopause, and chronic diseases, including hypertension, diabetes, dyslipidemia, osteoarthritis, and depression. A total of 3,881 women were included in this study, and the prevalence of knee pain was 25.4%. The intakes of total energy, protein, and fat were lower in women with knee pain than in those without (all P < 0.01), while the carbohydrate intake was higher (P = 0.01). No significant differences were noted in the scores for variety, overall balance, and moderation components, except for the item of total fat intake, between the DQI-I scores for women with and without knee pain, after adjusting for age. Women without knee pain showed higher scores in several items of the adequacy component (P < 0.05) than did women with knee pain. The total DQI-I scores were lower in women with knee pain than in women without knee pain, after adjusting for covariates, including osteoarthritis (OR = 0.985, 95% CI = 0.973–0.997, P = 0.01). Knee pain independent of osteoarthritis was associated with poor diet quality in community-dwelling women aged ≥ 50 years.

scholarly journals Regional differences in the profile of disabled community-dwelling older adults: A European population-based cross-sectional study

PLoS ONE ◽  
2018 ◽  
Vol 13 (12) ◽  
pp. e0208946 ◽  
Author(s):  
Javier Jerez-Roig ◽  
Marina Bosque-Prous ◽  
Maria Giné-Garriga ◽  
Caritat Bagur-Calafat ◽  
Dyego L. Bezerra de Souza ◽  
...  
Keyword(s):  
Older Adults ◽  
Regional Differences ◽  
Population Based ◽  
Cross Sectional Study ◽  
European Population ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Community Dwelling Older Adults

scholarly journals Infrequent Denture Cleaning Increased the Risk of Pneumonia among Community-dwelling Older Adults: A Population-based Cross-sectional Study

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Taro Kusama ◽  
Jun Aida ◽  
Tatsuo Yamamoto ◽  
Katsunori Kondo ◽  
Ken Osaka
Keyword(s):  
Older Adults ◽  
Oral Care ◽  
Population Based ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
One Year ◽  
Community Dwelling Older Adults

Abstract Pneumonia is a leading cause of death among older adults. The effectiveness of oral care in preventing pneumonia in nursing homes and hospitals has been reported. However, in community-dwelling older adults, the role of denture cleaning in preventing pneumonia remains unknown. We aimed to investigate the association between infrequent denture cleaning and the risk of pneumonia in community-dwelling older adults. This cross-sectional study was based on the self-reported questionnaire targeting towards community-dwelling older adults aged ≥65 years. Responses of 71,227 removable full/partial denture users were included. The incidence of pneumonia within the last one-year and the frequency of denture cleaning (daily/non-daily) were treated as dependent and independent variables, respectively. The odds ratio (OR) and 95% confidence interval (CI) were calculated by the inverse probability weighting (IPW) method based on the logistic regression model. The mean age of the participants was 75.2 ± 6.5 years; 48.3% were male. Overall, 4.6% of the participants did not clean their dentures daily; 2.3% and 3.0% who did and did not clean their dentures daily, respectively, experienced pneumonia. After IPW, infrequent denture cleaning was significantly associated with pneumonia incidence (OR = 1.30, 95% CI = 1.01–1.68)). This study suggests that denture cleaning could prevent pneumonia among community-dwelling older adults.

Sign in / Sign up

Export Citation Format

Share Document