Drug use in an Ambulatory Elderly Population: A Five-Year Update

1987 ◽  
Vol 21 (6) ◽  
pp. 530-535 ◽  
Author(s):  
William E. Hale ◽  
Franklin E. May ◽  
Ronald G. Marks ◽  
Ronald B. Stewart

Drug usage was studied in an ambulatory elderly population in Dunedin, Florida. Prescription and nonprescription drug use in these 2834 participants was compared with use during a period five years earlier. The average number of medications increased from 3.2 in 1978–80 to 3.7 in 1983–85. The most commonly prescribed medications in this population were hydrochlorothiazide-triamterene (13.5 percent), digoxin (9.6 percent), and hydrochlorothiazide (8.4 percent). There was a large increase in the use of nutritional supplements in the past five years, with 18.0 percent of these subjects reporting the use of vitamin E and 15.7 percent taking vitamin C. The general philosophy in geriatrics is to use the fewest drugs possible; however, it appears that the elderly are, in fact, receiving an increasing number of medications.

Foods ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 688
Author(s):  
Khaled Alhammadi ◽  
Luna Santos-Roldán ◽  
Luis Javier Cabeza-Ramírez

The past few years have seen significant demographic changes in most regions, including an increased elderly population. Subsequently, elderly citizens comprise an important market segment of consumers, with the food industry one of the most affected areas in this context. However, food market managers previously believed that elderly consumers’ needs were stereotyped in nature. The lack of focus on this sector, therefore, left elderly consumers as an untapped market, without realizing the financial independence of this segment regarding their nutrition. This research will attempt to provide the key determinant factors on elderly consumers’ behavior related to food. For that purpose, a complete literature review of more than 123 papers regarding these concepts has been carried out. Once analyzed, we highlight the common insights to give clear guidance for supermarket managers and food manufacturers to have a better knowledge of the reasons behind elderly people’s food acquisitions.


1990 ◽  
Vol 5 (5) ◽  
pp. 301-308
Author(s):  
V Kovess ◽  
M Ortun

SummaryFrench publications on psychotropics are curiously few. Data are available and French consumption of psychotropics, at least minor tranquilizers has been consistently reported as being higher than that found in other countries. The authors attempt to answer three questions: is French consuption of psychotropics really higher than other countries? Who is consuming those drugs? In which context? After having reviewed comparative data on sales, data from population surveys are analysed together with samples of prescriptions by different categories of physicians. It seems likely that French people consume more anxiolytics but this does not apply to other psychotropic drugs. Given the fact that drugs are almost free of charge in France, it is always difficult to discriminate between what has been prescribed and what has been taken. Overconsumption of anxiolytics is due to the overconsumption of the elderly population (over 60). Minor tranquilizers are mainly prescribed by general practitioners for psychological reasons.


2000 ◽  
Vol 10 (1) ◽  
pp. 43-54
Author(s):  
C. Rajkumar ◽  
S. Bonapace ◽  
C. J. Bulpitt

IntroductionLongevity has lengthened in recent times. This has resulted in an increase in the elderly population, with life expectancy at birth in men in the UK being approximately 72.5 years and women, 78.5 years. Despite the risk of death from cardiovascular diseases decreasing in the past 40 years, these still continue to be the largest cause of mortality in the elderly. Cardiovascular mortality and morbidity are lower in women. However, this is not true in the later years of life. After the age of 80, the risk of cardiovascular problems increases to that of men. The cardiovascular changes occurring with aging consists of changes in the heart and arterial system.


1992 ◽  
Vol 26 (5) ◽  
pp. 679-685 ◽  
Author(s):  
Joseph T. Hanlon ◽  
Gerda G. Fillenbaum ◽  
Bruce Burchett ◽  
William E. Wall ◽  
Connie Service ◽  
...  

OBJECTIVE: To describe and compare drug-use patterns among black and nonblack community-dwelling elderly. DESIGN: Survey. SETTING: Five-county urban and rural region in Piedmont, NC. PARTICIPANTS: Stratified probability household sample of 4164 community residents aged 65 or older from the Piedmont Health Survey of the Elderly (65 percent women, 54 percent black, mean age 73.56 ± 6.74 y). MAIN OUTCOME MEASURES: Prevalence of medication use and mean drug use; therapeutic medication category use. RESULTS: Data were weighted to represent the population in this geographic area. Fewer blacks reported the use of over-the-counter (OTC) medications and total medications than did nonblacks (66 vs. 76 percent and 88 vs. 92 percent, respectively; p<0.001). Compared with nonblacks, blacks reported using a lower mean number of prescription (2.02 vs. 2.35; p<0.001), OTC (1.12 vs. 1.42; p<0.001), and total (3.14 vs. 3.77; p<0.001) drugs. The therapeutic medication categories varied by race for prescription cardiovascular, analgesic, and central nervous system (CNS) drugs and OTC nutritional supplements. More nonblacks than blacks reported the use of analgesics (62.5 vs. 55.6 percent, respectively; p<0.001), CNS drugs (26.1 vs. 14.2 percent, respectively; p<0.001), nutritional supplements (27.5 vs. 16.9 percent, respectively; p<0.001), and gastrointestinal agents (29.0 vs. 23.5 percent, respectively; p<0.001). Blacks were more likely to report problems in managing their medications than were nonblacks (9.0 vs. 6.1 percent, respectively; p=0.001). CONCLUSIONS: Our data suggest that there are distinct racial differences in medication-use patterns among the elderly.


2014 ◽  
Vol 3 (1) ◽  
pp. 13-19
Author(s):  
Retno Wahyuningsih ◽  
Darmono SS ◽  
Ani Margawati

Background: Infectious disease remains a health problem for the elderly. The elderly are susceptible to infection,because the body's ability to fight infection decreases immunity. The immune status can be improved through the effortsof immunization, and nutrition. However the elderly are not sufficient to meet the nutritional needs of food, so probioticcould support nutritional adequacy.Objective: Analyze the effect of probiotic Lactobacillus helveticus Rosell-52 and Lactobacillus rhamnosus Rosell-11 onlevels of lymphocytes in the elderly in Tresna Elderly Social Institution Puspakarma Mataram, West Nusa Tenggara.Methods: This was quasi-experimental study, randomized pre-post control group design. The population is elderly aged60-75 years, involving 45 subjects were divided randomly into two groups, namely the treatment groups givenprobiotics and the control group was given a placebo. Probiotics were given for 4 weeks, with the provision of onecapsule a day. Immunity status in this study was lymphocytes. Data examined included the intake of nutrients (protein,vitamin A, vitamin C, vitamin E, Fe, Zn), health status, quality of sleep, and levels of lymphocytes in the elderly. Datawere analyzed using bivariate with different test Independent sample t-test, Mann-Whitney U test, Spearman, Pearson,and Paired t-test.Results: Increasing number of lymphocytes were significantly in the treatment group (χ ± SD: 1.84 ± 1.85) and in thecontrol group (0.95 ± 5.0). There is no relationship between intake (protein, vitamin A, vitamin C, vitamin E, Fe, Zink),physical health status, and quality of sleep with levels of lymphocytes.Conclusion: Probiotics in 4 weeks is proven to increase the number of lymphocytes in the elderly.


1996 ◽  
Vol 49 (5) ◽  
pp. 587-593 ◽  
Author(s):  
Gerda G. Fillenbaum ◽  
Ronnie D. Horner ◽  
Joseph T. Hanlon ◽  
Lawrence R. Landerman ◽  
Deborah V. Dawson ◽  
...  

Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 751
Author(s):  
Eric C. Bredahl ◽  
Joan M. Eckerson ◽  
Steven M. Tracy ◽  
Thomas L. McDonald ◽  
Kristen M. Drescher

The use of dietary supplements has become increasingly common over the past 20 years. Whereas supplements were formerly used mainly by elite athletes, age and fitness status no longer dictates who uses these substances. Indeed, many nutritional supplements are recommended by health care professionals to their patients. Creatine (CR) is a widely used dietary supplement that has been well-studied for its effects on performance and health. CR also aids in recovery from strenuous bouts of exercise by reducing inflammation. Although CR is considered to be very safe in recommended doses, a caveat is that a preponderance of the studies have focused upon young athletic individuals; thus there is limited knowledge regarding the effects of CR on children or the elderly. In this review, we examine the potential of CR to impact the host outside of the musculoskeletal system, specifically, the immune system, and discuss the available data demonstrating that CR can impact both innate and adaptive immune responses, together with how the effects on the immune system might be exploited to enhance human health.


1983 ◽  
Vol 17 (4) ◽  
pp. 249-266 ◽  
Author(s):  
Janet Roebuck

Despite the disadvantages they face, women in western nations have coped very successfully with the problems of aging during the past century and, with limited material resources, have responded positively to great social and personal changes. Although women make up the majority of the elderly population, these achievements have received little attention. As we face the continued aging of the population and its attendant massive social changes in a setting of increasingly scarce resources, it is essential that all aspects of female aging be studied more closely. They may well provide us with the insights necessary to clarify our vision of the past and future and provide us with appropriate models for survival in a less-than-ideal world.


Author(s):  
Chibuzo Carole Nweze ◽  
Miriam Solomon

Immunologic functions particularly cell-mediated immunity declines with age, contributing to the increased incidence of infectious diseases in the elderly. The study looked at vitamin C, vitamin E, and β-carotene levels in plasma of 150 healthy adults of 96 men and 54 women aged between 30 and 74 years. The subjects were randomly grouped into three at baseline for further dietary studies, The antioxidant dietary supplements were either 1 capsule per day of antioxidant nutraceutical (Forever living product) (containing vitamin E 10 mg, vitamin C 60mg and β-carotene 2000 mcg of vitamin A, or cheap affordable indigenous antioxidant functional foods of equivalent vitamin composition of oranges, carrots, and soybean or bottled water, and the first dose was dispensed and followed up for six months. The result showed that the vit C, E and β-carotene concentration of antioxidant treated groups were positively influenced than the placebo group (Grp 1 (AT-P)6m. Grp 3 (AT-F)6mwas affected more positively than the antioxidant Grp 2 (AT-N)6m. Vitamin C, E, and β-carotene concentrations of the elderly are beyond reference/normal range of blood plasma. Plasma Vitamin C and β-carotene concentration of the female was higher than the male. The vitamin E concentration in blood plasma of male is higher compare to female.


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