scholarly journals Disability, Frailty and Depression in the community-dwelling older adults with Osteosarcopenia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ki-Soo Park ◽  
Gyeong-Ye Lee ◽  
Young-Mi Seo ◽  
Sung-Hyo Seo ◽  
Jun-Il Yoo

Abstract Background The purpose of this study was to investigate the prevalence of osteosarcopenia in the over 60-year-old community and to evaluate whether osteosarcopenia is associated with disability, frailty and depression. Methods This study was performed using the baseline data of Namgaram-2, among the 1010 surveyed subjects, 885 study subjects who were 60 years or older and had all necessary tests performed were selected. The Kaigo-Yobo checklist (frailty), World Health Organization Disability Assessment Schedule (WHODAS) and Geriatric Depression Scale-Short Form-Korean (GDSSF-K) were used. The Asian Working Group for Sarcopenia (AWGS 2019) were applied in this study. Osteopenia was measured using data from dual energy X-ray absorptiometry (DEXA) and osteopenia was diagnosed when the T-score was less than − 1.0. The study subjects were divided into four groups: the normal group, in which both sarcopenia and osteopenia were undiagnosed, osteopenia only, sarcopenia only and the osteosarcopenia group, which was diagnosed with both sarcopenia and osteopenia. Results Of the 885 subjects over 60 years old evaluated, the normal group comprised 34.0%, the only osteopenia group 33.7%, the only sarcopenia group 13.1%, and the osteosarcopenia group 19.2%. WHODAS (17.5, 95% CI: 14.8-20.1), Kaigo-Yobo (3.0, 95% CI: 2.6-3.4), and GDSSF mean score (4.6, 95% CI: 3.9-5.4) were statistically significantly higher in the osteosarcopenia group compared the other groups. Partial eta squared (ηp2) of WHODAS (0.199) and Kaigo-Yobo (0.148) values ​​according to Osteosarcopenia were large, and GDSSF (0.096) was medium Conclusions Osteosarcopenia is a relatively common disease group in the older adults community that may cause deterioration of health outcomes. Therefore, when evaluating osteopenia or sarcopenia in the older adults, management of those in both disease groups should occur together.

2021 ◽  
Author(s):  
Ki-Soo Park ◽  
Gyeong-Ye Lee ◽  
Young-Mi Seo ◽  
Sung-Hyo Seo ◽  
Jun-Il Yoo

Abstract Background: The purpose of this study was to investigate the prevalence of osteosarcopenia in the over 60-year-old community and to evaluate whether osteosarcopenia is associated with disability, frailty and depression.Methods: This study was performed using the baseline data of Namgaram-2, among the 1010 surveyed subjects, 885 study subjects who were 60 years or older and had all necessary tests performed were selected. The Kaigo-Yobo checklist (frailty), World Health Organization Disability Assessment Schedule (WHODAS) and Geriatric Depression Scale-Short Form-Korean (GDSSF-K) were used. The Asian Working Group for Sarcopenia (AWGS 2019) were applied in this study. Osteopenia was measured using data from dual energy X-ray absorptiometry (DEXA) and osteopenia was diagnosed when the T-score was less than -1.0.The study subjects were divided into four groups: the normal group, in which both sarcopenia and osteopenia were undiagnosed, osteopenia only, sarcopenia only and the osteosarcopenia group, which was diagnosed with both sarcopenia and osteopenia. Results: Of the 885 subjects over 60 years old evaluated, the normal group comprised 34.0%, the only osteopenia group 33.7%, the only sarcopenia group 13.1%, and the osteosarcopenia group 19.2%. WHODAS (17.5, 95% CI: 14.8-20.1), Kaigo-Yobo (3.0, 95% CI: 2.6-3.4), and GDSSF mean score (4.6, 95% CI: 3.9-5.4) were statistically significantly higher in the osteosarcopenia group compared the other groups. Partial eta squared (ηp2) of WHODAS (0.199) and Kaigo-Yobo (0.148) values ​​according to Osteosarcopenia were large, and GDSSF (0.096) was medium.Conclusions: Osteosarcopenia is a relatively common disease group in the older adults community that may cause deterioration of health outcomes. Therefore, when evaluating osteopenia or sarcopenia in the older adults, management of those in both disease groups should occur together.


2020 ◽  
Author(s):  
Ki-Soo Park ◽  
Gyeong-Ye Lee ◽  
Sung-Hyo Seo ◽  
Young-Mi Seo ◽  
Jun-Il Yoo

Abstract Background: The purpose of this study was to investigate the prevalence of osteosarcopenia in the over 60-year-old community and to evaluate whether osteosarcopenia is associated with disability, frailty and depression.Methods: This study was performed using the baseline data of Namgaram-2, among the 1010 surveyed subjects, 885 study subjects who were 60 years or older and had all necessary tests performed were selected. The Kaigo-Yobo checklist (frailty), World Health Organization Disability Assessment Schedule (WHODAS) and Geriatric Depression Scale-Short Form-Korean (GDSSF-K) were used. The Asian Working Group for Sarcopenia (AWGS 2019) were applied in this study. Osteopenia was measured using data from dual energy X-ray absorptiometry (DEXA) and osteopenia was diagnosed when the T-score was less than -1.0.The study subjects were divided into four groups: the normal group, in which both sarcopenia and osteopenia were undiagnosed, osteopenia only, sarcopenia only and the osteosarcopenia group, which was diagnosed with both sarcopenia and osteopenia.Results: Of the 885 subjects over 60 years old evaluated, the normal group comprised 34.0%, the only osteopenia group 33.7%, the only sarcopenia group 13.1%, and the osteosarcopenia group 19.2%. WHODAS (17.5, 95% CI: 14.8-20.1), Kaigo-Yobo (3.0, 95% CI: 2.6-3.4), and GDSSF mean score (4.6, 95% CI: 3.9-5.4) were statistically significantly higher in the osteosarcopenia group compared the other groups. Partial eta squared (ηp2) of WHODAS (0.199) and Kaigo-Yobo (0.148) values ​​according to Osteosarcopenia were large, and GDSSF (0.096) was medium.Conclusions: Osteosarcopenia is a relatively common disease group in the elderly community that may cause deterioration of health outcomes. Therefore, when evaluating osteopenia or sarcopenia in the elderly, management of those in both disease groups should occur together.


2020 ◽  
Author(s):  
Ki-Soo Park ◽  
Gyeong-Ye Lee ◽  
Sung-Hyo Seo ◽  
Young-Mi Seo ◽  
Jun-Il Yoo

Abstract Background: The purpose of this study was to investigate the prevalence of osteosarcopenia in the over 60-year-old community and to evaluate whether osteosarcopenia is associated with disability, frailty and depression.Methods: This study was performed using the baseline data of Namgaram-2, which was developed to study the relationship between the prevalence of musculoskeletal disorders and activity limitations in the elderly in rural areas. Among the 1010 surveyed subjects, 885 study subjects who were 60 years or older and had all necessary tests performed were selected. The Kaigo-Yobo checklist was completed for diagnosis of frailty and the degree of disability in everyday life was evaluated by World Health Organization Disability Assessment Schedule (WHODAS). To understand the symptoms of depression in the elderly, the Geriatric Depression Scale-Short Form-Korean (GDSSF-K) was used. The Asian Working Group for Sarcopenia (AWGS 2019) were applied in this study. Sarcopenia was defined as SMI less than 7.0 kg/m2 in men and less than 5.4 kg/m2 in women. The maximum grip strength was used as a reference level, for men below 28 kg and for women below 18 kg. Osteopenia was measured using data from dual energy X-ray absorptiometry (DEXA) and osteopenia was diagnosed when the T-score was less than -1.0.The study subjects were divided into four groups: the normal group, in which both sarcopenia and osteopenia were undiagnosed, osteopenia only, sarcopenia only and the osteosarcopenia group, which was diagnosed with both sarcopenia and osteopenia.Results: Of the 885 subjects over 60 years old evaluated, the normal group comprised 34.0%, the only osteopenia group 33.7%, the only sarcopenia group 13.1%, and the osteosarcopenia group 19.2%. WHODAS, Kaigo-Yobo, and GDSSF scores were statistically significantly higher in the osteosarcopenia group compared the other groups.Conclusions: Osteosarcopenia is a relatively common disease group in the elderly community that may cause deterioration of health outcomes. Therefore, when evaluating osteopenia or sarcopenia in the elderly, management of those in both disease groups should occur together.


2020 ◽  
Author(s):  
Ki-Soo Park ◽  
Gyeong-Ye Lee ◽  
Sung-Hyo Seo ◽  
Young-Mi Seo ◽  
Jun-Il Yoo

Abstract Background The purpose of this study was to investigate the prevalence of osteosarcopenia in the over 60-year-old community and to evaluate whether osteosarcopenia is associated with disability, frailty and depression. Methods This study was performed using the baseline data of Namgaram-2, which was developed to study the relationship between the prevalence of musculoskeletal disorders and activity limitations in the elderly in rural areas. Among the 1010 surveyed subjects, 885 study subjects who were 60 years or older and had all necessary tests performed were selected. The Kaigo-Yobo checklist was completed for diagnosis of frailty and the degree of disability in everyday life was evaluated by WHODAS. To understand the symptoms of depression in the elderly, the Geriatric Depression Scale-Short Form-Korean (GDSSF-K) was used. The study subjects were divided into four groups: the normal group, in which both sarcopenia and osteopenia were undiagnosed, osteopenia only, sarcopenia only and the osteosarcopenia group, which was diagnosed with both sarcopenia and osteopenia. Results Of the 885 subjects over 60 years old evaluated, the normal group comprised 34.0%, the only osteopenia group 33.7%, the only sarcopenia group 13.1%, and the osteosarcopenia group 19.2%. WHODAS, Kaigo-Yobo, and GDSSF scores were statistically significantly higher in the osteosarcopenia group compared the other groups. Conclusions Osteosarcopenia is a relatively common disease group in the elderly community that may cause deterioration of health outcomes. Therefore, when evaluating osteopenia or sarcopenia in the elderly, management of those in both disease groups should occur together.


Author(s):  
Ricardo Monezi ◽  
Pedro Mourão Roxo da Motta ◽  
Nelson Filice de Barros

Introdução: O Reiki figura atualmente como uma das técnicas integrativas e complementares de maior uso e interesse no mundo. Sua utilização crescente vem chamando a atenção da ciência, que busca investigar seus possíveis efeitos a fim de verificar e disponibilizar aos seus usuários informações a respeito de sua eficácia e segurança. Entre os recursos utilizados nestas avaliações estão cada vez mais presentes as escalas psicométricas, que buscam mensurar aspectos subjetivos da natureza do ser humano, como níveis de ansiedade, depressão, stress e qualidade de vida. Objetivo: Descrever as principais escalas psicométricas utilizadas em ensaios clínicos que investigaram os possíveis efeitos do Reiki, analisando seu papel diagnóstico nestes estudos. Método: A partir dos descritores “Reiki” e “Scales”, foi realizada revisão e análise de artigos publicados, nos últimos 10 anos, nas bases de dados PubMed, Scielo e Bireme, que utilizaram-se de escalas psicométricas na avaliação dos possíveis efeitos do Reiki. Resultados: 18 estudos utilizaram-se de escalas psicométricas, como o Functional Independence Measure, aplicado a pacientes em reabilitação de AVE, o Wong-Baker Smiley Face Scale, utilizado para mensurar níveis de bem estar e dor, o Geriatric Depression Scale Short Form, para mensuração de depressão em idosos, além de instrumentos de avaliação de ansiedade, depressão, stress, desesperança, qualidade de vida e de sono, como Hospital Anxiety and Stress Scale, StateTrait Anxiety Inventory, Perceived Stress Scale, Beck Depression Inventory, World Health Organization for Quality of life, Beck Hopelessness Scale, Illness Symptoms Questionnaire, Visual Analog Scale e o Pittsburgh Quality of Sleep Index. Conclusões: Não existe um consenso na literatura a respeito da escala psicométrica que seja mais apropriada a cada variável, devido às suas respectivas especificidades e níveis de sensibilidade. Atualmente, onde se discute o estabelecimento de um padrão ouro para pesquisas que abordem as práticas integrativas também são polêmicas as discussões a respeito do emprego correto destas ferramentas.


2019 ◽  
Vol 5 (2) ◽  
pp. 128-146
Author(s):  
Andria Pragholapati

Pendahuluan: Data World Health Organization (2010) menunjukkan lansia di dunia yang terkena depresi sebanyak 7 juta orang. Meningkat pada lansia yang tinggal di institusi sekitar 50-75%. Tujuan: penelitian ini untuk mengetahui pengaruh Brain Gym terhadap tingkat depresi pada lansia di Balai Perlindungan Sosial Tresna Werdha Ciparay Bandung Tahun 2016. Metode: Penelitian ini menggunakan Quasy eksperiment pre-post test dengan kelompok kontrol. Sampel dalam penelitian ini sebanyak 34 orang yang dibagi menjadi dua kelompok masing-masing 17 orang. Sampel yang digunakan adalah purposive sampling yang memenuhi kriteria inklusi dan eksklusi. Brain gym diberikan pada kelompok perlakuan sebanyak 9 kali dalam 5 hari. Kuesioner menggunakan Geriatric Depression Scale Short form yang memiliki nilai Alfa Cronbach 0.960 ≥ 0.632 menyatakan kuesioner valid dan reliabel. Data dianalisis menggunakan uji wilcoxon dan uji Mann Whitney. Hasil Penelitian : Wilcoxon menunjukkan hanya pada kelompok intervensi ada perbedaan tingkat depresi dengan p value pada kelompok kontrol 0.109 (α>0.05) dan p value pada kelompok intervensi 0.000 (α<0.05). Hasil Mann Whitney pada kedua kelompok didapatkan p value 0.000 (α ≤ 0,05), maka Ho ditolak hal ini menunjukan ada pengaruh Brain Gym terhadap tingkat depresi. Diskusi: berdasarkan hasil penelitian menyatakan bahwa Brain Gym dapat menurunkan tingkat depresi pada lansia sehingga pada lansia penting dilakukan pemeriksaan tingkat depresi secara berkala dan diterapkan gerakan Brain Gym untuk mengurangi tingkat depresi pada lansia.


Author(s):  
Hanhee Bae ◽  
Sunyoung Kim ◽  
Byungsung Kim ◽  
Miji Kim ◽  
Jisoo Yang ◽  
...  

Mild cognitive impairment (MCI) and depression are common and frequently misdiagnosed in older adults in primary care. In particular, depression combined with cognitive dysfunction is associated with a higher risk of dementia. We tried to find the usefulness of orientation to time as an easy case-finding tool for suspecting MCI or depression. This cross-sectional study included 2668 community-dwelling adults aged 70–84 years from the Korean Frailty and Aging Cohort Study (mean age of 76.0 ± 3.9 years). MCI was defined based on the criteria from the National Institute on Aging and the Alzheimer’s Association; depression was defined as a score of ≥ 6 on the Geriatric Depression Scale—Short Form (GDS-SF). Time orientation to year, month, day of the week, date, and season were tested. The sensitivity for the diagnosis of each of MCI and depression was the highest for the orientation to year (MCI, 17.7%; depression, 16.0%). For the diagnosis of MCI or depression, orientation to the year had the highest sensitivity (15.5%), and the specificity, PPV, NPV was 95.5%, 67.0%, 65.5%. In conclusion, asking “what year is it?” can be helpful as an aid to case finding to suspect MCI or depression in community and primary care settings.


Psico ◽  
2018 ◽  
Vol 49 (2) ◽  
pp. 119
Author(s):  
Luis Henrique Paloski ◽  
Adriano Medeiros da Cunha ◽  
Camila Rosa de Oliveira ◽  
Marianne Farina ◽  
Valéria Gonzatti ◽  
...  

The objective of this study was to investigate the association of age and education in the performance of cognitively preserved older adults in the d2 Sustained-Attention Test, and to compare the results of different age groups and levels of schooling in this instrument. The sample was composed of 211 adults, 60 years of age or older, who were not institutionalized, and who completed a sociodemographic questionnaire, the Mini Mental State Examination, the Geriatric Depression Scale (short form), and the d2 Test. Data analysis was conducted using descriptive statistics, partial correlations, multiple linear regression and one-way ANOVA. The results of partial correlations and multiple linear regression showed that age and years of schooling demonstrated significant associations with all d2 Test scores, with age being the predictive variable that showed the greatest influence on the performance of the older adults. Comparison of performance in the d2 Test among the six groups according to the distribution by age group (60-69 years and 70 years or more) and by levels of schooling (primary, secondary and higher) showed that younger adults with a higher level of schooling scored better on the d2 Test, suggesting the need for normative data studies for this population.***Idade e escolaridade são preditoras de desempenho de adultos idosos no Teste d2?***O objetivo deste estudo foi investigar a associação da idade e da escolaridade com o desempenho de idosos cognitivamente preservados no Teste d2 de Atenção Concentrada, além de comparar os resultados de diferentes grupos etários e de níveis de escolaridade nesse instrumento. Participaram 211 adultos com idade igual ou superior a 60 anos, não institucionalizados, que responderam a uma ficha de dados sociodemográficos, ao Mini Exame do Estado Mental, à Escala de Depressão Geriátrica (versão reduzida), e ao Teste d2. A análise dos dados foi conduzida por meio de estatística descritiva, correlações parciais, regressão linear múltipla e ANOVA de uma via (one-way ANOVA). Os resultados das correlações parciais e da regressão linear múltipla revelaram que a idade e os anos de escolaridade demonstraram associações significativas com todos os escores do Teste d2, sendo a idade a variável preditora que demonstrou maior influência no desempenho dos idosos. A comparação de desempenho no teste d2 entre os seis grupos conforme distribuição por faixa etária (60-69 anos e 70 anos ou mais) e por níveis de escolaridade (fundamental, médio e superior) demonstrou que os idosos mais jovens e com maior nível de escolaridade apresentam melhores pontuações no Teste d2, sugerindo a necessidade de estudos de dados normativos para essa população.


Author(s):  
Rasmus T. Larsen ◽  
Christoffer B. Korfitsen ◽  
Carsten B. Juhl ◽  
Henning Boje Andersen ◽  
Henning Langberg ◽  
...  

Aim: To investigate the concurrent validity of the International Physical Activity Questionnaire-short form (IPAQ-SF) and the Nordic Physical Activity Questionnaire-short (NPAQ-short) when compared with objectively measured daily steps among older adults. Methods: Spearman’s ρ between IPAQ-SF and NPAQ-short and objectively measured steps using Garmin Vivofit 3 physical activity monitors. Results: A total of 54 participants were included. The IPAQ-SF subscales’ moderate physical activity (PA), moderate to vigorous PA (MVPA), and sedentary time showed little or no correlation with daily steps. The NPAQ-short subscales’ vigorous PA, moderate PA, and MVPA showed little or no correlation. The IPAQ-SF subscales’ vigorous PA and walking showed fair correlation. Only the IPAQ-SF metabolic equivalent of task minutes showed moderate to good correlation with daily steps. The IPAQ-SF categories and NPAQ-short categorization of World Health Organization compliance were significantly different, but the magnitudes were small and distributions indicated problems with the categorization. Conclusion: The concurrent validity is low, as the scores did not reflect objectively measured daily steps.


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