Diet and healthy ageing

2005 ◽  
Vol 11 (4) ◽  
pp. 121-125 ◽  
Author(s):  
Brigid McKevith
Keyword(s):  
Cardiovascular Disease ◽  
Older Adults ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Old Age ◽  
Age Groups ◽  
Healthy Ageing ◽  
Dietary Quality ◽  
Normal Ageing ◽  
Dietary Components

In the future there will be more people aged 65 years and over ('older adults'). Although the exact mechanisms underlying normal ageing are not fully understood, ageing is generally associated with an increase in chronic diseases, such as cardiovascular disease, diabetes, cancer and osteoporosis. It is becoming clear that it is possible to prevent, slow or reverse the onset of many these by modifying lifestyle factors such as diet. Studies of older adults in a range of countries have highlighted a number of areas in which dietary quality could be improved. It is important to identify dietary patterns in addition to specific dietary components that offer protection against chronic disease. The challenge in the area of diet and healthy ageing is twofold: first, there is a need to improve the diet of older adults; and second, as most chronic diseases begin earlier in life, there is a need to encourage other age groups to adapt their diet so they can enter old age in better health.

More Eggs, Less Sugar: A Sneak Peek into the Latest Dietary Guidelines for Americans

2018 ◽  
Vol 7 (1) ◽  
pp. 22-24
Author(s):  
Darlene Zimmerman
Keyword(s):  
Cardiovascular Disease ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Dietary Guidelines ◽  
Healthy Diet ◽  
Dietary Guidelines For Americans

ABSTRACT The 2015 – 2020 Dietary Guidelines for Americans provides guidance for choosing a healthy diet. There is a focus on preventing and alleviating the effects of diet-related chronic diseases. These include obesity, diabetes, cardiovascular disease, and stroke, among others. This article briefly reviews the primary guideline items that can be used to teach patients with respect to improving their diet. Clinical exercise physiologists who work with patients with chronic disease can use these guidelines for general discussions regarding a heart-healthy diet.

The ‘loneliness pandemic’: implications for gerontological nursing

2021 ◽  
Vol 30 (11) ◽  
pp. 652-655
Author(s):  
Carlos Laranjeira
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Older People ◽  
Chronic Diseases ◽  
Old Age ◽  
Social Isolation ◽  
Social Relationships ◽  
Vulnerable Groups ◽  
Negative Consequences ◽  
Gerontological Nursing

The COVID-19 pandemic compelled states to limit free movement, in order to protect at-risk and more vulnerable groups, particularly older adults. Due to old age or debilitating chronic diseases, this group is also more vulnerable to loneliness (perceived discrepancy between actual and desired social relationships) and social isolation (feeling that one does not belong to society). This forced isolation has negative consequences for the health of older people, particularly their mental health. This is an especially challenging time for gerontological nursing, but it is also an opportunity for professionals to combat age stereotypes reinforced with COVID-19, to urge the measurement of loneliness and social isolation, and to rethink how to further adjust interventions in times of crisis, such as considering technology-mediated interventions in these uncertain times.

A New Path to Address Multimorbidity? Longitudinal Analyses of Retirement Sequences and Chronic Diseases in Old Age

2021 ◽  
pp. 073346482110310
Author(s):  
Esteban Calvo ◽  
Ariel Azar ◽  
Robin Shura ◽  
Ursula M. Staudinger
Keyword(s):  
Chronic Disease ◽  
Labor Force ◽  
Chronic Diseases ◽  
Old Age ◽  
Full Time ◽  
Longitudinal Analyses ◽  
Employment Opportunities ◽  
Time Work ◽  
Aging Populations ◽  
Retirement Study

Chronic disease and multimorbidity are growing health challenges for aging populations, often coinciding with retirement. We examine late-life predictors of multimorbidity, focusing on the association between retirement sequences and number of chronic diseases. We modeled the number of chronic diseases as a function of six types of previously identified 10-year retirement sequences using Health and Retirement Study (HRS) data for 7,880 Americans observed between ages 60 to 61 and 70 to 71. Our results show that at baseline, the adjusted prevalence of multimorbidity was lowest in sequences characterized by late retirement from full-time work and highest in sequences characterized by early labor-force disengagement. Age increases in multimorbidity varied across retirement sequences, though overall differences in prevalence persisted at age 70 to 71. Earlier life disadvantages did not moderate these associations. Findings suggest further investigation of policies that target health limitations affecting work, promote continued beneficial employment opportunities, and ultimately leverage retirement sequences as a novel path to influence multimorbidity in old age.

scholarly journals A review of the epidemiological evidence for the ‘antioxidant hypothesis’

2004 ◽  
Vol 7 (3) ◽  
pp. 407-422 ◽  
Author(s):  
SA Stanner ◽  
J Hughes ◽  
CNM Kelly ◽  
J Buttriss
Keyword(s):  
Cardiovascular Disease ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Research Programme ◽  
Plant Foods ◽  
Food Standards ◽  
Independent Review ◽  
High Doses ◽  
Intervention Trials ◽  
Antioxidant Supplements

AbstractObjective:The British Nutrition Foundation was recently commissioned by the Food Standards Agency to conduct a review of the government's research programme onAntioxidants in Food. Part of this work involved an independent review of the scientific literature on the role of antioxidants in chronic disease prevention, which is presented in this paper.Background:There is consistent evidence that diets rich in fruit and vegetables and other plant foods are associated with moderately lower overall mortality rates and lower death rates from cardiovascular disease and some types of cancer. The ‘antioxidant hypothesis’ proposes that vitamin C, vitamin E, carotenoids and other antioxidant nutrients afford protection against chronic diseases by decreasing oxidative damage.Results:Although scientific rationale and observational studies have been convincing, randomised primary and secondary intervention trials have failed to show any consistent benefit from the use of antioxidant supplements on cardiovascular disease or cancer risk, with some trials even suggesting possible harm in certain subgroups. These trials have usually involved the administration of single antioxidant nutrients given at relatively high doses. The results of trials investigating the effect of a balanced combination of antioxidants at levels achievable by diet are awaited.Conclusion:The suggestion that antioxidant supplements can prevent chronic diseases has not been proved or consistently supported by the findings of published intervention trials. Further evidence regarding the efficacy, safety and appropriate dosage of antioxidants in relation to chronic disease is needed. The most prudent public health advice remains to increase the consumption of plant foods, as such dietary patterns are associated with reduced risk of chronic disease.

scholarly journals A randomized controlled trial into the cognitive effects of a computer-tailored physical activity intervention in older adults with chronic disease(s)

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Esmee Volders ◽  
Renate H. M. de Groot ◽  
Juul M. J. Coumans ◽  
Catherine A. W. Bolman ◽  
Lilian Lechner
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Chronic Disease ◽  
Cognitive Decline ◽  
Chronic Diseases ◽  
Verbal Memory ◽  
Daily Life ◽  
Intervention Group ◽  
Cognitive Effects ◽  
Intervention Effects

Abstract Background Cognitive functioning (CF) is important for wellbeing and an independent life. However, older adults with chronic diseases are at a higher risk of poorer CF levels. Although, research suggests that physical activity (PA) could play an essential role in maintaining good CF, older adults with chronic diseases have low levels of PA. PA interventions to prevent cognitive decline for this specific group exist. Yet, until now these interventions focused on a single specific chronic disease. Active Plus is a proven effective computer-tailored PA stimulating intervention focused on increasing PA in daily life for the older adult population suffering from a broad range of chronic diseases. This study tests the cognitive effects of Active Plus in older adults with chronic diseases. Methods In this RCT older adults with at least one chronic disease (≥65 years) were allocated to the intervention group (N = 260, mean age = 74.2) or waiting list control group (N = 325, mean age = 74.5). In total, intervention group participants received three times computer-tailored PA stimulating advice within four months (i.e., at baseline, after two months, and after three to four months). The online and print delivered advice were tailored to the specific needs and wishes of the participant and focused on incorporating PA in daily life. Baseline and follow-up measurements of the CF verbal memory (Verbal Learning Test), shifting (Trailmaking Test), inhibition (Stop-signal Task) and processing speed (Letter Digit Substitution Test) were assessed after six and 12 months. Intervention effects were analyzed with multilevel linear mixed-effects models adjusted for the clustered design and confounding variables. Results The dropout rate was 19.1% after 6 months and 25.1% after 12 months. Although both conditions improved on all verbal memory outcomes after 6 months, and all CF outcomes except inhibition after 12 months, no intervention effects were found, not even in subgroups (p > .05). Conclusions To our knowledge this is the first study to test the cognitive effects of a computer-tailored PA stimulating intervention in older adults suffering from a broad range of chronic diseases. The effects of the Active Plus intervention were not strong enough to improve CF or prevent cognitive decline. A blended approach, in which this computer-tailored intervention is combined with a face-to-face PA intervention and / or cognitive training, might be a good suggestion to increase the effects of Active Plus on PA and CF in older adults with chronic diseases. Trial registration Netherlands Trial Register NL6005; Date of Registration 03-21-2017; https://www.trialregister.nl/trial/6005

scholarly journals Internet Use in Old Age: Results of a German Population-Representative Survey

10.2196/15543 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e15543
Author(s):  
Janine Quittschalle ◽  
Janine Stein ◽  
Melanie Luppa ◽  
Alexander Pabst ◽  
Margrit Löbner ◽  
...  
Keyword(s):  
Older Adults ◽  
Old Age ◽  
Internet Use ◽  
Age Groups ◽  
Well Being ◽  
The Internet ◽  
German Population ◽  
Regression Analyses ◽  
Related Information ◽  
Health Related

Background The internet has the potential to foster healthy lifestyles and to support chronic disease management. Older adults could benefit from using the internet and other information and communication technology to access health-related information and interventions available online. Objective The aim of this study was to investigate factors influencing internet use in older and oldest age groups and to determine the frequency of internet use for health-related purposes. Methods Using data from a nationally representative telephone survey of older adults aged 75 years and over, a sample of 999 people was assessed using structured clinical interviews. Descriptive and binary logistic regression analyses were performed. Results Overall, 42.6% (418/999) of participants used the internet. Among those, 55.7% (233/417) searched the internet for health-related information. Regression analyses revealed that internet use was significantly associated with younger age (odds ratio [OR] 0.89, 95% CI 0.85-0.92; P<.001), male gender (OR 2.84, 95% CI 2.02-4.00; P<.001), higher education levels (OR 6.69, 95% CI 4.48-9.99; P<.001), a wider social network (OR 1.04, 95% CI 1.01-1.07; P=.01), higher health-related quality of life (OR 1.02, 95% CI 1.00-1.03; P=.006), lower levels of depressive symptoms (OR 0.89, 95% CI 0.80-0.99; P=.04), and higher rates of chronic illness (OR 1.12, 95% CI 1.04-1.21; P<.004). Conclusions This study provides population-representative data on internet use in old age in Germany. People in the older and oldest age groups participate in online activities. Understanding the factors that are associated with older adults internet use can contribute to developing tailored interventions and eHealth (electronic health) services to improve well-being in older adults.

scholarly journals Sustainable Ageing: Supporting Healthy Ageing and Independence Amongst Older Turkish Migrants in the UK

2021 ◽  
Vol 13 (18) ◽  
pp. 10387
Author(s):  
Melisa Yazdanpanahi ◽  
Shereen Hussein
Keyword(s):  
Older Adults ◽  
Lived Experience ◽  
Old Age ◽  
Service Providers ◽  
Essential Element ◽  
Functional Independence ◽  
Healthy Ageing ◽  
Professional Service ◽  
Individual Autonomy ◽  
The Uk

In the UK, as in many other European countries, the population is growing older, and older adults are becoming more diverse. As a result, there is a mounting interest in supporting healthy ageing and independence, acknowledging the needs and agency of older adults from diverse backgrounds, expectations, and life trajectories. Healthy ageing is promoted as a critical component of sustainable ageing to ensure meaningful social and economic contributions through the life course for all individuals. However, the definitions of healthy ageing are debatable. The public and policy discourse treat all older adults through generic and homogeneous models that do not consider the heterogeneity of experiences and perspectives of old age among different groups. In this context, independence has often been defined in terms of functional independence, i.e., cognitive and physical functioning, as a core construct of healthy ageing. However, this focus excludes older adults’ interpretations and day-to-day experiences of this concept. This article investigates the interpretation and lived experience of independence amongst older Turkish adults in the UK as a central explanatory concept of healthy ageing. Semi-structured individual interviews (n = 48) and community mapping workshops (n = 5) were conducted with 65 older Turkish adults in London, supplemented by interviews with professional service providers (n = 13) within the community. The data collection was conducted between March and November 2017. We identified three main themes integral to understanding healthy ageing and independence: 1—interdependency and having reciprocal care relations; 2—individual autonomy at home and choice in housing options; and 3—functional independence, mobility, and control over the physical environment. Independence appears to remain an essential element of healthy ageing. However, it is a fluid and complex construct constantly negotiated around personal and community resources. Therefore, there is a need to develop more comprehensive interventions that capture the diverse experiences in old age to enable healthy ageing and social sustainability. These are timely considering current policy directions such as the UN Decade of Healthy Ageing and the 2030 Sustainable Development Goals.

Different dimensions of ageist attitudes among men and women: a multigenerational perspective

2012 ◽  
Vol 24 (6) ◽  
pp. 895-901 ◽  
Author(s):  
Ehud Bodner ◽  
Yoav S. Bergman ◽  
Sara Cohen-Fridel
Keyword(s):  
Older Adults ◽  
Gender Differences ◽  
Old Age ◽  
Older Adult ◽  
Age Groups ◽  
Middle Aged ◽  
Age And Gender ◽  
Age And Gender Differences ◽  
And Gender ◽  
Age Range

ABSTRACTBackground: Ageism, a form of prejudice in which one relates negatively to people due to their age, exists throughout life. However, no attempt has been made to compare ageist attitudes across the life cycle, from young adulthood to old age. Consequently, the current study examined age and gender differences in ageism throughout adulthood.Methods: 955 Israeli participants (age range: 18–98 years) were divided into three age-groups: young (18–39), middle-aged (40–67), and old (68–98), and were administered the Fraboni Scale of Ageism. Age and gender differences were examined both for the three groups and for subgroups within the older adult cohort.Results: Multivariate analysis of variance revealed that middle-aged participants were significantly more ageist than younger and older groups. Across all age groups, men exhibited more avoidance and stereotypical attitudes toward older adults than women. Among the old age group, participants aged 81–98 held more ageist stereotypes and reported more avoidance of older adults than those aged 68–73. Within the older adult cohort, gender was a significant predictor for ageist attitudes among those aged 68–73 and 81–98, but not for people aged 74–80.Conclusions: Ageism demonstrates a changing pattern across the life span. While gender differences remain stable, ageist attitudes toward growing old as we age ourselves are constantly changing. In order to gain a better understanding of ageism as a general and global phenomenon, we need to consider the role of such attitudes in different stages of life.

scholarly journals A Framework to Understand the Progression of Cardiovascular Disease for Type 2 Diabetes Mellitus Patients Using a Network Approach

2020 ◽  
Vol 17 (2) ◽  
pp. 596 ◽  
Author(s):  
Md Ekramul Hossain ◽  
Shahadat Uddin ◽  
Arif Khan ◽  
Mohammad Ali Moni
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Cardiovascular Disease ◽  
Type 2 Diabetes Mellitus ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Australian Health ◽  
Disease Networks ◽  
Multiple Chronic Diseases

The prevalence of chronic disease comorbidity has increased worldwide. Comorbidity—i.e., the presence of multiple chronic diseases—is associated with adverse health outcomes in terms of mobility and quality of life as well as financial burden. Understanding the progression of comorbidities can provide valuable insights towards the prevention and better management of chronic diseases. Administrative data can be used in this regard as they contain semantic information on patients’ health conditions. Most studies in this field are focused on understanding the progression of one chronic disease rather than multiple diseases. This study aims to understand the progression of two chronic diseases in the Australian health context. It specifically focuses on the comorbidity progression of cardiovascular disease (CVD) in patients with type 2 diabetes mellitus (T2DM), as the prevalence of these chronic diseases in Australians is high. A research framework is proposed to understand and represent the progression of CVD in patients with T2DM using graph theory and social network analysis techniques. Two study cohorts (i.e., patients with both T2DM and CVD and patients with only T2DM) were selected from an administrative dataset obtained from an Australian health insurance company. Two baseline disease networks were constructed from these two selected cohorts. A final disease network from two baseline disease networks was then generated by weight adjustments in a normalized way. The prevalence of renal failure, fluid and electrolyte disorders, hypertension and obesity was significantly higher in patients with both CVD and T2DM than patients with only T2DM. This showed that these chronic diseases occurred frequently during the progression of CVD in patients with T2DM. The proposed network-based model may potentially help the healthcare provider to understand high-risk diseases and the progression patterns between the recurrence of T2DM and CVD. Also, the framework could be useful for stakeholders including governments and private health insurers to adopt appropriate preventive health management programs for patients at a high risk of developing multiple chronic diseases.

The Definition and Categories of Positive Solitude: Older and Younger Adults’ Perspectives on Spending Time by Themselves

2020 ◽  
pp. 009141502095737
Author(s):  
Sharon Ost Mor ◽  
Yuval Palgi ◽  
Dikla Segel-Karpas
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Qualitative Study ◽  
Old Age ◽  
Age Groups ◽  
Younger Adults ◽  
Definition Of

This paper attempts to develop a better understanding of the positive solitude (PS) phenomenon and its meaning among age groups, as well as formulate a unanimous definition for PS. A qualitative study ( N = 124) was conducted. Participants were gerontology professionals and laypeople. Interviews were conducted and content was analyzed in order to understand the essence of PS, themes, and subthemes. Two major categories were found: the essence and the components of the PS experience. Seven PS content categories and three meta-themes were raised: (1) PS is a matter of choice; (2) PS is satisfying and enjoyable; and (3) PS is meaningful. Differences in PS categories between younger and older adults were found. The meta-themes served as the foundation of a new definition. PS has different attributes in old age. A unified definition of PS may help distinguishing between PS and other forms of being alone. Recognizing and facilitating the PS experience among older adults might be beneficial and contribute to their quality of life.

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