La douleur arthritique, les limites et les incapacités fonctionnelles chez les personnes âgées

2006 ◽  
Vol 25 (4) ◽  
pp. 401-412
Author(s):  
Paul Bourque ◽  
Joëlle Dionne ◽  
Sarah Pakzad ◽  
Dolores Pushkar ◽  
François Béland

ABSTRACTThe impact of arthritic pain, depression, and perceived health on functional limitations and disability in older persons is not clear. This study investigated the role of arthritic pain in functional limitations and disability in older persons. The sample consisted of 1,211 French-speaking persons aged 65 or older. Approximately 32 per cent of the subjects reported having arthritic pain, of whom 13 per cent reported considerable functional limitations. The results show that arthritic pain, age, gender, education, chronic illnesses, perceived health, and depression explained 28 per cent of the variance in functional limitations and 30 per cent of the variance in disability. The present results have implications for the prevention and management of functional limitations and disability in older persons.

2021 ◽  
Vol 12 ◽  
Author(s):  
Carol A. Holland ◽  
Alexis Boukouvalas ◽  
Danielle Clarkesmith ◽  
Richard Cooke

Autobiographical memory specificity has been associated with cognitive function, depression, and independence in older adults. This longitudinal study of 162 older adults moving to active supported living environments tracks changes in the role of the ability to recall specific autobiographical memory as a mediator between underlying cognitive function, or depression, and outcome perceived health or independence (e.g., Instrumental Activities of Daily Living, IADLs), across 18 months, as compared with controls not moving home. Clear improvements across time in autobiographical specificity were seen for residents but not controls, supporting the role of a socially active environment, and confirmed by correlation with number of activities reported in diaries, although the impact of diary activities on the effect of time on autobiographical specificity was not found. The role of autobiographical specificity in mediating general cognition and outcome functional limitations was clear for social limitations at 12 and 18 months, but its role in mediating effects of executive function and perceived health persisted throughout. The role of specificity in mediating between depression and perceived health, IADLs, and Functional Limitations persisted throughout. Analysis examining autobiographical specificity and depression as joint mediators between cognition and independence showed a forward effect such that higher specificity scores reduced the negative mediation effect of depression on independence. Finally, data showed the reduction of many of these mediations over time, supporting the role of autobiographical memory in times of change in a person's social situation. Data support potential autobiographical memory intervention development.


1998 ◽  
Author(s):  
G. I. J. M. Kempen ◽  
M. J. G. van Heuvelen ◽  
E. van Sonderen ◽  
R. H. S. van den Brink ◽  
A. C. Kooijman ◽  
...  

Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1275 ◽  
Author(s):  
Mariane Lutz ◽  
Guillermo Petzold ◽  
Cecilia Albala

The population of older adults is growing globally. This increase has led to an accumulation of chronic illnesses, so-called age-related diseases. Diet and nutrition are considered the main drivers of the global burden of diseases, and this situation applies especially to this population segment. It relates directly to the development of coronary heart disease, hypertension, some types of cancer, and type 2 diabetes, among other diseases, while age-associated changes in body composition (bone and muscle mass, fat, sarcopenia) constitute risk factors for functional limitations affecting health status and the quality of life. Older adults present eating and swallowing problems, dry mouth, taste loss, and anorexia among other problems causing “anorexia of aging” that affects their nutritional status. The strategies to overcome these situations are described in this study. The impact of oral food processing on nutrition is discussed, as well as approaches to improve food acceptance through the design of innovative foods. These foods should supply a growing demand as this group represents an increasing segment of the consumer market globally, whose needs must be fulfilled.


2021 ◽  
pp. 109634802110584
Author(s):  
Hakseung Shin ◽  
Juhyun Kang ◽  
Abhinav Sharma ◽  
Juan Luis Nicolau

The ongoing debate about vaccine passport policies for dealing with COVID-19 has necessitated analyzing its effectiveness in the airline and tourism industry. This study was purposed to analyze how vaccine passports are evaluated by multiple stakeholders, such as airline investors and passengers for leisure/vacation purposes. The findings of the first study show that the implementation of vaccine passports is positively evaluated by airline investors. The results of the second study highlight the role of vaccine passports in reducing perceived health risks, which is integral to leisure travelers’ decision making. This study offers a theoretical lens to understand the value of vaccine passports and provides guidance for airline companies and tourism marketers in deciding whether to implement a vaccine passport policy.


2001 ◽  
Vol 60 (4) ◽  
pp. 244-252 ◽  
Author(s):  
Oliver Klein ◽  
Laurent Licata

We present a study investigating the role of social identity processes in the explanation of intergroup differences. By transposing the fundamental attribution error hypothesis ( Pettigrew, 1979 ), we predict that the explanation for differences favoring the out-group will be preferentially attributed to “external” factors (socio-structural factors or the action of a deviant sub-group). When differences favour the in-group, internal explanations (emphasizing cultural differences or differences in personality traits) are more likely to be selected. Moreover, if these differences are driven by identity protection, they should be highest among high identifiers. The study, which was conducted among Dutch-Speaking (N = 53) and French Speaking (N = 50) Belgian students, involved the explanation of four differences between the two linguistic groups. The data support the hypotheses in the case of two of these differences, French speakers being more likely to attribute differences favoring the in-group to internal causes than Dutch speakers, especially if they are strongly identified with their linguistic group. Results with respect to the two other differences are discussed within the framework of social identity theory.


2020 ◽  
Author(s):  
Olivera Bukvic ◽  
Gunilla Carlsson ◽  
Giedre Gefenaite ◽  
Björn Slaug ◽  
Steven M. Schmidt ◽  
...  

Abstract This scoping review addresses the role of functional limitations on evacuation performance of adults in public buildings. Although this topic has been addressed in evacuation research, no linkage is currently available between functional limitations, the predominant activities affected by them and evacuation performance. This review strives to open a debate on the need to classify the impact of disability in terms of functional limitations on evacuation performance according to methods adopted in health science. This paper reviews literature concerning evacuation from public buildings with adults aged ≥ 60 years and/or adults aged ≥ 18 years with functional limitations. The International Classification of Functioning, Disability and Health has been used to identify predominant activities during an evacuation and to perform a structured classification at different levels of resolution to address self-evacuation possibilities. Results of the review are presented in a tabular form linking predominant activities in terms of the International Classification of Functioning, Disability and Health and six categories of functional limitations with the engineering evacuation time-line. The suggested classification can facilitate the assessment of the evacuation-related issues in buildings in relation to the population under consideration. The main research gaps identified include the lack of studies concerning the impact of cognitive limitations on egress, and the need to add the temporal dimension to the methods adopted in accessibility research to allow for their use in the egress field.


2021 ◽  
Vol 11 (6) ◽  
pp. 551
Author(s):  
Anca Andreea Boboc ◽  
Carmen Nicoleta Novac ◽  
Maria Teodora Ilie ◽  
Mara Ioana Ieșanu ◽  
Felicia Galoș ◽  
...  

Type 1 diabetes mellitus (T1DM) represents one of the most frequent chronic illnesses affecting children. The early diagnosis of this disease is crucial, as it plays a key role in preventing the development of a life-threatening acute complication: diabetic ketoacidosis. The etiopathogenetic role of viral infections has long been suggested and emerging data are pointing towards a complex bidirectional relationship between diabetes and COVID-19. The aim of this study is to assess the impact of the COVID-19 pandemic on the incidence and severity of new T1DM cases in children in Romania. We analyzed the differences between a group of 312 patients diagnosed with T1DM in the period 2003–2019 and a group of 147 children diagnosed during the pandemic. The data were investigated using statistical analysis of a series of relevant variables. The total number of newly diagnosed T1DM increased by 30.08% in the period March 2020–February 2021 compared to the previous years. The patients in the pandemic group had a higher mean age at the onset of T1DM, were less frequently living in an urban area, and presented a higher mean value of HbA1c. Diabetic ketoacidosis at the onset of T1DM was 67.40% more frequent, and a higher percentage of these patients presented with a severe form. The duration of T1DM symptoms did not differ significantly between the two groups. A number of 8 patients associated SARS-CoV-2 infection at the time of T1DM diagnosis.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 923-923
Author(s):  
Joanne Elayoubi ◽  
Monica Nelson

Abstract Social connections/engagement have been found to be potentially protective against depression and declines in physical functioning. We examined whether social connection/engagement was protective against depression and functional decline after stroke. Participants were 898 individuals with incident stroke from the Health and Retirement Study between 1998-2012. Multilevel modeling was used to examine how social connection/engagement were associated with trajectories of depressive symptoms and limitations with instrumental activities of daily living (IADLs). Models controlled for age, gender, education, and race. In addition, analyses with depressive symptoms as outcome controlled for functional limitations with ADLs. Participants who were lonely and did not have friends in their neighborhood pre-stroke had more depressive symptoms at the time of stroke. Participants with close children pre-stroke showed less increase in depressive symptoms over time. Within-person increase in loneliness and within-person decline in providing help were related to more depressive symptoms post-stroke. Participants who felt lonely and did not provide help pre-stroke had more IADL limitations at the time of stroke. Smaller pre-stroke household size and pre-stroke volunteering were associated with less increase in IADL limitations with stroke. Within-person increase in having friends and providing help after stroke were associated with fewer IADL limitations post-stroke. Taken together, these findings suggest that social connection/engagement may buffer the negative psychological and physical outcomes of a stressful event such as stroke.


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