scholarly journals PREVALENCE AND CHARACTERISTICS ASSOCIATED WITH ALCOHOL USE AND ALCOHOL RELATED PROBLEMS IN COMMUNITY DWELLING OLDER ADULTS

2019 ◽  
pp. 1-11
Author(s):  
Y. van Gils ◽  
E. Franck ◽  
S.J.P. van Alphen ◽  
E. Dierckx
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Alcohol Use ◽  
Binge Drinking ◽  
Associated Factors ◽  
Alcohol Problems ◽  
Hazardous Drinking ◽  
Community Dwelling ◽  
Community Dwelling Older Adults ◽  
Alcohol Related Problems

Objective: This study examine the prevalence, characteristics and associated factors of alcohol use and alcohol related problems among Belgian community dwelling older adults. Design: Retrospective cross-sectional study by extensive examination survey. Setting: The participants were questioned in their homes or in community centres. Participants: Overall, 1,366 adults ≥65 years participated in this study. Method: Information about self-reported alcohol use during the past year, Health Related Quality of Life (HRQL) and alcohol related problems was gathered with respectively the AUDIT, SF36 and MAST-G. Results: Of the total sample, 84.4% reported alcohol consumption. Using the NIAAA guidelines, the overall prevalence for at risk drinking was 26.6% and for binge drinking 14.8%, both risky alcohol patterns. Logistic regression analyses were performed on the drinking sample to determine the predictors associated with at risk drinking, binge drinking and hazardous drinking. Being male, a smoker of former smoker and living alone were associated with at risk drinking. Being male, being aged 65-74 years, being a smoker, reporting polypharmacy, MCS and having recent loss experience were associated with binge drinking. More than 25% of respondents were classified as hazardous drinking (score ≥5 on MAST-G). Associated factors with hazardous drinking were being male, having a family history of alcohol problems, PCS and MCS. Conclusions: The prevalence rates for at risk alcohol patterns and alcohol related problems were higher than in previous studies. As older adults are more vulnerable to the adverse consequences of alcohol use, awareness about alcohol use should be raised among older adults, as well as amongst health care givers and researchers.

scholarly journals Epidemiology of at-risk alcohol use and associated comorbidities of interest among community-dwelling older adults: a protocol for a systematic review

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e035481 ◽  
Author(s):  
Maria Latanioti ◽  
Jean-Pierre Schuster ◽  
Joelle Rosselet Amoussou ◽  
Marie-Pierre F. Strippoli ◽  
Armin von Gunten ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
At Risk ◽  
Alcohol Use ◽  
Assessment Tool ◽  
The Elderly ◽  
Community Dwelling ◽  
Cochrane Library ◽  
Ethical Approval ◽  
Community Dwelling Older Adults

IntroductionThere is little epidemiological evidence and knowledge about at-risk alcohol use among community-dwelling older adults and their chronic and acute alcohol-related comorbidities of interest. This systematic review will summarise and examine relevant studies about the epidemiology of at-risk alcohol use and associated comorbidities of interest in this population.MethodsWe will search the following databases, without language or date restrictions, from inception to 31 August 2019: Embase.com, Medline Ovid SP, Pubmed (NOT medline[sb]), CINAHL EBSCO, PsycINFO Ovid SP, Central—Cochrane Library Wiley and Web of Science (Core Collection). Search strategies will be developed in collaboration with a librarian. We will use predefined search terms for alcoholism, epidemiology, the elderly, living place and comorbidities of interest, as well as terms related to the identification of “measurements”, “tools” or “instruments” for measuring harm from alcohol use. At-risk status will be determined by the amount of alcohol consumed and any comorbidities of interest associated with at-risk alcohol use, with the latter being documented separately or using an assessment tool for at-risk drinking. We will also examine the bibliographies of all the relevant articles found and search for unpublished studies. We will consider publications in all languages.Ethics and disseminationNo ethical approval is necessary. Results will be presented in national and international conferences on addiction and published in a peer-reviewed journal.PROSPERO registration numberCRD42018099965.

scholarly journals Prevalence of low muscle mass and associated factors in community-dwelling older adults in Singapore

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Siew Ling Tey ◽  
Dieu Thi Thu Huynh ◽  
Yatin Berde ◽  
Geraldine Baggs ◽  
Choon How How ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Bone Mass ◽  
Muscle Mass ◽  
Odds Ratio ◽  
Associated Factors ◽  
Community Dwelling ◽  
Calf Circumference ◽  
Factors Associated ◽  
Community Dwelling Older Adults

AbstractThe population is rapidly aging worldwide, and there is an age-related decline in muscle mass. Therefore, it is important to examine the prevalence and associated factors of low appendicular skeletal muscle mass index (ASMI) in older adults. The objectives of this cross-sectional study were (i) to determine the prevalence of low ASMI (ASM/height2) and (ii) to identify factors associated with low ASMI. This study included 1211 community-dwelling adults aged ≥ 65 years. Low ASMI was defined as < 7.0 kg/m2 in males and < 5.7 kg/m2 in females (bioelectrical impedance analysis). Gender-specific cut-off values of calf circumference for low ASMI were determined. The prevalence of low ASMI in the overall cohort was 59.9%, i.e., 57.0% among males and 61.8% among females, with no significant difference between genders (P = 0.1068). The prevalence of low ASMI was 81.3% in individuals at risk of malnutrition compared to 20.6% in their counterparts with normal nutritional status (P < 0.0001). Participants with low ASMI were older, had lower physical activity scores, and greater likelihood of hospitalization in prior 6 months compared with normal ASMI (all P < 0.0001). Low ASMI was associated with risk of malnutrition (odds ratio: 3.58 for medium risk, odds ratio: 12.50 for high risk), older age, smoking, drinking, smaller calf circumference, and lower bone mass (all P ≤ 0.0328). Cut-off values of calf circumference for low ASMI for males was 33.4 cm and for females was 32.2 cm. In conclusion, we found that low ASMI was highly prevalent among community-dwelling older adults at risk of malnutrition. Other significant factors associated with low ASMI were age, smoking, drinking, calf circumference, and bone mass. Screening community-dwelling older adults for risk of malnutrition can prevent or delay onset of low ASMI.

scholarly journals Sarcopenia risk and associated factors among Chinese community-dwelling older adults living alone

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Li Cheng ◽  
Janet W. H. Sit ◽  
Helen Y. L. Chan ◽  
Kai Chow Choi ◽  
Regina K. Y. Cheung ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
At Risk ◽  
High Risk ◽  
Physical Activity Level ◽  
Associated Factors ◽  
Community Dwelling ◽  
Activity Level ◽  
Living Alone ◽  
Community Dwelling Older Adults

AbstractSarcopenia, defined as a progressive loss of muscle mass and reduced muscle strength and functional capacity, is common among older adults. This study aimed to assess the proportion of people at risk of sarcopenia and probable sarcopenia among Chinese community-dwelling older adults living alone and to identify the associated factors. A total of 390 older adults were included in this study. Sarcopenia and probable sarcopenia were defined according to the criteria of the Asian Working Group for Sarcopenia 2019. Data on socio-demographic characteristics, health status, health behaviours and lifestyle characteristics, nutritional status, physical activity level, and depressive symptoms were collected. The association between these characteristics and sarcopenia risk was analysed using a multivariate ordinal logistic regression. The proportion of subjects at risk of sarcopenia and probable sarcopenia was found to be 57.7% and 30%, respectively. Older age, being malnourished and being at risk of malnutrition were significantly associated with sarcopenia risk. Being educated to secondary level or above, being overweight or obese and higher physical activity level were associated with decreased sarcopenia risk. Our results showed that older adults living alone were at high risk of developing sarcopenia and probable sarcopenia. These results emphasise the urgent need to initiate aggressive screening and holistic lifestyle therapeutic intervention strategies for this high-risk population.

scholarly journals Prevalence of fear of falling and associated factors among Japanese community-dwelling older adults

Medicine ◽  
2018 ◽  
Vol 97 (4) ◽  
pp. e9721 ◽  
Author(s):  
Yoshihito Tomita ◽  
Kazuhiko Arima ◽  
Ritsu Tsujimoto ◽  
Shin-ya Kawashiri ◽  
Takayuki Nishimura ◽  
...  
Keyword(s):  
Older Adults ◽  
Associated Factors ◽  
Fear Of Falling ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Fall Awareness Behaviour And Its Associated Factors Among Community Dwelling Older Adults

2020 ◽  
Author(s):  
GOH JING WEN ◽  
Devinder Kaur Ajit Singh ◽  
NORMALA MESBAH ◽  
ANIS AFIFA MOHD HANAFI ◽  
ADLYN FARHANA AZWAN
Keyword(s):  
Older Adults ◽  
Associated Factors ◽  
Linear Regression Analysis ◽  
Community Dwelling ◽  
Functional Mobility ◽  
Timed Up And Go ◽  
Mortality And Morbidity ◽  
Falls In Older Adults ◽  
Causes Of Mortality ◽  
Community Dwelling Older Adults

Abstract Falls are one of the major causes of mortality and morbidity in older adults. However, despite adoption of prevention strategies, the number of falls in older adults has not declined. The aim of this study was to examine fall awareness behaviour and its associated factors. A total of 140 community dwelling older adults (mean age of 70.69±4.3 years) participated in this study. Physical performance was assessed using timed up and go(TUG), gait speed(GS), chair stand and hand grip tests. Fall Awareness Behaviour (FaB) and Fall Risk Assessment Questionnaires (FRAQ) were administered to assess behaviours and fall prevention knowledge respectively. Stepwise linear regression analysis showed that the practice of fall awareness behaviours (R2=.256) was significantly associated with being male [95% C.I: 2.178 to 7.789, p<.001], having lower BMI [95% C.I: -0.692 to -0.135, p<.05], living with family [95% C.I: 0.022 to 5.953, p<.05] and those having higher functional mobility [95% C.I: -2.008 to -0.164, p<.05]. Fall awareness behaviours should be emphasized among older females, those with lower functional mobility, higher BMI and living alone.

scholarly journals LONELINESS AND PHYSICAL ACTIVITY IN OLDER AGE: RESULTS OF THE RANDOMISED CONTROLLED STUDY OF PHYSICAL ACTIVITY INTERVENTION FOR LONELINESS (PAIL) IN COMMUNITY-DWELLING OLDER ADULTS

2020 ◽  
Vol 8 (4) ◽  
pp. 99-107
Author(s):  
Anastasia Shvedko
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
At Risk ◽  
Physical Activity Intervention ◽  
Retention Rate ◽  
Community Dwelling ◽  
Feasibility Trial ◽  
Controlled Study ◽  
Study Objective ◽  
Community Dwelling Older Adults

Study objective. The aim of this study was to examine the feasibility of a Physical Activity Intervention for Loneliness (PAIL) in community-dwelling older adults at risk of loneliness. Methods. Study design was a 12-week randomized controlled feasibility trial (RCT). Participants were 25 (mean age 68.5(8.05) years, range 60-92) healthy, inactive, community-dwelling older adults at risk for loneliness. The intervention consisted of group outdoor walking sessions with health education workshops once weekly, with a wait-list control condition. Estimation of recruitment, retention and adherence were feasibility outcomes. Body mass index, blood pressure, physical activity, and psychosocial variables were secondary outcomes. Results. Forty-eight participants were recruited over 4 months with a recruitment rate of 52.1% (25/48); 52% (25/48) met the inclusion criteria and 100% (25/25) were randomized into the intervention (N=12) and wait-listed (WL) control groups (N=13). At 12 weeks, 10/12 (83.3%; 95% CI 55.20 to 95.30) intervention and 10/13 (76.9%; 95% CI 49.74 to 91.82) control participants completed final assessments. The average attendance rate was 69.2% for the intervention group (range 25% – 91.7%) and 55% (range 25% – 91.7%) among controls. The a priori recruitment criteria for progression was not met. The retention rate satisfied the criteria of the study. No serious adverse events occurred. Conclusions. Community-dwelling older adults at risk of loneliness can safely participate in physical activity intervention for loneliness. However, to progress into a large-scale RCT, the design and methodology would need to be changed.

scholarly journals Hip Protectors for Community-Dwelling Older Adults

2021 ◽  
Vol 1 (9) ◽  
Author(s):  
Keeley Farrell ◽  
Melissa Walter
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Hip Fracture ◽  
Hip Fractures ◽  
Pelvic Fractures ◽  
Community Dwelling ◽  
Community Settings ◽  
Hip Protectors ◽  
Frail Older Adults ◽  
Community Dwelling Older Adults

In community-dwelling older adults who wore hip protectors there was no difference in the risk of hip fractures or pelvic fractures, compared to those who did not wear hip protectors. Three guidelines were identified that include recommendations around the use of hip protectors in older adults. One guideline suggests that hip protectors should be considered in adults at risk for falls and hip fracture. One guideline conditionally recommends hip protectors for frail older adults in the appropriate environment. One guideline suggests that hip protectors should not be considered in older adults in community settings.

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