scholarly journals Polypharmacy, inappropriate medication use and associated factors among brazilian older adults

2020 ◽  
Vol 28 (3) ◽  
pp. 400-408
Author(s):  
Juliana Lima Constantino ◽  
Ronielly Pereira Bozzi ◽  
Gustavo Pinheiro Machado Motta de Souza ◽  
Renan Marchesi ◽  
Antonio José Lagoeiro Jorge ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Associated Factors ◽  
Population Aging ◽  
Inappropriate Medication ◽  
Prevalence Rates ◽  
Family Health Program ◽  
Background Population ◽  
Multiple Drugs ◽  
Multiple Chronic Diseases

Abstract Background Population aging is still an important worldwide phenomenon. Elderly people suffer from multiple chronic diseases that require the use of several drugs, and this demographic scenario fosters the increased prescription of multiple drugs, or Polypharmacy (PP) and Potentially Inappropriate Medication (PIM). Objective This study aimed to identify the prevalence rates and associated factors of PP and PIM in Brazilian older adults. Method The prevalence of PIM use and PP was estimated in a sample of 222 patients enrolled in the Family Health Program in Niterói, Brazil. Logistic regression models were used to analyze the data. Age and sex were kept in the models as potential confounding factors. Results PP and PIM use presented prevalence rates of 23.9 and 24.8%, respectively. PP was associated with body mass index, coronary heart disease, diabetes mellitus, and a number of comorbidities, whereas PIM use was associated with PP. Conclusion The prevalence rates of PP and PIM use found were lower than those reported in previous studies. This could be a result of differences in availability of drugs or prescribing habits. Multiple chronic diseases were associated with PP. These results suggest that more care should be taken in prescribing for the elderly population.

scholarly journals Changing Educational Gradients in Life Expectancy With and Without Disease Among U.S. Older Adults From 2000 to 2010

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 505-505
Author(s):  
Matthew Farina ◽  
Phillip Cantu ◽  
Mark Hayward
Keyword(s):  
Older Adults ◽  
Life Expectancy ◽  
Chronic Diseases ◽  
Population Aging ◽  
Good Health ◽  
Vital Statistics ◽  
Healthy Life Expectancy ◽  
Healthy Life ◽  
Education Group ◽  
Education Groups

Abstract Recent research has documented increasing education inequality in life expectancy among U.S. adults; however, much is unknown about other health status changes. The objective of study is to assess how healthy and unhealthy life expectancies, as classified by common chronic diseases, has changed for older adults across education groups. Data come from the Health and Retirement Study and National Vital Statistics. We created prevalence-based life tables using the Sullivan method to assess sex-specific life expectancies for stroke, heart disease, cancer, and arthritis by education group. In general, unhealthy life expectancy increased with each condition across education groups. However, the increases in unhealthy life expectancy varied greatly. While stroke increased by half a year across education groups, life expectancy with diabetes increased by 3 to 4 years. In contrast, the evidence for healthy life expectancy provides mixed results. Across chronic diseases, healthy life expectancy decreased by 1 to 3 years for respondents without a 4-year degree. Conversely, healthy life expectancy increased for the college educated by .5 to 3 years. While previous research shows increases in life expectancy for the most educated, trends in life expectancy with chronic conditions is less positive: not all additional years are in lived in good health. In addition to documenting life expectancy changes across education groups, research assessing health of older adults should consider the changing inequality across a variety of health conditions, which will have broad implications for population aging and policy intervention.

scholarly journals Prevalence of anemia and associated factors in older adults: evidence from the SABE Study

2014 ◽  
Vol 48 (5) ◽  
pp. 723-431 ◽  
Author(s):  
Ligiana Pires Corona ◽  
Yeda Aparecida de Oliveira Duarte ◽  
Maria Lucia Lebrão
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Associated Factors ◽  
Distribution Curve ◽  
Descriptive Analysis ◽  
Advanced Age ◽  
Depression Symptoms ◽  
Sabe Study ◽  
Aging Study ◽  
Prevalence Of Anemia

OBJECTIVE To assess the prevalence of anemia and associated factors in older adults. METHODS The prevalence and factors associated with anemia in older adults were studied on the basis of the results of the Saúde, Bem-Estar e Envelhecimento (SABE – Health, Welfare and Aging) study. A group of 1,256 individuals were interviewed during the third wave of the SABE study performed in Sao Paulo, SP, in 2010. The study included 60.4% females; the mean age of the participants was 70.4 years, and their average education was 5.3 years. The dependent variable was the presence of anemia (hemoglobin levels: 12 g/dL in women and 13 g/dL in men). Descriptive analysis and hierarchical logistic regression were performed. The independent variables were as follows: a) demographics: gender, age, and education and b) clinical characteristics: self-reported chronic diseases, presence of cognitive decline and depression symptoms, and body mass index. RESULTS The prevalence of anemia was 7.7% and was found to be higher in oldest adults. There was no difference between genders, although the hemoglobin distribution curve in women showed a displacement toward lower values in comparison with the distribution curve in men. Advanced age (OR = 1.07; 95%CI 0.57;1.64; p < 0.001), presence of diabetes (OR = 2.30; 95%CI 1.33;4.00; p = 0.003), cancer (OR = 2.72; 95%CI 1.2;6.11; p = 0.016), and presence of depression symptoms (OR = 1.75; 95%CI 1.06;2.88; p = 0.028) remained significant even after multiple analyses. CONCLUSIONS The prevalence of anemia in older adults was 7.7% and was mainly associated with advanced age and presence of chronic diseases. Thus, anemia can be an important marker in the investigation of health in older adults because it can be easily diagnosed and markedly affects the quality of life of older adults.

scholarly journals The Prevalence of Disease Clusters in Older Adults with Multiple Chronic Diseases – A Systematic Literature Review

PLoS ONE ◽  
2013 ◽  
Vol 8 (11) ◽  
pp. e79641 ◽  
Author(s):  
Judith Sinnige ◽  
Jozé Braspenning ◽  
François Schellevis ◽  
Irina Stirbu-Wagner ◽  
Gert Westert ◽  
...  
Keyword(s):  
Older Adults ◽  
Literature Review ◽  
Chronic Diseases ◽  
Systematic Literature Review ◽  
Disease Clusters ◽  
Multiple Chronic Diseases

scholarly journals The case for involving adult children outside of the household in the self-management support of older adults with chronic illnesses

2010 ◽  
Vol 6 (1) ◽  
pp. 34-45 ◽  
Author(s):  
John D. Piette ◽  
Ann Marie Rosland ◽  
Maria Silveira ◽  
Mohammed Kabeto ◽  
Kenneth M. Langa
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Adult Children ◽  
Self Care ◽  
Chronically Ill ◽  
Community Dwelling ◽  
Management Support ◽  
Telephone Contact ◽  
Multiple Chronic Diseases ◽  
Care Support

Objectives: This study sought to (1) identify barriers to spousal support for chronic illness self-care among community-dwelling older adults; and (2) describe the potential availability of self-care support from adult children living outside of the household. Methods: Nationally representative US sample of chronically ill adults aged 51+ were interviewed as part of the Health and Retirement Study (N = 14,862). Both participants and their spouses (when available) reported information about their health and functioning. Participants also reported information about their contact with adult children and the quality of those relationships. Results: More than one-third (38%) of chronically ill older adults in the US are unmarried; and when spouses are available, the majority of them have multiple chronic diseases and functional limitations. However, the vast majority of chronically ill older adults (93%, representing roughly 60 million Americans) have adult children, with half having children living over 10 miles away. Most respondents with children (78%) reported at least weekly telephone contact and that these relationships were positive. Roughly 19 million older chronically ill Americans have adult children living at a distance but none nearby; these children are in frequent telephone contact and respondents (including those with multiple chronic diseases) report that the relationships are positive. Discussion: As the gap between available health services for disease management and the need among community-dwelling patients continues to grow, adult children—including those living at a distance—represent an important resource for improving self-care support for people with chronic diseases.

scholarly journals A Comprehensive Protocol to Mitigate Inappropriate Medication in the Elderly

2015 ◽  
Vol 2 (6) ◽  
Author(s):  
Vera Vlahović-Palčevski
Keyword(s):  
Chronic Diseases ◽  
Elderly Population ◽  
Inappropriate Medication ◽  
The Elderly ◽  
Developed Countries ◽  
Multiple Chronic Diseases

The percentage of elderly population is increasing and it is estimated that by 2050 30% of the population in developed countries will be over 65. Elderly often have multiple chronic diseases that require multiple medications.

scholarly journals The impact of number of drugs prescribed on the risk of potentially inappropriate medication among outpatient older adults with chronic diseases

QJM ◽  
2013 ◽  
Vol 106 (11) ◽  
pp. 1009-1015 ◽  
Author(s):  
M.-C. Weng ◽  
C.-F. Tsai ◽  
K.-L. Sheu ◽  
Y.-T. Lee ◽  
H.-C. Lee ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Inappropriate Medication ◽  
Potentially Inappropriate Medication ◽  
The Impact

Use of the Chronic Disease Score to Measure Comorbidity in the Canadian Study of Health and Aging

2001 ◽  
Vol 13 (S1) ◽  
pp. 137-142 ◽  
Author(s):  
Chris MacKnight ◽  
Kenneth Rockwood
Keyword(s):  
Older Adults ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Statistical Models ◽  
Disease Score ◽  
Canadian Study ◽  
Medication Usage ◽  
Chronic Disease Score ◽  
Multiple Chronic Diseases

Most older adults have multiple chronic diseases. Consideration of these conditions can improve the performance of statistical models in epidemiological analyses. The Chronic Disease Score (CDS) is a measure of comorbidity derived from medication usage, which may have some advantages over measures derived from other sources. The calculation of the CDS from data contained in the Canadian Study of Health and Aging (CSHA) is described. This measure can be used to estimate comorbidity within the CSHA database.

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