scholarly journals Challenges of Ageing in Portugal: Data from the EpiDoC Cohort

2018 ◽  
Vol 31 (2) ◽  
pp. 80 ◽  
Author(s):  
Ana Maria Rodrigues ◽  
Maria João Gregório ◽  
Rute Dinis Sousa ◽  
Sara S Dias ◽  
Maria José Santos ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Health Resources ◽  
The Elderly ◽  
Depression Symptoms ◽  
Obesity Prevalence ◽  
Unhealthy Lifestyle ◽  
Cross Sectional ◽  
Lifestyle Behaviours

Introduction: Portuguese adults have a long lifespan, but it is unclear whether they live a healthy life in their final years. We aimed to determine the prevalence of multimorbidity and characterize lifestyle and other health outcomes among older Portuguese adults.Material and Methods: We performed a cross-sectional evaluation of 2393 adults, aged 65 and older, during the second wave of follow-up of the EpiDoC cohort, a population-based study involving long-term follow-up of a representative sample of the Portuguese population. Subjects completed a structured questionnaire during a telephone interview. Socioeconomic, demographic, lifestyle behaviours, chronic diseases, and health resources consumption were assessed. Cluster analysis was done to identify dietary patterns. Descriptive and analytic analysis was performed to estimate multimorbidity prevalence and its associated factors.Results: Multimorbidity prevalence among older adults was 78.3%, increased with age strata (72.8% for 65 – 69 years to 83.4% for ≥ 80 years), and was highest in Azores (84.9%) and Alentejo (83.6%). The most common chronic diseases were hypertension (57.3%), rheumatic disease (51.9%), hypercholesterolemia (49.4%), and diabetes (22.7%). Depression symptoms were frequent (11.8%) and highest in the oldest strata. The mean health-related quality of life (EQ-5D-3L) score was 0.59 ± 0.38. Hospitalization in the previous 12 months was reported by 25.8% of individuals. Overall, 66.6% of older adults were physically inactive. ‘Fruit and vegetables dietary pattern’ was followed by 85.4% of individuals; however, regional inequalities were found (69% in Azores). Obesity prevalence was 22.3% overall and was highest among Azoreans (33%).Conclusion: The high prevalence of multimorbidity, combined with unhealthy lifestyle behaviours, suggests that the elderly populationconstitutes a vulnerable group warranting dedicated intervention.

scholarly journals Prevalence of Falling and its relation with Chronic diseases and Balance of Older Adults in Urmia City

2019 ◽  
Vol 9 (4) ◽  
pp. 273-278
Author(s):  
Seyed Saeed Mazloomy Mahmoodabad ◽  
Moradali Zareipour ◽  
Mohsen Askarishahi ◽  
Alireza Beigomi
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Elderly People ◽  
The Elderly ◽  
Cluster Sampling ◽  
Balance Assessment ◽  
Cross Sectional ◽  
History Of ◽  
Assessment Questionnaire ◽  
Epidemic Diseases

Introduction: Falling is one of the most common and serious health problems in the elderly people. As a result of aging , the muscles will be departed, so it will be difficult to balance and gait. This study aims to Prevalence of falling and its relation with chronic diseases and balance of Older Adults in Urmia city. Methods: This is a cross-sectional (descriptive-analytic) study in which 200 elderly people were selected by random cluster sampling method. Data were collected by using a two-part questionnaire which was included demographic information, common epidemic diseases and history of falling of the elderly people in the last year and Tinetti balance assessment questionnaire. Data were analyzed by using t- test and logistic regression in SPSS v.21 software. Results: The results of this study showed that, the rate of falling was 30 percent. Diseases such as cardiovascular diseases, arthritis, osteoarthritis, stroke, visual impairment, respiratory disease, fecal incontinence increase the risk of falling in the elderly people. Logistic Recession Results show that old age (OR = 4.2, p = .04; 95%CI = 0.87-1.3)female (OR = 2.2, p = .03; 95%CI = 0.59-2.7)chronic disease (OR = 1.7, p = .05; 95%CI = 0.49-3.07)Poor economic situation (OR = 1.4, p = .008; 95%CI = 0.57-7.3) Low balance (OR = 9.6, p < .0001; 95%CI = 2.3-7.1)،increased the likelihood of falling elderly. Conclusion: The findings of this study showed that the rate of falling in Iranian elderly people is relatively high. The appropriate and effective preventive interventions should be made according to effective factors in falling of older adults.  

scholarly journals HUBUNGAN PERSEPSI PENCEGAHAN DAN PERAWATANKELUARGA DENGAN KUALITAS HIDUP PADA LANSIA BERPENYAKIT KRONIS DI WILAYAH RW 06 KELURAHAN JOMBANG KECAMATAN CIPUTAT KOTA TANGERANG SELATAN TAHUN 2015

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Diah Ratnawati ◽  
Rina Nur Setyaningsih
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Chronic Diseases ◽  
Sampling Technique ◽  
Chronically Ill ◽  
The Elderly ◽  
Personal Hygiene ◽  
Cross Sectional ◽  
Prevention And Treatment

Prevention and care of the elderly is to maintain the health of the elderly with regard food consumed, accompany and help the elderly carry out their activities and taking care of personal hygiene to maintain hygiene and optimal health that requires the support and attention of the family themselves. Quality of life in elderly quality is the functional condition of elderly in optimal conditions, so that they can enjoy their old age meaningful, happy and useful. The purpose of this research is to identify whether there is any relationship perception of prevention and treatment of families with the quality of life in older adults with chronic diseases. This study used cross sectional design, which used 81 samples using purposive sampling technique. The results obtained are elderly with < 65 years (58%) were female (63%) low education (58%) to stay with family (74%) and suffered from asthma (28%) for ≥ 3 months (56,8%). Perception prevention families with chronically ill elderly poor (55.6%) and family care punn poor (50.6%), thus affecting the quality of life in older adults with chronic diseases. Researchers suggest to families to better prevention and treatment to improve the quality of life of the elderly

scholarly journals Vitamin D and Hospital Admission in Older Adults: A Prospective Association

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 616
Author(s):  
Avril Beirne ◽  
Kevin McCarroll ◽  
James Bernard Walsh ◽  
Miriam Casey ◽  
Eamon Laird ◽  
...  
Keyword(s):  
Older Adults ◽  
Vitamin D ◽  
Hospital Admission ◽  
Cross Sectional Study ◽  
Vitamin D Supplementation ◽  
Inverse Association ◽  
Cross Sectional ◽  
Prospective Association ◽  
Randomised Controlled

The health effects of vitamin D are well documented, with increasing evidence of its roles beyond bone. There is, however, little evidence of the effects of vitamin D on hospitalisation among older adults. This study aimed to prospectively determine the relationship of vitamin D status in older adults with hospital admission and emergency department (ED) attendance. Trinity University of Ulster Department of Agriculture (TUDA) is a large cross-sectional study of older adults with a community population from three disease-defined cohorts (cognitive dysfunction, hypertension, and osteoporosis). Participants included in this analysis were recruited between 2008 and 2012. ED and hospital admission data were gathered from the date of TUDA participation until June 2013, with a mean follow up of 3.6 years. Of the 3093 participants, 1577 (50.9%) attended the ED during the period of follow-up. Attendees had lower mean serum 25(OH)D concentrations than non-attendees (59.1 vs. 70.6 nmol/L). Fully adjusted models showed an inverse association between vitamin D and ED attendance (Hazard Ratio (HR) 0.996; 95% Confidence Interval (CI) 0.995–0.998; p < 0.001). A total of 1269 participants (41%) were admitted to hospital during the follow-up. Those admitted had lower mean vitamin D concentrations (58.4 vs. 69.3 nmol/L, p < 0.001). In fully adjusted models, higher vitamin D was inversely associated with hospital admission (HR 0.996; 95% CI 0.994–0.998; p < 0.001) and length of stay (LOS) (β = −0.95, p = 0.006). This study showed independent prospective associations between vitamin D deficiency and increased hospitalisation by older adults. The need for further evaluation of current recommendations in relation to vitamin D supplementation, with consideration beyond bone health, is warranted and should focus on randomised controlled trials.

scholarly journals Percepção da imagem corporal e indicadores antropométricos e de composição corporal associados em idosos

2019 ◽  
Vol 20 (6) ◽  
pp. 525-534
Author(s):  
Iasmim Batista Correia ◽  
Nathalie De Almeida Silva ◽  
Paulo Granges e Silva ◽  
Tarciana Nobre de Menezes
Keyword(s):  
Older Adults ◽  
Body Image ◽  
The Elderly ◽  
Body Image Dissatisfaction ◽  
Normal Weight ◽  
The Body ◽  
Image Perception ◽  
Cross Sectional ◽  
Significance Level ◽  
Body Image Perception

Aging leads to psychological losses and various physical changes that, associated with body-stereotyped patterns imposed by society, can cause disturbances in the body image perception (BIP) in the elderly. The aim of this study was to evaluate BIP in older adults living in the city of Campina Grande / PB and its relationship with different anthropometric and body composition indicators. This cross-sectional study was carried out with older adults of both sexes enrolled in the Family Health Strategy of Campina Grande, PB. BIP was considered as a dependent variable and body mass index (BMI), waist circumference (WC), triceps skinfold (TSF), and arm fat area (AFA) as independent variables. The association between BIP and anthropometric indicators was verified using the Pearson chi-square test (X²), simple and multiple logistic regression, with significance level of p <0.05. Overall, 420 older adults were interviewed (68.1% women), of whom 409 reported their actual body image perception. Regarding the perception of idealized body image, 11 individuals did not respond and 230 were satisfied, since 179 desired another silhouette. Individuals with BMI indicative of overweight / obesity were more likely of showing body image dissatisfaction compared to those with normal weight. Subjects with excessive TSF showed greater body image dissatisfaction in relation to those with normal weight. Women were more likely of showing body image dissatisfaction. Thus, it was observed that variables BMI, TSF and sex were independently associated with body image satisfaction.

scholarly journals Challenging the “jolly fat” hypothesis among older adults: High body mass index predicts increases in depressive symptoms over a 5-year period

2016 ◽  
Vol 23 (1) ◽  
pp. 48-58 ◽  
Author(s):  
Peter Joseph Dearborn ◽  
Michael A Robbins ◽  
Merrill F Elias
Keyword(s):  
Older Adults ◽  
Body Mass Index ◽  
Depressive Symptoms ◽  
Body Mass ◽  
Functional Limitations ◽  
High Body Mass Index ◽  
Obesity Prevalence ◽  
Community Based ◽  
Objectively Measured

Several investigators have observed lowered risk of depression among obese older adults, coining the “jolly fat” hypothesis. We examined this hypothesis using baseline and a 5-year follow-up body mass index, depressive symptoms, and covariates from 638 community-based older adults. High objectively measured body mass index and functional limitations predicted increased future depressive symptoms. However, symptoms did not predict future body mass index. Self-reported body mass index showed similar associations despite underestimating obesity prevalence. Results did not differ on the basis of gender. Results for this study, the first longitudinal reciprocal risk analysis between objectively measured body mass index and depressive symptoms among older adults, do not support the “jolly fat” hypothesis.

Abstract WMP57: Declining Blood Pressure is Associated with Subcortical Microinfarcts in Older Adults

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Mekala R Raman ◽  
Jonathan Graff-Radford ◽  
Scott A Przybelski ◽  
Timothy G Lesnick ◽  
Michelle M Mielke ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Elderly Population ◽  
Adult Population ◽  
Blood Pressure Measurement ◽  
The Elderly ◽  
Pressure Measurements ◽  
Autopsy Study ◽  
Cross Sectional ◽  
Blood Pressures

Hypertension is highly prevalent in the elderly population and microinfarcts are the most common vascular brain pathology identified in older adults at autopsy. We investigated the associations between systolic and diastolic blood pressures measured antemortem and the presence of microinfarcts at autopsy. Study subjects (n=302; age range=71-95) were participants in the population-based Mayo Clinic Study of Aging autopsy study, who had blood pressure measurements recorded during life. We investigated both cross-sectional systolic and diastolic blood pressure measurements at the baseline visit and the change in blood pressure (slope). Presence and location (subcortical or cortical) of chronic microinfarcts was abstracted from the autopsy reports. Of the 302 study subjects, 47 (16%) had cerebral microinfarcts, and, of those, 18 (38%) had subcortical microinfarcts and 29 (62%) had only cortical microinfarcts. The baseline blood pressures were not different between subjects with no microinfarcts, subcortical microinfarcts, and only cortical microinfarcts. In a logistic regression model including time between last blood pressure measurement and death, a greater decline in systolic [OR= 1.06 (1.01, 1.11); p=0.02]) and greater decline in diastolic [OR= 1.11 (1.02, 1.20); p=0.01] blood pressures were predictors of the presence of subcortical microinfarcts at autopsy. However, these variables were not associated with the presence of cortical microinfarcts. In conclusion, microinfarcts are common in the older adult population, and most of them are located in the cortex. A greater decline in both systolic and diastolic blood pressures and their association with subcortical microinfarcts, but not with cortical microinfarcts, may have implications for aggressive lowering of blood pressure in the elderly population.

Factors Associated With Informational Support in Transitional Care for Older Adults With Chronic Diseases: A Cross-Sectional Study

2021 ◽  
pp. 105477382110518
Author(s):  
Gui-Ling Geng ◽  
Wen-Wen Yang ◽  
Xiao-Liu Shi ◽  
Jia-Ning Hua ◽  
Min Cui ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Transitional Care ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Informational Support ◽  
Cross Sectional ◽  
Care Survey ◽  
Strobe Statement ◽  
Care Study

To evaluate the current situation and associated factors of informational support for older adults with chronic diseases in transitional care. Study was conducted in five hospitals of five different cities in Jiangsu Province, China. A random cluster sample of 800 older adults with chronic diseases responded to the informational support questionnaire of transitional care survey. Descriptive analysis, t-tests, variance analysis, and stepwise multiple linear regression were used to analyze data. The STROBE statement for observational studies was applied. Total score of ISQTC for older adults with chronic diseases was (44.05 ± 17.21). Marital status, educational level, past occupation, close friends, medical insurance, complications, and exercise habits were significantly correlated with informational support. The level of informational support in transitional care for older adults with chronic diseases was low. Clinical staff should periodically and primarily assess their informational support, help find information resources for those who have low initial informational support, and identify which information they preferred to carry out accurate transitional care.

scholarly journals Trends, Coverage and Influencing Determinants of Influenza Vaccination in the Elderly: A Population-Based National Survey in Spain (2006–2017)

Vaccines ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 327
Author(s):  
Silvia Portero de la Cruz ◽  
Jesús Cebrino
Keyword(s):  
Influenza Vaccination ◽  
Chronic Diseases ◽  
Vaccination Coverage ◽  
Public Health Problem ◽  
Risk Groups ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significant Public Health

Influenza is a significant public health problem and the elderly are at a greater risk of contracting the disease. The vaccination coverage of the elderly is below the Spanish target of 65% for each influenza season. The aims of this study were to report the coverage of influenza vaccination in Spain among the population aged ≥65 years and high-risk groups for suffering chronic diseases, to analyze the time trends from 2006 to 2017 and to identify the factors which affect vaccination coverage. A nationwide cross-sectional study was conducted including 20,753 non-institutionalized individuals aged ≥65 years who had participated in the Spanish National Health Surveys in 2006, 2011/2012, and 2017. Sociodemographic, health-related variables, and influenza vaccination data were used. A logistic regression analysis was performed to determine the variables associated with influenza vaccination. Influenza vaccination coverage was 60%. By chronic condition, older people with high cholesterol levels and cancer had the lowest vaccination coverage (62.41% and 60.73%, respectively). This coverage declined from 2006 to 2017 in both groups. Higher influenza vaccination was associated with males, Spanish nationality, normal social support perceived, polypharmacy, worse perceived health, participation in other preventive measures, and increasing age and the number of chronic diseases.

scholarly journals Polypharmacy, chronic diseases and nutritional markers in community-dwelling older

2014 ◽  
Vol 17 (4) ◽  
pp. 818-829 ◽  
Author(s):  
Erika Aparecida Silveira ◽  
Luana Dalastra ◽  
Valéria Pagotto
Keyword(s):  
Chronic Diseases ◽  
The Elderly ◽  
Community Dwelling ◽  
Daily Consumption ◽  
Cross Sectional ◽  
Percentage Body Fat ◽  
Significance Level ◽  
Feminine Gender ◽  
Nutritional Surveillance ◽  
Cross Sectional Design

Polypharmacy is a common practice among the elderly, but few studies have evaluated its association with nutritional markers. The aim of this study was to estimate the prevalence of polypharmacy and its association with nutritional markers, chronic diseases, sociodemographic and health variables. This research is part of the Study Elderly/Goiânia, which evaluated 418 elderly community in a cross-sectional design. Polypharmacy was defined as the use of five or more concomitant medications. The following nutritional markers were investigated: BMI, waist circumference, percentage body fat, weight gain and loss, use of diet, daily consumption of fruits, vegetables, skimmed and whole milk. Multivariate analysis was performed using hierarchical Poisson regression, with significance level set at 5%. The prevalence of polypharmacy was 28% (95%CI 23.1 - 32.5), with a significant association with feminine gender, age range 75 - 79 years, eutrophic nutritional status and obesity, use of diet, poor self-rated health and presence of two, three or more chronic diseases. The high prevalence of polypharmacy and its association with nutritional markers and chronic diseases call the attention for the need of nutritional surveillance and monitoring in the elderly.

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