Association Between Neighborhood Disadvantage and Hypertension Prevalence, Awareness, Treatment, and Control in Older Adults: Results From the University of Alabama at Birmingham Study of Aging

Little is known about the effect of reduced vision on physical activity in older adults. This study evaluates the association of visual acuity level, self-reported vision, and ocular disease conditions with leisure-time physical activity and calculated caloric expenditure. A cross-sectional study of 911 subjects 65 yr and older from the University of Alabama at Birmingham Study of Aging (SOA) cohort was conducted evaluating the association of vision-related variables to weekly kilocalorie expenditure calculated from the 17-item Leisure Time Physical Activity Questionnaire. Ordinal logistic regression was used to evaluate possible associations while controlling for potential confounders. In multivariate analyses, each lower step in visual acuity below 20/50 was significantly associated with reduced odds of having a higher level of physical activity, OR 0.81, 95% CI 0.67, 0.97. Reduced visual acuity appears to be independently associated with lower levels of physical activity among community-dwelling adults.

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Dietary patterns and diet quality among diverse older adults: The university of Alabama at Birmingham study of aging

The journal of nutrition health & aging ◽

10.1007/s12603-012-0082-4 ◽

2012 ◽

Vol 17 (1) ◽

pp. 19-25 ◽

Cited By ~ 45

Author(s):

Pao Ying Hsiao ◽

D. C. Mitchell ◽

D. L. Coffman ◽

R. M. Allman ◽

J. L. Locher ◽

...

Keyword(s):

Older Adults ◽

Diet Quality ◽

Dietary Patterns ◽

University Of Alabama ◽

The University

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ỨNG DỤNG ĐẠI SỐ GIA TỬ TRONG DỰ BÁO CHUỖI THỜI GIAN MỜ

Vietnam Journal of Science and Technology ◽

10.15625/0866-708x/54/2/5242 ◽

2016 ◽

Vol 54 (2) ◽

pp. 161

Author(s):

Nguyễn Cát Hồ ◽

Nguyễn Công Điều ◽

Vũ Như Lân

Keyword(s):

Time Series ◽

Time Series Forecasting ◽

Fuzzy Time Series ◽

Fuzzy Approach ◽

University Of Alabama ◽

Simple Arithmetic ◽

Proposed Model ◽

Improving Accuracy ◽

The University ◽

And Control

Fuzzy time series given by Song & Chissom (1993) in magazine "Fuzzy Sets and Systems" has been widely studied for forecasting purposes. However, the accuracy of forecasts based on the concept of fuzzy approach of Song & Chissom is not high because of such depends on many factors. Chen (1996) proposed an efficient fuzzy time series model which consists of simple arithmetic calculations only. After that, this has been widely studied for improving accuracy of forecasting in many applications to get better results. The hedge algebras developed by Nguyen and Wechler (1990) was completely different from the fuzzy approach. Here the hedge algebras was used to model linguistic domains and variables and their semantic structure is obtained. Instead of performing fuzzification and defuzzification, more simple methods are adopted, termed as semantization and desemantization, respectively. The hedge algebras based fuzzy system is a new topic, which was first applied to fuzzy control 2008 [16]. Hedge algebras applications for some specific problems in the field of information technology and control has a number of important results and confirm advantages of this approach in comparing with fuzzy approach. In continuilty of hedge algebras applications, this paper is mainly focused on the field of fuzzy time series forecasting under hedge algebras approach. In this paper, we present a new approach using hedge algebras to provide a computational model, which is completely different from the fuzzy approach for fuzzy time series forecasting. The experimental results of forecasting enrollments of students of the University of Alabama show that the model of fuzzy time series based on hedge algebras is better than many existing models. We can see that the proposed model gains higher forecasting accuracy than the original model presented by Song and Chissom (1993b), Chen (1996, 2002), or Lee (2009), Qiu (2011), Egrioglu (2012), Ozdemir ( 2012) and Uslu (2013).

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INTEREST GROUP SESSION—PATIENT/PERSON ENGAGEMENT IN RESEARCH INTEREST GROUP (PPER-IG): STRENGTH IN AGE: ENGAGING OLDER ADULTS AS HEALTH RESEARCHERS THROUGH COMMUNITY-BASED PARTNERSHIPS

Innovation in Aging ◽

10.1093/geroni/igz038.1500 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S404-S404

Author(s):

Silvia Sörensen ◽

Rebecca S Allen ◽

Reza Yousefi Nooraie

Keyword(s):

Older Adults ◽

Interest Group ◽

Health Research ◽

Deep South ◽

University Of Alabama ◽

Community Members ◽

Patient Centered ◽

Community Stakeholders ◽

Research Findings ◽

The University

Abstract The lack of clear translation of health research to improving older under-served patients’ lives presents a serious problem. Studies of aging rarely include the older adults themselves in the process of conceptualizing questions, implementing the research, and applying and evaluating the results. Lack of input particularly from marginalized and minority older adults may compromise the relevance and accuracy of health research findings. In this symposium, we present the design and evaluation of two projects funded by the Patient-Centered Outcomes Research Institute (PCORI), in which older adults are trained to understand research language, culture, and methods, and are subsequently incorporated into research projects in a variety of roles. Silvia Sörensen will describe the “Engaging Older Adult Learners as Health Researchers” (ENGOAL) in Rochester, NY. This program provides six months of weekly classes and 4-6 months of research apprenticeships for older adults. Dorine Otieno and Kate Kondolf will describe evaluation results from both quantitative and qualitative analyses. Rebecca Allen will describe the design and implementation of “Sharing Opinions and Advice about Research (SOAR) in the Deep South,” a partnership of The University of Alabama with community stakeholders from Sumter and Holt County to recruit and train community members to assist in the formulation of research questions based on the needs of their communities. Allen and Dragan will present the evaluation results from this project with regard to implementation and graduate education. Reza Yousefi-Nooraie will synthesize the insights from these projects and add the perspective of a social network analyst.

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Awareness, treatment, and control of hypertension in adults aged 45 years and over and their spouses in India: A nationally representative cross-sectional study

PLoS Medicine ◽

10.1371/journal.pmed.1003740 ◽

2021 ◽

Vol 18 (8) ◽

pp. e1003740

Author(s):

Sanjay K. Mohanty ◽

Sarang P. Pedgaonkar ◽

Ashish Kumar Upadhyay ◽

Fabrice Kämpfen ◽

Prashant Shekhar ◽

...

Keyword(s):

Older Adults ◽

Living Arrangement ◽

Diet Restriction ◽

Indian States ◽

Salt Diet ◽

Hypertension Prevalence ◽

Disadvantaged Groups ◽

Socially Disadvantaged ◽

Nationally Representative ◽

And Control

Background Lack of nationwide evidence on awareness, treatment, and control (ATC) of hypertension among older adults in India impeded targeted management of this condition. We aimed to estimate rates of hypertension ATC in the older population and to assess differences in these rates across sociodemographic groups and states in India. Methods and findings We used a nationally representative survey of individuals aged 45 years and over and their spouses in all Indian states (except one) in 2017 to 2018. We identified hypertension by blood pressure (BP) measurement ≥140/90 mm Hg or self-reported diagnosis if also taking medication or observing salt/diet restriction to control BP. We distinguished those who (i) reported diagnosis (“aware”); (ii) reported taking medication or being under salt/diet restriction to control BP (“treated”); and (iii) had measured systolic BP <140 and diastolic BP <90 (“controlled”). We estimated age–sex adjusted hypertension prevalence and rates of ATC by consumption quintile, education, age, sex, urban–rural, caste, religion, marital status, living arrangement, employment status, health insurance, and state. We used concentration indices to measure socioeconomic inequalities and multivariable logistic regression to estimate fully adjusted differences in these outcomes. Study limitations included reliance on BP measurement on a single occasion, missing measurements of BP for some participants, and lack of data on nonadherence to medication. The 64,427 participants in the analysis sample had a median age of 57 years: 58% were female, and 70% were rural dwellers. We estimated hypertension prevalence to be 41.9% (95% CI 41.0 to 42.9). Among those with hypertension, we estimated that 54.4% (95% CI 53.1 to 55.7), 50.8% (95% CI 49.5 to 52.0), and 28.8% (95% CI 27.4 to 30.1) were aware, treated, and controlled, respectively. Across states, adjusted rates of ATC ranged from 27.5% (95% CI 22.2 to 32.8) to 75.9% (95% CI 70.8 to 81.1), from 23.8% (95% CI 17.6 to 30.1) to 74.9% (95% CI 69.8 to 79.9), and from 4.6% (95% CI 1.1 to 8.1) to 41.9% (95% CI 36.8 to 46.9), respectively. Age–sex adjusted rates were lower (p < 0.001) in poorer, less educated, and socially disadvantaged groups, as well as for males, rural residents, and the employed. Among individuals with hypertension, the richest fifth were 8.5 percentage points (pp) (95% CI 5.3 to 11.7; p < 0.001), 8.9 pp (95% CI 5.7 to 12.0; p < 0.001), and 7.1 pp (95% CI 4.2 to 10.1; p < 0.001) more likely to be aware, treated, and controlled, respectively, than the poorest fifth. Conclusions Hypertension prevalence was high, and ATC of the condition were low among older adults in India. Inequalities in these indicators pointed to opportunities to target hypertension management more effectively and equitably on socially disadvantaged groups.

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The prevalence, awareness, treatment, and control of hypertension in older adults with an intellectual disability in Ireland: a cross sectional study

European Journal of Cardiovascular Nursing ◽

10.1093/eurjcn/zvaa019 ◽

2021 ◽

Author(s):

Frances O’Brien ◽

Philip McCallion ◽

Rachael Carroll ◽

Máire O’Dwyer ◽

Eilish Burke ◽

...

Keyword(s):

Older Adults ◽

Intellectual Disability ◽

Female Gender ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Hypertension Prevalence ◽

Disease Mortality ◽

Nationally Representative ◽

And Control

Abstract Aims Hypertension is a leading risk factor for cardiovascular disease, accounting for almost 50% of ischaemic heart disease mortality. This study aims to identify the prevalence, awareness, treatment, and control of hypertension and their predictors in older adults with an intellectual disability (ID). Methods and results This cross-sectional study utilized data from the ID Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA). Participants were drawn from the nationally representative sample and included those who completed the self/informant report measures, in addition to objective blood pressure (BP) measurement. From the 551 individuals with ID, aged ≥40 years, hypertension prevalence was 35.2% [95% confidence interval (CI) 31.2–39.2%]. Of those with hypertension, 44.3% (95% CI 37.1–51.5%) were aware of their hypertensive status, and 64.2% (95% CI 57.3–71.1) were taking antihypertensive medication. Among those on treatment, 70.8% (95% CI 61.8–78.2%) had their BP controlled to below 140/90 mmHg. Significant predictors of awareness were age (P = 0.036) and level of ID (P = 0.004), predictors of treatment were age (P = 0.002), level of ID (P = 0.019), and diabetes (P = 0.001). Both diabetes and female gender were predictors of control of hypertension (P = 0.013 and P = 0.037, respectively). Conclusion The prevalence of hypertension in older adults with ID was lower than reports for the general Irish population, with overall levels of treatment and control, when identified, higher in the ID population. There was under-treatment and lower levels of awareness among those with more severe ID, which requires addressing. The finding, that when diagnosed, people with ID respond well to treatment should encourage addressing the under-treatment found here.

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