scholarly journals Factors Associated With Low Handgrip Strength In Older People: Data Of The Study Of Chronic Diseases (EDOC-I)

2020 ◽  
Author(s):  
Cledir de Araújo Amaral ◽  
Thatiana Lameira Maciel Amaral ◽  
Gina Torres Rego Monteiro ◽  
Mauricio Teixeira Leite de Vasconcellos ◽  
Margareth Crisostomo Portela
Keyword(s):  
Older People ◽  
Chronic Diseases ◽  
Handgrip Strength ◽  
Age Groups ◽  
Health Assessment ◽  
Sample Survey ◽  
Older Individuals ◽  
Cross Sectional ◽  
Factors Associated ◽  
Important Health

Abstract Background Handgrip strength (HGS) is an important health biomarker, whose low scores have been shown to be associated with morbimortality. This study aimed to analyze the factors associated with low HGS in older persons in Rio Branco, Acre, Brazil. Methods The study was carried out with data from the Study of Chronic Diseases (EDOC-I) – Older People, a cross-sectional household PAPI probability sample survey performed with 1,016 people aged over 60 residing in Rio Branco in 2014. The low HGS was defined by the 20th percentile of the maximum HGS by sex and age group. Associations between variables of health status (psychological and physical) and low HGS, by sex, were estimated using logistic regression, expressed by adjusted ORs (aOR). Results Older individuals had lower median HGS than younger individuals (-6.0 kg among men and -2.6 kg among women). Women aged over 80 years had, on average, the lower quintile of HGS compared to women of the previous age groups. Factors independently associated with low HGS in men and women, respectively, were low weigh in body mass index [(aOR = 2.80; 95%CI: 1.19, 6.61) and (aOR = 2.61; 95%CI: 1.46, 4.66)], anemia [(aOR= 4.15; 95%CI: 2.09, 8.21) and (aOR = 1.80; 95%CI: 1.06, 3.06)] and diabetes as a risk factor in men (aOR 1.95; 95%CI: 1.00, 3.81). There was a higher chance of low HGS in men with partners (aOR = 2.44; 95%CI: 1.32, 4.51), smokers or former smokers (aOR = 3.25; 95%CI: 1.25, 8.44), with current self-assessment of health worse than the 12 previous months (aOR = 2.21; 95%CI: 1.14, 4.30) and dependence in activities of daily living (aOR = 2.92; 95%CI: 1.35, 6.30). Only among women, there was an increased chance of low HGS associated with altered waist-to-hip ratio (aOR = 1.79; 95%CI: 1.02, 3.12), insomnia (aOR = 1.83; 95%CI: 1.10, 3.03) and physical activity from displacement/occupation (aOR = 1.75; 95%CI: 1.08, 2.84). Conclusion Factors associated with low HGS are not common to sex and the inclusion of HGS as a component of health assessment seems to be a promising strategy for disease prevention and health promotion.

scholarly journals Factors Associated With Low Handgrip Strength in Older People: Data of the Study of Chronic Diseases (EDOC-I)

2020 ◽  
Author(s):  
Cledir de Araújo Amaral ◽  
Thatiana Lameira Maciel Amaral ◽  
Gina Torres Rego Monteiro ◽  
Mauricio Teixeira Leite de Vasconcellos ◽  
Margareth Crisostomo Portela
Keyword(s):  
Older People ◽  
Chronic Diseases ◽  
Handgrip Strength ◽  
Age Groups ◽  
Health Assessment ◽  
Sample Survey ◽  
Older Individuals ◽  
Cross Sectional ◽  
Factors Associated ◽  
Important Health

Abstract Background Handgrip strength (HGS) is an important health biomarker whose low scores have been shown to be associated with the morbimortality. This study aimed to analyze the factors associated with low HGS in older people in Rio Branco, Acre, Brazil. Methods The study was carried out with data from the Study of Chronic Diseases (EDOC-I) – Older People, a cross-sectional household PAPI probability sample survey performed with 1,016 people aged over 60 residing in Rio Branco in 2014. The low HGS was defined by the 20 th percentile of the maximum HGS by sex and age group. Associations between variables of health status (psychological and physical) and low HGS, by sex, were estimated using logistic regression, expressed by adjusted ORs (aOR). Results Older individuals had lower median HGS than younger individuals (-6.0 kg among men and -2.6 kg among women). Women aged over 80 had, on average, the lower quintile of HGS compared to women of the previous age groups. Factors independently associated with low HGS in men and women, respectively, were low weigh in body mass index [(aOR = 2.80; 95%CI: 1.19, 6.61) and (aOR = 2.61; 95%CI: 1.46, 4.66)], anemia [(aOR= 4.15; 95%CI: 2.09, 8.21) and (aOR = 1.80; 95%CI: 1.06, 3.06)] and diabetes as a risk factor in men (aOR 1.95; 95%CI: 1.00, 3.81). There was a higher chance of low HGS in men with partners (aOR = 2.44; 95%CI: 1.32, 4.51), smokers or former smokers (aOR = 3.25; 95%CI: 1.25, 8.44), with current self-assessment of health worse than the 12 previous months (aOR = 2.21; 95%CI: 1.14, 4.30) and dependence in activities of daily living (aOR = 2.92; 95%CI: 1.35, 6.30). Only among women, there was an increased chance of low HGS associated with altered waist-to-hip ratio (aOR = 1.79; 95%CI: 1.02, 3.12), insomnia (aOR = 1.83; 95%CI: 1.10, 3.03) and physical activity from displacement/occupation (aOR = 1.75; 95%CI: 1.08, 2.84). Conclusion Factors associated with low HGS are not the same between sexes, and the inclusion of HGS as a component of health assessment seems to be a promising strategy for disease prevention and health promotion.

scholarly journals Reference values and factors associated with hand grip strength among older adults living in southeastern Poland

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Agnieszka Wiśniowska-Szurlej ◽  
Agnieszka Ćwirlej-Sozańska ◽  
Justyna Kilian ◽  
Natalia Wołoszyn ◽  
Bernard Sozański ◽  
...  
Keyword(s):  
Older Adults ◽  
Older People ◽  
Reference Values ◽  
Handgrip Strength ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Normative Values ◽  
Dominant Hand ◽  
Cross Sectional ◽  
Factors Associated

AbstractHandgrip strength (HGS) is used as a biomarker for the state of health of older people, but the number of research publications containing the normative values of HGS in older adult populations is limited. The aim of the study was to define reference values and factors associated with HGS in older adults living in southeastern Poland. A cross-sectional study including 405 participants aged 65 and older was conducted. Handgrip strength for the dominant hand was assessed by the average of three trials using a JAMAR dynamometer. The sample was categorized into the following age groups: 65–69 years, 70–74 years, 75–79 years, 80–84 years, 85 and over. The average HGS was 19.98 kg (16.91 kg for women and 26.19 kg for men). There was a decrease in handgrip strength across the age range in both sexes. The average handgrip strength of the older people was 17.97 kg (14.47 kg for women and 25.66 kg for men) for those aged 80–85 and 16.68 kg (13.51 kg for women and 21.77 kg for men) in the group over 85 years old. In both sexes, marital status was an independent factor associated with reduced handgrip strength. In conclusion, this study described, for the first time, handgrip strength values for the southeastern Polish population aged ≥ 65 years according to age and gender.

scholarly journals Factors associated with low handgrip strength in older people: data of the Study of Chronic Diseases (Edoc-I)

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Cledir de Araújo Amaral ◽  
Thatiana Lameira Maciel Amaral ◽  
Gina Torres Rego Monteiro ◽  
Maurício Teixeira Leite de Vasconcellos ◽  
Margareth Crisóstomo Portela
Keyword(s):  
Older People ◽  
Chronic Diseases ◽  
Handgrip Strength ◽  
Factors Associated

scholarly journals Factors Associated With Low Handgrip Strength In The Elderly: Data Of The Study Of Chronic Diseases (Edoc-I)

2019 ◽  
Author(s):  
Cledir de Araújo Amaral ◽  
Thatiana Lameira Maciel Amaral ◽  
Gina Torres Rego Monteiro ◽  
Mauricio Teixeira Leite de Vasconcellos ◽  
Margareth Crisostomo Portela
Keyword(s):  
Chronic Diseases ◽  
Handgrip Strength ◽  
The Elderly ◽  
Elderly Persons ◽  
Protection Factor ◽  
Self Assessment ◽  
Factors Associated ◽  
Previous Decade ◽  
Important Health ◽  
Prevention And Health Promotion

Abstract Background Handgrip strength (HGS) is a recognized important health biomarker, whose low scores have showed an evident association with morbimortality of adults and elderly people from various parts of the world. This study aimed to analyze the factors associated with low HGS in elderly persons in Rio Branco, Acre, Brazil.Methods The study was carried out with data from the Study of Chronic Diseases (EDOC-I) – Elderly, performed with 1,016 people aged over 60 residing in Rio Branco. Associations between variables of health status (psychological and physical) and low HGS, by sex, were estimated using logistic regression.Results The reduction of the median HGS ​​was 6.0 kg per decade among men, and 2.6 kg among women. A greater reduction was observed in the lower quintile of HGS of women aged over 80 years, 4.1 kg in relation to the previous decade. Factors independently associated with low HGS in men and women, respectively, were low weigh in BMI [OR 2.80 (1.22-6.44) and OR 2.61 (1.49-4.57)], anemia [OR 4.15 (2.14-8.04) and OR 1.80 (1.08-3.01)] and diabetes as a risk factor in men [OR 1.95 (1.02-3.73)] and as protection factor in women [OR 0.53 (0.28-0.99)]. There was a higher chance of low HGS in men with partners [OR 2.44 (1.35-4.42)], smokers or former smokers [OR 3.25 (1.29-8.19)], with current self-assessment of health worse than the 12 previous months [OR 2.21 (1.16-4.21)] and dependence in ADL [OR 2.92 (1.39-6.15)]. Only among women, there was an increased chance of low HGS associated with altered WHR [OR 1.79 1.04-3.07)], insomnia [OR 1.83 (1.12-2.98)] and physical activity from displacement/occupation [OR 1.75 (1.10-2.80)]Conclusion Factors associated with low HGS are not common to gender and the inclusion of HGS as a component of health seems to be a promising strategy for disease prevention and health promotion.

scholarly journals Factors Associated With Low Handgrip Strength In The Elderly: Data Of The Study Of Chronic Diseases (EDOC-I)

2019 ◽  
Author(s):  
Cledir de Araújo Amaral ◽  
Thatiana Lameira Maciel Amaral ◽  
Gina Torres Rego Monteiro ◽  
Mauricio Teixeira Leite de Vasconcellos ◽  
Margareth Crisostomo Portela
Keyword(s):  
Chronic Diseases ◽  
Handgrip Strength ◽  
The Elderly ◽  
Elderly Persons ◽  
Protection Factor ◽  
Self Assessment ◽  
Factors Associated ◽  
Previous Decade ◽  
Important Health ◽  
Prevention And Health Promotion

Abstract Background Handgrip strength (HGS) is a recognized important health biomarker, whose low scores have showed an evident association with morbimortality of adults and elderly people from various parts of the world. This study aimed to analyze the factors associated with low HGS in elderly persons in Rio Branco, Acre, Brazil.Methods The study was carried out with data from the Study of Chronic Diseases (EDOC-I) – Elderly, performed with 1,016 people aged over 60 residing in Rio Branco. Associations between variables of health status (psychological and physical) and low HGS, by sex, were estimated using logistic regression.Results The reduction of the median HGS ​​was 6.0 kg per decade among men, and 2.6 kg among women. A greater reduction was observed in the lower quintile of HGS of women aged over 80 years, 4.1 kg in relation to the previous decade. Factors independently associated with low HGS in men and women, respectively, were low weigh in BMI [OR 2.80 (1.22-6.44) and OR 2.61 (1.49-4.57)], anemia [OR 4.15 (2.14-8.04) and OR 1.80 (1.08-3.01)] and diabetes as a risk factor in men [OR 1.95 (1.02-3.73)] and as protection factor in women [OR 0.53 (0.28-0.99)]. There was a higher chance of low HGS in men with partners [OR 2.44 (1.35-4.42)], smokers or former smokers [OR 3.25 (1.29-8.19)], with current self-assessment of health worse than the 12 previous months [OR 2.21 (1.16-4.21)] and dependence in ADL [OR 2.92 (1.39-6.15)]. Only among women, there was an increased chance of low HGS associated with altered WHR [OR 1.79 1.04-3.07)], insomnia [OR 1.83 (1.12-2.98)] and physical activity from displacement/occupation [OR 1.75 (1.10-2.80)]Conclusion Factors associated with low HGS are not common to gender and the inclusion of HGS as a component of health seems to be a promising strategy for disease prevention and health promotion.

scholarly journals Functional limitations of Brazilian elderly by age and gender differences: data from SABE Survey

2005 ◽  
Vol 21 (4) ◽  
pp. 1177-1185 ◽  
Author(s):  
Aline R. Barbosa ◽  
José M. P. Souza ◽  
Maria L. Lebrão ◽  
Ruy Laurenti ◽  
Maria de Fátima N. Marucci
Keyword(s):  
Latin American ◽  
Performance Test ◽  
Handgrip Strength ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Age Groups ◽  
Age Group ◽  
Older Individuals ◽  
Cross Sectional ◽  
Multicenter Survey

This study provides the prevalence, by gender and age-groups, of observed physical performance test (PPT) assessing functional limitation for representative samples of elderly Brazilian subjects living in São Paulo city. This cross-sectional epidemiological study, both population- and household-based, is part of a multicenter survey (SABE) undertaken in seven Latin American and Caribbean countries and coordinated by the Pan-American Health Organization. From January 2000 to March 2001, 2,143 elderly individuals (> 60 years) of both sexes were examined. Of this total, 1,894 participated in the study. PPT included handgrip strength, standing balance, timed repeated "chair stand", and "pick up a pen". Results have shown (based on chi-square) that the prevalence relating to the performance differed according to sex, age group, and from one test to another. With increasing age, there was a reduction (p = 0.000) in both males and females in the proportion of individuals that had better results on the tests. The male group, on every test, when compared to women from the same age group, had a more individuals with better scores. Data suggest that older individuals and women have more functional limitations.

Etiologies, Clinical Manifestations, and Factors Associated with Severe Symptomatic Hyponatremia among Hospitalized Hyponatremia Patients

2020 ◽  
Vol 103 (5) ◽  
pp. 465-471
Keyword(s):  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Sectional Study ◽  
Close Attention ◽  
Cross Sectional ◽  
Factors Associated ◽  
Present Cross Sectional Study ◽  
Important Health ◽  
Baseline Characteristics

Background: Hyponatremia is associated with unfavorable outcomes in many cases. The mainstay of hyponatremia treatment depends on its symptoms and etiology. However, etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia have been rarely reported. Objective: To analyze and report etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia. Materials and Methods: In the present cross-sectional study, the authors enrolled hospitalized patients with hyponatremia who had consulted a nephrologist between October 1, 2017, and October 31, 2018. Their baseline characteristics and clinical manifestations were recorded. Etiologies were confirmed by the attending nephrology staff. Factors associated with severe symptomatic hyponatremia were evaluated using logistic regression analysis. Results: One hundred patients were included in this study. The syndrome of inappropriate antidiuresis (SIAD), hypovolemia, and hydrochlorothiazide use were the leading hyponatremia etiologies. Hyponatremia etiologies differed between patients with community-acquired hyponatremia (n=50) and those with hospital-associated hyponatremia (n=50). Patients with communityacquired hyponatremia were older, presented with a higher frequency of severe symptomatic hyponatremia, and showed lower SNa-levels. Low SNa-levels were significantly associated with severe symptomatic hyponatremia (p=0.014). Conclusion: Hyponatremia remains an important health problem. SIAD, hypovolemia, and hydrochlorothiazide use are among the leading etiologies of hyponatremia. Low SNa-levels are associated with severe symptomatic hyponatremia; thus, physicians should pay close attention to low SNa-levels in hospitalized patients. Keywords: Hyponatremia, Symptomatic Hyponatremia, Community-acquired hyponatremia, Hospital-associated hyponatremia

scholarly journals Educational programmes for frail older people, their families, carers and healthcare professionals

2021 ◽  
Author(s):  
Rachel J. Viggars ◽  
Andrew Finney ◽  
Barnabas Panayiotou
Keyword(s):  
Health Promotion ◽  
Older People ◽  
Health Professionals ◽  
Data Extraction ◽  
Self Care ◽  
Cross Sectional Study ◽  
Older Individuals ◽  
Cross Sectional ◽  
Educational Programmes ◽  
Quasi Experimental

Summary Background More people are living with frailty and requiring additional health and support services. To improve their management, the “Frailty: Core Capability Framework” in the United Kingdom recommends frailty education for older individuals, their families, carers and health professionals. We performed a systematic review of specific educational programmes for these groups. Methods Electronic databases were searched using dedicated search terms and inclusion criteria. To improve accuracy, two reviewers carried out the screening and selection of research papers. Information from included studies was collected using a tailored data extraction template, and quality appraisal tools were used to assess the rigour of the studies. The findings were analysed to identify key themes. Results A total of 11 studies met the criteria and were included in the review. The study populations ranged from 12 to 603 and the research designs were heterogeneous (6 qualitative; 2 randomised controlled trials; 1 quasi-experimental; 1 mixed methods; 1 cross-sectional study). Whilst some methodological shortcomings were identified, all studies contributed valuable information. The results underwent narrative synthesis, which elucidated four thematic domains: (1) accessibility of educational programmes, (2) empowerment, (3) self-care, and (4) health promotion (especially exercise and nutrition). Conclusion Educational programmes for older people, their carers and health professionals are important for effective frailty prevention and management. To be maximally beneficial, they should be easily accessible to all target populations and include empowerment, self-care and health promotion. Further research should explore the formulation of widely applicable, user-friendly programmes and delivery formats that can be tailored to different client groups.

scholarly journals Willingness to receive future COVID-19 vaccines following the COVID-19 epidemic in Shanghai, China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yehong Zhou ◽  
Junjie Zhang ◽  
Wenwen Wu ◽  
Man Liang ◽  
Qiang-Song Wu
Keyword(s):  
Vaccine Safety ◽  
Older Individuals ◽  
Regression Analyses ◽  
Pharmacological Interventions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
History Of ◽  
Potential Factors ◽  
To Receive

Abstract Background There are no pharmacological interventions currently available to prevent the transmission of SARS-CoV-2 or to treat COVID-19. The development of vaccines against COVID-19 is essential to contain the pandemic. we conducted a cross-sectional survey of Shanghai residents to understand residents’ willingness to be vaccinated with any future COVID-19 vaccines and take measures to further improve vaccination coverage. Methods We conducted a cross-sectional survey using self-administered anonymous questionnaires from 1 July to 8 September 2020. The main outcome was willingness of participants, and any children or older individuals living with them, to receive future COVID-19 vaccines. Logistic regression analyses were used to explore potential factors associated with vaccination willingness. Results A total of 1071 participants were asked about their willingness to receive future COVID-19 vaccines, for themselves and at least 747 children and 375 older individuals (≥60 years old) living with them. The highest proportion of expected willingness to vaccinate was among participants (88.6%), followed by children (85.3%) and older individuals (84.0%). The main reasons for reluctance to vaccinate among 119 participants were doubts regarding vaccine safety (60.0%) and efficacy (28.8%). Participants with a self-reported history of influenza vaccination were more likely to accept COVID-19 vaccines for themselves [adjusted odds ratio (OR) = 1.83; 95% confidence interval (CI): 1.19–2.82], their children (adjusted OR = 2.08; 95%CI: 1.30–3.33), and older individuals in their household (adjusted OR = 2.12; 95%CI: 1.14–3.99). Participants with older individuals in their families were less willing to vaccinate themselves (adjusted OR = 0.59; 95%CI: 0.40–0.87) and their children (adjusted OR = 0.58; 95%CI: 0.38–0.89). Conclusions Participants were more reluctant to accept COVID-19 vaccines for older individuals living with them. The presence of older individuals in the home also affected willingness of participants and their children to be vaccinated.

scholarly journals Cataract among elderly in Sri Lanka

2019 ◽  
Author(s):  
A.A. Nilanga Nishad ◽  
S.A. Hewage ◽  
K. Arulmoly ◽  
M.S. Amaratunge ◽  
J de Silva ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Screening Programme ◽  
National Level ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Future Studies ◽  
Factors Associated ◽  
Younger Age

AbstractOut of 39 billion people who are blind around the world, 20 billion (51.3%) is due to cataract, which is preventable. This study intended to assess the prevalence and factors associated with cataract among elderly in a divisional secretariat area in Sri Lanka. This community based cross sectional study assessed randomly selected470 adults over 60 years of age. Diagnosis of cataract was made by a slit lamp examination by medical officers, and classified according to Oxford Lens Opacity Classification system (LOCS III). Majority was between 60-69 age groups and 71% was females. The prevalence of cataract was estimated to be 80.6% including operated eye and 73.6% excluding the operated eye, with a female preponderance in lower age categories. Commonest type of cataract was the nuclear type (n=422; 44.9%), with a majority in grade 2 (218; 23.2%). The prevalence of cataract surgery in the diseased population was as low as 7%. Cataract leading to blindness is very prevalent among adults over 60 years of age in the studied area. Females tend to develop the disease at an early age than males. These findings warrant screening programme for elderly at community level, targeting females at a younger age than males. Future studies are recommended to assess the coverage and barriers for cataract surgeries at national level, which would be immensely useful in planning and improving health services.

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