scholarly journals Community-dwelling Older Individuals using Day Services: Prevalence and Associations Between Walking, Toe-grip Strength, and Foot Problems -Cross-sectional Study-

2020 ◽  
Author(s):  
Kashiko Fujii ◽  
Takuyuki Komoda ◽  
Ikumi Honda ◽  
Nozomi Kawabe ◽  
Ryouhei Nishimura ◽  
...  
Keyword(s):  
Grip Strength ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
P Value ◽  
Older Individuals ◽  
Cross Sectional ◽  
Term Care ◽  
Foot Problems ◽  
The Right ◽  
Toe Deformity

Abstract Background: Foot disorders in older individuals contribute to balance, posture, and gait instability, causing a decrease in activity of daily living and quality of life. However, the existing foot problems of older individuals in the community have not been studied well in Japan.Method: This cross-sectional study analyzed the foot-related data of 176 frail, old-aged participants who attended day service centers in Japan. Foot conditions were assessed and measured from various aspects, as was weight distribution to the floor. Multiple regression analysis was used to find foot item variables that correlated with toe-grip strength and walking speed.Results: Prevalence of skin dryness and suspected and existing nail fungal infection was high in both sexes regardless of care level. Prevalence rate of toe deformity and arch deformity was significantly higher in men and women requiring long-term care, respectively. The multiple regression analysis using stepwise method indicated the right toe-grip strength had a statistically significant association with the arch deformity, suspected or existing nail fungal infection, and nail thickness of the right sided foot (p-value, 0·012, 0·034, 0·040 respectively). Coefficients of all independent variables were negative. Any independent variables were not selected from the left foot. The corn, callus and toe deformity of right sided foot was significantly associated with walking test (p-value, 0·026, 0·033 respectively).Conclusions: Our study supported that individuals requiring more long-term care tend to have more foot problems. Some specific conditions were associated with toe-grip force and walking speed. This finding contributes to future strategies to protect foot health for community-dwelling older individuals, particularly the frail population. Trial registration: Not Applicable

ASSOCIATION BETWEEN HIGH LEVELS OF PARATHYROID HORMONE AND FRAILTY: THE NEPEAN OSTEOPOROSIS AND FRAILTY (NOF) STUDY

2018 ◽  
pp. 1-5
Author(s):  
L. Murthy ◽  
P. Dreyer ◽  
P. Suriyaarachchi ◽  
F. Gomez ◽  
C.L. Curcio ◽  
...  
Keyword(s):  
Parathyroid Hormone ◽  
Grip Strength ◽  
Multinomial Logistic Regression ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Gait Velocity ◽  
Older Individuals ◽  
Cross Sectional ◽  
Serum Pth

Background: Frailty is associated with poor outcomes hence identification of risks factors is pivotal. Since the independent role of parathyroid hormone (PTH) in frailty remains unexplored, we aimed to determine this in a population of older individuals with a history of falling. Design: Cross-sectional study. Setting: Falls and Fracture Clinic, Nepean Hospital (Penrith, Australia). Participants: 692 subjects (mean age=79, 65% women) assessed between 2009-2015. Measurements: Assessment included clinical examination, mood, nutrition, grip strength, gait velocity, bone densitometry and posturography. Chemistry included serum PTH, calcium, vitamin D (25(OH)D3), creatinine and albumin. Normocalcemic subjects were divided into 4 groups: (1) Normal: 25(OH)D3 >50nmol/L and PTH between 1.6-6.8pmol/L; (2) PTH responsive: low 25(OH)D3 (<50nmol/L) and high PTH (>6.8pmol/L); (3) PTH unresponsive: low 25(OH)D3 and normal PTH; (4) Hyper PTH (>6.8pmol/L) with normal 25(OH)D3. Frailty was defined using Fried’s criteria. Difference between the groups was assessed using one-way ANOVA and X2 analysis. Multinomial logistic regression evaluated the association between the groups and the number of Fried’s criteria adjusted for age, BMI, renal function, 25(OH)D3 levels, and albumin. Results: 22.6% subjects had high PTH levels (>6.8pmol/L). All subjects in the high PTH groups had significantly lower grip strength, gait velocity, limits of stability, and higher BMI. The PTH responsive group had a higher risk of pre-frailty (β=3.8, 95% CI = 3.42 – 5.22, p< 0.01) and frailty (β=8.26, 95% CI = 2.8-16.1, p<0.01). The risk of frailty was also higher in the Hyper PTH group (β=2.3, 95% CI = 1.74-4.32, p<0.01). Conclusion: We have reported an independent association of high PTH levels with high number of falls and with the clinical components of physical frailty in community dwelling older persons. Our results suggest a possible role of PTH in frailty that deserves further exploration.

The Relationship between Dental Findings and Tongue Pressure: A Survey of 745 Community-Dwelling Adults and Elderly Persons in Japan

Gerontology ◽  
2021 ◽  
pp. 1-8
Author(s):  
Kensuke Tashiro ◽  
Sakiko Soutome ◽  
Madoka Funahara ◽  
Yumiko Kawashita ◽  
Masayasu Kitamura ◽  
...  
Keyword(s):  
Propensity Score ◽  
Grip Strength ◽  
Propensity Score Matching ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Tongue Pressure ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Number Of Teeth ◽  
The Relationship

Introduction: Reduced tongue pressure is one of the causes of dysphagia. The purpose of this study was to investigate the relationship between dental findings and tongue pressure, and whether prosthetic treatment prevents reduced tongue pressure. Methods: This was a cross-sectional study. Participants were 745 community-dwelling adults and elderly persons in the Goto Islands in Nagasaki, who underwent a health checkup for residents in 2015 and 2016. Data were collected on gender; age; grip strength; hemoglobin; Creatinine (Cr); glycated hemoglobin (HbA1c); history of stroke; smoking, drinking, exercise, and walking habits; number of teeth; wearing of removable dentures; functional units of natural teeth (n-FTUs), fixed prostheses (nif-FTUs), and removable dentures (t-FTUs); and tongue pressure. The associations between each variable and tongue pressure were examined using multiple regression analysis. Next, those with 3 or fewer n-FTUs were selected, and differences in tongue pressure were compared between those with 3 or fewer nif-FTUs and those with 4 or more nif-FTUs, using a propensity score matching method. Results: Male gender, weak grip strength, low HbA1c, no drinking, and a low number of teeth were independent factors significantly associated with lower tongue pressure. Among participants with 3 or fewer n-FTUs, the 43 with 4 or more nif-FTUs showed significantly higher tongue pressure than the 43 with 3 or fewer nif-FTUs after propensity score matching, although the number of t-FTUs was not associated with tongue pressure. Discussion/Conclusion: Tooth loss was significantly associated with lower tongue pressure. It was suggested that fixed prosthesis treatment might prevent the reduction of tongue pressure, but removable dentures did not have such an effect.

scholarly journals Quantitative Assessment Of The Variations In Thyroid Dimensions In Relation To Increase In Serum TSH In Euthyroids

2018 ◽  
Vol 08 (02) ◽  
pp. 72-76
Author(s):  
Mahrukh Kamran ◽  
Sahar Mubeen ◽  
Iffat Raza ◽  
Sanobar Bughio ◽  
Hira Waseem ◽  
...  
Keyword(s):  
Total Variation ◽  
Cross Sectional Study ◽  
Thyroid Stimulating Hormone ◽  
Left Lobe ◽  
University Hospital ◽  
P Value ◽  
Cross Sectional ◽  
Right Lobe ◽  
The Right ◽  
Serum Tsh

Objectives: To determine the effect of serum TSH on thyroid dimensions of each lobe and to measure the amount of effect of per unit increase in serum TSH on thyroid dimensions of each lobe in euthyroids. Study Design: It was a cross-sectional study. Setting: The study was conducted at Ziauddin University Hospital, Clifton, Karachi. Methodology: Healthy participants aged 21 years and above were included through convenient sampling. Serum Thyroid stimulating hormone was evaluated and ultrasound of thyroid gland TG of 192 euthyroid participants was performed. Spearman correlation and regression analysis was applied to evaluate the relationship between TSH and TG dimensions Results: Relationship of increase in serum TSH with decrease in light lobe AP dimension was most significant. (r= -0.142 P-Value=0.001) and CC dimension least significant (r= -0.0098 P-Value=0.001). Where as in the left lobe AP dimension decreases significantly with increase serum TSH (r= -0.147 P-value=0.001). 11.7% of total variation in AP dimension, 3.5% of total variation in ML dimension and 6.5% of total variation in CC dimension in right lobe thyroid are because of serum TSH. While 9.5% of the total variation in AP dimension in left lobe is also due to serum TSH. Conclusion: Negative and significant correlation between serum TSH and thyroid dimensions was observed. Serum TSH inversely and significantly affects all the dimensions of the right lobe and only one dimension in the left lobe

scholarly journals Association Between Platelet, White Blood Cell Count, Platelet To White Blood Cell Ratio and Sarcopenia in Community-Dwelling Older Adults: Focus On Bushehr Elderly Health (BEH) Program

2021 ◽  
Author(s):  
Mohamad Gholizade ◽  
Akram Farhadi ◽  
Maryam Marzban ◽  
Mehdi Mahmudpour ◽  
Iraj Nabipour ◽  
...  
Keyword(s):  
Blood Cell ◽  
White Blood Cell ◽  
Handgrip Strength ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
P Value ◽  
Cross Sectional ◽  
Age Related ◽  
European Working ◽  
Elderly Health

Abstract Background Sarcopenia is a progressive age-related skeletal muscle disorder associated with harmful impacts on health. The present study aimed to investigate the relation between sarcopenia, platelet (PLT), white blood cell (WBC), and PLT to WBC ratio (PWR) due to the importance of early sarcopenia diagnosis. Methods This cross-sectional study was conducted based on the second stage of the Bushehr Elderly Health (BEH) Program. Sarcopenia was defined based on the revised edition of the European Working Group on Sarcopenia in Older People (EWGSOP2) in accordance with the Iranian cut-off point. Univariate and adjusted multivariate logistic regression and linear regression were used to evaluate the associations. Results The prevalence of sarcopenia among participants was 35.73 %. PLT count and PWR were statistically higher in severe sarcopenic participants, while no differences were seen in WBC. In crude analysis, sarcopenia was not associated with quartiles of PLT, WBC, and PWR, while after adjusting for age, marital status, and sex, the association was seen in the fourth quartile of PLT and PWR [OR (95%CI) = 1.40 (1.08 to 1.81), p-value = 0.009 for PLT; OR (95%CI) = 1.55 (1.20 to 2.00), p-value = 0.001 for PWR]. This association remained significant in the fully adjusted model [OR (95%CI) = 1.92 (1.25 to 2.95), p-value = 0.003 for PLT; OR (95%CI) = 1.64 (1.06 to 2.52), p-value = 0.024 for PWR]. Among sarcopenia parameters, PLT count was more likely to be associated with handgrip strength and muscle mass. After stratifying the participants by gender, sarcopenia parameters were no longer statistically significant in men. Conclusion This study showed that PLT and PWR were associated with sarcopenia after considering confounding factors, while this association was not seen in WBC. Moreover, results showed that gender had an important impact on sarcopenia parameters.

scholarly journals Factors associated with eating performance in older adults with dementia in long-term care facilities: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dukyoo Jung ◽  
Jennie C. De Gagne ◽  
Hyesoon Lee ◽  
Minkyung Lee
Keyword(s):  
Older Adults ◽  
Grip Strength ◽  
Long Term Care ◽  
Psychological Symptoms ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Term Care ◽  
Physical Capability

Abstract Background The purpose of this study was to investigate factors influencing eating performance in older adults with dementia (OAWDs) in long-term care (LTC) facilities. Methods This cross-sectional study examined risk factors for compromised eating performance by comparing both independent and dependent older adults with dementia. The study participants were 117 OAWDs in LTC facilities in South Korea. Measurements included (a) general characteristics, (b) activities of daily living (ADL) including eating performance, (c) cognitive function, (d) physical capability, (e) grip strength, (f) Behavioral Psychological Symptoms of Dementia (BPSD), and (g) depression. Data were analyzed by the percentage, mean and standard deviation, Chi-square test, t-test, and logistic regression. Results The eating independent group had more comorbidities than the dependent group (t = 2.793, p < .006); had significantly higher cognition (t = 4.108, p < .001) and physical capability (t = 5.258, p < .001); and had stronger grip strength (t = 2.887, p = .005). Comorbidities and physical capability were determinants for independent eating performance (Odds Ratio [OR] = 1.969, p = .014; OR = 1.324, p < .001). Conclusions It is suggested that maintaining physical capability should be encouraged to support independent eating performance by OAWDs in LTC facilities. The results of this study could serve as a basis for developing function-focused care to maintain the residual eating performance of OAWDs in Korean LTC facilities. This is a subject area that has not been fully explored.

scholarly journals Assessment of Finger Proprioception and Lateral Pinch Strength in Amateur and Professional Guitarists

2020 ◽  
Vol 06 (04) ◽  
pp. 6-11
Author(s):  
Hannah D’souza ◽  
Keyword(s):  
Demographic Data ◽  
Movement Patterns ◽  
Cross Sectional Study ◽  
Pinch Strength ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Left Hand ◽  
Good Strength ◽  
The Right

Background: Guitarists use complex and different movement patterns in both hands simultaneously. Applying pressure on the strings and strumming both require good strength whereas playing the melody on the fret-board demands good proprioception. There is a need to find out if guitarists perform functionally well with respect to pinch strength and proprioception which are prerequisites for playing the guitar. Therefore, the aim of the study is to assess and compare finger proprioception and pinch strength in amateur and professional guitarists. Methodology: A cross sectional study was conducted on 50 amateur and 50 professional guitarists from Mumbai. A self-made questionnaire including their demographic data was asked to be filled. Proprioception was measured using the pinch aperture proprioception device and lateral pinch strength was measured using the Jamar® Hydraulic Pinch Gauge. The average of 3 trials was taken for finger proprioception and lateral pinch strength. The data obtained was then taken for further analysis. Result: Professional guitarists had better finger proprioception (p value = 0.0001 for both right & left hands) and lateral pinch strength (p value =0.0159, 0.0001 for the right & left hand respectively) than amateur guitarists. Also, the left hand had better finger proprioception (p value <0.0001, 0.0059 for amateur & professional guitarists respectively) and right hand had better lateral pinch strength (p value=0.0001 for both professional and amateur guitarists) in both professional and amateur guitarists. Conclusion: Professional guitarists had significantly better finger Proprioception and lateral pinch strength as compared to the amateur guitarists.

scholarly journals Penentuan Jenis Kelamin berdasarkan Indeks Kaninus (Sex Determination Based on Canine Index)

MEDULA ◽  
2020 ◽  
Vol 7 (2) ◽  
Author(s):  
Raja Al Fath Widya Iswara
Keyword(s):  
Sex Determination ◽  
Cross Sectional Study ◽  
Forensic Identification ◽  
P Value ◽  
Test Results ◽  
Research Subjects ◽  
Cross Sectional ◽  
Lower Jaw ◽  
Spearman Correlation Test ◽  
The Right

Background: Identification is an effort made to determine a person's identity. One of the important things in identification is sex determination. Teeth are the hardest part of the human body and are protected in the oral cavity so they have a major role in forensic identification. Canine is the longest teeth and oftentimes used in identification. Purpose: To  determine the sex based on the canine index. Methods: An observational analytic cross-sectional study design with 250 research subjects of Halu Oleo University Medical Faculty students from October to December 2018, ages 18-25 years, who met the inclusion criteria, male (n = 125) and female (n = 125). Canine index by calculating the ratio of mesiodistal width (a measure of the width of canines measured from the two widest ends) divided by the distance between canines in four regions namely upper right jaw, upper left jaw, lower right jaw and upper left jaw. Result: Spearman correlation test results of canine index to sex, namely the upper right jaw value of p = 0.124, the upper left jaw value of p = 0.117, the right and right lower jaw with the p value = 0,000. Conclusion: The lower jaw canine index can be used in sex determination, where male have greater lower jaw canine index than female.Keywords: identification, canine index, sex ABSTRAKLatar Belakang: Identifikasi merupakan upaya yang dilakukan untuk menentukan identitas seseorang. Salah satu hal penting dalam identifikasi adalah penentuan jenis kelamin. Gigi merupakan bagian paling keras dari tubuh manusia dan terlindung di dalam rongga mulut sehingga mempunyai peran besar dalam identifikasi forensik. Kaninus/gigi taring merupakan gigi yang paling panjang diantara semua gigi dan sering digunakan dalam identifikasi. Penelitian ini bertujuan untuk mengetahui penentuan jenis kelamin berdasarkan indeks kaninus. Metode: Penelitian analitik observasional rancangan cross sectional dengan 250 subyek penelitian mahasiswa Fakultas Kedokteran Universitas Halu Oleo Periode Oktober-Desember 2018, usia 18-25 tahun, yang memenuhi kriteria inklusi, laki-laki (n=125) dan perempuan (n=125). Indeks kaninus dengan menghitung rasio lebar mesiodistal (ukuran lebar dari gigi taring yang diukur daripada kedua ujung yang terlebar) dibagi jarak antar kaninus pada empat regio yaitu rahang atas kanan, rahang atas kiri, rahang bawah kanan dan rahang bawah kiri. Hasil: Hasil uji korelasi Spearman indeks kaninus terhadap jenis kelamin yaitu pada rahang kanan atas nilai p=0,124, rahang kiri atas nilai p=0,117, rahang kanan dan kiri bawah dengan nilai p=0,000. Simpulan:  Indeks kaninus rahang bawah dapat digunakan dalam penentuan jenis kelamin, laki-laki mempunyai indeks kaninus rahang bawah lebih besar dibanding perempuan.Kata kunci: identifikasi, indeks kaninus, jenis kelamin

scholarly journals Treatment compliance and retention in care among out-patient clients in a tertiary health institution in plateau state North Central Nigeria

2018 ◽  
Vol 6 (6) ◽  
pp. 1902
Author(s):  
Tolulope O. Afolaranmi ◽  
Zuwaira I. Hassan ◽  
Joy L. Mbak ◽  
Davou W. Luka ◽  
Takzhir N. Audu ◽  
...  
Keyword(s):  
Treatment Compliance ◽  
Retention In Care ◽  
Cross Sectional Study ◽  
University Teaching ◽  
P Value ◽  
Cross Sectional ◽  
Term Care ◽  
Plateau State ◽  
Structured Interventions

Background: Compliance with prescribed treatment and retention in care are key components in the management of chronic diseases which is vital in averting the long term complications that could arise from such conditions. Failure to comply with treatment recommendations is often associated with poor retention in care. In view of this, this study was conducted to determine the level of treatment compliance and retention in care among patients with hypertension and diabetes in Jos University Teaching Hospital.Methods: This was a cross sectional study conducted among 290 eligible respondents between September and November 2017 using quantitative method of data collection. SPSS version 20 was used for data analysis with adjusted odds ratio and 95% confidence interval used as point and interval estimates while p-value of ≤0.05 was considered statistically significant.Results: The mean age of the respondents was 54.5±13.1 years with 43.8% of the respondents found to have satisfactorily complied with prescribed treatment while 117 (40.3%) were uninterruptedly retained in care within the last 6 months' clinic appointments  prior to the study.Conclusions: This study has demonstrated the levels of compliance with treatment and retention in care bringing to bear the need to provide structured interventions targeted at attaining improvement in compliance with treatment and retention in care among individuals on long term care.

Community-Dwelling Older Individuals Using Day Services: Prevalence and Associations between Walking, Toe-Grip Strength, and Foot Problems

2020 ◽  
Author(s):  
Kashiko Fujii ◽  
Takuyuki Komoda ◽  
Ikumi Honda ◽  
Nozomi Kawabe ◽  
Ryouhei Nishimura ◽  
...  
Keyword(s):  
Grip Strength ◽  
Community Dwelling ◽  
Older Individuals ◽  
Foot Problems ◽  
Day Services

Computed tomography assessment of the ethmoid roof based on Keros classification in Iraqi patients undergoing functional endoscopic sinus surgery

2021 ◽  
Vol 4 (2) ◽  
pp. 365-370
Author(s):  
Baseem Natheer Abdulhadi ◽  
Ali Ibrahim Shyaa ◽  
Laith ALTamimi
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Cross Sectional Study ◽  
Common Type ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
P Value ◽  
Type I ◽  
Cross Sectional ◽  
And Gender ◽  
The Right

Background: Among the most popular methods employed to classify the depth of the olfactory fossa is Keros classification. This study aims to assess Keros classification of the ethmoid roof, any possible association between Keros types and gender, and the incidence of asymmetry between right and left sides among Iraqi patients.  Methods: A retrospective cross-sectional study was conducted at Al-Shaheed Gazi Al-Hariri Teaching Hospital, Medical City, Baghdad, Iraq. The archived reports and the CT scans images (nose and paranasal sinuses) of 126 patients who have undergone functional endoscopic sinus surgery between January 2019 and January 2020 were reviewed. Univariate and bivariate statistical analysis was performed using SPSS version 24. The statistically significant was considered at less than 0.05. Results: More than half of patients were females (54.0%) with a mean age of 31.52 ± 11.38 (SD) years (range: 10-57 years). Among the total patients, the mean depth of olfactory fossa (OF) was 3.58 ± 0.02 mm. Results showed that Keros type I was the most common type (71.0%), followed by type II (27.4%) and type III (1.6%) respectively. The difference in the olfactory fossa depth between the right and left sides was ≥ 1 mm in 16 (12.7%) patients and < 1 mm in 110 (87.3%) patients. Moreover, there was no significant relation between symmetry/asymmetry and gender ( p-value > 0.05). Conclusion: Keros type I was the most common type, which carries the lowest risk of inadvertent intracranial injury during endoscopic sinus surgery; besides the relatively low percentage of asymmetry in the depth of the two olfactory fossae among patients, surgeons should always be cautious during surgery to avoid iatrogenic injury concerning the thin lateral lamella of the cribriform plate.

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