Disability, Frailty and Depression in the Community-dwelling Elderly with Osteosarcopenia

Abstract Background: The purpose of this study was to investigate the prevalence of osteosarcopenia in the over 60-year-old community and to evaluate whether osteosarcopenia is associated with disability, frailty and depression.Methods: This study was performed using the baseline data of Namgaram-2, among the 1010 surveyed subjects, 885 study subjects who were 60 years or older and had all necessary tests performed were selected. The Kaigo-Yobo checklist (frailty), World Health Organization Disability Assessment Schedule (WHODAS) and Geriatric Depression Scale-Short Form-Korean (GDSSF-K) were used. The Asian Working Group for Sarcopenia (AWGS 2019) were applied in this study. Osteopenia was measured using data from dual energy X-ray absorptiometry (DEXA) and osteopenia was diagnosed when the T-score was less than -1.0.The study subjects were divided into four groups: the normal group, in which both sarcopenia and osteopenia were undiagnosed, osteopenia only, sarcopenia only and the osteosarcopenia group, which was diagnosed with both sarcopenia and osteopenia.Results: Of the 885 subjects over 60 years old evaluated, the normal group comprised 34.0%, the only osteopenia group 33.7%, the only sarcopenia group 13.1%, and the osteosarcopenia group 19.2%. WHODAS (17.5, 95% CI: 14.8-20.1), Kaigo-Yobo (3.0, 95% CI: 2.6-3.4), and GDSSF mean score (4.6, 95% CI: 3.9-5.4) were statistically significantly higher in the osteosarcopenia group compared the other groups. Partial eta squared (ηp2) of WHODAS (0.199) and Kaigo-Yobo (0.148) values according to Osteosarcopenia were large, and GDSSF (0.096) was medium.Conclusions: Osteosarcopenia is a relatively common disease group in the elderly community that may cause deterioration of health outcomes. Therefore, when evaluating osteopenia or sarcopenia in the elderly, management of those in both disease groups should occur together.

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Disability, Frailty and Depression in the community-dwelling older adults with Osteosarcopenia

BMC Geriatrics ◽

10.1186/s12877-021-02022-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ki-Soo Park ◽

Gyeong-Ye Lee ◽

Young-Mi Seo ◽

Sung-Hyo Seo ◽

Jun-Il Yoo

Keyword(s):

Older Adults ◽

Short Form ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Community Dwelling ◽

Normal Group ◽

World Health ◽

Common Disease ◽

Using Data ◽

Health Organization

Abstract Background The purpose of this study was to investigate the prevalence of osteosarcopenia in the over 60-year-old community and to evaluate whether osteosarcopenia is associated with disability, frailty and depression. Methods This study was performed using the baseline data of Namgaram-2, among the 1010 surveyed subjects, 885 study subjects who were 60 years or older and had all necessary tests performed were selected. The Kaigo-Yobo checklist (frailty), World Health Organization Disability Assessment Schedule (WHODAS) and Geriatric Depression Scale-Short Form-Korean (GDSSF-K) were used. The Asian Working Group for Sarcopenia (AWGS 2019) were applied in this study. Osteopenia was measured using data from dual energy X-ray absorptiometry (DEXA) and osteopenia was diagnosed when the T-score was less than − 1.0. The study subjects were divided into four groups: the normal group, in which both sarcopenia and osteopenia were undiagnosed, osteopenia only, sarcopenia only and the osteosarcopenia group, which was diagnosed with both sarcopenia and osteopenia. Results Of the 885 subjects over 60 years old evaluated, the normal group comprised 34.0%, the only osteopenia group 33.7%, the only sarcopenia group 13.1%, and the osteosarcopenia group 19.2%. WHODAS (17.5, 95% CI: 14.8-20.1), Kaigo-Yobo (3.0, 95% CI: 2.6-3.4), and GDSSF mean score (4.6, 95% CI: 3.9-5.4) were statistically significantly higher in the osteosarcopenia group compared the other groups. Partial eta squared (ηp2) of WHODAS (0.199) and Kaigo-Yobo (0.148) values according to Osteosarcopenia were large, and GDSSF (0.096) was medium Conclusions Osteosarcopenia is a relatively common disease group in the older adults community that may cause deterioration of health outcomes. Therefore, when evaluating osteopenia or sarcopenia in the older adults, management of those in both disease groups should occur together.

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Disability, Frailty and Depression in the Community-dwelling Older adults with Osteosarcopenia

10.21203/rs.3.rs-27449/v4 ◽

2021 ◽

Author(s):

Ki-Soo Park ◽

Gyeong-Ye Lee ◽

Young-Mi Seo ◽

Sung-Hyo Seo ◽

Jun-Il Yoo

Keyword(s):

Older Adults ◽

Short Form ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Community Dwelling ◽

Normal Group ◽

World Health ◽

Common Disease ◽

Using Data ◽

Health Organization

Abstract Background: The purpose of this study was to investigate the prevalence of osteosarcopenia in the over 60-year-old community and to evaluate whether osteosarcopenia is associated with disability, frailty and depression.Methods: This study was performed using the baseline data of Namgaram-2, among the 1010 surveyed subjects, 885 study subjects who were 60 years or older and had all necessary tests performed were selected. The Kaigo-Yobo checklist (frailty), World Health Organization Disability Assessment Schedule (WHODAS) and Geriatric Depression Scale-Short Form-Korean (GDSSF-K) were used. The Asian Working Group for Sarcopenia (AWGS 2019) were applied in this study. Osteopenia was measured using data from dual energy X-ray absorptiometry (DEXA) and osteopenia was diagnosed when the T-score was less than -1.0.The study subjects were divided into four groups: the normal group, in which both sarcopenia and osteopenia were undiagnosed, osteopenia only, sarcopenia only and the osteosarcopenia group, which was diagnosed with both sarcopenia and osteopenia. Results: Of the 885 subjects over 60 years old evaluated, the normal group comprised 34.0%, the only osteopenia group 33.7%, the only sarcopenia group 13.1%, and the osteosarcopenia group 19.2%. WHODAS (17.5, 95% CI: 14.8-20.1), Kaigo-Yobo (3.0, 95% CI: 2.6-3.4), and GDSSF mean score (4.6, 95% CI: 3.9-5.4) were statistically significantly higher in the osteosarcopenia group compared the other groups. Partial eta squared (ηp2) of WHODAS (0.199) and Kaigo-Yobo (0.148) values according to Osteosarcopenia were large, and GDSSF (0.096) was medium.Conclusions: Osteosarcopenia is a relatively common disease group in the older adults community that may cause deterioration of health outcomes. Therefore, when evaluating osteopenia or sarcopenia in the older adults, management of those in both disease groups should occur together.

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Disability, Frailty and Depression in the Community-dwelling Elderly with Osteosarcopenia

10.21203/rs.3.rs-27449/v2 ◽

2020 ◽

Author(s):

Ki-Soo Park ◽

Gyeong-Ye Lee ◽

Sung-Hyo Seo ◽

Young-Mi Seo ◽

Jun-Il Yoo

Keyword(s):

Rural Areas ◽

Short Form ◽

Geriatric Depression Scale ◽

Depression Scale ◽

The Elderly ◽

Community Dwelling ◽

Normal Group ◽

World Health ◽

Reference Level ◽

Common Disease

Abstract Background: The purpose of this study was to investigate the prevalence of osteosarcopenia in the over 60-year-old community and to evaluate whether osteosarcopenia is associated with disability, frailty and depression.Methods: This study was performed using the baseline data of Namgaram-2, which was developed to study the relationship between the prevalence of musculoskeletal disorders and activity limitations in the elderly in rural areas. Among the 1010 surveyed subjects, 885 study subjects who were 60 years or older and had all necessary tests performed were selected. The Kaigo-Yobo checklist was completed for diagnosis of frailty and the degree of disability in everyday life was evaluated by World Health Organization Disability Assessment Schedule (WHODAS). To understand the symptoms of depression in the elderly, the Geriatric Depression Scale-Short Form-Korean (GDSSF-K) was used. The Asian Working Group for Sarcopenia (AWGS 2019) were applied in this study. Sarcopenia was defined as SMI less than 7.0 kg/m2 in men and less than 5.4 kg/m2 in women. The maximum grip strength was used as a reference level, for men below 28 kg and for women below 18 kg. Osteopenia was measured using data from dual energy X-ray absorptiometry (DEXA) and osteopenia was diagnosed when the T-score was less than -1.0.The study subjects were divided into four groups: the normal group, in which both sarcopenia and osteopenia were undiagnosed, osteopenia only, sarcopenia only and the osteosarcopenia group, which was diagnosed with both sarcopenia and osteopenia.Results: Of the 885 subjects over 60 years old evaluated, the normal group comprised 34.0%, the only osteopenia group 33.7%, the only sarcopenia group 13.1%, and the osteosarcopenia group 19.2%. WHODAS, Kaigo-Yobo, and GDSSF scores were statistically significantly higher in the osteosarcopenia group compared the other groups.Conclusions: Osteosarcopenia is a relatively common disease group in the elderly community that may cause deterioration of health outcomes. Therefore, when evaluating osteopenia or sarcopenia in the elderly, management of those in both disease groups should occur together.

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Disability, Frailty and Depression in the Community-dwelling Elderly with Osteosarcopenia

10.21203/rs.3.rs-27449/v1 ◽

2020 ◽

Author(s):

Ki-Soo Park ◽

Gyeong-Ye Lee ◽

Sung-Hyo Seo ◽

Young-Mi Seo ◽

Jun-Il Yoo

Keyword(s):

Rural Areas ◽

Short Form ◽

Geriatric Depression Scale ◽

Depression Scale ◽

The Elderly ◽

Community Dwelling ◽

Normal Group ◽

Common Disease ◽

Symptoms Of Depression ◽

Degree Of Disability

Abstract Background The purpose of this study was to investigate the prevalence of osteosarcopenia in the over 60-year-old community and to evaluate whether osteosarcopenia is associated with disability, frailty and depression. Methods This study was performed using the baseline data of Namgaram-2, which was developed to study the relationship between the prevalence of musculoskeletal disorders and activity limitations in the elderly in rural areas. Among the 1010 surveyed subjects, 885 study subjects who were 60 years or older and had all necessary tests performed were selected. The Kaigo-Yobo checklist was completed for diagnosis of frailty and the degree of disability in everyday life was evaluated by WHODAS. To understand the symptoms of depression in the elderly, the Geriatric Depression Scale-Short Form-Korean (GDSSF-K) was used. The study subjects were divided into four groups: the normal group, in which both sarcopenia and osteopenia were undiagnosed, osteopenia only, sarcopenia only and the osteosarcopenia group, which was diagnosed with both sarcopenia and osteopenia. Results Of the 885 subjects over 60 years old evaluated, the normal group comprised 34.0%, the only osteopenia group 33.7%, the only sarcopenia group 13.1%, and the osteosarcopenia group 19.2%. WHODAS, Kaigo-Yobo, and GDSSF scores were statistically significantly higher in the osteosarcopenia group compared the other groups. Conclusions Osteosarcopenia is a relatively common disease group in the elderly community that may cause deterioration of health outcomes. Therefore, when evaluating osteopenia or sarcopenia in the elderly, management of those in both disease groups should occur together.

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Utilização de escalas psicométricas na avaliação dos possíveis efeitos terapêuticos do Reiki

Revista Brasileira de Medicina de Família e Comunidade ◽

10.5712/rbmfc7(1)644 ◽

2012 ◽

Vol 7 ◽

pp. 79

Author(s):

Ricardo Monezi ◽

Pedro Mourão Roxo da Motta ◽

Nelson Filice de Barros

Keyword(s):

Short Form ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Functional Independence Measure ◽

Functional Independence ◽

World Health ◽

Stress Scale ◽

Face Scale ◽

Health Organization

Introdução: O Reiki figura atualmente como uma das técnicas integrativas e complementares de maior uso e interesse no mundo. Sua utilização crescente vem chamando a atenção da ciência, que busca investigar seus possíveis efeitos a fim de verificar e disponibilizar aos seus usuários informações a respeito de sua eficácia e segurança. Entre os recursos utilizados nestas avaliações estão cada vez mais presentes as escalas psicométricas, que buscam mensurar aspectos subjetivos da natureza do ser humano, como níveis de ansiedade, depressão, stress e qualidade de vida. Objetivo: Descrever as principais escalas psicométricas utilizadas em ensaios clínicos que investigaram os possíveis efeitos do Reiki, analisando seu papel diagnóstico nestes estudos. Método: A partir dos descritores “Reiki” e “Scales”, foi realizada revisão e análise de artigos publicados, nos últimos 10 anos, nas bases de dados PubMed, Scielo e Bireme, que utilizaram-se de escalas psicométricas na avaliação dos possíveis efeitos do Reiki. Resultados: 18 estudos utilizaram-se de escalas psicométricas, como o Functional Independence Measure, aplicado a pacientes em reabilitação de AVE, o Wong-Baker Smiley Face Scale, utilizado para mensurar níveis de bem estar e dor, o Geriatric Depression Scale Short Form, para mensuração de depressão em idosos, além de instrumentos de avaliação de ansiedade, depressão, stress, desesperança, qualidade de vida e de sono, como Hospital Anxiety and Stress Scale, StateTrait Anxiety Inventory, Perceived Stress Scale, Beck Depression Inventory, World Health Organization for Quality of life, Beck Hopelessness Scale, Illness Symptoms Questionnaire, Visual Analog Scale e o Pittsburgh Quality of Sleep Index. Conclusões: Não existe um consenso na literatura a respeito da escala psicométrica que seja mais apropriada a cada variável, devido às suas respectivas especificidades e níveis de sensibilidade. Atualmente, onde se discute o estabelecimento de um padrão ouro para pesquisas que abordem as práticas integrativas também são polêmicas as discussões a respeito do emprego correto destas ferramentas.

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THE EFFECT OF BRAIN GYM TO THE LEVEL OF DEPRESSION IN GERIATRIC AT BALAI PERLINDUNGAN SOSIAL TRESNA WERDHA CIPARAY BANDUNG

Jurnal Skolastik Keperawatan ◽

10.35974/jsk.v5i2.2043 ◽

2019 ◽

Vol 5 (2) ◽

pp. 128-146

Author(s):

Andria Pragholapati

Keyword(s):

World Health Organization ◽

Short Form ◽

Geriatric Depression Scale ◽

Depression Scale ◽

World Health ◽

P Value ◽

Geriatric Depression ◽

Brain Gym ◽

Post Test ◽

Health Organization

Pendahuluan: Data World Health Organization (2010) menunjukkan lansia di dunia yang terkena depresi sebanyak 7 juta orang. Meningkat pada lansia yang tinggal di institusi sekitar 50-75%. Tujuan: penelitian ini untuk mengetahui pengaruh Brain Gym terhadap tingkat depresi pada lansia di Balai Perlindungan Sosial Tresna Werdha Ciparay Bandung Tahun 2016. Metode: Penelitian ini menggunakan Quasy eksperiment pre-post test dengan kelompok kontrol. Sampel dalam penelitian ini sebanyak 34 orang yang dibagi menjadi dua kelompok masing-masing 17 orang. Sampel yang digunakan adalah purposive sampling yang memenuhi kriteria inklusi dan eksklusi. Brain gym diberikan pada kelompok perlakuan sebanyak 9 kali dalam 5 hari. Kuesioner menggunakan Geriatric Depression Scale Short form yang memiliki nilai Alfa Cronbach 0.960 ≥ 0.632 menyatakan kuesioner valid dan reliabel. Data dianalisis menggunakan uji wilcoxon dan uji Mann Whitney. Hasil Penelitian : Wilcoxon menunjukkan hanya pada kelompok intervensi ada perbedaan tingkat depresi dengan p value pada kelompok kontrol 0.109 (α>0.05) dan p value pada kelompok intervensi 0.000 (α<0.05). Hasil Mann Whitney pada kedua kelompok didapatkan p value 0.000 (α ≤ 0,05), maka Ho ditolak hal ini menunjukan ada pengaruh Brain Gym terhadap tingkat depresi. Diskusi: berdasarkan hasil penelitian menyatakan bahwa Brain Gym dapat menurunkan tingkat depresi pada lansia sehingga pada lansia penting dilakukan pemeriksaan tingkat depresi secara berkala dan diterapkan gerakan Brain Gym untuk mengurangi tingkat depresi pada lansia.

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Psychosocial functioning in the elderly: an assessment of self-concept and depression

International journal of psychological research ◽

10.21500/20112084.663 ◽

2014 ◽

Vol 7 (1) ◽

pp. 12-18 ◽

Cited By ~ 1

Author(s):

Nicci Grace ◽

Samia R. Toukhsati

Keyword(s):

Psychosocial Functioning ◽

Short Form ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Well Being ◽

The Elderly ◽

Aged Care ◽

Community Dwelling ◽

Self Concept ◽

Residential Aged Care

The aim of this study was to explore the relationship between self-concept and depression in elderly people living in Residential Aged Care (RAC) settings. Forty-five residents, comprising 17 males and 28 females (M = 82.64 years, SD = 8.38 years), were recruited from 10 low-care, RAC facilities in Melbourne, Australia. Participants completed the Geriatric Depression Scale – Short Form and the Tennessee Self Concept Scale: 2. The results revealed that all self-concept domains were significantly lower in RAC residents in comparison to norms drawn from community dwelling samples (p < 0.05). Moreover, a significant inverse relationship between depression and self-concept domains (p < 0.05) was observed in RAC residents, with 28.8% of the variance in depression scores accounted for by Physical Self Concept. These findings identify self-concept, particularly physical self-concept, as an important predictor of psychosocial well-being in elderly RAC residents. Further research is needed to examine the efficacy of psychosocial and rehabilitative interventions to optimise self-concept in RAC residents.

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Psychometric properties of the new Persian version of the Geriatric Anxiety Inventory (GAI-PV) and its short form (GAI -PV-SF)

10.21203/rs.2.16187/v1 ◽

2019 ◽

Author(s):

Mohsen Shati ◽

Seyede salehe mortazavi ◽

Seyed Kazem Malakouti ◽

Shiva ASCEND Center for Biomedical Research Mehravaran ◽

Ali Norouzi ◽

...

Keyword(s):

Psychometric Properties ◽

Short Form ◽

General Health Questionnaire ◽

Geriatric Depression Scale ◽

Depression Scale ◽

The Elderly ◽

Community Dwelling ◽

Good Test ◽

Cross Sectional ◽

Persian Version

Abstract Background The aim of this research was to analyze the psychometric properties of the Persian version of the Geriatric Anxiety Inventory (GAI-PV) and its short form (GAI-PV-SF) in a sample of older adults in Iran.Methods In this cross-sectional study, a sample of 150 community-dwelling and a psychogeriatric sample of 48 adults older than 60 years completed the GAI-PV and GAI-PV-SF, the anxiety sub-scale of the General Health Questionnaire (GHQ-28), the Geriatric Depression Scale (GDS-15), and the Structured Clinical Interview for DSM-IV (SCID-I).Results Both the GAI-PV and GAI-PV-SF exhibited excellent internal consistency and desirable concurrent validity against GHQ-28 and GDS-15. The optimal cutpoint score to detect current generalized anxiety disorder (GAD) was 10/11 and 13/14 for GAI-PV in the community-dwelling and psychogeriatric samples, respectively, and 3/4 for GAI-PV-SF in both study samples. A good test-retest reliability and a single-factor structure were also demonstrated.Conclusion Sound psychometric properties of the GAI-PV in both subsamples suggest that the instrument could be used successfully as an accurate screening instrument in the elderly Iranian population.

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Evaluation of Malnutrition and Depression in Elderly People: An Epidemiological Study in Turkey

European Journal of Public Health ◽

10.1093/eurpub/ckz187.033 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

S Aydoğan ◽

A Ünsal ◽

D Arslantaş

Keyword(s):

Health Care Providers ◽

Nutritional Assessment ◽

Short Form ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Cluster Sampling ◽

Care Providers ◽

Cross Sectional

Abstract Background Malnutrition is an important cause of morbidity and mortality. Malnutrition increases the number of hospitalizations and prolongs the length of hospitalization by disrupting organ functions, increasing the number and severity of infections and delaying wound healing. The aim of this study was to determine the frequency of suspected malnutrition in the elderly, to examine some related variables and to evaluate the depression. Methods The study is a cross-sectional study conducted between March-April 2019 in individuals aged 60 years and older living in Sivrihisar. Sample size was calculated as 579. Cluster sampling method used. Data was collected by door to door in 4 neighborhoods determined by randomly. Mini Nutritional Assessment Test-Short Form (for malnutrition), Katz Daily Living Activities Scale (for dependency) and Geriatric Depression Scale-Short Form (for depression) were used. Chi-square test, Mann Whitney U test and logistic regression analysis were used for the analyzes. Results The study group consisted of 220 (38%) women and 359 (62%) men. The mean age was 68.9±6.4 (ranged 60-93). Frequency of suspected malnutrition was 25% (n = 145). Being 80 years of age or older (OR:3.24, CI:1.53-6.85), having a primary and lower education level (OR:2.54, CI:1.32-4.90), history of chronic illness (OR:2.34, CI:1.33-4.03), using dentures (OR:1.62, CI:1.03-2.55) and suspected depression (OR:4.97, CI:3.17-7.78) are important risk factors for malnutrition. Those with suspicion of malnutrition had lower scores on DLA (z = 8.982;p=0.001). Conclusions Malnutrition was found to be an important health problem for the elderly. The frequency of suspected malnutrition is higher in individuals with depression. Those with suspected malnutrition have higher level of dependency. In order to reduce the frequency of malnutrition, it may be beneficial to increase the awareness of the elderly and caregivers and to give importance to the elderly nutrition of primary health care providers. Key messages Depression is an important risk factor for malnutrition. Malnutrition increases the dependence of the individual on daily activities.

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Applicability of a cognitive questionnaire in the elderly and proxy

Dementia & Neuropsychologia ◽

10.1590/s1980-57642009dn20300012 ◽

2008 ◽

Vol 2 (3) ◽

pp. 228-232 ◽

Cited By ~ 2

Author(s):

Renata Areza Fegyveres ◽

Ana Paula Formigoni ◽

Cláudia Sellitto Porto ◽

Maria Teresa Carthery Goulart ◽

Mirna Lie Hosogi Senaha ◽

...

Keyword(s):

Geriatric Depression Scale ◽

Depression Scale ◽

The Elderly ◽

Community Dwelling ◽

Geriatric Depression ◽

Community Group ◽

Proxy Report ◽

Proxy Responses ◽

The Mean ◽

State Examination

Abstract The Informant Questionnaire on Cognitive Decline in the Elderly with the Proxy (IQCODE) was developed as a screening tool for cognition alterations. Objectives: 1) To verify the applicability of IQCODE in the elderly with limited schooling, 2) To verify the reliability of the responses supplied by the aged and their proxies. Methods: Individuals of a Community Group were evaluated using the Mini-Mental State Examination (MMSE), IQCODE and Geriatric Depression Scale (GDS). The IQCODE was applied to informants and proxies. Results: We analyzed 44 individuals, aged between 58-82 years (M=66.8, SD=5.97) with mean elderly-schooling level of 3.75, SD=2.82 and 44 proxies aged 44.5 (SD=13.3), with mean schooling level of 8.25 (SD=4.3). The mean GDS was 8.22, SD=4.90 and 13 participants presented a score suggestive of depressive symptoms. The mean elderly IQCODE score was 3.26, SD=0.69 and 3.21, SD=0.65, for proxy responses. There was no statistical difference between these means. On the MMSE, the mean score was 24.20, SD=4.14 and 18 participants presented scores below the cut-off. The IQCODE answers by the elderly in this latter group were more congruent with MMSE than the answers of proxies. Conclusions: The applicability of the IQCODE in a population with little schooling was verified in that the proxy-report was similar to the elderly report. We can affirm that the elderly answers were more accurate than the proxies, as they were closer to MMSE score. The inclusion of a greater number of participants from community-dwelling settings is necessary to confirm the results obtained in this study.

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