scholarly journals Metabolic syndrome and 5-year incident hyperuricemia among older Chinese adults: a community-based cohort study

2020 ◽  
Author(s):  
Jing-Hong Liu ◽  
Qing-Hua Ma ◽  
Yong Xu ◽  
Xing Chen ◽  
Chen-Wei Pan
Keyword(s):  
Diabetes Mellitus ◽  
Older Adults ◽  
Metabolic Syndrome ◽  
Cohort Study ◽  
Community Dwelling ◽  
Special Focus ◽  
Chinese Adults ◽  
Community Based ◽  
Older Chinese ◽  
Older Chinese Adults

Abstract Background There was a lack of studies focusing on older adults about the longitudinal association between metabolic syndrome (MetS) and hyperuricemia (HUA). We aimed to assess the association of baseline MetS and incident HUA among older Chinese adults, with a special focus on the associations between different combinations of MetS components and HUA. Methods Data of 3,247 Chinese adults aged 60 years or older included in a community-based longitudinal cohort study were analyzed. Anthropometric examinations and collection of blood sample were conducted both at baseline and follow-up. HUA was defined as 7 mg/dl or above for men and 6 mg/dl or greater for women. MetS was assessed based on the National Cholesterol Education Program-Adult Treatment Panel Ⅲ, and older adults with presence of at least three of MetS components were considered as having MetS. Results MetS and its components including high blood pressure (BP), high body mass index, diabetes mellitus and high triglycerides were significantly related to incident HUA. The association between high BP and incident HUA is strongest among the five MetS components. Among all combinations of MetS components, the group consisting of diabetes mellitus, high BP and high triglycerides had the highest odds for incident HUA (OR = 13.07, 95%CI = 4.95–34.54). Conclusions MetS and its components except for low high-density lipoprotein cholesterol could increase the risk of HUA among community-dwelling older adults and high BP may be the most important determinant.

Association Between Malnutrition and Depression Among Community-Dwelling Older Chinese Adults

2018 ◽  
Vol 30 (2) ◽  
pp. 107-117 ◽  
Author(s):  
Junmin Wei ◽  
Linlin Fan ◽  
Yuhui Zhang ◽  
Shirley Li ◽  
Jamie Partridge ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Community Dwelling ◽  
Chinese Adults ◽  
Community Based ◽  
Related Cost ◽  
Important Concern ◽  
Older Chinese ◽  
Older Chinese Adults ◽  
Care Costs

Malnutrition and depression are of important concern among older adults. We investigated the association between malnutrition and depression among community-dwelling older Chinese adults and how both affect health care costs. Data from 4916 older adults (age ≥60 years) collected as part of 2013-Wave II China Health and Retirement Longitudinal Study (CHARLS) survey were analyzed. Measures of body mass index and weight loss were used as indicators of malnutrition. Malnourished subjects were 31% more likely to be depressed than their non-malnourished counterparts (odds ratio = 1.311, P < .1). Health care–related cost was ¥591.8 higher for malnourished older adult per year compared to a non-malnourished counterpart ( P < .1), thus confirming that incidence of depression coupled with malnutrition significantly increases health care–related costs. These results highlight the importance of malnutrition and depression screening and treatment for older Chinese community-dwelling adults, and the importance of community-based nutrition-specific programs that could address the needs of the affected populations.

scholarly journals SOCIAL CAPITAL AND HOME- AND COMMUNITY-BASED SERVICE UTILIZATION AMONG URBAN OLDER CHINESE ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S637-S637
Author(s):  
Changmin Peng ◽  
Jeffery A Burr ◽  
Kyungmin Kim ◽  
Nan Lu
Keyword(s):  
Older Adults ◽  
Social Capital ◽  
Behavioral Model ◽  
Chinese Adults ◽  
Community Based ◽  
Older Chinese ◽  
Cognitive Social Capital ◽  
Older Chinese Adults ◽  
The Relationship ◽  
Structural Social Capital

Abstract Home- and Community-Based Services (HCBS) are increasingly important for older adults who want to maintain their independence and remain in their communities. Although HCBS systems have been developed widely in many western countries and in some countries in Asia, China is just beginning to grapple with its rapidly aging population by offering HCBS in a limited fashion. The purpose of this study was to investigate the relationship between structural (e.g., citizenship activities, volunteering) and cognitive (e.g., social trust, a sense of belonging) social capital and HCBS utilization among older Chinese adults. The study also examined the mediating effect of structural social capital for the the relationship between cognitive social capital and HCBS utilization. We frame the study within the Andersen behavioral model of health services utilization and argue that within this framework social capital is an enabling factor. We analyzed survey data from 456 community-dwelling older adults living in the Gusu district of the city of Suzhou, China in 2015. Structural equation modeling was used to test the hypothesized relationships. The results showed that both cognitive and structural social capital were significantly associated with HCBS utilization. Structural social capital also served as a mediator between cognitive social capital and HCBS utilization, even after controlling for sociodemographic characteristics and other relevant covariates. The findings supported the utility of employing Andersen’s behavioral model and social capital theory for better understanding older Chinese adults’ utilization of HCBS. Interventions for increasing social capital may be useful for improving HCBS utilization in Chinese urban communities.

scholarly journals Attitudes towards Advance Care Planning and Healthcare Autonomy among Community-Dwelling Older Adults in Beijing, China

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Ning Zhang ◽  
Xiao-hong Ning ◽  
Ming-lei Zhu ◽  
Xiao-hong Liu ◽  
Jing-bing Li ◽  
...  
Keyword(s):  
Older Adults ◽  
Cross Sectional Study ◽  
Influential Factors ◽  
Community Dwelling ◽  
Chinese Adults ◽  
Cross Sectional ◽  
Advance Care ◽  
Older Chinese ◽  
Older Chinese Adults ◽  
Beijing China

Objectives. To investigate the preferences of ACP and healthcare autonomy in community-dwelling older Chinese adults.Methods. A community-based cross-sectional study was conducted with older adults living in the residential estate of Chaoyang District, Beijing.Results. 900 residents were enrolled. 80.9% of them wanted to hear the truth regarding their own condition from the physician; 52.4% preferred to make their own healthcare decisions. Only 8.9% of them preferred to endure life-prolonging interventions when faced with irreversible conditions. 78.3% of the respondents had not heard of an ACP; only 39.4% preferred to document in an ACP. Respondents with higher education had significantly higher proportion of having heard of an ACP, as well as preferring to document in an ACP, compared to those with lower education. Those aged <70 years had higher proportion of having heard of an ACP, as well as refusing life-prolonging interventions when faced with irreversible conditions, compared to those aged ≥70 years.Conclusions. Although the majority of community-dwelling older Chinese adults appeared to have healthcare autonomy and refuse life-prolonging interventions in terms of end-of-life care, a low level of “Planning ahead” awareness and preference was apparent. Age and education level may be the influential factors.

scholarly journals Muscle mass rather than muscle strength or physical performance is associated with metabolic syndrome in community-dwelling older Chinese adults

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Peiyu Song ◽  
Peipei Han ◽  
Yinjiao Zhao ◽  
Yuanyuan Zhang ◽  
Liyan Wang ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Muscle Strength ◽  
Muscle Mass ◽  
Physical Performance ◽  
Walking Speed ◽  
Community Dwelling ◽  
Chinese Adults ◽  
High Waist Circumference ◽  
Older Chinese ◽  
Older Chinese Adults

Abstract Objective The purpose of this study was to examine whether muscle mass, muscle strength, and physical performance were associated with metabolic syndrome (MetS) in community-dwelling older Chinese adults. Methods The study comprised of 1413 community-dwelling Chinese participants (577 men; mean ± standard deviation age: 71.3 ± 5.9) recruited from Tianjin and Shanghai, China who were invited to participate in a comprehensive geriatric assessment. The International Diabetes Federation metabolic syndrome guidelines were used to define MetS, including high waist circumference, elevated blood pressure, elevated fasting blood glucose, elevated triglycerides, and reduced HDL cholesterol. Muscle mass was measured by appendicular skeletal muscle mass/weight (ASM/weight), and ASM was measured by BIA. Muscle strength was measured using grip strength. Physical performance was represented by walking speed and the time up and go test (TUGT). Results The overall prevalence of MetS was 46.8% (34.1% in males and 55.5% in females). In the final logistic regression model, there was a significant, graded inverse association between muscle mass and MetS (p for trend = 0.014). Muscle strength and physical performance, including walking speed and TUGT, were not associated with overall MetS. In the components of MetS, muscle mass and grip strength were significantly inversely associated with high waist circumference and elevated blood pressure (p < 0.05), while physical performance was not associated with components of MetS. Conclusions Compared with muscle strength and muscle function, muscle mass was inversely associated with MetS in a community-dwelling elderly Chinese population. Among muscle mass、muscle strength and physical performance, muscle mass appears to have the strongest association with MetS in the elderly.

Depressive Symptoms Among Rural “Left-Behind” Older Adults: A Test of the High Outmigration Penalty Hypothesis

2021 ◽  
Author(s):  
Qian Song ◽  
Haowei Wang ◽  
Jeffery A Burr
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Rural Communities ◽  
Older Adult ◽  
Psychological Health ◽  
Economic Conditions ◽  
Adult Density ◽  
Chinese Adults ◽  
Older Chinese ◽  
Older Chinese Adults

Abstract Objectives We investigated whether there was a “high outmigration penalty” for psychological health among older adults in rural China by assessing 2 potential community stressors associated with major sociodemographic changes in the community—increased outmigration and older adult density. We also investigated whether disparities in community economic conditions moderated the association between community stressors and depressive symptoms. Methods We employed 3 waves of data from the China Health and Retirement Longitudinal Study (2011–2015), using multilevel negative binomial models to address our research questions. Results Our results supported the “high outmigration penalty” hypothesis. Older adults living in low-income rural communities may experience an aggravated mental health penalty compared to those living in high-income rural communities. Higher older adult density was also associated with more depressive symptoms but only in less wealthy communities. Community differences in economic conditions were key factors buffering the high outmigration disadvantage associated with the psychological health of older Chinese adults. Discussion Rural outmigration may have deepened existing intercommunity health disparities among older adults. Policies should be developed to address community-level factors negatively associated with the well-being of older Chinese adults living in high outmigration and less wealthy rural communities.

Influence of heart rate at rest for predicting the metabolic syndrome in older Chinese adults

2012 ◽  
Vol 50 (3) ◽  
pp. 325-331 ◽  
Author(s):  
Bríain ó Hartaigh ◽  
Chao Qiang Jiang ◽  
Jos A. Bosch ◽  
Wei Sen Zhang ◽  
Kar Keung Cheng ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Heart Rate ◽  
Chinese Adults ◽  
The Metabolic Syndrome ◽  
Older Chinese ◽  
Older Chinese Adults
Sign in / Sign up

Export Citation Format

Share Document