scholarly journals Nutritional Vulnerability And Associated Risk Factors of Bangladeshi Wetland Community People Aged 50 Years And Older

2021 ◽  
Author(s):  
Mohammad Meshbahur Rahman ◽  
Zaki Farhana ◽  
Md Taj Uddin ◽  
Md. Ziaul Islam ◽  
Mohammad Hamiduzzaman
Keyword(s):  
Older Adults ◽  
Short Form ◽  
Simple Random Sampling ◽  
Educational Status ◽  
Health Condition ◽  
Community Dwelling ◽  
Nutrition Status ◽  
Structure Questionnaire ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Introduction: People aged 50 years and over often show nutritional vulnerability in South-Asia including Bangladesh. Consequently, they present physical weakness and illness that escalate overtime. In Bangladesh, community-focused investigations have potentials to inform healthcare interventions, but current studies examine older adults’ nutrition status which are not all-encompassing [e.g., wetland communities]. We, therefore, assessed the malnutrition status among wetland community-dwelling older adults aged ≥50 years in Bangladesh. Methods: A cross-sectional survey with 400 older adults was conducted in the north-eastern wetland community of Bangladesh through simple random sampling. Demographic and health information were collected using a structure questionnaire and the Nestle Mini Nutrition Assessment-Short Form criteria was used to assess the nutrition status. Respondent’s socio-demographic and health profiles were assessed, and the Pearson’s Chi-square association test was performed to identify the associated socio-demographic and health factors of older adult’s malnutrition.Results: The prevalence of malnutrition and risk of malnutrition were 59.75 and 39.75 percent respectively. Malnutrition prevalence rate was higher with increasing of age and female were more malnourished than male. The age, gender, educational status, occupation and income were significantly associated with older adults’ malnutrition. The wetland community-dwelling people who are suffering sleeping disorders and poor self-rating health condition were found to be more malnourished.Conclusion: The findings confirm that the prevalence of malnutrition and risk of malnutrition are high among community-dwelling people aged ≥50 years in wetland communities. Our findings suggest the health professionals to implement public health and clinical interventions simultaneously to improve nutritional status of this cohort.

scholarly journals Nutritional vulnerability and associated risk factors estimation of Bangladeshi wetland community people aged 50 years and over

2021 ◽  
Author(s):  
Mohammad Meshbahur Rahman ◽  
Zaki Farhana ◽  
Md Taj Uddin ◽  
Md. Ziaul Islam ◽  
Mohammad Hamiduzzaman
Keyword(s):  
Older Adults ◽  
Short Form ◽  
Simple Random Sampling ◽  
Educational Status ◽  
Health Condition ◽  
Community Dwelling ◽  
Nutrition Status ◽  
Structure Questionnaire ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract People aged 50 years and over often show nutritional vulnerability in South-Asia including Bangladesh. Consequently, they present physical weakness and illness that escalate overtime. In Bangladesh, community-focused investigations have potentials to inform healthcare interventions, but current studies examine older adults’ nutrition status which are not all-encompassing [e.g., wetland communities]. We, therefore, assessed the malnutrition status among wetland community-dwelling older adults aged ≥50 years in Bangladesh. A cross-sectional survey with 400 older adults was conducted in the north-eastern wetland community of Bangladesh through simple random sampling. Demographic and health information were collected using a structure questionnaire and the Nestle Mini Nutrition Assessment-Short Form criteria was used to assess the nutrition status. Respondent’s socio-demographic and health profiles were assessed, and the Pearson’s Chi-square association test was performed to identify the associated socio-demographic and health factors of older adult’s malnutrition. The prevalence of malnutrition and risk of malnutrition were 59.75 and 39.75 percent respectively. Malnutrition prevalence rate was higher with increasing of age and female were more malnourished than male. The age, gender, educational status, occupation and income were significantly associated with older adults’ malnutrition. The wetland community-dwelling people who are suffering sleeping disorders and poor self-rating health condition were found to be more malnourished. The findings confirm that the prevalence of malnutrition and risk of malnutrition are high among community-dwelling people aged ≥50 years in wetland communities. Our findings suggest the health professionals to implement public health and clinical interventions simultaneously to improve nutritional status of this cohort.

scholarly journals Frailty is associated with susceptibility and severity of pneumonia in older adults (A JAGES multilevel cross-sectional study)

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kousuke Iwai-Saito ◽  
Yugo Shobugawa ◽  
Jun Aida ◽  
Katsunori Kondo
Keyword(s):  
Older Adults ◽  
Evaluation Study ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Nutrition Status ◽  
Cross Sectional ◽  
Physical Strength ◽  
Depression Status ◽  
Respiratory Infectious Diseases ◽  
Community Dwelling Older Adults

AbstractPneumonia is a leading cause of mortality among older adults worldwide. Recently, several studies reported that frailty was associated with mortality among older adults hospitalized due to respiratory infectious diseases, including pneumonia. However, it is unknown whether frailty is associated with susceptibility to and severity of pneumonia in functionally-independent community-dwelling older adults. In this study, we examined whether frailty increased the susceptibility to pneumonia and hospitalization in older adults. We used cross-sectional data from the Japan Gerontological Evaluation Study; the data was collected by using mail-based, self-reported questionnaires from 177,991 functionally-independent community-dwelling older adults aged ≥ 65 years. Our results showed that frailty was significantly associated with both occurrence of and hospitalization due to pneumonia after adjustments with covariates; (Preference ratio {PR} 1.92, 95% confidence interval {95% CI} [1.66–2.22] and PR 1.80, 95% CI [1.42–2.28], respectively, p < 0.001 for the both). Pre-frailty was associated only with the occurrence of pneumonia. Besides, the instrumental activity of daily living, physical strength, nutrition status, oral function, homeboundness, and depression status in frail older adults were associated with either or both occurrence of and hospitalization due to pneumonia. Our results suggest that frailty influenced the susceptibility to and severity of pneumonia in older adults.

scholarly journals Religiosity and self-rated health among older adults in Colombia

2019 ◽  
pp. 67-76
Author(s):  
Carlos A Reyes Ortiz ◽  
Claudia Payan ◽  
Geraldine Altamar ◽  
Jose F Gomez Montes ◽  
Harold G Koenig
Keyword(s):  
Older Adults ◽  
Rural Areas ◽  
Community Dwelling ◽  
Cross Sectional Survey ◽  
Significant Interaction Effect ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Urban And Rural Areas ◽  
Fair Poor ◽  
The Relationship

Objective: To identify the relationship between religiosity and self-rated health among older adults in Colombia. Methods: Data are drawn from the SABE (Salud, Bienestar y Envejecimiento) Colombia Study, a cross-sectional survey conducted in 2015 involving 18,871 community-dwelling adults aged 60 years and older living in urban and rural areas of Colombia. Religiosity was assessed by self-rated religiosity (how religious are you: not at all, somewhat or very). Self-rated health during previous 30 days was assessed as very good, good, fair, poor or very poor, analyzed as an ordinal variable(1-5) using weighted logistic regression, adjusting for confounders. Results: Those who were more religious were older, female, had lower socioeconomic status, and were more likely to be married. Multivariate analyses demonstrated that older adults who were more religious had better self-rated health (OR 0.92 95% CI 0.86- 0.99, p= 0.038); however, there was a significant interaction effect between gender and religiosity on self-rated health (p= 0.002), such that the relationship between religiosity and health was stronger in men (OR 0.86, 95% CI: 0.79-0.94, p= 0.001) but not significant in women. Conclusion: Older adults in Colombia who consider themselves more religious, especially men, are less likely to perceive their physical health as poor compared to those who are less religious.

The glass is not half empty: optimism, pessimism, and health among older adults

2019 ◽  
Vol 32 (1) ◽  
pp. 135-139 ◽  
Author(s):  
Michael D. Barnett ◽  
Ellen A. Anderson
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Physical Health ◽  
Short Form ◽  
Well Being ◽  
Community Dwelling ◽  
Physical And Mental Health ◽  
Cross Sectional Survey ◽  
Life Orientation Test ◽  
Health And Well Being

ABSTRACTObjectives:Optimism and pessimism are distinct constructs that have demonstrated independent relationships with aspects of health and well-being. The purpose of this study was to investigate whether optimism or pessimism is more closely linked with physical and mental health among older adults.Design:Cross-sectional survey.Participants:Community-dwelling older adults (N = 272) ages 59–95 in the southern United States.Measurements:The Life Orientation Test—Revised and the Short Form 8.Results:At the bivariate level, optimism was associated with higher physical health and mental health, while pessimism was associated with lower physical health and mental health. Multiple-regression analyses as well as comparison of correlation coefficients found that pessimism was more closely associated with physical health and mental health than optimism.Conclusions:These results add to the literature suggesting that, in terms of older adults’ health and well-being, avoiding pessimism may be more important than being optimistic.

scholarly journals Sarcopenia, physical frailty, undernutrition and obesity cooccurrence among Portuguese community-dwelling older adults: results from Nutrition UP 65 cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e033661 ◽  
Author(s):  
Ana Rita Sousa-Santos ◽  
Cláudia Afonso ◽  
Nuno Borges ◽  
Alejandro Santos ◽  
Patrícia Padrão ◽  
...  
Keyword(s):  
Older Adults ◽  
Nutritional Assessment ◽  
Multinomial Logistic Regression ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Secondary Outcome ◽  
Physical Frailty ◽  
Cross Sectional ◽  
European Working

ObjectivesTo investigate the coexistence of sarcopenia, frailty, undernutrition and obesity and to identify the factors associated with the cooccurrence of these conditions in an older population.DesignCross-sectional.SettingPortugal.Participants1454 older adults with 65 years or older, from Nutrition UP 65 study.Primary and secondary outcome measuresSarcopenia was identified using the European Working Group on Sarcopenia in Older People 2 guidelines and physical frailty using Fried phenotype. Mini-Nutritional Assessment-Short Form was used to ascertain undernutrition, and obesity was evaluated by body mass index.Results57.3% presented at least one condition, 38.0% were identified with one and 19.3% were identified with two or more conditions. When all preconditions were considered, 95.7% of the older adults presented at least one of these preconditions or conditions. Multinomial logistic regression multivariate analysis revealed that being male (OR 0.61; 95% CI 0.43 to 0.88), being married or in a common-law marriage (OR 0.58; 95% CI 0.40 to 0.84) and having a higher educational level (OR 0.23; 95% CI 0.07 to 0.73) were inversely associated with having two or more conditions, while age >75 years (OR 1.60; 95% CI 1.14 to 2.24), a poor self-perception of health status (OR 5.61; 95% CI 3.50 to 9.01), ≥5 medications (OR 3.11; 95% CI 1.77 to 5.46) and cognitive impairment (OR 1.84; 95% CI 1.37 to 2.48) were directly associated.ConclusionsAlmost three out of five older adults presented at least one of the conditions related to nutritional status, and about one in five had two or more of these occurrences. However, the low coexistence observed between all of these reinforces the need to assess them all individually during the geriatric assessment.

Falls Risks and Prevention Behaviors Among Community-Dwelling Homebound and Non-Homebound Older Adults

2016 ◽  
Vol 37 (9) ◽  
pp. 1085-1106 ◽  
Author(s):  
Carri Casteel ◽  
Jennifer Jones ◽  
Paula Gildner ◽  
James M. Bowling ◽  
Susan J. Blalock
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Negative Binomial ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Falls Risk ◽  
Homebound Older Adults ◽  
Risk Factors For Falls

The objectives were to examine falls risk factors to determine how the magnitude of risk may differ between homebound and non-homebound older adults, and to describe falls prevention behaviors and participation in falls prevention education. A cross-sectional survey was conducted with convenience samples of community-dwelling older adults recruited through Meals on Wheels programs (homebound, n = 80) and senior centers (non-homebound, n = 84) in North Carolina. Data were collected during home visits and included an interview and medication inventory. Multivariate negative binomial regression with robust variance estimation modeled risk factors for falls. Risk factors for falls observed in both the homebound and non-homebound populations are consistent with what is known in the literature. However, the magnitude of the risk was higher in the homebound than in the non-homebound population with respect to vision impairments, number of high-risk and over-the-counter medications, and use of walking aids .Few participants reported participating in a falls prevention program.

scholarly journals The Association of Falls with Instability: An Analysis of Perceptions and Expectations toward the Use of Fall Detection Devices Among Older Adults in Malaysia

2021 ◽  
Vol 9 ◽  
Author(s):  
Kawthar Abdul Rahman ◽  
Siti Anom Ahmad ◽  
Azura Che Soh ◽  
Asmidawati Ashari ◽  
Chikamune Wada ◽  
...  
Keyword(s):  
Older Adults ◽  
Descriptive Analysis ◽  
Fall Detection ◽  
Community Dwelling ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Quantitative Descriptive Analysis ◽  
Perceptions And Expectations ◽  
Community Dwelling Older Adults

Background: Falls are a significant incident among older adults affecting one in every three individuals aged 65 and over. Fall risk increases with age and other factors, namely instability. Recent studies on the use of fall detection devices in the Malaysian community are scarce, despite the necessity to use them. Therefore, this study aimed to investigate the association between the prevalence of falls with instability. This study also presents a survey that explores older adults' perceptions and expectations toward fall detection devices.Methods: A cross-sectional survey was conducted involving 336 community-dwelling older adults aged 50 years and older; based on randomly selected participants. Data were analyzed using quantitative descriptive analysis. Chi-square test was conducted to investigate the associations between self-reported falls with instability, demographic and walking characteristics. Additionally, older adults' perceptions and expectations concerning the use of fall detection devices in their daily lives were explored.Results: The prevalence of falls was 28.9%, where one-quarter of older adults fell at least once in the past 6 months. Participants aged 70 years and older have a higher fall percentage than other groups. The prevalence of falls was significantly associated with instability, age, and walking characteristics. Around 70% of the participants reported having instability issues, of which over half of them fell at least once within 6 months. Almost 65% of the participants have a definite interest in using a fall detection device. Survey results revealed that the most expected features for a fall detection device include: user-friendly, followed by affordably priced, and accurate.Conclusions: The prevalence of falls in community-dwelling older adults is significantly associated with instability. Positive perceptions and informative expectations will be used to develop an enhanced fall detection incorporating balance monitoring system. Our findings demonstrate the need to extend the fall detection device features aiming for fall prevention intervention.

scholarly journals Hope As A Motivator For Healthy Behaviors In Older Adults: Findings From A Cross-Sectional Survey

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1016-1016
Author(s):  
Mushira Khan ◽  
Patrick Hill ◽  
Catherine O'Brien ◽  
Dugan O'Connor
Keyword(s):  
Older Adults ◽  
Health Behaviors ◽  
Community Dwelling ◽  
Strong Positive Correlation ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Demographic Groups ◽  
Healthy Behaviors ◽  
Future Selves ◽  
The Relationship

Abstract Hope can be understood as a motivational state that enables people to move toward their goals. Yet, how hope may act as a motivator for healthy behaviors in older adults is not well-understood. Further, the extant literature utilizes varied conceptualizations of hope, and a better understanding of the constructs that underlie the relationship between hope and health behaviors is needed. This study examined the relationship between hope and health behaviors, explored how this relationship may differ across different socio-demographic groups, and considered how hope relates to perceived future selves among older adults. Community-dwelling adults 55 years and older (n = 711; mean age 67.38 years; 280 men, 431 women) completed an online, cross-sectional survey. Survey measures included, along with the Adult Hope Scale (AHS) and the Herth Hope Index (HHI), a health behaviors checklist, self-reported health, and a future self scale. We found a moderately strong positive correlation between hope and healthy behaviors in older adults (AHS r = 0.46, p &lt; .01; HHI r = 0.50, p &lt; .01). Participants with higher levels of hope also reported more positive future selves and better health. The associations were similar across different racial/ethnic groups and the magnitude of this effect held even after controlling for gender, education, marital status, and income. Of the two hope scales, we recommend the AHS measure given its relative parsimony, greater use in the field, and the fact that the associations were fairly similar to the HHI with respect to health and health behavior.

scholarly journals Prevalence of drug–herb and drug–supplement interactions in older adults: a cross-sectional survey

2018 ◽  
Vol 68 (675) ◽  
pp. e711-e717 ◽  
Author(s):  
Taofikat B Agbabiaka ◽  
Neil H Spencer ◽  
Sabina Khanom ◽  
Claire Goodman
Keyword(s):  
Older Adults ◽  
Drug Interactions ◽  
Dietary Supplements ◽  
Prescription Drugs ◽  
Community Dwelling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Evening Primrose ◽  
Supplement Use ◽  
Concurrent Use

BackgroundPolypharmacy is common among older adults, with increasing numbers also using prescription drugs with herbal medicinal products (HMPs) and dietary supplements. There is no reliable evidence from the UK on concurrent use of HMPs and dietary supplements with prescription drugs in older adults.AimTo establish prevalence of concurrent prescription drugs, HMPs, and dietary supplements among UK community-dwelling older adults and identify potential interactions.Design and settingCross-sectional survey of older adults registered at two general practices in South East England.MethodA questionnaire asking about prescription medications, HMPs, and sociodemographic information was posted to 400 older adults aged ≥65 years, identified as taking ≥1 prescription drug.ResultsIn total 155 questionnaires were returned (response rate = 38.8%) and the prevalence of concurrent HMPs and dietary supplements with prescriptions was 33.6%. Females were more likely than males to be concurrent users (43.4% versus 22.5%; P = 0.009). The number of HMPs and dietary supplements ranged from 1 to 8, (mean = 3, median = 1; standard deviation = 1.65). The majority of concurrent users (78.0%) used dietary supplements with prescription drugs. The most commonly used dietary supplements were cod liver oil, glucosamine, multivitamins, and vitamin D. Others (20.0%) used only HMPs with prescription drugs. Common HMPs were evening primrose oil, valerian, and Nytol Herbal® (a combination of hops, gentian, and passion flower). Sixteen participants (32.6%) were at risk of potential adverse drug interactions.ConclusionGPs should routinely ask questions regarding herbal and supplement use, to identify and manage older adults at potential risk of adverse drug interactions.

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