scholarly journals Fragmented Sleep and the Prevalence of Hypertension in Middle-Aged and Older Individuals

2021 ◽  
Vol Volume 13 ◽  
pp. 2273-2280
Author(s):  
Juan Zhao ◽  
Wenjuan Wang ◽  
Suhua Wei ◽  
Lihong Yang ◽  
Yanhua Wu ◽  
...  
Keyword(s):  
Older Individuals ◽  
Middle Aged

scholarly journals Swedish snuff (snus) and risk of cardiovascular disease and mortality: prospective cohort study of middle-aged and older individuals

BMC Medicine ◽  
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Olga E. Titova ◽  
John A. Baron ◽  
Karl Michaëlsson ◽  
Susanna C. Larsson
Keyword(s):  
Cardiovascular Disease ◽  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Older Individuals ◽  
Middle Aged ◽  
Entire Study ◽  
Abdominal Aortic ◽  
Increased Risk ◽  
Never Smokers ◽  
Cvd Mortality

Abstract Background Cigarette smoking is a well-known risk factor for cardiovascular disease (CVD), but whether smokeless tobacco such as snuff is associated with the risk of CVD is still unclear. We investigated the association of the use of Swedish oral moist snuff (snus) with a broad range of CVDs and CVD mortality. Methods We used data from a population-based cohort of 41,162 Swedish adults with a mean baseline age of 70 (56–94) years who completed questionnaires regarding snus use and other lifestyle habits and health characteristics. Participants were followed up for incident cardiovascular outcomes and death over 8 years through linkage to the Swedish National Patient and Death Registers. Hazard ratios (HR) were estimated by Cox proportional hazards regression. We conducted analyses among all subjects as well as among never smokers to reduce residual confounding from smoking. Results After adjustment for smoking and other confounders, snus use was not associated with myocardial infarction, heart failure, atrial fibrillation, aortic valve stenosis, abdominal aortic aneurysm, stroke, or CVD mortality. However, in never smokers, snus use was associated with a statistically significant increased risk of total and ischemic stroke (HRs [95% confidence intervals] = 1.52 [1.01–2.30] and 1.63 [1.05–2.54], respectively) and non-significantly positively associated with some other CVDs. Conclusions In this middle-aged and elderly Swedish population, current Swedish snus use was not associated with the risk of major heart and valvular diseases, abdominal aortic aneurysm, or CVD mortality in the entire study population, but was linked to an increased risk of stroke in never smokers.

scholarly journals Associations of the COVID-19 pandemic with older individuals’ healthcare utilization and self-reported health status: a longitudinal analysis from Singapore

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
SangNam Ahn ◽  
Seonghoon Kim ◽  
Kanghyock Koh
Keyword(s):  
Health Status ◽  
Healthcare Utilization ◽  
Chronic Conditions ◽  
Health Effect ◽  
Healthcare Spending ◽  
Older Individuals ◽  
Middle Aged ◽  
Peak Period ◽  
Reported Health ◽  
Self Reported Health Status

Abstract Background The COVID–19 pandemic has challenged the capacity of healthcare systems around the world and can potentially compromise healthcare utilization and health outcomes among non-COVID–19 patients. Objectives To examine the associations of the COVID-19 pandemic with healthcare utilization, out-of-pocket medical costs, and perceived health among middle-aged and older individuals in Singapore. Method Utilizing data collected from a monthly panel survey, a difference-in-differences approach was used to characterize monthly changes of healthcare use and spending and estimate the probability of being diagnosed with a chronic condition and self-reported health status before and during the COVID-19 outbreak in 2020. Subjects Data were analyzed from 7569 nationally representative individuals from 2019 January and 2020 December. Measures Healthcare utilization and healthcare spending by medical service categories as well as self-reported health status. Results Between January and April 2020 (the first peak period of COVID-19 in Singapore), doctor visits decreased by 30%, and out-of-pocket medical spending decreased by 23%, mostly driven by reductions in inpatient and outpatient care. As a result, the probability of any diagnosis of chronic conditions decreased by 19% in April 2020. The decreased healthcare utilization and spending recovered after lifting the national lockdown in June, 2020 and remained similar to the pre-pandemic level through the rest of 2020. Conclusions Middle-aged and older Singaporeans’ healthcare utilization and the diagnosis of chronic conditions substantially decreased during the first peak period of the COVID-19 outbreak. Further studies to track the longer-term health effect of the pandemic among non-COVID-19 patients are warranted.

Effects of aging on baroreflex regulation of sympathetic activity in humans

1992 ◽  
Vol 263 (3) ◽  
pp. H798-H803 ◽  
Author(s):  
T. J. Ebert ◽  
B. J. Morgan ◽  
J. A. Barney ◽  
T. Denahan ◽  
J. J. Smith
Keyword(s):  
Muscle Sympathetic Nerve Activity ◽  
Sinus Node ◽  
Peripheral Circulation ◽  
Sympathetic Outflow ◽  
Older Individuals ◽  
Middle Aged ◽  
Baroreflex Control ◽  
Direct Measurements ◽  
Aged Subjects ◽  
Effects Of Aging

Arterial baroreflexes contribute importantly to blood pressure regulation through their influence on parasympathetic outflow to the sinus node and sympathetic outflow to the peripheral circulation. Baroreflex control of heart rate is known to be diminished in older individuals. Whether advancing age is associated with a parallel attenuation in baroreflex control of sympathetic outflow to the peripheral circulation has not been studied in humans. To provide such information, we made direct measurements of muscle sympathetic nerve activity (MSNA) in healthy males who ranged in age from 18 to 71 yr. The subjects were arbitrarily divided into three groups: younger (18–34 yr; n = 35), middle aged (35–50 yr; n = 15), and older (51–71 yr; n = 16). Although basal levels of MSNA were higher in older subjects than in younger and middle-aged subjects, the gains of baroreflex control of MSNA were the same in the older, middle-aged, and younger subjects (-4.6 +/- 0.6, -4.8 +/- 0.9, -5.1 +/- 0.5 U/mmHg, P greater than 0.10). In contrast, the gains of baroreflex control of cardiac intervals were attenuated in the older and middle-aged subjects compared with the younger subjects (9.8 +/- 1.2, 13.6 +/- 1.4, 21.7 +/- 1.3 ms/mmHg, P less than 0.05). Our data indicate that although the parasympathetic component of the arterial baroreflex becomes impaired with advancing age, the sympathetic component can be well maintained in healthy individuals even into the seventh decade.

Cardiopulmonary Exercise Testing is Equally Prognostic in Young, Middle-Aged and Older Individuals Diagnosed with Heart Failure

2010 ◽  
Vol 42 ◽  
pp. 74-75
Author(s):  
Ross Arena ◽  
Jonathan Myers ◽  
Joshua Abella ◽  
Sherry Pinkstaff ◽  
Peter Brubaker ◽  
...  
Keyword(s):  
Heart Failure ◽  
Exercise Testing ◽  
Cardiopulmonary Exercise Testing ◽  
Older Individuals ◽  
Middle Aged ◽  
Cardiopulmonary Exercise

scholarly journals Seasonal variations in sleep duration and sleep complaints: A Swedish cohort study in middle‐aged and older individuals

2021 ◽  
Author(s):  
Olga E. Titova ◽  
Eva Lindberg ◽  
Sölve Elmståhl ◽  
Lars Lind ◽  
Christian Benedict
Keyword(s):  
Cohort Study ◽  
Sleep Duration ◽  
Seasonal Variations ◽  
Older Individuals ◽  
Middle Aged ◽  
Sleep Complaints ◽  
Swedish Cohort

Age Identification and Self-Concept in Later Adulthood

1978 ◽  
Vol 43 (3) ◽  
pp. 789-790 ◽  
Author(s):  
J. Thomas Puglisi ◽  
Dorothy W. Jackson
Keyword(s):  
Old Age ◽  
Self Concept ◽  
Older Individuals ◽  
Middle Aged ◽  
Tennessee Self Concept Scale

71 female volunteers (mean age 77.7 yr.) responded to questionnaires measuring age identification (self-identification as young, middle-aged, old) and self-concept (Tennessee Self-concept Scale). “Young/Middle-aged” self-identifications were associated with positive self-concepts, suggesting that chronologically older individuals may use denial of old age to insulate themselves from societal devaluation. It was pointed out that such “denial” of old age may or may not entail a denial of reality.

scholarly journals 0283 SUBJECTIVE COGNITIVE COMPLAINT IN LATE MIDDLE-AGED AND OLDER INDIVIDUALS WITH OBSTRUCTIVE SLEEP APNEA

SLEEP ◽  
2017 ◽  
Vol 40 (suppl_1) ◽  
pp. A104-A104 ◽  
Author(s):  
K Gagnon ◽  
A Baril ◽  
J Montplaisir ◽  
J Carrier ◽  
C D’Aragon ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Older Individuals ◽  
Middle Aged ◽  
Cognitive Complaint ◽  
Obstructive Sleep ◽  
Subjective Cognitive Complaint
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