scholarly journals Intervening factors in the perception of memory decline and life purpose in older adults

2021 ◽  
Vol 11 (4) ◽  
pp. 22-28
Author(s):  
Daniel Vicentini de Oliveira ◽  
Gabriel Lucas Morais Freire ◽  
Paulo Victor Suto Aizava ◽  
Thais Sporkens Magna ◽  
Vinicius Nagy Soares ◽  
...  

Objective: To investigate the relationship between the perception of memory decline and the purpose of life in the elderly.Methods: A cross-sectional study that evaluated 235 older adults living in the city of Maringá, Paraná. A sociodemographic questionnaire, the Life Purpose Scale and the Subjective Cognitive Decline Initiative (SCD-I) were used. Data analysis was conducted using the Kolmogorov-Smirnov, Mann–Whitney “U”, Kruskal-Wallis, and Pearson's Chi-square tests (p < 0.05). Results: The results showed a higher prevalence of women with a perception of memory decline (p = 0.011) and that the elderly with more than three minimum wages had higher scores on the life purpose scale than the elderly with lower income. It was found that the elderly who does not consider that the deterioration of memory affects activities of daily living (ADL) had a greater purpose in life than the elderly who considers that the deterioration of memory impairs their ADL (p = 0.004). Conclusion: female gender seems to be a factor associated with memory decline, while higher monthly income seems to be an intervening factor in the greater purpose of life of the elderly. Not considering that memory loss harms ADLs, it seems to intervene in the best purpose of life.

2020 ◽  
Vol 2 (2) ◽  
pp. 128-134
Author(s):  
Pramila Bhandari ◽  
Mira Baral

Background: Abuse of the elderly is a hidden problem in Nepalese community. Pokhara city is highly affected by urbanization, modernization and migration that predispose older adults to social isolation and financial difficulties increasing their risk to abuse. This study aims to fill the gap in the knowledge in the area of abuse of elderly in Pokhara city.Objectives: The major objective of this study was to determine the prevalence of caregiver abuse experienced by the older adults and find out the factors associated with the abuse. Method: A cross sectional study was used for the study. Convenience sampling technique was used and data was collected from 192 elderly above the age of 60 years residing a community of Pokhara-28, Kaski at their households using a structured interview schedule. Data was collected in June 2018, for a period of one month. Before data collection, informed written consent was taken from participants. The data was analyzed by using SPSS-16 and chi-square test was used as inferential statistics to determine the association between the elder abuse and selected variables.Result: We found out that 65.6% of the elderly experienced at least one abuse in the last 6 months. The most common forms of abuse were caregiver neglect (55.2%) and psychological abuse (38.5%). The elderly abuse was statistically significant with female sex (p=0.001), unmarried/widow/widower/separated/divorced (p=.021), illiterate (p=0.002), and among those having chronic illness (p=0.003). Conclusion: Almost 7 out of 10 elderly experienced abuse in the past 6 months. The most common form of abuse was caregiver neglect followed by psychological and financial abuse. Older adults who were females, unmarried/widowed/separated/divorced, illiterate and those having chronic disease were at higher risk for abuse.


2017 ◽  
Vol 70 (4) ◽  
pp. 719-725 ◽  
Author(s):  
Antonio Herculano de Araújo Neto ◽  
Anna Cláudia Freire de Araújo Patrício ◽  
Milenna Azevedo Minhaqui Ferreira ◽  
Brenda Feitosa Lopes Rodrigues ◽  
Thayná Dias dos Santos ◽  
...  

ABSTRACT Objective: To analyze the occurrence of falls in institutionalized elderly addressing the risks, consequences and antecedents. Method: Cross-sectional study carried out with 45 older adults in Long-Term Care Facilities for the Older adult in João Pessoa, Brazil, in June and July 2016. A socio-demographic questionnaire and the Berg Balance Scale were applied, classifying as risk of fall scores lower than 45. Descriptive statistics and tests were conducted: independent t-test, Anova (Tukey), Chi-square, Mann Whitney. Statistically significance was p <0.05. Data were processed in SPSS version 19.0. Results: A total of 66.7% (30) falls occurred, 20% (9) of them in the external area, with 66.7% (30) of the participants having hypertension as a previous disease and, as consequence, the fracture was highlighted with 11.2% (5). The Berg Scale had different scores when compared to the falls suffered by the elderly and previous diseases influenced the occurrence of falls (p <0.05). Conclusion: It is necessary to implement public financing policies or partnerships that allow environments adaptations aiming at reducing the risks of falls.


Author(s):  
Erika Toapaxi ◽  
Yeisy Guarate ◽  
Nadihezka Cusme

Introducción: El estilo de vida es aquella elección consciente o inconsciente de practicar ciertos comportamientos que se van adquiriendo con el paso del tiempo y que en ocasiones son difíciles de modificar, influyendo principalmente en la salud. Objetivo: Analizar el estilo de vida y su influencia en el estado de salud de los adultos mayores del Sector la Unión, Provincia de Cotopaxi, Ecuador. Métodos: Estudio cuantitativo, correlacional, transversal, con una muestra censal de 35 adultos mayores, se aplicó el instrumento fantástico y el cuestionario Salud SF-12, ambos instrumentos válidos y confiables. Los datos obtenidos fueron procesados a través del software estadístico PSPP, por medio del cálculo de la distribución numérica, porcentual y la prueba de Chi Cuadrado, con significancia estadística (p<0.05). Resultados: En los datos demográficos predominan el sexo en 63%, 71% son indígenas, el 44% con edad entre 60-70 años, en los adultos mayores predominó el estilo de vida bueno con una diferencia significativa p<0,05 en relación al estilo de vida fantástico y regular, en la alimentación la mayoría consume dietas hiposódicas y bajas en grasas, mantienen un peso adecuado, automedicación ocasional y 43% presenta dolor corporal que dificulta un poco sus labores. Conclusiones: La población mantiene un estilo de vida adecuado, sin embargo, se evidenció debilidades que se deben fortalecer con actividades educativas de promoción de salud como el poco consumo frutas y verduras, hábitos cafeicos frecuentes. Palabras clave: adulto mayor, estilo de vida, hábitos saludables, alimentación.  ABSTRACT Introduction: The lifestyle is that conscious or unconscious choice to practice certain behaviors that are acquired over time and that are sometimes difficult to modify, mainly influencing health. Objective: To analyze the lifestyle and its influence on the health status of the elderly in the Sector La Unión, Province of Cotopaxi, Ecuador. Methods: Quantitative, correlational, cross-sectional study, with a census sample of 35 older adults, the fantastic instrument and the SF-12 Health questionnaire were applied, both valid and reliable instruments. The data obtained were processed through the PSPP statistical software, through the calculation of the numerical distribution, percentage and the Chi Square test, with statistical significance (p <0.05). Results: In the demographic data, sex predominates in 63%, 71% are indigenous, 44% aged between 60-70 years, in older adults the good lifestyle predominated with a significant difference p <0.05 in relation to a fantastic and regular lifestyle, most of them consume low-sodium and low-fat diets, maintain an adequate weight, occasional self-medication and 43% have body pain that makes their work a little difficult. Conclusions: The population maintains an adequate lifestyle, however, weaknesses were evidenced that should be strengthened with educational activities to promote health such as low consumption of fruits and vegetables, frequent coffee habits. Keywords: elderly, lifestyle, healthy habits, eating


2020 ◽  
Vol 10 (3) ◽  
pp. 85-91
Author(s):  
Daniel Vicentini de Oliveira ◽  
Sônia Maria Marques Gomes Bertolini ◽  
Ellis Gilson Chatalov ◽  
Maura Fernandes Franco ◽  
Maria do Carmo Correia de Lima ◽  
...  

Aims: To evaluate factors associated with the practice of transcendental meditation (TM) in the elderly. Methods: Cross-sectional study, with the inclusion of 113 older adults and women, 60 of them practitioners and 53 non-MT practitioners. A semi-structured questionnaire was used as an instrument, composed of sociodemographic, health and TM practice data. Data analysis was performed using the chi-square test and binary logistic regression. Results: The average age of practitioners was lower than that of non-practitioners (63.7 ± 4.0 vs. 69.1 ± 6.6 years). Most of the sample had completed higher education (f = 45; 75%; p = 0.001) and received more than three minimum wages (f = 40; 67.8%; p = 0.001). In the group of TM practitioners there was a greater proportion of individuals with excellent / good self-perceived health (91.7% vs 77.4%; p = 0.034), and less hospitalization in the last semester (5% vs 24.5 %; p = 0.003). Older adults who denied hospitalization or the presence of diabetes mellitus (DM) presented, respectively, 5.7 (95% CI OR 1.1 - 28.9) and 4.9 (95% CI OR 1.3 - 19.2) times chance to practice MT. The practice of TM is 80% more likely to be practiced by older adults with better self-perceived health (OR 0.17; 95% CI 0.03 - 0.96). Conclusion: The practice of a holistic activity such as TM is associated with better self-perceived health than older adults of the same age, and less chance of hospitalization in the last semester and the presence of DM.


Author(s):  
Ashok R. Jadhao ◽  
Pravin R. Ghongte ◽  
Suresh N. Ughade

Background: Although persons of all ages may have problems performing the Activities of Daily Living (ADL), prevalence rates are much higher for the elderly (65 years and over) than for the non-elderly. Elderly population face many problems. They become economically dependent on family for their basic needs and health care. Due to nuclear family norm, there is no place for elderly parent who feel alone and insecure. The study was undertaken to assess activities of daily living and reasons for admitting in home for aged amongst them. Objectives of present study were to assess the activities of daily living (ADL) and to identify the reasons for admitting in home for aged, in two homes for aged in Nagpur city, Central India.Methods: A cross sectional study was undertaken in two homes for aged namely Panchvati Vridhashram, Umred road and Home for aged, Untakhana, Nagpur, Maharashtra, India. Total 176 study subjects had consented for participation in study.Results: Mean age of study subjects was 73.47±6.06 year ranging from 61 to 90 years. Proportion of female inmate was 55.11%. Around one-fifth of study subjects (19.32%) were illiterate. Significantly more illiterate study subjects were of female gender (chi- square=5.78, d.f.=1, P=0.016). Mean duration of stay in home for aged was 5.29±3.29 years with the range of 9 months to 17 years. Number of study subject’s dependent for at least one ADL was 37 (21.02%). Amongst dependents 32 (18.8%) inmates were partially dependent with ADL score of 1-5 and only 5 (2.85%) inmates were totally dependent with ADL score of 6-12. The proportion of inmates with dependency for at least one activity of activities of daily living increases as the age increases. Positive liner trend was observed between age and dependency (r=0.1971, P=0.0087).Conclusions: Prevalence of ADL dependency was 21.02% among the inmates of home for aged. Dependency for activities of daily living increases with increase in age. Major reasons for admission to the home for aged were - no one to look after, strained relation with family members and economic constraints. There is need for economic assistance through social security to economically dependent inmates.


2021 ◽  
Vol 11 (5) ◽  
pp. 410-419
Author(s):  
Agus Yudawijaya ◽  
Tranggono Yudo Utomo ◽  
Vanessa Destiana

Osteoarthritis is a chronic and degenerative disease characterized by pain and damage to joint cartilage, which often causes pain and limited movement in the elderly population to disrupt daily activities and cause severe socio-economic impacts. The risk factor is more than 50 years, female gender, obesity, history of knee trauma, and anatomical abnormalities. This study was conducted to determine the relationship between body mass index to the degree of genu osteoarthritis. The design of this study was observational analytic with a cross-sectional study approach, using consecutive sampling. The tools used are medical record paper, weight scales, staturmeter, X photo articulation genu. Parameters examined were gender, age, weight (BB), height (TB), grade osteoarthritis (OA) genu Kellgren-Lawrence. It is conducted at Tarakan Hospital, Jakarta. The results showed 67,5% of respondents were female, 67,5% of respondents with OA genu aged > 50 years, 67,5% of respondents with BMI ≥ 23, 17,5% OA genu with grade Kellgren-Lawrence 1, 22,5% OA genu with grade Kellgren-Lawrence 2, 30% OA genu with grade Kellgren-Lawrence 3 and 30% OA genu with Kellgren-Lawrence 4. Results of the chi-square test have a relationship between body mass index (p = 0.042) on the degree of osteoarthritis genu in Tarakan Hospital, Jakarta. It was concluded that there was a relationship between body mass index to the degree of osteoarthritis genu in Tarakan Hospital, Jakarta. Key words: Osteoarthritis, Body Mass Index, Grade OA Genu Kellgren-Lawrence.


1970 ◽  
Vol 4 ◽  
pp. 129-142 ◽  
Author(s):  
Raj Kumar Subedi

Insomnia is one of the major and unsolved problems in older people. Most of the sleep studies report that the different forms of insomnia like Difficulty Initiating Sleep (DIS), Difficulty Maintaining Sleep (DMS) and Non-Restorative Sleep (NRS) are common among the elderly that are associated to many factors. The objective of the study was to measure the prevalence of insomnia and the factors associated to it among the elderly people. A cross-sectional study was conducted among 142 elderly people of and above 60 years of age in Sarangdanda VDC of Panchthar District of Eastern Nepal. The presence or absence of insomnia and the associated factors were assessed on them by the help of interview schedule. The results were analyzed using chi-square test in SPSS (version 11.5). DMS was the most common reported form of insomnia among the elderly followed by DIS and NRS. Association between insomnia and each of factors like use of tobacco before sleeping hours, eating too close to bedtime, use of tea/coffee before sleeping hours and use of alcohol before sleeping hours were statistically significant at 95% level of confidence. Insomnia affects a large proportion of elderly and is triggered by many factors like use of tobacco before sleeping hours, use of tea/coffee before sleeping hours, eating too close to bedtime and use of alcohol before sleeping hours. Keywords: Alcohol; tea/coffee; difficulty initiating sleep (DIS); difficulty maintaining sleep (DMS); non-restorative sleep (NRS); tobacco DOI: 10.3126/dsaj.v4i0.4517 Dhaulagiri Journal of Sociology and Anthropology Vol.4 2010 pp.129-142


2017 ◽  
Vol 20 (1) ◽  
pp. 138-148 ◽  
Author(s):  
Natália Araujo de Almeida ◽  
Annelita Almeida Oliveira Reiners ◽  
Rosemeiry Capriata de Souza Azevedo ◽  
Ageo Mário Cândido da Silva ◽  
Joana Darc Chaves Cardoso ◽  
...  

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.


2015 ◽  
Vol 28 (3) ◽  
pp. 231-240 ◽  
Author(s):  
Ana Luísa Moreira dos Santos ◽  
Teresa Maria de Serpa Pinto Freitas do Amaral ◽  
Nuno Pedro Garcia Fernandes Bento Borges

OBJECTIVE: To evaluate the prevalence of undernutrition in older adults aged >75 years living in communities and to identify the main factors independently associated with undernutrition. METHODS: A cross-sectional study was conducted using a random sample of family physicians' medical records of 86 older adults aged >75 years living in the community studied. Their nutritional status was evaluated using the Mini Nutritional Assessment. RESULTS: A total of 10.5% of the elderly were undernourished and 41.9% were at undernutrition risk. According to the logistic regression multivariable model, the following characteristics: being widowed (OR=6.7; 95%CI=1.8-24.6); being institutionalized (OR=12.6; 95%CI=1.7-90.5); or having a negative self-perception of health (OR=15.0; 95%CI=3.3-69.1) were independently associated with a significant increase of undernutrition risk. CONCLUSION: The current study shows that undernutrition is highly prevalent in Portuguese older adults aged >75 years living in communities. The major factors independently associated with their undernutrition are being widowed and institutionalized and having negative self-perception of health. The results obtained show that undernutrition and its associated factors are very serious problems for older adults and a challenge in their health care.


Author(s):  
Divyanshu Raheja ◽  
Evelyn Davila ◽  
Eric Johnson ◽  
Rijalda Deović ◽  
Michele Paine ◽  
...  

The purpose of this study is to understand among a convenience sample of 400 adults aged 60 years of age or older (1) reasons for being willing or unwilling to participate in a vaccine clinical research study and (2) overall perceptions about vaccine clinical research. A cross-sectional study using a sample of older adults residing in the metro-Atlanta area and surrounding neighborhoods was conducted. The study questionnaire contained 37 questions, including questions about socio-demographics and perceptions about clinical trial processes. Statistical analysis was conducted using logistic regression. The adjusted modeling results indicated that sex, distance to research clinic, and being informed about the research findings played a role in the likelihood of an elderly person participating in a vaccine study. Males were more likely to participate in clinical trials as compared to females (OR: 2.486; CI: 1.042–5.934). Most participants were willing to travel up to 25 miles from the research clinic. Of the respondents, 45% were unlikely to participate if the results of the current trial are not shared. Improving access to clinical trials in terms of distance traveled and ensuring streamlined processes to inform participants about the results of the trial in the future would increase willingness to participate in vaccine clinical trials. The survey could serve as a useful tool for conducting vaccine studies and other clinical trials by understanding the barriers specific to the elderly.


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