scholarly journals Contactless Sleep Monitoring for Early Detection of Health Deteriorations in Community-Dwelling Older Adults: an Exploratory Study (Preprint)

2020 ◽  
Author(s):  
Narayan Schütz ◽  
Hugo Saner ◽  
Angela Botros ◽  
Bruno Pais ◽  
Valérie Santschi ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Early Detection ◽  
Case Analysis ◽  
Community Dwelling ◽  
Health Issues ◽  
Body Movements ◽  
Sleep Monitoring ◽  
Community Dwelling Older Adults ◽  
Eq Vas

BACKGROUND Population ageing is posing multiple social and economic challenges to society. One such challenge is the social and economic burden related to increased healthcare expenditure caused by early institutionalizations. The use of modern pervasive computing technology makes it possible to continuously monitor the health status of community-dwelling older adults at home. Early detection of health issues through these technologies may allow for reduced treatment costs, and initiation of targeted preventive measures leading to better health outcomes. Sleep is a key factor when it comes to overall health and many health issues manifest themselves with associated sleep deteriorations. Sleep quality and sleep disorders such as sleep apnoea syndrome have been extensively studied using various wearable devices at home or in the setting of sleep laboratories. However, little research has been conducted, evaluating the potential of contactless and continuous sleep monitoring in detecting early signs of health problems in community-dwelling older adults. OBJECTIVE In this work we aim to evaluate which contactlessly measurable sleep parameter, is best suited to monitor perceived and actual health status changes in older adults. METHODS We analysed real-world longitudinal data from 37 community-dwelling older adults, including more than 6000 nights of sleep. Sleep data was measured by a pressure sensor placed beneath the mattress and corresponding health status information was acquired through weekly questionnaires and reports by healthcare personnel. Association with perceived health, evaluated by EuroQol EQ-VAS ratings, were quantitatively evaluated using individual linear mixed-effects models. Translation to real-world health incidents was investigated through manual case-by-case analysis. RESULTS Using EQ-VAS rating based self-reported perceived health, we identified body movements in bed - measured by the number toss-and-turn events - as the most predictive sleep parameter (t-Value=-0.435, p-adj=<.001). Case-by-case analysis further substantiated this finding, showing that increases in number of body movements could often be linked to reported health incidents. CONCLUSIONS Our results suggest that nightly body movements in bed, such as toss and turns, could potentially be a highly relevant as well as easy to interpret and derive digital biomarker to monitor a wide range of health deteriorations in older adults. As such, it could help in detecting health deteriorations early on and provide timelier as well as more personalized and precise treatment options. CLINICALTRIAL

scholarly journals Contactless Sleep Monitoring for Early Detection of Health Deteriorations in Community-Dwelling Older Adults: an Exploratory Study (Preprint)

10.2196/24666 ◽  
2020 ◽  
Author(s):  
Narayan Schütz ◽  
Hugo Saner ◽  
Angela Botros ◽  
Bruno Pais ◽  
Valérie Santschi ◽  
...  
Keyword(s):  
Older Adults ◽  
Early Detection ◽  
Exploratory Study ◽  
Community Dwelling ◽  
Sleep Monitoring ◽  
Community Dwelling Older Adults

scholarly journals Physical Health Status and Frailty Index in Community Dwelling Older Adults in Tehran

Salmand ◽  
2019 ◽  
pp. 652-665
Author(s):  
Sima Ghasemi ◽  
Nastaran Keshavarz Mohammadi ◽  
Farahnaz Mohammadi Shahboulaghi ◽  
Ali Ramezankhani ◽  
Yadollah Mehrabi
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Physical Health ◽  
Frailty Index ◽  
Community Dwelling ◽  
Physical Health Status ◽  
Community Dwelling Older Adults

scholarly journals Longitudinal Impact of Oral Health on Geriatric Syndromes and Clinical Outcomes in Community-dwelling Older Adults

2020 ◽  
Author(s):  
Jihye Lim ◽  
Hyungchul Park ◽  
Heayon Lee ◽  
Eunju Lee ◽  
Danbi Lee ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Oral Health ◽  
Oral Health Status ◽  
Community Dwelling ◽  
Health Conditions ◽  
Longitudinal Impact ◽  
Composite Outcome ◽  
Geriatric Syndromes ◽  
Community Dwelling Older Adults

Abstract BackgroundOral health is essential for daily living and plays a pivotal role in overall health conditions and well-being. This study evaluated the impact of self-reported oral health on geriatric conditions, institutionalization, and mortality. MethodsThis study analyzed the population of the Aging Study of Pyeongchang Rural Area that had undergone geriatric assessments between 2016 and 2017. The oral health status of the participants was determined using three items from the General Oral Health Assessment Index, and the participants were classified into three groups according to the total sum of the scores as good (3), fair (4–7), or poor (8-15). The outcomes were the incidence of geriatric syndromes at 2 years and the composite outcome of mortality and institutionalization.ResultsAmong the 1189 participants, 44.1% were women, and the mean age of the study population was 75.0 years. Good, fair, and poor oral health were observed in 597 (50.2%), 406 (34.1%), and 186 (15.6%) individuals, respectively. Worsening oral health status was associated with the incidences of various geriatric syndromes at follow-up, and these associations were attenuated after adjusting for baseline demographic and geriatric parameters. Similarly, the significant association between baseline oral health status and the incidence of the composite outcome was attenuated after adjusting for demographic and geriatric parameters. ConclusionsOral health affected the geriatric health conditions in this prospective, longitudinal cohort of community-dwelling older adults. The correlations and interactions of oral health status with other functional parameters may deserve consideration as a geriatric domain.

scholarly journals EARLY DETECTION OF FRAILTY IN COMMUNITY-DWELLING OLDER ADULTS BY PREVENTIVE HOME VISITS

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 97-97
Author(s):  
B. Fret ◽  
D. Verté ◽  
L. De Donder
Keyword(s):  
Older Adults ◽  
Early Detection ◽  
Home Visits ◽  
Community Dwelling ◽  
Preventive Home Visits ◽  
Community Dwelling Older Adults

Perceived Social Isolation, Self-Care Behaviors and Health Status among Community Dwelling Older Adults Living Alone

2016 ◽  
Vol 11 (01) ◽  
pp. 17-23
Author(s):  
Lithong Phatharapreeyakul ◽  
Phachongchit Kraithaworn ◽  
Noppawan Piaseu
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Social Isolation ◽  
Self Care ◽  
Community Dwelling ◽  
Living Alone ◽  
Perceived Social Isolation ◽  
Community Dwelling Older Adults

What do people include when they self-rate their health? Differential associations according to health status in community-dwelling older adults

2011 ◽  
Vol 20 (10) ◽  
pp. 1573-1580 ◽  
Author(s):  
Benjamin Schüz ◽  
Susanne Wurm ◽  
Ina Schöllgen ◽  
Clemens Tesch-Römer
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

Community-dwelling older adults' perceptions of dignity: core meanings, challenges, supports and opportunities

2013 ◽  
Vol 34 (8) ◽  
pp. 1292-1313 ◽  
Author(s):  
KATHY BLACK ◽  
DEBRA DOBBS
Keyword(s):  
Older Adults ◽  
Older People ◽  
The United States ◽  
Community Dwelling ◽  
Health Issues ◽  
Policy And Practice ◽  
Community Based ◽  
Self Identity ◽  
Community Dwelling Older Adults

ABSTRACTDignity is a universally important issue for all people, and particularly vital for older adults who face multiple losses associated with ageing. In the United States of America and beyond, the maintenance of dignity is a key aim of policy and service provision for older people. Yet surprisingly little research has been conducted into the meaning of dignity to community-based older adults in the context of everyday life. As life expectancy continues to increase worldwide, unprecedented numbers of people are living longer than ever before. The majority of older adults will face declining health and other factors that may impact dignity in the course of ageing in their communities. This paper reports on a study that explored older people's understandings and experiences of dignity through focus groups and a survey. Three key components of dignity are identified: autonomy, relational and self-identity. In addition, the paper discusses a range of factors that can facilitate or inhibit a sense of dignity for older people, including long-term health issues, sensory deficits and resilience to life events. Finally, the implications of these findings for policy and practice are considered in the context of American social structures and values.

Exploring the Role of Housing Type on Physical Activity and Health Status in Community-Dwelling Older Adults

2010 ◽  
Vol 34 (2) ◽  
pp. 98-114 ◽  
Author(s):  
Elizabeth L. Harrison ◽  
Koren L. Fisher ◽  
Joshua A. Lawson ◽  
Karen E. Chad ◽  
M. Suzanne Sheppard ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Status ◽  
Community Dwelling ◽  
Housing Type ◽  
Community Dwelling Older Adults

scholarly journals Hospitalization and Successful Aging of Community-Dwelling Older Adults: Using the Korean National Survey Data

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 137-138
Author(s):  
Ji Yeon Lee ◽  
Bora Kim ◽  
Kyung Hee Lee ◽  
Changgi Park
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Survey Data ◽  
Successful Aging ◽  
Community Dwelling ◽  
Poor Health ◽  
Poor Health Status ◽  
Community Dwelling Older Adults

Abstract Hospitalization experience can be an obstructive factor to successful aging. Although older adults who had hospitalization experience has been considered to have poor health status and low participation in one’s life, it is not obviously evident whether hospitalization itself affects successful aging. This study aimed to investigate whether three components of successful aging (i.e., diseases and disease-related complications, physical and mental functions, and engagement with life) were different in community-dwelling older adults who had hospitalization experience for the past one year compared to the counterpart older adults without hospitalization experience. A secondary data analysis was performed using a nationally representative survey data in Korea. A total of 1,812 who had hospitalization experience were matched to 1,812 control counterpart using propensity score matching. Sampling weight of the survey was considered for all statistical analysis. The community-dwelling older adults with hospitalization experience were less likely to be aging successfully than the older adults without hospitalization experience. The older adults with hospitalization experience had more chronic illnesses and malnourishment; they had more impairment in physical function and depressive symptoms; they were less active in working, social activities, and traveling. However, there were no differences in cognitive function and religious activities between the groups. In conclusion, the community-dwelling older adults who had hospitalization experience have poor health status and less engagement in one’s life in general after matching covariates using propensity score matching analysis. Therefore, more attention and assist are needed to the community-dwelling older adults with hospitalization experience to facilitate successful aging.

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