Prevalence and Risk Factors of Eye Problems among Older People in Central Tropical Region, Naypyitaw Union Territory, Myanmar

Abstract Postprandial hypotension (PPH) is an unrecognized sudden drop of blood pressure (BP) after meals and a hidden problem among older people including those living in long-term care facilities (LTCFs). Though PPH causes dizziness, falls, and syncope, it has received little attention from¬¬¬ healthcare workers (HCW) including caregivers, nurses and physicians, and risk factors of PPH should be carefully assessed to improve quality of life. Therefore, we aimed to examine the prevalence and risk factors of PPH in a LTCF in Japan. Participants were 114 older adults living in a LTCF in Japan (mean age 85.9 years old; 85 female (74%)). To examine PPH, blood pressure (BP) was measured before and after lunch. BP after meal was measured four times every 30 minutes. PPH is defined as a BP drop of 20 mmHg or more and we also defined a BP drop within a range of 19 to 15 mmHg as potential-PPH. As risk factors, we compared systolic and diastolic BP at baseline, body mass index, pulse rate, disease and complications between groups with/without PPH. The prevalence of PPH was 41% (47/114) and 52% with potential-PPH; 11% (13/114) added. Among risk factors, systolic BP was significantly higher in those with PPH (142.6 vs 123.5 mmHg, p <0.001). This study revealed that PPH & potential-PPH occurred in half of the subjects in a LTCF in Japan. HCW need to focus on high systolic BP to predict PPH and future research is necessary to prevent and cope with PPH for older people.

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Sleep disordered breathing at the extremes of age: the elderly

Breathe ◽

10.1183/20734735.003216 ◽

2016 ◽

Vol 12 (1) ◽

pp. 50-60 ◽

Cited By ~ 20

Author(s):

Alison McMillan ◽

Mary J. Morrell

Keyword(s):

Risk Factors ◽

Older People ◽

Sleep Disordered Breathing ◽

Treatment Options ◽

Current Evidence ◽

List Type ◽

Pressure Therapy ◽

Age Related ◽

The Impact ◽

Disordered Breathing

Key pointsSleep disordered breathing (SDB) is common and its prevalence increases with age. Despite this high prevalence, SDB is frequently unrecognised and undiagnosed in older people.There is accumulating evidence that SDB in older people is associated with worsening cardio- cerebrovascular, cognitive and functional outcomes.There is now good evidence to support the use of continuous positive airway pressure therapy in older patients with symptomatic SDB.Educational aimsTo highlight the prevalence and presentation of sleep disordered breathing (SDB) in older people.To inform readers about the risk factors for SDB in older people.To explore the impact of SDB in older people.To introduce current evidence based treatment options for SDB in older people.Sleep disordered breathing (SBD) increases in prevalence as we age, most likely due to physiological and physical changes that occur with ageing. Additionally, SDB is associated with comorbidity and its subsequent polypharmacy, which may increase with increasing age. Finally, the increased prevalence of SDB is intrinsically linked to the obesity epidemic. SDB is associated with serious outcomes in younger people and, likewise, older people. Thus, identification, diagnosis and treatment of SDB is important irrelevant of age. This article reviews the age-related changes contributing to SDB, the epidemiology and the risk factors for SDB in older people, the association of SDB with adverse outcomes, and diagnostic and treatment options for this population.

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Generalised and abdominal adiposity are important risk factors for chronic disease in older people: Results from a nationally representative survey

The journal of nutrition health & aging ◽

10.1007/s12603-011-0051-3 ◽

2011 ◽

Vol 15 (6) ◽

pp. 469-478 ◽

Cited By ~ 8

Author(s):

V. Hirani

Keyword(s):

Risk Factors ◽

Chronic Disease ◽

Older People ◽

Abdominal Adiposity ◽

Representative Survey ◽

Nationally Representative

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Effects of a Year-Long Pedometer-Based Walking Program on Cardiovascular Disease Risk Factors in Active Older People

Asia Pacific Journal of Public Health ◽

10.1177/1010539513506603 ◽

2013 ◽

Vol 27 (2) ◽

pp. 155-163 ◽

Cited By ~ 7

Author(s):

Ryo Miyazaki ◽

Kazuhiko Kotani ◽

Kokoro Tsuzaki ◽

Naoki Sakane ◽

Yoshikazu Yonei ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Older People ◽

Disease Risk ◽

Cardiovascular Disease Risk ◽

Cardiovascular Disease Risk Factors ◽

Walking Program

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Diabetes-Related Risk Factors in Older People

Diabetes in Old Age ◽

10.1002/9780470744093.ch2 ◽

2009 ◽

pp. 13-18 ◽

Cited By ~ 1

Author(s):

Stephen Colagiuri ◽

Daniel Davies

Keyword(s):

Risk Factors ◽

Older People ◽

Related Risk

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Neurodegenerative disorders in older people

Oxford Textbook of Medicine ◽

10.1093/med/9780198746690.003.0061 ◽

2020 ◽

pp. 601-611

Author(s):

John Hindle

Keyword(s):

Risk Factors ◽

Older People ◽

Protective Factors ◽

Genetic Susceptibility ◽

Neurodegenerative Disorders ◽

Neuronal Death ◽

Clinical Signs ◽

Symptomatic Treatment ◽

Structure And Function ◽

And Function

Neurodegenerative disorders are associated with a progressive loss of structure and function of neurones that leads to neuronal death. Their aetiology combines ageing, genetic susceptibility, and risk factors including environmental exposure, balanced against protective factors. They present with varying combinations of progressive cognitive, emotional, motor, autonomic and peripheral symptoms, and clinical signs. Neurodegenerative conditions are all likely to have a preclinical prodromal period, followed by slow initial decline during which there is clinical presentation, followed by a further steady decline and an eventual accelerated decline. The rate of progression of these disorders varies greatly, but they are all inevitably progressive, currently have no cure, and require symptomatic treatment.

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