scholarly journals Profil Fungsi Kognitif Berdasarkan Karakteristik Lansia Binaan Sahabat Lansia

2020 ◽  
Vol 4 (1) ◽  
pp. 314-321
Author(s):  
Erlina Fazriana

This study aims to determine the cognitive profile based on the characteristics of the elderly assisted my elderly friends in Bandung. This research method is quantitative descriptive research. The results showed that out of 80 elderly respondents, most were in the normal category, as many as 72 elderly (90%). The elderly who are categorized as usual to mild disorders are mostly in the age range of 60-70 years, are female, homemakers work, married marital status, medical history of hypertension and physical activity are homework and gymnastics, while for the elderly with disorders cognitive weight, age 78 years, female gender, widowed, marital status, work as a housewife, medical history of hypertension and physical activity, gymnastics and housework. In conclusion, the cognitive abilities of the elderly assisted my elderly friends in Bandung City in 2019 were mostly in the normal category and the cognitive skills of the elderly with typical to severe types; most of the elderly did homework and gymnastics.   Keywords: Elderly Characteristics, Cognitive Ability, Elderly Friends

2008 ◽  
Vol 100 (10) ◽  
pp. 685-692 ◽  
Author(s):  
Gwenaëlle Cadiou ◽  
Rémi Varin ◽  
Hervé Levesque ◽  
Vanessa Grassi ◽  
Jacques Benichou ◽  
...  

SummaryThe aims of this case-control study were to identify in vitamin K antagonist (VKA)-treated unselected patients, factors associated with international normalised ratio (INR) values: (i) greater than 6.0.;and (ii) ranging from 4.0 to 6.0 complicated with bleeding. We also assessed VKA-related morbidity in these patients. During a two-month period, 4,188 consecutive and unselected patients were referred to our Emergency Department. At admission, the medical records of each patient and two age- and sex-matched controls were reviewed for: both duration and indication of VKA therapy, previous medical history of VKA-related haemorrhage, underlying co-morbidities, concomitant medications other than VKA, duration of hospitalization and deaths’ causes. Of these 4,188 subjects,50 case-patients (1.19%) were identified; both case-patients and controls did not differ as regards indications and patterns of VKA therapy. Interestingly, two-thirds of case-patients were women, suggesting that female gender may be a risk factor of VKA over-coagulation onset. We identified the following risk factors of VKA over-coagulation: previous medical history of INR levels over therapeutic range, therapy with antibiotics, amiodarone and proton pump inhibitors, as well as fever. A total of 88% of case-patients were hospitalized; mean duration of patients’ hospitalization was seven days [range:1–56 days];no patient died from major bleeding. Our study underscores that it is of utmost importance to consider the strength of indication before starting VKA therapy, as this therapy has been responsible for as high as 1.19% of admissions in unselected subjects referred to an Emergency Department. Our data therefore suggest that internists should be aware of VKA-related high morbidity, particularly in situations at risk of VKA over-coagulation.


2019 ◽  
Author(s):  
Thi Hue Man Vo ◽  
Keiko Nakamura ◽  
Kaoruko Seino ◽  
Hoang Thuy Linh Nguyen ◽  
Thang Van Vo

Abstract Background Fear of falling (FoF) in the elderly is one of the major public health concerns in this era of aging of the population. Identifying risk factors is a step towards devising interventions for FoF. The aim of this study was to determine the prevalence of FoF and the associations between cognitive impairment and FoF by the social support level, after adjustments for potential confounders. Methods Data from the “Health needs assessment of elderly in Thua Thien Hue Province, Vietnam in 2018” survey of 725 elderly aged 60 years or older were used for analysis. FoF was assessed using the Fall Efficacy Scale - International. High FoF was defined as a score above 28. The Multidimensional Scale of Perceived Social Support was used to measure the perception of support. Logistic regression analysis was performed to investigate the factors that might be significantly (p <0.05) associated with the FoF. Results The prevalence of high FoF among the elderly was 40.8%. Female gender, advanced age, a marital status of single or formerly married, living alone, history of injury, history of falls, chronic diseases (arthritis and/or hypertension), limitations of the IADL and BADL, visual difficulty and walking difficulty, low social support, and cognitive impairment were all significantly associated with a high FoF. After adjustments for the age, gender, marital status, history of falls and health-related factors, cognitive impairment remained significantly associated with a high FoF among the elderly with a low to moderate social support level (OR = 2.97, 95% CI 1.49-5.89), but not in those with a high social support level. Conclusions Impairment of cognitive function was associated with a high FoF among the elderly who perceived themselves as having low or moderate support levels, even after adjustments for socio demographic and physical functional factors. However, this association was not observed among the elderly who perceived themselves as having high social support levels. Fall prevention programs for the elderly with various levels of social support should be carefully devised, keeping in mind the cognitive function levels of the target recipients.


2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Arti Febriyani Hutasuhut ◽  
Marisa Anggraini ◽  
Reza Angnesti

ABSTRACT: ANALYSIS OF COGNITIVE FUNCTIONS IN ELDERLY IN TERMS OF GENDER, EDUCATION HISTORY, DISEASE HISTORY, PHYSICAL ACTIVITY, COGNITIVE ACTIVITIES, AND SOCIAL ENGAGEMENT One of the disorders caused by degeneration in the elderly is cognitive impairment This study aims to determine the factors that influence cognitive function in the elderly in the work area of the Kedaton Bandar Lampung Health Center in 2018. This research is an analytical survey with a cross-sectional approach. The research subjects were 107 elderly people living in the working area of the Kedaton Health Center in Bandar Lampung. Data in this study were obtained through interviews using questionnaires, social disengagement scale, and MMSE. Data analyzed using chi-square test. The results showed that there was a significant relationship between education, history of illness, physical activity, cognitive activity, and social involvement with cognitive function, whereas for sex, no significant relationship was found with cognitive function. Keywords:  Cognitive Function, Gender, Educational History, History of Illness, Physical Activity, Cognitive Activity, Social Engagement, Elderly Salah satu gangguan akibat degenerasi pada lansia yaitu gangguan kognitif. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi fungsi kognitif pada lansia di wilayah kerja Puskesmas Kedaton Bandar Lampung tahun 2018. Penelitian ini merupakan survey analitik dengan pendekatan cross-sectional. Subyek penelitian adalah 107 orang lansia yang tinggal di wilayah kerja Puskesmas Kedaton Bandar Lampung. Data dalam penelitian ini diperoleh melalui wawancara menggunakan kuesioner, skala social disengagement, dan MMSE. Analisis data menggunakan uji chi-square. Hasil penelitian menunjukan bahwa terdapat hubungan yang signifikan antara pendidikan, riwayat penyakit, aktivitas fisik, aktivitas kognitif, dan keterlibatan sosial dengan fungsi kognitif, sedangkan untuk jenis kelamin, tidak ditemukan hubungan signifikan dengan fungsi kognitif.  Kata Kunci : Fungsi Kognitif, Jenis Kelamin, Riwayat Pendidikan, Riwayat Penyakit, Aktivitas Fisik, Aktivitas Kognitif, Keterlibatan Sosial, Lansia


1995 ◽  
Vol 3 (3) ◽  
pp. 223-237 ◽  
Author(s):  
Patricia A. Vertinsky

Despite growing indications of increased participation in healthful physical activity among the elderly, aging women tend to participate in exercise and sport to a lesser extent than their male peers. This paper suggests that strongly held beliefs about the potential risks of vigorous exercise deter many elderly women from being physically active. It then examines the gendered nature of myths and stereotypes concerning aging and physical activity and explores those social and cultural factors that have historically persuaded aging women to practice "being" old and inactive before "becoming" old. The purpose is to elaborate upon studies in the history of aging which indicate that popular perceptions rather than reality shaped social expectations, professional prescriptions, and public policy. These studies suggest how the creation of negative stereotypes around the aging female paved the way for an unbalanced version of the realities of female old age, at times delimiting aspirations and constraining opportunities for vigorous and healthful physical activity.


2020 ◽  
Vol 5 (4) ◽  
pp. 94
Author(s):  
Laura Vizzi ◽  
Elvira Padua ◽  
Agata Grazia D’Amico ◽  
Virginia Tancredi ◽  
Giovanna D’Arcangelo ◽  
...  

Studies on the effectiveness of physical exercise to treat and/or prevent mental disorders are essential and particularly appropriate, given the rapid growth of the elderly population and the consequent increase in the prevalence of neurodegenerative diseases. The onset of neurodegenerative diseases is subtle, and progression is irreversible, as there is still no cure capable of stopping them permanently. Therefore, we should not underestimate these diseases and should immediately begin to combine the treatment with physical activity adapted to specific needs. Indeed, it is well known that physical activity has positive effects on mobility, autonomy, and functional capacity, improving not only cognitive functions, but also reducing the risk of developing dementia. Despite several studies in this field, to date there are no specific and effective protocols that promote physical exercise in people with dementia. Based on this evidence, the aim of the present work was to verify whether an adapted physical exercise regimen could promote the maintenance of psychomotor functions in elderly subjects and, therefore, delay the irreversible effects of combinations of dementia and other pathologies associated with aging. Our results clearly show that exercise is very effective in improving psychomotor functions and delaying the progress of neurodegenerative diseases in humans, since we observed that the subjects maintained their cognitive skills after 8 months of physical activity, moreover, two patients presented an amelioration. Based on the results obtained, we recommend that the motor practice, in any chosen form, be considered an integral part of prevention programs based on an active lifestyle in older people. Future studies will be necessary to establish how long lasting the benefits of a specific physical activity are and whether they are enough to delay cognitive decline.


2020 ◽  
Author(s):  
Xiao Li ◽  
Le Cai ◽  
Gui-Yi Wang ◽  
Lu-Ming Fan ◽  
Wen-Long Cui ◽  
...  

Abstract Background: This study examines the association between socioeconomic and lifestyle factors and the prevalence of hypertension among the elderly in rural southwest China.Methods: A cross-sectional survey of 4,833 consenting adults aged ≥60 years in rural regions of Yunnan Province, China was conducted in 2017. Data on individual socioeconomic status, sleep quality, physical activity level, and family history of hypertension were collected with a standardized questionnaire. Blood pressure, fasting blood glucose, height, weight, and waist circumference were also measured. An individual socioeconomic position (SEP) index was constructed using principal component analysis. Structure equation modeling (SEM) was applied to analyze the association between socioeconomic and lifestyle factors and the prevalence of hypertension. Results: The overall prevalence of hypertension was 50.6% in the study population. The following associated factors had statistically significant effect on hypertension: body composition, including measures of obesity and central obesity, had the greatest total effect on hypertension (0.21), followed by family history of hypertension (0.14), gender (0.08), sleep quality (-0.07), SEP (-0.06), physical inactivity (0.06), and diabetes (0.06). Body composition, SEP, and family history of hypertension had both direct and indirect effects on hypertension, whereas those of physical inactivity, diabetes, and sleep quality were directly associated with prevalence of hypertension. Gender was indirectly associated with prevalence of hypertension. Conclusion: Individual SEP, body composition, physical inactivity, diabetes, and sleep quality critically influence the prevalence of hypertension. Future interventions to prevent and control hypertension should give increased attention to individuals with low SEP and should focus on controlling diabetes and obesity, increasing physical activity levels, and improving quality of sleep among older adults aged ≥60 years in rural southwest China.


2021 ◽  
Author(s):  
Soojin Park ◽  
Jin Young Nam

Abstract Background: Depression in the elderly has recently drawn considerable attention as a public health issue because of its significant impact on the physical and social relationship of these individuals. We examined the association of physical activity and marital status with depression in the elderly and the related gender differences.Methods: This study used the data of the Korea National Health and Nutrition Examination Survey (KNHANES) of 2014, 2016, and 2018. The participants were 4,134 elderly individuals aged 65 years or older. The association of physical activity and marital status with depression was analyzed using logistic regression.Results: Out of 4,134 elderly participants, 318 had depression. Those not living with their spouse had higher prevalence of depression than those living with their spouse (women: odds ratio [OR] = 1.35, 95% CI = 1.01-1.82; men: OR = 1.89, 95% CI = 1.05-3.39). Moreover, spouseless elderly who engaged in physical activity was associated with depression (OR = 1.65, 95% CI= 1.04-2.62). In the case of elderly men, the risk of depression was 2.7 times higher for those who lived alone without a spouse and engaged physical activity.Conclusions: There was a gender difference in the association between marital status and depression, elderly men without spouses having higher risk of depression. Policymakers need to devise health programs and policies to encourage older men to engage in social activities after retirement.


2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Takashi Kimura ◽  
Satoyo Ikehara ◽  
Akiko Tamakoshi

Abstract Background In Japan, the unintentional drowning mortality rate among the elderly is exceptionally high. However, the risk factors for drowning in Japan are not fully understood. This study aims to explore the risk factors of drowning in Japan. Methods This study used data from the Japan Collaborative Cohort Study, a prospective cohort aged 40–79 years initiated 1988-1990. A total of 86,298 individuals (35,984 men and 50,314 women) completed a self-administered questionnaire and were mainly followed up by the end of 2009. We calculated hazard ratios (HRs) and 95% confidence intervals (95%CIs) for drowning according to age, body mass index, drinking habits, medical history, marital status, and years of education. Results A total of 194 drownings occurred during a median follow-up period of 18.9 years. The multivariable HRs (95%CIs) of drowning were 0.21 (0.10–0.45) for aged &lt;50 years, 0.37 (0.21-0.65) for 50–59 years compared with 60–69 years, 3.08 (1.39–6.85) for bereaved compared with married, 3.39 (1.19-9.66) for with medical history of stroke compared without, and 3.18 (1.39–7.30) for current drinker with ≥69.0g ethanol/day compared with never drinker in men, 0.20 (0.09-0.43) for aged &lt;50 years and 3.39 (1.19-9.66) for 50-59 years in women. Conclusions Younger people were found to have a lower risk of drowning. For men, bereavement, history of stroke, and current heavy drinking were found to have higher risk of drowning. Key messages In Japan, bereavement, a history of stroke, and heavy drinking among men found to have higher risk of drowning


2020 ◽  
Author(s):  
Thi Hue Man Vo ◽  
Keiko Nakamura ◽  
Kaoruko Seino ◽  
Hoang Thuy Linh Nguyen ◽  
Thang Van Vo

Abstract Background : Fear of falling (FoF) in the elderly is one of the major public health concerns in this era of aging of the population. As there is limited evidence on how cognitive function may differ by social support level in relation to FoF among the elderly, this cross-sectional study aims to investigate the prevalence of FoF and the associations between cognitive impairment and FoF by the social support level, after adjustments for potential confounders. Methods : Data from the “Health needs assessment of elderly in Thua Thien Hue Province, Vietnam in 2018” survey of 725 elderly aged 60 years or older were used for analysis. FoF was assessed using the Fall Efficacy Scale - International. High FoF was defined as a score above 28. The Multidimensional Scale of Perceived Social Support was used to measure the perception of support. Logistic regression analysis was performed to investigate the association between cognitive function and FoF by social support levels (p <0.05). Results: The prevalence of high FoF among the elderly was 40.8%. Female gender, advanced age, a marital status of single or formerly married, living alone, history of injury, history of falls, chronic diseases (arthritis and/or hypertension), limitations of the IADL and BADL, visual difficulty and walking difficulty, low social support, and cognitive impairment were all significantly associated with a high FoF. After adjustments for the age, gender, marital status, history of falls and health-related factors, cognitive impairment remained significantly associated with a high FoF among the elderly with a low to moderate social support level (OR = 2.97, 95% CI 1.49-5.89), but not in those with a high social support level. Conclusions: A high FoF was associated with impairment of cognitive function among the elderly who perceived themselves as having low or moderate support levels, even after adjustments for socio demographic and physical functional factors. However, this association was not observed among the elderly who perceived themselves as having high social support levels. Fall prevention programs for the elderly with various levels of social support should be carefully devised, keeping in mind the cognitive function levels of the target recipients.


2019 ◽  
Vol 1 (1) ◽  
pp. 8-19
Author(s):  
Abiru Neme Negewo ◽  
Wadu Wolancho Debocha ◽  
Gadisa Bekele Bedada

In any country use of health services by elderly could vary according to the cultural, social, economic and demographic situation of the person who may need care. In certain contexts, it particularly varies with age and sex of the potential service user. However; there is paucity of information on the level and associated factors on health service utilization among elderly population in Ethiopia in general and in the study site in particular. To assess Factors Health Service Utilization and associated factors Among Older Adults in Ambo Town, West Shoa Zone, Oromia, Ethiopia. A community based cross sectional study carried out on 284 elderly populations residing in Ambo town from February- March 2018. The collected data was cleaned, coded and entered into computer and analyzed using SPSS windows version 20.0. Descriptive statistics were done to summarize data. Binary and multiple logistic regression was undertaken to determine the independent predictor of health service utilization.  The following factors were identified as determinants of health service utilization among the elderly in Ambo: a medical history of at least one chronic condition (OR = 1.737; [0.425-2.562]; p < 0.000), who had reported enough money to meet their need were 75% utilize health services when compared to participants who did not have enough money to meet their need 47.3% (OR = 1.587; 95% CI = [1.236 – 2.037], p = 0.004). Age, Income, education, medical history of at least one chronic condition and poor perceived health status were the most pervasive determinants of health service utilization. These factors could help health policy makers and health service providers identify and understand the situation of the elderly and consequently create conducive environment for providing appropriate health services.


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