scholarly journals PELATIHAN PEMBUATAN TEPUNG SIAP SAJI BERBAHAN DASAR UMBI PORANG (Amorphopallus oncophyllus P.) SEBAGAI PANGAN FUNGSIONAL BAGI LANSIA DI PANTI WERDHA TRESNO MUKTI TUREN

2021 ◽  
Vol 5 (1) ◽  
pp. 510
Author(s):  
Ida Ayu Preharsini ◽  
Sugiyanto Sugiyanto ◽  
Devanus Devanus
Keyword(s):  
Natural Fiber ◽  
The Elderly ◽  
Health Condition ◽  
Social Aspects ◽  
Nutritional Deficiencies ◽  
Lower Blood Glucose ◽  
Lower Blood ◽  
On Line ◽  
Loss Of Appetite ◽  
Elderly Caregivers

ABSTRAKPanti Werdha Tresno Mukti berada di Desa Pagedangan Kec. Turen, Kab. Malang. Perubahan aspek fisik, mental dan sosial yang terjadi pada lansia mempengaruhi kondisi kesehatan para lansia baik  secara mental maupun fisik. Munculnya berbagai penyakit pada lansia akan meningkatkan resiko kekurangan nutrisi akibat kehilangan nafsu makan. Tambahan asupan makanan pendamping diperlukan sebagai pangan fungsional yang memberi manfaat kesehatan bagi para lansia. Porang (Amorphophallus oncophyllus. P) mengandung glucomannan berbentuk tepung atau serat alami yang larut di dalam air dan sering diolah menjadi produk makanan seperti mie shirataki, konnyaku, bahan campuran kue, roti, jeli, selai, es krim dan lain sebagainya. Mengkonsumsi umbi porang diketahui dapat menurunkan lipida darah, menurunkan glukosa darah, mencegah dan menghambat kanker, menurunkan obesitas dan mengatasi sembelit. Tujuan pelatihan ini untuk menambah pengetahuan dan ketrampilan para pengasuh lansia sebagai mitra dalam pemanfaatan umbi porang menjadi alternatif makanan sehat bagi lansia. Adapun metode yang digunakan adalah pelatihan secara on-line  dengan pendekatan partisipatif. Kegiatan ini telah terlaksana selama bulan Juli 2021, dari 17 pengasuh lansia yang melihat video pembuatan tepung siap saji berbahan dasar umbi porang ada 14 pengasuh lansia atau 82% telah dapat membuat dengan benar. Secara keseluruhan kegiatan berjalan lancar serta antusiasme  pendamping sangat baik Kata Kunci : Amorphophallus oncophyllus; glukomanan: iles-iles; lansia; porang ABSTRACTThe Tresno Mukti Nursing Home is located in Pagedangan Village, Kec. Turen , Kab. Malang. Change in physical, mental and social aspects that occur in the elderly affect the health condition of the elderly both mentally and physically. The emergence of various diseases in the elderly will increase the risk of nutritional deficiencies due to loss of appetite. Additional intake of complementary foods is needed as functional food that provides health benefits for the elderly. Porang (Amorphophallus oncophyllus. P) contains glucomannan in the form of flour or natural fiber that is soluble in water and is often processed into food products such as shirataki noodles, konnyaku, cake mix ingredients, bread, jelly, jam, ice cream and so on. Consuming porang tubers is known to lower blood glucose prevent and inhibit cancer, reduce obesity and treat constipation. The purpose of this training is to increase the knowledge and skills of elderly caregivers as partners in using porang tubers as an alternative to healthy food for th elderly. This activity has been carried out during July 2021,  from 17 elderly caregivers who saw the video of making ready to eat flour made from porang tubers, 14 elderly caregivers or 82 % were able to make it correctly. Overall the activity went smoothly and the enthusiasm of the companion was very good. Keywords:  Amorphophallus oncophyllus; elderly; glucomannan; iles-iles; porang

scholarly journals Rational Use of Protein Supplements in the Elderly—Relevance of Gastrointestinal Mechanisms

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1227
Author(s):  
Ian Chapman ◽  
Avneet Oberoi ◽  
Caroline Giezenaar ◽  
Stijn Soenen
Keyword(s):  
Blood Glucose ◽  
Older People ◽  
The Elderly ◽  
Time Intervals ◽  
Lower Blood Glucose ◽  
Protein Supplements ◽  
Protein Requirements ◽  
Lower Blood ◽  
Older Subjects

Protein supplements are increasingly used by older people to maintain nutrition and prevent or treat loss of muscle function. Daily protein requirements in older people are in the range of 1.2 gm/kg/day or higher. Many older adults do not consume this much protein and are likely to benefit from higher consumption. Protein supplements are probably best taken twice daily, if possible soon after exercise, in doses that achieve protein intakes of 30 gm or more per episode. It is probably not important to give these supplements between meals, as we have shown no suppressive effects of 30 gm whey drinks, and little if any suppression of 70 gm given to older subjects at varying time intervals from meals. Many gastrointestinal mechanisms controlling food intake change with age, but their contributions to changes in responses to protein are not yet well understood. There may be benefits in giving the supplement with rather than between meals, to achieve protein intakes above the effective anabolic threshold with lower supplement doses, and have favourable effects on food-induced blood glucose increases in older people with, or at risk of developing, type 2 diabetes mellitus; combined protein and glucose drinks lower blood glucose compared with glucose alone in older people.

scholarly journals Repercussions of hospitalization due to fall of the elderly: health care and prevention

2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 763-769 ◽  
Author(s):  
Adriana Remião Luzardo ◽  
Newton Ferreira de Paula Júnior ◽  
Marcelo Medeiros ◽  
Paula Carolina Bejo Wolkers ◽  
Silvia Maria Azevedo dos Santos
Keyword(s):  
Public Hospital ◽  
The Elderly ◽  
Health Condition ◽  
Exploratory Research ◽  
Financial Cost ◽  
Thematic Content Analysis ◽  
The Social ◽  
Elderly Health ◽  
Elderly Caregivers ◽  
Depth Interviews

ABSTRACT Objective: To know the repercussions of the fall reported by the elderly and their caregiver during hospitalization in a public hospital in Florianópolis city from October to December 2014. Method: Exploratory research with a qualitative approach, conducted by depth interviews with 16 participants, the eight elderly were hospitalized for falls and eight elderly caregivers. Data analysis were performed through the Thematic Content Analysis. Results: It was evidenced the thematic axis: Faller Elderly supported by four thematic categories: Changes caused by Falls, I am a faller, I take care of me and Prevention of the Fall. The repercussions of the fall were evidenced in the impairment of the health condition, self-care and functional capacity. We observed the naturalization of the phenomenon and the passivity with the harmful consequences of the event. Final Considerations: The fall is valued the more negative its repercussion, such as the need for hospitalization and surgery. Managing the vulnerability of the elderly, especially in primary care, evaluating their comorbidities and their internal and external environment, will minimize unfavorable consequences and the social and financial cost of hospitalizations.

Late-onset X-linked sideroblastic anemia following hemodialysis

Blood ◽  
2003 ◽  
Vol 101 (11) ◽  
pp. 4623-4624 ◽  
Author(s):  
Kazumichi Furuyama ◽  
Hideo Harigae ◽  
Chiharu Kinoshita ◽  
Toshihiko Shimada ◽  
Kazuko Miyaoka ◽  
...  
Keyword(s):  
Biosynthetic Pathway ◽  
Late Onset ◽  
The Elderly ◽  
Nutritional Deficiencies ◽  
Maintenance Hemodialysis ◽  
Sideroblastic Anemia ◽  
Ringed Sideroblasts ◽  
Aminolevulinate Synthase ◽  
Deficient Activity

Abstract X-linked sideroblastic anemia (XLSA) is due to deficient activity of erythroid-specific 5-aminolevulinate synthase (ALAS2). We report here a patient who developed sideroblastic anemia at the age of 81 years while undergoing hemodialysis. The diagnosis of sideroblastic anemia was established by the presence of ringed sideroblasts in the bone marrow, and treatment with oral pyridoxine completely eliminated the ringed sideroblasts. We identified a novel point mutation in the fifth exon of this patient's ALAS2 gene, which resulted in an amino acid change at residue 159 from aspartic acid to asparagine (Asp159Asn). In vitro analyses of recombinant Asp159Asn ALAS2 revealed that this mutation accounted for the pyridoxine-responsiveness of this disease. The very late onset in this case of XLSA emphasizes that nutritional deficiencies caused either by dietary irregularities in the elderly or, as in this case, by maintenance hemodialysis therapy, may uncover occult inherited enzymatic deficiencies in the heme biosynthetic pathway.

Chronic cerebral hypoperfusion in male rats results in sustained HPA activation, and hyperinsulinemia

2021 ◽  
Author(s):  
Theresa A. Lansdell ◽  
Anne M Dorrance
Keyword(s):  
Insulin Resistance ◽  
Chronic Cerebral Hypoperfusion ◽  
Cerebral Hypoperfusion ◽  
Male Rats ◽  
Lower Blood Glucose ◽  
Insulin Resistant ◽  
Lower Blood ◽  
Bilateral Carotid ◽  
Glucose Tolerance Tests ◽  
Bilateral Carotid Artery

Vascular contributions to cognitive impairment and dementia (VCID) is a spectrum of cognitive deficits caused by cerebrovascular disease, for which insulin resistance is a major risk factor. A major cause of VCID is chronic cerebral hypoperfusion (CCH). Under stress, sustained hypothalamic-pituitary-adrenal axis (HPA) activation can result in insulin resistance. Little is known about the effects of CCH on the HPA axis. We hypothesized that CCH causes sustained HPA activation and insulin resistance. Male rats were subjected to bilateral carotid artery stenosis (BCAS) for 12 weeks to induce CCH and VCID. BCAS reduced cerebral blood flow and caused memory impairment. Plasma adrenocorticotropic hormone was increased in the BCAS rats (117.2 ± 9.6 vs. 88.29 ± 9.1 pg/mL, BCAS vs. sham, p = 0.0236), as was corticosterone (220 ± 21 vs. 146 ± 18 ng/g feces, BCAS vs. sham, p = 0.0083). BCAS rats were hypoglycemic (68.1 ± 6.1 vs. 76.5± 5.9 mg/dL, BCAS vs. sham, p = 0.0072), with increased fasting insulin (481.6 ± 242.6 vs. 97.94± 40.02 pmol/L, BCAS vs. sham, p = 0.0003) indicating BCAS rats were insulin resistant (HOMA-IR:11.71 ± 6.47 vs. 2.62 ± 0.93; BCAS vs. control, p = 0.0008). Glucose tolerance tests revealed that BCAS rats had lower blood glucose AUCs than controls (250 ± 12 vs. 326 ± 20 mg/dL/h, BCAS vs. sham, p = 0.0075). These studies indicate that CCH causes sustained activation of the HPA and results in insulin resistance, a condition that is expected to worsen VCID.

scholarly journals Prevalence of and factors associated with polypharmacy among elderly persons resident in the community

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 ◽  
...  
Keyword(s):  
The Elderly ◽  
Cross Sectional Study ◽  
Health Condition ◽  
Bivariate Analysis ◽  
Elderly Persons ◽  
Chi Square ◽  
Cross Sectional ◽  
Mato Grosso ◽  
Significance Level ◽  
Factors Associated

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.

scholarly journals Comparison of the cognitive performance of elderly caregivers with and without chronic pain

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Marielli Terassi ◽  
Estefani Serafim Rossetti ◽  
Karina Gramani-Say ◽  
Tiago da Silva Alexandre ◽  
Priscilla Hortense ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Data Collection ◽  
Cognitive Performance ◽  
Scientific Knowledge ◽  
Elderly Person ◽  
Family Health ◽  
The Elderly ◽  
Initial Hypothesis ◽  
Objective Understanding ◽  
Elderly Caregivers

Abstract OBJECTIVE Understanding and characterizing chronic pain in elderly caregivers, verifying the cognitive performance of the elderly of the sample and verifying whether there is difference in the cognitive performance of elderly caregivers with and without chronic pain. METHOD Participants were people aged 60 years or older who lived with another elderly person in the same household and who were registered in Family Health Units. Data collection took place at participants' homes. Pain was assessed by the EMADOR and cognition was assessed by ACE-R. Statistical analyzes were performed using Shapiro-Wilk's and Mann-Whitney U tests. RESULTS The study included 187 elderly caregivers with chronic pain and 133 without chronic pain, with a higher frequency of women. Chronic pain was present in 58.4% of the participants. Regarding the sociodemographic variables, there was no difference between the groups except for the gender variable (p=0.025). No difference was found in cognitive performance among the elderly with chronic pain and those without chronic pain for any domain of the ACE-R instrument. CONCLUSION The results contradicted the initial hypothesis that there would be a difference between the groups; however, there is a gap in the scientific knowledge on chronic pain and cognition, especially in elderly caregivers, opening perspectives for future investigations.

scholarly journals Riscos das mídias e tecnologias na capacitação para cuidadores de idosos: estudo de caso

2019 ◽  
Vol 87 (25) ◽  
Author(s):  
Vilmar da Conceição Oliveira Filho ◽  
Selma Petra Chaves Sá ◽  
Cristian Antonio Brezolin ◽  
Ana Lucia Leitão Caldas ◽  
Thaís de Rezende Bessa Guerra
Keyword(s):  
Health Care ◽  
The Elderly ◽  
Program Understanding ◽  
Training Course ◽  
Academic Knowledge ◽  
Nutritional Needs ◽  
Whole Class ◽  
Elderly Caregivers

Objetivou-se orientar cuidadores de idosos em um curso de capacitação no Centro de Atenção à Saúde do Idoso e seu Cuidadores, Universidade Federal Fluminense, sobre as principais carências e necessidades nutricionais requeridas pelos própriose pelos idosos, alertando ainda sobre os riscos das tecnologias. Trata-se de um estudo de caso do estágio de docência, sobre acapacitação de cuidadores, enquanto mestrando acadêmico do Programa de Ciências do Cuidado em Saúde. A compreensão evisualização acerca da organização e planejamento das demandas cotidianas requisitadas de um profissional acadêmico em suaspalestras/cursos/oficinas. Conclui-se que há necessidade de uma capacitação dos pós-graduandos nos métodos de transmissãodos conhecimentos acadêmicos, como por exemplo, a linguagem utilizada para os cuidadores, objetivando assim a compreensãode toda a turma e alertando sobre os riscos das influências tecnológicas na baixa qualidade alimentar ingerida.Palavras-chave: Educação; Ensino em Enfermagem; Nutrição. ABSTRACTThe aim of this study was to orient elderly caregivers in a training course at the Center for Health Care of the Elderly and itsCaregivers, Federal Fluminense University, about the main needs and nutritional needs required by the elderly and the elderly,also warning about the risks of the technologies. This is a case study of the teaching stage, about the qualification of caregivers, asan academic master of the Health Care Sciences Program. Understanding and visualization about the organization and planningof the daily demands of an academic professional in their lectures/courses/workshops. It is concluded that there is a need for thetraining of postgraduates in the methods of transmission of academic knowledge, such as the language used for caregivers, aimingat understanding the whole class and warning about the risks of technological influences in the low food quality.Keywords: Education; Teaching, Nursing; Nutrition.

scholarly journals Prevalence and comparison of depression rates in geriatric patients of old age home and community, and its association with chosen demographic factors

2020 ◽  
Vol 8 (5) ◽  
pp. 1760
Author(s):  
Preksha T. Singh ◽  
Shreyans D. Singhvi ◽  
Gautam Bhandari
Keyword(s):  
Old Age ◽  
Elderly Population ◽  
Geriatric Patients ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Demographic Factors ◽  
Educational Status ◽  
The Elderly ◽  
Health Condition ◽  
Geriatric Depression

Background: Depression is an emerging mental health condition and elderly population of the world is often affected by it. In the elderly, it often goes unnoticed and often burdens them.Methods: Two groups of population one from an old age home and the other from a community were selected. Data was collected using a Geriatric Depression Scale (GDS) and a demographic form. The data was compiled and analyzed using Google Spreadsheets.Results: Depression rates were found in both, the old age home and the community. The rates were found higher in the old age home than the community. The demographic factors chronic illness, gender, educational status and marital status were found to be associated with depression.Conclusions: As depression in elderly is a fairly common phenomenon, it should be paid more attention. The elderly should receive intervention for the disease and be able to sustain it.

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