Impact of Common Dizziness Associated Symptoms on Dizziness Handicap in Older Adults

Background: A cross-sectional observational study was designed to determine the impact of dizziness associated symptoms on the dizziness handicap inventory (DHI) in older adults (≥60 years).Methods: In total, 785 individuals referred to a multidisciplinary dizziness unit were assessed. Participants completed self-report questionnaires with general questions about symptoms of dizziness as well as the DHI. The DHI subscores (physical, functional, emotional) were calculated. Medical diagnoses were collected from the medical records of the patients. One-way MANOVA and networking analysis were used to analyze the impact of dizziness associated symptoms on dizziness handicap.Results: Most patients reported swaying dizziness (60.6%) and feeling of unsteadiness (59.8%) with substantial overlap between the types of dizziness. Most frequent dizziness associated symptoms were ear noise/tinnitus, visual problems, and nausea/vomiting. Network analysis revealed that visual disturbances, headache, and hearing impairment were associated with higher DHI and explained 12% of the DHI variance in the linear regression. In the one-way MANOVA visual problems and headache had an effect on all three DHI subscores, while hearing impairment was associated with the functional and emotional subscores of DHI.Conclusion: Distinct dizziness associated symptoms have substantial impact on dizziness handicap in older adults. A multifactorial assessment including these symptoms may assist in tailoring therapies to alleviate dizziness handicap in this group.

Download Full-text

What is the impact of multimorbidity on the risk of hospitalisation in older adults? A systematic review study protocol

BMJ Open ◽

10.1136/bmjopen-2021-049974 ◽

2021 ◽

Vol 11 (6) ◽

pp. e049974

Author(s):

Luciana Pereira Rodrigues ◽

Andréa Toledo de Oliveira Rezende ◽

Letícia de Almeida Nogueira e Moura ◽

Bruno Pereira Nunes ◽

Matias Noll ◽

...

Keyword(s):

Systematic Review ◽

Older Adults ◽

Study Protocol ◽

Average Length ◽

Length Of Hospital Stay ◽

Case Control Studies ◽

Cross Sectional ◽

Increased Risk ◽

Review Study ◽

The Impact

IntroductionThe development of multiple coexisting chronic diseases (multimorbidity) is increasing globally, along with the percentage of older adults affected by it. Multimorbidity is associated with the concomitant use of multiple medications, a greater possibility of adverse effects, and increased risk of hospitalisation. Therefore, this systematic review study protocol aims to analyse the impact of multimorbidity on the occurrence of hospitalisation in older adults and assess whether this impact changes according to factors such as sex, age, institutionalisation and socioeconomic status. This study will also review the average length of hospital stay and the occurrence of hospital readmission.Methods and analysisA systematic review of the literature will be carried out using the PubMed, Embase and Scopus databases. The inclusion criteria will incorporate cross-sectional, cohort and case–control studies that analysed the association between multimorbidity (defined as the presence of ≥2 and/or ≥3 chronic conditions and complex multimorbidity) and hospitalisation (yes/no, days of hospitalisation and number of readmissions) in older adults (aged ≥60 years or >65 years). Effect measures will be quantified, including ORs, prevalence ratios, HRs and relative risk, along with their associated 95% CI. The overall aim of this study is to widen knowledge and to raise reflections about the association between multimorbidity and hospitalisation in older adults. Ultimately, its findings may contribute to improvements in public health policies resulting in cost reductions across healthcare systems.Ethics and disseminationEthical approval is not required. The results will be disseminated via submission for publication to a peer-reviewed journal when complete.PROSPERO registration numberCRD42021229328.

Download Full-text

Vision and Hearing Impairments Affecting Activities of Daily Living among Malaysian Older Adults by Gender

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18126271 ◽

2021 ◽

Vol 18 (12) ◽

pp. 6271

Author(s):

Yee Mang Chan ◽

Norhafizah Sahril ◽

Ying Ying Chan ◽

Nor’ Ain Ab Wahab ◽

Norliza Shamsuddin ◽

...

Keyword(s):

Older Adults ◽

Gender Differences ◽

Activities Of Daily Living ◽

Hearing Impairment ◽

Daily Living ◽

Hearing Impairments ◽

Cross Sectional ◽

Middle Income ◽

Middle Income Countries ◽

Adl Disability

Vision and hearing impairments are common among older adults and can cause undesirable health effects. There are limited studies from low- and middle-income countries exploring gender differences between vision and hearing impairment with Activities of Daily Living (ADL) disability. Therefore, this study aimed to investigate gender differences between vision and hearing impairments with ADL disability among older adults in Malaysia. Cross-sectional data from 3977 respondents aged 60 and above from the Malaysian National Health and Morbidity Survey 2018 were used. We used logistic regression analysis to measure associations between vision and hearing impairments with ADL disability, adjusted for covariates. The prevalence of ADL disability was higher among females than males (p < 0.001). The adjusted associations between vision impairment and ADL disability were significant among males (aOR 3.79; 95%CI 2.26, 6.38) and females (aOR 2.66; 95%CI 1.36, 5.21). Similarly, significant adjusted associations were found between hearing impairment and ADL disability among males (aOR 5.76; 95%CI 3.52, 9.40) and females (aOR 3.30; 95%CI 1.17, 9.33). Vision and hearing impairments were significantly associated with ADL disability, with no gender differences identified. Early detection and effective management of vision and hearing impairments are important to prevent ADL disability and improve older adults’ level of independence.

Download Full-text

Dual Effects of Hearing Loss and Dementia on Functional Limitations in Older Adults

Innovation in Aging ◽

10.1093/geroni/igaa057.690 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 214-214

Author(s):

Michael McKee ◽

Yunshu Zhou ◽

Joshua Ehrlich ◽

Elham Mahmoudi ◽

Jennifer Deal ◽

...

Keyword(s):

Older Adults ◽

Hearing Loss ◽

Self Care ◽

Household Activity ◽

Cross Sectional ◽

Age Related ◽

Increased Risk ◽

Lower Mobility ◽

Independent Effects ◽

The Impact

Abstract Age-related hearing loss (HL) is both common and associated with elevated risk for cognitive decline and poorer health. To care for an aging population, it is critical to understand the effect of coexisting HL and dementia on functional activities. The effect of co-existing dementia and self-reported HL on daily functioning were assessed. A cross-sectional analysis was performed using nationally-representative data from the 2015 National Health and Aging Trends Study consisting of U.S. adults 65+. The sample included 1,829 adults with HL (22.8%) and 5,338 adults without HL. Multivariable Poisson regression was used to model the independent effects and interaction of self-reported HL and dementia status on three validated functional activity scales (self-care, mobility, and household). All analyses adjusted for sociodemographic and medical factors. HL participants were more likely to be white, older, male, less educated (p <0.01). 8.4% had possible dementia and 6.5% had probable dementia. Respondents with HL or possible or probable dementia had significantly lower mobility, self-care, and household activity scores (p<.001 for all comparisons) compared to their peers. A small yet significant interaction was present in all models, suggesting that HL respondents with co-occurring dementia had lower mobility, self-care, and household activity scores than predicted by the independent effects of dementia and self-reported HL (p<.001 for all comparisons). Older adults with co-occurring dementia and HL are at increased risk for poor functioning and should be screened by healthcare providers. Future work should consider the impact of intervention in this vulnerable/at-risk population.

Download Full-text

The impact of COVID-19 restriction measures on loneliness among older adults in Austria

European Journal of Public Health ◽

10.1093/eurpub/ckaa238 ◽

2020 ◽

Author(s):

Erwin Stolz ◽

Hannes Mayerl ◽

Wolfgang Freidl

Keyword(s):

Mental Health ◽

Older Adults ◽

Positive Association ◽

Health Issues ◽

Negative Consequences ◽

Cross Sectional ◽

Social Contacts ◽

Mental Health Issues ◽

The Impact ◽

Opening Phase

Abstract Background To halt the spread of COVID-19, Austria implemented a 7-week ’lockdown’ in March/April 2020. We assess whether the ensuing reduction in social contacts led to increased loneliness among older adults (60+). Methods Three analyses were conducted: (1) A comparison between pre-pandemic (SHARE: 2013-2017) and pandemic (May 2020) levels of loneliness (UCLA-3 scale), (2) an assessment of the cross-sectional correlation between being affected by COVID-19 restriction measures and loneliness (May 2020), and (3) a longitudinal analysis of weekly changes (March-June 2020) in loneliness (Corona panel). Results We found (1) increased loneliness in 2020 compared with previous years, (2) a moderate positive association between the number of restriction measures older adults were affected from and their loneliness, and (3) that loneliness was higher during ’lockdown’ compared to the subsequent re-opening phase, particularly among those who live alone. Conclusion We provide evidence that COVID-19 restriction measures in Austria have indeed resulted in increased levels of loneliness among older adults. However, these effects seem to be short-lived, and thus no strong negative consequences for older adults’ mental health are expected. Nonetheless, the effects on loneliness, and subsequent mental health issues, might be both more long-lasting and severe if future restriction measures are enacted repeatedly and/or over longer time periods.

Download Full-text

Assessing the Impact of a Hilly Environment on Depressive Symptoms among Community-Dwelling Older Adults in Japan: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094520 ◽

2021 ◽

Vol 18 (9) ◽

pp. 4520

Author(s):

Takafumi Abe ◽

Kenta Okuyama ◽

Tsuyoshi Hamano ◽

Miwako Takeda ◽

Masayuki Yamasaki ◽

...

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Depression Scale ◽

Cross Sectional Study ◽

Community Dwelling ◽

Rural Setting ◽

Sectional Study ◽

Cross Sectional ◽

The Impact ◽

Community Dwelling Older Adults

Although some neighborhood environmental factors have been found to affect depressive symptoms, few studies have focused on the impact of living in a hilly environment, i.e., land slope, on depressive symptoms among rural older adults. This cross-sectional study aimed to investigate whether a land slope is associated with depressive symptoms among older adults living in rural areas. Data were collected from 935 participants, aged 65 years and older, who lived in Shimane prefecture, Japan. Depressive symptoms were assessed using the Zung Self-Rating Depression Scale (SDS) and defined on the basis of an SDS score ≥ 40. Land slopes within a 400 m network buffer were assessed using geographic information systems. Odds ratios (ORs) with 95% confidence intervals (CIs) of depressive symptoms were estimated using logistic regression. A total of 215 (23.0%) participants reported depressive symptoms. The land slope was positively associated with depressive symptoms (OR = 1.04; 95% CI = 1.01–1.08) after adjusting for all confounders. In a rural setting, living in a hillier environment was associated with depressive symptoms among community-dwelling older adults in Japan.

Download Full-text

Wisdom and fluid intelligence are dissociable in healthy older adults

International Psychogeriatrics ◽

10.1017/s1041610221000521 ◽

2021 ◽

pp. 1-11

Author(s):

Cutter A. Lindbergh ◽

Heather Romero-Kornblum ◽

Sophia Weiner-Light ◽

J. Clayton Young ◽

Corrina Fonseca ◽

...

Keyword(s):

Older Adults ◽

Episodic Memory ◽

San Francisco ◽

Fluid Intelligence ◽

Memory Performance ◽

Positive Association ◽

Cross Sectional Study ◽

Self Report ◽

Cross Sectional ◽

Healthy Older Adults

ABSTRACT Objectives: The relationship between wisdom and fluid intelligence (Gf) is poorly understood, particularly in older adults. We empirically tested the magnitude of the correlation between wisdom and Gf to help determine the extent of overlap between these two constructs. Design: Cross-sectional study with preregistered hypotheses and well-powered analytic plan (https://osf.io/h3pjx). Setting: Memory and Aging Center at the University of California San Francisco, located in the USA. Participants: 141 healthy older adults (mean age = 76 years; 56% female). Measurements: Wisdom was quantified using a well-validated self-report-based scale (San Diego Wisdom Scale or SD-WISE). Gf was assessed via composite measures of processing speed (Gf-PS) and executive functioning (Gf-EF). The relationships of SD-WISE scores to Gf-PS and Gf-EF were tested in bivariate correlational analyses and multiple regression models adjusted for demographics (age, sex, and education). Exploratory analyses evaluated the relationships between SD-WISE and age, episodic memory performance, and dorsolateral and ventromedial prefrontal cortical volumes on magnetic resonance imaging. Results: Wisdom showed a small, positive association with Gf-EF (r = 0.181 [95% CI 0.016, 0.336], p = .031), which was reduced to nonsignificance upon controlling for demographics, and no association with Gf-PS (r = 0.019 [95% CI −0.179, 0.216], p = .854). Wisdom demonstrated a small, negative correlation with age (r = −0.197 [95% CI −0.351, −0.033], p = .019), but was not significantly related to episodic memory or prefrontal volumes. Conclusions: Our findings indicate that most of the variance in wisdom (>95%) is unaccounted for by Gf. The independence of wisdom from cognitive functions that reliably show age-associated declines suggests that it may hold unique potential to bolster decision-making, interpersonal functioning, and other everyday activities in older adults.

Download Full-text

Medical interns’ attitudes towards One Health approach

Turkish Journal of Biochemistry ◽

10.1515/tjb-2021-0078 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Ceren Varer Akpinar ◽

Seyfi Durmaz

Keyword(s):

One Health ◽

Health And Safety ◽

Cross Sectional Study ◽

Study Data ◽

Self Report ◽

Related Factors ◽

Cross Sectional ◽

Health Concept ◽

Medical Interns ◽

The One

Abstract Objectives One Health approach to health considers human, animal, and ecosystem health as a whole and advocates cooperation across disciplines to reach the highest level of health. The aim of the study is to determine the attitudes of the medical interns’ toward the One Health approach and to evaluate related factors. Methods This cross-sectional study targeted all interns of the Faculty of Medicine of 2019–2020 academic year (n=356). Sociodemographic characteristics, health status, habits, and attitudes toward One Health were asked in the questionnaire, which was created by the researchers using the literature. The study data were collected based on self-report during occupational health and safety training, before the COVID-19 pandemic. Chi-square and logistic regression analyses were also performed. Results The study group included a fair gender distribution (47.8% female), and the average age was 23.6 ± 1.2. Out of the 316 participants, 40.2% had not heard the One Health concept before. In total, 85.4% of them declared a positive attitude toward the concept. The probability of high attitude was found to be 5.03 times (95% CI 1.10–23.12) higher in those with above-average success status and 4.08 times (95% CI 1.15–14.52) higher in those who had kept animals. In students’ responses to the attitude questionnaire items, the epidemic sub-dimension had the highest level as 86.1%, and the antibiotic resistance sub-dimension had the lowest level as 77.2%. Conclusions The current study revealed that the awareness on One Health concept among medical interns is limited, however, students’ attitudes are positive. Recent SARS-CoV 2 pandemic showed us the urgent need for proper implementation of’ One Health approach in the medical education curriculum. Meanwhile, One Health focused courses should be introduced into the curriculum of final year medicine and related programs.

Download Full-text

Características psicológicas relevantes para el rendimiento deportivo: diferencias de género en fútbol juvenil

Cuadernos de Psicología del Deporte ◽

10.6018/cpd.417711 ◽

2021 ◽

Vol 21 (2) ◽

pp. 127-137

Author(s):

Aurelio Olmedilla ◽

Marta Cánovas ◽

Belén Olmedilla-Caballero ◽

Enrique Ortega

Keyword(s):

Female Athletes ◽

Psychological Characteristics ◽

Soccer Players ◽

Sports Performance ◽

Cross Sectional ◽

Male And Female ◽

Youth Soccer ◽

Track Record ◽

The One ◽

The Impact

El estudio de los factores psicológicos relacionados con el rendimiento deportivo tiene un importante recorrido en la literatura científica. Conocer si existen diferencias entre hombres y mujeres deportistas, cuáles son estas, y en qué aspectos se manifiestan es una cuestión que podría ayudar a mejorar la labor de entrenadores y técnicos deportivos. El objetivo de este estudio es determinar si existen diferencias de género en el perfil psicológico de futbolistas juveniles relacionado con el rendimiento deportivo. Se utilizó un diseño descriptivo transversal. La muestra objeto de estudio estuvo formada por un total de 329 jugadores juveniles de fútbol (46.8% varones y 53,2% mujeres), con una edad media de 17.02 (±1.50) años;. Para la evaluación de las características psicológicas se utilizó el Cuestionario Características Psicológicas Relacionadas con el Rendimiento Deportivo (CPRD). Los resultados de este estudio indican que existen diferencias estadísticamente significativas entre chicos y chicas en control de estrés (CE), influencia de la evaluación del rendimiento (IER) y en cohesión de equipo (CH). Los jugadores chicos manifiestan puntuaciones mayores que las jugadoras chicas en CE, es decir, gestionan mejor el estrés propio de la competición, y en IER, es decir, los jugadores chicos gestionan mejor que las jugadoras chicas el impacto que supone la evaluación de su rendimiento, el que hacen los otros (entrenadores, compañeros, padres/madres, etc.) y el que se hace a sí mismo. Sin embargo, las jugadoras chicas presentan mejores puntuaciones en CH, es decir, manifiestan una mayor tendencia a trabajar en grupo y fortalecer el equipo. The study of psychological factors related to sports performance has an important track record in the scientific literature. Knowing if there are differences between male and female athletes, what they are, and in what aspects they manifest is an issue that could help improve the work of coaches and sports technicians. The aim of this study is to determine if there are gender differences in the psychological profile of youth soccer players related to sports performance. A descriptive cross-sectional design was used. The sample under study was formed by a total of 329 youth soccer players (46.8% male and 53,2% female), with an average age of 17.02 (± 1.50) years. The Psychological Characteristics Questionnaire Related to Sports Performance (CPRD) was used to evaluate psychological characteristics. The results of this study indicate that there are statistically significant differences between male and female in stress control (CE), influence of performance evaluation (IER) and in team cohesion (CH). The male players show higher scores than the female players in CE, that is, they better manage the stress of the competition, and in IER, that is, the male players manage better than the female players the impact of evaluating their performance, the one that others do (coaches, partners, fathers / mothers, etc.) and the one that makes itself. However, female players have better CH scores, that is, they show a greater tendency to work in groups and strengthen the team. O estudo de fatores psicológicos relacionados ao desempenho esportivo tem um histórico importante na literatura científica. Saber se existem diferenças entre atletas masculinos e femininos, o que são e em que aspectos eles se manifestam é uma questão que pode ajudar a melhorar o trabalho de treinadores e técnicos esportivos. O objetivo deste estudo é determinar se existem diferenças de gênero no perfil psicológico de jovens jogadores de futebol relacionados ao desempenho esportivo. Foi utilizado um desenho descritivo de corte transversal. A amostra estudada foi composta por um total de 329 jogadores de futebol juvenil (46,8% masculino e 53,2% feminino), com idade média de 17,02 (± 1,50) anos. O Questionário de Características Psicológicas Relacionadas ao Desempenho Esportivo (CPRD) foi utilizado para avaliar as características psicológicas. Os resultados deste estudo indicam que existem diferenças estatisticamente significantes entre meninos e meninas no controle do estresse (EC), influência da avaliação de desempenho (IER) e na coesão da equipe (HC). Os jogadores pequenos apresentam pontuações mais altas do que as jogadoras da CE, ou seja, administram melhor o estresse da competição, e no IER, ou seja, os jogadores pequenos gerenciam melhor do que as jogadoras o impacto de avaliar seu desempenho , o que os outros fazem (treinadores, parceiros, pais / mães, etc.) e o que se faz. No entanto, as jogadoras têm melhores pontuações no HC, ou seja, mostram maior tendência a trabalhar em grupo e fortalecer a equipe

Download Full-text

Effects of Reallocating Time Spent in Different Physical Activity Intensities on Sarcopenia Risk in Older Adults: An Isotemporal Substitution Analysis

Biology ◽

10.3390/biology11010111 ◽

2022 ◽

Vol 11 (1) ◽

pp. 111

Author(s):

Jort Veen ◽

Diego Montiel-Rojas ◽

Fawzi Kadi ◽

Andreas Nilsson

Keyword(s):

Physical Activity ◽

Older Adults ◽

Protein Intake ◽

Handgrip Strength ◽

Community Dwelling ◽

Self Report ◽

Linear Regression Models ◽

Age Related ◽

Muscle Health ◽

The Impact

The role of daily time spent sedentary and in different intensities of physical activity (PA) for the maintenance of muscle health currently remains unclear. Therefore, we investigated the impact of reallocating time spent in different PA intensities on sarcopenia risk in older adults, while considering PA type (muscle strengthening activities, MSA) and protein intake. In a sample of 235 community-dwelling older adults (65–70 years), a sarcopenia risk score (SRS) was created based on muscle mass assessed by bioimpedance, together with handgrip strength and performance on the five times sit-to-stand (5-STS) test assessed by standardized procedures. Time spent in light-intensity PA (LPA), moderate-to-vigorous PA (MVPA), and being sedentary was assessed by accelerometry, and PA type (MSA) by self-report. Linear regression models based on isotemporal substitution were employed. Reallocating sedentary time to at least LPA was significantly (p < 0.05) related to a lower SRS, which remained evident after adjustment by PA type (MSA) and protein intake. Similarly, reallocating time in LPA by MVPA was related to a significantly (p < 0.05) lower SRS. Our results emphasize the importance of displacing sedentary behaviours for more active pursuits, where PA of even light intensities may alleviate age-related deteriorations of muscle health in older adults.

Download Full-text

Impact of Social Isolation on Physical Activity and Factors Associated With Sedentary Behavior in Older Adults During the COVID-19 Pandemic

Journal of Aging and Physical Activity ◽

10.1123/japa.2020-0456 ◽

2021 ◽

pp. 1-5

Author(s):

Giovana Z. Mazo ◽

Felipe Fank ◽

Pedro S. Franco ◽

Bruna da Silva Vieira Capanema ◽

Franciele da Silva Pereira

Keyword(s):

Physical Activity ◽

Older Adults ◽

Sedentary Behavior ◽

Social Isolation ◽

Low Income ◽

Low Income Countries ◽

Moderate Physical Activity ◽

Cross Sectional ◽

Factors Associated ◽

The Impact

The objective was to analyze the impact of social isolation on moderate physical activity and factors associated with sedentary behavior of older adults during the COVID-19 pandemic. This was a cross-sectional study involving 111 older adults (aged 71.0 ± 6.87 years). The data were collected at two time points: in November 2019 and in June 2020. There was a decline in moderate physical activity when the minutes/week were compared before and during social isolation (p < .001). Sedentary behavior was associated with the condition of living alone. Older adults who lived alone were 3.29 times more likely to spend 4 hr or more in sedentary behavior than those who lived with a partner (95% confidence interval [1.01, 10.74]). Government agencies must establish PA-related health promotion strategies, especially in developing and low-income countries. Therefore, home exercises need to be encouraged to prevent the consequences of this pandemic period.

Download Full-text