scholarly journals An Ontology-Based Framework for a Telehealthcare System to Foster Healthy Nutrition and Active Lifestyle in Older Adults

Electronics ◽  
2021 ◽  
Vol 10 (17) ◽  
pp. 2129
Author(s):  
Daniele Spoladore ◽  
Vera Colombo ◽  
Sara Arlati ◽  
Atieh Mahroo ◽  
Alberto Trombetta ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Older Adults ◽  
Chronic Conditions ◽  
Wearable Sensors ◽  
Health Conditions ◽  
Active Lifestyle ◽  
Related Data ◽  
Healthy Nutrition ◽  
Future Work ◽  
Specific Health

In recent years, telehealthcare systems (TSs) have become more and more widespread, as they can contribute to promoting the continuity of care and managing chronic conditions efficiently. Most TSs and nutrition recommendation systems require much information to return appropriate suggestions. This work proposes an ontology-based TS, namely HeNuALs, aimed at fostering a healthy diet and an active lifestyle in older adults with chronic pathologies. The system is built on the formalization of users’ health conditions, which can be obtained by leveraging existing standards. This allows for modeling different pathologies via reusable knowledge, thus limiting the amount of information needed to retrieve nutritional indications from the system. HeNuALs is composed of (1) an ontological layer that stores patients and their data, food and its characteristics, and physical activity-related data, enabling the inference a series of suggestions based on the effects of foods and exercises on specific health conditions; (2) two applications that allow both the patient and the clinicians to access the data (with different permissions) stored in the ontological layer; and (3) a series of wearable sensors that can be used to monitor physical exercise (provided by the patient application) and to ensure patients' safety. HeNuALs inferences have been validated considering two different use cases. The system revealed the ability to determine suggestions for healthy, adequate, or unhealthy dishes for a patient with respiratory disease and for a patient with diabetes mellitus. Future work foresees the extension of the HeNuALs knowledge base by exploiting automatic knowledge retrieval approaches and validation of the whole system with target users.

scholarly journals Situational diagnosis of older adults with diabetes mellitus in a city in the state of Ceará, Brazil

2020 ◽  
Vol 23 (1) ◽  
Author(s):  
Marcionília de Araújo Lima Neta ◽  
Maristela Inês Osawa Vasconcelos
Keyword(s):  
Diabetes Mellitus ◽  
Older Adults ◽  
Interprofessional Collaboration ◽  
Family Health ◽  
Cross Sectional Study ◽  
Health Conditions ◽  
Cross Sectional ◽  
Sociodemographic Profile ◽  
The Mean ◽  
The City

Abstract Objective: To describe the situational diagnosis of older adults with diabetes mellitus (DM) registered at a Basic Family Health Unit, using sociodemographic profile, health conditions and lifestyle. Method: A descriptive, cross-sectional study was carried out with 70 older adults in the city of Jijoca de Jericoacoara, Ceará, Brazil. Data were gathered from questionnaires on sociodemographic conditions, health and individual lifestyle profile, and were submitted to descriptive statistics techniques, and the results presented in tables. Results: The predominance of women was three times greater than men (52=74%); the mean age was 71.19 years (±7.12); the number of married people was higher than the other categories (44=62.8%); the vast majority of the sample received a pension equivalent to the minimum wage as a rural worker (64=91%); and just over half declared themselves to be literate (36=51.4%). In terms of health conditions, the majority (56=80%) had had DM for more than 10 years, although they considered their health status to be satisfactory (40=57.14%). Among the main complications were hypertension (n=53; 75.71%), muscle and joint pain (n=43; 61.43%) and hearing loss (48=68.57%). Conclusion: The present study provided indicators for the planning and execution of educational actions, based on interprofessional collaboration aimed at the promotion of health.

scholarly journals PURPOSE AND NUMBER OF CHRONIC HEALTH CONDITIONS AMONG OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S841-S841
Author(s):  
Janis Sayer ◽  
Jennifer L Smith ◽  
Cate O’Brien ◽  
Joseph G Bihary ◽  
Dugan O’Connor ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Disease ◽  
Chronic Conditions ◽  
The Body ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Positive Health ◽  
Chronic Health ◽  
Sense Of Purpose ◽  
New Findings

Abstract An overwhelming three-quarters of persons age 65 and over have multiple chronic health conditions (Gerteis et al., 2014). With a growing population of older adults, understanding the factors that predict health and reduce the risk of chronic disease is critical. Recent evidence finds that a high sense of purpose- “the belief that one’s life is purposeful and meaningful” (Ryff & Keyes, 1995, p. 720)- is associated with positive health outcomes among older adults. This study investigated the association between purpose and number of chronic conditions among older adults, and whether the relationship depended on age. The study included 6148 older adults (mean age=83.8) who participated in a larger study on wellness. Participants completed a survey that included a measure of sense of purpose and questions about chronic health conditions. Data were analyzed controlling for demographics, optimism, pessimism, social contact, BMI, physical activity, and smoking. Lower levels of purpose were significantly associated with higher numbers of chronic conditions. There was a significant interaction between purpose and age, such that relatively younger older adults with high levels of purpose had fewer chronic conditions. There was no relationship between purpose and number of chronic conditions for the oldest adult participants. The results add new findings to the body of research that demonstrates that sense of purpose is associated with chronic disease. As sense of purpose is modifiable, interventions that increase purpose among older adults, with an emphasis on the youngest-old, should be developed and implemented.

scholarly journals Are all homebound older adults frail?

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 777-778
Author(s):  
Orla Sheehan ◽  
Karen Bandeen-Roche ◽  
Christine Ritchie ◽  
Shang-En Chung ◽  
Jeremy Walston ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Conditions ◽  
The United States ◽  
Health Conditions ◽  
Multiple Chronic Conditions ◽  
Physical And Mental Health ◽  
Social Stressors ◽  
Services Utilization ◽  
Homebound Older Adults ◽  
Lower Educational Attainment

Abstract Seven million adults in the United States are homebound and suffer the negative, powerful synergies of multiple chronic conditions, functional impairment, social stressors, and limited social capital. The prevalence of frailty in this vulnerable homebound population is unknown. Using representative data from the National Health and Aging Trends study (NHATS) study linked to Medicare claims (n=4756) we sought to assess the prevalence of frailty in the homebound population (n=361). Among the homebound, 68.5% met the frailty criteria compared to 12.3% of the non-homebound population. The frail homebound had lower educational attainment, were more likely to live alone, self-reported poorer health and more chronic physical and mental health conditions than the non-frail homebound (p<0.05 for all). Frail homebound older adults utilized more health services utilization than non-frail homebound and were twice as likely to be hospitalized (49.8% versus 28.0%, p=0.004).

Older Adults’ Objectively Monitored Walking Behaviors and the Factors that Shape Them

2016 ◽  
Vol 5 (1) ◽  
pp. 81-86
Author(s):  
Catrine Tudor-Locke ◽  
Stephanie Broyles
Keyword(s):  
Older Adults ◽  
Chronic Conditions ◽  
Functional Mobility ◽  
Collective Knowledge ◽  
Research Gaps ◽  
Active Lifestyle ◽  
Physically Active ◽  
Healthy Older Adults ◽  
Individual Program ◽  
Apparently Healthy

The focus of a physically active lifestyle for older adults is to preserve functional mobility and delay losses associated with decrepitude in later years. Since ambulation is of utmost importance to older adults’ mobility, the purpose of this nonexhaustive review is to consider older adults’ walking behaviors objectively captured as steps/day and the factors that shape them. Summarized evidence currently indicates that apparently healthy older adults accumulate between 2,000–9,000 steps/day and that older adults living with disabilities and/or chronic conditions average approximately 1,200–8,800 steps/day. The scientific body of objectively monitored knowledge focused on potential individual, program, and contextual factors that shape older adults’ walking behaviors expressed as steps/day (i.e., their ability to and practice of getting “out and about”) is infantile at this time. We provide a simple research agenda to spark scholarly efforts to address research gaps and opportunities in the collective knowledge base.

Saskatoon in motion: Class vs. home-based exercise intervention in older adults with chronic health conditions

2005 ◽  
Author(s):  
Bruce Reeder ◽  
Karen Chad ◽  
Liz Harrison ◽  
Nigel Ashworth ◽  
Suzanne Sheppard ◽  
...  
Keyword(s):  
Older Adults ◽  
Exercise Intervention ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health ◽  
Home Based

2161-PUB: Determinants of Digital Divide among Older Adults with Diabetes Mellitus

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 2161-PUB
Author(s):  
SUNHEE PARK
Keyword(s):  
Diabetes Mellitus ◽  
Older Adults ◽  
Digital Divide

scholarly journals Environmental Influences of Extreme Heat on the Health of Older Adults: A Retrospective Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 280-280
Author(s):  
Mei Liu ◽  
Carol Buller ◽  
Barbara Polivka ◽  
Terri Woodburn ◽  
Mark Jakubauskas ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Conditions ◽  
Environmental Influence ◽  
Emergency Department Visits ◽  
Extreme Heat ◽  
Extreme Weather Events ◽  
Study Cohort ◽  
Outpatient Visits ◽  
Extreme Heat Event ◽  
Heat Event

Abstract Studies have suggested that extreme weather events have differential effects by age. By leveraging electronic medical records, we aim to analyze the environmental influence of extreme heat on the health of older adults. From our healthcare system’s de-identified data warehouse, we extracted a retrospective cohort of 108,192 patients who were ≥65 years of age as of 1/1/2018 with pre-existing chronic conditions including diabetes, COPD, cardiovascular disease, or kidney disease. Extreme heat event period was defined as 5/1/2018 to 9/1/2018 (79 days with temperature ≥90o; 15 days of moderately poor/poor air quality index (AQI) [≥75] values) and the comparison period was defined as 5/1/2019 to 9/1/2019 (51 days with temperature ≥90o; 0 days with moderately poor/poor AQI values) in the Kansas City area. We randomly partitioned the study cohort into two sets and demonstrated the two patient sets were statistically similar (p>0.05) with respect to their demographic and underlying health conditions. Finally, we compared the respiratory, cardiovascular, and renal health outcomes between the 2018 and the 2019 cohorts. Most patients were Caucasians, female and had comorbid conditions. Results showed significantly higher number of all-cause emergency department visits (p=0.04) and outpatient visits (p=<.001) during the extreme heat event period in 2018. Analyses also showed significantly higher number of outpatient visits due to upper respiratory diseases (p=0.008) and acute renal failure (p=0.01) in 2018. In conclusion, extreme heat increased use of healthcare services in older adults with chronic conditions.

Sign in / Sign up

Export Citation Format

Share Document