scholarly journals Transfer of Promotion Effects on Elderly Health with Age: From Physical Environment to Interpersonal Environment and Social Participation

Author(s):  
Zheng ◽  
Chen ◽  
Yang

An important goal of building “age-friendly communities” is to help the elderly to access more opportunities for social participation and better health. However, little is known about the complex relationships between neighborhood environment, social participation, and elderly health. This study examined the mediating role of social participation in the area of neighborhood environment affecting elderly health and explored the discrepancy among different age groups in 43 neighborhoods of Shanghai. Both neighborhood environment and social participation had significant positive effects on elderly health in all the samples. Meanwhile, social participation served as a mediator of the relationship between interpersonal environment and elderly health. Furthermore, remarkably, health promotion effects transferred from the physical environment to interpersonal environment and social participation with age; the influence of physical environment on elderly health decreased with the increase of age, while the influence of interpersonal environment and social participation on the health of the elderly increased with the increase of age. This study found that physical environment, interpersonal environment, and social participation had different effects on elderly health of different ages. Different policies should be applied toward improving the interpersonal environment, optimizing of physical environment, and guiding the community activities.

2005 ◽  
Vol 18 (3) ◽  
pp. 446-464 ◽  
Author(s):  
Eduardo Villamor ◽  
Wafaie W. Fawzi

SUMMARY Vitamin A supplementation to preschool children is known to decrease the risks of mortality and morbidity from some forms of diarrhea, measles, human immunodeficiency virus (HIV) infection, and malaria. These effects are likely to be the result of the actions of vitamin A on immunity. Some of the immunomodulatory mechanisms of vitamin A have been described in clinical trials and can be correlated with clinical outcomes of supplementation. The effects on morbidity from measles are related to enhanced antibody production and lymphocyte proliferation. Benefits for severe diarrhea could be attributable to the functions of vitamin A in sustaining the integrity of mucosal epithelia in the gut, whereas positive effects among HIV-infected children could also be related to increased T-cell lymphopoiesis. There is no conclusive evidence for a direct effect of vitamin A supplementation on cytokine production or lymphocyte activation. Under certain circumstances, vitamin A supplementation to infants has the potential to improve the antibody response to some vaccines, including tetanus and diphtheria toxoids and measles. There is limited research on the effects of vitamin A supplementation to adults and the elderly on their immune function; currently available data provide no consistent evidence for beneficial effects. Additional studies with these age groups are needed.


2017 ◽  
Vol 19 (2) ◽  
pp. 267-276 ◽  
Author(s):  
Wilson Majee ◽  
Lydia Aziato ◽  
Karien Jooste ◽  
Adaobi Anakwe

Background. Although social participation has been linked to positive physical and mental health outcomes, elderly people in rural areas remain highly disengaged. Also, few studies have examined community residents’ perceptions of the barriers and opportunities for the elderly to participate in community activities. Purpose. This article highlights the perceptions of rural community residents regarding their understanding of the following: (1) community leadership, (2) barriers and opportunities for the elderly to engage in leadership, and (3) potential community-based solutions for promoting more social participation. Method. Individual interviews were conducted with 16 community members. Content analysis was used to analyze the data. Researchers immersed and familiarized themselves with the data prior to developing codes. Coding was initially done manually and later using NVivo. Findings. Four major themes emerged: conceptions of community leadership, elderly resource inventory, barriers to elderly engagement, and potential solutions. Themes collectively illustrated that residents have a clear understanding of the role of community leadership, of available resources for the elderly, and of the barriers encountered when using these resources. Conclusion. Our findings highlight a need for health promotion strategies that are informed by community needs and foster healthy lifestyles for all community residents.


Author(s):  
Sertaç Güngör ◽  
Fatma Bütüner

Covid-19, which affects the whole world and is accepted as a pandemic by the world health organization, caused millions of people to die. The elderly are in the group with the highest risk of losing their lives due to the Covid-19 virus. Stricter restrictive / protective measures have been taken for the elderly in Turkey, as in the whole world. With this research, it is aimed to evaluate the sociological and psychological effects of the "elderly", who are one of the health risk groups of the society, in terms of landscape architecture, during the pandemic days when they had to experience various problems after the outbreak. In the study, face-to-face and online questionnaires were applied to individuals aged 50 and over on a voluntary basis. As a result of the study, it was determined that the implementation of curfews and restrictions for the elderly and the formation of an isolated lifestyle from other age groups caused an increase in loneliness and anxiety levels and negative psychological effects. It has been revealed that the activities that individuals will carry out in the green area, their conversations and socializing with their peers, and walks in the open area have a positive psychological and sociological effect for the elderly. It has been determined that the elderly who become lonely and depressed at home with the restrictions imposed under pandemic conditions want to be in green areas. The sociological and psychological positive effects of being in green areas and spending time, and the changes in the behaviour and emotions of the elderly who have pandemic restrictions paralleled the response of the participants to the questionnaire.


2019 ◽  
Vol 11 (7) ◽  
pp. 2077 ◽  
Author(s):  
Zhenhua Zheng ◽  
Liu Yang

Worldwide population aging is currently in acceleration, which is especially true for China. Echoing the advocacy of “active aging” and “age-friendly communities”, governments and researchers across the world are paying more attention to the impact of neighborhoods on the health of older adults. Using the Ecological Model of Aging, this study aimed to discuss the relationships between neighborhood environment, lifestyle, and health of older adults, and to compare the differences among older adults of different age groups. The results showed that landscape environment has a direct effect on the health of older adults, while leisure environment has an indirect effect through lifestyle. Both leisure environment and landscape environment directly encourage older adults to take part in outdoor activity, in which the former mainly promotes the social participation of the high-aged (aged 80+) group, while the latter merely promotes that of the middle-aged (aged 70–79) group. The positive effect of social participation on health is gradually strengthened with the increase of age. Meanwhile, outdoor activity has its greatest effect on the middle-aged (aged 70–79) group, but not the low-aged (aged 60–69) group. To effectively boost the health of older adults and promote active aging, adequate considerations should also be given to the differentiated demands of older adults of different age groups, optimization of neighborhood environment, as well as cultivation of an amicable atmosphere.


2021 ◽  
Vol 73 (4) ◽  
pp. 224-235
Author(s):  
Tarawit Tantanokit ◽  
Tatree Bosittipichet ◽  
Thanakamon Leesri

Objective: Nowadays, Thailand and Worldwide are going to be aged society. Elderly health issue is more important. Dementia is one of the major problems in elderly. Dementia patients can develop many symptoms such as memory loss, decision difficultly, language deficit, personality and mood change. In severe case, they need a caregiver. This disturbs daily activities and decreases quality of life. Because of taking part in primary care, there are many elderlies with dementia. There is less data about proactive study in primary care. Aims of this study are assessing the prevalence and related factors of dementia in elderly.Methods: A descriptive study of 295 elderlies was studied in Bangkruai subdistrict, Bangkruai district, Nonthaburi. According to the definition in Thailand, elderly is people who is older than 60 years old. Tools for this study were MMSE-Thai 2002 for screening dementia and calculating prevalence and general information questionnaire for related factor.Results: The results showed the prevalence of dementia in elderly in Bangkruai subdistrict, Bangkruai district, Nonthaburi was 18 percent. The related factors that have statistically significant were male sex, high age, low education, diabetes mellitus, no mobile phone, no computer skill, no internet skill, rarely social participation and rarely religion participation. However, factors that had no statistically significant were weight, height, BMI, marital status, occupation, hypertension, dyslipidemia, daily medicine, alcohol consumption, smoking, coffee, exercise, daily television use and family category.Conclusion:  The prevalence of dementia in the elderly was 18 percent and the related factors that have statistically significant were male sex, high age, low education, diabetes mellitus, no mobile phone, no computer skill, no internet skill, rarely social participation and rarely religion participation. The study showed size of problem and made the good plans for elderly health such as technology assessment and motivation for social participation.


2019 ◽  
Vol 2 (2) ◽  
pp. 45
Author(s):  
Fery Lusviana Widiany

In Indonesia, there has been an increase in the percentage of elderly groups compared to other age groups which have been quite rapid since 2013. As a result of population projection of 2010-2035, Indonesia will enter the aging period, whereas 10% of the population will be 60 years or older. With increasing age, physiological functions decline due to the aging process so that non-communicable diseases appear in the elderly. In Demangan Gunungan hamlet, Pleret, Bantul, elderly integrated service post activities were carried out in the form of weight measurements, blood pressure checks, and elderly gymnastics. However, there has never been a gout examination in the elderly because of limited access to health services, limited costs, and lack of information regarding the importance of routine laboratory examinations. So it is necessary to do community service activities in the form of uric acid examination and nutrition counseling to the elderly in the hamlet. Community engagement activities carried out in Demangan Gunungan hamlet, Pleret, Bantul in the form of uric acid examination in the elderly and providing nutrition counseling related to a good diet in anticipating and overcoming health problems, especially gout (hyperuricemia). The activity was attended by 40 people, consisting of 34 elderly people and 6 cadres. The results of uric acid examination showed that there were more elderly people in Demangan Gunungan hamlet, Pleret, Bantul (55%) than those who did not experience hyperuricemia (45%). This community engagement activities achieved results according to the target based on the attendance of participants and program evaluation. It was expected that there would be a decrease in the number of elderly health problems and a decrease in the number of gout sufferers (hyperuricemia) in Demangan Gunungan, Pleret, Bantul.Keywords: elderly, health check, gout (hyperuricemia), nutrition counseling, elderly integrated service post.


Author(s):  
Yukai Lu ◽  
Sanae Matsuyama ◽  
Fumiya Tanji ◽  
Tatsui Otsuka ◽  
Yasutake Tomata ◽  
...  

Abstract Background Our study examined the association between social participation and healthy aging using a community-based cohort study among Japanese elderly. Methods This prospective study was conducted in Ohsaki City, Japan, and included 7,226 subjects aged ≥65 years at the baseline survey in 2006. We obtained information on frequency of participation in three types of community activities (i.e. neighborhood activities, hobbies, and volunteer activities) at baseline. Exposure was measured by the number of types of community activities participated in and subjects were categorized into four groups (i.e. none, one type, two types, and three types). The primary outcome was healthy aging as assessed by a questionnaire survey conducted in 2017, and was defined as meeting the following four criteria: free of disability, free of depression, high health-related quality of life, and high life satisfaction. We used multiple logistic regression models to calculate the corresponding odds ratios (ORs) and 95% confidence intervals (95%CIs). Results During 11 years of follow-up, 574 (7.9%) subjects attained healthy aging. Compared with subjects not participating in any activity, the multivariable-adjusted ORs (95%CIs) were 1.90 (1.40, 2.59) for those participating in one type, 2.49 (1.84, 3.38) for two types, and 3.06 (2.30, 4.07) for three types (P for trend <.0001). Furthermore, for each type of community activity, a higher frequency of participation was related to higher probability of healthy aging. Conclusions Our study suggests that social participation is associated with the promotion of healthy aging, and that the benefits were observed across different types of community activities.


2017 ◽  
Vol 23 (3) ◽  
pp. 356
Author(s):  
Mulyati Sri Rahayu ◽  
Meutia Maulina ◽  
Yuziani Yuziani

Abstrak Penduduk lansia terus meningkat dari tahun ke tahun sehingga dibutuhkan optimalisasi wahana pelayanan bagi kaum lansia seperti posyandu lansia (poslan). Tujuan pengabdian masyarakat ini adalah untuk mengatasi permasalahan program pelayanan kesehatan poslandi Panti Jompo Darussa’adah dan Panti Jompo An-Nur yang dinilai belum optimal. Selain program pelayanan poslan yang belum optimal, keterbatasan fasilitas kesehatan yang menunjang program tersebut juga masih menjadi kedala. Metode penyelesaian permasalahan dilakukan dengan membentuk kader poslan,sosialisasi poslan, pelatihan tentang tugas 5 meja (pemeriksaan fisik dan kemandirian lansia, pengisian KMS dan keterampilan laboratorium sederhana), praktek pelaksanaan poslan, penyediaan fasilitas alat kesehatan dan laboratorium sederhana serta melaksanakan kegiatan penunjang kesehatan lansia seperti senam lansia. Hasil kegiatan Iptek Bagi Masyarakat (IbM) yang dilaksanakan pada kedua mitra adalah tersedianya sistem pelayanan kesehatan 5 meja pada kedua poslan dan tersedianya kader lansia terlatih serta tersedianya sarana alat kesehatan untuk melakukan pemeriksaan kesehatan fisik dan mental emosional, tersedianya laboratorium sederhana sebagai fasilitas yang digunakan untuk deteksi dini penyakit pada lansia. Kesimpulan dari kegiatan IbM  dapat meningkatkan jangkauan pelayanan kesehatan lansia dan terbentuk pelayanan kesehatan yang sesuai dengan kebutuhan lansia sehingga dapat meningkatkan derajat kesehatan lansia.  Kata kunci: Posyandu Lansia, Panti Jompo, Pelayanan Kesehatan Lima Meja Abstract The elderly population continues to increase from year to year, so it is necessary to optimize the health care program for the elderly such as the elderly posyandu (poslan). The purpose of the project community service is to overcome the problem of health care program poslan at Panti Jompo Darussa'adah and Panti Jompo An-Nur which considered not optimal yet. In addition to the poslan service program that has not been optimal, the limited health facilities that support the program is also still a flame. The problem solving method is done by establishing poslan cadres, poslan socialization, training on 5 table tasks (physical examination and elderly independence, KMS completion and simple laboratory skills), simulation of poslan, provision of simple medical and laboratory facilities and carrying out elderly health support activities such as Elderly gymnastics. The results of the project community activities on both partners are the availability of a five-table health care system in both posyandu and the availability of trained elderly cadres as well as the availability of health-care equipment to perform physical and emotional mental health examination, the availability of simple laboratories as facilities used for early detection of disease in the elderly. The conclusion of the project community activities can increase the reach of elderly health service and formed health service in accordance with elderly needs so as to improve elderly health degree. Keywords: Elderly Posyandu, Nursing Home, FiveDesk Health Service.


GeroPsych ◽  
2011 ◽  
Vol 24 (2) ◽  
pp. 83-92 ◽  
Author(s):  
Valentina A. Tesky ◽  
Christian Thiel ◽  
Winfried Banzer ◽  
Johannes Pantel

To investigate the effects of leisure activities on cognitive performance of healthy older subjects, an innovative intervention program was developed. Frequent participation in cognitively stimulating activities (i.e., reading, playing chess, or playing music) is associated with reduced risk of dementia. AKTIVA (active cognitive stimulation – prevention in the elderly) is an intervention program designed to enhance cognitive stimulation in everyday life by increasing cognitive stimulating leisure activities. The present study determines the effects of AKTIVA on cognitive function, mood and attitude toward aging in a sample of older participants from the general population. Several measurement instruments were used including the Alzheimer’s Disease Assessment Scale (ADAS-Cog), the Trail-Making Test (TMT), and the Memory Complaint Questionnaire (MAC-Q). Initially, the sample consisted of 307 older persons (170 female, 72 ± 7 years). The intervention was evaluated with a randomized, controlled pre-post follow-up design. Participants were randomly assigned to one of three conditions: AKTIVA intervention (n = 126), AKTIVA intervention plus nutrition and exercise counseling (n = 84), no-intervention control group (n = 97). The AKTIVA intervention consisted of 8 weekly sessions and two booster sessions after a break of 4 months. Participation in the group program resulted in positive effects on cognitive function and attitude toward aging for subassembly groups. Older persons (≥ 75 years) showed enhanced speed of information processing (by TMT Version A) (F = 4.17*, p < .05); younger participants (< 75 years) showed an improvement in subjective memory decline (by MAC-Q) (F = 2.55*, p < .05). Additionally, AKTIVA enhanced the frequency of activities for leisure activities for subassembly groups. The results of this study suggest that the AKTIVA program can be used to increase cognitively stimulating leisure activities in the elderly. Further research is necessary to identify the long-term effects of this intervention particularly with respect to the prevention of dementia.


Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 148-154 ◽  
Author(s):  
Karoly Bozsonyi ◽  
Peter Osvath ◽  
Sandor Fekete ◽  
Lajos Bálint

Abstract. Background: Several studies found a significant relationship between important sport events and suicidal behavior. Aims: We set out to investigate whether there is a significant relationship between the raw suicide rate and the most important international sports events (Olympic Games, FIFA World Cup, UEFA European Championship) in such an achievement-oriented society as the Hungarian one, where these sport events receive great attention. Method: We examined suicide cases occurring over 15,706 days between January 1, 1970, and December 31, 2012 (43 years), separately for each gender. Because of the age-specific characteristics of suicide, the effects of these sport events were analyzed for the middle-aged (30–59 years old) and the elderly (over 60 years old) generations as well as for gender-specific population groups. The role of international sport events was examined with the help of time-series intervention analysis after cyclical and seasonal components were removed. Intervention analysis was based on the ARIMA model. Results: Our results showed that only the Olympic Games had a significant effect in the middle-aged population. Neither in the older male nor in any of the female age groups was a relationship between suicide and Olympic Games detected. Conclusion: The Olympic Games seem to decrease the rate of suicide among middle-aged men, slightly but significantly.


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