Association between multimorbidity and fear of falling: a cross-sectional study with hospitalized older adults / Associação entre multimorbidade e medo de cair: um estudo transversal com idosos hospitalizados

2021 ◽  
Vol 7 (8) ◽  
pp. 80272-80284
Author(s):  
Letícia Vieira Crispim ◽  
Rodrigo Lázaro Rocha Veloso ◽  
Tábatta Renata Pereira De Brito ◽  
Daniella Pires Nunes ◽  
Bruna Luísa Melo de Aquino Lemos Corrêa ◽  
...  
Keyword(s):  
Older Adults ◽  
Regression Analysis ◽  
Older People ◽  
Emergency Treatment ◽  
Fear Of Falling ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Preventable Hospitalizations ◽  
Hospitalized Older Adults

The aim of this study was to analyze the association between multimorbidity and fear of falling among hospitalized older adults. This is a quantitative study with an analytical sectional design, conducted with 83 individuals aged 60 years or older, hospitalized for falls in a referral hospital for emergency treatment in Brazil. Data collection took place through the application of a questionnaire containing socioeconomic and health information as well as characteristics of the fall. The logistic regression analysis revealed that older people who reported multimorbidity are 3.16 times more likely to be afraid of falling than older people who did not report multimorbidity, regardless of sex, age, frailty, and the number of falls in the last year. These results could aid in improving hospital approaches in relation to multimorbidity and fear of falling, decreasing preventable hospitalizations due to falls.

scholarly journals Prevalence and determinants of potentially inappropriate medication use in Hong Kong older patients: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e051527
Author(s):  
Huanyu Zhang ◽  
Eliza LY Wong ◽  
Samuel YS Wong ◽  
Patsy YK Chau ◽  
Benjamin HK Yip ◽  
...  
Keyword(s):  
Older Adults ◽  
Regression Analysis ◽  
Hong Kong ◽  
Older Patients ◽  
Inappropriate Medication ◽  
Cross Sectional Study ◽  
Potentially Inappropriate Medication ◽  
Multivariable Logistic Regression Analysis ◽  
Sectional Study ◽  
Cross Sectional

ObjectivesTo assess the prevalence of potentially inappropriate medication (PIM) use in Hong Kong older patients visiting general outpatient clinics (GOPCs) between 2006 and 2014 and to identify factors associated with PIM use among older adults visiting GOPCs in 2014.DesignCross-sectional study.SettingGOPC.ParticipantsTwo study samples were constructed including a total of 844 910 patients aged 65 and above from 2006 to 2014 and a cohort of 489 301 older patients in 2014.MeasurementsTwo subsets of the 2015 American Geriatrics Society Beers criteria—PIMs independent of diagnosis and PIMs due to drug–disease interactions—were used to estimate the prevalence of PIM use over 12 months. PIMs that were not included in the Hospital Authority drug formulary or with any specific restriction or exception in terms of indication, dose or therapy duration were excluded. Characteristics of PIM users and non-PIM users visiting GOPCs in 2014 were compared. Independent associations between patient variables and PIM use were assessed by stepwise multivariable logistic regression analysis.ResultsThe 12-month period prevalence of PIM use decreased from 55.56% (95% CI 55.39% to 55.72%) in 2006 to 47.51% (95% CI 47.37% to 47.65%) in 2014. In the multivariable regression analysis, the strongest factor associated with PIM use was the number of different drugs prescribed (adjusted OR, AOR 23.01, 95% CI 22.36 to 23.67). Being female (AOR 0.89, 95% CI 0.85 to 0.87 for males vs females) and having a greater number of GOPC visits (AOR 1.83, 95% CI 1.78 to 1.88) as well as more than six diagnoses (AOR 1.43, 95% CI 1.36 to 1.52) were associated with PIM use.ConclusionsThe overall prevalence of PIM use in older adults visiting GOPCs decreased from 2006 to 2014 in Hong Kong although the prevalence of PIM use was still high in 2014. Patients with female gender, a larger number of medications prescribed, more frequent visits to GOPCs, and more than six diagnoses were at higher risk for PIM use.

scholarly journals Cutoff values for appendicular skeletal muscle mass and strength in relation to fear of falling among Brazilian older adults: cross-sectional study

2017 ◽  
Vol 135 (5) ◽  
pp. 434-443 ◽  
Author(s):  
Ricardo Aurélio Carvalho Sampaio ◽  
Priscila Yukari Sewo Sampaio ◽  
Luz Albany Arcila Castaño ◽  
João Francisco Barbieri ◽  
Hélio José Coelho Júnior ◽  
...  
Keyword(s):  
Older Adults ◽  
Skeletal Muscle ◽  
Muscle Mass ◽  
Skeletal Muscle Mass ◽  
Fear Of Falling ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Appendicular Skeletal Muscle ◽  
Appendicular Skeletal Muscle Mass

scholarly journals Cultural adaptation and validation of the Polish version of the physical activity scale for older people living in a community: a cross-sectional study

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Agnieszka Wiśniowska-Szurlej ◽  
Agnieszka Ćwirlej-Sozańska ◽  
Natalia Wołoszyn ◽  
Bernard Sozański ◽  
Anna Wilmowska-Pietruszyńska ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Older People ◽  
Cultural Adaptation ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Polish Version ◽  
Activity Scale ◽  
Physical Activity Scale

Abstract Background Polish clinicians and researchers face challenges in selecting physical activity tools appropriate and validated for older people. The aim of this study is to provide cultural adaptation and validation of the Polish version of the Physical Activity Scale for Elderly (PASE-P). Methods This cross-sectional study was carried out among 115 older adults living in south-eastern Poland. The original version of the scale has been translated into the Polish language following standardized translation procedures. Validation was evaluated by Pearson’s rank correlation coefficients between PASE-P, the normal Timed Up and Go test and that with a cognitive task (TUG and TUG cog, respectively), grip strength, basic and instrumental activities of daily living (ADL and IADL, respectively), Five Times Sit to Stand (5x STS), 10-m Walk Test (10MWT), the Berg Balance Scale (BBS) and the International Physical Activity Questionnaire (IPAQ). Results The mean PASE-P was 91.54 (SD 71.15). Sufficient reliability of the test-retest of the PASE-P questionnaire components was found between the trials. The ICC test was strong and ranged from 0.988 to 0.778 for both major domains and the total scale score. A significant correlation was found between the total PASE-P score and the shorter TUG, TUG cog (r = − 0.514, p < 0.001; r = − 0.481, p < 0.001) and 10MWT (r = 0.472, p < 0.001). The total PASE-P score was also positively correlated with ADL and IADL (r = 0.337, p < 0.001; r = 0.415 p < 0.001), BBS (r = 0.537, p < 0.001) and 5xSTS (r = 0.558, p < 0.001). Conclusions The results obtained in the study confirm that the Polish version of the PASE scale is a valid and reliable tool for assessing the level of physical activity in older adults living in a community.

scholarly journals Adherence to Mediterranean diet and risk of depression later in life. A cross sectional study in East Attica, Greece

2019 ◽  
Vol 2 (2) ◽  
pp. 201-210 ◽  
Author(s):  
Konstantinos Argyropoulos ◽  
Evangelia Machini
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Older People ◽  
Mediterranean Diet ◽  
Sleep Disturbances ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Mediterranean

AbstractObjectivesThe purpose of the present study was to estimate the prevalence of depression later in life in an urban area and to investigate the associations between possible risk and protective factors including adherence to a Mediterranean diet.MethodsA cross-sectional study was conducted among the active members of the open day-care centres for older people, in East-Attica, Greece. An anonymous questionnaire was developed to collect basic demographic and medical data, the Geriatric Depression Scale (GDS-15) was applied to screen the elderly for depressive symptoms, the Athens Insomnia Scale (AIS) was used to quantify sleep disturbances and adherence to the Mediterranean diet was evaluated using the Mediterranean Diet Score (MDS). Statistics was processed with SPSS 24.0.Results154 older adults took part in the study. According to GDS-15, 24.7% (21.4% moderate and 3.2% severe type) screened positive for depressive symptoms. 29.9% of the participants reported inadequate sleep, based on AIS. Depression and insomnia in older participants were more frequent in women than in men, in lower educated, in participants with lower monthly income and in older people with comorbidity (p < 0.05).MDS revealed that adherence to a Mediterranean diet was moderate for 64.3% of the participants, and it was high for 34.4%. Depression diagnosed by a physician, was strongly associated with MDS (p = 0.035) and AIS (p = 0.001). Logistic regression analysis results revealed a diet higher in vegetables and lower in poultry and alcohol was associated with decreased likelihood of developing symptoms of depression later in life.ConclusionsOur results support that depression in older adults is common and strongly associated with several risk factors. Adherence to a Mediterranean diet may protect against the development of depressive symptoms in older age. Moreover, not only diet but also sleep-deficiency might contribute to the depression later in life.

Constructional apraxia screening and oral health among hospitalized older adults: A cross‐sectional study

2019 ◽  
Vol 39 (5) ◽  
pp. 491-496
Author(s):  
Lorenzo Bevilacqua ◽  
Angelica Severin ◽  
Erika Russi ◽  
Daniele Angerame ◽  
Giuliano Ceschia ◽  
...  
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Constructional Apraxia ◽  
Hospitalized Older Adults

scholarly journals Do older people with cardiovascular-metabolic multimorbidity prefer to sign contracts for family doctor services? Evidence from a cross-sectional study in rural Shandong, China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shijun Yang ◽  
Jie Li ◽  
Peipei Fu ◽  
Yan Chen ◽  
Yi Wang ◽  
...  
Keyword(s):  
Older Adults ◽  
Older People ◽  
Family Doctor ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Logistic Analysis ◽  
The Status ◽  
The Government ◽  
Rural Older Adults

Abstract Background Family doctor policy is an important part of deepening healthcare reform in China. The study aimed to explore the association between cardiovascular-metabolic multimorbidity and the status of signing a contract for family doctor services among the older people in rural Shandong, China. Methods A cross-sectional study was conducted in 3 cities of Shandong province, China. A total of 1395 rural residents over 60 years of age were included in this study using a multistage stratified random sampling method. Covariates included demographic and socioeconomic characteristics, health-related characteristics, health service utilization, and awareness of family doctor contract services. The univariate and multivariate regression logistic analysis was used to analyze the data. Results There were 28.2% of the rural older people contracted for the family doctor contract services. The contract rate of seniors with cardiovascular-metabolic multimorbidity was statistically higher than those without cardiovascular-metabolic multimorbidity (OR = 1.67, 95%CI, 1.21-2.32) after controlling for confounding factors. In addition, occupation, physical activities, self-rated health status, distance from the village clinic, the awareness of family doctor contract services were found to be associated with the signing behavior among the rural older adults. Conclusion This study demonstrated that the rural older people with cardiovascular-metabolic multimorbidity had a higher family doctor contract rate than those without cardiovascular-metabolic multimorbidity, and there was a gap between the current signing rate and the policy goal. To increase the rate of signing for family doctor contract services, the government should take joint efforts to expand the publicity and coverage, and give priority to meeting the healthcare demands of rural older adults with cardiovascular-metabolic multimorbidity.

scholarly journals HIV testing uptake and prevalence among hospitalized older adults in Togo: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246151
Author(s):  
Fifonsi Adjidossi Gbeasor-Komlanvi ◽  
Wendpouire Ida Carine Zida-Compaore ◽  
Arnold Junior Sadio ◽  
Martin Kouame Tchankoni ◽  
Balakiyem Magnim Kadangha ◽  
...  
Keyword(s):  
Older Adults ◽  
Hiv Infection ◽  
Hiv Testing ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Newly Diagnosed ◽  
Sectional Study ◽  
Cross Sectional ◽  
Testing Uptake ◽  
Hospitalized Older Adults

Objectives This study aimed to describe HIV testing uptake, as well as HIV prevalence and its associated factors among older adults aged ≥50 years in health facilities in Togo. Methods A cross-sectional study was carried out from February 2018 to June 2019 among hospitalized older adults aged ≥50 years in tertiary and secondary hospitals in Togo. HIV testing was performed according to the national algorithm. Socio-demographic data and HIV testing history were collected using a standardized questionnaire. Results A total of 619 patients (43.9% female) of median age 61 years, (IQR: 55–70) were recruited and offered HIV testing. Among them, 25.7% had never previously tested for HIV. In total, 91.6% (567/619) accepted HIV testing while 8.4% (52/619) refused to be tested. Of those who tested, forty patients were HIV positive, yielding a prevalence of 7.1%. Twenty-three patients (57.5%) were newly diagnosed with HIV infection. In multivariable analysis, two factors were associated with HIV infection: living alone (aOR = 5.83; 95%CI = [2.26–14.53]) and being <60 years (aOR = 3.12; 95%CI = [1.51–6.66]). Conclusion The majority of older adults in this study accepted testing for HIV and almost three in five HIV positive older adults were newly diagnosed with HIV as a result of this testing. There is an urgent need to integrate older adults into responses to the HIV epidemic and to strengthen targeted prevention care and treatment in this population.

scholarly journals Cross-sectional study of individual and environmental factors associated with life-space mobility among community-dwelling independent older people

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Tomoha Miyashita ◽  
Etsuko Tadaka ◽  
Azusa Arimoto
Keyword(s):  
Regression Analysis ◽  
Environmental Factors ◽  
Older People ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Individual Factors ◽  
Sectional Study ◽  
Life Space ◽  
Cross Sectional ◽  
Binomial Regression

Abstract Background Life-space mobility is reflected in comprehensive longevity and health outcomes and is also an important indicator for preventing mortality and decline in well-being among older people. However, a comprehensive framework of life-space mobility and modifiable individual and environmental factors has not been well validated among community-dwelling independent older people, for primary prevention. We examined individual and environmental factors affecting life-space mobility among community-dwelling independent older people. Methods This cross-sectional study included 3500 community-dwelling independent older people randomly selected using the National Basic Resident Registration System in Japan. Life-space mobility was measured using the Japanese version of the Life-Space Assessment (LSA) instrument, which is used to assess an individual’s pattern of mobility. Negative multivariate binomial regression analysis was performed in a final sample of 1258 people. Individual factors (including physical, mental, and social characteristics) and environmental factors (including the social and material environment) were measured and analyzed as potential factors. Results Negative multivariable binomial regression analysis, adjusted for demographics, showed that LSA score was associated with locomotive syndrome (β = − 0.48, 95% confidence interval [CI] = − 0.24 to − 0.73), depression (β = − 0.29, 95% CI = − 0.03 to − 0.55), health literacy (β = 0.20, 95% CI = 0.39–0.01), and participation in community activities (β = 0.23, 95% CI = 0.03–0.43) among individual factors, and receipt of social support (β = − 0.19, 95% CI = 0.00 to − 0.38) and social network (β = 0.29, 95% CI = 0.48–0.10) among environmental factors. Conclusions Our findings suggest that modifiable individual factors and environmental factors are related to life-space mobility among community-dwelling older people.

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