scholarly journals COVID-19: measures to protect older adults from SARS-CoV-2 infection

2020 ◽  
Vol 6 (3) ◽  
Author(s):  
Israel Oluwasegun Ayenigbara ◽  
Olawale Akanbi Moronkola

As every nation battles the coronavirus disease 2019 (COVID-19) pandemic comprehensively, older adults are by far the most affected group in terms of morbidity and mortality rates. Particularly individuals in the age range of >60 years and with comorbidities and other geriatric conditions are at heightened risk of complications from COVID-19 compared to any other age groups in the world. The time between the infection of severe acute respiratory syndrome-coronavirus 2 (SARS-CoV- 2) and the manifestation of the symptoms is between two to twelve days. Typical symptoms of COVID-19 are high temperature, dry cough, and breathing difficulties in complicated cases, while new evidence shows atypical presentations of COVID-19 symptoms in older adults, and are highlighted in this review. From this synopsis, we deduced that firstly, the severity of COVID-19 among older adults is because of biological (dwindling immunity with old age), socio-economic (poverty and over-stretched health system) and physical reasons (frailty and comorbidities). Secondly, there is an upsurge in the rates of transmission and COVID-19 fatalities in nursing homes globally. Lastly, to abate the spread of SARS-CoV-2 among older adults, strict adherence to physical distancing, frequent hand hygiene and respiratory hygiene, frequent disinfection of surfaces, stoppage to unnecessary travel and nonessential hospital’s visitations, appropriate use of face masks, healthy life style choices, proper identification and isolation of infected older adults, assistance and support for older adults in the community, and prevention of infections in nursing homes should all essentially be implemented globally. It is recommended that maximum compliance to measures provided in this review should be ensured and implemented. Governments, civil societies and general public should provide supports for older adults during this COVID-19 pandemic period, and new researches should look more into the global severity of COVID-19 on nursing homes and the geriatric populations generally to get progressively feasible exact information that will enable informed preventive choices.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 823-823
Author(s):  
Hyung Wook Choi ◽  
Rose Ann DiMaria-Ghalili ◽  
Mat Kelly ◽  
Alexander Poole ◽  
Erjia Yan ◽  
...  

Abstract Researchers are increasingly interested in leveraging technology to support the physical and mental well-being of older adults. We systematically reviewed previous scholars’ criteria for sampling older adult populations, focusing on age cohorts (namely adults over 65) and their use of internet and smart technologies. We iteratively developed keyword combinations that represent older adults and technology from the retrieved literature. Between 2011 and 2020, 70 systematic reviews were identified, 26 of which met our inclusion criteria for full review. Most important, not one of the 26 papers used a sample population classification more fine-grained than “65 and older.” A knowledge gap thus exists; researchers lack a nuanced understanding of differences within this extraordinarily broad age-range. Demographics that we propose to analyze empirically include not only finer measures of age (e.g., 65-70 or 71-75, as opposed to “65 and older”), but also those age groups’ attitudes toward and capacity for technology use.


2021 ◽  
Vol 15 (4) ◽  
pp. e0009312
Author(s):  
Yi-Hua Pan ◽  
Mei-Ying Liao ◽  
Yu-Wen Chien ◽  
Tzong-Shiann Ho ◽  
Hui-Ying Ko ◽  
...  

A shift in dengue cases toward the adult population, accompanied by an increased risk of severe cases of dengue in the elderly, has created an important emerging issue in the past decade. To understand the level of past DENV infection among older adults after a large dengue outbreak occurred in southern Taiwan in 2015, we screened 1498 and 2603 serum samples from healthy residents aged ≥ 40 years in Kaohsiung City and Tainan City, respectively, to assess the seroprevalence of anti-DENV IgG in 2016. Seropositive samples were verified to exclude cross-reaction from Japanese encephalitis virus (JEV), using DENV/JEV-NS1 indirect IgG ELISA. We further identified viral serotypes and secondary DENV infections among positive samples in the two cities. The overall age-standardized seroprevalence of DENV-IgG among participants was 25.77% in Kaohsiung and 11.40% in Tainan, and the seroprevalence was significantly higher in older age groups of both cities. Although the percentages of secondary DENV infection in Kaohsiung and Tainan were very similar (43.09% and 44.76%, respectively), DENV-1 and DENV-2 spanned a wider age range in Kaohsiung, whereas DENV-2 was dominant in Tainan. As very few studies have obtained the serostatus of DENV infection in older adults and the elderly, this study highlights the need for further investigation into antibody status, as well as the safety and efficacy of dengue vaccination in these older populations.


2014 ◽  
Vol 26 (11) ◽  
pp. 1929-1930 ◽  
Author(s):  
Kim-Michelle Gilson ◽  
Christina Bryant ◽  
Fiona Judd

Estimates from population-based studies indicate that older adults drink more frequently than younger age groups. Data from the 2010 Australian national household survey reported that daily drinking was evident in 13.3% of older adults aged 60–69 years and in 14.8% of older adults aged 70+ years. These findings are compared to daily drinking rates reported by 10.1% of adults aged 50–59 years and 7.5% in the 40–49 years age range (Australian Institute of Health and Welfare, 2011). The study of alcohol consumption in older adults is particularly important because of their increased sensitivity to alcohol-related harms. With age, the body's ability to process alcohol decreases as a result of physiological changes, such as decreases in body mass and higher levels of fatty tissue, leading to a higher blood alcohol concentration for a given dose compared with younger adults (National Institute on Alcohol Abuse and Alcoholism, 1998). This greater vulnerability to the effects of alcohol necessitates a stronger understanding of drinking practices in older adults.


2012 ◽  
Vol 24 (6) ◽  
pp. 895-901 ◽  
Author(s):  
Ehud Bodner ◽  
Yoav S. Bergman ◽  
Sara Cohen-Fridel

ABSTRACTBackground: Ageism, a form of prejudice in which one relates negatively to people due to their age, exists throughout life. However, no attempt has been made to compare ageist attitudes across the life cycle, from young adulthood to old age. Consequently, the current study examined age and gender differences in ageism throughout adulthood.Methods: 955 Israeli participants (age range: 18–98 years) were divided into three age-groups: young (18–39), middle-aged (40–67), and old (68–98), and were administered the Fraboni Scale of Ageism. Age and gender differences were examined both for the three groups and for subgroups within the older adult cohort.Results: Multivariate analysis of variance revealed that middle-aged participants were significantly more ageist than younger and older groups. Across all age groups, men exhibited more avoidance and stereotypical attitudes toward older adults than women. Among the old age group, participants aged 81–98 held more ageist stereotypes and reported more avoidance of older adults than those aged 68–73. Within the older adult cohort, gender was a significant predictor for ageist attitudes among those aged 68–73 and 81–98, but not for people aged 74–80.Conclusions: Ageism demonstrates a changing pattern across the life span. While gender differences remain stable, ageist attitudes toward growing old as we age ourselves are constantly changing. In order to gain a better understanding of ageism as a general and global phenomenon, we need to consider the role of such attitudes in different stages of life.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 942-942
Author(s):  
Rebecca Caffrey ◽  
James Wright ◽  
Nicole Waltrip ◽  
David Bostwick

Abstract The presence and magnitude of SARS-CoV-2 IgG, IgM, and Neutralizing Antibody (NAbs) response was investigated in study cohort comprised of 58 volunteers who survived COVID-19 in a Virginia LTC facility. All subjects were confirmed positive by PCR nasal swab at least once and blood samples were drawn a minimum of 14 days post symptom onset or first positive COVID-19 test. The cohort was split between LTC residents (n=32, mean age 77.8 yrs, age range 48-97), and the LTC staff (n=26, mean age 41.3 yrs, range 23-61); the age difference between groups was statistically significant (P<0.001). Serum IgG measurement was quantitative over 5 orders of magnitude (0.6-1250µg/mL) and IgM was qualitative, measured with sandwich ELISA; NAbs were measured with surrogate virus neutralization assay (sVNT) competition ELISA (both Genscript). The convalescent older adult LTC patients were fully immuno-competent and showed no significant difference in IgG, IgM, or NAbs compared to the younger staff group. All older adults developed NAbs and were positive for either IgG, IgM, or both. All study participants were then grouped by age range and IgG, IgM, and NAbs compared between the following groups: ≤ 50 yrs old(n=20), 51-60(n=6), 61-70(n=8), 71-80(n=14), 81-90(n=6), and ≥91(n=4). There was no significant difference in immune response parameters between the age groups. Furthermore, repeat testing at 3 months on a subset of participants showed that NAbs, IgG and IgM persist. We conclude that development of competent immune response was age-independent, and that presence of NAbs in serum suggests older adults may develop true immunity.


1996 ◽  
Vol 4 (1) ◽  
pp. 27-41 ◽  
Author(s):  
Kathye E. Light ◽  
Marie A. Reilly ◽  
Andrea L. Behrman ◽  
Waneen W. Spirduso

The purpose of this study was to examine the effect of practice on simple reaction time (RT), movement time (MT), and response consistency for two arm-reaching tasks of graded complexity in younger and older adults. Forty subjects, 20 younger adults (age range = 20–29 years) and 20 older adults (age range = 60–82 years), were randomly subdivided into practice and control groups. All subjects were pretested on each arm-reaching movement on Day 1. The practice groups practiced each task for 160 trials over 2 consecutive days while the control groups practiced a memory task and answered a health survey. All subjects were posttested on Day 3. The major finding was that practice reduced the simple RTs of older persons to the level of younger persons. MTs for both practice age groups were reduced, but the age differences in MT performance were maintained.


2018 ◽  
Vol 24 (S) ◽  
pp. 872-878
Author(s):  
Fatima Javed Saleem ◽  
Farhat Jamil ◽  
Ruhi Khalid

Background: Healthy eating is essential for individuals’ physical as well as psychological wellbeing. Women’s focus on achieving thin ideal physique and men’s aspiration for muscular body is likely to impact their food intake and consequently Nutritional Quality of Life (NQoL). Moreover, NQoL varies across different age groups owing to the varying nutritional needs with increasing age. Investigating NQoL across gender and age has useful implications for health counseling and practice. Objectives| To investigate differences in nutritional quality of life among gender and different age groups. To investigate gender and age group differences in knowledge of nutritional value of food. Methodology| A descriptive cross-sectional research was conducted. The sample consisted of 200 participants i.e., 100 younger adults between age range of 18-23 years and 100 older adults between age range of 40-60 years. Gender of participants was equally represented in both age groups. Nutritional Quality of Life (NQoL) Instrument and a self-developed Nutritional Knowledge Questionnaire were administered on the sample to collect data. Results| Mean age of younger adults was 19.17 ± 1.18 and for older adults it was 48.17 ± 5.20. Findings showed that women scored significantly higher on psychological factor and social impact whereas men scored significantly higher on food impact and self-efficacy impact of NQoL. Moreover younger adults scored higher on self-efficacy than older adults and older adults scored higher on food impact, social impact, psychological factor and physical functioning than younger adults. Also interaction of gender and age was significant regarding knowledge of nutritional value of food; older women and younger men had more knowledge of nutritional value of food than younger women and older men. Conclusions| There were significant differences in nutritional quality of life. Also knowledge of nutritional value of food varied across gender and age groups.


2021 ◽  
Vol 12 ◽  
Author(s):  
Ruth A. Lamont ◽  
Hannah J. Swift ◽  
Lisbeth Drury

Test conditions eliciting negative stereotypes of aging among older adults can prompt age-based stereotype threat (ABST), which results in worse performance on cognitive and memory tests. Much of this research explores ABST as a phenomenon that impacts the performance of older adults. Little is known about the experience of ABST beyond performance settings and how it manifests in everyday contexts across different age groups. Gaps also remain in understanding the wider impacts of ABST, such as effects on task motivation and engagement. The current research addresses this by exploring the contexts in which age-based judgement, a theorized precursor to ABST, occurs across a wide age range of participants. The two studies in this paper present mixed-methods survey data for a total of 282 respondents aged 18–84 years. Study 1 presents a thematic analysis of open-ended responses to identify the stereotypes and settings that underpin perceived age-based judgement. The settings and stereotypes identified are discussed in relation to which contexts lend themselves to adverse ABST effects. Study 2 then asked respondents to rate the extent to which they experience threat-based concern within 12 contexts identified from Study 1. Results indicate differences in threat-based concerns between young, middle-aged and older adults for physical activity, driving, using public transport, using technology, in leadership and relating to the COVID-19 pandemic. The studies provide a foundation for future research to investigate (1) the motivational and behavioural consequences of threat-based concerns for younger adults’ driving and leadership, and in the context of the pandemic; (2) cues to ‘old’ age stereotypes and threat-based concerns among late middle-aged adults within the workplace; (3) the role of broad stereotypes of ‘incompetence’ and being ‘past-it’ on middle-aged and older adults’ engagement with technology and physical activity and (4) potential ABST effects resulting from stereotypes of older people as a burden and a problem in the context of a national crisis. Overall, this research extends our understanding of ABST by identifying further contexts and age groups that could be impacted by a wider range of ABST effects.


2019 ◽  
Vol 62 (5) ◽  
pp. 1258-1277 ◽  
Author(s):  
Megan K. MacPherson

PurposeThe aim of this study was to determine the impact of cognitive load imposed by a speech production task on the speech motor performance of healthy older and younger adults. Response inhibition, selective attention, and working memory were the primary cognitive processes of interest.MethodTwelve healthy older and 12 healthy younger adults produced multiple repetitions of 4 sentences containing an embedded Stroop task in 2 cognitive load conditions: congruent and incongruent. The incongruent condition, which required participants to suppress orthographic information to say the font colors in which color words were written, represented an increase in cognitive load relative to the congruent condition in which word text and font color matched. Kinematic measures of articulatory coordination variability and movement duration as well as a behavioral measure of sentence production accuracy were compared between groups and conditions and across 3 sentence segments (pre-, during-, and post-Stroop).ResultsIncreased cognitive load in the incongruent condition was associated with increased articulatory coordination variability and movement duration, compared to the congruent Stroop condition, for both age groups. Overall, the effect of increased cognitive load was greater for older adults than younger adults and was greatest in the portion of the sentence in which cognitive load was manipulated (during-Stroop), followed by the pre-Stroop segment. Sentence production accuracy was reduced for older adults in the incongruent condition.ConclusionsIncreased cognitive load involving response inhibition, selective attention, and working memory processes within a speech production task disrupted both the stability and timing with which speech was produced by both age groups. Older adults' speech motor performance may have been more affected due to age-related changes in cognitive and motoric functions that result in altered motor cognition.


GeroPsych ◽  
2019 ◽  
Vol 32 (1) ◽  
pp. 41-52
Author(s):  
Matthew C. Costello ◽  
Shane J. Sizemore ◽  
Kimberly E. O’Brien ◽  
Lydia K. Manning

Abstract. This study explores the relative value of both subjectively reported cognitive speed and gait speed in association with objectively derived cognitive speed. It also explores how these factors are affected by psychological and physical well-being. A group of 90 cognitively healthy older adults ( M = 73.38, SD = 8.06 years, range = 60–89 years) were tested in a three-task cognitive battery to determine objective cognitive speed as well as measures of gait speed, well-being, and subjective cognitive speed. Analyses indicated that gait speed was associated with objective cognitive speed to a greater degree than was subjective report, the latter being more closely related to well-being than to objective cognitive speed. These results were largely invariant across the 30-year age range of our older adult sample.


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