scholarly journals The epidemiology of musculoskeletal pain in an elderly population within a selected elderly care facility in KwaZulu-Natal

2018 ◽  
Author(s):  
◽  
Luke Fitzroy Pendock

Aim: The aim of this study was to determine the epidemiology of the elderly presenting with musculoskeletal pain, within a selected elderly care facility in KwaZulu-Natal. Subjects: Elderly participants, aged 60 years and older, residing in the selected elderly care facility in KwaZulu-Natal. Methodology: Once the Institutional Research Ethics Committee (IREC) approved the study, and TAFTA had granted permission for the study to be conducted, the researcher administered the questionnaires to the participants who met the inclusion criteria, on the same day that they had read and completed the letter of information and informed consent. The researcher, and the research assistant, remained present to read the questions to any participants unable to read, or who were no longer able to read, and answer any queries or concerns the participants may have had throughout the process. A total of 302 completed informed consent forms and questionnaires were collected, and placed in separate sealed ballot boxes to ensure that questionnaires could not be linked to the participants. This served to maintain confidentiality and anonymity in the study. All completed questionnaires were analysed by only the researcher and the statistician. The number issued to the participant’s questionnaire was used on the data sheet to maintain confidentiality. Results: In total, 302 questionnaires were utilised for statistical analysis. The results showed a significantly high point (79.1%) and lifetime (86.1%) prevalence of musculoskeletal pain in the elderly participants. The most common areas of pain reported by the participants were the lower back (41.1%), the knee (33.1%) and the shoulder (20.1%). The statistically significant risk factors for musculoskeletal pain in the elderly were difficulty sleeping and the amount of hours slept per night (p=0.018); anxiety; stress and depression (p=0.026); concomitant medical conditions (p=0.012); medication used, and past musculoskeletal pain experienced (p<0.001). Conclusion: This study is consistent with previous studies conducted on the prevalence of musculoskeletal pain in the elderly. Musculoskeletal pain has a negative impact on the activities of daily living in the elderly, making it a public health concern. Focus needs to be placed on satisfactory and effective healthcare, with patient education and rehabilitation to enhance the quality of life and the ability to function independently in the elderly population.

2018 ◽  
Author(s):  
◽  
Luke Fitzroy Pendock

Aim: The aim of this study was to determine the epidemiology of the elderly presenting with musculoskeletal pain, within a selected elderly care facility in KwaZulu-Natal. Subjects: Elderly participants, aged 60 years and older, residing in the selected elderly care facility in KwaZulu-Natal. Methodology: Once the Institutional Research Ethics Committee (IREC) approved the study, and TAFTA had granted permission for the study to be conducted, the researcher administered the questionnaires to the participants who met the inclusion criteria, on the same day that they had read and completed the letter of information and informed consent. The researcher, and the research assistant, remained present to read the questions to any participants unable to read, or who were no longer able to read, and answer any queries or concerns the participants may have had throughout the process. A total of 302 completed informed consent forms and questionnaires were collected, and placed in separate sealed ballot boxes to ensure that questionnaires could not be linked to the participants. This served to maintain confidentiality and anonymity in the study. All completed questionnaires were analysed by only the researcher and the statistician. The number issued to the participant’s questionnaire was used on the data sheet to maintain confidentiality. Results: In total, 302 questionnaires were utilised for statistical analysis. The results showed a significantly high point (79.1%) and lifetime (86.1%) prevalence of musculoskeletal pain in the elderly participants. The most common areas of pain reported by the participants were the lower back (41.1%), the knee (33.1%) and the shoulder (20.1%). The statistically significant risk factors for musculoskeletal pain in the elderly were difficulty sleeping and the amount of hours slept per night (p=0.018); anxiety; stress and depression (p=0.026); concomitant medical conditions (p=0.012); medication used, and past musculoskeletal pain experienced (p<0.001). Conclusion: This study is consistent with previous studies conducted on the prevalence of musculoskeletal pain in the elderly. Musculoskeletal pain has a negative impact on the activities of daily living in the elderly, making it a public health concern. Focus needs to be placed on satisfactory and effective healthcare, with patient education and rehabilitation to enhance the quality of life and the ability to function independently in the elderly population.


2019 ◽  
Author(s):  
◽  
Keegan Craig Hughes

Aim: The aim of this study was to determine the prevalence of selected headaches and their impact on the elderly residing within a particular elderly care facility in KwaZulu-Natal, South Africa. Subjects: Elderly participants, aged 60 years and older, residing in a selected elderly care facility in KwaZulu-Natal. Methodology: Once the Institutional Research Ethics Committee (IREC) approved the study, The Association for the Aged (TAFTA) granted permission for the researcher to conduct the study in their life rights buildings. The researcher then administered the questionnaires to the elderly who met the inclusion criteria, on the same day that they had read and completed the information letter and informed consent. The researcher and the research assistant remained present to read the questions to any participants unable to read or who were no longer able to read and answer any questions the participants may have had throughout the process. A total of 123 informed consent forms and questionnaires were distributed and collected, a return rate of 72% (p<0.05). All completed questionnaires were analysed by only the researcher and the statistician. Results: In total, 123 questionnaires were utilised for statistical analysis. The results indicated that 45.5% (p=0.3) of the participants presented with headaches and of these participants, 64.3% had primary headaches, while 35.7% presented with suspected secondary headaches (p=0.03). Of the primary headaches, tension type headache (TTH) had the highest prevalence at 17.1%, with migraine at 7.3% and cluster headache at 2.4%. This is congruent with current literature indicating that TTH has the highest effect on the elderly population. Conclusion: This study is consistent with previous studies conducted on the prevalence of headaches in the elderly. This study has contributed to a greater understanding of headaches experienced by the elderly and the impact headaches have on their daily lives. Focus needs to be placed on satisfactory and effective healthcare, with patient and practitioner education alike to enhance the quality of life and the ability to function self-sufficiently as an elderly individual.


2021 ◽  
Vol 1 (2) ◽  
pp. 17-22
Author(s):  
Youhee Heo ◽  
◽  
Hyunmin Lee ◽  
Heangwoo Lee* ◽  
◽  
...  

Author(s):  
Siyu Zou ◽  
Zhicheng Wang ◽  
Maria Bhura ◽  
Guoting Zhang ◽  
Kun Tang

Abstract Background The epidemiology of multiple chronic conditions in China is poorly understood. We investigated the prevalence of multimorbidity among the middle-aged and elderly population in China and analyzed its demographic and socioeconomic correlates. Methods Data were obtained from the baseline of the China Kadoorie Biobank Study, which recruited over 0.5 million participants between 2004 and 2008. We calculated the prevalence by the characteristics of multimorbidity. The demographic and socioeconomic correlates were analyzed using a multivariable logistic regression model. Results 15.9% of the participants were multimorbid. Although the prevalence of multimorbidity increased with age, the absolute number of people with multimorbidity was much higher among middle-aged adults (30–60 years, n = 42 041) than the elderly group (&gt;60 years, n = 38 834). The odd of multimorbidity was higher in males (aOR =1.09, 95% CI: 1.07–1.11) and among those who were unemployed (aOR = 1.58, 95% CI: 1.55–1.62). Those who received the highest level of education were most likely to be multimorbid compared with those with no education (aOR = 1.14, 95% CI: 1.09–1.19). Such an association was similar when treating multimorbidity as multinomial variable. Conclusions Multimorbidity is a public health concern, with higher prevalence among the elderly, males and those who belong to a lower socioeconomic stratum. Actions are needed to curb multimorbidity epidemic in China.


Author(s):  
X. Neil Dong ◽  
Daniel M. Sparkman ◽  
Huijie Leng ◽  
Harry R. Millwater ◽  
Xiaodu Wang

Age-related bone fractures are a major health concern to the elderly population. In addition to the loss of bone mass, the deterioration of bone quality is another major reason for such fractures. The decline of bone quality is manifested with the accumulation of microdamage in bone with age [1]. Two major types of microdamage have been observed in bone tissue: linear microcracks and diffuse damage [2]. Linear microcracks are individual cracks at a size of microns or larger and are usually visible under an optical microscope. On the other hand, diffuse damage is detectable only by staining and consists of an extensive network of fine, ultrastructural-level defects. The mechanisms for the formation of these two distinct types of microdamage in bone are still unclear. In this study, probabilistic finite element models of mineral-collagen composites were used to study the progression of microdamage in bone, thereby exploring the conditions under which linear microcracks and diffuse damage are produced in bone.


2020 ◽  
Vol 2020 ◽  
pp. 1-11 ◽  
Author(s):  
Sumini ◽  
Sukamdi ◽  
Evita Hanie Pangaribowo ◽  
Yeremias T. Keban ◽  
Muhadjir Darwin

Elderly care services are important to provide in response to the rapid growth of the elderly population. In developing countries like Indonesia, the speed of growth of the elderly population does not simultaneously occur, so the needs for care services vary. This study discusses the emergence of home care services in response to the increase in elderly population. By taking the case of community home care services in Sleman, this study found the pattern and process of the emergence of local initiatives in home care services. This study also revealed an important factor affecting the implementation of community home care services, that is, leadership.


2014 ◽  
Vol 26 (10) ◽  
pp. 1703-1708 ◽  
Author(s):  
Ajit Shah ◽  
Sofia Zarate-Escudero ◽  
Ravi Bhat ◽  
Diego De Leo ◽  
Annette Erlangsen

ABSTRACTBackground.The elderly population size is growing worldwide due increased life expectancy and decreased mortality in the elderly. This has lead to an increase in the number of centenarians, and their numbers are predicted to increase further. Little is known about suicide rates in centenarians.Methods.Data on the number of suicides (ICD-10 codes, X60–84) in centenarians of both gender for as many years as possible from 2000 were ascertained from three sources: colleagues, national statisics office websites and e-mail contact with the national statistics offices of as many countries as possible. The number of centernarians for the corresponding years was estimated for each country using data provided by the United Nations website.Results.Data were available from 17 countries. The suicide rate was 57 (95% confidence interval 45–69) per 100, 000 person years in men and 6.8 (95% confidence interval 5.1–8.5) per 100,000 person years in women.Conclusions.Suicide rates were sufficiently large amongst centenarians for there to constitute a public health concern given the anticipated rise in the centenarian population and the paucity of data on risk and protective factors for suicide in this age group.


2020 ◽  
pp. 088626052098039
Author(s):  
T Sathya ◽  
R. Nagarajan ◽  
Y. Selvamani

Globally, elder abuse/mistreatment is a common form of violence against the elderly. This study examines the association between multimorbidity and abuse/mistreatment among the elderly population (60+) in India. Cross-sectional data from the United Nations Population Fund (UNFPA)’s “Building Knowledge Base on Population Aging in India” (BKPAI, 2011) was analyzed. We generated a multimorbidity variable by combining 20 self-reported diagnosed chronic diseases. Bivariate analysis was used to understand the sample distribution and prevalence estimation of elder abuse/mistreatment by multimorbidity and state. Furthermore, multilevel mixed-effect logistic regression was used to examine the association between multimorbidity and elder abuse/mistreatment. The overall prevalence of elder abuse/mistreatment in the study population is 11.4%. The prevalence of elder abuse/mistreatment among elderly with no chronic diseases is 6.01% which increases to 22.7% among elderly with four or more chronic diseases. Furthermore, the result from the multilevel mixed-effect logistic regression showed a close association between multimorbidity and elder abuse. Elderly with two, three, and four or more chronic diseases are 3.02 (CI = 2.33, 3.91, p < .000), 4.16 (CI = 3.02, 5.74, p < .000), and 5.06 (CI = 3.50, 7.31, p <.000) times more likely to experience abuse/mistreatment than elderly with no chronic diseases, respectively. In specific, this association is stronger for the elderly population residing in the urban areas. Furthermore, economic status and educational attainment have a protective role in determining elder abuse/mistreatment in India. In conclusion, multimorbidity has emerged as a significant risk factor of elder abuse/mistreatment in India. Measures to prevent elder abuse should consider the role of multimorbidity.


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