Search results for " geriatrics"
showing 10 items of 158 documents
“Healthy to Heaven” : Middle-Agers Looking Ahead in the Context of Wellness Consumption
2016
Concentrating on personal health and well-being has become a central objective for people living in wealthy societies. In an age of consumerism, the current health enthusiasm can be observed particularly in the fast-growing wellness industry, the popularity of which has increased, in particular, among mature consumers, a trend also evident in people's individual strategies for aging well. As it is generally assumed that aging people consume wellness mainly to delay signs of aging, this study focuses on this understudied phenomenon with the aim of deepening the profile of mature wellness consumers. The data consist of eight group interviews of Finnish middle-agers (50–65 years). Interviewees…
Age identification in the framework of successful aging. A study of older Finnish people.
2003
A person-oriented approach was used in a study of age identification among community-dwelling older people. The study was based on 8-year follow-up data; 843 persons aged 65–84 were involved in the first phase of the study, and 426 persons aged 73–92, in the second phase. Loosely, on the basis of the distinction between successful, usual, and pathological aging (Rowe & Kahn, 1987, 1997), participants were grouped according to their self-ratings of cognitive and physical functioning as “Positive,” “Negative,” and “Others.” Participants possessing at least 4 out of the 5 criteria used as indicators of successful aging in the study (no illness or injury presenting problems in daily life, …
Socio-demographic characteristics associated with emotional and social loneliness among older adults.
2021
Abstract Background International studies provide an overview of socio-demographic characteristics associated with loneliness among older adults, but few studies distinguished between emotional and social loneliness. This study examined socio-demographic characteristics associated with emotional and social loneliness. Methods Data of 2251 community-dwelling older adults, included at the baseline measure of the Urban Health Centers Europe (UHCE) project, were analysed. Loneliness was measured with the 6-item De Jong-Gierveld Loneliness Scale. Multivariable logistic regression models were used to evaluate associations between age, sex, living situation, educational level, migration background…
Agreement between different versions of MNA.
2013
Malnutrition occurs frequently in the elderly with important clinical and functional consequences. Moreover, the treatment of malnutrition in the elderly may be effective if clinical and nutritional interventions are performed in the early stages. Therefore the early identification of the risk of malnutrition using validated and handy tools plays a pivotal role in terms of clinical outcome. Mini Nutritional Assessment (MNA) was validated for this purpose since many years but it is still ongoing the debate over whether the use of different items in certain clinical conditions can be effective without affecting the validity of the nutritional status evaluation. The aim of this study was to as…
Influence of comorbidity and cognitive status on instrumental activities of daily living in amnestic mild cognitive impairment: results from the ReGA…
2007
Objectives To investigate whether amnestic mild cognitive impairment (aMCI) is characterised by restriction in instrumental activities of daily living (IADL). Further, to examine the role of comorbidity and cognitive performance on IADL changes in aMCI subjects. Methods The study included 132 subjects with aMCI and 249 subjects with no cognitive impairment (NCI), consecutively enrolled as outpatients in a multicentric Italian clinical-based study, the ReGAl Project. All subjects underwent a comprehensive evaluation including clinical examination, laboratory screening, neuroimaging and cognitive and behavioral assessments. Functional status was evaluated by the Lawton's Instrumental Activiti…
Sarcopenia and health-related outcomes: an umbrella review of observational studies
2019
Key summary pointsAimTo investigate associations of sarcopenia with adverse health-related outcomes, through an umbrella review method.FindingsSarcopenia appears to be significantly associated with several adverse outcomes in older people, with a strong evidence for increased risk of mortality, disability, and falls.MessageSarcopenia is associated with several adverse health-related outcomes in older people, indicating the need of assessing this condition in daily practice. AbstractBackgroundThe clinical relevance of sarcopenia has increasingly been recognized. However, whether it is associated with the development of other medical conditions is still unclear. Therefore, we aimed to capture…
Preventing and managing herpes zoster: key actions to foster healthy aging
2015
Population aging is the demographic phenomenon characterizing all countries in the world, and it is challenging the national infrastructures, in particular health systems. However, aging itself is not associated with increased medical spending, but disability and comorbidity that affect older individuals are the actual drivers for health expenditures. Therefore, if people age in better health, medical spending may be significantly reduced. Preventative interventions proved to be effective in reducing/preventing disease and disability and often found to be cost effective, include diet and exercise interventions, medications, routine disease screenings, and immunizations. Vaccination can prot…
ETHICS AND AGING: FOCUS ON LIVING WILL FOR PATIENTS WITH DEMENTIA
2017
Today dementia certainly represents a public health priority with a huge global impact on wordwide population. However, clinical and social issues related to dementia have long been marginalized. The actual high prevalence of dementias requires also to face issues from a bioethical perspective, regarding how to deal with demented patient’s disposition. There are currently no specific guidelines on the national territory regarding whether to draw up a living will by a patient with dementia, neither about the informative role of physicians during the progressive story of the disease.
Low-Dose Aspirin Use and Cognitive Function in Older Age: A Systematic Review and Meta-analysis
2017
Objectives:\ud \ud To investigate whether low-dose aspirin (<300 mg/d) can influence the onset of cognitive impairment or dementia in observational studies and improve cognitive test scores in randomized controlled trials (RCTs) in participants without dementia.\ud \ud Design:\ud \ud Systematic review and meta-analysis.\ud \ud Setting:\ud \ud Observational and interventional studies.\ud \ud Participants:\ud \ud Individuals with no dementia or cognitive impairment initially.\ud \ud Measurements:\ud \ud Odds ratios (ORs) and 95% confidence intervals (CIs), adjusted for the maximum number of covariates from each study, were used to summarize data on the incidence of dementia and cognitive impa…
THE HEALTHY NORDIC DIET AMONG OLDER INDIVIDUALS PREDICTS INCIDENT DISABILITY IN A 10-YEAR FOLLOW-UP
2017
We investigated whether adherence to the healthy Nordic diet among older individuals was associated with incident disability 10 years later. We studied 972 participants from the Helsinki Birth Cohort Study who were free of disability at baseline. At the mean age of 61 years the Nordic diet score (NDS) was calculated based on a validated food-frequency questionnaire that the participants filled in. Higher scores indicated better adherence to the healthy Nordic diet. At the mean age of 71 years, participants’ incident disability was assessed using a self-reported questionnaire and was based on two levels of disability: mobility difficulty (difficulty in walking 500 m) and self-care dependence…