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Sample records for active elderly people

  1. Energy requirements and physical activity level of active elderly people in rural areas of cuba

    Obesity and non-insulin dependent diabetes mellitus (NIDDM) are common in the Third Age and increasing in Cuba. Among the life-style changes associated with increased prevalence of obesity and its related disorders, diet and activity patterns are prime candidates. The transition to this life-style model may induce a decrease in the energy needs. There is an urgent need for tools which have been validated for measuring diet and physical activity in nutritional studies in the developing world, but also a more urgent need for reference values for the total energy requirements of healthy elderly people. Regular physical activity reduces the likelihood to develop diseases that characterise the metabolic cardiovascular syndrome. Previous studies done in Havana showed values of physical activity level (PAL) which are lower than the reported for elderly subjects. Elderly people living in rural areas use to have physical activity levels which differ from the observed in urban areas. With the purpose of estimating the energy requirements, a group of 40 apparently healthy people older than 60 years of age living in a rural mountain community will be submitted to a medical, epidemiological, dietary, anthropometric and insulin resistance study. Physical activity will be determined by questionnaire and by the calculation of the PAL from the basal metabolic rate (BMR) and total energy expenditure (TEE) measured with the doubly-labelled water method (DLW). Associations with the prevalence of insulin resistance and obesity will be assessed. (author)

  2. Leisure activities and attitude of institutionalized elderly people: a basis for nursing practice

    Vivian Carla de Castro

    2015-04-01

    Full Text Available Aim: to identify the leisure activities performed in Long-Stay Institutions for the Elderly (LSIEs, registered in the city of Maringá-PR, Brazil, and to analyze the attitude of the elderly people toward leisure promoted by the institutions. METHOD: this was a descriptive and transversal study with a quantitative approach, carried out with 97 elderly people, through the establishment of the socio-demographic profile and the application of the Leisure Attitude Scale. The data was subjected to descriptive statistical analysis, association tests (chi-square or Fisher's and Spearman's correlation. RESULTS: males, aged 80 or over, widowed, with one to eight years of study, who had a monthly income were predominant. Age group and income were significantly associated with the performance of leisure activities. The results reflected the positive attitude of the elderly people in relation to leisure activities, except in the behavioral component. CONCLUSION: the findings of this study indicate the need for further investigation into the difficulties linked to the attitude toward leisure in the behavioral component, considering aspects such as individual concepts of leisure and the health status of the elderly people.

  3. Energy requirements and physical activity level of active elderly people in rural areas of Cuba

    Obesity and NIDDM are common in the Third Age and increasing in Cuba. Among the life-style changes associated with increased prevalence of obesity and its related disorders, diet and activity patterns are prime candidates. The transition to this life-style model may induce a decrease in the energy needs. There is an urgent need for tools which have been validated for measuring diet and physical activity in nutritional studies in the developing world, but also a more urgent need for reference values for the total energy requirements of healthy elderly people. Regular physical activity reduces the likelihood to develop diseases that characterise the metabolic cardiovascular syndrome. With the purpose of estimating the energy requirements, a group of 48 elderly people aged 61-74 years living in a rural mountain community was submitted to a medical, epidemiological, dietary and biochemical study of the nutritional status. Glucose intolerance was diagnosed in 40% and arterial hypertension was present in 23 % of them. Ten subjects without signs or symptoms of the metabolic cardiovascular syndrome were submitted to a measurement of the total energy expenditure by the doubly labelled water method. PAL values of 2.13 and 1.77 were measured for men and women, values which were significantly higher that the recommended value of 1.51 for elderly subjects. The total energy expenditure: The estimation of energy requirements by the energy intake or by the factorial method using the physical activity questionnaires generated values, which were 11 % and 30% lower than the values obtained by the DLW-method. The value of 1.51 x BMR for the estimation of the energy requirements of elderly subjects living in rural areas and submitted to higher levels of physical activity seems to be sub estimated

  4. Energy requirements and physical activity level of active elderly people in rural areas of China

    Obesity and NIDDM are common in the Third Age and increasing in Cuba. Among the life-style changes associated with increased prevalence of obesity and its related disorders, diet and activity patterns are prime candidates. The transition to this life-style model may induce a decrease in the energy needs. There is an urgent need for tools which have been validated for measuring diet and physical activity in nutritional studies in the developing world, but also a more urgent need for reference values for the total energy requirements of healthy elderly people. Regular physical activity reduces the likelihood to develop diseases that characterise the metabolic cardiovascular syndrome. With the purpose of estimating the energy requirements, a group of 48 elderly people aged 61-74 years living in a rural mountain community was submitted to a medical, epidemiological, dietary and biochemical study of the nutritional status. Glucose intolerance was diagnosed in 40% and arterial hypertension was present in 23 of them. Ten subjects without signs or symptoms of the metabolic cardiovascular syndrome were submitted to a measurement of the total energy expenditure by the doubly labelled water method. PAL values of 2.13 and 1. 77 were measured for men and women, values which were significantly higher that the recommended value of 1.51 for elderly subjects. The estimation of energy requirements by the energy intake or by the factorial method using the physical activity questionnaires generated values, which were 11% and 30% lower than the values obtained by the DLW-method The value of 1.51 x BMR for the estimation of the energy requirements of elderly subjects living in rural areas and submitted to higher levels of physical activity seems to be sub estimated. (author)

  5. Energy requirements and physical activity level of active elderly people in rural areas of Cuba

    Full text: Obesity and NIDDM are common in the Third Age and increasing in Cuba. Among the lifestyle changes associated with increased prevalence of obesity and its related disorders, diet and activity patterns are prime candidates. The transition to this lifestyle model may induce a decrease in the energy needs. There is an urgent need for tools which have been validated for measuring diet and physical activity in nutritional studies in the developing world, but also a more urgent need for reference values for the total energy requirements of healthy elderly people. Regular physical activity reduces the likelihood to develop diseases that characterize the metabolic cardiovascular syndrome. With the purpose of estimating the energy requirements, a group of 48 elderly people aged 61-74 years living in a rural mountain community was submitted to a medical, epidemiological, dietary and biochemical study of the nutritional status. Glucose intolerance was diagnosed in 40% and arterial hypertension was present in 23 % of them. Ten subjects without signs or symptoms of the metabolic cardiovascular syndrome were submitted to a measurement of the total energy expenditure by the doubly labelled water method. PAL values of 2.13 and 1.77 were measured for men and women, values which were significantly higher that the recommended value of 1.51 for elderly subjects. The total energy expenditure The estimation of energy requirements by the energy intake or by the factorial method using the physical activity questionnaires generated values, which were 11% and 30% lower than the values obtained by the DLW method. The value of 1.51xBMR for the estimation of the energy requirements of elderly subjects living in rural areas and submitted to higher levels of physical activity seems to be sub estimated. (author)

  6. Identifying meaningful activities among elderly people with demenitia: the developing process of an observation taxonomy

    Andresen, Mette

    2014-01-01

    Abstract title Identifying meaningful activities among elderly people with demenitia: the developing process of an observation taxonomy Abstract text Background: There is a need for tools to assist staff in identifying and planning meaningful activities for elderly nursing home residents with mod......Abstract title Identifying meaningful activities among elderly people with demenitia: the developing process of an observation taxonomy Abstract text Background: There is a need for tools to assist staff in identifying and planning meaningful activities for elderly nursing home residents...... with moderate and progressive dementia. Daily routines in nursing homes calls for a simple and easy-to-use tool which can fit into daily life and which can be used when and wherever during day and night. The theory of Tom Kitwood which focus on the importance of putting the demented persons wishes, habits......, values and beliefs in the center formed the base in the development of the tool. Aim: To develop an observational tool which can identify meaningful activities among elderly demented nursing home residents and thereby provide staff with more knowledge and possibilities for inviting and engaging residents...

  7. Evaluation of physical activity programmes for elderly people - a descriptive study using the EFQM' criteria

    Santos Rute

    2011-02-01

    Full Text Available Abstract Background In the past years, there has been a growing concern in designing physical activity (PA programmes for elderly people, because evidence suggests that such health promotion interventions may reduce the deleterious effects of the ageing process. Quality is an important issue when designing a PA programme for older people. Some studies support the Excellence Model of the European Foundation for Quality Management (EFQM as an operational framework for evaluating the quality of an organization. Within this context, the aim of this study was to characterize the quality management models of the PA programmes developed by Portuguese Local Administration to enhance quality of life for elderly people, according to the criteria of the EFQM Excellence Model. Methods A methodological triangulation was conducted in 26 PA programmes using questionnaire surveys, semi-structured interviews and document analysis. We used standard approaches to the statistical analysis of data including frequencies and percentages for the categorical data. Results Results showed that Processes (65,38%, Leadership (61,03%, Customer results (58,46 and People (51,28% had high percentage occurrences of quality practices. In contrast, Partnerships and resources (45,77%, People results (41,03%, Policy and strategy (37,91%, Key performance results (19,23% and Society results (19,23% had lower percentage occurrences. Conclusions Our findings suggest that although there are some good practices in PA programmes, there are still relevant areas that require improvement.

  8. Cognitive Changes among Institutionalized Elderly People

    Navarro, Jose I.; Menacho, Inmaculada; Alcalde, Concepcion; Marchena, Esperanza; Ruiz, Gonzalo; Aguilar, Manuel

    2009-01-01

    The efficiency of different cognitive training procedures in elderly people was studied. Two types of methods to train cognitive and memory functions were compared. One method was based on new technologies and the other one on pencil-and-paper activities. Thirty-six elderly institutionalized people aged 68-94 were trained. Quantitative and memory…

  9. Assessment the Interests of Elderly People Residing in Nursing Homes in Individual Activities

    Rasoulzadeh

    2015-10-01

    Full Text Available Background Aging is a process that happens over the course of human development in the last stage of life, the elderly have individual needs and interests which have been unknown due to differences between generations and lack of knowledge to them. Objectives The aim of this study was to identify the interests of the elderly in the domain of individual activities to be used by institutions and organizations for planning. Patients and Methods In this descriptive–analytical study, 80 elderly people in the age group 65 to 85 years residing in eight nursing homes in Tehran, Iran and affiliated with the Welfare Organization were studied. Their interest in three domains of individual activities daily activities, cultural educational affairs, and physical exercises were measured using a questionnaire and Interest Check List taken from Matsutessiu’s and Klyczek et al.’s studies. To analyze the data, the frequency percentage, the Chi-square test, and the Fisher test were used with a significance level of 5% as determined via SPSS-18. Moreover, to evaluate the statistical validity of data, cluster analysis was used. Results Investigation of the elderly people’s interests in three domains of individual activities showed the greatest interest in the activities of daily living; elderly of both sexes were interested in putting on makeup up appearance dressing up , going shopping, and dust , while the women were interested in cooking (over 80%. Meanwhile significant difference was seen in the women’s and men’s interest in driving, cooking,and washing (P = 0.05. In terms of cultural–educational pursuits, both sexes were interested in scientific and religious studies, praying, and listening to lectures. However, men were more interested in historical studies and concert (over 80%. Moreover, a significant difference between the two genders was evident in terms of writing and math calculations (P 0.001. Conclusions The results showed that in the

  10. [Factors associated with the participation of elderly people in group educational activities].

    Dias, Flavia Aparecida; Tavares, Darlene Mara dos Santos

    2013-06-01

    This study sought to characterize the elderly and their participation in group educational activities, and to verify the sociodemographic and health factors associated with non-participation. It was a cross-sectional survey carried out with 2,142 elderly individuals, using descriptive analysis, Student's t-test and logistical regression (pminimum salary. The elderly participants predominately showed 1-4 years of education, with non-participants 4 - 8. The morbidities most cited by the elderly who participated in educational activities were: hypertension and vision problems. Among non-participants, vision and spinal problems prevailed. In both groups, the greatest percentage was 1 - 3 incapacities. The age range of 80 years and above was associated with a greater chance of non-participation in activities. It is necessary to plan actions that favor participation, thereby contributing to monitor their health conditions. PMID:24015464

  11. Effects of a 12-Month Multicomponent Exercise Program on Physical Performance, Daily Physical Activity, and Quality of Life in Very Elderly People With Minor Disabilities: An Intervention Study

    Taguchi, Naoto; Higaki, Yasuki; Inoue, Shinichi; Kimura, Hiromi; Tanaka, Keitaro

    2010-01-01

    Background Although studies suggest that exercise training improves physical performance and health-related quality of life (HRQOL) among elderly people, most of these studies have investigated relatively healthy persons. The objective of the present study was to determine the effects of a 12-month multicomponent exercise program on physical performance, daily physical activity, and HRQOL among very elderly people with minor disabilities. Methods The subjects consisted of 65 elders (median ag...

  12. Active infection with Helicobacter pylori in an asymptomatic population of middle aged to elderly people

    Rothenbacher, D; Bode, G; Peschke, F;

    1998-01-01

    -85 years. Prevalence of infection as determined by means of the [13C]urea breath test was 34.8% (95% CI 29.6-40.3%); overall, 33.8% (95% CI 23.0-46.0) in the age group 50-59 years, 32.4% (95% CI 25.4-39.9) in the age group 60-69 years and 41.0% (95% CI 30.0-52.7) in the age group 70-85 years. Duration of...... school education of the father, sharing a bed with parents or siblings during childhood, and the area in which participants had grown up were independent determinants of current infection status in a multivariable analysis. We conclude that the prevalence of current H. pylori infection in healthy elderly......The study objective was to investigate prevalence and determinants of current Helicobacter pylori infection in an asymptomatic population of middle-aged to elderly people. A cross-sectional study was conducted among 337 participants of a general education programme of the University of Ulm aged 50...

  13. LEARNING AS PRECONDITION TO STAY ACTIVE IN LABOUR MARKET FOR ELDER PEOPLE

    Rutkiene, Ausra; Lengvinienе, Silva

    2016-01-01

    Nowadays society is getting older in European countries. Technologies, speed of life requires higher level of abilities and competencies. People who are 55 and older are very experienced in their workplace but some of them cannot catch changes in their professional area. Quantitative research results demonstrate that learning is one of important factors which helps to stay active in labor market for longer time. People participate in different learning activities to get more professional comp...

  14. Across the health-social care divide: elderly people as active users of health care and social care.

    Roberts, K

    2001-03-01

    Several ways in which elderly people may assume an active role when using welfare services are discussed here. Selected findings are presented from a study that explored the experience and behaviour of elderly people on discharge from inpatient care with regard to criteria indicating user influence or control (namely participation, representation, access, choice, information and redress). Data were collected via semistructured interviews with service users (n = 30) soon after their return home from hospital. A number of differences were revealed between health care and social care in relation to users being provided with opportunities to assume an active role and in being willing and able to assume an active role. These differences were manifest in elderly service users accessing services, seeking information, exercising choice and acting independently of service providers. It appeared paradoxical that contact points were more easily defined with regard to health care yet users were more likely to exercise choice and act independently in securing social care. It is suggested that social care needs and appropriate service delivery are more easily recognised than making the link between perceived health care needs and appropriate services. In addition, it appeared that informal and private providers are more widely available and accessible for social care. If comprehensive continuing care is to be provided, incorporating both health and social care elements, greater uniformity appears to be required across the welfare sector. Lessons for social care provision from the delivery of health care suggest the clear definition of contact points to facilitate service use. Making health care more accessible, however, does not appear to be easily attainable due to the monopoly provision of health care and the lack of direct purchasing power by potential users. PMID:11560726

  15. Effectiveness of group-mediated lifestyle physical activity (glpa) program for health benefit in physical activity among elderly people at rural thailand

    Elderly population is considered as a vulnerable group and prone to develop multiple medical problems. This aging population is rapidly increasing in developing countries especially in Thailand. Methods: This study was a quasi-experimental study to evaluate the effectiveness of Group-Mediated Lifestyle Physical Activity program on change health benefit in physical activity among elderly people by using validated and reliable Global Physical Activity Questionnaire-GPAQv2. The study was conducted in Phranakhonsiayutthaya district, Ayutthaya province due to its population being the second highest elderly in the Central Region of Thailand. A total of 102 persons of age 60 and over who could read and write Thai language were selected purposively. However, 52 elderly were enrolled in the intervention group and 50 were enrolled for the control group. General Linear Model repeated-measures ANOVA was used to evaluate the effects of Group-Mediated Lifestyle Physical Activity (GLPA) program on change health benefit in physical activity among elderly. Results: Overall health benefit at baseline were similar between intervention and control group and found statistically non-significant with p-value 0.638 (>0.05). However, the mean score of health benefit was 23.21 ± 29.23 in intervention group and 20.74 ± 23.18 in control group. One third of participants of intervention group had not found health benefit due to physical activity while in control group this number was more than half. After elderly received Group-Mediated Lifestyle Physical Activity program intervention for 6 month found significant statistical differences as compared with mean score at baseline (health benefit 6 month, intervention group =40.7 ± 34.28 and control group =4.56 ± 8.79). Conclusion: The effect of Group-Mediated Lifestyle Physical Activity program change intervention was statistically significant in health benefit after intervention program between intervention and control group. Our study

  16. Social Support and its Relation with Daily Activities among Elderly People of Yazd

    Tahere Soltani; Seid Saied Mazloomymahmmodabad; Mohammad Ali Morowatisharifabad; Hossein Fallahzadeh; Abdolkhalegh Jafari

    2015-01-01

    Introduction: Aging priod is Special features and many problems in all dimensions of human life and cause increased supportive needs. During recent years the rapid increase in the senior population, their disabilities, reduced independence, and increased dependence have drawn more attention toward issues related to social support in this group. Social support impacts different dimensions of health of the elderly population. Therefore, The aim of this study was to determine the social support ...

  17. The effects of backward adjustable thoracic support in wheelchair on spinal curvature and back muscle activation for elderly people.

    Chun-Ting Li

    Full Text Available To investigate the effects of backward adjustable thoracic support on spinal curvature and back muscle activation during wheelchair sitting.Twenty elderly people were recruited for this study. The backward adjustable thoracic support sitting posture was compared with the slumped, normal, and lumbar support sitting postures. Spinal curvatures (pelvic, lumbar, and thoracic angles and muscle activations of 4 back muscles on both sides (maximal voluntary isometric contraction of the lumbar multifidus, lumbar erector spinae, iliocostalis lumborum pars thoracis, and thoracic erector spinae at T9 were measured and compared between the different sitting postures using one-way analysis of variance with repeated measures.The backward adjustable thoracic support sitting posture showed a relatively neutral pelvic tilt (-0.32±4.80° when compared with the slumped (22.84±5.27° and lumbar support (-8.97±3.31° sitting postures (P<0.001, and showed relatively higher lumbar lordosis (-23.38±6.50° when compared with the slumped (14.77±7.83°, normal (0.44±7.47°, and lumbar support (-16.76±4.77° sitting postures (P<0.05. It also showed relatively lower back muscle activity when compared with the normal and lumbar support sitting postures (P<0.05.The backward adjustable thoracic support sitting concept was suggested because it maintains a more neutral pelvic tilt, higher lumbar lordosis, and lower back muscle activation, which may help maintain a better sitting posture and reduce the risk of back pain.

  18. Is the digital divide between young and elderly people increasing?

    Paul, Gerd; Stegbauer, Christian

    2005-01-01

    Elderly people still play a minor role in research on information needs and usage patterns of Internet users. Online research and advocacy groups look optimistically at the (economic and social) potential of the active and technology–skilled elderly; other approaches dealing with the social appropriation of technology see obstacles and stress the dangers of an increasing digital divide between generations. Our objective is to refer to taken for granted normative assumptions of the digital div...

  19. Health-Related Quality of Life Measures for Physically Active Elderly in Community Exercise Programs in Catalonia: Comparative Analysis with Sedentary People

    Jesús Fortuño-Godes

    2013-01-01

    Full Text Available Objective. To evaluate Health-Related Quality of Life (HRQoL, medication used, and Stock of Health Capital (SHC in physically active elderly participants in Community Exercise Programs (CEPs compared to a sedentary group. Methods. EuroQol standardized instrument was completed by physically active elderly (n = 2,185 who participated in CEPs. Common items were compared to HRQoL data of 1,874 sedentary elderly people, taken from the Catalan Health Survey 2006 (CHS’06. Visual Analogue Scale (VAS outcomes and medication used were assessed through parametric statistics. Dimensions of health conditions were compared, between sedentary people and physically active elderly participants in CEPs. SHC results were obtained combining the EuroQol scores and Life Expectancy (LE values. An economic value of €34,858.70 was assigned to these years of LE. Results. Physically active subjects had better HRQoL values (75.36 in males and 70.71 in females than CHS’06 sedentary subjects (58.35 in males and 50.59 in females. Medication used was different between physically active subjects (1.89 in males and 2.87 in females and CHS’06 sedentary subjects (4.34 in males and 4.21 in females. SHC data for physically active elderly (€465,988.31/QALY in males and €522,550.31/QALY in females were higher than for CHS’06 sedentary subjects (€363,689.33/QALY in males and €346,615.91/QALY in females.

  20. Aging: Lessons for Elderly People from Monkeys.

    Crockford, Catherine

    2016-07-11

    As life expectancy increases, health in the elderly is a growing issue. Health is linked to remaining socially active, but the elderly typically narrow their social networks. The social life of aging monkeys shows interesting parallels, indicating social patterns may be rooted in evolution. PMID:27404240

  1. Homocysteine and cognitive function in elderly people

    Garcia, Angeles; Zanibbi, Katherine

    2004-01-01

    DEMENTIA IS HIGHLY PREVALENT AMONG ELDERLY PEOPLE, and projections show that the number of people affected might triple over the next 50 years, mainly because of a large increase in the oldest-old segment of the population. Because of this and the disease's devastating effects, measures for the prevention and early detection of dementia are crucial. Age and years of education are among the most relevant risk factors for dementia, but in recent years the role of homocysteine has also been inve...

  2. Engaging Elderly People in Telemedicine Through Gamification

    Vette, de, ME; Tabak, Monique; Dekker-van Weering, Marit; Vollenbroek-Hutten, Miriam

    2015-01-01

    BACKGROUND: Telemedicine can alleviate the increasing demand for elderly care caused by the rapidly aging population. However, user adherence to technology in telemedicine interventions is low and decreases over time. Therefore, there is a need for methods to increase adherence, specifically of the elderly user. A strategy that has recently emerged to address this problem is gamification. It is the application of game elements to nongame fields to motivate and increase user activity and reten...

  3. Exercise Games for Elderly People: Identifying important aspects, specifying system requirements and designing a concept

    Wærstad, Mathilde; Omholt, Kine Aasjord

    2013-01-01

    The aim of this study is to identify important aspects of an exergame for elderly, and based on this, specify system requirements and develop a concept for an exergame. Due to "baby boomers" and the fact that people live longer, the share of older people in the world is growing. One common problem elderly people face is reduced balance function and physical strength, which increase the risk of falling. Engaging elderly in physical activity can help overcome this problem. However, th...

  4. Walking aids for elderly people: a systematic overview

    Zhou Huiyu; Hu Huosheng; Fei Minrui

    2008-01-01

    Reduction of falls of elderly people has been an active research area for many years.Falls of older people can be signicantly reduced through the smart use of technologies.Such technologies can help older people to regain mobility and reduce their reliance on community care services.Therefore,mobility aids,as one of the main components of these assistive technologies,are mainly discussed in this paper.Recent obstacle detection systems and mobility aids will be reviewed in this paper,where different features are explicitly addressed.

  5. Physical activity in elderly

    Jan Cvecka

    2015-08-01

    Full Text Available Aging is a multifactorial irreversible process associated with significant decline in muscle mass and neuromuscular functions. One of the most efficient methods to counteract age-related changes in muscle mass and function is physical exercise. An alternative effective intervention to improve muscle structure and performance is electrical stimulation. In the present work we present the positive effects of physical activity in elderly and a study where the effects of a 8-week period of functional electrical stimulation and strength training with proprioceptive stimulation in elderly are compared.

  6. Abuse of elderly people by their carers.

    Homer, A C; Gilleard, C

    1990-01-01

    OBJECTIVE--To assess the prevalence of abuse of elderly people by their carers and the characteristics of abusers and the abused. DESIGN--Information on abuse and risk factors was collected over six months from carers and patients. Risk factors were identified in the abused group and compared with those in a non-abused control group. SETTING--Carers were interviewed at home; patients were examined in the wards of Putney and Barnes geriatric hospitals, London. SUBJECTS--All patients referred f...

  7. Engaging Elderly People in Telemedicine Through Gamification

    Tabak, Monique; Dekker - van Weering, Marit; Vollenbroek-Hutten, Miriam

    2015-01-01

    Background Telemedicine can alleviate the increasing demand for elderly care caused by the rapidly aging population. However, user adherence to technology in telemedicine interventions is low and decreases over time. Therefore, there is a need for methods to increase adherence, specifically of the elderly user. A strategy that has recently emerged to address this problem is gamification. It is the application of game elements to nongame fields to motivate and increase user activity and retention. Objective This research aims to (1) provide an overview of existing theoretical frameworks for gamification and explore methods that specifically target the elderly user and (2) explore user classification theories for tailoring game content to the elderly user. This knowledge will provide a foundation for creating a new framework for applying gamification in telemedicine applications to effectively engage the elderly user by increasing and maintaining adherence. Methods We performed a broad Internet search using scientific and nonscientific search engines and included information that described either of the following subjects: the conceptualization of gamification, methods to engage elderly users through gamification, or user classification theories for tailored game content. Results Our search showed two main approaches concerning frameworks for gamification: from business practices, which mostly aim for more revenue, emerge an applied approach, while academia frameworks are developed incorporating theories on motivation while often aiming for lasting engagement. The search provided limited information regarding the application of gamification to engage elderly users, and a significant gap in knowledge on the effectiveness of a gamified application in practice. Several approaches for classifying users in general were found, based on archetypes and reasons to play, and we present them along with their corresponding taxonomies. The overview we created indicates great

  8. Positive emotion and cardiovascular disease in elderly people

    Ma, Lina; Li, Yun; Feng, Ming

    2015-01-01

    Cardiovascular disease in elderly people is a psychosomatic disease, but the research on the relationship between positive emotion and cardiovascular diseases is few. Most previous studies have focused on a range of health status changes caused by negative emotion but have ignored the role of positive emotion in elderly people. Positive emotion has been considered a protective factor against health problems in elderly people. Research shows that a significant relationship between positive emo...

  9. Homocysteine and cognitive function in elderly people.

    Garcia, Angeles; Zanibbi, Katherine

    2004-10-12

    Dementia is highly prevalent among elderly people, and projections show that the number of people affected might triple over the next 50 years, mainly because of a large increase in the oldest-old segment of the population. Because of this and the disease's devastating effects, measures for the prevention and early detection of dementia are crucial. Age and years of education are among the most relevant risk factors for dementia, but in recent years the role of homocysteine has also been investigated. Homocysteine is an amino acid produced in the metabolism of methionine, a process dependent on the B vitamins cobalamin, vitamin B6 and folic acid. There is evidence that increased serum homocysteine levels are associated with declining cognitive function and dementia. We review this evidence in addition to the potential mechanisms through which homocysteine acts on the brain to cause cognitive dysfunction, the metabolism of homocysteine and factors associated with alteration of the normal metabolism. PMID:15477631

  10. The Association Between Physical Activity, Mental Status, and Social and Family Support with Five Major Non-Communicable Chronic Diseases Among Elderly People: A Cross-Sectional Study of a Rural Population in Southern China

    Huang, Xiang; Yang, Huajie; Wang, Harry H.X.; Qiu, Yongjun; Lai, Xiujuan; Zhou, Zhiheng; Li, Fangjian; Zhang, Liwei; Wang, Jiaji; Lei, Jimin

    2015-01-01

    Background: Non-communicable chronic diseases (NCDs) have become the top threat in China. This study aimed to estimate the prevalence of major NCDs among the elderly population in rural areas in southern China and explore its associated social determinants. Methods: A multistage cluster random sampling methodology was adopted to select a total of 9245 rural elderly people from 3860 rural households in Guangdong Province. Interviews and physical examinations were performed to collect patient information. Descriptive and logistic regression analyses were conducted to explore factors associated with the presence of major NCDs. Results: Over one-third (38.5%) of the study population suffered from five major NCDs. The grade of activities of daily living (ADL), mental status, and social relationship of elderly people without NCDs were better than those with NCDs. The major factors associated with the presence of NCDs among the elderly people included age (70–79 years group and 80–89 years group), education level (senior high/technical secondary school and junior college and above), mental status (concentration, enrichment and happy life and memory), relationship with neighbours, activities of daily living (ADL) (being able to climb three floors and bend over), physical activity, marital status (bereft), and living conditions (with offspring and family members). Conclusions: The study identified several social determinants associated with the presence of major NCDs. A higher level of family support and physical exercise might contribute to improved physical condition, mental status, and ADL among the elderly people in rural areas in southern China. PMID:26506364

  11. Body composition and energy metabolism in elderly people.

    Visser, M.

    1995-01-01

    This thesis describes several studies related to the three components of energy balance in elderly people: body composition, energy expenditure, and energy intake.Body composition. The applicability of the body mass index, skinfold thickness method, and multi-frequency bioelectrical impedance was tested in elderly men and women. The first two methods predicted body fat in elderly people on a group level with a mean prediction error of 5%. The impedance method predicted total body water (at 50...

  12. Demand of elderly people for residential care: an exploratory study

    P. van Bilsen; J. Hamers; W. Groot; C. Spreeuwenberg

    2006-01-01

    Background: Because of the rapid aging population, the demand for residential care exceeds availability. This paper presents the results of a study that focuses on the demand of elderly people for residential care and determinants (elderly people's personal characteristics, needs and resources) that

  13. Atividade física e estado de saúde mental de idosos Physical activity and mental health status among elderly people

    Tânia R Bertoldo Benedetti

    2008-04-01

    Full Text Available OBJETIVO: Avaliar a associação entre nível de atividade física e o estado de saúde mental de pessoas idosas. MÉTODOS: Inquérito de base populacional com amostragem probabilística, incluindo 875 idosos da cidade de Florianópolis, Santa Catarina, em 2002. Foram aplicados os questionários: Internacional de Atividades Físicas e Brazil Old Age Schedule. Os problemas de saúde mental avaliados foram depressão e demência, além da prática de atividade física total (lazer, ocupação, deslocamentos e serviços domésticos. Após análises descritivas e bivariadas, realizou-se análise ajustada por meio de regressão logística, com ajuste para os fatores de atividade física total, atividade de lazer, escores de depressão e demência. RESULTADOS: Verificou-se associação estatisticamente significativa e inversa de demência e depressão com atividade física total e atividade física no lazer. A odds ratio ajustada para demência entre os sujeitos sedentários para atividade física total comparada à dos ativos foi de 2,74 (IC 95%: 1,85; 4,08, enquanto o respectivo valor para depressão foi de 2,38 (IC 95%: 1,70; 3,33. CONCLUSÕES: Os resultados reforçam a importância de estilo de vida ativo para prevenção de problemas de saúde mental de idosos. Infere-se que a atividade física tem conseguido reduzir e/ou atrasar os riscos de demência, embora não se possa afirmar que a atividade física evita a demência.OBJECTIVE: To evaluate the association between physical activity level and mental health status among elderly people. METHODS: This was a population-based survey with a probabilistic sample of 875 elderly people from a city of Southern Brazil, in 2002. The International Physical Activity Questionnaire and the Brazil Old Age Schedule questionnaire were applied. The mental health problems evaluated were depressions and dementia. Total physical activity (leisure-time, occupation, transportation and housework. After descriptive and

  14. Relationships between street characteristics and perceived attractiveness for walking reported by elderly people

    Borst, H.C.; Miedema, H.M.E.; Vries, S.I. de; Graham, J.M.A.; Dongen, J.E.F. van

    2008-01-01

    Walking is important for the health of elderly people. Previous studies have found a relationship between neighbourhood characteristics, physical activity and related health aspects. The multivariate linear regression model presented here describes the relationships between the perceived attractiven

  15. Oesophageal food bolus impaction in elderly people

    Mitrović Slobodan M.

    2014-01-01

    Full Text Available Introduction. The diagnosis of food bolus impaction in the esophagus is based on the data obtained from the patient, clinical examination, radiographic diagnosis, and endoscopy. The aim of this study was to examine the influence of possible factors causing oesophageal impaction of food boluses in elderly people. Material and Methods. This retrospective study included six male and eight female patients treated at the Department of Ear, Nose, and Throat Disease in Novi Sad. Results. Post-corrosive oesophageal stricture was diagnosed in 28.57% of patients and non-corrosive stricture was found in 21.43%. Total tooth loss was recorded in 64.29% of patients and 14.29% of patients had partial tooth loss. An impacted food bolus was located at a distance of 15-25 cm or 30-40 cm distance from the upper incisors in 42.86% of the study sample. Discussion and conclusion. The impaction of food boluses in the esophagus is significantly higher in women, usually after 76 years of age. There is a positive correlation between the presence of oesophageal stricture and recurrence of food bolus impaction. Partial and total tooth loss is present in a high percentage but there is no correlation with the food bolus impaction. Impaction of food bolus was equally found in the upper and lower third of the oesophagus and it was usually meat. Radiographic diagnosis should precede each esophagoscopy. Esophagoscopy with rigid oesophagoscope is a reliable method for the extraction of a bolus of food from the oesophagus in elderly patients.

  16. Vitamin B6 deficiency and diseases in elderly people – a study in nursing homes

    Kjeldby Ida K; Fosnes Gunvor S; Ligaarden Solveig C; Farup Per G

    2013-01-01

    Abstract Background Vitamin deficiency is a cause of health related problems in elderly people. The aims were to study associations between vitamin B6 (B6) and diseases (primarily functional gastrointestinal disorders) in elderly people in nursing homes, the prevalence of B6 deficiency and factors associated with B6 deficiency. Methods This cross-sectional study included residents in nursing homes. Demographics, nutritional status (Mini Nutritional Assessment, MNA® ), physical activity, activ...

  17. Elderly people with chronic disease in the knowledge society

    Dahl, Mads Ronald

    2007-01-01

      Elderly people with chronic disease in the knowledge society The knowledge society sees knowledge as the solution to global, national, and personal problems often without differentiating knowledge. With access to the internet we have access to the largest knowledge database in the world, but do...... elderly people use it? The focus of this paper is to evaluate whether elderly Danes with chronic disease use the internet to seek knowledge on health information. The study was conducted among 2000 Danes over 60 years of age as a cross-sectional survey using a postal questionnaire. The theoretical...... diseases were not found to be a motivation factor or determinant for using the internet as tool to increase personal knowledge on general health information. Furthermore it showed that elderly people who reported having a good general health were more often users than elderly having a suboptimal general...

  18. Delirium in elderly people: a review

    Sónia Martins

    2012-06-01

    Full Text Available The present review aims to highlight this intricate syndrome, regarding diagnosis, pathophysiology, etiology, prevention and management in elderly people. The diagnosis of delirium is based on clinical observations, cognitive assessment, detailed family history, physical and neurological examination. Clinically, delirium occurs in hyperactive, hypoactive or mixed forms, based on psychomotor behaviour. As an acute confusional state, it is characterized by a rapid onset of symptoms, fluctuating course and an altered level of consciousness, global disturbance of cognition or perceptual abnormalities and evidence of a physical cause.In spite of pathophysiological mechanisms of delirium remaining unclear, current evidence suggests that disruption of neurotransmission, inflammation or acute stress responses might all contribute to the development of this ailment.It usually occurs as a result of a complex interaction of multiple risk factors, such as cognitive impairment/dementia, current hip fracture and presence of severe illness.Despite all of the above, delirium is frequently under-recognized and often misdiagnosed by health professionals. In particular, this happens due to its fluctuating nature, its overlap with dementia and the scarcity of routine formal cognitive assessment in general hospitals.It is also associated with multiple adverse outcomes that have been well documented, such as increased hospital stay, function/cognitive decline, institutionalization and mortality.In this context, early identification of delirium will be essential. Timely and optimal management of people with delirium, should be performed with identification of possible underlying causes, dealing with a suitable care environment and improving education of health professionals. All these can be important factors, which contribute to a decrease in adverse outcomes associated with delirium.

  19. Dance combined with magnetic pulse stimulates the ability of walk and balance in elder people

    Lu, Tao; Song, Qing-Hua; Xu, Rong-Mei; Guo, Yan-Hua; Wang, Feng; Hu, Jian-Ping; Wang, Yi(Centre for Theoretical Cosmology, DAMTP, University of Cambridge, Wilberforce Road, Cambridge, CB3 0WA U.K.); Zhang, Li-Yan

    2015-01-01

    Objective: Observe the treatment effect on elderly people’s waling and balance ability under the stimulation and intervention of waving dance combined with magnetic pulse. Method: 96 elderly people are Involved in the research and the random number table method is divided into observation group and control group; there are 48 people in each group. The control group on the basis of routine daily activities increase waving dance for training treatment; the observation group take training treatm...

  20. Cognitive rehabilitation for elderly people with early-stage Alzheimer’s disease

    Kim, Seyun

    2015-01-01

    [Purpose] The purpose of this study was to investigate the effect of cognitive rehabilitation including tasks of cognitive training on performance of everyday activities in elderly people with early-stage Alzheimer’s disease. [Subjects and Methods] Forty-three elderly people (15 men, 28 women) with a diagnosis of Alzheimer’s disease who had a Mini-Mental State Examination (MMSE) score of 18 or above were randomly assigned to two groups: the cognitive rehabilitation group (experimental) and co...

  1. CaringTV® value creation for elderly people in Sendai, Japan

    Stahl, Carmen

    2011-01-01

    Japan is expected to be the country with the highest percentage of elderly people in the world in 2025. In order to ensure quality care services for elderly people, Tohoku Fukushi University (TFU), Helsinki School of Economics, Laurea University of Applied Sciences and the cities Espoo, Vantaa and Sendai have established the research collaboration “Active Project”. Within this project, TFU aims at transferring the Finnish CaringTV® concept to Sendai. CaringTV is a service for secure broadcast...

  2. The Association Between Physical Activity, Mental Status, and Social and Family Support with Five Major Non-Communicable Chronic Diseases Among Elderly People: A Cross-Sectional Study of a Rural Population in Southern China

    Xiang Huang

    2015-10-01

    Full Text Available Background: Non-communicable chronic diseases (NCDs have become the top threat in China. This study aimed to estimate the prevalence of major NCDs among the elderly population in rural areas in southern China and explore its associated social determinants. Methods: A multistage cluster random sampling methodology was adopted to select a total of 9245 rural elderly people from 3860 rural households in Guangdong Province. Interviews and physical examinations were performed to collect patient information. Descriptive and logistic regression analyses were conducted to explore factors associated with the presence of major NCDs. Results: Over one-third (38.5% of the study population suffered from five major NCDs. The grade of activities of daily living (ADL, mental status, and social relationship of elderly people without NCDs were better than those with NCDs. The major factors associated with the presence of NCDs among the elderly people included age (70–79 years group and 80–89 years group, education level (senior high/technical secondary school and junior college and above, mental status (concentration, enrichment and happy life and memory, relationship with neighbours, activities of daily living (ADL (being able to climb three floors and bend over, physical activity, marital status (bereft, and living conditions (with offspring and family members. Conclusions: The study identified several social determinants associated with the presence of major NCDs. A higher level of family support and physical exercise might contribute to improved physical condition, mental status, and ADL among the elderly people in rural areas in southern China.

  3. Primary health care to elderly people: Occupational Therapy actions perspectives

    Cassio Batista Alves

    2015-09-01

    Full Text Available In Brazil, Occupational Therapy (OT was legislated in 1969, and was introduced into the Primary Health Care (PHC in the 90s. At this level of care, the OT serves various stages of human development, including aging, in a perspective of care and active aging line, seeks to optimize opportunities for health, participation and safety, using clinical reasoning in order to plan, guide, conduct and reflect their actions in producing the line of care. This career considers human activities as part of the construction of the man himself as an expertise area and seeks to understand the relationships that the active human establishes in its life and health. This study aimed to verify the actions and identify the occupational therapy line of care with the elderly in APS. This is a qualitative study that used a semi-structured interview applied during April to May 2013 with six occupational therapists that cared for older people in the APS at Uberaba-MG. The data was analyzed using the Collective Subject Discourse (CSD technique. We observed that the OT actions to produce line of care for the elderly happen according to the general public care, whether individual or group, with the team during case discussions, referrals or work management and the territory during the territorial diagnosis and networks formation, all permeated by the principles of fairness, integrity, intersectoriality and clinical reasoning in OT.

  4. Diagnosing autism spectrum disorders in elderly people

    van Niekerk, Maarten E. H.; Groen, Wouter; Vissers, Constance Th. W. M.; van Driel-de Jong, Dorine; Kan, Cees C.; Voshaar, Richard C. Oude

    2011-01-01

    Background: As autism spectrum disorders (ASD) have largely been neglected in old-age psychiatry, the objective of the present paper is to describe the diagnostic process in elderly patients. Methods: A systematic review of the literature on ASD in older age was undertaken and illustrated by a case

  5. Engaging elderly people in telemedicine through gamification

    Vette, de Frederiek; Tabak, Monique; Dekker-van Weering, Marit; Vollenbroek-Hutten, Miriam

    2015-01-01

    BACKGROUND: Telemedicine can alleviate the increasing demand for elderly care caused by the rapidly aging population. However, user adherence to technology in telemedicine interventions is low and decreases over time. Therefore, there is a need for methods to increase adherence, specifically of the

  6. The Comparative Approach on Outdoor Leisure Behavior of Urban Elderly People: A Case Study in Beijing%The Comparative Approach on Outdoor Leisure Behavior of Urban Elderly People: A Case Study in Beijing

    Wang Lei; Chen Tian; Wang Hao

    2012-01-01

    With the income increase of elderly people in Beijing and the improvement of leisure facilities since 2000, the quality of elderly people leisure life in Beijing has obviously increased com- pared to ten years ago. According to the investigation and com- parative analysis on more than 900 elderly people, who usually exercise in public parks in Beijing City, we have found out several new features of elderly people's outdoor recreation in Belting: the increase of the leisure time, the expansion of leisure space, the in- dividuation of interest and the diversification of consumption. The leisure life quality evaluation index system of urban elderly people can be built based on these analyses. In order to accommodate the development tendency of elderly people's demand for leisure diversification, we should strengthen the organization and manage- ment of elderly people's leisure activity in urban construction, and pay more attention to function complementation between commu- nities and parks.

  7. A comprehensive systematic review of the development process of 104 patient-reported outcomes (PROs) for physical activity in chronically ill and elderly people

    Frei, Anja; Williams, Kate; Vetsch, Anders; Dobbels, Fabienne; Jacobs, Laura; Rüdell, Katja; Milo A Puhan; de Jong, Corina

    2011-01-01

    BACKGROUND: Capturing dimensions of physical activity relevant to patients may provide a unique perspective for clinical studies of chronically ill patients. However, the quality of the development of existing instruments is uncertain. The aim of this systematic review was to assess the development process of patient-reported outcome (PRO) instruments including their initial validation to measure physical activity in chronically ill or elderly patient populations. METHODS: We conducted a syst...

  8. A comprehensive systematic review of the development process of 104 patient-reported outcomes (PROs) for physical activity in chronically ill and elderly people

    Frei, A; Williams, K.; Vetsch, A; Dobbels, F; Jacobs, L; Rudell, K; Puhan, M A

    2011-01-01

    BACKGROUND: Capturing dimensions of physical activity relevant to patients may provide a unique perspective for clinical studies of chronically ill patients. However, the quality of the development of existing instruments is uncertain. The aim of this systematic review was to assess the development process of patient-reported outcome (PRO) instruments including their initial validation to measure physical activity in chronically ill or elderly patient populations. METHODS: We condu...

  9. Mobile phones and elderly people: a noisy communication.

    Stamato, Cláudia; Moraes, Anamaria de

    2012-01-01

    Knowing the users is capital for building user-friendly digital interfaces. One way to think about the users is considering their familiarity with this technology. This article presents the results of twelve interviews with elderly people residing in the so-called South Zone of Rio de Janeiro (Brazil) who have used mobile phones over at least one year. It is part of the Doctor's Thesis "Mobile phones for elderly people - usability for social integration" ("Celulares para idosos - usabilidade a serviço da integração social"), which is targeted at ascertaining if the current mobile phones are user-friendly for elderly people. Through the technique of Guided Interviews, we found usage time, criteria for choice of phones, reasons for changes, preferences, and manners of use. Preliminarily, we have noticed differences in the behavior of the participating users and performed a qualitative analysis according to groups of age and gender. PMID:22316743

  10. Prevalence of depression among elderly on open care centers for older people

    Vilma Karagianni

    2010-10-01

    Full Text Available Depression in the elderly is considered an important public health issue. Depression is the most common mental health problem among older people. It poses a critical impact on well-being and the quality of life of elderly and it is related with high expenses and great demand of health care services. Objective: To estimate the prevalence of depression among elderly in an urban area’s population and to investigate the aggravating and protective factors. Material and Method: The sample consisted of 360 individuals, 218 women and 142 men, aged 60 years or older, members of the four Open Care Centres for Older People (KAPI of Agioi Anargyroi Municipality, in Attica. A questionnaire for demographics and phycho-social factors was used, whereas depression was probed through Geriatric Depression Scale, (Short Form - GDS-15, which has been standardized and adapted in a Greek elderly population. Results: 30,28% of the sample had depressive symptoms (22,22% moderate and 8,06% serious-clinical type depression. It was also shown that depression at women (70,6% appeared in a percentage over than the double against men (29,4%. The symptomatology of depression occurred widely among widower/widows, elderly being divorced or separated, people living alone, those with multiple pathologies and elderly informal family carers. Symptomatology of depression appeared in a lower rate among elderly who took care of their grandchildren or participated in social activities. Conclusions: The ascertainment high percentage of depressive symptoms in our sample of elderly population confirms the emergency of creating a strong psycho-social supporting network aimed to prevent depression among elderly and health promotion in the elderly in the context of Primary Health Care (PHC.

  11. Body composition and energy metabolism in elderly people.

    Visser, M.

    1995-01-01

    This thesis describes several studies related to the three components of energy balance in elderly people: body composition, energy expenditure, and energy intake.Body composition. The applicability of the body mass index, skinfold thickness method, and multi-frequency bioelectrical impedance was te

  12. Cost-Benefit Analysis in Social Care for Elderly People

    Dutrenit, Jean-Marc

    2005-01-01

    Social care at home for elderly people is now growing rapidly in France. A new question is, What are better forms of care for the different partners concerned? The research presented here, and made for the Comity of Lille Employment Area with cooperation of the Caisse Primaire d'Assurance Maladiede Lille (the local board of the national social…

  13. [Animals used in therapy for the wellbeing of elderly people].

    Perraud, Florence

    2013-01-01

    Visits by dogs to elderly people in nursing homes have shown that animals can produce unexpected and positive reactions. This led to the idea of using a retrained guide dog for the blind in therapy workshops, with patients suffering from dementia. Setting up such a project is possible and produces interesting results. PMID:23409670

  14. Effects of glucose load on cognitive functions in elderly people

    Zwaluw, N.L. van der; Rest, O. van de; Kessels, R.P.C.; Groot, L.C.P.G.M. de

    2015-01-01

    Glucose is the main fuel for the brain, and manipulation of the glucose supply may consequently affect brain function. The present review was conducted to provide an overview of studies that investigated the acute effects of glucose load on memory and other cognitive functions in elderly people. The

  15. Nonexercise movement in elderly compared with young people.

    Harris, Ann M; Lanningham-Foster, Lorraine M; McCrady, Shelly K; Levine, James A

    2007-04-01

    The association between free-living daily activity and aging is unclear because nonexercise movement and its energetic equivalent, nonexercise activity thermogenesis, have not been exhaustively studied in the elderly. We wanted to address the hypothesis that free-living nonexercise movement is lower in older individuals compared with younger controls matched for lean body mass. Ten lean, healthy, sedentary elderly and 10 young subjects matched for lean body mass underwent measurements of nonexercise movement and body posture over 10 days using sensitive, validated technology. In addition, energy expenditure was assessed using doubly labeled water and indirect calorimetry. Total nonexercise movement (acceleration arbitrary units), standing time, and standing acceleration were significantly lower in the elderly subjects; this was specifically because the elderly walked less distance per day despite having a similar number of walking bouts per day compared with the young individuals. The energetic cost of basal metabolic rate, thermic effect of food, total daily energy expenditure, and nonexercise activity thermogenesis were not different between the elderly and young groups. Thus, the energetic cost of walking in the elderly may be greater than in the young. Lean, healthy elderly individuals may have a biological drive to be less active than the young. PMID:17401138

  16. THE EFFECT OF PHYSICAL TRAINING ON THE LOCOMOTOR APPARATUS IN ELDERLY PEOPLE

    Pedrinelli, André; Garcez-Leme, Luiz Eugênio; Azul Nobre, Ricardo do Serro

    2015-01-01

    Physiological changes taking place on the locomotive apparatus as a result of aging, such as muscular mass loss, body balance loss, reduced bone mass and osteoarthrosis cause limitations to the daily activities of elderly people, compromising their quality of life and making them weaker and dependent. Aged people who regularly practice physical activities have a higher level of functional independence and a better quality of life than the sedentary ones. This article addresses the key physiol...

  17. Elderly people´s definition of quality of life

    Xavier Flávio M F

    2003-01-01

    Full Text Available OBJECTIVES: Senescence for some elderly people is a phase of with development and satisfaction, whereas for others is a negative stage of life. The determinants of a good quality of life in old age vary from person to person. The aims of this study were to identify: 1 the prevalence of octogenarian people who evaluate their current life as being mainly characterized by a positive quality and 2 which were the domains that they identified as being the determinants of this positive quality. A same parallel study was conducted with subjects who evaluated senescence as a preponderantly negative experience. METHODS: A random and representative sample of 35% of the octogenarian people, living residing in the community, was selected among the dwellers of the city of Veranópolis, state of Rio Grande do Sul. A semi-structured questionnaire on quality of life quality was applied as well as the scale of depressive symptoms Geriatric Depression Scale (GDS and the index of general health Cumulative Illness Rating Scale (CIRS. RESULTS: Slightly more than half of the studied sample (57% defined their current quality of life with positive evaluations, whereas 18% presented a negative evaluation of it. A group 0f 25% defined their current lives as neutral or having both values (positive and negative. Those who were dissatisfied presented more health problems according to the CIRS and more depressive symptoms when evaluated by the GDS. Satisfied subjects ones had different reasons to justify this state, however, the dissatisfied had mainly the lack of health as a reason for their suffering. The main source of reported daily well-being was the involvement with rural or domestic activities. Among the interviewed, lack of health was the main source for not presenting well-being, although there was interpersonal variability regarding what each subject considered as loss of health. CONCLUSION: Possibly, for the elderly subjects a negative quality of life is equivalent

  18. Smartphone shared calendar application for elderly people

    Wang, J.

    2016-01-01

    In today's society, a smartphone has become an indispensable tool in people's daily lives and there are various apps on these mobile phone platforms,which provide great convenience for people's lives.Android system has became one of the mainstream operating system’s in the smartphone market, because of its high degree of openness, good user experience and low cost. Until the 24.9.2013, the Android mobile device has reached more than one billion units all over the world. Under the stimulus of ...

  19. A comprehensive systematic review of the development process of 104 patient-reported outcomes (PROs for physical activity in chronically ill and elderly people

    Frei Anja

    2011-12-01

    Full Text Available Abstract Background Capturing dimensions of physical activity relevant to patients may provide a unique perspective for clinical studies of chronically ill patients. However, the quality of the development of existing instruments is uncertain. The aim of this systematic review was to assess the development process of patient-reported outcome (PRO instruments including their initial validation to measure physical activity in chronically ill or elderly patient populations. Methods We conducted a systematic literature search of electronic databases (Medline, Embase, Psychinfo, Cinahl and hand searches. We included studies describing the original development of fully structured instruments measuring dimensions of physical activity or related constructs in chronically ills or elderly. We broadened the population to elderly because they are likely to share physical activity limitations. At least two reviewers independently conducted title and abstract screening and full text assessment. We evaluated instruments in terms of their aim, items identification and selection, domain development, test-retest reliability, internal consistency, validity and responsiveness. Results Of the 2542 references from the database search and 89 from the hand search, 103 full texts which covered 104 instruments met our inclusion criteria. For almost half of the instruments the authors clearly described the aim of the instruments before the scales were developed. For item identification, patient input was used in 38% of the instruments and in 32% adaptation of existing scales and/or unsystematic literature searches were the only sources for the generation of items. For item reduction, in 56% of the instruments patient input was used and in 33% the item reduction process was not clearly described. Test-retest reliability was assessed for 61%, validity for 85% and responsiveness to change for 19% of the instruments. Conclusions Many PRO instruments exist to measure

  20. Elderly age: healthy life style and life activity prolongation

    Chernyshkova Elena Vyacheslavovna; Rodionova Tatyana Vyacheslavovna; Mukhina Marina Yurievna; Veretelnikova Yulia Yakovlevna; Chernyshkov Danila Vsevolodovich

    2015-01-01

    The article presents the analysis of the results of elderly people’s (aged 55–65) questionnaires concerning the basic precepts of healthy life style for activity prolongation (N = 180). It has been established that the basic principles of healthy life style include regular moderate physical loads, a rational diet, giving up bad habits. Healthy life style popularization may become a promising measure to increase activity motivation of elderly people.

  1. [Frailty in elderly people: what nursing research has produced].

    Linck, Caroline de Leon; Crossetti, Maria da Graça Oliveira

    2011-06-01

    This integrative literature review aims to identify scientific production in nursing about frailty in elderly people using the Scientific Electronic Library Online (SciELO), Latin-American and Caribbean Literature in Health Sciences (Literatura Latino-Americana e do Caribe em Ciências da Saúde - LILACS) and Scopus. The study included 16 articles, two published in Brazilian periodicals and 14 of other nations. The review shows that 37.5% (6) of the articles focus on a paradigm shift regarding the care model and 26.7% (4) highlight the family as the primary care unit in the context of a frail elder. It is noted that the nurse plays a key role in the context of frailty, in the development of individual care, and in the support of family members and other caregivers of frail elders. PMID:21988002

  2. Quality of care: from the perspective of elderly people: the QUOTE-Elderly instrument.

    Sixma, H.J.; Campen, C. van; Kerssens, J.J.; Peters, L.

    2000-01-01

    Background: patient views on the quality of care are usually assessed by means of patient satisfaction questionnaires. Aim: to develop an instrument that would: (i)produce data to the expectations and experiences of non-institutionalized elderly people, (ii) contain items that has been formulated in

  3. Emotional Sphere in Elderly People: Age and Regional Differences

    Shagidaeva A.B.

    2014-08-01

    Full Text Available We present a study of the negative aspects of the emotional sphere in elderly man: depression and loneliness. Empirical research was carried out in Moscow and Grozny involving elderly people living in families and in geriatric centers (201 subjects, as well as with middle-aged people (132 subjects. We used the following methods: Zung differential diagnosis of depressive states inventory in adaptation by T.I. Balachova and D. Russell and M. Ferguson Loneliness scale (UKL in adaptation by N.E. Vodopyanova. It is shown that at the present stage of development of society, middle-aged people already have quite high level of depression and pronounced sense of loneliness. We confirmed the hypothesis that the preservation of the negative aspects of the emotional sphere in elderly people is less dependent on the conditions of life at the micro level (family or gerontology center and more dependent from the living conditions at the macro level (socio-economic situation in the region. In Grozny, a city of more complex socio-economic situation, negative emotional states are more pronounced than in Moscow.

  4. Features of self-control indicators in wellness walking elder people

    Myhalchuk T.D.

    2012-01-01

    The article examines the specifics of organization of control and self-control in health walking with elderly people. Particular attention is paid to the use of self-control indicators in the health training. Disclosed the direction of the choice of dose of physical activity. Allocated basis of motivation of older people to recreational pursuits walking. Mode walking with varying heart rate and the rate has been divided into three zones. Described the influence of recreational walking on the ...

  5. Avaliação das atividades de vida diária de idosos com diferentes níveis de demência Evaluation of the activities of daily living of elderly people with different levels of dementia

    TA Marra

    2007-08-01

    Full Text Available OBJETIVOS: Comparar o desempenho de idosos com diferentes níveis de gravidade de demência em questionários de atividades básicas de vida diária (ABVDs e atividades instrumentais de vida diária (AIVDs. Verificar se existe correlação entre os questionários de AIVDs aplicados. METODOLOGIA: Foram aleatorizados 90 idosos (75,46 ± 7,66 anos atendidos no Centro de Referência do Idoso-MG, com diagnóstico clínico de demência (DSM-IV/APA e classificados quanto ao nível de gravidade da demência (Clinical Dementia Rating. As ABVDs foram avaliadas pelo Índice de Katz, e as AIVDs, pelo Índice de Lawton-Brody e de Pfeffer. Os testes de Kruskal-Wallis e de Mann-Whitney foram utilizados para verificar o desempenho dos idosos nas ABVDs, e a correlação de Spearman, para investigar a relação entre os instrumentos de AIVDs (alfaOBJECTIVE: To compare the performance of elderly people with different levels of severity of dementia using questionnaires on basic activities of daily living (BADLs and instrumental activities of daily living (IADLs. Also, to verify whether there were any association between the IADL questionnaires applied. METHOD: Ninety elderly people, aged 75.46 ± 7.66 years with a clinical diagnosis of dementia (DSM-IV/APA who were seen at the Minas Gerais Reference Center for the Elderly, were randomized selected and classified according to the level of severity of their dementia (Clinical Dementia Rating. Their BADLs were assessed using the Katz Index and their IADLs by the Lawton-Brody and Pfeffer indexes. The Kruskal-Wallis and Mann-Whitney tests were used in order to investigate the elderly people's performance regarding BADLs, while the Spearman correlation was used to investigate the relationships among the IADL (alpha< 0.05. RESULTS: Statistically significant differences in performance were found between the elderly people with different levels of severity of dementia, as assessed by the BADL and IADL questionnaires (p< 0

  6. Impacts of social skills in elderly people's care

    Aluko, Oludele Olumide

    2010-01-01

    The purpose of this study is to emphasize and to identify the immense impact and the use of social skills in the care of elderly people. The aim of the various tools of social skills is to identify problems at the same time enhancing patient's health. Some specialist does not understand what social skill might do in care management. It has been observed that medical doctors such as psychiatrists and other drug prescribers constantly prescribe drugs as opposed to adopting suitable social skill...

  7. Musical neurofeedback for treating depression in elderly people

    Ramirez, Rafael; Palencia-Lefler, Manel; Giraldo, Sergio; Vamvakousis, Zacharias

    2015-01-01

    We introduce a new neurofeedback approach, which allows users to manipulate expressive parameters in music performances using their emotional state, and we present the results of a pilot clinical experiment applying the approach to alleviate depression in elderly people. Ten adults (9 female and 1 male, mean = 84, SD = 5.8) with normal hearing participated in the neurofeedback study consisting of 10 sessions (2 sessions per week) of 15 min each. EEG data was acquired using the Emotiv EPOC EEG...

  8. Barriers and catalysts of nutrition literacy among elderly Japanese people.

    Aihara, Yoko; Minai, Junko

    2011-12-01

    Improving skills for accessing and utilizing diet/nutrition information is important for preventing non-communicable diseases and frailty among elderly people. With the rapidly increasing number of elderly people in the world, promoting nutrition literacy among them is a pivotal health policy for maintaining and promoting health. This article describes the barriers and catalysts of nutrition literacy among elderly Japanese people (aged ≥75 years). A cross-sectional analysis of the responses to a questionnaire administered to 678 study participants (men = 347, women = 331) was conducted. Logistic regression analysis revealed that more men had limited nutrition literacy than did women. After stratification by gender, the limited nutrition literacy group was associated with cognitive difficulty in men and women, visual impairment in men and hearing impairment in women. Lower education level and economic status were associated with limited nutrition literacy among women. Adjusted odds ratios (ORs) controlling for age, education level and economic status, as well as cognitive, visual and hearing function, indicated that informational support [OR = 5.59, 95% confidence interval (95% CI) = 1.28-24.49] and diet/nutrition information obtained from friends of the participants (OR = 2.16, 95% CI = 1.11-4.20) were both associated with adequate nutrition literacy among men, whereas diet/nutrition information from health professionals (OR = 3.96, 95% CI = 1.97-7.95) had a significant relation with adequate nutrition literacy among women. Moreover, in the adequate nutrition literacy group, men were more likely to be overweight (OR = 2.17, 95% CI = 1.20-3.91). These findings suggested that cognitive and sensory functions should be taken into account when diet information is provided to older adults. Enhancement of social networks is also a key point in improving nutrition literacy. An effective intervention to improve nutrition literacy in elderly people, particular old men

  9. Design of the human-robot interaction for a semi-autonomous service robot to assist elderly people

    Mast, Marcus; Burmester, Michael; Graf, Birgit; Weisshardt, Florian; Arbeiter, Georg; Španel, Michal; Zdenek, Materna; Smrz, Pavel; Kronreif, Gernot

    2015-01-01

    Service robots could support elderly people's activities of daily living and enable them to live in their own residences independently as long as possible. Current robot technology does not allow reliable fully autonomous operation of service robots with manipulation capabilities in the heterogeneous environments of private homes. We developed and evaluated a usage concept for semi-autonomous robot control as well as user interfaces for three user groups. Elderly people are provided with simp...

  10. Everyday Mobility of Elderly People in Different Urban Settings: The Example of the City of Bonn, Germany

    Stefanie Fobker; Reinhold Grotz

    2006-01-01

    The social model for old age is a self-determined and socially integrated life for as long as possible. In this regard, different settings offer different conditions. The article investigates which living conditions best meet the needs of elderly people. It is based on results from the FRAME (leisure mobility of elderly people) research project, which examines the everyday mobility of persons aged 60 and older in different urban settings. The results show that an active lifestyle is possible ...

  11. Cognitive impairment and mortality in a cohort of elderly people.

    Gale, Catharine R.; Martyn, C. N.; Cooper, C.

    1996-01-01

    Objectives-To investigate the relation between cognitive function and cause specific mortality in people aged 65 and over.Design-A 20 year follow up study of a cohort of randomly selected elderly people living in the community who in 1973-4 had taken part in a nutritional survey funded by the Department of Health and Social Security.Setting-Eight areas in Britain (five in England, two in Scotland, and one in Wales).Subjects-921 men and women whose cognitive function was assessed by a geriatri...

  12. Easy detecting signal of cognitive decline in healthy community-dwelling elderly people

    Takeshi Hatta; Taketoshi Hatta; Chie Hotta; Emi Ito; Akihiko Iwahara; Naoko Nagahara; Junko Hatta; Kazumi Fujiwara; Nobuyuki Hamajima

    2013-01-01

    The relationship between changes of elderly people’s participation in social activities and their cognitive functions was examined. Healthy, middle and upper-middle aged people (n = 407) responded to the Nagoya University Cognitive Assessment Battery and to a questionnaire inquiring about their participation in social activities. The results suggested that those whose participation in social activities increased in the last 6 months showed better verbal functioning than those whose parti...

  13. Musical neurofeedback for treating depression in elderly people.

    Ramirez, Rafael; Palencia-Lefler, Manel; Giraldo, Sergio; Vamvakousis, Zacharias

    2015-01-01

    We introduce a new neurofeedback approach, which allows users to manipulate expressive parameters in music performances using their emotional state, and we present the results of a pilot clinical experiment applying the approach to alleviate depression in elderly people. Ten adults (9 female and 1 male, mean = 84, SD = 5.8) with normal hearing participated in the neurofeedback study consisting of 10 sessions (2 sessions per week) of 15 min each. EEG data was acquired using the Emotiv EPOC EEG device. In all sessions, subjects were asked to sit in a comfortable chair facing two loudspeakers, to close their eyes, and to avoid moving during the experiment. Participants listened to music pieces preselected according to their music preferences, and were encouraged to increase the loudness and tempo of the pieces, based on their arousal and valence levels. The neurofeedback system was tuned so that increased arousal, computed as beta to alpha activity ratio in the frontal cortex corresponded to increased loudness, and increased valence, computed as relative frontal alpha activity in the right lobe compared to the left lobe, corresponded to increased tempo. Pre and post evaluation of six participants was performed using the BDI depression test, showing an average improvement of 17.2% (1.3) in their BDI scores at the end of the study. In addition, an analysis of the collected EEG data of the participants showed a significant decrease of relative alpha activity in their left frontal lobe (p = 0.00008), which may be interpreted as an improvement of their depression condition. PMID:26483628

  14. The effects of obesity on fall efficacy in elderly people.

    Jeon, Byoung-Jin

    2013-11-01

    [Purpose] The aim of this study was to identify the effects of obesity on falls as a practical verification of the importance of obesity-targeting interventions as part of future fall prevention programs. [Subjects and Methods] The study involved 351 elderly people (172 men, 179 women) living in rural areas. The dependent variable, fall efficacy, was measured using the Falls Efficacy Scale, while the independent variables, body mass index (BMI) and visceral fat, were measured using the InBody 720. The Faces Pain Scale was used to measure pain. Mobility was measured using the Timed Up and Go Test, and balance ability was measured according to the duration subjects could stand on one foot with their eyes closed. Hierarchical multiple regression analysis was performed for the final data analysis. [Results] Investigation of the correlations between the variables revealed a negative correlation between fall efficacy and the other variables. Ultimatley, investigation of the causality of fall efficacy revealed that the BMI, pain, and mobility were influential factors. In other words, fall efficacy tends to be lower when there are higher degrees of obesity, increased pain, and decreased mobility. [Conclusion] To improve the fall efficacy of elderly people living in rural areas, pain management and the maintenance of physical functionality are required. The present study confirms that the elderly need continuous obesity management to lead healthy lives. PMID:24396217

  15. Physical activities in elderly: benefits and barriers

    Francis, Purity

    2014-01-01

    Abstract: Aim: To research and create awareness on how physical activities have promoted health in the life of the elderly. Research Questions: 1. What are the benefits of physical Activity for Elderly? 2. What obstacles inhibit elderly from physical activities? Method: The study was a Literature review with deductive content analysis method used for analyzing articles. The search engines used was EBSCO, SAGE and Google Scholar. The results are grouped in categories and sub catego...

  16. Preventive home visits to elderly people in Denmark

    Hendriksen, C; Vass, M

    During the last 20 years several randomised controlled trials have been published about preventive home visits to old people, but the benefit of the visits is still controversial and under debate. Based on a state law from the Ministry of Social Affairs in 1998, the municipalities in Denmark are...... obliged to offer home visits twice a year to all citizens 75 years and older. After six years with this law, there is still variation of how the law is managed and implemented. About 60% of the elderly people accept and receive the visits. Less than 50% of the municipalities have made specific guidelines...... and quality assurance indicators. More than the half have systematically used the visits to collect information of community needs and older people' wishes to be used for administrative and political purposes. In a prospective, controlled, feasibility study conducted over a 3-year period we found that...

  17. Construct validation and the Rasch model: functional ability of healthy elderly people

    Avlund, K; Kreiner, S; Schultz-Larsen, K

    1993-01-01

    The purpose of this study was to test the construct validity of a measure of functional ability, developed with the intention of achieving a high degree of variability and capacity for discriminating among a group of healthy elderly people. Data were collected from 734 70-year-old people in Denmark...... in the county of Copenhagen. Functional ability was measured with the traditional activities of daily living and with a classification system developed specially for healthy elderly people. Construct validity was tested by the Rasch model for item analysis, addressing specifically the internal...... validity by assessing the homogeneity of items under different conditions. The results show that the proposed measure of functional ability is a combination of six different dimensions, divided into 3 types: mobility function, lower limb function and upper limb function. With regard to these three types...

  18. Elder people learning to be mentors for young people. HEAR ME: An innovative project in five EU countries

    Rothuizen, Jan Jaap; Klausen, Bodil; Hesselbjerg, Jannie Sloth

    2011-01-01

    HEAR ME is about lifelong learning for elderly people. People in Europe get older and there is a demographic movement towards a considerable aging of the population. The EU countries have to redefine themselves and their capacity to act as welfare societies in a globalized world. In this context...... education of the elderly people and the organization of the mentoring projects were parallel processes. So the development and implementation of the courses and the implementation of the volunteer-mentoring-process were intertwined. The reasons for this intertwining of learning and doing are both didactical......, elderly people should be considered as a resource for society. This perspective requires that we also intensify working on possibilities for elderly people to keep themselves up-to-date and qualified for new tasks. That is what HEAR ME is about. We decided to focus on a special possible task for elderly...

  19. Serious games with elder people: a review of the question

    Franco Caballero, Pablo Daniel; Matas Terrón, Antonio

    2014-01-01

    In this paper we shall review of the role of serious games as part of the new Technologies of Information and Communication to promote activity while ageing. To achieve this recent publications on these issues were researched via the use of the most common databases in the Education Sciences such as Scopus, Google Scholar and Eric. Search words used were "exergames", "elder games", "serious games", "active aging", "healthy aging", "video games", "edutainment". The total number of d...

  20. Active video gaming to improve balance in the elderly

    Lamoth, C.J.; Caljouw, S.R.; Postema, K.

    2011-01-01

    The combination of active video gaming and exercise (exergaming) is suggested to improve elderly people's balance, thereby decreasing fall risk. Exergaming has been shown to increase motivation during exercise therapy, due to the enjoyable and challenging nature, which could support long-term adhere

  1. O desempenho de idosos institucionalizados com alterações cognitivas em atividades de vida diária e mobilidade: estudo piloto Performance in daily living activities and mobility among institutionalized elderly people with cognitive impairments: pilot study

    DLC Oliveira

    2006-01-01

    and Go" (TUG test, and daily living activities (DLA via the Katz Index. Results: There was no statistically significant correlation between mobility assessed by TUG and performance in the MMSE (Pearson's r = 0.234; p = 0.232. A positive association was detected between the elderly people's performance in the TUG test and their achievement in bathing, dressing and transferal tasks measured by the Katz Index (p = 0.039; p = 0.000; p = 0.001, respectively; ANOVA. There was no significant association between cognitive impairment detected by MMSE and the elderly people's performance in the five activities of the Katz Index (bathing: p= 0.774; dressing: p = 0.567; hygiene: p = 0.857; transferal: p = 0.824; continence: p= 0.947; ANOVA. Increasing age did not demonstrate any significant correlation with performance in any of the tests (TUG: p = 0.466, r = 0.144; MMSE: p = 0.841, Pearson's r = 0.040. Conclusion: The cognitive impairment of these elderly people, detected via the MMSE, did not have any association with their performance in the mobility and DLA tests. However, there was a significant association between their performance in the mobility test and their achievement in bathing, dressing and transferal activities.

  2. An Activity Monitoring System for Real Elderly at Home: Validation Study

    Zouba, Nadia; Bremond, François; Thonnat, Monique

    2010-01-01

    International audience Since the population of the elderly grows highly, the improvement of the quality of life of elderly at home is of a great importance. This can beachieved through the development of technologies for monitoring their activities at home. In this context, we propose an activity monitoring system which aims to achieve behavior analysis of elderly people. The proposed system consists of an approach combining heterogeneous sensor data to recognize activities at home. This a...

  3. Vitamin B6 deficiency and diseases in elderly people – a study in nursing homes

    Kjeldby Ida K

    2013-02-01

    Full Text Available Abstract Background Vitamin deficiency is a cause of health related problems in elderly people. The aims were to study associations between vitamin B6 (B6 and diseases (primarily functional gastrointestinal disorders in elderly people in nursing homes, the prevalence of B6 deficiency and factors associated with B6 deficiency. Methods This cross-sectional study included residents in nursing homes. Demographics, nutritional status (Mini Nutritional Assessment, MNA® , physical activity, activity of daily living (Katz Index, dietary habits, use of drugs, and psychiatric and somatic diseases were recorded. A blood sample was collected for haematological and biochemical screening, including B6 (p-PLP; p-PLP values Results Sixty-one residents (men/women: 22/39 with an age of 85.3 (6.8 years and BMI 25.7 (4.5 kg/m2 were included. Malnutrition and risk of malnutrition were present in 11.5% and 61% respectively. Dietary intake of B6 (mg/day in men and women were 1.60 (0.30 and 1.18 (0.31 (recommended 1.6 and 1.2 respectively, and 14 (23% used B6 supplements. Median p-PLP was 20.7 (range Conclusions Half of the residents had vitamin B6 deficiency. Vitamin supplement was effective prophylaxis for deficiency and should be recommended to all elderly people in nursing homes.

  4. The effect of severe life events on cognitive function in elderly people

    宋美

    2013-01-01

    Objective To explore the effects of severe life events on the cognitive function and tendency of mild cognitive impairment(MCI) in elderly people. Methods The cognitive function and life events of 3098 people aged 60

  5. [Home automation for elderly people in the process of losing their autonomy].

    Muller, Philippe

    2012-01-01

    The safety of elderly people, particularly dependent at night, is a major factor in preventingthem from remaining in their own home. An experiment in Corrèze using domotics and advanced remote assistance services and involving around one hundred elderly people living at home, took place from summer 2009 to autumn 2010. PMID:22519143

  6. Acceptability of the Components of a Loneliness Intervention among Elderly Dutch People: A Qualitative Study

    Honigh-de Vlaming, R.; Haveman-Nies, A.; Ziylan, C.; Renes, R. J.

    2013-01-01

    Background: Healthy Ageing is a complex intervention aimed at reducing the prevalence of loneliness among elderly Dutch people. Purpose: This study aimed to assess how mass media communication materials, information meetings, and psychosocial courses were received by elderly people at high risk of loneliness. Methods: Face-to-face interviews with…

  7. The Co-Residence of Elderly People with Their Children and Grandchildren

    Latorre Postigo, Jose Miguel; Lopez Honrubia, Rigoberto

    2010-01-01

    As a result of the increase in life expectancy in Western societies, the need for elderly people to live with their families (coresidence) is on the rise. The main objectives of this study were to determine the social perception of the advantages and drawbacks of coresidence with elderly people and establish the differences in this perception…

  8. Fall risk in an active elderly population

    Læssøe, Uffe; Hoeck, Hans C.; Simonsen, Ole;

    2007-01-01

    BACKGROUND: Falls amongst elderly people are often associated with fractures. Training of balance and physical performance can reduce fall risk; however, it remains a challenge to identify individuals at increased risk of falling to whom this training should be offered. It is believed that fall...... risk can be assessed by testing balance performance. In this study a test battery of physiological parameters related to balance and falls was designed to address fall risk in a community dwelling elderly population. RESULTS: Ninety-four elderly males and females between 70 and 80 years of age were...... population of community dwelling elderly. Falling is a complex phenomenon of multifactorial origin. The crucial factor in relation to fall risk is the redundancy of balance capacity against the balance demands of the individuals levels of fall-risky lifestyle and behavior. This calls for an approach to fall...

  9. Activity monitoring of people in buildings using distributed smart cameras

    Van Hese, Peter; Tessens, Linda; Morbée, Marleen; Kleihorst, Richard; Philips, Wilfried

    2010-01-01

    Systems for monitoring the activity of people inside buildings (e.g., how many people are there, where are they, what are they doing, etc.) have numerous (potential) applications including domotics (control of lighting, heating, etc.), elderly-care (gathering statistics on the daily live) and video teleconferencing. We will discuss the key challenges and present the preliminary results of our ongoing research on the use of distributed smart cameras for activity monitoring of people in buil...

  10. Physical Activity Patterns in the Elderly Kashan Population

    Sadrollahi, Ali; Hosseinian, Masoumeh; Masoudi Alavi, Negin; Khalili, Zahra; Esalatmanesh, Sophia

    2016-01-01

    Background Physical activity is an important component of health in old age that provides personal independence, physical ability, and quality of life. Objectives The current study aimed to evaluate physical activity and associated factors among the elderly population in Kashan, Iran. Patients and Methods This is a descriptive cross-sectional study. The sample was 400 elderly people (aged more than 60 years) living in Kashan, Iran in 2014. The subjects randomly selected via multi-stage cluster sampling from healthcare centers in three regions of Kashan. The sample size differed by gender and residence type. Each participant’s demographic characteristics and level of physical activity were recorded in a questionnaire, and the data were analyzed by SPSS version 16. Descriptive statistics, chi-square tests, Pearson correlations, and ordinal regression were used in the data analysis. The significance level for all the tests was P occupation (P health care planning for the elderly. PMID:27621923

  11. Design of a randomized controlled study of a multi-professional and multidimensional intervention targeting frail elderly people

    Gosman-Hedström Gunilla

    2011-05-01

    Full Text Available Abstract Background Frail elderly people need an integrated and coordinated care. The two-armed study "Continuum of care for frail elderly people" is a multi-professional and multidimensional intervention for frail community-dwelling elderly people. It was designed to evaluate whether the intervention programme for frail elderly people can reduce the number of visits to hospital, increase satisfaction with health and social care and maintain functional abilities. The implementation process is explored and analysed along with the intervention. In this paper we present the study design, the intervention and the outcome measures as well as the baseline characteristics of the study participants. Methods/design The study is a randomised two-armed controlled trial with follow ups at 3, 6 and 12 months. The study group includes elderly people who sought care at the emergency ward and discharged to their own homes in the community. Inclusion criteria were 80 years and older or 65 to 79 years with at least one chronic disease and dependent in at least one activity of daily living. Exclusion criteria were acute severely illness with an immediate need of the assessment and treatment by a physician, severe cognitive impairment and palliative care. The intention was that the study group should comprise a representative sample of frail elderly people at a high risk of future health care consumption. The intervention includes an early geriatric assessment, early family support, a case manager in the community with a multi-professional team and the involvement of the elderly people and their relatives in the planning process. Discussion The design of the study, the randomisation procedure and the protocol meetings were intended to ensure the quality of the study. The implementation of the intervention programme is followed and analysed throughout the whole study, which enables us to generate knowledge on the process of implementing complex interventions. The

  12. Intramuscular atropine in elderly people: Pharmacokinetic studies using the radioreceptor assay and some pharmacodynamic responses

    The pharmacokinetics (radioreceptor assay, RRA) and som clinical effects of atropine were studied in 7 elderly gynaecological surgery patients. The RRA measures only the pharmacologically active isomer of atropine, 1-hyoscyamine. Following a single 0.01 mg/kg intramuscular (M. deltoideus) injection, a very fast rate of absorption was found with mean peak serum concentration occurring after only 13 min. The reason for this could be either a preferential tissue uptake of the 1-form or the injection site or both. The elimination half-life was 2.27 hr. Only 23.1% of the given drug was excreted in urine in 24 hr as a pharmacologically active form. The clinical effects (heart rate rise, subjective sedation and antisialogogue effect) were seen after only 30 min. This somewhat faster appearance of clinical effects than in previous studies can be due to the injection site. The sedative effect of the drug is clear and long lasting in elderly people. (author)

  13. MOTIVATIONAL FACTORS FOR PHYSICAL ACTIVITY IN THE ELDERS

    J. Parreira

    2015-04-01

    Full Text Available Nowadays the elderly population is well aware of the benefits of the practice of physical activity, which leads to an increasing demand for specialized physical activity programs in urban centers or recreational self-practice. However, people easily quit those programs or recreational self-practice and return to a sedentary lifestyle. A key factor to avoid this quittance is to keep them motivated to practice and stay in the programs.Objectives: This study aims to understand the motivational factors that lead older people to physical activity in order to improve existing programs so to better meet the needs of this population.

  14. Active ageing--another way to oppress marginalized and disadvantaged elders?: Aboriginal Elders as a case study.

    Ranzijn, Rob

    2010-07-01

    This article questions whether the concept of active ageing unintentionally devalues the life experiences of disadvantaged groups of older people. It is argued that talking up the expectation that older people will continue to be physically active may further marginalize significant groups of elders, including those from diverse non-dominant cultural groups. The article draws on a study of Australian Aboriginal Elders to illustrate this point, with suggestions about culturally appropriate ageing policies. The article concludes that alternative conceptions of ageing, such as 'ageing well' or 'authentic ageing', may better capture the cultural diversity of ageing and promote social inclusion. PMID:20603295

  15. The effect of walking on quality of life of elderly people

    Lam, Chi-ting; 林之婷

    2014-01-01

    Background: The world is facing an ageing population. Physical inactivity is considered as the fourth leading risk factor for non-communicable diseases. Walking is recognized as an affordable exercise to elderly people. However there is rarely any systematic review conducted to examine the effect of walking on quality of life of elderly people Objective: This systematic review of randomized controlled trials is to examine the effect of walking on quality of life (QoL) of older people. ...

  16. Mobile Phone Based Falling Detection Sensor and Computer-Aided Algorithm for Elderly People

    Lee Jong-Ha

    2016-01-01

    Full Text Available Falls are dangerous for the elderly population; therefore many fall detection systems have been developed. However, previous methods are bulky for elderly people or only use a single sensor to isolate falls from daily living activities, which makes a fall difficult to distinguish. In this paper, we present a cost-effective and easy-to-use portable fall-detection sensor and algorithm. Specifically, to detect human falls, we used a three-axis accelerator and a three-axis gyroscope in a mobile phone. We used the Fourier descriptor-based frequency analysis method to classify both normal and falling status. From the experimental results, the proposed method detects falling status with 96.14% accuracy.

  17. Image Erosion of Elderly People in Romania and the Need for Proactive Inclusive Approaches

    Oana Elena LENŢA

    2014-06-01

    Full Text Available Present society, marked among other things by population aging due to sharp decline in birth rates and population migration respectively, feels the need of an update regarding the reporting to rights, roles and status of the citizen. Respect for the other at all stages of physical and mental development should on the one hand be transmitted through educational, economic, social policies, but on the other hand its correct implementation is essential. Elderly people constitute one of those most vulnerable categories to multiple forms of violence in the Eastern European area, because of the risks to which they are exposed. Physical, mental and conscience integrity of elderly are increasingly endangered in contemporaneity. In the present paper we will insist on the current image and perception regarding the role and status of the elderly in society, on certain elements characteristic of protection and social services whose beneficiaries are people included in this age category and equally, on the strategies that can be improved for an active integration in the economic, community and cultural life.

  18. Assisted Living Systems for Elderly and Disabled People: A Short Review

    Ivo Iliev

    2011-07-01

    Full Text Available The number of elderly people living alone in their homes is permanently growing in the whole western world. Because of the deteriorating capabilities to sense and interact with the environment, such as memory, eye sight, hearing and mobility, the ageing populations often live with significantly degraded life quality. Many also suffer from chronic diseases that require medical treatment and periodical examinations. Different Assisted Living Systems have been proposed to cope with the problems. The goal is to enable the elderly people to live longer in their preferred environment, to enhance the quality of their live and to reduce the expenses of the public health care. The Assisted Living Systems are based on a lot of sensors, actuators and multimedia equipment, providing for the autonomy of people and assisting them in carrying out their daily activities together with available interaction with remote relatives and friends. The applied approaches and implementations are specific that limit the dissemination of the results between the object oriented groups. Besides, most of the projects require considerable funding for implementation. For the time being and especially for some countries with lower Gross Domestic Product, the efforts may be directed to creation of low-cost assistive systems performing some basic tasks, related to the need and health status of the living alone adults or disabled people, e.g. automatic fall detection and signalization, as well as instantaneous monitoring the photo-pletismographic signals together with permanently available communication interface between the caregiver and the user.

  19. Study on the relationship between individual activities of daily living and self-rated health among elderly people in Beijing%老年人生活自理能力与健康自评的相关性研究

    李蕾; 孙菲; 汤哲; 刁丽军

    2016-01-01

    目的:了解北京市老年人生活自理能力状况及其与健康自评之间的相关关系。方法采取分层整群抽样方法,抽取来自北京市城区和农村的2411名60岁及以上的老年人进行问卷调查。问卷包括人口学资料、家庭与经济状况、卫生行为、躯体健康及生活活动能力等多个维度的内容。结果在接受健康自评调查的2335名老年人中,分别有6.38%和40.21%的人认为自己的健康状况为“很好”或“好”,17.26%和2.01%的老年人认为自己的健康状况为“差”或“很差”。农村老年人在日常活动中的非完全自理比例均明显高于城区老年人。女性老年人“洗澡”、“自己乘车”、“上街购物”、“走半里路”、“剪脚趾甲”和“上下一层楼”等项目的非完全自理比例明显高于男性老年人。 Logistic回归分析结果显示老年人的生活自理能力与健康状态之间存在明显的相关关系,生活非完全自理的老年人的健康自评结果明显较自理老年人差。在各因素中,进食( OR=7.51,95%CI:3.55~15.89)和室内活动(OR=7.36,95%CI:4.29~12.64)是与健康自评有关的、主要的、独立的影响因素。结论生活自理能力是老年人的自评健康状态的重要影响因素。%Objective To investigate both the prevalence of functional disability in each activity of basic activities of daily living ( ADL) item and instrumental activities of daily living ( IADL) item scales, then the association between each ADL and IADL item and the self-rated health was also explored among the elderly in Beijing. Methods The sample population consisted of 2 411 elderly people over 60, which were taken samples from urban and rural district in Beijing by stratified cluster sampling method. The investigations were completed by trained staff using questionnaires concerning demographic characteristics, living conditions and health status, and activities of

  20. Subjective Evaluations of Motion Area and Velocity Characteristics of Dual Manipulator in Young and Elderly People

    Yoda, Mitsumasa; Yoda, Asako; Shiota, Yasuhito

    In this study, we conducted a subjective evaluation experiment of a dual manipulator, which exhibits different motion characteristics. There are three motion characteristics: two of which are age-related, and the third is a robot motion characteristic and is newly added to these two motions. The motions are evaluated from motion areas and motion velocities. Subjects are elderly and young people, and the impressions of the motions are compared in two of the different age groups by the Semantic Differential (SD) method. The obtained results indicate that there are age differences in the evaluation of three manipulator motion areas. The elderly people show a higher reliability and a higher familiarity in a robot motion area than in the other two motions. The elderly people seem to be more affected by the manipulator motion than the young people. Therefore, a careful consideration is required when planning the motion of a manipulator for elderly people.

  1. Cognitive functioning in elderly people and the influence of the socio-educative variables - Results from the ELES Study

    Mª Feli González; David Facal; Javier Yaguas

    2013-01-01

    Cognitive functioning changes in elderly people. The degree of decline varies across different cognitive abilities and other variables, such as educational level and life-time professional activity, can slow down this process. This study investigates the pattern of cognitive performance in people over 50 years old, taking into account the influence of educational level and profession. Research data were collected during the pilot study of the Longitudinal Aging Study in Spain (ELES) in which ...

  2. Nutrition and Nutritional Care of Elderly People in Finnish Nursing Homes and Hospitals

    Suominen, Merja

    2007-01-01

    Background: Malnutrition is a common problem for residents of nursing homes and long-term care hospitals. It has a negative influence on elderly residents and patients health and quality of life. Nutritional care seems to have a positive effect on elderly individuals nutritional status and well-being. Studies of Finnish elderly people s nutrition and nutritional care in institutions are scarce. Objectives: The primary aim was to investigate the nutritional status and its associated fa...

  3. Prevalence of depression among elderly on open care centers for older people

    Vilma Karagianni; George Koulierakis; Christina Stylianopoulou; Fotoula Babatsikou; Charilaos Koutis

    2010-01-01

    Depression in the elderly is considered an important public health issue. Depression is the most common mental health problem among older people. It poses a critical impact on well-being and the quality of life of elderly and it is related with high expenses and great demand of health care services. Objective: To estimate the prevalence of depression among elderly in an urban area’s population and to investigate the aggravating and protective factors. Material and Method: The sample consisted...

  4. High Prevalence of Undernutrition among Elderly People in Northwest Ethiopia: A Cross Sectional Study

    Molla Mesele Wassie

    2014-12-01

    Full Text Available "Background: Nutritional status of elderly is an important determinant of their health and quality of life. Elderly people are more vulnerable for nutritional insults as compared to adults. Undernutrition among elderly people is becoming significantly high regardless of the progress on health care system. This study was aimed to assess prevalence and associated factors of under nutrition among elderly people in Gondar town, Northwest Ethiopia. Methods: A community based cross-sectional study was conducted. Two stage cluster sampling technique was used to select study participants. A total of 757 subjects were included in this study for nutritional status assessment. The predictive value of the variable to Undernutrition was identified by bivariate and multiple logistic regression analysis. Results: The prevalence of undernutrition was approximately 21.9% in elderly people included in this study. Multiple analysis found that unable to read and write [AOR 2.7 95% CI (1.7-5.2], being female [AOR 3.0 95% CI (1.6-5.4], being older [AOR 38.1 95% CI (15.0-96.9], being poor [AOR 1.8 95% CI (1.0-3.2] and have poor dietary diversity score [AOR 3.7 95% CI (1.8-7.6] are independently and negatively associated with nutritional status of elderly people. Conclusion and recommendation: This study indicated high prevalence of undernutrition among elderly people in Northwest Ethiopia. Old age range, gender, educational status, dietary diversity score and wealth index were found to be the factors affecting under nutrition of elderly people. Nutrition intervention and educations focusing on very old and female elderly people in improving health care and dietary practice are highly recommended in this study area. "

  5. Vitamins and mineral intake in elderly people from Extremadura.

    Campillo, J E; Pérez, G; Rodriguez, A; Torres, M D

    2002-01-01

    To evaluate the vitamin and mineral consumption of a group of elderly people of the Comunidad of Extremadura. 122 subjects 62.5+/-5.3 years (64 women, 57 men) responded to a survey on their food intake the day before. The vitamin and mineral intake was calculated using a computer program from the University of Granada. We found no statistically significant differences by gender in the intake of the following vitamins: niacin (24.5+/-10.1 vs 25.6+/-9.7 mg/day), B1 (1.6+/-0.6 vs 1.7+/-0.6 mg/day), B6 (1.7+/-0.6 vs 1.8+/-0.5 mg/day), C (129.5+/-82.1 vs 158.1+/-97.6 mg/day), D (4.4+/-7.5 vs 3.8+/-6.5 microg/day), E (7.8+/-4.1 vs 8.1+/-3.8v mg/day), and folic acid (326.6+/-164.0 vs 383.1+/-215.3 microg/day). We did find statistically significant differences in the intake of the vitamins: A (582.2+/-299.6 vs 771.8+/-602.2 microg/day, pB12 (23.4+/-20.3 vs 13.1+/-12.1 microg/day, pvit.A, while the vit.B12 intake was greater than the RDA. The intake of the other parameters fitted the recommended values. PMID:11813083

  6. Evaluation of animal welfare in dogs working with animal assisted interventions for elderly people with dementia

    Barstad, Borghild Njærheim

    2014-01-01

    Animal assisted interventions (AAI) have a beneficial effect on human health, but little research is done on the impact this kind of work has on the animals involved. The aim of this study is to evaluate the welfare of dogs working with AAI for elderly people with dementia during a period of 12 weeks, with two intervention days per week. Thirteen dogs participated in the study, five in animal assisted therapy (AAT) and eight in animal assisted activity (AAA). Video recordings were made durin...

  7. Enjoyment, intention to use and actual use of a conversational robot by elderly people

    M. Heerink; B. Kröse; B.J. Wielinga; V. Evers

    2008-01-01

    In this paper we explore the concept of enjoyment as a possible factor influencing acceptance of robotic technology by elderly people. We describe an experiment with a conversational robot and elderly users (n=30) that incorporates both a test session and a long term user observation. The experiment

  8. A STUDY OF DEPRESSION LEVEL AMONG ELDERLY PEOPLE IN THE RURAL AREA OF BIJAPUR, INDIA

    Santosh D

    2015-04-01

    Full Text Available BACKGROUND: “Population ageing” was one of the most distinctive demographic events of the twentieth century. Growth in the elderly population has led to an increase in age related diseases and mainly depression affecting quality of life. Depression in old age is an emerging public health problem leading to morbidity and disability worldwide. In India there is acute scarcity of adequately trained mental health professionals. In this context , there is need to study the level of depression in old age and an effective screening tool which can be used to detect and treat depression. OBJECTIVES: 1 To assess the prevalence of depression in elderly using the Geriatric Depression Scale (GDS. 2 To examine the socio - demographic fac tors associated with depression among elderly people. MATERIALS AND METHODS: A cross - sectional , community based study was conducted in Shivanagi village of Bijapur District , Karnataka. A random sample of 388 elderly people was taken for the study. GDS was used to assess depression. Those with any psychiatric morbidity and without consent were excluded. Data was analyzed using Chi Square test of association , tests of difference between mean , and standard deviation with SPSS software. RESULTS: The magnitude o f mild or severe depression was 34 percent on GDS scale. The prevalence of depression was found to be more among women , and it was statistically significantly positively associated with increasing age , illiteracy , a low socio - economic status , those who wer e living alone , those who were economically partially dependent and those who were totally dependent for the activities of daily living. CONCLUSION: These findings could guide community - based program managers to devise and implement effective and timely me ntal health interventions for older adults in order to prevent geriatric depression and develop comprehensive strategy for its early diagnosis

  9. CARDIOVASCULAR BENEFITS AND POTENTIAL HAZARDS OF PHYSICAL EXERCISE IN ELDERLY PEOPLE

    Mauri Kallinen

    2005-04-01

    Full Text Available Large and consistent beneficial effects with few adverse effects have been found in relation to physical exercise in selected samples of elderly subjects. However, thus far, it has not been confirmed to what extent the effects of physical exercise among elderly people are beneficial or even harmful in population-based studies. Additionally, the role of exercise testing among elderly people remains unclear. Firstly, the effects of prolonged physical training on cardiovascular fitness in 66-85-year-old women were examined in a cross-sectional study. Secondly, the predictive value of exercise-test status and results, including exercise capacity for survival, were studied in 75-year-old men and women. Thirdly, the effects of an endurance and strength training programme were examined in women aged 76 to 78 years in a population-based randomized controlled trial. Finally, the cardiac-adverse effects of acute exercise in the form of a cycle ergometer test were clarified in 75-year-old men and women. In the maximal exercise tests the mean peak oxygen uptake was respectively 26.2 and 18.7 ml·kg-1·min-1 among the physically active and less active control women. High cycling power (Watts per kg body weight in the completed ergometer test was associated with decreased risk for death (multivariate HR 0.20; CI 0.08 - 0.50. The 18-week strength training resulted in a 9.4% increase in peak oxygen uptake while the endurance training improved peak oxygen uptake by 6.8%. A significant increase in cycling power in W/kg was found in the strength and endurance training groups compared to controls. Five cases of cardio- or cerebrovascular health problems emerged in the exercise training groups. These health problems were not directly related to physical exertion. In the final study 23 and 7% of the exercise tests in men and women, respectively, were prematurely terminated because of cardiac arrhythmia or ST segment depressions. Using various study designs and

  10. Features of self-control indicators in wellness walking elder people

    Myhalchuk T.D.

    2012-04-01

    Full Text Available The article examines the specifics of organization of control and self-control in health walking with elderly people. Particular attention is paid to the use of self-control indicators in the health training. Disclosed the direction of the choice of dose of physical activity. Allocated basis of motivation of older people to recreational pursuits walking. Mode walking with varying heart rate and the rate has been divided into three zones. Described the influence of recreational walking on the system, provide recommendations leading experts in the field. There is determined a role and place of pedagogical control and self-control as an integral part of fitness training, which enables to control physical activity.

  11. Life quality of low-vision elderly people: before and after hearing and speech intervention

    Mayla Myrina Bianchim Monteiro

    2015-08-01

    Full Text Available ABSTRACT Aim: To evaluate life quality of elderly people with acquired low vision before and after hearing and speech intervention. Methods: This was a descriptive cross-sectional study. The study was made with 52 elderly people with acquired low vision. Two questionnaires that measures life quality were used in this study. The first was ‘Low Quality of Life Vision (LVQOL’ and the second the ‘National Eye Institute Visual Function Questionnaire (NEIVFQ-25’. The study included people with more than 60 years with acquired low vision and who accepted to participate signing the consent form. The hearing and speech therapy were made into three months, one meeting a week. The questionnaires were applied in the first and last day of the intervention. Results: The age ranged between 60 and 91 years. The macular disorder (38%, such as age-related macular degeneration, macular hole and high myopia were the main causes of visual loss. Although the tests show superior performance after the intervention, there was no statistically significant difference. On the question about difficulties seeing in general, 17 participants answered that they had much more difficulty before the intervention and only 5 participants have reported having much difficulty after the intervention. Conclusion: The intervention trended to positive results, and after the meetings, participants showed improvements in aspects of the two questionnaires used in the study, decreasing the degree of difficulty in performing activities.

  12. The self-medication in elderly people and the role of health professionals and nursing

    Cecília Nogueira Valença, Raimunda Medeiros Germano, Rejane Maria Paiva de Menezes

    2010-01-01

    Objective: to analyze the complex theme of self-medication in the elderly people and the role of health professionals and nursing. Methodology: this is a theoretical essay based on a literature review of the narrative type. It was selected articles indexed in databases Scientific Electronic Library Online (SciELO) and the Database of Nursing (BDENF), from 2003 to 2009, using as descriptors: self-medication, nursing and elderly people. It was also used books and manuals of the ministry of heal...

  13. The implementation of the functional task exercise programme for elderly people living at home

    Fleuren Margot A H; Vrijkotte Susan; Jans Marielle P; Pin Renske; van Hespen Ariette; van Meeteren Nico L U; Siemonsma Petra C

    2012-01-01

    Abstract Background The Functional Task Exercise programme is an evidence-based exercise programme for elderly people living at home. It enhances physical capacity with sustainable effects. FTE is provided by physiotherapists and remedial therapists. Although the intervention was found to be effective in a Randomised Controlled Trial, we may not assume that therapists will automatically supply the programme or that elderly people will automatically join the programme. This study protocol focu...

  14. Qualitative research on the importance and need for home-based telecare services for elderly people

    Yung-Hung Wu, PhD; Ya-Chen Lu, MS

    2014-01-01

    Background/Purpose: Aging society has become a worldwide issue in recent years. Elderly people are considered to have higher risks of contracting multiple chronic diseases and comorbidities, thus increasing the need for care. Currently, efforts to develop long-term care for elderly people thrives more than before. Telecare has the potential to improve intractable problems in health care, such as limited access, uneven quality of care and cost inflation. The main purpose of this research is to...

  15. The implementation of the functional task exercise programme for elderly people living at home

    Fleuren, M.A.H.; Vrijkotte, S.; Jans, M P; Pin, R.; Hespen, A. van; van Meeteren, N. L. U.; Siemonsma, P.C.

    2012-01-01

    Background: The Functional Task Exercise programme is an evidence-based exercise programme for elderly people living at home. It enhances physical capacity with sustainable effects. FTE is provided by physiotherapists and remedial therapists. Although the intervention was found to be effective in a Randomised Controlled Trial, we may not assume that therapists will automatically supply the programme or that elderly people will automatically join the programme. This study protocol focuses on i...

  16. Sleep disturbance among elderly people in Nursing home: A nonpharmacological approach - Literature Review study

    Ngang, Roland Mbe

    2011-01-01

    Sleep disturbance is a common complaint among elderly people living in nursing home. This phenomenon is usually as a result of a series of related factors including medical, environmental, and behavioral and age related factors. Aims: The purpose of the study is to bring to lime line what needs to be done in promoting health through empowerment strategies among elderly people suffering from sleep disturbance. To research on common sleep assessment tools available to diagnose sleep dis...

  17. Correlates of Reminiscence Activity among Elderly Individuals.

    Quackenbush, Steven W.; Barnett, Mark A.

    1995-01-01

    Examines several psychological characteristics and life experiences that may be related to reminiscence activity among elderly individuals (n=70). Results provide support for the notion that aspects of reminiscence activity are associated with individual differences in specific psychological and situational variables. (JPS)

  18. BARRIERS TO PHYSICAL ACTIVITY IN THE ELDERLY

    Paulo Matias

    2015-04-01

    Full Text Available The population awareness of the physical exercise’s benefits is widely diffused. These benefits are particularly important in the elderly because, with increasing age, there is a decline of the musculoskeletal system and the maximum oxygen consumption which reduces the functional fitness of the elderly and can often lead to a significant decline in the quality of life. Despite this awareness, a large part of the population remains sedentary. It is important to know what the barriers are, so they can be circumvented in order to increase the engagement of the elderly population in existing physical activity programs.Objectives: This study aims to identify some of the personal, behavioral and environmental barriers that prevent older adults to be physically active.

  19. [The impact of frailty on the oral care behaviour and dental service use of elderly people].

    Niesten, D; van der Sanden, W J M; Gerritsen, A E

    2015-04-01

    In order to explore how the level of frailty and various frailty factors affect the dental service use and oral self-care behaviour of frail elderly people, 51 frail elderly people were interviewed. Additional information on age, gender, living situation, prosthetic status, self-reported health and oral health, chronic diseases and an index for frailty was collected. A thematic qualitative analysis of the collected data reveals that frail elders maintain long-established oral hygiene routines as long as possible to sustain a sense of self-worth. When burdened by severe health complaints they discontinue visits to the dentist first and oral hygiene routines subsequently. A loss of confidence in the results of dental service use, the trivializing of complaints and a diminishing sense of the importance of oral health play a role in these developments. Frail elderly people also experience psychological and social barriers to oral healthcare and dental service use when they are institutionalized. PMID:26210121

  20. 活跃老年人健康体适能与慢性病分析%Correlative analysis between the health-related physical fitness parameters and chronic disease in 1026 active elderly people

    孟申; 林世平; 徐峻华; 林玉瑰; 王作亮; 卫云红; 陈耀秀; 王晓曦; 林恩平

    2015-01-01

    患不同慢性病的种类和风险.%Objective To evaluate the relationship between the health-related physical fitness parameters and chronic disease in active elderly people who lived in Haikou Golden Heights.Methods We retrospectively analyzed the relationship between the health-related physical fitness and chronic disease.The data were collected from 1026 elderly who lived in Haikou Golden Heights between June 2012 and March 2014.Grip strength,vital capacity,body anteflexion in sitting position,choice reaction time,balance indexes were detected according to the National Physical Fitness Evaluation Standard Manual (elderly people).Cardiorespiratory endurance,body fat percentage and bone mineral density (BMD) were measured by using CATEYEEC 1200 power bike bicycle,multi-frequency body composition analyzer MC-180MA,and OSTERO PRO UBD2002A ultrasound densitometer respectively.Data were statistically analyzed by multivariate regression analysis.Results The cardiorespiratory endurance(β=-0.087),vital capacity(β=-27.492),grip strength (β=-0.101),choice reaction time(β=0.007),flexibility(β=-0.204) and BMD T score(β=-0.026) were declined with age in females,while the vital capacity(β=-19.178),grip strength(β=-0.373) were declined,but body fat percentage(β=0.218) and BMD T score(β=0.034) were increased with age in males.With the weight gained,the cardiorespiratory endurance(β=-0.036),vital capacity(β=-6.503)and balance index(β=-0.059) were declined,but grip strength (β=0.037)was increased;with the body height increased,the vital capacity(β=39.111),grip strength(β=0.299),BMD T score(β=0.028) and choice reaction time(β=-0.005) got better,which showed that the age and weight were risk factors for the health-related physical fitness in the elderly,while the body height was the protective factor for health-related physical fitness.The number of chronic diseases(β=0.031),hyperlipidemia(β=0.004),coronary heart disease(0.008) and osteoarthropathy(β=0

  1. Analytic Hierarchy Process to Define the Most Important Factors and Related Technologies for Empowering Elderly People in Taking an Active Role in their Health.

    Fico, G; Gaeta, E; Arredondo, M T; Pecchia, L

    2015-09-01

    Successful management of health conditions in older population is determined by strategic involvement of a professional team of careers and by empowering patients and their caregivers to take over a central role and responsibility in the daily management of condition. Identifying, structuring and ranking the most important needs related to these aspects could pave the way for improved strategies in designing systems and technological solutions supporting user empowerment. This paper presents the preliminary results of a study aiming to elicit these needs. Healthcare professionals, working together in the European and Innovation Partnership on Active and Healthy Ageing (EIP-AHA) initiative, have defined a set of needs and factors that have been organized in two hierarchies around the concepts of patient activation and proactive and prepared care team, defined in the Chronic Care Model. The two hierarchies have been mapped, by a team of experts in computer science, with technologies and solutions that could facilitate the achievement of the identified needs. PMID:26254254

  2. Images of Aging in Institutionalized and Non-Institutionalized Elderly People

    Marlene Lopes

    2012-07-01

    Full Text Available Aim: The aim of this study was to assess and compare images and stereotypes of aging in institutionalized and non-institutionalized elderly people. This is a descriptive study using a survey. Method: The instruments used were a sociodemographic questionnaire and the ImAges scale. A total of 120 elderly people, aged between 65 and 99 years, participated in this study. Results: Statistically significant differences were found, for the scale’s three factors, between institutionalized and non-institutionalized older adults. In the factor “dependence, sadness and old-fashioned”, the institutionalized participants presented a higher number of negative images and stereotypes (M = 51.8; DP = 6.01 than the non-institutionalized participants (M = 49.0; DP = 7.85, these differences were significant (t(118 = -2.16; p < 0.05. In the “maturity, activity and affectivity” factor, there were also significant differences (t(118 = 2.04; p < 0.05, the non-institutionalized participants present higher rates of positive images and stereotypes (M = 20.2; DP = 3.28, when compared to institutionalized participants (M = 19.0; DP = 3.310. Conclusion: The results suggested that institutionalized older adults presented more negative aging images than non-institutionalized.

  3. TAKING CARE OF THE SICK ELDER PEOPLE AT HOME IN THE SPEECH OF FAMILIAL CARE TAKER

    Roceli Brum Cattani

    2004-08-01

    Full Text Available This investigation is about an exploratory, descriptive and in a qualitative approach study, which hadas its objective to know how the choice of the sick elderly people’s familial caretaker occurs and how the caretakerfeels in this role. The main caretaker was interviewed in home visits. The sample was constituted of nine familialcaretakers, mainly from the female sex: wives, daughters, daughters-in-law, granddaughters, and the husband. Forthe analysis of the data, the content analysis, following the methodological steps of Minayo, was used. Twoanalytical categories were elaborated: being a familial caretaker: is it an option or an obligation?, which shows thatthe choice of taking care is closely related to the feeling of obligation, but also to affection relations, gratitude andthe impossibility of choosing another caretaker, and being a sick elderly people’s familial caretaker that approachesfeelings of gratitude, resignation, inexperience in face of the care demands, physical and emotional tiredness, lossof freedom and solitude due to the activity in the caretaker.

  4. Elder people and ICT. A commitment to bridging the digital divide

    Margarita Rosa Pino Juste

    2015-05-01

    Full Text Available With increasing life expectancy and growth of knowledge and information, ICT enable elderly people to increase and improve their individual and social development and optimize their quality of life from a technical, economic, political and cultural viewpoint.The present study aims to analyze the use that elderly people make of ICT. The method used for the study is descriptive using the questionnaire technique to verify the knowledge that elderly people have on ICT, interest, tools and difficulties of access.Results show that elderly people consider poor their ICT skills, using them primarily to communicate with friends and family. Most of them can use the e-mail, can open, print and attach a file and use Internet search engines to find information, the lowest values are associated with spreadsheets, databases and statistical packages. They consider ICT as being useful to help building communication, developing integration, generating information among people and improving intergenerational relationship, gathering information not readily accessible by other means and learning new skills. They have no fear when using them, consider attainable their learning and see many possibilities in its use and therefore worth spending time and effort but feel that society is too dependent on computers. In conclusion, we consider essential to improve access for elderly people to ICT as an important tool for improving their quality of life and there are no major difficulties for effective management.

  5. Effectiveness of Treadmill Training on Balance Control in Elderly People: A Randomized Controlled Clinical Trial

    Soraya Pirouzi

    2014-11-01

    Full Text Available Physical exercise would improve postural stability, which is an essential factor in preventing accidental fall among the elderly population. The aim of this study is to examine the effectiveness of treadmill walking on balance improvement among the elderly people. A total of 30 community dwelling older adults with a Berg Balance Scale score of 36-48 and the ability to walk without aid were considered and divided into control (n=15 and experimental (n=15 groups. Individuals in the experimental group participated in 30 minutes of forward and backward treadmill training based on three times a week interval for a period of four weeks. Individuals in the control group were instructed to continue with their daily routine activity. Before and after training, gait speed was measured by six-minute walk test and balance ability was evaluated by Fullerton Advanced Balance Scale (FABS and Berg Balance Scale (BBS tests. Postural sway items such as the Center of Pressure (COP, average displacement and velocity were evaluated by using a force platform system. Data were collected in quiet standing, tandem position and standing on foam pads before and after intervention. After intervention, balance variables in the experimental group indicated a significant improvement in quiet standing on firm and foam surfaces, but no considerable improvement was shown in tandem position. A between-group comparison showed a significant reduction in COP velocity in the sagittal plane (P=0.030 during quiet standing and in the frontal plane (P=0.001 during standing on foam, whereas no significant reduction in COP parameters during tandem position was found. It is recommended that twelve sessions of forward and backward treadmill walk are effective in balance improvement in elderly people. Trial Registration Number: IRCT201209199440N2

  6. Older people's perspectives on an elderly-friendly hospital environment: an exploratory study

    Karki S

    2015-05-01

    Full Text Available Sushmita Karki,1 Dharma Nand Bhatta,1,2 Umesh Raj Aryal3 1Department of Public Health, Nobel College, Pokhara University, Kathmandu, Nepal; 2Faculty of Medicine, Epidemiology Unit, Prince of Songkla University, Songkhla, Thailand; 3Department of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal Background: Many older people are vulnerable with multiple health problems and need of extensive care and support for quality of life. The main objective of this study was to explore the older people's perspectives on an "elderly-friendly" hospital. Methods: Hospital was stratified by four domains including government, semi-government, community, and private. We interviewed 33 hospitalized older patients and four hospital managers between June and December 2014 in Kathmandu, Nepal, using purposive sampling technique. We executed a qualitative content analysis step with extensive review of the interviews. Final name of the theme was given after the agreement between the research team and experts to improve trustworthiness. Elderly-friendly services, expectation from government and hospital, and health policy related to senior citizen were developed as main themes. Results: Most of the participants were satisfied with the behavior of health personnel. However, none of the health personnel were trained with geriatric health care. Elderly-friendly hospital guidelines and policy were not developed by any hospitals. Older people health card, advocacy for older people's health and benefit, and hospital environment were the common expectations of older patients. Government policy and budget constraint were the main obstacles to promote elderly-friendly health care services. Conclusion: Elderly-related health policies, physical environments of hospital, elderly-friendly health manpower, advocacy, and other facilities and benefits should be improved and developed. There are urgent needs to develop elderly-friendly hospital policies and guidelines that

  7. Assessing the Quality of Life in Elderly People and Related Factors in Tabriz, Iran

    Yaser Khaje-Bishak

    2014-12-01

    Full Text Available Introduction: Elderly people may suffer from the multiple health disorders due to the vulnerability for many physical and mental disturbances. Quality of life in elderly population can be affected by many environmental factors. The aim of this study was aimed to examine the quality of life in elderly people in Tabriz, Iran in 2012. Methods: This cross-sectional study was carried out on 184 elderly people (male=97; female=87 with age ≥ 60 years. The participants surveyed in this study were elderly people who were living in the community and come voluntarily to the daily care centers. Validated Persian self-reported version of World Health Organization Quality of Life-BRIEF (WHOQOL-BRIEF questionnaire including 26 broad and comprehensive questions were used to determine the quality of life in elderly people. Independent t-test and Pearson correlation were used to compare differences and correlation between the total score of quality of life and influential factors. Results: Total score the quality of life in both genders was 90.75 (13.37 (range between 26-130. Male elderly had slightly high score in the quality of life; however, these differences were not significant. A significant difference was observed between having cardiovascular diseases, respiratory and gastrointestinal diseases, hearing and visual impairments with total score in the quality of life. Also, there was no significant difference between gender and age variables with total score in the quality of life. Conclusion: Policies and programs should be considered for improving the quality of life. Future studies are needed for assessing other influential factors on the quality of life in elderly population.

  8. Active video gaming to improve balance in the elderly.

    Lamoth, Claudine J C; Caljouw, Simone R; Postema, Klaas

    2011-01-01

    The combination of active video gaming and exercise (exergaming) is suggested to improve elderly people's balance, thereby decreasing fall risk. Exergaming has been shown to increase motivation during exercise therapy, due to the enjoyable and challenging nature, which could support long-term adherence for exercising balance. However, scarce evidence is available of the direct effects of exergaming on postural control. Therefore, the aim of the study was to assess the effect of a six-week videogame-based exercise program aimed at improving balance in elderly people. Task performance and postural control were examined using an interrupted time series design. Results of multilevel analyses showed that performance on the dot task improved within the first two weeks of training. Postural control improved during the intervention. After the intervention period task performance and balance were better than before the intervention. Results of this study show that healthy elderly can benefit from a videogame-based exercise program to improve balance and that all subjects were highly motivated to exercise balance because they found gaming challenging and enjoyable. PMID:21685660

  9. Trauma in elderly people: access to the health system through pre-hospital care1

    da Silva, Hilderjane Carla; Pessoa, Renata de Lima; de Menezes, Rejane Maria Paiva

    2016-01-01

    Objective: to identify the prevalence of trauma in elderly people and how they accessed the health system through pre-hospital care. Method: documentary and retrospective study at a mobile emergency care service, using a sample of 400 elderly trauma victims selected through systematic random sampling. A form validated by experts was used to collect the data. Descriptive statistical analysis was applied. The chi-square test was used to analyze the association between the variables. Results: Tr...

  10. Self-Assessed Health of Elderly People in Brussels: Does the Built Environment Matter ?

    Dujardin, Claire; Lorant, Vincent; Thomas, Isabelle

    2013-01-01

    The built environment plays a key role in the strategy of “Aging in Place”. Here, we study the influence of the built environment on the health status of elderly people living in Brussels. Using census and geocoded data, we analysed if built environment factors were associated with poor self- assessed health status and functional limitations of elderly aged 65+. We concluded that the evidence of the built-environment hypothesis is weak and vulnerable to the composition of the neighborhood.

  11. The impact of an Intermediate Care Hospital on the chain of care for hospitalized elderly people

    Dahl, Unni Alice

    2016-01-01

    Better care for elderly people with chronic conditions and comprehensive care needs has become a health policy priority in many countries. Elderly patients are particularly vulnerable to discontinuities in care, and are often those most in need of a health care system that is capable of appropriate collaboration and communication across care levels. Various arrangements have been introduced to improve coordination of health care services for these patients. Intermediate care is...

  12. A multiagent system to assist elder people by TV communication

    Víctor PARRA

    2015-03-01

    Full Text Available This paper presents a model that assist seniors requiring care. This system is based on a multiagent platform in order to facilitate the communication of the modules composing the model. The application allows independence for the elderly, as he is moving in a secure environment. Besides, it provides different facilities through a platform accessible to everyone, by using the TV.

  13. Needs of frail elderly people in informal settlements

    P du Rand

    2001-09-01

    Full Text Available The frail elderly in informal settlements find themselves in an extremely vulnerable position due to a number of factors, namely, their increasing dependency status, limited resources and adverse physical environment. Various aspects that influence the aged in their present environment will be highlighted. A survey method was used to explore and to describe the world in which they live in informal areas. The attitude, expectation and needs of the elderly in respect of their care was also determined. A random cluster sample was taken. Data was collected by means of interviews in terms of a semi-structured questionnaire. It appears that the frail elderly were happy in the environment in which they received care in spite of their unfavourable physical environment and limited resources. The communities where the frail elderly lived were largely unaware of the valuable inputs they can make regarding the care of the aged. This necessitates the development of programs in the heart of communities, owned by communities, where all role players in the care of the aged participate.

  14. Adaptability of Kitchen Furniture for Elderly People in Terms of Safety

    Jasna Hrovatin; Kaja Širok; Simona Jevšnik; Leon Oblak; Jordan Berginc

    2012-01-01

    The number of senior citizens is rapidly increasing, which consequently signifi es an increase in the number of people having sight, hearing or memory diffi culties, people with hampered mobility, and people who find it increasingly diffi cult to process information. Elderly persons experience a greater degree of risk whilst performing daily tasks in their kitchens. Moreover, they are more susceptible to infection and illnesses, necessitating greater care to achieve hygienic conditions within...

  15. The implementation of the functional task exercise programme for elderly people living at home

    Fleuren Margot A H

    2012-07-01

    Full Text Available Abstract Background The Functional Task Exercise programme is an evidence-based exercise programme for elderly people living at home. It enhances physical capacity with sustainable effects. FTE is provided by physiotherapists and remedial therapists. Although the intervention was found to be effective in a Randomised Controlled Trial, we may not assume that therapists will automatically supply the programme or that elderly people will automatically join the programme. This study protocol focuses on identifying determinants of implementation, developing implementation strategies and studying the effects of the implementation in daily practice. Methods/Design Phase 1: The systematic identification of determinants of the implementation of FTE among therapists and the elderly. A questionnaire study was conducted in a random sample of 100 therapists, and interviews took place with 23 therapists and 8 elderly people (aged 66 to 80 years. The determinants were broken down into four categories: the characteristics of the environment, the organisation, the therapists, and the training programme. Phase 2: Developing and applying strategies adapted to the determinants identified. Fifteen physiotherapists will be trained to provide FTE and to recruit elderly people living at home. The therapists will then deliver the 12-week programme to two groups of elderly, each consisting of six to twelve people aged 70 years or older. Phase 3: Study of implementation and the impact. To study the actual use of FTE: 1 therapists record information about the selection of participants and how they apply the key features of FTE, 2 the participating elderly will keep an exercise logbook, 3 telephone interviews will take place with the therapists and the elderly and there will be on-site visits. The effects on the elderly people will be studied using: 1 the Patient-Specific Questionnaire, the Timed Up and Go test and a two performance tests. All tests will be performed at

  16. Vitamin D Deficiency and Leisure Time Activities in the Elderly: Are All Pastimes the Same?

    Marina De Rui; Elena Debora Toffanello; Nicola Veronese; Sabina Zambon; Francesco Bolzetta; Leonardo Sartori; Estella Musacchio; Maria Chiara Corti; Giovannella Baggio; Gaetano Crepaldi; Egle Perissinotto; Enzo Manzato; Giuseppe Sergi

    2014-01-01

    BACKGROUND: Optimal vitamin D status is important for overall health and well-being, particularly in the elderly. Although vitamin D synthesis in the skin declines with age, exposure to sunlight still seems to help older-aged adults to achieve adequate serum 25-hydroxyvitamin D (25OHD) levels. Elderly people would therefore benefit from outdoor leisure activities, but the effects of different types of pastime on serum 25OHD levels have yet to be thoroughly investigated. AIMS: To assess the as...

  17. Domotics in existing houses for elderly people. Evaluation of the project Lidwinahof. People, Planet, Profit; Domotica in bestaande seniorenwoningen. Evaluatie project Lidwinahof. People, Planet, Profit

    Schouw, J.; Corpeleijn, M.; Poiesz, E. [CEA, Rotterdam (Netherlands)

    2003-08-01

    Domotics is applied in 49 houses for elderly people of the building complex Lidwinahof in Best, Netherlands. The domotics application concerns the functions safety (burglary, control of access, fire), care (emergency call, measurement of activity) and comfort (lighting). Among all residents an evaluation has been carried out from the perspective of sustainable development. A precondition for sustainable development is a balance between social, ecological and economical benefits (People, Planet and Profit). Results before and after the application of domotics are compared. [Dutch] De afgelopen jaren hebben diverse woningcorporaties een pilot-project met domotica uitgevoerd, met name met toepassingen op het gebied van wonen en zorg. Domein (woningcorporatie in Eindhoven, Best en Son en Breugel) was in het voorjaar van 2002 de eerste woningcorporatie die domotica heeft toegepast in de bestaande bouw (49 seniorenwoningen van het complex Lidwinahof in Best). Het systeem bevatte de functies veiligheid (inbraak, toegangscontrole, brand), zorg (noodoproep, activiteitsmeting) en comfort (verlichting). Onder alle bewoners is een evaluatie uitgevoerd vanuit het perspectief van duurzame ontwikkeling. Voorwaarde voor duurzame ontwikkeling is een balans tussen sociale, ecologische en economische opbrengsten (People, Planet en Profit). De resultaten op deze drie gebieden voor en na toepassing van domotica zijn vergeleken.

  18. Beneficios psicológicos de un programa proactivo de ejercicio físico para personas mayores (Psychological benefits of a proactive physical exercise program for elderly people)

    Roberto Silva Piñeiro; José Manuel Mayán Santos

    2016-01-01

    Many studies have addressed the benefits of physical activity in elderly people. However, the physical activity models followed have not always taken into account the role of active articipation. In general, these models have been mainly influenced by directive methodologies and emphasise physical training; these aspects offer greater group control and less organizational effort. The main aim of this study was to compare two physical activity programs for elderly people and determine their...

  19. Neurological abnormalities and neurocognitive functions in healthy elder people: A structural equation modeling analysis

    Chan Raymond CK

    2011-08-01

    Full Text Available Abstract Background/Aims Neurological abnormalities have been reported in normal aging population. However, most of them were limited to extrapyramidal signs and soft signs such as motor coordination and sensory integration have received much less attention. Very little is known about the relationship between neurological soft signs and neurocognitive function in healthy elder people. The current study aimed to examine the underlying relationships between neurological soft signs and neurocognition in a group of healthy elderly. Methods One hundred and eighty healthy elderly participated in the current study. Neurological soft signs were evaluated with the subscales of Cambridge Neurological Inventory. A set of neurocognitive tests was also administered to all the participants. Structural equation modeling was adopted to examine the underlying relationship between neurological soft signs and neurocognition. Results No significant differences were found between the male and female elder people in neurocognitive function performances and neurological soft signs. The model fitted well in the elderly and indicated the moderate associations between neurological soft signs and neurocognition, specifically verbal memory, visual memory and working memory. Conclusions The neurological soft signs are more or less statistically equivalent to capture the similar information done by conventional neurocognitive function tests in the elderly. The implication of these findings may serve as a potential neurological marker for the early detection of pathological aging diseases or related mental status such as mild cognitive impairment and Alzheimer's disease.

  20. The self-medication in elderly people and the role of health professionals and nursing

    Cecília Nogueira Valença, Raimunda Medeiros Germano, Rejane Maria Paiva de Menezes

    2010-05-01

    Full Text Available Objective: to analyze the complex theme of self-medication in the elderly people and the role of health professionals and nursing. Methodology: this is a theoretical essay based on a literature review of the narrative type. It was selected articles indexed in databases Scientific Electronic Library Online (SciELO and the Database of Nursing (BDENF, from 2003 to 2009, using as descriptors: self-medication, nursing and elderly people. It was also used books and manuals of the ministry of health. From the reading and qualitative synthesis of abstracts, were set up two axes of analysis and reflection: Aging and self: views on the issue and Medication in the elderly people: the role of health professionals and nursing. Results: the elderly people are the age group that uses more drugs. Self-medication is a practice that can generate serious health risks such as intoxication. The qualified professional should guide the public about the medicine to lessen the risk and effectively as possible. Conclusion: it was conclude that the use of knowledge of health professionals and nurses to help to reduce the risks associated with self-medication and problems related to use of medicines, contributing to the improvement of quality of life of older people.

  1. [Social support and living conditions in poor elderly people in urban Mexico].

    Pelcastre-Villafuerte, Blanca Estela; Treviño-Siller, Sandra; González-Vázquez, Tonatiuh; Márquez-Serrano, Margarita

    2011-03-01

    The aim of this paper was to analyze social support and living conditions among poor elderly people in Mexican cities. A qualitative study with eight focus groups was carried out in Guadalajara, Cuernavaca, Chilpancingo, and Culiacan, Mexico, in 2005. Forty men and 63 women participated in the study. The main support for the elderly in daily living came from their immediate family and in some cases from neighbors. Social support was basically material and economic, in addition to providing company and transportation for medical appointments. Daily emotional support, companionship, and social inclusion were minimal or absent. The study identified a significant lack of support from government and religious or civil society organizations. The family is still the main source of support for the elderly. Increased government collaboration is dramatically needed to combat the misconception that the needs of the elderly are the individual family's responsibility rather than a collaborative effort by society. PMID:21519697

  2. Socio-economic cultural transformations and Depression in elderly people.

    Stranieri, Giuseppe; Carabetta, Carmelo

    2015-09-01

    The socio-economic and cultural evolution in the last decades encouraged a significant process of transformation of the life conditions in advanced societies, particularly the average duration of the life of the elderly population, which since the second half of the past century has increased by about 60%, becoming from an average of fifty years to about eighty two for women and eighty for men. This phenomenon enables scholars and in particular demography scholars, to assume that in 2030 the number of elderly persons will reach about two billion worldwide. This development of an increasingly longer life expectancy, justifies the trust in the great progress that characterizes our society. The rapid growth of this segment of population, due to the improved living conditions and the related progress in science, technology and medicine, in addition to its positive aspects, also includes negative elements, which already affect the Welfare State and, more generally, the public administration that is called to fill the gaps that the transformation of the family and kinship networks have treated with indifference. The problems of the increasingly long-lived, is not freed from new elements of negativity related to the physical and mental decline that leads to the development of new diseases in addition to those already present, ans is increasingly motivated to seek the best remedies to shorten or eliminate the diseases of the elderly. In this context, Depression assumes a central dimension which will surely be a central concern for the economic, social and health impact and for the multitude of changes that put in crisis many of the traditional institutions. This work aims to analyze through a careful review of the scientific literature, the causes of the spread of this disease, the diagnostic difficulties and possible solutions for prevention and care. PMID:26417765

  3. [About elderly people and the healing effect of poetry].

    Marcoen, A

    2010-06-01

    Poems about aging and old age are published regularly in anthologies and websites. Over 15% of persons of 16 years and older in the Netherlands write poems at some time, including 8% of the elderly. Poetry reading and writing can have a beneficial effect. In many countries bibliotherapy and poetry therapy are part of the therapeutic arsenal of the health care practitioners. There is more and more research into the effects of creative writing on many health indicators at the physiological, emotional and cognitive levels of functioning. In the Dutch speaking countries, too, the possible benefits of poetry deserves the attention of gerontological practitioners and researchers. PMID:20593738

  4. The related factors to mild cognitive function impairment in community elderly people in 4 areas of Hebei Province

    宋美

    2014-01-01

    Objective To explore the related factors to mild cognitive function of community elderly people above 60years in 4 areas of Hebei Province.Methods Multi-stage cluster random sampling method were used to conduct a survey of elderly people above 60 years old in four areas of Hebei Provinice form January to December 2010,

  5. Effects of smoking on the elderly people's vocal cords dimensions

    Vasconcelos, Sandrelli Virginio de

    2009-03-01

    Full Text Available Introduction: Smoking is highly aggressive and the vocal tract is one of the main risk factors for cancer of the larynx. The tobacco may lead to irritation of the vocal tract, edema in the vocal cords, hoarseness, coughing, increased secretion and infections. Objective: To evaluate the dimensions of the vocal cords in elderly smokers and male non-smokers. Method: We studied 15 male corpses, aged from 60 to 90 years, 8 of whom were non-smokers and 7 smokers. For data collection, four sequential steps were followed: 1st Clinical history of the corpse; 2nd Removal of the larynx, 3rd Dissection of the larynx and 4th Morphometry of the vocal cords dimensions. Results: There was no statistically significant difference as for the morphology of the vocal cords dimensions between elderly smokers and nonsmokers, and the length (p = 0.58, width (p = 0.72 and thickness (p = 0.65 were equivalent between both groups. Conclusion: We confirmed it's macroscopically impossible to find differences caused by smoking in the three dimensions of the vocal cords, however, in the histology, smokers are proved to be more susceptible to findings regarding dysplasia and neoplasms in the vocal cords tissue with problems in voice quality.

  6. Cognitive functioning in elderly people and the influence of the socio-educative variables - Results from the ELES Study

    Mª Feli González

    2013-12-01

    Full Text Available Cognitive functioning changes in elderly people. The degree of decline varies across different cognitive abilities and other variables, such as educational level and life-time professional activity, can slow down this process. This study investigates the pattern of cognitive performance in people over 50 years old, taking into account the influence of educational level and profession. Research data were collected during the pilot study of the Longitudinal Aging Study in Spain (ELES in which a representative sample of non-institutionalized Spanish older people was assessed. The following cognitive variables were evaluated: general cognitive functioning, verbal memory, working memory span, visuomotor speed, and language. Differences were found in all cognitive variables in the different age groups, and according to educational level and profession. These differences remained after controlling for the age variable. Population studies provide a global perspective of cognitive performance in older people and help to identify the role of the different associated factors.

  7. "Activities of Older Adults" Survey: Tapping into Student Views of the Elderly

    Wurtele, Sandy K.

    2009-01-01

    This article describes an exercise used in a life span developmental psychology course to tap into undergraduates' perceptions of activities of the elderly. Students were asked to generate items to be included in a hypothetical Activities of Older Adults survey (to be administered to people 65 years and older). Responses from 1,340 students over a…

  8. Qualitative research on the importance and need for home-based telecare services for elderly people

    Yung-Hung Wu, PhD

    2014-12-01

    Conclusion: The study provided a closer inspection of the issue of the nonegalitarian reality of telecare. Based on the INA matrix, service items and products were narrowed down to eight, which is half of the original service items and products provided. In addition, it was easy to observe the priorities among service items and products when providing service items and products to elderly people.

  9. Social support of elderly people in Khanty-Mansi autonomous district – Yugra

    Komleva E. R.

    2012-03-01

    Full Text Available The article deals with the results of the research conducted with the aim of analysis and generalization of practical experience of substitute family formation for elderly people in social service organizations in Khanty-Mansi autonomous district – Yugra.

  10. Subjective Values of Quality of Life Dimensions in Elderly People. A SEM Preference Model Approach

    Elosua, Paula

    2011-01-01

    This article proposes a Thurstonian model in the framework of Structural Equation Modelling (SEM) to assess preferences among quality of life dimensions for the elderly. Data were gathered by a paired comparison design in a sample comprised of 323 people aged from 65 to 94 years old. Five dimensions of quality of life were evaluated: Health,…

  11. Fear of falling and changed functional ability following hip fracture among community-dwelling elderly people

    Jellesmark, Annette; Herling, Suzanne Forsyth; Egerod, Ingrid;

    2012-01-01

    The aims of the study were to assess self-reported fear of falling (FOF) and functional ability among community-dwelling elderly people 3-6 months post hospital discharge after a hip fracture, to investigate the association between FOF and functional ability, and to explore the lived experience of...

  12. Anxiety, Outcome Expectancies, and Young People's Willingness to Engage in Contact with the Elderly

    Hutchison, Paul; Fox, Edward; Laas, Anna Maria; Matharu, Jasmin; Urzi, Serena

    2010-01-01

    A cross-sectional study (N = 61) investigated the relationship between young people's previous experiences of intergenerational contact and their willingness to engage in future contact with the elderly. Regression analyses confirmed that frequent positive intergenerational contact predicted more positive outcome expectancies, less intergroup…

  13. Contact, Anxiety, and Young People's Attitudes and Behavioral Intentions towards the Elderly

    Bousfield, Catherine; Hutchison, Paul

    2010-01-01

    The populations of many nations are aging rapidly. This trend is happening against a background of research indicating that ageism is the most commonly experienced form of prejudice. The present research used intergroup contact theory as a framework to explore young people's attitudes and behavioral intentions towards the elderly. Regression…

  14. Short-term effects of glucose and sucrose on cognitive performance and mood in elderly people

    Zwaluw, van der N.L.; Nieuwerth-van de Rest, O.; Kessels, R.P.C.; Groot, de C.P.G.M.

    2014-01-01

    In this study we determined the short-term effects of a glucose drink and a sucrose drink compared to a placebo on cognitive performance and mood in elderly people with subjective, mild memory complaints using a randomized crossover study design. In total, 43 nondiabetic older adults with self-repor

  15. Dietary protein intake in community-dwelling, frail, and institutionalized elderly people: scope for improvement

    Tieland, C.A.B.; Borgonjen-van den Berg, K.J.; Loon, van L.C.; Groot, de C.P.G.M.

    2012-01-01

    Adequate dietary protein intake is required to postpone and treat sarcopenia in elderly people. Insight into dietary protein intake in this heterogeneous population segment is needed to locate dietary inadequacies and to identify target populations and feeding strategies for dietary interventions. T

  16. Medication errors in elderly people: contributing factors and future perspectives

    Fialová, Daniela; Onder, Graziano

    2009-01-01

    Older people have substantial interindividual variability in health, disability, age-related changes, polymorbidity, and associated polypharmacy, making generalization of prescribing recommendations difficult.Medication use in older adults is often inappropriate and erroneous, partly because of the complexities of prescribing and partly because of many patient, provider, and health system factors that substantially influence the therapeutic value of medications in aged people.A high prevalenc...

  17. MOBIC: Designing a Travel Aid for Blind and Elderly People

    Petrie, Helen; Johnson, Valerie; Strothotte, Thomas; Raab, Andreas; Fritz, Steffi; Michel, Rainer

    This paper presents the research for the development of a new travel aid to increase the independent mobility of blind and elderly travellers. This aid will build on the technologies of geographical information systems (GIS) and the Global Positioning System (GPS). The MOBIC Travel Aid (MOTA) consists of two interrelated components: the MOBIC Pre-journey System (MOPS) to assist users in planning journeys and the MOBIC Outdoor System (MOODS) to execute these plans by providing users with orientation and navigation assistance during journeys. The MOBIC travel aid is complementary to primary mobility aids such as the long cane or guide dog. Results of a study of user requirements are presented and their implications for the initial design of the system are discussed.

  18. Oral health status of elderly people in Rome-Italy

    Licia Manzon

    2014-12-01

    Full Text Available Background: Actually there is no survey on the oral health of elderly in Lazio region or in Rome. Study aims to assess the dental and oral health status and treatments needs of the elderly population in Rome in order to assess need for care. Materials and Methods: 316 non institutionalized patients all living in Rome underwent a complete oral and dental examination following the WHO's criteria. Statistical analysis was performed using SPSS Inc, ver. 13.0, Chicago, IL, USA. A p-value of less than 0.05 was considered significant. Results: The prevalence of edentulousness was 4.4%. Missing teeth were 3346 (37,81%. After grouping patients by age (65-69, 70-74, 75-79, 80 and over we found that only in the first group (65-69 women had a lower number (p<0.001 of missing teeth than men: women 359 (23,31%, men 393 (35,08%. Mean number of remaining teeth per subject was 17,41. Both genders in the mandible presented a greater number of teeth present (9.02 on average than the maxilla (8.27 on average; p=0.002. Decayed, Missing, Filled Teeth index (DMFT index was 14.65 (D:7,73%, M:81,57% and F:10,69%.. Regarding Community Periodontal Index (CPI 14,5% of the sextants resulted healthy, 4.9% had gingival bleeding on probing, 20.7% had dental calculus, 17.0% periodontal pockets 4-5mm deep, 1.4% pockets 6 or more mm deep and 41.5% of the sextants were excluded. Conclusions: The findings illustrated a promising oral and dental health status compared to other European countries. The status of oral health was significantly better in women than in men in the first age group 65-69, increase in age results in a worsening of all indices.

  19. Fear of falling in elderly people living in a nursing home -- perspective from Manisa.

    Tavsanli, Nurgul Gungor; Turkmen, Sevgi Nehir

    2015-04-01

    Our study aimed to determine the level of fear of falling in elderly nursing home residents. The research population consisted of all the elderly residents of Manisa Municipal Nursing Home between November 2011 and February 2012. The 76 elderly people who agreed to participate were included in the study. A demographics form and the Tinetti Falls Efficacy Scale were used in data collection. The statistical analysis of the data was performed using SPSS 15.0, using percentage calculations, the t-test and Cronbach's alpha. The mean score on the Tinetti Falls Efficacy Scale for elderly individuals was found to be 4.57 ± 3.80. 57.9% of the old people feared falling while taking a bath, 59.2% while going to bed or getting up, and 53.6% while sitting down or getting up from a chair. It was found that mean fear of falling scores were significantly higher in elderly individuals with chronic diseases, sleep problems and urinary incontinence. PMID:25976579

  20. Architecture for the Elderly and Frail People, Well-Being Elements Realizations and Outcomes

    Knudstrup, Mary-Ann

    2011-01-01

    The relationship between architecture, housing and well-being of elderly and frail people is a topic of growing interest to consultants and political decision makers working on welfare solutions for elderly citizens. The objective of the research presented here is to highlight which well-being el......The relationship between architecture, housing and well-being of elderly and frail people is a topic of growing interest to consultants and political decision makers working on welfare solutions for elderly citizens. The objective of the research presented here is to highlight which well......-being elements in the nursing home environments that contribute to enhancing the well-being of the elderly and how these elements is ensured attention during a decision making process related to the design and the establishing of nursing homes. With basis in four Danish representative case studies, various case...... data from the decision making process are collected, covering the planning, the design and the realization of four newly built nursing homes in Denmark. The case studies clearly shows that the architectural well-being elements appear weak in the decision making process, when they are conflicting with...

  1. THE BRAZILIAN SCIENTIFIC PRODUCTION IN THE LAST DECADE ABOUT MORTALITY OF ELDER PEOPLE BY KALAAZAR.

    Iraci Gonçalves Guimarães

    2011-01-01

    Full Text Available The elder population has become a challenge to the State due to their growth in the last two decades, being no longer a simple prediction but becoming a reality. One of the characteristics of the elderly population is its greatest weakness when struck by chronic and infectious diseases. Visceral leishmaniasis or kala-azar is a chronic and severe desease, and can be fatal. Objective: Due to increased propensity for diseases of aging, and the population increases, it is important to analyze the scientific production in Brazil on the impact of kala-azar in the elderly. Method: review of scientific articles published between 2000 to 2011,whose researches were nationals and are available as full text journals on the platform of the Virtual Health Library (VHL about mortality of the elderly by kala-azar . Results: two articles met the criteria for analysis, and showed that, despite the number of elderly people infected with visceral leishmaniasis is low, the mortality rate is high. Discussion: there is a need for research about the relationship between the elder and kala-azar.

  2. A Model of Active Ageing through Elder Learning: The Elder Academy Network in Hong Kong

    Tam, Maureen

    2013-01-01

    This article presents the Elder Academy (EA) Network as the policy and practice in promoting active ageing through elder learning in Hong Kong. First, the article examines how the change in demographics and the prevalent trend of an ageing population have propelled the government in Hong Kong to tackle issues and challenges brought about by an…

  3. Data Management in an Intelligent Environment for Cognitive Disabled and Elderly People

    Loniewski, Grzegorz; Ramon, Emilio Lorente; Walderhaug, Ståle; Martinez Franco, Sixto; Cubillos Esteve, Juan Jose; Marco, Eduardo Sebastian

    Recently intelligent and personalized medical systems tend to be one of the most important branches of the health-care domain, playing a great role in improving the quality of life of people that want to feel safe and to be assisted not regarding the place they are. This paper presents an innovative way of data management based on a middleware platform providing services for fast and easy creation of applications dealing with the problems of taking care of patients in their homes. The work was carried out as a part of the MPOWER project, funded by the EU 6th Framework Programme, and carried out by a multinational development team. The project focuses on supporting activities of daily living and provides services for elderly and cognitive disabled, e.g. people with dementia. The MPOWER platform is designed to facilitate rapid development of a variety of applications and adopt them to specific users’ needs. The paper introduces the whole platform, its functionality and principal goals along with the architectural background of data management, focusing on the different types of data that the system has to manage and analyze. The last section concludes the work done on the project.

  4. Adaptability of Kitchen Furniture for Elderly People in Terms of Safety

    Jasna Hrovatin

    2012-06-01

    Full Text Available The number of senior citizens is rapidly increasing, which consequently signifi es an increase in the number of people having sight, hearing or memory diffi culties, people with hampered mobility, and people who find it increasingly diffi cult to process information. Elderly persons experience a greater degree of risk whilst performing daily tasks in their kitchens. Moreover, they are more susceptible to infection and illnesses, necessitating greater care to achieve hygienic conditions within their kitchens. The goal of our research was to determine whether people are generally content with the functionality of their kitchens and whether the degree of dissatisfaction increases with the age of the users. The study aims to pinpoint any major problems facing elderly people whilst working in their kitchens and to establish criteria for kitchen furniture design that could be tailored to senior users’ interests, with the focus on safety. This research was carried out via individual surveys at the respondents’ homes. 204 respondents participated in the research. The results show that most users do not realize that, with more appropriate kitchen equipment, they could perform daily tasks faster, safer, and with less effort. Common shortcomings include insuffi cient lighting (32 %, inappropriate sequential composition of work surfaces (56 %, ease of hygiene maintenance (68 %, inappropriately - shaped furniture (72 %, and tasks that become troublesome because of declining memory (75 %. We believe that it is necessary to design kitchen equipment specifically adjusted for the needs of the elderly.

  5. Cohort study of institutionalized elderly people: fall risk factors from the nursing diagnosis

    Karine Marques Costa dos Reis

    2015-12-01

    Full Text Available Objective: to determine the incidence of falls in elderly residents of long-stay institutions of the Federal District, to identify the aspects involved in the falls, in terms of risk factors, from the application of scales and the Taxonomy II of NANDA-I, and to define the level of accuracy with its sensitivity and specificity for application in the clinical nursing practice. Method: this was a cohort study with the evaluation of 271 elderly people. Cognition, functionality, mobility and other intrinsic factors were evaluated. After six months, the elderly people who fell were identified, with significance analysis then performed to define the risk factors. Results: the results showed an incidence of 41%. Of the 271 patients included, 69 suffered 111 episodes of falls during the monitoring period. Risk factors were the presence of stroke with its sequelae (OR: 1.82, 95% CI 1.01 - 3.28, p=.045, presenting more than five chronic diseases (OR: 2.82, 95% CI 1.43 - 5.56, p=.0028, foot problem (OR: 2.45, 95% CI 1.35 - 4.44, p=.0033 and motion (OR: 2.04, 95% CI 1.15 - 3.61, p=.0145. Conclusion: the taxonomy has high validity regarding the detection of elderly people at risk of falling and should be applied consistently in the clinical nursing practice.

  6. Nursing care gestion of chronically ill elderly people. Policlinico 2, year 2007

    Liudmila Carbonell Sanamé

    2009-01-01

    Full Text Available A descriptive prospective study was made to those patients aged more than 60 years who are attended in the Policlinico 2 “Leonilda Tamayo Matos” in Isla de la Juventud during the year 2007. The study population was 1254 and 700 chronically ill elderly people were taken as representative sample, using a simple random sampling. The Mini Mental State Examination and a satisfaction survey was made to old people, all these with their informed consent. The main variables to study were: sex, age, race, civil state, educational level, work, assistance to the Grandparent’s Circle and satisfaction level. There exists a feminine predominance (61% over male, as well as the age group from 60 to 64 years old. Mixed race is the most common one (43%, followed by black (35%. 43% of these elders have secondary studies, and 64% of them are retired. The assistance to the Grandparent’s Circle is good, 338 of all the elders studied (48.2% assist to it. The results were expressed with real numbers and percentages, and were represented in bar and pie charts. There exists a predominance of arterial hypertension and diabetes mellitus in the elders studied. The quality of the nursing cares to the chronically ill old people of the policlinic 2 in 2007 was good.

  7. Factors Influencing mHealth Acceptance among Elderly People in Bangladesh

    Hoque, Md; Sorwar, Golam

    2016-01-01

    mHealth (mobile health) be the blessing of ICT and is probably one of the most prominent services with noticeable effect on the development of healthcare sector. Given the potential benefits mHealth can bring to older people, it is important to understand the users (elderly population) intention to use the technology. However, little research has been done to draw any systematic study of elderlys adoption and usage of mHealth. The aim of this study is to determine factors that influence the a...

  8. Self-assessed health of elderly people in Brussels: does the built environment matter?

    Dujardin, Claire; Lorant, Vincent; Thomas, Isabelle

    2013-01-01

    The built environment plays a key role in the strategy of “Aging in Placeâ€. Here, we study the influence of the built environment on the health status of elderly people living in Brussels. Using census and geocoded data, we analysed if built environment factors were associated with poor self- assessed health status and functional limitations of elderly aged 65+. We concluded that the evidence of the built-environment hypothesis is weak and vulnerable to the composition of the neighborhood....

  9. Cost-effectiveness of influenza vaccination for elderly people living in the community.

    Schooling, CM; McGhee, SM; Wong, LC; Chau, J.; Cheung, A.; Ho, A.

    2009-01-01

    Key Messages 1. Influenza vaccination of elderly people living in the community was cost-effective from a societal perspective but did not cut publicly funded medical costs or total medical costs. 2. For the oldest group (≥75 years) living in the community, influenza vaccination can cut publicly funded medical costs if the total vaccination cost per head is HK$39.6 or less. 3. Influenza vaccination is costeffective if the value of increasing an elderly person’s lifespan for a year at most is ...

  10. Loneliness in Elderly People, Associated Factors and Its Correlation with Quality of Life: A Field Study from Western Turkey.

    Hülya Arslantaş

    2015-01-01

    Full Text Available This study examined the factors that affect loneliness of older people and their relationship with quality of life.Data in this cross-sectional study were collected through survey form, UCLA Loneliness Scale and Quality of Life (QOL Short Form (SF-36 Scale. The total number of elderly people over the age of 65 yr from whom the study population was chosen was 4,170. The study population was determined as 190 with G-power program by taking impact size 0.362, α=0.05, power (1-β =0.80 at a confidence level of 95% and a substitute group composing of 10 individuals was added. In total, 83.2% (n=174 of the target population was reached via Multi-Stage Sampling Methods.UCLA Loneliness median score of the participants was 33 (25(thp= 27, 75(thp= 40. It was found that the existence of chronic diseases and physical handicaps, regular use of medication, lack of hobbies and living with spouse increased loneliness (P<0.05. A negative relationship was identified between all sub-scales in the QOL scale and loneliness.Loneliness negatively affects QOL in old age and that the existence of chronic health problems and lack of hobbies are strong predictors for loneliness. Elderly people living alone must be evaluated as a high-risk group and thus policy makers and health personnel should be aware of the factors that can affect loneliness. In order to increase life quality of the aged population and psychological well-being of the elderly, social support systems must be taken into account and the elderly should be encouraged to participate in social activities.

  11. [Esophageal wall structure in people of elderly and senile age].

    aminova, G G; Grigorenko, D E; Sapin, M R; Mkhitarov, V A

    2014-01-01

    Using histological methods, the esophageal wall structure and the cytoarchitectonics of mucous membrane were studied in the individuals of elderly (n = 5) and senile (n = 10) age. The control group included the individuals of I (n = 3) and II (n = 3) periods of mature age. It was demonstrated that with advancing age in most cases the destructive processes took place in the epithelium (delamination of the layer, separation of large fragments, formation of microerosions etc.) in most of the studied cases. Lymphocytes, neutrophils and eosinophils were found between the epithelial cells; the numbers of infiltrating cells was increased 2-3 times during aging. Mucosal lamina propria and the submucosa, in particular, were characterized by the thickening of the bundles of collagen fibers. A two-fold increase in the number of the cells of the fibroblast lineage was found. The number of leukocytes in the lamina propria was increased by the eldery age in the upper and lower parts of the esophagus (3.5 and 1.75 times respectively). The changes in lamina muscularis were manifested by its thinning, delamination and myocyte dissociation. Remodeling of the muscular tunic was less pronounced. The degree of changes increased distally and varied widely depending on the individual peculiarities. PMID:25282822

  12. Values in Elderly People for Exhaled Nitric Oxide Study.

    Malerba, Mario; Damiani, Giovanni; Carpagnano, Giovanna E; Olivini, Alessia; Radaeli, Alessandro; Ragnoli, Beatrice; Foschino, Maria Pia; Olivieri, Mario

    2016-06-01

    Ageing population is constantly increasing due to rising life expectancy; consequently, the percentage of the elderly patients with asthma is increasing, as well. Fractional exhaled nitric oxide (FeNO) is a biomarker of lung inflammation, and currently it is widely used in clinical practice for asthma diagnosis and monitoring. Yet, there are no data about normal values of FeNO in patients of more than 65 years of age with normal lung function. The aim of this study was to establish adult FeNO reference values for subjects older than 65 years, according to the international guidelines. FeNO was measured in 303 healthy, nonsmoking adults more than 65 years of age, with normal spirometry values measured using the online single-breath technique. The results were analyzed by chemiluminescent detection. The FeNO levels obtained range from 5.00 to 29.9 ppb, with a mean value of 12.48 ± 2.80 ppb. A significant association of FeNO levels with age (p < 0.05) was observed. There was no difference in FeNO values between men and women unlike what was observed in younger patients. FeNO levels in healthy controls over 65 years of age are influenced by age as in younger adults. However, there is no difference in FeNO values in male and female seniors, in contrast with what was found in younger adults in other studies. These data can be useful for the clinician to interpret the values of FeNO assessed during clinical practice. PMID:26414479

  13. LEGO Mindstorms NXT for elderly and visually impaired people in need: A platform.

    Al-Halhouli, Ala'aldeen; Qitouqa, Hala; Malkosh, Nancy; Shubbak, Alaa; Al-Gharabli, Samer; Hamad, Eyad

    2016-07-27

    This paper presents the employment of LEGO Mindstorms NXT robotics as core component of low cost multidisciplinary platform for assisting elderly and visually impaired people. LEGO Mindstorms system offers a plug-and-play programmable robotics toolkit, incorporating construction guides, microcontrollers and sensors, all connected via a comprehensive programming language. It facilitates, without special training and at low cost, the use of such device for interpersonal communication and for handling multiple tasks required for elderly and visually impaired people in-need. The research project provides a model for larger-scale implementation, tackling the issues of creating additional functions in order to assist people in-need. The new functions were built and programmed using MATLAB through a user friendly Graphical User Interface (GUI). Power consumption problem, besides the integration of WiFi connection has been resolved, incorporating GPS application on smart phones enhanced the guiding and tracking functions. We believe that developing and expanding the system to encompass a range of applications beyond the initial design schematics to ease conducting a limited number of pre-described protocols. However, the beneficiaries for the proposed research would be limited to elderly people who require assistance within their household as assistive-robot to facilitate a low-cost solution for a highly demanding health circumstance. PMID:26835733

  14. Ambient Assisted Nutritional Advisor for elderly people living at home.

    Lazaro, Juan P; Fides, Alvaro; Navarro, Ana; Guillen, Sergio

    2010-01-01

    Nutrition is a critical aspect when getting older because bad nutrition habits can accelerate the process of degradation of the physical condition of the old person. In order to mitigate this problem, an Ambient Assisted Living service has been developed. Research with this service is focused on demonstrating that with an Ambient Intelligence systems it is possible to make the nutritional management much more effective by influencing the user, by automatically and seamlessly monitoring and by facilitating tools for nutritional management for people that want to be autonomous. In this paper both requirement acquisition and development processes are described as well. PMID:21097180

  15. Impact of nutritional supplements on health indices in elderly people

    Wouters-Wesseling, W

    2002-01-01

    Life expectancy in both the Western and non-western population has been increasing over the past centennial, due to improved hygiene, the discovery of medicines such as antibiotics and economic welfare. The consequence for society of this ageing of our population is an increased need for medical and social care and thus a burden of costs for health care. At the level of individual people an increased life expectancy is appealing, but only if accompanied by a preservation of a certain health s...

  16. A platform for analyzing access-friendly transportations for elderly people using GIS on agent-based model

    Daito, Masatora; Tanida, Noriyuki

    2014-01-01

    In this research, we construct a platform for analyzing access-friendly transportation for elderly people using GIS on agent-based model. Our interest is related to an aging world population and well-being of elderly people. We use GIS data of Ibaraki city Japan and study the outing rate of elderly people. We defined the number of times of outing per seven days as outing rate. The simulation is performed 63 times. It is comparable to 63days (nine weeks). As the results of simulation showed th...

  17. New living for elderly people. An outline of domotics and sustainability for elderly people; Het nieuwe wonen voor ouderen. Een omgevingsverkenning naar domotica en duurzaamheid voor ouderen

    Dries, J.; Ellen, G.J.; Den Blanken, M. [TNO Strategie, Technologie en Beleid TNO-STB, Delft (Netherlands); Maas, N. [TNO Bouw, Delft (Netherlands)

    2003-03-01

    A brief overview is given of the possibilities for elderly people to make use of domotics in order to live on one's own. The results of the title study are based on literature and other information sources. [Dutch] Dit rapport geeft een beknopt overzicht van de mogelijkheden om met behulp van domotica ouderen langer zelfstandig en duurzaam te laten wonen. Binnen het begrip duurzaamheid wordt onderscheid gemaakt tussen ecologische duurzaamheid (planet), economische duurzaamheid (profit) en sociale duurzaamheid (people). Hiertoe zijn projecten, literatuur en andere informatiebronnen verzameld op het terrein van domotica, duurzaamheid en ouderen waaruit blijkt dat er, sinds domotica de laatste tien jaar actueel is geworden, al enorm veel geprobeerd en geschreven is. Met name de combinatie 'ouderen en domotica' en 'domotica en duurzaamheid' levert veel materiaal op. Zeldzamer is echter de combinatie van alledrie de elementen.

  18. Fall risk factors in community-dwelling elderly people

    Astrid Bergland

    2012-11-01

    Full Text Available Falls are a common and serious problem for older adults. Approximately one-third of older communitydwelling people fall at least once a year. The main purpose of this paper is to present risk factors for fall in older people living at home. The databases used for identifying documentation of risk factors are Cinahl, Eric, ISI Web of Science, Cochrane Medline, Psycinfo and dissertation. Many psychosocial and medical conditions and impairment of sensorimotor function, balance and gait have been shown in large epidemiological studies to be strongly associated with falls. Several of the risk factors are interrelated. The intrinsic-extrinsic distinction seem to be an oversimplification. A better understanding of falls is usually obtained when examining the person in association with the environmental factors. Advanced age, history of falls, ADL limitations, impaired gait and mobility, visual impairment, reduced sensation, muscular weakness, poor reaction time, impaired cognition, diseases as stroke, use of psychoactive medication and use of many medications are risk factors shown to be strongly associated with falls. This means recommendation of multifactorial fall risk assessment must incorporate a range of physiological and mental tests in addition to assessing balance and gait as well as taking multiple chronic diseases and medications into account. These finding underscore the importance of multidimensional fall intervention with special focus on modifiable risk factors

  19. Prevalence of depression, anxiety and stress disorders in elderly people residing in Khoy, Iran (2014-2015)

    Towhid Babazadeh; Reza Sarkhoshi; Farhad Bahadori; Fatemeh Moradi; Fraiba Shariat; yusef Sherizadeh

    2016-01-01

    Introduction: Psychiatric disorders such as depression, stress, and anxiety are factors that affect the quality of life, suicide and many physical problems, and socioeconomic in elders. Considering the importance of the issue and increasing the number of elderly people in this County, researchers decided to investigate the levels of stress, anxiety, and depression in the elderly health centers of Khoy, Iran. Methods: This cross-sectional study was ...

  20. RF-Care: Device-Free Posture Recognition for Elderly People Using A Passive RFID Tag Array

    Lina Yao

    2015-09-01

    Full Text Available Activity recognition is a fundamental research topic for a wide range of important applications such as fall detection for elderly people. Existing techniques mainly rely on wearable sensors, which may not be reliable and practical in real-world situations since people often forget to wear these sensors. For this reason, device-free activity recognition has gained the popularity in recent years. In this paper, we propose an RFID (radio frequency identification based, device-free posture recognition system. More specifically, we analyze Received Signal Strength Indicator (RSSI signal patterns from an RFID tag array, and systematically examine the impact of tag configuration on system performance. On top of selected optimal subset of tags, we study the challenges on posture recognition. Apart from exploring posture classification, we specially propose to infer posture transitions via Dirichlet Process Gaussian Mixture Model (DPGMM based Hidden Markov Model (HMM, which effectively captures the nature of uncertainty caused by signal strength varieties during posture transitions. We run a pilot study to evaluate our system with 12 orientation-sensitive postures and a series of posture change sequences. We conduct extensive experiments in both lab and real-life home environments. The results demonstrate that our system achieves high accuracy in both environments, which holds the potential to support assisted living of elderly people.

  1. Reciprocity: A Predictor of Mental Health and Continuity in Elderly People's Relationships? A Review

    Live Fyrand

    2010-01-01

    Full Text Available Many studies have demonstrated that social relationships confer mental health benefits. This paper aims to identify whether and how reciprocity in social relationships predicts or is associated with mental health benefits as well as with continuity in elderly people's social relationships. The studies reviewed in this paper show that, among elders, being in a balanced or underbenefited reciprocal position predicts better mental health and life quality than being in an overbenefited position. Throughout the course of life, reciprocity evens out present and earlier reciprocal imbalances, securing continuity in close relationships—particularly between spouses and between elderly parents and adult children. In friendships, securing continuity seems to be based on the maintenance of independence based on balanced reciprocal relations, making these relationships more vulnerable. Due to the problems of conceptualization and measurement in the reviewed studies, one should be cautious in stating a final conclusion that the reciprocity norm has a universal positive effect on mental health and continuity in elderly people's relationships.

  2. Dietary Protein Intake in Dutch Elderly People: A Focus on Protein Sources

    Michael Tieland

    2015-11-01

    Full Text Available Introduction: Sufficient high quality dietary protein intake is required to prevent or treat sarcopenia in elderly people. Therefore, the intake of specific protein sources as well as their timing of intake are important to improve dietary protein intake in elderly people. Objectives: to assess the consumption of protein sources as well as the distribution of protein sources over the day in community-dwelling, frail and institutionalized elderly people. Methods: Habitual dietary intake was evaluated using 2- and 3-day food records collected from various studies involving 739 community-dwelling, 321 frail and 219 institutionalized elderly people. Results: Daily protein intake averaged 71 ± 18 g/day in community-dwelling, 71 ± 20 g/day in frail and 58 ± 16 g/day in institutionalized elderly people and accounted for 16% ± 3%, 16% ± 3% and 17% ± 3% of their energy intake, respectively. Dietary protein intake ranged from 10 to 12 g at breakfast, 15 to 23 g at lunch and 24 to 31 g at dinner contributing together over 80% of daily protein intake. The majority of dietary protein consumed originated from animal sources (≥60% with meat and dairy as dominant sources. Thus, 40% of the protein intake in community-dwelling, 37% in frail and 29% in institutionalized elderly originated from plant based protein sources with bread as the principle source. Plant based proteins contributed for >50% of protein intake at breakfast and between 34% and 37% at lunch, with bread as the main source. During dinner, >70% of the protein intake originated from animal protein, with meat as the dominant source. Conclusion: Daily protein intake in these older populations is mainly (>80% provided by the three main meals, with most protein consumed during dinner. More than 60% of daily protein intake consumed is of animal origin, with plant based protein sources representing nearly 40% of total protein consumed. During dinner, >70% of the protein intake originated from

  3. Discontinued dental attendance among elderly people in Sweden

    Grönbeck-Linden, Ingela; Hägglin, Catharina; Petersson, Anita; Linander, Per O.; Gahnberg, Lars

    2016-01-01

    Aim: Our objective was to study the loss of dental attendance and a possible age trend among patients aged ≥65 years in Sweden. Regular dental check-ups are considered to be an important factor in maintaining oral health. Approximately 80% of the adult population in Sweden are enrolled in a regular check-up system; however, dental practitioners often find that older patients attend fewer check-ups. Old people may naturally lose contact with dental services as they move to special housing or die. In this systematic study, these factors were investigated and used as exclusion criteria. Materials and Methods: Data were collected for all patients (n = 4759) aged 65 or older from the electronic journal system in 3 large public dental clinics in 3 communities. Their dental records for the years 2004–2009 were studied longitudinally by 1 person at each clinic; 1111 patients were excluded (patients died during study period, wanted emergency care only, obtained special dental care allowance, moved from the community or moved to special housing, or left the clinic for another caregiver). The statistical analyses were performed using the Statistical Package for the Social Sciences version 21 (IBM). Results: Of the 3648 patients (1690 men and 1958 women) included in the study, 13% lost contact with their dental service over the course of the study (10% of those were aged 65–79 and 21% ≥80). The decrease in regular dental contact had a statistically significant association with increasing age (P < 0.001). Conclusion: A considerable number of older people living independently or with moderate supportive care in their own homes lost contact with dental service despite enrolment in a recall system. PMID:27382538

  4. Important stressful factors for health status of elderly people in the nuclear medicine

    Functional status of autonomic nervous system can be assessed by many methods: - psycho-diagnostic methods; - spectral analysis of the heart rate variability; - evaluation of adrenergic innervation of myocardium with 123I-metyliodbenzylguanidine (MIBG). We have shown an importance of these methods in diagnostics of cardiovascular complications in patients with diabetes mellitus or students under stress. The aim of the study is to demonstrate the status and changed plasticity of autonomic nervous system in elderly people and its reaction for stressful factors. Examination of the spectral analysis of the heart rate variability revealed cardiac autonomic dysregulation as an asymptomatic change of autonomic nervous system.. Reduction of the plasticity of ANS with an increased age was confirmed. Also was the correlation of examination of the spectral analysis of the heart rate variability and adrenergic innervation of the myocardium confirmed. These finding allow early complex preventive interventions and increase the quality of life in elderly people. (authors)

  5. Comparison of Health Care Resource Utilization by Immigrants Versus Native Elderly People.

    Franchi, Carlotta; Baviera, Marta; Sequi, Marco; Cortesi, Laura; Tettamanti, Mauro; Roncaglioni, Maria Carla; Pasina, Luca; Dignefa, Codjo Djade; Fortino, Ida; Bortolotti, Angela; Merlino, Luca; Mannucci, Pier Mannuccio; Nobili, Alessandro

    2016-02-01

    To compare the utilization of health care resources (drug prescriptions, hospital admissions and health care services) by immigrant versus native elderly people (65 years or more), by using administrative database of the Lombardy Region. For each immigrant (an older people born out of Italy), one person born in Lombardy (native) was randomly selected and matched by age, sex and general practitioner. The 25,508 immigrants selected were less prescribed with at least one drug (OR 0.72, 95 % CI 0.67-0.76) and had a lesser use of health care services (OR 0.79, 95 % CI 0.75-0.84) than natives. No statistically significant differences were found for hospital admission rates (OR 0.99, 95 % CI 0.99-1.04). A lower rate of health care resource utilization was observed in elderly immigrants who had been living in the host region for as many as 10 years. PMID:25576178

  6. Effectiveness of social behaviors for autonomous wheelchair robot to support elderly people in Japan.

    Shiomi, Masahiro; Iio, Takamasa; Kamei, Koji; Sharma, Chandraprakash; Hagita, Norihiro

    2015-01-01

    We developed a wheelchair robot to support the movement of elderly people and specifically implemented two functions to enhance their intention to use it: speaking behavior to convey place/location related information and speed adjustment based on individual preferences. Our study examines how the evaluations of our wheelchair robot differ when compared with human caregivers and a conventional autonomous wheelchair without the two proposed functions in a moving support context. 28 senior citizens participated in the experiment to evaluate three different conditions. Our measurements consisted of questionnaire items and the coding of free-style interview results. Our experimental results revealed that elderly people evaluated our wheelchair robot higher than the wheelchair without the two functions and the human caregivers for some items. PMID:25993038

  7. Effectiveness of social behaviors for autonomous wheelchair robot to support elderly people in Japan.

    Masahiro Shiomi

    Full Text Available We developed a wheelchair robot to support the movement of elderly people and specifically implemented two functions to enhance their intention to use it: speaking behavior to convey place/location related information and speed adjustment based on individual preferences. Our study examines how the evaluations of our wheelchair robot differ when compared with human caregivers and a conventional autonomous wheelchair without the two proposed functions in a moving support context. 28 senior citizens participated in the experiment to evaluate three different conditions. Our measurements consisted of questionnaire items and the coding of free-style interview results. Our experimental results revealed that elderly people evaluated our wheelchair robot higher than the wheelchair without the two functions and the human caregivers for some items.

  8. Handgrip strength and physical activity in frail elderly

    Maria Helena Lenardt

    2016-02-01

    Full Text Available Abstract OBJECTIVE To investigate the association between handgrip strength (HS and physical activity in physical frailty elderly. METHOD Cross-sectional quantitative study with a sample of 203 elderly calculated based on the population estimated proportion. Tests were applied to detect cognitive impairment and assessment of physical frailty. Descriptive statistics and multivariate analysis by binary logistic regression were used, and also Student's t-test and Fisher's exact test. RESULTS A total of 99 (64.3% elderly showed decreased handgrip strength and 90 (58.4% elderly presented decrease in physical activity levels. There was a statistically significant difference between these two components (p=0.019, in which elderly who have decreased HS have lower levels of physical activity. For low levels of physical activity and decreased HS, there was no evidence of significant difference in the probability of the classification as frail elderly (p<0.001. CONCLUSION The components handgrip strength and physical activity are associated with the frail elderly. The joint presence of low levels of physical activity and decreased handgrip strength leads to a significantly higher probability of the elderly to be categorized as frailty.

  9. User-centered development and testing of a monitoring system that provides feedback regarding physical functioning to elderly people

    Vermeulen J

    2013-08-01

    Full Text Available Joan Vermeulen,1 Jacques CL Neyens,1 Marieke D Spreeuwenberg,1 Erik van Rossum,1,2 Walther Sipers,3 Herbert Habets,3 David J Hewson,4 Luc P de Witte1,2 1School for Public Health and Primary Care (CAPHRI, Maastricht University, Maastricht, The Netherlands; 2Research Center for Technology in Care, Zuyd University of Applied Sciences, Heerlen, The Netherlands; 3Expertise Center for Elderly Care, Orbis Medical Center, Sittard, The Netherlands; 4Institute Charles Delaunay, Université de Technologie de Troyes, Troyes, France Purpose: To involve elderly people during the development of a mobile interface of a monitoring system that provides feedback to them regarding changes in physical functioning and to test the system in a pilot study. Methods and participants: The iterative user-centered development process consisted of the following phases: (1 selection of user representatives; (2 analysis of users and their context; (3 identification of user requirements; (4 development of the interface; and (5 evaluation of the interface in the lab. Subsequently, the monitoring and feedback system was tested in a pilot study by five patients who were recruited via a geriatric outpatient clinic. Participants used a bathroom scale to monitor weight and balance, and a mobile phone to monitor physical activity on a daily basis for six weeks. Personalized feedback was provided via the interface of the mobile phone. Usability was evaluated on a scale from 1 to 7 using a modified version of the Post-Study System Usability Questionnaire (PSSUQ; higher scores indicated better usability. Interviews were conducted to gain insight into the experiences of the participants with the system. Results: The developed interface uses colors, emoticons, and written and/or spoken text messages to provide daily feedback regarding (changes in weight, balance, and physical activity. The participants rated the usability of the monitoring and feedback system with a mean score of 5

  10. Psychotropic drug use in community-dwelling elderly people?characteristics of persistent and incident users

    Rikala, Maria; Korhonen, Maarit Jaana; Sulkava, Raimo; Hartikainen, Sirpa

    2011-01-01

    Abstract Purpose The aim of this prospective cohort study was to analyze psychotropic drug use in community-dwelling elderly people over a 3-year period and characterize those individuals most susceptible to persistent and incident use. Methods Data on demographics, health status, cognition, functional capacity and drug use were gathered by interviews at baseline (2004) and in three follow-ups (2005?2007) ...

  11. From Hospital to Home Care: Creating a Domotic Environment for Elderly and Disabled People.

    Lopez, Natalia M; Ponce, Sergio; Piccinini, David; Perez, Elisa; Roberti, Martin

    2016-01-01

    Advances in medicine have led to a significant increase in human life expectancy and, therefore, to a growing number of disabled elderly people who need chronic care and assistance [1]. The World Health Organization reports that the world's population over 60 years old will double between 2000 and 2050 and quadruple for seniors older than 80 years, reaching 400 million [2]. In addition, strokes, traffic-related and other accidents, and seemingly endless wars and acts of terrorism contribute to an increasing number of disabled younger people. PMID:27187540

  12. Nursing care gestion of chronically ill elderly people. Policlinico 2, year 2007

    Liudmila Carbonell Sanamé

    2009-01-01

    A descriptive prospective study was made to those patients aged more than 60 years who are attended in the Policlinico 2 “Leonilda Tamayo Matos” in Isla de la Juventud during the year 2007. The study population was 1254 and 700 chronically ill elderly people were taken as representative sample, using a simple random sampling. The Mini Mental State Examination and a satisfaction survey was made to old people, all these with their informed consent. The main variables to study were: sex, age, ra...

  13. Astronomical activities with disabled people

    Ortiz-Gil, Amelia; Blay, Pere; Gallego Calvente, A. Teresa; Gómez, Miquel; Guirado, José Carlos; Lanzara, Mariana; Martínez Núñez, Silvia

    2011-06-01

    As we celebrate the International Year of Astronomy, we have been working on four different projects with the goal of making astronomy more accessible to people with special needs. These projects are 1) an astronomy book and web site for blind people, 2) an open source software for people with motor disabilities, 3) a planetarium program for the visually impaired and 4) educational material for intellectually disabled people.

  14. The Effects of Physical Exercise with Music on Cognitive Function of Elderly People: Mihama-Kiho Project

    Satoh, Masayuki; Ogawa, Jun-ichi; Tokita, Tomoko; Nakaguchi, Noriko; Nakao, Koji; Kida, Hirotaka; Tomimoto, Hidekazu

    2014-01-01

    Background Physical exercise has positive effects on cognitive function in elderly people. It is unknown, however, if combinations of non-pharmaceutical interventions can produce more benefits than single ones. This study aimed to identify if physical exercise combined with music improves cognitive function in normal elderly people more than exercise alone. Methods We enrolled 119 subjects (age 65–84 years old). Forty subjects performed physical exercise (once a week for an hour with professi...

  15. Prevention of dehydration in independently living elderly people at risk: A study protocol of a randomized controlled trial

    Francis JCM Konings; Jolanda JP Mathijssen; Jasper M Schellingerhout; Ike HT Kroesbergen; Joyce Goede de; Ien AM Goor de

    2015-01-01

    Background: Dehydration of elderly people living independently is a very important public health issue. This study compares two interventions to prevent dehydration in elderly people at risk: an educational intervention and an educational intervention in combination with a drink reminder device. Methods: This is an experimental two-armed parallel study. A Public Health Service develops the interventions and will be partnering with a general practice and a university to evaluate the effect...

  16. The Effects of Physical Exercise with Music on Cognitive Function of Elderly People: Mihama-Kiho Project

    Masayuki Satoh; Jun-ichi Ogawa; Tomoko Tokita; Noriko Nakaguchi; Koji Nakao; Hirotaka Kida; Hidekazu Tomimoto

    2014-01-01

    BACKGROUND: Physical exercise has positive effects on cognitive function in elderly people. It is unknown, however, if combinations of non-pharmaceutical interventions can produce more benefits than single ones. This study aimed to identify if physical exercise combined with music improves cognitive function in normal elderly people more than exercise alone. METHODS: We enrolled 119 subjects (age 65-84 years old). Forty subjects performed physical exercise (once a week for an hour with profes...

  17. Relationship between subjective fall risk assessment and falls and fall-related fractures in frail elderly people

    Shimada Hiroyuki; Suzukawa Megumi; Ishizaki Tatsuro; Kobayashi Kumiko; Kim Hunkyung; Suzuki Takao

    2011-01-01

    Abstract Background Objective measurements can be used to identify people with risks of falls, but many frail elderly adults cannot complete physical performance tests. The study examined the relationship between a subjective risk rating of specific tasks (SRRST) to screen for fall risks and falls and fall-related fractures in frail elderly people. Methods The SRRST was investigated in 5,062 individuals aged 65 years or older who were utilized day-care services. The SRRST comprised 7 dichotom...

  18. Lighting to Make You Feel Better: Improving the Mood of Elderly People with Affective Ambiences.

    Kuijsters, Andre; Redi, Judith; de Ruyter, Boris; Heynderickx, Ingrid

    2015-01-01

    Current lighting technologies extend the options for changing the appearance of rooms and closed spaces, as such creating ambiences with an affective meaning. Using intelligence, these ambiences may instantly be adapted to the needs of the room's occupant(s), possibly improving their well-being. We hypothesized that ambiences with a clearly recognizable, positive affective meaning could be used to effectively mitigate negative mood in elderly. After inducing a sad mood with a short movie one group of elderly was immersed in a positive high arousing (i.e., activating) ambience, and another group in a neutral ambience. Similarly, after inducing anxiety with a short movie one group of elderly was immersed in a pleasant low arousing (i.e., cozy) ambience, and another group in a neutral ambience. We monitored the evolution of the mood of the four groups of elderly over a period of ten minutes after the mood induction, with both self-reported mood measurements (every 2 minutes) and constant measurements of the skin conductance response (SCR) and electrocardiography (ECG). In line with our hypothesis we found that the activating ambience was physiologically more arousing than the neutral ambience. The cozy ambience was more effective in calming anxious elderly than the neutral ambience, as reflected by both the self-reported and physiological measurements. PMID:26192281

  19. Lighting to Make You Feel Better: Improving the Mood of Elderly People with Affective Ambiences.

    Andre Kuijsters

    Full Text Available Current lighting technologies extend the options for changing the appearance of rooms and closed spaces, as such creating ambiences with an affective meaning. Using intelligence, these ambiences may instantly be adapted to the needs of the room's occupant(s, possibly improving their well-being. We hypothesized that ambiences with a clearly recognizable, positive affective meaning could be used to effectively mitigate negative mood in elderly. After inducing a sad mood with a short movie one group of elderly was immersed in a positive high arousing (i.e., activating ambience, and another group in a neutral ambience. Similarly, after inducing anxiety with a short movie one group of elderly was immersed in a pleasant low arousing (i.e., cozy ambience, and another group in a neutral ambience. We monitored the evolution of the mood of the four groups of elderly over a period of ten minutes after the mood induction, with both self-reported mood measurements (every 2 minutes and constant measurements of the skin conductance response (SCR and electrocardiography (ECG. In line with our hypothesis we found that the activating ambience was physiologically more arousing than the neutral ambience. The cozy ambience was more effective in calming anxious elderly than the neutral ambience, as reflected by both the self-reported and physiological measurements.

  20. Survey on Physical Exercise Addiction of Elderly People in Xi'an%西安市老年人身体锻炼迷瘾现状调查

    孙荣辉

    2012-01-01

    Physical exercise is an important part of the life of the elderly, but they is lack of the understanding of the side effects of physical exercise on mental health. Through the survey on physical exercise addiction of elderly people in Xi'an, the author discovers that the physical exercise addiction of elderly people is serious, and is different in age, gender, and exercise way. Authorities should strengthen the scientific guidance of physical exercise in the elderly to take scientific exercise. We should engage in more recreational activities for older people, disperse the elderly people's attention, and eliminate the effect, which has important social significance for the promotion of physical and mental health of the elderly.%身体锻炼是老年人生活的重要组成部分,但对于身体锻炼对心理健康产生的副作用则缺乏认识.通过对西安市老年人身体锻炼迷瘾的现状进行调查,发现身体锻炼迷瘾现象较为严重,且在年龄、性别、锻炼方式之间存在显著差异.主管部门应坚强对老年人身体锻炼的科学指导,科学锻炼.多开展适合老年人的娱乐活动,分散锻炼者的注意力,消除效应,对于促进老年人的身心健康发展具有重要的社会意义.

  1. [Serum IgG antibodies to GD1a and GM1 gangliosides in elderly people].

    Kolyovska, V

    2016-01-01

    Nowadays, the percentage of elderly people in society grows. Good nutrition and medical care help older people to have a normal life over 80 to 90 years. In the last ten years it is of critical importance to establish the clinical significance of serum IgG anti-GD1a and anti-GM1 ganglioside antibodies as potential biomarkers for neuronal damage in neurodegenerative diseases and immune-mediated neuropathies and demyelination. In the current study, the diagnostic values of IgG anti-GD1a and anti-GM1 antibodies were determined by the ELISA method in serum samples of 18 elderly patients (71-91 years). Significantly elevated serum IgG anti-GD1a and anti-GM1 antibodies titers were detected only in patients over 80 years. These data suggest that the immune-mediated neuropathies, neurodegeneration and demyelination in healthy elderly occur after 80 years old. Therefore, IgG anti-GD1a and anti-GM1 antibodies can serve as biomarkers, showing the nervous system dysfunction. PMID:26973195

  2. Effects of Pilates method in elderly people: Systematic review of randomized controlled trials.

    de Oliveira Francisco, Cristina; de Almeida Fagundes, Alessandra; Gorges, Bruna

    2015-07-01

    The Pilates method has been widely used in physical training and rehabilitation. Evidence regarding the effectiveness of this method in elderly people is limited. Six randomized controlled trials studies involving the use of the Pilates method for elderly people, published prior to December 2013, were selected from the databases PubMed, MEDLINE, Embase, Cochrane, Scielo and PEDro. Three articles suggested that Pilates produced improvements in balance. Two studies evaluated the adherence to Pilates programs. One study assessed Pilates' influence on cardio-metabolic parameters and another study evaluated changes in body composition. Strong evidence was found regarding beneficial effects of Pilates over static and dynamic balance in women. Nevertheless, evidence of balance improvement in both genders, changes in body composition in woman and adherence to Pilates programs were limited. Effects on cardio-metabolic parameters due to Pilates training presented inconclusive results. Pilates may be a useful tool in rehabilitation and prevention programs but more high quality studies are necessary to establish all the effects on elderly populations. PMID:26118523

  3. Effect of Anserine/Carnosine Supplementation on Verbal Episodic Memory in Elderly People.

    Hisatsune, Tatsuhiro; Kaneko, Jun; Kurashige, Hiroki; Cao, Yuan; Satsu, Hideo; Totsuka, Mamoru; Katakura, Yoshinori; Imabayashi, Etsuko; Matsuda, Hiroshi

    2015-01-01

    Our goal in this study was to determine whether or not anserine/carnosine supplementation (ACS) is capable of preserving cognitive function of elderly people. In a double-blind randomized controlled trial, volunteers were randomly assigned to an ACS or placebo group at a 1:1 ratio. The ACS group took 1.0 g of an anserine/carnosine (3:1) formula daily for 3 months. Participants were evaluated by psychological tests before and after the 3-month supplementation period. Thirty-nine healthy elderly volunteers (60-78 years old) completed the follow-up tests. Among the tests, delayed recall verbal memory assessed by the Wechsler Memory Scale-Logical Memory showed significant preservation in the ACS group, compared to the placebo group (p = 0.0128). Blood analysis revealed a decreased secretion of inflammatory cytokines, including CCL-2 and IL-8, in the ACS group. MRI analysis using arterial spin labeling showed a suppression in the age-related decline in brain blood flow in the posterior cingulate cortex area in the ACS group, compared to the placebo group (p = 0.0248). In another randomized controlled trial, delayed recall verbal memory showed significant preservation in the ACS group, compared to the placebo group (p = 0.0202). These results collectively suggest that ACS may preserve verbal episodic memory and brain perfusion in elderly people, although further study is needed. PMID:26682691

  4. Higher blood glucose level associated with body mass index and gut microbiota in elderly people

    Sepp, Epp; Kolk, Helgi; Lõivukene, Krista; Mikelsaar, Marika

    2014-01-01

    Background Some dominant bacterial divisions of the intestines have been linked to metabolic diseases such as overweight and diabetes. Objective A pilot study aimed to evaluate the relations between the culturable intestinal bacteria with body mass index (BMI) and some principal cellular and metabolic markers of blood in people older than 65. Design Altogether 38 generally healthy elderly people were recruited: ambulatory (n=19) and orthopedic surgery (n=19). Questionnaires on general health, anthropometric measurements, routine clinical and laboratory data, and quantitative composition of cultivable gut microbiota were performed. Results Blood glucose level was positively correlated with BMI (r=0.402; p=0.014). Higher blood glucose level had negative correlation with relative share of intestinal anaerobic bacteria such as bacteroides (r=−0.434; p=0.0076) and gram-positive anaerobic cocci (r=−0.364; p=0.027). In contrast, the relative share of bifidobacteria (r=0.383; p=0.019) and staphylococci (r=0.433; p=0.008) was positively correlated to blood glucose level. In elderly people, a higher blood glucose concentration was predicted by the reduction of the anaerobes’ proportion (adj. sex, age, and BMI R2=0.192, p=0.028) and that of Bacteroides sp. (adj. R2=0.309, p=0.016). Conclusion A tight interplay between increased BMI, level of blood glucose, and the reduced proportion of cultivable bacteroides is taking place in the gut microbiota of elderly people. PMID:24936169

  5. Higher blood glucose level associated with body mass index and gut microbiota in elderly people

    Epp Sepp

    2014-06-01

    Full Text Available Background: Some dominant bacterial divisions of the intestines have been linked to metabolic diseases such as overweight and diabetes. Objective: A pilot study aimed to evaluate the relations between the culturable intestinal bacteria with body mass index (BMI and some principal cellular and metabolic markers of blood in people older than 65. Design: Altogether 38 generally healthy elderly people were recruited: ambulatory (n=19 and orthopedic surgery (n=19. Questionnaires on general health, anthropometric measurements, routine clinical and laboratory data, and quantitative composition of cultivable gut microbiota were performed. Results: Blood glucose level was positively correlated with BMI (r=0.402; p=0.014. Higher blood glucose level had negative correlation with relative share of intestinal anaerobic bacteria such as bacteroides (r=−0.434; p=0.0076 and gram-positive anaerobic cocci (r=−0.364; p=0.027. In contrast, the relative share of bifidobacteria (r=0.383; p=0.019 and staphylococci (r=0.433; p=0.008 was positively correlated to blood glucose level. In elderly people, a higher blood glucose concentration was predicted by the reduction of the anaerobes’ proportion (adj. sex, age, and BMI R2=0.192, p=0.028 and that of Bacteroides sp. (adj. R2=0.309, p=0.016. Conclusion: A tight interplay between increased BMI, level of blood glucose, and the reduced proportion of cultivable bacteroides is taking place in the gut microbiota of elderly people.

  6. Dependency in elderly people newly diagnosed with cancer - A mixed-method study

    Esbensen, Bente Appel; Thomé, Bibbi; Thomsen, Thordis

    2012-01-01

    cancer. Being dependent on others was experienced as deterioration. Fatigue represents a significant risk factor for decreased functional ability and is experienced as a reminder of being old and the situation as being out of control. Patients may benefit from health-care professionals acquiring a....... Involvement of the patient in decision-making related to contact with the primary and secondary health-care systems is an important element in reducing the perception of dependency and maintaining the Quality of Life (QoL) of elderly cancer patients. A more precise intervention in this patient population can...... be achieved by assessing, Activities of Daily Living (ADL) in the elderly. Receiving assistance from children seems to increase perceived dependency and to affect QoL negatively. CONCLUSIONS: The results of this mixed-method study indicate that dependency had a negative influence on the elderly with...

  7. Use and safety of antipsychotics in behavioral disorders in elderly people with dementia.

    Gareri, Pietro; De Fazio, Pasquale; Manfredi, Valeria Graziella Laura; De Sarro, Giovambattista

    2014-02-01

    In recent years, the use of antipsychotics has been widely debated for reasons concerning their safety in elderly patients affected with dementia. To update the use of antipsychotics in elderly demented people, a MEDLINE search was conducted using the following terms: elderly, conventional and atypical antipsychotics, adverse events, dementia, and behavioral and psychotic symptoms in dementia (BPSD). Owing to the large amounts of studies on antipsychotics, we mostly restricted the field of research to the last 10 years. Conventional antipsychotics have been widely used for BPSD; some studies showed they have an efficacy superior to placebo only at high doses, but they are associated with several and severe adverse effects. Atypical antipsychotics showed an efficacy superior to placebo in randomized studies in BPSD treatment, with a better tolerability profile versus conventional drugs. However, in 2002, trials with risperidone and olanzapine in elderly patients affected with dementia-related psychoses suggested the possible increase in cerebrovascular adverse events. Drug regulatory agencies issued specific recommendations for underlining that treatment of BPSD with atypical antipsychotics is "off-label." Conventional antipsychotics showed the same likelihood to increase the risk of death in the elderly as atypical agents, and they should not replace the atypical agents discontinued by Food and Drug Administration warnings. Before prescribing an antipsychotic drug, the following are factors to be seriously considered: the presence of cardiovascular diseases, QTc interval on electrocardiogram, electrolytic imbalances, familiar history for torsades des pointes, concomitant treatments, and use of drugs able to lengthen QTc. Use of antipsychotics in dementia needs a careful case-by-case assessment, together with the possible drug-drug, drug-disease, and drug-food interactions. PMID:24158020

  8. A longitudinal study of cerebral blood flow and intelligences in normal elderly people living in retirement house

    It is well known that the number of the neuron in the brain gradually reduced with advancing age, but speed of decline of brain functions differs among individuals. We have reported that social environmental factors had significant influences to cerebral blood flow (CBF) and mental function. In this paper, we report 2.5 years longitudinal study concerning with CBF and intelligences in twenty normal elderly people, mean age of 76 years old at the first measurement, living in retirement house. 1) Mean CBF measured by Xe 133 inhalation method did not alter significantly during the observation period. 2) Performance intelligence evaluated by Kohs' block design test had reduced at the point of begining but no more reduction was observed during the period. 3) Verbal intelligence evaluated by Hasegawa's intelligence scale for aged which was within normal range at the begining, slightly (-7.5 %) but significantly (p < 0.05) reduced during the period. 4) Performance intelligence tended to reduce in subjects who showed reduction of CBF. There were no significant correlation between both intelligences and CBF. CBF could be maintained even in elderly people living in retirement house which has less social stimuli during relatively short observation period in so far as they maintain active daily life. The speed of reduction of performance intelligence may be getting slow after certain age and verbal intelligence gradually decreases perhaps by disuse of the mental function. (author)

  9. Cognitive Inference Device for Activity Supervision in the Elderly

    Nilamadhab Mishra; Chung-Chih Lin; Hsien-Tsung Chang

    2014-01-01

    Human activity, life span, and quality of life are enhanced by innovations in science and technology. Aging individual needs to take advantage of these developments to lead a self-regulated life. However, maintaining a self-regulated life at old age involves a high degree of risk, and the elderly often fail at this goal. Thus, the objective of our study is to investigate the feasibility of implementing a cognitive inference device (CI-device) for effective activity supervision in the elderly....

  10. Episodes of falling among elderly people: a systematic review and meta-analysis of social and demographic pre-disposing characteristics

    F. Bloch

    2010-01-01

    Full Text Available CONTEXT: The multifactorial nature of falls among elderly people is well-known. Identifying the social-demographic characteristics of elderly people who fall would enable us to define the typical profile of the elderly who are at risk of falling. OBJECTIVE: We aimed to isolate studies in which the social-demographic risk factors for falls among the elderly have been evaluated and to carry out a meta-analysis by combining the results of all of these selected studies. METHOD: We did a systematic literature review using the key words "accidental fall / numerical data" and "risk factors." Inclusion criteria entailed the selection of articles with the following characteristics: population of subjects aged 60 years or over, falls that took place in everyday life, and social-demographic risk factors for falls. RESULTS: 3,747 indexed articles published between 1981 and 2007 were identified, and 177 studies with available data were included, of which 129 had data on social-demographic risk factors for falls. Difficulties in activities of daily living (ADL or in instrumental activities of daily living (IADL double the risk of falling: The OR and 95% Cl were 2.26 (2.09, 2.45 for disturbance ADL and 2.10 (1.68, 2.64 for IADL. The OR and 95% Cl for Caucasians were 1.68 (0.98 - 2.88 and 0.64 (0.51 - 0.80 for Hispanics. In the subgroup of patients older than eighty, being married protected people from falling with an OR and 95% Cl =0.68 (0.53 - 0.87. CONCLUSION: Defining factors that create a risk of falling and protect elderly people from falls using social-demographic characteristics lets us focus on an "at risk" population for which a specific program could be developed.

  11. Long-term telemonitoring of mobility trends of elderly people using SMS messaging.

    Scanaill, Cliodhna Ni; Ahearne, Brian; Lyons, Gerard M

    2006-04-01

    A telemonitoring system, based on short message service (SMS), has been developed to remotely monitor the long-term mobility levels of elderly people in their natural environment. Mobility is measured by an accelerometer-based portable unit, worn by each monitored subject. Mobility level summaries are transmitted hourly, as an SMS message, directly from the portable unit to a remote server for long-term analysis. Each subject's mobility levels are monitored using custom-designed mobility alert software, and the appropriate medical personnel are alerted by SMS if the subject's mobility levels decrease. PMID:16617630

  12. Effective methods to influence logistics costs : Case: Food services for elderly people in public homes

    Kariuki, Airine

    2011-01-01

    The population in Finland is rapidly ageing the number of children and people of working age decreases. There were 255,912 at the age of 80 and over at the end of 2010 and it is estimated that by 2030 the population will rise still further. The municipality of Espoo is experiencing high logistics costs in food delivery services to public homes for the elderly and there is a need to develop more cost effective logistics methods to reduce these costs. The purpose of this study is to analyze...

  13. The role of level of functioning, life satisfaction and leisure activities in elderly depressive symptomatology

    George Kleftaras

    2013-10-01

    Full Text Available Today's elderly people make up a large part of the population and depressive symptoms they show requires specialized intervention health professionals. Purpose: The purpose of the present research was to study the phenomenon of elderly depressive symptomatology and its relationship with their quality of life as judged by the performance of daily life activities, perceived life satisfaction and leisure activities. Method and material: The studied sample consisted of107 elderly, 62 men and 45 women, who lived in the community, members of Open Care Centres for the Elderly (K.A.P.I. and the Friendship Club of the wider area of Attica. They completed the Questionnaire of Depressive Symptomatology, the Life Satisfaction Index, the Satisfaction with Performance Scale Questionnaire and the Leisure Time Activities Questionnaire. The statistical analysis of the results was done with SPSS-v. 20,and more specifically with the method of correlation. Results: The results showed that there is a statistically significant negative correlation between the level of life satisfaction of the elderly and depressive symptomatology. They also showed a statistically significant negative correlation between the ability to solve social problems and depressive symptomatology. Not statistically significant relationship between the capacity to manage the home and depressive symptomatology was recorded. Of the areas related to leisure, only activities relaxing the person, social and personal hobbiesrelated negatively with depressive symptomatology but not the physical activities, a finding which supports previous results regarding the efficiency in managing the home. Conclusions: Thus, according to the results of the present study the health professionals working with older people with depressive symptomatology should, in their interventions initially encourage activities that give life satisfaction and then focus their program on strengthening the individual to perform

  14. Trauma in elderly people: access to the health system through pre-hospital care1

    da Silva, Hilderjane Carla; Pessoa, Renata de Lima; de Menezes, Rejane Maria Paiva

    2016-01-01

    Objective: to identify the prevalence of trauma in elderly people and how they accessed the health system through pre-hospital care. Method: documentary and retrospective study at a mobile emergency care service, using a sample of 400 elderly trauma victims selected through systematic random sampling. A form validated by experts was used to collect the data. Descriptive statistical analysis was applied. The chi-square test was used to analyze the association between the variables. Results: Trauma was predominant among women (52.25%) and in the age range between 60 and 69 years (38.25%), average age 74.19 years (standard deviation±10.25). Among the mechanisms, falls (56.75%) and traffic accidents (31.25%) stood out, showing a significant relation with the pre-hospital care services (p<0.001). Circulation, airway opening, cervical control and immobilization actions were the most frequent and Basic Life Support Services (87.8%) were the most used, with trauma referral hospitals as the main destination (56.7%). Conclusion: trauma prevailed among women, victims of falls, who received pre-hospital care through basic life support services and actions and were transported to the trauma referral hospital. It is important to reorganize pre-hospital care, avoiding overcrowded hospitals and delivering better care to elderly trauma victims. PMID:27143543

  15. Trauma in elderly people: access to the health system through pre-hospital care

    Hilderjane Carla da Silva

    2016-01-01

    Full Text Available Objective: to identify the prevalence of trauma in elderly people and how they accessed the health system through pre-hospital care. Method: documentary and retrospective study at a mobile emergency care service, using a sample of 400 elderly trauma victims selected through systematic random sampling. A form validated by experts was used to collect the data. Descriptive statistical analysis was applied. The chi-square test was used to analyze the association between the variables. Results: Trauma was predominant among women (52.25% and in the age range between 60 and 69 years (38.25%, average age 74.19 years (standard deviation±10.25. Among the mechanisms, falls (56.75% and traffic accidents (31.25% stood out, showing a significant relation with the pre-hospital care services (p<0.001. Circulation, airway opening, cervical control and immobilization actions were the most frequent and Basic Life Support Services (87.8% were the most used, with trauma referral hospitals as the main destination (56.7%. Conclusion: trauma prevailed among women, victims of falls, who received pre-hospital care through basic life support services and actions and were transported to the trauma referral hospital. It is important to reorganize pre-hospital care, avoiding overcrowded hospitals and delivering better care to elderly trauma victims.

  16. The design of the Dutch EASYcare study: a randomised controlled trial on the effectiveness of a problem-based community intervention model for frail elderly people [NCT00105378

    van Achterberg Theo

    2005-10-01

    Full Text Available Abstract Background Because of their complex clinical presentations and needs frail elderly people require another approach than people who age without many complications. Several inpatient geriatric health services have proven effectiveness in frail persons. However, the wish to live independently and policies that promote independent living as an answer to population aging call for community intervention models for frail elderly people. Maybe models such as preventive home visits, comprehensive geriatric assessment, and intermediate care qualify, but their efficacy is controversial, especially in frail elderly persons living in the community. With the Dutch EASYcare Study Geriatric Intervention Programme (DGIP we developed a model to study effectiveness of problem based community intervention models in frail elderly people. Methods/Design DGIP is a community intervention model for frail elderly persons where the GP refers elderly patients with a problem in cognition, mood, behaviour, mobility, and nutrition. A geriatric specialist nurse applies a guideline-based intervention with a limited number of follow up visits. The intervention starts with the application of the EASYcare instrument for geriatric screening. The EASYcare instrument assesses (instrumental activities of daily life, cognition, mood, and includes a goal setting item. During the intervention the nurse regularly consults the referring GP and a geriatrician. Effects on functional performance (Groningen Activity Restriction Scale, health related quality of life (MOS-20, and carer burden (Zarit Burden Interview are studied in an observer blinded randomised controlled trial. 151 participants were randomised over two treatment arms – DGIP and regular care – using pseudo cluster randomisation. We are currently performing the follow up visits. These visits are planned three and six months after inclusion. Process measures and cost measures will be recorded. Intention to treat

  17. Psychiatric Morbidity among Elderly People Living in Old Age Homes and in the Community: A Comparative Study

    Anil Kumar Mysore Nagaraj; Joseph Mathew; Raveesh Bevinahalli Nanjegowda; Sumanth Mallikarjuna Majgi; Purushothama SM

    2012-01-01

    Background: Disorders such as depression, anxiety, cognitive and psychotic disorders have a high prevalence among elderly. There is some preliminary evidence that life in old age homes is perceived by inmates as more supportive, though the issue is not well studied. Aim: This project is directed towards studying and comparing the psychiatric morbidity and quality of life of elderly people residing in two unique settings: community and old age homes. Method: It is a cross-sectional study where...

  18. Antioxidant status in a group of institutionalised elderly people with chronic obstructive pulmonary disease.

    Rodríguez-Rodríguez, Elena; Ortega, Rosa M; Andrés, Pedro; Aparicio, Aránzazu; González-Rodríguez, Liliana G; López-Sobaler, Ana M; Navia, Beatriz; Perea, José M; Rodríguez-Rodríguez, Paula

    2016-05-01

    Chronic obstructive pulmonary disease (COPD) is one of the most important and prevalent diseases suffered by the elderly. Evidence exists that its onset and severity might be conditioned by antioxidant status. The aim of the present study was to investigate the relationship between antioxidant status and COPD in institutionalised elderly people. In all, 183 elderly people aged >65 years (twenty-one had COPD and 160 healthy controls) were studied. The subjects' diets were investigated via the use of precise individual weighing for 7 d. Body weight, height, and biceps and triceps skinfold thickness were measured, and body fat (kg) and BMI (kg/m2) were calculated. Serum retinol, α-tocopherol, β-carotene and vitamin C levels were determined. Subjects with COPD ate less fruits than healthy controls (117 (sd 52) v. 192 (sd 161) g/d), their coverage of the recommended intake of vitamin C was smaller (150 (sd 45) v. 191 (sd 88) %; note that both exceeded 100 %) and their diets had a lower antioxidant capacity (6558 (sd 2381) v. 9328 (sd 5367) mmol trolox equivalent/d). Those with COPD had lower serum vitamin C and α-tocopherol concentrations than healthy controls (32·4 (sd 15·3) v. 41·5 (sd 14·8) µmol/l and 12·1 (sd 3·2) v. 13·9 (sd 2·8) µmol/l, respectively). In addition, subjects with α-tocopherol sex, age, use of tobacco, body fat and vitamin E intake as covariables. Subjects with COPD had diets of poorer antioxidant quality, especially with respect to vitamins C and E, compared with healthy controls. PMID:27002926

  19. Achieving high quality long-term care for elderly people: consumers' wishes and providers' responsibilities.

    Morse, R; Jenkinson, D

    1995-01-01

    The organisation of long-term care for older people has major implications for all hospital and community health services. However, even health professionals have a poor understanding of the structure and purpose of long-term care and national professional bodies are still not giving enough attention to the issues involved. In the wider context, care of disabled older people has received little public debate in the UK despite the ethical, social, and financial issues involved and despite the recent major organisational changes in the health service. The past ten years have seen a huge expansion in private residential and nursing homes with a concomitant fall in NHS long-stay beds. Currently, approximately 500,000 elderly people in the UK are living in some form of long-stay care facility, and many other elderly people with multiple disabilities are being supported at home and should also be included under the umbrella of long-term care. Ensuring appropriate, equitable, and high-quality care is a responsibility not only for health and social services but also for society as a whole. This conference, organised jointly by the Royal College of Physicians, the British Geriatrics Society, and Age Concern England, with support from the Department of Health, was a much-needed and welcomed initiative. Over 200 delegates attended, consisting of doctors (geriatricians, psychiatrists, general practitioners), nurses (public and private sector), social services representatives, Department of Health representatives, managers of nursing homes, and members of charities such as Age Concern and the Relatives Association. PMID:7658422

  20. [At-home music therapy intervention using video phone (Skype) for elderly people with dementia].

    Hori, Miyako; Iizuka, Mieko; Nakamura, Michikazu; Aiba, Ikuko; Saito, Yufuko; Kubota, Masakazu; Urabe, Mie; Kinoshita, Ayae

    2014-12-01

    There are various nonpharmacological therapies available for elderly people with dementia, and these can improve quality of life and the behavioral and psychological symptoms of dementia (BPSD) that appear throughout the progression of the disease. Since a substantial number of effects have been reported for music therapy, we focused on this nonpharmacological intervention. Generally, musical therapy is provided collectively in facilities. However, the music used in this context may not consider the preferences and music abilities of each person. Therefore, in this study we created made-to-order music CDs that accounted for each participant's musical preferences and abilities. Utilizing the CDs, we conducted an intervention study of music therapy using a video phone (Skype) that elderly people with dementia can use at home. An advantage of conducting music therapy for individuals with dementia using a video phone is that those who have difficulty going to the hospital or participating in dementia-related therapy groups can participate in therapy in a familiar place. The results of this intervention showed that participants demonstrated signs of improvement as measured by the smile degree(Smile scan)and Behavior Pathology in Alzheimer's Disease (BEHAVE-AD) scale. PMID:25595076

  1. Presence of galactooligosaccharides and furosine in special dairy products designed for elderly people.

    Montilla, Antonia; Megías-Pérez, Roberto; Olano, Agustín; Villamiel, Mar

    2015-04-01

    An evaluation of the formation of prebiotic carbohydrates during lactose hydrolysis has been carried out in industrially elaborated dairy preparations designed for elderly people. Due to the hydrolysis of lactose, high levels of galactose and glucose were found together with galactooligosaccharides (GOS), mainly allolactose, 6-galactobiose and 6'-galactosyl lactose. Total GOS content was between 7.1% and 13.4% of total carbohydrates, depending on lactose hydrolysis extent. In addition, the determination of furosine as indicator of lysine loss during the Maillard reaction (MR) has been also studied. The high content of monosaccharides promoted the progress of the MR during UHT processing, as reflected by the levels of furosine found in samples. After storage at 20 °C for 4 months the content of furosine increased by 74-90%. These results underline the importance of controlling lactose hydrolysis, and processing and storage conditions to preserve the quality and increase the bioactivity of dairy preparations designed for elderly people. PMID:25442582

  2. Cognitive deficit and depressive symptoms in a community group of elderly people: a preliminary study

    Silberman Claudia

    1995-01-01

    Full Text Available Since the number and proportion of old people increases worldwide, health professionals and systems should be made aware and prepared to deal with their problems. Cognitive deficit and symptoms of depression are commom among the elderly, and may occur in relation to various risk factors such as health conditions and psychosocial variables. In order to study cognitive deficit and the presence of signs and symptoms of depression, 62 elderly community subjects enrolled at a Community Health Unit in Porto Alegre, southern Brazil, were interviewed. They were evaluated by means of the Mini Mental State Exam, the Montgomery-Asberg Depression rating scale, and a questionnaire on health conditions, living arrangements and social variables. Higher levels of symptoms of depression were observed among subjects exposed to major risk factors for cerebrovascular diseases (diabetes and coronary disease, while impaired cognitive performance was seen among individuals who could not count on the presence of a confidant (social network variable. The results suggest that the early identification of major risk groups among old people can help to prevent institutionalization and keep individuals in the community.

  3. The influence of family problems and conflicts on suicidal ideation and suicide attempts in elderly people.

    da Silva, Raimunda Magalhães; Mangas, Raimunda Matilde do Nascimento; Figueiredo, Ana Elisa Bastos; Vieira, Luiza Jane Eyre de Souza; de Sousa, Girliani Silva; Cavalcanti, Ana Márcia Tenório de Souza; Apolinário, Alba Valéria de Souza

    2015-06-01

    Family conflicts and problems involve meanings that are constructed during the course of an existence, and become associated with other factors in manifestations of suicidal thoughts and suicide attempts in elderly people. These questions are analyzed in a qualitative study of interviews with elderly people in four different locations in Brazil. A total of 63 men and women took part, and the interviews were held in 2013 and 2014. The field data showed the following factors - in order of the importance that the interviewees gave to them: significant family losses; family and inter-generation conflicts; and explicit and veiled violence. The speech of the subjects showed, as elements that led them to try to end their lives: sadness; feelings of abandonment; isolation, incomprehension of their desires by their family members, and absence of manifestations of affection and/or respect. When telling their stories, they also gave clues about what they expect from their families: welcome, acceptance, comprehension and freedom to carry out their minor wishes; to end their lives in a dignified manner without suffering; to find help and protection for the progressive reduction of their capacities; to continue to participate in family decisions, and to prolong to the maximum their social achievements and prerogatives, such as property, authority and respect. PMID:26060948

  4. Hand tactile discrimination, social touch and frailty criteria in elderly people: A cross sectional observational study.

    Vieira, Ana Isabel; Nogueira, Dália; de Azevedo Reis, Elisabeth; da Lapa Rosado, Maria; Vânia Nunes, Maria; Castro-Caldas, Alexandre

    2016-01-01

    Frailty is a common syndrome among elderly and sensory decline may exacerbate functional decline. The hand function, the manual dexterity, the performance of the daily living skills and the social interactions are determined, in a large degree, by sensory integrity. However, hand tactile sensory deterioration has been little explored in frailty. We performed a cross sectional observational study with 181 of institutionalized elders. From the initial sample we selected 50 subjects (68-99 years) who met the inclusion/exclusion criteria. Our goals were (1) to analyse the relationship between tactile discrimination (TD) of the hand, avoidance behaviours and attitudes towards social touch (BATST) and phenotype frailty criteria (unintentional weight loss, self-perception of exhaustion, decrease grip strength - GS, slow walking speed, low level of physical activity), (2) to explore whether other variables can contribute to explain the differences between pre-frail and frail elders. The results showed that increasing age is related to decline of TD of the hand (p=0.021) and to decrease in GS (p=0.025); women have significantly lower level of GS (p=0.001); TD decrease is correlated with higher avoidance BATST (p=0.000) and with lower GS (p=0.000); Lower GS corresponds to more avoidance BATST (p=0.003). Hand TD also can differentiate frail and pre-frail elderly subjects in this sample (p=0.037). Decreased TD of the hand may have implications on the functionality and on interpersonal relationships. TD of the hand also explains frailty levels in this sample. Hand TD should be used in assessment and intervention protocols in pre-frail and frail elders. PMID:27259030

  5. Comparison of Outpatient Services between Elderly People with Intellectual Disabilities and the General Elderly Population in Taiwan

    Hsu, Shang-Wei; Lin, Jin-Ding; Chiang, Po-Huang; Chang, Yu-Chia; Tung, Ho-Jui

    2012-01-01

    This study aims to analyze the ambulatory visit frequency and medical expenditures of the general elderly population versus the elderly with intellectual disabilities in Taiwan, while examining the effects of age, gender, urbanization and copayment status on ambulatory utilization. A cross-sectional study was conducted to analyze data from 103,183…

  6. Relationship between Cognitive Processes and Depression in Elder People Institutionalized at the San Antonio Elderly Home in Bucaramanga

    Ana Mercedes Cerquera Córdoba

    2008-05-01

    Full Text Available The goal of this article is to identify the relationship between the state of the cognitive processes and the level of depression in elder women at the San Antonio elderly home in Bucaramanga city. In this study, information was collected by means of the application of two instruments (Mini-mental and Beck’s geriatric scale of depression and an in-depth interview with a nonprobabilisticsample of 67 elder women from the population studied. Correlationalelements of detriment and depression with significant events of thelife cycle were found. This research is based on the necessity of finding out the actual conditions of the elder women with regards to the two variables and their correlation, in order to improve the population’s mental and emotional health, beginning with actions started by the professionals who assist the elder women. The results suggest that there is a correlation between the detriment of cognitive processes and the presence of depression.

  7. How Valid Is the Self-Administered Visual Analogue Scale for Assessing the Health Status of Elderly People?

    Kimura, Tomoaki; Hayashida, Kenshi; Araki, Yoshimitsu; Morita, Takako; Yamaguchi, Noboru; Eboshida, Akira

    2008-01-01

    The population of Japan is aging rapidly, and maintaining the quality of life of elderly people has become an important issue in contemporary Japan. This study was conducted to verify the validity of the self-administered visual analogue scale (VAS) for assessing the health status of elderly people. A survey was conducted in two villages in western Japan in 2003. A total of 2040 participants, aged between 60 and 75 years, completed questionnaires comprising the VAS and six Likert-type items f...

  8. The impact of changes in access to local facilities on the wellbeing of elderly and disabled people

    Mackett, R.L.; Titheridge, H.; Achuthan, K.

    2012-01-01

    An important element of wellbeing is the ability to reach the facilities and services needed for a healthy and fulfilling life. Many of the needs of everyday life for elderly and disabled people are met through the provision of local services such as post offices and public libraries. Elderly and disabled people with no car or on low incomes may need such services in order to maintain their health, income and quality of life. In Britain there is a policy of rationalising such services, someti...

  9. Quality of Life of Elderly People and Assessment of Facilities Available in Old Age Homes of Lucknow, India

    Abhishek Gupta, Uday Mohan, Sarvada C Tiwari, Shivendra K Singh, Vijay K Singh,

    2014-01-01

    Introduction: The old-age home industry is mostly unregulated and there is a need for putting in place certain minimum standards. Many times poor and destitute persons who may need institution-based care cannot afford them.Long-term care has a price, and there is also a need for debate on its policy and best practice. Objective:The objectives were to study the quality of life of elderly people, to assess the facilities available and the factors associated with elderly people for availing t...

  10. Prevalence of depression, anxiety and stress disorders in elderly people residing in Khoy, Iran (2014-2015

    Towhid Babazadeh

    2016-05-01

    Full Text Available Introduction: Psychiatric disorders such as depression, stress, and anxiety are factors that affect the quality of life, suicide and many physical problems, and socioeconomic in elders. Considering the importance of the issue and increasing the number of elderly people in this County, researchers decided to investigate the levels of stress, anxiety, and depression in the elderly health centers of Khoy, Iran. Methods: This cross-sectional study was done on 383 elderly people referred to health centers in Khoy County. A random cluster sampling was used in this study where each health care is considered as a cluster. The Depression, Anxiety, Stress Scale 21 (DASS-21 standard questionnaire was used for data collection. The SPSS software was used for all computations. Data were analyzed using descriptive statistic, t-test, and one-way ANOVA. P < 0.050 was determined to be significant. Results: The results of this study showed that 1.3% of the elderly people suffer from very severe stress, 1.3% from severe depression, and 3.1% from severe anxiety. Likewise, the comparison between anxiety, stress, and depression disorders with demographic variables showed that there is a significant association between these disorders and sex, education, marital status, medical condition, as well as their housing conditions (P < 0.050. Conclusion: The results of this study indicated anxiety disorders, depression, and stress prevail among the elderly. In addition, some factors such as education, housing, medical condition, and marital status had significant effects on anxiety disorders, depression, and stress. Therefore, more attention is deserved in these aspects. Moreover, appropriate measures need to be taken to improve the mental health of elderly people.

  11. Cognitive Impairment and Risk Factors in Elderly People Living in Fluorosis Areas in China.

    Li, Mang; Gao, Yanhui; Cui, Jing; Li, Yuanyuan; Li, Bingyun; Liu, Yang; Sun, Jing; Liu, Xiaona; Liu, Hongxu; Zhao, Lijun; Sun, Dianjun

    2016-07-01

    Residents living in fluorosis areas generally experienced long-term exposure to excessive fluoride in drinking water. The adverse effects of high fluoride levels on the nervous system have been studied; however, the effect of fluoride exposure on cognitive functions of elderly people in fluorosis areas is rarely reported. This study was aimed to find out the potential risk factors of cognitive impairment among elderly people who lived in fluorosis areas of China. A total of 511 subjects, aged 60 years or above, were investigated in fluorosis areas of Heilongjiang Province, Inner Mongolia Autonomous Region, Qinghai Province, and Xinjiang Uygur Autonomous Region. The Mini-Mental State Examination (MMSE) was used to examine cognitive functions of the study subjects. Based on the MMSE scores, the study subjects were divided into normal group and cognitive impairment group that consisted of mild, moderate, and severe groups. Multivariable logistic regression showed that a higher risk of cognitive impairment was associated with increased age and decreased education levels. Multiple linear regression analysis revealed that MMSE scores were negatively associated with serum homocysteine (Hcy) levels. However, both urinary fluoride and serum Hcy levels in the normal group were not the lowest among the four groups. Spearman's correlation analysis showed that urinary fluoride levels were positively correlated with serum Hcy (r s = 0.209, P < 0.01). Our study suggests that people with cognitive impairment in fluorosis areas have elevated serum Hcy levels, which was positively correlated with urinary fluoride concentrations. A certain low dose of fluoride intake may play a potential protective rather than harmful role in cognitive functions; however, high fluoride exposure is a potential risk factor for cognitive impairment. PMID:26606914

  12. The influence of physical activity in the positive mental health of the elder

    H.M. Fernandes

    2009-01-01

    Full Text Available This study aim to investigate the physical activity levels of older adults and its effect on life satisfaction, self-esteem and personal growth. A sample of 168 elderly persons of both sexes with ages between 60 and 95 years (M= 72.06, SD= 6.83 was used. Results reveal that about 41.1% of the sample is physically inactive, while only 31.5% of the older adults reported physical activity levels equal or above international recommended amounts. Correlation and comparative analysis demonstrate that physical activity participation is associated with higher levels of life satisfaction, self-esteem and personal growth, and that this effect is superior in the elderly people who practice at least 30 minutes of moderate-intensity aerobic physical activity on five or more days a week.

  13. Cognitive Inference Device for Activity Supervision in the Elderly

    Nilamadhab Mishra

    2014-01-01

    Full Text Available Human activity, life span, and quality of life are enhanced by innovations in science and technology. Aging individual needs to take advantage of these developments to lead a self-regulated life. However, maintaining a self-regulated life at old age involves a high degree of risk, and the elderly often fail at this goal. Thus, the objective of our study is to investigate the feasibility of implementing a cognitive inference device (CI-device for effective activity supervision in the elderly. To frame the CI-device, we propose a device design framework along with an inference algorithm and implement the designs through an artificial neural model with different configurations, mapping the CI-device’s functions to minimise the device’s prediction error. An analysis and discussion are then provided to validate the feasibility of CI-device implementation for activity supervision in the elderly.

  14. Algorithm for the early diagnosis of vitamin B12 deficiency in elderly people

    Gonzalo Palacios

    2013-10-01

    Full Text Available Background: The elderly population is particularly at risk for developing vitamin B12-deficiency. Serum cobalamin does not necessarily reflect a normal B12 status. The determination of methylmalonic acid is not available in all laboratories. Issues of sensitivity for holotranscobalamin and the low specificity of total homocysteine limit their utility. The aim of the present study is to establish a diagnostic algorithm by using a combination of these markers in place of a single measurement. Methods: We compared the diagnostic efficiency of these markers for detection of vitamin B12 deficiency in a population (n = 218 of institutionalized elderly (median age 80 years. Biochemical, haematological and morphological data were used to categorize people with or without vitamin B12 deficiency. Results: In receiver operating curves characteristics for detection on vitamin B12 deficiency using single measurements, serum folate has the greatest area under the curve (0.87 and homocysteine the lowest (0.67. The best specificity was observed for erythrocyte folate and methylmalonic acid (100% for both but their sensitivity was very low (17% and 53%, respectively. The highest sensitivity was observed for homocysteine (81% and serum folate (74%. When we combined these markers, starting with serum and erythrocyte folate, followed by holotranscobalamin and ending by methylmalonic acid measurements, the overall sensitivity and specificity of the algorithm were 100% and 90%, respectively. Conclusion: The proposed algorithm, which combines erythrocyte folate, serum folate, holotranscobalamin and methylmalonic acid, but eliminate B12 and tHcy measurements, is a useful alternative for vitamin B12 deficiency screening in an elderly institutionalized cohort.

  15. Psychiatric Morbidity among Elderly People Living in Old Age Homes and in the Community: A Comparative Study

    Anil Kumar Mysore Nagaraj

    2012-01-01

    Full Text Available Background: Disorders such as depression, anxiety, cognitive and psychotic disorders have a high prevalence among elderly. There is some preliminary evidence that life in old age homes is perceived by inmates as more supportive, though the issue is not well studied. Aim: This project is directed towards studying and comparing the psychiatric morbidity and quality of life of elderly people residing in two unique settings: community and old age homes. Method: It is a cross-sectional study where the elderly subjects, 50 each in both the groups, were selected by simple random sampling technique and assessed on Mini Mental Status Examination (MMSE, Informant Questionnaire on Cognitive Decline in Elderly (IQCODE, Brief Psychiatric Rating Scale (BPRS and Quality of life visual analogue scale. Result: On comparison using suitable statistical analysis, there was no significant difference in the total scores on MMSE, IQCODE and quality of life scale across the groups. Depression was present in 22% of people in the community and 36% of old age home inmates. Psychosis was present in 26% of people in the community and 20% of old age home inmates. Conclusion: The psychiatric morbidity is high in elderly irrespective of the setting in which they live.

  16. The differences at quality of life and loneliness between elderly people

    IOANNA THOMOPOULOU

    2010-01-01

    Full Text Available The purpose of the present study was to examine the differences at quality of life and loneliness between elderly people. Data were collected from 180 persons aged 60 -93 years old from Greece. Quality life was estimated through the Quality of Life Index, loneliness through the UCLA Loneliness Scale, and demographic characteristics with a questionnaire. For quality of life, males had higher scores than females, older than oldest old and finally married than divorced and widows/ers respectively. Further, divorced had better quality of life than widows/ers, but with no significance. Concerning loneliness, males scored lower than females, older than oldest old and married than divorced and widows/ers respectively. Divorced had lower loneliness than widowers, but with no significance. The internal consistency of the Quality of Life Index subscales ranged from 0.749 to 0.881, whereas for the UCLA Loneliness Scale was 0.849. In conclusion, elderly perceptions about their conditions of living will guide practitioners to find out the real deficits on elder’s daily living and finally form suitable rehabilitation programmes.

  17. Comparison of verbal and emotional responses of elderly people with mild/moderate dementia and those with severe dementia in responses to seal robot, PARO

    Kazue Takayanagi

    2014-09-01

    Conclusion: The elderly people both with mild/moderate dementia and with severe dementia showed greater interest in PARO than in Lion. The results suggest that introducing PARO may increase willingness of the staff members to communicate and work with elderly people with dementia, especially those with mild/moderate dementia who express their demand of communication more than those with severe dementia.

  18. Antropometría y composición corporal en personas mayores de 60 años. Importancia de la actividad física Anthropometry and body composition in elderly people. Importance of physical activity

    Heliodoro Alemán-Mateo

    1999-07-01

    Full Text Available OBJETIVO. Medir los indicadores antropométricos de composición corporal por bioimpedancia eléctrica y la actividad física, así como la glucosa sanguínea y la presión arterial en personas mayores de 60 años de una región rural. MATERIAL Y MÉTODOS. Por muestreo intencional no probabilístico se seleccionaron 54 sujetos mayores de 60 años, quienes se sometieron al protocolo estandarizado para las mediciones antropométricas y composición corporal por bioimpedancia eléctrica (BIE y actividad física mediante el cuestionario de actividades. Asimismo, se midió la presión arterial y se realizó la prueba de tolerancia a la glucosa. Los valores promedio se analizaron por sexo mediante la prueba t de Student, y la asociación de la actividad física y la composición corporal con otras variables, por regresión lineal simple y el coeficiente de correlación de Pearson. RESULTADOS. La actividad física correlacionó negativamente con el porcentaje de grasa (r= -0.36; p= 0.007; la presión arterial diastólica (r= -0.36; p= 0.006 y sistólica (r= -0.32; p= 0.018 y el índice de masa corporal, con la glucosa posdosis (r= 0.31; p= 0.024. CONCLUSIONES. La actividad física en este grupo de personas puede tener un impacto favorable respecto a los indicadores de salud tan importantes que se mencionaron.OBJECTIVE. To measure anthropometric indicators of body composition by electric bioimpedence, as well as physical activity, blood glucose and arterial pressure in rural people over 60 years of age. MATERIAL AND METHODS. A total of 54 subjects over 60 years old were selected by intentional non-probabilistic sampling. They were subjected to a standardized protocol to measure anthropometric indicators, body composition by electric bioimpedance (EBI, and physical activity was determined by an activity questionnaire. Arterial pressure and glucose tolerance levels were also measured. Analysis included Student's t test to detect differences by sex and the

  19. Effect of mild physical activity in obese and elderly women with type 2 diabetes

    Krishna G Seshadri

    2012-01-01

    Full Text Available Background: Elderly, obese women with diabetes who have limitations in mobility often are unable to walk for a sustained period of time. We need to find a way to increase physical activity in these subjects. Aim: To evaluate the effect of low-intensity, repetitive, home-based walking regimen on glycemic control in elderly, obese women with diabetes. Research Design: A 24-week open, 2 arms, and prospective study. Materials and Methods: A total of 18 elderly people with type 2 diabetes were recruited. Nine subjects were instructed to walk for 5 minutes per hour for most waking hours for 24 weeks. The rest were given standard advice regarding diet and exercise. Glycemic control, HbA1c, weight, BMI, subjects′ physical fitness, QOL, and distance walked in 6 minutes were determined before and after the intervention. Intervention: A mild physical activity of 5 minutes walking/hour everyday and antidiabetic medications prescribed as per clinic procedure. Results: There was a significant reduction in HbA1c within the study group (8.76% to 7.43% (P = 0.08 vs rise in the control group (8.34% to 9.34% (P = 0.07. There was a significant weight loss within the group which exercised (P = 0.01, but there was no significant difference between the groups. Conclusion: Repetitive low-intensity activity is effective in improving glycemic control and weight management in elderly obese women.

  20. Proposed policies on palliative care for elderly people in Latin America and the Caribbean

    Jose F. Parodi

    2016-03-01

    Full Text Available The fast aging of population, epidemiological changes and the need to guarantee human rights (health, social protection,etc. force countries and the wider community to become aware and develop policies that form the basis for an strategy of maintaining the health and care of elderly people. This should be designed taking into account the particularities of this age group, and the need for adaptation of social health services to provide quality care and equity. The adequacy of services involves recognizing the new requirements, the particularities of the risks and problems of this stage of life, comprehensive care, and even decent evidence-based on the end of life. In the presence of new problems and new goals, new skills, new work scenarios and an information system that improve the efficiency and quality of interventions are required

  1. Qualitative study of oral health norms and behaviour among elderly people in Scotland

    Schou, L; Eadie, D

    1991-01-01

    This study was undertaken to examine oral health norms and behaviour among elderly people in Scotland. Qualitative methodology in the form of informal group discussions was used. The study population comprised 9 groups of 6-8 respondents aged 65 years and over, selected according to the quota...... criteria of sex, social class, level of dependency and oral health status. All groups were recruited by a professional market research interviewer, using a random route procedure. Discussions were conducted under the guidance of an experienced group moderator and tape recorded. Each group discussion lasted...... between 1 1/2 and 2 1/2 hours. The results showed that oral and denture hygiene was a sensitive issue and part of individual routine behaviour which most respondents were reluctant to change. Tooth loss was expected and accepted as part of a natural ageing process. Dental visits were regarded as problem...

  2. 老年人肌力训练方法的研究进展%Advances on muscle strength training in elderly people

    张云娇; 胡景萍

    2014-01-01

    随着社会老龄化程度的加深,老年人身体机能的衰退尤其是肌肉力量的衰减愈加明显。老年人肌肉力量的退行性变化严重影响老年人的日常生活能力及活动水平,使得其失能率及患病率明显增高。肌力训练能有效提高肌力,延缓老龄化进程,提高老年人的生活质量。通过对老年人肌力训练方式相关文献的复习,从国内外老年人的肌肉生理变化、训练机制、肌力训练方式进行综述,并提出自己的思考,以期为制定老年人适宜、全面的肌力训练方法提供参考。%With the development of aging society, the physical functional ability of older adult declined, especially for the muscle strength. The declining of muscle strength of elderly people made seriously effects on their activities of daily living and exercise capacity, which obviously increased the rates of disability and prevalence. Muscle strength training was efficient in improving muscle strength and delayed the process of aging. Subsequently, the quality of life of the elderly people would have a significant improvement. By reviewing the literature about muscle strength training of elderly people, we mainly reviewed the physiological changes, training mechanism, and muscle strength training methods. Then, we made our opinions, which would have a base on developing comprehensive and comfortable training methods for the elderly people.

  3. Advances on muscle strength training in elderly people%老年人肌力训练方法的研究进展

    张云娇; 胡景萍

    2014-01-01

    With the development of aging society, the physical functional ability of older adult declined, especially for the muscle strength. The declining of muscle strength of elderly people made seriously effects on their activities of daily living and exercise capacity, which obviously increased the rates of disability and prevalence. Muscle strength training was efficient in improving muscle strength and delayed the process of aging. Subsequently, the quality of life of the elderly people would have a significant improvement. By reviewing the literature about muscle strength training of elderly people, we mainly reviewed the physiological changes, training mechanism, and muscle strength training methods. Then, we made our opinions, which would have a base on developing comprehensive and comfortable training methods for the elderly people.%随着社会老龄化程度的加深,老年人身体机能的衰退尤其是肌肉力量的衰减愈加明显。老年人肌肉力量的退行性变化严重影响老年人的日常生活能力及活动水平,使得其失能率及患病率明显增高。肌力训练能有效提高肌力,延缓老龄化进程,提高老年人的生活质量。通过对老年人肌力训练方式相关文献的复习,从国内外老年人的肌肉生理变化、训练机制、肌力训练方式进行综述,并提出自己的思考,以期为制定老年人适宜、全面的肌力训练方法提供参考。

  4. Seroepidemiology of Toxoplasma gondii infection in elderly people in a northern Mexican city.

    Alvarado-Esquivel, Cosme; Liesenfeld, Oliver; Burciaga-López, Blanca Delia; Ramos-Nevárez, Agar; Estrada-Martínez, Sergio; Cerrillo-Soto, Sandra Margarita; Carrete-Ramírez, Francisco Antolín; López-Centeno, María de Lourdes; Ruiz-Martínez, María Magdalena

    2012-07-01

    Whereas it is well-known that the seroprevalence of infection with Toxoplasma gondii increases with age, details of the seroepidemiology of infection in elderly people are largely unknown. Anti-T. gondii IgG and IgM antibody levels were determined in 483 subjects aged ≥60 years old in Durango City, Mexico, using enzyme-linked immunosorbent assays. Socio-demographic, clinical, and behavioral characteristics from each participant were also obtained. In total, 58 (12%) of 483 participants (mean age 70.35±6.63 years) had anti-T. gondii IgG antibodies, and 14 (2.9%) also had anti-T. gondii IgM antibodies. Seroprevalence of infection varied significantly with age, birthplace, and educational level. Seroprevalence increased with age, especially in women (p=0.01), and was higher in subjects born outside of Durango State than those born within Durango State (p=0.008). Seroprevalence was higher in men with up to 12 years of education than in men with more than 12 years of education (p=0.01). Multivariate analysis of behavioral data showed a positive association of T. gondii infection with the presence of cats in the neighborhood, as well as consumption of boar, pigeon, iguana, and armadillo meats, and chorizo. Gender-specific analysis showed the described associations in women but not in men. In contrast, consumption of beef showed a negative association with T. gondii infection. This is the first report of the seroprevalence and contributing factors for T. gondii infection in elderly people, and of an association of the consumption of armadillo and iguana meats with T. gondii infection. Our results will provide the basis for the design of optimal preventive measures against T. gondii infection. PMID:22448744

  5. Determinants of depression and insomnia among institutionalized elderly people in Malaysia.

    Shahar, Suzana; Hassan, Junaidah; Sundar, Vatana V; Kong, Ai Yun Wenty; Ping Chin, Sook; Ahmad, Samsul Anuar; Kuan Lee, Lai

    2011-09-01

    Depression and insomnia are common psychiatric disorders among elderly people and reported to be related to several social and health factors. However, their occurrences in relation to food intake have rarely been investigated. Therefore, this study was to identify determinants of depression and insomnia, with emphasised on food intake among 71 elderly people residing in a government funded institution in Malaysia. An interview based questionnaire was used to obtain information on socio-demography, health and functional status, depression, insomnia and food intake. A total of 71.8% subjects had depression and 53% had insomnia. Subjects who had insomnia [Adjusted Odds Ratio (AOR) 19.55, 95% CI=4.04-94.64], needed help/unable to perform >4 items of IADL (AOR=16.65, 95% CI=3.95-70.22), had hypertension (AOR=7.66, 95% CI=1.37-42.76), had >50% wastage of poultry or fish (AOR=3.66, 95% CI=1.06-12.60) and wastage of vegetables (AOR 3.31, 95% CI=1.03-10.60) were more likely to have depression. Subjects who had depression (AOR 19.55, 95% CI=4.04-94.64), needed help/unable to perform >4 items of IADL (AOR 2.97, 95% CI=1.12-7.84), needed help/unable to handle financial matters (AOR 5.01, 95% CI=1.37-18.27) and had >50% wastage of vegetables (AOR 3.91, 95% CI=1.42-10.82) were at a higher risk to develop insomnia. Depression and insomnia affected more than half of the subjects, interrelated, and associated with functional inability, socioeconomic factor and high food wastage of specific foods. PMID:23051116

  6. Model optimization activities psychologist employment of older people

    Oksana Lusova

    2015-05-01

    Full Text Available The article deals with the optimization of labor activity of the elderly, considered optimization factors of labor activity (macro meza- and microfactors, stages and principles of psychological work with the elderly, an attempt to create a model of a psychologist with an older man on the stage of retirement.

  7. An epidemiological investigation on serum levels of leptin, adiponectin, interleukin-6and plasminogen activator inhibitor-1 in middle aged and elderly people%中老年血清瘦素、脂联素、白介素-6及纤溶酶原激活物抑制物-1的流行病学调查

    鲍蓓; 李志海; 陈卫文; 王立; 靳玉凤; 王晓燕

    2012-01-01

    目的 对广州市中老年人血清瘦素( leptin)、脂联素(adiponectin)、白介素-6(interleukin-6,IL-6)及纤溶酶原激活物抑制物-1(plasminogen activator inhibitor-1,PAI-1)进行流行病学调查.方法 在广州市生物库第三期注册登记的10 027名中老年人中随机抽取1996名中老年人进行问卷调查和健康体检.以酶联免疫吸附双抗夹心( ELISA)法测定leptin、adiponectin、IL-6、PAI-1.结果 广州市中老年人leptin、adiponectin、IL-6、PAI-1分别为( 10.46±9.75) μg/L、(9115.5±9812.91) μg/L、(13.13±6.50) pg/mL和(163.71±110.04)μg/L.校正年龄因素后,男、女性别间leptin、adiponectin、IL-6和PAI-1差异均有显著性(P<0.05).结论 本次大样本的中老年leptin、adiponectin、IL-6、PAI -1的流行病学调查数据可靠,为后期的生活方式与慢性心、脑血管和代谢性疾病关系的研究和公共卫生干预提供了依据.%Objective To conduct an epidemiological investigation on leptin,adiponectin,interleukin-6 ( IL-6 ),and plasminogen activator inhibitor-1 ( PAI-1 ) in the middle aged and elderly people in Guangzhou.Methods 1996 of 10 027 middle aged and elderly people registered at Guangzhou Database were randomly selected to be surveyed by questionnaires and to have physical examination.Levels of leptin,adiponectin,IL-6,and PAI-1 were determined by enzyme-linked immunosorbent assay ( ELISA ).Results Leptin was ( 10.46 ± 9.75 ) μg/L, adiponectin was ( 9115.5 ± 9812.91 ) μg/L,IL-6 was ( 13.13 ± 6.50 ) pg/mL,and PAI-1 was ( 163.71 ± 110.04 ) μg/L in Guangzhou middle aged and elderly people.There were significant differences in levels of leptin,adiponectin,IL-6,and PAI-1 between male and female after age adjustment.Conclusions Reliable data of leptin,adiponectin,IL-6,and PAI-1 in this large-scale epidemiological investigation provides support for the future research on the relationship between lifestyle and chronic cardiovascular,cardiocerebrovascular diseases

  8. People with Learning Disabilities and "Active Ageing"

    Foster, Liam; Boxall, Kathy

    2015-01-01

    Background: People (with and without learning disabilities) are living longer. Demographic ageing creates challenges and the leading policy response to these challenges is "active ageing". "Active" does not just refer to the ability to be physically and economically active, but also includes ongoing social and civic engagement…

  9. Evaluation of Nutritional Status and Its Effect on Biochemical Parameters in Elderly People Admitted to Home Health Care Services

    Aydan Çevik1

    2014-09-01

    Full Text Available Objective: Malnutrition and under nutrition are common phenomena in elderly. Prevalence of malnutrition is even higher in older people admitted to home health care services. Our aim was to evaluate the nutritional status and its effect on biochemical parameters of the elderly people admitted to home health care services. Methods: Our study was performed in 178 participants admitted to the home health care services. Validated Mini Nutritional Assessment (MNA form was used and biochemical tests were performed. Results: Main age of the participants is 81.19±8.22 years and 32% of participants were male, 68% were women. According to MNA 33.1% were malnourished, 39.3% were under malnutrition risk and 27.5% were in normal nutritional status. Hemoglobin, total iron, total iron binding capacity (TIBC, vitamin B12, folic acid and lymphocyte levels were significantly lower, ferritin and C-reactive protein levels were significantly higher in malnutrition group. Total iron and albumin levels were significantly lower and CRP levels were significantly higher in under nutrition group compared to subjects with normal nutritional status. Conclusion: Elderly people given home care are under greater risk of malnutrition. If not appropriately managed, malnutrition is associated with higher morbidity and mortality. Therefore it is essential to closely monitor the nutritional situational status of the elderly people who are admitted to home health care services.

  10. Impact of systolic blood pressure on visit-to-visit blood pressure variability in middle-aged and elderly people

    陈朔华

    2013-01-01

    Objective To observe the impact of systolic blood pressure(SBP)on visit-to-visit blood pressure variability(BPV) in middle-aged and elderly people.Methods Visit-to-visit BPV was determined in 5440 workers in the

  11. Dipeptidyl peptidase-4 inhibitors can minimize the hypoglycaemic burden and enhance safety in elderly people with diabetes.

    Avogaro, A; Dardano, A; de Kreutzenberg, S V; Del Prato, S

    2015-02-01

    The prevalence of type 2 diabetes mellitus (T2DM) among elderly people is increasing. Often associated with disabilities/comorbidities, T2DM lowers the chances of successful aging and is independently associated with frailty and an increased risk of hypoglycaemia, which can be further exacerbated by antihyperglycaemic treatment. From this perspective, the clinical management of T2DM in the elderly is challenging and requires individualization of optimum glycaemic targets depending on comorbidities, cognitive functioning and ability to recognize and self-manage the disease. The lack of solid evidence-based medicine supporting treatment guidelines for older people with diabetes further complicates the matter. Several classes of medicine for the treatment of T2DM are currently available and different drug combinations are often required to achieve individualized glycaemic goals. Many of these drugs, however, carry disadvantages such as the propensity to cause weight gain or hypoglycaemia. Dipeptidyl peptidase-4 (DPP-4) inhibitors, a recent addition to the pharmacological armamentarium, have become widely accepted in clinical practice because of their efficacy, low risk of hypoglycaemia, neutral effect on body weight, and apparently greater safety in patients with kidney failure. Although more information is needed to reach definitive conclusions, growing evidence suggests that DPP-4 inhibitors may become a valuable component in the pharmacological management of elderly people with T2DM. The present review aims to delineate the potential advantages of this pharmacological approach in the treatment of elderly people with T2DM. PMID:24867662

  12. Effect of Discontinuation of Antihypertensive Treatment in Elderly People on Cognitive Functioning-the DANTE Study Leiden

    Moonen, Justine E F; Foster-Dingley, Jessica C; de Ruijter, Wouter;

    2015-01-01

    Antihypertensive Treatment in Elderly People (DANTE) Study Leiden from June 26, 2011, through August 23, 2013 (follow-up, December 16, 2013). Intention-to-treat analyses were performed from January 20 through April 11, 2014. INTERVENTIONS: Discontinuation (n = 199) vs continuation (n = 186) of antihypertensive...

  13. [Design of Fall Detection System for Elderly People Based on MPU6050 Sensor].

    Liu, Li; Zheng, Dongxue; Liu, Xiaojun

    2015-09-01

    This paper proposes a falling detection system based on MPU6050 senor. The system consists of a MPU6050 sensor, a STM32 MCU and a set of Bluetooth 4.0 device: collecting and parsing the falling data, transferring the result to a smartphone, the smartphone: receiving the result, alarming the elder's family and hospital. This paper presentes a new judging algorithm based on the threshold of three-axis acceleration and angle deviation of body, in order to differentiate AF and normal daily activity. The result proves that the accuracy of the system is higher than 95%, which strongly highlight the robustness and reliability. PMID:26904872

  14. Longitudinal course of mild parkinsonian signs in elderly people: A population-based study in Japan.

    Wada-Isoe, Kenji; Tanaka, Kenichiro; Uemura, Yusuke; Nakashita, Satoko; Tajiri, Yuki; Tagashira, Shugo; Yamamoto, Mikie; Yamawaki, Mika; Kishi, Masafumi; Nakashima, Kenji

    2016-03-15

    We aimed to clarify the longitudinal course of mild parkinsonian signs (MPS) and their association with dementia and functional disability by conducting a comprehensive epidemiological study, including brain MRI, and assessments of cognition, depression, and sleep, in people aged ≥65years living in Ama-cho. We diagnosed MPS and parkinsonism (PS) using a modified Unified Parkinson's Disease Rating Scale. The phase I study was conducted between 2008 and 2010 (n=729) and the phase II between 2011 and 2013 (n=436). By phase II, 8.5% of the phase I participants without PS had developed PS. In addition to older age, a lower Mini-Mental State Examination (MMSE) score, and lower body mass index, the MPS rigidity subtype was a significant independent predictor of PS onset. By phase II, 10.1% of the participants without dementia or PS at phase I had developed dementia. Older age, lower MMSE score, and the axial dysfunction and tremor MPS subtypes were significant independent predictors of dementia development. By phase II, 38.8% of participants with MPS at phase I showed no motor symptoms. Younger age and adequate sleep were significant predictors for this reversion. Periventricular and deep white matter hyperintensity Fazekas scores increased with the evolution of parkinsonian signs. MPS is therefore critically, although sometimes reversibly, associated with PS and dementia development in elderly people. PMID:26944110

  15. Fatores de risco para mortalidade em idosos Risk factors for mortality among elderly people

    Flávia de O M Maia

    2006-12-01

    Full Text Available OBJETIVO: Os fatores de risco para as doenças e mortes prematuras são importantes para a elaboração de condutas preventivas. O objetivo do trabalho foi analisar os fatores de risco para óbito entre idosos. MÉTODOS: O estudo foi realizado no Município de São Paulo, em participantes do estudo SABE (Saúde, Bem-estar e Envelhecimento, em 2000. Foram entrevistados 2.143 indivíduos com 60 anos ou mais, utilizando-se o questionário padronizado do estudo SABE. A amostra foi obtida de setores censitários em dois estágios, com reposição e com probabilidade proporcional à população, com complementação da amostra de pessoas de 75 anos ou mais. Os dados finais foram ponderados para poderem ser expandidos. Entre os dois períodos de coleta de dados ocorreram 38 óbitos que compuseram a amostra do estudo. Para a análise dos dados, utilizou-se regressão logística, com nível de significância de 5%. RESULTADOS: Os fatores de risco encontrados foram: dificuldade de locomoção, idade avançada, gênero masculino, auto-avaliação de saúde como "má" e dificuldade para ir ao banheiro, OR=3,15; 2,93; 2,90; 2,69 e 2,51, respectivamente. CONCLUSÕES: Os resultados podem contribuir para a adoção de medidas preventivas para os idosos, visando à diminuição de desfechos fatais antecipados.OBJECTIVE: The risk factors for diseases and premature deaths are important in drawing up preventive measures. This study had the aim of analyzing the risk factors for death among elderly people. METHODS: This study was carried out among participants in the SABE (Health, Wellbeing and Aging study, in the city of São Paulo in 2000. Interviews were conducted with 2,143 elderly people (60 years old or over, using a standardized questionnaire for the SABE study. The sample was obtained from census tracts, in two stages, with replacements and with probability proportional to the population, and with supplementation of the sample of people aged 75 years or over

  16. IMPROVING QUALITY OF LIFE AT EDERLY PEOPLE, THROUGH GIMN ACTIVITIES

    Ganciu Mihaela

    2015-10-01

    Full Text Available In light of permanent education, physical education and sports activities should be integrated throughout life. The objective of the research is to improve the quality of life of older people to the initiation of maintenance programs by simple methods, reliable and inexpensive. Therapeutic strategies will be adapted practitioners age, associated diseases, profession. The sample under investigation comprised 30 elderly people who participated in two gymnastics lessons a week and a society dance lesson. Inspection methods that I used: bibliographic study, experimental method, survey method and statistical method - mathematical and graphical representation. Quality of life assessment was done by assessing exercise capacity, the survey method and the call routed. Through a sustained program and rhythmic exercise improves cardiovascular activity, as evidenced by increased exercise capacity by lowering resting heart rate, a major component of cardiovascular disease prevention. Decrease abdominal fat and increased muscle tone abdominal favorable effects on biomechanics of the lumbar spine dynamics can thus be considered to be the prevention of back pain. In summary the study conducted, in order to highlight the benefits of the sport for optimal physical condition and fight aging, it can be concluded that physical activity has a beneficial role for the body, both physically and mentally. Survey conducted among people aged III revealed the following: Practicing the sport of gymnastics in a systematic, consistent results in improving health and fitness as well as comfort, good mood, optimism, improving intellectual activity. In short, we can say that these people the sport of gymnastics has improved quality of life.

  17. The Effect of Trunk Stabilization Exercises with a Swiss Ball on Core Muscle Activation in the Elderly

    Kim, Seong Gil; Yong, Min Sik; Na, Sang Su

    2014-01-01

    [Purpose] The purpose of this study was to investigate the effects of trunk stabilization exercise on the muscle EMG activations related to core stability. [Subjects and Methods] Fifteen elderly people in a geriatric hospital performed trunk stabilization exercises with a Swiss ball for 20 minutes five times per week for 8 weeks. Trunk muscle activations were measured using electromyography before and after the intervention. [Results] After the intervention, the muscle activations of the rect...

  18. Neuro-hormonal effects of physical activity in the elderly

    GiuseppeRengo

    2013-12-01

    Full Text Available Thanks to diagnostic and therapeutic advances, the elderly population is continuously increasing in the western countries. Accordingly, the prevalence of most chronic age-related diseases will increase considerably in the next decades, thus it will be necessary to implement effective preventive measures to face this epidemiological challenge. Among those, physical activity exerts a crucial role, since it has been proven to reduce the risk of cardiovascular diseases, diabetes, obesity, cognitive impairment and cancer. The favourable effects of exercise on cardiovascular homeostasis can be at least in part ascribed to the modulation of the neuro-hormonal systems implicated in cardiovascular pathophysiology. In the elderly, exercise has been shown to affect catecholamine secretion and biosynthesis, to positively modulate the renin-angiotensin-aldosterone system and to reduce the levels of plasma brain natriuretic peptides. Moreover, drugs modulating the neuro-hormonal systems may favourably affect physical capacity in the elderly. Thus, efforts should be made to actually make physical activity become part of the therapeutic tools in the elderly.

  19. Anxiety symptoms and disorder predict activity limitations in the elderly.

    Norton, Joanna; Ancelin, Marie-Laure; Stewart, Rob; BERR, Claudine; Ritchie, Karen; Carrière, Isabelle

    2012-01-01

    International audience BACKGROUND: In the elderly, little attention has been paid to anxiety both on a symptom dimension and as a disorder, as an independent risk factor for the incidence of activity limitations. METHODS: In a community-dwelling cohort of 1581 persons aged 65+, the association between trait anxiety symptoms (Spielberger Trait, third highest tertile) and baseline DSM-IV anxiety disorder, and 7-year incident activity limitations was determined using mixed logistic regression...

  20. Expression of proinflammatory, proatherogenic genes is reduced by the Mediterranean diet in elderly people.

    Camargo, Antonio; Delgado-Lista, Javier; Garcia-Rios, Antonio; Cruz-Teno, Cristina; Yubero-Serrano, Elena M; Perez-Martinez, Pablo; Gutierrez-Mariscal, Francisco M; Lora-Aguilar, Pilar; Rodriguez-Cantalejo, Fernando; Fuentes-Jimenez, Francisco; Tinahones, Francisco Jose; Malagon, Maria M; Perez-Jimenez, Francisco; Lopez-Miranda, Jose

    2012-08-01

    Ageing is an important determinant of atherosclerosis development rate, mainly by the creation of a chronic low-grade inflammation. Diet, and particularly its fat content, modulates the inflammatory response in the fasting and postprandial states. Our aim was to study the effects of dietary fat on the expression of genes related to inflammation (NF-κB, monocyte chemoattractant protein 1 (MCP-1), TNF-α and IL-6) and plaque stability (matrix metalloproteinase 9, MMP-9) during the postprandial state of twenty healthy, elderly people who followed three diets for 3 weeks each: (1) Mediterranean diet (Med Diet) enriched in MUFA with virgin olive oil; (2) SFA-rich diet; and (3) low-fat, high-carbohydrate diet enriched in n-3 PUFA (CHO-PUFA diet) by a randomised crossover design. At the end of each period, after a 12-h fast, the subjects received a breakfast with a composition similar to the one when the dietary period ended. In the fasting state, the Med Diet consumption induced a lower gene expression of the p65 subunit of NF-κB compared with the SFA-rich diet (P = 0·019). The ingestion of the Med Diet induced a lower gene postprandial expression of p65 (P = 0·033), MCP-1 (P = 0·0229) and MMP-9 (P = 0·041) compared with the SFA-rich diet, and a lower gene postprandial expression of p65 (P = 0·027) and TNF-α (P = 0·047) compared with the CHO-PUFA diet. Direct plasma quantification mostly reproduced the findings. Our data suggest that consumption of a Med Diet reduces the postprandial inflammatory response in mononuclear cells compared with the SFA-rich and CHO-PUFA diets in elderly people. These findings may be partly responsible for the lower CVD risk found in populations with a high adherence to the Med Diet. PMID:22085595

  1. Loneliness in elderly individuals, level of dependence in activities of daily living (ADL) and influential factors.

    Hacihasanoğlu, Rabia; Yildirim, Arzu; Karakurt, Papatya

    2012-01-01

    This study has been carried out to investigate the level of loneliness, determine the level of dependence in the ADL and influential factors in the elderly people. This descriptive, cross-sectional study was conducted in 5 Family Healthcare Centers (FHC) located in central Erzincan, Turkey between March and June 2010. The data of the research was collected using a questionnaire that determined the descriptive and UCLA Loneliness Scale (UCLA-LS). Mean score of the UCLA-LS was determined as 51.59 ± 4.44. It was determined that 2% of the elderly ADL were completely dependent, 14.5% were semi-dependent. Factors such as being old, a widow/divorced, having a lower level of education and/or income, living alone, having a chronic disease, poor self-perceived health, lack of visits by relatives or acquaintances, dissatisfaction with the place of living, and being fully dependent while performing daily activities were determined as factors which increased the level of loneliness. Furthermore, factors such as being old, a female, a widow/divorced, living together with a daughter/son, having a chronic disease and poor self-perceived health were found to be influential in dependency. Elderly people who are alone and dependent in fulfilling their ADL should be monitored more closely. PMID:21514680

  2. Swallowing disorders in the elderly

    Lovše, Katja

    2013-01-01

    Life expectancy is increasing; consequently, there are more and more older people. They live at home as long as they can take care of themselves or until other family members can look after them. Admission of elderly people into specialised institutions (nursing home) is usually related to bigger problems connected with everyday activities, which elderly people can no longer cope with and therefore need constant care. Many international studies point to the swallowing issues and many symptoms...

  3. Older People's Perspectives on Health, Physical Activity and Nutritional Behaviors

    Leila Alizadeh

    2015-12-01

    Full Text Available Background: Approaches for investigating health-promoting lifestyle generally focus on physical activ­ity and regular diet. To explore the perspectives of Iranian elders regarding health, healthy eating and physical activity (PA this study was conducted in 2012. Methods: Participants in this qualitative study were selected through purposeful sampling. Ten focus groups were conducted with 60 older adults in 3 elderly centers in Tehran. A moderator’s guideline that consisted of general and specific questions was used. Focus groups were audio recorded, transcribed verbatim and analysis was performed using conventional content analysis. Results: Participants explained their perspectives regarding health, healthy eating and PA in the follow­ing 5 categories: meaning of health was represented based on issues such as absence of pain and disor­der, complete body wellbeing, staying away from hazards, complete individual satisfaction, experiencing positive events, effective communication, faithfulness and trust in God. The healthy eating category was featured by adequate eating, age balanced diet, refraining from under or over nutrition and sensible consumption of fruits and vegetables. The PA was described - according to the level of performing outdoor activities or household tasks. Expressions about the perceived benefits and barriers of healthy eating and PA were aligned the two remaining categories. Conclusions: Participants have referred to the association between both PA and dietary practices and health. Understanding how older people define physical activity and nutritional behavior and recognition of the most important perceived benefits and barriers that might contribute to have a healthy eating or adequate PA profile could procure insight into the type of interventions that are required to promote healthy lifestyle among Iranian older adults.

  4. Age-related decrease in physical activity and functional fitness among elderly men and women

    Milanović Z

    2013-05-01

    Full Text Available Zoran Milanovic,1 Saša Pantelic,1 Nebojša Trajkovic,1 Goran Sporiš,2 Radmila Kostic,1 Nic James31Faculty of Sport and Physical Education, University of Niš, Niš, Serbia; 2Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia; 3London Sport Institute, Middlesex University, London, UKAim: To determine differences in physical activity level and functional fitness between young elderly (60–69 years and old elderly (70–80 years people with the hypothesis that an age-related decline would be found.Methods: A total of 1288 participants’ level of physical activity was evaluated using the International Physical Activity Questionnaire: 594 were male (mean ± standard deviation: body height 175.62 ± 9.78 cm; body weight 82.26 ± 31.33 kg and 694 female (mean ± standard deviation: body height 165.17 ± 23.12 cm; body weight 69.74 ± 12.44 kg. Functional fitness was also estimated using the Senior Fitness Test: back scratch, chair sit and reach, 8-foot up and go, chair stand up for 30 seconds, arm curl, and 2-minute step test.Results: Significant differences (P < 0.05 were found for all Senior Fitness tests between young elderly (60–69 years and old elderly (70–80 men. Similar results were found for the women, except no significant differences were found for the chair sit and reach and the 2-minute step test. From the viewpoint of energy consumption estimated by the International Physical Activity Questionnaire, moderate physical activity is dominant. In addition, with aging, among men and women older than 60 years, the value of the Metabolic Equivalent of Task in total physical activity significantly reduces (P < 0.05.Conclusions: This study found that the reduction in physical activity level and functional fitness was equal for both men and women and was due to the aging process. These differences between young and old elderly people were due to the reduction of muscle strength in both upper and lower limbs and changes in body

  5. Effect of a single tetanus-diphtheria vaccine dose on the immunity of elderly people in São Paulo, Brazil

    L.Y. Weckx; K. Divino-Goes; D.M. Lihama; E. Carraro; N. Bellei; C.F.H. Granato; M.I. de Moraes-Pinto

    2006-01-01

    Epidemiological data regarding tetanus and diphtheria immunity in elderly people in Brazil are scarce. During the First National Immunization Campaign for the Elderly in Brazil in April 1999, 98 individuals (median age: 84 years) received one tetanus-dyphtheria (Td) vaccine dose (Butantan Institute, lot number 9808079/G). Inclusion criteria were elderly individuals without a history of severe immunosuppressive disease, acute infectious disease or use of immunomodulators. Blood samples were co...

  6. Impact of Blunted Perception of Dyspnea on Medical Care Use and Expenditure, and Mortality in Elderly People

    Satoru eEbihara

    2012-07-01

    Full Text Available Dyspnea is an alarming symptom responsible for millions of patient visits each year. Poor perception of dyspnea might be reasonably attributed to an inappropriately low level of fear and inadequate earlier medical treatment for both patients and physicians, resulting in subsequent intensive care. This study was conducted to evaluate medical care use and cost, and mortality according to the perception of dyspnea in community-dwelling elderly people. We analyzed baseline data from a community-based Comprehensive Geriatric Assessment (CGA in 2002. The perception of dyspnea in 479 Japanese community-dwelling elderly people with normal lung function was measured in August 2002. The sensation of dyspnea during breathing with a linear inspiratory resistance of 10, 20 and 30 cmH2O/L/s was rated using the Borg scale. According to the perception of dyspnea, we divided the elderly into tertiles and compared all hospitalizations, out-patient visits, costs and death through computerized linkage with National Health Insurance (NHI beneficiaries claims history files between August 2002 and March 2008. In-patient hospitalization days and medical care costs significantly increased with the blunted perception of dyspnea, resulting in an increase in total medical-costs with blunted perception of dyspnea. With low perception group as reference, the hazard ratios of all cause mortality were 0.65 (95%CI 0.23-1.89 for intermediate perception group and 0.31(0.10-0.97 for high perception group, indicating the mortality rate also significantly increased with the blunted perception of dyspnea after multivariates adjustment (p=0.04. The blunted perception of dyspnea is related to hospitalization, large medical costs and all-cause mortality in community-dwelling elderly people. These findings provide a rational for preventing serious illness with careful monitoring of objective conditions in the elderly.

  7. An active role for the elderly in the process for an integrated Europe

    Remedios López-Liria

    2016-06-01

    Full Text Available The European project entitled "Integrating adults and the elderly towards a Europe of knowledge", coordinated by the University of Almería, within the actions of "Grundtvig learning partnerships for adult education", has carried out the assessment of an educational program for people over 55 years in five countries. The aim of the learning partnership was “to encourage the development of innovative practices in education of older people and their transfer between countries”. Methods: Some of the following teaching tools and methods were used to promote intercultural communication skills: simulation activities, followed by reflective discussion and/or written analysis; guided group activities; local visits to contact people from other countries; ethnographic projects. Results: The courses provide knowledge and understanding about culture, institutions and different ways of life in diverse communities, and encourage reflection about their own cultural behaviour, practices and attitudes, as well as those of others. Old people enhance communication in their community, by means of meetings in which they talk about their common concerns. This can help the elderly to overcome problems and reduce feelings of loneliness. The courses also help old people acquire new knowledge and skills in a rapidly changing world. Conclusions: Participants’ motivation increased as the sessions were developed, since the contents of the classes agreed with their own interests, with a constant widening of knowledge. Everybody had an active role in the discussions. This training has shown some aspects about ageing, such as the removal of the image of the idle retired person; at the same time it promotes active retirement, intergenerational relationships and independence, and improves social and personal skills.

  8. Prismatic displacement effect of progressive multifocal glasses on reaction time and accuracy in elderly people

    Ellison AC

    2014-05-01

    Full Text Available Ashton C Ellison, A John Campbell, M Clare Robertson, Gordon F SandersonDunedin School of Medicine, Department of Medicine, Dunedin, New ZealandBackground: Multifocal glasses (bifocals, trifocals, and progressives increase the risk of falling in elderly people, but how they do so is unclear. To explain why glasses with progressive addition lenses increase the risk of falls and whether this can be attributed to false projection, this study aimed to 1 map the prismatic displacement of a progressive lens, and 2 test whether this displacement impaired reaction time and accuracy.Methods: The reaction times of healthy ≥75-year-olds (31 participants were measured when grasping for a bar and touching a black line. Participants performed each test twice, wearing their progressives and new, matched single vision (distance glasses in random order. The line and bar targets were positioned according to the maximum and minimum prismatic displacement effect through the progressive lens, mapped using a focimeter.Results: Progressive spectacle lenses have large areas of prismatic displacement in the central visual axis and edges. Reaction time was faster for progressives compared with single vision glasses with a centrally-placed horizontal grab bar (mean difference 101 ms, P=0.011 [repeated measures analysis] and a horizontal black line placed 300 mm below center (mean difference 80 ms, P=0.007. There was no difference in accuracy between the two types of glasses.Conclusion: Older people appear to adapt to the false projection of progressives in the central visual axis. This adaptation means that swapping to new glasses or a large change in prescription may lead to a fall. Frequently updating glasses may be more beneficial.Keywords: fall prevention, false projection, stored visual spatial information

  9. Vitamin B12 intake and status and cognitive function in elderly people.

    Doets, Esmée L; van Wijngaarden, Janneke P; Szczecińska, Anna; Dullemeijer, Carla; Souverein, Olga W; Dhonukshe-Rutten, Rosalie A M; Cavelaars, Adrienne E J M; van 't Veer, Pieter; Brzozowska, Anna; de Groot, Lisette C P G M

    2013-01-01

    Current recommendations on vitamin B12 intake vary from 1.4 to 3.0 μg per day and are based on the amount needed for maintenance of hematologic status or on the amount needed to compensate obligatory losses. This systematic review evaluates whether the relation between vitamin B12 intake and cognitive function should be considered for underpinning vitamin B12 recommendations in the future. The authors summarized dose-response evidence from randomized controlled trials and prospective cohort studies on the relation of vitamin B12 intake and status with cognitive function in adults and elderly people. Two randomized controlled trials and 6 cohort studies showed no association or inconsistent associations between vitamin B12 intake and cognitive function. Random-effects meta-analysis showed that serum/plasma vitamin B12 (50 pmol/L) was not associated with risk of dementia (4 cohort studies), global cognition z scores (4 cohort studies), or memory z scores (4 cohort studies). Although dose-response evidence on sensitive markers of vitamin B12 status (methylmalonic acid and holotranscobalamin) was scarce, 4 of 5 cohort studies reported significant associations with risk of dementia, Alzheimer's disease, or global cognition. Current evidence on the relation between vitamin B12 intake or status and cognitive function is not sufficient for consideration in the development of vitamin B12 recommendations. Further studies should consider the selection of sensitive markers of vitamin B12 status. PMID:23221971

  10. [Diet quality and mortality in elderly people living in Warsaw Region].

    Frackiewicz, Joanna; Roszkowski, Wojciech; Brzozowska, Anna; Kałuza, Joanna

    2010-01-01

    The aim of this study was to examine the relationship between indicators of diet quality and all-cause mortality in a group of elderly people. The study was carried out among 411 participants aged 75-80 years (190 men and 221 women). During this study 78 men (42%) and 79 women (36.6%) died. Quality of diet was evaluated using following indicators: Greek Mediterranean Diet Score (GMDS), Mediterranean Diet Score (MDS), Healthy Diet Indicator (HDI), Healthy Eating Index (HEI), Diet Quality Index (DQI), and Diet Quality Index-Revised (DQI-R). Among men there were not significant relationships between all-cause mortality and diet quality measured by the indicators. While the risk of all-cause mortality was statistically significantly lower in women with lower HDI (RR = 0.61; 95% CI: 0.37-0.99) and DQI-R (RR = 0.60; 95% CI: 0.37-0.96) compared to women with higher quality of diet. A similar tendency was shown for MDS indicator (RR = 0.65; 95% CI: 0.40-1.05). It was concluded that indicators used to assessment of diet quality were not good predictors of mortality in Polish population. Therefore to continue study in this field it is necessary to create new diet quality indicator more suitable to nutritional habits in Poland. PMID:20499672

  11. Body composition in elderly people: effect of criterion estimates on predictive equations

    The purposes of this study were to determine whether there are significant differences between two- and four-compartment model estimates of body composition, whether these differences are associated with aqueous and mineral fractions of the fat-free mass (FFM); and whether the differences are retained in equations for predicting body composition from anthropometry and bioelectric resistance. Body composition was estimated in 98 men and women aged 65-94 y by using a four-compartment model based on hydrodensitometry, 3H2O dilution, and dual-photon absorptiometry. These estimates were significantly different from those obtained by using Siri's two-compartment model. The differences were associated significantly (P less than 0.0001) with variation in the aqueous fraction of FFM. Equations for predicting body composition from anthropometry and resistance, when calibrated against two-compartment model estimates, retained these systematic errors. Equations predicting body composition in elderly people should be calibrated against estimates from multicompartment models that consider variability in FFM composition

  12. Body composition in elderly people: effect of criterion estimates on predictive equations

    Baumgartner, R.N.; Heymsfield, S.B.; Lichtman, S.; Wang, J.; Pierson, R.N. Jr. (Wright State Univ. School of Medicine, Dayton, OH (USA))

    1991-06-01

    The purposes of this study were to determine whether there are significant differences between two- and four-compartment model estimates of body composition, whether these differences are associated with aqueous and mineral fractions of the fat-free mass (FFM); and whether the differences are retained in equations for predicting body composition from anthropometry and bioelectric resistance. Body composition was estimated in 98 men and women aged 65-94 y by using a four-compartment model based on hydrodensitometry, {sup 3}H{sub 2}O dilution, and dual-photon absorptiometry. These estimates were significantly different from those obtained by using Siri's two-compartment model. The differences were associated significantly (P less than 0.0001) with variation in the aqueous fraction of FFM. Equations for predicting body composition from anthropometry and resistance, when calibrated against two-compartment model estimates, retained these systematic errors. Equations predicting body composition in elderly people should be calibrated against estimates from multicompartment models that consider variability in FFM composition.

  13. Incomplete functional recovery after delirium in elderly people: a prospective cohort study

    Freter Susan H

    2005-03-01

    Full Text Available Abstract Background Delirium often has a poor outcome, but why some people have incomplete recovery is not well understood. Our objective was to identify factors associated with short-term (by discharge and long-term (by 6 month incomplete recovery of function following delirium. Methods In a prospective cohort study of elderly patients with delirium seen by geriatric medicine services, function was assessed at baseline, at hospital discharge and at six months. Results Of 77 patients, vital and functional status at 6 months was known for 71, of whom 21 (30% had died. Incomplete functional recovery, defined as ≥10 point decline in the Barthel Index, compared to pre-morbid status, was present in 27 (54% of the 50 survivors. Factors associated with death or loss of function at hospital discharge were frailty, absence of agitation (hypoactive delirium, a cardiac cause and poor recognition of delirium by the treating service. Frailty, causes other than medications, and poor recognition of delirium by the treating service were associated with death or poor functional recovery at 6 months. Conclusion Pre-existing frailty, cardiac cause of delirium, and poor early recognition by treating physicians are associated with worse outcomes. Many physicians view the adverse outcomes of delirium as intractable. While in some measure this might be true, more skilled care is a potential remedy within their grasp.

  14. Physical exercise, salivary IgA and mood states of elderly people

    R. Martins

    2008-01-01

    Full Text Available It is generally accepted that the aging process is associated with immunosenescence. On the other hand, physical activity has been consistently associated with positive states of affection and mood which also implies gains on psychological well-being. However, more studies are needed to support the benefit effect of exercise on specific population groups like the elderly. The purpose of the present work is to study the functional fitness, mood states and salivary IgA chronic adaptations after a physical exercise program. 28 subjects aged between 65 and 95 years old participated in this study. The experimental group exercised during 16 weeks, 3 times per week. The Wilcoxon test was used to compare the data. The results showed positive changes on the functional fitness that reinforce the trainability principle of the older person. The data shows also an improvement in mood states and chronic positive effects on salivary IgA after the exercise program.

  15. Determination of trace elements in scalp hair of an elderly population by neutron activation analysis

    Neutron activation analysis was applied to assess trace elements concentrations in head hair from healthy elderly people living in the Sao Paulo metropolitan area. Concentrations of As, Br, Ca, Cl, Co, Cr, Cu, Fe, K, La, Mn, Na, Sb, Se and, Zn were determined. Comparisons were made between the results obtained for dyed and non-dyed hair as well as for hair from females and males of two different age groups. The results were also compared with range values established by clinical laboratories and published data. (author)

  16. Tiredness as determinant of subsequent use of health and social services among nondisabled elderly people

    Avlund, K; Damsgaard, M T; Schroll, M

    2001-01-01

    OBJECTIVE. To examine whether self-reported tiredness in daily activities at age 75 is an independent determinant of incident hospitalization and use of home services 5 years later. METHODS. In all, 275 people participated in a prospective study in Glostrup, Denmark, when they were 75 and 80 years...

  17. Exercise training improves sleep pattern and metabolic profile in elderly people in a time-dependent manner

    Boscolo Rita A; Viana Valter AR; Oller do Nascimento Cláudia M; Damaso Ana R; Oyama Lila M; Santos Ronaldo VT; Pimentel Gustavo D; Lira Fábio S; Grassmann Viviane; Santana Marcos G; Esteves Andrea M; Tufik Sergio; de Mello Marco T

    2011-01-01

    Abstract Aging and physical inactivity are two factors that favors the development of cardiovascular disease, metabolic syndrome, obesity, diabetes, and sleep dysfunction. In contrast, the adoption a habitual of moderate exercise may present a non-pharmacological treatment alternative for sleep and metabolic disorders. We aimed to assess the effects of moderate exercise training on sleep quality and on the metabolic profile of elderly people with a sedentary lifestyle. Fourteen male sedentary...

  18. Impact of Blunted Perception of Dyspnea on Medical Care Use and Expenditure, and Mortality in Elderly People

    Ebihara, Satoru; Niu, Kaijun; Ebihara, Takae; Kuriyama, Shinichi; Hozawa, Atsushi; Ohmori-Matsuda, Kaori; Nakaya, Naoki; Nagatomi, Ryoichi; Arai, Hiroyuki; Kohzuki, Masahiro; Tsuji, Ichiro

    2012-01-01

    Dyspnea is an alarming symptom responsible for millions of patient visits each year. Poor perception of dyspnea might be reasonably attributed to an inappropriately low level of fear and inadequate earlier medical treatment for both patients and physicians, resulting in subsequent intensive care. This study was conducted to evaluate medical care use and cost, and mortality according to the perception of dyspnea in community-dwelling elderly people. We analyzed baseline data from a community-b...

  19. Clinical Effectiveness of Protein and Amino Acid Supplementation on Building Muscle Mass in Elderly People: A Meta-Analysis

    Xu, Zhe-rong; Tan, Zhong-Ju; Zhang, Qin; Gui, Qi-feng; Yang, Yun-Mei

    2014-01-01

    Objective A major reason for the loss of mobility in elderly people is the gradual loss of lean body mass known as sarcopenia. Sarcopenia is associated with a lower quality of life and higher healthcare costs. The benefit of strategies that include nutritional intervention, timing of intervention, and physical exercise to improve muscle loss unclear as finding from studies investigating this issue have been inconsistent. We have performed a systematic review and meta-analysis to assess the ab...

  20. Neuro-hormonal effects of physical activity in the elderly

    GiuseppeRengo; ClaudioDe Lucia

    2013-01-01

    Thanks to diagnostic and therapeutic advances, the elderly population is continuously increasing in the western countries. Accordingly, the prevalence of most chronic age-related diseases will increase considerably in the next decades, thus it will be necessary to implement effective preventive measures to face this epidemiological challenge. Among those, physical activity exerts a crucial role, since it has been proven to reduce the risk of cardiovascular diseases, diabetes, obesity, cogniti...

  1. [Development of index of social activities for the elderly].

    Hashimoto, S; Aoki, R; Tamakoshi, A; Shibazaki, S; Nagai, M; Kawakami, N; Ikari, A; Ojima, T; Ohno, Y

    1997-10-01

    In order to develop indices of social activities for the elderly, two surveys with 2 year intervals were conducted on the same 5,201 elderly subjects in four areas in Japan using a self-administered questionnaire. Social activities were defined as "activities which required contact with society" and were measured by 4 major facets of social activities, which were based on 21 questions relating to job activity, socially-plated activities, learning activities, and personal activities. The results were as follows; 1. The Wilcoxon scores in indices for 4 facets were given in sex and age groups. 2. Means of scores of indices increased with the degree of social activities from a subjective judgment. 3. Rank correlation coefficients between indices in two surveys were 0.60-0.71 for the persons whose answers were "no" to the question "did degrees of your activities change over the two years?" 4. Differences between indices in two surveys were higher in the persons with answers of "increase" to the above question than those with answers of "no", and were lower in those with answers of "decrease". These findings suggest that indices are available for assessing social activities as indicated by the reproducibility, validity and responsiveness found in this study. PMID:9436384

  2. Sociodemographic status of severely disabled and visually impaired elderly people in Turkey

    Sertaç Argun Kıvanç

    2016-02-01

    % Cl: 0.077-0.688, p=0.009. Conclusions: Blindness gives rise to severe disability, and the most common ophthalmologic diseases that cause severe disabilities in elderly patients are cataract, glaucoma, and age-related macular degeneration. Sociodemographic factors that may affect the accessibility of visually impaired and blind people to health services include their place of residence and gender.

  3. A study on quality of life between elderly people living in old age home and within family setup

    Rishi Panday

    2015-07-01

    Full Text Available Background: Ageing in the new millennium will be greatly influenced by both global and region specific factors, although increasing numbers as well as significant changes in the socio-cultural milieu are responsible for the recent emphasis on studies pertaining to older adults in India. This has resulted in the caregiver issue becoming a growing concern for national policy makers. The family as a single unit is undergoing changes leading to significant adjustments in accommodating and caring for older adults in the family, making them more vulnerable to illness and psychosocial strains in the absence of familial support network. Aim: To assess and compare quality of life (QOL between elderly people living in old age home and within the family setup. Methods and materials: A cross sectional research design was adopted for the study. The study was conducted at two old age homes and two areas of Ranchi - Kantatoli and Kanke. The sample comprised of 80 participants who were further divided into 40 participants from old age homes and 40 participants from family. Tools such as socio-demographic data sheet and QOL scale were administered to obtain the data. Result and conclusion: Findings of this study indicate that QOL was better of those elderly people who were living in old age home in comparison of those elderly people who were living within family setup.

  4. Disconnectedness from the here-and-now: a phenomenological perspective as a counteract on the medicalisation of death wishes in elderly people.

    van Wijngaarden, Els; Leget, Carlo; Goossensen, Anne

    2016-06-01

    When elderly people are ideating on manners to end their lives, because they feel life is over and no longer worth living, it is important to understand their lived experiences, thoughts and behaviour in order to appropriately align care, support and policy to the needs of these people. In the literature, the wish to die in elderly people is often understood from a medical, psychopathological paradigm, referred to as cognitive impairment, depressive disorder, pathological bereavement, and suicidality. In this paper, we evaluate this dominant paradigm by considering three serious limitations, namely: (1) the risk of epistemic transformation; (2) the risk of reduction; and (3) the risk of obscuring the social and cultural embeddedness. Drawing on insights from our empirical-phenomenological research on the issue of elderly and the self-chosen death, this paper argues for a phenomenological perspective to counteract the medicalisation of death wishes in elderly people. PMID:26833466

  5. Gender inequality in health among elderly people in a combined framework of socioeconomic position, family characteristics and social support

    Rueda Pozo, Silvia; Artazcoz Lazcano, Luc??a, 1963-

    2009-01-01

    This study analyses gender inequalities in health among elderly people in Catalonia (Spain) by adopting a conceptual framework that globally considers three dimensions of health determinants : socio-economic position, family characteristics and social support. Data came from the 2006 Catalonian Health Survey. For the purposes of this study a sub-sample of people aged 65???85 years with no paid job was selected (1,113 men and 1,484 women). The health outcomes analysed were self-perceived healt...

  6. Differences in thermal comfort between young and elderly people; Verschillen in thermisch comfort tussen jongeren en ouderen

    Schellen, L. [Unit Building Physics and Services, Faculteit Bouwkunde, Technische Universiteit Eindhoven TUE, Eindhoven (Netherlands)

    2012-09-15

    Part of a PhD research has been dedicated to finding out which temperature levels and fluctuations are thermally acceptable in air-conditioned buildings. The physiological response of users has also been examined. Finally, a comparison has been made of the optimal conditions for the thermal comfort of young people and of elderly people [Dutch] Als onderdeel van een promotieonderzoek is onderzocht binnen welke temperatuurniveaus temperatuurfluctuaties in geklimatiseerde gebouwen thermisch acceptabel zijn. Ook is gekeken naar de fysiologische response van gebruikers. Tenslotte is een vergelijking gemaakt voor de optimale condities met betrekking tot thermisch comfort voor jongere en oudere personen.

  7. Vitamin D deficiency and leisure time activities in the elderly: are all pastimes the same?

    Marina De Rui

    Full Text Available BACKGROUND: Optimal vitamin D status is important for overall health and well-being, particularly in the elderly. Although vitamin D synthesis in the skin declines with age, exposure to sunlight still seems to help older-aged adults to achieve adequate serum 25-hydroxyvitamin D (25OHD levels. Elderly people would therefore benefit from outdoor leisure activities, but the effects of different types of pastime on serum 25OHD levels have yet to be thoroughly investigated. AIMS: To assess the association of different pastimes with 25OHD deficiency in elderly subjects. METHODS: A sample of 2,349 community-dwelling elderly individuals (1,389 females and 960 males enrolled in the Progetto Veneto Anziani was analyzed. Brisk walking, cycling, gardening and fishing were classed as outdoor activities, and dancing and gym workouts as indoor pastimes. Any activities undertaken for at least 1 hour/week during the previous month were considered as being practiced regularly. Logistic regression models were used to estimate the association between different pastimes and 25OHD deficiency. RESULTS: Serum 25OHD levels were significantly higher in individuals who engaged in outdoor pastimes (+25% in women, +27.7% in men compared to those who did not. In particular, subjects regularly practicing gardening or cycling had higher serum 25OHD levels than those who did not, whereas 25OHD levels differed little between subjects who did or did not undertake indoor activities. Among the outdoor pastimes considered, logistic regression analysis confirmed a lower likelihood of vitamin D deficiency (25OHD<50 nmol/L for cyclists (OR 0.51, 95% CI 0.37-0.69 in women; OR 0.50, 95% CI 0.29-0.87 in men and gardeners (OR 0.62, 95% CI 0.47-0.83 in women; OR 0.46, 95% CI 0.26-0.80, but not for brisk walkers. CONCLUSIONS: Regular cycling and gardening reduce the likelihood of inadequate vitamin D status in Caucasian elderly people, irrespective of their age, BMI and comorbidities, and of

  8. Envelhecimento vocal em idosos instucionalizados Vocal aging of institutionalized elderly people

    Letícia Neiva de Menezes

    2007-03-01

    Full Text Available OBJETIVOS: avaliar de forma perceptivo-auditiva as características vocais de idosos institucionalizados, identificar se essas características interferem no processo de comunicação e correlacioná-las com a avaliação das estruturas do sistema estomatognático e do padrão de fala. MÉTODOS: estudo clínico do tipo transversal, no qual foram realizadas anamneses e avaliações fonoaudiológicas em uma amostra aleatória de 48 indivíduos idosos, residentes na Casa do Ancião Francisco Azevedo - Belo Horizonte/MG, que não apresentavam nenhum tipo de alteração neurológica, uma vez que, buscou-se traçar as manifestações fonoaudiológicas de idosos em processo de envelhecimento sadio. Utilizou-se protocolos específicos, desenvolvidos pelas autoras, de acordo com os aspectos pertinentes aos objetivos do presente estudo. RESULTADOS: na avaliação perceptivo-auditiva da qualidade vocal, constatou-se predominantemente qualidade vocal rouca (70,8%, em grau moderado (33,3%, loudness reduzida (56,2%, pitch grave (62,5% e tempos máximos de fonação reduzidos (81,2%. Dos 48 participantes, 85,4% relataram que a voz não interfere no processo de comunicação. Em relação aos padrões de fala, predominaram inteligibilidade preservada (83,3%, articulação preservada (72,9% e precisão articulatória preservada (83,3%. CONCLUSÕES: existem alterações nos parâmetros referentes à voz decorrentes da idade, sendo que elas não interferem na comunicação e mantêm relação diversa com outras mudanças nas estruturas do sistema estomatognático. Este estudo veio complementar as pesquisas na área de voz envolvendo indivíduos da terceira idade, sob processo de envelhecimento sadio e residentes em instituições de longa permanência.PURPOSES: to investigate vocal aspects related to healthy aging in the institutionalized elderly people, and to identify if these aspects interfer with communication and correlate vocal changes with motor oral system

  9. Quality of life and associated factors for caregivers of functionally impaired elderly people

    Luciana A. Reis

    2013-04-01

    Full Text Available BACKGROUND: Lifestyle changes, factors inherent to the caregiver's family and social environment, and physical and mental aspects determine a caregiver's quality of life (QOL. OBJECTIVE: To evaluate the QOL and associated factors for caregivers of functionally impaired elderly people. METHOD: This was a cross-sectional study that analyzed data from a home-based care survey. The study sites were the homes of elderly people enrolled in Family Health Centers (Unidades de Saúde da Família in Jequié, Bahia, Brazil. The sample consisted of 40 caregivers of functionally impaired elderly people. The instrument consisted of demographic data, health status, the Perceived Family Support Inventory, the Social Support Satisfaction Scale, and the World Health Organization Quality of Life Assessment (WHOQOL-BREF. The data were analyzed using a descriptive analysis and the chi-squared test at a 5% significance level, performed in SPSS version 15.0. RESULTS: An association was found between the WHOQOL-BREF physical domain and the presence of sequelae (p=0.006, affective-cognitive inconsistency (p=0.009, and being the primary caregiver (p=0.002. The psychological domain showed an association with the presence of sequelae (p=0.006, the environment domain with the presence of diseases (p CONTEXTUALIZAÇÃO: O rearranjo no modo de viver, acompanhado de fatores inerentes ao ambiente familiar e social do cuidador, além de aspectos físicos e mentais, irão se associar e serão fundamentais para a boa qualidade de vida (QV da pessoa que cuida. OBJETIVO: Avaliar a QV e os fatores associados em cuidadores de idosos com comprometimento da capacidade funcional. MÉTODO: Trata-se de um estudo seccional que analisou dados de uma pesquisa de intervenção de base domiciliar. O local de estudo foram as residências dos idosos cadastrados em Unidades de Saúde da Família, no município de Jequié, BA, Brasil. A amostra foi constituída por 40 cuidadores de idosos com

  10. Relationship between subjective fall risk assessment and falls and fall-related fractures in frail elderly people

    Shimada Hiroyuki

    2011-08-01

    Full Text Available Abstract Background Objective measurements can be used to identify people with risks of falls, but many frail elderly adults cannot complete physical performance tests. The study examined the relationship between a subjective risk rating of specific tasks (SRRST to screen for fall risks and falls and fall-related fractures in frail elderly people. Methods The SRRST was investigated in 5,062 individuals aged 65 years or older who were utilized day-care services. The SRRST comprised 7 dichotomous questions to screen for fall risks during movements and behaviours such as walking, transferring, and wandering. The history of falls and fall-related fractures during the previous year was reported by participants or determined from an interview with the participant's family and care staff. Results All SRRST items showed significant differences between the participants with and without falls and fall-related fractures. In multiple logistic regression analysis adjusted for age, sex, diseases, and behavioural variables, the SRRST score was independently associated with history of falls and fractures. Odds ratios for those in the high-risk SRRST group (≥ 5 points compared with the no risk SRRST group (0 point were 6.15 (p Conclusion These results suggest that subjective ratings by care staff can be utilized to determine the risks of falls and fall-related fractures in the frail elderly, however, these preliminary results require confirmation in further prospective research.

  11. Association of sarcopenia with swallowing problems, related to nutrition and activities of daily living of elderly individuals

    Shiozu, Hiroyasu; Higashijima, Misako; Koga, Tomoshige

    2015-01-01

    [Purpose] The purpose of the current study was to clarify problems associated with swallowing, related to nutrition and activities of daily living (ADL), in elderly individuals with sarcopenia. [Subjects and Methods] Seventy-seven subjects were assigned to a sarcopenia or a non-sarcopenia group according to a definition used by the European Working Group on Sarcopenia in Older People. Analyses were conducted including and excluding subjects with a central nervous system disorders in order to ...

  12. Internet-based remote counseling to support stress management: preventing interruptions to regular exercise in elderly people

    Hashimoto, Sayuri; Munakata, Tsunestugu; Hashimoto, Nobuyuki; Okunaka, Jyunzo; Koga, Tatsuzo

    2006-01-01

    Our research showed that a high degree of life-stress has a negative mental health effect that may interrupt regular exercise. We used an internet based, remotely conducted, face to face, preventive counseling program using video monitors to reduce the source of life-stresses that interrupts regular exercise and evaluated the preventative effects of the program in elderly people. NTSC Video signals were converted to the IP protocol and facial images were transmitted to a PC display using the exclusive optical network lines of JGN2. Participants were 22 elderly people in Hokkaido, Japan, who regularly played table tennis. A survey was conducted before the intervention in August 2003. IT remote counseling was conducted on two occasions for one hour on each occasion. A post intervention survey was conducted in February 2004 and a follow-up survey was conducted in March 2005. Network quality was satisfactory with little data loss and high display quality. Results indicated that self-esteem increased significantly, trait anxiety decreased significantly, cognition of emotional support by people other than family members had a tendency to increase, and source of stress had a tendency to decrease after the intervention. Follow-up results indicated that cognition of emotional support by family increased significantly, and interpersonal dependency decreased significantly compared to before the intervention. These results suggest that face to face IT remote counseling using video monitors is useful to keep elderly people from feeling anxious and to make them confident to continue exercising regularly. Moreover, it has a stress management effect.

  13. Clinical effectiveness of protein and amino acid supplementation on building muscle mass in elderly people: a meta-analysis.

    Zhe-rong Xu

    Full Text Available A major reason for the loss of mobility in elderly people is the gradual loss of lean body mass known as sarcopenia. Sarcopenia is associated with a lower quality of life and higher healthcare costs. The benefit of strategies that include nutritional intervention, timing of intervention, and physical exercise to improve muscle loss unclear as finding from studies investigating this issue have been inconsistent. We have performed a systematic review and meta-analysis to assess the ability of protein or amino acid supplementation to augment lean body mass or strength of leg muscles in elderly patients.Nine studies met the inclusion criteria of being a prospective comparative study or randomized controlled trial (RCT that compared the efficacy of an amino acid or protein supplement intervention with that of a placebo in elderly people (≥ 65 years for the improvement of lean body mass (LBM, leg muscle strength or reduction associated with sarcopenia.The overall difference in mean change from baseline to the end of study in LBM between the treatment and placebo groups was 0.34 kg which was not significant (P = 0.386. The overall differences in mean change from baseline in double leg press and leg extension were 2.14 kg (P = 0.748 and 2.28 kg (P = 0.265, respectively, between the treatment group and the placebo group.These results indicate that amino acid/protein supplements did not increase lean body mass gain and muscle strength significantly more than placebo in a diverse elderly population.

  14. National Survey of Geriatricians to Define Functional Decline in Elderly People with Minor Trauma

    Abdulaziz, Kasim; Perry, Jeffrey J.; Taljaard, Monica; Émond, Marcel; Lee, Jacques S.; Wilding, Laura; Sirois, Marie-Josée; Brehaut, Jamie

    2016-01-01

    Background This study was designed to determine a clinically significant point drop in function to define functional decline and the required sensitivity for a clinical decision tool to identify elderly patients at high risk of functional decline following a minor injury. Methods After a rigorous development process, a survey questionnaire was administered to a random sample of 178 geriatricians selected from those registered in a national medical directory. The surveys were distributed using a modified Dillman technique. Results We obtained a satisfactory response rate of 70.5%. Ninety percent of the geriatricians required a sensitivity of 90% or less for a clinical decision tool to identify injured seniors at high risk of functional decline 6 months post injury. Our results indicate that 90% of the respondents considered a drop in function of at least 2 points in activities of daily living (ADL) as clinically significant when considering all 14 ADL items. Considering only the 7 basic ADL items, 90% of physicians considered a 1 point drop as clinically significant. Conclusions A tool with a sensitivity of 90% to detect patients at risk of functional decline at 6 months post minor injury would meet or exceed the sensitivity required by 90% of geriatric specialists. These findings clearly define what is a clinically significant decline following a “minor injury.” PMID:27076859

  15. Fall risk in an active elderly population – can it be assessed?

    Sinkjaer Thomas

    2007-01-01

    Full Text Available Abstract Background Falls amongst elderly people are often associated with fractures. Training of balance and physical performance can reduce fall risk; however, it remains a challenge to identify individuals at increased risk of falling to whom this training should be offered. It is believed that fall risk can be assessed by testing balance performance. In this study a test battery of physiological parameters related to balance and falls was designed to address fall risk in a community dwelling elderly population. Results Ninety-four elderly males and females between 70 and 80 years of age were included in a one year follow-up study. A fall incidence of 15% was reported. The test battery scores were not different between the fallers and non-fallers. Test scores were, however, related to self-reported health. In spite of inclusion of dynamic tests, the test battery had low fall prediction rates, with a sensitivity and specificity of 50% and 43% respectively. Conclusion Individuals with poor balance were identified but falls were not predicted by this test battery. Physiological balance characteristics can apparently not be used in isolation as adequate indicators of fall risk in this population of community dwelling elderly. Falling is a complex phenomenon of multifactorial origin. The crucial factor in relation to fall risk is the redundancy of balance capacity against the balance demands of the individuals levels of fall-risky lifestyle and behavior. This calls for an approach to fall risk assessment in which the physiological performance is evaluated in relation to the activity profile of the individual.

  16. Institutionalized elderly people and malnutrition: research on the patients of a nursing home

    Francesco Rondoni

    2013-09-01

    Full Text Available Protein-energy malnutrition (PEM is a common finding in hospitalized or institutionalized elderly people. In the literature, PEM is not mentioned as being related to individual ability of the patient to feed him or herself correctly. This study analyzed the 56 patients of a nursing home divided into two groups: self-sufficient and non self-sufficient regarding feeding. Levels of serum albumin, transferrin, prealbumin and hemoglobin (Hb were examined and compared to body mass index (BMI calculated with bioelectrical impedance analysis. Fifty-three percent of patients were self-sufficient, while 47% were not self-sufficient for feeding of which 83.3% were women and 16.7% men. Levels below the average range were 49.1% for lymphocyte count, 52.9% for serum albumin, 13.7% for serum transferrin and 52.9% for serum prealbumin. No significant differences were found in terms of patient age, while the mean values of the parameters examined in the two groups, self-sufficient and not, were lower in the patients who were not self-sufficient, even if statistical significance was not reached. Serum albumin was in inverse proportion to age (P<0.05 and 46.1% of individuals with low levels of transferrin also showed low levels of Hb. Anemia was in direct proportion (P<0.05 to age. Measurement of BMI showed values below 22.5 (cut off for risk for malnutrition in 33.4% of the subjects examined. Of the three hematochemical parameters, analysis of a possible relationship with BMI showed only a significant and directly proportional correlation with prealbumin (P<0.05%. These data should be considered in the context of an epidemiological research study carried out in a conditioned and limited environment, where PEM, detected using hematochemical parameters, amounted to 50% of the patients, whereas BMI identified only approximately one-third of patients at risk of malnutrition. There were no statistically significant differences between men and women. Mean values of the

  17. Use of Seasonal Influenza Vaccination and Its Associated Factors among Elderly People with Disabilities in Taiwan: A Population-Based Study

    Chang, Yu-Chia; Tung, Ho-Jui; Hsu, Shang-Wei; Chen, Lei-Shin; Kung, Pei-Tseng; Huang, Kuang-Hua; Chiou, Shang-Jyh; Tsai, Wen-Chen

    2016-01-01

    Background Influenza immunization among elderly people with disabilities is a critical public health concern; however, few studies have examined the factors associated with vaccination rates in non-Western societies. Methods By linking the National Disability Registration System and health service claims dataset from the National Health Insurance program, this population-based study investigated the seasonal influenza vaccination rate among elderly people with disabilities in Taiwan (N = 283,172) in 2008. A multivariate logistic regression analysis was conducted to adjust for covariates. Results Nationally, only 32.7% of Taiwanese elderly people with disabilities received influenza vaccination. The strongest predictor for getting vaccinated among older Taiwanese people with disabilities was their experience of receiving an influenza vaccination in the previous year (adjusted odds ratio [AOR] = 6.80, 95% confidence interval [CI]: 6.67–6.93). Frequent OPD use (AOR = 1.85, 95% CI: 1.81–1.89) and undergoing health examinations in the previous year (AOR = 1.66, 95% CI: 1.62–1.69) also showed a moderate and significant association with receiving an influenza vaccination. Conclusions Although free influenza vaccination has been provided in Taiwan since 2001, influenza immunization rates among elderly people with disabilities remain low. Policy initiatives are required to address the identified factors for improving influenza immunization rates among elderly people with disabilities. PMID:27336627

  18. Elderly disabled persons in the home setting : aspects of activities in daily life

    Lilja, Margareta

    2000-01-01

    The overall aim of this thesis was to explore and describe elderly disabled persons' activities in daily life in the home environment from an occupational perspective and, secondly to describe occupational therapy interventions provided to elderly disabled persons in their home setting. Study I explored and described elderly persons' performance in ADL, and occupational therapy interventions provided. Most of the participants wanted to engage in more activities than they...

  19. Impact of physical activities in elderly with depression:- a literature review

    Subedi, Laxmi

    2014-01-01

    Aim: The aim of this research is to explore the effect of physical activities in treating depression among elderly population living in an institution using different existing literature. Also, aim is to make this study useful to healthcare professionals and students while working with elderly population suffering from depression. The research question is kept in concern during the study: 1. How do phys- ical activities promote health for elderly suffering from depression living in an institu...

  20. The effects of physical exercise with music on cognitive function of elderly people: Mihama-Kiho project.

    Masayuki Satoh

    Full Text Available BACKGROUND: Physical exercise has positive effects on cognitive function in elderly people. It is unknown, however, if combinations of non-pharmaceutical interventions can produce more benefits than single ones. This study aimed to identify if physical exercise combined with music improves cognitive function in normal elderly people more than exercise alone. METHODS: We enrolled 119 subjects (age 65-84 years old. Forty subjects performed physical exercise (once a week for an hour with professional trainers with musical accompaniment (ExM group, developed by YAMAHA Music Foundation; 40 subjects performed the same exercise without music (Ex group; 39 subjects were the control group (Cont group. Before and after the year-long intervention, each patient was assessed by neuropsychological batteries. MRIs were performed before and after intervention; the Voxel-based Specific Regional analysis system for Alzheimer's Disease (VSRAD was used to assess medial temporal lobe atrophy. RESULTS: Analysis of variance (ANOVA was significant only in visuospatial function. The multiple comparison (ExM vs. Ex, ExM vs. Cont, Ex vs. Cont was significant between the ExM and Cont group. Intra-group analyses before and after intervention revealed significant improvement in visuospatial function in the ExM group, and significant improvements in other batteries in all three groups. The VSRAD score significantly worsened in the ExM and Ex groups. CONCLUSIONS: Physical exercise combined with music produced more positive effects on cognitive function in elderly people than exercise alone. We attributed this improvement to the multifaceted nature of combining physical exercise with music, which can act simultaneously as both cognitive and physical training. TRIAL REGISTRATION: UMIN Clinical Trials Registry (UMIN-CTR UMIN000012148.

  1. The design of the Dutch EASYcare study: a randomised controlled trial on the effectiveness of a problem-based community intervention model for frail elderly people [NCT00105378].

    Melis, R.J.F.; Eijken, M.I.J. van; Borm, G.F.; Wensing, M.J.P.; Adang, E.M.M.; Lisdonk, E.H. van de; Achterberg, T. van; Olde Rikkert, M.G.M.

    2005-01-01

    BACKGROUND: Because of their complex clinical presentations and needs frail elderly people require another approach than people who age without many complications. Several inpatient geriatric health services have proven effectiveness in frail persons. However, the wish to live independently and poli

  2. Needs, Interests, and Limitations for the Promotion of Health and Exercise by a Web Site for Sighted and Blind Elderly People: A Qualitative Exploratory Study

    Gusi, Narcis; Prieto, Josue; Forte, David; Gomez, Ignacio; Gonzalez-Guerrero, Jose-Luis

    2008-01-01

    The purpose of this study was to identify needs, interests, and obstacles related to obtaining health education by means of a Web site for elderly people who do not use the Internet. A total of 34 participants were divided into five discussion groups, one of which was made up of blind people. An analysis of the semantic content of the…

  3. Functional ability among elderly people in three service settings: the discriminatory power of a new functional ability scale

    Avlund, K; Holstein, B E

    1998-01-01

    The purpose is to assess the discriminatory power of the Avlund scales: (1) by assessing the ability of the scales to discriminate between three different populations of elderly people, and (2) by studying groups with a poor fit between use of formal home care and functional ability. The study...... memory abilities; they gave more help to others, had higher social participation, and lived alone (only the women). A somewhat lager group of poor functioning non-users of home care (n = 266) had the opposite characteristics. In addition, they were older, had a poor social network and poor social support....

  4. [Insomnia symptoms, daytime naps and physical leisure activities in the elderly: FIBRA Study Campinas].

    Monteiro, Natália Tonon; Neri, Anita Liberalesso; Coelim, Maria Filomena

    2014-04-01

    The practice of physical activities contributes to reducing the risk of chronic diseases and improves sleep patterns in the elderly. This research aimed to investigate the association between insomnia symptoms and daytime nap and the participation in physical leisure activities in elderly community residents. Data from the Studies Network of the Fragility in Brazilian Elderly (Campinas site), were used. Information from 689 elderly was analyzed, regarding sociodemographic characterization, physical leisure activity, occurrence of daytime napping and its duration, symptoms of insomnia and use of sleep medication. A significant association was found between the practice of walking and the daytime nap of short duration. Studies indicate that a short nap can benefit the quality of sleep and health of the elderly. Therefore, promoting the practice of walking can be a nursing intervention that favors the sleep patterns of the elderly. PMID:24918882

  5. Professional activity of people with epilepsy

    Anna Staniszewska

    2015-07-01

    Full Text Available Background: The aim of the study was to determine the occupational activity of epileptic patients. Particular attention was paid to employment of people with epilepsy, the way the workplace is informed about the disease, impact of education on employment opportunities and the relationship between clinical type of epilepsy and professional activity. Material and Methods: Patients were recruited from the neurological outpatient clinic in Warszawa and asked to fill in a customized questionnaire, containing questions on their socio-demographic, clinical and employment status. Results: The study included 197 adult patients with epilepsy (64 professionally active and 133 inactive. As many as 47.7% of respondents declared that the disease impeded their employment, and 77.2% admitted that the occurrence of seizure at work had negatively affected their comfort. As many as 42.2% professionally active respondents had revealed the disease at work. There was a statistically significant difference between individuals with primarily generalized seizures and those with partial and secondarily generalized seizures (30.61% vs. 2.63%, p 0.05. Neither current work status had impact on opinions about difficulties in finding a job (p > 0.05. Conclusions: Epilepsy is a great obstacle to finding and maintaining employment. Less than 1/2 of patients inform the workplace about their illness, mainly due to previous negative experiences. Since education significantly enables the employment, programs aimed at promoting vocational activation of patients should facilitate access to learning. Med Pr 2015;66(3:343–350

  6. Developing a home-based exercise program for elderly people: aplication and overview on two rural portuguese communities

    Pinheira, Vítor; Aparício, Mariana; Cordeiro, Nuno

    2014-01-01

    Introduction: Physical activity and exercise in the elderly has main importance for improving health and quality of life. The exercise prevent incapacity and reduce chronic diseases impact. However most of this population remains sedentary according their lifestyle and increases the chances to becoming dependent of others. The implementation of one home-based program could be more effective for improving physical activity, but is necessary the individual's participation. Program adherence...

  7. The Effectiveness of Educational Intervention in the Health Promotion in Elderly people

    R (Heidari Noot

    2010-06-01

    Full Text Available Background: More than 8% of Irans populations are elderly. The greatest challenge in this generation is improvement of health and quality of life. So we decided to perform an interventional study with the aim of promoting the health of the elderly.Methods: This study was a community interventional in Ekbatan Complex. Subjects were elderly. At first, need assessment was done with the participation of 200 elderly by questionnaire. Based on the need assessment, we designed the educational interventions in different fields such as nutrition, mental health, and exercise and then, we compared the results.Results: 0ne hundred elderly participated as interventional group. There were 86% women and 24% of men. Almost 59% were in the 60-69 age group. More than ¼ of the subjects were university graduates. Pre and post interventional groups were matched in age, education and gender. Regarding nutrition, second priority food in women aged 60-69 was rice and after the intervention, it was changed to vegetables (P= 0.05 but in other age groups and in the mens groups no difference were noted.Aerobic exercises in women has increased after the intervention (P= 0.01. With regards to mental health, life satisfaction among women under study has increased from 68% to 90% after the intervention (P= 0.01. Feeling happy most of the time has increased from 53% to 83% in women aged 60-69 (P= 0.01 and in men from 64% to 83% (P= 0.05 respectively.Conclusion: Policymakers should design long-term educational programs to promote the elderly lifestyles.

  8. Strength training in elderly people improves static balance: a randomized controlled trial

    Sarabon Nejc

    2013-07-01

    Full Text Available Aim of this study was to investigate the effects of two different types of strength training programs on static balance in elderly subjects. Subjects older than 65 years of age were enrolled and assigned to control group (CG, n =19, electrical stimulation group (ES, n = 27 or leg press group (LP, n = 28. Subjects in both the training groups were exposed to training (2-3x/week for a period of 9 weeks. In the ES group the subjects received neuromuscular electrical stimulation of the anterior thigh muscles. In the LP group the subjects performed strength training on a computer-controlled leg press machine. Before and after the training period, static balance of the subject was tested using a quiet stance task. Average velocity, amplitude and frequency of the center-of-pressure (CoP were calculated from the acquired force plate signal. The data was statistically tested with analysis of (covariance and t-tests. The three groups of subjects showed statistically significant differences (p < 0.05 regarding the pre-training vs. post-training changes in CoP velocity, amplitude and frequency. The differences were more pronounced for CoP velocity and amplitude, while they were less evident in case of mean frequency. The mean improvements were higher in the LP group than in the ES group. Our results provide supportive evidence to the existence of the strength-balance relationship. Additionally, results indicate the role of recruiting central processes and activation of functional kinetic chains for the better end effect.

  9. Comparison of the Effects of Swimming and Tai Chi Chuan on Body Fat Composition in Elderly People

    Tung-Yang Yu

    2007-04-01

    Full Text Available Background: Accumulation of fat and substantial loss of muscle mass are common phenomenain the elderly. In this study, we observed the effects of Tai ChiChuan (TCC and swimming, two exercises suitable for elderly people, onthe percentage body fat and fat distribution by measuring subcutaneous adiposetissue thickness and body composition.Methods: Subjects were divided into three groups: regular swimmers (n = 20, regularTCC practitioners (n = 32, and age-matched control subjects (n = 31.Subcutaneous adipose tissue thickness was taken using a Lange skinfoldcaliper at the chests, abdomens, and thighs in the men, and the triceps,suprailium, and thighs in the women. Mid-arm circumference (MAC wasmeasured on the non-dominant upper arm using fiberglass tape. Body compositionwas analyzed using the Inbody 3.0 logo, a bioelectrical impedanceanalysis (BIA system.Results: No significant differences were found between the three test groups in relationto total body adiposity and arm muscle circumference in the men andwomen. There was significantly less subcutaneous adipose tissue at theabdomen (p = 0.011 and thigh (p < 0.001 of TCC-group men and at thethighs (p < 0.001 of the swimming group compared with the control group.In women, only the thigh skinfold (p = 0.002 showed a decrease in the TCCgroup compared with the control group.Conclusion: Swimming and TCC may not decrease total fat adiposity in elderly men andwomen, however, they may change body fat distribution due to certain musclegroup usage. The differences observed in the effects of exercise on bodyfat distribution between elderly women and men may be gender-related.

  10. Rhegmatogenous Retinal Detachment Surgery in Elderly People over 70 Years Old: Visual Acuity, Quality of Life, and Cost-Utility Values

    Ma, Yingyan; Ying, Xiaohua; Zou, Haidong; Xu, Xiaocheng; Liu, Haiyun; Bai, Lin; Xu, Xun; Zhang, Xi

    2014-01-01

    Background and Purpose To evaluate the influence of rhegmatogenous retinal detachment (RRD) surgery on elderly patients in terms of visual acuity, vision-related quality of life and its cost-effectiveness. Methods Elderly patients over 70 years old, who were diagnosed and underwent RRD surgery at Shanghai First People's Hospital, Shanghai Jiao Tong University, China, from January 1, 2009, through January 1, 2013. The participants received scleral buckling surgery and vitreous surgery with or ...

  11. Effects of Tai Chi versus Proprioception Exercise Program on Neuromuscular Function of the Ankle in Elderly People: A Randomized Controlled Trial

    Jing Liu; Xue-Qiang Wang; Jie-Jiao Zheng; Yu-Jian Pan; Ying-Hui Hua; Shang-Min Zhao; Li-Yan Shen; Shuai Fan; Jiu-Gen Zhong

    2012-01-01

    Background. Tai Chi is a traditional Chinese medicine exercise used for improving neuromuscular function. This study aimed to investigate the effects of Tai Chi versus proprioception exercise program on neuromuscular function of the ankle in elderly people. Methods. Sixty elderly subjects were randomly allocated into three groups of 20 subjects per group. For 16 consecutive weeks, subjects participated in Tai Chi, proprioception exercise, or no structured exercise. Primary outcome measures in...

  12. The influence of stereotypes about old age on the perception of elderly employees’ labor activity

    Makienko Marina

    2016-01-01

    Full Text Available In this article the problem of increasing retirement age in terms of age discrimination and creating conditions encouraging elderly people to continue to work is discussed. This paper presents a study of stereotypes that affect students of management specialties in Russian institutions of higher education between the ages of 20 to 25 years old. The stereotype is investigated in the context of emotionally colored image of reality simplifying the process of perceiving it. The correlation between the students’ existing stereotypes about elderly people and their perception of older employees has been conducted. As a result, 5 stereotypes that exist in young people have been defined. An analysis of the words chosen by students to describe the elderly shows little diversity in young people’s perception of them. Lexical analysis shows that in the Russian language there are practically no concepts which allow creating a positive image of the elderly. The influence of the stereotypes on the perception of elderly people in terms of employment shows that older specialists are perceived as people with experience and knowledge but these experience and knowledge are irrelevant to the present.

  13. Flavor enhancement of food as a stimulant for food intake in elderly people

    Essed, N.H.

    2009-01-01

    It is often speculated that the age related decline in taste and smell performance can add to the decreased food intake among elderly by causing a change in liking of food. Flavor enhancement (by adding a taste and/or an odor to enhance or intensify the flavor of the food) has been suggested to coun

  14. A Study of Stairs in the Housing of Independently-Living Elderly People.

    Smith, David W. E.; And Others

    1994-01-01

    This study examines elderly (60+ years) residents of a community dominated by multistory homes and apartments with stairs. Although stairs presented problems for a substantial minority of residents, most occupants expressed satisfaction with their homes. However, a majority of residents, when questioned further, desired stair-free living in a next…

  15. Lifelong Learning Policy for the Elderly People: A Comparative Experience between Japan and Thailand

    Dhirathiti, Nopraenue

    2014-01-01

    This study examined and compared the legal inputs, structural settings and implementation process of lifelong learning policy in Thailand and Japan focusing on street-level agents. The findings demonstrated that while both countries had legal frameworks that provided a legislative platform to promote lifelong learning among the elderly based on a…

  16. The association of betaine, homocysteine and related metabolites with cognitive function in Dutch elderly people

    Eussen, S.J.P.M.; Ueland, P.M.; Clarke, R.; Blom, H.J.; Hoefnagels, W.H.L.; Staveren, van W.A.; Groot, de C.P.G.M.

    2007-01-01

    The importance of the one-carbon metabolites, choline and homocysteine, to brain function is well known. However, the associations between the one-carbon metabolites choline, betaine, methionine and dimethylglycine with cognition in elderly are unclear. We therefore examined the associations of thes

  17. The association of betaine, homocysteine and related metabolites with cognitive function in Dutch elderly people.

    Eussen, S.; Ueland, P.M.; Clarke, R.; Blom, H.J.; Hoefnagels, W.H.L.; Staveren, W.A. van; Groot, L.C. de

    2007-01-01

    The importance of the one-carbon metabolites, choline and homocysteine, to brain function is well known. However, the associations between the one-carbon metabolites choline, betaine, methionine and dimethylglycine with cognition in elderly are unclear. We therefore examined the associations of thes

  18. Motivating People To Be Physically Active. Physical Activity Intervention Series.

    Marcus, Bess H.; Forsyth, LeighAnn H.

    This book describes proven methods for helping people change from inactive to active living. The behavior change methods are useful for healthy adults as well as individuals with chronic physical and psychological conditions. The book describes intervention programs for individuals and groups and for workplace and community settings. Part 1,…

  19. Web-based system for assessing risk factors for falls in community-dwelling elderly people using the Analytic Hierarchy Process

    Pecchia, Leandro; Bath, Peter A; Pendleton, Neil; Bracale, Marcello

    2010-01-01

    Falls occur frequently among older people and represent the most common cause of injury-related morbidity and mortality in later life. Preventing falls is an important way to reduce injuries, hospitalizations, and injury-related morbidity and mortality among older people. The research literature has identified hundreds of risk factors for falls among elderly people. Prioritizing risk factors for falls is useful for designing effective and efficacious prevention programs. The aim of this st...

  20. Designing Products Using Quality Function Deployment and Conjoint Analysis: A Comparison in a Market for Elderly People

    Abu-Assab, Samah; Baier, Daniel

    In this paper, we compare two product design approaches, quality function deployment (QFD) and conjoint analysis (CA), on the example of mobile phones for elderly people as a target group. Then, we compare between our results and the results from former similar comparisons, e.g., Pullman et al. (J Prod Innov Manage 19(5):354-364, 2002) and Katz (J Innov Manage 21:61-63, 2004). In this work, the same procedures and conditions are taken into consideration as that taken by Pullman et al. in their paper. They viewed the relation between the two methods: QFD and CA as a complementary one in which both should be simultaneously implemented since each provide feedback to the other. They concluded that CA is more efficient in reflecting the end-users’ present preferences for the product attributes, whereas QFD is definitely better in satisfying end-users’ needs from the developers’ point of view. Katz in his response from a practitioner’s point of view agreed with Pullman et al. However, he concluded that the two methods are better used sequentially and that QFD should precede conjoint analysis. We test these results in a market for elderly people.

  1. Effects of cognitive, motor, and Karate Training on cognitive functioning and emotional well-being of elderly people

    PetraJansen

    2012-02-01

    Full Text Available The present study investigated the influence of cognitive, motor, and Karate (accordingly the guidelines of the German-Karate-Federation, DKV training on the cognitive functioning and mental state of older people between 67 and 93 years of age. The three training groups consisted of 12 elderly participants; the waiting control group included 9 participants. Before the training, participants were evaluated with cognitive measurements (cognitive speed: number connection test, number symbol test; memory performance: digit-span test, blocking-tapping test, figure test and a measurement of emotional well-being. After this pre-testing they participated the specific training in on average 16 one-hour training sessions. The cognitive training exercised inductive thinking ability, the motor training worked on easy stretching and mobilization techniques, and the Karate training taught tasks of self-defense, partner training and Katas. After 16 training sessions all tests were applied again. The results show no significant difference in cognitive improvement dependent on group between the three training conditions. However a significant improvement was found in the emotional mental state measurement for the Karate group compared to the waiting control group. This result suggests that the high involvement in Karate leads to a feeling of self-worth and that even in elderly people integration of new sports helps to improve quality of life.

  2. Effects of cognitive, motor, and karate training on cognitive functioning and emotional well-being of elderly people.

    Jansen, Petra; Dahmen-Zimmer, Katharina

    2012-01-01

    The present study investigated the influence of cognitive, motor, and Karate (accordingly the guidelines of the German-Karate-Federation, DKV) training on the cognitive functioning and mental state of older people between 67 and 93 years of age. The three training groups each consisted of 12 elderly participants; the waiting control group included 9 participants. Before the training, participants were evaluated with cognitive measurements (cognitive speed: number-connection test, number-symbol test; memory performance: digit-span test, blocking-tapping test, figure test) and a measurement of emotional well-being. After this pre-testing they participated the specific training in on average sixteen 1-h training sessions. The cognitive training exercised inductive thinking ability, the motor training worked on easy stretching and mobilization techniques, and the Karate training taught tasks of self-defense, partner training, and Katas. After completion of the training sessions, all tests were applied again. The results show no significant difference in cognitive improvement dependent on group between the three training conditions. However a significant improvement was found in the emotional mental state measurement for the Karate group compared to the waiting control group. This result suggests that the integrated involvement in Karate leads to a feeling of self-worth and that, even in elderly people, integration of new sports helps to improve quality of life. PMID:22363311

  3. Activity-Oriented Design of Health Pal: A Smart Phone for Elders' Healthcare Support

    Fan Shih-Chen

    2008-01-01

    Full Text Available Wireless telephones and personal digital assistants are emerging, as the information hubs connect their human users with assorted electronic devices and the World Wide Web. As such, they quickly become the de facto basis for personalized information services. The Kannon project team at the National Chiao Tung University (NCTU in Taiwan is developing a ubiquitous service infrastructure for elders' healthcare support. Among their deliverables, there is a PDA Phone, christened Health Pal, which can communicate with Bluetooth/ZigBee devices, uni¬ver¬sal plug-and-play (UPnP e-home service platforms, and online healthcare providers to offer 24/7 healthcare services to elderly people. This paper presents the early results of this effort including the functional and operational concepts of Health Pal as well as the activity-oriented approach of its design. Preliminary results of its usefulness and usability evaluations are reported. A comparison of this platform against several similar prototypes was also included to illustrate the advantage of applying activity-oriented design approach to human-computer interactions.

  4. Activity-Oriented Design of Health Pal: A Smart Phone for Elders' Healthcare Support

    Shih-Chen Fan

    2008-02-01

    Full Text Available Wireless telephones and personal digital assistants are emerging, as the information hubs connect their human users with assorted electronic devices and the World Wide Web. As such, they quickly become the de facto basis for personalized information services. The Kannon project team at the National Chiao Tung University (NCTU in Taiwan is developing a ubiquitous service infrastructure for elders' healthcare support. Among their deliverables, there is a PDA Phone, christened Health Pal, which can communicate with Bluetooth/ZigBee devices, uni¬ver¬sal plug-and-play (UPnP e-home service platforms, and online healthcare providers to offer 24/7 healthcare services to elderly people. This paper presents the early results of this effort including the functional and operational concepts of Health Pal as well as the activity-oriented approach of its design. Preliminary results of its usefulness and usability evaluations are reported. A comparison of this platform against several similar prototypes was also included to illustrate the advantage of applying activity-oriented design approach to human-computer interactions.

  5. The Activity of Older People at the Third Generation University

    Tomasz Kruszewski

    2014-06-01

    Full Text Available This article examines the needs of older people as well as manifestations of their activity. Third Generation Universities, which are being created around the world, make it possible to actualize the needs of older people. Through the example of the Society in Plotsk, the author examines the activity of older people attending a Third Generation University.

  6. SOCIAL AND CULTURAL ACTIVITIES WITH PEOPLE OF THE THIRD AGE TO OVERCOME THE SOCIAL EXCLUSION: A REGIONAL PERSPECTIVE

    Elena V. Kharkovskaya

    2016-06-01

    Full Text Available Introduction: this paper discusses the specifics of socio-cultural activities with people of the third age to overcome the social exclusion, identifies reasons for the decline of alienation level in this category of citizens in conditions of activity of cultural institutions. Materials and Methods: the authors’ findings are based on the philosophical, sociological, cultural, psychological and pedagogical literature and research methodology: observation, survey and content analysis. Results: the most effective methods of social and cultural activities in terms of overcoming the social exclusion of people of the third age were developed and experimentally tested. The main objective of the research was to examine the problems of exclusion among persons of the third age, as well as the possibilities of using social and cultural activities to overcome the social exclusion. In the paper the authors analyse the regional approach to the organisation of social and cultural activities of the elderly in institutions of social and cultural sphere. On the basis of the study the authors propose to extend and modify the variety of forms of leisure and intensify their use in working with people of the third age to overcome the social exclusion of an individual. All work on social and cultural activities with the elderly should be aimed primarily at optimising the social inclusion of elderly in society. Discussion and Conclusions: organisation of social and cultural activities for the elderly is a host of opportunities for the realisation of creative ideas. It is these new approaches to the activities of cultural institution’s collective that help to enhance the interaction between cultural institutions employees and retirees. This study is not exhaustive and does not finalise the research into the role of social and cultural activities as a condition for overcoming the social exclusion of people of the third age. This topic needs further exploration.

  7. Validation of the Spanish version of the Lawton IADL Scale for its application in elderly people

    Vergara Itziar

    2012-10-01

    Full Text Available Abstract Background The adequate information about the functional capacity of elderly populations is a key for the comprehensive assessment of their health status and autonomy. The Lawton IADL (instrumental activities of daily living Scale is a very often used scale to assess independent living skills, but has never been validated for its use in Spanish-speaking populations. The purpose of this study was to assess the validity, the reliability, and responsiveness of this widely used scale. Methods The validation was based on a prospective cohort of 1,965 patients aged 65 or over who suffered an accidental fall with a hip or wrist fracture as a result. These patients were followed up six months after the production of the fracture. Cronbach’s alpha was used to assess reliability, and exploratory factor analysis (EFA and confirmatory factor analysis (CFA for the construct validity. Convergent and discriminant validity were examined by the correlation of the IADL Scale with the Barthel Index, SF-12, WOMAC short form, and QuickDASH questionnaires. Known-groups validity was also studied comparing IADL Scale according to different groups, and responsiveness was assessed by means of effect sizes. Results The mean age was 80.04 years (SD 8.04. The Cronbach alpha coefficient was 0.94. In the EFA, factor loadings ranged from 0.67 to 0.90, and CFA confirmed the homogeneity of the construct. Regarding the convergent validity, all correlation coefficients were higher than 0.40. Significant differences were found according to different groups, supporting known-groups validity. Responsiveness parameters showed moderate to large changes (effect sizes, 0.79 and 0.84 among patients classified as worsened. Conclusions These results confirm that the Spanish version of the Lawton IADL Scale has excellent reliability and validity and a moderate to large sensitivity to change. This study provides a proper validation, not only of the Spanish version of the Lawton

  8. Social Support and Service for Solitary Elderly People in Urban and Rural Communities%城乡社区独居老人社会支持情况及养老服务探讨

    杜海霞; 刘冰

    2015-01-01

    Objective To Investigate social support for solitary elderly people in urban and rural communities and explore community service suitable for solitary elderly people. Methods We enrolled 64 solitary elderly people from the urban area of Shiyan and 66 solitary elderly people from 3 administrative villages in Wushan Town,Gucheng County of Xiangyang. A questionnaire about health status in elderly people( Minimum Data Set)and relevant factors was used,which covered general condition,chronic disease,social support,hobbies and interests and community activities. Results Prevalence of chronic disease in subjects was 62. 5%(40/64)in urban area and 42. 4%(28/66) in rural area. The subjects in urban area and in rural area were significantly different in distance from relatives,distance from alive siblings,contact with relatives,contact with friends in community and relation with neighbors and assistance received(P﹤0. 05). The subjects in urban area received help from more people;the subjects in rural area all had a harmonious relation with parents and neighbors. Significant differences existed in hobbies and interests, playing cards, playing mahjong, playing chess, physical exercise, and regular walking between urban and rural areas ( P ﹤ 0. 05 ) . Urban area had more diversified activities for elderly people than rural area. Conclusion Development of more hobbies and interests and more diversified community activities can increase social support for solitary elderly people in community,which can serve as a reference for the promotion of community service for elderly people.%目的:基于城乡社区独居老人的社会支持情况,探索适合独居老人的社区养老服务。方法2011年3—4月,选取十堰市城市独居老人64例,襄阳市谷城县五山镇3个行政村农村独居老人66例,采用《老年健康状况MDS( Minimum Data Set)和相关因素调查量表》进行调查分析,内容包括一般情况、慢性病患病情况、社

  9. [A Cognitive Behavioural Group Therapy Manual for Elderly People with Type 2 Diabetes and Minor Depression].

    Petrak, Frank; Hautzinger, Martin; Müller, Matthias J; Herpertz, Stephan

    2016-08-01

    Diabetes in the elderly is often associated with depressive symptoms. This comorbidity leads to a higher risk for diabetes related complications, disability and mortality and can be observed not only in major depression but also in subthreshold or minor depression. Specific psychological interventions for this high-risk patient group were not available yet. Therefore, we developed a diabetes specific cognitive behavioral group intervention for elderly outpatients with subthreshold or minor depression and type 2 diabetes within a randomized controlled trial. The treatment goals focus on improvement in health related quality of life, depression symptoms, glycemic control and cost effectiveness. In this article we give an overview of the manualized treatment program. PMID:27485930

  10. Urinary function in elderly people with and without leukoaraiosis: relation to cognitive and gait function

    Sakakibara, R; Hattori, T.; Uchiyama, T; Yamanishi, T

    1999-01-01

    OBJECTIVES—To investigate urinary function in the elderly with and without white matter lesion (leukoaraiosis) in relation to cognitive and gait function.
METHODS—Sixty three subjects were examined, with mean age 73 (range 62 to 86 years). Subjects with brainstem stroke or with large hemispheric lesions were excluded. Spin echo 1.5 T MRI images were graded from 0 to 4 for severity of white matter lesions. Urinary function was assessed by detailed questionnaire and urodyna...

  11. Associations between Primary Health Care- and Hospital Utilization among Elderly People in Norway

    Deraas, Trygve Sigvart

    2013-01-01

    Summary Background: Geographical variations in health-care utilization in many countries have been an area of debate. Health-care supply factors, population and/or environmental need factors might explain the so-called small-area variations (SAVs). Demographic forecasts indicated a significant increase in the elderly population over the next few decades, with a resulting increased need for health services. The Norwegian Coordination reform and health policies in many western countries...

  12. Main nursing diagnoses in hospitalized elderly people who underwent urological surgery

    Walisson Guimarães Lima; Simony Fabíola Lopes Nunes; Angela Maria Alvarez; Rafaela Vivian Valcarenghi; Maria Luiza Rêgo Bezerra

    2015-01-01

    Objective: to identify the main nursing diagnoses in the elderly during postoperative period of urologic surgeries. Methods: Cross-sectional and quantitative study conducted in a urological unit. Data collection was conducted through physical examinations and consultation to medical records. One hundred senior citizens who were hospitalized at the institution participated in the study. Results: The most frequent urological surgical procedures were: transurethral resection of the prostate (27 ...

  13. National Survey of Geriatricians to Define Functional Decline in Elderly People with Minor Trauma

    Abdulaziz, Kasim; Perry, Jeffrey J.; Taljaard, Monica; Émond, Marcel; Lee, Jacques S.; Wilding, Laura; Sirois, Marie-Josée; Brehaut, Jamie

    2016-01-01

    Background This study was designed to determine a clinically significant point drop in function to define functional decline and the required sensitivity for a clinical decision tool to identify elderly patients at high risk of functional decline following a minor injury. Methods After a rigorous development process, a survey questionnaire was administered to a random sample of 178 geriatricians selected from those registered in a national medical directory. The surveys were distributed using...

  14. Risk factors and treatment of urinary tract infections in elderly people

    Doder Radoslava; Polovina Jelena; Kovačević Nadica; Sević Siniša; Preveden Tomislav; Doder Dragan

    2014-01-01

    Introduction. The aim of the retrospective part of this research was to present the risk factors, etiology, clinical picture, therapy and outcome of urinary infections in elderly patients treated at the Department of Infectious Diseases in Novi Sad. The prospective part was aimed at establishing the most common risk factors for urinary infections among users in the Gerontology Center "Novi Sad” and determining the appropriate preventive measures by using an...

  15. The association of betaine, homocysteine and related metabolites with cognitive function in Dutch elderly people

    Eussen, S.J.P.M.; Ueland, P. M.; Clarke, R; Blom, H.J.; Hoefnagels, W.H.L.; Staveren, van, R.; Groot, de, W.T.

    2007-01-01

    The importance of the one-carbon metabolites, choline and homocysteine, to brain function is well known. However, the associations between the one-carbon metabolites choline, betaine, methionine and dimethylglycine with cognition in elderly are unclear. We therefore examined the associations of these metabolites with cognition in a double-blind, placebo-controlled trial. Individuals (n 195) were randomized to receive daily oral capsules with either 1000 ¿g cobalamin (vitamin B12), or 1000 ¿g ...

  16. Biomarkers of inflammation and malnutrition associated with early death in healthy elderly people.

    Carriere, Isabelle; Dupuy, Anne-Marie; Lacroux, Annie; Cristol, Jean-Paul; Delcourt, Cécile

    2008-01-01

    International audience OBJECTIVES: To determine whether malnutrition and biomarkers of inflammation predict all-cause, cancer, and cardiovascular mortality in healthy elderly subjects. DESIGN: Population-based study, prospective cohort. SETTING: S?, on the French Mediterranean coast. PARTICIPANTS: Five hundred and fifty-three men and 888 women aged 60 and older from the Pathologies Oculaires Li? ?'Age cohort free of known comorbidities. MEASUREMENTS: Plasma levels of cholesterol, albumin, ...

  17. A STUDY OF DEPRESSION LEVEL AMONG ELDERLY PEOPLE IN THE RURAL AREA OF BIJAPUR, INDIA

    Santosh D; Sharvanan E.; Shannawaz

    2015-01-01

    BACKGROUND: “Population ageing” was one of the most distinctive demographic events of the twentieth century. Growth in the elderly population has led to an increase in age related diseases and mainly depression affecting quality of life. Depression in old age is an emerging public health problem leading to morbidity and disability worldwide. In India there is acute scarcity of adequately trained mental health professionals. In this context , there is need to study the ...

  18. Effects of a short-term whole body vibration intervention on lean mass in elderly people

    Alba Gómez-Cabello

    2013-08-01

    Full Text Available Objective: To clarify whether a short-term whole body vibration (WBV training has an effect on lean mass (LM in the elderly. Method: 49 non-institutionalized elderly (20 men participated in the study. Participants who met the inclusion criteria were randomly assigned to the WBV or control group. A total of 24 elderly trained squat positioned on a vibration platform 3 times per week for 11 weeks. LM at the whole body, upper and lower limbs was assessed by dual-energy X-ray absorptiometry. Two-way repeated measures ANOVA was used to determine the effects of the intervention on the studied variables and also to determinate the changes within group throughout the intervention period including age and height as covariates. Results: 11 weeks of WBV training led to no changes in none of the LM parameters. Conclusion: A short-term WBV therapy is not enough to cause significant changes on LM in non-institutionalized seniors.

  19. Consumption of fruit and vegetables among elderly people: a cross sectional study from Iran

    Jazayery Abolghasem

    2010-01-01

    Full Text Available Abstract Background There is substantial evidence that low consumption of fruit and vegetables (FV is a major risk factor for many chronic diseases. The aim of this study was to assess FV consumption and the variables that influence it among elderly individuals in Iran aged 60 and over. Methods This was a cross-sectional study to investigate FV intake by a randomly-selected sample of members of elderly centers in Tehran, Iran. A multidimensional questionnaire was used to collect data on demographic characteristics, daily consumption of FV, knowledge, self-efficacy, social support, perceived benefits, and barriers against FV. Data were analyzed using t-tests, one way analysis of variance, Pearson correlation, and logistic regression. Results In total, 400 elderly individuals took part in the study. The mean age of the participants was 64.07 (SD = 4.49 years, and most were female (74.5%. The mean number of FV servings per day was 1.76 (SD = 1.15. Ninety-seven percent of participants (n = 388 did not know the recommended intake was at least five servings of FV per day. Similarly, 88.3% (n = 353 did not know the size of a single serving. The most frequent perceived benefits of and barriers against FV consumption were availability and expense, respectively. Knowledge (OR = 0.59, 95% CI = 0.39-0.88, perceived benefits (OR = 0.92, 95% CI = 0.88-0.96 and barriers (OR = 1.08, 95% CI = 1.04-1.14, self-efficacy (OR = 0.89, 95% CI = 0.83-0.95 and family support (OR = 0.91, 95% CI = 0.83-0.99 were significantly associated with fruit and vegetable consumption. Conclusion The findings of this study indicate that FV intake among elderly individuals in Iran was lower than the recommended minimum of five daily servings and varied greatly with age, marital status, educational attainment, and income level. The results also indicated that low perceived benefits, low self-efficacy, and perceived barriers could lead to lower consumption of FV. It seems that in order

  20. Problems Faced by Complete Denture-Wearing Elderly People Living in Jammu District

    Singh, Harvinder; Sharma, Sumeet; Singh, Sarbjeet; Wazir, Nikhil; Raina, Rajiv

    2014-01-01

    Context: Poor oral health is increasing dramatically among old people especially those living in rural and remote areas. Various factors such as low education background, low income, poor living conditions, unhealthy lifestyle, inadequate oral hygiene and tobacco use lead to poor oral health among older people which in turn lead to risks to their general health. The older people especially from rural areas are apprehensive about seeing a dentist and do not visit them regularly. This may lead ...

  1. Levels of erythrocyte superoxide dismutase activity in Japanese people

    Ueda,Kazuko

    1978-12-01

    Full Text Available Levels of erythrocyte superoxide dismutase (SOD activitiy in a sample of Japanese people were determined. Blood samples were taken from new-born infants, preschool children, young and old people who had no apparent diseases and also from three anemic patients. Erythrocyte SOD activities in different age groups had a nearly normal distribution. Females had slightly lower activities than males, although the difference was statistically insignificant. The distributions of SOD activities were 12.6 +/- 2.7 (m +/- SD unit/mg Hb in young people and 11.4 +/- 3.0 in old people, indicating that erythrocyte SOD activity falls with aging. Because of low concentration of hemoglobin, SOD activities of old people expressed as unit/ml blood were much lower than in young people. Three anemic patients had slightly lower SOD activity.

  2. An exploratory study of barriers to promoting oral hygiene through carers of elderly people

    Eadie, D R; Schou, L

    1992-01-01

    This paper outlines the main findings of an exploratory study into carers' attitudes towards looking after the oral hygiene needs of their elderly patients and relatives. The data were collected using eight group discussions covering a cross-section of carers and carer settings throughout central...... Scotland. A range of barriers to improving levels of care was identified. The paper concluded that to make positive progress, a comprehensive oral hygiene programme is required to break down these barriers. It is believed that a strong educational policy based upon carers' needs should form the main...

  3. Elderly people as "apocalyptic demography"? A study of the life stories of older people in Hong Kong born in the 1930s.

    Kwok, Jackie Yan Chi; Ku, Ben Hok Bun

    2016-01-01

    In Hong Kong, the general view still follows the biomedical discourse to define aging. The government and leading gerontologists follow the prevailing representation of elderly and describe growing old as a process of becoming "frail, infirm, and vulnerable" (Fealy et al., 2012: 91). Discussions of demographic trends often focus on the drastic effects of an aging society on economic development. Our research indicates that Hong Kong's construction of aging is a product of its market-driven economy. Drawing from the life stories of eight participants born in the 1930s, we examine the meaning of aging and the formation of character in a specific historical context, adopting the life-course perspective. We wish to understand how larger movements in the social and political world shaped the experiences of the participants and the strategies they developed to maintain agency and control in life. The participants in our study struggled for survival through unprecedented political disasters and social turmoil in their youth. When they reached maturity in the 1960s and 1970s, they devoted themselves to bettering their lives and contributed to the economic boom of the city. We maintain that the biomedical model offers a reductive and unjust means of viewing the people in this cohort, who are often seen as a problem and a burden. Challenging the prevailing ageist attitude, we set the life stories of the participants against the dominant biomedical model of aging. Our work aims to establish a just description of the life experiences of Hong Kong people. PMID:26880599

  4. Cognitive and functional status of elderly people of a long stay institution of the municipality Divinópolis, Minas Gerais State, Brazil - 10.4025/actascihealthsci.v34ispec.11938

    Viviane Gontijo Augusto

    2012-12-01

    Full Text Available This study aimed to evaluate and characterize the functional capacity and cognitive status of elderly people living in a long-stay institution of the municipality of Divinópolis, Minas Gerais State.     The population consisted of 67 elderly people aged between 62 and 102 years, 76% female and 24% male. Data were gathered using the Barthel index of the Mini-Mental State Examination (MMSE and a form for the social characterization. A significant correlation was observed between the Barthel index and the MMSE, i.e. between functional capacity and cognitive status. Also a significant correlation was detected between education and mental state and between age and mental and functional state. The sex of the participants had no influence on the results. A percentage of 55% had no cognitive impairment, 39% were considered independent and 37% semi-dependent, and only 24% were totally dependent to perform activities of daily living. Therefore, it is emphasized the importance of thinking about the reasons that take to the institutionalization of elderly people.  

  5. Ready to give up on life: The lived experience of elderly people who feel life is completed and no longer worth living.

    van Wijngaarden, Els; Leget, Carlo; Goossensen, Anne

    2015-08-01

    In the Netherlands, there has been much debate on the question whether elderly people over 70 who are tired of life and who consider their life to be completed, should have legal options to ask for assisted dying. So far there has been little research into the experiences of these elderly people. In order to develop deliberate policy and care that targets this group of elderly people, it is necessary to understand their lifeworld. The aim of this paper is to describe the phenomenon 'life is completed and no longer worth living' from a lifeworld perspective, as it is lived and experienced by elderly people. Between April to December 2013, we conducted 25 in-depth interviews. A reflective lifeworld research design, drawing on the phenomenological tradition, was used during the data gathering and data analysis. The essential meaning of the phenomenon is understood as 'a tangle of inability and unwillingness to connect to one's actual life', characterized by a permanently lived tension: daily experiences seem incompatible with people's expectations of life and their idea of whom they are. While feeling more and more disconnected to life, a yearning desire to end life is strengthened. The experience is further explicated in its five constituents: 1) a sense of aching loneliness; 2) the pain of not mattering; 3) the inability to express oneself; 4) multidimensional tiredness; and 5) a sense of aversion towards feared dependence. This article provides evocative and empathic lifeworld descriptions contributing to a deeper understanding of these elderly people and raises questions about a close association between death wishes and depression in this sample. PMID:25982088

  6. Overload of families taking care of elderly people with Alzheimer's Disease: a comparative study

    Ana Carla Borghi

    2013-07-01

    Full Text Available OBJECTIVE: to compare the overload of the main and secondary family carers of patients with Alzheimer's Disease, and identify which dimension generates most impact. METHOD: a comparative study conducted in the city of Maringá, State of Paraná, with 20 primary carers of elderly patients with Alzheimer's Disease and 20 secondary caregivers. The data was collected in May and June 2012, using the Scale for Assessment of Overload of Members of Psychiatric Patients' Families (FBIS-BR, and the results were analysed using the Mann-Whitney test and analysis of variance. RESULTS: the global objective overload, and also in each subscale, was significantly greater in the group of main caregivers; the subjective overload showed no difference between the groups. Comparing the subscales, the routine assistance provided to the patient had greater influence on objective overload in both groups, and the concern with the elderly patient was the dimension that had most influence on the subjective overload of main caregivers and also of secondary caregivers. CONCLUSION: the differences in overload between the different groups reinforces the need for planning of health care actions for each type of caregiver, seeking to reduce these differences.

  7. User experiences of mobile controlled games for activation, rehabilitation and recreation of elderly and physically impaired.

    Sirkka, Andrew; Merilampi, Sari; Koivisto, Antti; Leinonen, Markus; Leino, Mirka

    2012-01-01

    The purpose of this paper was to study how aged people experience mobile controlled game as a method of rehabilitation and recreation. The target group contained persons 70+ years of age living in assisted living conditions (N=34). The average age of the participants was 85.9 years. Women (n=17) and men (n=17) were equally presented in the sample group. Only 12 % (n=4) of participants were involved in an active weekly-based rehabilitation, light physical sitting exercises 38% (n=13). Three (n=3) of the participants (9%) used computers (net banking), and 20 (59%) used mobile phones on daily basis. Social activities and physical activation seem to be rather inadequate and traditional in assisted living organizations. The overall experiences of mobile controlled game described in this paper appeared to be a successful experiment also proving that the elderly are not as reluctant to use technical devices or playing virtual games as often thought. The game was reckoned very motivating, interesting, and entertaining both by the aged and the staff. Activation, rehabilitation and recreation in the elderly homes or assisted living organizations could benefit from utilization of new technology providing new ways and solutions that motivate the users and offer also possibilities for measuring and follow-up of the physical impacts. The future goals to improve the game were set according to the feedback given in this survey: a) wider variety of controlling modes for the game, b) developing various difficulty levels, c) developing the game to support different kinds of body movements, d) easily modified according to the individual user's exercising or rehabilitation needs as well as e) emphasizing the social aspects of the game by producing multiplayer versions. PMID:22942069

  8. The Effects of Mindfulness-Based Cognitive Therapy on Depressive Symptoms in Elderly Bereaved People with Loss-Related Distress: a Controlled Pilot Study

    O Connor, Maja; Piet, Jacob; Hougaard, Esben

    2014-01-01

    of elderly bereaved people (mean age=77 years) with long-term bereavement-related distress. Results were compared between MBCT intervention group completers (n=12), intervention group intention to treat (n=18), and wait list controls (n=18) at pre- and postintervention and at a 5-month follow...

  9. Handgrip strength does not represent an appropriate measure to evaluate changes in muscle strength during an exercise intervention program in frail elderly people

    Tieland, C.A.B.; Verdijk, L.; Groot, de C.P.G.M.; Loon, van L.J.C.

    2015-01-01

    Although handgrip strength is considered a strong predictor of negative health outcomes, it is unclear whether handgrip strength represents a useful measure to evaluate changes in muscle strength following resistance-type exercise training in elderly people. We assessed whether measuring handgrip st

  10. Protein supplementation increases muscle mass gain during prolonged resistance-type exercise training in frail elderly people: a randomized double-blind, placebo-controlled trial

    Tieland, C.A.B.; Dirks, M.L.; Zwaluw, van der N.L.; Verdijk, L.; Rest, van de O.; Groot, de C.P.G.M.; Loon, van L.C.

    2012-01-01

    Objectives Protein supplementation has been proposed as an effective dietary strategy to augment the skeletal muscle adaptive response to prolonged resistance-type exercise training in elderly people. Our objective was to assess the impact of protein supplementation on muscle mass, strength, and phy

  11. Hypoperfusion in baseline and cognitively activated brain SPECT imaging of adult and elderly patients with depression

    Objective: To evaluate the rCBF abnormalities of the baseline and cognitively activated rCBF imaging in unmedicated adult and elderly patients with depression. Methods: The subjects were divided into four groups: depressed adults, normal adult controls, depressed elders and normal elderly controls. All depressed patients were unmedicated and the diagnoses (depression of moderate degree with accompanying somatization) were confirmed by the ICD-10 criteria. Age range of the 39 depressed adult patients was 17 - 55 years. 17 age-matched normal adult controls (age range 21 - 50 years) were studied under identical conditions. The age range of 18 depressed elderly patients was 62 - 76 years. 21 age-matched normal elderly controls (age range 60 - 72 years) were studied under identical conditions. Baseline and cognitively activated 99Tcm-ECD SPECT were performed on 25 of the 39 adult patients with depression and 17 normal adult controls. Baseline 99Tcm-ECD SPECT only was performed on the remaining 14 patients with depression. Baseline and cognitively activated 99Tcm-ECD SPECT were performed on 12 of the 18 elderly patients with depression and 18 of the 21 normal elderly controls. Baseline 99Tcm-ECD SPECT only was performed on the remaining elderly patients and 3 normal elderly controls. Results: 1) The characteristic abnormalities of baseline and cognitively activated brain SPECT imaging of depression in adults: the baseline rCBF values of frontal and temporal lobe decreased significantly and the activated rCBF values of frontal, temporal lobe decreased more evidently than that in the baseline imaging and additionally decreased activated rCBF values in parietal lobe were found. 2) The characteristic abnormalities of baseline and cognitively activated brain SPECT imaging of elderly patients with depression: the baseline rCBF values of frontal, temporal lobe and right basal ganglia decreased significantly and the activated rCBF values of frontal, temporal, right parietal lobe

  12. Modelos de serviços hospitalares para casos agudos em idosos Hospital services for acute care of elderly people

    João Macedo Coelho Filho

    2000-12-01

    patients in the hospital setting. The objective was to review some models of acute hospital care for elderly people, focusing on the role of geriatric medicine and its relationship with other specialities. Medline database (1989-1999, textbooks of geriatrics and gerontology, and other health publications were consulted in an attempt to identify all relevant publications about hospital services providing acute care to elderly people. The features of each model were compiled and discussed taking into account their suitability to the Brazilian health system. Some examples of interventions, with their effectiveness demonstrated by systematic reviews, were also mentioned. The models more frequently described were: long-time traditional, age-defined, unspecialized and integrated care. Variants of such models were frequently reported. There is no evidence pointing to one as the best model, but models favoring the integration of geriatrics with general medicine seemed to be particularly suitable to the Brazilian setting. With the aging of the population, there is a need to restructure the health services to face the increasing demands of elderly people. Given that the design of hospital services is an important factor for the effectiveness of geriatric care, this issue should be studied as priority in Brazil.

  13. Body mass index as discriminator of the lean mass deficit and excess body fat in institutionalized elderly people.

    Barbosa, Maria Helena; Bolina, Alisson F; Luiz, Raíssa B; de Oliveira, Karoline F; Virtuoso, Jair S; Rodrigues, Rosalina A P; Silva, Larissa C; da Cunha, Daniel F; De Mattia, Ana Lúcia; Barichello, Elizabeth

    2015-01-01

    The objective of this study was to identify the discriminating criterion for body mass index (BMI) in the prediction of low fat free mass and high body fat percentage according to sex among older people. Observational analytical study with cross-sectional design was used for this study. All institutionalized older people from the city of Uberaba (Minas Gerais, Brazil) who fit within the inclusion and exclusion criteria were approached. Sixty-five institutionalized older people were evaluated after signing a Free and Informed Consent Form. Descriptive and inferential statistical procedures were employed for the analysis, using Student's t-test and multiple linear regression. Receiver Operating Characteristic (ROC) curves were constructed to determine the BMI (kg/m(2)) cut-off points. The study complied with all the ethical norms for research involving human beings. In comparing the anthropometric measurements obtained via bioimpedance, elder male had higher mean height and body water volume than females. However, women had higher mean triceps skinfold and fat free mass than men. The BMI cut-off points, as discriminators of low fat free mass percentage and high body fat percentage in women, were ≤22.4 kg/m(2) and >26.6 kg/m(2), respectively; while for men they were ≤19.2 kg/m(2) and >23.8 kg/m(2). The results of this study indicate the need for multicenter studies aimed at suggesting BMI cut-off points for institutionalized older people, taking into account specific sex characteristics. PMID:25771958

  14. Contents evaluation of some essential and toxic elements in children and elders diet by neutron activation analysis

    Essential and toxic elements in the 19 diet samples from pre-school children and 23 diet samples from elderly people, have been determined by neutron activation analysis. The diet samples were collected by duplicate portion method. A radiochemical separation procedure was developed and applied for determining Cd, Co, Cr, Fe, Mo, Sb, U, Th, W and Zn, based on retention of these elements in a Chelex-100 resin. In the case of As and Se, the procedure was based on retention in inorganic exchanger TDO (tin dioxide). The contents of proteins, lipids and carbohydrates were also analysed. The results have been presented and discussed

  15. Physical activity and smoking abstinence in young people

    Everson, Emma Stefania

    2007-01-01

    A reduction in the number of young smokers and an increase in physical activity levels among young people are currently public health priorities, because of the lifetime health risks of smoking and inactivity from a young age. The aims of this thesis were to investigate the effects of exercise on desire to smoke, withdrawal symptoms and mood in young people, and to investigate the promotion of physical activity and exercise in young people who smoke, using a variety of methodologies. Five stu...

  16. The effect of type 2 diabetes mellitus on the motor behaviour of elderly individuals during sit to stand activity

    Demirbüken, İlkşan; İlçin, Nursen; Gürpınar, Barış; Algun, Candan

    2012-01-01

    Objective: The aim of the study was to investigate whether there was any difference in motor behavior of sit to stand activity of elderly individuals with type 2 diabetes mellitus (DM) compared to elderly individuals without type 2 diabetes mellitus diagnosis.Methods: Eighty one elderly individuals, who live in Izmir, Narlıdere Geriatric Home Care Center, accepted to take part in this study. Finally, 59 elderly individuals (type 2 diabetes group consisted of 26 and non-diabetic group consiste...

  17. Prevalence and associated factors of elder mistreatment in a rural community in People's Republic of China: a cross-sectional study.

    Li Wu

    Full Text Available BACKGROUND: Current knowledge about elder mistreatment is mainly derived from studies done in Western countries, which indicate that this problem is related to risk factors such as a shared living situation, social isolation, disease burden, and caregiver strain. We know little about prevalence and risk factors for elder mistreatment and mistreatment subtypes in rural China where the elder population is the most vulnerable. METHODS: In 2010, we conducted a cross-sectional survey among older adults aged 60 or older in three rural communities in Macheng, a city in Hubei province, China. Of 2245 people initially identified, 2039 were available for interview and this was completed in 2000. A structured questionnaire was used to collect data regarding mistreatment and covariates. Logistic regression analysis was used to identify factors related to elder mistreatment and subtypes of mistreatment. RESULTS: Elder mistreatment was reported by 36.2% (95% CI: 34.1%-38.3% of the participants. Prevalence rates of psychological mistreatment, caregiver neglect, physical mistreatment, and financial mistreatment were 27.3% (95% CI: 25.3%-29.2%, 15.8% (95% CI: 14.2%-17.4%, 4.9% (95% CI: 3.9%-5.8% and 2.0% (95% CI: 1.3%-2.6%, respectively. The multivariate logistic regression analysis revealed that depression, being widowed/divorced/single/separated, having a physical disability, having a labor intensive job, depending solely on self-made income, and living alone were risk factors for elder mistreatment. Different types of elder mistreatment were associated with different risk factors, and depression was the consistent risk factor for the three most common mistreatment subtypes. CONCLUSION: Older adults in rural China self-report a higher rate of mistreatment than their counterparts in Western countries. Depression is a main risk factor associated with most subtypes of mistreatment. Our findings suggest that prevention and management of elder mistreatment is a

  18. A Friendly Rest Room: Developing Toilets of the Future for Disabled and Elderly People

    Molenbroek, J.F.M.; Mantas, J.; De Bruin, R.

    2011-01-01

    This book addresses the topic of toilet design, but instead of focusing on the typical able bodied user, it takes the various needs and limited abilities of older and/or disabled people as its starting point (human centered design). This follows the principles of ‘Inclusive Design’: designs taking i

  19. Alcohol consumption in elderly people across European countries: Results from the Food in Later Life project

    Vaz De Almeida, Maria Daniel; Davidson, Kate; De Morais, Cecilia;

    2005-01-01

    The aim of this paper is to identify social and cultural aspects of alcohol consumption in a sample of older people living in their own homes, in eight different European countries. We explore several aspects of alcohol consumption, establishing comparisons between genders, age groups and living ...

  20. Depression and falls among community dwelling elderly people: a search for common risk factors

    Biderman, A; Cwikel, J; Fried, A; Galinsky, D

    2002-01-01

    Study objectives: Depression and falls are two common conditions that impair the health of older people. Both are relatively underdiagnosed and undertreated problems in primary care. The study objective was to investigate whether there was a common set of risk factors that could predict an increased risk of both falls and depression.

  1. Risk factors and treatment of urinary tract infections in elderly people

    Doder Radoslava

    2014-01-01

    Full Text Available Introduction. The aim of the retrospective part of this research was to present the risk factors, etiology, clinical picture, therapy and outcome of urinary infections in elderly patients treated at the Department of Infectious Diseases in Novi Sad. The prospective part was aimed at establishing the most common risk factors for urinary infections among users in the Gerontology Center "Novi Sad” and determining the appropriate preventive measures by using an assessment questionnaire. Material and Methods. The retrospective research included 81 patients diagnosed with urinary infection. The patients were over 65 years of age and were treated at the Department of Infectious Diseases in the period from 2010 to September 2012. Within the prospective part of research, a poll was conducted among users of Gerontology Center „Novi Sad” by applying an "Urination Disorder Test” questionnaire. Results. The average age of participants was 75.47 years (min 65, max 96, SD 6.86, and the female patients predominated in the patient population (F:M = 58%:42%. Associated diseases were recorded in 53 (65.4% patients, and 24 (29.6% of them had hypertension history. Escherichia coli were isolated in 12 (46.2% patients. The majority of patients had preserved consciousness at admission whereas febrility and signs of intoxication were recorded in 60 (75.95% and 33 (41.8% patients, respectively. The patients reported the following problems: dysuria - 23 (29.1% patients, pollakiuria - 9 (11.4%, suprapubic pain - 8 (10.1% and pain in the lumbar region - 7 (8.9% patients. Antibiotic therapy included ceftiaxone and ciprofloxacin, which were administered to 43 (56.6% and 33 (43.3% patients, respectively. Favorable disease outcome was recorded in 79 (97.5% patients, whereas lethal outcome occurred in 2 (2.5% patients and was associated with severe comorbidity. Frequent urinary infections, nocturia and incontinence, being the most frequent diseases among the users of

  2. A Novel Sensor-Assisted RFID-Based Indoor Tracking System for the Elderly Living Alone

    Chien-Chang Hsu; Jun-Hao Chen

    2011-01-01

    The population of elderly people is increasing rapidly in many developed nations. Providing safe and comfortable care to aging people is an important social goal. Moreover, obtaining correct activity and location information for an elderly person is an important research goal. This work proposes a novel intelligent RFID-based indoor tracking system for elderly people living alone. The proposed system uses environment information for inhabitants and received signal strength of an RFID reader t...

  3. The power of food: mediating social relationships in the care of chronically ill elderly people in urban Indonesia

    Peter van Eeuwijk

    2008-03-01

    Full Text Available La préparation de nourriture et de boissons est considérée comme une activité vitale dans les soins pour personnes âgées souffrant d’une maladie chronique en Indonésie urbaine. Seuls de proches membres de la famille préparent et servent les repas aux patients âgés. La majorité de ceux-ci prennent part aux repas quotidiens conjointement avec la famille qui représentent pour eux des arènes d’interaction sociale et une source d’informations essentielles. Le commensalisme et le fait que les personnes âgées continuent de participer au partage rituel de nourriture dans le cadre de festivités et de cérémonies sont ainsi des éléments importants pour la construction de leur identité sociale et leur inclusion dans la société. Néanmoins, beaucoup des patients âgés inclus dans cette étude étaient atteints de maladies chroniques – telles que l’hypertonie, le diabète et le rhumatisme – et nécessitant un suivi diététique. Ainsi la maladie change la qualité de la relation entre le personnel soignant et les patients âgés et dépendants en introduisant les notions de confiance et de contrôle. Le patient doit faire confiance au traitement spécial, c’est-à-dire au régime sain qui lui est proposé par l’aide soignante. Celle-ci, de son côté, exerce un pouvoir de contrôle en surveillant l’alimentation du malade et par là, le respect des mesures préventives et thérapeutiques qui lui sont imposées.The preparation of food and drink is regarded as pivotal to care of chronically sick elderly people in urban Indonesia. Their meals are cooked solely by close household members. The majority of the elderly sick take part in the joint daily meals that serve as important arenas of social interaction and information sources. Continued commensality and participation in the sharing of food during festivities and ceremonies thus represents a vital source of social identity and social involvement for older people

  4. Longitudinal Causal Inference of Cognitive Function and Depressive Symptoms in Elderly People

    Ping Yao

    2015-09-01

    Full Text Available AbstractObjective: the association between depressive symptoms (Center for Epidemiologic Studies Depression Scale [CES-D] and subsequent cognitive function (Mini-Mental State Examination [MMSE] is equivocal in literature. To examine the causal relationship between them, we use longitudinal data on MMSE and CESD and causal inference to illustrate the relationship between two health outcomes.Method:  Data were obtained from the Hispanic Established Populations for Epidemiologic Studies of the Elderly. Participants included 3050 noninstitutionalized Mexican Americans aged 65 and older followed from 1993-2001. Cognitive function and depressive symptoms were assessed using the MMSE and CESD at baseline and at 2, 5, and 7 years of follow-up. Independent variables were sociodemographics, CESD, medical conditions. Marginal structural causal models were employed to evaluate the extent to which cognitive function depend not only on depressive symptoms measured at a single point in time but also on an individual’s entire depressive symptoms history. Discussion: our results indicate that if intervention to reduce 1 points of depressive symptoms were made at two years prior to assessing cognitive function, they would result in average improvement in cognitive function of 0.12, 95% CI [0.06, 0.18],P<.0001. Conclusion: The results suggest that health intervention of depressive symptoms would be useful in prevention of cognitive impair.  

  5. Conceptualization and nursing implications of self-imposed activity limitation among community-dwelling elders.

    Guo, Guifang; Phillips, Linda R

    2010-01-01

    The purposes of this paper are to explore, from a theoretical perspective, explanations for why some community-dwelling elders self-impose activity limitations (SIALs); to develop an integrated explanation for SIAL from a nursing perspective; and to identify some clinical implications of relevance to public health nursing practice. Activity limitation is an important risk factor for functional decline, morbidity, and mortality among community-dwelling elders. Many studies have focused on disease and environmental influences on activity limitations. The intrinsic processes associated with voluntary or SIAL in old age among otherwise physically and mentally capable elders are poorly understood and little studied. The conceptualization of SIAL provides nurses with an understanding of an understudied aging phenomenon and helps nurses understand how elders see activities related to their life priorities. The conceptual framework will facilitate future qualitative and quantitative study of SIAL, assist nurses in the development of a new gerontological nursing theory, and design of interventions for elders with activity limitations. Public health nurses with a better understanding of SIAL may be able to help elders improve or maintain their independence. PMID:20626836

  6. Preparedness for Protecting the Health of Community-Dwelling Vulnerable Elderly People in Eastern and Western Japan in the Event of Natural Disasters.

    Tsukasaki, Keiko; Kanzaki, Hatsumi; Kyota, Kaoru; Ichimori, Akie; Omote, Shizuko; Okamoto, Rie; Kido, Teruhiko; Sakakibara, Chiaki; Makimoto, Kiyoko; Nomura, Atsuko; Miyamoto, Yukari

    2016-01-01

    We clarified the preparedness necessary to protect the health of community-dwelling vulnerable elderly people following natural disasters. We collected data from 304 community general support centres throughout Japan. We found the following in particular to be challenging: availability of disaster-preparedness manuals; disaster countermeasures and management systems; creation of lists of people requiring assistance following a disaster; evacuation support systems; development of plans for health management following disasters; provision of disaster-preparedness guidance and training; disaster-preparedness systems in the community; disaster information management; the preparedness of older people themselves in requiring support; and support from other community residents. PMID:27074407

  7. The effect of Tai Chi Chuan in reducing falls among elderly people: design of a randomized clinical trial in the Netherlands [ISRCTN98840266

    van Rossum Erik

    2006-03-01

    Full Text Available Abstract Background Falls are a significant public health problem. Thirty to fifty percent of the elderly of 65 years and older fall each year. Falls are the most common type of accident in this age group and can result in fractures and subsequent disabilities, increased fear of falling, social isolation, decreased mobility, and even an increased mortality. Several forms of exercise have been associated with a reduced risk of falling and with a wide range of physiological as well as psychosocial health benefits. Tai Chi Chuan seems to be the most promising form of exercise in the elderly, but the evidence is still controversial. In this article the design of a randomized clinical trial is presented. The trial evaluates the effect of Tai Chi Chuan on fall prevention and physical and psychological function in older adults. Methods/Design 270 people of seventy years and older living at home will be identified in the files of the participating general practitioners. People will be asked to participate when meeting the following inclusion criteria: have experienced a fall in the preceding year or suffer from two of the following risk factors: disturbed balance, mobility problems, dizziness, or the use of benzodiazepines or diuretics. People will be randomly allocated to either the Tai Chi Chuan group (13 weeks, twice a week or the no treatment control group. The primary outcome measure is the number of new falls, measured with a diary. The secondary outcome measures are balance, fear of falling, blood pressure, heart rate, lung function parameters, physical activity, functional status, quality of life, mental health, use of walking devices, medication, use of health care services, adjustments to the house, severity of fall incidents and subsequent injuries. Process parameters will be measured to evaluate the Tai Chi Chuan intervention. A cost-effectiveness analysis will be carried out alongside the evaluation of the clinical results. Follow

  8. Older people's perspectives on an elderly-friendly hospital environment: an exploratory study

    Karki S; Bhatta DN; Aryal UR

    2015-01-01

    Sushmita Karki,1 Dharma Nand Bhatta,1,2 Umesh Raj Aryal3 1Department of Public Health, Nobel College, Pokhara University, Kathmandu, Nepal; 2Faculty of Medicine, Epidemiology Unit, Prince of Songkla University, Songkhla, Thailand; 3Department of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal Background: Many older people are vulnerable with multiple health problems and need of extensive care and support for quality of life. The main objective of this study was to explore the...

  9. Older people's perspectives on an elderly-friendly hospital environment: an exploratory study

    Bhatta, Dharma Nand

    2015-01-01

    Sushmita Karki,1 Dharma Nand Bhatta,1,2 Umesh Raj Aryal3 1Department of Public Health, Nobel College, Pokhara University, Kathmandu, Nepal; 2Faculty of Medicine, Epidemiology Unit, Prince of Songkla University, Songkhla, Thailand; 3Department of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal Background: Many older people are vulnerable with multiple health problems and need of extensive care and support for quality of life. The main objective of this study was to explore the...

  10. Quality of life of elderly people living in a retirement home

    Čanković Sonja; Nikolić-Ač Eržebet; Jovanović Mijatović Vesna; Kvrgić Svetlana; Harhaji Sanja; Radić Ivana

    2016-01-01

    Background/Aim. The World Health Organization (WHO) identified four broad domains as being universally relevant to the quality of life, namely physical, and psychological health, social relationships, and environment. The aim of this study was to assess the relationship between sociodemographic characteristics and quality of life of old people. Methods. The World Health Organization Quality of Life BREF questionnaire (WHOQOL-BREF) was used to assess quality...

  11. ARTISTIC ACTIVITY AMONG THE ELDERLY AS A FORM OF LIFELONG LEARNING, BASED UPON THE OPINIONS OF THE UNIVERSITY OF WROCŁAW’S UNIVERSITY OF THE THIRD AGE HANDICRAFT GROUP MEMBERS

    Beata Działa

    2016-06-01

    Full Text Available The article deals with the topic of creativity and artistic activity among elderly people in the context of claims related to the idea of lifelong learning. It discusses the phenomenon of creativity and how senior citizens can benefit from it. The artistic activity of people in the age of late adulthood is also discussed in that context. In the last part of the text, theoretical claims are collated with what the artistic groups’ elderly members themselves said during a focus group interview

  12. Resolução temporal auditiva em idosos Auditory temporal resolution in elderly people

    Flávia Duarte Liporaci

    2010-12-01

    Full Text Available OBJETIVO: Avaliar o processamento auditivo em idosos por meio do teste de resolução temporal Gaps in Noise e verificar se a presença de perda auditiva influencia no desempenho nesse teste. MÉTODOS: Sessenta e cinco ouvintes idosos, entre 60 e 79 anos, foram avaliados por meio do teste Gaps In Noise. Para seleção da amostra foram realizados: anamnese, mini-exame do estado mental e avaliação audiológica básica. Os participantes foram alocados e estudados em um grupo único e posteriormente divididos em três grupos segundo os resultados audiométricos nas frequências de 500 Hz, 1, 2, 3, 4 e 6 kHz. Assim, classificou-se o G1 com audição normal, o G2 com perda auditiva de grau leve e o G3 com perda auditiva de grau moderado. RESULTADOS: Em toda a amostra, as médias de limiar de detecção de gap e de porcentagem de acertos foram de 8,1 ms e 52,6% para a orelha direita e de 8,2 ms e 52,2% para a orelha esquerda. No G1, estas medidas foram de 7,3 ms e 57,6% para a orelha direita e de 7,7 ms e 55,8% para a orelha esquerda. No G2, estas medidas foram de 8,2 ms e 52,5% para a orelha direita e de 7,9 ms e 53,2% para a orelha esquerda. No G3, estas medidas foram de 9,2 ms e 45,2% para as orelhas direita e esquerda. CONCLUSÃO: A presença de perda auditiva elevou os limiares de detecção de gap e diminuiu a porcentagem de acertos no teste Gaps In Noise.PURPOSE: To assess the auditory processing of elderly patients using the temporal resolution Gaps-in-Noise test, and to verify if the presence of hearing loss influences the performance on this test. METHODS: Sixty-five elderly listeners, with ages between 60 and 79 years, were assessed with the Gaps-in-Noise test. To meet the inclusion criteria, the following procedures were carried out: anamnesis, mini-mental state examination, and basic audiological evaluation. The participants were allocated and studied as a group, and then were divided into three groups, according to audiometric results

  13. [Psychological effects of alcohol misuse on the professional home caregivers in support with elderly people].

    Moscato, Alba; Varescon, Isabelle

    2015-12-01

    Very little research is made on professional home caregivers in support of seniors, especially those dealing with alcohol misuse. The aim of this study was to investigate the relationships between professional home caregivers and seniors with alcohol misuse, in terms of job satisfaction, professional life and emotional exhaustion. 99 professional home caregivers completed a professional data questionnaire (ESVP) and an inventory of professional burnout (MBI). Demographic and professional data, as well as dimensions of professional life satisfaction and professional exhaustion questionnaires were analyzed. Out of the 99 participants, 36 professional home caregivers reported difficulties dealing with alcohol misuse in seniors. The mean age of the home caregivers was 35 years old and half of them did not receive any training for support. The majority of them qualified the relationship with the aged as "distant and nonexistent". In contrast, most of them were satisfied with regard to the relationship with the relatives of the subjects, and were almost as many to call it "cordial" as well as "cold distant, non-existent". Job satisfaction was positively correlated with the satisfaction of the relationship with the relatives. Emotional exhaustion was negatively correlated with their job satisfaction in the support of the subjects. This study is, to our knowledge, the first one to highlight the importance for professional home caregivers to have good relationships with the relatives of seniors with alcohol misuse. Research in this area is scarce, despite the development of home care for the elderly, whatever their pathologies, and at the early start of a French ministerial plan on society's adaptation to ageing. PMID:26707560

  14. Effects of an adapted physical activity program on psychophysical health in elderly women

    Battaglia, Giuseppe; Bellafiore, Marianna; Alesi, Marianna; Paoli, Antonio; Bianco, Antonino; Palma, Antonio

    2016-01-01

    Background Several studies have shown the positive effects of adapted physical activity (APA) on physical and mental health (MH) during the lifetime. The aim of this study was to assess the effectiveness of a specific APA intervention program in the improvement of the health-related quality of life (QOL) and functional condition of spine in elderly women. Methods Thirty women were recruited from a senior center and randomly assigned to two groups: control group (CG; age: 69.69±7.94 years, height: 1.57±0.06 m, weight: 68.42±8.18 kg, body mass index [BMI]: 27.88±2.81) and trained group (TG; age: 68.35±6.04 years, height: 1.55±0.05 m, weight: 64.78±10.16 kg, BMI: 26.98±3.07). The APA program was conducted for 8 weeks, with two training sessions/week. CG did not perform any physical activity during the study. Spinal angles were evaluated by SpinalMouse® (Idiag, Volkerswill, Switzerland); health-related QOL was evaluated by SF-36 Health Survey, which assesses physical component summary (PCS-36), mental component summary (MCS-36), and eight subscales: physical functioning, role-physical, bodily pain, general health perception, role-emotional, social functioning, vitality, and MH. All measures were recorded before and after the experimental period. Results In TG, compared to CG, the two-way analysis of variance with repeated measures with Bonferroni post hoc test showed a relevant improvement in lumbar spinal angle (°) and in SF-36 outcomes after the intervention period. We showed a significant increase in physical functioning, bodily pain, and MH subscales and in PCS-36 and MCS-36 scores in TG compared to CG. In particular, from baseline to posttest, we found that in TG, the PCS-36 and MCS-36 scores increased by 13.20% and 11.64%, respectively. Conclusion We believe that an 8-week APA intervention program is able to improve psychophysical heath in elderly people. During the aging process, a dynamic lifestyle, including regular physical activity, is a crucial

  15. Well-being and perceived quality of life in elderly people displaced after the earthquake in L'Aquila, Italy.

    Giuliani, Anna Rita; Mattei, Antonella; Santilli, Flavio; Clori, Giovanna; Scatigna, Maria; Fabiani, Leila

    2014-06-01

    On 6 April 2009, the city of L'Aquila was hit by a violent earthquake that destroyed almost all of its medieval centre, and the surviving inhabitants were evacuated and relocated in temporary quarters or undamaged homes. The aim of this study was to investigate the perceived quality of life of the elderly population 3 years after the earthquake in relation to the social and logistic issues of new housing. The study was carried out between October 2011 and March 2012, and involved 571 subjects aged over 65 years living in the municipality of L'Aquila. The interviews took place in the surgeries of general practitioners and the city's Department of Prevention and Vaccination in the anti-influenza immunisation period. The instrument used was a 36-item questionnaire with closed, multiple choice answers divided into the following sections: demographics, everyday activities, health and perceived health, and the quality of life in the city. The results show that, 3 years after the earthquake, the elderly population living in the new towns and temporary housing of L'Aquila have a worse perception of their quality of life than the others. They feel a certain social isolation and wish to live elsewhere. Governments faced with the problems arising from a natural calamity should take into account all of the elements making up a good quality of life and, before making choices whose impact cannot be changed, consider both their immediate and long-term social consequences. PMID:24302517

  16. Study on Handicap,Poverty and Social Inclusion for Elderly People with Disabilities%障碍、贫困与老年残疾人社会融合研究

    张金峰; 高圆圆

    2012-01-01

    利用全国残疾人第二次抽样调查相关数据资料,分析了影响中国老年残疾人口社会融合的两大主要因素。研究表明,老年残疾人口存在身体移动、理解与交流、与人相处、生活活动、社会参与及生活自理等一系列活动和参与障碍;另一方面,不在业水平较高与收入来源相对有限使老年残疾人口大多处于贫困状态;活动和参与障碍以及收入贫困限制了老年残疾人口的社会融合,迫切需要完善的老年残疾人社会保障体系促进其融入正常的主流社会生活。%Based on the main data of China National Sample Survey on Disability,this paper analyzes the two major affecting factors of social inclusion for the elderly with disabilities.The research finds that elderly people with disabilities have a series of activity and participation handicap such as getting around,understanding and communicating,getting along with people,life activities,social participation and daily self-care.What's more,because of high unemployment rate and narrow income resources,most of the elderly with disabilities is poor.In addition,the difficulties or barriers of function and participation and income poverty prevent the handicapped elderly from social inclusion.Therefore,they urgently need the perfect social security system to help them integrate into normal mainstreaming social life.

  17. A mobile-health application to detect wandering patterns of elderly people in home environment.

    Vuong, N K; Goh, S G A; Chan, S; Lau, C T

    2013-01-01

    Wandering is a common and risky behavior in people with dementia (PWD). In this paper, we present a mobile healthcare application to detect wandering patterns in indoor settings. The application harnesses consumer electronics devices including WiFi access points and mobile phones and has been tested successfully in a home environment. Experimental results show that the mobile-health application is able to detect wandering patterns including lapping, pacing and random in real-time. Once wandering is detected, an alert message is sent using SMS (Short Message Service) to attending caregivers or physicians for further examination and timely interventions. PMID:24111292

  18. Effects of age and beta-amyloid on cognitive changes in normal elderly people

    Oh, Hwamee; Madison, Cindee,; Haight, Thaddeus J.; Markley, Candace; Jagust, William J.

    2012-01-01

    Age-related decline is common in multiple cognitive domains. β-amyloid (Aβ) deposition, a pathological hallmark of Alzheimer’s disease, is also associated with cognitive changes in many older people. In this study, we examined a wide range of cognitive function in order to differentiate the effect of age and Aβ on cognition during aging. Using PET imaging with the radiotracer Pittsburgh compound B (PIB), we classified normal older subjects as High PIB-Old and Low PIB-Old and applied sequentia...

  19. A Friendly Rest Room: Developing Toilets of the Future for Disabled and Elderly People

    Molenbroek, J.F.M.; Mantas, J.; R. de Bruin

    2011-01-01

    This book addresses the topic of toilet design, but instead of focusing on the typical able bodied user, it takes the various needs and limited abilities of older and/or disabled people as its starting point (human centered design). This follows the principles of ‘Inclusive Design’: designs taking into account the needs of the most challenged, will also have benefits for the healthy . For the most part, this book is a spin-off of an EU-funded research and development project called the ‘Frien...

  20. Beneficios psicológicos de un programa proactivo de ejercicio físico para personas mayores (Psychological benefits of a proactive physical exercise program for elderly people

    Roberto Silva Piñeiro

    2016-04-01

    Full Text Available Many studies have addressed the benefits of physical activity in elderly people. However, the physical activity models followed have not always taken into account the role of active articipation. In general, these models have been mainly influenced by directive methodologies and emphasise physical training; these aspects offer greater group control and less organizational effort. The main aim of this study was to compare two physical activity programs for elderly people and determine their effect on mood, self- esteem, and enjoyment with physical activity. The study participants were 72 women between 55 years and 70 years (M = 64.10; DT = 9.40 from the municipalities of Arousa Norte (Galicia, Spain. The results show that the supervised exercise programs benefitted the participants’ psychological health, which differed according to the type of program. Thus, a unique physical exercise model cannot be endorsed in adulthood, because the role of the participants and the way they interact within exercise programs varies, leading to differing effects on health and therefore on everyday life. New multidimensional proposals should be developed that combine physical, mental, and social aspects within a movement-based approach.

  1. Different Impacts of Atrial Fibrillation and Cardiac Premature Contractions on the Health-Related Quality of Life in Elderly People: The Yilan Study.

    Hsu, Nai-Wei; Tsao, Hsuan-Ming; Chen, Hsi-Chung; Lo, Su-Shun; Chen, Shih-Ann; Chou, Pesus

    2016-01-01

    Atrial fibrillation (AF) is currently recognized as one of the most common cardiac arrhythmias worldwide, with the increasing prevalence that has been estimated to be as high as 9% among the elderly. Health-related quality of life (HRQoL) has become an important patient-centered health outcome measurement, but the impacts created by AF and other arrhythmias with similar symptoms, such as frequent atrial and ventricular premature contractions (APCs and VPCs, defined as ≥ 3 beats/5 minutes), have not been extensively evaluated. The Yilan Study is a population-based community health survey, which in part aims to evaluate the prevalence and impacts of these arrhythmias on the HRQoL in a community dwelling elderly population. A total of 1,732 citizens from the Yilan, Taiwan, aged 65 years or older (45.8% male) were enrolled and visited at their homes, where HRQoL was measured utilizing the Short Form-12 Health Survey. Each participant's heart rhythm was recorded with an electrocardiographic monitor for 5 minutes. The results disclosed that the prevalence of AF of this aged population was 5.8%, similar to the mean global prevalence. Besides, the prevalence of frequent APCs and frequent VPCs in these elderly people were 7.1% and 5.5%, respectively. After multiple regression analysis, elderly people with AF had lower scores in the physical component of HRQoL, while those elderly people with frequent VPCs had lower scores in the mental component. Ultimately, these findings can provide additional useful and population-specific information about AF, and assist medical professionals in designing more effective strategies for cardiac arrhythmia treatments. PMID:26725845

  2. Adaptation Strategies, Well-Being, and Activities of Daily Living among People with Low Vision.

    Lindo, Gunnel; Nordholm, Lena

    1999-01-01

    A study compared positive and negative adaptation strategies used by people with low vision (25 working-age and 23 elderly people) who had participated in a rehabilitation program with 335 persons with neurological disabilities and 112 controls. Results indicate that the participants used a variety of positive and negative adaptation strategies.…

  3. Determinants of active aging among the elderly Portuguese population

    Calha, António

    2014-01-01

    Our aim in this communication is to contribute to the characterization of motor skills of the Portuguese elderly population, determining their relationship with age and with the subjective health status. We characterized the capabilities of gross motor skills (GMS) and fine motor skills (FMS) based on two indices that aggregate various indicators.

  4. Effect of a single tetanus-diphtheria vaccine dose on the immunity of elderly people in São Paulo, Brazil

    Weckx L.Y.

    2006-01-01

    Full Text Available Epidemiological data regarding tetanus and diphtheria immunity in elderly people in Brazil are scarce. During the First National Immunization Campaign for the Elderly in Brazil in April 1999, 98 individuals (median age: 84 years received one tetanus-dyphtheria (Td vaccine dose (Butantan Institute, lot number 9808079/G. Inclusion criteria were elderly individuals without a history of severe immunosuppressive disease, acute infectious disease or use of immunomodulators. Blood samples were collected immediately before the vaccine and 30 days later. Serum was separated and stored at -20ºC until analysis. Tetanus and diphtheria antibodies were measured by the double-antigen ELISA test. Tetanus and diphtheria antibody concentrations lower than 0.01 IU/mL were considered to indicate the absence of protection, between 0.01 and 0.09 IU/mL were considered to indicate basic immunity, and values of 0.1 IU/mL or higher were considered to indicate full protection. Before vaccination, 18% of the individuals were susceptible to diphtheria and 94% were susceptible to tetanus. After one Td dose, 78% became fully immune to diphtheria, 13% attained basic immunity, and 9% were still susceptible to the disease. In contrast, 79% remained susceptible to tetanus, 4% had basic immunity and 17% were fully immune. Although one Td dose increases immunity to diphtheria in many elderly people who live in Brazil, a complete vaccination series appears to be necessary for the prevention of tetanus.

  5. [The relevance of muscle strength--extensors of the knee on pain relief in elderly people with knee osteoarthritis].

    Slivar, Senka Rendulić; Peri, Dusan; Jukić, Igor

    2011-01-01

    The main aim of this study was to evaluate muscle strength after short-term exercise program by elderly people with knee osteoarthritis that usually non exercising and to estimate if this change have influence on decrease of the pain. This study was longitudinal experiment that involved thirty participants aged 61-80 years with clinical signs and radiographic evidence of knee OA stage Kellgren II and III. They completed individual strengthening program knee muscle stabilisator and hydrotherapy in the pool during two weeks. Muscle strength and pain was estimated pre and post experimental time. The results are analysed by SPSS programme, version 15.0 for Windows. Values demonstrated decreasing degrees of the pain and increasing of muscle strength. The pain decreased 33% in advance, final pain oposite initial estimated 2.4 degrees smaller by VAS. Muscle strength for stronger leg was (initial/final) 93.10/106.33 kg/cm2 (t-test 3.584*, p coefficient (R2 of 0.014-0.081) and regression coefficient (B of 0.004-0.015) for stronger and weaker leg. Exercises produced significant increase in muscle strength and decrease in pain in OA of the knee. Hypothesis that increase of muscle quadriceps strength have influence on decrease of the pain in the knee is not confirmed. PMID:21751572

  6. Functional capacity and quality of life of elderly people with a history of stroke - doi: 10.4025/actascihealthsci.v35i1.10463

    Marina Aleixo Diniz

    2013-03-01

    Full Text Available Household Survey, a cross-sectional study aimed to describe the quality of life and functional capacity of elderly people with a history of stroke and compare the scores of quality of life with the number of functional disability. Data were collected at home, with the semi-structured instruments, WHOQOL-BREF and WHOQOL-OLD. Descriptive analysis was performed, as well as ANOVA and Tukey-F test (p  

  7. Contribution of chronic diseases to disability in elderly people in countries with low and middle incomes: a 10/66 Dementia Research Group population-based survey

    Sousa, Renata M; Cleusa P. Ferri; Acosta, Daisy; Albanese, Emiliano; Guerra, Mariella; Huang, Yueqin; Jacob, Ks; Jotheeswaran, AT; Rodriguez, Juan J. Llibre; Pichardo, Guillermina Rodriguez; Rodriguez, Marina Calvo; Salas, Aquiles; Sosa, Ana Luisa; Williams, Joseph; Zuniga, Tirso

    2009-01-01

    Summary Background Disability in elderly people in countries with low and middle incomes is little studied; according to Global Burden of Disease estimates, visual impairment is the leading contributor to years lived with disability in this population. We aimed to assess the contribution of physical, mental, and cognitive chronic diseases to disability, and the extent to which sociodemographic and health characteristics account for geographical variation in disability. Methods We undertook cr...

  8. Compensation of Handicap and Autonomy Loss through e-Technologies and Home Automation for Elderly People in Rural Regions: An Actual Need for International Initiatives Networks

    Billonnet, Laurent; Dumas, Jean-Michel; Desbordes, Emmanuel; Lapôtre, Bertrand

    To face the problems of elderly and disabled people in a rural environment, the district of Guéret (department of Creuse, France) has set up the "Home automation and Health Pole". In association with the University of Limoges, this structure is based on the use of e-technologies together with home automation techniques. In this frame, many international collaborations attempts have started through a BSc diploma. This paper sums up these different collaborations and directions.

  9. Educational intervention program for oral health in elderly people Programa de intervención educativa para la salud bucal en los adultos mayores

    Teresita de Jesús Barrio Pedraza; Nora Sexto Delgado; Esther Victoria Barrio Pedraza; Alicia Maria Quiñones Betancourt

    2009-01-01

    Background: The creation of educational intervention programs for oral health in elderly people contributes to the development of positive behaviours towards oral health in this age group. Objective: To elaborate an educational intervention program aimed at raising the knowledge level related with oral-dental health. Method: An interventional, cuasi-experimental study was developed with before-after design ...

  10. Fall risk in an active elderly population – can it be assessed?

    Sinkjaer Thomas; Simonsen Ole; Hoeck Hans C; Laessoe Uffe; Voigt Michael

    2007-01-01

    Abstract Background Falls amongst elderly people are often associated with fractures. Training of balance and physical performance can reduce fall risk; however, it remains a challenge to identify individuals at increased risk of falling to whom this training should be offered. It is believed that fall risk can be assessed by testing balance performance. In this study a test battery of physiological parameters related to balance and falls was designed to address fall risk in a community dwell...

  11. Effective dose to radon considering people's activities

    The tidal volume was estimated for evaluating the effective dose due to radon concentration in the atmosphere. In this study regional population was separated to vocation and non-vocation. The occupancy time and the breathing rate for both vocation and non-vocation groups were estimated, and the annual tidal volume for both groups were calculated. Human actions were separated to 18 activities in the process for estimating the breathing rate. It was clear that the breathing rate depended on human activity and that the human activity changed with its age, so the breathing rate varied with age. Finally the effective doses due to radon and radon progeny indoors and outdoors were evaluated. The maximum annual effective dose was estimated to be 1.2 mSv, minimum 0.2 mSv, and mean 0.51 mSv for vocation. For non-vocation, the male maximum value 0.43 mSv was obtained at the 16 age and the minimum 0.12 mSv at the 70 age, whereas female maximum 0.26 mSv was obtained at the 12 age and the minimum 0.11 mSv at the 70 age. In addition in this study objective areas are Aichi, Gifu, and Mie prefectures for vocation and only Aichi prefecture for non-vocation. (author)

  12. Educational activities with the elderly in vulnerable situations

    Deyla Moura Ramos Isoldi

    2015-02-01

    Full Text Available This study aimed at analyzing the knowledge of the elderly on the prevention of AIDS before and after the practice of education in health. This is a quasi-experimental study with a quantitative approach, performed in the Social Assistance Reference Centers, with 60 seniors. It was developed in Parnamirim, RN, Brazil, from February to June 2014. Data were collected through a questionnaire with closed questions about AIDS. In principle, most patients (61.6% said they did not know what AIDS was, but this soon became reality after conducting a dialog lecture as a health education tool. There was a statistically significant difference. We conclude that education about AIDS is important to adopt a collective vision on the various socio-cultural contexts in which the elderly are inserted.

  13. Self-rated quality of life of city-dwelling elderly people benefitting from social help: results of a cross-sectional study

    Bryła, Marek; Burzyńska, Monika; Maniecka-Bryła, Irena

    2013-01-01

    Background The percentage of people aged 65 or older living in Poland is 13.6%, but 17.2% in Łódź. The aim of the study was to identify factors correlating with the self-rated quality of life of elderly inhabitants of cities applying for social help, on the basis of a cross-sectional study. Methods The study was conducted in Łódź, a large Polish city, between September 2011 and February 2012 in a group of people applying for help in the Municipal Social Welfare Centre. Four hundred and sixty-...

  14. Elderly Care Centre

    Wagiman, Aliani; Haja Bava Mohidin, Hazrina; Ismail, Alice Sabrina

    2016-02-01

    The demand for elderly centre has increased tremendously abreast with the world demographic change as the number of senior citizens rose in the 21st century. This has become one of the most crucial problems of today's era. As the world progress into modernity, more and more people are occupied with daily work causing the senior citizens to lose the care that they actually need. This paper seeks to elucidate the best possible design of an elderly care centre with new approach in order to provide the best service for them by analysing their needs and suitable activities that could elevate their quality of life. All these findings will then be incorporated into design solutions so as to enhance the living environment for the elderly especially in Malaysian context.

  15. Funcionalidade de idosos com alterações cognitivas em diferentes contextos de vulnerabilidade social Funcionalidad de ancianos con alteraciones cognitivas en diferentes contextos de vulnerabilidad social Functionality of elderly people with cognitive impairments in different contexts of social vulnerability

    Ariene Angelini dos Santos

    2011-01-01

    Full Text Available OBJETIVOS: Avaliar a funcionalidade de idosos com alterações cognitivas, morando em diferentes contextos de vulnerabilidade social e correlacionar com as variáveis sexo e idade. MÉTODOS: Estudo descritivo, transversal que abrangeu a avaliação realizada em 88 idosos, utilizando o Índice de Katz e Questionário de Atividades Funcionais de Pfeffer. Os testes de Mann-Whitney e a correlação de Spearman, com nível de significância de 5% (pOBJETIVOS: Evaluar la funcionalidad de ancianos con alteraciones cognitivas, que viven en diferentes contextos de vulnerabilidad social y correlacionar con las variables sexo y edad. MÉTODOS: Se trata de un estudio descriptivo, transversal que abarcó la evaluación realizada a 88 ancianos, utilizando el Índice de Katz y el Cuestionario de Actividades Funcionales de Pfeffer. Fueron utilizados los tests de Mann-Whitney y la correlación de Spearman, con nivel de significancia del 5% (pOBJECTIVES: To evaluate the functionality of older people with cognitive impairments, living in different contexts of social vulnerability and correlate with the variables of age and gender. METHODS: Cross-sectional, descriptive study that included the evaluation performed in 88 patients, using the Katz Index and the Pfeffer Functional Activities Questionnaire . The Mann-Whitney and Spearman correlation, with significance level of 5% (p <"0.05 were used. RESULTS: There was no influence of gender on the results of evaluating the functionality of the elderly. It was found that the older the elderly were, the more dependent they were, both for instrumental and basic activities. It was found that most elderly living in poor environments were dependent for activities outside the home. CONCLUSION: These data reinforce the importance of evaluating the functional capacity of the elderly, especially those with cognitive impairment, advanced age and living in contexts of poverty.

  16. Influence of peripheral arterial disease on daily living activities in elderly women.

    Cucato, Gabriel Grizzo; Ritti-Dias, Raphael Mendes; Franco, Fábio Gazelato de Mello; de Mattos, Luciana Diniz Nagem Janot; Cendoroglo, Maysa Seabra; Wolosker, Nelson; Nasri, Fábio; Costa, Maria Luiza Monteiro; de Carvalho, José Antônio Maluf

    2016-06-01

    Aging has been associated with decreases in physical and cognitive functions. Peripheral artery disease (PAD) has been associated with further impairments in these functions, especially in women. However, no detailed information is available indicating whether PAD leads to further impairment in these functions in elderly women. Thus, the aims of this study were 1) to compare the capacity to perform daily living activities between elderly women with and without PAD and 2) to identify the factors related with the performance in daily activities. Twenty-seven elderly women with PAD and 22 elderly non-PAD women were surveyed in a geriatric hospital. Women aged ≥65 years and with no signal of dementia were included. PAD was identified by the ankle-brachial index ≤0.90, whereas elderly non-PAD women presented ankle-brachial index >1.0. Patients were interviewed to obtain information regarding basic (Katz questionnaire) and instrumental daily living activities (Lawton-Brody scale) and performed the mini-mental state examination, handgrip strength test, and timed up and go tests. PAD and non-PAD women had similar age, clinical characteristics, handgrip strength test, and cognitive function (P > 0.05). The capacity to perform basic and instrumental daily living activities was similar between PAD and non-PAD women (P > 0.05). In PAD and non-PAD, the instrumental daily living activities were significantly correlated with cognitive function (r = 0.44, P < 0.05 and r = 0.74 and P < 0.05, respectively). PAD elderly women present similar capacity to perform basic and instrumental daily activities than non-PAD women. In addition, in both groups, the capacity to perform instrumental daily activities was related with cognitive function. PMID:27210449

  17. Muscle size, neuromuscular activation, and rapid force characteristics in elderly men and women

    Suetta, C; Aagaard, P; Magnusson, S P; Andersen, L L; Sipilä, S; Rosted, A; Jakobsen, A K; Duus, B; Kjaer, M

    2007-01-01

    Substantial evidence exists for the age-related decline in muscle strength and neural function, but the effect of long-term disuse in the elderly is largely unexplored. The present study examined the effect of unilateral long-term limb disuse on maximal voluntary quadriceps contraction (MVC), lean...... quadriceps muscle cross-sectional area (LCSA), contractile rate of force development (RFD, Delta force/Delta time), impulse (integral force dt), muscle activation deficit (interpolated twitch technique), maximal neuromuscular activity [electromyogram (EMG)], and antagonist muscle coactivation in elderly men...... data demonstrate that disuse leads to a marked loss of muscle strength and muscle mass in elderly individuals. Furthermore, the data indicate that neuromuscular activation and contractile RFD are more affected by long-term disuse than maximal muscle strength, which may increase the future risk for...

  18. 吸烟与老年人认知功能障碍%Smoking and cognitive dysfunction in elder people

    邓娟; 周华东; 李敬城; 王延江; 张猛; 高长越

    2005-01-01

    背景 : 随着老龄化社会的到来,认知功能障碍发病率的逐渐上升,人们开始关注吸烟对认知功能障碍的影响. 目的 :探讨吸烟对老年人认知功能障碍的影响,寻求进行干预的可能性. 设计:随机整群抽样调查. 单位:一所大学医院的神经内科. 对象:以抽签的方法从重庆市高新区、渝北区、渝中区中分别抽取了两个居委会≥ 60岁老年人共 3 012人,男 1 668人,女 1 344人. 方法:用简易智能量表( MMSE) 进行认知功能测定,采用 t检验和 Logistic回归多因素分析方法对测定结果进行分析. 主要观察指标:①吸烟的人口学分布.②老年人认知功能障碍的单因素和多因素分析结果. 结果:对 3 012人完成了 MMSE测定,总吸烟率为 35%,重庆市老年人认知功能异常率为 11.95%;吸烟人群中,现在吸烟者引起认知功能障碍为 11.8%,过去吸烟者为 4.5%,不吸烟者引起认知功能障碍为 5.3%. 结论:吸烟与认知功能障碍密切相关 (χ 2=6.59, P=0.047),文化程度、年龄、职业和性别均是老年人认知功能障碍的影响因素.吸烟人群中现在吸烟者对认知功能障碍的危险性较大 (RR=2.33, 95% CI= 1.37~ 5.82).吸烟是老年人认知功能减退的重要危险因素,老年人戒烟可能是降低认知功能障碍发生的有效策略.%BACKGROUND:With the trend of population aging,the morbidity of cognitive dysfunction has been gradually increased.People start to pay attention to the impact of smoking to cognitive dysfunction. OBJECTIVE:To investigate the effects of smoking on cognitive dysfunction in elder people,and explore the possibility of intervention. DESIGN:Randomized cluster sampling. SETTING:Neurology Department of a hospital. PARTICIPANTS:A total of 3 012 old people aged above 60 year were selected from two resident committees by drawing from Gaoxin district,Yubei district and Yuzhong district of Chongqing in which there were 1 668 males and 1 344 females

  19. Does Pedometer Goal Setting Improve Physical Activity among Native Elders? Results from a Randomized Pilot Study

    Sawchuk, Craig N.; Russo, Joan E.; Charles, Steve; Goldberg, Jack; Forquera, Ralph; Roy-Byrne, Peter; Buchwald, Dedra

    2011-01-01

    We examined if step-count goal setting resulted in increases in physical activity and walking compared to only monitoring step counts with pedometers among American Indian/Alaska Native elders. Outcomes included step counts, self-reported physical activity and well-being, and performance on the 6-minute walk test. Although no significant…

  20. The drug prescription network: a system-level view of drug co-prescription in community-dwelling elderly people.

    Bazzoni, Gianfranco; Marengoni, Alessandra; Tettamanti, Mauro; Franchi, Carlotta; Pasina, Luca; Djade, Codjo Djignefa; Fortino, Ida; Bortolotti, Angela; Merlino, Luca; Nobili, Alessandro

    2015-04-01

    Networks are well suited to display and analyze complex systems that consist of numerous and interlinked elements. This study aimed at: (1) generating a series of drug prescription networks (DPNs) displaying co-prescription in community-dwelling elderly people; (2) analyzing DPN structure and organization; and (3) comparing various DPNs to unveil possible differences in drug co-prescription patterns across time and space. Data were extracted from the administrative prescription database of the Lombardy Region in northern Italy in 2000 and 2010. DPNs were generated, in which each node represents a drug chemical subclass, whereas each edge linking two nodes represents the co-prescription of the corresponding drugs to the same patient. At a global level, the DPN was a very dense and highly clustered network, whereas at the local level it was organized into anatomically homogeneous modules. In addition, the DPN was assortative by class, because similar nodes (representing drugs with the same anatomic, therapeutic, and pharmacologic annotation) connected to each other more frequently than expected, indicating that similar drugs are often co-prescribed. Finally, temporal changes in the co-prescription of specific drug sub-groups (for instance, proton pump inhibitors) translated into topological changes of the DPN and its modules. In conclusion, complementing more traditional pharmaco-epidemiology methods, the DPN-based method allows appreciatiation (and representation) of general trends in the co-prescription of a specific drug (e.g., its emergence as a heavily co-prescribed hub) in comparison with other drugs. PMID:25531938

  1. Physical Exercise in Aging: Nine Weeks of Leg Press or Electrical Stimulation Training in 70 Years Old Sedentary Elderly People.

    Zampieri, Sandra; Mosole, Simone; Löfler, Stefan; Fruhmann, Hannah; Burggraf, Samantha; Cvečka, Ján; Hamar, Dušan; Sedliak, Milan; Tirptakova, Veronica; Šarabon, Nejc; Mayr, Winfried; Kern, Helmut

    2015-08-24

    Sarcopenia is the age-related loss of muscle mass and function, reducing force generation and mobility in the elderlies. Contributing factors include a severe decrease in both myofiber size and number as well as a decrease in the number of motor neurons innervating muscle fibers (mainly of fast type) which is sometimes accompanied by reinnervation of surviving slow type motor neurons (motor unit remodeling). Reduced mobility and functional limitations characterizing aging can promote a more sedentary lifestyle for older individuals, leading to a vicious circle further worsening muscle performance and the patients' quality of life, predisposing them to an increased risk of disability, and mortality. Several longitudinal studies have shown that regular exercise may extend life expectancy and reduce morbidity in aging people. Based on these findings, the Interreg IVa project aimed to recruit sedentary seniors with a normal life style and to train them for 9 weeks with either leg press (LP) exercise or electrical stimulation (ES). Before and at the end of both training periods, all the subjects were submitted to mobility functional tests and muscle biopsies from the Vastus Lateralis muscles of both legs. No signs of muscle damage and/or of inflammation were observed in muscle biopsies after the training. Functional tests showed that both LP and ES induced improvements of force and mobility of the trained subjects. Morphometrical and immunofluorescent analyses performed on muscle biopsies showed that ES significantly increased the size of fast type muscle fibers (pphysical exercise either voluntary (LP) or passive (ES) to improve the functional performances of aging muscles. Here ES is demonstrated to be a safe home-based method to counteract fast type fiber atrophy, typically associated with aging skeletal muscle. PMID:26913162

  2. 健康老年人功能状态丧失相关因素分析%Correlative factor analysis of loss of functional status in healthy elderly people

    项建民

    2005-01-01

    关.老年人正常功能状态与社会支持、经济状况、心理和精神状态有关.%BACKGROUND: Health status of elderly people is an important problem concerned by the whole society. To find the way of preventing loss of functional status of daily life for elderly people is the key to generally improving the quality of life in elderly people.OBJECTIVE: To observe the main characteristics of function loss in healthy elderly people and analyze the influencing factors of the change of functional indexes in elderly people in normal functional status.DESIGN: Contrast observation; Logistic analysis.SETTING: Student's Office, Shangrao Normal College.PARTICIPANTS: All the data were from the sampling questionnaire survey on health status of 1 700 people including retired cadres and employees from 11 cities of Jiangxi province. The survey was conducted by Senile Physical Education Association of Jiangxi Province in January 2004.METHODS: The test was performed depending on 4 indexes in physical self-maintenance scale including dressing, taking food, bathing and toileting along with other indexes of shopping, calling, riding, going upstairs to the third floor, walking for 1 000 m, taking things by fingers and squatting & standing. These 11 indexes were used for evaluating the functional status of daily life in elderly people. According to international definition,people with difficulty in one or more indexes could be defined as ability loss of self-cave in daily life. The participants were demanded to give the score of difficulty in independently completing each activity including not difficult (1), somewhat difficult (2), very difficult (3), completely impossible (4). The total sum of 11 scores was defined as functional status index of daily life. Its value reflected the whole situation of functional status of daily life in elderly people. The higher the index was, the worse the functional status was. Comparison was conducted among groups of different gender and age

  3. Prevention of depression and sleep disturbances in elderly with memory-problems by activation of the biological clock with light - a randomized clinical trial

    Scheltens Philip

    2010-02-01

    Full Text Available Abstract Background Depression frequently occurs in the elderly and in patients suffering from dementia. Its cause is largely unknown, but several studies point to a possible contribution of circadian rhythm disturbances. Post-mortem studies on aging, dementia and depression show impaired functioning of the suprachiasmatic nucleus (SCN which is thought to be involved in the increased prevalence of day-night rhythm perturbations in these conditions. Bright light enhances neuronal activity in the SCN. Bright light therapy has beneficial effects on rhythms and mood in institutionalized moderate to advanced demented elderly. In spite of the fact that this is a potentially safe and inexpensive treatment option, no previous clinical trial evaluated the use of long-term daily light therapy to prevent worsening of sleep-wake rhythms and depressive symptoms in early to moderately demented home-dwelling elderly. Methods/Design This study investigates whether long-term daily bright light prevents worsening of sleep-wake rhythms and depressive symptoms in elderly people with memory complaints. Patients with early Alzheimer's Disease (AD, Mild Cognitive Impairment (MCI and Subjective Memory Complaints (SMC, between the ages of 50 and 75, are included in a randomized double-blind placebo-controlled trial. For the duration of two years, patients are exposed to ~10,000 lux in the active condition or ~300 lux in the placebo condition, daily, for two half-hour sessions at fixed times in the morning and evening. Neuropsychological, behavioral, physiological and endocrine measures are assessed at baseline and follow-up every five to six months. Discussion If bright light therapy attenuates the worsening of sleep-wake rhythms and depressive symptoms, it will provide a measure that is easy to implement in the homes of elderly people with memory complaints, to complement treatments with cholinesterase inhibitors, sleep medication or anti-depressants or as a stand

  4. Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver.

    Silva, Camila Nicácio da; Ribeiro, Karyna Myrelly O B de Figueiredo; Freitas, Raysa Vanessa de Medeiros; Ferreira, Lidiane Maria de Britho Macedo; Guerra, Ricardo Oliveira

    2016-01-01

    Introduction Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common and treatable causes of peripheral vestibular vertigo in adults. Its incidence increases with age, eventually leading to disability and a decreased quality of life. Objective The research aims to assess short-term effects of Otolith Repositioning Maneuver (ORM) on dizziness symptoms, quality of life, and postural balance in elderly people with Benign Paroxysmal Positional Vertigo. Methods A quasi-experimental study, which evaluated 14 elderly people that underwent the Otolith Repositioning Maneuver and reevaluation after one week. The authors performed statistical analysis by descriptive analysis of central tendency and dispersion; for pre- and post-treatment conditions, the authors used the Wilcoxon test. Results All aspects of the Dizziness Handicap Inventory (physical, functional, emotional, and total scores) as well as the Visual Analogue Scale (VAS) decreased after therapy (p balance, there were significant differences in some parameters of the modified Clinical Test of Sensory Interaction and Balance, Limits of Stability and gait assessment measured by the Dizziness Gait Index (p balance improved. Therefore, a longer follow-up period and a multidisciplinary team are required to establish comprehensive care for elderly patients with dizziness complaints. PMID:26722348

  5. Personalized elderly care scheme: providing personalized services based on context and behavior analysis

    Tsiourti, Christiana; Τσιουρτή, Χριστιάνα

    2011-01-01

    Elders who live alone generally have rich care networks—support networks of people who provide the elder with care. Such networks provide assistance ranging from day-to-day activities to social support and often include people of varying ages and skills, which have significantly different roles in the elder‘s care and may or may not be professional caregivers (family members, friends, neighbors, medical staff, etc.). Clearly, the support network‘s major objective is to keep the elder physi...

  6. Perspectives of People with Dementia About Meaningful Activities: A Synthesis.

    Han, Areum; Radel, Jeff; McDowd, Joan M; Sabata, Dory

    2016-03-01

    Qualitative studies were synthesized to describe perspectives of people with dementia regarding meaningful activities. Themes of connectedness were identified using a meta-ethnography approach. The theme of being connected with self encompasses engagement for continuity, health promotion, and personal time. The theme of being connected with others includes being with others not to feel alone, doing an activity with others, and meaningful relationships. The theme of being connected with the environment encompasses being connected to one’s familiar environment, community, and nature. This synthesis suggests that connectedness is an important motivation for engagement in daily activities. Findings indicate that identifying the underlying motivation for an individual with dementia to engage in different activities is important for matching a person with activities that will be satisfying. This review may inform the development of interventions for engaging people with dementia in meaningful, daily activities and creating connectedness to self, others, and the environment. PMID:26340962

  7. Promoting physical activity for elders with compromised function: the Lifestyle Interventions and Independence for Elders (LIFE Study physical activity intervention

    Rejeski WJ

    2013-09-01

    Full Text Available W Jack Rejeski,1 Robert Axtell,2 Roger Fielding,3 Jeffrey Katula,1 Abby C King,4 Todd M Manini,5 Anthony P Marsh,1 Marco Pahor,5 Alvito Rego,6 Catrine Tudor-Locke,7 Mark Newman,8 Michael P Walkup,9 Michael E Miller9  On behalf of the LIFE Study Investigator Group 1Department of Health and Exercise Science, Wake Forest University, Winston-Salem, NC, 2Exercise Science Department, Southern Connecticut State University, New Haven, CT, 3Nutrtion, Exercise Physiology, and Sarcopenia Laboratory, Jean Mayer US Department of Agriculture Human Nutrition Research Center on Aging at Tufts University, Boston, MA, 4Department of Health Research and Policy and Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, 5Department of Aging and Geriatric Research, College of Medicine, University of Florida, Gainesville, FL, 6Department of Internal Medicine, Northwestern School of Medicine, Chicago, IL, 7Pennington Biomedical Research Center, Baton Rouge, LA, 8Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA, 9Department of Biostatistical Sciences, Division of Public Health Sciences, School of Medicine, Wake Forest University, Winston-Salem, NC, USA Abstract: The Lifestyle Interventions and Independence for Elders (LIFE Study is a Phase III randomized controlled clinical trial (Clinicaltrials.gov identifier: NCT01072500 that will provide definitive evidence regarding the effect of physical activity (PA on major mobility disability in older adults (70–89 years old who have compromised physical function. This paper describes the methods employed in the delivery of the LIFE Study PA intervention, providing insight into how we promoted adherence and monitored the fidelity of treatment. Data are presented on participants' motives and self-perceptions at the onset of the trial along with accelerometry data on patterns of PA during exercise training. Prior to the onset of training, 31.4% of

  8. Body composition, physical performance and muscle quality of active elderly women.

    Vilaça, Karla Helena Coelho; Carneiro, José Ailton Oliveira; Ferriolli, Eduardo; Lima, Nereida Kilza da Costa; de Paula, Francisco José Albuquerque; Moriguti, Julio Cesar

    2014-01-01

    Fat gain is one of the major factors aggravating physical disability in the elderly population, which presents an increase in fat mass and a decrease in lean mass compared to the young population. For this reason it is important to assess body composition and the effects of these alterations in obese elderly women. The purpose of this study was to assess body composition, physical performance and muscle quality in active elderly women. Cross-sectional study included 75 elderly women (29 eutrophic and 46 obese) 65-80 years old. Body composition was evaluated by dual energy X-ray absorptiometry (DXA) and the physical performance was determined by 6-minute walk test (6MWT), handgrip strength (HS) and knee extension strength (KES). Muscle quality was calculated as the ratio between muscle strength and lean mass. Fat free mass, lean mass, fat mass and percent body fat were significantly higher in the obese group (pmuscle quality, the obese group exhibited a impaired in comparison to the eutrophic group in the upper (11.45±2.57 kg and 13.31±2.03 kg, respectively, pmuscle mass detected in the obese elderly was not sufficient to maintain adequate muscle quality and physical function, showing a negative influence of the excess of body fat. PMID:24630334

  9. Relationship between balance and physical activity measured by an activity monitor in elderly COPD patients

    Iwakura, Masahiro; Okura, Kazuki; Shibata, Kazuyuki; Kawagoshi, Atsuyoshi; Sugawara, Keiyu; Takahashi, Hitomi; Shioya, Takanobu

    2016-01-01

    Background Little is known regarding the relationship between balance impairments and physical activity in COPD. There has been no study investigating the relationship between balance and objectively measured physical activity. Here we investigated the association between balance and physical activity measured by an activity monitor in elderly COPD patients. Materials and methods Twenty-two outpatients with COPD (mean age, 72±7 years; forced expiratory volume in 1 second, 53%±21% predicted) and 13 age-matched healthy control subjects (mean age, 72±6 years) participated in the study. We assessed all 35 subjects’ balance (one-leg standing test [OLST] times, Short Physical Performance Battery total scores, standing balance test scores, 4 m gait speed, and five-times sit-to-stand test [5STST]) and physical activity (daily steps and time spent in moderate-to-vigorous physical activity per day [MV-PA]). Possible confounders were assessed in the COPD group. The between-group differences in balance test scores and physical activity were analyzed. A correlation analysis and multivariate regression analysis were conducted in the COPD group. Results The COPD patients exhibited significant reductions in OLST times (P=0.033), Short Physical Performance Battery scores (P=0.013), 4 m gait speed (Pphysical activity were observed in the COPD group. Deficits in balance are independently associated with physical inactivity.

  10. Investigation on prevention awareness and behaviors of falling among the elderly people%老年人预防跌倒意识与行为研究

    林远辉

    2009-01-01

    Objective: To describe the falling situation, compare the differences of prevention awareness and behaviors be-tween the elderly people with fall experience and those who had no fall experience,and study the relationship between the pre-vention awareness and behaviors. Methods: 160 elderly people over 60 years old participated in this study. The fall situation, the prevention awareness and behaviors were investigated through the interview method.Results: The incidence of fall was 27.0% and increased by aging. The fall mostly occurred in indoors 51.5% due to the extremities weakness or the stuble against the obstacles. Fall resulted in parenchyma injuries (60.0%). The prevention awareness and behaviors of the eldrely people without fall experience were significantly higher than those of the elderly people with fall experience.The prevention aware-hess was positive related to the prevention behaviors. Conclusion: Increasing the prevention awareness can promote the pre-vention behaviors and then reduce the incidence of fall among the elderly people.%目的:描述老年人跌倒状况,比较有无跌倒史老人的预防跌倒意识及行为差异,研究预防跌倒意识与行为的关系.方法:入选160例60岁以上老人,通过访谈,调查其跌倒状况、预防跌倒意识与行为关系.结果:老年人跌倒发生率为27.0%,且随着年龄的增高而上升;跌倒大多发生在室内,占51.5%,主要由腿脚无力和障碍物绊倒所致;跌倒主要造成软组织损伤者占60.0%:无跌倒史老人的预防跌倒意识和行为均优于有跌倒史老人,预防跌倒意识与行为呈正相关.结论:提高老年人预防跌倒意识可促进其预防跌倒行为,从而降低跌倒的发生率.

  11. Physical activity and executive functions in the elderly with mild cognitive impairment

    Scherder, EJA; Van Paasschen, J; Deijen, JB; Van der Knokke, S; Orlebeke, JFK; Burgers, [No Value; Devriese, PP; Swaab, DF; Sergeant, JA

    2005-01-01

    The primary goal of the present study was to examine whether in the elderly with mild cognitive impairment (MCI), the effect of physical activity measured directly following treatment, was reflected in an improvement in cognitive functioning in general or in executive functions (EF) in particular. S

  12. Physical activity and executive functions in the elderly with mild cognitive impairment.

    Scherder, E.J.A.; Paasschen, J. van; Deijen, J.-B.; Knokke, S. van der; Orlebeke, J.F.K.; Burgers, I.; DeVriesse, P.-P.; Swaab, D.F.; Sergeant, J.A.

    2005-01-01

    The primary goal of the present study was to examine whether in the elderly with mild cognitive impairment (MCI), the effect of physical activity measured directly following treatment, was reflected in an improvement in cognitive functioning in general or in executive functions (EF) in particular. S

  13. THE PHYSICAL CONDITION OF ELDERLY WOMEN DIFFERING IN HABITUAL PHYSICAL-ACTIVITY

    VOORRIPS, LE; LEMMINK, KAPM; VANHEUVELEN, MJG; BULT, P; VANSTAVEREN, WA

    1993-01-01

    In a cross-sectional study, 50 elderly women (age 71.5 +/- 4.2 yr, mean +/-SD) participated in a battery of tests assessing several aspects of physical fitness. The women were selected based on tertiles of habitual physical activity as determined by a validated questionnaire 10 months ago. The tests

  14. Physical (in)activity and depression in older people

    Wassink-Vossen, Sanne; Collard, Rose M; Oude Voshaar, Richard C; Comijs, Hannie C; de Vocht, Hilde M; Naarding, Paul

    2014-01-01

    BACKGROUND: Knowledge about characteristics explaining low level of physical activity in late-life depression is needed to develop specific interventions aimed at improving physical health in depressed people above the age of 60. METHODS: This cross-sectional study used data from the Netherlands Stu

  15. A Comparative Study On The Action Potential Simulation (APS Therapy And The Routine Physiotherapy Protocol In Knee Osteoarthritisin Elderly People

    Abbas Rahimi

    2012-04-01

    Full Text Available Background and Aim: Knee osteoarthritis is the most common cause for which the elderly people refere to physiotherapy outpatient clinics. This study aimed to investigate the effects of the Action Potential Stimulation (APS Therapy and the routine physiotherapy (PT protocol on relieving pain and swelling as well as the duration of the relief period in patients with knee osteoarthritis. Materials and Methods: 69 patients (62 females & 7 males with knee osteoarthritis were recruited in this study. The subjects were divided into two groups including APS Therapy (n=37, mean age: 55±13 years old and the routine PT protocol (n=32, mean age: 61±14 years old groups. A 10-session treatment period was carried out for each group; and their pain and swelling were measured at the first, fifth and tenth sessions and also one-month after the last session (follow up. The swelling was measured using measuring the circumference of the knee on the patella, 5 Cm above and 5 Cm below the patella. The routine PT protocol consisted of hot pack, ultrasound, TENS and exercise; and the APS therapy protocol included hot pack, APS Therapy and the same exercise. During the follow up, 50 out of 61 subjects were called on the phone and any pain changes were recorded.Results: In terms of swelling, the results showed significant reduction just on the patella only in the APS Therapy group (P<0.05. Visual Analogue Pain Scale (VAPS indicated a significant pain reduction in both groups. However, the APS Therapy group showed significantly pain reduction at the end of sessions five, ten and the follow up session (P<0.05. It was also revealed that while routine PT subjects showed no significant pain changes between the tenth and the follow up session, a gradual pain reduction was seen in the APS therapy group during this period (P<0.05. A gradual dosage reduction was recorded only in the APS therapy group, indicating a slight correlation with pain reduction (r=0.4.Conclusion: The

  16. Physical exercise in Aging: Nine weeks of leg press or electrical stimulation training in 70 years old sedentary elderly people

    Sandra Zampieri

    2015-08-01

    Full Text Available Sarcopenia is the age-related loss of muscle mass and function, reducing force generation and mobility in the elderlies. Contributing factors include a severe decrease in both myofiber size and number as well as a decrease in the number of motor neurons innervating muscle fibers (mainly of fast type which is sometimes accompanied by reinnervation of surviving slow type motor neurons (motor unit remodeling. Reduced mobility and functional limitations characterizing aging can promote a more sedentary lifestyle for older individuals, leading to a vicious circle further worsening muscle performance and the patients' quality of life, predisposing them to an increased risk of disability, and mortality. Several longitudinal studies have shown that regular exercise may extend life expectancy and reduce morbidity in aging people. Based on these findings, the Interreg IVa project aimed to recruit sedentary seniors with a normal life style and to train them for 9 weeks with either leg press (LP exercise or electrical stimulation (ES. Before and at the end of both training periods, all the subjects were submitted to mobility functional tests and muscle biopsies from the Vastus Lateralis muscles of both legs. No signs of muscle damage and/or of inflammation were observed in muscle biopsies after the training. Functional tests showed that both LP and ES induced improvements of force and mobility of the trained subjects. Morphometrical and immunofluorescent analyses performed on muscle biopsies showed that ES significantly increased the size of fast type muscle fibers (p<0.001, together with a significant increase in the number of Pax7 and NCAM positive satellite cells (p<0.005. A significant decrease of slow type fiber diameter was observed in both ES and LP trained subjects (p<0.001. Altogether these results demonstrate the effectiveness of physical exercise either voluntary (LP or passive (ES to improve the functional performances of aging muscles. Here ES

  17. Implementing a proprioceptive exercise program in elderly

    Garcia, Sérgio Alberto Pires; Novo, André; Mendes, Eugénia; Preto, Leonel; Cunha, Marisa da Glória Teixeira da

    2015-01-01

    With aging, the human body goes through a period of transformation that generates decline of some physical capacities, such as decreased flexibility, agility, coordination, joint mobility and balance, compromising the functional capacity of older people, which is essential for carrying out Activities of Daily Living. The physical exercise is key to improving the functional capacity of the elderly, in particular with proprioceptive exercises, which have been used in recent studies with elderly...

  18. Influence of socioeconomic conditions on air pollution adverse health effects in elderly people: an analysis of six regions in São Paulo, Brazil

    Martins, M; Fatigati, F; Vespoli, T; Martins, L; Pereira, L; Martins, M; Saldiva, P; Braga, A

    2004-01-01

    Study objective: To evaluate if the effects of particulate matter (PM10) on respiratory mortality of elderly people are affected by socioeconomic status. Design: Time series studies. The daily number of elderly respiratory deaths were modelled in generalised linear Poisson regression models controlling for long term trend, weather, and day of the week, from January 1997 to December 1999, in six different regions of São Paulo City, Brazil. The regions were defined according to the proximity of air pollution monitoring stations. Three socioeconomic indicators were used: college education, monthly income, and housing. Main results: For a 10 µg/m3 increase in PM10, the percentage increase in respiratory mortality varied from 1.4% (95% CI 5.9 to 8.7) to 14.2% (95% CI 0.4 to 28.0). The overall percentage increase in the six regions was 5.4% (95% CI 2.3 to 8.6). The effect of PM10 was negatively correlated with both percentage of people with college education and high family income, and it was positively associated with the percentage of people living in slums. Conclusions: These results suggest that socioeconomic deprivation represents an effect modifier of the association between air pollution and respiratory deaths. PMID:14684725

  19. Evaluation of physical activity of disabled people by modified International Physical Activity Questionnaire (IPAQ.

    Boguszewski Dariusz.

    2012-12-01

    Full Text Available Introduction. The aim of the study was an adaptation the International Physical Activity Questionnaire for disabled people moving on wheelchairs, and check and objectification of the proposed tool. Material and methods. The research covered 69 disabled people (8 women and 61 men. All group was divided into two subgroups: regularly practicing sportsmen - Group 1 and people who were not practicing any sport - Group 2. Research tool was International Physical Activity Questionnaire (short version adapted for disabled people. Results. Averaged results of physical activity, expressed in MET, showed the differences between groups (Groups 1 average 7418 MET, Group 2 average 2158 MET, p=0.000. The biggest differences (p=0.000 were spotted in intensive physical activity. People regularly practicing sport training also devoting more time on activities related to locomotion. 31 of sportsmen characterized high level of physical activity and 6 - medium. In the second group 9 people were in high level, 11 in medium and 14 in low level of physical activity. Conclusions. 1. Almost half of people who were not practicing any sport was characterized by an insufficient level of physical activity. It means that the persons who not taking sports activities are also less active while performing daily chores and leisure. 2. The modified International Physical Activity Questionnaire (IPAQ can be an effective tool for the evaluation of physical activity of disabled people moving on wheelchairs.

  20. Effect of combined anti-platelets drugs on platelet activation in the elderly patients with acute coronary syndrome

    黄大海

    2012-01-01

    Objective To investigate the effect of combined anti-platelets drugs on platelet activation in the elderly patients with acute coronary syndrome(ACS).Methods Totally 72 elderly patients with ACS were divided randomly into two groups according to age ≤80 years and>80 years.

  1. BENEFICIOS DEL EJERCICIO FÍSICO EN EL ADULTO MAYOR CON ENFERMEDADES ASOCIADAS / Benefits of physical exercises in elderly people with associated illnesses

    Arnaldo Rodríguez León

    2010-06-01

    Full Text Available Introduction and objectives: The population aging represents a serious health problem. A physical exercise program will be beneficial for elderly people with associated illnesses. The objective of this study was the development of a physical exercise program in order to benefit the cardiovascular function. Method: A descriptive, prospective study was carried out with 20 patients (men and women equally over 60 years of age in Cifuentes municipality. Results: The average age was 68.9 years. There was a prevalence of arterial hypertension, chronic ischemic heart disease, heart failure, hypercholesterolemia, diabetes mellitus and musculoskeletal diseases. Twenty percent of the patients were considered as frail elderly people. There were no significant differences concerning the consumption of medications according to the sex, however there was a significant reduction of the consumption of medications in females at the end of the study – from 8.3 to 6.6 daily (x² =14,1 p < 0,05. The exercise program used had a very significant statistical result on the physical and psychic wellbeing of the patients (x² =24,1, p < 0,01; and a total of 16 elderly people (80 %, x²=15.4, p < 0,05, achieved a control of the arterial tension and the cardiac rhythm. It reduced the rate-pressure product and the myocardial oxygen consumption. Conclusions: The implementation of a physical exercise program, under the supervision of trained personnel, contributes to control the arterial tension and the cardiac rhythm, and favors an optimal cardiac output. It also has a very positive effect on the physical and psychic wellbeing of this group of patients because it improves their self-esteem and their desire to live.

  2. Mobility of people and goods in the urban environment: mobility of the handicapped and elderly. Second year final report. [Methodology

    Falcocchio, J.; Santimataneedol, S.; Horwitz, L.; Stephanis, B.

    1976-09-01

    An evaluation methodology for the analysis of alternative transportation improvements for the handicapped and elderly is proposed. The approach is based on the ability to incorporate the qualitative attributes of transportation systems which are particularly significant to the handicapped and elderly groups. These attributes include comfort and convenience, security and safety, and accessibility. In addition, this study addresses the issues of demonstration projects planning and offers guidelines for the design of demonstration experiments which can produce results that are capable of objective analytical interpretation.

  3. Effects of Multisensory Stimulation on a Sample of Institutionalized Elderly People With Dementia Diagnosis: A Controlled Longitudinal Trial.

    Maseda, Ana; Sánchez, Alba; Marante, M Pilar; González-Abraldes, Isabel; Buján, Ana; Millán-Calenti, José Carlos

    2014-08-01

    Long-term effects of multisensory stimulation were assessed using a "Snoezelen" room on older residents with dementia. Thirty patients were randomly assigned to 3 groups: multisensory stimulation environment (MSSE) group, individualized activities (activity) group, and control group. The MSSE and activity groups participated in two 30-minute weekly individualized intervention sessions over 16 weeks. Pre-, mid-, posttrial, and 8-week follow-up behavior, mood, cognitive, and functional impairment in basic activities of daily living were registered. Items included in the physically nonaggressive behavior factor improved significantly in post- versus pretrial in the MSSE group compared to the activity group, with no significant differences between MSSE and control groups. The MSSE and activity groups demonstrated behavior improvements and higher scores on the Cohen-Mansfield agitation inventory, verbal agitated behavior factor, and Neuropsychiatric Inventory-Nursing Home, with no significant differences between groups. The MSSE could have long-term positive effects on such neuropsychiatric symptoms in older people with dementia. PMID:24604894

  4. Barriers and Facilitators to Walking and Physical Activity Among American Indian Elders

    Craig N. Sawchuk, PhD; Russo, Joan E.; Andy Bogart, MA; Steve Charles; Jack Goldberg, PhD; Ralph Forquera; Peter Roy-Byrne, MD; Dedra Buchwald, MD

    2011-01-01

    Introduction Physical inactivity is common among older American Indians. Several barriers impede the establishment and maintenance of routine exercise. We examined personal and built-environment barriers and facilitators to walking and physical activity and their relationship with health-related quality of life in American Indian elders. Methods We used descriptive statistics to report barriers and facilitators to walking and physical activity among a sample of 75 American Indians aged 50 to ...

  5. EVALUATION OF PHYSICAL ACTIVITY OF DISABLED PEOPLE BY MODIFIED INTERNATIONAL PHYSICAL ACTIVITY QUESTIONNAIRE (IPAQ)

    Boguszewski Dariusz; Adamczyk Jakub Grzegorz; Kurkowska Beata.

    2012-01-01

    Introduction. The aim of the study was an adaptation the International Physical Activity Questionnaire for disabled people moving on wheelchairs, and check and objectification of the proposed tool. Material and methods. The research covered 69 disabled people (8 women and 61 men). All group was divided into two subgroups: regularly practicing sportsmen - Group 1 and people who were not practicing any sport - Group 2. Research tool was International Physical Activity Questionnaire (short versi...

  6. Barriers and Facilitators to Walking and Physical Activity Among American Indian Elders

    Craig N. Sawchuk, PhD

    2011-05-01

    Full Text Available IntroductionPhysical inactivity is common among older American Indians. Several barriers impede the establishment and maintenance of routine exercise. We examined personal and built-environment barriers and facilitators to walking and physical activity and their relationship with health-related quality of life in American Indian elders.MethodsWe used descriptive statistics to report barriers and facilitators to walking and physical activity among a sample of 75 American Indians aged 50 to 74 years. Pearson correlation coefficients were used to examine the relationship between health-related quality of life and barriers to walking and physical activity after adjusting for caloric expenditure and total frequency of all exercise activities.ResultsLack of willpower was the most commonly reported barrier. Elders were more likely to report personal as opposed to built-environment reasons for physical inactivity. Better health and being closer to interesting places were common walking facilitators. Health-related quality of life was inversely related to physical activity barriers, and poor mental health quality of life was more strongly associated with total barriers than poor physical health.ConclusionWe identified a variety of barriers and facilitators that may influence walking and physical activity among American Indian elders. More research is needed to determine if interventions to reduce barriers and promote facilitators can lead to objective, functional health outcomes.

  7. Nasilje nad starejšimi slabega zdravja v domačem okolju in domovih starejših občanov: Abuse of the frail elderly people in domestic and residential settings:

    Habjanič, Ana; Lahe, Danijela

    2012-01-01

    Introduction: Recently, international research has often focused on elder abuse, yet its prevalence and incidence is difficult to determine. Frail and medically compromised older people were seldom involved in research although they are especially vulnerable population and at most risk of abuse. The review of literature leads to the assumption that frail elderly adults more commonly fall victim to abuse in home rather than residential settings since family members are major perpetrators of el...

  8. What is community to you?: A critical discourse analytical and indigenous psychological exploration of the contemporary discourses of community and psychological sense of community among elderly people in Mumbai

    Bahl, Nina Kavita Heggen

    2011-01-01

    Seymour Sarason (1974) argued that the lack of psychological sense of community (PSOC) is a destructive force in living, and dealing with its consequences and its prevention should be the overarching concern of community psychology. Globalization affects the wellbeing of elderly people in a negative way by its effects upon the interrelated systems of culture, local politics, and the family. Due to its promotion of individualism chances are that it challenges PSOC as embedded in culture. Elder...

  9. People can live longer by being physically more activity

    Li; Li

    2012-01-01

    <正>We all know being physically active is good for you.But do we know how good? People can live up to 3 years longer,even with as little as 15 min of physical activity a day,according to last October’s report by Wen and his colleagues at the China Medical University in Taiwan,China. Many researchers in the field of sport and health sciences know being physically active can bring many benefits to one’s life.But this message has sometimes been disseminated using a negative tone.So much so,Bortz of California,USA,has

  10. The Effectiveness of a Multidisciplinary Group Rehabilitation Program on the Psychosocial Functioning of Elderly People Who Are Visually Impaired

    Alma, Manna A.; Groothoff, Johan W.; Melis-Dankers, Bart J. M.; Suurmeijer, Theo P. B. M.; van der Mei, Sijrike F.

    2013-01-01

    Introduction: The pilot study reported here determined the effectiveness of a multidisciplinary group rehabilitation program, Visually Impaired Elderly Persons Participating (VIPP), on psychosocial functioning. Methods: The single-group pretest-posttest pilot study included 29 persons with visual impairments (aged 55 and older) who were referred…

  11. Socio-demographic and clinical profile of elderly people with depression and the use of psychoactive drugs

    Luiza Cantão

    2015-07-01

    Full Text Available Objective: to know the socio-demographic and clinical profile of elderly patients with depressive disorders and the use of psychoactive drugs. Methods: it is a retrospective epidemiological study that analyzed 218 medical records of elderly patients in a Psychosocial Care Center in a period of 72 months. Results: it was observed that 67.9% of elderly men were predominantly those aged between 60 and 70 years. Alcohol was the most commonly used drug among men and tobacco among women, depression was the most frequent occurrence in both sexes. 53.7% were assisted at a health unit, and the predominant time of treatment was from 31 to 60 days (47.7%. The patients assisted by the family health teams were less frequent (10.5%. Conclusion: the cultural aspects of man’s role in society, easily accessible drugs (alcohol and tobacco and the lack of information were the main factors related to depression and the use of drug by the elderly.

  12. Relationship between cognitive status and activities of daily living among the elderly of nursing homes

    Heiman Nazari

    2015-03-01

    Full Text Available In recent years, increased life expectancy has caused the emergence of aging phenomenon in Iran. This study was conducted on 79 elderly in nursing homes. Data were collected by the demographic questionnaire, Abbreviated Mental Test Score (AMTs and Barthel Activities of Daily Living (ADL Index. The mean score of AMT was 4.06 (SD: 3.05 and the mean of Barthel Index was 66.15 (SD: 33.27. Results indicated a significantly positive correlation between cognitive status and activities of daily living (P=0.001, r=0.354. Accordingly, cognitive status can be a good predictor of functional independence in activities of daily living for the elderly.

  13. 重视老年人视力损害与跌倒关系的研究%Impaired vision and falls in the elderly people

    孙葆忱; 胡爱莲; 郑远远; 崔彤彤; 杨晓慧

    2012-01-01

    Falls are the major public health issues in the elderly population.Every year accidental falls occur in 30% to 40% of those aged more than 65 years,with 20% to 30% of those falls resulting in serious injury (such as hip fractures and brain damages) in our country.After the falls,60% of the elderly suffered from psychological disorders,limited mobility and decreased quality of life.Falls account for approximately half of all accident-related deaths.Visual impairment is the most important risk factor for falls in the elderly people.This article introduces the consequences and the intervention stragegies of falls in visually impaired older people.The purpose is to arouse our attention and concern on the ungency and seriousness of the falls in the elderly people with visual impairment.%老年人跌倒是一重要的公共卫生问题,在我国65岁以上者每年有30%~40%发生跌倒,其中20%~30%可造成严重的身体损伤(如髋部骨折及颅脑外伤),同时约60%的老年人在跌倒后会出现心理障碍、活动受限及生存质量明显下降,在意外事故死亡中,近1/2是由跌倒所致.视力损害是老年人跌倒最重要的危险因素.本文介绍了视力损害老年人跌倒后的严重后果及干预措施,目的是唤起大家对视力损害老年人跌倒防范的紧迫性及严重性给予更多的关注.

  14. La dependencia funcional del anciano institucionalizado valorada mediante el índice de Barthel Functional dependency of institutionalized elderly people measured by the Barthel index

    M.ª Milagros de la Fuente Sanz

    2012-03-01

    Full Text Available El objetivo ha sido valorar, mediante el índice de Barthel, el grado de dependencia de 156 ancianos (101 mujeres y 55 hombres, institucionalizados en las residencias de entidad privada de la ciudad de Soria. Con ello se podrá establecer un plan de actuación interdisciplinar en la prevención y reversión de situaciones de dependencia. Conclusiones: la dependencia del anciano institucionalizado aumenta por diversos factores como la edad, el sexo, un mayor tiempo de institucionalización y una mala percepción del propio estado de salud.The aim of this article is to evaluate the dependency level of 156 elderly people (101 women and 55 men, residing in private nursing homes in Soria (Spain, using the Barthel index, in order to establish an interdisciplinary performance planning for the prevention and reversal of dependency situations. Conclusions: the dependency level of institutionalized elderly people increases by several factors such as, age, sex, the time they have been institutionalized and a bad perception of their health status.

  15. Risk factors for falls with severe fracture in elderly people living in a middle-income country: a case control study

    Bloch Katia V

    2008-08-01

    Full Text Available Abstract Background Fracture after falling has been identified as an important problem in public health. Most studies of risk factors for fractures due to falls have been carried out in developed countries, although the size of the elderly population is increasing fast in middle income countries. The objective of this paper is to identify risk factors for fall related to severe fractures in those aged 60 or more in a middle-income country. Methods A case-control study was carried out in Rio de Janeiro-Brazil based general hospitals between 2002–2003. Two hundred-fifty hospitalised cases of fracture were matched with 250 community controls by sex, age group and living area. Data were collected for socio-demographic variables, health status and drugs used before the fall. A conditional logistic regression model was fitted to identify variables associated with the risk of fall related severe fracture. Results Low body mass index, cognitive impairment, stroke and lack of urine control were associated with increased risk of severe fall related fractures. Benzodiazepines and muscle relaxants were also related to an increased risk of severe fractures while moderate use of alcohol was associated with reduced risk. Conclusion Although the association between benzodiazepines and fractures due to fall has been consistently demonstrated for old people, this has not been the case for muscle relaxant drugs. The decision to prescribe muscle relaxants for elderly people should take into account the risk of severe fracture associated with these drugs.

  16. Improving coordination of care centers for the elderly through IT support

    Johansen, Andreas Kaas; Lauridsen, Frederik Vahr Bjarnø; Manea, Vlad;

    2015-01-01

    In Denmark, care of elderly people involves numerous and relatively autonomous care providers, including care centers, activity centers, physiotherapists, doctors, and other specialists. However, due to a poor coordination of activities, many elderly experience a lack of continuity of care, missed...

  17. Effects of textured compression socks on postural control in physically active elderly individuals

    Woo, Mei Teng; Davids, Keith; Liukkonen, Jarmo; Jaakkola, Timo; Chow, J.Y.

    2014-01-01

    The aim of this investigation was to analyze the role of textured compression socks on somatosensory function in a sample of physically active elderly individuals when performing a static balancing task. Both textured insoles and athletic tape are deemed to be beneficial for enhancing proprioception because of the capacity for exploiting availability of “sensorimotor system noise”, which enhances movement control and individuals’ joint position perception. It was hypothesized that the comp...

  18. Physical activity ameliorates cardiovascular health in elderly subjects: the functional role of the β adrenergic system

    GaetanoSantulli; MicheleCiccarelli

    2013-01-01

    Aging is a complex process characterized by a gradual decline in organ functional reserves, which eventually reduces the ability to maintain homeostasis. An exquisite feature of elderly subjects, which constitute a growing proportion of the world population, is the high prevalence of cardiovascular disorders, which negatively affect both the quality of life and the life expectancy. It is widely acknowledged that physical activity represents one of the foremost interventions capable in reducin...

  19. How should activity guidelines for young people be operationalised?

    Waters Elizabeth

    2007-09-01

    Full Text Available Abstract Background If guidelines regarding recommended activity levels for young people are to be meaningful and comparable, it should be clear how they are operationalised. It is usually open to interpretation whether young people are required to meet activity and screen time targets (1 all days of the week, (2 on most days of the week, (3 on average across all days, or (4 whether compliance should be understood as the probability that a randomly selected young person meets the guidelines on a randomly selected day. This paper studies this question using data drawn from the Australian Health of Young Victorians study. Methods The subjects for this study were 885 13–19 year olds who recalled four days of activities using a computerised use-of-time instrument, the Multimedia Activity Recall for Children and Adolescents (MARCA. Daily minutes of moderate-to-vigorous physical activity (MVPA and screen time were calculated. The prevalence of compliance to Australian guidelines (≥ 60 min/day of MVPA and ≤ 120 min/day of screen time outside of school hours was calculated using the four methods. Results The four methods resulted in significantly different prevalence estimates for compliance to the MVPA guideline (20–68%, screen guideline (12–42% and both guidelines (2–26%. Furthermore, different individuals were identified as compliant by the different methods. Conclusion Clarification of how compliance to guidelines should be operationalised would assist in comparisons between studies, and in consistency in determining correlates of compliance.

  20. Three people can synchronize as coupled oscillators during sports activities.

    Keiko Yokoyama

    2011-10-01

    Full Text Available We experimentally investigated the synchronized patterns of three people during sports activities and found that the activity corresponded to spatiotemporal patterns in rings of coupled biological oscillators derived from symmetric Hopf bifurcation theory, which is based on group theory. This theory can provide catalogs of possible generic spatiotemporal patterns irrespective of their internal models. Instead, they are simply based on the geometrical symmetries of the systems. We predicted the synchronization patterns of rings of three coupled oscillators as trajectories on the phase plane. The interactions among three people during a 3 vs. 1 ball possession task were plotted on the phase plane. We then demonstrated that two patterns conformed to two of the three patterns predicted by the theory. One of these patterns was a rotation pattern (R in which phase differences between adjacent oscillators were almost 2π/3. The other was a partial anti-phase pattern (PA in which the two oscillators were anti-phase and the third oscillator frequency was dead. These results suggested that symmetric Hopf bifurcation theory could be used to understand synchronization phenomena among three people who communicate via perceptual information, not just physically connected systems such as slime molds, chemical reactions, and animal gaits. In addition, the skill level in human synchronization may play the role of the bifurcation parameter.

  1. [Tyrosine kinase inhibiting the VEGF pathway and elderly people: Tolerance, pre-treatment assessment and side effects management].

    Bretagne, Marie; Boudou-Rouquette, Pascaline; Huillard, Olivier; Thomas-Schoemann, Audrey; Chahwakilian, Anne; Orvoen, Galdric; Arrondeau, Jennifer; Tlemsani, Camille; Cessot, Anatole; Cabanes, Laure; Blanchet, Benoit; Coriat, Romain; Alexandre, Jérôme; Goldwasser, François

    2016-03-01

    Angiogenesis inhibition is a major antitumor strategy that has emerged during the last decade. Oral tyrosine kinase inhibitors (TKI) targeting the VEGF receptor, including sunitinib, sorafenib, axitinib, regorafenib, pazopanib, and vandetanib reduce tumor growth and metastasis. These agents are approved for the treatment of metastatic diseases in first or second-line. They display a narrow therapeutic index. However, data in the elderly and/or in patients with multiple illnesses remain scarce. This population is classically excluded from clinical trials. The aim of this review is to provide an overview of existing literature regarding antiangiogenic TKI tolerance in the elderly (>70 years old). We also highlight key points of the pre-therapeutic evaluation and summarize the management of common toxicities. PMID:26832420

  2. Analysis of Causal Relationships by Structural Equation Modeling to Determine the Factors Influencing Cognitive Function in Elderly People in Japan

    Kimura, Daisuke; Nakatani, Ken; Takeda, Tokunori; Fujita, Takashi; Sunahara, Nobuyuki; Inoue, Katsumi; Notoya, Masako

    2015-01-01

    The purpose of this study is to identify a potentiality factor that is a preventive factor for decline in cognitive function. Additionally, this study pursues to clarify the causal relationship between the each potential factor and its influence on cognitive function. Subjects were 366 elderly community residents (mean age 73.7 ± 6.4, male 51, female 315) who participated in the Taketoyo Project from 2007 to 2011. Factor analysis was conducted to identify groupings within mental, social, life...

  3. A STUDY ON EMOTIONAL DEPRIVATION AND INFLUENCE OF DIFFERENT FACTORS AMONG ELDERLY PEOPLE IN AN URBAN AREA OF CHIDAMBARAM

    Vivin; Ethirajan; John William

    2015-01-01

    BACKGROUND : Emotional deprivation is recognized as a serious public health concern in developing countries. Of the various dimensions of ageing, physical vulnerability compounded by economic vulnerability resulting in emotional vulnerability is of great concern for developing societies like India where ageing occurs rapidly due to the phase of demographic trans ition OBJECTIVE : To assess the emotional deprivation of the elderly population and To find out ...

  4. Pre-operative risk scores for the prediction of outcome in elderly people who require emergency surgery

    Bates Tom

    2007-06-01

    Full Text Available Abstract Background The decision on whether to operate on a sick elderly person with an intra-abdominal emergency is one of the most difficult in general surgery. A predictive risk-score would be of great value in this situation. Methods A Medline search was performed to identify those predictive risk-scores relevant to sick elderly patients in whom emergency surgery might be life-saving. Results Many of the risk scores for surgical patients include the operative findings or require tests which are not available in the acute situation. Most of the relevant studies include younger patients and elective surgery. The Glasgow Aneurysm Score and Hardman Index are specific to ruptured aortic aneurysm while the Boey Score and the Hacetteppe Score are specific to perforated peptic ulcer. The Reiss Index and Fitness Score can be used pre-operatively if the elements of the score can be completed in time. The ASA score, which includes a significant element of subjective clinical judgement, can be augmented with factors such as age and urgency of surgery but no test has a negative predictive value sufficient to recommend against surgical intervention without clinical input. Conclusion Risk scores may be helpful in sick elderly patients needing emergency abdominal surgery but an experienced clinical opinion is still essential.

  5. Nutritional supplements for people being treated for active tuberculosis

    Grobler, Liesl; Nagpal, Sukrti; Sudarsanam, Thambu D; Sinclair, David

    2016-01-01

    Background Tuberculosis and malnutrition are linked in a complex relationship. Tuberculosis may cause undernutrition through increased metabolic demands and decreased intake, and nutritional deficiencies may worsen the disease, or delay recovery by depressing important immune functions. At present, there is no evidence-based nutritional guidance for adults and children being treated for tuberculosis. Objectives To assess the effects of oral nutritional supplements in people being treated with antituberculous drug therapy for active tuberculosis. Search methods We searched the Cochrane Infectious Disease Group Specialized Register, Cochrane Central Register of Controlled Trials (CENTRAL; Issue 1, 2016), MEDLINE (from 1946 to 4 February 2016), EMBASE (from 1980 to 4 February 2016), LILACS (from 1982 to 4 February 2016), the metaRegister of Controlled Trials (mRCT), the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP), and the Indian Journal of Tuberculosis up to 4 February 2016, and checked the reference lists of all included studies. Selection criteria Randomized controlled trials that compared any oral nutritional supplement given for at least four weeks with no nutritional intervention, placebo, or dietary advice only for people being treated for active tuberculosis. The primary outcomes of interest were all-cause death, and cure at six and 12 months. Data collection and analysis Two review authors independently selected trials for inclusion, and extracted data and assessed the risk of bias in the included trials. We presented the results as risk ratios (RR) for dichotomous variables, and mean differences (MD) for continuous variables, with 95% confidence intervals (CIs). Where appropriate, we pooled data from trials with similar interventions and outcomes. We assessed the quality of the evidence using the Grading of Recommendation Assessment, Development and Evaluation (GRADE) approach. Main results Thirty-five trials

  6. Mental disorder prevention and physical activity in Iranian elderly

    Seyede Salehe Mortazavi

    2012-01-01

    Conclusions: Physical activity significantly prevents mental disorder in older adults. Although it has effects on anxiety, social dysfunction, and depression, the greatest influence is on improving the somatization symptoms.

  7. Mitochondrial Function in Physically Active Elders with Sarcopenia

    Waters, DL; Mullins, PG; Qualls, CR; Raj, DR; Gasparovic, C; Baumgartner, RN

    2009-01-01

    Physical activity is reported to protect against sarcopenia and preserve mitochondrial function. Healthy normal lean (NL: n=15) and sarcopenic (SS: n=9) participants were recruited based on body composition (DXA, Lunar DPX™), age, and physical activity. Gastrocnemius mitochondrial function was assessed by 31P MRS using steady-state exercise in a 4 T Bruker Biospin. Total work (429.3 ± 160.2 vs 851.0 ± 211.7 J, p

  8. Promotion and support of physical activity in elderly patients on hemodialysis: a case study.

    Shiota, Kotomi; Hashimoto, Toshihiko

    2016-04-01

    [Purpose] The aim of this study was to ascertain the optimum strategy for implementing a physical activity intervention in patients on hemodialysis by investigating the physical characteristics of elderly patients on hemodialysis, and their attitude to physical activity and level of daily activity. [Subjects] The Subject were 10 elderly patients on hemodialysis. [Methods] They wore a physical activity monitor for 1 week. Data obtained were analyzed for hemodialysis and non- hemodialysis days, and two-way analysis of variance was used to compare the number of steps and activity levels. A questionnaire was administered to investigate the stage of psychological preparedness for exercise and attitudes toward/awareness of exercise. [Results] There was no significant difference in the number of steps or exercise levels on hemodialysis and non- hemodialysis days. However, on both types of days, subjects spent long periods not engaged in any activity. Most of their activity was either inactivity or sedentary behavior. [Conclusion] Patients on hemodialysis with low physical activity levels are considered to have poor physical function and exercise tolerance. To maintain and improve the physical function of patients on hemodialysis, it will be necessary to reduce their time spent in inactive, and comprehensive care that covers psychosocial aspects should be provided to promote the proactive improvement of physical activity and their attitudes to exercise. PMID:27190487

  9. People

    2001-01-01

    Thrilled at @Bristol Kathy Sykes in conversation with Liz Whitelegg. Kathy Sykes is Senior Science Consultant at @Bristol - a new area on Bristol's Harbourside with a Science Centre Explore, a Wildlife Centre Wildscreen, with sculptures and fountains. Kathy was one of five people in 1999 to be awarded an IOP Public Awareness of Physics award. Dr Kathy Sykes What attracted you to Physics in the first place? It was really when I discovered that Physics was all about making models of the world, because then suddenly the ability to be creative became important. I liked the idea that you could have a picture of the world that might work quite well but you could always replace that with a better one. That was what made science come alive and make it seem like something that I'd really love to be involved in, rather than science as a stale body of facts that I needed to learn. I was much more interested in ideas than in facts. I think that finding out about 'models' happened around the time I was discovering quantum mechanics and how the act of observing something can actually affect the outcome. I found it incredibly exciting - especially how that changed the whole philosophy of science. I also had a fantastic teacher in physics and I owe an awful lot to him. He just swooped in at the last moment when I was considering giving it up so that made an enormous difference. After my degree I went to teach maths and physics A-level in Zimbabwe with the VSO, and it was partly wanting to share my excitement with other people about physics that made me want to go and teach abroad. When I came back and began my PhD in Physics at Bristol University, I missed teaching and thought it was important to get the public more involved in science and debates about science. My supervisor, Pete Barham, was doing lots of this himself, and he helped and encouraged me enormously. I can't thank him enough. Did you consider teaching as a career? Well I like having the carpet whipped away from

  10. Effects of simvastatin on lipid levels and platelet activation in elderly patients with hypercholesterolemia

    Zhe Chen; Yuanping Hou; Miaobin Liu

    2007-01-01

    Background and Objective To investigate the effects of simvastatin on lipid lowering therapy and platelet activation in elderly patients with hypercholesterolemia. Methods Fasting serum lipids, CD63, CD41a, serum glucose, hepatic and renal function, routine urine analysis (UA) were measured in 50 healthy subjects, and in 50 elderly patients with hypercholesterolemia before and after 4 weeks treatment with simvastatin (20mg daily for 4 weeks). Results 1. After simvastatin treatment for 4 weeks, the fasting serum level of lipids in elderly patients with hypercholesterolemia was significantly lower than before treatment (P<0.01). 2. CD63 and CD41a were decreased after treatment compared with before, respectively (1.36 0.34) vs (4.26 1.06), (P<0.01) and (123.54 19.73) vs (253.78 16.75), (P<0.01).3. Changes in serum lipid level tended to be positively correlated with the declines in CD63 and CD41a, but there was no statistical significance (P>0.05). Conclusions The results suggested that lipid lowering therapy with simvastatin inhibit platelet activity.

  11. Original article Coping with the events of daily life and quality of life of the socially active elderly

    Anna Gamrowska

    2014-07-01

    Full Text Available Background Late adulthood is a period in which the number of stressors is increasing; therefore, strategies of coping with these situations may be significant in terms of the subjective evaluation of the quality of life and adaptation to old age. The objective of this paper was to examine the relationships between proactive coping and the quality of life in people in late adulthood. The quality of life was assessed using the Polish version of the CASP-19. Participants and procedure The research included 88 individuals (76 women and 12 men, aged from 60 to 85 years (M = 69.5, SD = 6.74. The following tools were used: The Proactive Coping Inventory, developed by Greenglass, Schwarzer and Taubert (Pasikowski’s adaptation, and the scale for the assessment of the quality of life, called CASP-19, of Higgs, Hyde, Wiggins and Blane (developed by the authors of this paper. Results The results of the research showed a positive relationship between the general level of proactive coping strategies, the proactive coping subscale and the general quality of life and addressing the needs of control and pleasure. People who are more proactive accomplish a higher general level of the quality of life, control and pleasure than people whose pro-activity level is lower. Conclusions Factors contributing to the quality of life and successful aging of elderly subjects are, first and foremost, skills connected with setting objectives autonomously, taking initiative, perseverance in activities and perceiving events in terms of opportunities of development and self-improvement. The CASP-19 seems to be a useful measure of the quality of life in old age.

  12. Influenza vaccination coverage of healthcare workers and residents and their determinants in nursing homes for elderly people in France: a cross-sectional survey

    Guthmann Jean-Paul

    2010-03-01

    Full Text Available Abstract Background Nursing home residents bear a substantial burden of influenza morbidity and mortality. Vaccination of residents and healthcare workers (HCWs is the main strategy for prevention. Despite recommendations, influenza vaccination coverage among HCWs remains generally low. Methods During the 2007-2008 influenza season, we conducted a nationwide survey to estimate influenza vaccination coverage of HCWs and residents in nursing homes for elderly people in France and to identify determinants of vaccination rates. Multivariate analysis were performed with a negative binomial regression. Results Influenza vaccination coverage rates were 33.6% (95% CI: 31.9-35.4 for HCWs and 91% (95% CI: 90-92 for residents. Influenza vaccination uptake of HCWs varied by occupational category. Higher vaccination coverage was found in private elderly care residences, when free vaccination was offered (RR: 1.89, 1.35-2.64, in small nursing homes (RR: 1.54, 1.31-1.81 and when training sessions and staff meetings on influenza were organized (RR: 1.20, 1.11-1.29. The analysis by occupational category showed that some determinants were shared by all categories of professionals (type of nursing homes, organization of training and staff meetings on influenza. Higher influenza vaccination coverage was found when free vaccination was offered to recreational, cleaning, administrative staff, nurses and nurse assistants, but not for physicians. Conclusions This nationwide study assessed for the first time the rate of influenza vaccination among residents and HCWs in nursing homes for elderly in France. Better communication on the current recommendations regarding influenza vaccination is needed to increase compliance of HCWs. Vaccination programmes should include free vaccination and education campaigns targeting in priority nurses and nurse assistants.

  13. [Expert consensus of the French society of geriatrics and gerontology and the French society of cardiology on the management of atrial fibrillation in elderly people].

    Hanon, Olivier; Assayag, Patrick; Belmin, Joel; Collet, Jean Philippe; Emeriau, Jean Paul; Fauchier, Laurent; Forette, Françoise; Friocourt, Patrick; Gentric, Armelle; Leclercq, Christophe; Komajda, Michel; Le Heuzey, Jean Yves

    2013-06-01

    The prevalence of atrial fibrillation (AF) increase with ageing. In France AF affects between 400,000 to 660,000 people aged 75 years or more. In the elderly, AF is a major risk factor of stroke and a predictive factor for mortality. Comorbidities are frequent and worsen the prognosis of AF. They can be the cause or the consequence of AF and their management is a major therapeutic objective. Comprehensive geriatric assessment (CGA), is required to analyse both medical and psychosocial elements, and to identify co-morbidities and geriatrics syndrome as cognitive disorders, risk of falls, malnutrition, mood disorders, and lack of dependency and social isolation. The objectives of AF treatment in the elderly are to prevent AF complications, particularly stroke, and to improve quality of life. Specific precautions for treatment must be taken because of the co-morbidities and age-related changes in pharmacokinetics or pharmacodynamics. Preventing AF complications relies mainly on anticoagulant therapy. Anticoagulants are recommended in patients with AF aged ≥ 75 years after assessing the bleeding risk using Hemorr2hages or HAS-BLED scores. Novel oral anticoagulants (NOACs) are promising treatments especially due to a lower risk of intracerebral haemorrhage. However, their prescriptions should take into account renal function (creatinine clearance assessed with Cockcroft formula) and cognitive function (for adherence to treatment). Studies including very old patients with several comorbidities in 'real life' are necessary to evaluate tolerance of NOACs in this population. The management of AF also involves the treatment of underlying cardiomyopathy and heart rate control rather than rhythm control strategy as first-line therapy in the elderly. PMID:23803629

  14. Challenges in anaesthesia for elderly

    Strøm, Camilla; Rasmussen, L S

    2014-01-01

    The segment of elderly individuals comprises a growing proportion of the global population. Health care systems and health care providers worldwide need to understand the specific challenges related to treatment of this heterogeneous patient population. The process of ageing is complex and under...... constant influence by numerous factors, for which reason the way human age is extremely individual. It is important to understand and acknowledge how elderly differ from younger adults, and how management needs to be modified and tailored to the individual patient in order to improve outcomes. The goal of...... treatment of an elderly patient is not necessarily to increase human longevity regardless of the consequences, but to increase active longevity free from disability and functional dependence. For older people, deterioration in function can be devastating and is often precipitated by a stressful event such...

  15. Relationship between Ambient Fine Particles and Ventricular Repolarization Changes and Heart Rate Variability of Elderly People with Heart Disease in Beijing, China

    XU Mei Mei; JIA Yu Ping; LI Guo Xing; LIU Li Qun; MO Yun Zheng; JIN Xiao Bin; PAN Xiao Chuan

    2013-01-01

    Objective To explore the effects of particulate matters less than 2.5 μm in aerodynamic diameter (PM2.5) on heart repolarization/depolarization and heart rate variability (HRV). Methods We conducted a panel study for elderly subjects with heart disease in Beijing from 2007 to 2008. PM2.5 was measured at a fixed station for 20 h continuously each day while electrocardiogram (ECG) indexes of 42 subjects were also recorded repeatedly. Meteorological data was obtained from the China Meteorological Data Sharing Service System. A mixed linear regression model was used to estimate the associations between PM2.5 and the ECG indexes. The model was adjusted for age, body mass index, sex, day of the week and meteorology. Results Significant adverse effects of PM2.5 on ECG indexes reflecting HRV were observed statistically and the strongest effect of PM2.5 on HRV was on lag 1 day in our study. However, there were no associations between PM2.5 and ECG indexes reflecting heart repolarization/depolarization. Additionally, the effects of PM2.5 on subjects with hypertension were larger than on the subjects without hypertension. Conclusion This study showed ambient PM2.5 could affect cardiac autonomic function of the elderly people with heart disease, and subjects with hypertension appeared to be more susceptive to the autonomic dysfunction induced by PM2.5.

  16. Physical Activity in Depressed Elderly. A Systematic Review

    Mura, Gioia; Carta, Mauro Giovanni

    2013-01-01

    Background: exercise may reduce depressive symptoms both in healthy aged populations and in old patients diagnosed with MDD, but few specific analysis were conducted on the efficacy of exercise as an adjunctive treatment with antidepressants, which may be probably more useful in clinical practice, considered the high prevalence of treatment resistant depression in late life, the low cost and safety of physical activity interventions. Objective: to establish the new findings on the effectivene...

  17. Grey matter volume and resting-state functional connectivity of the motor cortex-cerebellum network reflect the individual variation in masticatory performance in the healthy elderly people

    Chia-Shu eLin

    2016-01-01

    Full Text Available Neuroimaging studies have consistently identified brain activation in the motor area and the cerebellum during chewing. In this study, we further investigated the structural and functional brain signature associated with masticatory performance, which is a widely used index for evaluating overall masticatory function in the elderly. Twenty-five healthy elderly participants underwent oral examinations, masticatory performance tests, and behavioral assessments, including the Cognitive Abilities Screening Instrument and the short-form Geriatric Depression Scale. Masticatory performance was assessed with the validated colorimetric method, using color-changeable chewing gum. T1-weighted structural magnetic resonance imaging (MRI and resting-state function MRI were performed. We analyzed alterations in grey matter volume (GMV using voxel-based morphometry and resting-state functional connectivity (rsFC between brain regions using the seed-based method. The structural and functional MRI analyses revealed the following findings: (1 the GMV change in the premotor cortex was positively correlated with masticatory performance. (2 The rsFC between the cerebellum and the premotor cortex was positively correlated with masticatory performance. (3 The GMV changes in the dorsolateral prefrontal cortex (DLPFC, as well as the rsFC between the cerebellum and the DLPFC, was positively correlated with masticatory performance. The findings showed that in the premotor cortex, a reduction of GMV and rsFC would reflect declined masticatory performance. The positive correlation between DLPFC connectivity and masticatory performance implies that masticatory ability is associated with cognitive function in the elderly. Our findings highlighted the role of the central nervous system in masticatory performance and increased our understanding of the structural and functional brain signature underlying individual variations in masticatory performance in the elderly.

  18. Older people and ‘active ageing’: subjective aspects of ageing actively

    Stenner, Paul; McFarquhar, Tara; Bowling, Ann

    2011-01-01

    Following a critical overview of the active ageing concept, a thematic decomposition of 42 transcribed interviews with British people aged 72 years and over indicates that active ageing is understood in relation to physical, cognitive, psychological and social factors, but that these co-exist in complex combinations. The notion of activity in active ageing is grasped in relation to an active/passive distinction which emphasizes the enhancement or diminishment of concrete powers of activity. A...

  19. Effect of a combined program of physical activity and intellectual activity in the cognitive functioning of the elderly

    Martínez Vidal, Aurora; Prada Martínez, Aurora; Díaz Pereira, María del Pino; Martínez Patiño, María José

    2011-01-01

    Aerobic exercise done in an enriched environment with intellectual activity seems to improve cognitive performance associated with the aging process of humans, although the results can sometimes be contradictory. The objective of the present study was to ascertain to what degree the practice of combined aerobic exercise and memory strategies improve the cognitive functioning, in general, and to a more concrete measure in the cognitive memory domain of the elderly. Sixteen subjects, the majori...

  20. The Built Environment and Walking Activity of the Elderly: An Empirical Analysis in the Zhongshan Metropolitan Area, China

    Yi Zhang; Yuan Li; Qixing Liu; Chaoyang Li

    2014-01-01

    Policies and interventions involving the built environment have become a promising opportunity for the promotion of walking as a sustainable transportation mode. Among voluminous literature, few studies were found that examined the association between the built environment and walking among the elderly in China. This study investigated the relationship between the built environment and the walking activity of the elderly based on data collected in Zhongshan Metropolitan Area, China. The resul...

  1. Educational intervention program for oral health in elderly people Programa de intervención educativa para la salud bucal en los adultos mayores

    Teresita de Jesús Barrio Pedraza

    2009-04-01

    Full Text Available Background: The creation of educational intervention programs for oral health in elderly people contributes to the development of positive behaviours towards oral health in this age group. Objective: To elaborate an educational intervention program aimed at raising the knowledge level related with oral-dental health. Method: An interventional, cuasi-experimental study was developed with before-after design for people from the University Group of the Elderly, sponsored by Cienfuegos Health Palace from January 2007 to May 2008. The information was collected through surveys, focal groups, experts´ opinions and observation. The changes produced by the following markers were assessed: absolute numbers, percentages and the Mac Nemar test. The educational intervention program with educative and affective techniques was applied, combined with didactic games as feedback. The studied variables were: age group, brushing frequency and form, use of dental floss and removable bridges and the relation of diet with oral diseases. Qualitative methods showed audience approval towards the used strategy. Results: 44 elderly people were studied with a prevalence of incorrect brushing, incorrect oral hygiene and inappropriate use of dental floss. 97, 7% had incorrect knowledge about use and maintenance of the prosthesis and 100% developed abilities for oral self-examination. Conclusions: The educative intervention program allowed elderly people learning self-care actions leading to the improvement of their oral health.Fundamento: La creación de programas de intervención educativa de salud bucal en el adulto mayor, contribuye a crear conductas positivas hacia la salud bucal. Objetivo: Elaborar un programa de intervención educativa dirigido a elevar los conocimientos sobre salud bucodental. Método: Se realizó un estudio cuasi

  2. People

    2001-09-01

    ASE: Attend, Socialize, Enjoy Bob Kibble reflects on the enriching effects of the annual meeting Bob Kibble is a teacher trainer at the University of Edinburgh, Scotland. I remember my first ASE meeting in Reading. Perhaps in 1978 or thereabouts. I had been teaching for a few years and thought I'd check out this local convention of science teachers. It was indeed a revelation that so many people had so much to say about teaching science. There was talk about N and F levels and the 'I level grill'. Someone had ordered something called a BBC machine (later revealed to me as the latest in hi-tech teaching). I remember it well. But it was a lonely affair for a recent recruit. People seemed to know each other and there was much friendly exchanging. However, nobody knew me and I knew nobody else. The professional revelations were accompanied by a personal isolation. A strange set of memories indeed for a new recruit, unskilled and clumsy in the social arena. Bob practising for the ASE singalong session this year. This year I went to the ASE Centenary meeting in Guildford, my sixteenth ASE annual meeting. Things have changed since the early days. Thursday started with a formal Cathedral service in celebration of 100 years of the ASE. I sat next to a lady from Oxford and behind my good friend Dave from Croydon. Things snowballed from there. I went to a workshop on the water cycle and was brought face to face with my own misconceptions about the life story of a water molecule. Got a freebie coloured bracelet as well. Thanks Margaret. A chap from Bournemouth gave me loads of ideas about how best to set up a shared lesson observation scheme as well as how to run a professional development workshop. Thanks Stuart. At a third session I joined Brenda from Cambridge and we spent an enjoyable hour discovering ways to approach the teaching of light and in particular Ibn al Haytham's revelations courtesy of a chap from Kingston. That afternoon I was invited to present a talk to

  3. People

    2001-05-01

    microscopes, chemical analyses etc. The NHM has big labs—like a university—in the basement. I write papers, give talks... For the public galleries of the NHM my group provides expert input to exhibitions-when the meteorite pavilion was recently refurbished we suggested a layout, wrote text and selected samples, but this was then 'edited' by the exhibition designers. I'm also working on a new website with virtual meteorite specimens. As an expert on Martian meteorites I often get interviewed by the media: for example, I am on a new Channel 4 programme called Destination Mars. I have also just finished a general interest book—it's called Search for Life; the NHM have just published it (in March). And do you get to go to exciting places? As a researcher I go to conferences I am just off to the States this week. I went to Antarctica ten years ago meteorite collecting and I am hoping to go to Australia this year. It is good fun but they really do need an expert who can recognise a meteorite. I'll be going to the Nullarbor region of Australia for 2 3 weeks depending on the weather if it's too green there is too much grass, so you can't see the meteorites. How do you find people respond to meteorites? People love touching rocks from outer space, especially primary school children. You can see how they are burnt on the outside. When you feel the weight of them it really brings it home: iron meteorites are heavy! They'll often say 'Wow, it fell from the sky' as they glance upwards, half expecting another one to come crashing through the ceiling. Everyone finds it amazing that a solid object has come as if from nowhere. And they are so old. They can't believe how old they are. We want to know where we come from. There is always lots of media coverage about what is happening in the sky (eclipses and the like). It's there and it's a bit of a mystery. If we can get to grips with how our planets and how our own Sun formed it can put us in the picture as to where we have come from and

  4. 老年人数字通讯产品需求分析与设计研究%Demand analysis and design of digital communication products for elderly people

    张会霞

    2016-01-01

    随着中国老年人比例的上升,老年用户数字通信产品的市场需求不断增加。目前,在老年用户数字通讯产品的市场中,广泛存在设计单调、种类贫乏等问题。为解决上述问题,以老年用户为中心,对老年人心理、生理的衰老变化做了调研,关注“低龄老人”和“高龄老人”使用电子通讯类产品的区别,调研和分析了不同受教育程度老人用户使用电子通讯类产品的当前状况。同时,还通过问卷调查得出了现代老年人对数字通讯设备的期望和需求以及老年用户不习惯使用电子类产品的原因,针对老年人产品设计提出了新的设计原则,完成了老年手机人机界面的研究、分析工作。%With the rising of the old people population in China,the market demand of digital communication products for the elderly people is increasing. In the market for the elderly user,the digital communication products have the problems of sim⁃ple design,poor variety,etc. To solve the above problems,the caducity variation of the elderly people psychology and physiolo⁃gy was investigated by taking the elderly user as the center. The difference of using electronic communication products between the "younger old⁃man" and the "oldest man" is given. The current condition of the elderly prople using electronic communication products with different education levels is investigated and analyzed. The expectation and demand of digital communication de⁃vice to the modern eldrly people,and the reaons why the elderly user is unused to the electronic devices are obtained by means of questionnaire survey. The new design principle is proposed for the product design of the elderly people. The study and analy⁃sis work of the human⁃computer interface for the elderly people mobile phone were accomplished.

  5. Comparative study of functional capacity and quality of life among obese and non-obese elderly people with knee osteoarthritis

    Mansueto Gomes-Neto

    2016-04-01

    Full Text Available ABSTRACT Introduction: The association between osteoarthritis (OA and obesity can lead to a reduced functional capacity, compromising the quality of life (QoL of the elderly. Objective: To compare the functional capacity and QoL of obese and non-obese older adults with knee OA. Methods: The sample consisted of 35 subjects with OA divided into two groups, obese and non-obese subjects, according to their body mass index. To assess functional capacity, performance tests such as Timed Up and Go (TUG, gait speed test, and the six-minute walk test (6 MWT were carried out. To assess QoL, WOMAC and SF-36 questionnaires were administered. We performed descriptive and inferential statistics using SPSS software version 20.0. Results: Elderly patients with OA were divided into two groups (obese, n = 16; non-obese, n = 19. Socio-demographic characteristics were similar between groups (p > 0.05. The obese group showed a worst performance in TUG, brisk walking speed and 6 MWT. A more severe pain was found in the following items: “performing heavy housework chores”, “going down stairs”, “bending to floor” and “getting up from bed” in the obese group (p 0.05. Conclusion: OA associated with obesity caused a negative impact on functional capacity; however, quality of life scores were low, and no difference in obese and non-obese subjects was found.

  6. 湖南省老年人牙齿缺失及修复情况抽样调查%A sampling investigation of tooth loss and prosthetic condition of the elderly people in Hunan province

    刘哲; 冯云枝

    2011-01-01

    Objective To investigate the condition of tooth loss and denture restoration of the elderly people in Hunan Province. Methods The survey of tooth loss and denture restoration of the elderly people in Hunan was conducted using randomly sampling stratified cluster method. Results The prevalence of tooth loss of the elderly was 64.8% , and the percentage of edentulous people was 2.44%. There were only 35.6% of the elderly had prosthesis, and 41.8% of the missing teeth were repaired. For the repair rate of missing teeth, there was statistical significance between urban and rural, as well as between male and female ( P 0.05 ). Furthermore, inappropriate dental prosthesis appeared most frequently among the elderly people. Conclusion More work should be done to improve the repair rate of missing teeth among the elderly in Hunan. Moreover, it is necessary to prevent inappropriate or offensive dental prosthesis.%目的 了解湖南省老年人牙齿缺失及义齿修复情况.方法 采用分层随机整群抽样的方法,对湖南省老年人牙齿缺失及义齿修复情况进行抽样调查.结果 老年人牙齿缺失率为64.8%,无牙颌率为2.44%,义齿修复率为35.6%,牙齿修复率为41.8%.不同性别、城乡间牙齿修复率有差异(P0.05);义齿修复种类以"不良修复体"所占比例最高.结论 湖南省老年人牙齿修复率有待进一步提高,且要避免不良修复体.

  7. Study on interaction design of home health care products for the elderly people%老年人家庭医疗保健产品交互设计研究

    欧阳芬芳

    2013-01-01

    The health issue of the elderly people in China has drawn more and more attention in recent years.According to the study of present situation of the home health care products for the elderly people,this thesis analyzes the physiological and psychological factors which influence the interaction between the elderly people and products,and presents interaction design principles and strategies on the basis of the PACT-P theory.The interaction design of the composite tester for home health care provides updated reference and guidance for the design and development of home health care products for the elderly people.%老年人的健康问题在中国引起越来越多的关注.针对现有老年人家庭医疗保健产品的市场现状,通过分析影响老年人与产品之间交互的生理、心理因素,提出了基于产品交互设计系统(PACT-P)理论的老年产品交互设计原则和策略,通过家庭医疗复合测试仪的产品交互设计研究,为老年人家庭医疗保健产品设计发展提供新的参考与借鉴.

  8. Context-based Barrier Notification Service Toward Outdoor Support for the Elderly

    Keisuke Umezu; Takahiro Kawamura; Akihiko Ohsuga

    2013-01-01

    Aging society has been becoming a global problem not only in advanced countries. Under such circumstances, it is said that participation of elderly people in social activities is highly desirable from various perspectives including decrease of social welfare costs. Thus, we propose a mobile service that notifies barrier information nearby users outside to lowers the anxiety of elderly people and promote their social activities. There are barrier free maps in some areas, but those are static a...

  9. Sintomatologia de depressão autorreferida por idosos que vivem em comunidade The symptomatology of self-referred depression by elderly people who live in a shantytown

    Marcos Francisco de Oliveira

    2012-08-01

    depression it was found that: in relation to age, the elderly with mild and severe depression appear more frequently between 71 to 76 years - 31%; in relation to gender, females stand out with 86%; on marital state, married couples with 41.3 %, and widowers with 34.5 %; considering family income, from 1 up to 3 minimum wages, 50 %, revealed mild incidence; with respect to schooling, elderly people who have no depression, 84.6 %, can read and write. Therefore, it can be said that the symptomatology of depression in the elderly is related to socio-economic and cultural conditions, emphasizing the need for public health policies that ensure comprehensive care and quality considering these variables.

  10. Malnutrition among the elderly.

    Rauscher, C.

    1993-01-01

    Nutrition is a significant determinant of health. Undernutrition presenting as malnutrition is a serious health concern for frail elderly people with many health problems. Understanding the risk factors for malnutrition helps physicians assess and manage the condition. Primary care physicians are in an excellent position to screen, educate, and manage their elderly malnourished patients.

  11. Discrepancy between radiographic damage and functional disability in elderly people with osteoarthritis: the role of pain coping strategies

    Fernández de Trocóniz, María Izal; López López, Almudena; Montorio, Ignacio; González, José Luis

    2013-01-01

    The aim of this study is twofold. First, to assess the level of agreement between radiographic damage and functional disability in older people with osteoarthritis. And second, to assess the role of coping skills and sensory pain parameters as sources of disagreement between these variables. To achieve this objective we assess, in a sample of 104 older people with osteoarthritis, the following variables: functional capacity, radiographic damage, pain coping strategies, pain intensity, pain fr...

  12. THE COMPARISON OF QUALITY OF LIFE FOR THE ELDERLY BASED ON DIFFERENT LEVELS OF PHYSICAL ACTIVITY IN THE CITY OF SHIRAZ

    Alireza Sabet Sarvestani; Mehrdad Afkhami

    2011-01-01

    The purpose of this study to compare quality of life for the elderly based on differentlevels of physical activity in the city of Shiraz in 1389 was conducted. In this study; theresearch is type event (eli comparison). For this purpose; 120 elderly residents of nursing atthe center of Shiraz Jhandydgan example and were randomly selected. Elderly participantseligible after completion of physical activity determined based on the type and duration ofdaily activity and calorie intake was designed...

  13. The effect of temperature on cardiovascular disease hospital admissions among elderly people in Thai Nguyen Province, Vietnam

    Pham Ngan Giang

    2014-12-01

    Full Text Available Background: Projected increases in weather variability due to climate change will have severe consequences on human health, increasing mortality, and disease rates. Among these, cardiovascular diseases (CVD, highly prevalent among the elderly, have been shown to be sensitive to extreme temperatures and heat waves. Objectives: This study aimed to find out the relationship between daily temperature (and other weather parameters and daily CVD hospital admissions among the elderly population in Thai Nguyen province, a northern province of Vietnam. Methods: Retrospective data of CVD cases were obtained from a data base of four hospitals in Thai Nguyen province for a period of 5 years from 2008 to 2012. CVD hospital admissions were aggregated by day and merged with daily weather data from this period. Distributed lag non-linear model (DLNM was used to derive specific estimates of the effect of weather parameters on CVD hospital admissions of up to 30 days, adjusted for time trends using b-splines, day of the week, and public holidays. Results: This study shows that the average point of minimum CVD admissions was at 26°C. Above and below this threshold, the cumulative CVD admission risk over 30 lag days tended to increase with both lower and higher temperatures. The cold effect was found to occur 4–15 days following exposure, peaking at a week's delay. The cumulative effect of cold exposure on CVD admissions was statistically significant with a relative risk of 1.12 (95% confidence interval: 1.01–1.25 for 1°C decrease below the threshold. The cumulative effect of hot temperature on CVD admissions was found to be non-significant and was estimated to be at a relative risk of 1.17 (95% confidence interval: 0.90–1.52 for 1°C increase in the temperature. No significant association was found between CVD admissions and the other weather variables. Conclusion: Exposure to cold temperature is associated with increasing CVD admission risk among the

  14. A STUDY ON EMOTIONAL DEPRIVATION AND INFLUENCE OF DIFFERENT FACTORS AMONG ELDERLY PEOPLE IN AN URBAN AREA OF CHIDAMBARAM

    Vivin

    2015-09-01

    Full Text Available BACKGROUND : Emotional deprivation is recognized as a serious public health concern in developing countries. Of the various dimensions of ageing, physical vulnerability compounded by economic vulnerability resulting in emotional vulnerability is of great concern for developing societies like India where ageing occurs rapidly due to the phase of demographic trans ition OBJECTIVE : To assess the emotional deprivation of the elderly population and To find out the influence of different factors on emotional deprivation METHODOLOGY : A descriptive follow up community based study was conducted on population of elderly for a period of one year ( October 2010 to September 2011 in four service areas namely Old Bhuvanagiri area , Mantakkarai, Omakkulam, and Sengattan of Urban Health Centre, under Department Of Community Medicine, Annamalai University of Chidambaram. Taking prev alence as 55%, with 95% confidence interval, the sample size necessary was calculated and arrived at 324. The tools used includes interview schedule and a modified version of 12 items General Health Questionnaire was used to measure emotional deprivation. Statistical analysis was done using SPSS 17 th version Software which included descriptive statistics, Pearson chi - square test and ANOVA . RESULTS : Emotional deprivation of the respondents through the visits measured has started with a lower level in the fir st visit ( M ean : 28.273±12.85 and got increased in the subsequent visit ( M ean : 36.64±11.35. In first visit majority had mild emotional deprivation (56.8%. But in last three visits majority had moderate emotional deprivation 80.2 %, 75.9% and 66.4 % respectively . The role of different factors that influences the emotional deprivation such as age, marital status, financial security, dependency and living arrangement were found to be statistically significant in this study . CONCLUSION : The present study revealed that there is high prevalence of emotional deprivation

  15. The Built Environment and Walking Activity of the Elderly: An Empirical Analysis in the Zhongshan Metropolitan Area, China

    Yi Zhang

    2014-02-01

    Full Text Available Policies and interventions involving the built environment have become a promising opportunity for the promotion of walking as a sustainable transportation mode. Among voluminous literature, few studies were found that examined the association between the built environment and walking among the elderly in China. This study investigated the relationship between the built environment and the walking activity of the elderly based on data collected in Zhongshan Metropolitan Area, China. The results suggest that abundant sidewalks, dense bus stops, easily accessible commercial establishments, and ample green land space are potentially effective to enhance walking among the elderly, albeit to varied degrees. The compact urban form, which is considered as walkability in the western context, may not necessarily play a positive role in Zhongshan’s context. The findings provide insights into the policy-making to promote sustainable transportation modes and the design of interventions on health promotion of the elderly in China.

  16. Changing physical activity and sedentary behaviour in people with COPD.

    Cavalheri, Vinicius; Straker, Leon; Gucciardi, Daniel F; Gardiner, Paul A; Hill, Kylie

    2016-04-01

    People with chronic obstructive pulmonary disease (COPD) engage in low levels of physical activity (PA). Given the evidence for the health benefits associated with participating in 150 min of moderate-to-vigorous intensity PA each week, there is considerable interest in methods to increase PA in people with COPD. Studies to date have focused largely on exercise training and behavioural approaches, and many have demonstrated minimal, if any effect. An intermediate goal that focuses on reducing time spent in sedentary behaviour (SB) and increasing participation in light intensity PA is a more realistic goal in this population and offers a gateway to higher intensity PA. Although strategies that are capable of reducing time spent in SB in COPD are unknown, studies that have shown some increase in PA in this population often provide individualized goal setting, motivational interviewing and frequent contact with health-care professionals to provide advice regarding strategies to overcome barriers. Therefore, these approaches should be considered in interventions to reduce time in SB. There are a range of devices available to monitor time in SB for use in both clinical and research settings. To move this area forward, a theoretically informed and systematic approach to behaviour change is needed. The theoretical model, the 'behaviour change wheel', is described and an example is provided of how it can be applied to a person with COPD. PMID:26560834

  17. Autonomía y estado de salud percibidos en ancianos institucionalizados Autonomy and health status perceived by elderly institutionalised people

    Mª. J. Rojas Ocaña

    2006-03-01

    autonomy and independence of an old person and a its deterioration due to the institutionalization, simultaneously it is deduced that the elder during this period of adaptation do not undergo significant changes in their perception of health by the fact of the institutionalization, although is certain that this period is only of 20 days according to the Legislation of the Social Services in Andalusia and that is not enough time to demonstrate the changes. Believing necessary a pursuit but in the long term, we tried to make a second valuation of the aspects previously mentioned and measured after passing a sufficiently ample period (year and a half like being able to state if the deterioration persists or not in the autonomy and independence of the elderly people to perform daily life and instrumental activities, as well as if their perception of health stays. Objetive: To evaluate the influence of institutionalisation on an old person’s autonomy on admittance to a geriatric residence for non-invalids, and the comparison with their behaviour after the period of a year and a half of institutionalization. Methods: A pre-experimental design with a pre- and posttest study of a single group during two different periods, that is to say, a measurement before and after of an intervention which in this case is defined as time. Dependent variables: Level of Autonomy. To measure the capacity of an old person in relation to everyday activities using the Barthel Scale (ABVD Basic Activities of Daily Life; and the Lawton Scale (AIVD Instrumental Activities of Daily Life. Independent variable: Admission of the old person into the Institution. This is the variable that could modify, or otherwise, the level of autonomy. Socio-demographic variables: Age; sex; background; civil status; acquisitive capability; reason for admission. Conclusion: Within the programme of adaptation in an institution, priority must be given to the organisational adaptation of the centre to the needs of the users

  18. People

    2001-11-01

    the war Hoyle returned to Cambridge, but kept in close contact with his collaborators. Fred Hoyle was a canny and media-savvy scientist, 40 years before such things were recognized. Martin Rees said after his death '[He] also had other dimensions to his career, his inventiveness and skill as a communicator'. It is hard to realize now the impact that Hoyle's broadcasts had in post-war Britain. His programmes for the BBC on The Nature of the Universe won greater audiences than such unlikely rivals as Bertrand Russell and Tommy Handley. Even today many people recall how they were affected by listening to these broadcasts. Hoyle used one of his broadcasts to ridicule the hot explosion theory. He referred to the idea of a 'big bang as fanciful'. Unfortunately the name stuck, much to Hoyle's chagrin. In the 1950s Hoyle began a fruitful collaboration with Willy Fowler of the California Institute of Technology in Pasadena. Hoyle was interested in the origin of the chemical elements. Hans Bethe, Charles Critchfield and Karl-Frederich von Weizsäcker had calculated in 1939 how stars could turn protons into helium nuclei by nuclear fusion. Part of the Vela supernova remmant, the debris left after the type of massive explosion in which Hoyle predicted that heavy nuclei were formed. (© Royal Observatory, Edinburgh, Anglo-Australian Observatory.) Building on earlier collaboration with Ed Saltpeter, Hoyle used data supplied by Geoffrey and Margaret Burbidge and, working with Fowler, began to piece together how the elements were formed. By looking at very large stars near the end of their lives and examining their chemical composition, they noticed that the abundances of elements almost exactly corresponded to those with a low nuclear capture cross section. Hoyle argued that all of the elements in our bodies had been formed in stars that had been and gone before our solar system had even formed. In their classic paper the elements are produced by three basic methods. The

  19. Effectiveness of a physiotherapeutic protocol for equilibrium with institutionalized elderly people Eficácia de um protocolo fisioterapêutico para equilíbrio em idosos institucionalizados

    Mariane Negrão Serra dos Santos Lopes

    2010-12-01

    Full Text Available Equilibrium consists of keeping the gravity center within a support basis which provides more stability in the body segments during static and dynamic situations. The maintenance of body equilibrium in space is a complex phenomenon that depends on several structures, such as: motor system, proprioceptive sensitivity, vestibular system, visual system, cerebellum, among others. The fall is one of the main consequences of lack of equilibrium in the elderly. It is known that the physical therapy and the physical activity are important tools to prevent and/or reduce these deficits. The objective of this work was to verify the effectiveness of a physiotherapeutic program for institutionalized elderly people. Materials and methods: This is a prospective study of cohort, with seven institutionalized elderly people. The elderly who walked without orthosis, were obedient and understood verbal commands, were included. An initial evaluation of the respiratory, neurological and orthopedic systems was used, together with Tinetti’s Equilibrium and Mobility Scale. The treatment protocol consisted of 16 therapies. In each session, the warm up, stretching, strengthening, equilibrium training, walk training and relaxation were performed twice a week, with a 50-minute length each, for two months. The data were statistically evaluated through Wilcoxon test with a significance of p=0.03. Results showed an improvement in the equilibrium of the studied group. It will be suggested that the protocol used be implemented in the institution where it was conducted, what could reduce the risks inherent in the equilibrium deficit in the elderly. O equilíbrio consiste em manter o centro de gravidade dentro de uma base de suporte que proporcione maior estabilidade nos segmentos corporais durante situações estáticas e dinâmicas. A manutenção do equilíbrio do corpo no espaço é um fenômeno complexo que depende da integração de várias estruturas como: sistema motor

  20. People

    2001-11-01

    the war Hoyle returned to Cambridge, but kept in close contact with his collaborators. Fred Hoyle was a canny and media-savvy scientist, 40 years before such things were recognized. Martin Rees said after his death '[He] also had other dimensions to his career, his inventiveness and skill as a communicator'. It is hard to realize now the impact that Hoyle's broadcasts had in post-war Britain. His programmes for the BBC on The Nature of the Universe won greater audiences than such unlikely rivals as Bertrand Russell and Tommy Handley. Even today many people recall how they were affected by listening to these broadcasts. Hoyle used one of his broadcasts to ridicule the hot explosion theory. He referred to the idea of a 'big bang as fanciful'. Unfortunately the name stuck, much to Hoyle's chagrin. In the 1950s Hoyle began a fruitful collaboration with Willy Fowler of the California Institute of Technology in Pasadena. Hoyle was interested in the origin of the chemical elements. Hans Bethe, Charles Critchfield and Karl-Frederich von Weizsäcker had calculated in 1939 how stars could turn protons into helium nuclei by nuclear fusion. Part of the Vela supernova remmant, the debris left after the type of massive explosion in which Hoyle predicted that heavy nuclei were formed. (© Royal Observatory, Edinburgh, Anglo-Australian Observatory.) Building on earlier collaboration with Ed Saltpeter, Hoyle used data supplied by Geoffrey and Margaret Burbidge and, working with Fowler, began to piece together how the elements were formed. By looking at very large stars near the end of their lives and examining their chemical composition, they noticed that the abundances of elements almost exactly corresponded to those with a low nuclear capture cross section. Hoyle argued that all of the elements in our bodies had been formed in stars that had been and gone before our solar system had even formed. In their classic paper the elements are produced by three basic methods. The

  1. From Ambivalence to Activism: Young People's Environmental Views and Actions

    Partridge, Emma

    2008-01-01

    Do young people really take a particular interest in environmental issues, or are they apathetic? This paper considers what young people really think about the environment by drawing together and reviewing attitudinal polling and other research into young people's views. It seeks to challenge simplistic assumptions, and instead acknowledges the…

  2. The Relationship between Psychosocial Effects and Life Satisfaction of the Korean Elderly: Moderating and Mediating Effects of Leisure Activity

    Jongmin Ra

    2013-12-01

    Full Text Available The purpose of this present study first suggest a conceptual framework for life satisfaction of the elderly and examined the relationship among leisure activities, self-efficacy, social support and life satisfaction in terms of moderating and mediating effects with a sample of the elderly in the Korean context by characterizing the causal structure. Specially, this study not only describes the relationship between life satisfaction and leisure activities, self-efficacy and social support, but also provides direct and indirect relationships between life satisfaction and each subscale in the measured variables. Results show that leisure activities positively influence self-efficacy, social support, and life satisfaction. In addition, results show that perceived self-efficacy and social support positively mediate the relationships between leisure activities and life satisfaction in the elderly. Therefore, the current study suggests that helping the elderly to maintain participation in formal and/or informal leisure pursuits has important implications for promoting well-being in later life. Furthermore, designing the appropriate leisure activities for elders could be very helpful in enhancing life satisfaction.

  3. Health Related Quality of Life in Elderly People Living in Bandar Abbas, Iran: A Population-Based Study

    Teamur Aghamolaei; Sedigheh Sadat Tavafian; Shahram Zare

    2010-01-01

    "nMeasuring health related quality of life of old people has become an important public health issue with the aging of population in developing countries. The aim of this study was to examine the health related quality of life of old people living in Bandar Abbas, Iran. This was a population-based study in which a random sample of 1000 individuals of the community aged over 60 years were interviewed using SF-36 questionnaire. Overall health related quality of life and relative difference...

  4. Neural Activity When People Solve Verbal Problems with Insight

    Jung-Beeman Mark

    2004-01-01

    Full Text Available People sometimes solve problems with a unique process called insight, accompanied by an "Aha!" experience. It has long been unclear whether different cognitive and neural processes lead to insight versus noninsight solutions, or if solutions differ only in subsequent subjective feeling. Recent behavioral studies indicate distinct patterns of performance and suggest differential hemispheric involvement for insight and noninsight solutions. Subjects solved verbal problems, and after each correct solution indicated whether they solved with or without insight. We observed two objective neural correlates of insight. Functional magnetic resonance imaging (Experiment 1 revealed increased activity in the right hemisphere anterior superior temporal gyrus for insight relative to noninsight solutions. The same region was active during initial solving efforts. Scalp electroencephalogram recordings (Experiment 2 revealed a sudden burst of high-frequency (gamma-band neural activity in the same area beginning 0.3 s prior to insight solutions. This right anterior temporal area is associated with making connections across distantly related information during comprehension. Although all problem solving relies on a largely shared cortical network, the sudden flash of insight occurs when solvers engage distinct neural and cognitive processes that allow them to see connections that previously eluded them.

  5. Correlates of and physical activity counseling effect on attitude toward physical activity among older people

    Tsai, Li-Tang

    2011-01-01

    Among older adults, moderate regular physical activity, even if below the level to show fitness effect, leads to multiple health benefits. However, despite well-documented benefits of physical activity, the majority of adults in developed countries do not exercise. There is a need to investigate what influences attitude toward physical activity among older people to develop suitable health promotion scheme. The purpose of this study was to identify correlates of attitude toward physical activ...

  6. Old age and elderly people: social representations of adolescent students Vejez y persona anciana: representaciones sociales de adolescentes escolares Velhice e pessoa idosa: representações sociais de adolescentes escolares

    Maria Célia de Freitas

    2013-06-01

    Full Text Available OBJECTIVE: to know the main elements of social representations about elderly people and old age among adolescents at a public high school. METHOD: 172 adolescents between 14 and 19 years of age participated. The free evocation of words technique was applied through the terms elderly and old age. RESULTS: The main elements of the representations significantly designed for elderly people were: respect and disrespect, 78; experience, 49; care, 32; wisdom, 23; fragility, 19. For old age: disease, 51; retirement, 27; experience, 27; wisdom, 19; wrinkles, 17. The social representations of adolescents are strongly marked by physical, psychological and social aspects, with positive and negative aspects about old age. CONCLUSION: Participatory health education activities are needed to make adolescents critically reflect on and the condition of elderly people in contemporary society. OBJETIVO: Conocer los elementos centrales de las representaciones sociales de adolescentes de una institución de enseñanza media pública sobre la persona anciana y la vejez. MÉTODO: Participaron 172 adolescentes, entre 14 e 19 años. Se aplicó la técnica de evocación libre de palabras a través de los términos inductores persona anciana y vejez. RESULTADOS: Los elementos centrales de las representaciones significativamente construidos para persona anciana fueron: respeto y desacato, 78; experiencia, 49; atención, 32; sabiduría, 23; fragilidad, 19. Para vejez fueron: enfermedad, 51; jubilación, 27; experiencia, 27; sabiduría, 19; arrugas, 17. Las representaciones sociales de los adolescentes están fuertemente marcadas por aspectos físicos, psicológicos y sociales con aspectos positivos y negativos sobre la vejez. CONCLUSÍON: Se concluyó por la necesidad de realización de actividades de educación en salud participativas de manera a conducir los adolescentes a la crítica y reflexión sobre el envejecimiento y la condición del anciano en la sociedad contempor

  7. Age-related changes in conventional and magnetization transfer MR imaging in elderly people: comparison with neurocognitive performance

    This study was designed to compare three different measures of the elderly human brain; the magnetization transfer ratio (MTR) histogram, the percentage of brain parenchymal volume, and the volume of T2 hyperintense areas in terms of correlations with the study subjects'neurocognitive performance. Thirty-five healthy community-dwelling elderly volunteers aged 60-82 years underwent dual fast spin-echo (FSE) imaging and magnetization transfer imaging. A semi-automated technique was used to generate the MTR histogram, the brain parenchymal volume, and the T2 lesion volume. The subjects'neurocognitive performance was assessed by using the Korean-Mini Mental State Examination (K-MMSE) and additional tests. The peak height of the MTR (PHMTR), the percentage of brain parenchymal volume (PBV), and the normalized T2 lesion volume (T2LV) were compared between the normal group. (Z score on the K-MMSE ≥ -2, n=23) and the mild cognitive impairment group (Z score on the K-MMSE < -2, N=12), and these parameters were correlated with age and various neurocognitive performance scores. The PHMTR was significantly lower in the cognitively impaired subjects than the PHMTR in the normal subjects (ρ = 0.005). The PBV scores were lower in the cognitively impaired subjects than in the normal subjects (ρ = 0.02). The T2LV scores were significantly higher in the cognitively impaired subjects (ρ = 0.01). An inverse correlation was found between the PHMTR and T2LV (r = -0.747, ρ < 0.001), and also between the PBV and T2LV (r = -0.823, ρ < 0.001). A positive correlation was observed between the PHMTR and the PBV (r = 0.846, ρ < 0.001). Scores on the various neurocognitive tests were positively correlated with the PHMTR (6 of 7 items) and the PBV (5 of 7 items), and they were negatively correlated with the T2LV (5 of 7 items). Our findings of a correlation among the PBV, the T2LV, and the PHMTR suggest that MTR histograms and the PBV and T2LV can be used as a reliable method and valid

  8. Age-related changes in conventional and magnetization transfer MR imaging in elderly people: comparison with neurocognitive performance

    Lee, Ki Yeol; Kim, Taik Kun; Park, Min Kyu [Korea University College of Medicine, Seoul (Korea, Republic of); Ko, Sung Yu [Korea University College of Medicine, Ansan Hospital, Ansan (Korea, Republic of); Song, In Chan [Seoul National University Hospital, Seoul (Korea, Republic of); Cho, Ik Hwan [College of Engineering, Inha University, Incheon (Korea, Republic of)

    2004-06-15

    This study was designed to compare three different measures of the elderly human brain; the magnetization transfer ratio (MTR) histogram, the percentage of brain parenchymal volume, and the volume of T2 hyperintense areas in terms of correlations with the study subjects'neurocognitive performance. Thirty-five healthy community-dwelling elderly volunteers aged 60-82 years underwent dual fast spin-echo (FSE) imaging and magnetization transfer imaging. A semi-automated technique was used to generate the MTR histogram, the brain parenchymal volume, and the T2 lesion volume. The subjects'neurocognitive performance was assessed by using the Korean-Mini Mental State Examination (K-MMSE) and additional tests. The peak height of the MTR (PHMTR), the percentage of brain parenchymal volume (PBV), and the normalized T2 lesion volume (T2LV) were compared between the normal group. (Z score on the K-MMSE {>=} -2, n=23) and the mild cognitive impairment group (Z score on the K-MMSE < -2, N=12), and these parameters were correlated with age and various neurocognitive performance scores. The PHMTR was significantly lower in the cognitively impaired subjects than the PHMTR in the normal subjects ({rho} = 0.005). The PBV scores were lower in the cognitively impaired subjects than in the normal subjects ({rho} = 0.02). The T2LV scores were significantly higher in the cognitively impaired subjects ({rho} = 0.01). An inverse correlation was found between the PHMTR and T2LV (r = -0.747, {rho} < 0.001), and also between the PBV and T2LV (r = -0.823, {rho} < 0.001). A positive correlation was observed between the PHMTR and the PBV (r = 0.846, {rho} < 0.001). Scores on the various neurocognitive tests were positively correlated with the PHMTR (6 of 7 items) and the PBV (5 of 7 items), and they were negatively correlated with the T2LV (5 of 7 items). Our findings of a correlation among the PBV, the T2LV, and the PHMTR suggest that MTR histograms and the PBV and T2LV can be used as a

  9. People

    2001-07-01

    . Concentrating on just one of these it is easy to see how quickly you run into problems! If the MSE lands near the poles, one of the most fascinating activities would be to look for evidence of water ice. In recent years researchers looking at life on the Earth have shown that if water is present, even in the most inhospitable of environments, life often finds a way to survive. The possibility of water on any planet is therefore an exciting prospect! One possible way to look for ice either at or near the surface is to extract a sample using the mole as it penetrates the regolith, heat it at a constant rate and record the amount of energy used to maintain that rate. This technique, differential scanning calorimetry, can observe phase changes in materials and so help to identify them. The technical challenges of performing even this simplistic analysis task are quite daunting. We have to design and build a sample acquisition mechanism that can withstand launch and landing and work at extreme temperatures, heat a sample down a borehole and reject excess heat and the electronics must fit into a 2 cm diameter by 50 cm long mole. So although BepiColombo will not launch until 2009 and will not arrive at Mercury until 2012, there's more than enough work to keep me busy until then!

  10. Effect of the consumption of a new symbiotic shake on glycemia and cholesterol levels in elderly people with type 2 diabetes mellitus

    Moroti Camila

    2012-02-01

    Full Text Available Abstract Background The consumption of foods containing probiotic and prebiotic ingredients is growing consistently every year, and in view of the limited number of studies investigating their effect in the elderly. Objective The objective of this study was to evaluate the effect of the consumption of a symbiotic shake containing Lactobacillus acidophilus, Bifidobacterium bifidum and fructooligosaccharides on glycemia and cholesterol levels in elderly people. Methods A randomized, double-blind, placebo-controlled study was conducted on twenty volunteers (ten for placebo group and ten for symbiotic group, aged 50 to 60 years. The criteria for inclusion in the study were: total cholesterol > 200 mg/dL; triglycerides > 200 mg/dL and glycemia > 110 mg/dL. Over a total test period of 30 days, 10 individuals (the symbiotic group consumed a daily dose of 200 mL of a symbiotic shake containing 108 UFC/mL Lactobacillus acidophilus, 108 UFC/mL Bifidobacterium bifidum and 2 g oligofructose, while 10 other volunteers (the placebo group drank daily the same amount of a shake that did not contain any symbiotic bacteria. Blood samples were collected 15 days prior to the start of the experiment and at 10-day intervals after the beginning of the shake intake. The standard lipid profile (total cholesterol, triglycerides and HDL cholesterol and glycemia, or blood sugar levels, were evaluated by an enzyme colorimetric assay. Results The results of the symbiotic group showed a non-significant reduction (P > 0.05 in total cholesterol and triglycerides, a significant increase (P P Conclusion The consumption of symbiotic shake resulted in a significant increase in HDL and a significant decrease of glycemia. Trial Registration ClinicalTrials.gov: NCT00123456

  11. Parental Attitudes and Young People's Online Sexual Activities

    Sorbring, Emma; Hallberg, Jonas; Bohlin, Margareta; Skoog, Therése

    2015-01-01

    Parental attitudes towards young people's sexuality in traditional (i.e. non-online media) settings have been associated with young people's sexual activities. In this study, we explored the association between key parent and youth characteristics and parental attitudes towards young people's online sexual activities. We also…

  12. Comparing the Effects of Multisensory Stimulation and Individualized Music Sessions on Elderly People with Severe Dementia: A Randomized Controlled Trial.

    Sánchez, Alba; Maseda, Ana; Marante-Moar, M Pilar; de Labra, Carmen; Lorenzo-López, Laura; Millán-Calenti, José Carlos

    2016-03-01

    The objective of this study was to compare the effects of a multisensory stimulation environment (MSSE) and individualized music sessions on agitation, emotional and cognitive status, and dementia severity in a sample of institutionalized patients with severe dementia. Twenty-two participants with a diagnosis of severe or very severe dementia were randomly assigned to two groups: MSSE and individualized music sessions. Both groups participated in two 30-min weekly sessions over 16 weeks. Outcomes were agitation (Cohen-Mansfield Agitation Inventory, CMAI), mood (Cornell Scale for Depression in Dementia, CSDD), anxiety (Rating Anxiety in Dementia, RAID), cognitive function (Severe Mini-Mental State Examination, SMMSE), and the overall severity of dementia (Bedford Alzheimer Nursing Severity Scale, BANS-S). They were assessed at baseline (pre-trial), in the middle (mid-trial), at the end of the intervention (post-trial), and 8 weeks after the intervention (follow-up). Patients in the MSSE group showed significant improvement in their RAID and BANS-S scores compared with the individualized music group post- versus pre-trial. With regard to agitation, there was improvement during the intervention in both the MSSE and individualized music groups in the CMAI total score after 16 weeks of intervention, with no significant differences between the groups. The results suggest that MSSE could have better effects on anxiety symptoms and dementia severity in comparison with individualized music sessions in elderly patients with severe dementia. PMID:27060958

  13. Higher Physical Activity Is Associated with Increased Attentional Network Connectivity in the Healthy Elderly.

    Kim, Geon Ha; Im, Kiho; Kwon, Hunki; Seo, Sang Won; Ye, Byoung Seok; Cho, Hanna; Noh, Young; Lee, Jong Min; Kim, Sung Tae; Park, Sang Eon; Kim, Hojeong; Hwang, Jung Won; Kang, Sue J; Jeong, Jee Hyang; Na, Duk L

    2016-01-01

    The purpose of this study was to demonstrate the potential alterations in structural network properties related to physical activity (PA) in healthy elderly. We recruited 76 elderly individuals with normal cognition from Samsung Medical Center in Seoul, Korea. All participants underwent the Cambridge Neuropsychological Test Automated Battery and 3.0T brain magnetic resonance imaging (MRI). Participants were subdivided into quartiles according to the International Physical Activity Questionnaire scores, which represents the amount of PA. Through graph theory based analyses, we compared global and local network topologies according to PA quartile. The higher PA group demonstrated better performance in speed processing compared to the lower PA group. Regional nodal strength also significantly increased in the higher PA group, which involved the bilateral middle frontal, bilateral inferior parietal, right medial orbitofrontal, right superior, and middle temporal gyri. These results were further replicated when the highest and the lowest quartile groups were compared in terms of regional nodal strengths and local efficiency. Our findings that the regional nodal strengths associated with the attentional network were increased in the higher PA group suggest the preventive effects of PA on age-related cognitive decline, especially in attention. PMID:27597826

  14. Adherence to the physical activity intervention in the Lifestyle Interventions and Independence for Elders pilot (LIFE-P) study.

    Lifestyle Interventions and Independence for Elders Pilot (LIFE-P) was a trial to examine the effects of physical activity on measures of disability risk in previously sedentary older adults at risk for disability. We examined adherence and retention to the LIPE-P physical activity (PA) interventio...

  15. Review of Effects of Physical Activity on Strength, Balance, Mobility and ADL Performance in Elderly Subjects with Dementia

    Blankevoort, Christiaan G.; van Heuvelen, Marieke J. G.; Boersma, Froukje; Luning, Helga; de Jong, Jeltsje; Scherder, Erik J. A.

    2010-01-01

    Background/Aims: Elderly individuals with dementia are vulnerable for a decline in physical functioning and basic activities of daily living (BADL) which can lead to a decline in autonomy and participation. This study reviews the effect of physical activity on physical functioning and BADL in elderl

  16. Participation in daytime activities among people with mild or moderate intellectual disability.

    Dusseljee, J.C.E.; Rijken, P.M.; Cardol, M.; Curfs, L.M.G.; Groenewegen, P.P.

    2011-01-01

    Background: Community participation has been defined as performing daytime activities by people while interacting with others. Previous studies on community participation among people with intellectual disability (ID) have mainly focused on the domestic life aspect. This study investigates the varia

  17. ASSESSMENT OF BALANCE ABILITIES IN ELDERLY PEOPLE BY MEANS OF A CLINICAL TEST AND A LOW-COST FORCE PLATE

    Sgrò, Francesco; Licari, Danilo; Coppola, Roberto; Lipoma, Mario

    2015-01-01

    Balance and mobility assessment, and the estimation of the risk of falls, represent crucial elements for supporting a healthy aging process. In this work, we evaluated the association of two approaches used to estimate standing balance and sit-to-stand abilities in community-dwelling older people. The clinical-based test was the Short Physical Performance Battery, while the laboratory-based assessments were realized by means of output measures obtained with the Wii Balance Board. The corre...

  18. Association of cerebral white matter lesions with cognitive function and mood in Japanese elderly people: a population-based study

    Yamawaki, Mika; Wada-Isoe, Kenji; Yamamoto, Mikie; Nakashita, Satoko; Uemura, Yusuke; Takahashi, Yoshimitsu; Nakayama, Takeo; Nakashima, Kenji

    2015-01-01

    Background To determine the relationships between regional white matter lesions (WMLs), lifestyle factors, and cognitive, motor function and mood. Methods A comprehensive evaluation, including brain MRI, blood tests, the Unified Parkinson's Disease Rating Scale, the Mini Mental State Examination, and the Geriatric Depression Scale, was performed for people aged 65 years or older living in Ama-cho on October 1, 2009. Participants were classified by severity of periventricular hyperintensities ...

  19. Confiabilidade do Instrumento para Classificação de Idosos quanto à Capacidade para o Autocuidado Reliability of the Instrument for Classifying Elderly People's Capacity for Self-care

    Maria Helena Morgani de Almeida

    2008-04-01

    careful grouping of the responses. This led to the formulation of a simplified version of the instrument. The stability of this version was assessed using the kappa coefficient and the internal consistency by Cronbach's alpha coefficient. RESULTS: The stability ranged from moderate to excellent. The internal consistency was checked only for areas that were shown to be appropriate for using the methodology, based on calculations of Cronbach's alpha: three of the six questions in the "social profile" area and the blocks of basic and instrumental activities of daily living in the "functional capacity" area, which respectively consisted of nine and eight activities. CONCLUSIONS: Following the stability and internal consistency tests, the instrument made it possible to succinctly and simply classify elderly people with regard to their functional capacity for basic and instrumental activities, and to characterize them regarding other aspects of self-care. The evidence regarding its reliability and validity could be expanded by means of new studies.

  20. Association of day length and weather conditions with physical activity levels in older community dwelling people

    Witham, Miles D; Donnan, Peter T.; Thenmalar Vadiveloo; Sniehotta, Falko F.; Crombie, Iain K; Zhiqiang Feng; McMurdo, Marion E. T.

    2014-01-01

    BACKGROUND: Weather is a potentially important determinant of physical activity. Little work has been done examining the relationship between weather and physical activity, and potential modifiers of any relationship in older people. We therefore examined the relationship between weather and physical activity in a cohort of older community-dwelling people. METHODS: We analysed prospectively collected cross-sectional activity data from community-dwelling people aged 65 and over in the Physical...