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Sample records for active elderly people

  1. Green care farms promote activity among elderly people with dementia

    Bruin, S.R. de; Oosting, S.J.; Kuin, Y.; Hoefnagels, E.C.M.; Blauw, Y.H.; Groot, C.P.G.M. de; Schols, J.M.G.A.

    2009-01-01

    In the Netherlands, an increasing number of green care farms are providing day care to community-dwelling elderly people with dementia. Currently, it is unknown whether activities, activity participation, and facility use of elderly people with dementia at green care farms differ from those at regul

  2. Effects of physical activity on the P300 component in elderly people: a systematic review.

    Pedroso, Renata V; Fraga, Francisco J; Ayán, Carlos; Cancela Carral, José Maria; Scarpari, Laís; Santos-Galduróz, Ruth F

    2017-03-06

    The effects of physical activity on brain function can be assessed through event-related potentials (P300) that reflect cortical activities related to cognitive functions. P300 latency represents the information processing time; longer latencies represent slower processing. P300 amplitude is associated with the attentional system and working memory, with higher amplitudes representing more preserved functions. This systematic review summarizes the literature concerning the effects of physical activity and exercise on P300 in the elderly. Databases, including Web of Science, Scopus, PsycINFO, MEDLINE/PubMed, and Biological Abstracts, were searched for articles up to November 2015. Articles were considered for inclusion if they were studies of the elderly, assessed P300, and evaluated the influence of physical activity on P300 or the effect of physical exercise training on P300. Of the 1227 articles found, 14 investigations matched the inclusion criteria. Nine analyzed the influence of physical activity on P300 in the elderly, and five examined the effects of physical exercise on P300 in the elderly. The obtained results showed that physically active elderly people have shortened P300 latency and higher amplitude. Physical exercise, especially those involving aerobic or resistance training, seems to have marked beneficial effects on P300 in the elderly. Evidence shows that physical activity and physical exercise positively influence cortical activities related to cognitive functions, as indicated by P300, in elderly people.

  3. Kinematics of hip, knee, ankle of the young and elderly Chinese people during kneeling activity*

    Zhou, Hai; Wang, Dong-Mei; Liu, Tao-ran; Zeng, Xiang-sen; Wang, Cheng-tao

    2012-01-01

    Objective: The purpose of this study was to measure the kinematics of the lower limbs of Chinese people during normal kneeling activity, as such data could be valuable in designing joint prosthesis and arthroplasty that meet the needs of Chinese citizens’ daily activities. Methods: Thirty young and twenty elderly Chinese participants with no personal history of joint diseases were recruited, and matched by age (average age: 23.8 years for the young group, 60.8 years for the elderly group). Ea...

  4. 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...

  5. Profile of elderly people with high blood pressure in a family physical activity program

    Luzia Wilma Santana da Silva

    2015-05-01

    Full Text Available A quantitative and descriptive study, aimed at analyzing the socioeconomic and behavioral profile of elderly people with hypertension interested in participating in a regular physical activity program with their families. The results showed people that mainly belong to the C class, which adopt physically active behavior to the routines of housework in their daily lives. The findings, allows to infer that for specific health promotion arises as necessary regular physical activity as a commitment to add to the home daily demands to health potential.  

  6. Kinematics of hip, knee, ankle of the young and elderly Chinese people during kneeling activity

    Hai ZHOU; Dong-mei WANG; Tao-ran LIU; Xiang-sen ZENG; Cheng-tao WANG

    2012-01-01

    Objective:The purpose of this study was to measure the kinematics of the lower limbs of Chinese people during normal kneeling activity,as such data could be valuable in designing joint prosthesis and arthroplasty that meet the needs of Chinese citizens' daily activities.Methods:Thirty young and twenty elderly Chinese participants with no personal history of joint diseases were recruited,and matched by age (average age:23.8 years for the young group,60.8 years for the elderly group).Each participant performed six trials during which three-dimensional (3D) kinematics data were collected and the means of the 3D angles of the ankle,knee,and hip joints of two groups were calculated.Results:There were no obvious differences between the two groups in the knee and ankle joints.The mean range of knee flexion was 139.6° for the young group and 140.9° for the elderly group.The mean range of ankle flexion was 35.7° for the young group and 37.6° for the elderly group.The maximal eccentric flexion at the hip joint was 67.5° for the young group compared to 100.5° for the elderly group.Conclusions:The elderly uses more hip flexion angles than the young when assuming the kneeling posture.The ranges of motion obtained during kneeling activity are greater than the reported mean ranges of motion achieved following joint arthroplasty.The data could be valuable in establishing criteria for lower limb prosthetics and rehabilitation protocol for the Chinese population.

  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. Effects of a physical activity program on the quality of life among elderly people in Brazil

    da Fonte, Eduardo; Feitosa, Pedro Henrique; de Oliveira Neto, Luiz Teixeira; de Araújo, Carla Leal; Figueiroa, José Natal; Alves, João Guilherme

    2016-01-01

    Purpose: To assess the quality of life (QOL) of elderly people in the “Academia da Cidade program” (ACP), a public Brazilian Government Program encourages physical and leisure activity in Recife, Brazil. Materials and Methods: This cross-sectional study evaluated 181 elderly people attending the “ACP” at least twice a week. Demographic, socioeconomic, and clinical data were presented according to World Health Organization QOL (WHOQOL)-BREF and WHOQOL-OLD scores. Results: Univariate analysis showed that WHOQOL-BREF and WHOQOL-OLD scores were positively associated with longer duration of participation in “ACP,” P < 0.030 and P < 0.003, respectively, a multivariate regression analysis showed that duration of participation in “ACP” remained associated with higher WHOQOL-BREF (P = 0.023) and WHOQOL-OLD (P = 0.038) scores. Conclusion: A longer duration of participation in a community-based physical activity program, “ACP,” may contribute to a better QOL for the elderly in Brazil. PMID:27453859

  9. 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…

  10. Paid Work and Physical Activity Preserve Functional Capacity in Elderly People

    Lariane Mortean Ono MMSc

    2015-09-01

    Full Text Available Objective: To investigate the prevalence and association between functional disability and health conditions in elderly people. Method: A cross-sectional, population-based study with 1,705 elderly residents in urban region of Florianópolis, Brazil, from September 2009 to July 2010. The functional disability was classified according to the difficulty in accomplishing six basic activities of daily living. The crude and adjusted multinomial logistic regression was used to identify the associated factors. Results: The prevalence of mild functional disability was 38.9%, and it was positively associated with being female, older age, reporting four or more chronic diseases, overweight, and negative self-perception of health. High education and income, having paid work, and being physically active in leisure activities reduced the chance of presenting it. The prevalence of moderate/severe disability was 11.7% and positively associated with older age, presence of depressive symptoms, four or more chronic diseases, and negative self-perception of health. High education, paid work, and being physically active in leisure activities also reduced the chance of presenting moderate/severe disability. Conclusion: Being gainfully employed, having a high level of education, and being physically active in their leisure time reduced the chance of presenting disability. The negative self-perception of health was the factor that most increased the chance of presenting functional disability.

  11. Paid Work and Physical Activity Preserve Functional Capacity in Elderly People

    Ono, Lariane Mortean; Schneider, Ione Jayce Ceola; Confortin, Susana Cararo; d’Orsi, Eleonora

    2015-01-01

    Objective: To investigate the prevalence and association between functional disability and health conditions in elderly people. Method: A cross-sectional, population-based study with 1,705 elderly residents in urban region of Florianópolis, Brazil, from September 2009 to July 2010. The functional disability was classified according to the difficulty in accomplishing six basic activities of daily living. The crude and adjusted multinomial logistic regression was used to identify the associated factors. Results: The prevalence of mild functional disability was 38.9%, and it was positively associated with being female, older age, reporting four or more chronic diseases, overweight, and negative self-perception of health. High education and income, having paid work, and being physically active in leisure activities reduced the chance of presenting it. The prevalence of moderate/severe disability was 11.7% and positively associated with older age, presence of depressive symptoms, four or more chronic diseases, and negative self-perception of health. High education, paid work, and being physically active in leisure activities also reduced the chance of presenting moderate/severe disability. Conclusion: Being gainfully employed, having a high level of education, and being physically active in their leisure time reduced the chance of presenting disability. The negative self-perception of health was the factor that most increased the chance of presenting functional disability. PMID:28138470

  12. [Age-related features of neurohumoral effects of dopamine activity on the cardiovascular system in elderly people].

    Lyzohub, V H; Dolynna, O V; Zaval's'ka, T V

    2012-12-01

    Determined the decrease in dopamine activity with age, that contributes to the pathogenesis of hypertension, abdominal obesity, the development of left ventricular hypertrophy. The article presents information describing the age-sensitive regulation of the cardiovascular system in elderly people, confirming the influence of the activity of dopamine receptors in the development of age pathology.

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

    Rothenbacher, D; Bode, G; Peschke, F

    1998-01-01

    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...

  14. Relationship between perinatal characteristics and later activities of daily living in Chinese elderly people

    XU Tao; ZHANG Zhen-xin; HAN Shao-mei; XIAO Xin-hua; GONG Xiao-ming; CHEN Xia; HU Hong-tao; WANG Zi-shi; LIU Ai-min

    2009-01-01

    Background There are no reports on the association between perinatal characteristics and comprehensive physical function in Chinese elderly people. In this study, we traced 875 subjects who were born at the Peking Union Medical College Hospital (PUMCH) of China from 1921 to 1941. The purpose of this study was to determine the effects of perinatal characteristics on activities of daily living (ADL) function in the geriatric period. Methods Birth data of 875 subjects were obtained from obstetric birth records of PUMCH. Adulthood data collection was conducted in the outpatient clinics of PUMCH. During the clinic visits, trained research staff administered physical examinations, activities of daily living scale and a demographic questionnaire. ADLs of all subjects were assessed with the activities of daily living scale.Results There were 101 subjects whose ADL function was limited and the rate of ADL limitation was 11.5%. Binary logistic regression analyses results showed that the main influencing factors of ADL were age, maternal age at birth, occupation, daily exercise and chronic disease. Subjects whose maternal age at their birth exceeded 35 years were at 2.202 times (1.188-4.083) greater risk of ADL limitation when we applied multivariate logistic regression models. Conclusions This study validated the relationship between perinatal characteristics and ADL in the geriatric period. An older maternal age at birth could predict a higher ADL limitation rate in the geriatric period.

  15. Exploring Musical Activities and Their Relationship to Emotional Well-Being in Elderly People across Europe: A Study Protocol

    Grau-Sánchez, Jennifer; Foley, Meabh; Hlavová, Renata; Muukkonen, Ilkka; Ojinaga-Alfageme, Olatz; Radukic, Andrijana; Spindler, Melanie; Hundevad, Bodil

    2017-01-01

    Music is a powerful, pleasurable stimulus that can induce positive feelings and can therefore be used for emotional self-regulation. Musical activities such as listening to music, playing an instrument, singing or dancing are also an important source for social contact, promoting interaction and the sense of belonging with others. Recent evidence has suggested that after retirement, other functions of music, such as self-conceptual processing related to autobiographical memories, become more salient. However, few studies have addressed the meaningfulness of music in the elderly. This study aims to investigate elderly people’s habits and preferences related to music, study the role music plays in their everyday life, and explore the relationship between musical activities and emotional well-being across different countries of Europe. A survey will be administered to elderly people over the age of 65 from five different European countries (Bosnia and Herzegovina, Czechia, Germany, Ireland, and UK) and to a control group. Participants in both groups will be asked about basic sociodemographic information, habits and preferences in their participation in musical activities and emotional well-being. Overall, the aim of this study is to gain a deeper understanding of the role of music in the elderly from a psychological perspective. This advanced knowledge could help to develop therapeutic applications, such as musical recreational programs for healthy older people or elderly in residential care, which are better able to meet their emotional and social needs. PMID:28373851

  16. 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...

  17. Elderly Peoples' Perception of Young People - A Preliminary Study.

    Mateusz Cybulski

    2013-10-01

    Full Text Available Aging is becoming a more noticeable phenomenon in Poland and Europe. We analysed the perception of youth by elderly and compared attitudes of students of the University of the Third Age (SU3A with nursing homes residents (NHR to young people.Our questionnaire was distributed to 140 people over the age of 50 (70 SU3A and 70 NHR.85.0% of all respondents answered positively to the question "Do you enjoy contact with young people?", even though their contacts are usually limited and mostly confined to a few s a year. Vast majority of NHR (62.9% and almost half SU3A (48.6% believe that there is a need to integrate seniors and youth to achieve mutual benefits.Young people would benefit from the life experience of the elderly; the elderly could become more active in many areas of life.

  18. The influence of fine art activities on satisfaction with life of the residents of the care home for elderly people

    2016-01-01

    The purpose of this specialist thesis was to observe and evaluate the influence of fine art activities on satisfaction with life of the residents of the Care Home for Elderly people in Ljubljana. In this thesis I have tried to assess the impact that fine art activities, performed by the residents, had on their satisfaction with their lives. In my evaluation I have used the elements of the so-called action research, which is a qualitative method. Seven female clients voluntarily participated i...

  19. ATTITUDE TO FUNCTIONAL FOOD AMONG ELDER PEOPLE FROM THE WIELKOPOLSKA REGION BASED ON THEIR LIFE ACTIVITY – PILOT STUDY

    Anna Jędrusek-Golińska

    2015-12-01

    Full Text Available Due to the increasing share of the elderly in the population of developed countries and studies that indicate that aging is positively correlated with poorer nutritional status, it would make sense to spread the consumption of functional foods among seniors. The aim of the work was to determine the perception of functional food by elderly people depending on their vital activity. In the study survey questionnaire was used, consisting primarily of closed questions. In direct survey participated 140 people at the age of 65 from the Wielkopolska region. Women accounted for 66% of the respondents. Respondents were divided into 2 groups – active physically and mentally (respondents doing sports every day, leading social and charitable activities, participants in classes at the University of the Third Age, and less-active. The answers were analysed Chi-square test α = 0.05 signifi cance level (Statistica Soft Ware 7.0. On the basis of the carried out study were found better attitudes towards functional foods among people with more active life. More than a half of the “active” respondents had no concern with respect to functional foods, while 20% of the people from “inactive” group believed the products to be promoted as healthy only as an advertising ploy. Most of the “active” respondents associated functional food as pro-healthy food. The application of functional foods can translate into improving health quality of life of older people, which is why it is worthwhile to support activation measures of seniors and increase their knowledge of these products.

  20. NEGATIVE GERONTOSTEREOTIPY OF POPULATION AND THE PROBLEM OF SOCIAL ACTIVATION OF THE ELDERLY PEOPLE

    Valerija Vladimirovna Gabruk

    2014-09-01

    Full Text Available The article considers negative gerontostereotipy that exist in the public consciousness, and their impact on the social activity of older people. It was proved that the negative stereotypes  gerontological make it difficult livelihoods of older people on the one hand, impeding their access to socially significant benefits (eg, to quality health care, and on the other, causing the self-isolation of the people of the third age from society. At the same time, the negative gerontostereotipy are socio- constructed phenomenon and can succumb to correction by purposefully realizable and scientifically sound system of measures.

  1. Formal care for elderly people in Poland.

    Synak, B

    1989-04-01

    This paper starts by giving some brief information about the institutional care system for the elderly in Poland. The supportive network for old people is identified as being firmly based on that of the family. Social services are particularly directed to those without children and close relatives. There are many economic and socio-cultural reasons for raising the importance of institutional help - e.g. the growth of female professional activity, migration processes, the disintegration of the multi-generational family. The family contacts with old persons staying in hospitals and in nursing homes are described and the attitudes of the elderly towards institutional care are discussed in this paper. Presently old people expect financial help mainly from the state but care and help in everyday contingencies from their family (e.g. in case of illness, only 2% of old people would like to be cared for by nurses). This paper also shows some reasons for differentiating the attitudes and generational expectations. The family responsibility for elderly people reflects on the one hand the attitudes and systems of values of both the generations and shortage of institutional services on the other. Examples relating to some of the issues discussed are given in this paper.

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

    Groot W

    2006-03-01

    Full Text Available Abstract 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 are associated with this demand. Furthermore, the accuracy of the waiting list as a reflection of this demand has been examined. Methods 67 elderly people waiting for admission into a home for the elderly, are subjected to semi-structured interviews. The data are analyzed by using multivariate statistics. Results Elderly people who indicate that they would refuse an offer of admission into a home for the elderly feel healthier (p = 0.02, have greater self-care agency (p = 0.02 and perceive less necessity of admission (p Conclusion The results contribute to the understanding of waiting lists and the demand for residential care. It became apparent that not everybody who asks for admission into a home for the elderly, really needed it. The importance of elderly people's resources like social networks and the ability to manage everyday activities in relation to the demand for care became clear. These findings are important because they indicate that resources also play a role in predicting elderly people's demand and as a result can guide the development and the (redesign of adequate health care services.

  3. Sensor monitoring in the home: giving voice to elderly people

    Kanis, M.; Robben, S.; Hagen, J.; Bimmerman, A.; Wagelaar, N.; Kröse, B.

    2013-01-01

    This paper describes the approach used to identify elderly people's needs and attitudes towards applying ambient sensor systems for monitoring daily activities in the home. As elderly are typically unfamiliar with such ambient technology, interactive tools for explicating sensor monitoring -an inter

  4. Overview and Categorization of Robots Supporting Independent Living of Elderly People: What Activities Do They Support and How Far Have They Developed.

    Bedaf, Sandra; Gelderblom, Gert Jan; De Witte, Luc

    2015-01-01

    Over the past decades, many robots for the elderly have been developed, supporting different activities of elderly people. A systematic review in four scientific literature databases and a search in article references and European projects was performed in order to create an overview of robots supporting independent living of elderly people. The robots found were categorized based on their development stage, the activity domains they claim to support, and the type of support provided (i.e., physical, non-physical, and/or non-specified). In total, 107 robots for the elderly were identified. Six robots were still in a concept phase, 95 in a development phase, and six of these robots were commercially available. These robots claimed to provide support related to four activity domains: mobility, self-care, interpersonal interaction & relationships, and other activities. Of the many robots developed, only a small percentage is commercially available. Technical ambitions seem to be guiding robot development. To prolong independent living, the step towards physical support is inevitable and needs to be taken. However, it will be a long time before a robot will be capable of supporting multiple activities in a physical manner in the home of an elderly person in order to enhance their independent living.

  5. La actividad física como elemento de participación y calidad de vida en las personas mayores (Physical activity as an element of participation and quality of life among elderly people

    Esther Portal Martínez

    2013-08-01

    Full Text Available This study investigated participation in physical activity as an element that improves health and quality of life among elderly people. We present a descriptive analysis using secondary data to explore their attitudes toward physical activity, its frequency, and characteristics.The following categories were analysed: population structure by sex and age; quality of life and perceived health; lifestyles and daily activities; and the characteristics of physical activities among elderly people. To increase the comparative and analytical power of the study, all age ranges were included in each variable. The results highlight the good state of health and high participation in physical activity among elderly people compared to other age groups.

  6. 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.

  7. The influence of physical activity on life quality formation of elderly people

    Iuliia Pavlova

    2016-02-01

    Full Text Available Purpose: to analyze the relationship between various parameters of life quality and physical activity level of older Ukrainian citizens. Material & Methods: 150 female aged 65,2±4,3 years were interviewed with MOS SF 36 and IPAQ questionnaire. Results: it is shown the values of scales Emotional role functioning (44,0 points, General Health (51,4 points and Bodily Pain (52,2 points can be considered as critical. Conclusions: statistically significant correlation between the numbers of metabolic equivalents used on physical activity during work (study, duration of active recreation was found.

  8. [Managing infarctions in elderly people].

    Luquel, Laurence

    2015-03-01

    Coronary disease is frequent and serious after the age of 80. The management of the elderly person's care depends on whether or not there is associated multiple pathology. After a global geriatric assessment, revascularisation techniques can also be used in this context. Caution must however be taken when introducing a pharmacological treatment.

  9. 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.

  10. Influence of environmental street characteristics on walking route choice of elderly people

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

    2009-01-01

    Walking is an important source of outdoor physical activity among elderly people. In order to devise measures aimed at encouraging walking among the elderly it is important to understand how the local environment influences the walking behaviour of elderly people. Here, a model describing the influe

  11. Symptoms of craniomandibular disorder among elderly people.

    Ow, R K; Loh, T; Neo, J; Khoo, J

    1995-06-01

    This study investigated the subjective symptoms of craniomandibular disorder and the restriction in maximal mandibular opening of 891 elderly Singaporean citizens. A distribution of 22% of subjects (20% of the women and 26% of the men) reported subjective symptoms of craniomandibular disorders. The most common single symptom reported was occasional to frequent clicking sounds from the temporomandibular joints (in 15% of subjects). The other single symptoms were reported only occasionally in 2-6% of subjects. Nineteen per cent of the subjects had some restriction in maximal interincisal opening (30-39 mm) and about 1% of subjects were severely restricted in maximal opening (less than 30 mm). Subjectively evaluated limitation of wide mandibular opening was recorded for only 2% of the subjects. Background factors included general musculo-skeletal problems (54%), perceived fair to poor general health (29%), headaches (33%), work-related stress (24%), oral parafunctional clenching (4%) and grinding activity (4%). This paper confirms earlier reports that the subjective signs and symptoms of craniomandibular disorder tend to diminish in elderly people.

  12. Elderly Peoples' Perception of Young People - A Preliminary Study.

    Mateusz Cybulski; Elżbieta Krajewska-Kułak; Paweł Sowa; Magda Orzechowska; Katarzyna Van Damme-Ostapowicz; Emilia Rozwadowska; Andrzej Guzowski

    2013-01-01

    Abstract Background Aging is becoming a more noticeable phenomenon in Poland and Europe. We analysed the perception of youth by elderly and compared attitudes of students of the University of the Third Age (SU3A) with nursing homes residents (NHR) to young people. Methods Our questionnaire was distributed to 140 people over the age of 50 (70 SU3A and 70 NHR). Results 85.0% of all respondents answered positively to the question “Do you enjoy contact with young people?”, even though their conta...

  13. Suicide in elderly people: a literature review.

    Minayo, Maria Cecília de Souza; Cavalcante, Fátima Gonçalves

    2010-08-01

    A literature review was carried out focusing on the main factors associated with suicidal ideation, attempts and completed suicide in elders. The following databases were searched: MEDLINE, PsychINFO, SciELO and Biblioteca Virtual em Violência e Saúde da BIREME (BIREME's Violence and Health Virtual Library), referring to the period from 1980 to 2008. Fifty-two references were selected and analyzed. They showed a strong relationship among suicide ideation, attempt and completion in elderly individuals, which results from the interaction of complex physical, mental, neurobiological and social factors. Suicide associated with depression in the elderly can be prevented, provided the person is properly treated. In Brazil, it is necessary to invest in research, given the persistent increase in suicide rates among aged people, especially among males.

  14. Automatic quiz generation for elderly people

    Samuelsen, Jeanette

    2016-01-01

    Studies have indicated that games can be beneficial for the elderly, in areas such as cognitive functioning and well-being. Taking part in social activities, such as playing a game with others, could also be beneficial. One type of game is a computer-based quiz. One can create quiz questions manually; however, this can be time-consuming. Another approach is to generate quiz questions automatically. This project has examined how quizzes for Norwegian elderly can be automatically generated usin...

  15. Understanding and managing medication in elderly people.

    Lonsdale, Dagan O; Baker, Emma H

    2013-10-01

    Ageing alters drug handling by the body (pharmacokinetics) and response to medications (pharmacodynamics). Multiple comorbidities increase the risk of adverse drug reactions and medication burden, with increased potential for drug interactions. Elderly people are seldom included in clinical trials, so underestimation of benefits and overestimation of risk may lead to under-treatment. Cognitive and functional changes associated with ageing may make it difficult for elderly people to adhere to treatment regimens. In this review, we consider these issues, with particular reference to drugs prescribed for gynaecology patients (the 'gynaecology formulary'). It will focus on key areas of gynaecological practice, including prescribing anticholinergic drugs, hormone treatments and anticancer drugs, and perioperative issues relating to anaesthesia, analgesia and anticoagulation. Implications of common comorbidities, including osteoporosis, diabetes mellitus and cardiovascular disease, for prescribing in gynaecological patients will also be considered.

  16. Associations between multiple accelerometry-assessed physical activity parameters and selected health outcomes in elderly people--results from the KORA-age study.

    Sandra Ortlieb

    of the intensity levels or activity patterns with multimorbidity or disability in elderly people after adjustment for covariates.

  17. Associations between Multiple Accelerometry-Assessed Physical Activity Parameters and Selected Health Outcomes in Elderly People – Results from the KORA-Age Study

    Ortlieb, Sandra; Gorzelniak, Lukas; Nowak, Dennis; Strobl, Ralf; Grill, Eva; Thorand, Barbara; Peters, Annette; Kuhn, Klaus A.; Karrasch, Stefan; Horsch, Alexander; Schulz, Holger

    2014-01-01

    levels or activity patterns with multimorbidity or disability in elderly people after adjustment for covariates. PMID:25372399

  18. 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.

  19. [Home nursing care for depressed elderly people].

    Floch, Catherine

    2011-01-01

    The freelance nurse must be adaptable and reactive in order to meet the needs of a depressed or suicidal elderly person. In addition to her own particular relationship with the patient, the nurse must activate a network of other professionals who can carry out home visits.

  20. Tolerance for uncertainty in elderly people

    KHRYSTYNA KACHMARYK

    2014-09-01

    Full Text Available The aim of the study. The aim of the paper is a comparison of tolerance to uncertainty in two groups of elderly: the students of the University of the Third Age (UTA and older people who are not enrolled but help to educate grandchildren. A relation to uncertainty was shown to influence on decision making strategy of elderly that indicates on importance of the researches. Methods. To obtain the objectives of the paper the following methods were used: 1 Personal change readiness survey (PCRS adapted by Nickolay Bazhanov and Galina Bardiyer; 2 Tolerance Ambiguity Scale (TAS adapted by Galina Soldatova; 3 Freiburg personality inventory (FPI and 4 The questionnaire of self-relation by Vladimir Stolin and Sergej Panteleev. 40 socially involved elderly people were investigated according the above methods, 20 from UTA and 20 who are not studied and served as control group. Results. It was shown that relations of tolerance to uncertainty in the study group of students of the University of the Third Age substantially differ from relations of tolerance to uncertainty in group of older people who do not learn. The majority of students of the University of the Third Age have an inherent low tolerance for uncertainty, which is associated with an increase in expression personality traits and characteristics in self-relation. The group of the elderly who are not enrolled increasingly shows tolerance of uncertainty, focusing on the social and trusting relationship to meet the needs of communication, and the ability to manage their own emotions and desires than a group of Third Age university students. Conclusions. The results of experimental research of the third age university student’s peculiarities of the tolerance to uncertainty were outlined. It was found that decision making in the ambiguity situations concerning social interaction is well developed in elderly who do not study. The students of the University of Third Age have greater needs in

  1. Auditory Memory deficit in Elderly People with Hearing Loss

    Zahra Shahidipour

    2013-06-01

    Full Text Available Introduction: Hearing loss is one of the most common problems in elderly people. Functional side effects of hearing loss are various. Due to the fact that hearing loss is the common impairment in elderly people; the importance of its possible effects on auditory memory is undeniable. This study aims to focus on the hearing loss effects on auditory memory.   Materials and Methods: Dichotic Auditory Memory Test (DVMT was performed on 47 elderly people, aged 60 to 80; that were divided in two groups, the first group consisted of elderly people with hearing range of 24 normal and the second one consisted of 23 elderly people with bilateral symmetrical ranged from mild to moderate Sensorineural hearing loss in the high frequency due to aging in both genders.   Results: Significant difference was observed in DVMT between elderly people with normal hearing and those with hearing loss (P

  2. 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.

  3. Physical Activity in Elderly

    Tirpakova, Veronika; Sedliak, Milan; Kern, Helmut; Mayr, Winfried; Hamar, Dušan

    2015-01-01

    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. PMID:26913164

  4. Infinite possibility: clowning with elderly people.

    McMahan, Selena Clare

    2008-01-01

    Over the past 30 years, there has been aplentitude of research into the health benefits of humor and laughter for healthy, sick, or depressed adults and children as well as for senior citizens. Medical research supports our human instinct that people who smile and laugh are happy, whereas those who are inexpressive are usually not happy. Research shows that humor stimulus results in mirth, which elicits a primarily emotional response with psychological efects, and laughter, which elicits a physical response with physiological effects. The many physiological benefits of laughter in older adults have been clearly demonstrated. Yet much of the medical research is based on experiments using funny videos and cartoons for humor sessions. I argue that "clowning around" with elderly people brings greater benefits than laughter alone. These benefits are clearly evident, though they may not be scientifically measurable: When the game is rooted in the patient's own imagination, thereby giving agency to a powerless individual it is many times more personal and transformative. In this article, I focus on my experiences with older adults while working with Clowns Without Borders and Risaterapia as well as on my own relationship with my grandfather. I provide a framework for why humanitarian clowning and the principles behind it can be incredibly well suited for working with the elderly.

  5. 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

  6. Social well-being of elderly people (based on the survey results

    Ivankina Lubov

    2016-01-01

    Full Text Available The paper presents the study of the problem of social well-being of elderly people and analyses the outcome of appraisals given by elderly people to their own health and health maintenance activities. Basing on the sociological tradition of studying a social well-being and health phenomenon, the authors have identified the peculiarities of social practices of elderly people living in Tomsk Oblast and correlated social well-being of elderly people with their own health appraisals. The paper gives the survey results (the sample included 400 persons that allow evaluating the degree of satisfaction with life, health, material status, social activity and identifying life preferences, values and orientations of the elderly in Tomsk Oblast. During the problem studying the hermeneutical approach and the methods of comparative analysis and mathematical statistics were applied.

  7. Effects of increased physical activity on body composition, physical functions, vascular functions, HR-QOL, and self-efficacy in community-dwelling elderly people

    Morisawa, Tomoyuki; Tamaki, Akira; Nagai, Kotatsu; Tsukagoshi, Rui; Nozaki, Sonoko; Miyamoto, Toshiaki; Mori, Akiko; Kaya, Mitsumasa; Fujioka, Hiroyuki

    2017-01-01

    [Purpose] The objective of this study was to clarify the effects of increased number of steps on body composition, physical functions, vascular functions, health-related quality of life (HR-QOL) and self-efficacy in elderly people. [Subjects and Methods] The subjects were 47 elderly persons who resided in Port Island in the Chuo Ward of Kobe City in Hyogo Prefecture, Japan. After the calculation of the mean preintervention physical activity (PA), the subjects were instructed to increase their PA to a target baseline + 1,300 steps/day. Body composition, physical functions, vascular functions, HR-QOL, and self-efficacy were measured at baseline, after 3 and 6 months. These items were compared between a group that increased their PA and a group that did not. [Results] After 6 months, 26.1% of the subjects achieved the PA target. No significant improvements were observed in body composition, physical functions, vascular functions, or self-efficacy for either group after 3 and 6 months. However, the HR-QOL improved significantly after 6 months in the achievement group. [Conclusion] Although the intervention to increase PA did not produce significant improvements after 6 months in body composition, physical functions, vascular functions, or self-efficacy, the HR-QOL improved significantly during this relatively short period. PMID:28210063

  8. Effects of increased physical activity on body composition, physical functions, vascular functions, HR-QOL, and self-efficacy in community-dwelling elderly people.

    Morisawa, Tomoyuki; Tamaki, Akira; Nagai, Kotatsu; Tsukagoshi, Rui; Nozaki, Sonoko; Miyamoto, Toshiaki; Mori, Akiko; Kaya, Mitsumasa; Fujioka, Hiroyuki

    2017-01-01

    [Purpose] The objective of this study was to clarify the effects of increased number of steps on body composition, physical functions, vascular functions, health-related quality of life (HR-QOL) and self-efficacy in elderly people. [Subjects and Methods] The subjects were 47 elderly persons who resided in Port Island in the Chuo Ward of Kobe City in Hyogo Prefecture, Japan. After the calculation of the mean preintervention physical activity (PA), the subjects were instructed to increase their PA to a target baseline + 1,300 steps/day. Body composition, physical functions, vascular functions, HR-QOL, and self-efficacy were measured at baseline, after 3 and 6 months. These items were compared between a group that increased their PA and a group that did not. [Results] After 6 months, 26.1% of the subjects achieved the PA target. No significant improvements were observed in body composition, physical functions, vascular functions, or self-efficacy for either group after 3 and 6 months. However, the HR-QOL improved significantly after 6 months in the achievement group. [Conclusion] Although the intervention to increase PA did not produce significant improvements after 6 months in body composition, physical functions, vascular functions, or self-efficacy, the HR-QOL improved significantly during this relatively short period.

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

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

    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

  10. [Psychic pain, somatic risks and psychological suffering in elderly people].

    Hazif-Thomas, Cyril; Thomas, Philippe

    2012-01-01

    Physical pain, like psychic pain, is still trivialised by healthcare practitioners working in geriatrics. Physical pains in elderly people are not isolated but often occur in a context of motor and mental incapacities rendering communication of the complaint somewhat erratic. They generate anxiety, which often amplifies their perception. This article represents a reflection about the management of pain in elderly people.

  11. 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

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

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

    2012-01-01

    PURPOSE: This study, based on data from an empirical investigation, combines quantitative and qualitative approaches in a mixed-method design to explore dependency in elderly people newly diagnosed with cancer. METHODS AND SAMPLE: 101 elderly people newly diagnosed with cancer were included...... 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 cancer...

  13. An Exergame Concept for Improving Balance in Elderly People

    Nawaz, Ather; Waerstad, Mathilde; Omholt, Kine

    2014-01-01

    Video exercise games (exergames) are becoming increasingly popular among elderly people. Many elderly experience reduced balance and muscle strength which make them at increased risk of falling. Muscle strength and balance training are the key components for preventing function decline and falls...... exergames. Feedback from focus group interviews revealed that the design of the existing exergames should be simplified and more closely related to activities that can be associated with older people’s daily life. Based on the feedback a new exergame concept “in nature” was designed. The new exergame...... concept had a simple design, and included balance and muscle strengthening exercises related to real life activities. In the results of the workshop, the study provides eight design recommendations for exergame design for seniors....

  14. 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...... foundation of the study was a constructivistic evaluation of the problem domain followed by a quantitative evaluation. The results showed that elderly people with a chronic disease do not use the internet as source for health information any different then elderly people without chronic disease. Thus chronic...

  15. Êxito social e gênero na velhice: leitura e atividade física Social success and gender in elderly people: reading and physical activity

    Geraldina Porto Witter

    2009-12-01

    Full Text Available O objetivo da pesquisa foi estudar a ocorrência de leitura e de atividade física em idosos. Os participantes foram divididos em quatro grupos de acordo com as variáveis: gênero e êxito ou sucesso social na comunidade; cada grupo foi composto por 10 pessoas com 70 anos ou mais. Os instrumentos usados foram: Termo de Consentimento Livre e Esclarecido (TCLE, um roteiro sobre a formação do leitor e um questionário internacional sobre atividade física. Os resultados não mostraram correlação entre as duas variáveis, exceto para o grupo de homens com êxito social. Homens e mulheres com sucesso social foram melhores em leitura do que os outros grupos, mas não houve diferença estatística concernente à atividade física e gênero.The aim of the research was to study the frequency of reading and physical activity in elderly people. The participants were divided in four groups according to the following issues: gender and social success in their community; each group was composed by 10 people, at the age of 70 or more. The instruments used to collect data were: an agreement term, a schedule about the reader formation and an international questionnaire about physical activity. The results did not show correlation between both issues used to conduct the research, except in the men's group with social success. Men and women with social success showed better development in reading than the other groups, however, there was no statistical difference concerning to physical activity and gender.

  16. Delirium in elderly people: a review

    Sónia eMartins

    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.

  17. Subjective alertness rhythms in elderly people

    Monk, T. H.; Buysse, D. J.; Reynolds, C. F. 3rd; Kupfer, D. J.; Houck, P. R.

    1996-01-01

    The aim of this study was to evaluate age-related changes in the circadian rhythm of subjective alertness and to explore the circadian mechanisms underlying such changes. Using a visual analogue scale (VAS) instrument, 25 older men and women (71 y and older; 15 female, 10 male) rated their subjective alertness about 7 times per day during 5 baseline days of temporal isolation during which habitual bedtimes and waketimes were enforced. Comparisons were made with 13 middle-aged men (37-52 y) experiencing the same protocol. Advancing age (particularly in the men) resulted in less rhythmic alertness patterns, as indicated by lower amplitudes and less reliability of fitted 24-h sinusoids. This appeared in spite of the absence of any reliable age-related diminution in circadian temperature rhythm amplitude, thus suggesting the effect was not due to SCN weakness per se, but to weakened transduction of SCN output. In a further experiment, involving 36 h of constant wakeful bedrest, differences in the amplitude of the alertness rhythm were observed between 9 older men (79 y+), 7 older women (79 y+), and 17 young controls (9 males, 8 females, 19-28 y) suggesting that with advancing age (particularly in men) there is less rhythmic input into subjective alertness from the endogenous circadian pacemaker. These results may explain some of the nocturnal insomnia and daytime hypersomnia that afflict many elderly people.

  18. Robots to motivate elderly people: present and future challenges

    Gallego-Pérez, J.; Lohse, M.; Evers, V.

    2013-01-01

    In this paper we argue for the development of new methodological approaches to create and evaluate robots for elderly-care, which offer support for the psychological determinants of the quality of life of elderly people. Relevant determinants, such as mood, self-efficacy and happiness are discussed

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

    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...

  20. The interplay between gait and cognitive function in elderly people

    Iersel, M.B. van

    2007-01-01

    In the next 10 years the number of Dutch people aged 65 and over will increase with 650,000 to 3.0 million people. The prevalence of multiple and often interacting problems in elderly people is high and have many adverse effects on health and quality of life. However, most research and guidelines ar

  1. The attitude of nurses towards the care of elderly people

    J. N. Gwala

    1995-05-01

    Full Text Available The number of nurses entering the nursing profession is decreasing, but demands placed upon the Health Services are increasing primarily due to the increasing number of people in our society. People are living longer and it is apparent that some extra provision must be made to care effectively for the elderly members of our society. Various studies have shown that care of the elderly is an unpopular clinical field for nurses. (Shape, 1986. Notter, 1992. Vickels 1982.

  2. The attitude of nurses towards the care of elderly people

    J. N. Gwala; B. M. Zungu; B. B. Ntombela

    1995-01-01

    The number of nurses entering the nursing profession is decreasing, but demands placed upon the Health Services are increasing primarily due to the increasing number of people in our society. People are living longer and it is apparent that some extra provision must be made to care effectively for the elderly members of our society. Various studies have shown that care of the elderly is an unpopular clinical field for nurses. (Shape, 1986. Notter, 1992. Vickels 1982).

  3. 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.

  4. [Dance therapeutic workshop for elderly people living in a home].

    Kuhn, M

    2010-01-01

    Elderly persons are often depressive; thus they are in loss of desire and motivation. They don't take care anymore of themselves and seem disembodied. It is exactly on this loss of desire that arts therapies have an impact. This involvement of the body facilitates the awareness of one's often unexploited capacities but also allows the emergence of pleasure and finally desire. Arts therapies are based on the conscience of here and now, with the perspective to become a creative being. It is the matter of helping people to recognize their own creativity that was underestimated by themselves up to here. These sessions allow the patients to go out of their room while bringing them a sensation of relaxation and well-being. They are proud to produce something by themselves and recover thus a certain self-esteem. And, through this activity, they are able to express what they feel. The statistical computations are made with the data of 10 elderly persons aged 77 to 95 years. We analyze the rating scales for self-expression through movement during 10 sessions. The subjects also filled in the Campbell's Index of Well-being in T1 and T2. Arts therapies improve in a significant way the cognitive functioning and the psychological well-being of elderly persons, as well as their quality of life.

  5. Mobility disability and life satisfaction in elderly people.

    Mollaoğlu, Mukadder; Tuncay, Fatma Özkan; Fertelli, Tülay Kars

    2010-01-01

    The objective of this descriptive and analytical study is to examine mobility disability and life satisfaction in elderly people living in nursing home residences and analyze the relationship between them. The study was conducted over 78 elderly people in two nursing home residences. The data of this study were obtained through a personal information form (PIF), the Rivermead mobility index (RMI) and the life satisfaction scale (LSS). It was detected that life satisfaction levels of elderly people were average, a great majority of them went through mobility disability and there was a significant correlation between mobility and life satisfaction. It was established that in elderly people mobility was affected by the age, gender and chronic diseases while life satisfaction was related to age, education level and health perception level. Disability is a factor that has a significant effect on the life satisfaction of elderly people. The findings of this study will be useful for planning interventions to improve mobility and satisfaction with life among nursing home elders in Turkey.

  6. Utilization of health promotion resources and control of health condition among healthy elderly people

    Kuwajima, Daisuke

    2011-01-01

    In Japan, the world’s most rapidly aging country, health promotion services are often provided for elderly people, especially frail elderly and disabled people. However, in 2010, more than 60% of elderly people considered themselves to be “healthy” (Cabinet Office, white paper on aging society, 2010). It is therefore also necessary to enhance services for health promotion among these healthy elderly people. Previous studies have reported the needs of healthy elderly people with respect to hea...

  7. 武汉市老年人体质及身体活动特征分析%Analysis on Condition of Physical Fitness and Physical Activity of ELder People in Wuhan

    王雅欣

    2012-01-01

    通过对武汉市城、乡60-69岁老年人体质现状及身体活动调查分析发现:武汉市城镇男、女老年人身高、体重、肺活量都明显高于乡村老年人;城镇女性老年人血压明显高于乡村女性老年人,男、女性老年人握力和选择反应时同样表明城镇明显优于乡村人群。武汉市老年人有30.7%的人还在参加工作,其中乡村老年人有42.9%的人在从事工作,而城镇老年人则远远少于乡村老年人,仅约为14.4%;在闲暇时间显,无论是在散步,还是在体育锻炼的参与上,城镇老年人明显多于乡村老年人;乡村老年人经常做家务劳动的人数明显多于城镇老年人。%Through analysis on condition of physical fitness and activity of elder people in Wuhan,the author finds out that the height,weight and vital capacity of urban elder is higher than rural;the blood pressure of female of urban elder is higher than rural;there is significant different between them.But the blood pressure of male and the pulse of male and female is no significant differences between urban and rural elder people.Response time and grip of male and female in urban is better than rural.37 percent of elder who are still in the work in Wuhan,the number of rural elder who are participating in work is higher than elder who are in the work in urban.The number of urban elder participating in physical activity is also obviously higher than that of rural elder.

  8. 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.

  9. Aging in Place within Elderly People in the Southwest Iran

    Laleh Fani Saberi

    2015-12-01

    Full Text Available Introduction: Iran and its aged society are facing some issues that significantly impact the current social structures in Iran. It will continue to do so on their growing as elderly with negative impacts on communal relations and unjust distribution of resources based on a gender basis that will affect the aging in place (AiP. The study aims to investigate the AiP within aged people and modifying role of the gender variables within it. Methods: This study describes the current AiP of the aged people in Ahwaz city in the southwest Iran from a gender perspective. The population available for the study was citizens 60 years of age and older (N=51594 in Ahwaz city. Sampling method was cluster-ratio based on municipal zones, ethnicity, and gender with sample size 382 (195 male and 187 female. The data were analysed by descriptive statistics, F-test and geographical information system. Results: Economically poor situation of the aged samples especially aged women, and their health status was moderated by low quality of nutrition and high prevalence of chronic conditions. For example, Arabs, Persian and Lor received low mean scores of 59.41, (SD= 7.332, 58.09 (SD= 11.963, and 57.02, (SD= 7.963 respectively in the health status. AiP characteristics are poor and discrimination was especially significantly prominent among elderly females. Multiple regression were found to modify AiP at the first step. The GLM reported that gender-ethnic discrimination directly affected AiP and high prevalent amongst elderly minority females. Conclusion: The current urban environment, in the southwest Iran, seems is unable to meet healthy needs of aged people. It needs to adjust upon gender and other relevant characteristics to monitor equality of outcomes for aged and minorities. The future research needs to focus on effect of ethnicity and gender-related issues on AiP, especially in developing countries like Iran. sure activities and mental health, provides evidence for

  10. Digital learning needs of elder people: a review study

    Franco Caballero, Pablo Daniel; Leiva Olivencia, Juan José; Matas Terrón, Antonio

    2015-01-01

    This paper shows the conclusion from a review study about the digital learning needs of elder people. In developed countries a process of population ageing is occuring. The interesting feature of this ageing process is that despite their elderly status, their physical and mental healthiness are optimal and their quality of life is high, as is their economic capacity to access to goods and services. This reality is changing the developed societies structure and their identity. Specifically...

  11. [How the Congolese young people consider their elderly].

    Bikouta, Firmin; Bileckot, Richard; Cauli, Marie; Massamba, Honorine; Puisieux, François

    2015-12-01

    The traditional image of the African family that has long grant a place of choice to the elderly does match maybe any more the reality of today. The WHO report on violence and health 2002 and some studies carried out in other African countries suggest that elder abuse also exists in sub-Saharan Africa. To describe how the young Congolese adults consider their elderly and mistreatments that can result. A cross sectional study was realized between January and April, 2008 with 300 youth and adults aged 15 to 55 years (203 ≤ 25 years old), living in Brazzaville or in Pointe-Noire. The sample of 300 people was constituted according to the method of non-probability sampling. The data collection was made on the ground by state employees of the Ministry of Health, social affairs and family by means of a pre-established questionnaire containing open and closed questions. Youth and adults have contrasted and contradictory representations of the elderly. In 70% of the cases they said have good relationships with the elderly and qualified them as wise persons and as models but, conversely, more than 50% of them found them unwanted and disturbing. Witchcraft accusations are frequent with often serious consequences. Social transformations dispossess little by little the elderly people of their status and their prerogatives in Congo-Brazzaville. They come along with a change of look and behavior of the young adults towards them. Elder abuse in Congo-Brazzaville is an underestimated problem insufficiently denounced and fought.

  12. 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

  13. Diagnosing autism spectrum disorders in elderly people

    Niekerk, M.E.H. van; Groen, W.B.; Vissers, C.T.W.M.; Driel-de Jong, D. van; Kan, C.C.; Oude Voshaar, R.C.

    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

  14. Mobility for elderly people: market supply developments

    Hekstra, A.C.

    1998-01-01

    The paper describes parts of a survey on the market supply expectations in the field of mobility products for elderly over the next 10 years. It focuses on the expected developments with respect to: travel information for private and public transport ; driver support systems for private transport by

  15. Nostalgia and Sentimentality Among Minority Elderly People (Bulgarian Roma People and Hungarians Living in Romania

    Stanislava Stoyanova

    2015-04-01

    Full Text Available Nostalgia and sentimentality are very typical for the old age. There are some characteristics that are perceived as typical for the elderly people in the different cultures, such as being dependent, and needing long-term care. There are also some similarities between the population tendencies in Bulgaria and Romania. The simultaneously acceptance in European Union of both countries also suggests the existence of some similar attitudes towards the past among elderly minority people in both countries. The hypothesis of the study was that together with some similarities, the elderly people from both ethnic minorities in the two countries would differ cross-culturally in their sentimentality and nostalgia related to the past. Sentimentality and nostalgia in elderly minority people (26 Roma people in Bulgaria and 21 Hungarians in Romania were measured by means of a questionnaire created by Gergov & Stoyanova (2013. The results indicated that the Hungarian minority in Romania was more sentimental and nostalgic than the Roma minority in Bulgaria. More thoughts about the past reported the minority young elders than the minority oldest old. The females from the minority groups were more sentimental than the males from the minority groups. Higher sentimentality and nostalgia among elderly Hungarians could be explained by their higher conservatism and more satisfaction with the hystorical past than Roma people. Roma people living in institutions felt a sense of stability in their present and they shared some positive expectations for the future.

  16. 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.

  17. 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.

  18. Association between the functional capacity of dependant elderly people and the burden of family caregivers

    Ana Cláudia Fuhrmann

    Full Text Available The aim of this study was to characterize dependent elderly people and their main family caregivers and the association between functional capacity of the elderly and the burden of caregivers. This cross-sectional study was conducted with 112 elderly people and caregivers connected to a primary care service in Porto Alegre, Brazil. The applied instruments related to care and socioeconomic variables were Physical and Instrumental Activities of Daily Living (PADL and IADL and the Burden Interview. The Spearman correlation coefficient was also used. Average age of the elderly individuals in this study was 81.41 years, while the average score for PADL was 10.36 and 6.25 for IADL. Of the 112 elderly individuals, 71.4% had severe dependence. Among caregivers, 75% were women, 61.6% were the sons or daughters with an average age of 57.98 and an average burden of 29.53, which is equivalent to moderate burden. Results revealed a significant correlation between functional capacity of the elderly and caregiver burden. It was verified that the higher the dependence of elderly people, the greater the burden of caregivers.

  19. Tablets Helping Elderly and Disabled People

    Castro, Mercedes; Ruiz-Mezcua, Belén; Sánchez-Pena, José Manuel; García-Crespo, Ángel; Iglesias, Ana; Pajares, José Luis

    2012-01-01

    Proceedings of: Ambient Assisted Living Joint Programme Forum 2011 (AAL JP Forum 2011), Lecce (Italy), September 26-28, 2011 The article introduces the basics by which tablets are considered as appropriate tools for integration and promotion of the elderly in the digital world. To prove this, the paper presents three research projects carried out by CESyA that integrate Automatic Speech Recognition (ASR), Voice Synthesis, subtitling, audiodescription or audio navigation tools into tablets ...

  20. 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.

  1. Communication and informed consent in elderly people.

    Giampieri, M

    2012-02-01

    healthcare where the idea that old age or frailty may inhibit ones' decisional capacity. It is essential to provide appropriate and accessible information for each individual case in order to confirm patient comprehension, especially in the presence of possible coexisting disabilities (i.e., cognitive impairment, presbyacusia, visual disturbances, etc.). The informed consent process should therefore be adapted to patient understanding linked to level of education, and personality. Cognitive impairment may limit the ability to actively participate in the process. In this context, physicians deal with three different situations on a daily basis: 1) patients with good cognitive functioning; 2) patients with various degrees of cognitive impairment; 3) patients with a legal guardian. The aim of this review was to discuss patterns of an accurate, empathetic and effective communication process that may be used during the informed consent process with a particular attention to the emerging problems in the practice of anesthesia in the elderly.

  2. Factors affecting medication adherence in elderly people

    Jin HK

    2016-10-01

    Full Text Available Hyekyung Jin,1 Yeonhee Kim,2 Sandy Jeong Rhie1,3 1College of Pharmacy, 2Center for Excellence in Teaching & Learning, 3Division of Life and Pharmaceutical Sciences, Ewha Womans University, Seoul, Republic of Korea Background: Little is known about the functional health literacy (FHL associated with medication adherence in elderly patients. The aim of this study was to examine the FHL among older adults and identify influencing factors that can predict medication adherence. Methods: This was a cross-sectional survey. Participants (n=160 aged 65 years and older were selected from outpatient clinics of 3 tertiary care hospitals, 6 community pharmacies, and 2 senior centers between November 1 and 30, 2014. The participants’ FHL was measured using the Korean Functional Health Literacy Test, which consists of 15 items including 8 numeracy and 7 reading comprehension items. Medication adherence was measured by the Adherence to Refills and Medication Scale. Descriptive statistics, chi-square or Fisher’s exact test, and multiple regression analyses were used to analyze the data. Results: The mean score of the total FHL was 7.72±3.51 (range 0–15. The percentage of the total number of correct answers for the reading comprehension subtest and numeracy subtest were 48.1% and 54.4%, respectively. Among 160 participants, 52.5% showed low adherence to medication. The factors affecting medication adherence included the patient’s degree of satisfaction with the service (β=-0.215, P=0.022, sufficient explanation of medication counseling (β=-0.335, P=0.000, education level (β=-0.153, P=0.045, health-related problems (β=-0.239, P=0.004, and dosing frequency (β=0.189, P=0.018. Conclusion: In this study, we found medication adherence of elderly patients was associated with education level, health-related problems, dosing frequency, satisfaction with patient counseling, and explanation of medication, but no association was found with FHL. Pharmacists

  3. Cognitive assessment on elderly people under ambulatory care

    Bruna Zortea

    2015-04-01

    Full Text Available Objective: to evaluate the cognitive state of elderly people under ambulatory care and investigating the connection between such cognitive state and sociodemographic variables, health conditions, number of and adhesion to medicine. Methods: transversal, exploratory, and descriptive study, with a quantitative approach, realized with 107 elderly people under ambulatory care in a university hospital in southern Brazil, in november, 2013. The following variables were used: gender, age, civil status, income, schooling, occupation, preexisting noncommunicable diseases, number and type of prescribed medications, adhesion, mini-mental state examination score, and cognitive status. Data was analyzed through inferential and descriptive statistics. Results: the prevalence of cognitive deficit was of 42.1% and had a statistically significant connection to schooling, income, civil status, hypertension, and cardiopathy. Conclusion: nurses can intervene to avoid the increase of cognitive deficit through an assessment of the elderly person, directed to facilitative strategies to soften this deficit.

  4. Antipsychotic drug use and risk of pneumonia in elderly people

    Knol, Wilma; Van Marum, Rob J.; Jansen, Paul A. F.; Souverein, Patrick C.; Schobben, Alfred F. A. M.; Egberts, Antoine C. G.

    2008-01-01

    OBJECTIVES: To investigate the association between antipsychotic drug use and risk of pneumonia in elderly people. DESIGN: A nested case-control analysis. SETTING: Data were used from the PHARMO database, which collates information from community pharmacies and hospital discharge records. PARTICIPAN

  5. 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…

  6. 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

  7. Ageism and death: effects of mortality salience and perceived similarity to elders on reactions to elderly people.

    Martens, Andy; Greenberg, Jeff; Schimel, Jeff; Landau, Mark J

    2004-12-01

    The present research investigated the hypotheses that elderly people can be reminders of our mortality and that concerns about our own mortality can therefore instigate ageism. In Study 1, college-age participants who saw photos of two elderly people subsequently showed more death accessibility than participants who saw photos of only younger people. In Study 2, making mortality salient for participants increased distancing from the average elderly person and decreased perceptions that the average elderly person possesses favorable attitudes. Mortality salience did not affect ratings of teenagers. In Study 3, these mortality salience effects were moderated by prior reported similarity to elderly people. Distancing from, and derogation of, elderly people after mortality salience occurred only in participants who, weeks before the study, rated their personalities as relatively similar to the average elderly person's. Discussion addresses distinguishing ageism from other forms of prejudice, as well as possibilities for reducing ageism.

  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 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

  9. Explore the Elderly People Described Planning and Design of City Park Green Space Activity Region%城市公园绿地老年人活动区适老性规划设计研究

    韩晓洁

    2014-01-01

    Focus on the outdoor leisure life of old people and provide the elderly and comfortable outdoor leisure venues have become a key problem in Chinese society. This article embarks from the elderly physiological and psychological, and elaborates the special needs of the park green space should meet old people, and put forward design essentials of different activity of the elderly fitness described planning in park green space.%关注老年人的户外休闲生活、为老年人提供舒适的户外休闲场地,已成为我国社会的重点问题。本文从老年人生理及心理出发,阐述了公园绿地应满足老年人的特殊需求。并提出了在公园绿地中,不同老年人活动区适老性规划的设计要点。

  10. 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

  11. 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.

  12. Home-Living Elderly People's Views on Food and Meals

    Ellinor Edfors

    2012-01-01

    Full Text Available Background. The aim of the study was to describe home-living elderly people's views on the importance of food and meals. Methods. Semistructured interviews with twelve elderly people. The interviews were analysed using qualitative content analysis. Results. Respondents described how their past influenced their present experiences and views on food and meals. Increased reliance on and need of support with food and meals frequently arose in connection with major changes in their life situations. Sudden events meant a breaking point with a transition from independence to dependence and a need for assistance from relatives and/or the community. With the perspective from the past and in the context of dependency, respondents described meals during the day, quality of food, buying, transporting, cooking, and eating food. Conclusions. Meeting the need for optimal nutritional status for older people living at home requires knowledge of individual preferences and habits, from both their earlier and current lives. It is important to pay attention to risk factors that could compromise an individual's ability to independently manage their diet, such as major life events and hospitalisation. Individual needs for self-determination and involvement should be considered in planning and development efforts for elderly people related to food and meals.

  13. Home-Living Elderly People's Views on Food and Meals.

    Edfors, Ellinor; Westergren, Albert

    2012-01-01

    Background. The aim of the study was to describe home-living elderly people's views on the importance of food and meals. Methods. Semistructured interviews with twelve elderly people. The interviews were analysed using qualitative content analysis. Results. Respondents described how their past influenced their present experiences and views on food and meals. Increased reliance on and need of support with food and meals frequently arose in connection with major changes in their life situations. Sudden events meant a breaking point with a transition from independence to dependence and a need for assistance from relatives and/or the community. With the perspective from the past and in the context of dependency, respondents described meals during the day, quality of food, buying, transporting, cooking, and eating food. Conclusions. Meeting the need for optimal nutritional status for older people living at home requires knowledge of individual preferences and habits, from both their earlier and current lives. It is important to pay attention to risk factors that could compromise an individual's ability to independently manage their diet, such as major life events and hospitalisation. Individual needs for self-determination and involvement should be considered in planning and development efforts for elderly people related to food and meals.

  14. Productive activity and life satisfaction in Korean elderly women.

    Kim, Ju-Hyun

    2013-01-01

    The purpose of this study is to explain the effect of participation in productive activities on life satisfaction and its implications for social evaluation of productive aging. This study uses data collected from 1,250 elderly women living in urban areas. The regression model was used to examine the influence of elderly women's participation in productive activities on their life satisfaction. Elderly women who participate in volunteer work, learning, and social group activities commonly recognized their activities as meaningful, feeling like worthwhile members of society, and evaluated such activities as very positive. In contrast, elderly women who participated in household chores and family care activities expressed a negative life satisfaction. The difference in life satisfaction regarding productive activities stems not only from the physical and environmental differences but also from the gap between the official social value underpinned by the recognition of surrounding people, their support, and the value of productive activities.

  15. 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

  16. Common chronic health problems and life satisfaction among Macau elderly people

    Hu, Sydney X. X.; Wai In Lei; Ka Kei Chao; Hall, Brian J.; Siu Fung Chung

    2016-01-01

    Aim: Most elderly people live with one or more health problems and their quality of life is affected. This study aimed to compare life satisfaction of elderly people living with common chronic medical illness compared with those without these health conditions in order to identify conditions that most affect life satisfaction of elderly people living in the community. Method: The data was collected by a questionnaire survey of 529 elderly living in community dwellings of Macau using a sing...

  17. Home accidents amongst elderly people: A locality study in Scotland

    Gilhooly, M; Banks, P.; Barrett, W.; Wales, A.; Caldwell, S.; Macdonald, C.(Department of Physics and Astronomy, University of Sheffield, Sheffield, United Kingdom); Dunleavy, K

    2007-01-01

    Aim The aim of this locality study was to collect information on reported and unreported accidents amongst elderly people living in one locality in Scotland. Method Postal Survey- A postal questionnaire was sent to 3,757 men and women aged 65+ years living in one locality. The questionnaire asked respondents to indicate how many accidents they had experienced in the past twelve months, plus to indicate type and location. Information was gathered on living arrangements, ethnicity,...

  18. 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

  19. Postural violations in elderly people according to computer stabilometry

    Ziteva О.О.

    2013-06-01

    Full Text Available Postural violations (PV compose the topical issue for elderly people. The research objective is to study features of postural control at elderly people by means of the computer stabilometry (CS. This technique can also serve as control of efficiency of the carried out therapy of PN. In literature there are only single researches devoted to the change of the main rack for persons over 60 years. Material and Methods: 138 patients aged from 61 to 102 years have been investigated and averaged 77,8+2,3 years. Three age groups of the persons under the study by 46 years have been determined: elderly, old men and long-livers. Results proved the expressed decrease in compensatory opportunities of maintenance of balance at people after 60 years, growth of postural instability according to the increase in age. Prior to therapy at all patients significant increase in the area and length of statokineziograms, speed of movement of the center of pressure has been revealed; average value of the «average position of the center of pressure» parameter in the frontal and sagittal planes considerably differed from normal indicators. After carrying out a standard course of treatment average values of the Deviation, Way and Speed parameters decreased in comparison with similar values before the treatment. Average value of the area parameter appeared to be the most sensitive to medical influences. Conclusion: The CS method allows to carry out rather objectively early diagnostics of PN at elderly people and to estimate their condition in dynamics.

  20. 长沙市城乡老年人日常生活能力调查%Investigation on the activities of daily living for elderly people in Changsha area

    陈云华; 谢玲莉; 谢云; 任森; 蔡宇

    2008-01-01

    Objective To investigate the situation of the activities of daily living(ADL)for elderly people in Changsha,and analyze the influencing factors. Methods Questionnaire survey on ADL was held in 2239 elderly people(ranging from 60 to 91 years old),and the influencing factors including age,sex,family structure,marital status,education level,occupation,common chronic diseases and medical care consciousness were analyzed. Results Going to the toilet irregularly hadthe highest injury rate in physical self-maintenance viability(18.2%).But in instrumental ADL,the highest injury rate occurred while shopping(26.3%).Advanced age,living alone,losing spouse,sickness and the lack of medical care awareness were the major factors that influenced the ADL of the elderly people. Conclusions The ADL is an important indicator which reflects the health condition of elderly people.Advanced age,living alone,losing spouse,having many chronic diseases and lacking in medical care awareness are risk factors.%目的 调查长沙市城乡老年人日常生活能力损害情况,分析其影响因素.方法 采用问卷调查法,对2339名60~91岁的老年人进行日常生活能力调查,分析其性别、年龄、婚姻状况、家庭结构、教育程度、职业、常见慢性病、医疗保健意识对老年人日常生活能力的影响.结果 躯体生活自理能力中,损害率最高的是定时上厕所(18.2%),工具性日常生活能力损害率最高的是购物(26.3%).年龄、丧偶、独居、患病、医疗保健意识缺乏是影响日常生活能力的主要因素.结论 日常生活能力是反映老年人健康状况的重要指标,对高龄、丧偶、独居、患有多种慢性疾病、医疗保健意识缺乏者等老年高危人群应加强健康教育和老年保健,提高其生活质量.

  1. Preventive home visits to elderly people in Denmark

    Hendriksen, C; Vass, M

    2005-01-01

    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......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...

  2. 老年人规律体育活动行为特点与健康水平调查%Investigation on regular physical activity characteristics and health level of the elderly people

    陈亮; 徐景彩; 严琴琴; 任祥钰; 陈盼盼

    2016-01-01

    目的 缓解老龄化社会压力,探究城市老年人规律体育活动行为特点与体质健康水平,为老年人健康干预提供有益参考.方法 采用整群抽样法,于2015年对799名陕西省城市老年人规律体育活动、体质健康、心血管机能情况进行调查分析.结果 不同年龄组男性(F=7.036)、女性(F=11.773)老年人舒张压组间差异具有统计学意义(P<0.05);不同年龄组女性老年人腰围(F=5.251)、闭眼单脚站立(F=7.952)、坐位体前屈(F=3.081)组间差异具有统计学意义(P<0.05),随年龄增长呈现下降趋势;腰围身高比(WHtR)与收缩压(r=0.121)、舒张压(r=0.070)、心率(r=0.080)相关关系具有统计学意义(P<0.05);各年龄组老年人与全国平均水平对比,身高、体质量、腰围、心率水平较好,血压、坐位体前屈、握力、闭眼单脚站立较差(P<0.05);健身走、太极拳、跑步、跳舞是老年人主要的体育运动项目,占所有运动项目的91.4%.结论 长期规律体育活动有助于改善老年人血压水平,延缓男性老年人的身体机能衰退;WHtR适合监测规律体育活动老年人体质水平,改善WHtR水平有助于减少心血管疾病的发生;女性老年人应增加慢跑等活动项目,70岁以上组应注意控制腰围;规律体育活动老年人需采取针对性措施改善血压、力量、平衡、柔韧指标,以有效改善健康水平.%Objective To explore the regular physical activity characteristics and health level of the elderly people, and to alleviate the pressure of the aging society and provide a useful reference for health intervention on the el-derly. Methods A total of 799 elderly people in Shaanxi province were investigated in 2015 by the cluster sampling method for regular physical activity, physical health and cardiovascular function. Results In different age groups of male (F=7.036) and female (F=11.773), there were statistically significant differences in diastolic blood pressure (P<0

  3. Dietary intake and anthropometry of Korean elderly people: a literature review

    Park, Y.H.; Groot, de C.P.G.M.; Staveren, van W.A.

    2003-01-01

    The health status of elderly people is an important issue in Korea due to the expansion of the elderly population. However, data on their nutritional status are limited. This review aims to give an overview of the dietary intake and anthropometry of Korean elderly people based on studies published,

  4. Frailty in elderly people with chronic kidney disease.

    Portilla Franco, Maria Eugenia; Tornero Molina, Fernando; Gil Gregorio, Pedro

    In recent years, the concept of frailty as a "state of pre-disability" has been widely accepted by those involved in the care of the elderly. Its importance lies not only in its high prevalence - more than 25% in people over 85 years of age - but it is also considered an independent risk factor of disability, institutionalisation and mortality amongst the elderly. The study of renal function is relevant in patients with major comorbidities. Studies have shown a significant association between chronic kidney disease and the development of adverse clinical outcomes such as heart disease, heart failure, end-stage renal disease, increased susceptibility to infections and greater functional impairment. Frailty can be reversed, which is why a study of frailty in patients with chronic kidney disease is of particular interest. This article aims to describe the association between ageing, frailty and chronic kidney disease in light of the most recent and relevant scientific publications.

  5. 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...

  6. Elderly people's perceptions of using Wii sports bowling - A qualitative study.

    Glännfjord, Fredrik; Hemmingsson, Helena; Larsson Ranada, Åsa

    2016-12-14

    The Nintendo Wii is a gaming console with motion-sensitive controls that is making inroads into health care and rehabilitation. However, there is still limited knowledge on how elderly people perceive the use of such a product. The aim of this study was to examine how the use of the Wii Sports Bowling in an activity group was perceived by elderly people. The data consisted of observations and interviews with participants who used Wii Sports Bowling and was analysed with content analysis. The findings are described in three themes; 'The use of the Wii Sports game', 'Engagement in the game' and 'Social interaction around the activity'. Wii Sports Bowling was described as easier to play compared to real-life bowling and was enjoyable and a social activity. The opportunity to meet the group each week was important for the participants. Playing the game resulted in signs of immersion and a flow-like state. The Wii was perceived to be easy to use, to provide a way to socialize with peers and to give opportunities to participate in activities in a new way. More studies regarding elderly people's experiences and apprehensions regarding new technology such as gaming consoles and virtual reality are needed.

  7. 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.

  8. Time trends in leisure time physical activity and physical fitness in elderly people: 20 year follow-up of the Spanish population national health survey (1987-2006

    Carrasco-Garrido Pilar

    2011-10-01

    Full Text Available Abstract Background To estimate trends in leisure time physical activity and physical fitness between 1987-2006 in older Spanish people. Methods We analyzed data collected from the Spanish National Health Surveys conducted in 1987 (n = 29,647, 1993 (n = 20,707, 1995-1997 (n = 12,800, 2001 (n = 21,058, 2003 (n = 21,650, and 2006 (n = 29,478. The number of subjects aged ≥ 65 years included in the current study was 29,263 (1987: n = 4,958-16.7%; 1993: n = 3,751-17.8%; 1995-97: n = 2,229-17.4%; 2001: n = 4,356-20.7%; 2003: 6,134-28.3%; 2006: 7,835-26.5%. Main variables included leisure-time physical activity and physical fitness. We analyzed socio-demographic characteristics, self-rated health status, lifestyle habit and co-morbid conditions using multivariate logistic regression models. Results Women exhibited lower prevalence of leisure time physical activity and physical fitness compared to men (P Conclusions We found an increase in leisure time physical activity in the older Spanish population. Older age, married status, co-morbid conditions, obesity, and worse self-perceived health status were associated with lower activity. Identification of these factors can help to identify individuals at risk for physical inactivity.

  9. 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

  10. 老年人身体活动与生命质量之关系研究%On the Study of the Relationship between Elderly People s Physical Activity and Quality of Life

    高兴桂

    2014-01-01

    Using questionnaire research,with the object of over 65 years old elderly people in six administrative re-gions of Taichung city. Their average age were 71�32 years old,898 valid questionnaires received, and accord-ing to the research data to analyze by methods of descrip-tive statistics and One-way ANOVA. The results indica-ted:There is significant negative correlation between phys-ical activity and PCS as well as MCS. Elders who exercise more than three days a week only perform better in MCS. However,if the number of days of doing exercise reaches five days a week, it will get better performance not only MCS but also PCS. We suggest the elderly people should increase the physical activity and exercise more than five days a week to strengthen the physical adaptability, en-hance the quality of life.%使用问卷调查法进行调查研究,针对台中市六个行政区65岁以上老年人为研究对象,获得有效问卷898份,平均年龄71�32岁。根据调查所得资料,以描述性统计、单因子变异数分析等统计方法进行分析。获得以下结果:身体活动量与生理生命质量( PCS )及心理生命质量( MCS)成显著正相关,而每周运动三天以上的老年人,仅在心理生命质量( MCS )上有较佳的表现,但若达到每周运动五天以上,则不仅心理生命质量(MCS)上较佳,生理生命质量(PCS)也有较佳的表现。建议老年人平时应增加身体活动量,每周从事五天以上的运动,增强体适能,提升生命质量。

  11. Activities for Older People

    1994-01-01

    Along with the improvement of the standard of living and medical care the lifespan of people in China has increased greatly in the 1990s. There are more older people living in Shanghai, Beijing and Tianjin than in the rest of the country. The government and

  12. Equilibrium and muscle flexibility in elderly people subjected to physiotherapeutic intervention

    Mariane Fernandes Ribeiro

    2016-09-01

    Full Text Available To evaluate the equilibrium and flexibility of elderly people submitted to a training program involving physical therapy exercises. Six elderly people were selected, average age 69.66 years. Wells’s Bench and the Functional Reach Test (FRT plus Timed Up and Go Test (TUG were employed respectively to assess muscle flexibility and balance analysis. Tests were performed before and after the exercise program which consisted of thirty-five 50 min physical therapy group sessions, twice a week, with stretching exercises, gait training, active exercises, postural correction exercises and breathing exercises. Statistical analysis was done with Sigma-Stat® 3.5. Assessments occurred before and after sessions, and the final test was undertaken after 35 sessions. There was a statistically significant increase in the flexibility of the posterior muscle chain. In the TUG test, the group achieved a shorter time after treatment, with statistical significance between tests. There was a statistically significant increase in the average FRT after the sessions. Current study showed better results in the execution of tests evaluated after the program of physiotherapy activities, contributing towards the improvement of muscle flexibility and balance of elderly people.

  13. 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

  14. Potentially inappropriate prescribing in a population of frail elderly people.

    Récoché, Isabelle; Lebaudy, Cécile; Cool, Charlène; Sourdet, Sandrine; Piau, Antoine; Lapeyre-Mestre, Maryse; Vellas, Bruno; Cestac, Philippe

    2017-02-01

    Background Frailty is a clinical syndrome highly predictive of functional decline after a stress or a medical event, such as adverse drug events. Objective To describe the prevalence of potentially inappropriate prescribing in a population of frail elderly patients. Setting Geriatric day hospital for assessment of frailty and prevention of disability, Toulouse, France. Method A cross-sectional study performed from January to April 2014. Two pharmacists retrospectively analyzed the prescriptions of elderly patients who were sent to the day hospital to assess their frailty and to be given a personalized plan of care and prevention. Potentially inappropriate prescribing was defined by combining explicit criteria: Laroche list, screening tool of older people's prescriptions, and screening tool to alert to right treatment with an implicit method (drug utilization review for each medication). Prescriptions' optimizations were then suggested to the geriatricians of the day hospital and classified according to criteria defined by the French Society of Clinical Pharmacy. Main outcome measure Prevalence of potentially inappropriate prescribing. Results Among the 229 patients included, 71.2% had potentially inappropriate prescribing. 76 patients (33.2%) had at least one drug without any valid indication. 51 (22.3%) had at least one drug with an unfavorable benefit-to-risk ratio according to their clinical and biological data, 42 (18.3%) according to the Laroche list and 38 (16.6%) had at least one drug with questionable efficacy. Conclusion Our work shows that the incidence of PIP is high in the frail elderly and that, in most cases, it could be avoided with an adequate and regular reassessment of the prescriptions. In future, prescription optimization will be integrated into the personalized medical care plan to further prevent drug-related disability.

  15. 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…

  16. Memory complaints are frequent but qualitatively different in young and elderly healthy people

    Ginó, S.; Mendes, T.; Maroco, J.; Ribeiro, F.; Schmand, B.A.; de Mendonca, A.; Guerreiro, M.

    2010-01-01

    Background: Subjective memory complaints are frequently reported by the elderly. There is less information about the characterization of subjective memory complaints in young people. Objective: To determine different memory complaints between young and elderly people with the use of the Subjective M

  17. Self-Regulation and Experience of Loneliness of Elderly People Who Live in Social Care Residences

    Abitov, Ildar R.; Gorodetskaya, Inna M.

    2016-01-01

    The research addresses the peculiarities of self-regulation of loneliness experience of elderly people living in care homes. The population of the study consisted of 60 elderly people (65-80 years old). 30 of them live in families with spouses and children and 30 persons live in the State residential social service institution. It was found that…

  18. 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…

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

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

    2015-01-01

    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

  20. Common chronic health problems and life satisfaction among Macau elderly people

    Sydney X.X. Hu

    2016-12-01

    Conclusion: Lowest life satisfaction was reported among Macau elderly people living with mobility related chronic medical illness. Policies and practices should pay more attention to mobility related health problems or issues of elderly people, such as eye health and neuromuscular weaknesses.

  1. [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.

  2. Dietary protein intake in Dutch elderly people: a focus on protein sources

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

    2015-01-01

    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

  3. Results of cataract surgery in elderly people from Jatibonico municipality.

    Arelys Caraballo Díaz

    2012-03-01

    Full Text Available A cataract is considered a disease of great magnitude and importance due to the decrease of visual acuity it causes and because it is widespread in the world. A descriptive study was conducted in order to describe the results of cataract surgery by extracting the extracapsular lens and placing an intraocular lens in elderly people operated on at the "Camilo Cienfuegos" General Hospital in the province of Sancti Spiritus, belonging to Jatibonico municipality in the period from January 3 to December 31, 2008. The population consisted of all cataract surgery patients aged 60 and over. 187 patients. The following variables were used: sex, age, eye diseases associated complications and visual results after placing an intraocular lens. Age between 60 and 69 years (78%, and female sex (29% were predominant. Posterior capsule rupture (34% and its opacity (34% were the main intraoperative and postoperative complications. Despite complications, there was an improvement of visual acuity evident after the completion of surgery.

  4. [Multidisciplinary guideline 'Recognition and treatment of chronic pain in vulnerable elderly people'].

    Achterberg, Wilco P; de Ruiter, Corinne M; de Weerd-Spaetgens, Chantal M E E; Geels, Paul; Horikx, Annemieke; Verduijn, Monique M

    2012-01-01

    Chronic pain in vulnerable elderly people is still poorly recognized and treated, both at home and in hospitals and care and nursing homes. Vulnerable elderly people experience and express pain differently to relatively healthy adults, especially when they suffer from cognitive impairment or specific conditions. Determining the nature and severity of the pain requires the use of pain assessment instruments that have been validated for use in vulnerable elderly people. Effective treatment of pain demands careful diagnosis and pharmacological and non-pharmacological interventions that have proven effectiveness in vulnerable elderly people. The combination of multiple morbidity and poly-pharmacy increases the chance of side-effects and complications. In addition, the pharmacokinetic and pharmacodynamic characteristics of many drugs are different in vulnerable elderly people. The advice is to start with a lower dose of pain medication and gradually build up a level on the basis of pain relief and side-effects ('start low, go slow!').

  5. [Home care needs for elderly people in the context of the Family Health Strategy].

    Aires, Marinês; Paz, Adriana Aparecida

    2008-03-01

    This study had the objective of identifying the needs of care reported by a group of elderly people in a region covered by the Family Health Strategy (ESF). The methodology used was based on a descriptive cross-sectional study, with a sample of 176 persons over 60 years of age. Most of the individuals were females, between 60 and 69-years-old, with an average of 69.6 +/- 7.4 years. The elderly reported co-morbidities, most of which were related to diseases of the circulatory and endocrine systems, as well as nutritional and metabolic disturbances, musculoskeletal and conjunctive tissue diseases. Regarding the Basic Activities of Daily Life, 93.2% of the elderly reported to be independent, 81.3% were able to conduct instrumental daily life activities, and 24.4% reported needing a caregiver at home. The need for the family health team to adopt care technologies for the elderly in the scope of their homes is discussed.

  6. 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

  7. [A comparative study of the health conditions of elderly people living alone, elderly couples and the bedridden elderly at home in a rural area of Shiga Prefecture: special reference to morbidity rate and blood pressure, electrocardiograph and blood examination data].

    Nozaki, A; Hirao, K; Sugimoto, C; Kita, Y; Ueshima, H; Okayama, A; Yamakawa, M

    1993-09-01

    For the purpose of obtaining basic data and for establishing a support system for elderly people with various health and social problems, a population survey was performed in 1990 to investigate the health and living conditions of elderly people living alone, elderly couples and the bedridden elderly in the town of Shigaraki, Shiga Prefecture. A total of 275 subjects (103 male, 172 female) 65 years of age and over were surveyed. The participation rate in this survey was 88.1%. Analysis of health conditions (morbidity rate, blood pressure, electrocardiograph and blood examination data) of elderly people living alone, elderly couples and the bedridden elderly produced the following: 1) Stroke was the main cause of being bedridden in men, while in women, bone and joint disease, especially fracture, was the main cause. 2) The combined prevalence of hypertension and borderline hypertension in elderly people living alone, elderly couples and the bedridden elderly was over 50%. The bedridden elderly had a lower prevalence than elderly people living alone and elderly couples. 3) Men in all of the above mentioned life styles, had a higher tendency of showing ECG abnormalities than women. The tendency for major ECG abnormalities was high for bedridden elderly, both male and female, with the tendency for men being higher. 4) In bedridden elderly, a tendency of higher prevalence of anemia, in both male and females, lower total serum cholesterol and triglyceride in males compared to elderly people living alone and in elderly couples, was observed.

  8. Does sleep disturbance predict depression in elderly people? A study in inner London.

    Livingston, G.; Blizard, B; Mann, A

    1993-01-01

    Insomnia in elderly people has traditionally been regarded as inevitable and trivial. A longitudinal study was undertaken to examine the prevalence of sleep disturbance among elderly people in an inner London community and its association with demographic variables, depression, dementia and disability. Those aged 65 years and over living at home were interviewed using a validated and reliable semi-structured interview schedule. A total of 705 people were interviewed in 1987-88 and 524 were re...

  9. 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

  10. 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.

  11. 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.

  12. 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.

  13. Aluminum concentrations in water of elderly people's houses and retirement homes and its relation with elderly health.

    Ferreira, Pricilla Costa; Tonani, Karina A de Abreu; Julião, Fabiana C; Cupo, Palmira; Domingo, José L; Segura-Muñoz, Susana Inés

    2009-10-01

    The purpose of this study was to determine the concentrations of aluminum (Al) and other metals in water samples from elderly people's houses and retirement homes. Forty-six duplicate water samples from kitchen taps were collected in Ribeirão Preto/SP, Brazil. Metal levels were measured by atomic absorption spectrophotometer. Aluminum concentration exceeded the maximum allowed values in 26% of samples according to the Decree 518/2004 of the Brazilian Health Ministry. It was noted that 11% of elderly living at monitored houses, as well as 19% living at retirement homes presented Alzheimer disease diagnostic. These results suggest taking into account Al risks among vulnerable elderly population groups.

  14. Dietary Behaviors of Elderly People Residing in Central Iran: A Preliminary Report of Yazd Health Study (YAHS

    Davood Bahrami

    2016-06-01

    Full Text Available Introduction: Food habits play important roles in maintaining physical and mental health and preventing chronic illnesses in the elderly. The aim of the present study was to investigate dietary behaviors of elderly people residing in Yazd city which is located in central Iran. Methods: The present analysis was conducted on 1684 participants entered to Yazd Health Study (YAHS aged over 60 years during 2014-2015. Demographic characteristics, health status, physical activity, economic status, education and dietary behaviors were collected by using a validated questionnaire. Results: Our analysis revealed that only 1.2% of the elderly consumed more than two servings of dairy per day. Furthermore only 3 and 9.8 percent of elders consumed more than three servings/day of vegetables and fruits, respectively. The study also showed that 22.9% ate more than five servings of sugar per day, 22.5% took more than four units of legumes weekly, 56.1% ate two to three servings of poultry per week, 77% reported eating fast foods for at least once a week, 47.8% consumed canned foods less than once a week of and 86.3% reported taking breakfast for at least five times a week. For cooking 18.9% of elderly still use hydrogenated vegetable oils, 52.8% of the elderly did not separate visible fats from red meat before cooking, 65.8% chose high-fat dairy and  24% of older people reported using frying and grilling as their primary cooking method. Our findings also suggest that dietary behavior is different between elder men and women. Conclusion: Unhealthy dietary habits, including low vegetables, fruits and dairy products intake, are highly prevalent among elderly people residing in Yazd. Community based interventions targeting this age group, in order to improve their dietary intake, are highly recommended.

  15. Oral health screening of elderly people attending a community care centre.

    Diu, S; Gelbier, S

    1989-08-01

    A socio-dental survey was carried out to determine the level of dental disease and treatment requirement among elderly people attending a Community Care Centre. A screening programme involving 293 elderly people demonstrated a normative need of 82% and a felt need of 53%. Seventy-six per cent would have benefited from dental care. Many individuals who both needed and wanted dental care were not receiving it because they were discouraged from doing so predominantly because of poor mobility. It is recommended, therefore, that dentists be included in multi-disciplinary teams caring for elderly people so that they can be screened and given the opportunity to obtain dental care.

  16. 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...

  17. Development and effect of a cognitive enhancement gymnastics program for elderly people with dementia

    Han, Yoon-Soo; Araki, Tatsuo; Lee, Pil-Young; Choi, Jung-Hyun; Kwon, In-Seon; Kwon, Ki-Nam; Kim, Ji-Youn

    2016-01-01

    The purpose of this study was to develop a cognitive enhancement gymnastics program for the elderly with dementia and to verify its effect. The study was conducted on 27 people with dementia being treated in a dementia day care center in Incheon city. No statistically significant differences were found in the measures Mini-Mental State Examination for Dementia Screening (MMSE-DS), Short Geriatric Depression Scale (SGDS), Seoul Activities of Daily Living (S-ADL), or rock-paper-scissors. However, the MMSE-DS and rock-paper-scissors showed improvement after 12 weeks. PMID:27656632

  18. Wheelchair Navigation System for Disabled and Elderly People

    Kim, Eun Yi

    2016-01-01

    An intelligent wheelchair (IW) system is developed in order to support safe mobility for disabled or elderly people with various impairments. The proposed IW offers two main functions: obstacle detection and avoidance, and situation recognition. First, through a combination of a vision sensor and eight ultrasonic ones, it detects diverse obstacles and produces occupancy grid maps (OGMs) that describe environmental information, including the positions and sizes of obstacles, which is then given to the learning-based algorithm. By learning the common patterns among OGMs assigned to the same directions, the IW can automatically find paths to prevent collisions with obstacles. Second, it distinguishes a situation whereby the user is standing on a sidewalk, traffic intersection, or roadway through analyzing the texture and shape of the images, which aids in preventing any accidents that would result in fatal injuries to the user, such as collisions with vehicles. From the experiments that were performed in various environments, we can prove the following: (1) the proposed system can recognize different types of outdoor places with 98.3% accuracy; and (2) it can produce paths that avoid obstacles with 92.0% accuracy. PMID:27801852

  19. "Postural first" principle when balance is challenged in elderly people.

    Lion, Alexis; Spada, Rosario S; Bosser, Gilles; Gauchard, Gérome C; Anello, Guido; Bosco, Paolo; Calabrese, Santa; Iero, Antonella; Stella, Giuseppe; Elia, Maurizio; Perrin, Philippe P

    2014-08-01

    Human cognitive processing limits can lead to difficulties in performing two tasks simultaneously. This study aimed to evaluate the effect of cognitive load on both simple and complex postural tasks. Postural control was evaluated in 128 noninstitutionalized elderly people (mean age = 73.6 ± 5.6 years) using a force platform on a firm support in control condition (CC) and mental counting condition (MCC) with eyes open (EO) and eyes closed (EC). Then, the same tests were performed on a foam support. Sway path traveled and area covered by the center of foot pressure were recorded, low values indicating efficient balance. On firm support, sway path was higher in MCC than in CC both in EO and EC conditions (p balance control in a simple postural task (i.e. on firm support), which is highlighted by an increase of energetic expenditure (i.e. increase of the sway path covered) to balance. Awareness may not be increased and the attentional demand may be shared between balance and mental task. Conversely, cognitive load does not perturb the realization of a new complex postural task. This result showed that postural control is prioritized ("postural first" principle) when seriously challenged.

  20. 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

  1. [An instinctive psychodynamic approach of "free choice" for elderly people in nursing homes].

    Barreau, Pascal

    2014-01-01

    The free choice of the elderly is usually approached from a legal aspect. This approach sits easily within our democratic society. However, considering the issue solely from a legal standpoint means denying elderly people their psychological privacy, notably with regard to their capacity for self-determination.

  2. The effect of a liquid nutrition supplement on body composition and physical functioning in elderly people

    Wouters-Wesseling, W.; Hooijdonk, van C.; Wagenaar, L.; Bindels, J.G.; Groot, de C.P.G.M.; Staveren, van W.A.

    2003-01-01

    Background & aims: The elderly are at an increased risk of poor nutritional status which is mutually interacting with functional status. We evaluated the effects of a liquid nutrition supplement on anthropometric and functional indices in elderly people. Methods: Subjects (n=68; mean age=82 +/-

  3. 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

  4. Prevalence of sexually transmitted infections and the sexual behavior of elderly people presenting to health examination centers in Korea.

    Choe, Hyun-Sop; Lee, Seung-Ju; Kim, Chul Sung; Cho, Yong-Hyun

    2011-08-01

    Sexually transmitted infections are diseases provoking a great social and economic burden as well as health-related problems, and with the aging of society and the extension of life expectancy sexually transmitted infections in the elderly have drawn more attention these days. For the management of sexually transmitted infections in this population, basic epidemiological data need to be established. In this study, 1,804 persons from the general population aged over 60 years visiting health examination centers were tested for syphilis, gonorrhea, and chlamydia, and interviewed about the patterns of sexual behavior of elderly people through questionnaires. The prevalence rates of syphilis, gonorrhea, and chlamydia recorded were 0.222% (4/1804), 0 (none), and 0.776% (14/1804), respectively. The results of the survey showed that the sexual life of the elderly people was currently active, and the sexual behavior of chlamydia patients was distinguished in some characteristics from that of the general participants. Political management to prevent sexually transmitted infections needs to be continued in elderly people as it is in other age groups. More detailed follow-up studies are necessary to determine the incidence and prevalence rates of the diseases in the elderly population in future, and the results of this study are considered to be useful as basic data for such studies.

  5. 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.

  6. Falls prediction in elderly people : A 1-year prospective study

    Swanenburg, Jaap; de Bruin, Eling D.; Uebelhart, Daniel; Mulder, Theo

    2010-01-01

    The aim of the present study was to determine whether force plate variables in single- and dual-task situations are able to predict the risk of multiple falls in a community-dwelling elderly population. Two hundred and seventy elderly persons (225 females, 45 males; age, 73 7 years) performed balanc

  7. Cognitive rehabilitation for elderly people with early-stage Alzheimer's disease.

    Kim, Seyun

    2015-02-01

    [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 control group. This study used a randomized controlled trial design. Cognitive rehabilitation is consisted of 8 sessions, each lasting 60 minutes (individual 30 min, group 30 min). The eight weekly individual sessions of cognitive rehabilitation were performed consisting of an individualized intervention focusing on a personally meaningful goal. The eight weekly group sessions involved practicing time-and-place orientation, matching faces and names, and learning memory and sustaining attention. [Results] Significant improvements were observed in rating of occupation performance and satisfaction, Quality of Life in Alzheimer's Disease (QOL-AD), and the orientation subscale of the MMSE in the experimental group, whereas participants in the control group did not show any significant difference in any tests between before and after the intervention. [Conclusion] Cognitive rehabilitation including tasks of cognitive training is an effective intervention for improving performance and satisfaction with respect to activities of daily living and specific cognitive functions.

  8. Effects of horseback riding exercise therapy on background electroencephalograms of elderly people

    Kim, Seon-Rye; Cho, Sung-Hyoun; Kim, Jin-Woo; Lee, Hyo-Cheol; Brienen, Marten; Cho, Byung-Jun

    2015-01-01

    [Purpose] This study investigated the effect of horseback riding exercise on the background electroencephalograms of elderly people who performed horseback riding for 8 weeks. [Subjects] Twenty elderly people were divided into the horseback riding exercise and control group (n = 10 each). [Methods] The exercise was performed for 15 minutes, 3 times per week for 8 weeks. Electroencephalograms were analyzed. Post-exercise evaluation was performed after 8 weeks. [Results] After the horseback riding exercise, the relative slower alpha power index was active in the T3 and P4 domains but suppressed in the Fp1, Fp2, F3, F4, T4, and P3 domains. Moreover, the relative faster alpha power index was active in all domains of the horseback riding exercise group but was suppressed in all domains of the control group. There was a significant difference between groups in the F3 domain. [Conclusion] The alpha power index increased significantly after horseback riding exercise, suggesting the exercise improved background electroencephalogram. PMID:26311985

  9. Quality of life of elderly people with impaired physical mobility

    Juliana Maria de Paula

    2014-01-01

    Full Text Available This is an integrative review, which aimed at identifying the available evidence about the knowledge on the quality of life of the elderly with impaired physical mobility between 2001 and 2011. Data collection happened in the LILACS, MEDLINE and COCHRANEdatabases. After analytical reading of works, we selected 16 articles for analysis in two thematic categories: quality of life and personal satisfaction, and quality of life and functional capacity. The mobilitylimitations, pain and emotional well-being in the elderly can be attributed to chronic conditions, negatively affecting the quality of life; and the elderly who report a decreased quality of life, are those with a higher degree of dependence, influencing social participation and well-being. We suggest the nurse’s performance in research on interventions that allow improving the quality of life of the elderly with impaired physical mobility.

  10. Dietary assessment of a group of elderly Spanish people.

    Ortega, R M; Andrés, P; Redondo, M R; Zamora, M J; López-Sobaler, A M; Encinas-Sotillos, A

    1995-05-01

    The dietary patterns of 60 elderly from Spain (37 women and 23 men) were examined by analysis of the food, energy and nutrient intake during 5 days. The caloric profile was somewhat unbalanced, since the percentage of total energy intake from proteins and lipids was above the recommended limit whereas the proportion of energy derived from carbohydrates was slightly deficient. The degree of underreporting derived by subtracting predicted total daily energy expenditure from self-reported energy intake obtained from a diet control during 5 days is 120 kcal/day in men and 334 kcal/day in women. More than 50% of the population showed intakes of pyridoxine, folates, vitamin A (only in men), vitamin D, vitamin E. zinc, magnesium and iron (only in women) lower than those recommended. Although it is likely that the real intakes of these micronutrients are higher than the levels measured considering the underreporting, the obtained results show the existence of a risk of deficiency of several nutrients. An increase in the energy intake of the group with a parallel increase in physical activity with a view to avoiding weight gain may be of use in improving the nutritional status of the group. This measure, together with increased consumption of vegetables and milk products especially, may lead to a striking reduction in illness, a finding that is of considerable clinical and public health importance.

  11. 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.

  12. Uncertainty, the Overbearing Lived Experience of the Elderly People Undergoing Hemodialysis: A Qualitative Study

    Sahaf, Robab; Sadat Ilali, Ehteram; Peyrovi, Hamid; Akbari Kamrani, Ahmad Ali; Spahbodi, Fatemeh

    2017-01-01

    ABSTRACT Background: The chronic kidney disease is a major health concern. The number of the elderly people with chronic renal failure has increased across the world. Dialysis is an appropriate therapy for the elderly, but it involves certain challenges. The present paper reports uncertainty as part of the elderly experiences of living with hemodialysis. Methods: This qualitative study applied Max van Manen interpretative phenomenological analysis to explain and explore experiences of the elderly with hemodialysis. Given the study inclusion criteria, data were collected using in-depth unstructured interviews with nine elderly undergoing hemodialysis, and then analyzed according to Van Manen 6-stage methodological approach. Results: One of the most important findings emerging in the main study was “uncertainty”, which can be important and noteworthy, given other aspects of the elderly life (loneliness, despair, comorbidity of diseases, disability, and mental and psychosocial problems). Uncertainty about the future is the most psychological concerns of people undergoing hemodialysis. Conclusion: The results obtained are indicative of the importance of paying attention to a major aspect in the life of the elderly undergoing hemodialysis, uncertainty. A positive outlook can be created in the elderly through education and increased knowledge about the disease, treatment and complications. PMID:28097174

  13. Uncertainty, the Overbearing Lived Experience of the Elderly People Undergoing Hemodialysis: A Qualitative Study

    Robab Sahaf

    2017-01-01

    Full Text Available Background: The chronic kidney disease is a major health concern. The number of the elderly people with chronic renal failure has increased across the world. Dialysis is an appropriate therapy for the elderly, but it involves certain challenges. The present paper reports uncertainty as part of the elderly experiences of living with hemodialysis. Methods: This qualitative study applied Max van Manen interpretative phenomenological analysis to explain and explore experiences of the elderly with hemodialysis. Given the study inclusion criteria, data were collected using in-depth unstructured interviews with nine elderly undergoing hemodialysis, and then analyzed according to Van Manen 6-stage methodological approach. Results: One of the most important findings emerging in the main study was “uncertainty”, which can be important and noteworthy, given other aspects of the elderly life (loneliness, despair, comorbidity of diseases, disability, and mental and psychosocial problems. Uncertainty about the future is the most psychological concerns of people undergoing hemodialysis. Conclusion: The results obtained are indicative of the importance of paying attention to a major aspect in the life of the elderly undergoing hemodialysis, uncertainty. A positive outlook can be created in the elderly through education and increased knowledge about the disease, treatment and complications.

  14. 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.

  15. TRAINING OF GERIATRIC SPECIALISTS FOR BUILDING OF COMMUNICATION SKILLS FOR WORK WITH ELDERLY PEOPLE WITH DISABILITIES

    Mariya Dimova

    2016-09-01

    Full Text Available INTRODUCTION: The development and improvement of medical and social services for people with disabilities is one of the indicators for providing life quality to elderly people. Training of geriatric specialists is one of the ways to overcome the deficiency of professionals possessing specific knowledge and skills to take care of elderly and aged people, with or without disabilities. During their training, the students, majoring in Geriatric Care acquire professional competencies for work with elderly and aged people with or without disabilities (visual disabilities, hearing disabilities, etc. Formation of communication competence in students is an important part of the professiogram. The curriculum envisages diverse training methods, facilitating the formation of skills required for communication with patients, in conformity with their individual characteristics and system of values.AIM: The purpose of this survey is to present the training of geriatric specialists from the Medical College at Trakia University, Stara Zagora, with regards to the formation of communication skills necessary to work with elderly people with disabilities.MATERIALS AND METHODOLOGY: Examination and analysis of training documentation is done.RESULTS: The analysis of the training documentation shows that the training of the geriatric specialists at the Medical College of Trakia University, Stara Zagora is entirely conformed to the special, individual characteristics of elderly people with disabilities. The syllabus includes the elements, necessary to build professional competencies for communication with the mentioned target group within the frame of the approved curriculum.

  16. 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

  17. Reminiscence, Psychological Well-Being, and Ego Integrity in Portuguese Elderly People

    Afonso, Rosa Maria; Bueno, Belen; Loureiro, Manuel Joachim; Pereira, Henrique

    2011-01-01

    This paper analyzes the impact of a reminiscence program on the psychological well-being and ego integrity of elderly people with depressive symptomatology. Ninety people aged 65 and over participated in a quasi-experimental design with pretest and posttest evaluations. They were assigned to one of three groups: (a) experimental group…

  18. The Relationship Between Exercise and Risk of Venous Thrombosis in Elderly People

    Stralen, van Karlijn J.; Doggen, Carine J.M.; Lumley, Thomas; Cushman, Mary; Folsom, Aaron R.; Psaty, Bruce M.; Siscovick, David; Rosendaal, Frits R.; Heckbert, Susan R.

    2008-01-01

    OBJECTIVES: To study whether exercise is associated with the risk of venous thrombosis in elderly people. DESIGN: Observational study with a median follow-up of 11.6 years. SETTING: The Cardiovascular Health Study in four U.S. communities. PARTICIPANTS: People aged 65 and older without prior veno

  19. 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...... functional ability can appear by either tiredness or reduced speed....

  20. Home Safety, Safe Behaviors of Elderly People, and Fall Accidents At Home

    Erkal, Sibel

    2010-01-01

    The present study analyzed home safety and safe behaviors against fall accidents of elderly people living at home. The study group comprised 121 people aged 65+ living in the catchment area of Ankara Mamak Halil Ulgen Health Center. Data were collected via a personal information form and Home-Screen Scale. Statistical analysis used an independent…

  1. 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

  2. PSYCHOLOGICAL FACTORS OF LABOR ACTIVITY OF ELDERLY MAN

    Lyusova O.V.

    2016-04-01

    Full Text Available In modern Russian society occurred deformation traditions of respect and maintain the credibility of the elderly, and the socio-economic situation has deteriorated. An important condition to characterize the elderly is related to labor activity. expressed doubts surrounding their professionalism and high-quality and modern education. In society there are negative stereotypes about the elderly: Edil accusations of conservatism, the inability to take risks, tolerance for young. Old age pensioners perceived themselves as age losses, shrinking circle of social contacts, there is social exclusion, significant interpersonal contacts become strained. The psychological diagnosis of labor socialization of older employees 40 people participated. Conducted an empirical study it possible to identify the factors of labor activity in old age: the age and state of health; desire to raise the level of material well-being, the need to work, enthusiasm labor process, achievement motivation, the need for communication with the team; desire for samooaktualizatsii, positive self-esteem, internal locus of control. Working pensioners have high situational anxiety, adequate to the achievement of the objectives, an adequate assessment of its internal and external quality, high life satisfaction, motivation tends to focus on the process and result, reflexivity, subjectivity, have no fear of being rejected, is well adapted to society. Workers older people have average values of introversion, neuroticism, psychoticism.

  3. Time-frequency analysis of heart rate variability in elderly people

    Sager, Herbert C.; Guntermann, Juergen

    2001-11-01

    Assessment of the ability of the autonomic nervous system (ANS) to regulate blood pressure (BP). This is of particular importance for elderly people, for whom the project was designed. We measure a patient's BP noninvasively under various conditions: deep respiration, passive tilt, etc. The variability of the heart rate in the lower frequency band (LF) (0.04 - 0.15 Hz) is known to have sympathetic- and parasympathetic origin, while in the higher (HF) (0.15 - 0.4 Hz) it is vagally mediated. We do a Time-Frequency analysis for the two frequency bands (Wigner) and eliminate the 'cross-terms' with a novel method due to Qian and Chen. We obtain a clear resolution of the activity in LF and HF over time. Research is ongoing aiming at identifying unambiguously the sympathetic and vagal activity.

  4. The Relationship between Activities of Daily Living and Life Satisfaction in the Elderly: Active Engagement as Compared to Passive Participation.

    Iannuzzelli, Jena; England, Eileen M.

    Daily activities and social contact were studied as influences on the life satisfaction of elderly people. It was considered that all activities might not be equal and that individuals who participate in more active activities and who have more active social contacts would score higher in life satisfaction than those who engage in inactive…

  5. Caregiving and Stress: Experience of People Taking Care of Elderly Relations in South-eastern Nigeria

    UO Okoye

    2011-01-01

    Full Text Available Providing care especially to the elderly, takes a huge toll, both physically and emotionally on the caregiver. With the population of the elderly growing in Nigeria, one of the emerging issues is the care and support of elderly persons in years to come. Few people are prepared for the responsibilities and tasks involved in caring for the aged because of the stress involved. This study investigates the experiences of caregivers of elderly relatives. Questionnaires were distributed to 330 respondents. Result shows that there exists a significant relationship between caregiver’s age and level of stress (p=0.001. The sex of care receiver, the level of education of caregivers, level of education of care receiver are all significantly related to the level of stress. The role of social workers in future care and support of the elderly in Nigeria is discussed.

  6. Use of medication in elderly people don't institutionalized

    Regueiro, Martín; Cátedra de Farmacología Aplicada, Facultad de Ciencias Médicas, Universidad Nacional de La Plata. Buenos Aires, Argentina. Servicio de Geriatría, Hospital Durand. Buenos Aires, Argentina. Médico Internista y Geriatra.; Mendy, Nicolás; Cátedra de Farmacología Aplicada, Facultad de Ciencias Médicas, Universidad Nacional de La Plata. Buenos Aires, Argentina. Médico Ginecologo.; Cañás, Martín; Cátedra de Farmacología Aplicada, Facultad de Ciencias Médicas, Universidad Nacional de La Plata. Buenos Aires, Argentina. Área de Farmacología, Federación Médica de la Provincia de Buenos Aires. Buenos Aires, Argentina. Médico, Máster en Farmacoepidemiología.; Osvaldo Farina, Hugo; Cátedra de Farmacología Aplicada, Facultad de Ciencias Médicas, Universidad Nacional de La Plata. Buenos Aires, Argentina. Médico Internista, Doctor en Medicina.; Nagel, Pablo; Cátedra de Farmacología Aplicada, Facultad de Ciencias Médicas, Universidad Nacional de La Plata. Buenos Aires, Argentina. Médico Cirujano.

    2014-01-01

    Misuse of drugs in the elderly is a rampant public health problem. We conducted a cross-sectional study using a self-administered survey to assess drug use and inadedequate prescription among noninstotunilazed elderly patients in the city of La Plata, Argentina in 2009. The total number of respondents was 215. The average number of drugs used per person was 3.19 ± 2.02, polypharmacy was present in 24.1 % of subjects. Potentially inappropriate medications (MPI) were given in 25.5 %, 31.9 % and...

  7. 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...... for youngsters at risk for marginalization and/or school dropout. HEAR ME is a joint project between universities and organizations dealing with adult education, community work and volunteering in five countries: Denmark, Finland, Netherlands, Spain and the U.K. The five partners in this project searched...... 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...

  8. [Management of complications with antivitamin K in elderly people].

    Pautas, Eric; Mitha, Nathalie; Gouronnec, Adeline; Siguret, Virginie; Gouin-Thibault, Isabelle

    2011-01-01

    latrogenic complications with antivitamin K (AVK) largely entail haemorrhages, apparently more frequent in the elderly. Recent French and North American recommendations are available and must be widely circulated, in community practices as well as hospitals, in order to improve the treatment of overdoses and/or haemorrhagic accidents under AVK.

  9. Energy balance and malnutrition in institutionalized elderly people

    Groot, de C.P.G.M.; Staveren, van W.A.

    2002-01-01

    Screening tools and more extensive assessment methods have signaled that malnutrition is common in institutionalized elderly. There are multiple factors - physiologic and non-physiologic - which hereby increase the risk of negative energy balance leading to weight loss and subsequent undesirable out

  10. 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.

  11. Factors related to nurse communication with elderly people

    Caris-Verhallen, W.M.C.M.; Gruijter, I.M. de; Kerkstra, A.; Bensing, J.

    1999-01-01

    This study explores variables that might influence nurses' communication with elderly patients. Three groups of variables arise from the literature that seem to affect the quality or quantity of nurse-patient communication: variables related to nurses, to patients, and to the setting in which nursin

  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. 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.

  14. 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.

  15. [What can we think about whole-body-vibration in elderly people?].

    Raschilas, Franck; Blain, Hubert

    2010-10-01

    Whole-body-vibration on oscillating platform is a recent type of physical therapy and its use has increased in the last years for elderly people. Whole-body-vibration enhances muscle strength and/or power, but this effect has been poorly studied, specifically in elderly people. The use of oscillating plateforms seems to improve gait stability and reduce the risk of fall, especially in frail and institutionalized elderly people. Oscillating plateforms may have an anti-osteoporotic effect in post-menopausal women. Whole-body-vibration on oscillating plateforms may improve postural stability and motor symptoms in Parkinson's disease. Maladjusted use of whole body vibration can lead to health problems especially on osteo-articular tissues.

  16. Differences in breakfast habits between institutionalized and independent elderly Spanish people.

    Redondo, M R; Ortega, R M; López-Sobaler, A M; Quintas, M E; Zamora, M J; Andrés, P; Encinas-Sotillos, A

    1996-01-01

    An investigation was made into the breakfast habits of 150 elderly people between 65 and 95 years of age. The food intake of 58 institutionalized subjects was followed by means of "precise individual weighing of food". The food intake of 92 subjects living independently was followed using a prospective method involving the keeping of a "weighed food record". For all subjects the study lasted 5 consecutive days including a Sunday. Institutionalized subjects spent more time at breakfast (p energy expenditure). The breakfasts of institutionalized subjects contained a greater percentage of their total daily intake of carbohydrates (P magnesium (p < 0.05 in women). Given the importance of breakfast in the maintenance of a satisfactory nutritive condition, these results suggest that both qualitative and quantitative improvements of elderly people's breakfasts are required. Residing at an old people's home seems to improve the quality of breakfast consumed, especially for elderly women.

  17. 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

  18. Unobtrusive Wireless Monitoring System for Assisted Living and Improving the Wellbeing of Elderly People

    Browne, Aidan; Duncliffe, Richard; Spillane, James; Walsh, Colin; Hill, Martin; O' Mahony, Tom; O' Reilly, Fergus, E-mail: aidan.browne@mycit.ie, E-mail: duncliffe35@hotmail.com, E-mail: j.spillane@mycit.ie, E-mail: colin.walsh@arrisi.com, E-mail: Martin.Hill@cit.ie, E-mail: tom.omahony@cit.ie, E-mail: fergus.oreilly@cit.ie [Department of Electronic Engineering, Cork Institute of Technology, Rossa Avenue, Bishopstown, Cork (Ireland)

    2011-08-17

    A novel system to unobtrusively monitor the wellbeing of elderly people based on their activity patterns is presented. The system uses a wireless ZigBee network to monitor the electrical usage in a subject's home and then sends this data to an Apache server via HTTP from a GPRS unit. The data is logged in a MySQL database where pattern analysis is used to identify periods of significant inactivity. When such an event is identified designated contacts are notified by text message. For subjects requiring higher levels of monitoring a portable health monitor can be integrated incorporating a fall detector and panic button to inform of emergency situations.

  19. 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

  20. Relationship between tongue strength and 1-year life expectancy in elderly people needing nursing care.

    Yajima, Yuri; Kikutani, Takeshi; Tamura, Fumiyo; Yoshida, Mitsuyoshi

    2017-01-05

    Tongue strength is a useful indicator of oral function and has been found to decrease with aging and reduced physical functioning. The present study aimed to assess the relationships of tongue strength with physical function, mental function, and nutritional status, and also between these factors and 1-year outcomes, to determine whether tongue strength is related to life expectancy in elderly people needing nursing care. The subjects were 140 elderly individuals requiring needing nursing care (49 men and 91 women; ≥65 years). The investigated items included sex, age, activities of daily living (ADL), comorbidity, cognitive function, nutritional status, eating function, occlusal support, and tongue strength. Furthermore, a follow-up study was conducted 1 year later, and factors related to death were identified. The mean tongue strength of the total 140 subjects was 20.3 ± 8.6 kPa. Tongue strength was assessed relative to each of the investigated items, using the t test and one-way analysis of variance. Tongue strength was significantly related to ADL, comorbidity, cognitive function, calf circumference, food intake, and occlusal support. Fifteen subjects were found to have died at the 1-year follow-up study. We assessed the relationships of 1-year outcomes with each of the factors examined, and 1-year outcomes were found to be significantly related to ADL and tongue strength.

  1. 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 < 0.05. Results 237 (59.2%) of the subjects were female. The average age of the study population was 67.6 ± 6.8 years. Their average physical activity energy consumption was 326.21 ± 364.84 according to the metabolic equivalent of hours per week. 20 subjects (5%) reported no physical activity. 320 (80%) and 59 (14.8%) subjects had low and moderate physical activity levels, respectively. Only 1 subject (0.2%) had extreme levels of physical activity. Men (n = 43, 26.4%) were more likely to be moderately or extremely physically active than women were (n = 17, 7.2%). There was a significant relationship between physical activity and sex (P < 0.0001), marital status (P < 0.0001), educational status (P < 0.002), current occupation (P < 0.0001), and personal independence (P < 0.00001). Of course, effective predictive variations included age (P = 0.034), gender (P = 0.001), marital status (P = 0.033), independent status (P = 0), and local environment (P =0.001). Conclusions The study revealed low physical activity in the elderly population in

  2. Wudu’ Workstation Design for Elderly and Disabled People in Malaysia’s Mosques

    Siti Zawiah DAWAL

    2016-03-01

    Full Text Available Background: Ablution area is one of the facilities used by most Muslims in all categories. There are numbers of design guidelines for praying facilities but lack on ablution area specification. Therefore, this study was conducted to design an ergonomic ablution area for the Muslim’s disabled and elderly based on their preferences and anthropometric dimension.Methods:  Kano questionnaires and user evaluation form, was used to investigate the preferences of elderly and disabled in ablution area to 20 respondents at Masjid Bulat, Petaling Jaya and Masjid Kampung Kerinchi,Pantai Dalam, Kuala Lumpur in 2015. Anthropometric dimension of elderly and disabled people was measured. Besides, dimensions of two existing ablution units at selected mosques were evaluated using ‘Ablution Unit Dimension Evaluation’ form.Results: New ablution area design was developed based on elderly and disabled people anthropometric dimension and user preferences as well as user satisfaction survey. This study can be considered as preliminary study for the development of ergonomic ablution unit design.Conclusion:  It is hoped that the findings and recommendations from this research will be referred by the stakeholders to determine the best solution to increase the level of comfort and accessibility for elderly and disabled at mosques in Malaysia.Keywords: Wudu’, Ablution, Workstation, Elderly, Disabled, Design, Mosque

  3. 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.

  4. The heterogeneous health latent classes of elderly people and their socio-demographic characteristics in Taiwan.

    Liu, Li-Fan; Tian, Wei-Hua; Yao, Hui-Ping

    2014-01-01

    The health care needs of elderly people were influenced by their heterogeneity. This study aimed to identify the health latent classes of elderly people by using latent class analysis to deal with heterogeneity and examine their socio-demographic characteristics. Data came from the 2005 National Health Interview Survey (NHIS) in Taiwan. In total, 2449 elderly individuals with available health indicators were examined in latent class analysis (LCA), and 2217 elderly community-dwellings with complete socio-demographic data were analyzed by multinomial logistic regression. Four health latent classes were identified which included 1066 (43.5%) people in the High Comorbidity (HC), 152 (6.2%) in the Functional Impairment (FI), 252 (10.3%) in the Frail (FR), and 979 (40.0%) in the Relatively Healthy (RH) group. Multinomial logistic regressions revealed socio-demographic characteristics among health classes. The variables associated with an increased likelihood of being in the FR group were age, female, and living with families. They were also correlated to ethnicity and educations. Apart from age and gender, the Functional Impairment group was less likely to be ethnicity of Hakka, more likely to live with others than were the RH group. The HC group tended to be younger, with higher educations, and more likely to live in urban area than the Functional Impairment group. The correlations between health classes and socio-demographic factors were discussed. The health status of elderly people includes a variety of health indicators. A person-centered approach is critical to identify the health heterogeneity of elderly people and manage their care needs by targeting differential aging.

  5. Research methods applied to studies with active elderly: A literature review

    Martins, L; Baptista, J.; Arezes, P.

    2016-01-01

    In almost every developed and in developing countries, the elderly population is increasing. It is assumed that environments, products and services must be appropriate and accessible to them as many people, regarding their characteristics, abilities and limitations. The purpose of this paper is to establish an outlook about the methods that are usually applied in research involving active elderly at the development stages of products designed for that specific segment of the Society.

  6. Prevalence of Insomnia and Factors Associated with it Among the Elderly People of Sarangdanda VDC in Panchthar District

    Raj Kumar Subedi

    2011-01-01

    Insomnia is one of the major and unsolved problems in older people. Most of the sleep studies report that the different forms of insomnia like Difficulty Initiating Sleep (DIS), Difficulty Maintaining Sleep (DMS) and Non-Restorative Sleep (NRS) are common among the elderly that are associated to many factors. The objective of the study was to measure the prevalence of insomnia and the factors associated to it among the elderly people. A cross-sectional study was conducted among 142 elderly pe...

  7. Lack of effect of Tai Chi Chuan in preventing falls in elderly people living at home: a randomized clinical trial.

    Logghe, I.H.; Zeeuwe, P.E.; Verhagen, A.P.; Wijnen-Sponselee, R.M.; Willemsen, S.P.; Bierma-Zeinstra, S.M.; Rossum, E. van; Faber, M.J.; Faber, B.W.

    2009-01-01

    OBJECTIVES: To evaluate the effectiveness of Tai Chi Chuan in fall prevention in elderly people living at home with a high risk of falling. DESIGN: Randomized controlled trial. SETTING: Two industrial towns in the western part of the Netherlands. PARTICIPANTS: Two hundred sixty-nine elderly people (

  8. Acarbose reduces the risk of pre-lunch hypoglycemia in elderly people with diabetes eating rice porridge for breakfast.

    Hsieh, Ching Jung

    2010-09-01

    To decrease the risk of postprandial hyperglycemia and late hypoglycemia in elderly people with diabetes who eat rice porridge for breakfast, we administered 50mg acarbose to 30 elderly people with type 2 diabetes. The results demonstrated that acarbose could prevent the fluctuations in post-breakfast blood glucose levels.

  9. 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,

  10. The Dutch College of General Practitioners' practice guideline 'Delirium in elderly people'; response from a geriatric perspective

    Izaks, GJ

    2003-01-01

    Delirium in elderly people is a severe condition that requires vigorous medical attention. Therefore, the Dutch College of General Practitioners has duly chosen to develop a practice guideline 'Delirium in elderly people'. It is likely that many general practitioners are only partly familiar with de

  11. 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.

  12. Use of social commitment robots in the care of elderly people with dementia: a literature review.

    Mordoch, Elaine; Osterreicher, Angela; Guse, Lorna; Roger, Kerstin; Thompson, Genevieve

    2013-01-01

    Globally, the population of elderly people is rising with an increasing number of people living with dementias. This trend is coupled with a prevailing need for compassionate caretakers. A key challenge in dementia care is to assist the person to sustain communication and connection to family, caregivers and the environment. The use of social commitment robots in the care of people with dementia has intriguing possibilities to address some of these care needs. This paper discusses the literature on the use of social commitment robots in the care of elderly people with dementia; the contributions to care that social commitment robots potentially can make and the cautions around their use. Future directions for programs of research are identified to further the development of the evidence-based knowledge in this area.

  13. Gastroenteritis and food-borne disease in elderly people living in long-term care.

    Kirk, Martyn D; Veitch, Mark G; Hall, Gillian V

    2010-02-01

    Elderly people in long-term care facilities (LTCFs) may be more vulnerable to infectious gastroenteritis and food-borne disease and more likely to experience serious outcomes. We review the epidemiology of gastroenteritis and food-borne diseases in elderly residents of LTCFs to inform measures aimed at preventing sporadic disease and outbreaks. Gastroenteritis in elderly people is primarily acquired from other infected persons and contaminated foods, although infections may also be acquired when residents have poor personal hygiene, have contaminated living environments or water, or have contact with infected pets. Early recognition of outbreaks and implementation of control measures is critical to reduce the effects on LTCF residents and staff members. Although outbreaks among LTCF residents are common, they are challenging to investigate, and there are still major gaps in our knowledge, particularly in regards to controlling noroviruses, the incidence and causes of specific infections, and sources of food-borne disease.

  14. 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.

  15. Food security for community-living elderly people in Beijing, China.

    Cheng, Yang; Rosenberg, Mark; Yu, Jie; Zhang, Hua

    2016-11-01

    Food security has been identified as an important issue for elderly people's quality of life and ageing in place. A food security index composed of three indicators (food intake, food quality and food affordability) was developed to measure the food security status of community-living elderly people. Food security was then examined among community-living elderly in the central urban districts of Beijing, China. Data were collected by a questionnaire survey in the summer of 2013 and the response rate was 78.5%. Descriptive statistics and binary logistic regression were applied to analyse food security and the associations between food security and demographic and socioeconomic factors. The results showed that 54.2% of the surveyed elderly experienced food security. Participants with better education (OR = 1.68) and better health (OR = 1.47) were more likely to experience food security. The young-old were less likely to experience food security than the older old (OR = 0.94). Elderly people who lived with their children were less likely to experience food security than those who lived alone (OR = 0.43). The results of impact factors on food security highlight both similarities with studies from more developed countries and the unique challenges faced in a rapidly changing China with its unique social, cultural and political systems. The food security index we developed in this study is a simple and effective measure of food security status, which can be used in surveys for evaluating the food security status of elderly people in the future.

  16. Socioeconomic conditions of elderly people in Kosovo: a cross-sectional study

    Jerliu Naim

    2012-07-01

    Full Text Available Abstract Background Kosovo is the newest state in Europe facing a particularly difficult socioeconomic and political transition. The available evidence on socioeconomic conditions and quality of life of elderly people in Kosovo is scarce notwithstanding the ageing trend due to lowering of fertility rates and a higher life-expectancy. In this context, the aim of our study was to assess the socioeconomic conditions of elderly people in post-war Kosovo. Methods A cross-sectional study was conducted in Kosovo in January-March 2011 including an age- sex-and residence (urban vs. rural-stratified sample of 1,890 individuals (83.5% response aged 65 years and over. A structured questionnaire included assessment of socio-demographic and socioeconomic characteristics including educational level and self-perceived poverty. Binary logistic regression was used to assess the association of self-perceived poverty with socio-demographic and socioeconomic factors. Results The educational level in this representative sample of elderly people in Kosovo was quite low, particularly among women. About 47% of respondents perceived themselves as poor, or extremely poor (41% of men and 52% of women. In multivariable-adjusted models, self-perceived poverty was higher among older women, low educated individuals, urban residents, and elderly individuals living alone. Conclusions Findings from this study indicate that the socioeconomic situation of the elderly population in Kosovo is rather challenging. Demographic trends coupled with the economic and political transition raise serious concerns about increasing needs for socioeconomic support of elderly people in Kosovo. Specific policies and actions should be considered by a number of stakeholders, including government and civil society in transitional Kosovo.

  17. Multicomponent Program to Reduce Functional Decline in Frail Elderly People : A Cluster Controlled Trial

    Ruikes, Franca G. H.; Zuidema, Sytse U.; Akkermans, Reinier P.; Assendelft, Willem J. J.; Schers, Henk J.; Koopmans, Raymond T. C. M.

    2016-01-01

    Background: The increasing number of community-dwelling frail elderly people poses a challenge to general practice. We evaluated the effectiveness of a general practitioner-led extensive, multicomponent program integrating cure, care, and welfare for the prevention of functional decline. Methods: We

  18. 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.

  19. 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…

  20. 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...

  1. 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,…

  2. Blood pressure and mortality in elderly people aged 85 and older: Community based study

    Boshuizen, H.C.; Izaks, G.J.; Buuren, S. van; Ligthart, G.J.

    1998-01-01

    Objective: To determine whether the inverse relation between blood pressure and all cause mortality in elderly people over 85 years of age can be explained by adjusting for health status, and to determine whether high blood pressure is a risk factor for mortality when the effects of poor health are

  3. Acute respiratory infections in elderly people: the role of micronutrients and lifestyle

    Graat, J.M.

    2003-01-01

    Acute respiratory infections are the most frequent of all infectious diseases. In popular speech common cold, flu (influenza), and pneumonia all denote acute respiratory infections. Elderly people show an increased risk of these infections and their complications. In The Netherlands about 2.000 elde

  4. 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

    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

  5. Mobility in Elderly People With a Lower Limb Amputation : A Systematic Review

    Fortington, Lauren V.; Rommers, Gerardus M.; Geertzen, Jan H. B.; Postema, Klaas; Dijkstra, Pieter U.

    2012-01-01

    Elderly people with a lower limb amputation impose a heavy burden on health resources, requiring extensive rehabilitation and long term care. Mobility is key to regaining independence; however, the impact of multiple comorbidities in this patient group can make regaining mobility a particularly chal

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

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

    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

  7. The effect of a nutrient dense drink on mental and physical function in institutionalized elderly people

    Manders, M.; Groot, de C.P.G.M.; Hoefnagels, W.H.L.; Dhonukshe-Rutten, R.A.M.; Wouters-Wesseling, W.; Mulders, A.J.M.J.; Staveren, van W.A.

    2009-01-01

    Objectives To determine whether in the current study the supply of a nutrient dense drink has a positive effect on mental and physical function of institutionalized elderly people. Design A 24-week, randomized, double-blind, placebo-controlled, parallel-group, intervention trial. Setting Homes for t

  8. Measurement Properties of the Groningen Frailty Indicator in Home-Dwelling and Institutionalized Elderly People

    Peters, Lilian L.; Boter, Han; Buskens, Erik; Slaets, Joris P. J.

    2012-01-01

    Objectives: To enable prevention of poor outcome in elderly people, a valid instrument is required to detect individuals at high risk. The concept of frailty is a better predictor than age alone. The Groningen Frailty Indicator (GFI) has been developed to identify frailty. We assessed feasibility, r

  9. 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…

  10. [Summary of the Dutch College of General Practitioners' practice guideline 'Delirium in elderly people'

    Weele, G.M. van der; Olde Rikkert, M.G.M.; Eizenga, W.H.; Assendelft, W.J.J.

    2003-01-01

    The Dutch College of General Practitioners' practice guideline 'Delirium in elderly people' contains a number of key messages. These are: Consider the diagnosis of delirium in the case of changes in consciousness and attention, incoherent thinking or disorientation, if this picture developed over a

  11. 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

  12. Physical activity and health characteristics. A survey among Dutch elderly women and men.

    Hombergh, van den C.E.J.

    1995-01-01

    To study physical activity of elderly people and its relationship with health characteristics, a cross-sectional study was conducted in 1991/1992 in Arnhem, the Netherlands, among 515 women and 497 men, aged 65 to 85 years. Habitual physical activity was assessed with a questionnaire, previously val

  13. "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…

  14. 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.

  15. 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 eTakayanagi

    2014-09-01

    Full Text Available The differences in verbal and emotional responses to a baby seal robot, PARO, of elderly people with dementia residing at an elderly nursing care facility were analyzed. There were two groups of elderly people: one was with mild/moderate dementia (M-group that consisted with 19 elderly residents in the general ward, and the other was with severe dementia (S-group that consisted with 11 elderly residents in the dementia ward.Method: Each elderly resident in both groups interacted with either PARO or a control (stuffed lion toy: Lion brought by a staff at each resident’s private room. Their responses were recorded on video. Behavioral analysis of the initial 6 minutes of the interaction was conducted using a time sampling method. Results: In both groups, subjects talked more frequently to PARO than to Lion, showed more positive changes in emotional expression with PARO than with Lion, and laughed more frequently with PARO than with Lion. Subjects in M-group even showed more negative emotional expressions with Lion than with PARO. Furthermore, subjects in S-group showed neutral expression more frequently with Lion than with PARO, suggesting more active interaction with PARO. For subjects in M-group, frequencies of touching and stroking, frequencies of talking to staff member, and frequencies of talking initiated by staff member were significantly higher with Lion than with PARO.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.

  16. Poverty and impairment in activities of living among elderly Hispanics.

    Tran, T V; Williams, L F

    1998-01-01

    This study employed data from a prior national survey of elderly Hispanics to examine the relationship between poverty and functionally impaired status, i.e., impairment in activities of daily living (IADL). The sample for this study consists of 1,685 Hispanics age 65 and older, representing four ethnic groups: Mexicans, Cubans, Puerto Ricans, and other Hispanics. Ethnic comparisons based on personal characteristics, poverty status and IADL found there were differences among the groups analyzed in terms of marital status, language, religion, age, education, poverty, and IADL. Logistic regression findings revealed that elderly Hispanics who were married, bilingual, and had higher educational achievement were more likely to live above the poverty level than were their counterparts. Findings from an ordinary least squares regression analysis revealed that poor elderly Hispanics had more IADL problems; that men had more IADL problems than women; that IADL problems tended to increase with age; that more educated people had fewer IADL problems; that Cubans had fewer IADL problems than other Hispanics; and that Puerto Ricans had more IADL problems than all other Hispanics. Implications for social work practice are discussed.

  17. 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...

  18. 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.

  19. Effects of Individual, Spousal, and Offspring Socioeconomic Status on Mortality Among Elderly People in China

    Lei Yang

    2016-11-01

    Full Text Available Background: The relationship between socio-economic status and health among elderly people has been well studied, but less is known about how spousal or offspring’s education affects mortality, especially in non-Western countries. We investigated these associations using a large sample of Chinese elderly. Methods: The data came from the Chinese Longitudinal Healthy Longevity Survey (CLHLS from the years 2005 to 2011 (n = 15 355, aged 65–105 years at baseline; 5046 died in 2008, and 2224 died in 2011. Educational attainment, occupational status, and household income per capita were used as indicators of socio-economic status. Spousal and offspring’s education were added into the final models. The Cox proportional hazards model was used to study mortality risk by gender. Results: Adjusted for age, highly educated males and females had, on average, 29% and 37% lower mortality risk, respectively, than those with a lower education. Particularly among men, this effect was observed among those whose children had intermediate education only. A higher household income was also associated with lower mortality risk among the elderly. Male elderly living with a well-educated spouse (HR 0.79; 95% CI, 0.64–0.99 had a lower mortality risk than those living with a low-educated spouse. Conclusions: Both the socio-economic status of the individual and the educational level of a co-resident spouse or child are associated with mortality risk in elderly people. The socio-economic position of family members plays an important role in producing health inequality among elderly people.

  20. Mobility in elderly people with a lower limb amputation: a systematic review.

    Fortington, Lauren V; Rommers, Gerardus M; Geertzen, Jan H B; Postema, Klaas; Dijkstra, Pieter U

    2012-05-01

    Elderly people with a lower limb amputation impose a heavy burden on health resources, requiring extensive rehabilitation and long term care. Mobility is key to regaining independence; however, the impact of multiple comorbidities in this patient group can make regaining mobility a particularly challenging task. An evidence-based prognosis for mobility is needed for rehabilitation and long term care planning. This systematic review summarizes the prosthetic and nonprosthetic mobility outcomes achieved by elderly people with a lower limb amputation, to determine whether an accurate prognosis for mobility can be made. MEDLINE, EMBASE, and CINAHL were searched for studies published before May 2010 in English, German, Dutch, or French, using keywords and synonyms for elderly, mobility, rehabilitation, and amputation. Mobility focused on actual movement (moving from one place to another) and was limited to long-term measurements, 6 months after amputation or 3 months after discharge from rehabilitation. The 15 included studies featured a diversity of objective outcome measures and mobility grades that proved difficult to compare meaningfully. In general, studies that included selected populations of prosthetic walkers showed that advanced prosthetic mobility skills can be achieved by the elderly person with a lower limb amputation, including outdoor/community walking. Studies that included all subjects undergoing a lower limb amputation reported that less than half of the elderly population achieved a household level of prosthetic mobility. The predominant findings from the included studies were incomplete reporting of study populations and poor reporting of the reliability of the mobility measures used. The strength of conclusions from this review was therefore limited and the prognosis for mobility in elderly people after lower limb amputation remains unclear. Further research into mobility outcomes of this population is needed to provide evidence that enables more

  1. 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.

  2. The relationship between spiritual well-being and quality of life among elderly people.

    Ali, Jadidi; Marhemat, Farahaninia; Sara, Janmohammadi; Hamid, Haghani

    2015-01-01

    This study aims to identify the relationship between spiritual well-being and quality of life among elderly people residing in Kahrizak Senior House, Tehran, Iran. It was an analytical study. After obtaining approval from the ethics committee of the Iran University of Medical Sciences Research Deputy; the 141 elderly people residing in Kahrizak Senior House who signed the inform consent were recruited by census. Data were collected by Ellison & Palutzian Spiritual Well-Being Index and Short Form Quality of Life (SF-36). The mean score of quality of life was (50.36 ± 11.3). The mean score of spiritual well-being was (96.26 ± 17.93). There was a positive correlation between spiritual well-being and quality of life (P = .008). According to positive correlation between spiritual well-being and quality-of-life scores, awareness of the importance of spiritual well-being in caring of these people is recommended.

  3. 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.

  4. 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.

  5. Relationships between falls, spinal curvature, spinal mobility and back extensor strength in elderly people.

    Kasukawa, Yuji; Miyakoshi, Naohisa; Hongo, Michio; Ishikawa, Yoshinori; Noguchi, Hideaki; Kamo, Keiji; Sasaki, Hiroshi; Murata, Katsuyuki; Shimada, Yoichi

    2010-01-01

    Spinal mobility and back extensor strength (BES) are important in determining quality of life (QOL) for elderly people. However, the impact of spinal factors on falls remains unclear. The purpose of this study was to clarify spinal factors related to falls in elderly people, including deformity of spinal curvature, spinal mobility and BES. Subjects comprised 92 elderly people divided into 3 groups: subjects without a history of falls or fear of falls (Non-falls group, n = 40); subjects with a history of fear of falls or requiring any support when walking (Fear of falls group, n = 36); and subjects with a history of falls (Falls group, n = 16). Kyphotic angles and mobility of the thoracic and/or lumbar spine, and spinal inclination were measured using a computer-assisted device. Postural imbalance was evaluated using a computerized stabilometer. Isometric BES was also measured. Angle of lumbar kyphosis, spinal inclination, and postural imbalance were significantly higher in the Falls group (p spinal inclination (p = 0.0378), mobility of lumbar spine (0.027), and mobility of spinal inclination (p = 0.0282) were significantly associated with presence/absence of falls in elderly individuals.

  6. 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.

  7. Validation of nutritional screening tools against anthropometric and functional assessments among elderly people in selangor.

    Suzana, Shahar; Siti Saifa, Hussain

    2007-03-01

    This cross sectional study was conducted to determine the validity of three screening tools, Mini Nutritional Assessment Short Form (MNA-SF), Malnutrition Risk Screening Tool for Community (MRST-C) and Malnutrition Risk Screening Tool for Hospital (MRST-H) among elderly people at health clinics. The screening tools were validated against anthropometric and functional assessments. The anthropometric assessments that were carried out included body weight, height, arm span, body mass index (BMI), calf circumference (CC) and mid upper arm circumference (MUAC). A set of questionnaire on manual dexterity, muscular strength, instrumental activities daily living (IADL) and cognitive status was used to assess functional abilities. A total of 156 subjects were recruited from rural (38 subjects) and urban (118 subjects) health clinics at Sabak Bernam and Cheras respectively. Subjects' age ranged from 60 to 83 years old, with 44.2% were men and 55.8% women. The prevalence of muscle wasting among the subjects assessed from MUAC and CC were both 7.0%. MNA-SF had the highest correlation with BMI (r = 0.497, pMNA-SF (93.2%), followed by MRST-H (52.5%) and MRST-C (25.8%). Specificity was the highest for MRST-H (97.3%), followed by MRST-C (90.8%) and MNA-SF (79.4%). Positive predictive value (PPV) for MRST-H, MNA-SF and MRST-C was 55.5%, 18.2% and 14.1%, respectively. In conclusion, among the screening tools being validated, MNA-SF is considered the most appropriate tool to be used in health clinics for identification of elderly individuals who are at high risk of malnutrition.

  8. Selecting services for a service robot: evaluating the problematic activities threatening the independence of elderly persons.

    Bedaf, Sandra; Gelderblom, Gert Jan; de Witte, Luc; Syrdal, Dag; Lehmann, Hagen; Amirabdollahian, Farshid; Dautenhahn, Kerstin; Hewson, David

    2013-06-01

    Sustaining independent living for the elderly is desirable both for the individual as well as for societies as a whole. Substantial care interventions are provided to citizens supporting their independent living. Currently, such interventions are primarily based on human care provision, but due to demographic changes the demand for such support is continuously increasing. Assistive Robotics has the potential to answer this growing demand. The notions research towards service robots that support the independence of elderly people has been given increased attention. The challenge is to develop robots that are able to adequately support with those activities that pose the greatest problems for elderly people seeking to remain independent. In order to develop the capabilities of the Care-O-bot 3 in the ACCOMPANY project, problematic activities that may threaten continued independent living of elderly people were studied. Focus groups were conducted in the Netherlands, UK, and France and included three separate user groups: (1) elderly (N=41), (2) formal caregivers (N=40), and (3) informal caregivers (N=32). This resulted in a top 3 of problematic activity domains that received the highest priority: (1) Mobility, (2) Self-care, and (3) Social isolation. The findings inform the further development of the Care-O-bot. In the ACCOMPANY project the Care-O-bot 3 will be developed further to enable it to support independently living older persons in one of these domains.

  9. An investigative study of the experiences of elderly people in a South African black township

    G. M. Chigali

    2002-02-01

    Full Text Available The aim of this study was to investigate the experiences which impact on aspects of the lives and sense of well-being of elderly people in a township in South Africa in order to make recommendations for future service delivery. A cross- sectional, qualitative survey was carried out in Mfuleni Township, a part of the Cape Metropolitan Region in the Western Cape.  Sixteen people of ages ranging from 60-82 years were conveniently selected from a group of elderly people who meet regularly at a community centre. Data were collected through focused  group discussions and unstructured interviews. Analysis of data revealed three main categories namely, psychological/ emotional, socio-economic and health, under which different themes emerged. The experiences of individuals in a given society may vary, but somehow, their basic rights tend to be universal as revealed by the literature. Loneliness and isolation, lack of recreation facilities, loss of dignity and respect, poor health services and lack of shelter are some of the experiences expressed by the elderly people in this sample. These experiences highlight the need for clearly stated policies andcommitment by governmental and non-governmental structures, appropriate health service strategies and improved socio-economic standards supported by properly researched data.

  10. 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.

  11. Lifestyle, nutritional status, health, and mortality in elderly people across Europe: a review of the longitudinal results of the SENECA study.

    de Groot, Lisette C P M G; Verheijden, Marieke W; de Henauw, Stefaan; Schroll, Marianne; van Staveren, Wija A

    2004-12-01

    This article provides an overview of the longitudinal Survey in Europe on Nutrition and the Elderly: a Concerted Action (SENECA) study, which was designed to assess differences in dietary and lifestyle factors among elderly Europeans, and to identify the factors that contribute to healthy aging. Elderly people from Belgium, Denmark, France, Italy, Portugal, Spain, Switzerland, and The Netherlands participated in the SENECA study. Standardized measurements were conducted at baseline in 1988-1989 and were repeated in 1993 and 1999. Diet, physical activity, and smoking, as well as maintenance of health and survival, were assessed. At baseline, considerable differences in lifestyle factors existed among elderly people. Mealtime patterns as well as dietary intake varied across Europe, and geographical patterns were apparent. Similar results were found for engagement in sport or professional activities. The smoking prevalence among women was generally low. Distinct geographical differences were also observed in percentages of deaths during the SENECA study and in overall survival time. A healthy lifestyle was related to stable self-perceived health, a delay in functional dependence, and mortality. Inactivity and smoking, and to a lesser extent a low-quality diet, increased mortality risk. A combined effect of multiple unhealthy lifestyle factors was also observed. The SENECA study showed that a healthy lifestyle at older ages is related to a delay in the deterioration of health status and a reduced mortality risk. Improving and maintaining a healthy lifestyle in elderly people across Europe is a great challenge for the European Community.

  12. 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.

  13. The lost Gemeinschaft: how people working with the elderly explain loneliness.

    Schirmer, Werner; Michailakis, Dimitris

    2015-04-01

    We conducted a qualitative interview study with people of different professions working with lonely elderly people. The rationale of the study was to examine how these respondents explain loneliness among the elderly. The present article focuses on the social explanations, i.e. explanations that identify causes of loneliness in the structure of modern society. We found that many of the social explanations given are aspects of a more encompassing and general pattern underlying all the reasoning about loneliness among the elderly. This pattern is the expression of two contrasting images of society which the classical sociologist Ferdinand Tönnies termed Gemeinschaft (community) and Gesellschaft (society). The former refers to traditional or small-size rural communities characterized by high degrees of social cohesion, integration, solidarity, proximity and familiarity, whereas the latter refers to functional differentiation, distance, individualization, exchanged-based social relations and anonymity. Loneliness among the elderly is explained by the lack of Gemeinschaft and its characteristics in contemporary society. This explanatory pattern goes hand in hand with a critical view of contemporary society and a nostalgic yearning for the lost communities of past societies, where inhabitants find their staked-out place and sense of belonging, and thus loneliness hardly seems to occur. We summarized this view under the label the "lost Gemeinschaft".

  14. 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

  15. 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

  16. A Robot-Based Tool for Physical and Cognitive Rehabilitation of Elderly People Using Biofeedback

    Leire Lopez-Samaniego

    2016-11-01

    Full Text Available This publication presents a complete description of a technological solution system for the physical and cognitive rehabilitation of elderly people through a biofeedback system, which is combined with a Lego robot. The technology used was the iOS’s (iPhone Operating System Objective-C programming language and its XCode programming environment; and SQLite in order to create the database. The biofeedback system is implemented by the use of two biosensors which are, in fact, a Microsoft band 2 in order to register the user’s heart rate and a MYO sensor to detect the user’s arm movement. Finally, the system was tested with seven elderly people from La Santa y Real Casa de la Misericordia nursing home in Bilbao. The statistical assessment has shown that the users are satisfied with the usability of the system, with a mean score of 79.29 on the System Usability Scale (SUS questionnaire.

  17. 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.

  18. A Robot-Based Tool for Physical and Cognitive Rehabilitation of Elderly People Using Biofeedback

    Lopez-Samaniego, Leire; Garcia-Zapirain, Begonya

    2016-01-01

    This publication presents a complete description of a technological solution system for the physical and cognitive rehabilitation of elderly people through a biofeedback system, which is combined with a Lego robot. The technology used was the iOS’s (iPhone Operating System) Objective-C programming language and its XCode programming environment; and SQLite in order to create the database. The biofeedback system is implemented by the use of two biosensors which are, in fact, a Microsoft band 2 in order to register the user’s heart rate and a MYO sensor to detect the user’s arm movement. Finally, the system was tested with seven elderly people from La Santa y Real Casa de la Misericordia nursing home in Bilbao. The statistical assessment has shown that the users are satisfied with the usability of the system, with a mean score of 79.29 on the System Usability Scale (SUS) questionnaire. PMID:27886146

  19. 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.

  20. An assisted-living home architecture with integrated healthcare services for elderly people.

    Marsh, Andy; Biniaris, Christos; Vergados, Dimitrios; Eppler, Arnold; Kavvadias, Christoforos; Bigalke, Olaf; Robert, Eric; Jerabek, Boro; Alevizos, Alevizos; Caragiozidis, Michael

    2008-01-01

    Since the population of elderly people grows absolutely and in relation to the overall population in the world, the improvement of the quality of life of elderly people at home is of a great importance. This can be achieved through the development of generic technologies for managing their domestic ambient environment consisting of medical sensors, entertainment equipment, home automation systems and white goods, increasing their autonomy and safety. In this context, the provision intelligent interactive healthcare services will improve their daily life and allowing at the same time the continuous monitoring of their health and their effective treatment. This work is supported by the INHOME Project EU IST-045061-STP, http://www.ist-inhome.eu.

  1. 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.

  2. 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

  3. Defining inappropriate practices in prescribing for elderly people: a national consensus panel

    McLeod, P. J.; Huang, A R; Tamblyn, R M; Gayton, D. C.

    1997-01-01

    OBJECTIVE: To develop a consensus-based list of inappropriate practices in prescribing for elderly people. DESIGN: Mail survey of a 32-member national panel. SETTING: Academic medical centres across Canada. PARTICIPANTS: Thirty-two specialists selected arbitrarily, including 7 clinical pharmacologists, 9 geriatricians, 8 family practitioners and 8 pharmacists. OUTCOME MEASURES: Consensus that the practice would introduce a substantial and significant increase in the risk of serious adverse ef...

  4. Feasibility of interactive video games for influence on balance in institutionalized elderly people

    Grigorova-Petrova, Kristin; Dimitrova, Antoaneta; Lubenova, Daniela; Zaharieva, Darina; Vasileva, Dance

    2015-01-01

    Purpose: The purpose is related to the assumption that the application of interactive video games will positively affect the functional balance reactions in institutionalized older individuals. Material and Methods: Ten institutionalized elderly people with an average age of 80.6 years ± 7.25, two men and eight women were included. All of them had to meet the inclusion and exclusion criteria. The intervention program included interactive video games, for 5 days per week, for one month. Be...

  5. 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.

  6. 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.

  7. Somnipathy and Sleep Health of Elderly People%老年人睡眠障碍与睡眠养生

    王丽; 井明鑫

    2015-01-01

    Sleep is one of the most important physiological activities. Good sleep can save one’s energy. Further more, good sleep can greatly reduce the incidence of various diseases. As a result of the decline of all sorts of physiological functions, the incidence of sleep disorders of elderly people has greatly increased. Adjusting the sleep environment is an effective way to improve the sleep quality of elderly people, such as adjusting sleep time to the diurnal variation, choosing a comfortable sleeping posture, arranging the bedroom, finding a proper bed, a soft pillow and a set of comfortable bedding, etc. All these can help provide a comfortable sleep environment for elderly people.%睡眠是人最重要的生理活动之一,健康良好的睡眠不仅可以养精蓄锐,更大大降低了多种疾病的发病率。老年人由于生理机能的衰退,睡眠障碍的发生率大大提高。通过调整睡眠环境来改善老年人的睡眠状态是一种行之有效的养生手段,如睡眠时间的调整、睡眠姿势的选择、睡眠环境的布置、舒适的床具、柔软的枕头、厚实的被褥等,都可以为老年人提供一个舒适的睡眠环境。

  8. Effects of elastic-band resistance exercise on balance, mobility and gait function, flexibility and fall efficacy in elderly people

    Kwak, Cheol-Jin; Kim, You Lim; Lee, Suk Min

    2016-01-01

    [Purpose] The purpose of this study was to analyze the effects of elastic-band resistance exercise on balance, gait function, flexibility and fall efficacy in the elderly people of rural community. [Subjects and Methods] It is selected by 45 outpatients. They have come into the clinic continually to treat of physical therapy at least 1–2 times for a week. A group treated with both general physical therapy and elastic-band resistance exercise (23 patients), and the other group treated with only general physical therapy (22 patients). Elastic-band resistance exercise is composed of 8 movements of lower extremity joints. It is performed for 30 minutes during 8 weeks by 3 times for a week. It is measured and recorded at the pre and post test that sit and reach test (SRT), functional reach test (FRT), timed up and go test (TUG) for every subjects by measurement equipments. And, subjects performed for the form of performance and question as its rated scale by Berg’s balance scale (BBS), dynamic gait index (DGI), activities-specific balance confidence scale (ABC). [Results] In the study, both the elastic-band exercise group and the general physical therapy group showed a significant improvement in balance, gait function, flexibility and fall efficacy. And the group with elastic-band resistance exercise showed more effectiveness than the contrast group in value of variation. [Conclusion] From this study, it was confirmed that elastic-band resistance exercise has influence on balance, gait function, flexibility and fall efficacy are working for agriculture of elderly people of rural community. Based on this result, elastic-band resistance exercise can be better instrument and easier to elderly people of rural community for the improvement in balance, gait function, flexibility and fall efficacy as it performing along with and reciprocal physical therapy. PMID:27942147

  9. Prevalence and intensity of chronic pain and self-perceived health among elderly people: a population-based study

    Lilian Varanda Pereira

    2014-08-01

    Full Text Available OBJECTIVE: to identify the prevalence and intensity of chronic pain among elderly people of the community and to analyze associations with the self-perceived health status.METHOD: cross-sectional study with a populational sample (n=934, conducted through household interviews in the city of Goiânia, Brazil. The intensity of chronic pain (existing for 6 months or more was measured using a numerical scale (0-10 and the self-perceived health through a verbal scale (very good, good, fair, poor, very poor. For the statistical analysis, the absolute frequency and percentage, CI (95%, Chi-square test, Odds ratio, and regression analysis were used. Significance of 5%.RESULTS: The prevalence of chronic pain was 52.8% [CI (95%:49.4-56.1]; most frequently located in the lower limbs (34.5% and lumbar region (29.5%; with high or the worst possible intensity for 54.6% of the elderly people. The occurrence of chronic pain was associated with (p<0.0001 a worse self-perception of health (OR=4.2:2.5-7.0, a greater number of chronic diseases (OR=1.8:1.2-2.7, joint disease (OR=3.5:2.4-5.1 and the female gender (OR=2.3:1.7-3.0. A lower intensity of chronic pain was associated with a better self-perception of health (p<0.0001.CONCLUSION: the majority of the elderly people of the community reported chronic pain, of a severe intensity, and located in areas related to movement activities, thus influencing the morbidity and mortality of this population.

  10. 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.

  11. 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.

  12. [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.

  13. [Investigation of stomatologic status of middle-aged and elderly people in Western Georgia].

    Morchadze, L A; Margvelashvili, V V; Lobzhanidze, T A

    2009-12-01

    The world's population is aging at an accelerated rate. People aged 65 and over now comprise a greater share of the world's population than ever before, and this proportion will increase during the 21st century. Increased lifetime in old age is combined with a concern about its quality. Oral health care of the elderly is one of the important aspects affecting the quality of life. The aim of the present study was to describe stomatologic status among middle-aged and elderly people in western Georgia. 355 subjects aged 55-90 years old were surveyed. According to oral health survey data, a high prevalence and intensity of dental caries and periodontal disease were apparent. Prosthetic status and treatment need were recorded in standard condition using oral health assessment forms. It is concluded that a high percentage of elderly were dentate but the average number of teeth was low and their status was poor, with very high need for therapeutic and prosthetic treatment.

  14. 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

  15. Risk factors for poor immune response to influenza vaccination in elderly people

    N.C.J. Bellei

    2006-08-01

    Full Text Available Influenza vaccination of elderly people is efficacious and cost effective for the prevention of influenza and its complications. Some studies have pointed out low immunogenicity in this group. Health status has been poorly investigated as a risk factor that may influence the immune response to influenza vaccine. We established an immunization response study of a highly-matched elderly population in a nursing home. One-hundred-twenty subjects of Ashkenazian origin had their vaccine-induced antibody response assessed. Good response was obtained in 30.8% (37/120, and 31.7% (38/120 did not react. A lack of good response was found to be associated with dementia (P=0.016 in a multivariate analysis. In addition to dementia, malnutrition was frequently observed among poor responders, suggesting that these factors should be considered in vaccination studies. Chemoprophylaxis in addition to vaccination for elderly presenting dementia should be considered, particularly for those people living nursing homes.

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

    Vermeulen, Joan; Neyens, Jacques CL; Spreeuwenberg, Marieke D; van Rossum, Erik; Sipers, Walther; Habets, Herbert; Hewson, David J; de Witte, Luc P

    2013-01-01

    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 5.2 (standard deviation 0.90) on the modified PSSUQ. The interviews revealed that most participants liked using the system and appreciated that it signaled changes in their physical functioning. However, usability was negatively influenced by a few technical errors. Conclusion Involvement of elderly users during the development process resulted in an interface with good usability. However, the technical functioning of the monitoring system needs to be optimized before it can be used to support elderly people in their self-management. PMID

  17. Status of Daily Living Activities among Older People in Maku

    Mehdi Abbasian

    2016-12-01

    Full Text Available Introduction: One of the most popular methods for evaluating old people’s health condition is to assess their functional practice. The aim of this study was to assess the status of daily living activities among the older people of Maku, Iran. Methods: The present cross-sectional study was accomplished among 216 older people in Maku via simple random sampling. Participant’s subjective and demographic information were gathered and their daily living activities status was measured by the KATZ index. Results: The participants' mean age was 70.09±7.98. Most of the elderlies were men (59.3% and illiterate (38.4%. Of them, 10.6% were dependent, 6% needed help or were partially dependent, and 82.9% were independent in their daily living activities. Significant associations were observed between daily living activities and age, education level, marital status and living condition (p<0.001. Married old adults were more dependent than other ones living alone (p<0.001. Conclusion: Although most of the participants were independent, they needed assistance for few of their daily living activities. Also, since age was significantly correlated with daily living activities, it is necessary to implement educational health living programsfor older people suffering from functional restrictions. Also, providing suitable facilities, convenience and human resources should  be taken into consideration.

  18. Elderly people's perceptions of how they want to be cared for: an interview study with healthy elderly couples in Northern Sweden.

    Harrefors, Christina; Sävenstedt, Stefan; Axelsson, Karin

    2009-06-01

    Many countries encounter a demographic change where the number of elderly people will increase. As a result, the number of very old people needing care, services and medical assistance will increase. Care in the private home is often described as providing the best alternative for many elderly people. The aim of this study was to describe elderly people's perceptions of how they wanted to be cared for, from a perspective of becoming in need of assistance with personal care, in the future. Twelve couples of healthy elderly people living in a couple hood participated in an interview study. They were all 70 years and older and received no kind of professional care or social support. Open individual semi-structured interviews were conducted with the support of written vignettes. The vignettes were formed as scenarios that described three levels of caring needs where the elderly people would become ill. A qualitative content analysis was used to analyse the interviews. The findings were interpreted in one main theme: maintaining the self and being cared for with dignity to the end. The theme was built from three categories: at home as long as possible, professional care at nursing home when advanced care is needed and fear of being abandoned. The categories reflect the perception that when minimum help was needed, care and support by the partner and nursing staff were preferred. As the scenarios changed to being totally dependent on care, they preferred care in a nursing home. There was a pervading concern of the risk of not being seen as an individual person and becoming a nobody with no meaningful relations. Thus, there must be a singular goal to support old people, in all stages of their lives, through the recognition and affirmation of self, and providing care with dignity to the end.

  19. 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.

  20. THE EFFECTS OF OTAGO EXERCISE PROGRAMME FOR FALL PREVENTION IN ELDERLY PEOPLE

    Nancy N. Patel

    2015-08-01

    Full Text Available Background: The ‘Otago exercise programme’ (OEP is a strength and balance retraining programme designed to prevent falls in older people living in the community. The aim of this study was to find the effects of Otago exercise programme for fall prevention in community dwelling elderly people. Method: The sample comprised 30 community dwelling elderly around sinhgad road, pune (out of 30, 4 were dropouts aged over 60 years both male and female falling under moderate fall risk measured by Tinetti Performance Oriented Mobility Assessment. The intervention consisted mainly strength and balance training. Intervention was done for 1 hr every day, 5 days per week for 6weeks. Outcome measure assessment was done pre, 3rd week and post intervention. Pre and post comparison of following three outcome measures was done. Outcome measures: Tinetti Performance Oriented Mobility Assessment, 10RM and Chair stand test. Result: Paired t-test was done. Results of p value for 10RM (p value = 0.00, Tinetti performance oriented mobility assessment (p value = 0.00 and chair stand test (p value = 0.01 was found to be highly significant. Out of 26 subjects with moderate risk of fall pre intervention, 24 subjects showed low risk of fall during post intervention assessment of Tinetti Performance Oriented Mobility Assessment. Conclusion: The Otago exercise programme is significantly effective increasing strength of lower limb and improving in balance, gait and therefore ultimately preventing fall in community dwelling Indian elder people. Hence, Otago exercise protocol can be used in day to day clinical practice and also as a home exercise program.

  1. Can more resilient elderly people be more satisfied with dental services?

    Matheus Neves

    Full Text Available AbstractIntroductionWith respect to dental health services, few studies have been developed to understand the satisfaction of this age group with these services.ObjectiveTo investigate the association between resilience and satisfaction with dental services among elderly people, using a model adjusted for confounding factors.Material and methodThe locus of the research was the Lomba-Parthenon district management, in Porto Alegre, Rio Grande do Sul, Brazil. 771 elderly people living in their homes were identified through cluster sampling. The subjects responded to a socio-demographic and health behaviors questionnaire, the Resilience Scale and to questions regarding their satisfaction with dental care accessed. Furthermore, a brief oral examination was conducted to count the number of teeth and to identify the use of dental prostheses.ResultBased on a hierarchical approach conducted using Multivariate Logistic Regression and after fully adjusted analysis, the estimated odds ratios of the variables that were significantly associated with the outcome of this study, satisfaction with dental care, were: 1 obtaining a dental appointment, classified as regular: OR= 1.85, 95% CI (1.10 to 3.12; 2 obtaining a dental appointment, classified as bad: OR= 2.17, 95% CI (1.05 to 4.50; and, 3 high potential for resilience: OR= 0.60, 95% CI (0.37 to 0.97.ConclusionThe results confirm the hypothesis of an association between high potential for resilience and satisfaction with the Dental Services accessed by elderly people.

  2. A Research of the Exercise and Sports of the Elderly People(3) -Revolving around light exercise and sports, streching-

    松尾, 千秋; 渡部, 和彦; 草間, 益良夫

    2006-01-01

    The purpose of this research is to explore the consciousness on exercise and sports of the elderly people. In order to examine the concrete form and substance of exercise and sports that be able to done “anytime, anywhere, anybody", especially stretching. The objects of the research (A) (342 sheets) are the elderly people from 50s to 70s. And the research (B) (159 sheets) are university students. The results of this research are as follows : 1) The number of people who care about health and p...

  3. Physical Performance, Balance, Mobility, and Muscle Strength Decline at Different Rates in Elderly People

    Nakano, Márcia Mariko; Otonari, Thais Satie; Takara, Kelly Sayuri; Carmo, Carolina M; Tanaka, Clarice

    2014-01-01

    [Purpose] The aim of this study was to verify the decline in functionality of elderly people. [Subjects and Methods] The study subjects comprised 152 individuals (96 women; 56 men) divided into 3 groups: G1 (60 to 69 years, n=53); G2 (70 to 79 years, n=65); and G3 (80 years or older, n=34). Physical performance, balance, mobility, and muscle strength were assessed using Short Physical Performance Battery (SPPB), Berg Balance Scale (BERG), Timed Up and Go (TUG) test, and leg press test, respec...

  4. 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

  5. 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.

  6. 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

  7. 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…

  8. Physical activity and cognition in the elderly: A review

    Alexandre Leopold Busse

    Full Text Available Abstract Physical activity has been indicated as a strategy to promote health in the elderly, as well as to encourage the maintenance of functional capacity, and acts in the prevention and control of various diseases. In recent years, there has been great interest in studying the benefits of physical activity in the preservation or even improvement of cognitive performance in both the elderly without cognitive impairment and in elderly patients with some degree of cognitive impairment or dementia. The majority of epidemiological studies and clinical trials have evaluated aerobic exercises while few have assessed resistance exercise programs. The objective of this review was to examine the effects of different types of physical activity on cognitive function of elderly individuals with or without prior impairment.

  9. Barriers to participation in physical activity and exercise among middle-aged and elderly individuals.

    Justine, Maria; Azizan, Azliyana; Hassan, Vaharli; Salleh, Zoolfaiz; Manaf, Haidzir

    2013-10-01

    INTRODUCTION Although the benefits of physical activity and exercise are widely acknowledged, many middle-aged and elderly individuals remain sedentary. This cross-sectional study aimed to identify the external and internal barriers to physical activity and exercise participation among middle-aged and elderly individuals, as well as identify any differences in these barriers between the two groups. METHODS Recruited individuals were categorised into either the middle-aged (age 45-59 years, n = 60) or elderly (age ≥ 60 years, n = 60) group. Data on demographics, anthropometry, as well as external and internal barriers to participation in physical activity and exercise were collected. RESULTS Analysis showed no significant differences in the total scores of all internal barriers between the two groups (p > 0.05). The total scores for most external barriers between the two groups also showed no significant differences (p > 0.05); only 'cost' (p = 0.045) and 'exercise interferes with social/family activities' (p = 0.011) showed significant differences. The most common external barriers among the middle-aged and elderly respondents were 'not enough time' (46.7% vs. 48.4%), 'no one to exercise with' (40.0% vs. 28.3%) and 'lack of facilities' (33.4% vs. 35.0%). The most common internal barriers for middle-aged respondents were 'too tired' (48.3%), 'already active enough' (38.3%), 'do not know how to do it' (36.7%) and 'too lazy' (36.7%), while those for elderly respondents were 'too tired' (51.7%), 'lack of motivation' (38.4%) and 'already active enough' (38.4%). CONCLUSION Middle-aged and elderly respondents presented with similar external and internal barriers to physical activity and exercise participation. These factors should be taken into account when healthcare policies are being designed and when interventions such as the provision of facilities to promote physical activity and exercise among older people are being considered.

  10. Oral comfort: A new concept to assess the acceptance of food by elderly people suffering from oral health problems

    Descamps, Mathilde; Sulmont-Rossé, Claire; Septier, Chantal; Feron, Gilles; Labouré, Hélène

    2016-01-01

    The cumulative effects of physiological aging, diseases and drugs often impair food oral processing (mastication, salivation and swallowing), which is the most important point where foods organoleptic properties can be perceived and elicit sensory pleasure. The aim of the present study was to explore the concept of “oral comfort” when eating a food in the elderly. Firstly, three focus groups were conducted with elderly people to develop concepts linked to oral comfort when eating. Result...

  11. Development, validity, and reliability of a food frequency questionnaire for antioxidants in elderly Iranian people

    Mahsa Malekahmadi

    2016-01-01

    Full Text Available Background: The food frequency questionnaire (FFQ, as a way to assess the dietary intake in comparison with other methods, is easier to analyze and takes less time and is less costly. Our aim in this study was to develop and validate an FFQ for estimating the intakes of selected antioxidants in elderly Iranian people. Materials and Methods: A total of 185 elderly people were randomly selected. Three-day food records were completed by the subjects and collected every 2 months and dietary intake levels of zinc, selenium, carotenes and vitamins C and E were estimated. Based on the food records data, geographic location, and age, an FFQ was designed to estimate antioxidant intakes during 1 year. In addition, for controlling energy intake, 2-day food records were also collected with the food frequency questionnaire. To assess the reliability, 40 individuals were asked to complete the FFQ twice with an interval of 3 months in between. Results: Intraclass correlation coefficient (ICC between the two FFQs ​​for antioxidant C, antioxidant E, carotene, selenium, and zinc were 0.62, 0.47, 0.51, 0.54, and 0.58, respectively (P < 0.05. In addition, Pearson correlation coefficients between the FFQ and the food records, after controlling energy for vitamin C, vitamin E, carotene, selenium, and zinc, were 0.46, 0.48, 0.38, 0.55, and 0.47 respectively (P < 0.001. Conclusion: According to the results of this study, considering the fact that the FFQ was designed for the elderly and the special conditions (patience, memory, etc. and vulnerability of this age group, the questionnaire is relatively valid and reliable to use.

  12. Development, validity, and reliability of a food frequency questionnaire for antioxidants in elderly Iranian people

    Malekahmadi, Mahsa; Naeini, Amirmansour Alavi; Shab-Bidar, Sakineh; Feizi, Awat; Djazayery, Abolghasem

    2016-01-01

    Background: The food frequency questionnaire (FFQ), as a way to assess the dietary intake in comparison with other methods, is easier to analyze and takes less time and is less costly. Our aim in this study was to develop and validate an FFQ for estimating the intakes of selected antioxidants in elderly Iranian people. Materials and Methods: A total of 185 elderly people were randomly selected. Three-day food records were completed by the subjects and collected every 2 months and dietary intake levels of zinc, selenium, carotenes and vitamins C and E were estimated. Based on the food records data, geographic location, and age, an FFQ was designed to estimate antioxidant intakes during 1 year. In addition, for controlling energy intake, 2-day food records were also collected with the food frequency questionnaire. To assess the reliability, 40 individuals were asked to complete the FFQ twice with an interval of 3 months in between. Results: Intraclass correlation coefficient (ICC) between the two FFQs for antioxidant C, antioxidant E, carotene, selenium, and zinc were 0.62, 0.47, 0.51, 0.54, and 0.58, respectively (P < 0.05). In addition, Pearson correlation coefficients between the FFQ and the food records, after controlling energy for vitamin C, vitamin E, carotene, selenium, and zinc, were 0.46, 0.48, 0.38, 0.55, and 0.47 respectively (P < 0.001). Conclusion: According to the results of this study, considering the fact that the FFQ was designed for the elderly and the special conditions (patience, memory, etc.) and vulnerability of this age group, the questionnaire is relatively valid and reliable to use. PMID:27904560

  13. Association between depressive symptoms and dental care-seeking behavior among elderly Brazilian people

    Gabriela Ádima de Camargo ÁVILA

    Full Text Available Abstract Background Depressive symptoms are highly prevalent among the elderly population (10%. These symptoms frequently appear when there is a loss of quality of life associated with social exclusion and the appearance of severe diseases. Feelings of sadness, discouragement, despondency and deception, and events such as the loss of close friends and family can also be related to these symptoms. The consequences of depressive symptoms include negative oral health outcomes, such as a decrease in the frequency of toothbrushing, greater prevalence of caries and higher probability of the appearance of periodontitis. Aim This study aimed to evaluate the association between the presence of depressive symptoms and problem-oriented oral healthcare behavior, as well as the absence of healthcare-seeking behavior. Material and method 872 elderly people living in two health districts in Porto Alegre were evaluated. They provided information on socioeconomic variables at an interview, and responded to the Geriatric Depression Scale-15 and to a questionnaire assessing dental care-seeking behavior. In addition, an oral examination was performed. When analyzed using Poisson regression with robust variance, the variables of male sex, less schooling, lower income, reduced number of teeth, presence of root remnants and presence of depressive symptoms were found to be independently associated with the outcome. Result There was a significant difference regarding dental care-seeking behavior in relation to elderly people presenting depressive symptoms and those in low socioeconomic strata having poor oral status. Conclusion It was concluded that these factors need to be taken into consideration when evaluating dental care-seeking behavior.

  14. 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.

  15. [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.

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

    Claudia Silberman

    1995-12-01

    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.

  17. 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.

  18. Life satisfaction and mortality in elderly people: The Kangwha Cohort Study

    Kimm Heejin

    2012-01-01

    Full Text Available Abstract Background As well as biomedical risk factors, psychological factors have been reported to be related to mortality rate. The purpose of this study was to examine the relationship between life satisfaction and mortality in elderly people through an 11.8-year follow-up study of a prospective cohort. Methods Among 3,600 participants of the Kangwha Cohort Study who survived in 1994, 1,939 respondents of the Life Satisfaction Index (LSI-A questionnaire were included (men, 821; women, 1118. The mortality risk for the period up to December 2005 was measured using the Cox Proportional Hazard Model. Results When the relationship between LSI and mortality was evaluated in men, the unsatisfied group with lower LSI scores showed a significantly higher risk of all-cause mortality (hazard ratio [HR], 1.42; 95% confidence interval [CI], 1.11-1.83 than the satisfied group with higher LSI scores. In women, the unsatisfied group showed a significantly higher risk of all-cause mortality (HR, 1.51; 95% CI, 1.18-1.92 and cardiovascular mortality (HR, 2.23; 95% CI, 1.30-3.85 than the satisfied group. Conclusion We found that elderly people with a lower LSI score, regardless of gender, were at risk of increased mortality from all causes, and low LSI score was also associated with cardiovascular mortality.

  19. Leisure Activity Participation of Elderly Individuals with Low Vision.

    Heinemann, Allen W.

    1988-01-01

    Studied low vision elderly clinic patients (N=63) who reported participation in six categories of leisure activities currently and at onset of vision loss. Found subjects reported significant declines in five of six activity categories. Found prior activity participation was related to current participation only for active crafts, participatory…

  20. 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.

  1. The Present Situation and Developing Trend of City Elder People's Physical Lifestyle in China%中国城市老年人体育生活方式的现状与发展趋势

    辛利; 周毅

    2001-01-01

    采用调查法、文献资料法,对我国城市老年人体育生活方式的现状及发展趋势进行研究。结果表明:老年人体育生活方式的特点是活动频繁、时间较长、持之以恒;群体亲合力强、建立良好的人际关系;活动项目多样、活动场所固定;体育活动动机多样化。其发展趋势是老年人体育活动生活方式将越来越普及,使终身体育成为可能;老年人体育人口的扩大化,使文体活动向综合化方向发展;老年体育更趋于科学化,使“运动处方”的锻炼方式在老年人中首先得以实现。%By using the method of investigation and documentary, the author makes a survey on present situation and developing trend of city elder people's physical lifestyle. The result shows that the feature of elder people's physical activity is movable frequently and time is long. The group makes friend with that the resultant of forces is strong and establishes good relation between each other. The activity project is diversified and the place is to be fixed, the motivation of physical activity is diversify. The elder people's physical activity is more and more popularized, and makes elder people's physical activity possibly. The broadening scope of elder people's physical activity makes the style of life in deeply development. Elder people's physical activity towards to scientific way and makes the exercise prescription reality.

  2. Measuring Outcomes in Mental Health Services for Older People: An Evaluation of the Health of the Nation Outcome Scales for Elderly People (HoNOS65+)

    Gee, Susan B.; Croucher, Matthew J.; Beveridge, John

    2010-01-01

    The Health of the Nation Outcome Scales (HoNOS) family of measures is routinely used in mental health services in the New Zealand, Australia, and the United Kingdom. However, the psychometric properties of the HoNOS65+ for elderly people have not been extensively evaluated. The aim of the present study was to examine the validity, reliability, and…

  3. Relationship between BMD and Zn, Cu, Ca Levels in the Hair and Meal in Elderly People

    LI Wanli; TIAN Yuhui; SONG Xiaofei; ZHANG Min; SHEN Guanxin

    2005-01-01

    The relationship between bone mineral density (BMD) and Zn, Cu, Ca levels in the meal and hair of urban and rural elderly people were studied. 470 subjects above 60 years old (urban 205 and rural 265), 178 males with an average age of 65.70±3.48 and 292 females with an average age of 65.90±4.02, were inquired. The BMD and Zn, Cu, Ca levels in the meal and hair were measured. The detected BMD in urban and rural female old people was significantly lower than that of the males; The contents of Ca and Zn in the meal of the urban females were significantly lower than those of the urban males; The Ca, Zn in the meal and Zn in the hair of the rural females were significantly lower than those of rural males (P< 0.05 or 0.01). The BMD, Ca intakes, Ca and Zn in the hair of the rural old people were significantly lower than those of the urban old people (P<0.05 or 0.01). There was a correlation between BMD with the Ca, Zn of the hair and dietary Ca,Zn, Cu or between dietary Zn with Ca, Zn in the hair and Ca, Cu intakes. The Zn, Cu and Ca levels in the meal nutrients were correlated with BMD to some degrees. Lack of Ca and Zn in the meal can cause the reduction of BMD.

  4. The effects of balance training and ankle training on the gait of elderly people who have fallen

    Choi, Jung-Hyun; Kim, Nyeon-Jun

    2015-01-01

    [Purpose] The aim of this study was to examine the effects of balance training and muscle training around the ankle joints on the gait of elderly people who have experienced a fall. [Subjects] Twenty-six elderly people with a risk of falling and a Berg Balance Scale score of 37 to 50 points who had experienced a fall in the last year were randomly and equally assigned to either a balance training group or an ankle training group. The balance training group received training on a hard floor, t...

  5. 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.

  6. 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.

  7. 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

  8. Young people's participation in physical activity

    Nielsen, Stine Frydendal; Ottesen, Laila; Thing, Lone Friis

    regarding physical activity. 469 students participated in the survey. It is carried out through the online program SurveyXact. The data is processed in SPSS, and subsequently discussed. The primary results reveal that spare time jobs have a large impact on young people’s participation in physical activity......; Shame has an immense influence on the girls’ participation in physical activity; The offers regarding physical activity, provided by the school, appeal more to the boys and the students who are already physically active. Consequently, the students express a wish to have more influence on physical...... of young people today. This means that participation in physical activity cannot be discussed independently, but must always be viewed within the context of the lives of young people today....

  9. 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…

  10. Effects of an Individualized Activity Program on Elderly Patients

    Salter, Carlota de Lerma; Salter, Charles A.

    1975-01-01

    A combined program of Reality Orientation, Activities of Daily Living, and Recreational Activities, together with environmental stimulation, was applied on an individualized basis to 21 elderly patients suffering from both psychological disorders and long-term physical illness. The motivation to participate in the available activities increased…

  11. 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.

  12. 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

    2014-09-01

    [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 rectus abdominis, erector spinae, lateral low-back (quadratus lumborum and external oblique), and gluteus medius muscles increased significantly. [Conclusion] The trunk stabilization exercise with a Swiss ball significantly increased the muscle activities of the elderly.

  13. 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.

  14. Nível de atividade física, dor e edema e suas relações com a disfunção muscular do joelho de idosos com osteoartrite Physical activity levels, pain and swelling and their relationships with knee muscle dysfunction in elderly people with osteoarthritis

    KAM Zacaron

    2006-09-01

    Full Text Available CONTEXTUALIZAÇÃO: O decréscimo da função dos músculos quadríceps (Q e isquiotibiais (IT apresenta-se potencializado na população idosa com osteoartrite (OA de joelhos, podendo ser atribuído ao menor nível de atividade física (NAF ou à dor e ao edema. OBJETIVOS: Comparar o desempenho de Q e IT de idosos assintomáticos e com OA de joelhos e correlacionar tal desempenho com a dor e o edema. MÉTODOS: A amostra constitui-se de quinze idosos com OA de joelho bilateral (grupo OA e quinze assintomáticos (grupo AS. O dinamômetro isocinético, Biodex System 3-Pro, foi utilizado para avaliar a performance muscular e a escala visual análoga (EVA numérica para registro da dor. O edema foi avaliado por teste manual. Teste t-Student foi empregado para comparar as variáveis demográficas, antropométricas, trabalho de Q (TRAB Q, de IT (TRAB IT e Relação IT/Q. Teste Qui-quadrado foi utilizado para a comparação do NAF e o coeficiente de Spearman para verificar correlação entre as variáveis edema e dor com TRAB Q, TRAB IT e Relação IT/Q. RESULTADOS: Não houve diferença estatisticamente significante entre as variáveis antropométricas, demográficas e NAF (p>0,05. TRAB Q apresentou-se estatisticamente menor (p=0,001 no grupo OA e a Relação IT/Q, mostrou-se estatisticamente maior neste grupo (p=0,04. Não houve correlação entre as variáveis dor e edema com TRAB Q, TRAB IT e Relação IT/Q (rho 0,229. CONCLUSÃO: A redução da função muscular dos idosos com OA de joelhos não pode ser atribuída unicamente a um menor NAF desta população.BACKGROUND: Decreased quadriceps and hamstring muscle function appears to be greater in the elderly population with knee osteoarthritis. This may be due to lower physical activity levels or to pain and swelling. OBJECTIVE: To compare quadriceps and hamstring performance in elderly people with and without knee osteoarthritis and to correlate this with pain and swelling. METHOD: The sample was

  15. The important things in the life of older people: elderly women in social houses and home care.

    Kasepalu, Ulle; Laidmäe, Virve-Ines; Tulva, Taimi

    2014-01-01

    The purpose of the article is to analyze the aging experiences of elderly women in Estonia and the factors influencing them. The assessments of two groups using social services are compared-the elderly living in Tallinn's social houses and the elderly receiving care at home. From February to August 2011, a total of 80 elderly women were interviewed. Inhabitants of social houses find that their old age is satisfying more often (65% of the inhabitants of social houses and 40% of the people in home care). Many home care clients were convinced that it is best to spend old age among loved ones and in a familiar environment. Those living at home have many difficulties, which is why 20% of them are on a waiting list to go to a social house. Home services should include services with which the inhabitants of social houses are very satisfied.

  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. A causal model of coping and well-being in elderly people with arthritis.

    Downe-Wamboldt, B L; Melanson, P M

    1998-06-01

    The purpose of this longitudinal study was to test a model of the relationships among social economic status, gender, severity of impairment, stress emotions, coping strategies and psychological well-being. A sample of 78 elderly women and men, 60 years old or over, and diagnosed as having rheumatoid arthritis since mid-life, volunteered to participate in the study. Twelve months later, 64 of these elderly people were re-interviewed. Path analysis was used to examine the empirical import of the Lazarus and Folkman theory of stress and coping. Analysis of variance for repeated measures was used to test for changes over time among the study variable. A consistent relationship between severity of impairment, emotions, coping strategies and psychological well-being emerged from the data at time one and time two. Choice of coping strategies and psychological well-being were primarily influenced by emotions. The best predictor of psychological well-being at both time periods was the stress emotion of challenge. At both time periods, optimistic and self-reliant coping strategies were used most often and evasive and emotive strategies the least.

  18. A Depth Video Sensor-Based Life-Logging Human Activity Recognition System for Elderly Care in Smart Indoor Environments

    Ahmad Jalal

    2014-07-01

    Full Text Available Recent advancements in depth video sensors technologies have made human activity recognition (HAR realizable for elderly monitoring applications. Although conventional HAR utilizes RGB video sensors, HAR could be greatly improved with depth video sensors which produce depth or distance information. In this paper, a depth-based life logging HAR system is designed to recognize the daily activities of elderly people and turn these environments into an intelligent living space. Initially, a depth imaging sensor is used to capture depth silhouettes. Based on these silhouettes, human skeletons with joint information are produced which are further used for activity recognition and generating their life logs. The life-logging system is divided into two processes. Firstly, the training system includes data collection using a depth camera, feature extraction and training for each activity via Hidden Markov Models. Secondly, after training, the recognition engine starts to recognize the learned activities and produces life logs. The system was evaluated using life logging features against principal component and independent component features and achieved satisfactory recognition rates against the conventional approaches. Experiments conducted on the smart indoor activity datasets and the MSRDailyActivity3D dataset show promising results. The proposed system is directly applicable to any elderly monitoring system, such as monitoring healthcare problems for elderly people, or examining the indoor activities of people at home, office or hospital.

  19. 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.

  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

    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......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...

  2. Assessment of elderly people on entry to residential homes and continuing care arrangements.

    Hoad-Reddick, G

    1992-08-01

    Increasing numbers of elderly people are entering private residential homes in the UK. Results of surveys show poor oral health in this group. A survey was therefore conducted of 50 residential homes (housing 1337 residents) to determine assessment on entry and continuing care provision. In 38 per cent of homes no written notes were made of the initial assessment. Topics of dental interests were infrequently assessed on entry (only 16 per cent of carers examined the oral cavity, 52 per cent assessed the subject's ability to care for their dentures). Medical topics (mobility, incontinence, eyesight, etc) were all assessed in more than 80 per cent of subjects. Suggestions are made for utilization of an easy assessment questionnaire and improved denture naming arrangements. The importance of regular check-ups, education and publicity for this group is stressed.

  3. 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.

  4. White Matter Hyperintensities and the Course of Depressive Symptoms in Elderly People with Mild Dementia

    Hogne Soennesyn

    2012-03-01

    Full Text Available Objectives: To explore the relationship between white matter hyperintensities (WMH and the prevalence and course of depressive symptoms in mild Alzheimer’s disease (AD and Lewy body dementia. Design: This is a prospective cohort study conducted in secondary care outpatient clinics in western Norway. Subjects: The study population consisted of 77 elderly people with mild dementia diagnosed according to standardised criteria. Methods: Structured clinical interviews and physical, neurological, psychiatric, and neuropsychological examinations were performed and routine blood tests were taken. Depression was assessed using the depression subitem of the Neuropsychiatric Inventory and the Montgomery-Åsberg Depression Rating Scale (MADRS. A standardised protocol for magnetic resonance imaging scan was used, and the volumes of WMH were quantified using an automated method, followed by manual editing. Results: The volumes of total and frontal deep WMH were significantly and positively correlated with baseline severity of depressive symptoms, and depressed patients had significantly higher volumes of total and frontal deep WMH than non-depressed patients. Higher volumes of WMH were also associated with having a high MADRS score and incident and persistent depression at follow-up. After adjustment for potential confounders, frontal deep WMH, in addition to prior depression and non-AD dementia, were still significantly associated with baseline depressive symptoms (p = 0.015, OR 3.703, 95% CI 1.294–10.593. Similar results emerged for total WMH. Conclusion: In elderly people with mild dementia, volumes of WMH, in particular frontal deep WMH, were positively correlated with baseline severity of depressive symptoms, and seemed to be associated with persistent and incident depression at follow-up. Further studies of the mechanisms that determine the course of depression in mild dementia are needed.

  5. Association between Sleep Disturbances and Leisure Activities in the Elderly: A Comparison between Men and Women

    Amanda Hellström

    2014-01-01

    Full Text Available It has been suggested that physical or social activity is associated with fewer sleep disturbances among elderly people. Women report more sleep disturbances than men, which could indicate a variation in activity patterns between the genders. The aim of this study was to investigate associations between sleep disturbances and leisure activities in men and women (n = 945 aged ≥60 years in a Swedish population. Sleep disturbances were measured using eight dichotomous questions and seventeen variables, covering a wide range of leisure activities. Few leisure activities were found to be associated with sleep disturbances and their importance decreased when the models were adjusted for confounders and gender interactions. After clustering the leisure activities and investigating individual activities, sociointellectual activities were shown to be significant for sleep. However, following adjustment for confounders and gender interactions, home maintenance was the only activity significant for sleep. Being a female increased the effect of home maintenance. Besides those leisure activities, poor/fair self-rated health (OR 7.50, CI: 4.27–11.81 and being female (OR 4.86, CI: 2.75–8.61 were found to have the highest association with poor sleep. Leisure activities pursued by elderly people should focus on activities of a sociointellectual nature, especially among women, to promote sleep.

  6. [Validity and reliability of Social Support Interactions Scale SSL12-I in a population of elderly people in Poland

    Brzyski, P.; Knurowski, T.; Tobiasz-Adamczyk, B.

    2005-01-01

    This study aimed at assessing validity and reliability of Social Support Interactions Scale and it's usefulness in evaluation of social support received by elderly people in Poland. Theoretical validity of the scale was evaluated using exploratory factor analysis (principal components method) and co

  7. The effects of balance training and ankle training on the gait of elderly people who have fallen.

    Choi, Jung-Hyun; Kim, Nyeon-Jun

    2015-01-01

    [Purpose] The aim of this study was to examine the effects of balance training and muscle training around the ankle joints on the gait of elderly people who have experienced a fall. [Subjects] Twenty-six elderly people with a risk of falling and a Berg Balance Scale score of 37 to 50 points who had experienced a fall in the last year were randomly and equally assigned to either a balance training group or an ankle training group. The balance training group received training on a hard floor, training while maintaining balance on a cushion ball in a standing position, and training while maintaining balance on an unstable platform in a standing position; the ankle training group received training to strengthen the muscles around the ankle joints and conducted stretch exercise for the muscles around the ankle joints. [Results] There were significant changes in gait velocity, step length, and stride length in the balance training group after the intervention; there were significant changes in gait velocity, cadence, step time, cycle time, step length, and stride length in the ankle training group after the intervention. In a between-group comparison, the gait velocity of the balance training group showed a significant improvement compared with the ankle training group. [Conclusion] Both balance training and ankle joint training are effective in enhancing the gait ability of elderly people with a risk of falling; in particular, balance training is effective in improving the gait velocity of elderly people who have experienced a fall compared with ankle joint training.

  8. Food memory and its relation with age and liking: An incidental learning experiment with children, young and elderly people

    Laureati, M.; Morin-Audebrand, L.; Pagliarini, E.; Sulmont-Rosse, C.; Köster, E.P.; Mojet, J.

    2008-01-01

    The present study compared incidental learning and food memory in children, young adults and elderly people for three sensory modalities (taste, texture and aroma). The relation of gender and liker-status (i.e. how much we like a product) with food memory was also investigated. Participants received

  9. Protein supplementation improves physical performance in frail elderly people: a randomized double-blind, placebo-controlled trial

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

    2012-01-01

    Objectives: Protein supplementation has been proposed as an effective dietary strategy to increase skeletal muscle mass and improve physical performance in frail elderly people. Our objective was to assess the impact of 24 weeks of dietary protein supplementation on muscle mass, strength, and physic

  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. REHABILITATION IN SKILLED NURSING CENTRES FOR ELDERLY PEOPLE WITH LOWER LIMB AMPUTATIONS : A MIXED-METHODS, DESCRIPTIVE STUDY

    Fortington, Lauren V.; Rommers, Gerardus M.; Wind-Kral, Anne; Dijkstra, Pieter U.; Geertzen, Jan H. B.

    2013-01-01

    Objectives: To describe the current set-up, barriers and potential for providing rehabilitation to people with lower limb amputation in skilled nursing centres. Design: Survey and interviews. Subjects/participants: Elderly care physicians, physiotherapists. Methods: In 2011, clinicians from 34 skill

  12. Falls and self-assessment of eyesight among elderly people: a population-based study in a south Brazilian municipality.

    Nunes, Bruno Pereira; de Oliveira Saes, Mirelle; Siqueira, Fernando Vinholes; Tomasi, Elaine; Silva, Suele Manjourany; da Silveira, Denise Silva; Soares, Mariangela Uhlmann; Facchini, Luiz Augusto; Thumé, Elaine

    2014-01-01

    This paper seeks to verify the association between falls and self-assessment of visual acuity in elderly people by means of a cross-sectional population-based study involving 1593 elderly people (aged 60 or over) from the urban zone of the municipality of Bagé-RS. Poisson regression was used for association analysis. Fall prevalence in the last year was 28.0% (95%CI: 25.8; 30.2), with 45.0% of these having suffered two or more falls in the same period. Elderly people self-assessing their eyesight as bad/very poor (10.0%) or regular (33.3%) showed a linear increase in fall occurrence when compared to individuals who considered their eyesight to be good/excellent. Self-assessment of eyesight showed itself to be an important factor associated with the occurrence of falls. This results entails the need to make progress with tracing elderly people with eyesight difficulties and its possible impact on actions to prevent the occurrence of falls.

  13. A Mobile and Ubiquitous Approach for Supporting Frailty Assessment in Elderly People

    Hervás, Ramon; Bravo, José; Navarro, Fco Javier

    2013-01-01

    Background Frailty is a health condition related to aging and dependence. A reduction in or delay of the frailty state can improve the quality of life of the elderly. However, providing frailty assessments can be difficult because many factors must be taken into account. Usually, measurement of these factors is performed in a noncentralized manner. Additionally, the lack of quantitative methods for analysis makes it impossible for the diagnosis to be as complete or as objective as it should be. Objective To develop a centralized mobile system to conduct elderly frailty assessments in an accurate and objective way using mobile phone capabilities. Methods The diagnosis of frailty includes two fundamental aspects: the analysis of gait activity as the main predictor of functional disorders, and the study of a set of frailty risk factors from patient records. Thus, our system has several stages including gathering information about gait using accelerometer-enabled mobile devices, collecting values of frailty factors, performing analysis through similarity comparisons with previous data, and displaying the results for frailty on the mobile devices in a formalized way. Results We developed a general mechanism to assess the frailty state of a group of elders by using mobile devices as supporting tools. In collaboration with geriatricians, two studies were carried out on a group of 20 elderly patients (10 men and 10 women), previously selected from a nursing home. Frailty risk factors for each patient were collected at three different times over the period of a year. In the first study, data from the group of patients were used to determine the frailty state of a new incoming patient. The results were valuable for determining the degree of frailty of a specific patient in relation to other patients in an elderly population. The most representative similarity degrees were between 73.4% and 71.6% considering 61 frailty factors from 64 patient instances. Additionally, from the

  14. Survey of the Relationship Between Activity Energy Expenditure Metabolic Equivalents and Barrier Factors of Physical Activity in the Elderly in Kashan

    Sadrollahi, Ali; Khalili, Zahra; Pour Nazari, Robab; Mohammadi, Majid; Ahmadi Khatir, Maryam; Mossadegh, Najima

    2016-01-01

    Background Physical activity in the elderly is influenced by aspects of aging that cause personal, mental, environmental, and social changes. Increases in factors that are barriers to activity cause physical energy expenditure to decrease. Objectives The aim of the present study was to survey the relationship between energy expenditure in metabolic equivalent units (MET) and factors that are barriers to physical activity in elderly people in Kashan, Iran Methods This is a descriptive analysis done in 2014. The study population was 400 people above 60 years old in medical facilities in Kashan. Multistage sampling was used in 10 clinics in 5 areas of Kashan. The sample size was varied according to gender and elderly population. Contributors were given questionnaires concerning energy expenditure levels in physical activity and factors that are barriers to being active. Results The average age among the study population was 67.6 ± 6.8 years median, and the interquartile range (IQR) of barriers to physical activity among Kashan’s elderly was (8.75) ± 33. Average energy expenditure was 326.21 ± 364.84 based on metabolic equivalent units (MET). In fact, 340 persons (85%) were practically without any active energy expenditure. The most common barrier was the lack of an appropriate place for doing physical activity; 298 (74%) of the participants cited this barrier. The results show the Spearman rank-order correlation is significant (P = 0.038, r = 0.104) between barriers to physical activity and activity energy expenditure in Kashan’s elderly. Conclusions Decreasing barriers to physical activity among the elderly causes physical activities to increase; therefore, energy expenditure is increased. Decreasing social and environmental problems for the elderly is effective in increasing physical activity and energy expenditure. PMID:28191341

  15. 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.

  16. Sentimentality and Nostalgia in Elderly People in Bulgaria and Greece – Cross-Validity of the Questionnaire SNEP and Cross-Cultural Comparison

    Stoyanova, Stanislava Yordanova; Giannouli, Vaitsa; Gergov, Teodor Krasimirov

    2017-01-01

    Sentimentality and nostalgia are two similar psychological constructs, which play an important role in the emotional lives of elderly people who are usually focused on the past. There are two objectives of this study - making cross-cultural comparison of sentimentality and nostalgia among Bulgarian and Greek elderly people using a questionnaire, and establishing the psychometric properties of this questionnaire among Greek elderly people. Sentimentality and nostalgia in elderly people in Bulgaria and Greece were studied by means of Sentimentality and Nostalgia in Elderly People questionnaire (SNEP), created by Gergov and Stoyanova (2013). For the Greek version, one factor structure without sub-scales is proposed, while for the Bulgarian version of SNEP the factor structure had four sub-scales, besides the total score. Together with some similarities (medium level of nostalgia and sentimentality being widespread), the elderly people in Bulgaria and Greece differed cross-culturally in their sentimentality and nostalgia related to the past in direction of more increased sentimentality and nostalgia in the Bulgarian sample. Some gender and age differences revealed that the oldest male Bulgarians were the most sentimental. The psychometric properties of this questionnaire were examined for the first time in a Greek sample of elders and a trend was found for stability of sentimentality and nostalgia in elderly people that could be studied further in longitudinal studies. PMID:28344678

  17. 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.

  18. Fall risk in an active elderly population

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

    2007-01-01

    , 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...

  19. [Specific risks of physical activity in the elderly].

    Paillard, T

    2015-01-01

    The aim of this paper is to present the specific risks of physical activity in elderly subjects. These risks mainly consist of the loss of physical integrity and the weakening of the capabilities of metabolic regulation. The risk of impairment of physical integrity (e.g. injury) related to regular physical activity is not overall greater in elderly subjects than in young subjects. The choice of a physical activity that is suited to the elderly subject's physical and cognitive abilities largely limits these risks. When physical activity is adapted to suit elderly subjects, the number of accidents in relation to the number of participants is actually very low. In fact, participation in a program of education for prevention related to physical activity reduces the risk of accidents and injuries (and, thus, falls) occurring thereafter. In the case of metabolic risks, isometric muscular contractions carried out under certain conditions (duration: > 6 seconds; intensity: > 50% of maximal voluntary contraction) are inappropriate. Physical activity carried out in extreme thermal atmospheres (0-5° 25-30°) should be avoided. Hydration is very important and liquids should be drunk well before any thirst sensation occurs.

  20. Relationship of Physical Activity Facilitators and Body Mass Index in Kashan Elderly

    Zahra Khalili

    2015-12-01

    Full Text Available Introduction: There are many factors that affect the level of physical activity and body mass index of the elderly. The current study aimed to assess the relationship of  physical activity facilitators and body mass index of Kashan elderly. Methods: The cross-sectional study sampled 400 elderly older than 60 referred to 10 healthcare centers in Kashan, 2014, via multistage quota method. Participations were tested under demographic characters, body mass index(BMI level, and exercise benefits part of exercise benefits and barrier scale (persian  version for measurig  physical activity facilitators. Data were analyzed in SPSS software, descriptive statistic, Spearman correlation test, Chi-Square and Ordinal regression. Results: Of the participations73.6% were overweight or obese. Median and interquartile range (IQR of  physical activity facilitators was 75 and 33 respectively. The most prominent  physical activity facilitators was" physical activity increases my physical ability, (83.2%. There was a significantly inverse relationship between  physical activity facilitators  score and BMI of participants (r=-0.233, P=0.001. Ordinal regression evealed that mostly predictor of  BMI among  physical activity facilitators was "physical activity improves the quality of my work " (OR=8.683, P=0.001. Conclusion: Results identified  physical activity facilitators directly is related to improve physical circumstances of the elderly people. Surly poviding  physical activity facilitators through educational and interventional programs may improve the health status of aging population.

  1. The study of malnutrition in elderly people of Kurdistan in 2011

    Rahimi Z

    2012-06-01

    Conclusion: This study seems to take care intervention programs extensively by the health authorities and policymakers to prevent malnutrition in all age groups, especially the elderly appears necessary. Keywords: Elderly - Malnutrition - BMI

  2. Relationship between lower-limb muscle strength and functional independence among elderly people according to frailty criteria: a cross-sectional study

    Fernanda Sotello Batista

    Full Text Available CONTEXT AND OBJECTIVE: Muscle strength and functional independence are considered to be determinants of frailty levels among elderly people. The aim here was to compare lower-limb muscle strength (LLMS with functional independence in relation to sex, age and number of frailty criteria, and to ascertain the influence of these variables on elderly outpatients' independence.DESIGN AND SETTING: Quantitative cross-sectional study, in a tertiary hospital.METHODS: The study was conducted on 150 elderly outpatients of both sexes who were in a cognitive condition allowing oral communication, between October 2005 and October 2007. The following instruments were used: five-times sit-to-stand test (FTSST, Functional Independence Measurement (FIM and Lawton's Instrumental Activities of Daily Living Scale (IADL. Descriptive, comparative, multivariate, univariate and Cronbach alpha analyses were performed.RESULTS: The mean time taken in the FTSST was 21.7 seconds; the mean score for FIM was 82.2 and for IADL was 21.2; 44.7% of the subjects presented 1-2 frailty criteria and 55.3% > 3 criteria. There was a significant association between LLMS and functional independence in relation to the number of frailty criteria, without homogeneity regarding sex and age. Functional independence showed significant influence from sex and LLMS.CONCLUSION: Elderly individuals with 1 or 2 frailty criteria presented greater independence in all FTSST scores. The subjects with higher LLMS presented better functional independence.

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

    Claudia Silberman

    1995-12-01

    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.Com o objetivo de avaliar déficit cognitivo e presença de sinais e sintomas depressivos, 62 idosos registrados numa Unidade de Saúde Comunitária em Porto Alegre/RS foram entrevistados em suas casas. Foram avaliados pelo Mini Exame do Estado Mental (Mini Mental State, pela escala de Montgomery-Asberg, e por um questionário sobre condições de saúde, moradia e outras variáveis de vínculos sociais. Níveis mais altos de sintomas depressivos foram observados entre os idosos expostos a fatores de risco maiores para doença cérebro-vascular (diabete e doença coronariana, enquanto que pior desempenho cognitivo foi encontrado nos sujeitos que não contavam com um confidente (variável da rede social. Os resultados sugeriram que a identificação precoce dos

  4. The Value of a Gardening Service for the Frail Elderly and People With a Disability Living in the Community.

    Same, Anne; Lee, Elinda Ai Lim; McNamara, Beverley; Rosenwax, Lorna

    2016-11-01

    Little is known about the significance of gardening services for frail elderly people. This study explored the value of a gardening service for frail older people and people with a disability living in the community. Using qualitative and quantitative data collected from pre-gardening (n = 38) and post-gardening service delivery interviews (n = 35) and the Housing Enabler, the value of a gardening service was examined. Findings suggest that the service had a positive impact on the independence and emotional well-being of frail aged people and younger people with a functional disability, with little impact on physical health. Results indicate that gardening services should be fundamental to planning for these populations to remain or return to living in the community.

  5. The Value of a Gardening Service for the Frail Elderly and People With a Disability Living in the Community

    Same, Anne; Lee, Elinda Ai Lim; McNamara, Beverley; Rosenwax, Lorna

    2016-01-01

    Little is known about the significance of gardening services for frail elderly people. This study explored the value of a gardening service for frail older people and people with a disability living in the community. Using qualitative and quantitative data collected from pre-gardening (n = 38) and post-gardening service delivery interviews (n = 35) and the Housing Enabler, the value of a gardening service was examined. Findings suggest that the service had a positive impact on the independence and emotional well-being of frail aged people and younger people with a functional disability, with little impact on physical health. Results indicate that gardening services should be fundamental to planning for these populations to remain or return to living in the community. PMID:27746669

  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. Prevalence of Insomnia and Factors Associated with it Among the Elderly People of Sarangdanda VDC in Panchthar District

    Raj Kumar Subedi

    2011-04-01

    Full Text Available Insomnia is one of the major and unsolved problems in older people. Most of the sleep studies report that the different forms of insomnia like Difficulty Initiating Sleep (DIS, Difficulty Maintaining Sleep (DMS and Non-Restorative Sleep (NRS are common among the elderly that are associated to many factors. The objective of the study was to measure the prevalence of insomnia and the factors associated to it among the elderly people. A cross-sectional study was conducted among 142 elderly people of and above 60 years of age in Sarangdanda VDC of Panchthar District of Eastern Nepal. The presence or absence of insomnia and the associated factors were assessed on them by the help of interview schedule. The results were analyzed using chi-square test in SPSS (version 11.5. DMS was the most common reported form of insomnia among the elderly followed by DIS and NRS. Association between insomnia and each of factors like use of tobacco before sleeping hours, eating too close to bedtime, use of tea/coffee before sleeping hours and use of alcohol before sleeping hours were statistically significant at 95% level of confidence. Insomnia affects a large proportion of elderly and is triggered by many factors like use of tobacco before sleeping hours, use of tea/coffee before sleeping hours, eating too close to bedtime and use of alcohol before sleeping hours. Keywords: Alcohol; tea/coffee; difficulty initiating sleep (DIS; difficulty maintaining sleep (DMS; non-restorative sleep (NRS; tobacco DOI: 10.3126/dsaj.v4i0.4517 Dhaulagiri Journal of Sociology and Anthropology Vol.4 2010 pp.129-142

  8. 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.

  9. Nutrition, physical activity, and blood pressure in the elderly.

    Ideno, K T; Kubena, K S

    1989-01-01

    Forty noninstitutionalized elderly subjects, ages 65-86 years, were recruited for a study to determine relationships between nutritional status, physical activity, and blood pressure. A 24-hour recall of dietary intake and activities, health history, skinfolds, circumferences, height, weight, and blood pressure were obtained. Obesity was associated with hypertension in this group of elderly subjects. Truncal skinfolds (abdomen and subscapula) were positively correlated (P less than .05) with systolic blood pressure while body mass index, dietary magnesium and dietary calcium to magnesium ratio were directly related (P less than .05) to diastolic blood pressure. Physical activity and energy expenditure were not correlated (P greater than .05) with blood pressure in this study; however, the level of activity did not include strenuous exercise.

  10. Instrumented shoes for activity classification in the elderly.

    Moufawad el Achkar, Christopher; Lenoble-Hoskovec, Constanze; Paraschiv-Ionescu, Anisoara; Major, Kristof; Büla, Christophe; Aminian, Kamiar

    2016-02-01

    Quantifying daily physical activity in older adults can provide relevant monitoring and diagnostic information about risk of fall and frailty. In this study, we introduce instrumented shoes capable of recording movement and foot loading data unobtrusively throughout the day. Recorded data were used to devise an activity classification algorithm. Ten elderly persons wore the instrumented shoe system consisting of insoles inside the shoes and inertial measurement units on the shoes, and performed a series of activities of daily life as part of a semi-structured protocol. We hypothesized that foot loading, orientation, and elevation can be used to classify postural transitions, locomotion, and walking type. Additional sensors worn at the right thigh and the trunk were used as reference, along with an event marker. An activity classification algorithm was built based on a decision tree that incorporates rules inspired from movement biomechanics. The algorithm revealed excellent performance with respect to the reference system with an overall accuracy of 97% across all activities. The algorithm was also capable of recognizing all postural transitions and locomotion periods with elevation changes. Furthermore, the algorithm proved to be robust against small changes of tuning parameters. This instrumented shoe system is suitable for daily activity monitoring in elderly persons and can additionally provide gait parameters, which, combined with activity parameters, can supply useful clinical information regarding the mobility of elderly persons.

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

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

    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...

  12. Effects of experience-based group therapy on cognitive and physical functions and psychological symptoms of elderly people with mild dementia

    Kim, Hwan-Hee

    2015-01-01

    [Purpose] The purpose of this study was to investigate the effect of experience-based group therapy consisting of cooking and physical activities for elderly people with mild dementia on their cognitive and physical function, as well as on their psychological symptoms. [Subjects] The subjects of this study were 12 older adults with mild dementia (3 males, 9 females; 76.75 ± 3.61 years) who voluntarily consented to participate in the study. [Methods] In total, 12 subjects received experience-b...

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

    Grazia Daniela eFemminella

    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.

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

    Femminella, Grazia D; de Lucia, Claudio; Iacotucci, Paola; Formisano, Roberto; Petraglia, Laura; Allocca, Elena; Ratto, Enza; D'Amico, Loreta; Rengo, Carlo; Pagano, Gennaro; Bonaduce, Domenico; Rengo, Giuseppe; Ferrara, Nicola

    2013-12-20

    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 favorable 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 favorably 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.

  15. Long-term nursing care of elderly people: identifying ethically problematic experiences among patients, relatives and nurses in Finland.

    Teeri, Sari; Leino-Kilpi, Helena; Välimäki, Maritta

    2006-03-01

    The aim of this study was to explore ethically problematic situations in the long-term nursing care of elderly people. It was assumed that greater awareness of ethical problems in caring for elderly people helps to ensure ethically high standards of nursing care. To obtain a broad perspective on the current situation, the data for this study were collected among elderly patients, their relatives and nurses in one long-term care institution in Finland. The patients (n = 10) were interviewed, while the relatives, (n = 17) and nurses (n = 9) wrote an essay. Interpretation of the data was based on qualitative content analysis. Problematic experiences were divided into three categories concerning patients' psychological, physical and social integrity. In the case of psychological integrity, the problems were seen as being related to treatment, self-determination and obtaining information; for physical integrity, they were related to physical abuse and lack of individualized care; and for social integrity, to loneliness and social isolation. This study provided no information on the prevalence of ethical problems. However, it is clear from the results that patient integrity warrants more attention in the nursing care of elderly patients.

  16. The effect of increase in baggage weight on elderly women's lower extremity muscle activation during gait.

    Kim, Seong-Gil; Nam, Chan-Woo; Yong, Min-Sik

    2014-01-01

    The aim of the present study was to examine the effect of increased baggage weight on the muscle activation of elderly women's lower extremities during gait. A total of 24 elderly women who were residing in communities in Daegu, South Korea aged 79.6±6.2, 149.7±7.0cm in height, and 53.5±7.2kg in weight participated in this study. The muscle activation of each muscle was measured three times at 2kg, 3kg, and 4kg of baggage weight while the subjects were conducting treadmill walking wearing backpacks. Electrodes were placed on four muscles: the quadriceps muscle (rectus femoris), the hamstring muscle (semitendinosus), the tibialis anterior muscle, and the soleus muscle. The results show that the rates of increase in muscle activation in the tibialis anterior and soleus muscles according to baggage weight increase were higher than those in the quadriceps and hamstring muscles (<0.05). These results indicate that the heavier weight loads increase the activation of muscles that control the ankle joints causing muscle fatigue. Moreover, a decrease in balance ability through muscle fatigue can be a risk factor for falls. Thus, elderly people should be instructed not to carry heavy objects.

  17. [Informal caregivers of elderly people in South Tyrol. A qualitative assessment of home care situation].

    Ausserhofer, Dietmar; Mantovan, Franco; Innerhofer, Esther; Götsch, Ingrid; Ploner, Elfriede; Them, Christa

    2009-11-01

    Within the framework of a pilot project in the sanitary district of Bruneck (sanitary establishment of South Tyrol), the concept of care management is being investigated both practically and scientifically for informal caregivers of elderly people in need of care since 2009 the results of the qualitative assessment of the homecare situation. The assessment before the intervention will form the basis for further design and implementation of individual stress-reducing and supportive offers for the informal caregivers. Using a semi structured interview guideline twelve problem-centered interviews with informal caregivers were conducted and analysed according to Mayring's content analysis technique (2007). Informal caregivers are exposed to burdens in social, physical and mental areas. Own resources, family ties and support reduce stress and burdens caused by the homecare situation. The need of individual and continuous support of families and implications for further measures of care management can be deduced from the results. There is a need of support in the areas coping strategies, empowerment and direct stress reduction with regard to the homecare situation through education, training, counselling and the interconnection of social and health services.

  18. MALTREATMENT TO ELDERLY PEOPLE IN THE FAMILY CONTEXT. Approach to the situation in Malaga (Spain

    Rosario Castilla-Mora

    2014-12-01

    Full Text Available The reality of Maltreatment to Elderly People (MEP remains nowadays mainly invisible, despite being included among the most relevant social, political and professional concerns in the latest years. The MEP is defined as a complex and collective social problem, which takes place in the social-community field as well as in the institutional and familiar fields. This paper is focused on the latter, and it is approached with the primary goal of knowing its effects and its evolution as observed through the professionals in sanitary devices in Social Work. A descriptive study about 259 detected cases by the Sanitary District of Málaga during the period 2001-2010 is carried out. Results show characteristics of MEP related to the referenced literature, emphasizing the profile of the victim, mainly female, approximately 73 years old, and principally attacked by a man of her family environment. We conclude about the importance of advancing in the prevention and integral action in the presence of MEP, through a larger specific training of the professionals and the establishment and qualification of protocols of coordination among them.

  19. Overcoming Barriers and Increasing Independence – Service Robots for Elderly and Disabled People

    Marion Hersh

    2015-08-01

    Full Text Available The paper discusses the potential of assistive service robots to support disabled and elderly people. It shows that they have considerable untapped potential in this area, but also that inappropriate implementations could increase isolation, reduce independence and lead to users feeling as though they are under surveillance. The main body of the paper presents an overview of existing applications and discusses their benefits and potential problems. This is organized by an extension of the common classification into socially and physically assistive robots by the two categories of sensory assistive and mixed assistance robots. Another more detailed classification is also presented. This discussion is introduced by an overview of many of the technological components of smart mobile robots. It is followed by a discussion of user acceptance. The problems of existing models based on either solely positive or solely negative factors are noted and a model containing both types of factors is proposed. The need for continuing research is noted and various proposals are made.

  20. 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.

  1. Zarit Burden Interview Psychometric Indicators Applied in Older People Caregivers of Other Elderly 1

    Bianchi, Mariana; Flesch, Leticia Decimo; Alves, Erika Valeska da Costa; Batistoni, Samila Sathler Taveres; Neri, Anita Liberalesso

    2016-01-01

    ABSTRACT Objective: to derive psychometric indicators of construct validity and internal consistence of the Zarit Burden Interview scale for caregivers, describing associations of the scale with metrics related to care demands, coping strategies and depression in aged caregivers. Method: crosscutting descriptive and correlational study. The convenience sample was composed by a hundred and twenty one senior caregivers (Avg=70.5 ± 7.2 years, 73% women). They answered a questionnaire to check the physical and cognitive demands of care, the Zarit Burden Interview (ZBI), the California Inventory of Coping Strategies and the Geriatric Depression Scale (GDS-15). Results: ZBI showed good internal consistency and also for the three factors emerging from factor analysis, explaining 44% of variability. ZBI is positively related with objective care demands (p < 0.001), depression (p = 0.006) and use of dysfunctional coping strategies (p = 0.0007). Conclusion: ZBI is of interest to be applied to aged caregivers and the association of higher degrees of burden, dysfunctional coping and depression show a vulnerability scenario that may affect to older people taking care of other elderly. PMID:27901220

  2. 3D depth image analysis for indoor fall detection of elderly people

    Lei Yang

    2016-02-01

    Full Text Available This paper presents a new fall detection method of elderly people in a room environment based on shape analysis of 3D depth images captured by a Kinect sensor. Depth images are pre-processed by a median filter both for background and target. The silhouette of moving individual in depth images is achieved by a subtraction method for background frames. The depth images are converted to disparity map, which is obtained by the horizontal and vertical projection histogram statistics. The initial floor plane information is obtained by V disparity map, and the floor plane equation is estimated by the least square method. Shape information of human subject in depth images is analyzed by a set of moment functions. Coefficients of ellipses are calculated to determine the direction of individual. The centroids of the human body are calculated and the angle between the human body and the floor plane is calculated. When both the distance from the centroids of the human body to the floor plane and the angle between the human body and the floor plane are lower than some thresholds, fall incident will be detected. Experiments with different falling direction are performed. Experimental results show that the proposed method can detect fall incidents effectively.

  3. 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.

  4. Integration of cognitive and physical training in a smart home environment for the elderly people.

    Konstantinidis, Evdokimos I; Billis, Antonis; Hlauschek, Walter; Panek, Paul; Bamidis, Panagiotis D

    2010-01-01

    Our research work is towards a service that can support senior citizens towards their independent living and active ageing. As it is suggested, physical and cognitive exercise training can contribute to a significant prolongation of personal autonomy and participation in society across prevailing age-related impairments such as cognitive decline. In the current paper, the approach of combination of both physical and cognitive training--adopted by LLM project--is discussed related to other similar projects that have taken place in the area of elderly home care and training. The aim of this work is to describe the technical design details of the integration process of the LLM service, which is based on a Web service architecture and to discuss alternative interface elements to be included in the LLM platform in terms of enabling user accessibility and acceptance.

  5. Use of workflow technology to assist remote caretakers in a smart kitchen environment designed for elderly people suffering from dementia

    Sarni, T. (Tomi)

    2013-01-01

    Purpose of this study was to determine feasibility of an information system that enables remote assistance between caretakers and elderly people suffering from dementia in a smart kitchen environment. Such system could alleviate stress experienced by caretakers by enabling provisioning of care giving between any combination of informal and formal caretakers, and by increasing mobility of caretakers. Second research problem was to evaluate benefits and drawbacks of using workflow technology to...

  6. Does habitual physical activity prevent insomnia? A cross-sectional and longitudinal study of elderly Japanese.

    Inoue, Sachiko; Yorifuji, Takashi; Sugiyama, Masumi; Ohta, Toshiki; Ishikawa-Takata, Kazuko; Doi, Hiroyuki

    2013-04-01

    Few epidemiological studies have examined the potential protective effects of physical activity on insomnia. The authors thus evaluated the association between physical activity and insomnia in a large population-based study in Shizuoka, Japan. Individual data were obtained from participants in an ongoing cohort study. A total of 14,001 older residents who completed questionnaires were followed for 3 yr. Of these, 10,211 and 3,697 participants were eligible for the cross-sectional and longitudinal analyses, respectively. The authors obtained information about the frequency of physical activity and insomnia. Then, the adjusted odds ratios and 95% confidence intervals between physical activity and insomnia were estimated. Habitual physical activity was related to lower prevalence of insomnia. Frequent physical activity also reduced the incidence of insomnia, especially difficulty maintaining sleep. For elderly people with sufficient mobility and no preexisting disease, high-frequency physical activity (e.g., 5 or more days/wk) may help reduce insomnia.

  7. The Effects of a Complex Exercise Program with the Visual Block on the Walking and Balance Abilities of Elderly People

    Kim, Jin Young; Park, Seong Doo; Song, Hyun Seung

    2014-01-01

    [Purpose] The purpose of this study was to investigate the effect of a complex exercise program for elderly people who had experienced a fall on their balance, gait, vestibular senses, and proprioceptive senses when their visual sense was blocked. [Subjects and Methods] The subjects were 30 healthy elderly people aged 65 or older. They were equally and randomly divided into a visual block (VB) group (those whose eyes were covered) and a visual permission (VP) group. The subjects performed the complex exercise program for 30 minutes, twice a day, five day a week for 4 weeks a total of 20 times. Outcome measures were the10 meter walking test (10MWT), stair up/down test (SUDT), Berg balance scale (BBS), vestibular stepping test (VST), proprioception test (PT). [Results] After the intervention, the VB group showed improvements in 10MWT, VST, and PT. The VP group showed improvements in 10MWT and PT. The significant improvement in VST observed in the VB group was significantly greater than that in the VP group. [Conclusion] The complex exercise program for elderly people helped enhance their balance ability and gait, and improved their vestibular sense. PMID:25540519

  8. 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.

  9. 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.

  10. 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.

  11. The Elderly's Need for Physical Activity.

    Foret, Claire M.; Clemons, James M.

    1996-01-01

    This article provides: information on the importance of physical activity for older adults and guidelines to ensure safe and successful activity. It discusses the need for activity, risk levels, prescription of exercise intensity, determination of entry level fitness and monitoring of improvement, and the role of the professional. (SM)

  12. Lifetime Musical Activities and Cognitive Function of the Elderly

    Alicia Nevriana

    2013-02-01

    Full Text Available Decreasing cognitive function of the elderly is one of the most common problems that might affect their quality of life. Music is an element that is believed to be able to contribute to the quality of life of the elderly. However, whether musical activities that are done throughout the life span related to cognitive function is unclear. In this research, we evaluated the association between lifetime musical activities and cognitive function. Fifty three older adults from three nursing homes in East Jakarta were selected and interviewed regarding their characteristics and lifetime musical activities. Cognitive function was also measured using Mini Mental State Examinaion (MMSE. The results of this preliminary study revealed that a possibility of an association between lifetime musical activities and cognitive function of the elderly was indicated. The result also showed that the participants who were not actively involved in musical activities during their lifetime were twice more likely to develop cognitive function impairment than the elderly who were actively involved in musical activities, after being adjusted by the characteristics. These correlational results suggest the beneficial effect of musical activities throughout the life span on cognitive functioning for the elderly. Penurunan fungsi kognitif merupakan salah satu masalah umum pada lanjut usia yang mampu memengaruhi kualitas hidup mereka. Musik merupakan sebuah elemen yang dipercaya mampu berkontribusi terhadap kualitas hidup mereka. Meski demikian, hubungan antara aktivitas musikal yang dilakukan sepanjang hidup dan fungsi kognitif lansia belum diketahui secara pasti. Pada penelitian ini, hubungan antara aktivitas musikal sepanjang hidup dan fungsi kognitif dievaluasi. Lima puluh tiga lansia penghuni panti tresna werdha di Jakarta Timur dipilih dan diwawancarai terkait karakteristik dan aktivitas musikal sepanjang hidup mereka. Fungsi kognitif juga diukur menggunakan MMSE. Hasil

  13. 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

  14. Brain potentials show rapid activation of implicit attitudes towards young and old people.

    van der Lugt, Arie H; Banfield, Jane F; Osinsky, Roman; Münte, Thomas F

    2012-01-06

    While previous behavioural research suggests that attitudes, for example towards elderly people, may be activated automatically, this type of research does not provide information about the detailed time-course of such processing in the brain. We investigated the impact of age related attitude information in a Go/NoGo association task that paired photographs of elderly or young faces with positive or negative words. Event related brain potentials showed an N200 (NoGo) component, which appeared earlier in runs which required similar responses for congruent stimulus pairings (e.g. respond to pictures of elderly faces or negative words) than for incongruent pairings (e.g. respond to elderly faces or positive words). As information processing leading to a certain attitude must precede differential brain activity according to the congruence of the paired words and faces, we show that this type of information is activated almost immediately following the structural encoding of the face, between 170 and 230 ms after onset of the face.

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

    Grazia Daniela eFemminella; Claudio eDe Lucia; Paola eIacotucci; Roberto eFormisano; Laura ePetraglia; Elena eAllocca; Enza eRatto; Loreta eD'Amico; Carlo eRengo; Gennaro ePagano; Domenico eBonaduce; Giuseppe eRengo; Nicola eFerrara

    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...

  16. 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

  17. 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

  18. 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

  19. Muscles Activity in the elderly with Balance Impairments in walking under Dual tasks

    Elaheh Azadian

    2016-09-01

    Full Text Available Objectives: Each step during gait requires different attention demands that will affect muscles activity. The study of changes in the timing and intensity of the muscles activity in walking with dual task has received less attention from researchers. The purpose of this study was to evaluate changes in electromyography patterns of gait with cognitive dual tasks in balance impaired elderly. Methods: Thirty older adults were recruited for this study. People were selected through berg balance test. Subjects walked 12-meters in two conditions, normal walking and walking with a cognitive dual task. Spatial-temporal kinematic parameters were recorded through the motion analysis and muscles activities were recorded through electromyography system. The data obtained was analyzed using repeated measures ANOVA at a significant level of p< 0.05.  Results: The results showed that walking under dual tasks would decrease gait speed and increase stride time and stance time. Also muscle activity in Tibialis anterior and Vastus lateralis in stance-phase would decrease significantly in dual tasks as compared with single task (p< 0.05, but timing of muscle activity would not change in dual task conditions.  Conclusions: Based on the results, it can be argued that walking under a dual task can change spatial-temporal parameters and muscle activity in gait pattern in the elderly with balance impairment. One explanation could be that the decreased control of the central nervous system on muscle activity in stance phase due to the performing of a dual task.

  20. A Comparative Study on Psychological and Physical Health among Elderly People who Aged 60-64 and 65-69 Years

    Azar Cheshmberah

    2016-06-01

    Full Text Available Introduction: The population ageing phenomenon has started in many of developing countries like Iran.Most developed countries have accepted the age of “65” years as a definition of “elderly”,but some developing countries like Iran consider the age of “60”. We aimed to compare the physical and mental health of people who aged 60-64 years with those who aged 65-69 years in order to determine if the definition of elderly in our country is true. Methods: This cross-sectional study was conducted between April to September 2011, in the west in Iran. Participants in this study are those who referred to the elderly care centers. With random sampling, 2 from 3 centers and with convenience sampling 302 peoples aged 60-69 years were selected. All participants were interviewed via face to face or with telephoneusing standard questionnaires includingKessler (K6 scale, psychological wellbeing scale, activities of daily living scale and sf-36 scale.The statisticaldifferences were assessed by Pearson’s chi-square at 5% level of significance. Results: Statistical comparisons have shown that there is a significant difference among two age groups under study regarding to psychological distress scale, psychological wellbeing scale and activity of daily living scale. No meaningful difference was seen concern with physical functioning (SF-36 scale between two groups. Conclusion:Our finding proposed that age of 60 possibly is better for onset of delivering elderly care services. Other studies using representative sample and with larger sample size are needed for better understanding of the issue.

  1. 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.

  2. 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.

  3. 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 examined the…

  4. 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 ...

  5. Meteorology and the physical activity of the elderly: the Nakanojo Study

    Togo, Fumiharu; Watanabe, Eiji; Park, Hyuntae; Shephard, Roy J.; Aoyagi, Yukitoshi

    2005-11-01

    Seasonal changes in ambient temperature and day length are thought to modify habitual physical activity. However, relationships between such environmental factors and the daily physical activity of older populations remain unclear. The present study thus examined associations between meteorological variables and the number of steps taken per day by elderly Japanese. Continuous pedometer counts over a 450-day period were collected from 41 healthy subjects (age 71±4 years), none of whom engaged in any specific occupational activity or exercise programs. An electronic physical activity monitor was attached to a belt worn on the left side of the body throughout the day. Daily values for mean ambient temperature, duration of bright sunshine, mean wind speed, mean relative humidity, and precipitation were obtained from local meteorological stations. The day length was calculated from times of sunrise and sunset. Based on the entire group of 41 subjects (ensemble average), a subject’s step count per day decreased exponentially with increasing precipitation (r2=0.19, Pphysical activity is associated more strongly with ambient temperature than with day length, duration of bright sunshine, wind speed, or relative humidity. Our findings have practical implications for health promotion efforts designed to increase the physical activity of elderly people consistently in the face of seasonal variations in environmental conditions.

  6. 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.

  7. Ginkgo for elderly people with dementia and age-associated memory impairment: a randomized clinical trial.

    van Dongen, Martien; van Rossum, Erik; Kessels, Alphons; Sielhorst, Hilde; Knipschild, Paul

    2003-04-01

    Preparations based on special extracts of the Ginkgo biloba tree are popular in various European countries. Previous studies have suggested the clinical efficacy of Ginkgo in patients with dementia, cerebral insufficiency, or related cognitive decline. However, most of these studies did not fulfill the current methodologic requirements. We assessed the efficacy of the G. biloba special extract EGb 761 in patients with dementia and age-associated memory impairment in relation to dose and duration of treatment. Our study was a 24-week, randomized, double-blind, placebo-controlled, parallel-group, multicenter trial. Study participants were elderly patients with dementia (Alzheimer disease or vascular dementia) or age-associated memory impairment (AAMI). A total of 214 participants, recruited from 39 homes for the elderly in the Netherlands, were randomly allocated to Ginkgo (either 240 mg/d or 160 mg/d) or placebo (0 mg/d). After 12 weeks, the subjects in the two Ginkgo groups were randomized to continued Ginkgo treatment or placebo treatment. Primary outcome measures in this study were the Syndrome Kurz Test (SKT; psychometric functioning), the Clinical Global Impression of change (CGI-2; psychopathology, assessed by nursing staff), and the Nuremberg Gerontopsychological Rating Scale for Activities of Daily Living (NAI-NAA; behavioral functioning). One hundred twenty-three patients received Ginkgo (n=79, 240 and 160 mg/d combined) or placebo (n=44) during the 24-week intervention period. We found no statistically significant differences in mean change of scores between Ginkgo and placebo. The differences were SKT: +0.4 (90% confidence interval [CI] -0.9-1.7); CGI-2: +0.1 (90% CI -0.3-0.4), and NAI-NAA: -0.4 (90% CI -1.9-1.2). A positive difference is in favor of Ginkgo. Neither the dementia subgroup (n=36) nor the AAMI subgroup (n=87) experienced a significant effect of Ginkgo treatment. There was no dose-effect relationship and no effect of prolonged Ginkgo

  8. 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

  9. Research on Suicide Ideation of Elderly People%中国城乡老年人自杀意念研究

    罗萌; 李晶; 何毅

    2015-01-01

    Using the data of the Sampling Surveys of the Aged Population in Urban/Rural China 2010, the paper analyzes the incidence rate of suicide ideation of Chinese urban/rural elderly and its inlfuencing factors, so as to ifnd an effective way to reduce the suicide rates of elderly people. Base on factor analysis and regression analysis, we have found that higher loneliness, lower subjective well-being, uniflially children and needing daily care are the important trigger factors in the production of suicidal ideation of both urban elderly and the rural elderly. Compare with the no depression people in urban, the depressed elderly are more likely to have suicidal thoughts. For rural elderly, chronic diseases are the important effect factors that can cause the generation of suicidal ideation.%基于中国老龄科学研究中心2010年"中国城乡老年人口状况追踪调查"数据,对中国城乡老年人口自杀意念状况进行分析,并通过因素分析和回归分析探讨影响老年人自杀意念产生的重要因素,以期寻找降低老年人自杀意念率的有效方法.结果发现,不管是城市老年人还是农村老年人,常有孤独感、主观幸福感低、子女不孝顺、日常生活需要别人照料等,是引发其产生自杀意念的重要因素.城乡对比来看,患有抑郁症等心理问题是城市老年人产生自杀意念的重要因素,而患有慢性疾病等躯体问题是农村老年人产生自杀意念的重要因素.

  10. Decreased natural killer cell activity is associated with atherosclerosis in elderly humans

    Bruunsgaard, H.; Pedersen, Agnes Nadelmann; Schroll, M.;

    2001-01-01

    of elderly humans. It was tested if the potential of natural cytotoxicity in the blood (evaluated as an index including cytotoxicity per NK cell and the number of circulating NK cells) was preserved in 174 81-yearold humans versus 91 young controls and if NK cell mediated immunity was associated with age......-related inflammatory diseases such as atherosclerosis. Elderly people had decreased cytotoxicity per NK cell in short-term but not in long-term assays. Ca2+ independent cytotoxicity was unaltered, and NK cells maintained their cytotoxic responses to interleukin-2 and interferon-alpha signals. The decreased...... cytotoxicity per NK cell was not completely counteracted by increased circulating numbers of NK cells in the blood. Elderly people with severe medical disorders had low numbers of circulating NK cells. Furthermore, elderly people with atherosclerosis had low cytotoxicity per NK cell and a high number...

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

    Yu-Chia Chang

    Full Text Available 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.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.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.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.

  12. The association between socioeconomic status, oral hygiene practice, denture stomatitis and oral status in elderly people living different residential homes.

    Evren, Buket Akalin; Uludamar, Altay; Işeri, Ufuk; Ozkan, Yasemin Kulak

    2011-01-01

    Oral hygiene practices and denture status of elderly people living in residential homes are different depending on the type of residential homes. In this study the elderly people living in three different residential homes were investigated for this purpose. A total of 269 subjects, 119 males (mean age 73.9±8.8) and 150 females (mean age 78.5±7.2) were involved in this study. All subjects were interviewed and clinically examined. Age, sex, educational status, financial status, general health, dental visiting, overnight denture wearing, brushing habits and frequency were recorded using a structured questionnaire. The prevalence of edentulism, the presence and type of dental prostheses, denture cleanliness and the presence of denture stomatitis were evaluated. Forty-one percent of subjects were non-educated. Fifty-one percent of subjects had low income. The majority of people (66.6%) were edentulous. Among the edentulous subjects 32% had full denture and 16% had no denture. Forty three percent of the subjects reported cleaning their dentures with water and 40% with a toothbrush only. Denture hygiene was good for 14% of the subjects. Denture stomatitis was observed in 44% of the subjects wearing dentures. There was statistically significant difference between residential homes and educational status, level of income, dental visiting, denture status, brushing methods and brushing frequency (pdenture hygiene habits and the presence of denture-related stomatitis. The most important need within the residents of the residential home was the enhancement of oral care social insurance.

  13. 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

  14. [Homocysteine related vitamins and lifestyles in the elderly people: The SENECA study].

    Varela-Moreiras, G; Escudero, J M; Alonso-Aperte, E

    2007-01-01

    The SENECA study started in 1988 and consisted of a random age- and sex-stratified sample of inhabitants of 19 European towns. A total of 2.100 elderly people were finally able to be included in the study. The present study includes results for total plasma homocysteine (tHcy) and the related vitamins folate, B12 and B6. Other style factors as alcohol consumption or smoking have been also evaluated. The lowest values for tHcy corresponded to Mediterranean countries (Portugal, Spain, and Greece), compared to central or northern european countries (Netherland or Belgium (differences higher than 4 micromol/l). In addition, an interesting north-south gradient is observed, with the lowest values for tHcy corresponding to Betanzos (Spain), 12.38 micromol/l followed by both centers in Portugal, whereas the highest concentrations are found in Maki (Poland), 21.92 pmol/I and Culemborg (Netherlands), 20.41 mircromol/l. The mean tHcy concentration for all the European centers was 15.98 micromol/l. Effect of sex has been also evaluated: those countries with the lowest tHcy concentration (i.e. Spain or Portugal) show significant (p < 0.01) higher tHcy concentration in men vs women, whereas these differences by sex are not observed in countries with the highest tHcy values. The effect of "aging" within the same individuals after ten years of follow up was also evaluated: a significant difference was observed for the same individuals in the 10-years period. Plasma folic acid was compared to tHcy values, resulting also in marked differences between north and southern countries. Plasma vitamin B12 also shows a close pattern. Either plasma folate or vitamin B12 were shown as strong predictors of tHcy. This effect was not observed for plasma vitamin B6. Total alcohol intake was positively and significantly (p < 0.01) correlated with tHcy ("no" intake corresponded with the lowest tHcy, 14.3 micromol/l vs "high" intake-over 30 g/d-with the highest tHcy, 17 micromol/l). The type of

  15. Physical activity alters antioxidant status in exercising elderly subjects.

    Rousseau, Anne-Sophie; Margaritis, Irène; Arnaud, Josiane; Faure, Henri; Roussel, Anne-Marie

    2006-07-01

    Nutritional adequacy and physical activity are two aspects of a health-promoting lifestyle. Not much is known about antioxidant nutrient requirements for exercising elderly (EE) subjects. The question of whether exercise training alters the status of antioxidant vitamins as well as trace elements in elderly subjects and fails to balance the age-related increase in oxidative stress is addressed in this study. There were 18 EE (68.1+/-3.1 years), 7 sedentary elderly (SE; 70.4+/-5.0 years), 17 exercising young (EY; 31.2+/-7.1 years) and 8 sedentary young (SY; 27.1+/-5.8 years) subjects who completed 7-day food and activity records. Each subject's blood was sampled on Day 8. A similar selenium (Se) status but a higher erythrocyte glutathione peroxidase (GSH-Px) activity were found in EE subjects as compared with EY and SE subjects. Blood oxidized glutathione was higher and plasma total thiol was lower in EE subjects as compared with EY subjects. Mean vitamin C (167 vs. 106 mg/day), vitamin E (11.7 vs. 8.3 mg/day) and beta-carotene (4 vs. 2.4 mg/day) intakes were higher in EE subjects as compared with EY subjects. However, EE subjects exhibited the lowest plasma carotenoid concentrations, especially in beta-carotene, which was not related to intakes. Despite high intakes of antioxidant micronutrients, no adaptive mechanism able to counteract the increased oxidative stress in aging was found in EE subjects. Results on GSH-Px activity illustrate that the nature of the regulation of this biomarker of Se status is different in response to training and aging. These data also strongly suggest specific antioxidant requirements for athletes with advancing age, with a special attention to carotenoids.

  16. 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…

  17. 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.

  18. Oral temperatures of the elderly in nursing homes in summer and winter in relation to activities of daily living

    Nakamura, K.; Tanaka, Masatoshi; Motohashi, Yutaka; Maeda, Akira

    This study was conducted to clarify the seasonal difference in body temperature in summer and winter, and to document the thermal environment of the elderly living in nursing homes. The subjects were 57 healthy elderly people aged >=63 years living in two nursing homes in Japan. One of the homes was characterized by subjects with low levels of activities of daily living (ADL). Oral temperatures were measured in the morning and afternoon, with simultaneous recording of ambient temperature and relative humidity. Oral temperatures in summer were higher than in winter, with statistically significant differences (Pelderly are lower in winter than summer, particularly in physically inactive people. It appears that those with low levels of ADL are more vulnerable to large changes in ambient temperature.

  19. 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.

  20. 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.

  1. Effects of comorbidity on screening and early diagnosis of cancer in elderly people.

    Terret, Catherine; Castel-Kremer, Elisabeth; Albrand, Gilles; Droz, Jean Pierre

    2009-01-01

    There is currently little data showing that older adults can derive benefit from cancer screening. Advancing age is associated with an increasing prevalence of cancer and other chronic conditions, or comorbidity, and questions remain about the interactions between comorbidity and cancer screening in the elderly population. In this Review, we assess the available evidence on the effects of comorbidity on cancer screening in elderly individuals. In view of the high heterogeneity of existing data, consistent recommendations cannot be made. Decisions on cancer screening in older adults should be based on an appropriate assessment of each individual's health status and life expectancy, the benefits and harms of screening procedures, and patient preferences. We suggest that Comprehensive Geriatric Assessment might be a necessary step to identify candidates for cancer screening in the elderly population. Specific clinical trials should be done to improve the evidence and show the effectiveness and cost-effectiveness of cancer screening in older adults.

  2. 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.

  3. 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.

  4. Morbidity and health care utilisation among elderly people in Mmankgodi village, Botswana

    Clausen, F.; SANDBERG, E.; Ingstad, B.; Hjortdahl, P.

    2000-01-01

    OBJECTIVE—To evaluate the health status among the elderly in a village in Botswana and their pattern of health care utilisation.
DESIGN—A descriptive study where all persons 60 years and older were invited to participate, including a medical examination, laboratory testing and a questionnaire aiming at gathering sociodemographic data.
SETTING—Mmankgodi village of Botswana.
SUBJECTS—419 persons were identified as elderly in the village, out of which 337 were included.
MAIN OUTCOME MEASURES—The...

  5. Health and social services in carehome for elderly people in Linz Austria

    KŘENKOVÁ, Vladimíra

    2008-01-01

    The thesis deals with the level of health and social services provided in a home for the elderly in the town of Linz in Austria and further with the comments on their provision. In the theoretical part, the basic knowledge and assumptions for the provision of care to the elderly are described along with an analysis of important areas of the problematic of aging and old-age as a phenomenon. I described here also the conditions for providing social services in a particular facility. In the empi...

  6. A Review of Wearable Technologies for Elderly Care that Can Accurately Track Indoor Position, Recognize Physical Activities and Monitor Vital Signs in Real Time

    Wang, Zhihua; Yang, Zhaochu; Dong, Tao

    2017-01-01

    Rapid growth of the aged population has caused an immense increase in the demand for healthcare services. Generally, the elderly are more prone to health problems compared to other age groups. With effective monitoring and alarm systems, the adverse effects of unpredictable events such as sudden illnesses, falls, and so on can be ameliorated to some extent. Recently, advances in wearable and sensor technologies have improved the prospects of these service systems for assisting elderly people. In this article, we review state-of-the-art wearable technologies that can be used for elderly care. These technologies are categorized into three types: indoor positioning, activity recognition and real time vital sign monitoring. Positioning is the process of accurate localization and is particularly important for elderly people so that they can be found in a timely manner. Activity recognition not only helps ensure that sudden events (e.g., falls) will raise alarms but also functions as a feasible way to guide people’s activities so that they avoid dangerous behaviors. Since most elderly people suffer from age-related problems, some vital signs that can be monitored comfortably and continuously via existing techniques are also summarized. Finally, we discussed a series of considerations and future trends with regard to the construction of “smart clothing” system. PMID:28208620

  7. A Review of Wearable Technologies for Elderly Care that Can Accurately Track Indoor Position, Recognize Physical Activities and Monitor Vital Signs in Real Time

    Zhihua Wang

    2017-02-01

    Full Text Available Rapid growth of the aged population has caused an immense increase in the demand for healthcare services. Generally, the elderly are more prone to health problems compared to other age groups. With effective monitoring and alarm systems, the adverse effects of unpredictable events such as sudden illnesses, falls, and so on can be ameliorated to some extent. Recently, advances in wearable and sensor technologies have improved the prospects of these service systems for assisting elderly people. In this article, we review state-of-the-art wearable technologies that can be used for elderly care. These technologies are categorized into three types: indoor positioning, activity recognition and real time vital sign monitoring. Positioning is the process of accurate localization and is particularly important for elderly people so that they can be found in a timely manner. Activity recognition not only helps ensure that sudden events (e.g., falls will raise alarms but also functions as a feasible way to guide people’s activities so that they avoid dangerous behaviors. Since most elderly people suffer from age-related problems, some vital signs that can be monitored comfortably and continuously via existing techniques are also summarized. Finally, we discussed a series of considerations and future trends with regard to the construction of “smart clothing” system.

  8. Physical activity in daily life in physically independent elderly participating in community-based exercise program

    Hernandes,Nidia A.; Probst,Vanessa S; Silva Jr,Rubens A. da; Renata S. B Januário; Pitta, Fabio; Denilson C. Teixeira

    2013-01-01

    BACKGROUND: It is unclear whether participation in exercise programs specifically developed for elderly translates into a more active lifestyle. OBJECTIVES: To compare the objectively measured level of physical activity in daily life (PADL) between physically independent elderly who participate or do not participate in community-based exercise programs; and to evaluate which factors are associated with the higher level of PADL in these subjects. METHOD: 134 elderly participants in community-b...

  9. Attitudes towards older people among Swedish health care students and health care professionals working in elder care

    Gabriella Engström

    2011-05-01

    Full Text Available The proportion of older people in the general population has increased and will continue to increase during the coming decade. Therefore, a positive attitude towards older people is important. The aim of the study was to gain knowledge about attitudes towards older people among health care students and health care staff in Swedish elder care settings. The study includes a convenience sample of 928 respondents comprised of health care students and three groups of professional caregivers [registered nurses (RNs with university degrees, certified nursing assistants (CNAs, nurses] in a variety of health care settings in Sweden. The participants completed the Kogan’s Old People (KOPS Scale with 17 positive (OP+ and 17 negative (OP– statements. The statements score ranged from 17 to 85 respectively. A significant (P<0.05 difference in both positive and negative scores was observed among the three professional caregiver groups. RNs had the highest positive score (OP+:64 as well as the lowest negative score (OP–:36. Health care students in semester one had the most unfavourable attitude toward older people (OP–:41 while students in semester two had the most favourable attitude toward older people (OP+:62. RNs reported both a higher positive score as well as lower negative score compared to nurses without an academic degree and CNAs. In addition, we found that progression in one’s health care education contributes to reduce unfavourable attitudes toward older people. Health care professionals need to have the right skills to manage a more demanding role in the future in order to offer effective services for older people. A skilled workforce of health professionals is therefore very necessary.

  10. Are elderly people with co-morbidities involved adequately in medical decision making when hospitalised? A cross-sectional survey

    Wiréhn Ann-Britt

    2011-08-01

    Full Text Available Abstract Background Medical decision making has long been in focus, but little is known of the preferences and conditions for elderly people with co-morbidities to participate in medical decision making. The main objective of the present study was to investigate the preferred and the actual degree of control, i.e. the role elderly people with co-morbidities wish to assume and actually had with regard to information and participation in medical decision making during their last stay in hospital. This study was a cross-sectional survey including three Swedish hospitals with acute admittance. The participants were patients aged 75 years and above with three or more diagnoses according to the International Classification of Diseases (ICD-10 and three or more hospitalisations during the last year. Methods We used a questionnaire combined with a telephone interview, using the Control Preference Scale to measure each participant's preferred and actual role in medical decision making during their last stay in hospital. Additional questions were asked about barriers to participation in decision making and preferred information seeking role. The results are presented with descriptive statistics with kappa weights. Results Of the 297 elderly patients identified, 52.5% responded (n = 156, 46.5% male. Mean age was 83.1 years. Of the respondents, 42 of 153 patients said that they were not asked for their opinion (i.e. no shared decision making. Among the other 111 patients, 49 had their exact preferred level of participation, 37 had less participation than they would have preferred, and 23 had more responsibility than they would have preferred. Kappa statistics showed a moderate agreement between preferred and actual role (κw = 0.57; 95% CI: 0.45-0.69. Most patients wanted to be given more information without having to ask. There was no correlation between age, gender, or education and preferred role. 35% of the patients agreed that they experienced some of

  11. Insomnia Symptoms, Daytime Naps And Physical Leisure Activities In The Elderly: FIBRA Study Campinas

    Natália Tonon Monteiro

    2014-04-01

    Full Text Available 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.

  12. [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.

  13. Exploring death anxiety among elderly people: a literature review and empirical investigation.

    Missler, Marjolein; Stroebe, Margaret; Geurtsen, Lilian; Mastenbroek, Mirjam; Chmoun, Sara; van der Houwen, Karolijne

    Given the growing number of elderly persons in society and concerns about their health and well-being, the aim was to review the available literature on their death anxiety, and to explore features of this experience among a small sample of older men and women in care facilities. In both the review and empirical parts of this study, components and correlates of death anxiety were investigated. The review revealed limited research focus on death anxiety among the elderly, particularly among those in institutions, but suggested both components and correlates for inclusion in our empirical study. Results showed that, among our elderly participants in an assisted living facility (N = 49; age range: 60-96 years), there were higher levels of fear for others and of the dying process than for fear of the unknown. Notably, among the correlates identified, fear for significant others was associated with poor physical health; fear of the dying process was related to low self-esteem, little purpose in life, and poor mental well-being. Gender differences in death anxiety were found: women showed greater fear for the death of loved ones and for the consequences of their own death on these loved ones, than did men. These patterns are discussed in the light of concerns about the welfare of elderly persons; scientific implications are also considered.

  14. [Self-evaluation of posture by elderly people with or without thoracic kyphosis].

    Gasparotto, Lívia Pimenta Renó; Reis, Camila Costa Ibiapina; Ramos, Luiz Roberto; Santos, José Francisco Quirino Dos

    2012-03-01

    This article lists the differences between self-perception of body posture among the elderly suffering from postural alterations or not, in order to ascertain whether self-evaluation of posture can lead to preventive measures. Eighteen cases from the elderly population participated in the EPIDOSO project at UNIFESP and were subjected to postural evaluation. Postures were photographed and copies given to the participants and their subsequent comments were analyzed by the qualitative method. The narratives were taped and cataloguedusingthe technique of theoretical axial and selective coding from the perspective of symbolic interactionism. A passive attitude was identified among the elderly in relation to postural alterations. There is a distortion of body image by those with postural deviation. Participants with adequate spinal alignment were more conscious about body posture and the importance of this being assimilated in the phases prior to aging. The adoption of postural self-care seems to occur in the earlier stages of aging and preventive measures should be implemented at this stage. Lack of concern about posture is linked to the concept of the elderly regarding the notion that aging is, in itself, the accumulation of inevitably simultaneous or successive dysfunctions.

  15. 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

  16. People Would Talk: Normative Barriers to Cross-Sex Friendships for Elderly Women.

    Adams, Rebecca G.

    1985-01-01

    A normative explanation for elderly women's lack of male friends is developed by showing that cross-sex friendship is defined as romance, that there are norms inhibiting romance during old age, and that other norms encourage them to reject potential mates who can no longer meet traditional sex role demands. (Author/BL)

  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. 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…

  19. Therapeutic Processes in Professional and Peer Counseling of Family Caregivers of Frail Elderly People.

    Smith, Mary F.; And Others

    1992-01-01

    Assessed therapeutic processes used by peer and professional counselors during brief, problem-focused individual intervention program with 51 daughters and daughters-in-law who were caring for frail elder. Findings indicated that professionals were significantly warmer and friendlier, engaged in greater exploration, and gave more and different…

  20. 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

  1. [Training in emergency procedures and care and management of elderly people].

    Dahr, Amaël

    2013-01-01

    Since the introduction of skills-based training reference frameworks for the training of nursing assistants and student nurses, certification in training in emergency procedures and care is an integral part of the initial training of future healthcare professionals. The elderly person is a great example for learning rightgestures.

  2. Communication map of elderly people: Sociodemographic and cognitive-linguistic aspects

    Marcela Lima Silagi

    Full Text Available ABSTRACT Language and communication difficulties may occur in the elderly population. This is the case of the tip-of-the-tongue phenomenon and receptive and auditory comprehension difficulties. Few studies have focused on examining the effects of social exposure on maintaining communication in the aging process. Objectives: [1] To describe the communication map of healthy elderly subjects; [2] To search for associations between frequency and time dedicated to communication and cognitive and sociodemographic factors. Methods: Healthy elderly subjects were submitted to cognitive screening, the Token Test - Revised, and the Verbal Fluency test, and answered the ASHA-FACS and the Circles of Communication Partners questionnaires. Results: 55 subjects, 67% female, with ages over 60 years and varied schooling were included in the sample. Interlocutors in the circle of close friends and acquaintances predominated in the communication map, although the time devoted to communication with these partners was lower than in other circles. Overall, the elderly reported no deficits in language comprehension, with some reports of the tip-of-the-tongue phenomenon. Poor performances on the Token Test - Revised and in phonemic verbal fluency along with reports of communication functionality indicated that these subjects compensate for their problems. Conclusion: Older subjects with lower schooling tended to predominantly communicate within the family circle. Within other circles, the number of hours devoted to communication and dialogue partners was not associated with age or schooling. The time devoted to the circle of communication with friends may indicate cognitive difficulties.

  3. The intra- and inter-rater reliabilities of the Short Form Berg Balance Scale in institutionalized elderly people.

    Kim, Seong-Gil; Kim, Myoung-Kwon

    2015-09-01

    [Purpose] The purpose of this study was to examine the intra- and inter-rater reliabilities of the Short Form Berg Balance Scale in institutionalized elderly people. [Subjects and Methods] A total of 30 elderly people in a nursing facility in Y city, South Korea, participated in this study. Two examiners administered the Short Form Berg Balance Scale to one subject to investigate inter-rater reliability. After a week, the same examiners administered the Short Form Berg Balance Scale once more to investigate intra-rater reliability. [Results] The intra-rater reliability was 0.83. The inter-rater reliability was 0.79. Both reliabilities were high (more than 0.7). [Conclusion] The Short Form Berg Balance Scale is a version of the Berg Balance Scale shortened by reducing the number of items, but its reliabilities were not lower than those of the Berg Balance Scale. The Short Form Berg Balance Scale can be useful clinically due to its short measurement time.

  4. Morbidity trends of elderly people registered in Croatian family practice: a longitudinal study based on routinely collected data.

    Buljubašić, Maja; Keglević, Mladenka Vrcić

    2014-12-01

    The research aim was to determine the overall morbidity trends in Croatian elderly population. The morbidity data recorded in family practice (FP) were extracted from Croatian Health Service Yearbooks for the years 1995-2012. The percentage of diagnoses in elderly people registered in FM was always higher then their shares in overall population, and with increased trend by 121%. The most frequently registered diagnostic groups were cardiovascular and neoplasms, followed by the groups of endocrine, urogenital and musculoskeletal diseases. The less frequently registered were the groups of infectious disease, injuries and ear diseases. However, the situation is somewhat different when looking at the amount of the increase. The Z codes increased the most, followed by endocrine diseases and neoplasms. Again, the less pronounced increase was observed in the groups of respiratory diseases, musculoskeletal, infectious diseases and injuries. The growing number of the older people and changing morbidity patterns will obviously influence both the entire society and the health care system. A new clinical and cost effective models of practice would be needed as well as the different models of personnel training.

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

    Petra eJansen

    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.

  6. 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.

  7. Social representations of elderly female participants in an educational training program regarding active aging

    Helio Marconi Gerth

    2016-11-01

    Full Text Available Introduction: Numerous strategies have been employed as a means to promote health to the older population. It is believed that information is the primary tool in achieving this goal. Therefore, we used the text “Active aging: a policy framework” as a reference point. Objective: To identify the social representation of a group of elderly women who underwent educational training regarding active aging and to assess their response to this methodological approach, in order to develop an actual educational program for the elderly for future use. Method: This training was performed during six meetings, realized twice a week for one hour each day, which utilized the popular education as the pedagogic theory. The group assessed in this study was composed of 10 elderly women, between 60 and 80 years of age, who attended a community exercise program offered by the city of Sorocaba, São Paulo, Brazil. Data were obtained during individual semi-structured interviews. Since this trial consists of a transversal, exploratory, and qualitative study, data were organized and analyzed according to the theoretical reference discourse of collective subject, based on the theory of social representation and analysis of content. Results: The methodology was well accepted by the participants, who responded positively to the method and believed to have learned new information regarding the topics covered. New knowledge was constructed by exchanging ideas and experiences. The method favors networking, strengthens friendship bonds, stimulates physical activity, and promotes healthy habits. Conclusion: The methodology was appropriate for the population studied. Participants really enjoyed the program and recommend that other people attend it.

  8. Physical Activity and Health-Related Quality of Life Among Community Dwelling Elderly

    Halaweh, Hadeel; Willen, Carin; Grimby-Ekman, Anna; Svantesson, Ulla

    2015-01-01

    Background Physical activity (PA) and health-related quality of life (HRQoL) are important factors for optimal health in the elderly. Studying the association between PA and HRQoL is becoming more essential as the number of elderly people increases worldwide. This study assesses the association between PA and HRQoL among community dwelling elderly above 60 years old. Methods The study included 115 women and 61 men (mean age: 68.15 ± 6.74 years) recruited from the community and from public centers for the elderly. Data were collected using a background characteristics questionnaire (BCQ), a physical activity socio-cultural adapted questionnaire (PA-SCAQ), and the EuroQuol-5Dimensions-5Levels (EQ-5D-5L) questionnaire. Between groups, comparisons were based on the PA-SCAQ by dividing the participants into three PA groups: low (n = 74), moderate (n = 85), and high (n = 17). Kruskal-Wallis tests were performed on the ordinal variables of the three PA groups to determine differences between the groups according to categorical variables such as gender, body mass index (BMI), and the prevalence of comorbid conditions. Mann-Whitney U tests were performed on the ordinal variables of the EuroQuol-5Dimensions (EQ-5D), and the independent sample t-test was performed on the EQ visual analogue scale (EQ-VAS). Spearman’s rank correlation coefficient was used to examine the correlation between the EQ-5D and level of PA. Results Values in all dimensions of HRQoL were significantly higher (P < 0.05) in the moderate and high PA groups compared with the low PA group. Significant correlations were recorded between the five dimensions of HRQoL and the level of PA (P < 0.001). The low PA group showed higher prevalence of hypertension (64%, P < 0.001) and diabetes (50%, P < 0.001). Conclusion There were strong associations between higher levels of PA and all dimensions of HRQoL. Therefore, adopting a PA lifestyle may contribute to better HRQoL among community dwelling elderly above 60

  9. Validity of an Accelerometer-Based Activity Monitor System for Measuring Physical Activity in Frail Elderly

    Hollewand, Anne M; Spijkerman, Anouk G; Bilo, Henk J; Kleefstra, Nanne; Kamsma, Yvo; van Hateren, Kornelis J

    2016-01-01

    This study aimed to investigate the validity of the accelerometer-based DynaPort system to detect physical activity in frail elderly subjects. Eighteen home-dwelling subjects (Groningen Frailty Indicator (GFI) score ≥4, ≥75 years) were included. Activities in their home environment were simultaneous

  10. 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

    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、社会支持情况、兴趣爱好及活动情况。结果城乡社区独居老人慢性病的患病率分别为62.5%(40/64)、42.4%(28/66);在最近亲人距离、健在兄弟姐妹距离、与亲人联系、与社区朋友联系、与邻居联系及获得帮助上差异有统计学意义(P﹤0.05),城市独居老人较农村有更多人获得帮助,但城乡独居老人都能与父母和邻居融洽相处;在业余爱好、打牌、打麻将、下棋、体育锻炼、经常散步上差异亦有统计学意义( P﹤0.05),城市老人活动项目多样,农村较单一。结论通过兴趣爱好丰富社区活动,可以增加社区独居老人的社会支持,对于推进社区养老服务有指导意义。%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

  11. 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

  12. Physical Activity among Older People Living Alone in Shanghai, China

    Chen, Yu; While, Alison E; Hicks, Allan

    2015-01-01

    Objective: To investigate physical activity among older people living alone in Shanghai, People's Republic of China, and key factors contributing to their physical activity. Methods: A cross-sectional questionnaire survey was administered in nine communities in Shanghai, using a stratified random cluster sample: 521 community-dwelling older…

  13. Physical Activity among Older People and Related Factors

    Persson, Ann; While, Alison

    2012-01-01

    Objective: To investigate the duration, intensity and type of physical activity undertaken by people aged 60 years and over in relation to their reported levels of participation in social activities and their perceptions of their neighbourhood. Design: A cross-sectional questionnaire survey of older people attending two luncheon and eight social…

  14. Physical Activity among Older People Living Alone in Shanghai, China

    Chen, Yu; While, Alison E; Hicks, Allan

    2015-01-01

    Objective: To investigate physical activity among older people living alone in Shanghai, People's Republic of China, and key factors contributing to their physical activity. Methods: A cross-sectional questionnaire survey was administered in nine communities in Shanghai, using a stratified random cluster sample: 521 community-dwelling older people…

  15. Is Physical Activity a Good Way to Improve Quality of Life in the Elder Population?

    Teresa Bento

    2014-06-01

    Full Text Available Background: Although evidence demonstrates that physical activity beneficially influences major chronic illnesses, older adults remain sedentary. Many interventions to increase physical activity intend to reduce disease complications as well as improve quality of life by enhancing physical function in our even more aging society. Objectives: The purpose of this study was to summarize knowledge on randomized controlled trials studying the effects of physical activity interventions on quality of life in the elder population. Methods: Randomized controlled trials, systematic reviews or meta-analysis were searched in the Pubmed data base. Search terms: “quality of life”, “intervention” and “physical activity” were used to identify English written articles, with humans older than 65 years. Results: From the initial screening of 234 titles, only 5 articles met the inclusion criteria and were included in the final analysis. Conclusions: Physical activity interventions seem to have a slight effect on physical function and in improving quality of life of people aged 65 and over. More intervention studies involving physical activity in older people should include measures of quality of life as primary outcome, as well as a standardization of measures would help to compare results and enlarge the evidence base in this area.

  16. Metabolic syndrome: The association of obesity and unhealthy lifestyle among Malaysian elderly people.

    Johari, Sa'ida Munira; Shahar, Suzana

    2014-01-01

    The aim of this study is to investigate the prevalence of metabolic syndrome (MetS) and its predictors among Malaysian elderly. A total of 343 elderly aged ≥ 60 years residing low cost flats in an urban area in the central of Malaysia were invited to participate in health screening in community centers. Subjects were interviewed to obtain socio demography, health status and behavior data. Anthropometric measurements were also measured. A total of 30 ml fasting blood was taken to determine fasting serum lipid, glucose level and oxidative stress. MetS was classified according to The International Diabetes Federation (IDF) criteria. The prevalence of MetS was 43.4%. More women (48.1%) were affected than men (36.3%) (pobese or overweight was the strongest predictor for MetS in men and women (pobesity and unhealthy lifestyle. It is essential to develop preventive and intervention strategies to curb undesirable consequences associated with MetS.

  17. Cancer mortality trends in two cohorts of elderly people having different life-styles.

    Mazza, A; Casiglia, E; Scarpa, R; Sica, E; Biasin, R; Privato, G; Pizziol, A; Pessina, A C

    1999-02-01

    We analyzed cancer mortality trends in 3282 elderly subjects from two general Italian populations with different life-style patterns taking part in the Cardiovascular Study in the Elderly (CASTEL). The aim of the study was to evaluate which predictors were able to influence cancer mortality. Age, gender, tobacco smoking, the presence of respiratory symptoms, increased serum levels of ALT and ALP, and the town of residence were powerful predictors. Subjects living in Chioggia (low income, rural) had significantly greater lung and liver cancer mortality, compared with those living in Castelfranco (industrial). The findings suggest that an incongruous life-style (smoking, alcohol consumption, poor hygienic conditions) may increase cancer mortality despite the favorable environmental conditions typical of rural Mediterranean areas.

  18. O efeito da atividade física no aparelho locomotor do idoso The effect of physical training on locomotive apparatus in elderly people

    André Pedrinelli

    2009-04-01

    Full Text Available Alterações fisiológicas que ocorrem no aparellho locomotor devido ao envelhecimento como perda de massa muscular, perda do equilíbrio corporal, diminuição da massa óssea e osteoartrose causam limitações às atividade da vida diária do idoso, comprometendo sua qualidade de vida e o tornando mais frágil e dependente. Idosos que realizam atividade física periodicamente tem melhor independência funcional e melhor qualidade de vida do que aquele sedentário. Esse artigo aborda as principais alterações fisiológica do processo de envelhecimento e realiza uma revisão da literatura atual sobre os efeitos que o exercício físico causa no aparelho locomotor do idoso, especificando qual a melhor forma de prescrever atividade física nessa faixa etária.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 physiological changes with aging and provides a review of current literature about the effects of physical exercises on the locomotive apparatus of elderly individuals, specifying the best ways to prescribe physical exercises to this age group.

  19. Effect of Daylight on Melatonin and Subjective General Health Factors in Elderly People

    Zohre KARAMI; GOLMOHAMMADI, Rostam; HEIDARIPAHLAVIAN, Ahmad; Poorolajal, Jalal; HEIDARIMOGHADAM, Rashid

    2016-01-01

    Background: This paper investigated the effect of daylight on morning and night melatonin, subjective general health using GHQ questionnaire, sleepiness and alertness on elderly who lived in nursing houses.Methods: Nineteen nursing home residents participated voluntarily. They exposed to daylight from 9 to 10 a.m. and from 4 to 5 p.m. for 6 wk. The level of melatonin in the morning and at night was measured. General health of all participants was evaluated using General Health Questionnaire (...

  20. Effect of Daylight on Melatonin and Subjective General Health Factors in Elderly People

    Zohre KARAMI

    2016-05-01

    Full Text Available Background: This paper investigated the effect of daylight on morning and night melatonin, subjective general health using GHQ questionnaire, sleepiness and alertness on elderly who lived in nursing houses.Methods: Nineteen nursing home residents participated voluntarily. They exposed to daylight from 9 to 10 a.m. and from 4 to 5 p.m. for 6 wk. The level of melatonin in the morning and at night was measured. General health of all participants was evaluated using General Health Questionnaire (GHQ as well.Results: Daylight exposure significantly affected morning melatonin from 25.39 pg/ml to 59.77 pg/ml (P=0.001 and night melatonin were changed from 40.30pg/ml to 34.41pg/ml (P=0.081. Mean score of general health changed 36.31 to 29.89 (P=0.003. Karolinska Sleepiness Scale (KSS and Visual Analogue Scale (VAS showed increase sleepiness and decrease alertness from 3:00 to 7:00 a.m. Sleepiness decreased and alertness increased during 1:00 p.m. and 20:00 p.m.Conclusions: Daylight exposure could delay sleep phase and correction of circadian rhythm in elderly. Anxiety and insomnia could be improved with daylight exposure. It suggests that elders should be exposed to scheduled daylight in morning and evening for prevention and improvement of mental disorders. Adequate light should be provided for elder’s homes and nursing house.  Keywords: Daylight, Melatonin, Health, Circadian rhythm, Elderly, Iran

  1. 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.

  2. 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

  3. Predictors of participation in physical activity for community-dwelling elderly Italians.

    Giuli, Cinzia; Papa, Roberta; Mocchegiani, Eugenio; Marcellini, Fiorella

    2012-01-01

    This paper analyses variables associated with community-dwelling older people's engagement in physical activity (PA). Data were examined using the results from the European ZINCAGE study on 306 community-dwelling Italians aged 65 years and over. The lifestyle questionnaire was used to evaluate the data. Levels of regular/non-regular PA were based on ≥ 1 h of weekly exercise. Logistic regression analysis was used to analyze the predictors of PA. Participants reported the time they had spent per week engaging in PA over the last year. Overall, 56.2% of them engaged in regular physical exercise. PA levels decreased in subjects with probable cognitive decline, depression and high perceived stress levels (p<0.001). Lower age, a lower body mass index (BMI), better health status, absence of depression, being married, were all associated with regular PA. The importance of monitoring PA in the elderly emerged, in particular in those having some certain social-demographic characteristics.

  4. 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.

  5. Poliovirus-specific memory immunity in seronegative elderly people does not protect against virus excretion.

    Abbink, Frithjofna; Buisman, Anne M; Doornbos, Gerda; Woldman, Jan; Kimman, Tjeerd G; Conyn- van Spaendonck, Marina A E

    2005-01-01

    BACKGROUND: Dutch people born between 1925 and 1945 were ineligible for vaccination with the inactivated poliovirus vaccine (IPV) introduced in 1957 and may have escaped natural infection because of reduced poliovirus circulation. We examined whether people with low or undetectable antibody levels a

  6. THE ACTIVE FUTURE OF THE AGED PEOPLE IN SPAIN

    ANTONIO GUTIÉRREZ RESA

    2015-11-01

    Full Text Available In the following article we try to establish the foundations that support “the active future of the aged people in Spain”. We base our work on data from the National Institute of Statistics (INE, the Statistics Annuary of Spain, the Information System of the System for Autonomy and Dependency Caring (SISAAD and the Aged People Observatory-Institute of Aged People and Social Services (IMSERSO. Actually, one can notice that, if human beings are linked to production and utility, after 65–70 years of age, the possibilities of happiness can be accomplished now. We try to show that, with the number of people aged over 65 (8 million people in Spain increasing more than any other group and in acceptable health conditions, the context is more reasonable and facilitates an active future of the aged people. That is, the development of a process of optimization of health, participation and security opportunities, aiming at bettering the quality of life according as people age. We maintain that aging is not necessarily negative, the chronological age being a more and more unsatisfactory criterion. In the following pages we show the undeniable reality that we are going to live longer and probably in better conditions. Nevertheless, according to our data, it is convenient to distinguish from now on between people of 65 to 79 years and people of 80 and more. This stems, above all, from the domination of the dependency situations which go unsolved in Spain, despite the Law No. 6 of 2006. The article presents those services (IMSERSO which promote the active ageing: nurseries and clubs, vacations and thermal therapy, universities for aged people, accessibility programs and telealarms. Also presented are those services of familial solidarity promotion and maintaining: home help, residences, day nurseries and familial support services. The available data show the insufficiency of the aforementioned services in Spain. Therefore, we can say that the clearly pro-active

  7. Effect of structured physical activity on respiratory outcomes in sedentary elderly adults with mobility limitations

    OBJECTIVES: To evaluate the effect of structured physical activity on respiratory outcomes in community dwelling elderly adults with mobility limitations. DESIGN: Multicenter, randomized trial of physical activity vs health education, with respiratory variables prespecified as tertiary outcomes over...

  8. Perception of Smart Home Technologies to\\ud Assist Elderly People

    CHERNBUMROONG, Saisakul; ATKINS, Anthony; Yu, Hongnian

    2010-01-01

    In the last decade, the number of elderly\\ud population has increased significantly which affects\\ud human in many aspects, especially in healthcare. Many\\ud studies have shown increases in expenditures on longterm\\ud care. New models of care are needed including\\ud supported self-care and home-based services. Advance\\ud in sensor and network technologies have made these\\ud possible. A smart home which is a residence equipped\\ud with smart technologies providing services that enhance\\ud human...

  9. 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...

  10. Relationship between level of independence in activities of daily living and estimated cardiovascular capacity in elderly women.

    de Oliveira Brito, Letícia Vargas; Maranhao Neto, Geraldo Albuquerque; Moraes, Helena; Emerick, Raphael Fonseca e Silva; Deslandes, Andrea Camaz

    2014-01-01

    Elderly individuals undergo a progressive decline in functional capacity related to increased risk of dependency, loss of autonomy, and frailty. A lower cardiorespiratory fitness level is associated with cardiovascular disease events and mortality from all causes. The Veterans Specific Activity Questionnaire (VSAQ) was developed to facilitate prediction of the exercise capacity in older people with cardiovascular disease. However, few studies have investigated the relationship between the VSAQ and functional capacity in elderly women. This study investigated the relationship between functional capacity and the estimated cardiovascular capacity in elderly women, as assessed by the VSAQ. In this descriptive, observational, cross-sectional study, we evaluated 37 healthy elderly women (aged 70 ± 7 years). The assessment protocols used were the following: Anamnesis, VSAQ and nomogram (age adjusted), Senior Fitness Test (30-s chair stand, to assess lower-body strength; 8-foot up-and-go test, to assess agility-dynamic balance; and 2-min step test, to assess aerobic endurance). The Spearman test showed a significant correlation (pwomen.

  11. Small Acute Benefits of 4 Weeks Processing Speed Training Games on Processing Speed and Inhibition Performance and Depressive Mood in the Healthy Elderly People: Evidence from a Randomized Control Trial.

    Nouchi, Rui; Saito, Toshiki; Nouchi, Haruka; Kawashima, Ryuta

    2016-01-01

    Background: Processing speed training using a 1-year intervention period improves cognitive functions and emotional states of elderly people. Nevertheless, it remains unclear whether short-term processing speed training such as 4 weeks can benefit elderly people. This study was designed to investigate effects of 4 weeks of processing speed training on cognitive functions and emotional states of elderly people. Methods: We used a single-blinded randomized control trial (RCT). Seventy-two older adults were assigned randomly to two groups: a processing speed training game (PSTG) group and knowledge quiz training game (KQTG) group, an active control group. In PSTG, participants were asked to play PSTG (12 processing speed games) for 15 min, during five sessions per week, for 4 weeks. In the KQTG group, participants were asked to play KQTG (four knowledge quizzes) for 15 min, during five sessions per week, for 4 weeks. We measured several cognitive functions and emotional states before and after the 4 week intervention period. Results: Our results revealed that PSTG improved performances in processing speed and inhibition compared to KQTG, but did not improve performance in reasoning, shifting, short term/working memory, and episodic memory. Moreover, PSTG reduced the depressive mood score as measured by the Profile of Mood State compared to KQTG during the 4 week intervention period, but did not change other emotional measures. Discussion: This RCT first provided scientific evidence related to small acute benefits of 4 week PSTG on processing speed, inhibition, and depressive mood in healthy elderly people. We discuss possible mechanisms for improvements in processing speed and inhibition and reduction of the depressive mood. Trial registration: This trial was registered in The University Hospital Medical Information Network Clinical Trials Registry (UMIN000022250).

  12. Participation of Elderly Women in Community Welfare Activities in Akinyele Local Government, Oyo State, Nigeria

    Odebode, Stella O.

    2009-01-01

    This paper assessed the participation of elderly women in community welfare activities in Oyo State, Nigeria. Simple random sampling technique was used to select 120 elderly women from six out of the twelve political wards in the study area. Both qualitative and quantitative methods of data collection were used to elicit information from the…

  13. Research on Physical Activity in the Elderly: Practical Implications for Program Planning.

    Myers, Anita M.; Gonda, Gail

    1986-01-01

    The authors critically examine the research on physical activity in the elderly to assess the elderly's capacity for exercise and the benefits accruing from exercise. Lower-intensity exercise programs attract a more representative group of senior participants and overcome many barriers. Implications for program planning and efforts are discussed.…

  14. The incidence of mobility restrictions among elderly people in two Nordic localities. A five-year follow-up

    Sakari-Rantala, Ritva; Avlund, Kirsten; Frändin, Kerstin;

    2002-01-01

    The aim of this study was to investigate the incidence of limitations in self-reported mobility as well as the decline in measured walking speed and stair-mounting ability over five years among men and women aged 75 at baseline in two Nordic localities. Another purpose was to analyze the relation......The aim of this study was to investigate the incidence of limitations in self-reported mobility as well as the decline in measured walking speed and stair-mounting ability over five years among men and women aged 75 at baseline in two Nordic localities. Another purpose was to analyze...... in self-reported mobility as well. However, the relationship between different methods of measurement was not straightforward. This indicates that multiple approaches are needed to obtain thorough knowledge about mobility and its decline among elderly people....

  15. 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

    and 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.......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...... included (A) all residents in new sheltered housing facilities (response rate 68%, n = 102), (B) a random sample of users of home care (response rate 67%, n = 435), and (C) a random sample of individuals not using home care (response rate 74%, n = 501). All participants were 60+ years old. Data were...

  16. [Calcium, magnesium, iron and zinc in drinking water and status biomarkers of these minerals among elder people from Warsaw region].

    Madej, Dawid; Kaluza, Joanna; Antonik, Anna; Brzozowska, Anna; Roszkowski, Wojciech

    2011-01-01

    The aim of this study was to estimate the influence of calcium, magnesium, iron and zinc contents in drinking water on chosen parameters of nutritional status of these minerals in 164 elder people, 75-80 age, living in Warsaw region. Blood, hair and saliva were collected to assess the calcium, magnesium, iron and zinc nutritional status, while the samples of drinking water were collected to determine these minerals in water Mineral concentrations in blood, hair saliva and water were assessment using the atomic spectrophotometer absorption method It was showed that contribution of drinking water to calcium, magnesium, iron and zinc intake was: 15%, 4%, 5%, 9%, respectively. The relationship between the contents of these minerals in drinking water and their levels in the blood, hair and saliva had low correlation coefficients. It probably showed that homeostasis was maintained in the human body and other factors such as demographic or lifestyle factors were important.

  17. 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.

  18. 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.

  19. Translation of a tailored nutrition and resistance exercise intervention for elderly people to a real-life setting: adaptation process and pilot study

    Dongen, van E.J.I.; Leerlooijer, J.N.; Steijns, J.M.; Tieland, C.A.B.; Groot, de C.P.G.M.; Haveman-Nies, A.

    2017-01-01

    Background
    Combining increased dietary protein intake and resistance exercise training for elderly people is a promising strategy to prevent or counteract the loss of muscle mass and decrease the risk of disabilities. Using findings from controlled interventions in a real-life setting requires a

  20. 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

    We examined the effects of mindfulness-based cognitive therapy (MBCT) on symptom severity of depression, complicated grief, posttraumatic stress, and working memory in elderly bereaved people with long-term bereavement-related distress. A non-randomized, controlled pilot design was used in a sample...

  1. No effect on intake and liking of soup enhanced with mono-sodium glutamate and celery powder among elderly people with olfactory and/or gustatory loss

    Essed, N.H.; Kleikers, S.M.; Staveren, van W.A.; Kok, F.J.; Graaf, de C.

    2009-01-01

    Mono-sodium glutamate (MSG) and/or flavors may improve palatability and intake in elderly people. Whether this improvement is related to a decline in chemosensory sensitivity is unclear. We examined the effect of flavor-enhanced tomato soup (1,200 mg/l MSG (0.12% MSG) + 3 g/l celery powder) versus n

  2. 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

  3. Neighbourhood vitality and physical activity among the elderly: The role of walkable environments on active ageing in Barcelona, Spain.

    Marquet, Oriol; Miralles-Guasch, Carme

    2015-06-01

    This study investigated whether neighbourhood vitality and walkability were associated with active ageing of the elderly. Immobility, activity engagement and physical activity were explored in relation with age, gender and walkability of the built environment. Number of trips per day and minutes spent on walking by the elderly were extracted from a broad travel survey with more than 12,000 CATI interviews and were compared across vital and non-vital urban environments. Results highlight the importance of vital environments for elderly active mobility as subpopulations residing in highly walkable neighbourhoods undertook more trips and spent more minutes walking than their counterparts. The results also suggest that the built environment has different effects in terms of gender, as elderly men were more susceptible to urban vitality than elderly women.

  4. Fluxo salivar e uso de drogas psicoativas em idosos Salivary flow and psychoactive drug consumption in elderly people

    Marcos Aparecido Sarria Cabrera

    2007-04-01

    Full Text Available OBJETIVO: Analisar a associação de fluxo salivar baixo e o uso de drogas psicoativas entre idosos. MÉTODOS: Estudo transversal com 267 idosos de 60 a 74 anos, residentes em um bairro na cidade de Londrina/PR. Foram excluídos os idosos com alto grau de dependência funcional e os restritos ao leito. O fluxo salivar abaixo de 0,44 ml/min (primeiro tercil foi analisado como variável dependente, e o uso contínuo de drogas psicoativas (antidepressivos, anticonvulsivantes, sedativos, antipsicóticos, hipnóticos ou ansiolíticos foi considerado como variável independente. A análise multivariada foi realizada considerando a interferência do sexo, da idade e do tabagismo. RESULTADOS: A maioria dos idosos estudados foi do sexo feminino (80,5%, com uma média de idade de 66,5 anos. O uso de drogas psicoativas foi observado em 31 idosos (11,6%. O fluxo salivar médio foi de 0,76 ml/min, sendo que nos usuários de drogas psicoativas foi de 0,67 ml/min. Na análise multivariada, a utilização de drogas psicoativas estava associada ao fluxo salivar OBJECTIVE: To analyze the association between low saliva flow rates and the use of psychoactive drugs among the elderly. METHODS: A cross-sectional study was carried out with 267 elderly people from 60 to 74 years of age who lived in a borough of the city of Londrina, Paraná State, Brazil. Individuals with high functional dependence or restricted to bed were excluded. Saliva flow rate was the dependent variable with values under the first tercile being considered as low flow rates (less than 0.44 ml/min. The continuous use of psychoactive drugs (antidepressant, antiepileptic, sedative, antipsychotic, hypnotic or sedative-hypnotic drugs was the independent variable. Multivariate analysis was performed taking into account gender, age and smoking status. RESULTS: The majority of the elderly were women (80.5%, with a mean age of 66.5 years. Use of psychoactive drugs was observed among 31 elderly (11.6%. Mean

  5. Participation in Physical, Social, and Religious Activity and Risk of Depression in the Elderly: A Community-Based Three-Year Longitudinal Study in Korea.

    Hyun Woong Roh

    Full Text Available We examined the longitudinal association between participation in individual or combinations of physical, social, and religious activity and risk of depression in the elderly.Elderly subjects aged ≥ 60 years who completed the Living Profiles of Older People Survey in Korea (n = 6,647 were included. The baseline assessment, Wave 1, was conducted in 2008, and a follow-up assessment, Wave 2, was conducted in 2011. We defined participation in frequent physical activity as ≥ 3 times weekly (at least 30 minutes per activity. Frequent participation in social and religious activity was defined as ≥ 1 activity weekly. The primary outcome was depression at 3-year follow up.Multivariable logistic regression analysis showed that subjects who participated in frequent physical, social, and religious activity had an adjusted odds ratio of 0.81 (95% confidence interval [CI], 0.69-0.96, 0.87 (95% CI, 0.75-1.00, and 0.78 (95% CI, 0.67-0.90, respectively, compared with participants who did not participate in each activity. Participants who participated in only one type of activity frequently and participants who participated in two or three types of activities frequently had an adjusted odds ratio of 0.86 (95% CI, 0.75-0.98 and 0.64 (95% CI, 0.52-0.79, respectively, compared with participants who did not participate in any type of physical, social, and religious activity frequently.Participation in physical, social, and religious activity was associated with decreased risk of depression in the elderly. In addition, risk of depression was much lower in the elderly people who participated in two or three of the above-mentioned types of activity than that in the elderly who did not.

  6. Participation in Physical, Social, and Religious Activity and Risk of Depression in the Elderly: A Community-Based Three-Year Longitudinal Study in Korea

    Roh, Hyun Woong; Hong, Chang Hyung; Lee, Yunhwan; Oh, Byoung Hoon; Lee, Kang Soo; Chang, Ki Jung; Kang, Dae Ryong; Kim, Jinhee; Lee, SooJin; Back, Joung Hwan; Chung, Young Ki; Lim, Ki Young; Noh, Jai Sung; Kim, Dongsoo; Son, Sang Joon

    2015-01-01

    Background We examined the longitudinal association between participation in individual or combinations of physical, social, and religious activity and risk of depression in the elderly. Methods Elderly subjects aged ≥60 years who completed the Living Profiles of Older People Survey in Korea (n = 6,647) were included. The baseline assessment, Wave 1, was conducted in 2008, and a follow-up assessment, Wave 2, was conducted in 2011. We defined participation in frequent physical activity as ≥3 times weekly (at least 30 minutes per activity). Frequent participation in social and religious activity was defined as ≥1 activity weekly. The primary outcome was depression at 3-year follow up. Results Multivariable logistic regression analysis showed that subjects who participated in frequent physical, social, and religious activity had an adjusted odds ratio of 0.81 (95% confidence interval [CI], 0.69–0.96), 0.87 (95% CI, 0.75–1.00), and 0.78 (95% CI, 0.67–0.90), respectively, compared with participants who did not participate in each activity. Participants who participated in only one type of activity frequently and participants who participated in two or three types of activities frequently had an adjusted odds ratio of 0.86 (95% CI, 0.75–0.98) and 0.64 (95% CI, 0.52–0.79), respectively, compared with participants who did not participate in any type of physical, social, and religious activity frequently. Conclusion Participation in physical, social, and religious activity was associated with decreased risk of depression in the elderly. In addition, risk of depression was much lower in the elderly people who participated in two or three of the above-mentioned types of activity than that in the elderly who did not. PMID:26172441

  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.

  8. 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.

  9. Ways of healthy aging: a case study of elderly people in a Northern Thai village.

    Danyuthasilpe, Chuleekorn; Amnatsatsue, Kwanjai; Tanasugarn, Chanuantong; Kerdmongkol, Patcharaporn; Steckler, Allan B

    2009-12-01

    This ethnographic study was conducted to explore ways of healthy aging and the influence of culture on health-related behaviors in a rural community in Northern Thailand. In-depth interviews, focus group discussions, participant observations and field notes were used to understand the lives of seven healthy Thai older adults aged 75 years and over. Data were collected from March 2007 to February 2008, with ongoing ethnographic analysis involving coding, identifying patterns, generalizing and making reflective notes to elucidate the cultural patterns of behavior. All informants perceived health as interrelated with their life styles, which was, in turn, closely related to their cultural roots, suggesting that culture influences the health of all members of smaller, closely knit communities, including the elderly, by integrating physical, social and spiritual health for older adults and their families.

  10. Comparing Levels of Depression in Healthy Active and Inactive Elders versus Those with Knee Osteoarthritis Disease

    Amir Shams

    2016-04-01

    Full Text Available Knee osteoarthritis can have negative effects on the physical and mental conditions, social and family relations, general health and positive feelings of elders. For example, severe limitation of motion and increased depression, which are results of this disease, can have negative impacts on elders. The purpose of this study was to compare the levels of depression in healthy active and inactive elders versus those with knee osteoarthritis disease. Two hundred and twenty (220 elders with knee osteoarthritis disease (110 active and 110 inactive patients and 220 healthy elders (110 active and 110 inactive were voluntarily selected, and they filled the questionnaire about elders’ personal characteristics, physical activity and depression levels. Four groups had differences with respect to education, age and gender. The results of chi-square test revealed that women with knee osteoarthritis disease had increased levels of depression compared to men with the same condition (p<0.05. Older patients had increased levels of depression and educated elders reported lower levels of depression. The results of the one way analysis of variance (ANOVA revealed that there exist a significant difference in depression scores of healthy active and healthy inactive elders and those with knee osteoarthritis disease. The results of Tukey’s test revealed that healthy active elder had lower depression scores compared to inactive elders with knee osteoarthritis disease. Carrying out exercises and physical activities can help improve the health state of patients with knee osteoarthritis problem and can also improve the elders’ mental condition and thus decrease their pain and depression.

  11. Active social participation and mortality risk among older people in Japan: results from a nationally representative sample.

    Minagawa, Yuka; Saito, Yasuhiko

    2015-07-01

    A large literature suggests that active social participation contributes to the well-being of older people. Japan provides a compelling context to test this hypothesis due to its rapidly growing elderly population and the phenomenal health of the population. Using the Nihon University Japanese Longitudinal Study of Aging, this study examines how social participation, measured by group membership, is related to the risk of overall mortality among Japanese elders aged 65 and older. Results from Cox proportional hazards models show that group affiliation confers advantages against mortality risk, even after controlling for sociodemographic characteristics, physical health measures, and family relationship variables. In particular, activities geared more toward self-development, such as postretirement employment and lifelong learning, are strongly associated with lower levels of mortality. Findings suggest that continued social participation at advanced ages produces positive health consequences, highlighting the importance of active aging in achieving successful aging in the Japanese context.

  12. Evidence summary: why is access to dental care for frail elderly people worse than for other groups?

    Caines, Beth

    2010-02-13

    In August 2009, members of the newly redeveloped Primary Care Dentistry Research Forum (http://www.dentistryresearch.org) took part in an online vote to identify questions in day-to-day practice that they felt most needed to be answered with conclusive research. The question which received the most votes formed the subject of a critical appraisal of the relevant literature. Each month a new round of voting will take place to decide which further questions will be reviewed. Dental practitioners and dental care professionals are encouraged to take part in the voting and submit their own questions to be included in the vote by joining the website.This paper details a summary of the findings of the first critical appraisal. In conclusion, the critical appraisal has identified that primary research is needed to look at the subject of access to dental care for frail elderly people. Similar barriers to accessing care for this group of people are still being reported today as they were 20 years ago.

  13. Drinking water quality and hospital admissions of elderly people for gastrointestinal illness in Eastern Massachusetts, 1998-2008.

    Beaudeau, Pascal; Schwartz, Joel; Levin, Ronnie

    2014-04-01

    We used a Poisson regression to compare daily hospital admissions of elderly people for acute gastrointestinal illness in Boston against daily variations in drinking water quality over an 11-year period, controlling for weather, seasonality and time trends. The Massachusetts Water Resources Authority (MWRA), which provides non-filtered water to 1.5 million people in the greater Boston area, changed its disinfection method from chlorination to ozonation during the study period so we were also able to evaluate changes in risk associated with the change in disinfection method. Other available water quality data from the MWRA included turbidity, fecal coliforms, UV-absorbance, and planktonic algae and cyanobacteriae concentrations. Daily weather, rainfall data and water temperature were also available. Low water temperature, increases in turbidity and, to a lesser extent, in fecal coliform and cyanobacteriae were associated with a higher risk of hospital admissions, while the shift from chlorination to ozonation has possibly reduced the health risk. The MWRA complied with US drinking water regulations throughout the study period.

  14. Falling incidence among elderly people in a community of Suzhou city%苏州市某社区老年人跌倒发生率的调查

    阮爱超; 薛小玲

    2016-01-01

    Objective To investigate the incidence of falls in elderly people in a community of Suzhou during the past year and to provide evidence of preventive interventions. Methods The study collected 1 342 elderly people aged 60 and above, from a community of Suzhou using the method of cluster sampling. The participants were face-to-face interviewed their falling experiences during last year. Results A total of 223 people of the participants had falling experiences and occurred 392 times of falling during last year, and the falling incidence was 16. 62%. Among these cases, 650 (22. 62%) were female;692 (10. 98%) were male;the incidence of female was higher than the male (χ2 =32. 734,P<0. 01). The falling incidence rates of age 60-69, 70-79, 80 -89 and over 90 were 11. 33%, 16. 40%, 18. 52%, 26. 67%; falling incidence was increased with the age (χ2 =11. 261,P<0. 01). In 223 falling cases, only 5. 38% had not injured;72. 65%had soft tissue injury;18. 39% were bruised; 3. 59% had fractures and 62. 50% of them were hip fracture. 75. 35% of the people who had falling experience were afraid of second-time falling, while 32. 74% had limited the activities because of falling. Conclusions The falling incidence is very high in this community and falling experiences have negative effects on both physical and psychological health in elderly people. For this reason, effective preventive interventions are urged for these groups.%目的 调查苏州市某社区老年人近一年内跌倒发生情况,为制订预防老年人跌倒相关措施提供参考依据. 方法 采用整群抽样的方法抽取苏州市某社区60岁及以上老年人1 342名,采用面对面访谈形式调查老年人近一年内跌倒的情况. 结果 1 342例中,过去1年共有223人发生392次跌倒,跌倒发生率为 16. 62%;其中女性 650 人,跌倒发生率为 22. 62%;男性 692 人,跌倒发生率为10. 98%,女性高于男性(χ2 =32. 734,P<0. 01). 60~69、70~79、80~89、≥90岁的老

  15. Epidemiology of neurological diseases in elderly people: what did we learn from the Rotterdam Study?

    Hofman, A.; de Jong, P.T.V.M.; Duijn, C.M. van; Breteler, M.M.

    2006-01-01

    The Rotterdam Study is a prospective cohort study that has been ongoing since 1990 in the city of Rotterdam, the Netherlands, among 7983 people aged 55 years or older. One part of the study targets neurological diseases, others deal with cardiovascular, ophthalmological, and endocrine diseases. The

  16. 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...

  17. 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

  18. Social Support and Depression among Elderly Chinese People in Hong Kong.

    Chi, Iris; Chou, Kee-Lee

    2001-01-01

    Examines the association between social support and depressive symptomatology in a sample of older Chinese people (N=1106) living in Hong Kong. Reports that social support from family is important and satisfaction with support is a more important predictor of depression levels than other measures. Material aid and instrumental support is more…

  19. 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

  20. 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

  1. 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.

  2. Assessment of dietary intake and nutritional status (MNA) in Polish free-living elderly people from rural environments.

    Wyka, Joanna; Biernat, Jadwiga; Mikołajczak, Jolanta; Piotrowska, Ewa

    2012-01-01

    The proportion of elderly people in the global population is rapidly increasing. Their nutritional status indicates many deficiencies that are risky to health. The aim of this paper was to assess the nutrition and nutritional status in elderly individuals above 60 years old living in their family houses in rural areas. Dietary intake and nutritional status were measured in 174 elderly women and 64 men living in the rural areas of Oleśnica (near Wrocław, SW Poland). Energy intake, consumption of nutrients, selected anthropometric and biochemical indicators, were measured in two groups: one at risk of malnutrition and one with adequate nutrition. Using the mini nutritional assessment (MNA) questionnaire, 238 persons over 60 years of age were qualified according to their nutritional status. Anthropometric and biochemical parameters were measured. The group of women at risk of malnutrition (n=30) showed a statistically significantly lower energy intake in their diet (1,127 kcal) compared to women with adequate nutrition (1,351 kcal). The entire group of examined individuals showed a too low consumption of fiber, calcium, vitamins C and D, and folates. Most of the examined women had a too high body mass index (BMI) (on average 28.8), waist circumference was 96.3 cm, and the triceps skinfold (TSF) was 25.2mm thick. Women at a risk of malnutrition had statistically significantly lower lipid parameters than those with adequate nutrition (respectively: TC 191.1 vs. 219.1m/dl, pnutrition. According to the Charlson comorbidity index (CCI), 8.2% of person with adequate nutrition had poor prognostic indicator for overall survival. All the examined individuals showed many significant nutritional deficiencies. The group with nutritional risk had more pronounced nutritional deficiencies. Despite a too low energy value of foods among individuals with correct nutrition, their anthropometric parameters paradoxically showed the presence of excessive fatty tissue. The most frequent

  3. 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

  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. Early reduction in toe flexor strength is associated with physical activity in elderly men

    Suwa, Masataka; Imoto, Takayuki; Kida, Akira; Yokochi, Takashi

    2016-01-01

    [Purpose] To compare the toe flexor, hand grip and knee extensor strengths of young and elderly men, and to examine the association between toe flexor strength and physical activity or inactivity levels. [Subjects and Methods] Young (n=155, 18–23 years) and elderly (n=60, 65–88 years) men participated in this study. Toe flexor, hand grip, and knee extensor strength were measured. Physical activity (time spent standing/walking per day) and inactivity (time spent sitting per day) were assessed using a self-administered questionnaire. [Results] Toe flexor, hand grip, and knee extensor strength of the elderly men were significantly lower than those of the young men. Standing/walking and sitting times of the elderly men were lower than those of the young men. Toe flexor strength correlated with hand grip and knee extensor strength in both groups. In elderly men, toe flexor strength correlated with standing/walking time. In comparison to the young men’s mean values, toe flexor strength was significantly lower than knee extensor and hand grip strength in the elderly group. [Conclusion] The results suggest that age-related reduction in toe flexor strength is greater than those of hand grip and knee extensor strengths. An early loss of toe flexor strength is likely associated with reduced physical activity in elderly men. PMID:27313353

  6. Health smart home for elders - a tool for automatic recognition of activities of daily living.

    Le, Xuan Hoa Binh; Di Mascolo, Maria; Gouin, Alexia; Noury, Norbert

    2008-01-01

    Elders live preferently in their own home, but with aging comes the loss of autonomy and associated risks. In order to help them live longer in safe conditions, we need a tool to automatically detect their loss of autonomy by assessing the degree of performance of activities of daily living. This article presents an approach enabling the activities recognition of an elder living alone in a home equipped with noninvasive sensors.

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

    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 to various problems which may have a detrimental influence on their quality of life. Aim: To know the problems faced by complete denture wearers in rural areas in Jammu district. Materials and Methods: Fifty patients from rural area Bishna, initially treated with a complete denture in the maxilla or mandibles were examined. The data were collected with the help of a questionnaire. Results: The results revealed that majority of respondents were in the age – group of 65-70 y. Majority of respondents complained of "difficulty chewing", "sore spots”, “painful and swollen gums". Majority of respondents had difficulty in speech, it was difficult for them to interact and communicate with their dentures on. Most of the respondents had lost confidence and had low self esteem. Clinical observations revealed that the commonest condition associated with denture wearing was Oral Stomatitis/ Burning mouth Syndrome, Superimposed infection and Angular cheilitis. Conclusion: Older people should Communicate and visit dentists, regularly, so that the dentists can adjust the treatment and pace according to their needs. Behavioural therapy techniques can make dental visits relatively anxiety and pain-free. PMID:25654025

  8. Evaluation of protein intake and physical activity associated with sarcopenia in the elderly

    Gloria Gabriela Peña-Ordóñez

    2015-10-01

    Full Text Available Introduction: The aim of this study was to determine the association between protein intake and physical activity with sarcopenia of the elderly. Older people are a vulnerable group and are easily reflected in their nutritional status, most do not cover their nutritional requirements and are physically inactive. A protein intake <1.2 g/kg/day and a low level of physical activity (<3.5 MET are factors associated with sarcopenia. Material and Methods: Observational, analytical, prospective, case-control study. Sampling was done for convenience in patients over 60 years of service outpatient Medical Center Adolfo Lopez Mateos, Toluca, Mexico. Questionnaires were used to determine protein intake and physical activity, and diagnostic tests for Sarcopenia (percentage of muscle mass, strength and speed Manual operation. 115 subjects were enrolled but 110 (55 cases and 55 controls were included. Results: The odds ratio (OR of the variables was obtained, finding that for every gram of total protein intake of 3% reduces the risk of sarcopenia and per unit of percent fat increases the risk by 20%. No statistically significant difference was found in physical activity, there is homogeneity between cases and controls regarding MET consumed. Conclusions: Protein intake is a protective factor against sarcopenia and excessive accumulation of fat is a risk factor for this disorder. It is important to further investigate the relationship between the two in older adults.

  9. 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

  10. Counting on People: Elementary Population and Environmental Activities.

    Wasserman, Pamela; Scullard, Anne

    This activity book serves as a primer on population dynamics and environmental impacts. It is designed to show young students their connections to other people, all living things, and the environment that surrounds them. While the kit is designed for use with students in grades 1-6, many of the activities are more appropriate for upper elementary…

  11. 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

  12. [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.

  13. Gait disorders are associated with non-cardiovascular falls in elderly people: a preliminary study

    Schapira Marcelo

    2005-12-01

    Full Text Available Background The association between unexplained falls and cardiovascular causes is increasingly recognized. Neurally mediated cardiovascular disorders and hypotensive syndromes are found in almost 20 percent of the patients with unexplained falls. However, the approach to these patients remains unclear. Gait assessment might be an interesting approach to these patients as clinical observations suggests that those with cardiovascular or hypotensive causes may not manifest obvious gait alterations. Our primary objective is to analyze the association between gait disorders and a non-cardiovascular cause of falls in patients with unexplained falls. A second objective is to test the sensitivity and specificity of a gait assessment approach for detecting non-cardiovascular causes when compared with intrinsic-extrinsic classification. Methods Cross-sectional study performed in a falls clinic at a university hospital in 41 ambulatory elderly participants with unexplained falls. Neurally mediated cardiovascular conditions, neurological diseases, gait and balance problems were assessed. Gait disorder was defined as a gait velocity Results A cardiovascular etiology (orthostatic and postprandial hypotension, vasovagal syndrome and carotid sinus hypersensitivity was identified in 14% of participants (6/41. Of 35 patients with a gait disorder, 34 had a non-cardiovascular etiology of fall; whereas in 5 out of 6 patients without a gait disorder, a cardiovascular diagnosis was identified (p Conclusion In community dwelling older persons with unexplained falls, gait disorders were associated with non-cardiovascular diagnosis of falls. Gait assessment was a useful approach for the detection of a non-cardiovascular mediated cause of falls, providing additional value to this assessment.

  14. 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.

  15. Determining the Practise and Knowledge of Medicine Usage in a Group of Elderly People in Ankara

    Ilknur Cakir Dolu

    2010-02-01

    Full Text Available AIM: Determining the practise and knowledge of medicine usage in older people is the aim of this descriptive study. METHOD: The study sample was comprised of 300 people chosen from 960 old people over 65 years of age living in Eryaman Health Centre No. 3 neighbourhood by random sampling. Data which had been gathered with questionnaire survey were analyzed with the SPSS 11.5 and frequency, percent and chi-square tests. RESULTS: In this study, 44.1% of persons have more than one chronic disease and 84.3% of them use more than one medicine. The most common seen disease in the persons who participated in this research is hypertension and the most common used medicine group is cardiovascular system medicine. According to the older persons expressions, 17.0% of the persons abandoned using doctor’s prescription and 16.7% of them have been using overthe- counter medicine. As a result of the this study, adverse medicine reactions occurred in the 19.3% of persons. Replies to the questions concerning medicine knowledge shows that 51.3% of the persons know the right answers. 88.7% of the survey group stated that physicians informed them about the usage of the medicines and 2.2% of them were informed by nurses. CONCLUSION: Taking into consideration, these findings suggest that the nurses should be aware of the education level, habits of the older persons who use medicines, and they should observe them closely and inform and support them with the appropriate usage of the medicines. [TAF Prev Med Bull 2010; 9(1.000: 37-44

  16. 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.

  17. Services for the Elderly. Curriculum Guide. Academic Integration Supplement. Assistance Services for the Elderly. Student Activity Book.

    Texas Tech Univ., Lubbock. Home Economics Curriculum Center.

    This guide is designed for use in implementing Texas' services for the elderly curriculum. The following topics are covered in 33 chapters: understanding the elderly in the United States; services and legislation for the elderly; job opportunities in services for the elderly; employee qualifications; physical, emotional, mental, and social needs…

  18. 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.

  19. Sports activities are reflected in the local stability and regularity of body sway: older ice-skaters have better postural control than inactive elderly.

    Lamoth, Claudine J C; van Heuvelen, Marieke J G

    2012-03-01

    With age postural control deteriorates and increases the risk for falls. Recent research has suggested that in contrast to persons with superior balance control (dancer's athletes), with pathology and aging, predictability and regularity of sway patterns increase and stability decreases implying a less adaptive form of postural control. The aim of the present study was to determine, whether patterns of body sway of elderly (N=13) who practice a sport which challenges postural control (ice speed-skating), are more similar to that of young subjects (N=10) than to that of inactive elderly (N=10). Trunk patterns were measured with a tri-axial accelerometer. Data were recorded during quiet upright stance with (1) eyes open, (2) limited vision, and (3) while performing a dual task. Anterior-posterior and medio-lateral acceleration time-series were analyzed. Differences in postural control were quantified in terms of the magnitude of the acceleration (root mean square), the smoothness (mean power frequency), the predictability (sample entropy) and the local stability (largest Lyapunov exponent). Postural control of ice-skating elderly differed from that of sedentary elderly. As anticipated, postural control of the ice-skating elderly was similar to that of young adults. For anterior-posterior accelerations, the skating elderly and the younger subjects had significant higher stability and lower regularity than the non-skating elderly in all tasks. These results imply that sport activities such as ice-skating are beneficial for elderly people. It might, at least partly, counteract the age related changes in postural control.

  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. Balance, autonomy and functional independence of active and sedentary elderly: a preliminary study

    Arthur Matheus da Silva

    2016-01-01

    Full Text Available Both the body balance (BB, as the functional autonomy (FA and the level of functional independence (FI of 10 sedentary elderly (GI were evaluated and compared to related data in 10 active elderly (GII, all of the health program family in Araxá-MG, after signing the informed consent, were submitted to the evaluation tests of the EC, the AF and the NIF, besides the identification of BMI. Although body overweight and equal NIF between both the EC and AF were significantly higher in GII than in GI, we concluded that the practice of therapeutic exercise promotes functional health in the elderly.  

  2. Active Labour Market Policies for Disabled People in Denmark

    Høgelund, Jan; Greve, Jane

    The main objective of this paper is to provide relevant information about existing active labour market policies for the disabled people in Denmark. The paper presents an over-view of active labour market schemes in Denmark. The description suggests that the policy emphasises active labour market...... measures, job search and voluntary participation of employers through wage subsidies. Legislative policies in the shape of anti-discrimination legislation or legislation imposing obligations on employers are non-existing in Denmark. During the 1990s there has been many minor changes in the Danish labour...... market policy towards disabled people but no vital reforms. Incentives to strengthen (re-)integration of disabled people at the labour market and increasing responsibilities of non-public actors (e.g. employers) are some of the main characteristics of the Danish employment policy. Available evaluative...

  3. 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

  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

    2015-10-01

    Full Text Available 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 < 0.05 and p = 0.001, respectively. However, more than half of the elderly participants did not achieve negative Dix-Hallpike. Regarding static and dynamic 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 < 0.05. Conclusion Results reveal clinical and functional benefits in elderly people with Benign Paroxysmal Positional Vertigo submitted to Otolith Repositioning Maneuver. However, most of the participants did not overcome Benign Paroxysmal Positional Vertigo and not all aspects of postural balance improved. Therefore, a longer follow-up period and a multidisciplinary team are required to establish comprehensive care for elderly patients with dizziness complaints.

  5. The effects of continuous application of sunscreen on photoaged skin in Japanese elderly people – the relationship with the usage

    Mizuno M

    2016-04-01

    Full Text Available Makoto Mizuno,1,2 Kayo Kunimoto,1 Eiji Naru,2 Koichi Kameyama,2 Fukumi Furukawa,1 Yuki Yamamoto1,3 1Department of Dermatology, Wakayama Medical University, Wakayama, Japan; 2Fundamental Research Laboratories, KOSÉ Corporation, Tokyo, Japan; 3Department of Cosmetic Dermatology and Photomedicine, Wakayama Medical University, Wakayama, Japan Abstract: Since photoaging of skin is caused by chronic sun exposure, it is well-recognized that regular sunscreen use can help prevent photoaging of skin in fair-skinned people. Therefore, application of sunscreen is recommended for the prevention of photoaging in many countries. However, the relationship between UV exposure and photoaging has rarely been investigated in clinical studies in Japan. In addition, there have been almost no long-term interventional studies in Japanese people. We have previously conducted a study where Japanese actinic keratosis patients were instructed to continuously apply sunscreen. The results indicated that long-term application of sunscreen is effective in suppressing actinic keratosis progression and generation. In the present study, we investigated the effects of sunscreen on photoaged skin in 14 elderly Japanese people. Skin conditions such as water content, transepidermal water loss, the number of spots, wrinkles, and skin color tone uniformity were measured and compared before and after the study. A statistically significant difference was observed only in skin surface hydration. There were large inter-individual differences in amount of sunscreen used throughout the study. The changes in the number of spots and skin color tone uniformity during the 18 months showed good correlation with amount of sunscreen being used. These results suggest an increase in the number of spots and deterioration in skin color tone uniformity in the 18-month non-sunscreen application period, and that such skin conditions improved with increasing use of sunscreen. In this study, we suggested

  6. People

    2001-01-01

    they're going to bring their mates. We also do workshops, poetry readings and experiments in laboratories; for example you can amplify your own DNA, or look at the science of food, or go to the TV studio and make a programme about something you are interested in. So what are your future plans? At the moment I'm thrilled about what I am doing here at @Bristol. I am getting local scientists to release their stories with us, stories that we think might have a big impact on the media, and also be relevant to people. For instance, we did a big story on the effect of passive smoking on fertility. We helped get the story into the media, then we get scientists to meet the public and so if people are worried about passive smoking they could come and meet the scientists and talk about the results as well as try some activities. For the future I would like to involve the public in debates about science because I think it is perhaps the most important thing that we need to do in science communication. There are so many issues that deeply affect society and it seems critical to me that we don't just leave it to politicians and scientists; but we need to get the public involved in the debates. So would you try and get the scientists involved as well? Oh yes, absolutely. For example, we did a questionnaire and asked members of the public about various science issues. The outcomes were sent back to the scientists at Bristol University and they've considered these in their ethics committee decisions about, for instance, who should receive donor eggs. I think excluding the scientists would be insane but the important thing is that the scientists hear what the public think and vice versa. That it is not just one group in isolation trying to make decisions. Moving towards the future - do you think that there are opportunities for others to follow your career path? Yes - there are lots of opportunities and lots of interesting things to do. But also, more and more people are trying to get

  7. 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.

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

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

    2006-04-01

    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 collected immediately before the vaccine and 30 days later. Serum was separated and stored at -20 degrees C 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.

  9. Effects of an adapted physical activity program on psychophysical health in elderly women

    Battaglia G

    2016-07-01

    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 factor for public and health care systems to improve QOL and physical fitness in aging people. Keywords: quality of life, aging, stretching, spine, health, elderly people, exercise

  10. Effect of Thickener Type on the Rheological Properties of Hot Thickened Soups Suitable for Elderly People with Swallowing Difficulty

    Kim, Sung-Gun; Yoo, Whachun; Yoo, Byoungseung

    2014-01-01

    Flow and dynamic rheological properties of hot thickened soups for consumption by the elderly people with swallowing difficulty (dysphagia) were investigated at a serving temperature of 60°C. In this study, sea mustard soup (SMS) and dried pollock soup (DPS), which have been widely known as favorable hot soups provided in a domestic hospitals and nursing homes for dysphagic patients, were thickened with four commercial xanthan gum (XG)-based food thickeners (coded A~D) marketed in Korea. Thickened soups prepared with different thickeners showed high shear-thinning flow behaviors (n=0.15~0.21). Apparent viscosity (ηa,50), consistency index (K), storage modulus (G′), and loss modulus (G″) demonstrated differences in rheological behaviors between the XG-based thickeners. The magnitudes of G′ were much higher than those of G″ over the entire range of frequency (ω) with the high dependence on ω, showing the rheological behavior similar to a weak gel. In general, all rheological parameter values of thickened DPS samples were higher when compared to the thickened SMS samples. These results indicate that flow and dynamic rheological properties of hot thickened soups containing commercial XG-based thickeners are strongly dependent on the type of thickener and soup. PMID:25580403

  11. A Report to an Investigation in Elderly People's Life%关于老年人晚年生活的调查报告

    2013-01-01

    Our country has entered the aging society. To build a harmonious society, we launched an investigation in elderly peo-ple's life from income, daily care, spiritual solace and health care, hoping provides families and governments some reference to solve the problems of elderly people.%  我国已经进入老龄化社会,为构建和谐的老龄化社会,本文从经济情况、生活照顾、精神生活及健康保健等方面对南京市部分老年人的晚年生活现状展开了调查研究,希望能为家庭、社会解决好老人生活问题提供参考。

  12. Study on Health-Care and Pension and Sports for Elder People under the Background of the Aging Population%人口老龄化背景下健康养老与老年体育的研究

    黄元汛; 沈有斌; 刘湲湲; 韩晓菲

    2015-01-01

    Research Purposes: the study is based on the deep analysis of the content of health-care, pension and sports for elder people, and put forward the development paths of Chinese health-care and pension services and sports for elder people under the background of the aging population. Methods: literature method. Results and Conclusion: Chinese pension services is still in its infancy, poor supervision mechanism, inadequate pension services and product supply, small elderly group of sports population, immature physical infrastructure and management system and other issues are acute. It is supposed that developing health-care and pension services and physical activities for the elderly is an important way to solve the problems of aging population.%研究目的:在深入分析健康养老服务与老年体育的内容基础上,提出人口老龄化背景下我国健康养老服务与老年体育的发展路径。研究方法:文献资料法。研究结果与结论:中国已进入人口老龄化社会,养老服务业还处于发展初期,监管机制尚不健全、养老服务和产品供给不足的问题十分突出,老年体育人口少,设施不够完善、管理体制不够健全等问题,认为开展健康养老服务与老年体育活动是人口老龄化的重要途径。

  13. Conservation among Elderly Women.

    Hughston, George A.; Protinsky, Howard O.

    1979-01-01

    The majority of 63 elderly women were able to pass tests in the conservation of mass (98 percent), volume (100 percent), and surface area (65 percent). These results conflict with previous research about Piagetian abilities of elderly people. (RL)

  14. 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.

  15. Educational intervention program for oral health in elderly people Programa de intervención educativa para la salud bucal en los adultos mayores

    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 ...

  16. 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 themost 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-experiment...

  17. A randomized trial comparing Tai Chi with and without cognitive-behavioral intervention (CBI) to reduce fear of falling in community-dwelling elderly people.

    Liu, Yat Wa Justina; Tsui, Chi Man

    2014-01-01

    The aim of this randomized trial was to compare the effects of Tai Chi with and without CBI on a primary outcome of reducing the fear of falling, and on secondary outcomes including encouraging better social engagement, improving self-perceived personal wellbeing, and achieving better mobility among elderly people with fear of falling. One hundred and twenty-two community-dwelling elderly people aged ≥ 65 were randomly assigned to either a Tai Chi or a Tai Chi plus CBI group. Participants' level of fear of falling, physical mobility, self-perceived personal wellbeing and social participation were compared before and after completing the 8-week intervention and then at a 2-month follow-up. The findings showed that Tai Chi both with and without CBI had a similar effect on reducing elderly people's fear of falling, but only Tai Chi plus CBI had a positive effect on participants' self-perceived personal wellbeing. Tai Chi both with and without CBI had no effect on participants' self-perceived social participation and mobility. Apart from a slight improvement in participants' self-perceived personal wellbeing, other outcome effects were similar for Tai Chi with and without CBI. This finding raises a question about the additive effects of combined intervention over Tai Chi alone in reducing elderly people's fear of falling. In view of the higher demand for resources and manpower to implement a combined intervention, further study is still required to confirm the potential additional benefits of this combined intervention prior to recommending it to community services.

  18. 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  

  19. 南通市老年人生活质量的影响因素%The analysis on the quality of life and its influential factors in the elderly people in Nantong city

    陈德喜; 高月霞; 陆青云; 吴桂云; 肖静

    2012-01-01

    Objective To investigate the quality of life of elderly people in Nantong city and its influential factors. Methods A survey with EQ-5D instrument and questionnaire was undertaken in 986 stratified cluster random sampling selected residents who were over 60 years age in Nantong. Results The satisfactory rates of mobility, self-care, and anxiety or depression were higher, while the rate of somato-form pain or discomfort and daily activity were lower. Also the satisfactory rate of every item of male was higher than that of female (P < 0. 05). The multivariate analysis showed that the influential factors of quality of life of elderly people in Nantong were living way, number of chronic disease, physical activity, age, gender and occupation. Conclusions The elderly people should be encouraged to engage in more physical activity, establish harmonious relationship so as to improve the quality of life of the elderly people.%目的 了解南通市老年人生活质量状况及其危险因素.方法 采用分层整群抽样的方法,欧洲五维健康量表及自制量表为调查工具,对南通市986名60岁以上老年人进行调查.结果 南通市老年人对行动能力、自我照顾能力和焦虑或沮丧的满意度较高,对躯体疼痛或不适以及日常活动的满意度较低,且每个维度得分均是男性好于女性(P<0.05).多因素分析显示南通是老年人生活质量的影响因素依次是居住方式、慢性病个数、体育锻炼、年龄、性别和职业.结论 鼓励老年人适当参加体育锻炼,建立和谐的社会关系,提高老年人生活质量.

  20. 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

    old. Four subgroups were created according to whether participants had been hospitalized or used home care in the year before the baseline study and whether or not they were disabled at the time. The key predictor variables were measured by two scales about tiredness in daily activities. RESULTS....... Nondisabled individuals who felt tired in their daily activities had about twice the risk of being hospitalized and of being users of home help 5 years later. CONCLUSIONS. Because tiredness in daily activities is related to subsequent hospitalization and use of home help, it should be taken seriously...