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Sample records for active elderly people

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

    NARCIS (Netherlands)

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

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

    NARCIS (Netherlands)

    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

  3. [Physical activity of elderly people living in district Koprzywnica (Poland)].

    Science.gov (United States)

    Włodarek, Dariusz; Majkowski, Marek; Majkowska, Lucyna

    2012-01-01

    Physical activity has good influence on health. The physical activity of elderly people may decrease, because of the health problems or think that with aging sport activity should be reduced. The aim of the study was to assess a physical activity and energy expenditure of people in age 60 and more in the Koprzywnica district (Poland). 95 persons in age 60 and more (51 women and 44 men) participated in the study. All participants live alone or with family. The following data: total energy expenditure, active energy expenditure, physical activity duration (MET > 3,0), vigorous physical activity duration (MET > 6,0), number of steps, lying down duration were collected using SenseWear Pro3 Armband, Body Media Pittsburgh, USA. The measurement was conducted for 24 hours. Physical activity was also classified on the basis of the number of steps. The median of the age of participants was 71 years. The median of BMI was 27,1 kg/m2. Age was correlated with BMI (R = -0,28, p = 0,005). Participants made on average 6335 steps daily, 42% of them made less than 5000 steps and 31,5% more than 10000 steps a day. The median of the total energy expenditure was 33,1 kcal/kg of body mass a day (2522 kcal a day), while the median of the active energy expenditure was 5,7 kcal/kg of body mass a day (482 kcal a day). The median of the physical activity duration was 1 hour and 22 minutes, and in most cases it was the moderate physical activity. In case of 17 women (33%) and 20 men (45,5%) the vigorous physical activity was detected, and duration of this physical activity was 1-22 minutes. The median of the lying down duration was 8 hours and 44 minutes. Older persons had shorter physical activity duration, made less steps and at the same time had lower active energy expenditure and total energy expenditure than younger ones. There were no differences between younger and older participants in the sedentary energy expenditure and lying down duration. Simultaneously participants with higher

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

    Science.gov (United States)

    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.

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

    OpenAIRE

    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...

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

    DEFF Research Database (Denmark)

    Andresen, Mette

    2014-01-01

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

  7. [Elderly people's level of participation in social and recreational activities in Barranquilla, Colombia].

    Science.gov (United States)

    Pinillos-Patiño, Yisel; Prieto-Suárez, Edgar; Herazo-Beltrán, Yaneth

    2013-01-01

    Determining elderly people's level of participation in social and recreational activities in Barranquilla, Colombia. This was a descriptive cross-sectional study involving 469 elderly people; a basic activities of daily living scale, which had been adapted to the ongoing activities being carried out in the pertinent scenarios, was used for evaluating their level of participation in social and recreational activities. Bivariate analysis was used for estimating the relationship between level of participation and age-range and coexistence, using OR and χ2 tests. The scale categorized 40.9 % of the subjects as having low participation and only 20.2 % as actively and voluntarily participating in the activities being offered. There was an increased risk of non-participation in social and recreational activities regarding adults being over 80 years of age (OR 3.3: (2.2-4.9) 95 % CI) and those living alone (OR 1.75: (1.09-2.82) 95 % CI). A clear trend towards less participation was shown as aged increased; this is why social isolation becomes a risk factor for this group of people's quality of life. It is recommended that social networks promoting the elderly's health and quality of life should thus be strengthened.

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

    Directory of Open Access Journals (Sweden)

    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.  

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

    Institute of Scientific and Technical Information of China (English)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    Marques, Ana I; Rosa, Maria J; Soares, Pedro; Santos, Rute; Mota, Jorge; Carvalho, Joana

    2011-02-21

    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. 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 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. Our findings suggest that although there are some good practices in PA programmes, there are still relevant areas that require improvement.

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

    Science.gov (United States)

    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

  13. Cognitive Changes among Institutionalized Elderly People

    Science.gov (United States)

    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…

  14. Feelings of well being in elderly people: relationship to physical activity and physical function.

    Science.gov (United States)

    Garatachea, Nuria; Molinero, Olga; Martínez-García, Raquel; Jiménez-Jiménez, Rodrigo; González-Gallego, Javier; Márquez, Sara

    2009-01-01

    The aim of the research was to investigate in a sample of Spanish elderly whether measures of physical activity and physical function are related to feelings of well being, and whether level of dependence is a moderator in the relation of well being, physical activity and physical function. The sample was a cohort of 151 elderly people (89 women and 62 men, aged 60-98 years) from the North of Spain. Participants completed surveys including demographic characteristics, and measures of physical activity (Yale Physical Activity Survey, YPAS), instrumental activities of daily living (Barthel Index, BI) and well being (Psychological Well Being Scale, from Spanish: Escala de Bienestar Psicológico=EBP). Components of the physical function were measured by the Senior Fitness Test (SFT). Upper and lower body strength, dynamic balance, aerobic endurance, self-reported weekly energy expenditure and physical activity total time were significantly correlated with both Material and Subjective well being. All components of physical function were significantly impaired in dependent subjects when compared to independent individuals of the same sex and physical activity category. Significant differences were also observed in Subjective well being among less active dependent or independent individuals. In conclusion, physical function and physical activity are related to feelings of well being, and results emphasize the positive functional and psychological effects of physical activity in dependent subjects.

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

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    Tahere Soltani

    2015-03-01

    Discussion & Conclusion: According to the results of this study, increased social support in performing activities of daily living and health promotion can be effective in elderly .Therefore enhance social support and protection needs of the elderly should expand their networks of support for elderly.

  16. Elderly people's interaction with advanced technology.

    Science.gov (United States)

    Blažun, Helena; Vošner, Janez; Kokol, Peter; Saranto, Kaija; Rissanen, Sari

    2014-01-01

    Aging of population is an inevitable process by which the number of elderly people is increasing. Rapid development of information and communication technology (ICT) is changing basic needs of elderly people; therefore society should ensure opportunities for elderly to learn and use ICT in a way to manage their daily life activities and in this way enable them participation in the information and knowledge society. The purpose of the study was to find out whether elderly are acquainted with the advanced technology and to what extent they use it or they desire to use it. Within the single point study we interviewed 100 randomly selected elderly people from different geographical regions in Slovenia. Results showed the differences in the use of advanced technology by Slovenian regions; therefore in the future activities should be focused on organizing promotional and demonstrational activities including ICT courses to increase elderly's motivation for ICT interaction.

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

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    Rasoulzadeh

    2015-10-01

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

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

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    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.

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

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    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

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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.

  2. Impact of a physical activity program on cerebral vasoreactivity in sedentary elderly people.

    Science.gov (United States)

    Vicente-Campos, D; Mora, J; Castro-Piñero, J; González-Montesinos, J L; Conde-Caveda, J; Chicharro, J L

    2012-10-01

    The aim of the present study was to determine the effect of a physical activity program on the hemodynamic response of the brain (vasoreactivity) in elderly people. Eighteen men and 25 women (aged 62-67 years) were randomly assigned to an experimental (EXP, N.=22, 12 women) and a control (CON, N.=21, 13 women) group. Subjects in EXP group were required to complete a 7-month program based on aerobic training (3-4 sessions/weekd, 50 min/session, 3-4 sessions/week, at 70% maximum heart rate). Transcranial Doppler ultrasound was used to examine the cerebral blood flow response to hypercapnic and hypocapnic stimuli. We also determined blood pressure, total serum cholesterol, HDL and LDL cholesterol, and triglycerides, and conducted an aerobic capacity test (the 2.4-Km walking test). RESULTS.Brain vasomotor reactivity improved in the EXP group, reflected by a higher blood flow velocity in the middle cerebral artery (MCA) in both cerebral hemispheres in response to hypercapnia (induced by breath holding) (P<0.05). Subjects in EXP group also improved the cardiovascular profile aerobic physical condition (P<0.001) in terms of reduced arterial pressure, total cholesterol and triglyceride levels. Our findings indicate that cerebral vasoreactivity in elderly may be improved by undertaking an aerobic exercise program.

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

    DEFF Research Database (Denmark)

    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...

  4. Alcohol, smoking, and physical activity related to respiratory infections in elderly people

    NARCIS (Netherlands)

    Horst-Graat, van der J.M.; Terpstra, J.S.; Kok, F.J.; Schouten, E.G.

    2007-01-01

    OBJECTIVE: Elderly people show an increased risk of acute respiratory infections and their complications. This increased susceptibility may be the result of immunosenescence. If lifestyle factors could influence the risk of the infections, this could result in great public health relevance. We inves

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

    Institute of Scientific and Technical Information of China (English)

    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.

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

    Science.gov (United States)

    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

  7. 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

    OpenAIRE

    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...

  8. Pain, range of motion and activity level as correlates of dynamic balance among elderly people with musculoskeletal disorder.

    Science.gov (United States)

    Bello, A I; Ababio, E; Antwi-Baffoe, S; Seidu, M A; Adjei, D N

    2014-12-01

    Assessment of impairment and disability measures on dynamic balance status of elderly patients is well documented in the rehabilitation of neuromuscular disorders. Few studies however considered similar evaluation in musculoskeletal disorders. To determine the influence of pain, hip range of motion and level of activity on dynamic balance among elderly people with hip osteoarthritis (OA). Elderly patients with hip OA participated in the cross-sectional survey. The impairment measures were assessed using the visual analogue scale and double-arm universal goniometer whilst their levels of activity were assessed with the Barthel Index. Participants performed Turn-180 on two trials by taking steps clockwise and anti-clockwise round a sturdy arm chair. The total number of steps taken to complete each Turn- 180 was determined. Descriptive statistics were used to summarize data whilst Pearson moment correlation coefficient determined the correlations of the variables at 95% confidence interval. The study involved 87 participants comprising 40(46%) males and 47(54%) females. The age of the participants ranged from 60 to 74 years with a mean of 65.8±4.5 years. There was a positive and significant correlation (r=0.596; pbalance of the sampled elderly patients was considerably influenced by pain, hip flexibility and level of activity, thereby putting premium on the assessment of the variables during musculoskeletal rehabilitation of elderly patients.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    OpenAIRE

    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...

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

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    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.

  12. Evaluation of stair climbing in elderly people.

    Science.gov (United States)

    Mustafaoğlu, Rüstem; Unver, Bayram; Karatosun, Vasfi

    2015-01-01

    Stair climbing is an important but neglected aspect of independent living. Clinicians should pay attention to the ability to negotiate stairs in elderly and disabled patients. The aim of this study was to determine the effects of age, gender, medication use, cognitive status, lower extremity pathology and pain on the activities of stair negotiation in the elderly population in Turkish society. Volunteer elderly people (254) were included the study. Participants were assessed in terms of their medication use, cognitive status, lower extremity pathology and pain and the activity of climbing the stairs. Significant differences were found on the activities of stair negotiation between the elderly with and without lower extremity pathology, with and without lower extremity pain, with and without medication use (pstair climbing (r= 0.24, pstair climbing is affected by age, medication use, the presence of lower extremity pathology and pain. We consider that this information will be helpful for planning an appropriate and effective rehabilitation programme for elderly people for decreasing their risk of falling and increasing their independence level during their activities of daily living.

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

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    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.

  14. Formal care for elderly people in Poland.

    Science.gov (United States)

    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.

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

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    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.

  16. [The assessment of autonomy in elderly people].

    Science.gov (United States)

    Benaim, C; Froger, J; Compan, B; Pélissier, J

    2005-07-01

    The assessment of autonomy in elderly people relies on various instruments that aim to evaluate and follow up patients, to measure the burden of care for the medical staff, or to properly distribute health budgets. In this article, we describe 3 clinical scales traditionally employed by gerontologists and specialists in geriatric rehabilitation. We intentionally left out generic scales such as the Barthel index and the Functional Independence Measure, which are well known by physiatrists. The Katz index is a scale of Activities of Daily Living, and the Lawton test is a scale of Instrumental Activities of Daily Living. We paid special attention to the AGGIR classification, which is the actual legal instrument for evaluating dependency in elderly in France, and whose first application is health resources management.

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

    NARCIS (Netherlands)

    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

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

    Science.gov (United States)

    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.

  19. [Sleep health education for elderly people].

    Science.gov (United States)

    Miyazaki, Soichiro; Nishiyama, Akiko

    2015-06-01

    Successful aging is characterized by minimal age-associated loss of the physiological functions of sleep and circadian clock. Sleep health education is necessary to have normal, quality nighttime sleep and full daytime alertness. Elderly people show changes of sleep parameters, accompanied by increased napping. Many studies have reported that daytime sleepiness or napping in elderly people could have potentially serious effects such as dementia and life-style related diseases. The main topics of sleep health education for elderly people are as follows: Right knowledge of sleep mechanism, understanding the bad influence of excessive napping, the effects of light on the circadian rhythm and negative effects of caffeine, alcohol and television.

  20. 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

    Directory of Open Access Journals (Sweden)

    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.

  1. The Effect of Music and Elderly People

    OpenAIRE

    Adigun, Taibat Olabopo

    2011-01-01

    The aim and research question of this study is the benefits of music among the elderly and how it contributes to quality of life in elderly people. A deductive content analysis method was used in this paper. All the materials were collected from academic search engine recommended by Arcada such as Ebsco, Sage, Google and couple of text books. The articles selected are scientific research and it deals with elderly people and music. The result of this study reveals that music has a very grea...

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    NARCIS (Netherlands)

    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

  6. [Managing infarctions in elderly people].

    Science.gov (United States)

    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.

  7. Symptoms of craniomandibular disorder among elderly people.

    Science.gov (United States)

    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.

  8. Polypharmacy and nutritional status in elderly people.

    Science.gov (United States)

    Jyrkkä, Johanna; Mursu, Jaakko; Enlund, Hannes; Lönnroos, Eija

    2012-01-01

    Increasing use of drugs among elderly people has raised concerns about possible negative health outcomes, including malnutrition, associated with polypharmacy. Evidence about the association of polypharmacy with nutritional status is scarce. This review summarizes the relevant evidence regarding polypharmacy and nutritional status in elderly people. The probability of nutritional problems as a consequence of drugs is highest in elderly people suffering from several diseases. Drug treatment may contribute to poor nutritional status by causing loss of appetite, gastrointestinal problems, and other alterations in body function. Some recently published studies add evidence on possible association between increasing number of drugs and malnutrition. Studies indicate also an association between polypharmacy and weight changes. In addition, there are available studies that have shown deficits in the intake of specific macronutrients and micronutrients (e.g. fiber, glucose, and specific vitamins) for those with a high number of drugs in use. On the basis of available evidence, the role of polypharmacy on nutritional status among elderly people is unclear. Some diseases promote malnutrition; thus, the independent role of drugs for nutritional status is challenging to determine. Longitudinal studies with careful adjustment for underlying diseases are needed to explore association between polypharmacy and malnutrition. Nutritional evaluation should be a routine part of comprehensive geriatric assessment that is conducted ideally in multiprofessional teams, including physician, pharmacist, and dietitian.

  9. [Abdominal obesity mediates the association between a low physical activity and a decline in gait speed in community-dwelling elderly people: A cross-sectional study].

    Science.gov (United States)

    Sugimoto, Taiki; Tsutsumimoto, Kota; Nakakubo, Sho; Murata, Shunsuke; Doi, Takehiko; Ono, Rei

    2016-01-01

    A low physical activity leads to obesity and a decline in the physical function. The aim of this cross-sectional study was to examine whether the association between a low physical activity and low physical function was mediated by obesity. A total of 73 community-dwelling elderly people participated in this study. The analysis included 56 participants without knee and hip osteoarthritis, low cognitive function (the Mini Mental State Examination score physical activity by a single axial accelerometer. The physical function was measured by the gait speed. Obesity was measured by the body mass index and waist circumference. To assess whether the association between the physical activity and physical function was mediated by obesity, linear regression models were fitted according to Baron and Kenny procedures for a mediation analysis. A p value physical activity and gait speed, whereas the waist circumference acted as a full mediator in the association between the physical activity and gait speed. An increased waist circumference mediates the association between a low physical activity and a low physical function in community-dwelling elderly people.

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

    OpenAIRE

    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...

  11. Automatic quiz generation for elderly people

    OpenAIRE

    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...

  12. Suicide in elderly people: a literature review.

    Science.gov (United States)

    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.

  13. Understanding and managing medication in elderly people.

    Science.gov (United States)

    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. Copyright © 2013 Elsevier Ltd. All rights reserved.

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

    Directory of Open Access Journals (Sweden)

    Sandra Ortlieb

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

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

    Science.gov (United States)

    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

  16. Walking aids for elderly people: a systematic overview

    Institute of Scientific and Technical Information of China (English)

    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.

  17. Physical activity in elderly

    Directory of Open Access Journals (Sweden)

    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.

  18. Physical Activity in Elderly

    Science.gov (United States)

    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

  19. Physical Activity in Elderly.

    Science.gov (United States)

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

    2015-08-24

    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.

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

    Science.gov (United States)

    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.

  1. Tolerance for uncertainty in elderly people

    Directory of Open Access Journals (Sweden)

    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

  2. Auditory Memory deficit in Elderly People with Hearing Loss

    Directory of Open Access Journals (Sweden)

    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

  3. Engaging Elderly People in Telemedicine Through Gamification.

    Science.gov (United States)

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

    2015-12-18

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

  4. Infinite possibility: clowning with elderly people.

    Science.gov (United States)

    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

    Science.gov (United States)

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

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

    Directory of Open Access Journals (Sweden)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

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

    NARCIS (Netherlands)

    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

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

    Science.gov (United States)

    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.

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

    DEFF Research Database (Denmark)

    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. Balance control in elderly people with osteoporosis.

    Science.gov (United States)

    Hsu, Wei-Li; Chen, Chao-Yin; Tsauo, Jau-Yih; Yang, Rong-Sen

    2014-06-01

    Osteoporosis is a prevalent health concern among older adults and is associated with an increased risk of falls that incur fracture, injury, or mortality. Identifying the risk factors of falls within this population is essential for the development of effective regimes for fall prevention. Studies have shown that muscle quality and good posture alignments are critical for balance control in elderly individuals. People with osteoporosis often have muscle weakness and increased spine kyphosis leading to vertebral fractures and poor balance control, or even falls. Therefore, improving muscle quality, strengthening weak muscles, and correcting postural alignment are essential elements for the prevention of falls and fractures in older adults with osteoporosis. This review reports the necessary information regarding the critical factors of balance control in older adults with osteoporosis, as well as testing the clinical innovations of exercise training to improve the long-term prognosis of osteoporosis in this vulnerable population. Copyright © 2014. Published by Elsevier B.V.

  14. Balance control in elderly people with osteoporosis

    Directory of Open Access Journals (Sweden)

    Wei-Li Hsu

    2014-06-01

    Full Text Available Osteoporosis is a prevalent health concern among older adults and is associated with an increased risk of falls that incur fracture, injury, or mortality. Identifying the risk factors of falls within this population is essential for the development of effective regimes for fall prevention. Studies have shown that muscle quality and good posture alignments are critical for balance control in elderly individuals. People with osteoporosis often have muscle weakness and increased spine kyphosis leading to vertebral fractures and poor balance control, or even falls. Therefore, improving muscle quality, strengthening weak muscles, and correcting postural alignment are essential elements for the prevention of falls and fractures in older adults with osteoporosis. This review reports the necessary information regarding the critical factors of balance control in older adults with osteoporosis, as well as testing the clinical innovations of exercise training to improve the long-term prognosis of osteoporosis in this vulnerable population.

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

    NARCIS (Netherlands)

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

    2008-01-01

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

  16. Sleep quality among community-dwelling elderly people and its demographic, mental, and physical correlates

    Directory of Open Access Journals (Sweden)

    Chia-Yi Wu

    2012-02-01

    Conclusion: Elderly depression symptoms was the only factor significantly associating with poor sleep quality after adjustment. Higher level of physical activity was associated with better sleep quality in univariate analysis but not in multivariate analysis, which considered the factor of elderly depression symptoms in the elderly. The role of physical activity in late life potentially influence sleep quality but may have less significance compared with depression. Therefore, we suggest the need for more future research to investigate the relationship between elderly people's sleep and physical activity.

  17. Elderly people with chronic disease in the knowledge society

    DEFF Research Database (Denmark)

    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...

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

    Directory of Open Access Journals (Sweden)

    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.

  19. Delirium in elderly people: a review

    Directory of Open Access Journals (Sweden)

    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.

  20. Subjective alertness rhythms in elderly people

    Science.gov (United States)

    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.

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

    OpenAIRE

    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...

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

    NARCIS (Netherlands)

    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

  3. An Exergame Concept for Improving Balance in Elderly People

    DEFF Research Database (Denmark)

    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...

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

    NARCIS (Netherlands)

    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

  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

    Directory of Open Access Journals (Sweden)

    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.

  6. Depression Often a Precursor to Falls in Elderly People

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_165985.html Depression Often a Precursor to Falls in Elderly People ... 26, 2017 FRIDAY, May 26, 2017 (HealthDay News) -- Depression appears to raise the risk of falls in ...

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

    Directory of Open Access Journals (Sweden)

    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.

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

    OpenAIRE

    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).

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

    Science.gov (United States)

    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.

  10. Mobility disability and life satisfaction in elderly people.

    Science.gov (United States)

    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.

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

    OpenAIRE

    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...

  12. 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

    Institute of Scientific and Technical Information of China (English)

    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.

  13. Occupational therapy for community dwelling elderly people: a systematic review.

    NARCIS (Netherlands)

    Steultjens, E.M.J.; Dekker, J.; Bouter, L.M.; Jellema, S.; Bakker, E.B.; Ende, C.H.M. van den

    2004-01-01

    OBJECTIVE: Occupational therapy might play an important role in maintaining independent living for community dwelling elderly people. The aim of this systematic review is to determine whether occupational therapy improves outcome for people who are >/=60 years and are living independently. METHODS:

  14. Surgery in elderly people: preoperative, operative and postoperative care to assist healing.

    Science.gov (United States)

    Hughes, Sarah; Leary, Antonella; Zweizig, Susan; Cain, Joanna

    2013-10-01

    Surgery for elderly women is likely to increase steadily as the population of elderly people increases globally. Although increasing age increases perioperative morbidity and mortality, the functional age and physiologic reserve rather than chronological age is more important in preventing complications. Preparation for surgery, with special attention to functional capacity and activity, mental status, and existing comorbid conditions, can improve outcomes. Perioperative management must be tailored to physiologic changes of ageing, which affect respiratory, cardiac and renal function, as well as guidelines for preventing infection and thrombotic events. Of particular note is the enhanced effect of narcotic medications in elderly people, which affects intraoperative and postoperative management of pain. Prevention of postoperative delirium is accomplished through preoperative and postoperative planning. Discharge planning, particularly for frail elderly people, must start before surgery. Copyright © 2013 Elsevier Ltd. All rights reserved.

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

    Directory of Open Access Journals (Sweden)

    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.

  16. Construct validity of a modified bathroom scale that can measure balance in elderly people.

    Science.gov (United States)

    Vermeulen, Joan; Neyens, Jacques C L; Spreeuwenberg, Marieke D; van Rossum, Erik; Hewson, David J; Duchêne, Jacques; de Witte, Luc P

    2012-09-01

    To investigate the construct validity of a bathroom scale measuring balance in elderly people. Cross-sectional study. Participants were recruited via nursing homes and an organization that provides exercise classes for community-dwelling elderly people. Nursing home patients were compared with active community-dwelling elderly people. Eligibility criteria for both groups were: aged 65 years or older and being able to step onto a bathroom scale independently. The balance measurement of the bathroom scale was compared with the following three clinical balance measurements: Performance Oriented Mobility Assessment (POMA), Timed Up and Go (TUG), and Four Test Balance Scale (FTBS). An independent samples t-test was performed to determine whether nursing home patients scored lower on these four balance tests compared with community-dwelling elderly people. Correlations were calculated between the bathroom scale balance scores and those of the clinical balance tests for nursing home patients and community-dwelling elderly people separately. Forty-seven nursing home patients with a mean age of 81 years (SD 6.40) and 54 community-dwelling elderly people with a mean age of 76 years (SD 5.06) participated in the study. The results showed that nursing home patients had significantly lower scores on all four balance tests compared with community-dwelling elderly people. Correlations between the bathroom scale scores and the POMA, TUG, and FTBS in nursing home patients were all significant: .49, -.60, and .63, respectively. These correlations were not significant in active community-dwelling elderly people, -.04, -.42, and .33, respectively. Linear regression analyses showed that the correlations for the bathroom scale and POMA, bathroom scale and TUG, and bathroom scale and FTBS did not differ statistically between nursing home patients and community-dwelling elderly people. These results suggest that the modified bathroom scale is useful for measuring balance in elderly people

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

    Directory of Open Access Journals (Sweden)

    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

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

    DEFF Research Database (Denmark)

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

    1993-01-01

    The purpose of this study was to test the construct validity of a measure of functional ability, developed with the intention of achieving a high degree of variability and capacity for discriminating among a group of healthy elderly people. Data were collected from 734 70-year-old people in Denmark...... in the county of Copenhagen. Functional ability was measured with the traditional activities of daily living and with a classification system developed specially for healthy elderly people. Construct validity was tested by the Rasch model for item analysis, addressing specifically the internal validity...

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

    OpenAIRE

    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...

  20. 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

    Institute of Scientific and Technical Information of China (English)

    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.

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

    Science.gov (United States)

    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.

  2. Diagnosing autism spectrum disorders in elderly people

    NARCIS (Netherlands)

    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

  3. Mobility for elderly people: market supply developments

    NARCIS (Netherlands)

    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

  4. Engaging elderly people in telemedicine through gamification

    NARCIS (Netherlands)

    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

  5. Engaging elderly people in telemedicine through gamification

    NARCIS (Netherlands)

    de Vette, Anna Frederiek Alberdien; Tabak, Monique; van Weering, Marit; Vollenbroek-Hutten, Miriam Marie Rosé

    2015-01-01

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

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  10. Spatiotemporal data visualisation for homecare monitoring of elderly people.

    Science.gov (United States)

    Juarez, Jose M; Ochotorena, Jose M; Campos, Manuel; Combi, Carlo

    2015-10-01

    Elderly people who live alone can be assisted by home monitoring systems that identify risk scenarios such as falls, fatigue symptoms or burglary. Given that these systems have to manage spatiotemporal data, human intervention is required to validate automatic alarms due to the high number of false positives and the need for context interpretation. The goal of this work was to provide tools to support human action, to identify such potential risk scenarios based on spatiotemporal data visualisation. We propose the MTA (multiple temporal axes) model, a visual representation of temporal information of the activity of a single person at different locations. The main goal of this model is to visualize the behaviour of a person in their home, facilitating the identification of health-risk scenarios and repetitive patterns. We evaluate the model's insight capacity compared with other models using a standard evaluation protocol. We also test its practical suitability of the MTA graphical model in a commercial home monitoring system. In particular, we implemented 8VISU, a visualization tool based on MTA. MTA proved to be more than 90% accurate in identify non-risk scenarios, independently of the length of the record visualised. When the spatial complexity was increased (e.g. number of rooms) the model provided good accuracy form up to 5 rooms. Therefore, user preferences and user performance seem to be balanced. Moreover, it also gave high sensitivity levels (over 90%) for 5-8 rooms. Fall is the most recurrent incident for elderly people. The MTA model outperformed the other models considered in identifying fall scenarios (66% of correctness) and was the second best for burglary and fatigue scenarios (36% of correctness). Our experiments also confirm the hypothesis that cyclic models are the most suitable for fatigue scenarios, the Spiral and MTA models obtaining most positive identifications. In home monitoring systems, spatiotemporal visualization is a useful tool for

  11. Tablets Helping Elderly and Disabled People

    OpenAIRE

    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 ...

  12. Communication and informed consent in elderly people.

    Science.gov (United States)

    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.

  13. Factors affecting medication adherence in elderly people

    Directory of Open Access Journals (Sweden)

    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

  14. Cognitive assessment on elderly people under ambulatory care

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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

  16. 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

    Institute of Scientific and Technical Information of China (English)

    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。

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

    NARCIS (Netherlands)

    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

  18. Body composition and energy metabolism in elderly people.

    NARCIS (Netherlands)

    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

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

    Science.gov (United States)

    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…

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

    Science.gov (United States)

    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.

  1. Elderly people´s definition of quality of life

    Directory of Open Access Journals (Sweden)

    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

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

    Science.gov (United States)

    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.

  3. Receptive Vocabulary and Cognition of Elderly People in Institutional Care.

    Science.gov (United States)

    Ibrahimagic, Amela; Zunic, Lejla Junuzovic; Ibrahimagic, Omer C; Smajlovic, Dzevdet; Rasidovic, Mirsada

    2017-06-01

    Basic cognitive functions such as: alertness, working memory, long term memory and perception, as well as higher levels of cognitive functions like: speech and language, decision-making and executive functions are affected by aging processes. Relations between the receptive vocabulary and cognitive functioning, and the manifestation of differences between populations of elderly people based on the primary disease is in the focus of this study. To examine receptive vocabulary and cognition of elderly people with: verified stroke, dementia, verified stroke and dementia, and without the manifested brain disease. The sample consisted of 120 participants older than 65 years, living in an institution. A total of 26 variables was analyzed and classified into three groups: case history/anamnestic, receptive vocabulary assessment, and cognitive assessments. The interview with social workers, nurses and caregivers, as well as medical files were used to determine the anamnestic data. A Montreal Cognitive Assessment Scale (MoCA) was used for the assessment of cognition. In order to estimate the receptive vocabulary, Peabody Picture Vocabulary Test was used. Mean raw score of receptive vocabulary is 161.58 (+-21:58 points). The best results for cognitive assessment subjects achieved on subscales of orientation, naming, serial subtraction, and delayed recall. Discriminative analysis showed the significant difference in the development of receptive vocabulary and cognitive functioning in relation to the primary disease of elderly people. The biggest difference was between subjects without manifested brain disease (centroid = 1.900) and subjects with dementia (centroid = -1754). There is a significant difference between elderly with stroke; dementia; stroke and dementia, and elderly people without manifested disease of the brain in the domain of receptive vocabulary and cognitive functioning. Variables of serial subtraction, standardized test results of receptive vocabulary

  4. Musical Neurofeedback for Treating Depression in Elderly People

    Directory of Open Access Journals (Sweden)

    Rafael eRamirez

    2015-10-01

    Full Text Available We introduce a new neurofeedback approach, which allows users to manipulate expressive parameters in music performances using their emotional state, and present the results of a pilot clinical experiment applying the approach to alleviate depression in elderly people. Ten adults (9 female, mean=84, SD=5.8 with normal hearing participated in the neurofeedback study consisting of 10 sessions of 15 minutes each. EEG data was acquired using the Emotiv EPOC EEG device. In all sessions, participants listened to music pieces preselected according to their music preferences, and were encouraged to increase the loudness and tempo of the pieces, based on their arousal and valence levels. Increased arousal, computed as beta to alpha activity ratio in the frontal cortex corresponded to increased loudness, and increased valence, computed as relative frontal alpha activity in the right lobe compared to the left lobe, corresponded to increased tempo. Pre and post evaluation of 6 participants was performed using the BDI depression test, showing an average improvement of 17.2% (1.3 in their BDI scores at the end of the study. In addition, an analysis of the collected EEG data of the participants showed a significant decrease of relative alpha activity in their left frontal lobe.

  5. Loneliness and Its Related Factors among Elderly People in Yazd

    Directory of Open Access Journals (Sweden)

    Mahmood Vakili

    2017-06-01

    Full Text Available Introduction: Old people appear to be most prone to loneliness and depression perhaps because of decrease in their ability in daily livings, increase in morbidity, loss of close ties caused by loss of friends and spouses. This study was conducted for investigation of the loneliness and its related factors in elderly people in Yazd. Methods: In this cross sectional study, 200 old people (over 60 years old from three zone; health centers, nursing home and retirement center by convenient sampling method. Data was collected by UCLA Loneliness Scale that was consisting of 20 items for loneliness measurement. Scores 41 and more defined as loneliness. Collected data was analyzed by proper statistical tests with SPSS software. Results: Results showed that 71 % of subjects had Not Feel Lonely, 24 % moderate and 5 % severe felling of loneliness. Factors such as level of education, marital status, numbers of daughter and sons, previous job, residence site, current job status, living in nursing home, insufficient income, place of praying, sleep quantity and quality of sleep and feeling of healthy were associated with  loneliness status (p < 0.05. Conclusion: Our findings showed loneliness is common in elderly that support needs for more investigations and attention to loneliness related factors, educational courses conduction for family to take care of their elders, preparing of recreational measures and social support groups to decrease the loneliness in old people and so they spend this period by good and healthy sensation. 

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  9. Human immunodeficiency virus in institutionalized elderly people

    Directory of Open Access Journals (Sweden)

    Milton Luiz Gorzoni

    Full Text Available ABSTRACT CONTEXT AND OBJECTIVE: A search in the SciELO and PubMed databases showed few studies on human immunodeficiency virus (HIV positive individuals in long-term care institutions (LTCIs, thus prompting the present study. The aim of this study was to ascertain whether there were any HIV-positive individuals in LTCIs for the elderly. DESIGN AND SETTING: Cross-sectional study in which the Hospital Infection Control Committee (HICC of a 405-bed LTCI was consulted. METHODS: The medical records of 405 individuals interned in the LTCI who had been tested for HIV infection were requested for analysis of the following variables: [1] age and gender; [2] length of stay at LTCI (months; [3] causes and diagnoses on admission to LTCI according to International Classification of Diseases, 10th edition; [4] date of HIV diagnosis; [5] seropositivity for syphilis and hepatitis B and C viruses; [6] medications used at last prescription in medical file; and [7] mean CD4 lymphocyte count based on: total lymphocyte count/6 and total lymphocyte count x 0.8 x 0.2 or 0.3. RESULTS: Four men were HIV-positive, with mean age 71.2 ± 8.6 years, LTCI stay 74.2 ± 38.1 months and length of HIV diagnosis 24.5 ± 17 months (confirmed by HICC standard screening. Three had stroke sequelae; one, dementia syndrome; two, seropositivity for syphilis; two, hepatitis B and one, hepatitis C. The main drugs used were lamivudine, zidovudine, lopinavir, ritonavir, levothyroxine, omeprazole, ranitidine, lactulose and risperidone. The estimated CD4 count was 341 ± 237/mm3. CONCLUSIONS: HIV-positive individuals are present in LTCIs, diagnosable through serological screening and treatable with antiretroviral drugs.

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

    NARCIS (Netherlands)

    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

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

    OpenAIRE

    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...

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

    OpenAIRE

    Molla Mesele Wassie

    2014-01-01

    "Background: Nutritional status of elderly is an important determinant of their health and quality of life. Elderly people are more vulnerable for nutritional insults as compared to adults. Undernutrition among elderly people is becoming significantly high regardless of the progress on health care system. This study was aimed to assess prevalence and associated factors of under nutrition among elderly people in Gondar town, Northwest Ethiopia. Methods: A community based cross-sectional st...

  13. 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

    Institute of Scientific and Technical Information of China (English)

    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.

  14. 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

    Institute of Scientific and Technical Information of China (English)

    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

  15. Postural violations in elderly people according to computer stabilometry

    Directory of Open Access Journals (Sweden)

    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.

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

    OpenAIRE

    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,...

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

    Science.gov (United States)

    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

  18. Strategic targeted exercise for preventing falls in elderly people.

    Science.gov (United States)

    Zheng, Jiejiao; Pan, Yujian; Hua, Yinghui; Shen, Haimin; Wang, Xueqiang; Zhang, Ying; Fan, Yujing; Yu, Zhuowei

    2013-04-01

    Randomized, controlled, blinded trial to evaluate the effectiveness of strategic targeted exercise for preventing falls in elderly people. Elderly people were randomly allocated to either a control group that received conventional exercise, or a training group that received conventional exercise plus proprioception and cognitive exercises. Subjects were asked to exercise three times a week (40 min per session) for 8 weeks. In the pre- and post-training sessions, all participants were assessed using a static postural control test with eyes open and closed, the Berg Balance Scale (BBS) and the joint position sense test of the lower limbs. After 8 weeks, there were statistically significant improvements in the training group (n = 50) compared with the control group (n = 50) for mediolateral sway distance with eyes open and eyes closed, anteroposterior sway distance with eyes open but not with eyes closed, BBS scores and joint position sense test for the left but not the right knee. This study demonstrated that strategic targeted exercise could produce more beneficial effects on balance and proprioception function than conventional exercise alone, in elderly people.

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

    NARCIS (Netherlands)

    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,

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

    NARCIS (Netherlands)

    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,

  1. Food Accessibility and Perceptions of Shopping Difficulty among Elderly People Living Alone in Japan.

    Science.gov (United States)

    Ishikawa, M; Yokoyama, T; Nakaya, T; Fukuda, Y; Takemi, Y; Kusama, K; Yoshiike, N; Nozue, M; Yoshiba, K; Murayama, N

    2016-01-01

    This aim of this study was to describe the association between shopping difficulty and food accessibility for elderly people living alone in Japan. A cross-sectoral, multilevel survey was designed to measure shopping difficulty from a food accessibility perspective. The questionnaire was distributed by mail. The sample was drawn from seven towns and cities across Japan. A geographic information system was used to select the sample: it identified the proximity of elderly people living alone to a supermarket. In total, 2,028 elderly people (725 men and 1,303 women) responded to the questionnaire. The binary dependent variables were shopping is easy/shopping is difficult. A logistic regression analysis adjusting for age and area of residence and using stepwise variable analyses was performed. The response rate was 58.6%. Overall, 14.6% of elderly men and 21.7% of elderly women consider shopping difficult. The stepwise logistic analysis showed that the food accessibility factors strongly related to shopping difficulty are infrequent car use (women: OR = 6.97), walking difficulties (men: OR = 2.81, women: OR = 3.48), poor eyesight (men: OR = 2.26, women: OR = 1.75), not cooking lunch by oneself (men: OR = 1.63, women: OR = 1.72), not having anyone to help with food shopping (women: OR = 1.45) and living over 1 km away from a supermarket (men: OR = 2.30, women: OR = 2.97). The study concludes that elderly people's assessment of shopping difficulty is related to their food accessibility. Important food accessibility aspects include car or motorbike ownership, walking continuously for 1 km, poor eyesight, and having cooking skills and having someone to help with shopping. These physical activity restrictions have a greater influence on shopping difficulty than do either income or proximity to a supermarket.

  2. Musical neurofeedback for treating depression in elderly people

    Science.gov (United States)

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

    2015-01-01

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

  3. Environmental variables and levels of exhaled carbon monoxide and carboxyhemoglobin in elderly people taking exercise.

    Science.gov (United States)

    Salicio, Marcos Adriano; Mana, Viviane Aparecida Martins; Fett, Waléria Christiane Rezende; Gomes, Luciano Teixeira; Botelho, Clovis

    2016-04-01

    This article aims to analyze levels of exhaled carbon monoxide, carboxyhemoglobinand cardiopulmonary variables in old people practicing exercise in external environments, and correlate them with climate and pollution factors. Temporal ecological study with118 active elderly people in the city of Cuiabá, in the state of Mato Grosso, Brazil. Data were obtained on use of medication, smoking, anthropometric measurements, spirometry, peak flow, oxygen saturation, heart rate, exhaled carbon monoxide, carboxyhemoglobin, climate, number of farm fires and pollution. Correlations were found between on the one hand environmental temperature, relative humidity of the air and number of farmers' fires, and on the other hand levels of carbon monoxide exhaled and carboxyhemoglobin (p elderly people, environmental factors influence levels of exhaled carbon monoxide, carboxyhemoglobin and heart rate. There is thus a need for these to be monitored during exercise. The use of a carbon monoxide monitor to evaluate exposure to pollutants is suggested.

  4. Elderly people in many respects benefit from interaction with dogs

    Directory of Open Access Journals (Sweden)

    Scheibeck R

    2011-12-01

    Full Text Available Abstract Over the course of evolution, humans and animals have entered into a close relationship. By domesticating animals, humans were able to use them to their own advantage. However, animals should not only be seen as mere providers of material value; in fact, they actually enrich humans' lives on an emotional level. The classic examples for this evolution are dogs: they are considered loyal companions, particularly for children and elderly people. This relationship between humans and animals is the subject of this research study and is examined from a gerontological perspective by employing qualitative social research methods. Conclusion: The results of the study reveal the manifold meanings that pets - in particular dogs - can and do have to the elderly. At this point, it should also be noted that there is still a strong need for further research into this topic from a gerontological perspective.

  5. Preventive home visits to elderly people in Denmark

    DEFF Research Database (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......, manageable and ongoing educational intervention towards professionals working with preventive home visits is feasible and improves older people's functional mobility.......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...

  6. [Evaluation of some selected structural and functional parameters of red blood cells as oxidative stress markers in elderly people].

    Science.gov (United States)

    Kujawski, K; Kedziora-Kornatowska, K; Koter, M; Duchnowicz, P; Rysz, J; Markuszewski, L; Błaszczak, R; Kornatowski, T; Grześk, G; Kedziora, J; Olszewski, R

    2005-12-01

    The ageing process induces age-related involutionary changes and leads to increased occurrence of many diseases. One of the most important theories of ageing and development of many pathologies is the free radical theory, which assumes that ageing process leads to lost of oxidative balance. of the research was to evaluate the degree of membrane lipid peroxidation, internal microviscosity, activity of membrane ATPase, both total and Na(+)K(+)-dependent, and markers of oxidative damage in erythrocyte membrane protein in elderly people. The examination was performed on 35 people. The examined group (15 persons, mean age 71,3) consisted of healthy elderly people. The reference group was formed with younger healthy people (20 persons, mean age 55). Erythrocyte membrane lipid peroxidation was found stronger in the group of elderly people. Erythrocyte internal microviscosity was significantly higher in the elderly. The activity of ATPase, both total and Na(+)K(+)-dependent, appeared remarkably greater in the group of younger people. Stronger membrane lipid damage was observed in older age group, which may be implied by lower--SH group concentration, and higher W/S parameter value. The obtained results reveal that in elderly people the intensification of oxidative stress in the entire body occurs, which may be confirmed by structural and functional oxidative erythrocyte damage. This conclusion may be significant for pathogenesis of many diseases in this period of life.

  7. Active video gaming to improve balance in the elderly

    NARCIS (Netherlands)

    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

  8. Active video gaming to improve balance in the elderly

    NARCIS (Netherlands)

    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

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

    Science.gov (United States)

    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.

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

    OpenAIRE

    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...

  11. 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

    Directory of Open Access Journals (Sweden)

    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.

  12. 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

    Directory of Open Access Journals (Sweden)

    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.

  13. Successful images of successful ageing? Representations of vigorous elderly people in a Swedish educational television programme

    National Research Council Canada - National Science Library

    Wallander, Kristina

    2013-01-01

    ..., conceptualized as successful ageing. The present article demonstrates how representations of vigorous elderly people are construed in the programme VeteranTV, produced by UR, Swedish educational television...

  14. 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

    Institute of Scientific and Technical Information of China (English)

    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。

  15. Interrelationship of oral health status, swallowing function, nutritional status, and cognitive ability with activities of daily living in Japanese elderly people receiving home care services due to physical disabilities.

    Science.gov (United States)

    Furuta, Michiko; Komiya-Nonaka, Manae; Akifusa, Sumio; Shimazaki, Yoshihiro; Adachi, Munehisa; Kinoshita, Toshinori; Kikutani, Takeshi; Yamashita, Yoshihisa

    2013-04-01

    Malnutrition and cognitive impairment lead to declines in activities of daily living (ADL). Nutritional status and cognitive ability have been shown to correlate with oral health status and swallowing function. However, the complex relationship among the factors that affect decline in ADL is not understood. We examined direct and indirect relationships among oral health status, swallowing function, nutritional status, cognitive ability, and ADL in Japanese elderly people living at home and receiving home care services because of physical disabilities. Participants were 286 subjects aged 60 years and older (mean age, 84.5±7.9 years) living at home and receiving home care services. Oral health status (the number of teeth and wearing dentures) was assessed, and swallowing function was examined using cervical auscultation. Additionally, ADL, cognitive ability, and nutritional status were assessed using the Barthel Index, the Clinical Dementia Rating Scale, and the Mini Nutritional Assessment-Short Form, respectively. Path analysis was used to test pathways from these factors to ADL. The mean number of teeth present in the participants was 8.6±9.9 (edentates, 40.6%). Dysphagia, malnutrition, and severe cognitive impairment were found in 31.1%, 14.0%, and 21.3% of the participants, respectively. Path analysis indicated that poor oral health status and cognitive impairment had a direct effect on denture wearing, and the consequent dysphagia, in addition to cognitive impairment, was positively associated with malnutrition. Malnutrition as well as dysphagia and cognitive impairment directly limited ADL. A lower number of teeth are positively related to swallowing dysfunction, whereas denture wearing contributes to recovery of swallowing function. Dysphagia, cognitive impairment, and malnutrition directly and indirectly decreased ADL in elderly people living at home and receiving home nursing care. The findings suggest that preventing tooth loss and encouraging denture

  16. Activities for Older People

    Institute of Scientific and Technical Information of China (English)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

  18. Neurophysiological basis of creativity in healthy elderly people: a multiscale entropy approach.

    Science.gov (United States)

    Ueno, Kanji; Takahashi, Tetsuya; Takahashi, Koichi; Mizukami, Kimiko; Tanaka, Yuji; Wada, Yuji

    2015-03-01

    Creativity, which presumably involves various connections within and across different neural networks, reportedly underpins the mental well-being of older adults. Multiscale entropy (MSE) can characterize the complexity inherent in EEG dynamics with multiple temporal scales. It can therefore provide useful insight into neural networks. Given that background, we sought to clarify the neurophysiological bases of creativity in healthy elderly subjects by assessing EEG complexity with MSE, with emphasis on assessment of neural networks. We recorded resting state EEG of 20 healthy elderly subjects. MSE was calculated for each subject for continuous 20-s epochs. Their relevance to individual creativity was examined concurrently with intellectual function. Higher individual creativity was linked closely to increased EEG complexity across higher temporal scales, but no significant relation was found with intellectual function (IQ score). Considering the general "loss of complexity" theory of aging, our finding of increased EEG complexity in elderly people with heightened creativity supports the idea that creativity is associated with activated neural networks. Results reported here underscore the potential usefulness of MSE analysis for characterizing the neurophysiological bases of elderly people with heightened creativity. Copyright © 2014 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

  19. [Pernicious anemia and autoimmune thyroid diseases in elderly people].

    Science.gov (United States)

    Velarde-Mayol, Cristina; de la Hoz-García, Benito; del Cañizo-Fernández-Roldán, Carlos; Hernández-López, Alba Marina; Loza-Candia, Isabel; Cardona-Hernández, Andrea

    2015-01-01

    Autoimmune thyroid diseases (ATD), and pernicious anemia (PA) in particular, are common in elderly people. The relationship between both of these is currently being discussed. The objective of this study is to determine the correlation between ATD and PA in elderly people, and if there are other associated factors affecting this relationship. The factors studied to analyse this association were social-health variables, autoimmune comorbidity (type 1 diabetes and other autoimmune diseases), the taking of drugs that alter vitamin B12 levels (Metformin and protein bomb inhibitors), and the chronological order in which both diseases appear in this population. A logistic regression analysis was performed to determine which of the described variables could have an on both diseases. The prevalence was 8.2% for ATD and 3.3% for PA, with a progressive increase in the annual incidence in the past 10 years from 7.1 to 12.7 cases per 1,000 persons>65 years for ATI, and from 1.6 to 7.4 cases for PA. PA was found in 18.6% of the patients with ATD, and the 45% of PA presented with ATD, mainly in women (RR=6.0). The average time in diagnosing the second disease was about 8 years. When there was a third autoimmune disease the likelihood of ATD and PA increased fourfold. Patients with ATD and consuming drugs which were affecting the absorption of vitamin B12 had double the probability of developing a PA compared with those who were not taking medications. The results of this study confirm the association between ATI and AP among people 65 or older, also a progressive increase in the incidence of these diseases. Copyright © 2014 SEGG. Published by Elsevier Espana. All rights reserved.

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

    Institute of Scientific and Technical Information of China (English)

    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

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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…

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

    NARCIS (Netherlands)

    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

  4. Food for talk: Photo frames to support social connectedness for elderly people in a nursing home

    NARCIS (Netherlands)

    Biemans, Margaretha Catharina Maria; van Dijk, Elisabeth M.A.G.; Norros, L.; Koskinen, H.; Salo, S.; Savioja, P.

    2009-01-01

    Social connectedness is crucial to someone’s well-being. A case study is conducted to test whether the social connectedness of elderly people living in a nursing home and their family and friends can be improved through a photo frame. A SIM-based photo frame is used to keep the elderly people

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

    Science.gov (United States)

    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…

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

    Science.gov (United States)

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

    2013-01-01

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

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

    Directory of Open Access Journals (Sweden)

    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.

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

    NARCIS (Netherlands)

    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

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

    NARCIS (Netherlands)

    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

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

    Science.gov (United States)

    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.

  11. Lower-limb warming improves sleep quality in elderly people living in nursing homes

    Directory of Open Access Journals (Sweden)

    Chika Oshima-Saeki

    Full Text Available Sleep disturbances are common in older people. This study was conducted to examine the effects of a hot pack, which was used to warm the lower limbs, on the sleep of elderly people living in a nursing home. This is a prospective cohort involving seven elderly women. Subjects aged 74-93 years old were treated by warming the lower limbs for 40 minutes using hot packs every night over 8 weeks. A hot pack made of a dense polymer and warmed in a microwave oven was used as a warming device. In the first and last week, the subjects were required to wear an activity monitor to determine their sleep-awake status. During the second to ninth week, they received limb-warming treatment by a hot pack heated to 42ºC for 40 min every night. Surface skin temperature data were collected by thermographic measurement. As a result, lower-limb warming by a hot pack significantly improved the quality of sleep in the subjects. During warming, the surface temperature of the hands and face rose by approximately 0.5-1.5ºC. This study showed that lower-limb warming with a hot pack reduced sleep latency and wake episodes after sleep onset; thus, improving the quality of sleep in elderly people living in a nursing home.

  12. Frailty in elderly people with chronic kidney disease.

    Science.gov (United States)

    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. Copyright © 2016 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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!').

  15. MOTIVATIONAL FACTORS FOR PHYSICAL ACTIVITY IN THE ELDERS

    Directory of Open Access Journals (Sweden)

    J. Parreira

    2015-04-01

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

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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

  18. Temporal and regional variations in accidental deaths of elderly people in Japan.

    Science.gov (United States)

    Kibayashi, Kazuhiko; Shimada, Ryo; Nakao, Ken-Ichiro

    2013-07-01

    To ascertain the characteristics of accidental deaths of elderly people in urban and rural areas, we analyzed the deaths of elderly people over the 10-year period from 2000 to 2009, in three geographic areas: nationwide, in the 23 wards of the metropolis of Tokyo, and in Saga prefecture. In addition, to assess the regional variation in accidental deaths of the elderly, we aggregated the numbers of accidental deaths of elderly people for each of Japan's prefectures in the year 2009 and categorized the deaths by accident type. The results showed that nationwide, deaths due to threats to breathing, falls, and drowning and submersion are increasing, while deaths due to transport accidents are decreasing, indicating a need for measures to prevent deaths from accidents other than transport accidents. In the urban areas of Tokyo's 23 wards, there is an increasing incidence of deaths due to falls, which is likely due to the high number of structures such as buildings and railway stations that elderly people need to negotiate. In urban areas, measures to reduce the incidence of accidental deaths need to focus on improving the physical environment to help prevent falls. In the rural locality of Saga prefecture, increasing numbers of elderly people are dying by drowning and submersion. The results of analysis of accidents in all prefectures of Japan by accident type show that the causes of accidental deaths of elderly people vary regionally, suggesting that accident prevention measures for elderly people need to consider the characteristics of the locality.

  19. [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].

    Science.gov (United States)

    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.

  20. 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

    Institute of Scientific and Technical Information of China (English)

    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

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

    OpenAIRE

    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...

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

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    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  6. Effect of multi-sensory balance training for unsteady elderly people: pilot study of the "Reykjavik model".

    Science.gov (United States)

    Kristinsdottir, Ella Kolbrun; Baldursdottir, Bergthora

    2014-01-01

    To evaluate effects of combined mechano- and proprioceptive, vestibular and fall-prevention training on postural control, functional ability, confidence in activities of daily living (ADL) and frequency of falls among unsteady elderly people. Subjects were 37 elderly outpatients attending physiotherapy because of instability. Treatment consisted of 18 multisensory balance training sessions. RESULTS from Sensory Organization Test, Five-Times-Sit-to-Stand Test, 30-m normal and fast walk with a turn, Ascending-Descending 11 steps and Activities-specific Balance Confidence Scale were compared before and after training. Information was gathered about number of falls 1 year prior to training, during training period and for 6 months after completion of training. Significant improvement was observed in all measured parameters (p elderly people.

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

    Science.gov (United States)

    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.

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

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    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.

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

    Science.gov (United States)

    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.

  10. CARE FOR HEALTH AMONG ELDERLY PEOPLE: EXPERTS’ OPINION INTERPRETATION

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    Elena Viacheslavovna Chernyshkova

    2017-03-01

    Full Text Available The main objective of the paper is to determine the most important health preserving practices widely used among the elderly employees. Materials and methods: data were provided by sociological qualitative research method – semi-structured expert interview conducted in Saratov in 2015. The respondents included 10 doctors of Saratov polyclinics (7 women and 3 men of different specialties: therapists, neurologists, endocrinologists, cardiologist, allergist-immunologist, gerontologist. The survey’s key findings were discussed and analyzed. It is revealed that the majority of working pensioners do not apply for professional medical care. It is explained by the fact that the representatives of working elderly population predominantly focus on avoidance of unhealthy habits, rational labour and rest regimen, diminished conditions of work, adequate physical activity and health resort treatment. The aim of the research is also to stress that such practices as self-medication and mass media advertising for prescription drugs may worsen the health status of individuals of a sociogeriatric group.

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

    Science.gov (United States)

    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

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

    OpenAIRE

    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...

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

    Science.gov (United States)

    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.

  14. Wheelchair Navigation System for Disabled and Elderly People

    Science.gov (United States)

    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

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

    Directory of Open Access Journals (Sweden)

    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

  16. [Relationship between prevalent features of central obesity and clustering of cardiometabolic diseases among Chinese elder people].

    Science.gov (United States)

    Jiang, Yong; Zhang, Mei; Li, Yi-chong; Li, Xiao-yan; Wang, Li-min; Zhao, Wen-hua

    2013-09-01

    To study the relationship between prevalence of central obesity and clustering of cardiometabolic diseases among Chinese elder people over 60 years old. A complex multistage stratified sampling survey on chronic diseases was conducted in 162 surveillance points, 31 provinces, China in 2010 by China CDC. The survey included face-to-face interview, physical measurement (body height, weight, waist circumference (WC) and blood pressure) and laboratory test (blood sugar, blood lipid and hemoglobin A1C), to collect the information about the prevalence of the risk factors as smoking, drinking, diet and physical activities and the prevalence of hypertension, diabetes and dyslipidemia. The survey selected 19 966 subjects who were over 60 years old. Central obesity was defined as WC ≥ 85 cm in males or ≥ 80 cm in females. The prevalence of central obesity among the elder people over 60 years old in different districts and populations was calculated; and the proportion of cardiometabolic diseases in groups of different WC was then analyzed. The prevalence of central obesity among elderly population over 60 years old was 48.6% (95%CI:46.1%-51.2%), including 39.7% (95%CI:37.2%-42.2%) males and 57.3% (95%CI:54.5%-60.1%) females. The proportion of females was higher than that of males (χ(2) = 474.63, P central obesity among elderly men. There was no significant association among females. The higher the family income, the higher the prevalence of central obesity. The prevalence of central obesity was 59.2% in urban area, which was much higher than that in rural area (43.5%) (χ(2) = 50.06, P central obese. The proportion of cardiometabolic diseases among central obesity was significantly higher than that among non-obese population. We should pay more concern about them in the future prevention and control of chronic diseases.

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

    Directory of Open Access Journals (Sweden)

    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

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

    Science.gov (United States)

    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.

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

    NARCIS (Netherlands)

    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 +/-

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  2. Depression and issues of control among elderly people in health care settings.

    Science.gov (United States)

    Barder, L; Slimmer, L; LeSage, J

    1994-10-01

    This descriptive study investigated the relationship between both demographic characteristics and type of health care setting and elderly people's attributions for control, functional status, mood, type of helplessness, and perception of self-efficacy. Results of the study demonstrate that elderly people in long-term care settings are more vulnerable to experiencing learned helplessness and depression than elderly people in acute or rehabilitation settings. The findings indicate that the critical period for the development of learned helplessness and depression is for subjects with a length of stay of 7 weeks to 6 months. The study supports other research which concludes that depression in elderly people is better explained by the original learned helplessness theory rather than being related to attributions about the cause of loss of control.

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

    National Research Council Canada - National Science Library

    Yang, Lei; Martikainen, Pekka; Silventoinen, Karri

    2016-01-01

    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...

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

    Science.gov (United States)

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

    2015-09-01

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

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

    NARCIS (Netherlands)

    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

  6. Swallowing Function and Nutritional Status in Japanese Elderly People Receiving Home-care Services: A 1-year Longitudinal Study.

    Science.gov (United States)

    Okabe, Y; Furuta, M; Akifusa, S; Takeuchi, K; Adachi, M; Kinoshita, T; Kikutani, T; Nakamura, S; Yamashita, Y

    2016-01-01

    Malnutrition is a serious health concern for frail elderly people. Poor oral function leading to insufficient food intake can contribute to the development of malnutrition. In the present study, we explored the longitudinal association of malnutrition with oral function, including oral health status and swallowing function, in elderly people receiving home nursing care. Prospective observational cohort study with 1-year follow-up. Two mid-sized cities in Fukuoka, Japan from November 2010 to March 2012. One hundred and ninety-seven individuals, aged ≥ 60 years, living at home and receiving home-care services because of physical disabilities, without malnutrition. Oral health status, swallowing function, taking modified-texture diets such as minced or pureed foods, nutritional status, cognitive function, and activities of daily living were assessed at baseline. The associations between malnutrition at 1-year follow-up and these related factors were analyzed using a logistic regression model. Swallowing disorders [risk ratio (RR): 5.21, 95% confidence interval (95% CI): 1.65-16.43] were associated with malnutrition. On the other hand, oral health status did not have a direct association with malnutrition. Swallowing disorders may be associated with the incidence of malnutrition in elderly people receiving home-care. The findings indicate that maintaining swallowing function may contribute to the prevention of malnutrition in frail elderly people.

  7. Postural balance and functional independence of elderly people according to gender and age: cross-sectional study.

    Science.gov (United States)

    Nakagawa, Helen Benincasa; Ferraresi, Juliana Rizzatto; Prata, Melina Galetti; Scheicher, Marcos Eduardo

    2017-01-01

    Aging causes changes in men and women. Studies have shown that women have worse postural balance and greater functional dependence than men, but there is no consensus regarding this. The aim of this study was to compare the balance and functional independence of elderly people according to sex and age, and to evaluate the association between postural balance and the number of drugs taken. Cross-sectional at a state university. 202 elderly people were evaluated regarding balance (Berg Scale), independence (Barthel Index), age, sex, number of medications and physical activity. The subjects comprised 117 women (70.2 ± 5.6 years old) and 85 men (71.1 ± 6.9 years old). For balance, there was no significant difference regarding sex, but there was a difference regarding age (P Elderly people who took three or more medications/day showed higher risk of falling than those who took up two drugs/day (odds ratio = 5.53, P balance. However, people who were more elderly presented a high risk of falling. Functional dependence was worse among females. There was an association between the number of medication drugs and risk of falling.

  8. BARRIERS TO PHYSICAL ACTIVITY IN THE ELDERLY

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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

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

    Science.gov (United States)

    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.

  11. Challenges of human resource management in the institutions for care of elderly people

    Science.gov (United States)

    Lepir, Lj; Šćepović, D.; Radonjić, A. R.

    2017-05-01

    Human resources are the most important resources of any work organization or institution. They are the bearers of the work process and are key in determining the quality of a product or service. The staff employed in an institution contributes with their work to its business success which is why the institution management should pay close attention to human resources management. Functionally, the successful management of social protection institutions implies the attainment of balance in the process of satisfying interests of beneficiaries, interests of the institution management (founder-owner), and interests of the employees (service providers to elderly people). Interests of beneficiaries (elderly people) who are placed in residential care are reflected in the need for high quality and accessible services. Interests of the institution management are recognized as the need to achieve economically sustainable and profitable institution. An interest of direct service providers (employed caregivers, social workers, etc.) is in the safe premises and good working conditions. The term “human resources” in institutions of social protection implies overall knowledge, skills, abilities, creative capabilities, motivation, loyalty and personal characteristics owned by employees in the institution. It is the overall intellectual and emotional energy of employees that the management can count on and that can be engaged to achieving the objectives of the institution. The objectives of human resource management in social protection institutions are related to providing capability with job demands, fulfillment of professional and optimal number of competent workers, improving socio-economic status of employees, ensuring full time engagement of workers, improving the quality of work conditions and work environment, creating and maintaining a flexible and adaptive potential of employees, reducing resistance and increasing the sensitivity of employees to changes in the

  12. PSYCHOLOGICAL FACTORS OF LABOR ACTIVITY OF ELDERLY MAN

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    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.

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

    Science.gov (United States)

    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…

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

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    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.

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

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    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.

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

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    Marlene Lopes

    2012-07-01

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

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

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

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    Margarita Rosa Pino Juste

    2015-05-01

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

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

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    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.

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

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    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

  3. Effectiveness of treadmill training on balance control in elderly people: a randomized controlled clinical trial.

    Science.gov (United States)

    Pirouzi, Soraya; Motealleh, Ali Reza; Fallahzadeh, Fatemeh; Fallahzadeh, Mohammad Amin

    2014-11-01

    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. IRCT201209199440N2.

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

    NARCIS (Netherlands)

    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

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

    NARCIS (Netherlands)

    van Stralen, Karlijn J.; Doggen, Catharina Jacoba Maria; 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 venous

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

    Science.gov (United States)

    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…

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

    Science.gov (United States)

    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…

  8. Why do elderly people choose to live in a community home? A study among French population

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    Rioux, L.

    2010-11-01

    Full Text Available Considering the fact that most of the elderly people wish to rest in their home for as long as possible, we have asked ourselves why some choose to move in a retirement hostel at their free will. To answer this question, 32 semi-structured interviews were recorded among elderly people living in the region Centre, France. The cluster analysis of the obtained answers reveals four types of profiles corresponding to people for whom entering such an institution seems to be a stage in life for which one has to prepare and be able to keep control of.

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

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    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

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

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    Yaser Khaje-Bishak

    2014-12-01

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

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

    Science.gov (United States)

    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.

  12. Dehydroepiandrosterone (DHEA) supplementation for cognitive function in healthy elderly people.

    Science.gov (United States)

    Grimley Evans, J; Malouf, R; Huppert, F; van Niekerk, J K

    2006-10-18

    a significant impairment on a visual memory recall test (pDHEA supplementation. DHEA supplements were well tolerated and without significant adverse effects apart from the reduced performance in the visual memory recall test observed in one trial. What little evidence there is from controlled trials does not support a beneficial effect of DHEA supplementation on cognitive function of non demented middle-aged or elderly people. There is no consistent evidence from the controlled trials that DHEA produces any adverse effects. In view of growing public enthusiasm for DHEA supplementation, particularly in the USA, and the theoretical possibility of long-term neuroprotective effects of DHEA/S, there is a need for further high quality trials in which the duration of DHEA treatment is longer than one year, and the number of participants is large enough to provide adequate statistical power.

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

    Science.gov (United States)

    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.

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

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    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.

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

    Science.gov (United States)

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

    1997-02-01

    To develop a consensus-based list of inappropriate practices in prescribing for elderly people. Mail survey of a 32-member national panel. Academic medical centres across Canada. Thirty-two specialists selected arbitrarily, including 7 clinical pharmacologists, 9 geriatricians, 8 family practitioners and 8 pharmacists. Consensus that the practice would introduce a substantial and significant increase in the risk of serious adverse effect and is common enough that its curtailment would decrease morbidity among elderly people, ranking of clinical importance of the risk, and availability of equally or more effective and less risky alternative therapy. The 32-member national panel developed a list of 71 practices in prescribing for elderly people and rated the clinical significance of each on a scale of 1 (not significant) to 4 (highly significant). The practices in prescribing identified fell into 3 categories: drugs generally contraindicated for elderly people, drug-disease interactions and drug-drug interactions. The mean significance rating was greater than 3 for 39 practices. For each practice, alternative therapies were recommended. There was surprising congruence among the specialists on the significance rating and the suggested alternative therapies. The authors have developed a valid, relevant list of inappropriate practices in prescribing for elderly people, to be used in a practice-based intervention study.

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

    OpenAIRE

    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...

  17. Physical Activity Patterns in the Elderly Kashan Population

    Science.gov (United States)

    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

  18. Energy balance and malnutrition in institutionalized elderly people

    NARCIS (Netherlands)

    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

  19. Factors related to nurse communication with elderly people

    NARCIS (Netherlands)

    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

  20. Needs of frail elderly people in informal settlements

    Directory of Open Access Journals (Sweden)

    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.

  1. Factors related to nurse communication with elderly people

    NARCIS (Netherlands)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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.

  4. 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

    Institute of Scientific and Technical Information of China (English)

    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

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

    OpenAIRE

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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.

  8. 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

    Energy Technology Data Exchange (ETDEWEB)

    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.

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

    Science.gov (United States)

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

    2012-07-23

    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. 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 the start of the FTE programme, half way through, and

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

    Directory of Open Access Journals (Sweden)

    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

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

    Energy Technology Data Exchange (ETDEWEB)

    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.

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

    Science.gov (United States)

    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.

  13. Quality Of Life Through Listening Music Among Elderly People In Semi-Urban Area, Thailand.

    Science.gov (United States)

    Wattanasoei, Supang; Binson, Bussakorn; Kumar, Ramesh; Somrongthong, Ratana; Kanchanakhan, Naowarat

    2017-01-01

    Aging is one of the biggest problems in Southeast Asia due to their rapidly growing population of the older person. Old aging population is usually confined to their homes resulting in poor quality of life (QOL). Music has been found to be the great activity for older peoples with physical, emotional and social disorders hence, it affects on quality of their life. This study explored the music preference among elderly people and their quality of life in the semi-urban of Thailand. A cross-sectional study was conducted by interviewing 353 elderly individuals living in the semi-urban area of Thailand. A validated, reliable world health organization quality of life (WHOQOL-OLD) tool was adapted for this study. Logistic regression analysis was performed to identify the factors associated with QOL and its six domains with adjusted covariates, and the potential factors including chronic disease, community participation, traditional event participation, the experiences of music listening, and the types of music preference were entered in the model. Findings revealed that more than half of respondents were married female with an average age of 68.92±6.99. Around (80.7%) suffered from chronic diseases and the hypertension was found the highest (66.32%). The quality of life among the elderly was found at the moderate level with the total QOL score of 83.41±SD=10.32. Respondents with chronic diseases have the total QOL score (OR=0.95, 95% CI 0.93-0.98). Respondents who preferred to listen to Look Krung (Thai popular classic music) type have the total QOL score (OR=1.03, 95% CI 1.01-1.05), Autonomy Facet(AUT) score (OR=1.11, 95% CI 1.02-1.21), and Intimacy facet(INT) score (OR=1.14, 95% CI 1.05-1.24) as compared to those who did not listen the music. The study highlights the relationship between the QOL among aging people and the listening of music in the semi-urban area of Thailand.

  14. Physical activity and health characteristics : a survey among Dutch elderly women and men

    NARCIS (Netherlands)

    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,

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

    NARCIS (Netherlands)

    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

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

    Science.gov (United States)

    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…

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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

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

    Science.gov (United States)

    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.

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

    OpenAIRE

    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...

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

    NARCIS (Netherlands)

    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 (

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

    Institute of Scientific and Technical Information of China (English)

    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,

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

    NARCIS (Netherlands)

    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

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

    NARCIS (Netherlands)

    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

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    Marcoen, A

    2010-06-01

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

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    Jerliu, Naim; Toçi, Ervin; Burazeri, Genc; Ramadani, Naser; Brand, Helmut

    2012-07-09

    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. 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. 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. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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. Dietary, anthropometric, hematological and biochemical assessment of the nutritional status of centenarians and elderly people in Okinawa, Japan.

    Science.gov (United States)

    Chan, Y C; Suzuki, M; Yamamoto, S

    1997-06-01

    The population of old people has increased and nutritional disorders are common among them. The assessment of nutritional status and dietary intakes of this population is necessary in order to improve their nutritional status and reduce risk to infection and mortality. In the present study, data on the nutritional status of healthy elderly and centenarians is provided. Participants were free-living healthy volunteers (39 centenarians; 11 male and 28 female and 44 elderly in their 70s; 13 male and 31 female). Their nutritional status was assessed by anthropometric measurements, hematological and biochemical variables. Activities of daily living (ADL) of 11 items were scored depending upon their activities with a maximum score of 5.0. Dietary survey by food recording was done for 2 days and food models were used to obtain the best estimate of food intake. Energy and nutrient intakes were compared with Japanese recommended dietary allowances (RDAs). The elderly had complete independence of physical activities, good sensory function and cognitive abilities. The physical activities of male centenarians were between the category of completely independent and independent but slow. In female centenarian participants, their physical activities were independent but slow or independent with difficulty. The functions of auditory acuity and eyesight of the centenarians were poor but their cognitive abilities were still good. The elderly subjects had short stature whereas their body weight and body mass index (BMI) were not low, especially among the women, compelling female elderly to reduce their food intake to control the weight. Energy intake of female centenarians was low. The ADL in the female centenarians was positively related to energy, suggesting that the low energy intake of the female centenarians was mainly due to their low ADL. Anthropometric, hematological and biochemical variables of the centenarians were lower or near the lower reference limit except serum lipids

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

    NARCIS (Netherlands)

    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

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

    NARCIS (Netherlands)

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

  18. Perspective-Taking Judgments Among Young Adults, Middle-Aged, and Elderly People

    Science.gov (United States)

    Ligneau-Herve, Catherine; Mullet, Etienne

    2005-01-01

    Perspective-taking judgments among young adults, middle-aged, and elderly people were examined. In 1 condition, participants were instructed to judge the likelihood of acceptance of a painkiller as a function of 3 cues: severity of the condition, potential side effects, and level of trust in the health care provider. In the other condition,…

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

    NARCIS (Netherlands)

    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

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

    NARCIS (Netherlands)

    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

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

    Science.gov (United States)

    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…

  2. Prevalence of mental disorders in elderly people: the European MentDis_ICF65+ study.

    Science.gov (United States)

    Andreas, Sylke; Schulz, Holger; Volkert, Jana; Dehoust, Maria; Sehner, Susanne; Suling, Anna; Ausín, Berta; Canuto, Alessandra; Crawford, Mike; Da Ronch, Chiara; Grassi, Luigi; Hershkovitz, Yael; Muñoz, Manuel; Quirk, Alan; Rotenstein, Ora; Santos-Olmo, Ana Belén; Shalev, Arieh; Strehle, Jens; Weber, Kerstin; Wegscheider, Karl; Wittchen, Hans-Ulrich; Härter, Martin

    2017-02-01

    Except for dementia and depression, little is known about common mental disorders in elderly people. To estimate current, 12-month and lifetime prevalence rates of mental disorders in different European and associated countries using a standardised diagnostic interview adapted to measure the cognitive needs of elderly people. The MentDis_ICF65+ study is based on an age-stratified, random sample of 3142 older men and women (65-84 years) living in selected catchment community areas of participating countries. One in two individuals had experienced a mental disorder in their lifetime, one in three within the past year and nearly one in four currently had a mental disorder. The most prevalent disorders were anxiety disorders, followed by affective and substance-related disorders. Compared with previous studies we found substantially higher prevalence rates for most mental disorders. These findings underscore the need for improving diagnostic assessments adapted to the cognitive capacity of elderly people. There is a need to raise awareness of psychosocial problems in elderly people and to deliver high-quality mental health services to these individuals. © The Royal College of Psychiatrists 2017.

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

    NARCIS (Netherlands)

    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

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

    NARCIS (Netherlands)

    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

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

    Science.gov (United States)

    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…

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

    Science.gov (United States)

    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,…

  7. Bio-impedance analysis for appendicular skeletal muscle mass assessment in (pre-) frail elderly people

    NARCIS (Netherlands)

    Baar, van H.; Hulshof, P.J.M.; Tieland, C.A.B.; Groot, de C.P.G.M.

    2015-01-01

    Background & aims Screening populations for skeletal muscle mass (SMM) is important for early detection of sarcopenia. Our aim was to develop an age specific bio-impedance (BI) prediction equation for the assessment of appendicular skeletal muscle mass (ASMM) in (pre-) frail elderly people aged

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

    NARCIS (Netherlands)

    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.

  9. Validation Analysis of a Geriatric Dehydration Screening Tool in Community-Dwelling and Institutionalized Elderly People

    Directory of Open Access Journals (Sweden)

    Susana Rodrigues

    2015-03-01

    Full Text Available Dehydration is common among elderly people. The aim of this study was to perform validation analysis of a geriatric dehydration-screening tool (DST in the assessment of hydration status in elderly people. This tool was based on the DST proposed by Vivanti et al., which is composed by 11 items (four physical signs of dehydration and seven questions about thirst sensation, pain and mobility, with four questions extra about drinking habits. The resulting questionnaire was evaluated in a convenience sample comprising institutionalized (n = 29 and community-dwelling (n = 74 elderly people. Urinary parameters were assessed (24-h urine osmolality and volume and free water reserve (FWR was calculated. Exploratory factor analysis was used to evaluate the scale’s dimensionality and Cronbach’s alpha was used to measure the reliability of each subscale. Construct’s validity was tested using linear regression to estimate the association between scores in each dimension and urinary parameters. Two factors emerged from factor analysis, which were named “Hydration Score” and “Pain Score”, and both subscales showed acceptable reliabilities. The “Hydration Score” was negatively associated with 24-h urine osmolality in community-dwelling; and the “Pain Score” was negatively associated with 24-h urine osmolality, and positively associated with 24-h urine volume and FWR in institutionalized elderly people.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    NARCIS (Netherlands)

    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

  12. Executive Functions Are Associated With Gait and Balance in Community-Living Elderly People

    NARCIS (Netherlands)

    Iersel, M.B. van; Kessels, R.P.C.; Bloem, B.R.; Verbeek, A.L.M.; Olde Rikkert, M.G.M.

    2008-01-01

    Background. Cognition influences gait and balance in elderly people. Executive functions seem to play a key role in this mechanism. Previous studies used only a single test to probe executive functions, and outcome measures were restricted to gait variables. We extend this prior work by examining

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

    NARCIS (Netherlands)

    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

  14. Effectiveness of cognitive Existential Group therapy on quality of life of elderly people

    Directory of Open Access Journals (Sweden)

    S Jalili Nikoo

    2017-01-01

    Full Text Available Abstract Background and aim: With an aging population, considering the factors affecting the quality of life more than ever is necessary. The aim of current research was to investigate the effectiveness of cognitive existential therapy on quality of life of elderly people. Methods: The current research is semi experimental with pre and post test with control group. Statistical population of research consists of all elderly people in Kahrizak nursing homes. In the first phase, the participants were selected through purposive sampling method and after responding to the quality of life questionnaire and obtaining score for enter to research they were divided in two groups of experimental and control (N = 12 per group using random sampling method.  The experimental group participated in 10 sessions of group counseling based on cognitive- existential approach and control group received no intervention. The gathered data were analyzed using covariance analysis. Results: There was no difference between pre-test and control groups, but the mean scores of post-test experimental and control groups were statistically significant. and cognitive group therapy improves quality of life is (p=0.001. Therefore it seems that cognitive-existential group therapy increase quality of life of elderly people. Conclusion: Cognitive Existential Group therapy utilizes concepts such as death, meaning, cognitive distortions and responsibility could increase the level ofquality of life of elderly people. Thus interventions based on this approach could be useful in improving the quality of life.

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

    NARCIS (Netherlands)

    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

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

    NARCIS (Netherlands)

    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

  17. Foot dimensions of elderly people with and without diabetes mellitus - a data basis for shoe design.

    Science.gov (United States)

    Chantelau, E; Gede, A

    2002-01-01

    Injuries from footwear are common in elderly people, particularly in those with diabetes mellitus and polyneuropathy. A common cause is a mismatch between foot and shoe. To assess the length and the breadth of the feet by an automatic measuring device in 568 patients with diabetic polyneuropathy and in 100 nondiabetic control subjects of the same mean age of 64 years. While the foot length in all cases matched well with the size of the normal footwear available on the market, more than two thirds of the feet were considerably broader than the normal footwear available. The foot breadth correlated variably with the foot length. Tables of foot dimensions for men and women are provided over the complete range of shoe sizes. This anthropometric data set on feet, which is the first conducted in elderly people, proves that most feet of elderly people with or without diabetic neuropathy do not fit ordinary casual footwear. Therefore, the construction of shoes according to the anthropometric data of elderly people is required in order to prevent foot injuries in this particular population. Copyright 2002 S. Karger AG, Basel

  18. Antioxidant micronutrients improve intrinsic and UV-induced apoptosis of human lymphocytes particularly in elderly people

    NARCIS (Netherlands)

    Ma, A.G.; Ge, S.; Zhang, M.; Shi, X.X.; Schouten, E.G.; Kok, F.J.; Sun, Y.Y.; Han, X.X.

    2011-01-01

    Objective: Aging and oxidative stress may lead to enhanced cellular damage and programmed cell death. to study the association of intrinsic apoptosis with age and the effect of antioxidant supplementation on intrinsic and UV-induced apoptosis in children, young and elderly people. Methods: The study

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

    NARCIS (Netherlands)

    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

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

    NARCIS (Netherlands)

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

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

    DEFF Research Database (Denmark)

    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...

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

    NARCIS (Netherlands)

    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

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

    Science.gov (United States)

    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…

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

    NARCIS (Netherlands)

    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

  5. Risk factors of functional disability among community-dwelling elderly people by household in Japan: a prospective cohort study.

    Science.gov (United States)

    Saito, Emiko; Ueki, Shouzoh; Yasuda, Nobufumi; Yamazaki, Sachiko; Yasumura, Seiji

    2014-08-26

    Although the number of elderly people needing care is increasing rapidly in the home setting in Japan, family size and ability to provide such support are declining. The purpose of this study was to identify the risk factors of functional disability by household composition among community-dwelling elderly people. A total of 1347 elderly people aged 70 years and over participated in a baseline geriatric health examination for this prospective cohort study. In the health examination, we conducted an interview survey using a questionnaire in July 2004 and July 2005. Questionnaire items covered the following: age, sex, household, medical history, instrumental activities of daily living, intellectual activity, social role, Motor Fitness Scale, falls experienced during the past year, Dietary Variety Score, frequency of going outdoors, cognitive impairment, and depressive status. We defined the occurrence of functional disability as certification for long-term care needs of the subjects. The certification process started with a home visit for an initial assessment to evaluate nursing care needs using a questionnaire on current physical and mental status. The onset of functional disability was followed from July 2004 to March 2011. Cox proportional hazard regression analysis was used to estimate the risk factors related to the onset of functional disability, adjusted for age and sex. Of the 1084 participants, 433 were male (39.9%), and the average age was 77.8 (standard deviation, 5.4). Up to March 2011, functional disabilities occurred in 226 participants (20.9%). Elderly people living only with their children demonstrated a significantly higher risk for functional disability than the three-generation household group (hazard ratio, 1.61; 95% confidence interval, 1.08-2.40). The risk factors for functional disability varied according to household group. In Japan, the number of vulnerable households with elderly people in need of care has increased steadily over the years

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

    Directory of Open Access Journals (Sweden)

    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.

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

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    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.

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    Tavsanli, Nurgul Gungor; Turkmen, Sevgi Nehir

    2015-04-01

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

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

    DEFF Research Database (Denmark)

    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...

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

    Science.gov (United States)

    Tam, Maureen

    2013-01-01

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

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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

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

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    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.

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

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    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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.

  19. Investigation into Differences in Level of Knowledge about Hypertension between High School Students and Elderly People.

    Science.gov (United States)

    Sanagawa, Akimasa; Ogasawara, Misa; Kusahara, Yuri; Yasumoto, Miki; Iwaki, Soichiro; Fujii, Satoshi

    2017-01-01

     As a major chronic non-communicable disease, hypertension is the most important risk factor for cardiovascular disease, chronic kidney disease, stroke and, if not treated appropriately, premature death. A population-based approach aimed at decreasing high blood pressure among the general population is an important component of any comprehensive plan to prevent hypertension. However, few studies have investigated generational differences in knowledge about, and consciousness of, hypertension. Thus, we conducted a questionnaire survey about hypertension, with the aim of clarifying differences of understanding about hypertension between high school students and elderly people. The results of this investigation suggested that there is indeed a generational difference: knowledge about hypertension, and awareness of its relationship with salt intake, was higher in elderly people than in high school students. Furthermore, our study showed that among high school students, salt intake consciousness correlated with a family history of hypertension. By contrast, in elderly people, salt intake consciousness is related to age and to an awareness of recommended daily salt intake. This study strongly showed that knowledge and consciousness of hypertension varied among generations, with the elderly being more aware and conscientious about salt intake. Acknowledgement of this generational diversity is critical to developing an effective overall preventive strategy for hypertension.

  20. The effects of two spinal orthoses on balance in elderly people with thoracic kyphosis.

    Science.gov (United States)

    Azadinia, Fatemeh; Kamyab, Mojtaba; Behtash, Hamid; Maroufi, Nader; Larijani, Bagher

    2013-10-01

    Hyperkyphosis increases the risk of falls for elderly people by reducing postural balance. Spinomed orthosis and the posture-training support are two available options for improving postural balance but have never been compared. To compare the effect of the Spinomed orthosis and the posture-training support on balance in elderly people with thoracic hyperkyphosis. This study is a clinical trial on an accessible sample of elderly people with thoracic kyphosis. Eighteen participants (16 women and 2 men), aged 60-80 years, with thoracic kyphosis greater than 50°, completed the study procedure. Subjects were randomly allocated to two groups, namely, Spinomed orthosis and the posture-training support groups. Sensory organization test and limits of stability were assessed using the EquiTest system and the Balance Master system, respectively. Balance score, directional control, and reaction time were measured to evaluate balance with and without orthosis in a random order. In the posture-training support group, significant changes were observed in the studied balance parameters: balance score (p balance score (p balance factors. Both Spinomed orthosis and posture-training support may improve balance in the elderly with thoracic hyperkyphosis in a similar manner.

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

    Directory of Open Access Journals (Sweden)

    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.

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

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    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.

  3. Comparison of Some Cardiovascular Risk Factors between Active and Sedentary Elderly Men

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    H. Najafgholizadeh

    2017-04-01

    Full Text Available Background: One of the major problems threatening the world’s people are cardiovascular diseases, accounting for 30% of the deaths. The factors exposing people to this danger are called risk factors. Objective: This study aimed to compare the cardiovascular risk factors and C-reactive protein between active and sedentary elderly men. Methods: The study was a descriptive comparison of two groups that were conducted in Rasht city in 2015. The subjects of this study consist of 30 active elderly men and 30 sedentary elderly men who were selected non-randomly and purposefully. Inclusion criteria of research for active subjects were have regular physical activity at least six months and don’t use cigarette and pills that affect profile lipids and inclusion criteria for sedentary subjects were don’t have regular physical activity and also don’t use cigarette and pills that affect profile lipids. The measured cardiovascular risk factors of subjects include fasting blood sugar (FBS, triglyceride (TG, total cholesterol (TC, highdensity lipoprotein (HDL, low-density lipoprotein (LDL, very low-density lipoprotein (VLDL, glycated haemoglobinA1c (HbA1c, and C-reactive protein (CRP. The statistical methods used for data analysis are Kolmogorov-Smirnov test, t-student, and U Mann-Whitney with significance level less than 0.05. Findings: The t-student exam shows that cardiovascular risk factors, including FBS, TG, TC, HDL, VLDL, HbA1c, and CRP, in active elderly men are lower than sedentary elderly men. This difference is also statistically significant (P≤0/01. Conclusion: The study showed that cardiovascular risk factors in active elderly men are less than sedentary ones. However, 80% of active elderly men had still at least one or several cardiovascular risk factors.

  4. Communication with elderly people suffering from a hearing disorder

    OpenAIRE

    BLAFKOVÁ, Šárka

    2012-01-01

    People communicate to understand one another and share information. Speaking is crucial in the course of everyone's entire life. In this thesis, we have focused on the issues related to communication with seniors with a hearing disorder. It is necessary to properly diagnose the hearing disorder using suitable methods of examination, and subsequently propose possible means of therapy and train the patient on use of the hearing aid if necessary. Two objectives were set out, both of which were a...

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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.

  9. Peer support via video-telephony among frail elderly people living at home.

    Science.gov (United States)

    Ezumi, Hiromichi; Ochiai, Noriko; Oda, Mikiko; Saito, Shigeko; Ago, Minae; Fukuma, Noriko; Takenami, Setsuko

    2003-01-01

    We evaluated the effect of a video-phone network on peer support among frail elderly people living at home. We conducted a one-year trial of network formation among 14 people (five men and nine women, age range 78-85 years) through coordinator intervention and the use of ISDN video-phones. The purpose of the intervention was to support and improve the functional independence of frail elderly people at home and to widen their social network. During the study, the subjects made 1400 video-calls, lasting a total of 25,867 min. One subject made no calls. There was greater use of video-phones by those living outside the central city area. Calls between men and women were infrequent. The men generally had shorter call times and made fewer calls. The participants could be categorized into three groups: those using video-phones every day; those using them once per week; and those using them once per month. All subjects in the first group clearly expressed their satisfaction with the video-phone. A video-phone network appears to be helpful for elderly people in their peer support relationships.

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

    Directory of Open Access Journals (Sweden)

    Lina Yao

    2015-09-01

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

  11. [Nutritional status and nutritional rehabilitation of elderly people living in long-term care institutions].

    Science.gov (United States)

    Lelovics, Zsuzsanna

    2009-11-01

    We review our studies on the most important factors related to feeding and nutrition in long-term care institutions, as well as we present the nutritional status of elderly people living in social homes, and, based on our results, we make recommendations concerning nutritional rehabilitation. We aimed to assess the following: nutritional status of people older than sixty years (elderly) living in long-term care institutions; changes in the body mass index of elderly living in long-term care institutions; changes in the nutritional status of elderly living in long-term care institutions during the last half decade; relations and correlations between acute and chronic diseases and nutritional status; the sip feed provision for elderly living in long-term care institutions; relationship between the discovered potential influencing factors and nutritional status screened by Malnutrition Universal Screening Tool (MUST). We screened the nutritional status of altogether 4774 (men: 28.9-30.9%, women: 69.1-71.19%; mean age: 77.8+/-8.9 years) elderly long-term care residents who volunteered to participate. In 2004 and 2006 the MUST and our questionnaire, in 2008 the nutritionDay questionnaire was used. Risk of malnutrition is high (26.8-77.0%) in elderly residents of social homes. Assessment of nutritional status is done four times a year or even more rarely in 29.5% of the residents. Nutritional status is multifactorial; it is influenced by immobility, fever, etc. Loss of appetite and swallowing difficulties are 2.5-fold, limited mobility, dementia and missing teeth are almost two-fold (1.6-1.7) more frequent in the group of high risk elderly than in the elderly living in social homes. Neurological diseases are in a significant correlation with nutritional status. Incidence of neurological diseases increased significantly in the last years. Nutritional rehabilitation does not end with screening the nutritional status, moreover, it begins with that. Individual diet has to

  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

    Energy Technology Data Exchange (ETDEWEB)

    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. Handgrip strength and physical activity in frail elderly

    Directory of Open Access Journals (Sweden)

    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.

  14. [Socializing groups as protective factor against depression in elderly people. Barranquilla, Colombia].

    Science.gov (United States)

    Tuesca-Molina, Rafael; Fierro Herrera, Norma; Molinares Sosa, Alexandra; Oviedo Martínez, Fernando; Polo Arjona, Yesid; Polo Cueto, José; Sierra Manrique, Ivan

    2003-01-01

    The depression is a principal problem of public health. The principal aim of this study is to determine the role of the social groups as factor protective in elderly, to evaluate the agreement by American Psychiatric Association Criterions and Hamilton Depression test, and also to determine other socio-cultural risk factors associated with depressive syndrome in elderly. Cross-sectional survey. The sample consisted of 602 elderly people (eligible subjects) were men (223) and women (379) between 60 and 94 years (males and females), residents in the south-west of Barranquilla, Colombia. A previously tested, self answer questionnaire was used, therefore, we needed a report consent. Risk measures: Odds Ratio (OR-95% Confidence intervalue), Kappa test to agreement by the nine criteria of the American Psychiatric Association and Hamilton test so, screening testing. The participation in social groups was a protector factor. (Odds Ratio = 0.5; 95% CI 0.34-0.73, p = 0.001). The rate 29.9% was obtained with prevalence of depression in elderly (21.4%-39.4%) affecting principally males (32.7%). The agreement by Kappa test = 0.63 was very important or good. Sensibility = 56.1% (48.5%-63.4%) Specificity = 0.93% (97.8%-99.8%) and Predictive Positive Value = 97.1% (91.2%-99.3%). This survey was to determine risk factors related to depression in elderly in anyway can be potentially modifiable. The familiar disfunction by moderate and serious, the lack as blindness and deafness, the loneliness, the housingness and low incomes were obtained with risk factors associated to depression. The participation in a social group is a protective factor to depression syndrome in elders. The nine criteria of the American Psychiatric Association to allow the depressed patient exactly as sick even though is not necessary to screening because this test is low sensibility for used in a population elderly.

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

    Science.gov (United States)

    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".

  16. Food habits and nutritional status of elderly people living in a Spanish Mediterranean city.

    Science.gov (United States)

    Martínez Tomé, M J; Rodríguez, A; Jiménez, A Ma; Mariscal, M; Murcia, Ma A; García-Diz, L

    2011-01-01

    The aim of this study was to assess the food habits and nutritional status of free-living, non-institutionalised, elderly people of Torrevieja, a Spanish city located in the Mediterranean coast. Anthropometric and dietary survey (two 24 hour recalls) were assessed in 200 (83 men and 117 women) free-living elderly people (average age 72.3±6.6 years). Just married women accomplished the recommended energy intake. The contribution of macronutrients to the total energy intake was different from the Recommended Intake for the elderly, since it was too derived from proteins, fats, SFA and sugars, but in only small amounts was derived from complex carbohydrates. High percentages of elderly persons showed inadequate intake of calcium, zinc, magnesium, potassium, copper, iodine, folic acid, vitamin A, vitamin D, vitamin E, and riboflavin. Men showed lower micronutrient intake than women. An increase in dietary complex carbohydrate, and a decrease in protein and fats, especially SFA, is recommended. It would be desirable to increase the consumption of fruits, vegetables, whole cereals, fish and skimmed dairy products.

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

    Directory of Open Access Journals (Sweden)

    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

  18. Discontinued dental attendance among elderly people in Sweden

    Science.gov (United States)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    Lopez-Samaniego, Leire; Garcia-Zapirain, Begonya

    2016-11-24

    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.

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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

  7. Significance and Costs of Complex Biopsychosocial Health Care Needs in Elderly People : Results of a Population-Based Study

    NARCIS (Netherlands)

    Wild, Beate; Heider, Dirk; Maatouk, Imad; Slaets, Joris; Koenig, Hans-Helmut; Niehoff, Dorothea; Saum, Kai-Uwe; Brenner, Hermann; Soellner, Wolfgang; Herzog, Wolfgang

    2014-01-01

    Objective: To improve health care for the elderly, a consideration of biopsychosocial health care needs may be of particular importance-especially because of the prevalence of multiple conditions, mental disorders, and social challenges facing elderly people. The aim of the study was to investigate

  8. Measurement of special access to home visit nursing services among Japanese disabled elderly people: using GIS and claim data.

    Science.gov (United States)

    Naruse, Takashi; Matsumoto, Hiroshige; Fujisaki-Sakai, Mahiro; Nagata, Satoko

    2017-05-30

    Home care service demands are increasing in Japan; this necessitates improved service allocation. This study examined the relationship between home visit nursing (HVN) service use and the proportion of elderly people living within 10 min' travel of HVN agencies. The population of elderly people living within reach of HVN agencies for each of 17 municipalities in one low-density prefecture was calculated using public data and geographic information systems. Multilevel logistic analysis for 2641 elderly people was conducted using medical and long-term care insurance claims data from October 2010 to examine the association between the proportion of elderly people reachable by HVNs and service usage in 13 municipalities. Municipality variables included HVN agency allocation appropriateness. Individual variables included HVN usage and demographic variables. The reachable proportion of the elderly population ranged from 0.0 to 90.2% in the examined municipalities. The reachable proportion of the elderly population was significantly positively correlated with HVN use (odds ratio: 1.938; confidence interval: 1.265-2.967). Residents living in municipalities with a lower reachable proportion of the elderly population are less likely to use HVN services. Public health interventions should increase the reachable proportion of the elderly population in order to improve HVN service use.

  9. EMG Activity of Masseter Muscles in the Elderly According to Rheological Properties of Solid Food.

    Science.gov (United States)

    Kang, Au Jin; Kim, Don-Kyu; Kang, Si Hyun; Seo, Kyung Mook; Park, Hyoung Su; Park, Ki-Hwan

    2016-06-01

    To assess the impact of aging on masticatory muscle function according to changes in hardness of solid food. Each of fifteen healthy elderly and young people were selected. Subjects were asked to consume cooked rice, which was processed using the guidelines of the Universal Design Foods concept for elderly people (Japan Care Food Conference 2012). The properties of each cooked rice were categorized as grade 1, 2, 3 and 4 (5×10(3), 2×10(4), 5×10(4), and 5×10(5) N/m(2)) respectively. Surface electromyography (sEMG) was used to measure masseter activity from food ingestion to swallowing of test foods. The raw data was normalized by the ratio of sEMG activity to maximal voluntary contraction and compared among subjects. The data was divided according to each sequence of mastication and then calculated within the parameters of EMG activities. Intraoral tongue pressure was significantly higher in the young than in the elderly (psEMG data of the masseter can provide valuable information to aid in the selection of foods according to hardness for the elderly. The results also support the necessity of specialized food preparation or products for the elderly.

  10. The Motivations of Catering Companies to Deliver Food to Elderly People

    OpenAIRE

    Donkor, Edward

    2012-01-01

    Laurea University of Applied Sciences Abstract Laurea Leppävaara Bachelor’s Degree Programme in Business Management Donkor, Edward The motivations of catering Companies to Deliver Food to Elderly people Year 2012 Pages 48 The fact of the ageing population will affect almost every aspect of the lives of Europeans. For example, there will be changes in the way businesses operate and work is organized and changes in urban planning. Ageing population will also...

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

    OpenAIRE

    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...

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

    Science.gov (United States)

    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.

  13. Tinetti mobility test is related to muscle mass and strength in non-institutionalized elderly people.

    Science.gov (United States)

    Curcio, Francesco; Basile, Claudia; Liguori, Ilaria; Della-Morte, David; Gargiulo, Gaetano; Galizia, Gianluigi; Testa, Gianluca; Langellotto, Assunta; Cacciatore, Francesco; Bonaduce, Domenico; Abete, Pasquale

    2016-12-01

    Elderly people are characterized by a high prevalence of falls and sarcopenia. However, the relationship among Tinetti mobility test (TMT) score, a powerful tool to detect elderly people at risk of falls, and sarcopenia is still not thoroughly investigated. Thus, to determine the relationship between TMT score and muscle mass and strength, 337 elderly participants (mean age 77.1 ± 6.9 years) admitted to comprehensive geriatric assessment were enrolled. TMT score, muscle mass by bioimpedentiometer, and muscle strength by grip strength were evaluated. Muscle mass progressively decreased as TMT score decreased (from 15.3 ± 3.7 to 8.8 ± 1.8 kg/m(2); p for trend Tinetti score decreased (from 34.7 ± 8.0 to 23.7 ± 8.7 kg; p for trend 0.001). Linear regression analysis demonstrated that TMT score is linearly related with muscle mass (y = 4.5x + 0.4, r = 0.61; p score and muscle mass (r = 0.48, p = 0.024) and strength (r = 0.39, p = 0.046). The present study indicates that TMT score is significantly related to muscle mass and strength in non-institutionalized elderly participants. This evidence suggests that TMT score, together with evaluation of muscle mass and strength, may identify sarcopenic elderly participants at high risk of falls.

  14. Online gaming and training platform against frailty in elderly people

    NARCIS (Netherlands)

    de Vette, Anna Frederiek Alberdien; Tabak, Monique; Hermens, Hermanus J.; Vollenbroek-Hutten, Miriam Marie Rosé

    2016-01-01

    Frailty, a condition associated with functional decline caused by insufficient mental stimulation, physical activity and healthy nutrition (Gomez et al., 2013), is a common occurrence among older adults. To counter this effect and decrease the risks for disability, dementia and hospitalisation, we

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

    Science.gov (United States)

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

    2016-11-01

    [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.

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

    Institute of Scientific and Technical Information of China (English)

    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。

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

    Science.gov (United States)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

  19. 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

    Institute of Scientific and Technical Information of China (English)

    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.

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

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    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.

  1. [Promoting exercise and sports activities among the elderly].

    Science.gov (United States)

    Rivière, Daniel

    2016-01-01

    The fight against sedentariness and encouraging older people to exercise is a major public health objective. The aim is to preserve the health of the elderly, to avoid the excessive cost of care and to prevent the loss of autonomy. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

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

    2015-07-01

    The Pilates method has been widely used in physical training and rehabilitation. Evidence regarding the effectiveness of this method in elderly people is limited. Six randomized controlled trials studies involving the use of the Pilates method for elderly people, published prior to December 2013, were selected from the databases PubMed, MEDLINE, Embase, Cochrane, Scielo and PEDro. Three articles suggested that Pilates produced improvements in balance. Two studies evaluated the adherence to Pilates programs. One study assessed Pilates' influence on cardio-metabolic parameters and another study evaluated changes in body composition. Strong evidence was found regarding beneficial effects of Pilates over static and dynamic balance in women. Nevertheless, evidence of balance improvement in both genders, changes in body composition in woman and adherence to Pilates programs were limited. Effects on cardio-metabolic parameters due to Pilates training presented inconclusive results. Pilates may be a useful tool in rehabilitation and prevention programs but more high quality studies are necessary to establish all the effects on elderly populations. Copyright © 2015 Elsevier Ltd. All rights reserved.

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

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    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.

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

    Science.gov (United States)

    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

  6. Knowledge and awareness of dental implants among elderly people in Croatia.

    Science.gov (United States)

    Kranjcic, Josip; Mikus, Anja; Mehulic, Ketij; Vojvodic, Denis

    2015-01-01

    The use of inserted dental implants is growing every day in order to improve retention and stability of complete removable dental prostheses (RDPs), especially in the mandible. Therefore, the aim of this study was to examine the knowledge and awareness of dental implants among elderly people wearing complete RDPs. This study, based on answers from a questionnaire designed for the purpose of this study, included 301 participants wearing complete RDPs from elderly care homes with average age of 74 years. The awareness of dental implants was statistically significantly (p dental implants (56.5%; p dental implants (56.1%; p dental implants (59.4%; p dental implants (82.4%; p dental implants, this did not mean they were well informed about the implant insertion procedure and the costs for such a treatment. In conclusion, awareness of dental implants in studied participants was insufficient. The results reinforce the need for better education and the provision of proper information to elderly people about dental implants and implant treatment options. © 2014 by the American College of Prosthodontists.

  7. Quality of life in elderly people at the start of using in-home care.

    Science.gov (United States)

    Imanishi, Miyuki; Tomohisa, Hisao; Higaki, Kazuo

    2015-01-01

    Quality of life (QOL) among 200 elderly people planning to use in-home care services available to those with severe illness was surveyed to identify the most effective method of improving QOL of the elderly through such care services. QOL was surveyed using a PGC Morale Scale, and factors related to QOL were verified by multivariate analysis. The most relevant factors for QOL among the 11 analyzed were the client's reason for choosing to use in-home care services and the client's family structure. The average PGC-MS score was 9.09 ± 2.6 (mean ± standard deviation). Analysis of factors significantly affecting PGC-MS score identified treatment history and job type (p MS score (p MS scores decreased in the order of three-generation families, those living alone, couples, and two-generation families. QOL of elderly people might be improved by the provision of in-home care services with consideration of consumers' intentions and factors known to influence QOL.

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

    Science.gov (United States)

    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.

  9. Design of an interactive digital nutritional education package for elderly people.

    Science.gov (United States)

    Ali, Nazlena Mohamad; Shahar, Suzana; Kee, You Lee; Norizan, Azir Rezha; Noah, Shahrul Azman Mohd

    2012-12-01

    Designing a system for the elderly is crucial, as aging is associated with physiological changes that may impair perception, cognition and other social aspects; therefore, many aspects need consideration, especially in interface design. This study was conducted to develop a digital nutritional education package (WE Sihat) by following appropriate guidelines for elderly people to achieve better design interface and interaction. Touch-screen technology was used as a platform for user interaction. The nutritional content was based on previous nutrition studies and a lifestyle education package on healthy aging, which contains four modules. The questionnaires were distributed to 31 Malay subjects aged 60-76 years old, containing an evaluation about the overall content, graphics, design layout, colour, font size, audio/video, user-perceived satisfaction and acceptance levels. The findings showed positive feedback and acceptance. Most subjects agreed that the digital nutritional education package can increase their nutritional knowledge for a healthy lifestyle and is easy to use. The touch-screen technology was also well accepted by elderly people and can be used as a kiosk for disseminating nutrition education for healthy aging.

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

    Science.gov (United States)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

  12. [State of dentition and its impact on the capacity of elders to perform daily activities].

    Science.gov (United States)

    Sánchez-García, Sergio; Juárez-Cedillo, Teresa; Reyes-Morales, Hortensia; de la Fuente-Hernández, Javier; Solórzano-Santos, Fortino; García-Peña, Carmen

    2007-01-01

    The aim of this study was to evaluate the effect of dental state on the capacity of elderly individuals to carry out their daily activities during the previous six months. A transversal study was conducted in the Mexican Institute of Social Security (IMSS) with insured elderly persons residing in southwestern Mexico City. Home interviews were conducted to gather sociodemographic data, data on the use of oral health services, problems in carrying out daily activities, and their relationship with the state of dentition over the past six months, utilizing the Oral Impacts on Daily Performance (OIDP) index. Later, three oral health professionals trained in determining the state of dentition according to World Health Organization (WHO) criteria performed a clinical examination on each elderly subject. A total of 540 elderly individuals were studied. The prevalence of elderly persons with problems in carrying out their daily activities was 21.5%. The main problems in daily activities were eating (14.4%), speaking (8.7%), not becoming irritated (5.4%), brushing their teeth(5%), and inability to enjoy contact with people (4.4%). There is a positive OIDP correlation between number of teeth lost and the decayed, missing, filled teeth(DMFT) index (ppronunciation.

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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.

  18. Aspects of supplying meals for elderly people at facilities covered by long-term care insurance, and the remedial measures on service

    OpenAIRE

    樹山, 敦子; Kiyama, Atsuko

    2012-01-01

    The population of elderly people of Japan is continuing increasing, and it is an important problem of Japan to keep and raise the quality of life of the elderly person. For elderly people, "to eat" is pleasure and it can become one factor to influence that improves their QOL. Therefore, in facilities for the elderly, various efforts have been done for the meals served to the elderly people with impaired chewing and/or dysphagia. We conducted the questionnaire survey on the aspects of providin...

  19. [Relationships between nutritional status and the effects of exercise training in frail elderly people].

    Science.gov (United States)

    Arai, Takeshi; Obuchi, Shuichi

    2011-01-01

    The objectives of this study were to examine the relationship between nutritional status indicators such as body mass index (BMI) and serum albumin, and the effects of exercise intervention in community-dwelling frail elderly people. We enrolled 44 subjects aged 65 years and older (average age 73.9±5.1 years) in this study. The subjects participated in exercise intervention, including muscle strength training twice a week for 3 months. We evaluated various functional performance measures at the start and end of the intervention, and calculated the measurement differences. We then evaluated any relationships between nutritional status and the amount of changes. Some physical functions improved after exercise intervention, even in participants with under-nutritional status. There were no significant differences or relationships found between nutritional status and improvements in physical function. These results suggest that the physical functions of frail elderly people can improve regardless of their nutritional status. Further study is necessary to evaluate the influence of nutritional status on exercise effects, and the optimal method of applying exercise interventions, primarily for community-dwelling frail older people.

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

    OpenAIRE

    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...

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

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

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    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.

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

    OpenAIRE

    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. Robotic Communication Terminals as a Mobility Support System for Elderly and Disabled People(2)

    Science.gov (United States)

    Yairi, Ikuko Eguchi; Igi, Seiji

    We have been developing Robotic Communication Terminals (RCT) as a mobility support system for the elderly and disabled people, which assists for their impaired elements of mobility— recognition, actuation, and information access. The RCT consist of three types of terminals: “environment-embedded terminal”“user-carried mobile terminal”, and “user-carrying mobile terminal”. These terminals communicate with one another to provide the users with a comfortable means of mobility. In this paper, we introduce the overview of our research. The recent progress is also presented as well as the future plan.

  5. The impact of the exercises on the quality of life of elderly people

    OpenAIRE

    Novak, Tatjana

    2011-01-01

    The effect of a programmed and adapted physical exercise on the quality of life of elderly people was studied in this thesis. The study in the year 2006/07 included 32 women forming an exercise group, who were on average 69,68 years old. It also included an equally large control group with the average age of 70,75 years, which has not taken part in the practice. The training was carried out for six months intensively, twice a week for 60 minutes. For both groups we conducted a general assessm...

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

    Science.gov (United States)

    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…

  7. 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

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    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

  8. People with Learning Disabilities and "Active Ageing"

    Science.gov (United States)

    Foster, Liam; Boxall, Kathy

    2015-01-01

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

  9. People with Learning Disabilities and "Active Ageing"

    Science.gov (United States)

    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…

  10. [Current situation of the research on living conditions and health status of elderly people in Spain].

    Science.gov (United States)

    Machón-Sobrado, Mónica; Vergara-Mitxeltorena, Itziar; Dorronsoro-Iraeta, Miren; Larrañaga-Larrañaga, Nerea; Vrotsou, Kalliopi; Larrañaga-Padilla, Isabel

    2016-01-01

    To analyse the dimensions studied with respect to living and health conditions of the non-institutionalised elderly in the scientific literature in Spain. A content analysis based on secondary sources was carried out by literature searches in Pubmed and Embase in Spanish and English. The search strategies combined terms related to older people, health and/or living conditions and with Spain. All studies assessing living and/or health conditions of elderly in Spain were included. Studies analyzing a specific aspect of living or health conditions and those based on institutionalized population were excluded. A total of 14 studies were considered in the content analysis. The studies are usually local, cross-sectional and data collection is done by direct interview. Variability was observed in the aspects analysed about living and health conditions. All studies included: sociodemographic characteristics, health status and lifestyle habits. Issues related to the status of the out-of home environment are poorly analysed. This work allows knowing the dimensions prioritised in the studies carried out to date about health and living conditions in Spain. It also provides key elements for the development of future research aiming to integrate both living and health conditions of elderly population, both aspects closely related. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  11. The effect of a modified meat product on nutritional status in institutionalized elderly people.

    Science.gov (United States)

    Beriain, M J; Ibáñez, F C; Baleztena, J; Oria, E

    2011-01-01

    To determine whether the inclusion of a new modified meat product as a dietary supplement has a positive influence on the nutritional status and blood lipid profile of institutionalized elderly subjects. A sample population of elderly people living in institutions (9 men and 29 women aged 68-97 years) completed a crossover study with two dietary supplements. Nutritionally complete diets differed only in food supplementation, first, with a standard meat product and, subsequently, with a modified meat product. Venous blood samples were taken prior to each of the three phases of the study: the basal phase, during which participants followed their normal, controlled diet; a control phase (3 days per week for 3 weeks), during which the subjects' normal diet was supplemented with 50 g of the standard product; and an experimental phase (3 days per week for 3 weeks), when the normal diet was supplemented with 50 g of the modified product. Nutritional intervention did not influence hematological parameters or serum lipids. The modified meat product altered blood concentrations of urea, creatinine, GOT, transferrin, iron, and retinol-binding protein. Consumption of both the standard and the modified products contributes to maintaining the individuals' nutritional status and equalizes nutritional status across the study population with no effect on blood lipid profiles. Despite the limitations of the experiment, the introduction of dietary supplements in meat products significantly increased plasma iron levels in this elderly sample.

  12. Moderate exercise training modulates cytokine profile and sleep in elderly people.

    Science.gov (United States)

    Santos, R V T; Viana, V A R; Boscolo, R A; Marques, V G; Santana, M G; Lira, F S; Tufik, S; de Mello, M T

    2012-12-01

    Aging causes several physiological alterations, including alterations in sleep. It is possible that difficulty sleeping can be exacerbated by increased inflammation in older individuals. Moderate exercise training may be a modality of non-pharmacological treatment for sleep disorders and inflammation. We aimed to assess the effects of moderate exercise training on sleep in elderly people as well as their cytokine profiles. Additionally, we examined the effect of exercise training on quality of life parameters using a SF-36 questionnaire. Twenty-two male, sedentary, healthy, elderly volunteers performed moderate training for 60 min/day, 3 days/week for 24 week at a work rate equivalent to their ventilatory aerobic threshold. The environment was kept at a temperature of 23 ± 2°C, with a humidity of 60 ± 5%. Blood and polysomnograph were collected twice: at baseline (1 week before training began) and after 6 months of training. Training increased aerobic capacity parameters (pexercise training was shown to improve quality of life parameters. Our results suggest that 6 months of training can improve sleep in the elderly and is related to the anti-inflammatory effect of moderate training, which modifies cytokine profiles. Copyright © 2012 Elsevier Ltd. All rights reserved.

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

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    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.

  14. Sources of Information about Health Foods among Elderly People-Comparison of Internet and Paper Survey Results.

    Science.gov (United States)

    Kobayashi, Etsuko; Sato, Yoko; Umegaki, Keizo; Chiba, Tsuyoshi

    2017-01-01

    The prevalence of health foods is increasing in Japan, especially among elderly people. The internet is widely used as an information source, but it is not clear whether elderly people get information about health foods via the internet or not. To clarify this issue, we conducted two questionnaire surveys; one on a website (internet survey) and one in the local community (paper survey). The internet survey showed that a lot of elderly people use the internet to get information and also to purchase health foods. On the other hand, paper survey showed that a smaller proportion of elderly people used the internet, compared to the internet survey. Instead, they got information from their friends, health-care professionals, or various media sources, such as television, newspapers and magazines. Our results indicate that many elderly people don't use the internet to get information about health foods. Adequate ways to inform them about health foods are needed to reduce adverse events associated with health food use.

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

    OpenAIRE

    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...

  16. [Study on social determinants and health-related quality of life among the 'empty nest' (lonely) elderly Chinese people].

    Science.gov (United States)

    Wang, Hui; Chen, Kun; Zhou, Biao; Wang, Jun-fang

    2010-04-01

    To study the social determinants and health-related quality of life among the Chinese 'empty nest' (lonely) elderly. A total of 4995 elderly, aged 60 or over were recruited in rural and urban areas of Zhejiang province, under a cluster sampling method. Stepwise logistic regression analysis was performed to analyze the social determinants on the 'empty nest' elderly. Health-related quality of life was assessed by SF-36 and compared between the 'empty nest' and 'non-empty nest' elderly, using multiple linear regression analysis after adjusting for confounding factors. Comparing with the 'non-empty nest' elderly, the characteristics of the empty nest population were as follows: age at 70 to 79 (P = 0.0417), having higher education level (P people had lower scores of SF-36 in BP (P = 0.0032)dimension of physical function, and RE (P = 0.0033) dimension of psychological function as well as MCS (P = 0.0342) after adjusting for age, gender, marriage status, education level, residential areas, personal income, scores for satisfaction of life and depressive mood. The 'empty nest' elderly people with the characteristics such as higher education level, lower income level and living in the rural areas should be under greater concern, especially on those people with lower health-related quality of life or poorer psychological function.

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

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    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.

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

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    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.

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

    Science.gov (United States)

    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

  20. Effects of an Individualized Activity Program on Elderly Patients

    Science.gov (United States)

    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…

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

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    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.

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

    Directory of Open Access Journals (Sweden)

    Silberman Claudia

    1995-01-01

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

  3. Challenges in managing elderly people with diabetes in primary care settings in Norway.

    Science.gov (United States)

    Graue, Marit; Dunning, Trisha; Hausken, Marie Fjelde; Rokne, Berit

    2013-12-01

    To explore the experiences and clinical challenges that nurses and nursing assistants face when providing high-quality diabetes-specific management and care for elderly people with diabetes in primary care settings. Focus-group interviews. Sixteen health care professionals: 12 registered nurses and four nursing assistants from nursing homes (10), district nursing service (5), and a service unit (1) were recruited by municipal managers who had local knowledge and knew the workforce. All the participants were women aged 32-59 years with clinical experience ranging from 1.5 to 38 years. Content analysis revealed a discrepancy between the level of expertise which the participants described as important to delivering high-quality care and their capacity to deliver such care. The discrepancy was due to lack of availability and access to current information, limited ongoing support, lack of cohesion among health care professionals, and limited confidence and autonomy. Challenges to delivering high-quality care included complex, difficult patient situations and lack of confidence to make decisions founded on evidence-based guidelines. Participants lacked confidence and autonomy to manage elderly people with diabetes in municipal care settings. Lack of information, support, and professional cohesion made the role challenging.

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

    Science.gov (United States)

    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.

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

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    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.

  6. Toe functions have little effect on dynamic balance ability in elderly people.

    Science.gov (United States)

    Yoshimoto, Yoshinobu; Oyama, Yukitsuna; Tanaka, Mamoru; Sakamoto, Asuka

    2017-01-01

    [Purpose] The purpose of this study was to examine the toe function of elderly people and the association with the dynamic balance ability for the developing effective fall-prevention measures. [Subjects and Methods] Seventy-eight participants in a community health service were included in this cross-sectional study. The Timed Up and Go Test and Four Square Step Test were used to test dynamic balance ability. The toe functions related to dynamic balance ability were toe flexion strength, presence or absence of restricted range of motion of the hallux, presence or absence of hallux pain, and hallux valgus angle. [Results] Factors related to the Timed Up and Go Test results were toe flexion strength, age, and presence or absence of hallux pain. Their standard partial regression coefficients were -0.400, 0.277, and -0.218, respectively. Factors related to the Four Square Step Test results were toe flexion strength and age. Their standard partial regression coefficients were -0.334 and 0.277, respectively. [Conclusion] Toe functions appear to have little impact on dynamic balance ability in elderly people who have mild toe dysfunction. Approaches that address not only the toes, but trunk functions, and other leg joints should be investigated for improving the dynamic balance ability.

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

    Science.gov (United States)

    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.

  8. Prevalence and socioeconomic correlates of chronic morbidity among elderly people in Kosovo: a population-based survey.

    Science.gov (United States)

    Jerliu, Naim; Toçi, Ervin; Burazeri, Genc; Ramadani, Naser; Brand, Helmut

    2013-03-01

    Our aim was to assess the prevalence and demographic and socioeconomic correlates of chronic morbidity in the elderly population of transitional Kosovo. A cross-sectional study was conducted in Kosovo in 2011 including a representative sample of 1890 individuals aged ≥ 65 years (949 men, mean age 73 ± 6 years; 941 women, mean age 74 ± 7 years; response rate: 83%). A structured questionnaire inquired about the presence and the number of self-reported chronic diseases among elderly people, and their access to medical care. Demographic and socioeconomic data were also collected. Binary logistic regression was used to assess the association of demographic and socioeconomic characteristics with chronic conditions. In this nationwide population-based sample in Kosovo, 42% of elderly people were unable to access medical care, of whom 88% due to unaffordable costs. About 83% of the elderly people reported at least one chronic condition (63% cardiovascular diseases), and 45% had at least two chronic diseases. In multivariable-adjusted models, factors associated with the presence of chronic conditions and/or multimorbidity were female sex, older age, self-perceived poverty and the inability to access medical care. This study provides important evidence on the magnitude and distribution of chronic conditions among the elderly population of Kosovo. Our findings suggest that, in this sample of elderly people from Kosovo, the oldest-old (especially women) and the poor endure the vast majority of chronic conditions. These findings point to the urgent need to establish a social health insurance scheme including the marginalized segments of elderly people in this transitional country.

  9. 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

    Institute of Scientific and Technical Information of China (English)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    Helder Miguel Fernandes

    2009-03-01

    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.

  12. The effect of trunk stabilization exercises with a swiss ball on core muscle activation in the elderly.

    Science.gov (United States)

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

    Science.gov (United States)

    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.

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

    Institute of Scientific and Technical Information of China (English)

    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.

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

    Science.gov (United States)

    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…

  16. 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

    Directory of Open Access Journals (Sweden)

    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

  17. Quality of private personal care for elderly people with a disability living at home: correlates and potential outcomes.

    Science.gov (United States)

    Bilotta, Claudio; Vergani, Carlo

    2008-07-01

    To investigate correlates of the quality of private personal care for community-dwelling elderly people, this cross-sectional study enrolled 100 elderly outpatients living at home, along with their private aides and 88 informal caregivers, from May 2005 to January 2007. Cases were stratified according to the quality of private care as was described by both elderly participants and informal caregivers. In cases where the elderly person was suffering from overt cognitive impairment, only the opinions of the informal caregivers were taken into account. A comparison was made between the 'poor or fair care' group (n = 16), the 'intermediate care' group (n = 39) and the 'optimal care' group (n = 45). Considering the characteristics of private aides, there was a significant trend across the three groups in terms of language skills (P = 0.002) and level of distress with life conditions (P = 0.020). A statistical analysis performed on elderly participants without an overt cognitive impairment (n = 59) and informal caregivers showed an increase in the European Quality of Life Visual Analogue Scale score in the elderly group [mean +/- standard deviation (SD) were, respectively, 45 +/- 23.2, 63.7 +/- 19.7 and 68.8 +/- 21.6; P = 0.007], and a decrease in the Caregiver Burden Inventory score (mean +/- SD were, respectively, 34.9 +/- 25.3, 26 +/- 17.7 and 17.6 +/- 14.6; P = 0.020) across the three groups. We found no significant difference between elderly people in the three groups in terms of social variables, functional and cognitive status, prevalence of depressive disorders and morbidity. Therefore, good language skills and non-distressing life conditions of private aides appeared to be correlates of an optimal quality of care for community-dwelling elderly people with a disability, and also a better quality of life for them and less distress for their informal caregivers appeared to be potential outcomes of the quality of personal care.

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

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

    OpenAIRE

    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...

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

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    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.

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

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    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.

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

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    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.

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

    Science.gov (United States)

    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…

  4. 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

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    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

  5. Elder Fraud and Financial Exploitation: Application of Routine Activity Theory.

    Science.gov (United States)

    DeLiema, Marguerite

    2017-03-10

    Elder financial exploitation, committed by individuals in positions of trust, and elder fraud, committed by predatory strangers, are two forms of financial victimization that target vulnerable older adults. This study analyzes differences between fraud and financial exploitation victims and tests routine activity theory as a contextual model for victimization. Routine activity theory predicts that criminal opportunities arise when a motivated offender and suitable target meet in the absence of capable guardians. Fifty-three financial exploitation and fraud cases were sampled from an elder abuse forensic center. Data include law enforcement and caseworker investigation reports, victim medical records, perpetrator demographic information, and forensic assessments of victim health and cognitive functioning. Fraud and financial exploitation victims performed poorly on tests of cognitive functioning and financial decision making administered by a forensic neuropsychologist following the allegations. Based on retrospective record review, there were few significant differences in physical health and cognitive functioning at the time victims' assets were taken, although their social contexts were different. Significantly more fraud victims were childless compared with financial exploitation victims. Fraud perpetrators took advantage of elders when they had no trustworthy friends or relatives to safeguard their assets. Findings support an adapted routine activity theory as a contextual model for financial victimization. Fraud most often occurred when a vulnerable elder was solicited by a financial predator in the absence of capable guardians. Prevention efforts should focus on reducing social isolation to enhance protection.

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

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    Ana Mercedes Cerquera Córdoba

    2008-05-01

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

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

    Science.gov (United States)

    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

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

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    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.

  9. Investigation effect of oral chamomilla on sleep quality in elderly people in Isfahan: A randomized control trial.

    Science.gov (United States)

    Abdullahzadeh, Mehrdad; Matourypour, Pegah; Naji, Sayed Ali

    2017-01-01

    Elderly people often suffer from sleep disorders. Chamomile due to the many health benefits such as sedation may be effective in improving sleep quality in elderly people. This study aimed to determine the effect of Matricaria chamomilla extract on sleep quality in elderly people admitted to nursing homes of Isfahan in 2014. The present study is a quasi-experimental clinical trial. The study population was 77 cases of elderly hospitalized in nursing homes. Participants were selected through random continuous sampling and divided into intervention and control groups. The intervention group received 400 mg oral capsules of chamomile twice daily, after lunch and after dinner for 4 weeks. The control group did not receive the intervention. Sleep quality in older adults before and after intervention were compared using the Pittsburgh Sleep Quality Index questionnaire. Data were analyzed using descriptive statistics and paired t- and independent t-tests, one-way analysis of variance and liner regression analysis, using SPSS software version 17. Before intervention, the mean score of sleep quality both experimental and control groups showed no significant difference (P > 0.05). After intervention, the mean score of sleep quality was a significant difference between experimental and control groups (P < 0.001). Oral administration of chamomile extract has sedative properties in sleep quality of hospitalized elderly patients in nursing homes. Therefore, it can be used in similar cases and nursing care.

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

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    Anil Kumar Mysore Nagaraj

    2012-01-01

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

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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.

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

    Institute of Scientific and Technical Information of China (English)

    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.

  14. A relaxation technique enhances psychological well-being and immune parameters in elderly people from a nursing home: a randomized controlled study.

    Science.gov (United States)

    Reig-Ferrer, Abilio; Ferrer-Cascales, Rosario; Santos-Ruiz, Ana; Campos-Ferrer, Adolfo; Prieto-Seva, Alvaro; Velasco-Ruiz, Irene; Fernandez-Pascual, Maria Dolores; Albaladejo-Blazquez, Natalia

    2014-08-23

    The aging process involves a decline in immune functioning that renders elderly people more vulnerable to disease. In residential programs for the aged, it is vital to diminish their risk of disease, promote their independence, and augment their psychological well-being and quality of life. We performed a randomized controlled study, evaluating the ability of a relaxation technique based on Benson's relaxation response to enhance psychological well-being and modulate the immune parameters of elderly people living in a geriatric residence when compared to a waitlist control group. The study included a 2-week intervention period and a 3-month follow-up period. The main outcome variables were psychological well-being and quality of life, biomedical variables, immune changes from the pre-treatment to post-treatment and follow-up periods. Our findings reveal significant differences between the experimental and control groups in CD19, CD71, CD97, CD134, and CD137 lymphocyte subpopulations at the end of treatment. Furthermore, there was a decrease in negative affect, psychological discomfort, and symptom perception in the treatment group, which increased participants' quality of life scores at the three-month follow-up. This study represents a first approach to the application of a passive relaxation technique in residential programs for the elderly. The method appears to be effective in enhancing psychological well-being and modulating immune activity in a group of elderly people. This relaxation technique could be considered an option for achieving health benefits with a low cost for residential programs, but further studies using this technique in larger samples of older people are needed to confirm the trends observed in the present study. International Standard Randomised Controlled Trial Number Register ISRCTN85410212.

  15. The Life of the Elderly in Residential Care Facilities - A Study of Autonomy and Life Situation of Elderly People in the Context of the Political Organisation of the Facilities

    DEFF Research Database (Denmark)

    Skjødt, Ulla

    2016-01-01

    as mutually informing each other. Empirical material is generated by participant observation studies and interviews in residential care facilities as well as policy documents concerning the arrangement of public help to impaired elderly people are analysed. Results: Analysis of the empirical material...... and of pertinent policy documents reveal that elderly are politically valued, when they manage to avoid drawing on the public services that are available to them. A current dominant political standardised concept of autonomy is rendered visible. In its generalised form this concept turns out to be contradictory...... of the Facilities Keywords: vulnerable elderly people, impaired elderly people, residential care facility, autonomy of elderly, political organisation of help, New Public Management, market-orientation, welfare state. Aim: To examine how autonomy of the elderly in residential care facilities is practiced and how...

  16. The Relationship between Locomotive Syndrome and Depression in Community-Dwelling Elderly People

    Directory of Open Access Journals (Sweden)

    Misa Nakamura

    2017-01-01

    Full Text Available Locomotive syndrome (LS is a concept that refers to the condition of people requiring healthcare services because of problems associated with locomotion. Depression is a major psychiatric disease among the elderly, in addition to dementia. The purpose of this study was to determine the association between LS and depression. The study participants were 224 healthy elderly volunteers living in a rural area in Japan. LS was defined as scores ≥ 16 on the 25-question Geriatric Locomotive Function Scale (GLFS-25. Depression was defined as scores ≥ 5 on the 15-item Geriatric Depression Scale (GDS-15. Height and body weight were measured. The prevalence of LS and depression was 13.9% and 24.2%, respectively. Compared with the non-LS group, the LS group was older, was shorter, had a higher BMI, and had higher GDS-15 scores. Logistic regression analysis showed that participants with GDS-15 scores ≥ 6 had higher odds for LS than those with GDS-15 scores < 6 (odds ratio [OR] = 4.22. Conversely, the depression group had higher GLFS-25 scores than the nondepression group. Participants with GLFS-25 scores ≥ 5 had higher odds for depression than those with GLFS-25 scores < 5 (OR = 4.53. These findings suggest that there is a close relationship between LS and depression.

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

    Science.gov (United States)

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

    Directory of Open Access Journals (Sweden)

    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.

  19. Reflections on health staff working with elderly people in the public administration. Case studies /

    Directory of Open Access Journals (Sweden)

    Concepción Nieto-Morales

    2013-10-01

    Full Text Available The speech of female health professionals who work in public residences is analyzed in this writing, a work which most of them choose as their vocation, from a perspective in public employment and personal cares. The crisis has destroyed positions, social rights, made precarious the employment done in all the environments and especially in the Administration, the outsourcing of work is started, the increasing of flexibility of the labor conditions, the instability… Everything worsens particularly the conditions of the public health professionals. The question arisen is: where are the labor stability, the vocation and working in a position each one has been trained for? The labor conditions worsen, making employment and positions more precarious. The statistics reflect there is less unemployment when there is more training; but there are many university people who work in a position different to the one they have been trained for. A group of discussion composed by six people with a university degree in Nursing and Auxiliary Nursing Care, who work in public residences for elderly people, has been created to focus on this work, out of the labor place.

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

    Directory of Open Access Journals (Sweden)

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

    Directory of Open Access Journals (Sweden)

    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

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

    Science.gov (United States)

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

    DEFF Research Database (Denmark)

    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...

  4. Validity and reliability of the Philadelphia Geriatric Center Morale Scale among Turkish elderly people.

    Science.gov (United States)

    Pinar, Rukiye; Oz, Havva

    2011-02-01

    We translated the original 17-item Philadelphia Geriatric Morale Scale (PGCMS) into Turkish and examined its validity and reliability to determine whether it may used as a tool to measure quality of life (QOL) in a Turkish elderly sample people. The sample included 398 participants aged 65 years living in institutions. Participants who were cognitively impaired (Abbreviated Mental Test score less than 7) or who could not answer questions for other reasons were excluded. Preliminary analysis was conducted to investigate multicollinearity, univariate and multivariate outliers, normality, item difficulty and discriminatory power of individual items. Confirmatory factor analysis (CFA) was used to test the structure of the PGCMS. By means of convergent-divergent validity, correlations between PGCMS and Turkish SF-36, correlations between PGCMS and social support scores, and correlations between PGCMS and hopelessness scores were investigated. Reliability was based on internal consistency investigated by Kuder-Richardson-20 (KD-20) and item-total correlation. By means of multicollinearity, we deleted two items. Neither univariate nor multivariate outliers were found. No items showed skewness and kurtosis value greater than recommended. A model containing 15 of the PGCMS items was found to fit Turkish data perfectly. We identified three underlying factors including agitation, attitude toward own aging, and lonely dissatisfaction similar to original PGCMS's three-factor solution. There were strong correlations between PGCMS's subscales. The correlations with the physical and mental domain in SF-36, correlations between PGCMS and social support, and correlation between PGCMS and hopelessness supported construct validity. We found satisfactory evidence of internal consistency (KD-20 was 0.92 for total PGCMS and it ranged from 0.76 to 0.85 for subscales in the PGCMS) with item-total correlations ranging from 0.39 to 0.73. The PGCMS is a valid and reliable quality of life

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    NARCIS (Netherlands)

    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

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

    Science.gov (United States)

    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.

  9. Against all odds: quality of care in a national centre for elderly deaf people in The Netherlands

    NARCIS (Netherlands)

    Hiddinga, A.

    2014-01-01

    This paper reports the first results of ethnographic research on the subjective experience of quality of care by the inhabitants of a unique centre for elderly Deaf people in The Netherlands. Against the national trends, the centre with its special care arrangements is steadily growing.

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

    NARCIS (Netherlands)

    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

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

    NARCIS (Netherlands)

    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

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

    NARCIS (Netherlands)

    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

  13. Explaining the variability in recommended intakes of folate, vitamin B12, iron and zinc for adults and elderly people

    NARCIS (Netherlands)

    Doets, E.L.; Cavelaars, A.J.E.M.; Dhonukshe-Rutten, R.A.M.; Veer, van 't P.; Groot, de C.P.G.M.

    2012-01-01

    Objective To signal key issues for harmonising approaches for establishing micronutrient recommendations by explaining observed variation in recommended intakes of folate, vitamin B12, Fe and Zn for adults and elderly people. Design We explored differences in recommended intakes of folate, vitamin

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

    Science.gov (United States)

    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.

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

    Institute of Scientific and Technical Information of China (English)

    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

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

    Science.gov (United States)

    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

  17. Diminished capability to recognize the optimal temperature for sleep initiation may contribute to poor sleep in elderly people.

    Science.gov (United States)

    Raymann, Roy J E M; Van Someren, Eus J W

    2008-09-01

    Sleep propensity and skin temperature are functionally related. In young adults, changes of skin temperature within the comfortable thermoneutral zone affect sleep-onset latency and vigilance performance. Aging is associated with both decreased thermosensitivity and poorer sleep. Our goal was to test whether subtle manipulations of core body and skin temperature affect sleep onset in elderly people without sleep complaints and in elderly insomniacs and whether the subjective perception of these mild body temperature manipulations is preserved with aging and insomnia. In a 2-day semiconstant-routine protocol, 288 sleep-onset latencies were polysomnographically determined while manipulating core body and skin temperatures differentially in warm and cold directions within a comfortable thermoneutral range. Sleep laboratory of the Netherlands Institute for Neuroscience. Eight elderly subjects without sleep complaints (65.8 +/- 2.8 years, mean +/- SEM) and 8 elderly insomniacs (59.1 +/- 1.9 years). Warming the proximal skin by 0.4 degrees C facilitates sleep onset equally effective in healthy elderly (by 18% ie, by 1.84 minutes [95% confidence interval [CI], 0.76-2.92]) and elderly insomniacs (28%, 2.85 minutes [CI: 2.55-3.18]). These effects were comparable to the results in healthy young subjects, in spite of a marked decrease in the subjective perception of temperature changes in elderly subjects, especially in insomniacs. The findings show that mild changes in skin temperature have an effect on sleep propensity in elderly and indicate that elderly insomniacs may have a diminished capability to recognize that a slight increase in bed temperature facilitates the initiation or reinitiation of sleep.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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

  20. Differences in waiting list prioritization preferences of occupational therapists, elderly people and persons with disabilities: a discrete choice experiment.

    Science.gov (United States)

    Raymond, Marie-Hélène; Demers, Louise; Feldman, Debbie E

    2017-08-07

    To compare the preferences of occupational therapists, elderly people and adults with disabilities regarding prioritization criteria for occupational therapy waiting lists in home care. Discrete choice experiment survey. Respondents completed eight choice tasks where they were asked to choose which of two referral scenarios should be prioritized for services. Scenarios varied in terms of four attributes reflecting competing issues that come into play in waiting list prioritization: the person's ability to shower, ability to enter and exit the home, history of falls and time already spent on the waiting list. The survey was mailed to occupational therapists working in home care and community-dwelling elderly or disabled persons. Not applicable. 241 home-based occupational therapists, 226 elderly persons from a bank of research participants and 247 adults with physical disabilities recruited through community organizations. The dependent variable was whether the referral scenario was prioritized or not in each question. Results were analyzed through logistic regression using conditional logit models. Prioritization preferences differed between groups (p Occupational therapists most strongly prioritized people who had had a few falls (OR vs. no falls = 48.9) whereas elderly people and adults with disabilities most strongly prioritized people who were unable to enter and exit the home (OR vs. no difficulty entering and exiting the home = 30.8 for elderly people and 16.9 for persons with disabilities.) CONCLUSIONS: Our results highlight the gap between the priorities of home-based occupational therapists and their target clientele. Although further inquiry is needed to inform priority-setting, the findings emphasize the importance of public or patient involvement in decisions on waiting list prioritization. Copyright © 2017. Published by Elsevier Inc.

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

    Science.gov (United States)

    Liu, Li; Zheng, Dongxue; Liu, Xiaojun

    2015-09-01

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

  2. [Trajectories of aging in a sample of elderly people: a longitudinal study].

    Science.gov (United States)

    Navarro-González, Elena; Calero, María Dolores; Becerra-Reina, Dolores

    2015-01-01

    The present study analyzes variables associated with different trajectories of aging, and the level of cognitive functioning in a sample of older adults. Although this work is part of a broader investigation where initially 141 people were assessed, this paper only discusses the cognitive functioning and cognitive development of 64 older people who have been followed up four years after the initial assessment, with a mean age of 83.84 years (age range 65 to 99 years). In the initial assessment all the participants were assessed with a psychological battery that included the MEC, the verbal fluency task FVS, a sustained attention task, a working memory test, a Quality of Life Questionnaire, a scale of dependency, and the AVLT-Learning Potential test. In the follow up assessment, participants have been assessed with the MEC, the verbal fluency task FVS, and the verbal memory test AVLT-PA. the results show relatively stable trajectories of aging and that the variables that better predict cognitive evolution of the elderly are working memory and post-test score in the AVLT-LP. Despite the time lapse between the two assessments and the age of the participants, older adults have remained relatively stable in their cognitive functioning, which in part contradicts the idea that--especially after 80 years--a general decline of cognitive functioning occurs in old age. Copyright © 2014 SEGG. Published by Elsevier Espana. All rights reserved.

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

    Directory of Open Access Journals (Sweden)

    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

  4. THE STUDY OF MALNUTRITION IN ELDERLY PEOPLE OF KURDISTAN IN 2011

    National Research Council Canada - National Science Library

    Rahimi, Z; Romi, F; Hedayatkordestani, S.H; Zh, Habibi; Hasanzadeh, H

    2012-01-01

    ... of malnutrition in elderly Province cholera research priorities according to the Ministry of Health Food, which was announced to all universities were 1010 elderly in this study based on random...

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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.

  10. A shoe insole delivering subsensory vibratory noise improves balance and gait in healthy elderly people.

    Science.gov (United States)

    Lipsitz, Lewis A; Lough, Matthew; Niemi, James; Travison, Thomas; Howlett, Harold; Manor, Brad

    2015-03-01

    To test whether subsensory vibratory noise applied to the sole of the foot using a novel piezoelectric vibratory insole can significantly improve sensation, enhance balance, and reduce gait variability in elderly people, as well as to determine the optimal level of vibratory noise and whether the therapeutic effect would endure and the user's sensory threshold would remain constant during the course of a day. A randomized, single-blind, crossover study of 3 subsensory noise stimulation levels on 3 days. Balance and gait laboratory. Healthy community-dwelling elderly volunteers (N=12; age, 65-90y) who could feel the maximum insole vibration. A urethane foam insole with the piezoelectric actuators delivering subsensory vibratory noise stimulation to the soles of the feet. Balance, gait, and timed Up and Go (TUG) test. The vibratory insoles significantly improved performance on the TUG test, reduced the area of postural sway, and reduced the temporal variability of walking at both 70% and 85% of the sensory threshold and during the course of a day. Vibratory sensation thresholds remained relatively stable within and across study days. This study provides proof of concept that the application of the principle of stochastic resonance to the foot sole sensory system using a new low-voltage piezoelectric technology can improve measures of balance and gait that are associated with falls. Effective vibratory noise amplitudes range from 70% to 85% of the sensory threshold and can be set once daily. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

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

    Science.gov (United States)

    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.

  12. Muscle synergies underlying sit-to-stand tasks in elderly people and their relationship with kinetic characteristics.

    Science.gov (United States)

    Hanawa, Hiroki; Kubota, Keisuke; Kokubun, Takanori; Marumo, Tatsuya; Hoshi, Fumihiko; Kobayashi, Akira; Kanemura, Naohiko

    2017-08-24

    Physiological evidence suggests that the nervous system controls motion by using a low-dimensional synergy organization for muscle activation. Because the muscle activation produces joint torques, kinetic changes accompanying aging can be related to changes in muscle synergies. We explored the effects of aging on muscle synergies underlying sit-to-stand tasks, and examined their relationships with kinetic characteristics. Four younger and three older adults performed the sit-to-stand task at two speeds. Subsequently, we extracted the muscle synergies used to perform these tasks. Hierarchical cluster analysis was used to classify these synergies. We also calculated kinetic variables to compare the groups. Three independent muscle synergies generally appeared in each subject. The spatial structure of these synergies was similar across age groups. The change in motion speed affected only the temporal structure of these synergies. However, subject-specific muscle synergies and kinetic variables existed. Our results suggest common muscle synergies underlying the sit-to-stand task in both young and elderly adults. People may actively change only the temporal structure of each muscle synergy. The precise subject-specific structuring of each muscle synergy may incorporate knowledge of the musculoskeletal kinetics. Copyright © 2017 Elsevier Ltd. All rights reserved.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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

  16. Falls in long-term care institutions for elderly people: protocol validation.

    Science.gov (United States)

    Baixinho, Cristina Rosa Soares Lavareda; Dixe, Maria Dos Anjos Coelho Rodrigues; Henriques, Maria Adriana Pereira

    2017-01-01

    To validate the content of a fall management risk protocol in long-term institutions for elderly people. Methodological, quanti-qualitative study using the Delphi technique. The tool, based on the literature, was sent electronically to obtain consensus among the 14 experts that meet the defined inclusion criteria. The 27 indicators of the protocol are organized in three dimensions: prepare for the institutionalization (IRA=.88); manage the risk of falls throughout the institutionalization (IRA=.9); and lead the communication and formation (IRA=1), with a CVI=.91. Two rounds were performed to get a consensus superior to 80% in every item. The values obtained in the reliability test (>0.8) show that the protocol can be used to meet the intended goal. The next step is the clinic validation of the protocol with residents of long-term care institutions for elderly people. Validar o conteúdo de um protocolo para a gestão do risco de queda em Instituições de Longa Permanência para Idosos. Estudo metodológico, de abordagem quantiqualitativa, utilizando a técnica de Delphi. O instrumento, construído com base na literatura, foi enviado por via electrónica, para obter consenso entre os 14 peritos que respeitam os critérios de inclusão definidos. Os 27 indicadores do protocolo estão organizados em três dimensões: Preparar a Institucionalização (IRA=,88); Gerir o Risco de Queda ao longo da Institucionalização (IRA=,9) e Liderar a comunicação e formação (IRA=1), com um CVI=,91. Foram efetuadas duas rodadas para se obter consenso superior a 80% em todos os itens. Os valores obtidos no teste de fidedignidade (>0,8) atestam que o protocolo pode ser utilizado para atingir o fim que se pretende. A próxima etapa é a validação clínica do protocolo com idosos residentes em Instituições de Longa Permanência para Idosos.

  17. The Elderly's Need for Physical Activity.

    Science.gov (United States)

    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)

  18. The Elderly's Need for Physical Activity.

    Science.gov (United States)

    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)

  19. Lifetime Musical Activities and Cognitive Function of the Elderly

    Directory of Open Access Journals (Sweden)

    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

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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

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

    OpenAIRE

    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...

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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

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

    OpenAIRE

    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...

  6. Oral health care in long-term care facilities for elderly people in southern Brazil: a conceptual framework.

    Science.gov (United States)

    Mello, Ana Lúcia Schaefer Ferreira de; Erdmann, Alacoque Lorenzini; Brondani, Mario

    2010-03-01

    To present a theoretical model for understanding oral health care for the elderly in the context of long-term care institutions (LTCI). Open-ended individual interviews were conducted with the elderly residing in LTCI, their carers, nursing technicians and nurses, directors of care, dental surgeons and managers of public health services. A grounded theory methodological approach was adopted for data collection and analysis. The emerging core category revealed a basic social process: 'Promoting oral health care for the elderly based on the context of LTCI'. This process was composed of two contradicting yet correlated aspects: the oral health care does not minimise the poor oral epidemiological condition, and at the same time, there was a continued improvement in the oral care expressed by better care practices. These aspects were related to the: attribution of meaning to oral health, social determination of oral health, the ageing process, interactions established in the oral health care practices, oral health care management in LTCI, inclusion of oral health care into the political-organisational dimension and possibility of conjecturing better oral health care practices. The core concept of 'Promotion of oral health care for elderly people based on the context of LTCI' is capable of explaining the variations in the structure and process of LTCI, as well as in helping to understand the meaning of the oral health care practices for the institutionalised elderly.

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

    Science.gov (United States)

    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.

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

    OpenAIRE

    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...

  9. 3D depth image analysis for indoor fall detection of elderly people

    Directory of Open Access Journals (Sweden)

    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.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    1991-06-01

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

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

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    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.

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

    Science.gov (United States)

    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

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

    Science.gov (United States)

    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.

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

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    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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.

  17. [Regional disparity on life expectancy, active life expectancy in the elderly from Beijing].

    Science.gov (United States)

    Zhang, Zhong-ying; Tang, Zhe; Feng, Ming

    2011-09-01

    To explore the regional disparity in life expectancy (LE), active life expectancy (ALE), active life expectancy/life expectancy (ALE/LE) of the elderly in Beijing and to express the impact of hypertension upon those indices. The sample was derived from a "Beijing multidimensional longitudinal study on aging", including those from urban district (Xuanwu), rural district (Daxing and Huairou) by well-established statistical sampling techniques. Baseline survey comprised 1847 people aged 60 years or over, living in the communities in Beijing in 2004. The subjects under research were investigated with questionnaires at home by well-trained interviews and the contents would include: degree of education, occupation, medical history of hypertension together with repeated blood pressure measurements. Someone being "active" was defined as the ability in performing activities of daily life (ADL). IMaCH software for multi-state life table method was used to calculate the life expectancy (LE), active life expectancy (ALE) and active life expectancy/life expectancy (ALE/LE) in different district and the hypertensive exert influence on those indices. Data from the study showed that people inhabited in the rural district had lower LE, ALE and degree of education (illiteracy account for 66.2 percentage), but with more physical activities (account for 95.5 percentage) and higher ALE/LE than urban district people. Regional disparity in Females was obvious than in males while hypertension would exert more influence on LE of the urban women, which widened the gap in LE, ALE of males and ALE of females between the urban and rural areas. Regional disparity was found existing in LE, ALE, ALE/LE of the elderly from Beijing, particularly in females. Hypertension widened the gap and decreased the quality of life on senior citizens in the rural areas. This finding underlined the influence of habitation on the quality of life which manifested the importance of prevention regarding high blood

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

    Directory of Open Access Journals (Sweden)

    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

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

    OpenAIRE

    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...

  20. 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

    OpenAIRE

    Beata Działa

    2016-01-01

    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