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Nutritional support in a comprehensive program of prevention and treatment of sarcopenia 营养支持在预防和治疗肌少症的综合方案
Russian Journal of Geriatric Medicine Pub Date : 2023-04-05 DOI: 10.37586/2686-8636-1-2023-29-38
{"title":"Nutritional support in a comprehensive program of prevention and treatment of sarcopenia","authors":"","doi":"10.37586/2686-8636-1-2023-29-38","DOIUrl":"https://doi.org/10.37586/2686-8636-1-2023-29-38","url":null,"abstract":"Adequate nutrition with a high protein content is one of the main conditions in the complex treatment of sarcopenia. This review article considers strategies for maintaining the dietary derived protein and amino acids value in patients with sarcopenia. The features of  nutritious diet in  young, middle-aged and older people including those with sarcopenia are compared and outlined. The possibilities of nutritional supplements of proteins and amino acids in the diet of geriatric patients with sarcopenia are given.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122587260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevention of falls in the elderly and senile patients with cardiovascular diseases 预防老年人跌倒及老年心血管疾病患者
Russian Journal of Geriatric Medicine Pub Date : 2023-04-05 DOI: 10.37586/2686-8636-1-2023-14-28
O. Tkacheva, Y. Kotovskaya, K. Eruslanova, E. Alimova, N. Runikhina, A. Naumov, E. Frolova
{"title":"Prevention of falls in the elderly and senile patients with cardiovascular diseases","authors":"O. Tkacheva, Y. Kotovskaya, K. Eruslanova, E. Alimova, N. Runikhina, A. Naumov, E. Frolova","doi":"10.37586/2686-8636-1-2023-14-28","DOIUrl":"https://doi.org/10.37586/2686-8636-1-2023-14-28","url":null,"abstract":"A fall is defined as an event, which results in a person coming to rest inadvertently on the ground or floor or other lower level, except in cases, which are the result of a blow, loss of consciousness, sudden paralysis or an epilepsy [1]. Falls and fear of falling cause serious health problems, which, in turn are associated with high injury rate, high medical costs and a negative impact on quality of life. Older and senile patients with cardiovascular disease (CVD) are at high risk of falling. However, in clinical practice, the prevalence of falls and the risks of falls are not well understood and underestimated by physicians and patients themselves. An increased risk of falling is associated with various factors, such as drugs, structural heart disease, orthostatic hypotension and arrhythmias, as well as gait and balance disorders, physical weakness, sensory disturbances. These risks are especially important with the growing number of older people with cardiovascular disease. All physicians involved in  the care of  patients with CVD should pay attention to  the assessment, prevention and treatment of falls in adults with heart disease, and the treatment of cardiovascular disease in patients at risk of falls.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132353716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Geriatric cardiology - an imperative of our time 老年心脏病学——我们这个时代的当务之急
Russian Journal of Geriatric Medicine Pub Date : 2023-04-05 DOI: 10.37586/2686-8636-1-2023-6-13
{"title":"Geriatric cardiology - an imperative of our time","authors":"","doi":"10.37586/2686-8636-1-2023-6-13","DOIUrl":"https://doi.org/10.37586/2686-8636-1-2023-6-13","url":null,"abstract":"Cardiovascular disease is  the leading cause of  morbidity and mortality, especially in  older adults. The older are characterized by a combination of CVD with other non-infection chronic diseases, changes in cognitive and functional status, social and economic circumstances. To  date, there are no  formalized guidelines for managing patients in response to all issues, since historically clinical recommendations are «disease-centric», while older patients with CVD require an inclusive and integrative patient-centric approach to insure comprehensive health care. Integration of the basic principles of cardiovascular disease management and the principles of geriatrics is becoming increasingly necessary to provide high quality care for older patients.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"677 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123049593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Comprehensive geriatric assessment — the main tool for the work of a geriatrician 综合老年评估-老年专家工作的主要工具
Russian Journal of Geriatric Medicine Pub Date : 2023-02-01 DOI: 10.37586/2686-8636-4-2022-210-227
N. Sharashkina, O. Tkacheva, N. Runikhina, M. S. Arefieva, K. Eruslanova, V. S. Ostapenko, Y. Kotovskaya
{"title":"Comprehensive geriatric assessment — the main tool for the work of a geriatrician","authors":"N. Sharashkina, O. Tkacheva, N. Runikhina, M. S. Arefieva, K. Eruslanova, V. S. Ostapenko, Y. Kotovskaya","doi":"10.37586/2686-8636-4-2022-210-227","DOIUrl":"https://doi.org/10.37586/2686-8636-4-2022-210-227","url":null,"abstract":"A comprehensive geriatric assessment is the main diagnostic tool in the work of a geriatrician, which is also necessary for drawing up an individual plan for managing an older patient. A distinctive feature of the geriatric approach is a holistic perception of all the needs of an older person — not only medical, but also functional, social. The main goals of the CGA (comprehensive geriatric assessment) are to improve diagnostics, optimize treatment, and enhance the functional state and quality of life, including living conditions, the use of health-care services, and planning long-term support for older adults. Based on the results of the CGA, a comprehensive approach is being developed to provide assistance to older patients, which should help restore their independence, the ability to self-care, improve the quality of life through various targeted rehabilitation measures, as well as optimize healthcare costs, reduce risks, improve prognosis and increase life expectancy of the older patients.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122297031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Sarcopenic obesity — a current problem of modern geriatrics 肌少性肥胖——现代老年病学的一个当前问题
Russian Journal of Geriatric Medicine Pub Date : 2023-02-01 DOI: 10.37586/2686-8636-4-2022-228-235
D. P. Kurmaev, S. Bulgakova, E. Treneva
{"title":"Sarcopenic obesity — a current problem of modern geriatrics","authors":"D. P. Kurmaev, S. Bulgakova, E. Treneva","doi":"10.37586/2686-8636-4-2022-228-235","DOIUrl":"https://doi.org/10.37586/2686-8636-4-2022-228-235","url":null,"abstract":"Sarcopenic obesity (SO) is a complex metabolic state of the body, attributable to a synergistic combination, mutual reinforcement and aggravation of the pathological mechanisms of sarcopenia and obesity. SO is associated with a decrease in the quality of life, dependence on outside help, an increased risk of disability and premature death. Currently, the urgency of the SO problem is increasing due to the global demographic aging of the population, the high incidence of obesity, type 2 diabetes mellitus (DM2), geriatric syndromes of sarcopenia and frailty in the developed countries of the modern world. It is of interest to review current literature data on the prevalence, etiology, pathogenesis, as well as the principles of diagnosis, prevention and treatment of sarcopenic obesity.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125985444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Oral health, frailty and physical activity levels: is there a link? 口腔健康、虚弱和身体活动水平:有联系吗?
Russian Journal of Geriatric Medicine Pub Date : 2023-02-01 DOI: 10.37586/2686-8636-4-2022-250-259
A. Turusheva, E. Frolova, O. Tkacheva, V. Trezubov, R. Rozov, M. Kabanov
{"title":"Oral health, frailty and physical activity levels: is there a link?","authors":"A. Turusheva, E. Frolova, O. Tkacheva, V. Trezubov, R. Rozov, M. Kabanov","doi":"10.37586/2686-8636-4-2022-250-259","DOIUrl":"https://doi.org/10.37586/2686-8636-4-2022-250-259","url":null,"abstract":"Introduction. Oral frailty is associated with decreased quality of life and general health in older adults.Objective: to assess the relationship between oral frailty, physical frailty and physical functioning decline.Methods: An epidemiological cross-sectional Eucalyptus study of adults aged 65 years and older (n=396). The main study parameters: oral health status, chronic diseases, a comprehensive geriatric assessment, complete blood count.Results: 75.5% (n=299) of participants had less than half teeth. 87% of them used removable/fixed dentures or implants. Despite the high frequency of denture use, 9.4% (n=37) of study participants reported difficulties in pronunciation of words and 19.2% (n=76) complained of pain/discomfort when chewing food due to oral health/teeth/dentures. After adjusting for sex, age, cognitive decline, number of remaining teeth, denture/implant use, nutritional status and stroke/TIA, heart failure, chewing or speech problems due to problems of the oral cavity associated with teeth / oral mucosa / dentures were associated with low grip strength with OR (95% CI) 2.738 (1.306–5.737) and 2.494 (1.045– 5.952) respectively and frailty with OR (95% CI) 2.513 (1.083–5.829) in the group of study participants with difficulty in pronunciation of words. The association between chewing difficulty and frailty was significant after adjusting for sex, age, cognitive decline, number of remaining teeth, denture/implant use, nutritional status, and stroke/TIA with OR (95% CI) 2.002 (1.020–3.931), but disappeared after adjusting for heart failure.Conclusion: Chewing or pronunciation difficulties due to oral health problems were associated with an increased risk of frailty, and low levels of physical functioning. All patients with frailty and low physical function should be consulted by a prosthodontist.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123399459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Vitamin K and age-related diseases 维生素K和老年性疾病
Russian Journal of Geriatric Medicine Pub Date : 2023-02-01 DOI: 10.37586/2686-8636-4-2022-236-249
K. Eruslanova, Y. Onuchina, E. Ivannikova, E. Dudinskaya
{"title":"Vitamin K and age-related diseases","authors":"K. Eruslanova, Y. Onuchina, E. Ivannikova, E. Dudinskaya","doi":"10.37586/2686-8636-4-2022-236-249","DOIUrl":"https://doi.org/10.37586/2686-8636-4-2022-236-249","url":null,"abstract":"Vitamin K is a fat-soluble vitamin and its role in metabolism, bone and connective tissue, and blood coagulation is well known. The purpose of this review is to identify and detail the involvement of two vitamin K vitamers, K1 or phylloquinone, and vitamin K2 or menaquinone, in the pathogenesis of age-related diseases.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"210 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129427198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social stigmatization and attitudes towards age-related changes 社会对年龄相关变化的污名化和态度
Russian Journal of Geriatric Medicine Pub Date : 2022-12-05 DOI: 10.37586/2686-8636-3-2022-156-160
I. A. Zakharova, A. Korobko, V. Sotnikov
{"title":"Social stigmatization and attitudes towards age-related changes","authors":"I. A. Zakharova, A. Korobko, V. Sotnikov","doi":"10.37586/2686-8636-3-2022-156-160","DOIUrl":"https://doi.org/10.37586/2686-8636-3-2022-156-160","url":null,"abstract":"Grounded in attitude to ethnicity, gender, health, age and other social variables social stigmatization is deeply entrenched in today's society. In the light of increasing life expectancy and changing in age structure of the population, the problem of gerontological ageism seems to be relevant. The negative view of the anthropometric, cognitive, physical characteristics of the older adults is acceptable to society thus adversely affecting their quality of life and secondarily reinforcing undesirable patterns. The paper outlines the basic ideas about this phenomenon, psychological and social determinants, research data, diagnostic methods, as well as possible ways to overcome the problem. An important task for gerontological specialists is educational work at all stages of interaction with older patients and their accompanying persons.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117208206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiology department of geriatric hospital: staff-patient interactions 老年医院放射科:医患互动
Russian Journal of Geriatric Medicine Pub Date : 2022-12-05 DOI: 10.37586/2686-8636-3-2022-150-155
E. A. Kruglov, D. A. Yatsenko, A. E. Zargarova, D. V. Demenok
{"title":"Radiology department of geriatric hospital: staff-patient interactions","authors":"E. A. Kruglov, D. A. Yatsenko, A. E. Zargarova, D. V. Demenok","doi":"10.37586/2686-8636-3-2022-150-155","DOIUrl":"https://doi.org/10.37586/2686-8636-3-2022-150-155","url":null,"abstract":"Medical care organization for older patients in geriatric centers is of particular interest due to the increase proportion of older population in Russian Federation. Geriatric patients experience cognitive, neurological, sensory changes, including decreased vision, hearing, rate of reaction, as well as increased time for assimilation of new information. Patients with age-related characteristics may encounter various problems during examination in radiology departments. This article presents methodological recommendations for examination of older patients based on personal experience and analyzed literature.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126230072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The problem of preoperative assessment of patients of older age groups 高龄患者术前评估的问题
Russian Journal of Geriatric Medicine Pub Date : 2022-12-05 DOI: 10.37586/2686-8636-3-2022-161-167
D. V. Trotsyuk, Z. Zaripova, D. S. Medvedev, A. Volkov
{"title":"The problem of preoperative assessment of patients of older age groups","authors":"D. V. Trotsyuk, Z. Zaripova, D. S. Medvedev, A. Volkov","doi":"10.37586/2686-8636-3-2022-161-167","DOIUrl":"https://doi.org/10.37586/2686-8636-3-2022-161-167","url":null,"abstract":"Age-associated processes combined with comorbidity affect the physiological reserves of patients of older age groups, having a negative impact on the surgery and the postoperative period. One of the most important geriatric syndromes, closely related to the treatment outcome in patients over 60, is frailty. The prevalence of frailty increases with age, and that is associated with a worsening of the perioperative prognosis, prolonged hospitalization, and an increase in mortality. The methods widely used for perioperative risk stratification do not take into account the presence and severity of frailty, changes in the functional state and reserve capabilities of the body, which reduces their sensitivity for patients of older age groups. The article considers the generally accepted approaches to risk stratification and identifies further development prospects in this area.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131019736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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