Asian Journal of Gerontology and Geriatrics最新文献

{"title":"Frailty syndrome and sarcopenia among rural older adults in West Bengal, India: a cross-sectional study","authors":"Sayani Das, S. Mukhopadhyay, B. Mukhopadhyay","doi":"10.12809/ajgg-2021-458-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2021-458-oa","url":null,"abstract":"Background. Frailty is a multidimensional syndrome. Sarcopenia plays an essential role in the early diagnosis and prevention of frailty syndrome. Therefore, we examined the association of frailty syndrome with sarcopenia among community-dwelling rural older adults in West Bengal. Methods: This cross-sectional survey was conducted between October 2018 and January 2020 in 510 (230 men and 280 women) older adults aged ≥60 years who had lived for >10 years in the selected villages of Pancharul Gram Panchayat, Udaynarayanpur Block of Howrah District, West Bengal, India. Participants were assessed for frailty syndrome and sarcopenia as well as cognitive impairment, social support, history of fall, and nutritional status by a single investigator. Frailty syndrome was assessed using the modified Physical Frailty Phenotype Scale. Frailty is defined as a display of ≥3 of five physiological deficits: low weight, low gait speed, reduced muscle strength, exhaustion, and low physical activity. Sarcopenia was assessed using the Asian Working Group on Sarcopenia 2014 consensus by measuring dominant hand grip strength, gait speed, and skeletal muscle mass index. Results: Of the 510 participants, 44 (8.6%) were both frail and sarcopenic, 88 (17.3%) were frail only, 16 (3.1%) were sarcopenic only, and 362 (71.0%) were non-frail and non-sarcopenic. The prevalence of frailty syndrome was 25.9%, whereas the prevalence of sarcopenia was 11.8%. Compared with non-frail participants, frail participants were six times (adjusted OR=6.42, p<0.01) more likely to be sarcopenic after adjusting for age, marital status, educational level, occupational work, cognitive impairment, social support, history of fall, and nutritional status. Conclusion: Sarcopenia affects the development of frailty syndrome.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44472097","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}

{"title":"Pilates as physiotherapy in patients with Parkinson disease: a pilot study","authors":"J. Cancela, G. Rodriguez, I. Machado, Irimia Mollinedo","doi":"10.12809/ajgg-2020-449-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2020-449-oa","url":null,"abstract":"Background. Pilates improves core muscle function and lumbopelvic stability. The basic principles of Pilates are concentration, control, centring, diaphragmatic breathing, lightness, precision, strength, and relaxation. This study aims to determine the effects of Pilates on clinical symptoms and static balance in patients with Parkinson disease (PD). Methods: Of 36 patients with PD, 15 (mean age, 73.5 years) who had a Hoehn and Yahr stage of 1 to 3 and a stable reaction to anti-Parkinson medication were randomly allocated to the Pilates group (n=8) or conventional exercise group (n=7). Participants were assessed 1 week before intervention (week 0) and 1 and 4 weeks after intervention completed (weeks 15 and 18). Motor and non-motor impairment and disability were assessed using the Spanish version of the Movement Disorder Society Unified Parkinson’s Disease Rating Scale (MDSUPDRS). Static balance was assessed using the Stabilometric platform. Participants were instructed to stand centrally on the platform with feet hip-width apart and arms at their sides and with open eyes and closed eyes each for 30 s. Parameters recorded included centre of pressure of the body in the frontal plane (COP X), centre of pressure of the body in the sagittal plane (COP Y), speed of oscillation of the centre of pressure in the sagittal plane (forward-backward) [F-B speed], speed of oscillation of the centre of pressure in the frontal plane (mediumlateral) [M-L speed], and displacement area of the centre of pressure (ellipse area). Results: All 15 participants attended over 80% of the sessions. From pre-intervention to post-intervention, participants in the Pilates group had significant improvements in MDS-UPDRS, open eyes COP X, open eyes COP Y, open eyes ellipse area, and closed eyes COP Y. Whereas participants in the conventional exercise group had significant improvement in open eyes COP Y and closed eyes COP Y but had significant deterioration in open eyes F-B speed and closed eyes F-B speed. Compared with the conventional exercise group, the Pilates group had significantly greater improvement in all parameters except for body mass index, closed eyes ellipse area, and M-L speed. From post-intervention to follow-up, participants in both groups lost most of the improvement in MDS-UPDRS and in static balance parameters. Compared with the conventional exercise group, the Pilates group had significantly greater improvement in MDS-UPDRS, open eyes COP X, closed eyes COP X, and closed eyes COP Y. Conclusion: Pilates exercise is a useful rehabilitation strategy for people with mild to moderate PD, with a positive effect on motor impairment and static balance.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46389886","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}

{"title":"Practice and technique of using a protective mask in older adults","authors":"L. Lee, E. P. Lam, C. Chan, Sum-yi Chan, Man-ki Chiu, Wing-hei Chong, Kin-wai Chu, Man-sze Hon, Lok-ki Kwan, Kit-lam Tsang, Siu-lai Tsoi, Chung-wai Wu","doi":"10.12809/ajgg-2020-395-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2020-395-oa","url":null,"abstract":"Objective. To assess the practice and technique of using a protective mask (surgical mask) in older adults. Methods: A convenience sample of 287 older adults aged >65 years were recruited between January and February 2017 when there was no respiratory epidemic. Their practice and technique of using a mask were assessed using a questionnaire and an observational checklist, respectively. Results: Older adults' practice and technique of using a mask were unsatisfactory. 30.1% and 26.9% indicated that they never wear a mask when taking care of family members with fever and respiratory infection, respectively. None could correctly perform all 12 steps in wearing and taking off a mask. 92.3%, 96.6%, and 93.7% did not perform hand hygiene before wearing and taking off the mask and after disposing of the mask, respectively. Conclusion: Compliance of older adults with wearing masks during a non-epidemic period was low. The commonly omitted steps of wearing and taking off a mask were related to hand hygiene. We recommend using the knowledge-attitude-practice model to rectify misconceptions and strengthen awareness on the use of masks in the required situations and on commonly omitted or incorrectly performed techniques.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45727863","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}

{"title":"Weekly exercise programme with foot exercises to improve physical function in community-dwelling pre-frail older adults","authors":"T. Nishida, R. Nakao, Mika Nishihara, Ryoko Kawasaki, S. Honda","doi":"10.12809/ajgg-2020-387-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2020-387-oa","url":null,"abstract":"Background. To investigate the effect of an exercise programme incorporating foot exercises on improving physical function among community-dwelling pre-frail older adults. Method. 13 men and 59 women (mean age, 78.5 years) with pre-frail status joined the exercise programme (a 90-minute session once a week for 3 months). The main exercises comprise strengthening of the muscles in the arms, trunk, hips, and knees, as well as 10 minutes of foot exercises that comprise toe grasp training or ankle joint stretches/ strengthening. Subjective physical function was measured using the motor ability domain of the frailty checklist. Objective physical function was assessed by a single nurse using the toe grip strength (TGS), fiverepetition sit-to-stand test (5STS), one-leg standing duration with eyes open (OLS), 5-m walk test (5WT), and timed up-and-go test (TUGT). Results. In terms of subjective physical function, there was a significant improvement in leg muscle strength, walking endurance, and fear of falling. In terms of objective physical function, the mean TGS increased from 2.6 kg to 2.9 kg for the left side (p=0.005) and from 2.7 kg to 3.0 kg for the right side (p=0.004). Time taken for 5STS decreased from 9.7 s to 9.1 s (p=0.037), and time taken for 5WT decreased from 4.5 s to 4.2 s (p=0.003). However, time taken for OLS and TUGT (balance ability) did not improve significantly. Conclusion. Exercise programme incorporating foot exercises can improve walking ability and leg muscle strength in community-dwelling pre-frail older adults. Nonetheless, the fall risk remains if balance ability is not improved.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45041937","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}

{"title":"Financial health literacy: capacity to manage healthcare choices in old age","authors":"A. Leung","doi":"10.12809/ajgg-v16n1-ed","DOIUrl":"https://doi.org/10.12809/ajgg-v16n1-ed","url":null,"abstract":"","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47882426","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}

{"title":"Ciprofloxacin-associated seizures and acute kidney injury: a case report","authors":"S. Tan, S. Teo","doi":"10.12809/ajgg-2020-404-cr","DOIUrl":"https://doi.org/10.12809/ajgg-2020-404-cr","url":null,"abstract":"We herein report a case of seizures and acute kidney injury in an 85-year-old woman with a history of stroke and renal calculus who was re-admitted to hospital after ciprofloxacin treatment for Pseudomonas aeruginosa pneumonia. Caution is advised before commencing fluoroquinolone treatment in patients with a history of cerebrovascular disease and renal calculi, especially older patients or those with electrolyte disturbances, renal impairment, or neurological conditions.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41390030","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}

{"title":"Depression among older people in Bali","authors":"N. W. Suriastini, L. Suryani, Bondan Sikoki, R. Umaroh, Hayu Qaimamunazzala","doi":"10.12809/ajgg-2020-400-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2020-400-oa","url":null,"abstract":"Introduction. Depression is the most common mental disorder. Older adults are more vulnerable to depression and are usually underdiagnosed and untreated. This study aims to determine the prevalence of depression among older adults in Bali and identify its risk factors. Methods. This study used data from the Dementia Study in Bali 2018. Depression was assessed using a short version of the Center for Epidemiologic Studies Depression (CES-D) scale. Scores of ≥10 were categorised as depression and <10 no depression. Risk factors included age, sex, marital status, educational level, employment status, residential district, urban status, economic status, household members, social participation, hobby activities, activities of daily living (ADL), instrumental activities of daily living (IADL), and comorbidities. Older adults with and without depression were compared to determine any risk factors. Multivariate logit regression was used to determine the association between risk factors and depression. Results. A total of 774 female and 719 male participants aged 60 to 100 (mean, 70±7.3) years were included. The mean CES-D score was 9.04±5.92 (range, 0-30). Using the cut-off CES-D score of ≥10 as depression, 631 (42.3%) participants were considered depressed. The prevalence of depression was similar between male and female participants and increased with age. Among female older adults, depression was associated with being married (odds ratio [OR]=1.53, p=0.019), ADL dependent (OR=2.58, p=0.002), IADL dependent (OR=1.93, p=0.033), having high comorbidity scores (OR=3.53, p=0.000), and residing in low socioeconomic districts (OR=2.53, p=0.026). Whereas having a household member aged 0-5 years (OR=0.570, p=0.013) and being active in a hobby (OR=0.339, p<0.001) were associated with lower likelihood of depression. Conclusion. The prevalence of depression among older adults in Bali was high (42.3%) and increased with age. Female older adults were more likely to be depressed when they were married, ADL and IADL dependent, and had comorbidity scores of 3-4 and ≥5. Having a grandchild in the household and active participation in hobbies were associated with lower risk of depression.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42717862","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}

{"title":"Predictors of 30-day post-discharge unplanned readmission in a subacute geriatric ward in Singapore","authors":"C. Chen, Thulasi Chandran, P. T. Tan, V. Barrera, Rachelle Tan-Pantanao, Quicho Tanya Joy Zapata, T. Tun, Siti Humaira Binte Mohd Kamil, Josceline Qiao Lin Gan, K. S. Goh","doi":"10.12809/ajgg-2020-403-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2020-403-oa","url":null,"abstract":"Background. Unplanned readmission to hospital is common among older adults and contributes to considerable healthcare costs and hospital-associated complications. We aimed to identify predictors of 30-day post-discharge unplanned readmission among older adults in our subacute geriatric ward, and to determine the prevalence of geriatric syndromes and develop a new predictive model for readmission of subacute geriatric patients. Methods: Consecutive patients admitted to our subacute geriatric ward between June 2018 and June 2019 were invited to participate. Data collected included patient age, sex, weight, height, race, type of housing, destination upon discharge, functional and frailty status, presence of conduits (urinary catheters and nasogastric tubes), polypharmacy, high-risk medications, healthcare utilisation 6 months prior, laboratory test results, length of hospital stay, Charlson Comorbidity Index, and LACE index. Patients were assessed using the Mini Nutritional Assessment -Short Form, Geriatric Depression Scale, Mini-Mental State Examination, Clinical Frailty Scale, FRAIL scale, modified Barthel Index, hand grip strength, and gait speed. Patients with or without 30-day post-discharge unplanned readmission were compared. Multivariate logistic regression was used to identify independent predictors. Results: Of 284 patients followed up at 30 days post-discharge, 63 (22.2%) had unplanned hospital readmission within 30 days of discharge, with associated factors being history of myocardial infarction, moderate or severe liver or renal disease, low albumin level, history of emergency department visits, hospitalisation in the preceding 6 months, and discharge to a destination other than home. The prevalence of geriatric syndromes of falls, frailty, and immobility was 62.3%, 64.7%, and 86.6%, respectively. Independent predictors of 30-day post-discharge unplanned readmission were history of hospitalisation in the preceding 6 months (odds ratio=2.62, p=0.045) and discharge destination other than home (odds ratio=3.10, p=0.006). The area under the receiver operating characteristics curve for the predictive models was between 0.6 and 0.7, and Brier score was around 0.16. The discrimination ability of the models was weak. Conclusion: History of hospitalisation in the preceding 6 months and not being discharged to home were independent predictors for 30-day post-discharge unplanned readmission.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42991343","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}

{"title":"Impact of COVID-19 on elderly care","authors":"Siu Kan Law, Albert Wingnang Leung, Chuanshan Xu","doi":"10.12809/ajgg-2020-442-letter","DOIUrl":"https://doi.org/10.12809/ajgg-2020-442-letter","url":null,"abstract":"","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66199104","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}

{"title":"COVID-19 and older adults: experience in Hong Kong","authors":"T. Auyeung, F. H. Chan, TY Chan, C. Kng, J. Lee, J. Luk, Winnie W Y Mok, CK Shum, Cw Wong","doi":"10.12809/AJGG-2020-424-OA","DOIUrl":"https://doi.org/10.12809/AJGG-2020-424-OA","url":null,"abstract":"Coronavirus disease 2019 (COVID-19) disproportionately affects older people in Hong Kong. In Hong Kong, as of 17 July 2020, of the 10 recorded mortalities, seven involved patients aged ≥70 years. Social distancing as a strategy to limit the spread of COVID-19 has restricted the access to health and community services and has induced social isolation for older people. Hospital practice became less elderly friendly when infection control took priority over humanistic considerations. In 2004, The Hong Kong Geriatrics Society published a position statement on management of older patients with severe acute respiratory syndrome. Those guidelines were also followed during the current COVID-19 pandemic. Herein, we report our experience of caring for older people in Hong Kong during the COVID-19 pandemic, including the effect on older people of restricted access to health and community services, infection control measures in residential care homes for the elderly, treatment of older patients after admission to hospitals, end-of-life care, and the emergence of telecare.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42590536","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}