Annals of Geriatric Medicine and Research最新文献_第9页

The Korean Long-Term Care System: 2024 Update. 韩国长期护理系统：2024 年更新。

IF 2.8

Annals of Geriatric Medicine and Research Pub Date : 2024-09-01 Epub Date: 2024-09-30 DOI: 10.4235/agmr.24.0132

Hyuk Ga

引用次数: 0

Association of Sarcopenia and Its Components with Depression Symptoms in Older Patients with Stroke. 肌肉疏松症及其成分会抑制中风患者抑郁症状的改善。

IF 2.8

Annals of Geriatric Medicine and Research Pub Date : 2024-09-01 Epub Date: 2024-07-02 DOI: 10.4235/agmr.24.0027

Ryo Shiraishi, Shunji Araki, Takahiro Ogawa

{"title":"Association of Sarcopenia and Its Components with Depression Symptoms in Older Patients with Stroke.","authors":"Ryo Shiraishi, Shunji Araki, Takahiro Ogawa","doi":"10.4235/agmr.24.0027","DOIUrl":"10.4235/agmr.24.0027","url":null,"abstract":"Background: Recent studies have reported an association between sarcopenia and depression symptoms. To date, no reports have investigated the association between sarcopenia and depression symptoms evaluated using the Geriatric Depression Screening Scale (GDS)-15 in patients with stroke. Therefore, this study aimed to investigate the association between sarcopenia and its components and the improvement of depression symptoms in patients with stroke admitted to a convalescent rehabilitation ward.Methods: Patients with stroke aged ≥65 years admitted to a convalescent rehabilitation ward were included in the study. Participants were categorized into sarcopenia and non-sarcopenia groups based on the 2019 Asian Working Group for Sarcopenia. Here, depression symptoms were evaluated using the GDS-15, in addition to demographic characteristics. This study's primary outcome was the GDS change from admission to discharge. Multiple regression analysis was performed to investigate the association between GDS change and sarcopenia and its components.Results: Overall, 118 participants were included, with the mean age of 78.7±8.1 years, and 58 (49%) were classified in the sarcopenia group. Multiple regression analysis showed that sarcopenia (β=-0.283, 95% confidence interval [CI] -1.140 to -0.283, p<0.001) and handgrip strength (β=-0.317, 95% CI -0.162 to -0.014, p=0.021) were independently associated with GDS change.Conclusion: Sarcopenia and handgrip strength were significantly associated with improved depression symptoms in patients with stroke admitted to a convalescent rehabilitation ward. However, further prospective studies should investigate the association between sarcopenia and depression symptoms in patients with stroke.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"315-322"},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11467511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perception of Caregivers about Oral Health Services for Institutionalized Older Adults: A Mixed Method Study. 护理人员对院舍老年人口腔保健服务的看法--一项混合方法研究。

IF 2.8

Annals of Geriatric Medicine and Research Pub Date : 2024-09-01 Epub Date: 2024-07-02 DOI: 10.4235/agmr.24.0068

Anju James, Shwetha Km, Pushpanjali Krishnappa

{"title":"Perception of Caregivers about Oral Health Services for Institutionalized Older Adults: A Mixed Method Study.","authors":"Anju James, Shwetha Km, Pushpanjali Krishnappa","doi":"10.4235/agmr.24.0068","DOIUrl":"10.4235/agmr.24.0068","url":null,"abstract":"Background: In India, the absence of formal training in geriatric dentistry and the lack of recognition of it as a speciality contributes to the deterioration of oral health in the older adults. India lacks specific oral healthcare policies for older adults. Additionally, caregivers' perspective in old age homes regarding oral healthcare services remains underexplored, necessitating further studies in this context.Methods: A mixed method study was conducted, and the quantitative component focused on assessing the oral health status of institutionalized older adults and caregivers' perceptions using a questionnaire. The qualitative part evaluates caregivers' perceptions of providing oral healthcare services for older adults through in-depth interviews.Results: Mean DMFT among institutionalized older adults was 15.52±8.23. More than 50% of caregivers perceived that the oral health status of institutionalized older adults was fair. Barriers to oral health services include autonomy, difficulty in traveling, lack of financial support, lack of knowledge and time. Approaches to enhancing oral health services for institutionalized older adults include oral health education for older adults and their caregivers, monthly dental visits to the institution, utilization of portable dental chair services, collaboration with dental colleges/dental clinics, distribution of oral health education materials, and provision of oral hygiene aids.Conclusion: Findings from our study indicate the need to collaborate with dental institutions to provide oral health services in old age homes, to improve the oral health status of older adults and caregivers' knowledge.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"362-369"},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11467519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychomotor Symptoms, Cognitive Impairments, and Suicidal Thoughts after COVID-19 Infection: A Case Report and Possible Allostatic Mechanism. COVID-19 感染后的精神运动症状、认知障碍和自杀念头：病例报告和可能的异位机制。

IF 2.8

Annals of Geriatric Medicine and Research Pub Date : 2024-09-01 Epub Date: 2024-05-17 DOI: 10.4235/agmr.24.0037

Ying Lin, Chen Lin, Jason Hong-Yi Chang, Dai-Lun Chiang, Feipei Lai, Chen-Ju Lin

引用次数: 0

IF 2.8

Annals of Geriatric Medicine and Research Pub Date : 2024-09-01 Epub Date: 2024-05-28 DOI: 10.4235/agmr.24.0025

Takuaki Tani, Watanabe Kazuya, Ryo Onuma, Kiyohide Fushimi, Shinobu Imai

{"title":"Age-Related Differences in the Effectiveness of Rehabilitation to Improve Activities of Daily Living in Patients with Stroke: A Cross-Sectional Study.","authors":"Takuaki Tani, Watanabe Kazuya, Ryo Onuma, Kiyohide Fushimi, Shinobu Imai","doi":"10.4235/agmr.24.0025","DOIUrl":"10.4235/agmr.24.0025","url":null,"abstract":"Background: This study aimed to reveal differences in the effectiveness of rehabilitation in improving activities of daily living (ADL) in patients with acute stroke across age groups and propose age-appropriate rehabilitation strategies.Methods: This observational study analyzed nationwide administrative data of inpatients admitted to hospitals with acute stroke between April 1, 2018, and March 31, 2020. The data included the average length of daily rehabilitation sessions, weekly frequency of rehabilitation sessions, and initiation of rehabilitation within 3 days. The primary outcome was the improvement in the Barthel Index (BI) score from admission to discharge. We classified the patients based on age and analyzed improvements in ADL according to rehabilitation characteristics.Results: An increased daily rehabilitation dose was associated with improved ADL, except in patients aged <65 years (risk ratio [95% confidence interval] in the 65-74, 75-85, and ≥85 years age groups: 1.20 [1.14‒1.27], 1.21 [1.15‒1.27], and 1.43 [1.34‒1.53], respectively; all p<0.001 vs. <65 years: 1.05 [0.98‒1.12]; p=0.18). A rehabilitation frequency of seven sessions per week was associated with improved ADL in the 75-85 years and ≥85 years age groups (1.06 [1.02‒1.10] and 1.08 [1.03‒1.13], respectively; both p<0.001). The effects of initiating rehabilitation within 3 days on ADL post-admission did not differ across age groups.Conclusion: Increasing the daily dose of rehabilitation was significantly associated with improved ADL in all age groups while increasing the frequency of rehabilitation per week improved ADL in older and very old patients.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"257-265"},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11467512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between Drug Therapy and Risk of Incident Frailty: A Systematic Review. 药物治疗与罹患虚弱症风险的关系：系统综述。

IF 2.8

Annals of Geriatric Medicine and Research Pub Date : 2024-09-01 Epub Date: 2024-05-17 DOI: 10.4235/agmr.24.0034

Saran Thanapluetiwong, Tanchanok Chattaris, Sandra Miao Shi, Chan Mi Park, Stephanie Denise M Sison, Dae Hyun Kim

引用次数: 0

Association of Serum Lactate Levels Measured in the Emergency Department with 30-Day Mortality in Older Patients with Unilateral Hip Fractures. 急诊科测量的血清乳酸水平与单侧髋部骨折老年患者 30 天死亡率的关系

IF 2.8

Annals of Geriatric Medicine and Research Pub Date : 2024-09-01 Epub Date: 2024-07-02 DOI: 10.4235/agmr.24.0011

Handan Özen Olcay, Emine Emektar, Zeynep Saral Öztürk, Sedat Akkan, Yunsur Çevik

{"title":"Association of Serum Lactate Levels Measured in the Emergency Department with 30-Day Mortality in Older Patients with Unilateral Hip Fractures.","authors":"Handan Özen Olcay, Emine Emektar, Zeynep Saral Öztürk, Sedat Akkan, Yunsur Çevik","doi":"10.4235/agmr.24.0011","DOIUrl":"10.4235/agmr.24.0011","url":null,"abstract":"Background: Hip fractures are frequent injuries in older patients and are associated with high mortality rates. This study assessed the association between serum lactate level and 30-day mortality in older patients with unilateral hip fractures and examined the prognostic value of this association on the clinical outcomes of these patients.Methods: This retrospective, single-center study included patients aged ≥65 years admitted to the emergency department due to low-energy trauma and diagnosed with unilateral hip fracture upon admission. The additional inclusion criteria were patients with independent ambulation or walker or cane assistance before the injury, with available data on serum lactate levels on venous blood gas analysis, and who underwent surgery.Results: Among the 330 included patients, 30.9% experienced postoperative complications and 10.3% died within 30 days. Using a lactate cut-off value of 2 mmol/L to distinguish between living and deceased patients, the sensitivity and specificity were 41% and 88%, respectively. Multivariate logistic regression analysis revealed that high lactate and low albumin levels and male sex were associated with mortality.Conclusion: Identifying risk factors for mortality in geriatric patients with hip fractures is important. Male sex, low albumin levels, and particularly increased lactate levels were independent predictors of short-term mortality in these patients.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"301-306"},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11467522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Body Adiposity Index as a Predictor of Body Fat in an Oldest Old and Independent Cohort of Brazilian Older Adults. 身体肥胖指数 (BAI) 作为巴西高龄独立老人队列中身体脂肪的预测指标。

IF 2.8

Annals of Geriatric Medicine and Research Pub Date : 2024-09-01 Epub Date: 2024-05-17 DOI: 10.4235/agmr.24.0008

Evelyn Dearo Spinoza, Flavia Kurebayashi Fonte, Vanessa Amarante Carvalho, Regiane Aparecida Dos Santos, Gisele W B Colleoni, Maysa Seabra Cendoroglo

{"title":"Body Adiposity Index as a Predictor of Body Fat in an Oldest Old and Independent Cohort of Brazilian Older Adults.","authors":"Evelyn Dearo Spinoza, Flavia Kurebayashi Fonte, Vanessa Amarante Carvalho, Regiane Aparecida Dos Santos, Gisele W B Colleoni, Maysa Seabra Cendoroglo","doi":"10.4235/agmr.24.0008","DOIUrl":"10.4235/agmr.24.0008","url":null,"abstract":"Background: Anthropometry and body mass index (BMI) do not assess body composition or its distribution in older adults; thus, individuals may have different fat percentages but similar BMI values. The body adiposity index (BAI) was recently proposed as a feasible and inexpensive method for estimating the percentage of body fat based on measurements of hip circumference and height. The present study evaluated whether BAI and BMI are useful alternatives to dual-energy X-ray absorptiometry (DXA), which is rarely used in clinical practice, for predicting body fat in independent long-lived older adults.Methods: In this cross-sectional study, we used DXA to calculate the percentage of body fat, which was compared with BAI and BMI values. We performed Pearson correlation analyses and used Cronbach's alpha, described by Bland and Altman, to compare the reliability between the indexes.Results: Among 157 evaluated individuals (73.2% women, mean age 87±3.57 years), men had a lower percentage of total fat, as assessed by DXA, and lower BAI indices than women. The correlation between BAI and DXA was moderate (r=0.59 for men and r=0.67 for women, p<0.001). We confirmed the reliability based on Cronbach's alpha coefficients of 0.67 in men and 0.77 in women. We also observed that the BAI was strongly positively correlated with BMI in both men and women.Conclusion: The BAI, used in combination with BMI, can be an alternative to DXA for the assessment of body fat in the oldest old in clinical practice, mainly women, and can be used to add information to BMI.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"284-290"},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959192","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 Nutritional Risk Index as a Possible Predictor of Decline in Kidney Function in Older People. 老年营养风险指数可预测老年人肾功能衰退。

IF 2.8

Annals of Geriatric Medicine and Research Pub Date : 2024-06-01 Epub Date: 2024-02-29 DOI: 10.4235/agmr.23.0215

Sukmin Yoon, Nak Gyeong Ko, Yu-Ji Lee

{"title":"Geriatric Nutritional Risk Index as a Possible Predictor of Decline in Kidney Function in Older People.","authors":"Sukmin Yoon, Nak Gyeong Ko, Yu-Ji Lee","doi":"10.4235/agmr.23.0215","DOIUrl":"10.4235/agmr.23.0215","url":null,"abstract":"Background: The Geriatric Nutritional Risk Index (GNRI) is associated with morbidity and mortality in older individuals. Our study explored the relationship between GNRI, decline in kidney function, and all-cause mortality in older individuals.Methods: This retrospective cohort study analyzed data from participants aged ≥60 years who underwent a general health checkup between 2002 and 2018. The primary exposure was the GNRI, divided into quartiles. The primary and secondary outcomes were a decline in kidney function assessed using the 5-year estimated glomerular filtration rate (eGFR) and all-cause mortality, respectively.Results: The analysis included a total of 1,599 participants (median age, 63 years; interquartile range [IQR], 61-67; 54% males). The mean±standard deviation of GNRI was 114±7. Compared with the highest GNRI quartile, the lower GNRI quartiles were associated with steeper 5-year slopes in eGFR, with a fully adjusted beta coefficient and 95% confidence intervals (CIs) of -0.50 (-0.86, -0.14), -0.29 (-0.63, 0.05), and -0.19 (-0.53, 0.14) for the first, second, and third GNRI quartiles, respectively. The median follow-up duration was 7.4 years (IQR, 4.6-12.4). During this period, we identified 108 deaths (7.8 per 1,000 person-years). The first GNRI quartile was associated with all-cause mortality compared to the highest GNRI quartile (hazard ratio of 2.20; 95% CI 1.23, 3.95).Conclusion: Nutritional status, as evaluated using the GNRI, was associated with 5-year changes in kidney function and all-cause mortality in older individuals.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"164-170"},"PeriodicalIF":2.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11217657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhancing Footwear Safety for Fall Prevention in Older Adults: A Comprehensive Review of Design Features. 提高鞋类安全性，预防老年人跌倒：设计特点综合评述。

IF 2.8

Annals of Geriatric Medicine and Research Pub Date : 2024-06-01 Epub Date: 2024-01-22 DOI: 10.4235/agmr.23.0167

In-Ju Kim, Fatma Hegazy

{"title":"Enhancing Footwear Safety for Fall Prevention in Older Adults: A Comprehensive Review of Design Features.","authors":"In-Ju Kim, Fatma Hegazy","doi":"10.4235/agmr.23.0167","DOIUrl":"10.4235/agmr.23.0167","url":null,"abstract":"Background: Falls are a global concern affecting people of all ages; however, older adults are particularly vulnerable to age-related factors and foot-related issues. Footwear is critical for preventing falls, as it provides stability and protection against slips, trips, and falls (STFs). However, a significant gap exists in the systematic exploration of the safety aspects of footwear design for fall prevention in older adults.Methods: This comprehensive review applied a meticulous search strategy encompassing prominent databases, including Google Scholar, ScienceDirect, SCOPUS, MEDLINE, ResearchGate, and PubMed. This review synthesized and analyzed existing research to bridge knowledge gaps and provide insights into optimal footwear choices for older adults in terms of design features such as fit, fixation, heel height, collar height, slip resistance, and sole/insole hardness.Results: The results underscore the importance of specific design features for preventing falls among older adults. A proper fit, secure fixation, appropriate heel and collar heights, slip resistance, and sole/insole hardness significantly contributed to fall prevention. These findings offer valuable guidance for optimizing footwear designs to enhance comfort, stability, and safety in the daily lives of older individuals.Conclusion: This comprehensive review fills a critical knowledge gap regarding the safety of footwear designs for fall prevention in older adults. The identified design features play a vital role in reducing the risk of falls and offer practical recommendations for the development of safer footwear. Ultimately, this study contributes to the existing knowledge base and supports efforts to prevent STFs in older adults through improved footwear design.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"121-133"},"PeriodicalIF":2.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11217662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0