International Journal of Gerontology最新文献_第5页

Association between Masticatory Function and Sarcopenia in Elderly People: A Systematic Review and Meta-Analysis 老年人咀嚼功能与肌肉减少症之间的关系:一项系统综述和荟萃分析

IF 0.3 4区医学

International Journal of Gerontology Pub Date : 2020-08-01 DOI: 10.6890/IJGE.202008_14(3).0017

Daewoo Lee, J. Yoo

{"title":"Association between Masticatory Function and Sarcopenia in Elderly People: A Systematic Review and Meta-Analysis","authors":"Daewoo Lee, J. Yoo","doi":"10.6890/IJGE.202008_14(3).0017","DOIUrl":"https://doi.org/10.6890/IJGE.202008_14(3).0017","url":null,"abstract":"Background: The purpose of this systematic review was to explore the association between masticatory function (subjective and objective assessment) and sarcopenia in elderly people. Methods: Multiple electronic databases including PubMed, Embase, Web of Science, and Cochrane Central Register of Controlled Trials were searched for all years up to October 1, 2019. Articles that evaluated occlusal force or chewing ability or difficulties in eating scores to explore the association between sarcopenia in elderly patients and healthy elderly peoples were included. A modified version of the Newcastle Ottawa Scale was used to assess study quality. The pooled standardized effect size with its corresponding 95% confidence interval for each parameter was calculated. Results: Of the 45 articles identified, three retrospective observational comparison studies, which had a lower risk of bias, were included: objective (occlusal force or chewing gum) and subjective (difficulties in eating scores) assessment were reported. Meta-analysis revealed that maximum occlusal force (standardized mean difference (SMD) = 0.36, confidence interval (CI) = 0.19-0.53, p ＜ 0.001)was significantly lower in subjects who were diagnosed with sarcopenia than in control groups. There were significant associations between sarcopenia and chewing ability using chewing gum (odds ratio (OR) = 2.34, CI = 1.09-5.02, p = 0.03) and difficulties in eating score (OR = 2.21, CI = 1.65-2.97, p ＜ 0.001). Conclusions: We found some limited evidence for an association between sarcopenia and masticatory function. Our meta-analysis supports an association between sarcopenia and subjective and objective masticatory function. More evidence is needed to demonstrate the association between masticatory function and sarcopenia in elderly people.","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"4 1","pages":"238-244"},"PeriodicalIF":0.3,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84727570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Characteristics and Lethality of Suicide Attempters by Age Group in Korea: Retrospective Single-Centered Study 韩国各年龄组自杀未遂者的特征和致死率:回顾性单中心研究

IF 0.3 4区医学

International Journal of Gerontology Pub Date : 2020-08-01 DOI: 10.6890/IJGE.202008_14(3).0006

Chang-Wan Kim, Y. Choi, Keon Kim

{"title":"Characteristics and Lethality of Suicide Attempters by Age Group in Korea: Retrospective Single-Centered Study","authors":"Chang-Wan Kim, Y. Choi, Keon Kim","doi":"10.6890/IJGE.202008_14(3).0006","DOIUrl":"https://doi.org/10.6890/IJGE.202008_14(3).0006","url":null,"abstract":"Background: Suicide is a major cause of death worldwide. While studies have been conducted on the predictors of suicide behaviors, these have not covered how lethality and the various predictors differ by age. We explored these age differences in the present study. Methods: We retrospectively reviewed the medical records of suicidal patients in the emergency department (ED) of a university hospital in Seoul, South Korea, between September 2017 and August 2018. We extracted participants' data from the National Emergency Department Information System of Korea and their individual electronic medical records (EMRs), including demographic information (e.g., age, gender), details of their ED visit (e.g., suicide method), and medical history (e.g., physical illness, alcohol co-ingestion).We also used EMR data to complete the Risk-Rescue Rating Scale (RRRS). Results: Of the 499 patients referred to the ED for suicide attempts, 427 were analyzed.We found that while younger participants were more likely to have repeated attempts, older participants' attempts were more likely to be fatal (e.g., higher RRRS risk scores and lower accessibility-to-rescue scores). After adjusting for demographics, older participants showed significantly higher scores on RRRS risk, impaired consciousness, and treatment required than younger participants. Conclusion: Our findings clarified the characteristics of high-risk suicide attempters based onage, which could influence suicide-prevention policies (e.g., younger people tend to repeat suicide attempts, and thus may require continued surveillance). However, as older adults showed higher lethality and were more difficult to save, they may require suicide prevention coupled with social support interventions.","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"88 1","pages":"179-184"},"PeriodicalIF":0.3,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73625560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Extracorporeal Shock Wave Therapy in the Treatment of Knee Osteoarthritis: A Review of Mechanism of Action and Clinical Efficacy 体外冲击波治疗膝关节骨性关节炎:作用机制及临床疗效综述

IF 0.3 4区医学

International Journal of Gerontology Pub Date : 2020-08-01 DOI: 10.6890/IJGE.202008_14(3).0001

Chih-Ning Chang, N. Ko, Yu-Ning Hu, G. Hu

引用次数: 1

Association between Bone Metabolism and the Severity of Chronic Heart Failure in Chinese Elderly Men and Women 骨代谢与中国老年男性和女性慢性心力衰竭严重程度的关系

IF 0.3 4区医学

International Journal of Gerontology Pub Date : 2020-08-01 DOI: 10.6890/IJGE.202008_14(3).0015

X. Lv, Wenyan Gao, Guo-Fu Wang, B. Jia, Jing Zhang, Jirong Wang, Wenmin Xing, Jing Yan

{"title":"Association between Bone Metabolism and the Severity of Chronic Heart Failure in Chinese Elderly Men and Women","authors":"X. Lv, Wenyan Gao, Guo-Fu Wang, B. Jia, Jing Zhang, Jirong Wang, Wenmin Xing, Jing Yan","doi":"10.6890/IJGE.202008_14(3).0015","DOIUrl":"https://doi.org/10.6890/IJGE.202008_14(3).0015","url":null,"abstract":"Background: The role of bone metabolism markers for identifying the severity of chronic heart failure (CHF) in elderly adults had not been comprehensively investigated. Methods: 335 elderly patients (mean age 83.98 years, women 36.72%) were divided into mild CHF (NYHA class I+II) group and severe CHF (NYHA class III+IV) group. We performed a binary logistic regression analysis to identify the independent association of bone metabolism markers with the severity of CHF. Besides, we used ROC curve to explore the predictability of bone metabolism markers on CHF severity. Results: BMD levels of femoral neck in severe CHF group were significantly lower than that in mild CHF group with no gender difference. However, CTX-I, OC, PINP, ALP and PTH levels were significantly increased only in women with severe CHF. CTX-I (OR = 1.003, p = 0.008) was identified as an independent influencing factor positively associated with the severity of CHF in women after controlling for covariates. The predictability of CTX-I, OC, PINP and ALP for CHF severity was superior to NT-proBNP. Conclusion: The association between bone metabolism and CHF severity varied by genders. Bone metabolism markers, especially the CTX-I, might be a possible risk marker associated with CHF severity independent of NT-proBNP in women.","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"33 1","pages":"227-232"},"PeriodicalIF":0.3,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77305006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute Gastric Volvulus: A Deadly Surgical Condition at Emergency Department 急性胃扭转:急诊科一种致命的外科疾病

IF 0.3 4区医学

International Journal of Gerontology Pub Date : 2020-08-01 DOI: 10.6890/IJGE.202008_14(3).0020

Yi-Chung Yu, Wei-Kee Huang

引用次数: 0

Identification of Undetected Dementia and Hypoglycemic Risk Using the Dementia Assessment Sheet for Community-Based Integrated Care System 21-Items in the Glycohemoglobin-Guided Management of Elderly Individuals with Diabetes: An Exploratory Study 使用社区综合护理系统痴呆评估表识别未被发现的痴呆和低血糖风险-糖血红蛋白指导下老年糖尿病患者管理的21项:一项探索性研究

IF 0.3 4区医学

International Journal of Gerontology Pub Date : 2020-08-01 DOI: 10.6890/IJGE.202008_14(3).0011

Takuma Yasuda, T. Murakami, Y. Ueba, H. Fujita, Masaki Fujimura, Tomonobu Hatoko, Y. Kanai, Eisaku Mori, S. Yonemitsu, S. Oki, Seiji Muro

{"title":"Identification of Undetected Dementia and Hypoglycemic Risk Using the Dementia Assessment Sheet for Community-Based Integrated Care System 21-Items in the Glycohemoglobin-Guided Management of Elderly Individuals with Diabetes: An Exploratory Study","authors":"Takuma Yasuda, T. Murakami, Y. Ueba, H. Fujita, Masaki Fujimura, Tomonobu Hatoko, Y. Kanai, Eisaku Mori, S. Yonemitsu, S. Oki, Seiji Muro","doi":"10.6890/IJGE.202008_14(3).0011","DOIUrl":"https://doi.org/10.6890/IJGE.202008_14(3).0011","url":null,"abstract":"Background: Assessing cognitive function and the risk of hypoglycemia among older individuals with diabetes is an ongoing challenge. Although the Japan Diabetes Society/Japan Geriatrics Society Joint Committee has already provided recommendations for glycemic control in older individuals with diabetes, its usefulness in clinical settings remains unclear. Methods: A retrospective, single-center study was conducted on 616 outpatients aged over 65 years at Osaka Red Cross Hospital, Japan. They were assessed for glycemic control and cognitive function using the Dementia Assessment Sheet for Community-based Integrated Care System 21-items (DASC-21). Patients were categorized into three groups based on cognitive function, and each group was divided into six subcategories based on recommended therapeutic regimens. Results: Ninety-eight patients treated with insulin, sulfonylurea, or glinide were identified using DASC- 21 and classified into categories IIB and IIIB. The number of hypoglycemic events was divided according to the lower limit of the recommended glycohemoglobin (HbA1c) value. However, the results did not significantly differ. Notably, in 7 of 9 IIIB patients who with hypoglycemic events, their DASC-21 scores reached up to 36. This suggests that the physicians had not identified the risk of dementia before conducting the assessment using DASC-21, which might result in continuous therapy for diabetes including daily multiple insulin injections. Conclusions: Physicians can overlook the risk of hypoglycemia and cognitive impairment thereby failing to optimize diabetic therapies among older individuals if DASC-21 is not used during assessments in daily diabetic care.","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"14 1","pages":"207-211"},"PeriodicalIF":0.3,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85532890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Risk Factors for Depression in Hospitalized Elderly Patients with Malnutrition 老年营养不良住院患者抑郁的危险因素

IF 0.3 4区医学

International Journal of Gerontology Pub Date : 2020-08-01 DOI: 10.6890/IJGE.202008_14(3).0016

E. Akyuz, O. Ekinci

{"title":"Risk Factors for Depression in Hospitalized Elderly Patients with Malnutrition","authors":"E. Akyuz, O. Ekinci","doi":"10.6890/IJGE.202008_14(3).0016","DOIUrl":"https://doi.org/10.6890/IJGE.202008_14(3).0016","url":null,"abstract":"Background: There is a lack of information about the factors that affect depression in hospitalized geriatric patients with malnutrition. We aimed to determine the risk and influencing factors of depression in these patients. Methods: The prospective, descriptive study was conducted on 125 elderly patients with malnutrition in Istanbul, Turkey in 2018. The Mini Nutritional Assessment-short form was used in determining the nutritional statuses of the participants, and the Geriatric Depression Scale-short form was used for the status of depression. Results: A negative relationship was found between nutritional status and risk of depression in the study (p: 0.000; r: -0.558). Depression was detected in 52.8% of the patients. 60.8% were women and 39.2% were men. It was also found that BMI scores, gender, marital status, level of education, lifestyle and location, the existence of chronic diseases, chronic medication use, hospital stay period, and mobilization affect the emergence and severity of depression in geriatric patients (p ＜ 0.005). Multivariate regression analysis showed that increased risk of depression occurs with female gender (OR: 24.665, 95% CI: 5.83-104.34), marital status (OR = 11.97, 95% CI: 3.51-40.86), mobilization (OR: 9.52, 95% CI: 1.79-50.71) and malnutrition (OR = 0.49, 95% CI: 0.27-0.89). Conclusions: Depression was frequent in elderly patients with malnutrition. Also, many factors (e.g. low BMI, female gender, mobilization etc.) affect it in hospital. Therefore, close follow-up of patients is important.","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"206 1","pages":"233-237"},"PeriodicalIF":0.3,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77059700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oxidative Stress is Involved in the Occurrence and Development of Lower Extremity Atherosclerotic Disease 氧化应激参与下肢动脉粥样硬化性疾病的发生和发展

IF 0.3 4区医学

International Journal of Gerontology Pub Date : 2020-08-01 DOI: 10.6890/IJGE.202008_14(3).0010

Shiqi Wen, Quan-jing Chen, Wanli Sun

{"title":"Oxidative Stress is Involved in the Occurrence and Development of Lower Extremity Atherosclerotic Disease","authors":"Shiqi Wen, Quan-jing Chen, Wanli Sun","doi":"10.6890/IJGE.202008_14(3).0010","DOIUrl":"https://doi.org/10.6890/IJGE.202008_14(3).0010","url":null,"abstract":"Background: Lower extremity atherosclerotic disease (LEAD) is a common disease in elderly, and it is closely related to many risk factors. The oxidative stress is involved in the arteriosclerosis. This study aimed to investigate the changes of oxidative stress indexes in patients with LEAD, and discuss their relations with the disease severity and the complications. Methods: Eighty-three LEAD patients and 40 subjects without LEAD (control group) were enrolled. The ankle-brachial index (ABI) was measured. The serum superoxide dismutase (SOD), glutathione peroxidase (GSH-Px) and malondialdehyde (MDA) levels were determined. Results: The serum SOD and GSH-Px levels and ABI in LEAD group were significantly lower than those in control group, respectively (p ＜ 0.01), while the serum MDA level in LEAD groupwas significantly higher than that in control group (p ＜ 0.01). There was significant difference of SOD, GSH-Px, MDA and ABI among LEAD patients with different stages, respectively (p ＜ 0.01), with significant difference of each index between LEAD patients with and without hypertension, with and without diabetes, and with and without hyperlipemia, respectively (p ＜ 0.01). In LEAD patients, there was positive correlation between SOD and ABI and between GSH-Px and ABI, respectively, with negative correlation between SOD and MDA, between GSH-Px and MDA and between MDA and ABI, respectively (p ＜ 0.01). Conclusion: The changes of serum SOD, GSH-Px and MDA levels are involved in the occurrence and development of LEAD. These indexes are helpful for the diagnosis of the LEAD severity and the complications.","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"2 1","pages":"202-206"},"PeriodicalIF":0.3,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90137603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the Clinical Outcomes of Lumbar Microdiscectomy in Both Gender of Geriatric Patients Aged ≥ 65 Years 年龄≥65岁的男女老年患者腰微椎间盘切除术的临床效果评价

IF 0.3 4区医学

International Journal of Gerontology Pub Date : 2020-08-01 DOI: 10.6890/IJGE.202008_14(3).0018

O. Ozger, Necati Kaplan

{"title":"Evaluation of the Clinical Outcomes of Lumbar Microdiscectomy in Both Gender of Geriatric Patients Aged ≥ 65 Years","authors":"O. Ozger, Necati Kaplan","doi":"10.6890/IJGE.202008_14(3).0018","DOIUrl":"https://doi.org/10.6890/IJGE.202008_14(3).0018","url":null,"abstract":"Background: Lumbar microdiscectomy is considered the gold standard in the surgical treatment of patients with lumbar disc herniation. This study evaluated the clinical outcomes of lumbar microdiscectomy in geriatric patients who underwent surgery in our clinic and determined whether there was a significant difference in clinical outcomes between the two genders in this population. Methods: This study included 60 geriatric patients aged ≥ 65 years who underwent lumbar microdiscectomy between April 2015 and May 2019 for lumbar disc herniation. Preoperative and postoperative visual analog scale and Oswestry Disability Index scores were calculated and compared separately for both genders. Statistical analyses were performed using statistical package for the social sciences version 22.0 software. Results: The mean age of the patients was 72.22 ± 6.06 years and the mean length of stay in the operating room and hospital were 172.83 ± 37.19 min and 1643.18 ± 647.05 min, respectively. Although there was a significant decrease in postoperative visual analog scale and Oswestry Disability Index scores compared to preoperative scores, no significant difference was observed between the genders. The success rate for excellent or good results according to the modified Macnab criteria was 91.66% in all groups. Conclusion: In the surgical treatment of geriatric patients with lumbar disc herniation, lumbar microdiscectomy is an effective and safe method since it is associated with low complication rates and high success rates. No significant difference was found between genders in terms of clinical outcomes in this age group.","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"23 1","pages":"245-250"},"PeriodicalIF":0.3,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91233615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between Marital Status and Chronic Kidney Disease among Middle-Aged and Elderly Taiwanese: A Community-Based, Cross-Sectional Study 台湾中老年人婚姻状况与慢性肾脏疾病的关系:一项基于社区的横断面研究

IF 0.3 4区医学

International Journal of Gerontology Pub Date : 2020-08-01 DOI: 10.6890/IJGE.202008_14(3).0005

I-Ju Chen, Y. Chuang, L. Hsu, Jau-Yuan Chen

{"title":"Association between Marital Status and Chronic Kidney Disease among Middle-Aged and Elderly Taiwanese: A Community-Based, Cross-Sectional Study","authors":"I-Ju Chen, Y. Chuang, L. Hsu, Jau-Yuan Chen","doi":"10.6890/IJGE.202008_14(3).0005","DOIUrl":"https://doi.org/10.6890/IJGE.202008_14(3).0005","url":null,"abstract":"Background: The main aim of this study was to explore whether the risk of chronic kidney disease (CKD) varies by marital status among men and women aged 50 years and older in Taiwan. Methods: The study data were gathered from health exams in communities of northern Taiwan from January to October 2014. In this study, people who were divorced, separated, widowed, or never married were categorized as currently single. Those who lived with their mate regardless of married or not were categorized as currently couple. We used chi-square test and a multiple logistic regression model to evaluate the association between CKD and different marital status. Other factors for CKD, including sex, age, smoking, body mass index (BMI), systolic blood pressure (SBP), heart rate, fasting plasma glucose (FPG), triglyceride (TG), uric acid, occupation, and source of income were adjusted. Results: A total of 400 participants were enrolled in this study (35.3% male and 64.8% female), with a mean age of 64.47 ± 8.45 years. Among them, 19% (n = 76) were categorized as currently single. The prevalence of CKD was higher in single status (31.58%) than in couple status (17.59%) (p value = 0.01). Multiple logistic regression analysis indicated an independent association of marital status and CKD (odds ratio [OR] = 2.14, 95% confidence interval [CI]: 1.12-4.09, p = 0.02) after adjusting for other confounding factors. Conclusions: Marital status is associated with CKD in middle-aged and elderly Taiwanese population. Single status is an independent risk factor for CKD.","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"34 1","pages":"174-178"},"PeriodicalIF":0.3,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74310479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1