Geriatrics Gerontology and Aging最新文献_第4页

Interventions used by health professionals in older adults with low levels of health literacy: a scoping review 卫生专业人员对健康素养水平低的老年人使用的干预措施:范围审查

Geriatrics Gerontology and Aging Pub Date : 2023-01-01 DOI: 10.53886/gga.e0230004

H. Scortegagna, Meire Cachioni, Sheila Cristina Cecagno-Zanini, V. Alonso, R. Melo, A. Neri

引用次数: 0

Oral health in older adults with cancer 老年癌症患者的口腔健康

Geriatrics Gerontology and Aging Pub Date : 2023-01-01 DOI: 10.53886/gga.e0230016

A. P. Navarrete-Reyes, J. Negrete-Najar, Gabriel Cojuc-Konigsberg, Jimena Gómez-Camacho, Yoselin Juárez-Carrillo, L. G. López-Mosqueda, Rodrigo Rangel-Tapia, Juan Alberto Ríos-Nava, Carlos Alberto Ruiz-Manríquez, D. Sandoval-Valdez, A. Torres-Pérez, J. García-Lara, E. Soto-Pérez-de-Celis, Y. Chávarri-Guerra

{"title":"Oral health in older adults with cancer","authors":"A. P. Navarrete-Reyes, J. Negrete-Najar, Gabriel Cojuc-Konigsberg, Jimena Gómez-Camacho, Yoselin Juárez-Carrillo, L. G. López-Mosqueda, Rodrigo Rangel-Tapia, Juan Alberto Ríos-Nava, Carlos Alberto Ruiz-Manríquez, D. Sandoval-Valdez, A. Torres-Pérez, J. García-Lara, E. Soto-Pérez-de-Celis, Y. Chávarri-Guerra","doi":"10.53886/gga.e0230016","DOIUrl":"https://doi.org/10.53886/gga.e0230016","url":null,"abstract":"Cancer is a disease of older adults, with 60% of cancer diagnoses and 70% of cancer deaths occurring in individuals ≥ 65 years. Normal oral aging may transition to disease in the presence of one or more potential modifiers, such as a new oncological diagnosis or a new treatment. Oral conditions in patients with cancer cause significant morbidity. Previous work suggests that oral conditions are neither elicited/assessed/reassessed nor well-managed or investigated in older patients. However, frequently reported oral conditions in patients undergoing cancer therapy include xerostomia, dysgeusia, candidiasis, mucositis, and dental caries. Some oncological treatments such as hematopoietic stem cell transplant or chemotherapy/radiotherapy for head and neck cancers entail higher risks of oral complications. No specific recommendations in the case of older adults with cancer-associated oral conditions are available. Treatment recommendations are based on low levels of evidence and/or evidence extrapolated from younger patients with câncer.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71151687","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

Sedative use and incidence of falls and hip fractures among older adults in an outpatient geriatric clinic 在老年门诊，镇静剂的使用和老年人跌倒和髋部骨折的发生率

Geriatrics Gerontology and Aging Pub Date : 2023-01-01 DOI: 10.53886/gga.e0230012

Nelson Machado do Carmo, E. Reis, Antônio Ignácio de Loyola, E. A. Valle, D. Azevedo, M. Nascimento

{"title":"Sedative use and incidence of falls and hip fractures among older adults in an outpatient geriatric clinic","authors":"Nelson Machado do Carmo, E. Reis, Antônio Ignácio de Loyola, E. A. Valle, D. Azevedo, M. Nascimento","doi":"10.53886/gga.e0230012","DOIUrl":"https://doi.org/10.53886/gga.e0230012","url":null,"abstract":"Objective: To investigate the use of sedatives by older adults attending a private outpatient geriatric clinic in Belo Horizonte (MG), Brazil, and its association with falls and hip fractures. Methods: Using a longitudinal design, the prevalence of benzodiazepine and nonbenzodiazepine (“z-drugs”) intake by older adults was described and their association with the incidence of falls and fractures (30 days after the initial visit) was evaluated through logistic regression. Results: A total of 7821 older adults were included in the study, most of them women (72.50%), with a mean age of 77.5 years and a mean Clinical-Functional Vulnerability Index (IVCF-20) score of 16.5. The overall prevalence of sedative use (any sedative) was 6.19%, with 4.48% benzodiazepines and 1.98% z-drugs. The most widely used sedatives were clonazepam (29.04%), zolpidem (28.65%), and alprazolam (23.44%). Falls were reported for 182 patients (2.33%), with a higher incidence among users of any sedatives (4.34; p = 0.002; OR = 1.94, adjusted for sex, age, and IVCF-20) and benzodiazepines (5.14%; p < 0.001; OR = 2.28) than among non-users (2.19%). Hip fractures occurred in 33 patients (0.42%), and again were more frequent among users of sedatives (1.03%; p = 0.032; OR = 2.57) and benzodiazepines (1.43%; p = 0.003; OR = 3.45) than among non-users (0.38%). Conclusions: The use of sedatives, especially benzodiazepines, is associated with an increased incidence of falls and hip fractures in older adults.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71151721","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

Oral health care for older persons with Alzheimer's disease: considerations about treatment planning and caregiver involvement 老年阿尔茨海默病患者的口腔保健:关于治疗计划和护理人员参与的考虑

Geriatrics Gerontology and Aging Pub Date : 2023-01-01 DOI: 10.53886/gga.e0230024

Raquel de Oliveira Araújo, R. Fischer, R. Lourenço

{"title":"Oral health care for older persons with Alzheimer's disease: considerations about treatment planning and caregiver involvement","authors":"Raquel de Oliveira Araújo, R. Fischer, R. Lourenço","doi":"10.53886/gga.e0230024","DOIUrl":"https://doi.org/10.53886/gga.e0230024","url":null,"abstract":"Alzheimer’s disease (AD) is a neurodegenerative and progressive disease that predominantly affects women and has no cure. Obstacles to the dental care of people with AD differ in each phase, but the dental surgeon should remember to include the caregivers, formal or informal, in the treatment. Some skills need to be considered in the planning process, and dental health indices can be very helpful for the professional to assess the patient’s ability to undergo treatment and how the older person can benefit from it. The dental surgeon should evaluate each person’s specific needs so that personalized oral hygiene protocols can be established. The suggested adaptations must be by the reality of the older adult with AD, the family context, and daily routine, and they must contemplate the information provided by the caregiver. In this article, we invite the dental surgeon to understand the continuum of AD to properly plan treatment, considering the individual’s limitations, future perspectives, and safety, always keeping the older adult free of oral infections and comfortable with his or her oral health condition.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71152079","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

Cognition, functionality, and life space in older adults: the mediating role of perceived control and autonomy 老年人的认知、功能和生活空间:感知控制和自主性的中介作用

Geriatrics Gerontology and Aging Pub Date : 2023-01-01 DOI: 10.53886/gga.e0230031

Eduardo Amorim Rocha, A. Neri, M. Yassuda, S. Batistoni

{"title":"Cognition, functionality, and life space in older adults: the mediating role of perceived control and autonomy","authors":"Eduardo Amorim Rocha, A. Neri, M. Yassuda, S. Batistoni","doi":"10.53886/gga.e0230031","DOIUrl":"https://doi.org/10.53886/gga.e0230031","url":null,"abstract":"Objectives: To examine a model of associations between cognition, functionality, and lifespace mobility, and the mediating role of perceived control and autonomy. Methods: This is a cross-sectional study with a sample of older adults aged over 72 years, which used data from the FIBRA study. We used the structural equation modeling technique. Variables in this model were cognition, functionality, perceived control and autonomy, and life-space mobility, with sociodemographic and health covariables. Data imputation was done through the expected maximization method aiming at more effective data utilization. This study was funded by Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. Results: The mediation model reached good fit indices. Cognition, functionality, and perceived control and autonomy demonstrated a predictive capacity for life space. Functionality and perceived control and autonomy mediated the relationship between cognition and life space; therefore, cognition influences life space, given its associations with the mediating variables. There was a mediating effect of perceived control and autonomy on the relationship between functionality and life space. Conclusions: Perceived control and autonomy have an adaptive role when considering changes in personal competencies. This adaptation is reflected on life spaces, indicating an adjustment between competence and environment. Studies aimed at promoting a good relationship between an individual and his or her context maintaining life space should consider perceived control and autonomy as important mechanisms in this relationship.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71152533","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

Functional disability and associated factors in older adults seen at a primary health care unit 在初级卫生保健单位看到的老年人的功能残疾及其相关因素

Geriatrics Gerontology and Aging Pub Date : 2023-01-01 DOI: 10.53886/gga.e0230033

Paulo José Cortez, Paulo Eduardo Aliaga da Silveira, Beatriz Carvalho, João Vitor Medeiros de Abreu, Yan Lyncon, Gerson Souza Santos, Luciano Magalhães Vitorino

{"title":"Functional disability and associated factors in older adults seen at a primary health care unit","authors":"Paulo José Cortez, Paulo Eduardo Aliaga da Silveira, Beatriz Carvalho, João Vitor Medeiros de Abreu, Yan Lyncon, Gerson Souza Santos, Luciano Magalhães Vitorino","doi":"10.53886/gga.e0230033","DOIUrl":"https://doi.org/10.53886/gga.e0230033","url":null,"abstract":"Objectives: To assess functional disability and associated factors in older patients cared for at a large Brazilian urban area. Methods: This is a cross-sectional study performed at a primary health care unit in the city of São Paulo, Brazil. Participants were selected via probabilistic sampling of 400 older individuals. We used a sociodemographic and health questionnaire along with instruments for assessing fear of falling (FES-I), cognitive function (MMSE), and depression symptoms (GDS-15). For dependent variables, we used instruments for assessing basic activities (BADL; Katz) and instrumental activities of daily living (IADL; Lawton). Factors associated with functional disability were analyzed via logistic regression models. Results: The mean age of participants was 75.23 (SD = 8.53); 63.20% were female, 27.00% were dependent in BADL and 39.25%, in IADL. Older individuals with better cognitive function and who had not been hospitalized in the previous year were less prone to functional disabilities. Factors such as older age, more depression symptoms, and greater fear of falling were more linked to disabilities in BADL. Factors such as older age, female sex, and greater fear of falling were more linked to disabilities in IADL. Conclusions: The prevalence of disability in BADL and IADL in the studied sample was high. Modifiable and non-modifiable factors were associated with functional disability. These results may help primary health care professionals understand the risk factors for functional disability in the older population.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135496139","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

Polypharmacy and drug classes in fall risk among older adults 老年人跌倒风险中的多种药物和药物类别

Geriatrics Gerontology and Aging Pub Date : 2023-01-01 DOI: 10.53886/gga.e0230017

Catherine de Farias Sussuarana, Greiciane da Silva Rocha, Francimar Leão Jucá, Kesya Silva de Araújo, Victoria Elisabeth Mariano da Conceição, Rozilaine Redi Lago, Tábatta Renata Pereira de Brito

{"title":"Polypharmacy and drug classes in fall risk among older adults","authors":"Catherine de Farias Sussuarana, Greiciane da Silva Rocha, Francimar Leão Jucá, Kesya Silva de Araújo, Victoria Elisabeth Mariano da Conceição, Rozilaine Redi Lago, Tábatta Renata Pereira de Brito","doi":"10.53886/gga.e0230017","DOIUrl":"https://doi.org/10.53886/gga.e0230017","url":null,"abstract":"Objective: To identify polypharmacy, including drug classes that, when used concomitantly, increase fall risk in older adults. Methods: This cross-sectional quantitative study included noninstitutionalized individuals aged ≥ 60 years living in Rio Branco, Acre, Brazil. In the descriptive data analysis, the frequency distributions were evaluated and multiple logistic regression was used to identify factors associated with fall risk. The ROC curve was used to determine the logistic model’s accuracy. Results: The fall rate was higher among women (73.30%) and the 70–79 year age group (42.50%). A total of 80.70% of the participants used ≥ 1 medication and 32.60% used 2–3 medications. According to the odds ratio calculation, use of medications with possible drug interactions increased the occurrence of falls by 47.00% in the last 12 months. The model’s accuracy was 55.00%. Conclusions: The results indicate that polypharmacy and the use of certain drug classes in older adults can lead to potential drug interactions, making them more susceptible to adverse events, such as postural hypotension, vertigo, dizziness, and loss of balance, all of which increase fall risk. Educational measures for older adults on correct medication use are needed.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136002841","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

Recommendations for the development of Clinical Practice Guidelines 制定临床实践指南的建议

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220016

P. Wachholz, A. Stein, D. Melo, R. B. D. Mello, I. Flórez

{"title":"Recommendations for the development of Clinical Practice Guidelines","authors":"P. Wachholz, A. Stein, D. Melo, R. B. D. Mello, I. Flórez","doi":"10.53886/gga.e0220016","DOIUrl":"https://doi.org/10.53886/gga.e0220016","url":null,"abstract":"Clinical practice guidelines are statements that include recommendations intended to optimize patient care, are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options, and ensure that the best available clinical knowledge is used to provide effective and quality care. They can reduce inappropriate care and variability in clinical practice and can support the translation of new research knowledge into clinical practice. Recommendations from clinical practice guidelines can support health professionals by facilitating the decision-making process, empowering them to make more informed health care choices, clarifying which interventions should be priorities based on a favorable trade-off, and discouraging the use of those that have proven ineffective, dangerous, or wasteful. This review aims to summarize the key components of high-quality and trustworthy guidelines. Articles were retrieved from various libraries, databases, and search engines using free-text term searches adapted for different databases, and selected according to author discretion. Clinical practice guidelines in geriatrics can have a major impact on prevention, diagnosis, treatment, rehabilitation, health care, and the management of diseases and conditions, but they should only be implemented when they have high-quality, rigorous, and unbiased methodologies that consider older adult priorities and provide valid recommendations.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71148561","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

Impediments to deprescription in Brazil: overview from a panel of geriatrics experts 巴西取消处方的障碍:来自老年病学专家小组的概述

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220002

Juliana Junqueira Marques Teixeira, M. P. Provin, M. P. Freitas, Fabiana Ribeiro Santana, M. T. A. Pedatella, Luis Eduardo de Araujo Rocha

{"title":"Impediments to deprescription in Brazil: overview from a panel of geriatrics experts","authors":"Juliana Junqueira Marques Teixeira, M. P. Provin, M. P. Freitas, Fabiana Ribeiro Santana, M. T. A. Pedatella, Luis Eduardo de Araujo Rocha","doi":"10.53886/gga.e0220002","DOIUrl":"https://doi.org/10.53886/gga.e0220002","url":null,"abstract":"Objectives: To identify impediments to deprescription among older adults from the perspective of a panel of Brazilian geriatricians. Methods: The Delphi method was used to obtain a consensus among Brazilian geriatricians about the factors that influence the lack of deprescription for older adults in clinical practice. The study was developed in two stages: (i) a survey and description of potential factors involved in deprescription; and (ii) applying the results of the survey to a panel of experts to obtain a consensus. Results: The deprescription process is influenced by the interaction of three pillars of older adult health care: the prescriber, the patient-family, and the health care system. In the professional and health care systems, professional training and communication skills, prolonged clinical follow-up, access to the multidisciplinary team, medical consultations of an adequate time, and unified electronic health records were identified as facilitators of deprescription. In the patient-family pillar, clear facilitators included health literacy, no sensory or cognitive deficits, and a clinical situation of transitional or palliative care. Conclusions: Deprescription is a complex, multifactorial process that requires attention, time, and specific skills and competencies from the attending physician, but it also requires shared decision-making and a health system compatible with a culture of deprescription.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71148724","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

Analysis of postural control and muscle function performance of older adults participating in a multicomponent exercise program in primary health care 在初级卫生保健中参加多组分锻炼计划的老年人的姿势控制和肌肉功能表现分析

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220007

L. A. Vieira, J. L. Cruz, Milena Razuk, Natalia Rinaldi

{"title":"Analysis of postural control and muscle function performance of older adults participating in a multicomponent exercise program in primary health care","authors":"L. A. Vieira, J. L. Cruz, Milena Razuk, Natalia Rinaldi","doi":"10.53886/gga.e0220007","DOIUrl":"https://doi.org/10.53886/gga.e0220007","url":null,"abstract":"Objectives: This cross-sectional study aimed to investigate (1) postural control performance in different postural tasks and (2) muscle strength and power of the hip, knee, and ankle of active vs inactive older adults. Methods: The sample consisted of 61 healthy community-dwelling older adults, classified into 2 groups: active, consisting of participants of a multicomponent exercise program offered through the Exercise Orientation Service; and inactive. Participants were considered physically active/inactive in the past 3 months. Postural control was assessed using a force plate in 8 postural tasks. Muscle function was evaluated using an isokinetic dynamometer. T-tests were used to compare clinical characteristics between the groups. ANCOVA and MANCOVA were used to compare differences in variables of postural control and muscle function. Results: Active participants had higher levels of physical activity, clinical balance, and quality of life than inactive participants. The active group had lower values for area (center of pressure) than the inactive group under the following conditions: bipedal stance on an unstable surface with eyes open and with eyes closed, and semi-tandem stance on an unstable surface with eyes open. The active group showed greater muscle power, with higher mean power values for hip abduction and adduction, knee extension, and knee flexion and shorter time to peak torque for hip adduction and ankle dorsiflexion than the inactive group. Conclusions: Multicomponent exercise programs delivered in primary health care settings contributed to improving postural control and muscle power in this sample of older adults, which can potentially help prevent falls and improve quality of life.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71148986","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