Geriatrics Gerontology and Aging最新文献_第7页

Psychometric properties of the Purpose in Life Scale in Brazilian older adults 巴西老年人生活目的量表的心理测量特征

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220009

D. Oliveira, Renan Codonhato, G. Freire, José Roberto Andrade do Nascimento, M. Nascimento, S. Bertolini, Lenamar Fiorese

引用次数: 0

From scientific hyperbole to the curse of retractions 从科学夸张到撤稿诅咒

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220010

L. Santos-Neto

引用次数: 0

Delivering patient-centered care: outcomes of comprehensive geriatric assessment across healthcare settings 提供以患者为中心的护理:跨医疗保健设置的综合老年评估的结果

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220031

Maria Fernanda Bottino Roma, Natália Ivanovna Bernasovskaya Garção, K. Covinsky, M. Aliberti

{"title":"Delivering patient-centered care: outcomes of comprehensive geriatric assessment across healthcare settings","authors":"Maria Fernanda Bottino Roma, Natália Ivanovna Bernasovskaya Garção, K. Covinsky, M. Aliberti","doi":"10.53886/gga.e0220031","DOIUrl":"https://doi.org/10.53886/gga.e0220031","url":null,"abstract":"Comprehensive geriatric assessment (CGA) is a systematic multidimensional and interdisciplinary evaluation that enables clinicians to recognize age-related impairments and develop a coordinated treatment plan and follow-up suited to the patient's needs. Considering the growing number of older persons requiring care in health systems everywhere and the importance of shifting from a disease-specific care model to a more comprehensive care model, we aimed to present the benefits of CGA for older people in different healthcare settings using a narrative review. This patient-centered model of care has been associated with lower hospital (re)admission, maintenance of function, improved quality of life, less caregiver burden, and higher patient satisfaction with the care provided across different healthcare settings. In some contexts — for example, hospitalized older people —, CGA has already been established as the standard model of care as it was consistently related to reduced mortality. Consistent findings from specific contexts (eg, oncology, orthopaedics) also show the importance of CGA in aiding clinicians make better decisions for older patients. It is noteworthy that further evidence from cost-effectiveness studies is still warranted, particularly in community settings. Another encouraging topic for future research is the role of technology in disseminating CGA-based models of care.","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":"71150919","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

Homebound Elderly People Psychotherapeutic Intervention (HEPPI): study protocol for a randomized controlled trial 居家老年人心理治疗干预(HEPPI):一项随机对照试验的研究方案

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220033

Andreia G Jesus, M. Lima, M. Vilar, N. Pachana

{"title":"Homebound Elderly People Psychotherapeutic Intervention (HEPPI): study protocol for a randomized controlled trial","authors":"Andreia G Jesus, M. Lima, M. Vilar, N. Pachana","doi":"10.53886/gga.e0220033","DOIUrl":"https://doi.org/10.53886/gga.e0220033","url":null,"abstract":"OBJECTIVE: To present the study protocol for the Homebound Elderly People Psychotherapeutic Intervention (HEPPI), a home-delivered cognitive-emotional intervention aimed at homebound older adults with mild cognitive impairment and depression and/or anxiety symptoms. METHODS: A two-arm, open-label, parallel-group randomized controlled trial will be conducted to compare the effects of HEPPI with treatment as usual. Homebound older adults will be recruited from the community through contact with their health care networks in mainland Portugal. All participants will complete baseline, post-intervention, and 3-month follow-up assessments. Primary outcomes will be changes in episodic memory and depression and anxiety symptoms. Secondary outcomes will include changes in general cognition, attentional control, subjective memory complaints, quality of life, functional status, and loneliness. RELEVANCE: The availability of evidence-based home-delivered non-pharmacological interventions meeting the cognitive and emotional needs of the homebound older population could improve their access to mental health care resources and increase their mental health and 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":"71150530","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

Inadequate distribution of dietary protein and muscle mass in older adults 老年人饮食中蛋白质和肌肉量分布不足

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220001

L. B. D. Souza, K. A. Martins, R. Bomfim

{"title":"Inadequate distribution of dietary protein and muscle mass in older adults","authors":"L. B. D. Souza, K. A. Martins, R. Bomfim","doi":"10.53886/gga.e0220001","DOIUrl":"https://doi.org/10.53886/gga.e0220001","url":null,"abstract":"OBJECTIVE: To assess protein intake, its distribution across main meals and the relationship between this distribution and muscle mass in older adults. METHODS: This cross-sectional study included 47 older adults attending a community center in Campo Grande, MS, Brazil. A sociodemographic questionnaire was used to characterize the population. Dietary intake data were collected using two 24-hour dietary recalls on nonconsecutive days. Anthropometric measures and handgrip strength were collected. Skeletal muscle mass was calculated from the anthropometric measures. Descriptive statistics were used to derive means and standard deviations. Analysis of variance and Tukey tests were performed, with a significance level of 5% (p < 0.05). RESULTS: The older adults, mostly Caucasian, female, physically active, at risk of malnutrition, and with a low level of education, had an energy intake of 1305.28 kcal/day. Protein intake was 65.19 g/day, with a mean of 0.93 g/kg/day. Lunch was the meal with the highest protein intake (33.85 ± 2.47 g). The lowest protein intake was observed at breakfast (8.56 ± 0.82 g). All meals were below the recommendation of 40 g of protein/meal. Protein intake at breakfast was associated with calf circumference (p = 0.04). CONCLUSIONS: The older adults in this study consumed a low amount of total and per-meal protein. Breakfast showed the lowest protein intake, and this was associated with calf circumference in the study sample.","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":"71148120","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

Benefits of combined interventions for cognitive enhancement in older adults 综合干预对老年人认知增强的益处

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220018

Angela Maria Sacramento, Henrique Salmazo da Silva, G. F. Melo, Grasielle Silveira Tavares Pulin, José Neander Silva Abreu, Isabelle Patriciá Freitas Soares Chariglione

{"title":"Benefits of combined interventions for cognitive enhancement in older adults","authors":"Angela Maria Sacramento, Henrique Salmazo da Silva, G. F. Melo, Grasielle Silveira Tavares Pulin, José Neander Silva Abreu, Isabelle Patriciá Freitas Soares Chariglione","doi":"10.53886/gga.e0220018","DOIUrl":"https://doi.org/10.53886/gga.e0220018","url":null,"abstract":"OBJECTIVE: To investigate the effects of different combined interventions (Stimullus, MEMO, physical activity, and psychoeducation) on the cognitive performance of older adults. METHODS: This is a quasi-experimental study with pre- and post-intervention. Thirty-four older adults underwent different combined interventions for a period of 48 weeks and were evaluated at three different points (pre-intervention; post-cognitive intervention; post-physical activity or psychoeducation intervention). Cognitive domains (verbal episodic memory, executive function, general cognitive performance) and depressive symptoms were evaluated. RESULTS: Postintervention gains in global, attentional, and mnemonic cognition were observed, as well as a reduction in depressive symptoms. The MEMO intervention + physical activity or psychoeducation resulted in greater cognitive gains, while Stimullus + psychoeducation showed benefits only in evocation and the free learning index, while Stimullus + physical activity resulted in improvement in the investigated variables. CONCLUSION: The results of these combined interventions appear promising for healthy older adults and the impact of these interventions should be discussed with individual older patients and evaluated more broadly in the context of public health.","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":"71148633","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

Epidemiological and clinical profile and trend analysis of hospitalizations for fall-related injuries among older adults, Alagoas (Brazil), 2008–2019 2008-2019年巴西阿拉戈斯州老年人跌倒相关损伤住院的流行病学、临床概况和趋势分析

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220011

M. F. Machado, R. Lima, Daniel Martins Correia, Érika de Fátima Machado Soares, M. Melo

{"title":"Epidemiological and clinical profile and trend analysis of hospitalizations for fall-related injuries among older adults, Alagoas (Brazil), 2008–2019","authors":"M. F. Machado, R. Lima, Daniel Martins Correia, Érika de Fátima Machado Soares, M. Melo","doi":"10.53886/gga.e0220011","DOIUrl":"https://doi.org/10.53886/gga.e0220011","url":null,"abstract":"Objective: To analyze the epidemiological and clinical profile and the time trend of hospitalizations for fall-related injuries among older people (aged 60 years or older) in Alagoas between 2008 and 2019. Methods: This is a time series study with data collected from the Hospital Information System of the Unified National Health System (SIHSUS) referring to hospitalizations for fall-related injuries among older adults in Alagoas between 2008 and 2019. Hospitalization and lethality rates, average annual percent change (AAPC), and annual percent change (APC) were calculated; time trends were analyzed using a Joinpoint Regression Model according to sex, skin color, age range, and causes. A 95% confidence interval (95%CI) was adopted. A p-value<0.01 was adopted for defining statistical significance. Results: In Alagoas, 14 817 cases of hospitalizations due to fall-related injuries were reported among older people in the analyzed period. The highest incidence rate was observed in 2016 (48.39/10 000 inhabitants). There were 517 deaths, and the mean lethality rate was 3.4%. A higher proportion of cases was seen in men (66.36%; n=9832), those aged 80 years or older(34.59%; n=5125), and with Brown skin (54.70%; n=8106). The incidence coefficient varied, showing an upward trend with time (APC: 4.1; 95%CI 0.2–8.2; p<0.01). Conclusion: During the analyzed period, the study showed a higher incidence in individuals aged 80 years or older, men, and found an upward trend in hospitalizations. We suggest the optimization of hospital care and promotion of fall prevention programs among older adults.","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":"71148931","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

The process of deprescribing in older adults: a methodological protocol 老年人开处方的过程:方法学协议

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220021

Natascha Melo Linkievicz, Paula Engroff, Alfredo Cataldo, V. Sgnaolin

{"title":"The process of deprescribing in older adults: a methodological protocol","authors":"Natascha Melo Linkievicz, Paula Engroff, Alfredo Cataldo, V. Sgnaolin","doi":"10.53886/gga.e0220021","DOIUrl":"https://doi.org/10.53886/gga.e0220021","url":null,"abstract":"Objective: To report, by means of a methodological protocol, the process of deprescribing implemented in a geriatric psychiatry outpatient clinic of a teaching hospital. Methods: The topic of interest was comprehensively reviewed in the scientific literature. Instruments and tools necessary to develop the protocol were selected, including the Treatment Adherence Measure, Beers criteria, the EURO-FORTA List, the Brazilian Consensus on Potentially Inappropriate Medications for Older Persons, Drugs.com, and deprescribing algorithms. Results: The protocol consists of the following steps: 1) Review: Assess older patients’ physical and behavioral status and family context and list all medications used; 2) Analyze: Review patients’ drug therapy; 3) Act: Initiate deprescribing (if indicated); 4) Adjust: Discuss patients’ expectations, beliefs, and preferences and adjust the prescription to their real possibilities; 5) Monitor: Identify responses to treatment, assess adherence to the deprescribing process, and detect return of symptoms or worsening of the underlying disease. Conclusions: Health care professionals need to work together to provide comprehensive care for older persons. The inclusion of deprescribing in more research groups focused on the geriatric population will increase attention to the safety of pharmacological treatment for older patients.","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":"71149044","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

Panorama of teaching on older adults or aging in undergraduate nutrition programs at Brazilian Higher Education Institutions 巴西高等教育机构本科营养课程中老年人或老龄化教学全景

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220025

Renata Breda Martins, C. Stobäus, C. Schwanke

{"title":"Panorama of teaching on older adults or aging in undergraduate nutrition programs at Brazilian Higher Education Institutions","authors":"Renata Breda Martins, C. Stobäus, C. Schwanke","doi":"10.53886/gga.e0220025","DOIUrl":"https://doi.org/10.53886/gga.e0220025","url":null,"abstract":"Objective: This study aimed to present an overview of teaching about older adults or aging in undergraduate nutrition programs of higher education institutions (HEIs) in Brazil. Methods: This is a cross-sectional study with data obtained from HEI websites in 2018. Results: Most of the 527 analyzed HEIs were private institutions (88.05%). Courses related to older adults/aging were offered by 63.98% of the HEIs; 58.04% included shared content (not only involving older adults), 76.15% were offered from the fifth to the eighth semester, 53.19% were theoretical, 61.51% had a workload ≥ 60 hours/semester, and 92.16% were mandatory pedagogical activities. Internships involving older adults (one or more) were observed only in 4.65% of the programs. Conclusions: Approximately one-third of Brazilian HEIs do not offer courses on older adults or aging in their undergraduate nutrition programs. However, population aging, with its inherent demands, is a reality in Brazil and in the world. Further studies are suggested to expand the reflection and contribute to a more qualified training of nutritionists for the care of older adults.","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":"71149068","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

Effects of different order of combined training on functional capacity, blood pressure, and body composition in women from 53 to 79 years old 不同组合训练顺序对53 ~ 79岁女性功能能力、血压和身体成分的影响

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220013

Ágatha Graça, Higor Santos Fonseca, F. Pina, Rodrigo Garcia Fiorillo, J. Mayhew, A. Gerage, Daniel Vicentini de Oliveira, M. Nascimento

{"title":"Effects of different order of combined training on functional capacity, blood pressure, and body composition in women from 53 to 79 years old","authors":"Ágatha Graça, Higor Santos Fonseca, F. Pina, Rodrigo Garcia Fiorillo, J. Mayhew, A. Gerage, Daniel Vicentini de Oliveira, M. Nascimento","doi":"10.53886/gga.e0220013","DOIUrl":"https://doi.org/10.53886/gga.e0220013","url":null,"abstract":"Objective: To assess the effects of order of resistance training (RT) and high-intensity interval training (HIIT) on functional capacity, blood pressure, and body composition in middle-aged and older women. Methods: Twenty-two participants were randomly assigned to one of two groups: RT followed by HIIT (RT-HIIT, n = 10, mean age 64.5 ± 7.9 years) or HIIT followed by RT (HIIT-RT, n = 10, mean age 59.32 ± 4.44 years). Both groups trained twice a week for 8 weeks. RT was composed of 7 exercises for the upper and lower body. HIIT was composed of alternate pairings of high-intensity (> 85% of maximum heart rate [MHR]) and moderate-intensity (60% MHR) running. Results: A time effect was found for upper-body muscle endurance (HIIT-RT = +9.43%; RT-HIIT = +6.16%), agility and dynamic balance (HIIT-RT = -5.96%; RT-HIIT = -8.57%), and cardiorespiratory fitness (HIIT-RT = +5.14%; RT-HIIT = +6.13%), with no difference between groups. Body composition and blood pressure did not change throughout the investigation for either group. Conclusion: Eight weeks of a combined HIIT and RT exercise program improved functional capacity of middle-aged and older women without altering blood pressure and body composition, regardless of the order of exercises.","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":"71148710","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