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Informal caregiving time and its monetary value in the context of older adults in Singapore 新加坡老年人非正规护理时间及其货币价值
Aging and health research Pub Date : 2024-06-01 DOI: 10.1016/j.ahr.2024.100193
Nur Diyana Binte Azman , Abhijit Visaria , Veronica Shimin Goh , Truls Østbye , David Matchar , Rahul Malhotra
{"title":"Informal caregiving time and its monetary value in the context of older adults in Singapore","authors":"Nur Diyana Binte Azman ,&nbsp;Abhijit Visaria ,&nbsp;Veronica Shimin Goh ,&nbsp;Truls Østbye ,&nbsp;David Matchar ,&nbsp;Rahul Malhotra","doi":"10.1016/j.ahr.2024.100193","DOIUrl":"https://doi.org/10.1016/j.ahr.2024.100193","url":null,"abstract":"<div><h3>Background</h3><p>Little is known about the caregiving time of different types of caregivers in Singapore or its monetary value. We quantified the caregiving time of primary informal, secondary informal, and migrant domestic worker (MDW) caregivers of older adults and estimated the monetary value of caregiving time of primary and secondary informal caregivers.</p></div><div><h3>Methods</h3><p>278 primary informal caregivers reported the time provided by themselves, secondary informal caregivers and MDW caregivers in a typical week helping their care-recipients, aged ≥75 years, with activities of daily living (ADLs), instrumental ADLs, healthcare and social care use, other needs, and supervision of MDW caregivers. We estimated monetary value using the proxy good method.</p></div><div><h3>Results</h3><p>On average, primary and secondary informal caregivers provided 33.0 (annual monetary value: S$15,959) and 8.4 (annual monetary value: S$4,062) caregiving hours/week. MDW caregivers provided even more – 42.0 h/week. Care-recipients received 60.5 h of care/week on average. Nationally, the monetary value of informal caregiving time for Singaporeans aged ≥75 years requiring human assistance was about S$1.28 billion.</p></div><div><h3>Conclusion</h3><p>This study highlights the substantial time commitment of informal and MDW caregivers. Our estimates of the monetary value of informal caregiving time can inform economic evaluations of care models for older adults and policies for supporting informal caregivers, particularly in societies that rely heavily on informal care.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 2","pages":"Article 100193"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000143/pdfft?md5=2c8b5cd6e8f0712aab6e7704f77f8965&pid=1-s2.0-S2667032124000143-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263758","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
Cognitive impairments by formaldehyde exposure in Alzheimer's disease 阿尔茨海默病患者因接触甲醛而出现认知障碍
Aging and health research Pub Date : 2024-06-01 DOI: 10.1016/j.ahr.2024.100194
Iman Attiah, Lujain Redha, Shakeel Ahmed Ansari
{"title":"Cognitive impairments by formaldehyde exposure in Alzheimer's disease","authors":"Iman Attiah,&nbsp;Lujain Redha,&nbsp;Shakeel Ahmed Ansari","doi":"10.1016/j.ahr.2024.100194","DOIUrl":"https://doi.org/10.1016/j.ahr.2024.100194","url":null,"abstract":"<div><p>Formaldehyde (FA) is a highly reactive molecule that is considered as a community concern due to the huge human exposure in industries, dissection unit in hospitals and academics. Furthermore, it is used in manufacturing paper and plywood, and preservation of biological specimens. FA is present normally in certain concentration in the brain and its metabolism plays a major role in methylation and demethylation of DNA, RNA and histones. However, excess concentration of FA reduces the cognitive function and causes dementia especially in aging brain. Recent studies investigated the link between excess exposure to FA and age-related cognitive impairment through NMDA-receptor dysregulation and other mechanisms including amyloid-β (Aβ) accumulation, alterations in alcohol dehydrogenase-5 (ALDH5) and Tau dysmetabolism and aggregation which serves as major causes of Alzheimer's disease (AD). Recent hypothesis agreed that when FA causes Aβ to accumulate in extracellular space, it prevents the medications that are dissolved in the interstitial fluid from permeating the injured cortical neurons and leads to neurons death. Although treatment of AD with phototherapy has been achieved before which involves the destruction of Aβ deposit; however, reducing the amount of exposure to FA and its derivatives remains a golden step in the prevention.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 2","pages":"Article 100194"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000155/pdfft?md5=7471fc1ad8482072f9d2953bc3c549da&pid=1-s2.0-S2667032124000155-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141244391","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 sleep problems and self-perception of health among community-dwelling older adults: Data from the 2019 national health survey 社区老年人的睡眠问题与自我健康感知之间的关系:来自 2019 年全国健康调查的数据
Aging and health research Pub Date : 2024-04-16 DOI: 10.1016/j.ahr.2024.100192
Jaquelini Betta Canever , Letícia Martins Cândido , Katia Jakovljevic Pudla Wagner , Ana Lúcia Danielewicz , Helena Iturvides Cimarosti , Núbia Carelli Pereira de Avelar
{"title":"Association between sleep problems and self-perception of health among community-dwelling older adults: Data from the 2019 national health survey","authors":"Jaquelini Betta Canever ,&nbsp;Letícia Martins Cândido ,&nbsp;Katia Jakovljevic Pudla Wagner ,&nbsp;Ana Lúcia Danielewicz ,&nbsp;Helena Iturvides Cimarosti ,&nbsp;Núbia Carelli Pereira de Avelar","doi":"10.1016/j.ahr.2024.100192","DOIUrl":"https://doi.org/10.1016/j.ahr.2024.100192","url":null,"abstract":"<div><h3>Background</h3><p>Sleep problems in the older adults are often linked to their self-perceived health status, significantly affecting their overall well-being. Investigating this relationship is essential to understand how sleep impacts health perception in older adults and to develop targeted strategies to improve their quality of life and health outcomes. The objective was to verifying the association between sleep problems and negative self-perception of health in community-dwelling older adults.</p></div><div><h3>Methods</h3><p>Cross-sectional study, with data from 43,554 older adults participants of the National Health Survey (PNS-2019). The exposure variable was self-report of sleep problems in the last 15 days (difficulty in falling asleep, waking up frequently at night, or sleeping more than usual) and the study endpoints were self-perception of health (positive/negative). Associations were checked using multivariable logistic regression.</p></div><div><h3>Results</h3><p>Older adults with sleep problems were 1.92 (95 %CI 1.77; 2.08) more likely to have a negative self-perception of health when compared to older adults without sleep problems.</p></div><div><h3>Conclusions</h3><p>These findings reinforce the need for programs aimed at reducing sleep problems in older adults, since these are associated with negative self-perceptions of health. A better understanding of these associations may help health care professionals to better control sleep disturbances as well as their outcomes.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 2","pages":"Article 100192"},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000131/pdfft?md5=ca8ec57770268998917882a7df95e203&pid=1-s2.0-S2667032124000131-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140645781","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
Associations between healthcare use and migration background in persons with dementia: A cohort study in the Netherlands 痴呆症患者使用医疗服务与移民背景之间的关系:荷兰的一项队列研究
Aging and health research Pub Date : 2024-04-14 DOI: 10.1016/j.ahr.2024.100191
Bianca T. Strooij , Marieke T. Blom , Hein P.J. van Hout , Otto R. Maarsingh , Petra J.M. Elders , Jos P.C.M. van Campen , Iris van der Heide , Karlijn J. Joling
{"title":"Associations between healthcare use and migration background in persons with dementia: A cohort study in the Netherlands","authors":"Bianca T. Strooij ,&nbsp;Marieke T. Blom ,&nbsp;Hein P.J. van Hout ,&nbsp;Otto R. Maarsingh ,&nbsp;Petra J.M. Elders ,&nbsp;Jos P.C.M. van Campen ,&nbsp;Iris van der Heide ,&nbsp;Karlijn J. Joling","doi":"10.1016/j.ahr.2024.100191","DOIUrl":"https://doi.org/10.1016/j.ahr.2024.100191","url":null,"abstract":"<div><h3>Background</h3><p>: Qualitative research shows barriers in access to healthcare for persons with a migration background, possibly leading to healthcare inequalities. We aimed to compare healthcare use between older community-dwelling persons with a migration background and native Dutch persons with dementia.</p></div><div><h3>Methods</h3><p>: Observational cohort study using electronic health records of NIVEL Primary Care Database (2013–2014) linked to nationwide administrative registries managed by Statistics Netherlands. We included all community-dwelling persons with dementia in the Netherlands aged 65 years and older. Negative binomial and logistic regression analyses were conducted to assess differences in healthcare use outcomes. The largest migrant groups (persons born in Surinam, Turkey and Morocco) were studied separately.</p></div><div><h3>Results</h3><p>: 138,864 persons with dementia were included in the study, whereof 3,991 persons with a migration background and 132,477 native Dutch persons. Moroccan-born persons showed 1.46 higher odds of having an unplanned hospital admission compared to native Dutch persons (95 % Confidence Interval [CI] 1.22–1.74). Persons with a migration background used less professional home care (Odds Ratio [OR] 0.55, 95 %CI 0.51–0.59), and received less home visits from their general practitioner (OR 0.50, 95 %CI 0.43–0.57) than native Dutch persons. Moroccan-born persons had more often an out-of-hours general practitioner consultation compared to native Dutch persons (Incidence Rate Ratio 1.36, 95 %CI 1.18–1.57).</p></div><div><h3>Conclusions</h3><p>: We found significant quantitative differences in healthcare use between persons with a migration background and native Dutch persons with dementia. Further research is needed to gain insight into the reasons of these differences, with consideration of specific migration background.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 2","pages":"Article 100191"},"PeriodicalIF":0.0,"publicationDate":"2024-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266703212400012X/pdfft?md5=916be7ee51e7298fae4b48d79917c733&pid=1-s2.0-S266703212400012X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140631773","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
Oral health care interventions for older adults living in nursing homes: An umbrella review 针对住在养老院的老年人的口腔保健干预措施:综述
Aging and health research Pub Date : 2024-04-10 DOI: 10.1016/j.ahr.2024.100190
Mille Vogelius Bøtchiær , Ellen Margrethe Bugge , Palle Larsen
{"title":"Oral health care interventions for older adults living in nursing homes: An umbrella review","authors":"Mille Vogelius Bøtchiær ,&nbsp;Ellen Margrethe Bugge ,&nbsp;Palle Larsen","doi":"10.1016/j.ahr.2024.100190","DOIUrl":"https://doi.org/10.1016/j.ahr.2024.100190","url":null,"abstract":"<div><p>This review aims to assess the impact of oral health care interventions on the overall health enhancement and prevention of disease among older adults residing in nursing homes. A systematic search was conducted for reviews published between January 2012 and December 2022, focusing on oral health in nursing home settings. Seventeen reviews met the inclusion criteria, encompassing studies involving older adults, their families, and nursing home staff. Various databases, including PubMed, CINAHL Complete, Scopus, and others, were searched, and quality assessments were performed using established guidelines.</p><p>Findings suggest a correlation between oral health and nutritional status, with potential implications for pneumonia prevention through professional oral health care. However, recommendations for interventions remain elusive due to insufficient evidence, particularly regarding the effectiveness of oral health education for caregivers. Despite a documented low oral health-related quality of life among older nursing home residents, oral health promotion programs show promise in addressing this issue.</p><p>In conclusion, there is a pressing need to enhance oral health among older adults in nursing homes. While certain interventions demonstrate potential effectiveness, the current evidence lacks consistency and comprehensiveness. Future research efforts should prioritize collaborative approaches between practice and research to explore diverse outcomes and ensure optimal practice.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 2","pages":"Article 100190"},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000118/pdfft?md5=1bc02724ca9276ead7f7d327f4825bbf&pid=1-s2.0-S2667032124000118-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140552415","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
Impact of heat stress on cardiovascular health outcomes of older adults: A mini review 热应激对老年人心血管健康结果的影响:微型综述
Aging and health research Pub Date : 2024-03-27 DOI: 10.1016/j.ahr.2024.100189
Nomagugu Ndlovu, Benedicta Nkeh Chungag
{"title":"Impact of heat stress on cardiovascular health outcomes of older adults: A mini review","authors":"Nomagugu Ndlovu,&nbsp;Benedicta Nkeh Chungag","doi":"10.1016/j.ahr.2024.100189","DOIUrl":"https://doi.org/10.1016/j.ahr.2024.100189","url":null,"abstract":"<div><p>Heat waves are increasingly becoming a serious threat to human health, especially for children, adults above 65 years and vulnerable populations. Older adults are already burdened with several chronic illnesses with cardiovascular diseases being the most prevalent and among the leading causes of death in that population. In this review, we explore evidence of the impact of heat stress on cardiovascular health outcomes of older adults. We further attempt to simplify the mechanisms by which aging compromises thermoregulation of individuals above the age of 65 thereby exacerbating cardiovascular diseases. Articles used in this mini review were retrieved from PubMed, Google scholar, Scopus and other academic internet databases relevant to the field of study. The keywords used in the search were ‘heat stress’, ‘cardiovascular diseases in older adults’ ‘heat stress and cardiovascular diseases’ as well as ‘heat stress and aging’. The publications included in this mini review have been carefully chosen based on their relevance, reliability, and contribution to advancing our understanding of the topic. This review reveals that heat stress in older adults may lead to increased hospitalization and death in some cases. There is a dearth of studies focusing on this area in developing countries. Therefore, this review can stimulate research interest for under studied regions or countries on the subject area considering that heat stress is a growing concern as a risk factor for cardiovascular diseases. Understanding the role of heat stress in cardiovascular diseases can help health care workers and policy makers to plan for mitigation strategies to avoid the risk of hospitalization and/or death during heat waves among older adults.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 2","pages":"Article 100189"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000106/pdfft?md5=2a90edd51f88e4c0f26761162bf9aa9c&pid=1-s2.0-S2667032124000106-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140341468","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
The role of cerebral blood flow in the pathogenesis of Alzheimer's Disease Dementia 脑血流量在阿尔茨海默病痴呆症发病机制中的作用
Aging and health research Pub Date : 2024-03-20 DOI: 10.1016/j.ahr.2024.100188
Bhavisha Desai , Olivia Edwards , Lucy Beishon
{"title":"The role of cerebral blood flow in the pathogenesis of Alzheimer's Disease Dementia","authors":"Bhavisha Desai ,&nbsp;Olivia Edwards ,&nbsp;Lucy Beishon","doi":"10.1016/j.ahr.2024.100188","DOIUrl":"https://doi.org/10.1016/j.ahr.2024.100188","url":null,"abstract":"<div><p>Accounting for approximately 70 % of dementia cases and rising globally, Alzheimer's Disease Dementia (ADD) is a formidable challenge to patients, carers and healthcare professionals worldwide. ADD has a significant impact on patient's and carers’ quality of life, as well as substantial economical and societal costs. Therefore, understanding the pathogenesis of ADD to identify potential treatment targets is becoming an important research priority. For several decades, the amyloid cascade hypothesis has dominated ADD research, however recent critiques have called this into question. Research suggests there may be a significant vascular component, which may occur earlier, potentiate, and drive further amyloid pathology in the brain. One potential area for further exploration is the role of vascular dysregulation in the pathogenesis of ADD. In this review, we examine the current literature regarding vascular dysregulation, and its role in the development of ADD. We further explore the complexity involved in the intersection between vascular insults and the amyloid-cascade hypothesis, and call for further research in the use of cerebral blood flow for a diagnostic and therapeutic target for ADD.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 2","pages":"Article 100188"},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266703212400009X/pdfft?md5=a5a3011bce6e1b11a88a5dbf5f5a7d12&pid=1-s2.0-S266703212400009X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140191897","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
Rehabilitation needs in people living with Dementia: A scoping review of assessment tools and procedures 痴呆症患者的康复需求:评估工具和程序的范围审查
Aging and health research Pub Date : 2024-03-19 DOI: 10.1016/j.ahr.2024.100187
Fritze Kristensen , Rikke Gregersen , Mona Kyndi Pedersen , Conni Skrubbeltrang , Jette Thuesen
{"title":"Rehabilitation needs in people living with Dementia: A scoping review of assessment tools and procedures","authors":"Fritze Kristensen ,&nbsp;Rikke Gregersen ,&nbsp;Mona Kyndi Pedersen ,&nbsp;Conni Skrubbeltrang ,&nbsp;Jette Thuesen","doi":"10.1016/j.ahr.2024.100187","DOIUrl":"https://doi.org/10.1016/j.ahr.2024.100187","url":null,"abstract":"<div><p>Rehabilitation is increasingly being integrated into dementia care. To provide person-centred rehabilitation interventions, a systematic assessment of rehabilitation needs is essential. This scoping review was conducted to identify and map the characteristics of tools and procedures used by health professionals to assess the rehabilitation needs of people living at home with early-stage dementia. A comprehensive literature search was conducted in 2018, 2020, 2021 and 2023 of PubMed, Embase, PsycInfo, CINAHL and Prospero. Identified tools were classified according to the World Health Organization's ICF classification and subjective perspectives. Procedures were classified according to place, time and the people involved in the needs assessment. Eleven papers were included. The population considered was predominantly people diagnosed with Alzheimer's dementia. The identified tools mainly assessed problems with functioning, predominantly focusing on activity and less frequently on participation. One tool had a focus on the environment. None of the tools focused on personal factors. Subjective perspectives were mainly assessed in terms of goal setting. Procedures were poorly described. While several needs assessment tools were identified, procedures for needs assessment were sparsely described in the included papers. This scoping review indicates that a strengthened focus on needs assessment is needed in future research and practice.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 2","pages":"Article 100187"},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000088/pdfft?md5=7570cf213668fc85a95aab01e089a309&pid=1-s2.0-S2667032124000088-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140187349","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
Vitality of older adults through internal and external connectedness 通过内外联系增强老年人的活力
Aging and health research Pub Date : 2024-03-17 DOI: 10.1016/j.ahr.2024.100185
Anneke G. Julien , Wendy P.J. den Elzen , Prof Ria Reis , Dorothea P. Touwen , Prof Jacobijn Gussekloo , Yvonne M. Drewes
{"title":"Vitality of older adults through internal and external connectedness","authors":"Anneke G. Julien ,&nbsp;Wendy P.J. den Elzen ,&nbsp;Prof Ria Reis ,&nbsp;Dorothea P. Touwen ,&nbsp;Prof Jacobijn Gussekloo ,&nbsp;Yvonne M. Drewes","doi":"10.1016/j.ahr.2024.100185","DOIUrl":"10.1016/j.ahr.2024.100185","url":null,"abstract":"<div><h3>Background</h3><p>Vitality is a relatively unresearched concept and defined in existing literature either on the premise of one's functioning, or in terms of feeling alive. There is, however, little known about the significance of a sense of connectedness to life for vitality, especially from the perspective of older adults. This research aims to explore the association between the concept of connectedness and the perspective of vitality as a sense of aliveness, in order to formulate a theoretical understanding grounded in the subjective perceptions that older adults themselves hold of vitality.</p></div><div><h3>Methods</h3><p>Following a constructivist grounded theory approach and theoretical sampling, constant comparative analysis was performed on the transcripts of 15 semi-structured interviews, conducted in the Netherlands with older adults (mean age 73 years, eight females and seven males), regarding their vitality. Concurrently, empirical and theoretical findings were translated into a theoretical conceptualisation.</p></div><div><h3>Results</h3><p>According to the older participants, connecting to life itself enhanced their sense of vitality. This connection was achieved through internal connectedness (connecting to one's own life, intrinsic stimuli and intrinsic goals in an independent manner) and external connectedness (social connectedness, environmental connectedness, engagement with the external world). Furthermore, our findings revealed distinct interactions between internal and external connectedness and facilitating tools, such as freedom from physical constraints, financial freedom and adaptation.</p></div><div><h3>Conclusions</h3><p>Our findings provide a holistic concept of vitality and connectedness and consolidate existing perspectives on vitality into an overarching framework, which can contribute to the development of effective care policy, healthcare interventions and welfare services.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 2","pages":"Article 100185"},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000064/pdfft?md5=df708c398f48bb57be3f8797471d1b11&pid=1-s2.0-S2667032124000064-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140276942","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
Short-term consequences after COVID-19 in older people with epilepsy 老年人癫痫患者服用COVID-19后的短期后果
Aging and health research Pub Date : 2024-03-16 DOI: 10.1016/j.ahr.2024.100184
Yiling Chen , Zhenxu Xiao , Xiaowen Zhou , Luxin Jiang , Jianhong Wang , Ding Ding , Guoxing Zhu
{"title":"Short-term consequences after COVID-19 in older people with epilepsy","authors":"Yiling Chen ,&nbsp;Zhenxu Xiao ,&nbsp;Xiaowen Zhou ,&nbsp;Luxin Jiang ,&nbsp;Jianhong Wang ,&nbsp;Ding Ding ,&nbsp;Guoxing Zhu","doi":"10.1016/j.ahr.2024.100184","DOIUrl":"https://doi.org/10.1016/j.ahr.2024.100184","url":null,"abstract":"<div><h3>Background</h3><p>This study aims to investigate the clinical characteristics and the short-term consequences of COVID-19 in older people with epilepsy.</p></div><div><h3>Methods</h3><p>From January 28 to March 6,2023,a telephone follow-up survey was conducted to a group of older people with epilepsy after COVID-19 outbreak in Shanghai. Data on infection symptoms,duration,COVID-19 vaccination, and clinical characteristics and management of epilepsy were collected.</p></div><div><h3>Results</h3><p>Eighty-two participants aged ≥50 years with SARS-CoV-2 infection were recruited. Common symptoms included fever (72.0%) and cough (63.4%).Overall, anti-seizure medication(ASM) accessibility was sufficient (95.1%),and medication adherence was good (93.9%).Three participants (3.7%)reported 1–3 seizures after virus infection. No statistically significant differences were observed in terms of clinical characteristics and consequences of COVID-19 in subgroups with participants aged &lt;63 and ≥63years,with and without fever, antipyretic drugs users and non-users, and with ≥4 and &lt;4 seizures/year before COVID-19.</p></div><div><h3>Conclusion</h3><p>Our study found few cases of seizure onset and good ASM adherence after SARS-CoV-2 infection in older people with epilepsy. Further prospective studies are needed to understand the long-term consequences of COVID-19.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 2","pages":"Article 100184"},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000052/pdfft?md5=dd78ca96fbc91778e4f1d4799f8cbff1&pid=1-s2.0-S2667032124000052-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140191812","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
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