Journal of frailty, sarcopenia and falls最新文献_第9页

The prevalence of polypharmacy and fall-risk-increasing drugs after hospital discharge for hip fracture: A retrospective study. 髋部骨折患者出院后使用多种药物和增加跌倒风险的药物:一项回顾性研究

Journal of frailty, sarcopenia and falls Pub Date : 2022-06-01 DOI: 10.22540/JFSF-07-081

Christiana Zidrou, Angelo V Vasiliadis, Maria Tsatlidou, George Charitoudis, Anastasios Beletsiotis

{"title":"The prevalence of polypharmacy and fall-risk-increasing drugs after hospital discharge for hip fracture: A retrospective study.","authors":"Christiana Zidrou, Angelo V Vasiliadis, Maria Tsatlidou, George Charitoudis, Anastasios Beletsiotis","doi":"10.22540/JFSF-07-081","DOIUrl":"https://doi.org/10.22540/JFSF-07-081","url":null,"abstract":"Objectives: To evaluate the incidence of polypharmacy and the use of fall-risk-increasing drugs (FRIDs) in patients >65 years of age.Methods: 478 patients >65 years old, discharged from an Orthopaedic Department because of hip-fracture surgery, capable of walking before surgery, were included. The baseline characteristics of the patients and the total numbers of drugs and FRIDs were recorded from the electronic hospital registration system. Polypharmacy was defined as the average daily use of five or more drugs. The gender differences in drug prescriptions were calculated.Results: All the patients took medications except for eight (1.7%); 46% of the patients were taking <5 medications, while 386 (80.8%) were taking ≤3 FRIDs. The female patients were taking more drugs (5±2.7) and FRIDs (2.4±1.3) than the male ones (4.5±3 and 1.9±1.3) (both p<0.01). The average numbers of drugs and FRIDs prescribed at discharge were 4.9±2.8 and 2.3±1.3, respectively. The Barthel Index was higher for patients taking <5 drugs, while the length of hospital stay was greater for patients taking ≥5 medications. Increased age was associated with taking ≥5 medications (p<0.05).Conclusions: Polypharmacy and FRID use are prevalent among patients over 65 years old who have been hospitalized and surgically treated because of hip fractures.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"7 2","pages":"81-87"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/08/77/JFSF-7-081.PMC9175281.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10309201","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: 1

Balance Exercise Circuit for fall prevention in older adults: a randomized controlled crossover trial. 预防老年人跌倒的平衡练习回路：随机对照交叉试验。

Journal of frailty, sarcopenia and falls Pub Date : 2022-06-01 DOI: 10.22540/JFSF-07-060

Juliana N A Costa, Alexandre L A Ribeiro, Daniele B G Ribeiro, Silvia G R Neri, Daniel F Barbosa, Bruna P Avelar, Marisete P Safons

{"title":"Balance Exercise Circuit for fall prevention in older adults: a randomized controlled crossover trial.","authors":"Juliana N A Costa, Alexandre L A Ribeiro, Daniele B G Ribeiro, Silvia G R Neri, Daniel F Barbosa, Bruna P Avelar, Marisete P Safons","doi":"10.22540/JFSF-07-060","DOIUrl":"10.22540/JFSF-07-060","url":null,"abstract":"Objectives: This study aimed to assess the immediate and short-term effects of the Balance Exercise Circuit (BEC) on muscle strength, postural balance, and quality of life, with the aim of preventing falls in older adults.Methods: Twenty-two volunteers participated in this randomized controlled crossover study. Group A performed BEC training in the initial 3 months and received no intervention in the following 3 months. Group B received no intervention during the first 3 months and then participated in BEC training for the next 3 months. In addition, participants were followed for an additional 3 months. Muscle strength, postural balance, functional mobility, and quality of life were assessed, respectively, using an isokinetic dynamometer, force platform, TUG test, and the WHOQOL.Results: After 3 months of training, Group A presented improved balance and rate of force development (RFD), while Group B presented improvements in RFD, TUG performance, and WHOQOL physical and psychological domains. Regarding the short-term effects, the participants maintained the training effects in WHOQOL balance, RFD, and the social domain. In addition, the number of falls decreased during follow-up.Conclusion: The BEC intervention improved muscle strength, postural balance, and quality of life in older adults, in addition to reducing the risk of falls.Trial registration: Brazilian Registry of Clinical Trials (ReBEC) - RBR-5nvrwm.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":" ","pages":"60-71"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9a/d0/JFSF-7-060.PMC9175283.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40461857","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

Nutritional management of individuals with SARS-CoV-2 infection during rehabilitation. SARS-CoV-2感染患者康复期间的营养管理

Journal of frailty, sarcopenia and falls Pub Date : 2022-06-01 DOI: 10.22540/JFSF-07-088

Amalia Tsagari, Grigoris Risvas, Jannis V Papathanasiou, Yannis Dionyssiotis

{"title":"Nutritional management of individuals with SARS-CoV-2 infection during rehabilitation.","authors":"Amalia Tsagari, Grigoris Risvas, Jannis V Papathanasiou, Yannis Dionyssiotis","doi":"10.22540/JFSF-07-088","DOIUrl":"https://doi.org/10.22540/JFSF-07-088","url":null,"abstract":"The combination of poor dietary intake and increased healthcare needs predisposes COVID-19 patients to malnutrition and sarcopenia. The scope of this narrative review is tο present epidemiology and etiology of malnutrition and sarcopenia in COVID-19 patients, their consequences as well as the content and delivery mode of optimum nutritional services for malnourished/sarcopenic COVID-19 patients in the rehabilitation setting. This narrative review also summarizes nutritional recommendations, consensus statements and treatment pathways developed by scientific societies for COVID-19 patients. COVID-19 patients are prone to malnutrition and sarcopenia due to inactivity, comorbidities, cytokine response, nutritional deficiencies, anosmia, loss of taste, anorexia and treatment with dexamethasone. Thus, all COVID-19 patients, including those who are overweight or obese, should be regularly screened for malnutrition and sarcopenia at admission to the rehabilitation setting, using a validated tool to identify those with (or at risk of) malnutrition. As a consequence of malnutrition and sarcopenia, COVID-19 patients demonstrate diminished immune potential, lower respiratory function, swallowing dysfunction, and low resilience to metabolic stress. COVID-19 patients have increased energy (27-30 kcal/day) and protein needs (1-1.5 g/kg body weight/day). Personalized nutritional education and counseling, food fortification with energy dense and/or protein rich whole foods or with powdered supplements and use of high protein, energy dense oral nutritional supplements are recommended.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":" ","pages":"88-94"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/95/JFSF-7-088.PMC9175278.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40461855","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: 2

Physical Resilience: A novel approach for healthy aging 身体弹性:健康老龄化的新方法

Journal of frailty, sarcopenia and falls Pub Date : 2022-03-01 DOI: 10.22540/JFSF-07-029

J. K. Chhetri, Lina Ma, P. Chan

引用次数: 2

Recommendations for physical activity in the elderly population: A scoping review of guidelines. 老年人体育活动的建议：指南的范围审查

Journal of frailty, sarcopenia and falls Pub Date : 2022-03-01 DOI: 10.22540/JFSF-07-018

Christos Nikitas, Dimitris Kikidis, Athanasios Bibas, Marousa Pavlou, Zoi Zachou, Doris-Eva Bamiou

{"title":"Recommendations for physical activity in the elderly population: A scoping review of guidelines.","authors":"Christos Nikitas, Dimitris Kikidis, Athanasios Bibas, Marousa Pavlou, Zoi Zachou, Doris-Eva Bamiou","doi":"10.22540/JFSF-07-018","DOIUrl":"10.22540/JFSF-07-018","url":null,"abstract":"Physical inactivity and sedentary time are associated with all-cause mortality, chronic non-communicable diseases and falls in the elderly. Objective of this review is to assess and summarize recommendations from clinical guidelines for physical activity (PA) of older adults in general and related to falls. A scoping review of the existing clinical guidelines was conducted. The included studies should have been developed under the auspices of a health organization and their methodology should be described in detail. Nine clinical guidelines providing specific recommendations for the elderly were identified. There was a strong agreement across the guidelines regarding goals, activities parameters, adverse effects of PA, in addition to reference for preventing falls. Keeping even the minimum of physical activity, introducing balance exercises and strengthening exercises for preventing falls, avoiding unexpected accelerations in the intensity of the activities, applying the necessary precautions and consulting a health professional are the main pillars of recommendations. Despite any deficiencies in definitions, monitoring and optimal dosage consistency of recommendations, is an ideal incentive for countries and organizations to adopt and enhance physical activity as an antidote to the degeneration of human's health and quality of life.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"7 1","pages":"18-28"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8886780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45550946","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

Evaluation of strategies to recruit and retain older people with dementia and their informal carers into a Tai Chi Trial to improve balance and prevent falls 评估招募和留住老年痴呆症患者及其非正式护理人员参加太极拳试验以改善平衡和预防跌倒的策略

Journal of frailty, sarcopenia and falls Pub Date : 2022-03-01 DOI: 10.22540/JFSF-07-001

M. Heward, Layla Johnson, S. Nyman

{"title":"Evaluation of strategies to recruit and retain older people with dementia and their informal carers into a Tai Chi Trial to improve balance and prevent falls","authors":"M. Heward, Layla Johnson, S. Nyman","doi":"10.22540/JFSF-07-001","DOIUrl":"https://doi.org/10.22540/JFSF-07-001","url":null,"abstract":"Abstract Objectives: Randomised control trials (trials) involving people with dementia lack detailed analysis of recruitment and retention strategies. To address this, we examined the effectiveness of strategies in “The TACIT Trial: TAi ChI for people with demenTia” Methods: We recruited dyads (people with dementia and carers) from 3 South of England sites utilising different strategies. Recruitment strategy effectiveness was measured by percent yield (number randomised of total referrals) and cost per randomised participant. Our retention strategy (maintaining contact with participants during weekly telephone calls) was measured by percent yield (number retained by six-month follow-up). Results: Of 359 dyads, 24% were randomised into the study (n=85). The most resource-intensive strategy (research nurses spending 30 minutes explaining the study) had the highest referral to randomisation rate. An incremental cost-effectiveness ratio suggested an alternative approach (nurses and doctors spending 5 minutes explaining the study) was most cost-effective. Retention rates were 86% (n=36/42; intervention group) and 81% (35/43; control group); main reasons for attrition were worsening health and lack of study interest. Conclusions: The results demonstrate person-centred strategies enabling staff to spend time with participants were effective in supporting recruitment and retention. Those designing future trials must consider such strategies and the associated costs.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"7 1","pages":"1 - 12"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43806385","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

Computerized Tomography derived psoas muscle indices in a healthy young population in the United States 计算机断层扫描得出的腰肌指数在美国健康的年轻人群

Journal of frailty, sarcopenia and falls Pub Date : 2022-03-01 DOI: 10.22540/JFSF-07-038

Maxwell A. Lawlor, J. Oliveto, J. Geske, B. Khandalavala

{"title":"Computerized Tomography derived psoas muscle indices in a healthy young population in the United States","authors":"Maxwell A. Lawlor, J. Oliveto, J. Geske, B. Khandalavala","doi":"10.22540/JFSF-07-038","DOIUrl":"https://doi.org/10.22540/JFSF-07-038","url":null,"abstract":"Abstract Objective: Psoas muscle metrics from diagnostic computerized tomography (CT) scans are emerging as clinically relevant biomarkers. Most muscle metrics from the US population are from older cohorts with co-morbidities. Published reports from a young or healthy population in the United States on psoas muscle metrics optimized for age, body mass index (BMI), and sex are lacking. This study determines the psoas muscle index (PMI) and psoas muscle density (PMD) for a normal young Midwestern US population. Methods: Retrospective cross-sectional analysis of pre-existent abdominal non-contrast CT scans from a young (19-40 years old), Midwestern, predominately Caucasian population was conducted within Aquarius iNtuition software automatically after manual identification of the psoas muscle. Electronic medical records provided access to subject data and archived CT scans were reviewed. Results: From 193 (45 male, 148 female) CT scans, for males, PMI was 5.9 cm2/m2 (SD=1.7) and PMD 48.4 HU (SD=5.5); for females PMI was 5.4 cm2/m2 (SD=1.4) and PMD 48.18 HU (SD=5.5). BMI was significantly correlated with PMI and PMD for both men (p<0.001, p<0.001 respectively) and women (p<0.001, p<0.001 respectively). Conclusion: Psoas muscle metrics are newly generated for PMI and PMD in a healthy population, allowing for future comparison studies determining muscle status.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"7 1","pages":"38 - 46"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43862543","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

B12 levels and frailty syndrome B12水平和虚弱综合症

Journal of frailty, sarcopenia and falls Pub Date : 2022-03-01 DOI: 10.22540/JFSF-07-032

Elisavet E Pyrgioti, Nikolaos D. Karakousis

{"title":"B12 levels and frailty syndrome","authors":"Elisavet E Pyrgioti, Nikolaos D. Karakousis","doi":"10.22540/JFSF-07-032","DOIUrl":"https://doi.org/10.22540/JFSF-07-032","url":null,"abstract":"Abstract Vitamin B12, widely known as cobalamin, is a water-soluble vitamin crucial for human metabolism. It is synthesized only by prokaryotic organisms and since humans do not have the ability to synthesize it, they rely on its exogenous dietary intake. After its consumption, vitamin B12 undergoes a complicated procedure of absorption and assimilation and it is essential for cellular function, especially for nervous system, red blood cell production and DNA synthesis. Deficiency of vitamin B12 is considered as an important public health issue worldwide, while it is common in the elderly. Deficiency of this vitamin, as well as high levels, indicate a risk factor for morbidity with various clinical manifestations. Frailty is an age-related syndrome, which affects the elderly and is characterized by decreased function in many physiological systems, accompanied by vulnerability to stressors. A narrative non-systematic mini review of the literature was conducted and highlighted that vitamin B12 levels may have an impact on frailty and vice versa. As shown in several studies, vitamin B12 levels may be related to sarcopenia, cognitive and musculoskeletal disorders, neurological or psychiatric symptoms, which are closely linked to frailty. Furthermore, it is suggested that the extensions of frailty may affect the bioavailability of vitamin B12.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"7 1","pages":"32 - 37"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48942360","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: 3

Otago Exercise Program Delivery using Digital Practice: A Prospective Case Report 使用数字实践的奥塔哥运动项目交付:前瞻性案例报告

Journal of frailty, sarcopenia and falls Pub Date : 2022-03-01 DOI: 10.22540/jfsf-07-047

Cheryl J. Hardy-Gostin, Kelly J. Negley, Jade J. Bender-Burnett

引用次数: 1

Achieving the hip fracture Best Practise Tariff during the COVID-19 pandemic. 在新冠肺炎大流行期间实现髋部骨折最佳实践关税

Journal of frailty, sarcopenia and falls Pub Date : 2022-03-01 DOI: 10.22540/JFSF-07-013

Mohammed Ali, Ahmed Fadulelmola, Marie Urwin, Cristian Nita

{"title":"Achieving the hip fracture Best Practise Tariff during the COVID-19 pandemic.","authors":"Mohammed Ali, Ahmed Fadulelmola, Marie Urwin, Cristian Nita","doi":"10.22540/JFSF-07-013","DOIUrl":"10.22540/JFSF-07-013","url":null,"abstract":"Objectives: Achieving the hip fracture best practice tariff is associated with decreased mortality rates. The aim of this study is to evaluate the impact of Covid-19 pandemic on achieving Best Practice Tariff.Methods: We retrospectively reviewed all adult hip fractures admitted to our unit between March and June 2020. Patient's characteristics, place of residence, delirium assessment, and mobility status were recorded. All the Best practice Tariff criteria have been analysed. Covid-19 was diagnosed using reverse transcriptase polymerase chain reaction.Results: 178 patients with a mean age of 82.8 years presented with hip fractures during the study period. 18 patients (10.1%) tested positive for COVID-19. 44.4% failed to achieve the BPT from the COVID-19 positive group and 22.5% from the negative group.Conclusion: Based on this study, hip fractures associated with Covid-19 infection are more likely to fail the BPT and have higher 30-day mortality rates compare to the COVID-19 negative patients.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"7 1","pages":"13-17"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8886778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42420864","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