{"title":"Prevalence of dementia in a Norwegian sample aged 75 years and over and living at home.","authors":"K Engedal, K Gilje, K Laake","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The prevalence of dementia in the age group 75 and over was studied in a random sample of elderly living at home. The MMS and the GMS were used as screening instruments, supplemented by medical history and a physical examination. The dementia diagnosis was confirmed by psychogeriatric assessment and a follow-up after 18 months. The prevalence of dementia in this sample was 10.5%; for severe dementia 3.8%, and for mild dementia 6.7%. Its occurrence was found to be unrelated to gender, marital status, domestic status, and duration of schooling.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"2 3","pages":"102-6"},"PeriodicalIF":0.0,"publicationDate":"1988-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14394247","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}
{"title":"Subjective health in relation to aging and disease in a representative sample at ages 70, 75 and 79.","authors":"A Svanborg, E Sixt, V Sundh, J E Thornton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study explores the relationship between perception of health in 70-79-year-olds and documented functional ability/disability as well as prevalence of definable disorders. Two thirds of both men and women declared themselves healthy at age 70, 2/3-3/4 at age 75 and 3/4 at age 79. Subjective health correlated significantly with the results of an extensive clinical examination for men at age 75 and for women at ages 75 and 79. In both sexes the correlation coefficients between the number of definable diseases and subjective health scoring was statistically significant as well as between mortality and subjective health. Some correlations were also found between subjective health and certain parameters of organ system functions. Contrary to objective findings, the proportion of those who declared themselves healthy was not decreasing by increasing age, and sex difference in consumption of care was not reflected in any sex difference in subjective health. The correlation between subjective health and number of disorders illustrates that the subjective health answers were influenced by knowledge obtained at previous clinical examinations and from drug prescriptions. Many elderly with functional disorders and drug treatment reported, however, that they were well. Subjective evaluation of health seemed to be markedly influenced by their willingness to accept impairment, disability and handicaps as being normal for their age.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"2 3","pages":"107-13"},"PeriodicalIF":0.0,"publicationDate":"1988-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14362277","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}
{"title":"Age retirement in women. III. An odontological study.","authors":"P Norlén, A L Björn, B Owall","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study presents data from clinical, roentgenological and interview examinations of 116 women at the age of retirement from work. The study was part of a comprehensive investigation including general health, health behaviour and psychological status. The women were examined 5 months before and 5 months after retirement. Oral status as well as dental health behaviour was recorded. Forty per cent had been treated with removable dentures of different types; 14 women were edentulous in both jaws. The dentate women had on an average 19.8 teeth, of which 83% were either filled or decayed. Eighty-one per cent claimed that they visited a dentist regularly and about 80% actually did so during the observation period. A majority of these were included in a recall system. Almost 1/3 experienced oral dryness, occasionally or constantly. Oral dryness was combined with a somewhat higher frequency of decayed surfaces. About 22% considered themselves to have, from a dental point of view, improved their eating habits after retirement. The study shows no evidence of decline in oral health behaviour after retirement.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"2 3","pages":"97-101"},"PeriodicalIF":0.0,"publicationDate":"1988-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14362278","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}
P O Sandman, R Adolfsson, A Norberg, L Nyström, B Winblad
{"title":"Long-term care of the elderly. A descriptive study of 3600 institutionalized patients in the county of Västerbotten, Sweden.","authors":"P O Sandman, R Adolfsson, A Norberg, L Nyström, B Winblad","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Probands (n = 3607) living in long-term care institutions in the county of Västerbotten were assessed to estimate whether the prevalence of dementia in different types of institutions had changed since a similar survey was made 7 years before. The probands' motoric functions, vision, hearing, speech, prevalence of behavioral disturbances and psychiatric symptoms, work load and use of psychoactive drugs were also investigated with special emphasis on the differences between the demented and the non-demented. About 40% were demented. This proportion of demented patients had increased in somatic long-stay clinics, nursing homes and homes for the aged since 1975. Further, the mean age of the probands and their length of stay had increased in these institutions. Demented probands were more impaired with regard to motor functions, speech, vision, hearing, ADL-functions, behavioral and psychiatric symptoms, and they also imposed a higher work load on the staff than the non-demented. Demented probands were also prescribed psychoactive drugs, i.e. neuroleptics but not minor tranquilizers or antidepressants, more often than the non-demented in accordance with the increased prevalence of behavioral disturbances and psychiatric symptoms.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"2 3","pages":"120-32"},"PeriodicalIF":0.0,"publicationDate":"1988-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14278352","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}
S A Rajala, S J Salminen, J H Seppänen, H Vapaatalo
{"title":"Treatment of chronic constipation with lactitol sweetened yoghurt supplemented with guar gum and wheat bran in elderly hospital in-patients.","authors":"S A Rajala, S J Salminen, J H Seppänen, H Vapaatalo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The faecal output of 33 elderly hospitalized patients was followed daily for 4 weeks. After an observation period of 1 week 18 patients received during the following 2 weeks a 150 ml portion of yoghurt containing lactitol, guar gum and wheat bran (fibre yoghurt group) twice daily. Fifteen control patients received the same volume of yoghurt without lactitol, guar gum or wheat bran (control yoghurt group). The study design was randomized double-blind. The mean faecal output increased 1.6-fold in patients receiving fibre yoghurt, while the corresponding value for control patients was 1.2 (p less than 0.05). About 50% of the fibre yoghurt group and 25% of the controls considered the treatment effective. Some in the fibre yoghurt group experienced meteorism and loose stools. No significant changes were observed in blood glucose, serum cholesterol or triglyceride values, body weights or faecal pH values in either group.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"2 2","pages":"83-6"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13990106","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}
{"title":"Prognosis of elderly hospital patients with cerebral thrombosis.","authors":"R S Tilvis, M Brommels","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Over 8000 patients with cerebral thrombosis (ICD-8 number 433) hospitalised between 1970 and 1980 were surveyed retrospectively for outcome and additional diseases. The case-fatality rates and long-term prognosis of the patients were strongly affected by age, and the number of patients requiring permanent hospital care rose sharply with increasing age. The case-fatality rates in the different age groups were as follows: under 50 years 6%, 50-64 years 16%, 65-74 years 32%, 75-84 years 48% and over 85 years 66%. The cumulative survival rates at 1 and 5 years were as follows: under 50 years 54 and 46%, 50-64 years and 38%, 65-74 years 60 and 20% and over 75 years 45 and 10%. Clinical manifest coronary heart disease clearly affected the prognosis of patients under 75 years, but the impact diminished with rising age. Although hypertension led to an earlier onset of ischemic stroke, it did not significantly influence the survival prognosis. In patients over 75 years additional diseases, e.g. diabetes, had no significant effect on case-fatality or long-term prognosis underlining the malignant nature of cerebral thrombosis itself.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"2 2","pages":"49-52"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14278513","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}
{"title":"An attempt to identify and describe a group of non-institutionalised elderly with the lowest nutrient score.","authors":"S W Sem, M Nes, K Engedal, J I Pedersen, K Trygg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This report presents an attempt to identify the elderly with the least satisfactory diet (those with the 20% lowest total nutrient score (Group A)). Group A is compared with the elderly with the most satisfactory diet (those with the 20% highest total nutrient score (Group B)). The groups were compared according to demographical data, health problems, body mass index (BMI), social isolation and utilization of services. The sample, 201 women and 54 men, mean age 82 and 80 years, respectively, consisted of non-institutionalised elderly in Oslo. A food frequency interview method was used to collect information about diet. Other data were collected through interviews, observation and physical examinations. Group A had a higher percentage of women (87 vs 68%), were of higher age (83 vs 81 years), and a higher percentage had a BMI below 20 kg/m2 (36 vs 19%). The elderly in A, regardless of gender, had lower mobility function and were less often out of doors during the summer than those in B. No differences were seen in the percentages of those wearing dentures (81 vs 78%), living alone (83 vs 77%), duration of education (8.3 vs 8.4 years), and economic limitations on food purchases.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"2 2","pages":"60-6"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14357424","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}
B Steen, A L Björn, R Küller, H Ostberg, K Nilsson, P Norlén, E Robertsson, G Steen
{"title":"Age retirement in women. I. General presentation.","authors":"B Steen, A L Björn, R Küller, H Ostberg, K Nilsson, P Norlén, E Robertsson, G Steen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Within the framework of a longitudinal population study of age retirement in women, the short-term consequences of retirement were studied in 116 municipally employed women in the city of Malmö (230,000 inhabitants) in southern Sweden half a year before and half a year after retirement. The women represented about 40 different occupations, mostly within the sectors of health care, social services and administration. The study comprised four main parts, namely health and discomfort, social psychology, dietary habits and body composition, and oral health. The present paper concerns a general presentation of the study including sampling procedures and analyses of non-response. The response rate was a little more than 70%. Only a few significant differences were observed between non-responders and responders, such as more working hours per week, and more frequently a negative attitude towards retirement in the non-responders after retirement. This longitudinal prospective study of the same cohort of women has so far shown that the general design, sampling procedure and general methods of data collection appear adequate and feasible. In general, the study population was representative of women about to retire from municipal employment in Sweden. Results from the different studies will be presented elsewhere. To illustrate not only the short-term effects of retirement we intend to reexamine the same women about 2 years after the retirement.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"2 2","pages":"71-7"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14357426","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}
{"title":"A geriatric high dependency unit--an innovation in the care of the acutely ill elderly patient?","authors":"J J Day, A J Bayer, M S Pathy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A geriatric High Dependency Unit has been in operation at Cardiff Royal Infirmary for the past 7 years to provide \"special-care\" for acutely ill elderly people requiring careful bedside monitoring and intensive nursing and medical treatment. The background to the unit, its present functioning and the results of a prospective study of 432 consecutive admissions are described. The unit offers more appropriate and better continuity of hospital care for many very ill geriatric patients and may be a satisfactory alternative to admission to coronary or intensive care units where resources are not freely available.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"2 2","pages":"67-70"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14357425","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}
{"title":"Efficacy of short mental tests in the detection of mental impairment in old age.","authors":"K Engedal, P Haugen, K Gilje, P Laake","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The usefulness, inter-rater reliability, and validity of six mental tests, the MMS, the GMS, the MSQ, the VRT, the OLT, and the DCT were studied in 81 patients over the age of 75 years. The patients were classified as being mentally impaired or unimpaired by psychogeriatric assessment. All tests had high reliability. The MMS, GMS, MSQ, and OLT were the most feasible and useful. The tests were validated by logistic regression analysis and the most efficient were the MMS, GMS, and OLT. Improvement was achieved when two or all three tests were used simultaneously. The three tests seem to be suitable tools for the detection of mental failure in patients of old age.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"2 2","pages":"87-93"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14357428","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}