Healthy aging research最新文献

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Impact of government-sponsored nutrition education and physical activity programs on healthy aging in the United States 美国政府资助的营养教育和体育活动项目对健康老龄化的影响
Healthy aging research Pub Date : 2016-01-01 DOI: 10.1097/01.HXR.0000511873.02582.4A
S. Wunderlich, K. Gatto
{"title":"Impact of government-sponsored nutrition education and physical activity programs on healthy aging in the United States","authors":"S. Wunderlich, K. Gatto","doi":"10.1097/01.HXR.0000511873.02582.4A","DOIUrl":"https://doi.org/10.1097/01.HXR.0000511873.02582.4A","url":null,"abstract":"With the population of individuals over the age of 65 years expanding, the health of America’s aging population is of increasing concern. Preserving the physical wellbeing of this group is a critical part of minimizing agingrelated health care costs and maximizing individuals’ quality of life. Nutrition education and physical activity programs have been shown to improve health measures such as nutritional status, mobility, and balance skills, which can help prevent chronic disease and enable elderly individuals to remain independent. Governmentsponsored programs can potentially integrate nutrition and activity programs into pre-existing systems, such as meal delivery and assistance programs, in order to make them accessible to vulnerable aging demographic populations, both at home and in group settings. These programs must be periodically assessed in order to determine the areas that may need improvement. Programs funded by the government have the capability to reach highly vulnerable populations and improve their quality of life, as well as their ability to live independently for longer periods of time. A review of nutrition education, counseling, and physical activity programs demonstrates the effectiveness of these age-targeted programs and indicates the benefits of such combined programs on participants’ health and wellbeing.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"5 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61603916","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
Dignified care for older people: Mixed methods evaluation of the impact of the hospital environment – single rooms or multi-bedded wards 对老年人的有尊严的照顾:医院环境影响的混合方法评估——单间或多床病房
Healthy aging research Pub Date : 2016-01-01 DOI: 10.1097/01.HXR.0000511879.99010.5D
V. Bevan, C. Edwards, K. Woodhouse, I. Singh
{"title":"Dignified care for older people: Mixed methods evaluation of the impact of the hospital environment – single rooms or multi-bedded wards","authors":"V. Bevan, C. Edwards, K. Woodhouse, I. Singh","doi":"10.1097/01.HXR.0000511879.99010.5D","DOIUrl":"https://doi.org/10.1097/01.HXR.0000511879.99010.5D","url":null,"abstract":"AbstractBackground:New hospital design policies favour single rooms over traditional multi-bedded wards for greater privacy, personalised care and infection control. This study compared patients’ perspectives on the provision of dignified care and their level of satisfaction in two different hospita","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"5 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61603452","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
Cystic Fibrosis: Detecting frailty in an outpatient clinic 囊性纤维化:在门诊检测虚弱
Healthy aging research Pub Date : 2016-01-01 DOI: 10.1097/01.HXR.0000511872.94957.5e
N. Ferguson, D. Proud, C. Bridges, J. Duckers
{"title":"Cystic Fibrosis: Detecting frailty in an outpatient clinic","authors":"N. Ferguson, D. Proud, C. Bridges, J. Duckers","doi":"10.1097/01.HXR.0000511872.94957.5e","DOIUrl":"https://doi.org/10.1097/01.HXR.0000511872.94957.5e","url":null,"abstract":"Background: With an ever‐increasing life expectancy, the focus of cystic fibrosis (CF) care is shifting towards treating the premature appearance of age‐related comorbidities associated with frailty. The purpose of this study was to assess whether frailty can be detected in CF patients in an outpatient setting, and whether it is associated with a poorer health status. Methods: Physical frailty tests were conducted in a clinic setting as part of an annual review of health on consenting CF patients, using recognised frailty protocol. Results: Frailty was found to be associated with older age and more comorbidities than among robust patients. Frail patients had significantly poorer lung function and received more intravenous antibiotics per annum than non‐frail patients. Conclusions: Our findings suggest that simple criteria can be incorporated into routine outpatient appointments to detect frailty among CF patients, found to correlate with poorer health.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"6 1","pages":"1–5"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61603904","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
Older adults' self‐rated health and differences by age and gender: A quantitative study 老年人自评健康与年龄、性别差异:一项定量研究
Healthy aging research Pub Date : 2016-01-01 DOI: 10.1097/01.HXR.0000511864.85548.25
K. Josefsson, M. Andersson, Annika Erikstedt
{"title":"Older adults' self‐rated health and differences by age and gender: A quantitative study","authors":"K. Josefsson, M. Andersson, Annika Erikstedt","doi":"10.1097/01.HXR.0000511864.85548.25","DOIUrl":"https://doi.org/10.1097/01.HXR.0000511864.85548.25","url":null,"abstract":"Background: The older adult population is expected to grow, presenting potential challenges for individuals and society. Maintenance of older adults' health will be an important factor for healthy aging. It will also be a challenge for health professionals who work to promote health and care equity. To promote healthy aging and equal care, an overview of older adults' self‐rated health is needed. The aim of this study was to describe selfrated health among older adults' living at home describe age group and gender‐based health differences. Methods: A descriptive and a comparative cross‐sectional study. The questionnaire study was part of a Swedish national population study. Randomly selected older adults 65‐84 years living in five counties in central Sweden. The response rates were 79% and 75% for those 65‐79 years and 80‐84 years, respectively. Participants (n = 13922) were divided into two age groups: 65‐79 years (n = 5926 male, n = 5755 female) and 80‐84 years (n = 1208 male, n = 1033 female). Results: Older adults generally self‐rated their health as good, especially in the age group aged 65‐79 years. Females self‐rated their health as poorer than males, especially among those aged 65‐79 years. Gender‐based health differences decreased in those aged 80‐84 years. Conclusions: It is important to address these gender‐based health differences; health policies and programmes are needed that promote equitable healthy aging.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"5 1","pages":"1–10"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.HXR.0000511864.85548.25","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61603825","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: 23
Vertex-wise shape analysis of subcortical structures in Alzheimerʼs disease 阿尔茨海默病皮质下结构的顶点形状分析
Healthy aging research Pub Date : 2016-01-01 DOI: 10.1097/01.HXR.0000511867.64463.39
B. Bagepally, J. John, P. Sivakumar, S. Bharath, S. Jain, M. Varghese
{"title":"Vertex-wise shape analysis of subcortical structures in Alzheimerʼs disease","authors":"B. Bagepally, J. John, P. Sivakumar, S. Bharath, S. Jain, M. Varghese","doi":"10.1097/01.HXR.0000511867.64463.39","DOIUrl":"https://doi.org/10.1097/01.HXR.0000511867.64463.39","url":null,"abstract":"Background: Most MRI studies in Alzheimer’s disease (AD) have focused on cortical and hippocampal atrophy. This study, however, examines regional volumetric and shape abnormalities of subcortical and limbic structures in AD. Methods: Thirty-six patients with AD and 36 matched controls were included in the study. All subjects were right-handed, evaluated using standard clinical assessment scales and genotyped at ApoE locus. Structural T1- weighted images were acquired using 3 Tesla MRI. Vertex-wise shape analysis was performed, with age, gender and total brain volume used as covariates of no interest. Data on the volumes of the hippocampus, amygdala, caudate, putamen and thalamus were statistically analyzed. Results: The bilateral hippocampus, amygdala, caudate, putamen and thalamus of AD patients were significantly lower in volume than controls. With respect to ApoE4 carrier status, there were no within-group volumetric differences in either AD or controls. Vertex-wise shape analysis of AD patients revealed significant surface reductions at the bilateral hippocampus, amygdala, caudate and putamen. No shape-wise difference was observed between ApoE4 carrier and non-carrier subjects in either group. Correlation analysis revealed a significant negative correlation between the Hindi mental status examination score, and shape analysis of atrophy of the hippocampus, caudate and putamen. Conclusions: Significant volume reductions and shape differences were observed in subcortical and limbic structures in AD patients. The observed atrophy of neocortical and deep grey matter structures in AD patients indicates ongoing degenerative processes in the amygdala, caudate and putamen – similar to the hippocampus – which may contribute to cognitive and/or other clinical features in AD.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"5 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61603860","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
A downhill course from vitrectomy for floaters to end-stage glaucoma 从飞蚊症患者的玻璃体切除术到终末期青光眼的下坡路
Healthy aging research Pub Date : 2016-01-01 DOI: 10.1097/01.HXR.0000511869.72087.31
Priyamvada M Pitale, M. Waisbourd, Mila J Heersink, M. Moster, L. Hark, G. Spaeth
{"title":"A downhill course from vitrectomy for floaters to end-stage glaucoma","authors":"Priyamvada M Pitale, M. Waisbourd, Mila J Heersink, M. Moster, L. Hark, G. Spaeth","doi":"10.1097/01.HXR.0000511869.72087.31","DOIUrl":"https://doi.org/10.1097/01.HXR.0000511869.72087.31","url":null,"abstract":"We report a case of 55-year-old male who experienced a downhill course following pars-plana vitrectomy (PPV) for floaters and consequently developed end-stage glaucoma with severe vision loss. Elective PPV for symptomatic vitreous floaters is a controversial procedure. Though patient satisfaction with PPV is promising, potential complications arising from this procedure should be carefully considered.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"5 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61603881","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
Prevalence of clinically probable obstructive sleep apnea in American veterans with chronic musculoskeletal pain 慢性肌肉骨骼疼痛的美国退伍军人临床可能的阻塞性睡眠呼吸暂停患病率
Healthy aging research Pub Date : 2016-01-01 DOI: 10.1097/01.HXR.0000511865.62678.78
R. Nadeem, Ahmed Ghadai, S. Iftikhar, Kristin Lee, Bharathi Swaminathan, Tamseela Hussain, Mohamed Khamis, M. Yousaf, Banan Turkman, A. Qureshi, Maham Mansoor
{"title":"Prevalence of clinically probable obstructive sleep apnea in American veterans with chronic musculoskeletal pain","authors":"R. Nadeem, Ahmed Ghadai, S. Iftikhar, Kristin Lee, Bharathi Swaminathan, Tamseela Hussain, Mohamed Khamis, M. Yousaf, Banan Turkman, A. Qureshi, Maham Mansoor","doi":"10.1097/01.HXR.0000511865.62678.78","DOIUrl":"https://doi.org/10.1097/01.HXR.0000511865.62678.78","url":null,"abstract":"Background: Coexistence of obstructive sleep apnea (OSA) and chronic musculoskeletal pain (CMP) is common. Patients experiencing pain have a lower threshold for arousals associated with apnea episodes. Pain treatment with analgesics affects upper airway patency during sleep. Methods: Eighty-one patients with CMP, and 100 without, were evaluated using the Berlin Questionnaire (BQ), which classifies patients as high or low risk for clinically probable OSA. Confounding variables including demographics (age, gender, BMI), medication use (sedatives, hypnotics, antidepressants), and Epworth sleepiness score (ESS) were compared between groups. Results: There was no significant difference in gender, use of sedatives and antidepressants, BMI or ESS between cases and controls. There was, however, a significant difference in use of analgesics, and hypnotics. Patients in the control group were significantly older than cases. There was a significant difference in the proportion of high versus low risk BQ values between cases and controls. Logistic regression was performed while adjusting for covariates, which were significantly different between groups (use of analgesics, hypnotics and age). Cases with high-risk BQ scores were not sleepier than controls with high-risk BQ scores. Conclusions: Patients with CMP have a high prevalence of clinically probable OSA. Sleepiness is not prevalent among patients with probable OSA and CMP. High-risk BQ patients were not sleepier than low risk BQ patients.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"33 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61603836","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
Protective personality variables and their effect on well‐being and participation in the elderly: A pilot study 保护性人格变量及其对老年人幸福感和参与的影响:一项初步研究
Healthy aging research Pub Date : 2016-01-01 DOI: 10.1097/01.HXR.0000508388.87759.42
A. Erez, N. Katz, Amiya Waldman-Levi
{"title":"Protective personality variables and their effect on well‐being and participation in the elderly: A pilot study","authors":"A. Erez, N. Katz, Amiya Waldman-Levi","doi":"10.1097/01.HXR.0000508388.87759.42","DOIUrl":"https://doi.org/10.1097/01.HXR.0000508388.87759.42","url":null,"abstract":"Background: Elderly individuals experience a complex array of physiological, psychological, and social changes in their lives, which challenges their ability to participate in meaningful occupations, and can result in a diminished sense of well‐being. In previous work, we proposed a broader perspective that takes into account the contribution of hope and playfulness ‐protective personality characteristics ‐ to participation and well‐being among the elderly. A pilot study was designed to explore this notion and examined the relationship between playfulness, hope, well‐being, and participation, while accounting for cognitive decline and negative emotions. Methods: Forty six participants with mean age of 78.4 years (SD = 7.3), of which 78.3% were women and 21.7% men, were interviewed using standardized questionnaires measuring participation, well‐being, sense of hope, cognitive status, playfulness and emotional status. Results: Moderate to high correlations were found between playfulness and hope and both well‐being and participation. The correlation coefficient range was r = 0.47–0.70 (p < 0.05). In addition, participation correlated with cognitive and emotional status, while well‐being correlated only with emotional status (r = 0.72; p < 0.01). Statistical analysis demonstrated that while playfulness and hope differed among individuals with and without depressive symptoms, they did not affect participants’ cognitive status. Conclusions: The results presented here support the importance of traits such as having a sense of hope and playfulness and their role as resilient factors that may contribute to elderly well‐being and participation.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"5 1","pages":"1–9"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.HXR.0000508388.87759.42","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61603794","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
Promoting heart health and behavior change in a vulnerable older adult population 促进易受伤害的老年人的心脏健康和行为改变
Healthy aging research Pub Date : 2016-01-01 DOI: 10.1097/01.HXR.0000508389.95382.e2
H. Menne, L. Borato, Evan G Shelton, Justin D. Johnson
{"title":"Promoting heart health and behavior change in a vulnerable older adult population","authors":"H. Menne, L. Borato, Evan G Shelton, Justin D. Johnson","doi":"10.1097/01.HXR.0000508389.95382.e2","DOIUrl":"https://doi.org/10.1097/01.HXR.0000508389.95382.e2","url":null,"abstract":"Background: Older minority populations in low socioeconomic classes are at high risk for cardiovascular disease, stroke, type 2 diabetes, and a host of other heart‐related health conditions. Engaging in unhealthy behaviors such as poor diet, sedentary lifestyle, and poor use of health services is a major contributor to these health disparities. The Heart Health Program was developed to improve health outcomes by encouraging behavior change in a group of low‐income older African Americans attending two urban senior centers. Using the Health Belief Model as a guiding framework, group sessions were conducted bi‐weekly over the course of a three month period. Session leaders engaged participants in educational activities and helped to develop individual ‘action steps’, or actionable goals for each participant to strive toward as a means of improving heart health. Methods: Twenty‐five low‐income, African American seniors participated in the Heart Health Program. A prepost design was used to evaluate the acceptability and feasibility of the program. Results: Participants reported high levels of satisfaction with the program as a whole and successful accomplishment of action steps. Results indicate limited long‐term behavior change at the program's conclusion. Conclusions: Lessons were learned about implementing this type of behavior change program in a senior center focused on: preparation, logistics, and relationships between the project team, senior center staff, and participants. Based on the initial experience of the Heart Health Program, plans are underway to refine the program and broaden its delivery to more older adults.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"5 1","pages":"1–12"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.HXR.0000508389.95382.e2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61603806","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
Health-related quality of life in older adults: Effects of hearing loss and common chronic conditions 老年人健康相关生活质量:听力损失和常见慢性病的影响
Healthy aging research Pub Date : 2015-02-03 DOI: 10.12715/har.2015.4.4
A. Simpson, K. Simpson, J. Dubno
{"title":"Health-related quality of life in older adults: Effects of hearing loss and common chronic conditions","authors":"A. Simpson, K. Simpson, J. Dubno","doi":"10.12715/har.2015.4.4","DOIUrl":"https://doi.org/10.12715/har.2015.4.4","url":null,"abstract":"Background: Recent findings on hearing loss (HL) and healthy aging have highlighted important clinical and policy implications concerning quality of life in older adults. Our objective was to explore the impact of HL on quality of life in older Americans, independent of survival, using the 2000 Medical Expenditure Panel Survey (MEPS) and 2010 Census data. Methods: A retrospective cohort of 2,567 subjects aged 60‐90 in the MEPS who provided information on selfreported HL, health‐related quality of life and chronic conditions. The EQ‐5D visual analog scale (VAS) transformation was used to estimate marginal utility decrements for 5‐year age categories and conditions, including HL, hypertension, diabetes, angina, joint pain, asthma, emphysema, or blindness. The modeled decrements were applied to the 2010 US census population to estimate annual quality‐adjusted life years (QALYs) lost. Results: Of the respondents, 15.4% had mild HL and 1.1% had moderate/severe hearing loss. Other conditions (utility decrement) included: joint pain 53% (.0643), hypertension 47.2% (.0292), diabetes 15.6% (.0577), angina 9.8% (.0352), asthma 7.9% (.0288), emphysema 4.5% (.1186), blindness 0.8% (.0836), and average age 71.0 with decrements .0033 per year. The decrement from hearing loss ranked 4th at 174,689 in the US population. Conclusions: The substantial impact of hearing loss on healthy aging may not be obvious when quality of life decrements include survival or when diluted with younger populations. Careful consideration of clinical interventions for age‐related HL is warranted and further research is needed on the effect of HL on quality of life in otherwise healthy older adults.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66242189","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: 16
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