5,269 results match your criteria Age and ageing[Journal]


Development and effectiveness of virtual interactive working memory training for older people with mild cognitive impairment: a single-blind randomised controlled trial.

Age Ageing 2019 Apr 15. Epub 2019 Apr 15.

School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.

Background: memory training is a potential intervention for retaining memory and reducing dementia risk in older adults with mild cognitive impairment (MCI).

Objective: this study examined the effect of virtual interactive working memory training (VIMT) in older adults with MCI.

Design: single-blind, two-arm parallel-group, randomised controlled design. Read More

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http://dx.doi.org/10.1093/ageing/afz029DOI Listing
April 2019
1 Read

The perils of 'risk feeding'.

Age Ageing 2019 Apr 2. Epub 2019 Apr 2.

Department of Geriatric Medicine, Galway University Hospitals, Galway, Ireland.

'Risk feeding' policies, for when people continue to eat and drink despite a perceived risk of choking or aspiration have become common in recent years. We argue that 'feeding' is demeaning language if referring to a person who is eating and drinking rather than to a healthcare technique and that 'risk-anything' is not how decisions are reached. It is true that patients with dysphagia are often unnecessarily designated nil-by-mouth (NBM), especially after a decision has been made that tube feeding is not indicated or is unwanted. Read More

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http://dx.doi.org/10.1093/ageing/afz027DOI Listing
April 2019
4 Reads

Loneliness: the present and the future.

Age Ageing 2019 Mar 30. Epub 2019 Mar 30.

Royal Oldham Hospital, UK.

An enquiry into loneliness and social isolation should be an integral part of the comprehensive geriatric assessment. Loneliness can have negative effects on the psychological and physical health of an older adult. The presence of loneliness is associated with cognitive impairment, decreased mobility and increased difficulties with activities of daily living. Read More

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http://dx.doi.org/10.1093/ageing/afz026DOI Listing

The Scottish Intercollegiate Guidelines Network: risk reduction and management of delirium.

Age Ageing 2019 Mar 30. Epub 2019 Mar 30.

MRC Unit for Lifelong Health and Ageing at UCL, London, UK.

Clinical and research interest in delirium has been rising over the last 15 years. The Scottish Intercollegiate Guidelines Network (SIGN) publication on delirium is a state-of-the-art synthesis of the field, and the first UK guideline since 2010. There is new guidance around delirium detection, particularly in recommending the 4 'A's Test (4AT). Read More

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http://dx.doi.org/10.1093/ageing/afz036DOI Listing
March 2019
1 Read

Service organisation for people with dementia after an injurious fall: challenges and opportunities.

Age Ageing 2019 Mar 28. Epub 2019 Mar 28.

Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.

Introduction: people with dementia are more likely to fall and less likely to recover well after a fall than cognitively intact older people. Little is known about how best to deliver services to this patient group. This paper explored current service provision to help inform the development of a new intervention. Read More

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http://dx.doi.org/10.1093/ageing/afz010DOI Listing

Can comprehensive geriatric assessment be delivered without the need for geriatricians? A formative evaluation in two perioperative surgical settings.

Age Ageing 2019 Mar 22. Epub 2019 Mar 22.

Department of Health Sciences, College of Life Sciences, University of Leicester, Centre for Medicine, Leicester, LE1 7RH, UK.

Introduction: the aim of this study was to design an approach to improving care for frail older patients in hospital services where comprehensive geriatric assessment (CGA) was not part of the clinical tradition.

Methods: the intervention was based on the principles of CGA, using quality improvement methodology to embed care processes. Qualitative methods and coproduction were used to inform development of the intervention, which was directed towards the health care professionals involved in peri-operative/surgical cancer care pathways in two large UK teaching hospitals. Read More

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http://dx.doi.org/10.1093/ageing/afz025DOI Listing

Independence and the pernicious threat of multimorbidity.

Authors:
Vanessa Lawrence

Age Ageing 2019 Mar 27. Epub 2019 Mar 27.

King's College London, Institute of Psychiatry, Psychology and Neuroscience, Health Services & Population Research Department, De Crespigny Park, London, UK.

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http://dx.doi.org/10.1093/ageing/afz024DOI Listing

Priorities for research in multiple conditions in later life (multi-morbidity): findings from a James Lind Alliance Priority Setting Partnership.

Age Ageing 2019 Mar 20. Epub 2019 Mar 20.

James Lind Alliance, University of Southampton, UK.

Introduction: multiple conditions in later life (multi-morbidity) is a major challenge for health and care systems worldwide, is of particular relevance for older people, but has not (until recently) received high priority as a topic for research. We have identified the top 10 research priorities from the perspective of older people, their carers, and health and social care professionals using the methods of a James Lind Alliance Priority Setting Partnership.

Methods: in total, 354 participants (162 older people and carers, 192 health professionals) completed a survey and 15 older people and carers were interviewed to produce 96 'unanswered questions'. Read More

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http://dx.doi.org/10.1093/ageing/afz014DOI Listing

Handovers in older people's residential care.

Age Ageing 2019 Mar 13. Epub 2019 Mar 13.

All NIHR Health and Social Care Workforce Research Unit, The Policy Institute at King's, King's College London, Strand Campus, London WC2R 2LS, UK.

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http://dx.doi.org/10.1093/ageing/afz023DOI Listing

Understanding and improving multidisciplinary team working in geriatric medicine.

Age Ageing 2019 Mar 11. Epub 2019 Mar 11.

King's College London, Institute of Psychiatry, Psychology & Neuroscience Centre for Implementation Science, Health Service and Population Research Department, PO 28, David Goldberg Centre, De Crespigny Park, Denmark Hill London SE5 8AF, UK.

Geriatric medicine is a speciality that has historically relied on team working to best serve patients. The nature of frailty in older people means that people present with numerous comorbidities, which in turn require a team-based approach to be managed, including allied health professionals, social work and nursing alongside medicine. The 'engine room' of the speciality has thus for many years been the multidisciplinary team (MDT) meeting-something other specialities have discovered only recently. Read More

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https://academic.oup.com/ageing/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/ageing/afz021DOI Listing
March 2019
5 Reads

Association of growth differentiation factor 15 with other key biomarkers, functional parameters and mortality in community-dwelling older adults.

Age Ageing 2019 Mar 11. Epub 2019 Mar 11.

Institute of Epidemiology and Medical Biometry, Ulm University, D-89081 Ulm, Germany.

Background: Growth differentiation factor 15 (GDF-15) has been associated with many adverse age-related outcomes and other age-related disorders. The aim of the study was to investigate if baseline levels of GDF-15 are associated with total mortality in community living, older adults during eight years of follow-up after simultaneous consideration of key biomarkers and functional parameters.

Methods: prospective cohort study including 1,470 community-dwelling older adults aged 65 years or older. Read More

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http://dx.doi.org/10.1093/ageing/afz022DOI Listing
March 2019
2 Reads

Chronic conditions and multimorbidity in population aged 90 years and over: associations with mortality and long-term care admission.

Age Ageing 2019 Mar 7. Epub 2019 Mar 7.

Tampere University, Faculty of Social Sciences (Health Sciences), Tampere, Finland.

Background: prevalence of many chronic conditions is rising in the aging population worldwide. However, the long-term impact of these conditions and multimorbidity on other health outcomes in very old age is rarely studied.

Methods: the data were based on four waves of the Vitality 90+ Study conducted in 2001, 2003, 2007 and 2010. Read More

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https://academic.oup.com/ageing/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/ageing/afz019DOI Listing
March 2019
4 Reads

Intraventricular haemorrhage and seizures in a patient with dementia: a case of chronic neurobrucellosis.

Age Ageing 2019 Mar 7. Epub 2019 Mar 7.

Department of Neurology, General Hospital of Serres, Serres, Greece.

Brucellosis is the most commonly reported zoonosis. Nervous system participation can occur at any stage of the disease either in acute or subacute or chronic form. Isolated nervous system involvement or neurobrucellosis is a relatively rare form of the disease. Read More

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http://dx.doi.org/10.1093/ageing/afz020DOI Listing
March 2019
1 Read

The uptake of the hip fracture core outcome set: analysis of 20 years of hip fracture trials.

Age Ageing 2019 Mar 7. Epub 2019 Mar 7.

The University of Sydney School of Medicine, The University of Sydney, Australia.

Background: clinical trials test the effectiveness or efficacy of treatments. It is important that researchers evaluate interventions with the most meaningful outcome measures. The 2014 hip fracture core outcome set recommended that mortality, mobility, pain, activities of daily living and health-related quality of life (HRQOL) should be assessed in all trials of patient with hip fracture. Read More

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http://dx.doi.org/10.1093/ageing/afz018DOI Listing
March 2019
1 Read

Association of blood pressure with clinical outcomes in older adults with chronic kidney disease.

Age Ageing 2019 Feb 28. Epub 2019 Feb 28.

Epidemiology and Public Health Group, University of Exeter Medical School, RILD Building, Barrack Road, Exeter EX2 5DW, UK.

Background: in chronic kidney disease (CKD), hypertension is associated with poor outcomes at ages <70 years. At older ages, this association is unclear. We tested 10-year mortality and cardiovascular outcomes by clinical systolic blood pressure (SBP) in older CKD Stages 3 and 4 patients without diabetes or proteinuria. Read More

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http://dx.doi.org/10.1093/ageing/afz006DOI Listing
February 2019
1 Read

Comparing the predictive ability of the Revised Minimum Dataset Mortality Risk Index (MMRI-R) with nurses' predictions of mortality among frail older people: a cohort study.

Age Ageing 2019 Feb 26. Epub 2019 Feb 26.

The University of Sheffield, School of Nursing and Midwifery, Sheffield, UK.

Objectives: to establish the accuracy of community nurses' predictions of mortality among older people with multiple long-term conditions, to compare these with a mortality rating index and to assess the incremental value of nurses' predictions to the prognostic tool.

Design: a prospective cohort study using questionnaires to gather clinical information about patients case managed by community nurses. Nurses estimated likelihood of mortality for each patient on a 5-point rating scale. Read More

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http://dx.doi.org/10.1093/ageing/afz011DOI Listing
February 2019

Effect of person-centred care on antipsychotic drug use in nursing homes (EPCentCare): a cluster-randomised controlled trial.

Age Ageing 2019 Feb 26. Epub 2019 Feb 26.

Institute of Health and Nursing Science, Medical Faculty, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.

Background: antipsychotic drugs are regularly prescribed as first-line treatment for neuropsychiatric symptoms in persons with dementia although guidelines clearly prioritise non-pharmacological interventions.

Objective: we investigated a person-centred care approach, which has been successfully evaluated in nursing homes in the UK, and adapted it to German conditions.

Design: a 2-armed 12-month cluster-randomised controlled trial. Read More

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http://dx.doi.org/10.1093/ageing/afz016DOI Listing
February 2019
3 Reads

Understanding the factors associated with patients with dementia achieving their preferred place of death: a retrospective cohort study.

Age Ageing 2019 Feb 26. Epub 2019 Feb 26.

Kings College London, Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, UK.

Background: dying in one's preferred place is a quality marker for end-of-life care. Little is known about preferred place of death, or the factors associated with achieving this, for people with dementia.

Aims: to understand preferences for place of death among people with dementia; to identify factors associated with achieving these preferences. Read More

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http://dx.doi.org/10.1093/ageing/afz015DOI Listing
February 2019
1 Read

Everyday life after a hip fracture: what community-living older adults perceive as most beneficial for their recovery.

Age Ageing 2019 Feb 26. Epub 2019 Feb 26.

Informatics Institute, University of Amsterdam, Amsterdam, The Netherlands.

Objective: to gain insight into what older adults after hip fracture perceive as most beneficial to their recovery to everyday life.

Design: qualitative research approach.

Setting: six skilled nursing facilities. Read More

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https://academic.oup.com/ageing/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/ageing/afz012DOI Listing
February 2019
8 Reads

Welcome message from the new Editor-in-chief, Prof Rowan Harwood.

Authors:
Rowan Harwood

Age Ageing 2019 Feb 26. Epub 2019 Feb 26.

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http://dx.doi.org/10.1093/ageing/afz017DOI Listing
February 2019

Lung health in older adults.

Age Ageing 2019 Feb 22. Epub 2019 Feb 22.

Department of Complex Needs, Lincoln County Hospital, Greetwell Road, Lincoln, UK.

One in five people in the UK live with lung disease. The National Taskforce for Lung Health, supported by 29 organisations, published its report in December 2018 with 43 recommendations for the UK, most of which are highly relevant to older adults. Prevention is key, especially relating to the introduction of clean air zones and air pollution alerts. Read More

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http://dx.doi.org/10.1093/ageing/afz008DOI Listing
February 2019
3 Reads

Evaluation of the directional relationship between handgrip strength and cognitive function: the Korean Longitudinal Study of Ageing.

Age Ageing 2019 Feb 22. Epub 2019 Feb 22.

Department of Biostatistics, Graduate School of Public Health, Yonsei University, Seoul, Korea.

Background: recent studies suggest that handgrip strength is linked with cognitive impairment at older ages. However, it remains unclear as to whether muscular strength influences subsequent cognitive performance, or whether lower levels of cognitive function increase the likelihood of muscle strength decline.

Objective: to investigate the directional relationship between handgrip strength and cognitive impairment using longitudinal data among older adults. Read More

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http://dx.doi.org/10.1093/ageing/afz013DOI Listing
February 2019

Should we provide outreach rehabilitation to very old people living in Nursing Care Facilities after a hip fracture? A randomised controlled trial.

Age Ageing 2019 Feb 22. Epub 2019 Feb 22.

Health and Social Care Economics Group, Flinders University, Sturt Road, Bedford Park SA, Australia.

Objective: to determine whether a 4-week postoperative rehabilitation program delivered in Nursing Care Facilities (NCFs) would improve quality of life and mobility compared with receiving usual care.

Design: parallel randomised controlled trial with integrated health economic study.

Setting: NCFs, in Adelaide South Australia. Read More

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http://dx.doi.org/10.1093/ageing/afz005DOI Listing
February 2019
1 Read

Frailty predicts mortality in all emergency surgical admissions regardless of age. An observational study.

Age Ageing 2019 Feb 19. Epub 2019 Feb 19.

Ageing Clinical & Experimental Research (ACER) Team, Institute of Applied Health Research, University of Aberdeen, Aberdeen, UK.

Background: frail patients in any age group are more likely to die than those that are not frail. We aimed to evaluate the impact of frailty on clinical mortality, readmission rate and length of stay for emergency surgical patients of all ages.

Methods: a multi-centre prospective cohort study was conducted on adult admissions to acute surgical units. Read More

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http://dx.doi.org/10.1093/ageing/afy217DOI Listing
February 2019

Changes in physical and mental health are associated with cardiovascular disease incidence in postmenopausal women.

Age Ageing 2019 Feb 11. Epub 2019 Feb 11.

Department of Medicine, School of Medicine, Stanford University, Stanford, USA.

Background: physical and mental health are important risk factors for cardiovascular disease (CVD) incidence and death among postmenopausal women. The objective of this study was to assess whether changes in physical and mental health were associated with CVD incidence and death.

Methods: in the Women's Health Initiative Observational Study, 48,906 women (50-79 years) had complete data at baseline on physical and mental health (assessed with Short Form-36) and key covariates. Read More

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http://dx.doi.org/10.1093/ageing/afy213DOI Listing
February 2019
3.642 Impact Factor

Unilateral hearing loss in a 94-year-old patient.

Age Ageing 2019 Feb 6. Epub 2019 Feb 6.

Department of Geratology, John Radcliffe Hospital Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

A case report of a 94-year-old, previously well male patient who presented with fever thought to be caused by community acquired pneumonia, new unilateral hearing loss and reduced consciousness. Despite antibiotic treatment he continued to deteriorate. Brain imaging with computer tomography and magnetic resonance imaging revealed a left otomastoiditis with osteomyelitis of the skull base, associated with an adjacent subdural empyema. Read More

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http://dx.doi.org/10.1093/ageing/afz003DOI Listing
February 2019
3 Reads

Obesity and Longer Term Risks of Dementia in 65-74 Year Olds.

Age Ageing 2019 Feb 6. Epub 2019 Feb 6.

Epidemiology and Public Health, Institute of Biomedical and Clinical Science, University of Exeter Medical School, Barrack Road, Exeter EX2 5DW, UK.

Background: overweight or obesity at ages <65 years associates with increased dementia incidence, but at ≥65 years estimates are paradoxical. Weight loss before dementia diagnosis, plus smoking and diseases causing weight loss may confound associations.

Objective: to estimate weight loss before dementia diagnosis, plus short and longer-term body mass index associations with incident dementia in 65-74 year olds within primary care populations in England. Read More

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http://dx.doi.org/10.1093/ageing/afz002DOI Listing
February 2019
1 Read

Quality improvement strategies to prevent falls in older adults: a systematic review and network meta-analysis.

Age Ageing 2019 Feb 5. Epub 2019 Feb 5.

Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Toronto, ON Canada.

Background: Falls are a common occurrence and the most effective quality improvement (QI) strategies remain unclear.

Methods: We conducted a systematic review and network meta-analysis (NMA) to elucidate effective quality improvement (QI) strategies for falls prevention. Multiple databases were searched (inception-April 2017). Read More

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http://dx.doi.org/10.1093/ageing/afy219DOI Listing
February 2019
4 Reads

Older men may benefit from antimicrobial prophylaxis for recurrent urinary tract infections.

Age Ageing 2019 Feb 4. Epub 2019 Feb 4.

Department of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, New Haven, CT, USA.

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http://dx.doi.org/10.1093/ageing/afy195DOI Listing
February 2019

Physical frailty in older men: prospective associations with diet quality and patterns.

Age Ageing 2019 Jan 22. Epub 2019 Jan 22.

UCL Department of Primary Care & Population Health, UCL Medical School, Rowland Hill Street, London, UK.

Background: increasing numbers of older adults are living with frailty and its adverse consequences. We investigated relationships between diet quality or patterns and incident physical frailty in older British men and whether any associations were influenced by inflammation.

Methods: prospective study of 945 men from the British Regional Heart Study aged 70-92 years with no prevalent frailty. Read More

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http://dx.doi.org/10.1093/ageing/afy216DOI Listing
January 2019
3 Reads

Growing research in geriatric medicine.

Age Ageing 2019 Jan 22. Epub 2019 Jan 22.

AGE Research Group, Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.

Academic geriatric medicine activity lags behind the scale of clinical activity in the specialty. A meeting of UK academic geriatricians was convened in March 2018 to consider causes and solutions to this problem. The meeting highlighted a lack of research-active clinicians, a perception that research is not central to the practice of geriatric medicine and a failure to translate discovery science to clinical studies. Read More

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http://dx.doi.org/10.1093/ageing/afy220DOI Listing
January 2019
1 Read

Frailty and comorbidity predict first hospitalisation after heart failure diagnosis in primary care: population-based observational study in England.

Age Ageing 2019 Jan 9. Epub 2019 Jan 9.

National Heart & Lung Institute, Royal Brompton Hospital, Imperial College London, Sydney St, Chelsea, London, UK.

Background: frailty has only recently been recognised as important in patients with heart failure (HF), but little has been done to predict the first hospitalisation after diagnosis in unselected primary care populations.

Objectives: to predict the first unplanned HF or all-cause admission after diagnosis, comparing the effects of comorbidity and frailty, the latter measured by the recently validated electronic frailty index (eFI).

Design: observational study. Read More

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http://dx.doi.org/10.1093/ageing/afy194DOI Listing
January 2019
2 Reads

Where are we now in perioperative medicine? Results from a repeated UK survey of geriatric medicine delivered services for older people.

Age Ageing 2019 Jan 9. Epub 2019 Jan 9.

Department of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Introduction: national reports highlight deficiencies in the care of older patients undergoing surgery. A 2013 survey showed less than a third of NHS trusts had geriatrician-led perioperative medicine services for older surgical patients. Barriers to establishing services included funding, workforce and limited interspecialty collaboration. Read More

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http://dx.doi.org/10.1093/ageing/afy218DOI Listing
January 2019
1 Read

Adiposity in middle and old age and risk of death from dementia: 40-year follow-up of 19,000 men in the Whitehall study.

Age Ageing 2019 Jan 9. Epub 2019 Jan 9.

Faculty of Epidemiology and Population Health, Department of Community Medicine, London School of Hygiene and Tropical Medicine and Adjunct Professor of Epidemiology, UiT the Arctic University of Norway, Tromsø, Norway.

Aims And Objectives: to examine the hypothesis that obesity is protective for dementia, we compared the associations of death from dementia with body weight and body mass index (BMI) in both middle and old age.

Design: height and weight were measured in a prospective study of 19,019 middle-aged men in the Whitehall study in 1967-70 and in 6,158 surviving participants at resurvey in 1997. Cox regression was used to examine the associations of death from dementia over a 40-year period with weight or BMI measured by health professionals in middle and old age adjusting for age, smoking habits, employment grade and marital status. Read More

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http://dx.doi.org/10.1093/ageing/afy182DOI Listing
January 2019
3 Reads

Experiences with and outcomes of Advance Care Planning in bereaved relatives of frail older patients: a mixed methods study.

Age Ageing 2019 Jan 7. Epub 2019 Jan 7.

Department of Public Health, Erasmus MC, University Medical Center Rotterdam, CA Rotterdam, The Netherlands.

Background: Advance Care Planning (ACP) may prepare relatives of frail older patients for future decision-making.

Objective: to investigate (1) how bereaved relatives of frail older patients experience ACP conversations and (2) whether ACP has an effect on relatives' preparation for decision-making and on their levels of anxiety and depression.

Design: cluster randomised controlled trial. Read More

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http://dx.doi.org/10.1093/ageing/afy184DOI Listing
January 2019
1 Read

Subjective memory complaints and incident dementia in a high risk older adult hypertensive population.

Age Ageing 2019 Jan 7. Epub 2019 Jan 7.

Neuroscience Research Australia, Sydney, Australia.

Background: there is a growing body of evidence demonstrating an association between subjective memory complaints (SMC) and an increased risk of incident cognitive decline or dementia. To date this has not been examined in hypertensive older adults, a prevalent and growing population group at high risk of cognitive decline.

Methods: using data from participants in the Hypertension in the Very Elderly Trial cohort the association between baseline SMC and incident cognitive decline and dementia was examined using Cox proportional hazard regression. Read More

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http://dx.doi.org/10.1093/ageing/afy193DOI Listing
January 2019
2 Reads

Regaining pre-fracture basic mobility status after hip fracture and association with post-discharge mortality and readmission-a nationwide register study in Denmark.

Age Ageing 2019 Jan 7. Epub 2019 Jan 7.

Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.

Background: early mobilization after hip fracture (HF) is an important predictor of outcome, but knowledge of the consequences of not achieving the pre-fracture basic mobility status in acute hospital recovery is sparse.

Objective: we examined whether the regain of pre-fracture basic mobility status evaluated with the cumulated ambulation score (CAS) at hospital discharge was associated with 30-day post-discharge mortality and readmission.

Design: this is a population-based cohort study. Read More

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https://academic.oup.com/ageing/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/ageing/afy185DOI Listing
January 2019
15 Reads

Person-centred prophylaxis for venous thromboembolism.

Authors:
Ian P Donald

Age Ageing 2019 Jan 7. Epub 2019 Jan 7.

Department of Old Age Medicine, Gloucestershire Royal Hospital, Great Western Road, Gloucester, UK.

All medical admissions should receive risk assessment for the value of prophylaxis against venous thromboembolism. Unfortunately, for such patients the risk of thromboembolism is closely balanced with the risk of haemorrhage exaggerated by chemical prophylaxis. The recent NICE guideline continues to recommend comprehensive risk assessment, and to use prophylaxis where the risk of thromboembolism exceeds the risk of bleeding. Read More

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http://dx.doi.org/10.1093/ageing/afy190DOI Listing
January 2019
1 Read

Measuring health-related quality of life of care home residents: comparison of self-report with staff proxy responses.

Age Ageing 2019 Jan 7. Epub 2019 Jan 7.

Division of Medical Sciences and Graduate Entry Medicine, School of Medicine, University of Nottingham, Derby, UK.

Introduction: care home residents are often unable to complete health-related quality of life questionnaires for themselves because of prevalent cognitive impairment. This study compared care home resident and staff proxy responses for two measures, the EQ-5D-5L and HowRU.

Methods: a prospective cohort study recruited residents ≥60 years across 24 care homes who were not receiving short stay, respite or terminal care. Read More

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http://dx.doi.org/10.1093/ageing/afy191DOI Listing
January 2019
6 Reads
3.642 Impact Factor

Effects of a falls prevention exercise programme on health-related quality of life in older home care recipients: a randomised controlled trial.

Age Ageing 2019 Jan 7. Epub 2019 Jan 7.

Department of Physiotherapy, OsloMet-Oslo Metropolitan University, PO Box 4 St. Olavs Plass, Oslo, Norway.

Background: falls have serious consequences for quality of life (QOL) and contribute substantially to the global burden of disease. Home care is an important arena to address falls prevention and QOL, but this vulnerable group of older adults is underrepresented in health research. This study explores the effects of a falls prevention exercise programme on health-related quality of life (HRQOL), physical function and falls self-efficacy in older fallers receiving home care. Read More

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http://dx.doi.org/10.1093/ageing/afy192DOI Listing
January 2019
2 Reads

Podiatry interventions to prevent falls in older people: a systematic review and meta-analysis.

Age Ageing 2019 Jan 7. Epub 2019 Jan 7.

School of Nursing and Health Sciences, University of Dundee, 11 Airlie Place, Dundee, UK.

Background: foot problems are independent risk factors for falls in older people. Podiatrists diagnose and treat a wide range of problems affecting the feet, ankles and lower limbs. However, the effectiveness of podiatry interventions to prevent falls in older people is unknown. Read More

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https://academic.oup.com/ageing/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/ageing/afy189DOI Listing
January 2019
2 Reads
3.642 Impact Factor

Relationship between HbA1c and all-cause mortality in older patients with insulin-treated type 2 diabetes: results of a large UK Cohort Study.

Age Ageing 2019 Jan 7. Epub 2019 Jan 7.

Division of Medical Sciences and Graduate Entry Medicine, School of Medicine, University of Nottingham, Royal Derby Hospital Centre, Derby.

Background: our aim was to study the relationship between HbA1c and cardiovascular morbidity and all-cause mortality among older insulin-treated patients with type 2 diabetes (T2D) after adjustment for multiple confounders.

Methods: data for 4589 adults with T2D (>65 years) on insulin treatment were sourced from 532 UK General Practices via the Health Improvement Network (THIN) database. Cox proportional hazard models and Kaplan-Meier estimators were fitted to derive the hazards of all-cause mortality by HbA1c categories (<6. Read More

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http://dx.doi.org/10.1093/ageing/afy178DOI Listing
January 2019
1 Read

Lifetime physical activity and late-life cognitive function: the Rancho Bernardo study.

Age Ageing 2019 Jan 7. Epub 2019 Jan 7.

Department of Family Medicine and Public Health, University of California, San Diego, USA.

Background: physical activity in older age has been associated with better cognitive function, but the role of earlier life physical activity is less well understood.

Objective: determine associations between physical activity throughout the lifespan and cognitive function in older age.

Design: cross-sectional study. Read More

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https://academic.oup.com/ageing/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/ageing/afy188DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424376PMC
January 2019
2 Reads

Clinical research methods for studies of older people.

Age Ageing 2019 Jan 4. Epub 2019 Jan 4.

NIHR Newcastle Biomedical Research Centre, Newcastle University and Newcastle upon Tyne Hospitals, Campus for Ageing and Vitality, Newcastle, UK.

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http://dx.doi.org/10.1093/ageing/afy215DOI Listing
January 2019
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Assessing and managing concurrent hearing, vision and cognitive impairments in older people: an international perspective from healthcare professionals.

Age Ageing 2019 Jan 4. Epub 2019 Jan 4.

Department of Health Sciences, School of Sciences, European University Cyprus, 6 Diogenes Str, Nicosia, Cyprus.

Background: there is a significant gap in the understanding, assessment and management of people with dementia and concurrent hearing and vision impairments.

Objective: from the perspective of professionals in dementia, hearing and vision care, we aimed to: (1) explore the perceptions of gaps in assessment and service provision in ageing-related hearing, vision and cognitive impairment; (2) consider potential solutions regarding this overlap and (3) ascertain the attitudes, awareness and practice, with a view to implementing change.

Methods: our two-part investigation with hearing, vision, and dementia care professionals involved: (1) an in-depth, interdisciplinary, international Expert Reference Group (ERG; n = 17) and (2) a wide-scale knowledge, attitudes and practice survey (n = 653). Read More

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http://dx.doi.org/10.1093/ageing/afy183DOI Listing
January 2019
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Impact of sarcopenia on 1-year mortality in older patients with cancer.

Age Ageing 2019 Jan 4. Epub 2019 Jan 4.

Charité-Universitätsmedizin Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Department of Geriatrics, Research Group Geriatrics, Berlin, Germany.

Objectives: sarcopenia is common especially in hospitalised older populations. The aim of this study was to assess the prevalence of sarcopenia, defined as low skeletal mass and muscle strength, and its impact on 1-year mortality in older patients with cancer.

Methods: skeletal muscle mass was estimated using bioelectric impedance analysis and related to height2 (SMI; Janssen et al. Read More

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https://academic.oup.com/ageing/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/ageing/afy212DOI Listing
January 2019
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The electronic frailty index as an indicator of community healthcare service utilisation in the older population.

Age Ageing 2018 Dec 27. Epub 2018 Dec 27.

Faculty of Medicine and Health Sciences, Department of Clinical Psychology, Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich, UK.

Background: older people with frailty are particularly high users of healthcare services, however a lack of standardised recording of frailty in different healthcare electronic datasets has limited investigations into healthcare service usage and demand of the older frail population.

Objectives: to investigate the community service demand of frail patients using the electronic frailty index (eFI) as a measure of frailty.

Study Design And Setting: a retrospective cohort study using anonymised linked healthcare patient data from primary care, community services and acute hospitals in Norfolk. Read More

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http://dx.doi.org/10.1093/ageing/afy181DOI Listing
December 2018
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The prevalence of non-communicable disease in older people in prison: a systematic review and meta-analysis.

Age Ageing 2018 Dec 27. Epub 2018 Dec 27.

Nuffield Department of Clinical Medicine, Centre for Tropical Medicine and Global Health, University of Oxford, UK.

Background: people in prison often experience poor health. Those aged 50 and over are the fastest growing age-group in prison and present particular challenges to criminal justice systems around the world. Non-communicable diseases (NCDs) account for two-thirds of deaths globally and no estimate of the prevalence of NCDs in this vulnerable population exists. Read More

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https://academic.oup.com/ageing/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/ageing/afy186DOI Listing
December 2018
11 Reads