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    1387 results match your criteria BMC Geriatrics [Journal]

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    Dietary patterns, gender, and weight status among middle-aged and older adults in Taiwan: a cross-sectional study.
    BMC Geriatr 2017 Nov 21;17(1):268. Epub 2017 Nov 21.
    School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei, Taiwan.
    Background: Diet has been associated with differences in weight and nutritional status of an individual. The prevalence of overweight and obesity increased among adults in Taiwan. Hence, we examined the relationship between dietary patterns and weight status by gender among middle-aged and older adults in Taiwan. Read More

    Tube feeding decreases pneumonia rate in patients with severe dementia: comparison between pre- and post-intervention.
    BMC Geriatr 2017 Nov 21;17(1):267. Epub 2017 Nov 21.
    Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.
    Background: It is widely supposed that there is no benefit, including extended survival and decreased rate of pneumonia, in patients with severe dementia receiving enteral tube feeding (TF). However, there have been few studies comparing the frequency of pneumonia before and after TF in severe dementia.

    Methods: Nine psychiatric hospitals in Okayama Prefecture participated in this retrospective survey. Read More

    Prevalence and risk factors of frailty among home care clients.
    BMC Geriatr 2017 Nov 17;17(1):266. Epub 2017 Nov 17.
    Kuopio Research Centre of Geriatric Care, School of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, P.O.B 1627, -70211, Kuopio, FI, Finland.
    Background: Frailty is a common problem among older people and it is associated with an increased risk of death and long-term institutional care. Early identification of frailty is necessary to prevent a further decline in the health status of home care clients. The aims of the present study were to determine the prevalence of frailty and associated factors among 75-year-old or older home care clients. Read More

    Computer and telephone delivered interventions to support caregivers of people with dementia: a systematic review of research output and quality.
    BMC Geriatr 2017 Nov 16;17(1):265. Epub 2017 Nov 16.
    Health Behaviour Research Collaborative, School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia.
    Background: To assess the scope, volume and quality of research on the acceptability, utilisation and effectiveness of telephone- and computer-delivered interventions for caregivers of people living with dementia.

    Methods: Medline, EMBASE, CINAHL and Cochrane databases were searched (Jan 1990 - Dec 2016). Eligible papers were classified as data-based descriptive, measurement or intervention studies. Read More

    Associations between skin barrier characteristics, skin conditions and health of aged nursing home residents: a multi-center prevalence and correlational study.
    BMC Geriatr 2017 Nov 13;17(1):263. Epub 2017 Nov 13.
    Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
    Background: Geriatric patients are affected by a range of skin conditions and dermatological diseases, functional limitations and chronic diseases. Skin problems are highly prevalent in elderly populations. Aim of this study was to investigate possible associations between health, functional and cutaneous variables in aged long-term care residents. Read More

    Measuring frailty in clinical practice: a comparison of physical frailty assessment methods in a geriatric out-patient clinic.
    BMC Geriatr 2017 Nov 13;17(1):264. Epub 2017 Nov 13.
    Geriatric Education and Research for the Aging Sciences (GERAS), St Peter's Hospital, 88 Maplewood Ave, Hamilton, ON, L8M 1W9, Canada.
    Background: The objectives of this study were to determine: 1) the prevalence of frailty using Fried's phenotype method and the Short Performance Physical Battery (SPPB), 2) agreement between frailty assessment methods, 3) the feasibility of assessing frailty using Fried's phenotype method and the SPPB.

    Methods: This cross-sectional study was conducted at a geriatric out-patient clinic in Hamilton, Canada. A research assistant conducted all frailty assessments. Read More

    Predictive performance of four frailty screening tools in community-dwelling elderly.
    BMC Geriatr 2017 Nov 10;17(1):262. Epub 2017 Nov 10.
    Département de Gérontologie Clinique, CHU de Saint Etienne, Hôpital de la Charité, 44 rue Pointe Cadet, 42000, Saint-Etienne, France.
    Background: This study compares the performance of four frailty screening tools in predicting relevant adverse outcome (disability, institutionalization and mortality) in community-dwelling elderly.

    Methods: Our study involved a secondary analysis of data from the FréLE cohort study. We focused on the following four frailty screening tools: the abbreviated Comprehensive Geriatric Assessment (aCGA), the Groningen Frailty Indicator (GFI), the Vulnerable Elders Survey-13 (VES-13) and the Fried scale. Read More

    The prevalence of dementia in a Portuguese community sample: a 10/66 Dementia Research Group study.
    BMC Geriatr 2017 Nov 7;17(1):261. Epub 2017 Nov 7.
    Chronic Diseases Research Center (CEDOC), Nova Medical School | Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Campo Mártires da Pátria 130, 1169-056, Lisbon, Portugal.
    Background: Dementia imposes a high burden of disease worldwide. Recent epidemiological studies in European community samples are scarce. In Portugal, community prevalence data is very limited. Read More

    Identifying protective and risk factors for injurious falls in patients hospitalized for acute care: a retrospective case-control study.
    BMC Geriatr 2017 Nov 7;17(1):260. Epub 2017 Nov 7.
    Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
    Background: Admitted patients who fall and injure themselves during an acute hospitalization incur increased costs, morbidity, and mortality, but little research has been conducted on identifying inpatients at high risk to injure themselves in a fall. Falls risk assessment tools have been unsuccessful due to their low positive predictive value when applied broadly to entire hospital populations. We aimed to identify variables associated with the risk of or protection against injurious fall in the inpatient setting. Read More

    Trajectories of physical function prior to death and brain neuropathology in a community-based cohort: the act study.
    BMC Geriatr 2017 Nov 2;17(1):258. Epub 2017 Nov 2.
    Kaiser Permanente Washington Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA, 98101, USA.
    Background: Mechanisms linking cognitive and physical functioning in older adults are unclear. We sought to determine whether brain pathological changes relate to the level or rate of physical performance decline.

    Methods: This study analyzed data from 305 participants in the autopsy subcohort of the prospective Adult Changes in Thought (ACT) study. Read More

    Relationships between cognitive function and body composition among community-dwelling older adults: a cross-sectional study.
    BMC Geriatr 2017 Nov 2;17(1):259. Epub 2017 Nov 2.
    Department of Social and Preventive Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
    Background: Previous studies reported mixed results regarding the association between cognition and body weight in late life. We evaluated the relationships between cognitive function and body composition among community-dwelling older adults.

    Methods: Three hundred twenty subjects (≥65 years, women 53%) with available data of cognitive function and body composition from 2010 Hallym Aging Study. Read More

    Measurement properties, feasibility and clinical utility of the Doloplus-2 pain scale in older adults with cognitive impairment: a systematic review.
    BMC Geriatr 2017 Nov 2;17(1):257. Epub 2017 Nov 2.
    Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo, Norway.
    Background: The Doloplus-2 is a pain assessment scale for assessing pain in older adults with cognitive impairment. It is used in clinical practice and research. However, evidence for its measurement properties, feasibility and clinical utility remain incomplete. Read More

    Association between serum 25-hidroxyvitamin D concentrations and ultraviolet index in Portuguese older adults: a cross-sectional study.
    BMC Geriatr 2017 Oct 31;17(1):256. Epub 2017 Oct 31.
    Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto Rua Dr. Roberto Frias, 4200-465, Porto, Portugal.
    Background: The older population is a risk group for hypovitaminosis D. The Ultraviolet Index (UVI) can be an indicator of potential for cutaneous synthesis of vitamin D but physiological and other environmental factors also influence vitamin D synthesis and status. Knowledge about vitamin D status in Portuguese older adults is limited. Read More

    Association of multiple chronic conditions and pain among older black and white adults with diabetes mellitus.
    BMC Geriatr 2017 Oct 30;17(1):255. Epub 2017 Oct 30.
    Department of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA.
    Background: Aging is often associated with the challenge of navigating daily tasks with a painful chronic medical illness. Yet, there is concern of the number of older adults impacted with more than one chronic condition. Despite the increasing number of adults diagnosed with diabetes and comorbid chronic illnesses, there remains a lack of understanding in how multiple illnesses relate to experiences of pain. Read More

    Crucial aspects promoting meaning and purpose in life: perceptions of nursing home residents.
    BMC Geriatr 2017 Oct 30;17(1):254. Epub 2017 Oct 30.
    Department of Nursing, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Inndalsveien 28, N-5005, Bergen, Norway.
    Background: Meaning and purpose in life are fundamental to human beings. In changing times, with an aging population and increased life expectancy, the need for health care services and long-term care is likely to grow. More deeply understanding how older long-term care residents perceive meaning and purpose in life is critical for improving the quality of care and the residents' quality of life. Read More

    Clinically significant discrepancies between sleep problems assessed by standard clinical tools and actigraphy.
    BMC Geriatr 2017 Oct 27;17(1):253. Epub 2017 Oct 27.
    Faculty of Psychology, University of Bergen, Bergen, Norway.
    Background: Sleep disturbances are widespread among nursing home (NH) patients and associated with numerous negative consequences. Identifying and treating them should therefore be of high clinical priority. No prior studies have investigated the degree to which sleep disturbances as detected by actigraphy and by the sleep-related items in the Cornell Scale for Depression in Dementia (CSDD) and the Neuropsychiatric Inventory - Nursing Home version (NPI-NH) provide comparable results. Read More

    Blood pressure at age 60-65 versus age 70-75 and vascular dementia: a population based observational study.
    BMC Geriatr 2017 Oct 27;17(1):252. Epub 2017 Oct 27.
    Department of Medicine, Physiology and Pharmacology and Community Health Sciences, O'Brien Institute for Public Health and Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, T2N 1N4, Canada.
    Background: Vascular dementia (VaD) is the second most common form of dementia. However, there were mixed evidences about the association between blood pressure (BP) and risk of VaD in midlife and late life and limited evidence on the association between pulse pressure and VaD.

    Methods: This is a population-based observational study. Read More

    Explaining discrepancies in self-reported quality of life in frail older people: a mixed-methods study.
    BMC Geriatr 2017 Oct 26;17(1):251. Epub 2017 Oct 26.
    Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, 6200, MD, Maastricht, the Netherlands.
    Background: Most research on multidimensional frailty focuses on deficits and risks of adverse outcomes. However, although some frail older people report a low quality of life (QoL), others still report a relatively high QoL. More knowledge about these discrepancies might give new insight into developing frailty prevention strategies. Read More

    Cognitive impairment and hypertension in older adults living in extreme poverty: a cross-sectional study in Peru.
    BMC Geriatr 2017 Oct 26;17(1):250. Epub 2017 Oct 26.
    CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendariz 497, Miraflores, 241 69 78, Lima, Peru.
    Background: Previous studies have shown that hypertension is a risk factor for cognitive impairment, but whether this association is also present in extremely poor populations in Low Middle Income Countries settings remains to be studied. Understanding other drivers of cognitive impairment in this unique population also merits attention.

    Methods: We performed a secondary analysis using data from the "Encuesta de Salud y Bienestar del Adulto Mayor", a regional survey conducted in an extremely poor population of people older than 65 years old from 12 Peruvian cities in 2012. Read More

    Comparing clinician descriptions of frailty and geriatric syndromes using electronic health records: a retrospective cohort study.
    BMC Geriatr 2017 Oct 25;17(1):248. Epub 2017 Oct 25.
    Center for Population Health IT, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
    Background: Geriatric syndromes, including frailty, are common in older adults and associated with adverse outcomes. We compared patients described in clinical notes as "frail" to other older adults with respect to geriatric syndrome burden and healthcare utilization.

    Methods: We conducted a retrospective cohort study on 18,341 Medicare Advantage enrollees aged 65+ (members of a large nonprofit medical group in Massachusetts), analyzing up to three years of administrative claims and structured and unstructured electronic health record (EHR) data. Read More

    Absolute and relative reliability of acute effects of aerobic exercise on executive function in seniors.
    BMC Geriatr 2017 Oct 25;17(1):247. Epub 2017 Oct 25.
    Department of Sport, Exercise and Health, University of Basel, Birsstrasse 320B, 4052, Basel, Switzerland.
    Background: Aging is accompanied by a decline of executive function. Aerobic exercise training induces moderate improvements of cognitive domains (i.e. Read More

    A 95 year-old suffering circulatory arrest after accidental hypothermia: a case report.
    BMC Geriatr 2017 Oct 26;17(1):249. Epub 2017 Oct 26.
    Department of Cardiothoracic Anesthesiology and Intensive Care, St.Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
    Background: The elderly are vulnerable to cold and prone to accidental hypothermia, both because of environmental and endogenous factors. The incidence of severe accidental hypothermia among the elderly is poorly described, but many cases probably go unrecorded. Going through literature one finds few publications on severe hypothermia among the elderly, and, to our knowledge, nothing about extracorporeal re-warming of geriatric hypothermia victims. Read More

    Leading Comorbidity associated with 30-day post-anesthetic mortality in geriatric surgical patients in Taiwan: a retrospective study from the health insurance data.
    BMC Geriatr 2017 Oct 24;17(1):245. Epub 2017 Oct 24.
    Department of Anesthesiology, National Taiwan University Hospital, No 7 Chung-Shan South Road, Taipei, Taiwan, Republic of China.
    Background: Elderly patients with aged physical status and increased underlying disease suffered from more postoperative complication and mortality. We design this retrospective cohort study to investigate the relationship between existing comorbidity of elder patients and 30 day post-anesthetic mortality by using International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) from Health Insurance Database.

    Methods: Patients aged above 65 years old who received anesthesia between 2000 and 2010 were included from 1 million Longitudinal Health Insurance Database in (LHID) 2005 in Taiwan. Read More

    Factors associated to serum 25-hydroxyvitamin D levels among older adult populations in urban and suburban communities in Shanghai, China.
    BMC Geriatr 2017 Oct 24;17(1):246. Epub 2017 Oct 24.
    Research Center on Aging and Medicine, Fudan University, 221 West Yan An Road, Shanghai, 200040, China.
    Background: Vitamin D deficiency is widespread in China, particularly among older adults. Factors associated with suboptimal vitamin D levels are not well defined. The present study was a population-based study that included 10 urban and suburban communities in Shanghai, to evaluate vitamin D status and its correlates among older adults. Read More

    Antipsychotics and dementia in Canada: a retrospective cross-sectional study of four health sectors.
    BMC Geriatr 2017 Oct 23;17(1):244. Epub 2017 Oct 23.
    Winnipeg Regional Health Authority (WRHA) Home Care Program, Winnipeg, MB, Canada.
    Background: Antipsychotic medications are not recommended for the management of symptoms of dementia, particularly among persons with no behavioral or psychological symptoms. We examine patterns of antipsychotic medication use among persons with dementia across health sectors in Canada, with a focus on factors related to use among those without behavioral or psychotic symptoms.

    Methods: Using a retrospective cross-sectional design, this study examines antipsychotic use among adults aged 65 or older with dementia in home care (HC), complex continuing care (CCC), long-term care (LTC), and among alternate level care patients in acute hospitals (ALC). Read More

    Implementation and effects of Movement-oriented Restorative Care in a nursing home - a quasi-experimental study.
    BMC Geriatr 2017 Oct 23;17(1):243. Epub 2017 Oct 23.
    Zorggroep Solis, Postbus 5014, 7400 GC, Deventer, Netherlands.
    Background: The prevalence of dementia is expected to increase rapidly, and institutionalization is a common consequence of the disease. Dependence in activities of daily living (ADL) is a predictor for institutionalization and a determinant for the quality of life (QoL). A promising method to increase functional independence in nursing homes is a restorative care or function focused care (FFC) approach. Read More

    Effectiveness and safety of dipeptidyl peptidase 4 inhibitors in the management of type 2 diabetes in older adults: a systematic review and development of recommendations to reduce inappropriate prescribing.
    BMC Geriatr 2017 Oct 16;17(Suppl 1):226. Epub 2017 Oct 16.
    Institute of General Practice and Family Medicine, Witten/Herdecke University, Witten, Germany.
    Background: Preventable drug-related hospital admissions can be associated with drugs used in diabetes and the benefits of strict diabetes control may not outweigh the risks, especially in older populations. The aim of this study was to look for evidence on risks and benefits of DPP-4 inhibitors in older adults and to use this evidence to develop recommendations for the electronic decision support tool of the PRIMA-eDS project.

    Methods: Systematic review using a staged approach which searches for systematic reviews and meta-analyses first, then individual studies only if prior searches were inconclusive. Read More

    Effectiveness and safety of beta blockers in the management of hypertension in older adults: a systematic review to help reduce inappropriate prescribing.
    BMC Geriatr 2017 Oct 16;17(Suppl 1):224. Epub 2017 Oct 16.
    NIHR School for Primary Care Research, Manchester Academic Health Science Centre, Oxford Rd, Manchester, UK.
    Background: The benefit from a blood pressure lowering therapy with beta blockers may not outweigh its risks, especially in older populations. The aim of this study was to look for evidence on risks and benefits of beta blockers in older adults and to use this evidence to develop recommendations for the electronic decision support tool of the PRIMA-eDS project.

    Methods: Systematic review of the literature using a stage approach with searches for systematic reviews and meta-analyses first, and individual studies only if the previous searches are inconclusive. Read More

    Thiazides in the management of hypertension in older adults - a systematic review.
    BMC Geriatr 2017 Oct 16;17(Suppl 1):228. Epub 2017 Oct 16.
    Institute of General Practice and Family Medicine, University of Witten/Herdecke, Alfred-Herrhausen-Straße 50, 58448, Witten, Germany.
    Background: Thiazides are commonly prescribed to older people for the management of hypertension. The objective of this study was to identify the evidence on the risks and benefits of their use among adults aged ≥65 years and to develop recommendations to reduce potentially inappropriate use.

    Methods: Systematic review (SR) of the literature covering six databases. Read More

    Lifestyle factors are significantly associated with the locomotive syndrome: a cross-sectional study.
    BMC Geriatr 2017 Oct 18;17(1):241. Epub 2017 Oct 18.
    Department of Public Health, Health Management and Policy, Nara Medical University Faculty of Medicine, Shijo 840, Kashihara, Nara, Japan.
    Background: The Japanese Orthopedic Association first proposed the concept of "locomotive syndrome" in 2007. It refers to circumstances in which elderly people need nursing care services or are at high risk of requiring such services within a short time. Recently, the public health burden of providing nursing care for elderly individuals has increased. Read More

    Efficacy and safety of metformin in the management of type 2 diabetes mellitus in older adults: a systematic review for the development of recommendations to reduce potentially inappropriate prescribing.
    BMC Geriatr 2017 Oct 16;17(Suppl 1):227. Epub 2017 Oct 16.
    Institut für Allgemeinmedizin und Familienmedizin, UWH, Witten, Germany.
    Background: Metformin is usually prescribed as first line therapy for type 2 diabetes mellitus (DM2). However, the benefits and risks of metformin may be different for older people. This systematic review examined the available evidence on the safety and efficacy of metformin in the management of DM2 in older adults. Read More

    Effectiveness and patient safety of platelet aggregation inhibitors in the prevention of cardiovascular disease and ischemic stroke in older adults - a systematic review.
    BMC Geriatr 2017 Oct 16;17(Suppl 1):225. Epub 2017 Oct 16.
    Institute of General Practice and Family Medicine, Faculty of Health, University of Witten/Herdecke, Alfred-Herrhausen-Straße, Witten, Germany.
    Background: Platelet aggregation inhibitors (PAI) are among the most frequently prescribed drugs in older people, though evidence about risks and benefits of their use in older adults is scarce. The objectives of this systematic review are firstly to identify the risks and benefits of their use in the prevention and treatment of vascular events in older adults, and secondly to develop recommendations on discontinuing PAI in this population if risks outweigh benefits.

    Methods: Staged systematic review consisting of three searches. Read More

    Exploring the evidence base for how people with dementia and their informal carers manage their medication in the community: a mixed studies review.
    BMC Geriatr 2017 Oct 18;17(1):242. Epub 2017 Oct 18.
    School of Life and Health Sciences, Aston Research Centre for Healthy Ageing (ARCHA) and Pharmacy Department, Aston University, Birmingham, UK.
    Background: Little is known about the general medicines management issues for people with dementia living in the community. This review has three aims: firstly to explore and evaluate the international literature on how people with dementia manage medication; assess understanding of medicines management from an informal carers perspective; and lastly to understand the role that healthcare professionals play in assisting this population with medicines management.

    Methods: A mixed studies review was conducted. Read More

    A set of systematic reviews to help reduce inappropriate prescribing to older people: study protocol.
    BMC Geriatr 2017 Oct 16;17(Suppl 1):231. Epub 2017 Oct 16.
    Institute of General Practice and Family Medicine, Witten/Herdecke University, Witten, Germany.
    Background: Multimorbidity and polypharmacy are common in older people. Assessment tools or lists of criteria aimed at supporting prescription decisions for older people exist, but have often been based on expert opinion with insufficient consideration of the evidence available. The present paper describes the methods we are using to systematically review the existing evidence on the efficacy and safety of the most commonly prescribed drugs for older people in the management of their chronic medical conditions and to develop recommendations to reduce inappropriate prescriptions for incorporation into the Comprehensive Medication Review (CMR) tool developed by the PRIMA-eDS European project. Read More

    Early coordinated rehabilitation in acute phase after hip fracture - a model for increased patient participation.
    BMC Geriatr 2017 Oct 17;17(1):240. Epub 2017 Oct 17.
    Institute of Neuroscience and Physiology, The Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
    Background: Studies have shown that patients with hip fracture treated in a Comprehensive Geriatric Care (CGC) unit report better results in comparison to orthopaedic care. Furthermore, involving patients in their healthcare by encouraging patient participation can result in better quality of care and improved outcomes. To our knowledge no study has been performed comparing rehabilitation programmes within a CGC unit during the acute phase after hip fracture with focus on improving patients' perceived participation and subsequent effect on patients' function. Read More

    Vitamin D supplementation as a potential cause of U-shaped associations between vitamin D levels and negative health outcomes: a decision tree analysis for risk of frailty.
    BMC Geriatr 2017 Oct 16;17(1):236. Epub 2017 Oct 16.
    Veterans Affairs Pacific Islands Health Care System, Honolulu, Hawaii, USA.
    Background: A recent controversy in vitamin D research is a "U-shaped association", with elevated disease risks at both high and low 25-hydroxyvitamin D (25 (OH) D) levels.

    Methods: This is a cross-sectional study of 238 male nursing home veterans in Hawaii. Classification and regression tree (CART) analysis identified groups based on 25 (OH) D and vitamin D supplementation for frailty risk. Read More

    Feasibility of a multi-modal exercise program on cognition in older adults with Type 2 diabetes - a pilot randomised controlled trial.
    BMC Geriatr 2017 Oct 16;17(1):237. Epub 2017 Oct 16.
    Menzies Institute for Medical Research Tasmania, University of Tasmania, 17 Liverpool Street, Hobart, Tasmania, Australia.
    Background: Type 2 Diabetes (T2D) is associated with increased risk of dementia. We aimed to determine the feasibility of a randomised controlled trial (RCT) examining the efficacy of exercise on cognition and brain structure in people with T2D.

    Methods: A 6-month pilot parallel RCT of a progressive aerobic- and resistance-training program versus a gentle movement control group in people with T2D aged 50-75 years (n = 50) at the University of Tasmania, Australia. Read More

    Differences in handgrip strength protocols to identify sarcopenia and frailty - a systematic review.
    BMC Geriatr 2017 Oct 16;17(1):238. Epub 2017 Oct 16.
    Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Rua Dr. Roberto Frias, 4200-465, Porto, Portugal.
    Background: Hand grip strength (HGS) is used for the diagnosis of sarcopenia and frailty. Several factors have been shown to influence HGS values during measurement. Therefore, variations in the protocols used to assess HGS, as part of the diagnosis of sarcopenia and frailty, may lead to the identification of different individuals with low HGS, introducing bias. Read More

    Low plasma tryptophan is associated with olfactory function in healthy elderly community dwellers in Japan.
    BMC Geriatr 2017 Oct 16;17(1):239. Epub 2017 Oct 16.
    University of Human Arts and Sciences, Saitama, Saitama-shi, Japan.
    Background: Decreased circulating tryptophan (Trp) levels are frequently observed in elderly patients with neurodegenerative disease including Alzheimer's disease. Trp may serve as a potential biomarker for monitoring disease risk in elderly people. We aimed to investigate the association between low plasma Trp levels and olfactory function, which is known to predict age-related diseases including dementia in elderly people. Read More

    Patient-centered professional practice models for managing low back pain in older adults: a pilot randomized controlled trial.
    BMC Geriatr 2017 Oct 13;17(1):235. Epub 2017 Oct 13.
    Department of Epidemiology, College of Public Health, The University of Iowa, Iowa City, IA, USA.
    Background: Low back pain is a debilitating condition for older adults, who may seek healthcare from multiple providers. Few studies have evaluated impacts of different healthcare delivery models on back pain outcomes in this population. The purpose of this study was to compare clinical outcomes of older adults receiving back pain treatment under 3 professional practice models that included primary medical care with or without chiropractic care. Read More

    Association between traditional cardiovascular risk factors and mortality in the oldest old: untangling the role of frailty.
    BMC Geriatr 2017 Oct 12;17(1):234. Epub 2017 Oct 12.
    Department of Public Health and Primary Care, Universiteit Leuven (KU Leuven), Leuven, Belgium.
    Background: To date, there is no consensus regarding cardiovascular risk management in the very old. Studies have shown that the relationship between traditional cardiovascular risk factors and mortality is null or even inverted within this age group. This relationship could be modified by the presence of frailty. Read More

    Subjective health expectations of patients with age-related macular degeneration treated with antiVEGF drugs.
    BMC Geriatr 2017 Oct 10;17(1):233. Epub 2017 Oct 10.
    Department of Ophthalmology, Semmelweis University Budapest, Mária u. 39, Budapest, 1085, Hungary.
    Background: Subjective expectations regarding future health may influence patients' judgement of current health and treatment effects, as well as adherence to therapies in chronic diseases. We aimed to explore subjective expectations on longevity and future health-related quality of life (HRQOL) of patients with age-related macular degeneration (AMD) treated with antiVEGF injections and analyse the influencing factors.

    Methods: Consecutive AMD patients in two ophthalmology centres were included. Read More

    Vitamin D deficiency was common among nursing home residents and associated with dementia: a cross sectional study of 545 Swedish nursing home residents.
    BMC Geriatr 2017 Oct 10;17(1):229. Epub 2017 Oct 10.
    Närhälsan, Research and Development Primary Health Care, Region Västra Götaland, Research and Development Center Södra Älvsborg Sweden, Sven Eriksonsplatsen 4, SE-503 38, Borås, Sweden.
    Background: Residents of nursing homes may have low 25-hydroxyvitamin D (25OHD) concentrations. Associations between vitamin D and cognitive performance, dementia and susceptibility to infections are not clearly established. The aim of this study was to investigate the prevalence of vitamin D deficiency and to identify associated factors among residents of nursing homes for elderly. Read More

    Positive and negative outcomes of informal caregiving at home and in institutionalised long-term care: a cross-sectional study.
    BMC Geriatr 2017 Oct 10;17(1):232. Epub 2017 Oct 10.
    Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, 6200 MD, Maastricht, Netherlands.
    Background: Our ageing society is putting tremendous strain on public health and welfare programs to meet the needs of ageing individuals. Promoting informal caregiving is one way for policymakers to reduce this burden. However, caregiving may be experienced as stressful and is associated with adverse health consequences. Read More

    What is polypharmacy? A systematic review of definitions.
    BMC Geriatr 2017 Oct 10;17(1):230. Epub 2017 Oct 10.
    Quality Use of Medicines and Pharmacy Research Centre, School of Pharmacy and Medical Sciences, University of South Australia, Frome Road, Adelaide, South Australia, Australia.
    Background: Multimorbidity and the associated use of multiple medicines (polypharmacy), is common in the older population. Despite this, there is no consensus definition for polypharmacy. A systematic review was conducted to identify and summarise polypharmacy definitions in existing literature. Read More

    Dying comfortably in very old age with or without dementia in different care settings - a representative "older old" population study.
    BMC Geriatr 2017 Oct 5;17(1):222. Epub 2017 Oct 5.
    Cambridge Institute of Public Health, University of Cambridge, Forvie Site, Robinson Way, Cambridge, CB2 0SR, UK.
    Background: Comfort is frequently ranked important for a good death. Although rising numbers of people are dying in very old age, many with dementia, little is known about symptom control for "older old" people or whether care in different settings enables them to die comfortably. This study aims to examine, in a population-representative sample, associations between factors potentially related to reported comfort during very old people's final illness: physical and cognitive disability, place of care and transitions in their final illness, and place of death. Read More

    The rehabilitation enhancing aging through connected health (REACH) study: study protocol for a quasi-experimental clinical trial.
    BMC Geriatr 2017 Sep 20;17(1):221. Epub 2017 Sep 20.
    Spaulding Rehabilitation Hospital, Boston, MA, USA.
    Background: Mobility limitations among older adults increase the risk for disability and healthcare utilization. Rehabilitative care is identified as the most efficacious treatment for maintaining physical function. However, there is insufficient evidence identifying a healthcare model that targets prevention of mobility decline among older adults. Read More

    Potentially inappropriate medication use in nursing homes: an observational study using the NORGEP-NH criteria.
    BMC Geriatr 2017 Sep 19;17(1):220. Epub 2017 Sep 19.
    Department of General Practice/Family Medicine, HELSAM, Institute of Health and Society, University of Oslo, P.o. Box 1130 Blindern, 0318, Oslo, Norway.
    Background: Frail residents in the nursing home sector call for extra care in prescribing. The Norwegian General Practice Nursing Home (NORGEP-NH) list of 34 explicit criteria for potentially inappropriate medication use in nursing homes was developed explicitly for this population. The aim of this study was to employ the NORGEP-NH Criteria to study the extent of potentially inappropriate medication use among nursing home residents and explore possible associated factors. Read More

    Dementia and cognitive disorder identified at a forensic psychiatric examination - a study from Sweden.
    BMC Geriatr 2017 Sep 18;17(1):219. Epub 2017 Sep 18.
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Background: Few studies have addressed the relationship between dementia and crime. We conducted a study of persons who got a primary or secondary diagnosis of dementia or cognitive disorder in a forensic psychiatric examination.

    Methods: In Sweden, annually about 500 forensic psychiatric examinations are carried out. Read More

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