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Device‐Measured Physical Activity As a Predictor of Disability in Mobility‐Limited Older Adults 下载免费PDF全文
Robert T. Mankowski PhD Stephen D. Anton PhD Robert Axtell PhD Shyh‐Huei Chen PhD Roger A. Fielding PhD Nancy W. Glynn PhD Fang‐Chi Hsu PhD Abby C. King PhD Andrew S. Layne MSc Christiaan Leeuwenburgh PhD Todd M. Manini PhD Anthony P. Marsh PhD Marco Pahor MD Catrine Tudor‐Locke PhD David E. Conroy PhD Thomas W. Buford PhD LIFE Research Group 《Journal of the American Geriatrics Society》2017,65(10):2251-2256
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Matthieu Plichart MD MPH Pascale Barberger‐Gateau MD PhD Christophe Tzourio MD PhD Philippe Amouyel MD PhD Karine Pérès PhD Karen Ritchie PhD Xavier Jouven MD PhD Pierre Ducimetière PhD Jean‐Philippe Empana MD PhD 《Journal of the American Geriatrics Society》2010,58(4):636-642
OBJECTIVES: To prospectively assess the association between disability and incident fatal and nonfatal coronary heart disease (CHD) in older adults free of cardiovascular disease (CVD). DESIGN: A French multicenter prospective population‐based cohort of 9,294 subjects, aged 65 and older at baseline, recruited between 1999 and 2001 and followed for 6 years. SETTING: Three cities in France: Bordeaux in the southwest, Dijon in the northeast, and Montpellier in the southeast. PARTICIPANTS: Seven thousand three hundred fifty‐four participants with no history of CVD and with available information on disability status. Subjects were categorized at baseline as having no disability, mild disability (mobility only), and moderate or severe disability (mobility plus activities of daily living or instrumental activities of daily living). MEASUREMENTS: Incident fatal and nonfatal coronary events (angina pectoris, myocardial infarction, revascularization procedures, and CHD death). RESULTS: At baseline, the mean level of the risk factors increased gradually with the severity of disability. After a median follow‐up of 5.2 years, 264 first coronary events, including 55 fatal events, occurred. After adjustment for cardiovascular risk factors, participants with moderate or severe disability had a 1.7 times (95% confidence interval (CI)=1.0–2.7) greater risk of overall CHD than nondisabled subjects, whereas those with mild disability were not at greater CHD risk. An association was also found with fatal CHD, for which the risk increased gradually with the severity of disability (hazard ratio (HR)mild disability=1.7, 95% CI=0.8–3.6; HRmoderate/severe disability=3.5, 95% CI=1.3–9.3; P for trend=.01). CONCLUSION: In older community‐dwelling adults, the association between disability and incident CHD is mostly due to an association with fatal CHD. 相似文献
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Prevalence of Frailty in Older Community‐Dwelling Tanzanians According to Comprehensive Geriatric Assessment 下载免费PDF全文
Emma G. Lewis MBBS MRes Greta Wood MRes Kate Howorth MBBS Bhavini Shah MBBS Louise Mulligan MBBS John Kissima MSc Catherine Dotchin MD William Gray PhD Sarah Urasa MBBS Richard Walker MD 《Journal of the American Geriatrics Society》2018,66(8):1484-1490
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Traditional Chinese Medicine Use and Health in Community‐Dwelling Chinese‐American Older Adults in Chicago 下载免费PDF全文
XinQi Dong MD MPH Stephanie M. Bergren BA E‐Shien Chang MA 《Journal of the American Geriatrics Society》2015,63(12):2588-2595
Chinese people have practiced traditional Chinese medicine (TCM) for thousands of years, but there is a paucity of research regarding TCM use in Chinese older adult immigrants in the United States. This study aims to provide an overall estimate of TCM use for Chinese older adults in the United States and to examine associations between sociodemographic characteristics, health measures, and TCM use. Data were collected through the Population Study of Chinese Elderly in Chicago, a community‐based participant research study that surveyed 3,158 Chinese older adults aged 60 and older. TCM use was measured using an eight‐item scale that examined eight kinds of TCM. Seventy‐six percent of participants reported any use of TCM within the past year. After adjusting for potential confounding factors, health status was associated with greater use of acupuncture (odds ratio (OR) = 1.33, 95% confidence interval (CI) = 1.06–1.68) and massage therapy (OR = 1.53, 95% CI = 1.21–1.93), and quality of life was associated with less use of prescribed herbal products (OR 0.69, 95% CI = 0.55–0.87), tai chi (OR = 0.62, 95% CI = 0.50–0.78), and other traditional medicine (OR = 0.47, 95% CI = 0.40–0.56). These findings call for further investigation of TCM use by Chinese older adults, especially those with poor health and those with better quality of life. In the clinical setting, physicians should have awareness of TCM when treating Chinese older adults and look toward possible integration with Western medicine for more culturally appropriate, patient‐centered care. 相似文献
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Kathryn L. Burgio PhD Theodore M. Johnson II MD MPH Patricia S. Goode MD Alayne D. Markland DO MSc Holly E. Richter PhD MD David L. Roth PhD Patricia Sawyer PhD Richard M. Allman MD 《Journal of the American Geriatrics Society》2010,58(5):861-866
OBJECTIVES: To determine the prevalence and correlates of nocturia in community‐dwelling older adults. DESIGN: Planned secondary analysis of cross‐sectional data from the University of Alabama at Birmingham Study of Aging population‐based survey. SETTING: Participants' homes. PARTICIPANTS: One thousand older adults (aged 65–106) recruited from Medicare beneficiary lists between 1999 and 2001. The sample was selected to include 25% each African‐American women, African‐American men, white women, and white men. MEASUREMENTS: In‐person interviews included sociodemographic information, medical history, Mini‐Mental State Examination (MMSE) score, and measurement of body mass index (BMI). Nocturia was defined in the main analyses as rising two or more times per night to void. RESULTS: Nocturia was more common in men than women (63.2% vs 53.8%, odds ratio (OR)=1.48, 95% confidence interval (CI)=1.15–1.91, P=.003) and more common in African Americans than whites (66.3% vs 50.9%, OR=1.89, 95% CI=1.46–2.45, P<.001). In multiple backward elimination regression analysis in men, nocturia was significantly associated with African‐American race (OR=1.54) and BMI (OR=1.22 per 5 kg/m2). Higher MMSE score was protective (OR=0.96). In women, nocturia was associated with older age (OR=1.21 per 5 years), African‐American race (OR=1.64), history of any urine leakage (OR=2.17), swelling in feet and legs (OR=1.67), and hypertension (OR=1.62). Higher education was protective (OR=0.92). CONCLUSION: Nocturia in community‐dwelling older adults is a common symptom associated with male sex, African‐American race, and some medical conditions. Given the significant morbidity associated with nocturia, any evaluation of lower urinary tract symptoms should include assessment for the presence of nocturia. 相似文献
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Minoru Yamada PT PhD Buichi Tanaka PT Koutatsu Nagai PT Tomoki Aoyama MD PhD Noriaki Ichihashi PT PhD 《Journal of the American Geriatrics Society》2010,58(10):1946-1951
OBJECTIVES: To evaluate the effects of a trail‐walking exercise (TWE) program on the rate of falls in community‐dwelling older adults. DESIGN: Pilot randomized controlled trial (RCT). SETTING: This trial was conducted in Japan and involved community‐dwelling older adults as participants. PARTICIPANTS: Sixty participants randomized into a TWE group (n=30) and a walking (W) group (n=30). INTERVENTION: Exercise class combined with multicomponent trail walking program, versus exercise class combined with simple indoor walking program. MEASUREMENT: Measurement was based on the difference in fall rates between the TWE and W groups. RESULTS: Six months after the intervention, the incidence rate ratio (IRR) of falls for the TWE group compared with the W group was 0.20 (95% confidence interval (CI)=0.04–0.91); 12 months after the intervention, the IRR of falls for the TWE group compared with the W group was 0.45 (95% CI=0.16–1.77). CONCLUSION: The results of this pilot RCT suggest that the TWE program was more effective in improving locomotion and cognitive performance under trail‐walking task conditions than walking. In addition, participants who took part in the TWE demonstrated a decrease in the incidence rate of falls 6 months after trial completion. Further confirmation is needed, but this preliminary result may promote a new understanding of accidental falls in older adults. 相似文献
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Self‐Reported Hearing Impairment and Incident Frailty in English Community‐Dwelling Older Adults: A 4‐Year Follow‐Up Study 下载免费PDF全文
Ann E. M. Liljas MPH Livia A. Carvalho PhD Efstathios Papachristou PhD Cesar De Oliveira PhD S. Goya Wannamethee PhD Sheena E. Ramsay PhD Kate Walters PhD 《Journal of the American Geriatrics Society》2017,65(5):958-965
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One‐Year Change in the Japanese Version of the Montreal Cognitive Assessment Performance and Related Predictors in Community‐Dwelling Older Adults 下载免费PDF全文
Hiroyuki Suzuki PhD Hisashi Kawai PhD Hirohiko Hirano DDS PhD Hideyo Yoshida MD PhD Kazushige Ihara MD PhD Hunkyung Kim PhD Paulo H. M. Chaves MD PhD Ushio Minami CP MA Masashi Yasunaga PhD Shuichi Obuchi PT PhD Yoshinori Fujiwara MD PhD 《Journal of the American Geriatrics Society》2015,63(9):1874-1879
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Protein Intake and Mobility Limitation in Community‐Dwelling Older Adults: the Health ABC Study 下载免费PDF全文
Denise K. Houston PhD Janet A. Tooze PhD Katelyn Garcia MS Marjolein Visser PhD Susan Rubin MPH Tamara B. Harris MD MS Anne B. Newman MD MPH Stephen B. Kritchevsky PhD the Health ABC Study 《Journal of the American Geriatrics Society》2017,65(8):1705-1711
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Ariana L. Smith MD Pin‐Chieh Wang PhD Jennifer T. Anger MD MPH Carol M. Mangione MD MSPH Laura Trejo Larissa V. Rodríguez MD Catherine A. Sarkisian MD MSPH 《Journal of the American Geriatrics Society》2010,58(6):1170-1176
The prevalence of urinary incontinence (UI) has varied in the literature and is reflective of the definition and sampling methodologies used, as well as the age, ethnicity, and sex being studied. The aim of the current study was to measure the prevalence and correlates of UI in a sample of 572 older Latinos participating in Caminemos, a trial of a behavioral intervention to increase walking. Participants completed an in‐person survey and physical performance measures. UI was measured using the International Consultation on Incontinence item: “How often do you leak urine?” Potential correlates of UI included sociodemographic variables, body mass index, smoking, physical activity, medical comorbidity, physical performance, activity of daily living (ADL) impairment, use of assistive ambulatory devices, health‐related quality of life (HRQoL), and depressive symptoms. The prevalence of UI in this sample was 26.9%. Women were more likely to report UI, as were those who were less physically active; used assistive ambulatory devices; and had depressive symptoms, greater medical comorbidity, worse physical performance, greater ADL impairment, worse cognitive function, and lower HRQoL. Multivariate logistic regression revealed that medical comorbidity was independently associated with higher rates of UI (odds ratio (OR)=1.66, 95% confidence interval (CI)=1.30–2.12), whereas better cognitive function (OR=0.73, 95% CI=0.57–0.93) and higher weighted physical activity scores (OR=0.77, 95% CI=0.60–0.98) were independently associated with lower rates of UI. UI is highly prevalent but not ubiquitous among community‐residing older Latinos, suggesting that UI is not an inevitable consequence of aging. Future studies should examine whether interventions that decrease comorbidity and cognitive decline and increase physical activity improve continence status. 相似文献
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An Occupational Therapy Fall Reduction Home Visit Program for Community‐Dwelling Older Adults in Hong Kong After an Emergency Department Visit for a Fall 下载免费PDF全文
Mary Man‐Lai Chu MBA ROT Kenneth Nai‐Kuen Fong PhD ROT Albert Chau‐Hung Lit MBBS MHA Timothy Hudson Rainer MD Stella Wai‐Chee Cheng MPH ROT Frederick Lap‐Yan Au MSc ROT Henry Kwok‐Kwong Fung PDOT ROT Chit‐Ming Wong PhD Hon‐Kuan Tong MBBS 《Journal of the American Geriatrics Society》2017,65(2):364-372