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Soltani SN, Kannaley K, Tang W, Gibson A, Olscamp K, Friedman DB, Khan S, Houston J, Wilcox S, Levkoff SE, Hunter RH. Evaluating Community-Academic Partnerships of the South Carolina Healthy Brain Research Network. Health Promot Pract 2017; 18:607-614. [PMID: 28363264 PMCID: PMC6207947 DOI: 10.1177/1524839917700086] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Community-academic partnerships have a long history of support from public health researchers and practitioners as an effective way to advance research and solutions to issues that are of concern to communities and their citizens. Data on the development and evaluation of partnerships focused on healthy aging and cognitive health were limited. The purpose of this article is to examine how community partners view the benefits and barriers of a community-academic partner group established to support activities of the South Carolina Healthy Brain Research Network (SC-HBRN). The SC-HBRN is part of the national Healthy Brain Research Network, a thematic research network funded by the Centers for Disease Control and Prevention (CDC). It is focused on improving the scientific and research translation agenda on cognitive health and healthy aging. Semistructured interviews, conducted at end of Year 2 of the 5-year partnership, were used to collect data from partners of the SC-HBRN. Reported benefits of the partnership were information sharing and networking, reaching a broader audience, and humanizing research. When asked to describe what they perceived as barriers to the collaborative, partners described some lack of clarity regarding goals of the network and opportunities to contribute to the partnership. Study results can guide and strengthen other public health-focused partnerships.
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Affiliation(s)
| | | | - Weizhou Tang
- 1 University of South Carolina, Columbia, SC, USA
| | | | - Kate Olscamp
- 1 University of South Carolina, Columbia, SC, USA
| | | | - Samira Khan
- 1 University of South Carolina, Columbia, SC, USA
| | | | - Sara Wilcox
- 1 University of South Carolina, Columbia, SC, USA
| | | | - Rebecca H Hunter
- 2 University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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602
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Manach C, Milenkovic D, Van de Wiele T, Rodriguez‐Mateos A, de Roos B, Garcia‐Conesa MT, Landberg R, Gibney ER, Heinonen M, Tomás‐Barberán F, Morand C. Addressing the inter-individual variation in response to consumption of plant food bioactives: Towards a better understanding of their role in healthy aging and cardiometabolic risk reduction. Mol Nutr Food Res 2017; 61:1600557. [PMID: 27687784 PMCID: PMC5484307 DOI: 10.1002/mnfr.201600557] [Citation(s) in RCA: 137] [Impact Index Per Article: 19.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2016] [Revised: 09/08/2016] [Accepted: 09/13/2016] [Indexed: 12/21/2022]
Abstract
Bioactive compounds in plant-based foods have health properties that contribute to the prevention of age-related chronic diseases, particularly cardiometabolic disorders. Conclusive proof and understanding of these benefits in humans is essential in order to provide effective dietary recommendations but, so far, the evidence obtained from human intervention trials is limited and contradictory. This is partly due to differences between individuals in the absorption, distribution, metabolism and excretion of bioactive compounds, as well as to heterogeneity in their biological response regarding cardiometabolic health outcomes. Identifying the main factors underlying inter-individual differences, as well as developing new and innovative methodologies to account for such variability constitute an overarching goal to ultimately optimize the beneficial health effects of plant food bioactives for each and every one of us. In this respect, this position paper from the COST Action FA1403-POSITIVe examines the main factors likely to affect the individual responses to consumption of plant food bioactives and presents perspectives for assessment and consideration of inter-individual variability.
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Affiliation(s)
- Claudine Manach
- INRA, UMR 1019, UNH, CRNH Auvergne, F‐63000 Clermont‐Ferrand; Clermont UniversitéUniversité d'AuvergneUnité de Nutrition HumaineBP 10448F‐63000Clermont‐FerrandFrance
| | - Dragan Milenkovic
- INRA, UMR 1019, UNH, CRNH Auvergne, F‐63000 Clermont‐Ferrand; Clermont UniversitéUniversité d'AuvergneUnité de Nutrition HumaineBP 10448F‐63000Clermont‐FerrandFrance
| | - Tom Van de Wiele
- Center for Microbial Ecology and Technology (CMET)Ghent UniversityGhentBelgium
| | - Ana Rodriguez‐Mateos
- Division of Cardiology, Pulmonology and Vascular MedicineMedical FacultyUniversity of DüsseldorfGermany
| | - Baukje de Roos
- Rowett Institute of Nutrition and HealthUniversity of AberdeenAberdeenUK
| | - Maria Teresa Garcia‐Conesa
- Research Group on Quality, Safety and Bioactivity of Plant FoodsCEBAS‐CSICCampus de EspinardoMurciaSpain
| | - Rikard Landberg
- Department of Food ScienceSwedish University of Agricultural SciencesUppsalaSweden
- Nutritional Epidemiology UnitInstitute of Environmental MedicineKarolinska InstitutetSolnaSweden
| | - Eileen R. Gibney
- UCD Institute of Food and HealthUniversity College DublinDublinRepublic of Ireland
| | - Marina Heinonen
- Department of Food and Environmental SciencesFood ChemistryUniversity of HelsinkiFinland
| | - Francisco Tomás‐Barberán
- Research Group on Quality, Safety and Bioactivity of Plant FoodsCEBAS‐CSICCampus de EspinardoMurciaSpain
| | - Christine Morand
- INRA, UMR 1019, UNH, CRNH Auvergne, F‐63000 Clermont‐Ferrand; Clermont UniversitéUniversité d'AuvergneUnité de Nutrition HumaineBP 10448F‐63000Clermont‐FerrandFrance
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603
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Bonnewyn A, Shah A, Bruffaerts R, Demyttenaere K. Factors determining the balance between the wish to die and the wish to live in older adults. Int J Geriatr Psychiatry 2017; 32:685-691. [PMID: 27237707 DOI: 10.1002/gps.4511] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Revised: 04/16/2016] [Accepted: 04/22/2016] [Indexed: 01/18/2023]
Abstract
BACKGROUND The "Internal Struggle Hypothesis" (Kovacs and Beck, ) suggests that suicidal persons may have both a wish to live (WTL) and a wish to die (WTD). The current study investigates whether the three-group typology - "WTL", "ambivalent (AMB)", and "WTD" - is determined by common correlates of suicidality and whether these groups can be ordinally ranked. METHODS The sample comprised 113 older inpatients. Discriminant analysis was used to create two functions (combining social, psychiatric, psychological, and somatic variables) to predict the assignment of older inpatients into the groups WTL, AMB, and WTD. RESULTS The functions "Subjective Well-being" and "Social Support" allowed us to assign patients into these three distinct groups with good accuracy (66.1%). "Subjective Well-being" contrasted the groups WTD and WTL and "Social Support" discriminated between the groups WTD and AMB. "Social Support" was highest in the AMB group. CONCLUSIONS Our results suggest a simultaneous presence of a WTL and a WTD in older inpatients, and also that the balance between them is determined by "Subjective Well-being" and "Social Support". Unexpectedly, the AMB group showed the highest scores on "Social Support". We hypothesize that higher social support might function as an important determinant of a remaining WTL when a WTD is present because of a lower sense of well-being. The study suggests that the groups WTL-AMB-WTD can not situated on a one-dimensional continuum. Copyright © 2016 John Wiley & Sons, Ltd.
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Affiliation(s)
- Anke Bonnewyn
- University Psychiatric Centre (UPC-KUL), University of Leuven, Leuven, Belgium
| | - Ajit Shah
- University of Central Lancashire, Preston, UK
| | - Ronny Bruffaerts
- University Psychiatric Centre (UPC-KUL), University of Leuven, Leuven, Belgium
| | - Koen Demyttenaere
- University Psychiatric Centre (UPC-KUL), University of Leuven, Leuven, Belgium
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604
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Serra-Prat M, Sist X, Domenich R, Jurado L, Saiz A, Roces A, Palomera E, Tarradelles M, Papiol M. Effectiveness of an intervention to prevent frailty in pre-frail community-dwelling older people consulting in primary care: a randomised controlled trial. Age Ageing 2017; 46:401-407. [PMID: 28064172 DOI: 10.1093/ageing/afw242] [Citation(s) in RCA: 61] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Abstract
Background evidence on the effectiveness of interventions to prevent frailty is scarce. Objective to assess the effect of an intervention in preventing frailty progression in pre-frail older people. Study design a randomised, open label, controlled trial with two parallel arms. Population community-dwelling pre-frail older people (≥70 years) consulting in primary care. Intervention nutritional assessment (and derivation to a Nutritional Unit for usual care in the event of nutritional risk) and a physical activity programme including aerobic exercise and a set of mixed strengthening, balance and coordination exercises. Control group patients receiving the usual care. Main outcome measure prevalence of frailty (Fried criteria) at 12 months. Secondary outcomes measures functional capacity (Barthel index), falls and nutritional status (Short-Form Mini Nutritional Assessment) on follow-up at 12 months. Results one hundred and seventy-two participants were recruited and randomised (mean age: 78.3 years; mean number of Fried criteria: 1.45). Thirty-nine participants (22.6%) were dropped out during the study. At follow-up, 4.9% of the intervention group and 15.3% of the control group had evolved to frailty, for a crude odds ratio (OR) of 0.29 (95% confidence interval [CI]: 0.08-1.08; P = 0.052) and an adjusted (by age, gender and number of co-morbidities) OR of 0.19 (95% CI: 0.04-0.95; P = 0.044). Intervention group showed a higher outdoors walking hour per day (0.97 versus 0.73; P = 0.019) but no difference was observed in muscle strength, gait speed or other functional indicators. Conclusion an intervention focused on physical exercise and maintaining good nutritional status may be effective in preventing frailty in community-dwelling pre-frail older individuals. ClinicalTrials.gov identifier NCT02138968.
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Affiliation(s)
- M Serra-Prat
- Research Unit, Consorci Sanitari del Maresme, Mataró, Barcelona, Spain
- Centro de Investiación Biomédica en Red de EnfermedadesHepáticas y Digestivas (CIBEREHD), ISCIII, Madrid, Spain
| | - X Sist
- Research Unit, Consorci Sanitari del Maresme, Mataró,Barcelona, Spain
| | - R Domenich
- ABS Mataró Centre, Consorci Sanitari del Maresme, Mataró,Barcelona, Spain
| | - L Jurado
- ABS Cirera-Molins, Consorci Sanitari del Maresme, Mataró, Barcelona, Spain
| | - A Saiz
- ABS Mataró Centre, Consorci Sanitari del Maresme, Mataró,Barcelona, Spain
| | - A Roces
- ABS Cirera-Molins, Consorci Sanitari del Maresme, Mataró, Barcelona, Spain
| | - E Palomera
- Research Unit, Consorci Sanitari del Maresme, Mataró,Barcelona, Spain
| | - M Tarradelles
- Research Unit, Consorci Sanitari del Maresme, Mataró,Barcelona, Spain
| | - M Papiol
- ABS Argentona, Consorci Sanitari del Maresme, Mataró, Barcelona, Spain
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605
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Ku PW, Steptoe A, Chen YH, Chen LJ, Lin CH. Prospective association between late-life physical activity and hospital care utilisation: a 7-year nationwide follow-up study. Age Ageing 2017; 46:452-459. [PMID: 27852596 DOI: 10.1093/ageing/afw202] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2016] [Accepted: 10/03/2016] [Indexed: 11/12/2022] Open
Abstract
Background it is still equivocal whether there is a potential role of late-life physical activity in ameliorating the challenges of increasing healthcare expenditure due to the consequence of global population ageing. Objective this study aimed to examine the prospective association between physical activity and subsequent hospital care utilisation in older adults and to explore the optimal dose of physical activity required to reduce hospital care utilisation. Design this was a prospective cohort study based on the data from the Taiwan 2005 National Health Interview Survey, which were linked to the 2005-12 claims data from the National Health Insurance system. Participants 1,760 older adults aged 65 or more. Methods the frequency, duration and intensity for physical activity were assessed, and total physical activity energy expenditure was estimated. The average annualised hospital care utilisation for the period 2006 through 2012, including number of hospitalisations, number of days in hospital and the costs of hospitalisation, were calculated. Results older adults engaging in at least moderate volume of physical activity (≥1,000 kcal/week) experienced fewer subsequent hospital admissions and fewer days in hospital than did sedentary individuals, after adjusting for covariates. Trends for reduced hospitalisation costs were also found. These associations persisted in sensitivity analyses, including tests of reverse causation. Conclusion this study has provided evidence that older adults who are at least moderately active may minimise utilisation of hospital care services. The findings highlight the importance of maintaining a physically active lifestyle in later life.
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Affiliation(s)
- Po-Wen Ku
- Graduate Institute of Sports and Health, National Changhua University of Education, Taiwan
| | - Andrew Steptoe
- Department of Epidemiology and Public Health, University College London, UK
| | - Yi-Huei Chen
- Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan
| | - Li-Jung Chen
- Department of Epidemiology and Public Health, University College London, UK
- Department of Exercise Health Science, National Taiwan University of Sport, Taichung, Taiwan
| | - Ching-Heng Lin
- Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan
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606
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Shao A, Drewnowski A, Willcox DC, Krämer L, Lausted C, Eggersdorfer M, Mathers J, Bell JD, Randolph RK, Witkamp R, Griffiths JC. Optimal nutrition and the ever-changing dietary landscape: a conference report. Eur J Nutr 2017; 56:1-21. [PMID: 28474121 PMCID: PMC5442251 DOI: 10.1007/s00394-017-1460-9] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
The field of nutrition has evolved rapidly over the past century. Nutrition scientists and policy makers in the developed world have shifted the focus of their efforts from dealing with diseases of overt nutrient deficiency to a new paradigm aimed at coping with conditions of excess-calories, sedentary lifestyles and stress. Advances in nutrition science, technology and manufacturing have largely eradicated nutrient deficiency diseases, while simultaneously facing the growing challenges of obesity, non-communicable diseases and aging. Nutrition research has gone through a necessary evolution, starting with a reductionist approach, driven by an ambition to understand the mechanisms responsible for the effects of individual nutrients at the cellular and molecular levels. This approach has appropriately expanded in recent years to become more holistic with the aim of understanding the role of nutrition in the broader context of dietary patterns. Ultimately, this approach will culminate in a full understanding of the dietary landscape-a web of interactions between nutritional, dietary, social, behavioral and environmental factors-and how it impacts health maintenance and promotion.
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Affiliation(s)
- A Shao
- Herbalife Nutrition, Los Angeles, CA, USA
| | | | - D C Willcox
- Okinawa International University, Ginowan, Japan
| | - L Krämer
- Technische Universität Braunschweig, Brunswick, Germany
| | - C Lausted
- Institute for Systems Biology, Seattle, WA, USA
| | | | - J Mathers
- Newcastle University, Newcastle upon Tyne, UK
| | - J D Bell
- University of Westminster, London, UK
| | | | - R Witkamp
- Wageningen University, Wageningen, The Netherlands
| | - J C Griffiths
- Council for Responsible Nutrition-International, Washington, DC, USA.
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607
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Affiliation(s)
- Olga Theou
- Division of Geriatric Medicine, Dalhousie University, Halifax, Nova Scotia, B3H2E1, Canada
| | - Kenneth Rockwood
- Division of Geriatric Medicine, Dalhousie University, Halifax, Nova Scotia, B3H2E1, Canada.
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608
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Helbostad JL, Vereijken B, Becker C, Todd C, Taraldsen K, Pijnappels M, Aminian K, Mellone S. Mobile Health Applications to Promote Active and Healthy Ageing. Sensors (Basel) 2017; 17:s17030622. [PMID: 28335475 PMCID: PMC5375908 DOI: 10.3390/s17030622] [Citation(s) in RCA: 112] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/03/2016] [Revised: 03/14/2017] [Accepted: 03/15/2017] [Indexed: 11/16/2022]
Abstract
The European population is ageing, and there is a need for health solutions that keep older adults independent longer. With increasing access to mobile technology, such as smartphones and smartwatches, the development and use of mobile health applications is rapidly growing. To meet the societal challenge of changing demography, mobile health solutions are warranted that support older adults to stay healthy and active and that can prevent or delay functional decline. This paper reviews the literature on mobile technology, in particular wearable technology, such as smartphones, smartwatches, and wristbands, presenting new ideas on how this technology can be used to encourage an active lifestyle, and discusses the way forward in order further to advance development and practice in the field of mobile technology for active, healthy ageing.
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Affiliation(s)
- Jorunn L Helbostad
- Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, 7491 Trondheim, Norway.
| | - Beatrix Vereijken
- Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, 7491 Trondheim, Norway.
| | - Clemens Becker
- Robert Bosch Foundation for Medical Research, 70184 Stuttgart, Germany.
| | - Chris Todd
- School of Health Sciences, University of Manchester, and South Manchester University Hospital NHS Trust, and Manchester Academic Health Sciences Centre, Manchester M13 9PL, UK.
| | - Kristin Taraldsen
- Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, 7491 Trondheim, Norway.
| | - Mirjam Pijnappels
- Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, 1081BT Amsterdam, The Netherlands.
| | - Kamiar Aminian
- Laboratory of Movement Analysis and Measurement, Ecole Polytechnique Federale de Lausanne, 1015 Lausanne, Switzerland.
| | - Sabato Mellone
- Department of Electrical, Electronic and Information Engineering, University of Bologna, 40126 Bologna, Italy.
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609
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Cespedes MI, Fripp J, McGree JM, Drovandi CC, Mengersen K, Doecke JD. Comparisons of neurodegeneration over time between healthy ageing and Alzheimer's disease cohorts via Bayesian inference. BMJ Open 2017; 7:e012174. [PMID: 28174220 PMCID: PMC5306526 DOI: 10.1136/bmjopen-2016-012174] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
OBJECTIVES In recent years, large-scale longitudinal neuroimaging studies have improved our understanding of healthy ageing and pathologies including Alzheimer's disease (AD). A particular focus of these studies is group differences and identification of participants at risk of deteriorating to a worse diagnosis. For this, statistical analysis using linear mixed-effects (LME) models are used to account for correlated observations from individuals measured over time. A Bayesian framework for LME models in AD is introduced in this paper to provide additional insight often not found in current LME volumetric analyses. SETTING AND PARTICIPANTS Longitudinal neuroimaging case study of ageing was analysed in this research on 260 participants diagnosed as either healthy controls (HC), mild cognitive impaired (MCI) or AD. Bayesian LME models for the ventricle and hippocampus regions were used to: (1) estimate how the volumes of these regions change over time by diagnosis, (2) identify high-risk non-AD individuals with AD like degeneration and (3) determine probabilistic trajectories of diagnosis groups over age. RESULTS We observed (1) large differences in the average rate of change of volume for the ventricle and hippocampus regions between diagnosis groups, (2) high-risk individuals who had progressed from HC to MCI and displayed similar rates of deterioration as AD counterparts, and (3) critical time points which indicate where deterioration of regions begins to diverge between the diagnosis groups. CONCLUSIONS To the best of our knowledge, this is the first application of Bayesian LME models to neuroimaging data which provides inference on a population and individual level in the AD field. The application of a Bayesian LME framework allows for additional information to be extracted from longitudinal studies. This provides health professionals with valuable information of neurodegeneration stages, and a potential to provide a better understanding of disease pathology.
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Affiliation(s)
- Marcela I Cespedes
- School of Mathematical Sciences, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Jurgen Fripp
- CSIRO Digital Productivity and Services, Australia E-Health Research Centre, Herston, Queensland, Australia
| | - James M McGree
- School of Mathematical Sciences, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Christopher C Drovandi
- School of Mathematical Sciences, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Kerrie Mengersen
- School of Mathematical Sciences, Queensland University of Technology, Brisbane, Queensland, Australia
| | - James D Doecke
- CSIRO Digital Productivity and Services, Australia E-Health Research Centre, Herston, Queensland, Australia
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610
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McMillan F. VIEWPOINT AND REFLECTION FOR THE NURSING WORKFORCE. Aust Nurs Midwifery J 2017; 24:28. [PMID: 29257631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
If the Close the Gap Campaign is working to achieve health and life expectation equality, are we creating an ageing health workforce to work with older Aboriginal and Torres Strait Islander people?
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611
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Lüthi U. [Not Available]. Krankenpfl Soins Infirm 2017; 110:10-11. [PMID: 30549729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
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612
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Mattison CA, Waddell K, Wang RH, Wilson MG. Citizen and Stakeholder Perspectives About Approaches to Enhance Equitable Access to Assistive Technologies for Older Adults. Stud Health Technol Inform 2017; 242:48-51. [PMID: 28873775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Assistive technologies play an important role in promoting healthy aging, independent living and aging-in-place, yet many experience unmet needs. This project reports on three citizen panels and a stakeholder dialogue convened in Canada to spark action towards enhancing equitable access to assistive technologies for older adults.
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Affiliation(s)
| | - Kerry Waddell
- McMaster Health Forum, McMaster University, Hamilton, Canada
| | - Rosalie H Wang
- Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada
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613
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Rodger D, Hussey P. From Entry to Practice to Advanced Nurse Practitioner - The Progression of Competencies and How They Assist in Delivery of eHealth Programs for Healthy Ageing. Stud Health Technol Inform 2017; 232:111-118. [PMID: 28106589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Most of the health issues encountered in persons of older age are the result of one or more chronic diseases. The evidence base reports that chronic diseases can be prevented or delayed by engaging in healthy behaviors. Education provides a cost effective intervention on both economic grounds in addition to delivery of optimal patient outcomes. Information and Communication Technology (ICT) increasingly is viewed as a critical utility in eHealth delivery, providing scope for expanding online education facilities for older persons. Developing nursing competencies in the delivery of eHealth solutions to deliver user education programs therefore makes sense. This chapter discusses nursing competencies on the development of targeted eHealth programs for healthy ageing. The role of Advanced Nurse Practitioner in Ireland and its associated competency set identifies how a strong action learning model can be designed to deliver eHealth educational programs for effective delivery of healthy ageing in place.
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Affiliation(s)
| | - Pamela Hussey
- School of Nursing and Human Science, Dublin City University, Dublin 9
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614
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Abstract
The survival of large segments of human populations to advanced ages is a crowning achievement of improvements in public health and medicine, but in the 21st century, our continued desire to extend life brings forth a unique dilemma. The risk of death from chronic fatal diseases has declined, but even if it continues to do so in the future, the resulting longevity benefits are likely to diminish. It is even possible that unhealthy life expectancy could rise in the future as major fatal diseases wane. The reason for this is that the longer we live, the greater the influence of biological aging on the expression of fatal and disabling diseases. Research in gerontology has already demonstrated that aging is inherently modifiable, and that a therapeutic intervention that slows aging in people is a plausible target for science and public health. Given the speed with which population aging is progressing and chronic fatal and disabling conditions are challenging health-care costs across the globe, the case is now being made that delayed aging could be one of the most efficient and promising ways to combat disease, extend healthy life, compress morbidity, and reduce health-care costs.
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615
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Stute P, Bitterlich N, Bousquet J, Meissner F, von Wolff M, Poethig D. Measuring Active and Healthy Ageing: Applying a GENERIC Interdisciplinary Assessment Model Incorporating ICF. J Nutr Health Aging 2017; 21:1002-1009. [PMID: 29083441 DOI: 10.1007/s12603-017-0908-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVES In this study we compared the chronological and bio-functional age between two German speaking cohorts 30 years apart applying a comprehensive and generic Active and Healthy Aging (AHA) assessment model incorporating ICF. METHODS Single-centre, cross-sectional, observational, non-interventional, non-randomized trial at an University based women's hospital, division of Gynecological Endocrinology and Reproductive Medicine. All participants followed a standardized, holistic battery of biopsychosocial assessments consisting of bio-functional status (BFS), bio-functional age (BFA) and additional validated psychometric questionnaires. RESULTS 462 non-pediatric, non-geriatric females were in the BeCS-14 cohort. The measured mean BFA was lower than the chronological age within the BeCS-14 cohort (regression coefficient 0.58) and comparable in the female LeCS-84 subcohort (regression coefficient age 0.85, communality age 76%). In detail, within the decades 35-45 years and 55-65 years the gradient of BFA increase (aging rate) was similar in both cohorts (decade 35-45 years: LeCS-84 4.08 ± 1.03 year equivalents and BeCS-14 4.78 ± 1.67 year equivalents; decade 55-65 years: LeCS-84 6.21 ± 1.29 year equivalents and BeCS-14 5.25 ± 1.18 year equivalents). Remarkably, within the LeCS-84 cohort the mean aging rate within the decade 45-55 years was significantly different from all other aging rates in both cohorts: 13.02 ± 1.05 year equivalents. However, within the BeCS-14 cohort the corresponding value was 4.83 ± 1.02 year equivalents thus indicating a continuous aging process across the adult life course. In BeCS-14, there was a significant age-related effect for cardiovascular performance and social stress exposition and younger age was associated with better cardiovascular performance while level of social stress exposition decreased in aging women. CONCLUSION When comparing BeCS-14 and LeCS-84, the aging process seemed to be accelerated in women in LeCS-84 between 45 and 54 years of age. We can only speculate on the reasons, such as differences in the health care, political and social system. However, the differences observed support the use of our BFS/BFA assessment tool not only on an individual level (strengths/resources) but also population level following EIP-AHA requirements. Yet, it remains to be developed how the assessed health strengths/resources-profile may be integrated into AHA management.
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Affiliation(s)
- P Stute
- Professor Dr. med. Petra Stute, M.D. Department of Gynecologic Endocrinology and Reproductive Medicine, University Clinic of Obstetrics and Gynecology, Inselspital Bern, Effingerstrasse 102, 3010 Bern, Switzerland, Telephone: (0)31-632-1303, Fax: (0)31-632-1332,
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616
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Abstract
BACKGROUND The aging of posture and balance function alters the quality of life in older people and causes serious problems in terms of public health and socio-economic costs for our modern societies. METHOD This article reviews the various causes of imbalance and dizziness in the elderly, and considers how to prevent falls, and how to rehabilitate a faller subject in order to regain a good quality of life. Two effective ways of intervention are discussed, emphasizing the crucial role of physical activity and cognitive stimulation, classic or using the latest technical advances in virtual reality and video games. RESULTS Fall in the elderly result from aging mechanisms acting on both the sensorimotor and cognitive spheres. The structural and functional integrity of the peripheral sensory receptors and the musculoskeletal system deteriorate with age. The brain ages and the executive functions, memory, learning, cortical processing of information, sharing of attentional resources and concentration, are modified in the elderly. Psychological affective factors such as depression, anxiety and stress contribute also to speed up the sensorimotor and cognitive decline. The rehabilitation of the postural balance in the elderly must take into account all of these components. CONCLUSION The aging of the population and the increased of lifespan are a challenge for our modern societies regarding the major health and socio-economic questions they raise. The fall in the elderly being one of the dramatic consequences of the aging equilibration function, it is therefore imperative to develop rehabilitation procedures of balance.
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Affiliation(s)
- Bernard Demanze Laurence
- UMR 7260 Aix-Marseille Université, Laboratoire de Neurobiologie Intégrative et Adaptatice, Fédération de recherché 3C, 3 place Victor Hugo Case 32, site Saint- Charles 13331 Marseille CEDEX 3, France
| | - Lacour Michel
- UMR 7260 Aix-Marseille Université, Laboratoire de Neurobiologie Intégrative et Adaptatice, Fédération de recherché 3C, 3 place Victor Hugo Case 32, site Saint- Charles 13331 Marseille CEDEX 3, France
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617
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Lüthi U. [Not Available]. Krankenpfl Soins Infirm 2017; 110:12-13. [PMID: 30549730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
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618
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Affiliation(s)
- Jürgen Vormann
- Institute for Prevention and Nutrition, Ismaning/Munich, Germany
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619
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Caserta MT. Modifiable Risks for Cognitive Decline. Am J Geriatr Psychiatry 2016; 24:868-9. [PMID: 27595534 DOI: 10.1016/j.jagp.2016.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2016] [Accepted: 07/07/2016] [Indexed: 11/15/2022]
Affiliation(s)
- Maria T Caserta
- Department of Psychiatry, University of Illinois College of Medicine, Neuropsychiatric Institute, Chicago, IL.
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620
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Abstract
The sequenced genomes of individuals aged ≥ 80 years, who were highly educated, self referred volunteers and with no self reported chronic diseases were compared to young controls. In these data, healthy ageing is a distinct phenotype from exceptional longevity and genetic factors that protect against disease might be enriched in this population.
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Affiliation(s)
- Kaare Christensen
- Danish Aging Research Center, Department of Public Health, University of Southern Denmark; and the Department of Clinical Biochemistry and Pharmacology and Department of Clinical Genetics, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C, Denmark
| | - Matt McGue
- Danish Aging Research Center, Department of Public Health, University of Southern Denmark, J.B. Winslows Vej 9, 5000 Odense C, Denmark; and the Department of Psychology, University of Minnesota, 75 East River Road, Minneapolis, Minnesota, 55405 USA
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621
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Richard E, Jongstra S, Soininen H, Brayne C, Moll van Charante EP, Meiller Y, van der Groep B, Beishuizen CRL, Mangialasche F, Barbera M, Ngandu T, Coley N, Guillemont J, Savy S, Dijkgraaf MGW, Peters RJG, van Gool WA, Kivipelto M, Andrieu S. Healthy Ageing Through Internet Counselling in the Elderly: the HATICE randomised controlled trial for the prevention of cardiovascular disease and cognitive impairment. BMJ Open 2016; 6:e010806. [PMID: 27288376 PMCID: PMC4908903 DOI: 10.1136/bmjopen-2015-010806] [Citation(s) in RCA: 65] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
INTRODUCTION Cardiovascular disease and dementia share a number of risk factors including hypertension, hypercholesterolaemia, smoking, obesity, diabetes and physical inactivity. The rise of eHealth has led to increasing opportunities for large-scale delivery of prevention programmes encouraging self-management. The aim of this study is to investigate whether a multidomain intervention to optimise self-management of cardiovascular risk factors in older individuals, delivered through an coach-supported interactive internet platform, can improve the cardiovascular risk profile and reduce the risk of cardiovascular disease and cognitive decline. METHODS AND ANALYSIS HATICE is a multinational, multicentre, prospective, randomised, open-label blinded end point (PROBE) trial with 18 months intervention. Recruitment of 2600 older people (≥65 years) at increased risk of cardiovascular disease will take place in the Netherlands, Finland and France. Participants randomised to the intervention condition will have access to an interactive internet platform, stimulating self-management of vascular risk factors, with remote support by a coach. Participants in the control group will have access to a static internet platform with basic health information.The primary outcome is a composite score based on the average z-score of the difference between baseline and 18 months follow-up values of systolic blood pressure, low-density-lipoprotein and body mass index. Main secondary outcomes include the effect on the individual components of the primary outcome, the effect on lifestyle-related risk factors, incident cardiovascular disease, mortality, cognitive functioning, mood and cost-effectiveness. ETHICS AND DISSEMINATION The study was approved by the medical ethics committee of the Academic Medical Center in Amsterdam, the Comité de Protection des Personnes Sud Ouest et Outre Mer in France and the Northern Savo Hospital District Research Ethics Committee in Finland.We expect that data from this study will result in a manuscript published in a peer-reviewed clinical open access journal. TRIAL REGISTRATION NUMBER ISRCTN48151589.
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Affiliation(s)
- Edo Richard
- Department of Neurology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
- Department of Neurology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Susan Jongstra
- Department of Neurology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Hilkka Soininen
- Institute of Clinical Medicine/Neurology, University of Eastern Finland, Kuopio, Finland
| | - Carol Brayne
- Department of Public Health and Primary Care, Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK
| | - Eric P Moll van Charante
- Department of General Practice, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Yannick Meiller
- Department of Information and Operations Management, ESCP Europe, Paris, France
| | | | - Cathrien R L Beishuizen
- Department of Neurology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | | | - Mariagnese Barbera
- Institute of Clinical Medicine/Neurology, University of Eastern Finland, Kuopio, Finland
| | - Tiia Ngandu
- Chronic Disease Prevention Unit, National Institute for Health and Welfare, Helsinki, Finland
| | - Nicola Coley
- INSERM, University of Toulouse UMR1027, Toulouse, France
- Department of Epidemiology and Public Health, Toulouse University Hospital, Toulouse, France
| | | | - Stéphanie Savy
- INSERM, University of Toulouse UMR1027, Toulouse, France
| | - Marcel G W Dijkgraaf
- Clinical Research Unit, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Ron J G Peters
- Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Willem A van Gool
- Department of Neurology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Miia Kivipelto
- Institute of Clinical Medicine/Neurology, University of Eastern Finland, Kuopio, Finland
- Aging Research Center, Karolinska Institutet/Stockholm University, Stockholm, Sweden
- Chronic Disease Prevention Unit, National Institute for Health and Welfare, Helsinki, Finland
- Karolinska Institutet Center for Alzheimer Research, Stockholm, Sweden
| | - Sandrine Andrieu
- INSERM, University of Toulouse UMR1027, Toulouse, France
- Department of Epidemiology and Public Health, Toulouse University Hospital, Toulouse, France
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622
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Klugar M, Čáp J, Klugarová J, Marečková J, Roberson DN, Kelnarová Z. The personal active aging strategies of older adults in Europe: a systematic review of qualitative evidence. JBI Database System Rev Implement Rep 2016; 14:193-257. [PMID: 27532471 DOI: 10.11124/jbisrir-2016-002393] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
BACKGROUND There is a consensus that the aging population is beginning to impact on many facets of our life. They have more medical problems and the potential to "drain" the focus of the medical community, as well as national budgets with their accompanying medical bills. Personal strategies related to active aging will help us to better understand and identify how older adults in Europe prepare themselves for the natural process of aging and what are their personal approaches to active aging. OBJECTIVES The objective of this review was to synthesize the best available evidence regarding the older adult's perspective on the personal strategies related to active aging among older adults in Europe. INCLUSION CRITERIA TYPES OF PARTICIPANTS This review considered studies that included older adults (age over 55 years) who live in Europe. PHENOMENA OF INTEREST This review considered studies that investigated older adults' perspectives on (any) personal strategies related to active aging. CONTEXT Europe (considering "some similarity" in health care systems and retirement policies). TYPES OF STUDIES This review considered any qualitative designs. SEARCH STRATEGY A three-step search strategy was used to identify published and unpublished studies. The extensive search process was conducted in October 2014 and considered published and unpublished studies from the inception of databases until October 2014. Studies published in any language which had an abstract in English, Czech and Slovak languages were considered for inclusion in this review. METHODOLOGICAL QUALITY Studies were appraised for methodological quality by two independent reviewers using the Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI). DATA EXTRACTION Data were extracted from the papers included in the review by two independent reviewers using the standardized JBI-QARI data extraction tool. DATA SYNTHESIS Data synthesis was performed using the meta-aggregation approach of meta-synthesis recommended by the Joanna Briggs Institute. RESULTS Fourteen studies were included in this systematic review. From these 14 studies, 42 findings were extracted; findings were synthesized into four categories: (1) positive approach to life, (2) mental, social and physical activities, (3) adaptation, and (4) financial independence. Categories were synthesized into two synthesized findings: (1) if older adults adapt to changing situations and choose a positive attitude, they can find an active way to live and also a mission and meaning in their lives, (2) if older adults learn new activities, participate in exercise, keep balanced relationships and manage their financial resources, they will stay mentally, socially and physically active, and also financially responsible. CONCLUSIONS If older Europeans learn new activities, participate in exercise, keep balanced relationships and manage their financial resources, they will stay mentally, socially and physically active, and also financially responsible.
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Affiliation(s)
- Miloslav Klugar
- Faculty of Medicine and Dentistry, Department of Social Medicine and Public Health, The Czech Republic (Middle European) Centre for Evidence-Based Health Care: an Affiliate Centre of the Joanna Briggs Institute, Palacký University, Olomouc, Czech Republic
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Wosinski J, Cordier SB, Bachmann AO, Gagnon MP, Kiszio B. Effectiveness of nurse-led healthy aging strategies for older adults living in the community: a systematic review protocol. JBI Database System Rev Implement Rep 2016; 14:5-15. [PMID: 27536789 DOI: 10.11124/jbisrir-2016-2191] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- Jacqueline Wosinski
- 1. Institut et Haute Ecole de Santé La Source, University of Applied Sciences and Arts of Western Switzerland, Switzerland2. Faculté des Sciences Infirmières, Université Laval, Canada3. Bureau d'Echanges des Savoirs pour des praTiques exemplaires de soins (BEST): an Affiliate Center of the Joanna Briggs Institute
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