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Jalali A, Ziapour A, Karimi Z, Rezaei M, Emami B, Kalhori RP, Khosravi F, Sameni JS, Kazeminia M. Global prevalence of depression, anxiety, and stress in the elderly population: a systematic review and meta-analysis. BMC Geriatr 2024; 24:809. [PMID: 39367305 DOI: 10.1186/s12877-024-05311-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2024] [Accepted: 08/16/2024] [Indexed: 10/06/2024] Open
Abstract
BACKGROUND Several preliminary studies have been conducted in the field of the prevalence of depression, anxiety, and stress in the elderly population. These studies have examined the prevalence in limited geographic areas with small sample sizes. Also, there are many limitations in the meta-analysis studies. The objective of the present study was to synthesize the global prevalence statistics of depression, anxiety, and stress in the elderly population through a systematic review and meta-analysis. METHODS The present systematic review included retrieval of primary studies from the oldest relevant study up to 2023. To find the relevant studies, international databases such as Scopus, Embase, PubMed, and Web of Science (WoS) were systematically searched. Also, a manual search was performed through the Google Scholar search engine and a review of the sources of related articles. The qualitative assessment of the studies was conducted using the Joanna Briggs Institute (JBI) checklist. Due to a high heterogeneity among the study results, a Random Effects model was chosen. RESULTS A total of 42 articles on depression, 47 articles on anxiety and 13 articles on stress were included in the meta-analysis. The overall estimates for prevalence based on a random-effects model were as follows: depression, 19.2% (95% CI: 13.0 - 27.5%); anxiety, 16.5% (95% CI: 11.1 - 22.8%); and stress, 13.9% (95% CI: 5.5 - 30.9%). The highest prevalence of depression and anxiety was recorded in Africa. The prevalence of depression was higher in nursing homes, and stress was more prevalent in individuals with COVID-19 compared to other populations. CONCLUSION The findings revealed a high prevalence of depression, anxiety, and stress in the elderly population. Therefore, it is recommended that healthcare professionals and policymakers pay more attention to the prevention and management of these disorders in the elderly population.
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Affiliation(s)
- Amir Jalali
- Department of Medical Education, Virtue University of Medical Sciences, Tehran, Iran
| | - Arash Ziapour
- Cardiovascular Research Center, Imam-Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
| | - Zohreh Karimi
- Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mohsen Rezaei
- Clinical Research Development Center, Imam Khomeini and Mohammad Kermanshahi and Farabi Hospitals, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Bashir Emami
- Clinical Research Development Center, Imam Khomeini and Mohammad Kermanshahi and Farabi Hospitals, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Reza Pourmirza Kalhori
- Department of Emergency Medicine, Paramedical School, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Fataneh Khosravi
- Clinical Research Development Center, Imam Khomeini and Mohammad Kermanshahi and Farabi Hospitals, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Jelveh Sadat Sameni
- Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mohsen Kazeminia
- Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran
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Pfutzenreuter KC, da Silva Falcão DV, Losada-Baltar A, Márquez-González M. Transcultural Adaptation of the " Caregiver Guilt Questionnaire" (CGQ). Clin Gerontol 2024:1-10. [PMID: 39360340 DOI: 10.1080/07317115.2024.2408639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/04/2024]
Abstract
OBJECTIVES To implement a transcultural adaptation of the Caregiver Guilt Questionnaire (CGQ) for the Brazilian population. METHODS Five stages were involved in the adaptation: two independent translations by Brazilian nationals fluent in Spanish; summary of translations produced; back-translation; evaluation by expert panel of judges (n = 5); and lastly, assessment by family caregivers (n = 30). RESULTS semantic changes were made to render the items more relevant to Brazilian culture and replicate the five factors of guilt proposed by the original questionnaire. CONCLUSIONS A Brazilian version of the questionnaire was produced and transculturally adapted for use in Brazil, allowing future validation and application. CLINICAL IMPLICATIONS The CGQ allows healthcare professionals to quantify feelings of guilt. Clinicians and clinical researcher can use the scale to obtain more precise interventions.
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Affiliation(s)
| | | | | | - Maria Márquez-González
- Gonzalez Biological and Health Psychology Department, Universidad Autónoma de Madrid, Madrid, Spain
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Lei B, Li Y, Fu W, Yang P, Chen S, Wang T, Xiao X, Niu T, Fu Y, Wang S, Han H, Qin J. Alzheimer's disease diagnosis from multi-modal data via feature inductive learning and dual multilevel graph neural network. Med Image Anal 2024; 97:103213. [PMID: 38850625 DOI: 10.1016/j.media.2024.103213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 05/13/2024] [Accepted: 05/17/2024] [Indexed: 06/10/2024]
Abstract
Multi-modal data can provide complementary information of Alzheimer's disease (AD) and its development from different perspectives. Such information is closely related to the diagnosis, prevention, and treatment of AD, and hence it is necessary and critical to study AD through multi-modal data. Existing learning methods, however, usually ignore the influence of feature heterogeneity and directly fuse features in the last stages. Furthermore, most of these methods only focus on local fusion features or global fusion features, neglecting the complementariness of features at different levels and thus not sufficiently leveraging information embedded in multi-modal data. To overcome these shortcomings, we propose a novel framework for AD diagnosis that fuses gene, imaging, protein, and clinical data. Our framework learns feature representations under the same feature space for different modalities through a feature induction learning (FIL) module, thereby alleviating the impact of feature heterogeneity. Furthermore, in our framework, local and global salient multi-modal feature interaction information at different levels is extracted through a novel dual multilevel graph neural network (DMGNN). We extensively validate the proposed method on the Alzheimer's Disease Neuroimaging Initiative (ADNI) dataset and experimental results demonstrate our method consistently outperforms other state-of-the-art multi-modal fusion methods. The code is publicly available on the GitHub website. (https://github.com/xiankantingqianxue/MIA-code.git).
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Affiliation(s)
- Baiying Lei
- National-Regional Key Technology Engineering Lab. for Medical Ultrasound, Guangdong Key Lab. for Biomedical Measurements and Ultrasound Imaging, Marshall Lab. of Biomedical Engineering, School of Biomedical Engineering, Shenzhen University Medical School, Shenzhen University, Shenzhen, 518060, China
| | - Yafeng Li
- National-Regional Key Technology Engineering Lab. for Medical Ultrasound, Guangdong Key Lab. for Biomedical Measurements and Ultrasound Imaging, Marshall Lab. of Biomedical Engineering, School of Biomedical Engineering, Shenzhen University Medical School, Shenzhen University, Shenzhen, 518060, China
| | - Wanyi Fu
- Department of Electronic Engineering, Tsinghua University, Beijing Key Laboratory of Magnetic Resonance Imaging Devices and Technology, China
| | - Peng Yang
- National-Regional Key Technology Engineering Lab. for Medical Ultrasound, Guangdong Key Lab. for Biomedical Measurements and Ultrasound Imaging, Marshall Lab. of Biomedical Engineering, School of Biomedical Engineering, Shenzhen University Medical School, Shenzhen University, Shenzhen, 518060, China
| | - Shaobin Chen
- National-Regional Key Technology Engineering Lab. for Medical Ultrasound, Guangdong Key Lab. for Biomedical Measurements and Ultrasound Imaging, Marshall Lab. of Biomedical Engineering, School of Biomedical Engineering, Shenzhen University Medical School, Shenzhen University, Shenzhen, 518060, China
| | - Tianfu Wang
- National-Regional Key Technology Engineering Lab. for Medical Ultrasound, Guangdong Key Lab. for Biomedical Measurements and Ultrasound Imaging, Marshall Lab. of Biomedical Engineering, School of Biomedical Engineering, Shenzhen University Medical School, Shenzhen University, Shenzhen, 518060, China
| | - Xiaohua Xiao
- The First Affiliated Hospital of Shenzhen University, Shenzhen University Medical School, Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, 530031, China
| | - Tianye Niu
- Shenzhen Bay Laboratory, Shenzhen, 518067, China
| | - Yu Fu
- Department of Neurology, Peking University Third Hospital, No. 49, North Garden Rd., Haidian District, Beijing, 100191, China.
| | - Shuqiang Wang
- Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, 518055, China.
| | - Hongbin Han
- Institute of Medical Technology, Peking University Health Science Center, Department of Radiology, Peking University Third Hospital, Beijing Key Laboratory of Magnetic Resonance Imaging Devices and Technology, Beijing, 100191, China; The second hospital of Dalian Medical University,Research and developing center of medical technology, Dalian, 116027, China.
| | - Jing Qin
- Center for Smart Health, School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China
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Dos Santos AP, Cordeiro JFC, Abdalla PP, Bohn L, Sebastião E, da Silva LSL, Tasinafo-Júnior MF, Venturini ACR, Andaki ACR, Mendes EL, Marcos-Pardo PJ, Mota J, Machado DRL. Low handgrip strength is associated with falls after the age of 50: findings from the Brazilian longitudinal study of aging (ELSI-Brazil). Arch Public Health 2024; 82:172. [PMID: 39354567 PMCID: PMC11446049 DOI: 10.1186/s13690-024-01340-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2024] [Accepted: 07/03/2024] [Indexed: 10/03/2024] Open
Abstract
AIM This study examined the association of low handgrip strength (HGS) for falls in middle-aged adults and older adults every half-decade of life. METHODS This cross-sectional study was conducted using the public data from the first wave of the Brazilian Longitudinal Study of Aging (ELSI-Brazil). The participants were allocated into seven age groups 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, and ≥ 80 years. Binary logistic regression analysis was performed to identify the odds ratio (OR) of low HGS to the falls regardless of confounding variables such as sex, balance, gait speed, and total number of health conditions. RESULTS A total of 8,112 participants aged 50-105 years (median = 62.0 years): 3,490 males (median = 60.0 years) and 4,622 females (median = 63.0 years) attended the study. Altogether, 21.5% of participants experienced at least one fall. HGS gradually decreases over each half-decade of life. In addition, low HGS presented a significative OR (p < 0.05) for falls for age groups, until 80 s, even when considering confounding variables. CONCLUSIONS Low HGS is associated with falls in middle-aged adults over their 50 s and remained a strong measure of falls across each subsequent half-decade of life, until 80 s.
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Affiliation(s)
- André Pereira Dos Santos
- Faculty of Sport of the University of Porto, Street Dr. Plácido da Costa 91, Porto, 4200-450, Portugal.
- College of Nursing of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.
- School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.
- Study and Research Group in Anthropometry, Training and Sport, School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.
- Human Exposome and Infectious Diseases Network (HEID), Ribeirão Preto, Brazil.
| | | | - Pedro Pugliesi Abdalla
- Study and Research Group in Anthropometry, Training and Sport, School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Lucimere Bohn
- Center for Research in Sport, Physical Education, Exercise, and Health (CIDEFES), Lusófona University - University Center of Porto, Porto, Portugal
- Research Center in Physical Activity, Health and Leisure (CIAFEL) and Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, Porto, Portugal
| | - Emerson Sebastião
- Department of Health and Kinesiology, University of Illinois Urbana-Champaign, Urbana, United States
| | - Leonardo Santos Lopes da Silva
- Study and Research Group in Anthropometry, Training and Sport, School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Márcio Fernando Tasinafo-Júnior
- School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
- Study and Research Group in Anthropometry, Training and Sport, School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Ana Cláudia Rossini Venturini
- Study and Research Group in Anthropometry, Training and Sport, School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Alynne Christian Ribeiro Andaki
- Research Center in Physical Activity, Health and Leisure (CIAFEL) and Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, Porto, Portugal
- Federal University of Triângulo Mineiro, Uberaba, Brazil
| | - Edmar Lacerda Mendes
- Research Center in Physical Activity, Health and Leisure (CIAFEL) and Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, Porto, Portugal
- Federal University of Triângulo Mineiro, Uberaba, Brazil
| | - Pablo Jorge Marcos-Pardo
- Department of Education, Faculty of Education Sciences, University of Almería, Almería, Spain
- Centro de Investigación para el Bienestar y la Inclusión Social (CIBIS Research Center), SPORT Research Group (CTS-1024), Almería, Spain
| | - Jorge Mota
- Research Center in Physical Activity, Health and Leisure (CIAFEL) and Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, Porto, Portugal
| | - Dalmo Roberto Lopes Machado
- College of Nursing of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
- School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
- Study and Research Group in Anthropometry, Training and Sport, School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
- Research Center in Physical Activity, Health and Leisure (CIAFEL) and Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, Porto, Portugal
- School of Education and Communication (ESEC), University of Algarve, Penha Campus, Faro, Portugal
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Booranasuksakul U, Tsintzas K, Macdonald I, Stephan BC, Siervo M. Application of a new definition of sarcopenic obesity in middle-aged and older adults and association with cognitive function: Findings from the National Health and Nutrition Examination Survey 1999-2002. Clin Nutr ESPEN 2024; 63:919-928. [PMID: 39181532 DOI: 10.1016/j.clnesp.2024.08.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2024] [Revised: 08/07/2024] [Accepted: 08/19/2024] [Indexed: 08/27/2024]
Abstract
BACKGROUND & AIMS The role of sarcopenic obesity (SO) in impaired cognitive function has been investigated in several observational studies, but results have been mixed. This study applied the proposed European Society for Clinical Nutrition and Metabolism (ESPEN)-European Association for the Study of Obesity (EASO) definition of SO to a representative population aged ≥50 years to identify the association between SO and cognitive function. METHODS Data from the National Health and Nutrition Examination Survey 1999-2002 waves were used. At the screening phase, body mass index or waist circumference were used to evaluate obesity; sarcopenia was identified using the SARC-F questionnaire. At the diagnostic phase I and II, sarcopenia was assessed using knee extensor isometric strength and appendicular lean mass, and fat mass percent was used to assess obesity. Cognitive function in older participants (60-85 years) was assessed using the Digit Symbol Substitution Test. A self-reported memory question was used in middle-aged individuals (50-59 years). RESULTS The sample included 2356 participants (men, 44.7%). The prevalence of SO was 32.3%, 21.2% and 15.0% at the screening, diagnosis I, and diagnosis II, respectively. Significant associations between SO and cognitive impairment were observed in individuals aged 60-85 at diagnosis I (OR: 2.3, 95%CI 1.4-3.8, P = 0.007) and diagnosis II (OR: 2.7, 95%CI 1.5-4.9, P = 0.004). CONCLUSION The new ESPEN-EASO definition of SO identified a high prevalence of SO cases. A significant association between SO and poor cognitive function in older individuals was observed.
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Affiliation(s)
- Uraiporn Booranasuksakul
- MRC Versus Arthritis Centre for Musculoskeletal Ageing Research, School of Life Sciences, The University of Nottingham Medical School, Queen's Medical Centre, Nottingham, NG7 2UH, UK.
| | - Kostas Tsintzas
- MRC Versus Arthritis Centre for Musculoskeletal Ageing Research, School of Life Sciences, The University of Nottingham Medical School, Queen's Medical Centre, Nottingham, NG7 2UH, UK
| | - Ian Macdonald
- MRC Versus Arthritis Centre for Musculoskeletal Ageing Research, School of Life Sciences, The University of Nottingham Medical School, Queen's Medical Centre, Nottingham, NG7 2UH, UK
| | - Blossom Cm Stephan
- Institute of Mental Health, The University of Nottingham Medical School, Nottingham, UK; Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Kent Street, Bentley, WA, Australia; Dementia Centre of Excellence, enAble Institute, Faculty of Health Sciences, Curtin University, Kent Street, Bentley, WA, Australia
| | - Mario Siervo
- Dementia Centre of Excellence, enAble Institute, Faculty of Health Sciences, Curtin University, Kent Street, Bentley, WA, Australia; Curtin School of Population Health, Faculty of Health Sciences, Curtin University, Bentley WA, Australia; Vascular and Metabolic Disorders Group, Curtin Health Innovation Research Institute (CHIRI), Australia
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Surendran S, Benny G, Joseph J, Nambiar D. Navigating delayed diagnoses, self-neglect, and lost livelihoods: a qualitative exploration of fisherfolk's health perspectives and management of non-communicable diseases in Kerala, India. BMC PRIMARY CARE 2024; 25:354. [PMID: 39342100 PMCID: PMC11437729 DOI: 10.1186/s12875-024-02575-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2024] [Accepted: 08/16/2024] [Indexed: 10/01/2024]
Abstract
INTRODUCTION Non-Communicable Diseases (NCDs) place a significant burden on India's healthcare system, accounting for approximately 62% of all deaths in the country in 2017. The southern Indian state - Kerala - has some of the highest rates of NCDs. Within the state, the fisherfolk community has a high prevalence of risk factors such as tobacco use and alcohol consumption. Working in the fisheries industry demands physical exertion, night shifts alongside extended periods of time at sea (for seafaring fisherfolk). Evidence is scant on how these conditions relate to the health-seeking experiences of fisherfolk, particularly in the context of NCDs. We conducted a qualitative study in two districts of Kerala to fill this gap. METHODS In-depth individual and small group interviews- as per participant preference - with male and female fishing community members living with NCDs were conducted between October 2022 and February 2023 in two districts of Kerala. Interviews were conducted to explore community members' experiences with health-seeking for NCDs. Transliterated English transcripts were coded using ATLAS.ti software and analysed using thematic analysis with inductive generation of codes, with indexing against Levesque, Harris, and Russell's 2013 access to healthcare framework. RESULTS Thirty-three interviews with 42 participants were conducted. We found that NCDs were usually diagnosed late- either when admitted/consulted for other illnesses or when the symptoms became unbearable. Health-seeking patterns differed between seafaring and inland fishing subgroups, who were sampled from two districts in the state. Seafaring fisherfolk preferred public facilities for regular checkups and medicines while in-land fisherfolk relied on private facilities, although it was considered expensive. Ability to seek care was impacted by the working hours of the health centre which did not suit their working hours. Health constaints and related expenses also impacted their financial status and occupation, with some opting for less strenuous jobs. CONCLUSION This study highlights the NCD-related health-seeking experiences of the fisherfolk community in Kerala, India. Fisherfolk reported self neglect, delayed diagnosis, cost and livelihood constraints owing to the onset of NCDs, even as dual practice and medicine access in the public sector were appreciated. Overall, larger studies and policymaking processes should consider in depth the experiences faced by particular economic groups like fisherfolk, who may face unique health and care-seeking challenges.
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Affiliation(s)
- Surya Surendran
- Health Systems and Equity, The George Institute for Global Health, 308, Third Floor, Elegance Tower, Plot No. 8, Jasola District Centre, New Delhi, 110025, India.
| | - Gloria Benny
- Health Systems and Equity, The George Institute for Global Health, 308, Third Floor, Elegance Tower, Plot No. 8, Jasola District Centre, New Delhi, 110025, India
| | - Jaison Joseph
- Health Systems and Equity, The George Institute for Global Health, 308, Third Floor, Elegance Tower, Plot No. 8, Jasola District Centre, New Delhi, 110025, India
| | - Devaki Nambiar
- Health Systems and Equity, The George Institute for Global Health, 308, Third Floor, Elegance Tower, Plot No. 8, Jasola District Centre, New Delhi, 110025, India
- George Institute for Global Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia
- Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India
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Suapumee N, Seeherunwong A, Wanitkun N, Chansatitporn N. Examining determinants of control of metabolic syndrome among older adults with NCDs receiving service at NCD Plus clinics: multilevel analysis. BMC Health Serv Res 2024; 24:1118. [PMID: 39334103 PMCID: PMC11429379 DOI: 10.1186/s12913-024-11562-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 09/09/2024] [Indexed: 09/30/2024] Open
Abstract
BACKGROUND Metabolic syndrome (MetS) in older adults with hypertension, diabetes, and hyperlipidemia increases the risks of cardiovascular diseases by 2.5 times and type 2 diabetes by five times. This study aimed to explain the multilevel relationships between health service system factors and individual-level factors influencing the control of MetS among older adults with NCDs receiving health care services at the NCD Plus clinics of hospitals in 1 year. METHODS This cross-sectional analytical study employed a systematic sampling method to have two groups of samples from 4 regions of Thailand: (1) 600 older adults having at least one diagnosis of NCDs receiving services at NCD Plus clinics and (2) 12 nurses in charge of the NCD Plus clinics at the hospitals providing services to these patient samples. Data were analyzed using multilevel logistic regression analysis. RESULTS 24% of older adults with NCDs can control MetS within one year. The MetS escalation from the initial assessment to 1-year follow-up varied according to the level of the hospitals. The transition from MetS to non-MetS status was rare in older adults with NCDs. Among health service system factors, complete screening for MetS influenced 1-year MetS control (95% CI [1.06, 2.92]). Older adults who were female and who had polypharmacy had a 66% (95% CI [0.22, 0.53]) and a 54% (95% CI [0.29 - 0.71]) reduction chance in MetS control. Older adults, who were ≥ 80 years old, labor-employed, healthy dietary patterns, and medication adherence increased chances of controlling MetS by 2.38 times (95% CI [1.12, 5.05]), 2.14 times (95% CI [1.03, 4.42]), 1.61 times (95% CI [1.06-2.46]), and 3.18 times (95% CI [1.51, 6.70]), respectively. CONCLUSIONS NCDs Plus clinics that provide complete screening for MetS significantly enhance their effectiveness in reducing the proportion of older adults with MetS. In addition, the service should pay attention to older adults who are female, are retired, and take multiple medications to achieve MetS control better. The insights gained from such an analysis could be instrumental in pinpointing the resources necessary to bolster the efficacy of NCD Plus clinics.
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Affiliation(s)
| | - Acharaporn Seeherunwong
- Department of Mental Health and Psychiatric Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand.
| | - Napaporn Wanitkun
- Department of Surgical Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand
| | - Natkamol Chansatitporn
- Department of Biostatistics, Faculty of Public Health, Mahidol University, Bangkok, Thailand
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Gonçalves GKN, Ferreira TP, Cópio LA, Castilho CT, Rodrigues MAH, Rodrigues-Machado MDG. Comparison of arterial stiffness index predictors in perimenopausal and postmenopausal women. Women Health 2024:1-12. [PMID: 39302289 DOI: 10.1080/03630242.2024.2402786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Revised: 08/14/2024] [Accepted: 09/05/2024] [Indexed: 09/22/2024]
Abstract
The present cross-sectional study aimed to compare climacteric symptoms and arterial stiffness indices between perimenopausal and postmenopausal women. The study sample comprised 70 healthy female participants, including 27 perimenopausal (49.8 ± 3.8 years) and 43 postmenopausal (55.7 ± 4 years) individuals. Validated methods were used to assess physical activity level, quality of life, climacteric symptoms, and anthropometric data. Arterial stiffness parameters were measured using Mobil-O-Graph. Pulse wave velocity (PWV) had a higher mean in the postmenopausal group than in the perimenopause group [8.04 m/s (SD 0.79) vs 7.01 m/s (SD 0.78), p < .001). PWV was strongly correlated with peripheral (r = 0.619) and central (r = 0.632) Systolic Blood Pressure (SBP) in postmenopausal group and an even stronger correlation was observed in perimenopausal group (r = 0.779 pSBP and 0.782 cSBP). BMI was a risk predictor in the perimenopausal group contributing positively to increase Pulse Pressure Amplification (PPA) (0.458, p < .05). In postmenopausal women, heart rate (HR) was a stronger predictor for central SBP, cardiac output, and total vascular resistance, whereas perimenopausal women HR influenced central diastolic blood pressure and PPA. Vascular changes initiating during perimenopause may contribute to the development of cardiovascular pathologies in the postmenopausal period. Further research with larger, representative samples is warranted to corroborate these findings.
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Affiliation(s)
- Gleisy Kelly Neves Gonçalves
- Post-Graduate Program in Health Sciences, Faculty of Medical Sciences of Minas Gerais (FCM-MG), Belo Horizonte, Brazil
| | - Thaize Prates Ferreira
- Medicine School, Faculty of Medical Sciences of Minas Gerais (FCM-MG), Belo Horizonte, Brazil
| | - Laís Alzamora Cópio
- Medicine School, Faculty of Medical Sciences of Minas Gerais (FCM-MG), Belo Horizonte, Brazil
| | - César Teixeira Castilho
- Physical Education School, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
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Grant JB, Johnson-Koenke R. Navigating chronic uncertainty: a theory synthesis for nursing communication in life-limiting illness. BMC Nurs 2024; 23:654. [PMID: 39272056 PMCID: PMC11401398 DOI: 10.1186/s12912-024-02328-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2024] [Accepted: 09/05/2024] [Indexed: 09/15/2024] Open
Abstract
BACKGROUND Despite the proven benefits of early palliative care, patient communication regarding these services remains elusive. Therefore, this paper aims to (a) provide a focused literature review on nurse palliative care communication addressing chronic uncertainty in life-limiting illness (LLI), (b) define the Reconceptualization of Uncertainty in illness Theory and Problematic Integration Theory within a nursing Unitary Caring Science philosophical worldview and, (c) synthesize these theories and literature review into a unique theoretical framework for early palliative care communication in acute care nursing. METHOD Turner's theory synthesis methodology was combined with a PRISMA-style literature review. The literature search was conducted in July 2023 and updated in May 2024 using EBSCOhost, Pubmed, and PsychINFO databases. A second literature search was undertaken to identify applicable uncertainty theories in chronic or LLIs. RESULTS This theory synthesis highlights the interconnectedness of all facets of uncertainty for those living with severe LLI (personal factors, types of uncertainty, and the nursing communicatory process) and conceptualizes uncertainty communication as a series of events happening simultaneously, not simply a cause-and-effect process. DISCUSSION The framework resulting from this synthesis encourages nurses' holistic understanding of the complex nature of uncertainty in LLI, highlights the integral communicatory role nurses have in their patients' health and wellness, and promotes further nursing-specific communication research. Future research on enabling nurse-initiated early palliative care communication and narrative communication techniques will support patients' values and dignity throughout more than a single hospital stay but their entire disease trajectory.
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Affiliation(s)
- Julie B Grant
- College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, 80045, USA.
| | - Rachel Johnson-Koenke
- College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, 80045, USA
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Werdiningsih M, Ramadhani A, Samnieng P, John J, Adiatman M. Indonesian dentists' views on providing oral health care for older adults. Gerodontology 2024. [PMID: 39250676 DOI: 10.1111/ger.12790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/21/2024] [Indexed: 09/11/2024]
Abstract
BACKGROUND With demographic changes in aging populations, dentists require special care protocols to treat older adults with diverse and complex oral health needs and problems. Knowledge, positive attitudes, and sufficient practice experience are essential components for promptly treating older adults. However, many dentists encounter multiple barriers influencing their willingness to provide care for older adults. This study assessed Indonesian dentists' knowledge, attitudes, and practices (KAP) in providing oral health care (OHC) for older adults, including their willingness and barriers. METHODS A cross-sectional survey was conducted with 392 dentists employing an online questionnaire between April and June 2022. The respondents' KAP was categorised utilising a modified Blooms' cut-off point of ≥60%. Data were analysed using descriptive statistics, the x2 test, and logistic regression. RESULTS Most dentists demonstrated adequate knowledge (62.2%), a positive attitude (95.4%), sufficient practice experience (91.6%), and a high willingness (98%) to provide OHC services for older adults. However, 91.4% encountered barriers primarily related to interpersonal communication, disease complexity and polypharmacy, and patient functional status. Significant associations were found between dentists' attitudes toward practices and willingness to attend geriatric dentistry training with knowledge. CONCLUSION Implementation of continuing professional development (CPD) in geriatric dentistry, the inclusion of geriatric dentistry into the undergraduate curriculum, and enhancing clinic accessibility for older adults may improve dentists' preparedness and benefit the future provision of OHC for older adults in Indonesia.
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Affiliation(s)
- Monika Werdiningsih
- Department of Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Universitas Indonesia, Depok, Indonesia
| | - Atik Ramadhani
- Department of Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Universitas Indonesia, Depok, Indonesia
| | - Patcharaphol Samnieng
- Department of Preventive Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand
| | - Jacob John
- Department of Restorative Dentistry, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Melissa Adiatman
- Department of Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Universitas Indonesia, Depok, Indonesia
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Mirzaeian R, Shafiee M, Afrash MR, Kazemi-Arpanahi H. Determining the minimum data set of geriatric assessment at the Iran primary health care referral system: shifting from fragmentation to integration care for older people. BMC Health Serv Res 2024; 24:1039. [PMID: 39244560 PMCID: PMC11380327 DOI: 10.1186/s12913-024-11498-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Accepted: 08/27/2024] [Indexed: 09/09/2024] Open
Abstract
BACKGROUND Geriatric assessment (GA) is a multidimensional process that disrupts the primary health care (PHC) referral system. Accessing consistent data is central to the provision of integrated geriatric care across multiple healthcare settings. However, due to poor-quality data and documentation of GA, developing an agreed minimum data set (MDS) is required. Therefore, this study aimed to develop a GA-MDS in the PHC referral system to improve data quality, data exchange, and continuum of care to address the multifaceted necessities of older people. METHODS In our study, the items to be included within GA-MDS were determined in a three-stepwise process. First, an exploratory literature search was done to determine the related items. Then, we used a two-round Delphi survey to obtain an agreement view on items to be contained within GA-MDS. Finally, the validity of the GA-MDS content was evaluated. RESULTS Sixty specialists from different health geriatric care disciplines scored data items. After, the Delphi phase from the 230 selected items, 35 items were removed by calculating the content validity index (CVI), content validity ratio (CVR), and other statistical measures. Finally, GA-MDS was prepared with 195 items and four sections including administrative data, clinical, physiological, and psychological assessments. CONCLUSIONS The development of GA-MDS can serve as a platform to inform the geriatric referral system, standardize the GA process, and streamline their referral to specialized levels of care. We hope GA-MDS supports clinicians, researchers, and policymakers by providing aggregated data to inform medical practice and enhance patient-centered outcomes.
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Affiliation(s)
- Razieh Mirzaeian
- Department of Health Information Management, Shahrekord University of Medical Sciences, Shahrekord, Iran
- Department of Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Mohsen Shafiee
- Department of Nursing, Abadan University of Medical Sciences, Abadan, Iran
| | - Mohammad Reza Afrash
- Department of Artificial Intelligence, Smart University of Medical Sciences, Tehran, Iran
- Artificial Intelligence in Medical Sciences Research Center, Smart University of Medical Sciences, Tehran, Iran
| | - Hadi Kazemi-Arpanahi
- Department of Health Information Technology, Abadan University of Medical Sciences, Abadan, Iran.
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Boucham M, Salhi A, El Hajji N, Gbenonsi GY, Belyamani L, Khalis M. Factors associated with frailty in older people: an umbrella review. BMC Geriatr 2024; 24:737. [PMID: 39237866 PMCID: PMC11376099 DOI: 10.1186/s12877-024-05288-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Accepted: 08/07/2024] [Indexed: 09/07/2024] Open
Abstract
BACKGROUND The number of frail older people is increasing worldwide, and all countries will be confronted with their growing needs for healthcare and social support. The aim of this umbrella review was to summarize the evidence on the factors associated with frailty in older people, using a socioecological approach. METHODS PubMed (MEDLINE), Scopus, Web of Science, ScienceDirect, Hinari (research4life), and the Trip database were systematically searched up to April 2023. Systematic reviews of observational studies that explored factors associated with frailty in older adults aged 60 years and over were considered for inclusion. No language, geographical or setting restrictions were applied. However, we excluded systematic reviews that investigated frailty factors in the context of specific diseases. The Joanna Briggs Institute Critical Appraisal Checklist for Systematic Reviews and Research Syntheses and the ROBIS tool were used to assess the quality and risk of bias in the included studies. RESULTS Forty-four systematic reviews were included, covering 1,150 primary studies with approximately 2,687,911 participants overall. Several risk factors, protective factors and biomarkers were found to be associated with frailty, especially in community-dwelling older people, including 67 significant associations from meta-analyses. The certainty of the evidence was rated as moderate or reached moderate levels for seven factors relevant to older people. These factors include depression (OR 4.66, 95% CI 4.07 to 5.34), loneliness (OR 3.51, 95% CI 2.70 to 4.56), limitations in activities of daily living (OR 2.59, 95% CI 1.71 to 3.48), risk of malnutrition (OR 3.52, 95% CI 2.96 to 4.17), Dietary Inflammatory Index score (OR 1.24, 95% CI 1.16 to 1.33), maximal walking speed (Standardized Mean Difference (SMD) -0.97, 95% CI -1.25 to -0.68), and self-reported masticatory dysfunction (OR 1.83, 95% CI 1.55 to 2.18). Additionally, only greater adherence to a Mediterranean diet showed a high level of evidence (OR 0.44, 95% CI 0.31 to 0.64). CONCLUSIONS This umbrella review will provide guidance for prevention strategies and clinical practice by promoting healthy lifestyles and addressing all modifiable risk factors associated with frailty. Future systematic reviews should consider heterogeneity and publication bias, as these were the main reasons for downgrading the level of evidence in our review. REGISTRATION PROSPERO 2022, CRD42022328902.
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Affiliation(s)
- Mouna Boucham
- Department of Public Health, Mohammed VI Center for Research and Innovation, Rabat, Morocco.
- Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health, Casablanca, Morocco.
| | - Amal Salhi
- National School of Public Health, Rabat, Morocco
| | - Naoual El Hajji
- Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health, Casablanca, Morocco
| | - Gloria Yawavi Gbenonsi
- Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health, Casablanca, Morocco
| | - Lahcen Belyamani
- Mohammed VI Center for Research and Innovation, Mohammed VI University of Sciences and Health, Rabat, Morocco
- Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Rabat, Morocco
| | - Mohamed Khalis
- Department of Public Health, Mohammed VI Center for Research and Innovation, Rabat, Morocco
- Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health, Casablanca, Morocco
- Higher Institute of Nursing Professions and Technical Health, Rabat, Morocco
- Laboratory of Biostatistics, Clinical, and Epidemiological Research, & Laboratory of Community Health (Public Health, Preventive Medicine and Hygiene), Department of Public Health, Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Rabat, Morocco
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de Araújo Monteiro GKN, Dos Santos RC, de Moraes Brandão WF, Costa GMC, de Almeida AM, Souto RQ. Factors Associated With Elder Abuse According to the Levels of Social Determinants in Brazil. JOURNAL OF FORENSIC NURSING 2024:01263942-990000000-00107. [PMID: 39235315 DOI: 10.1097/jfn.0000000000000501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/06/2024]
Abstract
OBJECTIVE The aim of this study was to analyze the factors associated with elder abuse according to the levels of social determinants. METHODOLOGY This is a quantitative and multicentric study, with a cross-sectional cut. It was developed in two teaching hospitals in Paraíba, Brazil, with 323 older adults, from July 2019 to February 2020. Data were collected using the Hwalek-Sengstock Elder Abuse Screening Test and Conflict Tactics Scale-1 and then analyzed using descriptive and inferential statistics. RESULTS There was a significant association between risk for violence and female gender (p = 0.004), residing with grandchildren (p = 0.025), and having four or more comorbidities (p < 0.00). Physical violence was associated with income (p = 0.048). A positive correlation was observed between the number of comorbidities and the risk for violence score (p < 0.001), psychological violence (p = 0.004), and physical violence (p = 0.005). The probability of presenting a risk to violence increased by 2.08 times for women, 1.03 times for those who were illiterate, and 7.03 times for those with four or more comorbidities. CONCLUSION The social determinants of health that integrate the macrosystem, such as income and number of comorbidities, correlate with situations of violence.
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Affiliation(s)
| | | | | | | | - Ana Maria de Almeida
- Post-Graduate Nursing in Public Health Program of the Nursing School of Ribeirão Preto, University of São Paulo
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Gonçalves AK, Silva PCD, Griebler EM, Silva WAD, Sant Helena DP, Possamai VD, Martins VF. Multicomponent Physical Program: Effects on Physical Fitness of Older Women of Different Age Groups. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2024; 95:759-765. [PMID: 38324771 DOI: 10.1080/02701367.2024.2306285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Accepted: 01/05/2024] [Indexed: 02/09/2024]
Abstract
Purpose: Experimental studies investigating the outcomes of physical exercise among age-stratified groups of older women are still incipient. This study aimed to investigate the effects of a ten-month multicomponent physical program on the physical fitness of older women in three age-stratified groups (60-69 years, 70-79 years, and ≥80 years). Method: Participants (n = 141) were divided into three age groups: GR1 60-69 years (n = 45; 65.2 ± 2.3 years); GR2 70-79 years (n = 67; 72.9 ± 2.9 years), GR3 ≥80 years (n = 29; 83.5 ± 4.5 years). The participants performed the multicomponent physical program and were evaluated before and after the intervention with Senior Fitness Test. Data were analyzed using generalized estimating equations, Bonferroni test (p ≤.05) and effect size (Cohen's d). Results: For the group factor, there were significant differences in lower limb strength (p = .003), upper limb strength (p < .001), upper limb flexibility (p < .001), balance/agility (p < .001), and cardiorespiratory fitness (p < .001). For the time factor, significant differences were observed in lower limb strength (GR2, p = .014, small effect size), upper limb strength (GR1, p = .003; GR2, p < .001; GR3, p = .017; small effect sizes), lower limb flexibility (GR1, p = .025, non-significant effect size), cardiorespiratory fitness (GR1, p < .001, medium effect size; GR2, p = .002; small effect size). Conclusion: Physical fitness improved with training, but effects differed between age groups. Positive effects were observed for GR1 and GR2, whereas GR3 showed maintenance of physical fitness. Aging interferes more strongly in women aged 80 years and older and it is necessary for specific training programs for this age group. .
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Öz Yildirim Ö, İŞeri Ö. The relationship between the frequency of use of non-medication coping strategies with urinary incontinence and depression in older adults. Psychogeriatrics 2024; 24:1087-1094. [PMID: 39073198 DOI: 10.1111/psyg.13162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2024] [Revised: 06/13/2024] [Accepted: 06/17/2024] [Indexed: 07/30/2024]
Abstract
BACKGROUND The aim of this study is to examine the relationship between the frequency of use of non-medication coping strategies with urinary incontinence (UI) and depression in older adults. METHODS This study followed a descriptive design and was conducted with 345 older adults over the age of 65. The data of the study were collected using the Geriatric Depression Scale Short Form and the Frequency of Non-Medication Coping Strategies with Urinary Incontinence Scale. The data analysis of the study was conducted using descriptive statistics, Pearson correlation analysis, and hierarchical multiple regression analysis. The significance level was accepted as P < 0.05. RESULTS The mean age of the participants was 71.86 ± 5.43 years. Among the older adults, 58.8% were male and 50.2% were primary school graduates. It was determined that 43.8% of the participants experienced the frequency of UI more than once a week, 36.2% experienced stress incontinence, 51.9% consulted a physician due to UI, 53.6% received treatment for UI, and 47.8% reported that UI had an impact on their social life. The relationship between the frequency of use of non-medication coping strategies with UI and geriatric depression (β = -0.017; P = 0.043) was found to be significant and negative. It was found that there was a significant and positive relationship between age, frequency of UI, type of UI, the impact of UI on social life, and geriatric depression (P < 0.05). CONCLUSION AND SUGGESTIONS The older adults in this study were found to have moderate depression. It was determined that the level of depression was higher in the older adults who experienced UI more than once a week, those who experienced stress UI, those whose social lives were impacted, and those who had a higher frequency of non-medication coping strategies.
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Affiliation(s)
- Özge Öz Yildirim
- Health Science Faculty, Nursing Department, Ondokuz Mayıs University, Samsun, Turkey
| | - Özge İŞeri
- Health Science Faculty, Nursing Department, Ondokuz Mayıs University, Samsun, Turkey
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Mohd Mydin FH, Mikton C, Choo WY, Shunmugam RH, Murray A, Yon Y, Yunus RM, Hairi NN, Hairi FM, Beaulieu M, Phelan A. Psychometric properties of instruments for measuring abuse of older people in community and institutional settings: A systematic review. CAMPBELL SYSTEMATIC REVIEWS 2024; 20:e1419. [PMID: 39211334 PMCID: PMC11358705 DOI: 10.1002/cl2.1419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 05/23/2024] [Accepted: 05/27/2024] [Indexed: 09/04/2024]
Abstract
Background The examination of psychometric properties in instruments measuring abuse of older people (AOP) is a crucial area of study that has, unfortunately, received relatively little attention. Poor psychometric properties in AOP measurement instruments can significantly contribute to inconsistencies in prevalence estimates, casting a shadow of uncertainty over the magnitude of the problem at national, regional, and global levels. Objectives This review rigorously employed the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) guideline on the quality of outcome measures. It was designed to identify and review the instruments used to measure AOP, assess the instruments' measurement properties, and identify the definitions of AOP and abuse subtypes measured by these instruments, ensuring the reliability and validity of the findings. Search Methods A comprehensive search was conducted up to May 2023 across various online databases, including AgeLine via EBSCOhost, ASSIA via ProQuest, CINAHL via EBSCOhost, EMBASE, LILACS, ProQuest Dissertation & Theses Global, PsycINFO via EBSCOhost, PubMed, SciELO, Scopus, Sociological Abstract via ProQuest, Chinese National Knowledge Infrastructure (CNKI), Google Scholar and WHO Global Index Medicus. Additionally, relevant studies were identified by thoroughly searching the grey literature from resources such as Campbell Collaboration, OpenAIRE, and GRAFT. Selection Criteria All quantitative, qualitative (addressing face and content validity), and mixed-method empirical studies published in peer-reviewed journals or grey literature were included in this review. The included studies were primary studies that (1) evaluated one or more psychometric properties, (2) contained information on instrument development, or (3) examined the content validity of the instruments designed to measure AOP in community or institutional settings. The selected studies describe at least one psychometric property: reliability, validity, and responsiveness. Study participants represent the population of interest, including males and females aged 60 or older in community or institutional settings. Data Collection and Analysis Two reviewers evaluated the screening of the selected studies' titles, abstracts, and full texts based on the preset selection criteria. Two reviewers assessed the quality of each study using the COSMIN Risk of Bias checklist and the overall quality of evidence for each psychometric property of the instrument against the updated COSMIN criteria of good measurement properties. Disagreements were resolved through consensus discussion or with assistance from a third reviewer. The overall quality of the measurement instrument was graded using a modified GRADE approach. Data extraction was performed using data extraction forms adapted from the COSMIN Guideline for Systematic Reviews of Outcome Measurement Instruments. The extracted data included information on the characteristics of included instruments (name, adaptation, language used, translation and country of origin), characteristics of the tested population, instrument development, psychometric properties listed in the COSMIN criteria, including details on content validity, structural validity, internal consistency, cross-cultural validity/measurement invariance, reliability, measurement error, criterion validity, hypotheses testing for construct validity, responsiveness, and interoperability. All data were synthesised and summarised qualitatively, and no meta-analysis was performed. Main Results We found 15,200 potentially relevant records, of which 382 were screened in full text. A total of 114 studies that met the inclusion criteria were included. Four studies reported on more than one instrument. The primary reasons for excluding studies were their focus on instruments used solely for screening and diagnostic purposes, those conducted in hospital settings, or those without evaluating psychometric properties. Eighty-seven studies reported on 46 original instruments and 29 studies on 22 modified versions of an original instrument. The majority of the studies were conducted in community settings (97 studies) from the perspective of older adults (90 studies) and were conducted in high-income countries (69 studies). Ninety-five studies assessed multiple forms of abuse, ranging from 2 to 13 different subscales; four studies measured overall abuse and neglect among older adults, and 14 studies measured one specific type of abuse. Approximately one-quarter of the included studies reported on the psychometric properties of the most frequently used measurement instruments: HS-EAST (assessed in 11 studies), VASS-12 items (in 9 studies), and CASE (in 9 studies). The instruments with the most evidence available in studies reporting on instrument development and content validity in all domains (relevance, comprehensiveness and comprehensibility) were the DEAQ, OAPAM, *RAAL-31 items, *ICNH (Norwegian) and OAFEM. For other psychometric properties, instruments with the most evidence available in terms of the number of studies were the HS-EAST (11 studies across 5 of 9 psychometric properties), CASE (9 studies across 6 of 9 psychometric properties), VASS-12 items (9 studies across 5 of 9 psychometric properties) and GMS (5 studies across 4 of 9 psychometric properties). Based on the overall rating and quality of evidence, the psychometric properties of the AOP measurement instruments used for prevalence measurement in community and institutional settings were insufficient and of low quality. Authors' Conclusions This review aimed to assess the overall rating and quality of evidence for instruments measuring AOP in the community and institutional settings. Our findings revealed various measurement instruments, with ratings and evidence quality predominantly indicating insufficiency and low quality. In summary, the psychometric properties of AOP measurement instruments have not been comprehensively investigated, and existing instruments lack sufficient evidence to support their validity and reliability.
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Affiliation(s)
| | - Christopher Mikton
- Department of Social Determinants of Health, Division of Healthier PopulationsWorld Health OrganizationGenevaSwitzerland
| | - Wan Yuen Choo
- Department of Social & Preventive Medicine, Faculty of MedicineUniversiti MalayaKuala LumpurMalaysia
| | - Ranita Hisham Shunmugam
- Department of Library & Information Science, Faculty of Arts & Social SciencesUniversiti MalayaKuala LumpurMalaysia
| | - Aja Murray
- Department of PsychologyUniversity of EdinburghEdinburgUK
| | - Yongjie Yon
- World Health Organization Regional Office for EuropeCopenhagenDenmark
| | - Raudah M. Yunus
- Public Health MedicineUniversiti Teknologi MARASungai BulohMalaysia
| | - Noran N. Hairi
- Department of Social & Preventive Medicine, Faculty of MedicineUniversiti MalayaKuala LumpurMalaysia
| | - Farizah M. Hairi
- Department of Social & Preventive Medicine, Faculty of MedicineUniversiti MalayaKuala LumpurMalaysia
| | - Marie Beaulieu
- École de travail social, Faculté des lettres et sciences humainesUniversité de SherbrookeSherbrookeQuébecCanada
| | - Amanda Phelan
- School of Nursing, Midwifery & Health Systems, National Centre for the Protection of Older PeopleUniversity College Dublin, BelfieldDublinIreland
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Katopola D, Mashili F, Hasson H, Hasselberg M. A stakeholder analysis of the road transport system in Tanzania using a STAMP control structure. ERGONOMICS 2024; 67:1222-1236. [PMID: 38059921 DOI: 10.1080/00140139.2023.2289861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 11/27/2023] [Indexed: 12/08/2023]
Abstract
The way the road transport system is developed in a country affects safety. This study aims to identify the roles and relationships of road transport stakeholders and to explore the understanding of control and feedback mechanisms and associated gaps influencing road safety. A System-Theoretic Accident Model and Processes (STAMP) model was applied to document and interview data (n = 30). Participants emphasised the hindrance of overlapping mandates among stakeholders on the road transport system's operations and underlined the roles of coalitions for road safety as system enablers. Further, the withdrawal of some controls by international agencies can increase system vulnerability. Most importantly, critical control and feedback gaps were shown to increase risks for safety within the road transport system. The findings underscore the complexity of the road transport system and add to the discussion on a system's approach to road safety.Practitioner summary: Using a STAMP methodology, we extensively studied the road transport system in Tanzania. Road transport stakeholders were identified through the review of documents, interviews were conducted, and the main findings were discussed. Control and feedback mechanisms and associated gaps were critically presented, recommendations were proposed, and policy implications were suggested.
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Affiliation(s)
- Daudi Katopola
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
- Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
- National Institute of Transport, Dar es Salaam, Tanzania
| | - Fredirick Mashili
- Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
| | - Henna Hasson
- Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden
- Center for Epidemiology and Community Medicine, Stockholm, Sweden
| | - Marie Hasselberg
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
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Pacheco DA, de Sousa Campêlo AL, de Sousa SES, Sales MC, Sena-Evangelista KCM, Barbosa F, Lima KC, Ferreira MRP, Reis BZ, Pedrosa LFC. Association between exposure to plasma mixture of essential and toxic elements and the lipid profile in institutionalized older adults. J Trace Elem Med Biol 2024; 85:127490. [PMID: 38954873 DOI: 10.1016/j.jtemb.2024.127490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Revised: 05/17/2024] [Accepted: 06/19/2024] [Indexed: 07/04/2024]
Abstract
BACKGROUND Older adults have a progressive deficiency in the ability to detoxify chemical elements and are susceptible to dyslipidemia and changes in glycemic control. The objective was to evaluate the association of the mixture of essential and toxic elements in the plasma of institutionalized older adults and test the associations with lipid profile variables and glycemic control. METHODS Data were obtained from 149 Brazilian older adults aged ≥60 living in nursing homes (NH) in Natal, Brazil. The concentrations of sixteen chemical elements in plasma and lipid profile parameters and glycemic control of 149 institutionalized older adults were measured. Bayesian kernel machine regression was used to estimate the associations of the mixture of chemical elements with total cholesterol (TC), high-density lipoprotein (HDL-c), low-density lipoprotein (LDL-c), triglycerides (TG), fasting glucose, and glycated hemoglobin. RESULTS Non-linear responses to exposure were observed for iron (Fe) about TC, LDL-c, and TG, and for barium (Ba) and copper (Cu) about TG. The concentration of the mixture of chemical elements below the 35th percentile was associated with a decrease in TC. Fe was the main element in the effect of the mixture associated with TC. CONCLUSIONS The lower concentrations of the mixture of chemical elements in plasma had a protective effect on the increase in TC, with Fe being the main element. Considering the results, the levels of essential and toxic elements in the plasma of older adults require extensive screening, mainly to prevent dyslipidemia and monitor clinical interventions.
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Affiliation(s)
- Daniela Antunes Pacheco
- Graduate Program in Nutrition, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, 3000 - Lagoa Nova, Natal, RN CEP: 59078900, Brazil
| | - Angélica Lopes de Sousa Campêlo
- Graduate Program in Nutrition, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, 3000 - Lagoa Nova, Natal, RN CEP: 59078900, Brazil
| | - Sara Estéfani Soares de Sousa
- Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Avenida Gustavo Cordeiro de Farias, s/n, Petrópolis, Natal, RN CEP: 59012570, Brazil
| | - Márcia Cristina Sales
- School of Medicine, State University of Roraima, Rua Sete de Setembro, 231, Canarinho, Boa Vista, RR CEP: 69306530, Brazil
| | - Karine Cavalcanti Maurício Sena-Evangelista
- Graduate Program in Nutrition, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, 3000 - Lagoa Nova, Natal, RN CEP: 59078900, Brazil; Department of Nutrition, Federal University of Rio Grande do Norte, Av. Senador, Salgado Filho, 3000 - Lagoa Nova, Natal, RN CEP: 59078900, Brazil
| | - Fernando Barbosa
- Laboratory of Clinical, Toxicological and Bromatological Analysis, Faculty of Pharmaceutical Sciences, University of São Paulo, Ribeirão Preto, Ribeirão Preto, SP CEP 14040-903, Brazil
| | - Kenio Costa Lima
- Department of Dentistry, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, 1787 - Lagoa Nova, Natal, RN CEP: 59056000, Brazil
| | - Marcelo Rodrigo Portela Ferreira
- Department of Statistics, Federal University of Paraíba, João Pessoa, Conj. Pres, Castelo Branco III, João Pessoa, PB 58050-585, Brazil
| | - Bruna Zavarize Reis
- Graduate Program in Nutrition, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, 3000 - Lagoa Nova, Natal, RN CEP: 59078900, Brazil; Department of Nutrition, Federal University of Rio Grande do Norte, Av. Senador, Salgado Filho, 3000 - Lagoa Nova, Natal, RN CEP: 59078900, Brazil
| | - Lucia Fatima Campos Pedrosa
- Graduate Program in Nutrition, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, 3000 - Lagoa Nova, Natal, RN CEP: 59078900, Brazil; Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Avenida Gustavo Cordeiro de Farias, s/n, Petrópolis, Natal, RN CEP: 59012570, Brazil; Department of Nutrition, Federal University of Rio Grande do Norte, Av. Senador, Salgado Filho, 3000 - Lagoa Nova, Natal, RN CEP: 59078900, Brazil.
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Araújo CAHD, Warmling D, Araújo PG, Coelho EBS. Domestic violence, obesity and malnutrition in elderly people in a capital in southern Brazil - EpiFloripa Idoso Study. CIENCIA & SAUDE COLETIVA 2024; 29:e16462023. [PMID: 39194121 DOI: 10.1590/1413-81232024299.16462023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Accepted: 04/17/2024] [Indexed: 08/29/2024] Open
Abstract
The objective of this article was to verify the association between domestic violence and obesity and malnutrition in elderly people in Florianópolis, Santa Catarina, Brazil. Cross-sectional study evaluated in the EpiFloripa Elderly cohort in 2013/2014. The outcomes were body mass index (BMI) and abdominal obesity (increased WC). Violence against elderly people was measured using the HawlekSengstock Elder Abuse Screening Test (H-S/EAST) instrument, and IPV using the Conflict Tatics Scales Form R (CTS-1) instrument. Logistic regression and multinomial logistic regression models were used. It was observed that men had a greater chance of abdominal obesity when in situations of violence and in the potential abuse dimension. Women were more likely to have abdominal obesity in the dimension of violation of personal rights or abuse, when they suffered IPV and when they were perpetrators of IPV. In relation to BMI, elderly women in situations of violence were associated with a greater chance of being overweight and those who suffered IPV. On the other hand, men in vulnerable situations were more likely to be underweight. It is concluded that violence against elderly people and IPV generate an asymmetric impact on nutritional status in relation to sex.
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Affiliation(s)
- Carolina Abreu Henn de Araújo
- Departamento de Saúde Pública, Universidade Federal de Santa Catarina. Campus Universitário. 88040-970 Florianópolis SC Brasil.
| | - Deise Warmling
- Departamento de Saúde Pública, Universidade Federal de Santa Catarina. Campus Universitário. 88040-970 Florianópolis SC Brasil.
| | - Pierre Guedes Araújo
- Departamento de Saúde Pública, Universidade Federal de Santa Catarina. Campus Universitário. 88040-970 Florianópolis SC Brasil.
| | - Elza Berger Salema Coelho
- Departamento de Saúde Pública, Universidade Federal de Santa Catarina. Campus Universitário. 88040-970 Florianópolis SC Brasil.
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Ribeiro TS, Simões TC, Silva IFD, Koifman RJ, Borges MFDSO, Opitz SP. Effects of age, period, and cohort on mortality by prostate cancer among men in the state of Acre, in the Brazilian Western Amazon. CIENCIA & SAUDE COLETIVA 2024; 29:e14782022. [PMID: 39194117 DOI: 10.1590/1413-81232024299.14782022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 09/01/2023] [Indexed: 08/29/2024] Open
Abstract
The present study aimed to analyze the effects of age, time period, and birth cohort on the temporal evolution of mortality rates due to prostate cancer in men from the state of Acre, Brazil, in the period of 1990 to 2019. This is an ecological study in which the temporal trend was evaluated by the joinpoint method, estimating the annual percentage variations of the mortality rates. The age-period-birth cohort effects were calculated by using the Poisson Regression method, using estimation functions. The mortality rates showed an increase of 2.20% (95%CI: 1.00-3.33) in the period studied, tended to increase with age. A relative risk (RR) of 0.67 (95%CI: 0.59-0.76) was observed between 2005 and 2009, 0.76 (95%CI: 0.67-0.87) from 2005 on, and 1.44 (95%CI: 1.25-1.68) from 2015 on. The cohorts from 1910 to 1924 presented a risk reduction (RR < 1), when compared to the reference cohort (1935). Regarding the time period, the creation of public policies and the establishment of guidelines are suggested as factors which may have contributed to more access to diagnosis, in consonance with the cohort effect. These findings can contribute to a better understanding of the epidemiological scenario of prostate cancer in regions that are more vulnerable in terms of socioeconomic conditions.
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Affiliation(s)
- Thainá Souza Ribeiro
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Acre. Campus da Universidade Federal do Acre. 69917-400 Rio Branco AC Brasil.
| | | | - Ilce Ferreira da Silva
- Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil
| | - Rosalina Jorge Koifman
- Programa de Pós-Graduação em Saúde e Meio Ambiente Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil
| | | | - Simone Perufo Opitz
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Acre. Campus da Universidade Federal do Acre. 69917-400 Rio Branco AC Brasil.
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Won S, Cotter VT, Regier NG. Effects of Activities on the Psychological Well-Being of Caregivers of Older Adults: A Systematic Review. J Appl Gerontol 2024:7334648241275817. [PMID: 39212498 DOI: 10.1177/07334648241275817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2024] Open
Abstract
Given that approximately 41.8 million Americans provide unpaid care to older adults and caregiving roles are often associated with decreased well-being, it is critical to identify strategies to maximize their well-being. The purpose of this review was to explore which activities significantly improve well-being among caregivers of older adults. A systematic literature review was conducted using PsycINFO and 24 research articles met inclusion criteria and were included in the final analysis. Eight cohesive activity categories were identified: Social (n = 5), Psychoeducation (n = 3), Arts/entertainment in the home (n = 2), Psychotherapy (n = 5), Religious/Spiritual (n = 4), Multimodal (n = 4), Physical (n = 5), and Arts/entertainment outside the home (n = 2). Findings suggest that caregivers of older adults should seek opportunities for engagement in meaningful activities, particularly social, psychoeducational activities, arts/entertainment activities in the home, which showed positive impacts, as well as psychotherapy, religious/spiritual, multimodal, and physical activities, which showed mixed impacts on caregivers' psychological well-being.
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Affiliation(s)
- Sarah Won
- School of Nursing, Johns Hopkins University, Baltimore, MD, USA
| | - Valerie T Cotter
- School of Nursing, Johns Hopkins University, Baltimore, MD, USA
- Center for Equity in Aging, Johns Hopkins University, Baltimore, MD, USA
- School of Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - Natalie G Regier
- School of Nursing, Johns Hopkins University, Baltimore, MD, USA
- Center for Equity in Aging, Johns Hopkins University, Baltimore, MD, USA
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Ghahremani L, Zare E, Karimi M, Nazari M, Khoramaki Z, Dias EN. Psychometric properties of Persian version of the advanced activities of daily living scale: A psychometric study on Iranian older adults. Geriatr Nurs 2024; 60:14-20. [PMID: 39216212 DOI: 10.1016/j.gerinurse.2024.08.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2024] [Revised: 08/03/2024] [Accepted: 08/19/2024] [Indexed: 09/04/2024]
Abstract
This study was conducted to determine the psychometric properties of the Persian version of an AADL scale in Iranian older adults. A total of 237 males and females aged over 60 years old were recruited. Personal information questionnaires, the CASP-19 Quality of Life, and AADL questionnaires were used for data collection. SPSS 24 and IBM AMOS 24 were used for data processing and analysis. Three factors that had eigenvalues higher than one were extracted, which explained 51.2 % of the total variances. The Cronbach α of the total score was 0.76, and it was >0.64 for each extracted factor. The goodness of fit indices indicated an acceptable fit to the data in confirmatory factor analysis. The culturally modified Persian version of the AADL scale has acceptable psychometric properties and is proper for evaluating the advanced activities of daily living in the Iranian population.
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Affiliation(s)
- Leila Ghahremani
- Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, 71645-111, Iran
| | - Elahe Zare
- Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, 71645-111, Iran
| | - Masoud Karimi
- Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, 71645-111, Iran.
| | - Mahin Nazari
- Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, 71645-111, Iran
| | - Zakieh Khoramaki
- Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, 71645-111, Iran
| | - Ewerton Naves Dias
- University of Porto, Portugal; Department of Biological and Health Sciences, Universities of Guarulhos and Mogi das Cruzes, Brazil
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Al Hajj W, Salla M, Krayem M, Khaled S, Hassan HF, El Khatib S. Hydrolyzed collagen: Exploring its applications in the food and beverage industries and assessing its impact on human health - A comprehensive review. Heliyon 2024; 10:e36433. [PMID: 39253251 PMCID: PMC11381813 DOI: 10.1016/j.heliyon.2024.e36433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Revised: 08/07/2024] [Accepted: 08/15/2024] [Indexed: 09/11/2024] Open
Abstract
Hydrolyzed collagen (HC) consists of many small and low-molecular-weight amino acid chains (3-6 kDa) that can be produced either in basic or acidic media through enzymatic activity. This review details the sources of hydrolyzed collagen, its biosynthesis and its uses in the food industry, as well as its production process and beneficial health effects. HC can be extracted from a variety of sources, during which acetic acid is used for the extraction of collagen type I from bovine, porcine, marine, chicken, and fish cartilage. An enzymatic treatment combined with an acidic treatment has shown more efficient extraction results. Because of its properties, it is frequently employed in the food industry since it improves sensorial qualities, as well as in the cosmetic industry as a functional component in face and body cream because of its moisturizing properties. It is also used in the pharmaceutical development of antioxidant supplements often combined with hyaluronic acid and vitamin C. HC has an excellent therapeutic effect on osteoporosis and osteoarthritis, where a daily dose of 12 g enhances pain symptoms and contributes to bone health. It also increases mineral density and protects articular cartilage. This review presents the structure and properties of hydrolyzed collagen, which mainly consists of the amino acids glycine, proline and hydroxyproline in a triple helix, its extraction process and its sources, as well as its applications. In particular, the creation of Enzymatic Membrane Reactor allows the production of HC with different molecular weight distributions, allowing wider application.
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Affiliation(s)
- Walaa Al Hajj
- Department of Food Sciences and Technology, School of Arts and Sciences, Lebanese International University, Al Khiyara, West Bekaa, Lebanon
| | - Mohamed Salla
- Department of Food Sciences and Technology, School of Arts and Sciences, Lebanese International University, Al Khiyara, West Bekaa, Lebanon
- Department of Biological Sciences, School of Arts and Sciences, Lebanese International University, Al Khiyara, West Bekaa, Lebanon
| | - Maha Krayem
- Department of Food Sciences and Technology, School of Arts and Sciences, Lebanese International University, Al Khiyara, West Bekaa, Lebanon
- Department of Biological Sciences, School of Arts and Sciences, Lebanese International University, Al Khiyara, West Bekaa, Lebanon
| | - Sanaa Khaled
- Department of Food Sciences and Technology, School of Arts and Sciences, Lebanese International University, Al Khiyara, West Bekaa, Lebanon
- Department of Biological Sciences, School of Arts and Sciences, Lebanese International University, Al Khiyara, West Bekaa, Lebanon
| | - Hussein F Hassan
- Department of Natural Sciences, Nutrition Program, School of Arts and Sciences, Lebanese American University, 1102 2801, Koraytem, Beirut, Lebanon
| | - Sami El Khatib
- Department of Food Sciences and Technology, School of Arts and Sciences, Lebanese International University, Al Khiyara, West Bekaa, Lebanon
- Department of Biological Sciences, School of Arts and Sciences, Lebanese International University, Al Khiyara, West Bekaa, Lebanon
- Center for Applied Mathematics and Bioinformatics (CAMB) at Gulf University for Science and Technology, Kuwait
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24
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Carvalho ES, Silva LGA, Zullo SA, Damião R. Prevalence of sarcopenic obesity in women and its association with level of independent physical activity combined with sedentary behavior. Menopause 2024:00042192-990000000-00374. [PMID: 39190339 DOI: 10.1097/gme.0000000000002426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/28/2024]
Abstract
OBJECTIVE This study aimed to determine the prevalence of sarcopenic obesity and its association with the level of physical activity, alone and combined with sedentary behavior. METHODS A cross-sectional study was performed. The sample was composed of 317 women aged between 24 and 59 years. Sarcopenic obesity was determined by the coexistence of sarcopenia (reduced muscle mass and strength) and obesity (% fat). Dual-energy x-ray absorption was used to evaluate muscle mass and % fat, with cutoff points of <15 kg and <31.71%, respectively. Strength was assessed by the handgrip test, with a cutoff point of <21.68 kg. Levels of physical activity and sedentary behavior were assessed using the long version of the International Physical Activity Questionnaire. Individuals who did not achieve 150 minutes per week of physical activity were considered insufficiently active. The cutoff point for sedentary behavior was determined based on the 75th percentile (480 min/wk), considering excessive sedentary behavior (≥75th percentile) and low/moderate sedentary behavior (<75th percentile). RESULTS The prevalence of sarcopenic obesity was 7.9% (95% CI, 4.9-10.8). Sarcopenic obesity was associated with the general physical activity level (odds ratio, 3.96; 95% CI, 1.32-11.8) and being insufficiently active together with low/moderate sedentary behavior (odds ratio, 4.88; 95% CI, 1.49-16.0). CONCLUSIONS There was the presence of sarcopenic obesity in adult women which was associated with the level of general physical activity, alone and combined with sedentary behavior.
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25
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Saraiva BTC, Franchini E, Ribeiro AS, Gobbo LA, Correia MA, Vanderlei LCM, Ferrari G, Tebar WR, Christofaro DGD. Effects of 12 weeks of functional training vs. Muay Thai on cardiac autonomic modulation and hemodynamic parameters in older adults: a randomized clinical trial. BMC Cardiovasc Disord 2024; 24:433. [PMID: 39153977 PMCID: PMC11330007 DOI: 10.1186/s12872-024-04096-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2024] [Accepted: 08/02/2024] [Indexed: 08/19/2024] Open
Abstract
BACKGROUND The elevated blood pressure (BP) and lower cardiac autonomic modulation (CAM) are associated with higher morbidity mortality risk among older adults. Although exercise is an important intervention for cardiovascular promotion, it is unclear whether combat sports training could benefit cardiovascular outcomes as much as autonomic in this population. This study compared the effects of 12 weeks of Muay Thai (MT) training against functional training (FT) on CAM and hemodynamic parameters in older adults. METHODS The sample consisted of 50 older adults (41 women; 66.0 ± 5.3 years old), who were equaly randomized into FT (n = 25) and MT (n = 25) intervention groups. CAM was measured by 30-min rest heart rate variability. Systolic blood pressure (SBP), diastolic blood pressure (DBP) and resting heart rate (RHR) were measured using an automatic oscillometric device. Pulse pressure (PP) and the double product (DP) were also calculated. The interventions were carried out three times a week, with 60-min length per session, during 12 consecutive weeks. The intensity of the interventions was measured using the subjective perception of exertion scale and by accelerometer. Two-factor repeated measures analysis of covariance was used for groups comparison, considering intervention group and body mass as factors. The 95% confidence interval of the difference (95%CIdif) was also calculated and the effect size was measured using partial eta squared (η2p). RESULTS CAM indices did not show significant changes across moments and intervention groups. In hemodynamic parameters, only in DBP was there an effect of the moment (F1,39 = 8.206; P = 0.007; η2p = 0.174, large) and interaction effect between group*moment (F1,39 = 7.950; P = 0.008; η2p = 0.169, large). Specifically, the MT group at the post-training moment showed lower DBP (P = 0.010; 95%CIdif = -13.3; -1.89) in relation to the FT group. Furthermore, the MT group showed a decrease in DBP during training (P = 0.002; 95%CIdif = -10.3; -2.6). Also, an increase in training intensity was also found over the 12 weeks in FT, with no difference between the groups. CONCLUSION After 12 weeks of MT practice there was a reduction in DBP compared to FT in older adults. TRIAL REGISTRATION NCT03919968 Registration date: 01/02/2019.
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Affiliation(s)
- Bruna T C Saraiva
- School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, (SP), Brazil.
- Departamento de Educação Física, Faculdade de Ciências E Tecnologia, Universidade de São Paulo (UNESP), Rua Roberto Simonsen, 305, Presidente Prudente, (SP), Brasil.
| | - Emerson Franchini
- Department of Physical Education, School of Physical Education and Sport, São Paulo University (USP), São Paulo, (SP), Brazil
| | - Alex S Ribeiro
- Department of Physical Education, Faculty of Sport Science and Physical Education, University of Coimbra (UC), Coimbra, Portugal
| | - Luís A Gobbo
- Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, (SP), Brazil
| | - Marília A Correia
- Department of Physical Education, University of Nine July (UNINOVE), Campus Vergueiro, São Paulo, (SP), Brazil
| | - Luiz C M Vanderlei
- Department of Physiotherapy, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, (SP), Brazil
| | - Gerson Ferrari
- Facultad de Ciencias de La Salud, Universidad Autónoma de Chile, Providencia, Chile
| | - William R Tebar
- Center of Clinical and Epidemiological Research, University Hospital, University of São Paulo (USP), São Paulo, (SP), Brazil
| | - Diego G D Christofaro
- Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, (SP), Brazil
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Pereira MEA, Santos GDS, de Almeida CR, Nunes KCS, da Silva MCM, José H, Sousa L, Vitorino LM. Association between Falls, Fear of Falling and Depressive Symptoms in Community-Dwelling Older Adults. Healthcare (Basel) 2024; 12:1638. [PMID: 39201196 PMCID: PMC11353576 DOI: 10.3390/healthcare12161638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2024] [Revised: 08/02/2024] [Accepted: 08/15/2024] [Indexed: 09/02/2024] Open
Abstract
BACKGROUND Longevity increases pose public health challenges, especially in managing falls and their psychological impacts on older adults. Limited evidence exists on the relationship between a fear of falling (FOF), previous falls, and depressive symptoms among community-dwelling older adults. OBJECTIVE To evaluate the association between falls, FOF, and depressive symptoms in community-dwelling older adults. METHODS This cross-sectional study, conducted in 2018, included 400 older adults from a Basic Health Unit in São Paulo, Brazil. The Geriatric Depression Scale (GDS-15) and the International Falls Efficacy Scale (FES-I) were used, along with self-report questionnaires on fall history. Linear and logistic regression were used to analyze the relationships between variables. RESULTS The mean age was 75.2 (SD = 8.53) years, with 63.2% being female. Depressive symptoms were observed in 18.3% of the participants, while 90.5% reported a fear of falling (FOF). More than half (63.0%) experienced falls, with 49.5% occurring in the last year. Factors such as the female gender, negative health perceptions, and functional dependence were associated with depressive symptoms. Adjusted analyses indicated that both a fear of falling (FOF) (B = 0.043; p = 0.012) and a history of falls (B = 0.725; p = 0.015) were associated with depressive symptoms. CONCLUSIONS Falls, FOF, and depressive symptoms are interlinked among older adults, underscoring the need for targeted interventions to improve their mental and physical health.
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Affiliation(s)
| | | | - Clara Rabite de Almeida
- Department of Nursing, Federal University of Juiz de Fora, Juiz de Fora 36036-900, MG, Brazil; (C.R.d.A.); (K.C.S.N.); (M.C.M.d.S.)
| | - Kethlyn Cristina Santos Nunes
- Department of Nursing, Federal University of Juiz de Fora, Juiz de Fora 36036-900, MG, Brazil; (C.R.d.A.); (K.C.S.N.); (M.C.M.d.S.)
| | - Monalisa Claudia Maria da Silva
- Department of Nursing, Federal University of Juiz de Fora, Juiz de Fora 36036-900, MG, Brazil; (C.R.d.A.); (K.C.S.N.); (M.C.M.d.S.)
| | - Helena José
- Atlântica School of Health, 2730-036 Barcarena, Portugal; (H.J.); (L.S.)
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra, 3004-011 Coimbra, Portugal
| | - Luís Sousa
- Atlântica School of Health, 2730-036 Barcarena, Portugal; (H.J.); (L.S.)
- Comprehensive Health Research Centre, University of Évora, 7000-801 Évora, Portugal
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Wong AKC, Bayuo J, Wong HY, Chow KKS, Wong SM, Wong BB, Liu BCM, Lau DCH, Kowatsch T. The Effects of the Connecting all Generations Through the Gerontech (CARETech) Program on Motivating Young People to Enter the Elderly Care Sector. J Adolesc Health 2024:S1054-139X(24)00298-2. [PMID: 39152974 DOI: 10.1016/j.jadohealth.2024.06.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/09/2023] [Revised: 04/16/2024] [Accepted: 06/12/2024] [Indexed: 08/19/2024]
Abstract
PURPOSE This study aims to organize an intergenerational program to provide unemployed young people with operational skills related to gerontechnology and the experience required to deliver digital outreach rehabilitation services to community-dwelling older people. METHODS A quasi-experimental research design was adopted. The young participants received a 12-session training program on the management of common chronic diseases, communication with older people, the functions and use of interactive games, and techniques to teach and match interactive games with older people. The perception of elderly outcomes (i.e., knowledge and attitude toward elderly care, willingness to care for the elderly), personal outcomes (i.e., life satisfaction, self-efficacy), and desired vocational outcomes (i.e., hours worked in the nongovernmental organization's center, hours spent with older people) were evaluated preprogram and postprogram. RESULTS Fifty-one young people joined the program. A statistically significant improvement was seen from preprogram to postprogram in their willingness to care for the elderly (p = .016) and life satisfaction (p = .005), as well as in the number of hours that they spent in the community center volunteering or engaged in social services for older people. DISCUSSION The findings proved that the program could improve the willingness of young people to care for older people, as well as improve their own life satisfaction. Using gerontechnology can serve to bridge the intergenerational gap and bring benefits to both young adults and older people. It may provide policy makers with a way to address the manpower shortage in elderly care services and help frail older people to age in place.
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Affiliation(s)
- Arkers Kwan Ching Wong
- School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
| | - Jonathan Bayuo
- School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Ho Yi Wong
- School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | | | - Siu Man Wong
- Hong Kong Lutheran Social Service, Homantin, Hong Kong
| | | | | | | | - Tobias Kowatsch
- University of Zurich, University of St. Gallen & ETH, Zurich, Switzerland
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Befecadu FBP, Gonçalves M, Fernandes C, Laranjeira C, Dos Anjos Dixe M, Querido A, Pautex S, Larkin PJ, Da Rocha Rodrigues G. The experience of hope in dyads living with advanced chronic illness in Portugal: a longitudinal mixed-methods study. BMC Palliat Care 2024; 23:207. [PMID: 39143564 PMCID: PMC11325565 DOI: 10.1186/s12904-024-01528-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Accepted: 07/23/2024] [Indexed: 08/16/2024] Open
Abstract
BACKGROUND Hope is an important resource that helps patients and families thrive during difficult times. Although several studies have highlighted the importance of hope in different contexts, its specific manifestations in the realm of advanced chronic illness need further exploration. In this study, we sought to elucidate the intricate interplay between the construct of hope and the lived experience of advanced chronic illness within patient-caregiver dyads. Our objectives were (a) to explore the dyadic experience of hope as a changing dynamic over time for patients living with advanced chronic illness and their informal caregivers and (b) to evaluate variations of hope and symptom burden across time. METHODS We conducted a longitudinal mixed-methods study with a convergent design between December 2020 and April 2021. Patients living with advanced chronic illness and informal caregivers participated as a dyad (n = 8). The Herth Hope Index scale was used to measure dyads' level of hope and the Edmonton Symptom Assessment System was used to measure patients' symptom burden. Descriptive statistics were undertaken. A thematic analysis as described by Braun and Clarke was conducted to analyze dyadic interview data. Dyads' experience of hope was described by using the six dimensions of hope in the Model of Hope of Dufault and Martocchio. RESULTS Dyadic scores of hope and patients' symptom burden were stable over time. The constructs of hope in dyads included "Living one day at the time," "Having inner force/strength," and "Maintaining good health." Changes in patterns of hope were captured for each dyad in their transition over time. Data converged for all dyads except one. CONCLUSIONS The findings of our study show a constant presence of hope even in the face of adversity. Healthcare professionals must find ways to promote hope in dyads of patients living with advanced chronic diseases. Nurses play a pivotal role; dyadic interviews should be promoted to create a safe space for both patients and informal caregivers in order to share experiences. More research is needed to address patients' and informal caregivers' hope in chronic illness because current hope-based interventions primarily target cancer diagnoses.
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Affiliation(s)
- Filipa Baptista Peixoto Befecadu
- Palliative and Supportive Care Service, Chaire Kristian Gerhard Jebsen of Palliative Care Nursing, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
- Lausanne University Hospital, Lausanne, CHUV, Switzerland.
- Institute of Higher Education and Research in Healthcare (IUFRS), University of Lausanne, Lausanne, Switzerland.
- Geneva University Hospitals (HUG), Geneva, Switzerland.
| | - Maria Gonçalves
- Palliative Care Department, Hospital da Senhora da Oliveira, Creixomil, Guimarães, Portugal
| | - Cláudia Fernandes
- Palliative Care Department, Hospital da Senhora da Oliveira, Creixomil, Guimarães, Portugal
| | - Carlos Laranjeira
- School of Health Sciences, Polytechnic University of Leiria, Leiria, Portugal
- Center for Innovative Care and Health Technology (ciTechCare), Polytechnic University of Leiria, Leiria, Portugal
- Comprehensive Health Research Centre (CHRC), University of Évora, Évora, Portugal
| | - Maria Dos Anjos Dixe
- School of Health Sciences, Polytechnic University of Leiria, Leiria, Portugal
- Center for Innovative Care and Health Technology (ciTechCare), Polytechnic University of Leiria, Leiria, Portugal
| | - Ana Querido
- School of Health Sciences, Polytechnic University of Leiria, Leiria, Portugal
- Center for Innovative Care and Health Technology (ciTechCare), Polytechnic University of Leiria, Leiria, Portugal
- Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, Porto, Portugal
| | - Sophie Pautex
- Department of Readaptation and Geriatrics, Palliative Medicine Division, University Hospital Geneva and University of Geneva, Geneva, Switzerland
| | - Philip J Larkin
- Palliative and Supportive Care Service, Chaire Kristian Gerhard Jebsen of Palliative Care Nursing, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
- Lausanne University Hospital, Lausanne, CHUV, Switzerland
- Institute of Higher Education and Research in Healthcare (IUFRS), University of Lausanne, Lausanne, Switzerland
| | - Gora Da Rocha Rodrigues
- Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland
- HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western, Lausanne, Switzerland
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Funayama M, Koreki A, Takata T, Nakagawa Y, Mimura M. Post-stroke urinary incontinence is associated with behavior control deficits and overactive bladder. Neuropsychologia 2024; 201:108942. [PMID: 38906459 DOI: 10.1016/j.neuropsychologia.2024.108942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 05/17/2024] [Accepted: 06/18/2024] [Indexed: 06/23/2024]
Abstract
BACKGROUND Although urinary incontinence in stroke survivors can substantially impact the patient's quality of life, the underlying neuropsychological mechanisms and its neural basis have not been adequately investigated. Therefore, we investigated this topic via neuropsychological assessment and neuroimaging in a cross-sectional study. METHODS We recruited 71 individuals with cerebrovascular disease. The relationship between urinary incontinence and neuropsychological indices was investigated using simple linear regression analysis or Mann-Whitney U test, along with other explanatory variables, e.g., severity of overactive bladder. Variables with a p-value of <0.1 in the simple regression analysis were entered in the final multiple linear regression model to control for potential confounding factors. To carry out an in-depth examination of the neuroanatomical substrate for urinary incontinence, voxel-based lesion-behavior mapping was performed using MRIcron software. RESULTS Behavioral control deficits and severity of overactive bladder were closely related to severity of urinary incontinence. The voxel-based lesion-behavior mapping suggests a potential role for ventromedial prefrontal cortex lesioning in the severity of urinary incontinence, although this association is not statistically significant. CONCLUSIONS Post-stroke urinary incontinence is closely related to two factors: neurogenic overactive bladder, a physiological disinhibition of micturition reflex, and cognitive dysfunction, characterized by behavior control deficits.
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Affiliation(s)
- Michitaka Funayama
- Department of Neuropsychiatry, Ashikaga Red Cross Hospital, Ashikaga, Tochigi, 326-0843, Japan; Department of Rehabilitation, Edogawa Hospital, Edogawa, Tokyo, 133-0052, Japan; Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, 160-0016, Japan.
| | - Akihiro Koreki
- Department of Psychiatry, National Hospital Organization Shimofusa Psychiatric Medical Center, Chiba, 266-0007, Japan
| | - Taketo Takata
- Department of Neuropsychiatry, Ashikaga Red Cross Hospital, Ashikaga, Tochigi, 326-0843, Japan
| | - Yoshitaka Nakagawa
- Department of Rehabilitation, Edogawa Hospital, Edogawa, Tokyo, 133-0052, Japan
| | - Masaru Mimura
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, 160-0016, Japan
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Das S, Mukhopadhyay B, Mukhopadhyay S. Understanding Frailty: Perspectives and Experiences of Rural Older Adults in India. J Gerontol B Psychol Sci Soc Sci 2024; 79:gbae096. [PMID: 38801242 DOI: 10.1093/geronb/gbae096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Indexed: 05/29/2024] Open
Abstract
OBJECTIVES In India, frailty has been predominantly studied as a physiological aspect, overlooking the subjective perceptions of community-dwelling older adults, which holds global significance. This study aims to explore frailty perceptions among community-dwelling older adults, comparing those enrolled in a geriatric welfare program facility to those not-enrolled. METHODS A cross-sectional design with a qualitative descriptive framework was employed, using focus group methodology. The study took place in rural West Bengal, located in eastern India, with a sample of 27 participants aged 60-87 years. Data collection occurred between October 2018 and January 2020, conducted through a face-to-face, semistructured discussion guide. Thematic analysis was performed to ensure data saturation and reliability. RESULTS Three key themes emerged from the analysis: (a) Perceptions of frailty were associated with aging, functional dependence, and psychosocial health, (b) Exposure to a scientific definition led to an ideological dilemma influenced by personal experiences, (c) Walking speed and grip strength were prominent components of frailty. The findings revealed that there was no difference in perception between program-enrolled and nonenrolled older adults, likely due to the concept of frailty being new to all participants. However, it was noteworthy that participants enrolled in the welfare program exhibited a resilient mindset toward the definition and demonstrated a proactive interest in preserving their overall health. DISCUSSION This novel study underscores the necessity of enhancing community awareness and integrating frailty management into the Indian health care system, which is yet to be fully integrated, aiming to promote the well-being of older adults.
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Affiliation(s)
- Sayani Das
- Biological Anthropology Unit, Indian Statistical Institute, Kolkata, India
- Department of Health Research, International Institute of Health Management Research, New Delhi, India
| | - Barun Mukhopadhyay
- Biological Anthropology Unit, Indian Statistical Institute, Kolkata, India
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Teodoro MA, Silva WRD, Spexoto MCB, Silva Júnior SID. Factors of food choice and nutritional intake of Brazilian older adults according sociodemographic and health characteristics. Appetite 2024; 199:107379. [PMID: 38703791 DOI: 10.1016/j.appet.2024.107379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2023] [Revised: 04/09/2024] [Accepted: 04/25/2024] [Indexed: 05/06/2024]
Abstract
The rapid demographic transition in developing countries has always posed a challenge for the social and economic policies of these nations. The increase in longevity poses new challenges for understanding dietary consumption among different age groups at the old age population. The aim of this study was to evaluate the reasons for food choice and the composition of nutritional intake of older adults and its relationship to individual characteristics. Community-living older adults aged 60 and older were interviewed in their homes at the southeastern region of Brazil, between December 2021 and February 2022. The Food Choice Questionnaire and a Food Frequency Questionnaire were administered to obtain data on the reasons for food choice and nutritional intake. A structured interview was employed to gather information on individual characteristics. 168 older adults (mean age of 72.6 ± 8.9; 69.6% women) participated. The reasons for food choice differed significantly, with weight control being one of the least important and health being one of the most important. But older adults aged 80 and over valued the health criterion less than younger participants (60-69 years old). The intake of macronutrients and energy were below nutritional recommendations. Carbohydrate consumption was positively correlated with the mood motive. There was a relationship between the reasons for choosing food and/or the components of nutritional intake with: gender, age, living with a partner, self-report of depression/anxiety, self-perception of health and nutritional status anthropometric. The results are important to be considered in prevention policies and clinical-nutritional management, with special attention to the oldest-old.
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Affiliation(s)
- Micaela Aparecida Teodoro
- Graduate Program in Nutrition and Longevity, Federal University of Alfenas (UNIFAL-MG), Alfenas, Minas Gerais, Brazil
| | - Wanderson Roberto da Silva
- Graduate Program in Nutrition and Longevity, Federal University of Alfenas (UNIFAL-MG), Alfenas, Minas Gerais, Brazil
| | - Maria Claudia Bernardes Spexoto
- Graduate Program in Food, Nutrition, and Health, Federal University of Grande Dourados (UFGD), Dourados, Mato Grosso do Sul, Brazil
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de Almeida PP, de Oliveira RG, de Almeida LIM, de Oliveira LC. Effects of Pilates exercises on health-related quality of life in postmenopausal women: a systematic review and meta-analysis. Qual Life Res 2024; 33:2067-2079. [PMID: 38602630 DOI: 10.1007/s11136-024-03651-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/12/2024] [Indexed: 04/12/2024]
Abstract
OBJECTIVE To verify the effects of Pilates exercises on health-related quality of life (HRQoL) in postmenopausal women. METHODS A systematic search was conducted in the following databases: PubMed, Embase, CENTRAL, CINAHL, Web of Science, LILACS, SportDiscus, Scielo, and PEDro. Randomized clinical trials (RCTs) that intervened with Pilates and had HRQoL as an outcome were eligible. The methodological quality of each RCT was assessed using the PEDro scale and the certainty of the evidence using the GRADE system. Meta-analyses were conducted by standardized mean difference (SMD). RESULTS Initially, 760 records were located. After screening, 11 RCTs were included in the systematic review. Five studies presented low risk of bias (PEDro score ≥ 6). Evidence of very low to moderate certainty demonstrated significant effects in favor of Pilates exercises vs control groups for five of the nine HRQoL domains analyzed: bodily pain (SMD = 0.96), physical functioning (SMD = 0.85), social functioning (SMD = 0.45), role physical (SMD = 0.79), and role emotional (SMD = 0.61). Subgroup analyzes demonstrated that Pilates had a positive impact on more domains whens administered for ≥ 48 sessions (eight domains) vs < 48 sessions (three domains); and when administered on equipment (seven domains) vs mat (three domains). CONCLUSION Pilates exercises, in general, allowed significant effects to improve HRQoL in postmenopausal women, especially when performed on equipment and when administered for at least 48 sessions. However, no analysis showed high certainty of evidence, and more RCTs of high methodological quality are needed to confirm these findings.
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Affiliation(s)
- Priscila Peruzzolo de Almeida
- Health Sciences Center, Universidade Estadual do Norte do Paraná, Alameda Padre Magno, no 841, Nova Alcântara, CEP: 86.400-000, Jacarezinho, Paraná, Brazil
| | - Raphael Gonçalves de Oliveira
- Health Sciences Center, Universidade Estadual do Norte do Paraná, Alameda Padre Magno, no 841, Nova Alcântara, CEP: 86.400-000, Jacarezinho, Paraná, Brazil
- Health Sciences Research Center, Universidade Norte do Paraná, Londrina, Paraná, Brazil
| | - Laura Isabel Martins de Almeida
- Health Sciences Center, Universidade Estadual do Norte do Paraná, Alameda Padre Magno, no 841, Nova Alcântara, CEP: 86.400-000, Jacarezinho, Paraná, Brazil
| | - Laís Campos de Oliveira
- Health Sciences Center, Universidade Estadual do Norte do Paraná, Alameda Padre Magno, no 841, Nova Alcântara, CEP: 86.400-000, Jacarezinho, Paraná, Brazil.
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Gould LJ. Surgical Aspects of Wound Care in Older Adults. Clin Geriatr Med 2024; 40:459-470. [PMID: 38960537 DOI: 10.1016/j.cger.2023.12.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/05/2024]
Abstract
The physical, emotional, and financial toll of acute and chronic nonhealing wounds on older adults and their caregivers is immense. Surgical treatment of wounds in older adults can facilitate healing but must consider the medical complexity of the patient, the patient's desires for treatment and the likelihood of healing. Innovative approaches and devices can promote rapid healing. By using a team approach, from preoperative planning to postoperative care, with a focus on the needs and desires of the patient, successful outcomes with improved patient satisfaction are possible even in medically complex patients.
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Affiliation(s)
- Lisa J Gould
- Department of Surgery, South Shore Health, Weymouth, MA, USA; The Warren Alpert Medical School of Brown University, Providence, RI, USA.
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Franco MF, Leme DEDC, Coimbra IB, Coimbra AMV. Prevalence and factors associated with sarcopenia among Brazilian older adults: An exploratory network analysis. Arch Gerontol Geriatr 2024; 123:105438. [PMID: 38608545 DOI: 10.1016/j.archger.2024.105438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Revised: 04/01/2024] [Accepted: 04/05/2024] [Indexed: 04/14/2024]
Abstract
OBJECTIVES This study aimed to verify the prevalence of sarcopenia and its associations with sociodemographic, clinical and psychological factors in community-dwelling older adults. STUDY DESIGN A randomized cross-sectional study was extracted from a probabilistic cluster conducted on individuals aged 65 years or older residing in the community. METHODS Sarcopenia was defined according to the criteria of the European Working Group on Sarcopenia in Older People (EWGSOP2). Body composition was assessed using dual-energy X-ray absorptiometry (DXA). Associations were analyzed using networks based on mixed graphical models. Predictability indices of the estimated networks were assessed using the proportion of explained variance for numerical variables and the proportion of correct classification for categorical variables. RESULTS The study included 278 participants, with a majority being female (61 %). The prevalence of sarcopenia was 39.57 %. Among those with sarcopenia, 67 % were women and 33 % were men. In the network model, age, race, education, family income, bone mass, depression, cardiovascular disease, diabetes, total cholesterol levels and rheumatism were associated with sarcopenia. The covariates demonstrated a high accuracy (62.9 %) in predicting sarcopenia categories. CONCLUSION The prevalence of sarcopenia was high, especially in women. In addition, network analysis proved useful in visualizing complex relationships between sociodemographic and clinical factors with sarcopenia. The results suggest early screening of sarcopenia for appropriate treatment of this common geriatric syndrome in older adults in Brazil.
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Affiliation(s)
| | | | - Ibsen Bellini Coimbra
- Faculty of Medical Sciences, State University of Campinas, Campinas, São Paulo, Brazil
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Gupta N, Kumar PG, Patel DJ. Sarcopenia and frailty among the elderly population in the community: An observational study. J Family Med Prim Care 2024; 13:2964-2971. [PMID: 39228655 PMCID: PMC11368318 DOI: 10.4103/jfmpc.jfmpc_696_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 12/02/2023] [Accepted: 01/22/2024] [Indexed: 09/05/2024] Open
Abstract
Context There are few studies on the prevalence of sarcopenia and frailty in India. Aims The aim of this study was to assess sarcopenia and frailty using simple clinical tools among the elderly population in the community. Settings and Design This was an observational study. The elderly population with an age group of >60 years residing in villages within 10-15 km of Sumandeep Vidyapeeth, Vadodara, formed the sampling frame of the study. Methods and Material A total of 785 participants were approached, of whom 556 were included in the study based on inclusion criteria. Participants were assessed for grip strength, muscle mass, gait speed, and frailty. Statistical Analysis Used The data were analyzed using STATA-IC statistical software version 13. A nonparametric Chi-square (χ2) test was used for categorical variables, and an independent-samples t-test was used to analyze the difference between various variables. Statistical significance was considered at P < 0.05 with a 95% confidence interval (CI). Results Based on the Indian criteria, 205 participants (36.1%) were diagnosed as having sarcopenia, and 351 participants (63%) were diagnosed as having "no sarcopenia." 5.6% of participants were found to be frail, 19.2% to be pre-frailty, and 75.2% to be no frailty. The χ2 analysis showed a significant association of sarcopenia with gender and different age groups (P value < 0.001). Conclusions In this study, 36.9% of the elderly participants were found to have "sarcopenia," and 5.6% of the participants had frailty. Simple clinical tools used were easy to administer and suitable for field screening.
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Affiliation(s)
- Nalina Gupta
- Professor, Department of Physiotherapy, Chitkara School of Health Sciences, Chitkara University, Punjab, India
- Former Professor, College of Physiotherapy, Sumandeep Vidyapeeth- An Institution Deemed-to-be-University, Vadodara, Gujarat, India
| | - Palani G. Kumar
- Dean, College of Physiotherapy, Sumandeep Vidyapeeth-An Institution Deemed to be University, Vadodara, Gujarat, India
| | - Divya J. Patel
- Physiotherapist (ICMR), College of Physiotherapy, Sumandeep Vidyapeeth-An Institution Deemed to be University, Vadodara, Gujarat, India
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de Souza HCM, Pessoa MF, Clemente RDS, da Silva AV, Cardoso PRG, Fernandes J, Dornelas de Andrade A. Effects of 12 weeks of inspiratory muscle training and whole body vibration on the inflammatory profile, BDNF and muscular system in pre-frail elderly women: A randomized controlled trial. Arch Gerontol Geriatr 2024; 123:105421. [PMID: 38593699 DOI: 10.1016/j.archger.2024.105421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Revised: 02/12/2024] [Accepted: 03/20/2024] [Indexed: 04/11/2024]
Abstract
AIM to investigate the effects of the whole body vibration (WBV) and inspiratory muscle training (IMT) on the inflammatory profile and in muscle mass and strength in pre-frail older women. METHODS this study was a randomized double-blind trial. Forty two older women aged 60-80 years were randomly allocated to IMT + WBV (G1), IMTsham + WBV (G2) or Sham groups (G3). During 12 weeks G1 received both trainings, whereas G2 received WBV alone and G3 received IMT with a low fixed load and were positioned at the vibratory platform without therapeutic effect. Participants were evaluated before and after the intervention for the following outcomes: Brain-derived neurotrophic factor (BDNF) and inflammatory biomarkers (IB), respiratory (RT) and quadriceps thickness (QT) and diaphragmatic mobility (DM) using muscle ultrasound, body composition (BC) using a bioelectrical impedance scale and inspiratory muscle strength (IMS). RESULTS after the training, G1 (114.93 ± 21.29) improved IMS (p<0.005) compared with G2 (91.29 ± 23.10) and G3 (85.21 ± 27.02). There was also a significant improve on time of the DM (p<0.001) and RT (p=0.006) for G1 (8.59 ± 3.55 and 11.11 ± 12.66) compared with G2 (1.05 ± 3.09 and 1.10 ± 10.60) and G3 (0.40 ± 2.29 and -1.85 ± 7.45). BDNF, IB, QT and BC were similar between groups. CONCLUSIONS IMT associated with WBV is effective to improve in increasing IMS, RT and DM in pre-frail older women. However, these interventions do not modify BDNF, IB, QT or BC in this population.
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Affiliation(s)
- Helga Cecília Muniz de Souza
- Postgraduate Program of Biology Applied to Health, Federal University of Pernambuco, Recife, Pernambuco, Brazil; Hospital das Clínicas de Pernambuco - Empresa Brasileira de Serviços Hospitalares (HCPE-EBSERH), Federal University of Pernambuco, Recife, Brazil; Laboratory of Cardiopulmonary Physiotherapy, Department of Physiotherapy, Federal University of Pernambuco, Recife, Brazil.
| | - Maíra Florentino Pessoa
- Postgraduate Program of Biology Applied to Health, Federal University of Pernambuco, Recife, Pernambuco, Brazil; Laboratory of Cardiopulmonary Physiotherapy, Department of Physiotherapy, Federal University of Pernambuco, Recife, Brazil
| | - Rafaela Dos Santos Clemente
- Laboratory of Cardiopulmonary Physiotherapy, Department of Physiotherapy, Federal University of Pernambuco, Recife, Brazil
| | - Alanna Vasconcelos da Silva
- Laboratory of Cardiopulmonary Physiotherapy, Department of Physiotherapy, Federal University of Pernambuco, Recife, Brazil
| | | | - Juliana Fernandes
- Laboratory of Physiotherapy and Collective Health, Department of Physiotherapy, Federal University of Pernambuco, Recife, Brazil
| | - Arméle Dornelas de Andrade
- Postgraduate Program of Biology Applied to Health, Federal University of Pernambuco, Recife, Pernambuco, Brazil; Laboratory of Cardiopulmonary Physiotherapy, Department of Physiotherapy, Federal University of Pernambuco, Recife, Brazil.
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Castrejón-Pérez RC, Borges-Yáñez SA, Ramírez-Aldana R, Nasu I, Saito Y. Complete dentures associated with frailty among edentulous older Japanese people: A prospective analysis. Community Dent Oral Epidemiol 2024; 52:572-580. [PMID: 38509032 DOI: 10.1111/cdoe.12956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 02/08/2024] [Accepted: 02/26/2024] [Indexed: 03/22/2024]
Abstract
OBJECTIVE This study aimed to explore the cross-sectional and prospective associations between self-reported functionality of complete dentures (FCD), satisfaction with complete dentures (SCD) and the ability to chew hard food (ACHF) on the one hand and the frailty index (FI) on the other hand among edentulous community-dwelling older Japanese people. METHODS The study examined 770 edentulous participants of the Nihon University Japanese Longitudinal Study of Aging. The self-reported FCD, SCD and ability to chew six groups of food (from hardest to softest) with complete dentures were the independent variables at the baseline. The FI was computed including 40 deficits as the dependent variable at the baseline and 4 years later. Cross-sectional and prospective generalized linear regression models were fitted controlling for age, gender, marital status, education, working status and area of residence. RESULTS The use of non-functional complete dentures and dissatisfaction with complete dentures were both associated with a higher FI cross-sectionally (3.9% [95% CI 2.2-5.6] and 3.2% [95% CI 1.5-4.9], respectively) and prospectively (3.9% [95% CI 2.0-6.0] and 3.3% [95% CI 1.3-5.3], respectively). Regarding the ability to chew, a higher FI at baseline was observed among those able to chew food of Group 2 (1.9%, [95% CI 0.1-3.7]) and Groups 4-6 (1.9%, [95% CI 0.1-3.7]), and a progressive increment in the FI, as the participants reported being able to chew softer groups of food at the follow-up (Group 2: 2.2% [95% CI 0.05-4.3]; Group 3: 3.6% [95% CI 1.2-6.0]; and Groups 4-6: 3.4 [95% CI 0.7-6.1]). CONCLUSION Self-reported use of non-functional complete dentures, dissatisfaction with dentures and a reduced ACHF with complete dentures were associated with a higher FI both cross-sectionally and prospectively.
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Affiliation(s)
- Roberto C Castrejón-Pérez
- Instituto Nacional de Geriatría, National Institutes of Health, Ministry of Health, Mexico City, Mexico
| | - S Aída Borges-Yáñez
- Division of Postgraduate and Research Studies, School of Dentistry, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - Ricardo Ramírez-Aldana
- Instituto Nacional de Geriatría, National Institutes of Health, Ministry of Health, Mexico City, Mexico
- Escuela Superior de Ingeniería y Tecnología, Universidad Internacional de la Rioja, Logroño, Spain
- Departamento de Matemáticas, Facultad de Ciencias, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - Ikuo Nasu
- Escuela Superior de Ingeniería y Tecnología, Universidad Internacional de la Rioja, Logroño, Spain
| | - Yasuhiko Saito
- School of Dentistry at Matsudo, Nihon University, Chiba, Japan
- College of Economics, Nihon University, Tokyo, Japan
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Acherjya GK, Mohammad A, Keya T, Islam MT, Reza MS, Ahmed MS, Md. Zahirul H, Debashis B, Sheikh S, Nur A. Uncontrolled blood pressure among the established hypertensive elderly people in Jashore, Bangladesh: A cross-sectional type of observational study. Aging Med (Milton) 2024; 7:472-479. [PMID: 39234193 PMCID: PMC11369329 DOI: 10.1002/agm2.12348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Accepted: 07/31/2024] [Indexed: 09/06/2024] Open
Abstract
Objectives Hypertension is one of the major modifiable risk factors for cardiovascular mortality and morbidity throughout the world. Increased life expectancy leads to increase prevalence of non-communicable diseases among the elderly people including Bangladesh. However, different studies reported high prevalence of uncontrolled hypertension ranging from 52.6% to 67.9% among the elderly people in different countries. With this view, we aimed to assess the frequency of uncontrolled blood pressure (BP) among the elderly hypertensive people and its associated risk factors and treatment pattern in Bangladesh. Methodology This cross-sectional type of observational study recruited 246 eligible hypertensive elderly patients attending in 250 Bedded General Hospital, Jashore, Bangladesh dated from 1st July to 31st December 2022. A structured questionnaire was developed and data on associated risk factors, treatment pattern and current blood pressure (BP) measurement were collected by face-to-face interview for the purposive sampling technique. Results The mean age of our study patients was 72 ± 7 years with a male and female ratio nearly 1:1. Of the total hypertensive patients aged over 65 years or more, 56.5% remained with uncontrolled hypertension even on their prescribed antihypertensive medications. The mean systolic (SBP) and diastolic (DBP) blood pressure were significantly high (P < 0.001) as 167 ± 22 mm Hg and 95 ± 11 mm Hg, respectively, among the uncontrolled hypertensive patients. However, we noticed the mean SBP and DBP among the total hypertensive patients were also significantly high (P < 0.001) as 148 ± 27 mm Hg and 87 ± 13 mm Hg, respectively. In this study, we reported that the mean number of last prescribed antihypertensive medications used by the total patients was 2 ± 1 (P =0.224) which was similar among the controlled and uncontrolled hypertensive patient groups. Among the elderly hypertensive patients, the most commonly prescribed antihypertensive medications were Amlodipine 39.8% (P =0.006), Olmesartan 29.3% (P = 0.186), Losartan 24.4% (P = 0.127), Bisoprolol 15.0% (P = 0.266) and Atenolol 14.6% (P = 0.224). Conclusion We noticed high frequency of uncontrolled blood pressure among the elderly hypertensive patients, despite of using multiple antihypertensive medications in Jashore, Bangladesh.
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Affiliation(s)
| | - Ali Mohammad
- Department of HaematologyNational Institute of Cancer Research and HospitalDhakaBangladesh
| | - Tarafder Keya
- Department of Dermatology& Venereology250 Bedded General HospitalJashoreBangladesh
| | | | - Md. Selim Reza
- Department of Transfusion MedicineJashore Medical CollegeJashoreBangladesh
| | | | - Huq Md. Zahirul
- Department of MedicineKhulna Medical CollegeKhulnaBangladesh
| | - Biswas Debashis
- Department of MedicineMagura Medical CollegeMaguraBangladesh
| | | | - Alam Nur
- Department of CardiologyNational Institute of Cardiovascular DiseasesDhakaBangladesh
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Tavares MS, de Menezes SLS, Ribeiro EDF, Orsini M, Tuza FAD, de Moura PH, Terra DV, Moreno AM. Associations between Cardiovascular Risk Factors and Timed Up and Go Test for Elderly Participants in Public Physical Activity Programs. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:993. [PMID: 39200604 PMCID: PMC11354187 DOI: 10.3390/ijerph21080993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Revised: 07/12/2024] [Accepted: 07/25/2024] [Indexed: 09/02/2024]
Abstract
Variables such as body mass index (BMI), waist circumference (WC), and waist/height ratio (WHtR) are used to assess cardiovascular risks associated with abdominal obesity. The Timed Up and Go (TTUG) test assesses mobility and the risk of falls, especially in the elderly and individuals with physical limitations. The objective was to correlate anthropometric indicators of cardiovascular risk (BMI, WC, WHtR) with performance on the TTUG test in elderly people who practice physical activity. METHODS Observational, cross-sectional study, CAAE: 27116319.1.0000.8044. Active elderly participants in a public physical exercise program "Project 60 Up", promoted by the Municipal Secretariat for the Elderly of the City of Niterói, RJ, Brazil, were evaluated. Elderly people of both sexes, with independent locomotion and preserved cognitive status, were included and those with visual, hearing, severe mobility difficulties or neurological sequelae and imbalances were excluded. Anthropometric data were collected: BMI, WC, WHtR, and the TTUG test was performed. RESULTS In the sample composed of 55 elderly people of both sexes, with an average age of 68 years, the means of the variables were: body weight (67.8 ± 12.7 kg), height (157.2 ± 8.4 cm), TTUG (10.3 ± 2 s), WC (93.3 ± 10.9 cm), WHtR (0.59), and BMI (27.4 ± 4.4). The correlations were between TTUG and age (r = -0.24, p = 0.69), TTUG and BMI (r = 0.111, p = 0.426), and WC and WHtR (r = 0.885, p < 0.000). Weak correlations were observed between TTUG and BMI and WC and WHtR, indicating that factors other than BMI and abdominal fat accumulation may have a greater influence on performance on the TTUG test. In this specific context of elderly people participating in a physical activity program, the results found may have been shaped by the very nature of the interventions carried out in the program, with factors such as muscular strength, flexibility and balance preserved and acquired through the practice of regular physical exercise. Despite the benefits of physical activity, managing weight and abdominal fat remains challenging for elderly individuals with high anthropometric measurements. CONCLUSIONS Although many elderly people have anthropometric measurements above average levels, the results indicate that no negative influence on their performance on the TTUG was observed. However, the limitation of the sample size and the underrepresentation of elderly people ≥ 80 years and of men highlight the need for future studies with larger and more balanced samples to confirm these results.
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Affiliation(s)
- Marília Salete Tavares
- Exercise Physiology Laboratory, Postgraduate Program in Physical Activity Sciences, Universidade Salgado de Oliveira, Niterói 24030-060, Brazil; (S.L.S.d.M.); (E.D.F.R.)
- Health and Aging Research Group, Universidade Iguaçu, Nova Iguaçu 26275-580, Brazil; (M.O.); (F.A.d.T.); (P.H.d.M.)
| | - Sara Lucia Silveira de Menezes
- Exercise Physiology Laboratory, Postgraduate Program in Physical Activity Sciences, Universidade Salgado de Oliveira, Niterói 24030-060, Brazil; (S.L.S.d.M.); (E.D.F.R.)
- Health Sciences Center, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-901, Brazil
| | - Emanuel Davi Farias Ribeiro
- Exercise Physiology Laboratory, Postgraduate Program in Physical Activity Sciences, Universidade Salgado de Oliveira, Niterói 24030-060, Brazil; (S.L.S.d.M.); (E.D.F.R.)
| | - Marco Orsini
- Health and Aging Research Group, Universidade Iguaçu, Nova Iguaçu 26275-580, Brazil; (M.O.); (F.A.d.T.); (P.H.d.M.)
| | - Fábio Augusto d’Alegria Tuza
- Health and Aging Research Group, Universidade Iguaçu, Nova Iguaçu 26275-580, Brazil; (M.O.); (F.A.d.T.); (P.H.d.M.)
| | - Paulo Henrique de Moura
- Health and Aging Research Group, Universidade Iguaçu, Nova Iguaçu 26275-580, Brazil; (M.O.); (F.A.d.T.); (P.H.d.M.)
- Health Sciences Center, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-901, Brazil
| | | | - Adalgiza Mafra Moreno
- Exercise Physiology Laboratory, Postgraduate Program in Physical Activity Sciences, Universidade Salgado de Oliveira, Niterói 24030-060, Brazil; (S.L.S.d.M.); (E.D.F.R.)
- Health and Aging Research Group, Universidade Iguaçu, Nova Iguaçu 26275-580, Brazil; (M.O.); (F.A.d.T.); (P.H.d.M.)
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Araújo JMD, Ferreira MAM. State capacity impact on COVID-19 mortality in Brazil. CAD SAUDE PUBLICA 2024; 40:e00171523. [PMID: 39082562 PMCID: PMC11290834 DOI: 10.1590/0102-311xen171523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Revised: 02/02/2024] [Accepted: 03/11/2024] [Indexed: 08/02/2024] Open
Abstract
This study addresses the State's capacity to combat the COVID-19 pandemic and contributes to the literature on crisis management in health care. We analyzed whether the capacity level impacted the State response to COVID-19 in Brazilian healthcare regions in 2020 using a set of statistical analysis techniques and public health impact analysis, including propensity score matching (PSM). Results revealed that a low COVID-19 mortality was associated with participation in municipal health consortia, schooling level of municipal health managers and the resources allocated by the Brazilian National Program for Improvement of Access and Quality of Basic Care (PMAQ). Conversely, the number of intensive care units (ICU) and life-sustaining equipment available were associated with higher mortality, as locations with a larger population concentrated operational capacity to treat the most severe cases. In conclusion, the different levels of State capacity in health regions led to different outcomes in combating the pandemic. This reinforces the importance of discussing State capacity and crisis management, since the COVID-19 confrontation in Brazil related to the level of existing resources concerning health system capacity, bureaucratic capacity and participation in consortia for sharing inputs and ensuring the provision of health services to the population.
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Miranda BCJ, Tustumi F, Nakamura ET, Shimanoe VH, Kikawa D, Waisberg J. Obesity and Colorectal Cancer: A Narrative Review. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:1218. [PMID: 39202500 PMCID: PMC11355959 DOI: 10.3390/medicina60081218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/20/2024] [Revised: 07/21/2024] [Accepted: 07/24/2024] [Indexed: 09/03/2024]
Abstract
Background and Objectives: Cancer is a multicausal disease, and environmental, cultural, socioeconomic, lifestyle, and genetic factors can influence the risk of developing cancer. Colorectal cancer (CRC) stands as the third most common cancer globally. Some countries have observed a rise in the incidence of CRC, especially among young people. This increase is associated with lifestyle changes over the last few decades, including changes in diet patterns, a sedentary lifestyle, and obesity. Currently, obesity and overweight account for approximately 39% of the world's population and increase the risk of overall mortality of certain cancer types. This study aims to conduct a literature review examining the association between obesity and CRC. Materials and Methods: This narrative review explored the pathophysiological mechanisms, treatment strategies, and challenges related to obesity and CRC. Results: Several studies have established a clear causal relationship between obesity and CRC, showing that individuals with morbid obesity are at a higher risk of developing colorectal cancer. The adipose tissue, particularly the visceral, secretes proinflammatory cytokines, such as TNF-alpha, interleukin-6, and C-reactive protein. Chronic inflammation is closely linked to cancer initiation and progression, with a complex interplay of molecular mechanisms underlying this association. Obesity can complicate the treatment of CRC due to several factors, reducing the therapeutic effectiveness and increasing the risk for adverse events during treatment. Dietary modification, calorie restriction, and other types of weight-control strategies can reduce the risk of CRC development and improve treatment outcomes. Conclusions: Obesity is intricately linked to CRC development and progression, making it a crucial target for intervention, whether through diet therapy, physical exercises, medical therapy, or bariatric surgery.
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Affiliation(s)
- Bárbara Cristina Jardim Miranda
- Department of Surgery, Instituto de Assistência Médica ao Servidor Público Estadual—IAMSPE, Sao Paulo 04029-000, SP, Brazil
- Department of Surgery, Faculdade de Medicina do ABC—FMABC, Santo Andre 09060-870, SP, Brazil
| | - Francisco Tustumi
- Department of Gastroenterology, Faculty of Medicine, Universidade de São Paulo—USP, Sao Paulo 14040-903, SP, Brazil
- Department of Health Sciences, Sociedade Beneficente Israelita Brasileira Albert Einstein, Sao Paulo 05652-900, SP, Brazil
| | - Eric Toshiyuki Nakamura
- Department of Gastroenterology, Faculty of Medicine, Universidade de São Paulo—USP, Sao Paulo 14040-903, SP, Brazil
| | - Victor Haruo Shimanoe
- Department of Gastroenterology, Faculty of Medicine, Universidade de São Paulo—USP, Sao Paulo 14040-903, SP, Brazil
| | - Daniel Kikawa
- Department of Gastroenterology, Faculty of Medicine, Universidade de São Paulo—USP, Sao Paulo 14040-903, SP, Brazil
| | - Jaques Waisberg
- Department of Surgery, Instituto de Assistência Médica ao Servidor Público Estadual—IAMSPE, Sao Paulo 04029-000, SP, Brazil
- Department of Surgery, Faculdade de Medicina do ABC—FMABC, Santo Andre 09060-870, SP, Brazil
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Brito RCDS, Oliveira AGRDC. Validation of self-reported measures of nutritional status: a study based on the PNS 2019. Rev Saude Publica 2024; 58:28. [PMID: 39082599 PMCID: PMC11319040 DOI: 10.11606/s1518-8787.2024058005505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Accepted: 11/07/2023] [Indexed: 08/15/2024] Open
Abstract
The aim of this study was to analyze the validity of self-reported anthropometric measurements (weight and height) for classifying the nutritional status of Brazilian adults and elderly people using data from the 2019 National Health Survey (PNS). The PNS sample is made up of permanent private households from all of Brazil's federative units and this is a cross-sectional study in which 6,571 records were identified with measured and reported data, with no missing data for one variable being identified when in the presence of another. Validation was carried out with 6,381 data after removing atypical data. The variables used for stratification were: gender, age, race/color, schooling, and income, and the weighted Kappa Coefficient and the Intraclass Correlation Coefficient (ICC) were used to analyze agreement between the nutritional status categories. Accuracy was analyzed based on sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV). For construct validity, a Poisson regression was performed for each outcome (measured and self-reported), with the independent variables "gender", "color/race", "schooling", and "family income". All the analyses showed positive results for validation. There was greater reproducibility among adults (18 to 59 years old) compared to the elderly and among men compared to women. This validation indicates a concrete possibility of carrying out an association of observational studies using reported nutritional status as the outcome variable, as an efficient strategy which could minimize the operational difficulties often encountered.
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Affiliation(s)
- Renatha Celiana da Silva Brito
- Universidade Federal do Rio Grande do NortePrograma de Pós-Graduação em Saúde ColetivaNatalRNBrasil Universidade Federal do Rio Grande do Norte. Programa de Pós-Graduação em Saúde Coletiva. Natal, RN, Brasil
| | - Angelo Giuseppe Roncalli da Costa Oliveira
- Universidade Federal do Rio Grande do NorteDepartamento de OdontologiaNatalRNBrasil Universidade Federal do Rio Grande do Norte. Departamento de Odontologia. Natal, RN, Brasil
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de Campos Júnior JF, de Oliveira LC, Dos Reis AL, de Almeida LIM, Branco LV, de Oliveira RG. Effects of Pilates exercises on postural balance and reduced risk of falls in older adults: A systematic review and meta-analysis. Complement Ther Clin Pract 2024; 57:101888. [PMID: 39068875 DOI: 10.1016/j.ctcp.2024.101888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Revised: 07/03/2024] [Accepted: 07/24/2024] [Indexed: 07/30/2024]
Abstract
BACKGROUND and Purpose: Pilates exercises have been recommended to improve postural balance and reduce the risk of falls in older adults. However, the certainty of these recommendations remains unclear. In this sense, our objective was to update the literature and verify the effects of Pilates on postural balance and the risk of falls in this population. METHODS A systematic search was conducted across multiple databases, including PubMed, EMBASE, CENTRAL, CINAHL, Web of Science, SPORTDiscus, LILACS, and PEDro, on April 17, 2023. The methodological quality of the studies was assessed using the PEDro scale, and the certainty of evidence was evaluated using the GRADE system. Meta-analysis calculations were performed by standardized mean difference (SMD). RESULTS A total of 39 studies, involving 1770 participants, were included in the systematic review. Only 14 studies exhibited satisfactory methodological quality. Evidence with very low to moderate certainty showed that Pilates was significantly superior to control groups on indicators of dynamic postural balance (SMD = 1.60 to 0.72), static postural balance (SMD = 0.37 to 0.25), and general state of balance (SMD = 0.76), but not to reduce the number and fear of falls. Furthermore, Pilates was comparable to other forms of exercise for these outcomes. CONCLUSIONS Pilates can be recommended to enhance static and dynamic postural balance in older adults, but not to reduce the number of falls or the fear of falling. Given that no outcomes showed high certainty of evidence, future studies may alter these findings.
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Affiliation(s)
| | | | - Alex Lopes Dos Reis
- Universidade Estadual do Norte do Paraná (UENP), Jacarezinho, Paraná, Brazil
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Camilo BDF, Oliveira NGN, Bolina AF, Galvão LL, Tribess S, Virtuoso Júnior JS. Factors associated with body mass index in a cohort of older adults: Structural equation modeling analysis. PLoS One 2024; 19:e0305878. [PMID: 39024323 PMCID: PMC11257253 DOI: 10.1371/journal.pone.0305878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Accepted: 06/05/2024] [Indexed: 07/20/2024] Open
Abstract
BACKGROUND Considering the interrelationship between the multiple determinants of nutritional status, analyses are needed to estimate direct and mediated effects between the variables that influence body mass index (BMI) in older adults. We aimed to verify the direct and indirect effects of sociodemographic, behavioral and health conditions on the BMI of older adults in the community. METHODS This is a longitudinal study based on data collection in 2015 and 2020. Descriptive analysis and Structural Equation Modeling were performed, considering p<0.05. RESULTS The sample consisted of 220 older adults with a mean baseline age of 68.86 years (± 7.10). Direct associations of higher BMI value with younger age, higher monthly family income, greater functional disability to perform instrumental activities of daily living and greater number of morbidities were found. In addition, education, gender, moderate to vigorous physical activity were indirectly associated with high BMI. CONCLUSION These findings provide insights into the complex relationship of multiple determinants of nutritional status in older adults and support the design of public health policies that consider the specificities of this population group.
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Affiliation(s)
- Bruno de Freitas Camilo
- Department of Body and Human Movement, State University of Minas Gerais, Passos, Minas Gerais, Brazil
| | | | | | - Lucas Lima Galvão
- Physical Education and Sports Center, Postgraduate Program in Physical Education, Federal University of Espírito Santos, Vitória, Espírito Santo, Brazil
| | - Sheilla Tribess
- Department of Sports Sciences Postgraduate, Program in Physical Education, Federal University of Triângulo Mineiro, Uberaba, Minas Gerais, Brazil
| | - Jair Sindra Virtuoso Júnior
- Department of Sports Sciences Postgraduate, Program in Physical Education, Federal University of Triângulo Mineiro, Uberaba, Minas Gerais, Brazil
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Urbano-Mairena J, De Los Ríos-Calonge J, Postigo-Mota S, Carvajal-Gil J, Silveira-Saraiva ES, Guerra-Bustamante J, Muñoz-Bermejo L. Benefits Perceived by Caregivers of Patients with Alzheimer's Disease on Physical and Emotional Health in an Interdisciplinary Program: A Qualitative Study. Healthcare (Basel) 2024; 12:1414. [PMID: 39057557 PMCID: PMC11275445 DOI: 10.3390/healthcare12141414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2024] [Revised: 07/01/2024] [Accepted: 07/12/2024] [Indexed: 07/28/2024] Open
Abstract
Alzheimer's disease is the most common type of dementia, severely affecting the families and caregivers who live with those affected. The aim was to explore the physical, psychological, and behavioral benefits for caregivers of people with Alzheimer's disease. Fifteen semi-structured interviews were conducted with informal Alzheimer's caregivers upon completion of the program. Following a discussion on the topics, categories, and codes among the researchers, a consensus was reached to obtain the final themes and categories. Three main categories were obtained: (1) perceived benefits by the participants; (2) applicability of the knowledge; and (3) proposals for improvement. Participants expressed having perceived improvements in their ability to manage emotions and cope with the situation created by the disease, physical capacity, and in their relationships. In this sense, the application of the contents addressed during the intervention became a fundamental tool for the participants' daily lives. This study showed how an interdisciplinary intervention with psychological sessions, health education, and physical activities could be beneficial for improving both the physical and mental health of caregivers.
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Affiliation(s)
- Javier Urbano-Mairena
- Social Impact and Innovation in Health (InHEALTH) Research Group, University Centre of Mérida, University of Extremadura, 06800 Mérida, Spain;
| | - Javier De Los Ríos-Calonge
- Department of Sport Sciences, Sports Research Centre, Miguel Hernández University of Elche, 03202 Elche, Spain;
| | - Salvador Postigo-Mota
- Farmacogenética de Enfermedades Psiquiátricas, Faculty of Medicine, University of Extremadura, 06006 Badajoz, Spain;
| | - Julián Carvajal-Gil
- Social Impact and Innovation in Health (InHEALTH) Research Group, University Centre of Mérida, University of Extremadura, 06800 Mérida, Spain;
| | | | - Joan Guerra-Bustamante
- Physical and Health Literacy and Health-Related Quality of Life (PHYQOL) Research Group, Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain;
| | - Laura Muñoz-Bermejo
- Social Impact and Innovation in Health (InHEALTH) Research Group, University Centre of Mérida, University of Extremadura, 06800 Mérida, Spain;
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Santos BA, Ribeiro CJN, dos Santos AD, de Sousa ÁFL, Siqueira TS, Andrade LA, dos Santos AJ, Lima SVMA. Surveillance of TB-HIV coinfection in Brazil: a space-time approach. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2024; 27:e240037. [PMID: 39016388 PMCID: PMC11251641 DOI: 10.1590/1980-549720240037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Revised: 03/01/2024] [Accepted: 03/22/2024] [Indexed: 07/18/2024] Open
Abstract
OBJECTIVE To identify the epidemiological, spatial, and temporal pattern of TB-HIV coinfection in Brazil during the period from 2001 to 2020. METHODS Ecological study using space-time analysis techniques. It included cases of TB-HIV coinfection registered in Brazil from 2001 to 2020. The temporal trend analysis was performed using segmented regression by Joinpoint regression. For spatial analysis, Moran indices were calculated and choropleth maps were produced using TerraView and QGIS software. RESULTS A stable temporal trend was observed in the incidence rates of TB-HIV coinfection in Brazil during the analyzed period. In addition, high-risk areas for coinfection located in states in the North, Southeast, South, and Midwest regions were identified. CONCLUSION There was stability in the incidence of TB-HIV coinfection in Brazil over the last 20 years and heterogeneous geographic distribution of risk areas for the condition.
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Affiliation(s)
- Beatriz Almeida Santos
- Universidade Federal de Sergipe, Graduate Program in Nursing – São Cristóvão (SE), Brazil
| | | | | | | | - Thayane Santos Siqueira
- Universidade Federal de Sergipe, Graduate Program in Health Sciences – São Cristóvão (SE), Brazil
| | - Lucas Almeida Andrade
- Universidade Federal de Sergipe, Graduate Program in Health Sciences – São Cristóvão (SE), Brazil
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Barreto EDG, Sandes VS, Nobre GC, Martins M, Ferman SE, Lima EC. Root cause analysis of safety incidents in antineoplastic use in children. Rev Bras Enferm 2024; 77Suppl 3:e20230139. [PMID: 39016429 DOI: 10.1590/0034-7167-2021-0139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 11/25/2023] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to identify and analyze the factors that contribute to safety incident occurrence in the processes of prescribing, preparing and dispensing antineoplastic medications in pediatric oncology patients. METHODS a quality improvement study focused on oncopediatric pharmaceutical care processes that identified and analyzed incidents between 2019-2020. A multidisciplinary group performed root cause analysis (RCA), identifying main contributing factors. RESULTS in 2019, seven incidents were recorded, 57% of which were prescription-related. In 2020, through active search, 34 incidents were identified, 65% relating to prescription, 29% to preparation and 6% to dispensing. The main contributing factors were interruptions, lack of electronic alert, work overload, training and staff shortages. CONCLUSIONS the results showed that adequate recording and application of RCA to identified incidents can provide improvements in the quality of pediatric oncology care, mapping contributing factors and enabling managers to develop an effective action plan to mitigate risks associated with the process.
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Affiliation(s)
- Elizangela Domiciano Garcia Barreto
- Universidade Federal do Rio de Janeiro. Rio de Janeiro, Rio de Janeiro, Brazil
- Instituto Nacional de Câncer. Rio de Janeiro, Rio de Janeiro, Brazil
| | - Valcieny Souza Sandes
- Universidade Federal do Rio de Janeiro. Rio de Janeiro, Rio de Janeiro, Brazil
- Instituto Nacional de Câncer. Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Monica Martins
- Escola Nacional de Saúde Pública Sergio Arouca- Fiocruz. Rio de Janeiro, Rio de Janeiro, Brazil
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Terra de Oliveira R, Lino TB, Scarmagnan GS, Miziara Barbosa SR, de Souza Pegorare ABG, Christofoletti G. A Controlled Clinical Trial on the Effects of Aquatic Exercise on Cognitive Functions in Community-Dwelling Older Adults. Brain Sci 2024; 14:703. [PMID: 39061443 PMCID: PMC11275130 DOI: 10.3390/brainsci14070703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2024] [Revised: 07/04/2024] [Accepted: 07/12/2024] [Indexed: 07/28/2024] Open
Abstract
Several therapies have been developed to reduce cognitive decline associated with aging. Aquatic exercises, which are widely used to enhance functional capacity, may play a role in stimulating cognitive functions. This study investigated the effects of a 3-month aquatic exercise program on cognitive functions in community-dwelling older adults. In this prospective, single-blinded, controlled clinical trial, 31 participants were allocated to either the experimental (aquatic exercises) or control (no-exercise) group. The intervention program consisted of exercises conducted twice a week in a 1.2 m deep indoor pool. The main outcome measures were cognitive functions, assessed using Raven's Progressive Matrices test and the Wisconsin Card Sorting Test. A repeated-measures analysis of variance was used to assess the impact of the exercise program. The effect sizes (η2p) were reported when a level of significance was achieved (p < 0.05). Compared with the control group, the participants who underwent aquatic exercises showed positive outcomes in Raven's Progressive Matrices test (p = 0.046; η2p = 0.131) and the Wisconsin Card Sorting Test (p = 0.001, η2p = 0.589). Complementary analyses of the Wisconsin Card Sorting Test indicated that the benefits of the aquatic exercise were observed in terms of the number of trials (p = 0.001, η2p = 0.478), number of errors (p = 0.001, η2p = 0.458), and number of non-perseverative errors (p = 0.001, η2p = 0.302). The results indicate that a period of three months of aquatic exercise was beneficial for stimulating specific aspects of the cognitive function of community-dwelling older individuals. Aquatic exercise should be prescribed to this population.
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Affiliation(s)
| | | | | | | | | | - Gustavo Christofoletti
- School of Medicine, Institute of Health, Federal University of Mato Grosso do Sul—UFMS, Campo Grande 79060-900, Brazil; (R.T.d.O.); (T.B.L.); (G.S.S.); (S.R.M.B.); (A.B.G.d.S.P.)
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Xu T, Zhang B, Fang D. The effect of resistance training on patients with knee osteoarthritis: a systematic review and meta-analysis. Res Sports Med 2024:1-19. [PMID: 38980284 DOI: 10.1080/15438627.2024.2377087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 07/02/2024] [Indexed: 07/10/2024]
Abstract
The objective of this study is to investigate the beneficial effects of resistance training (RT) on individuals suffering from knee osteoarthritis (KOA). In order to gather relevant studies from the beginning of various databases until January 2023, a comprehensive search was conducted on PubMed, Embase, Scopus, Web of Science, and The Cochrane Library. Additionally, manual searches were performed on the reference lists. The association between RT and KOA was analysed using a random-effects model. The results indicated that patients with KOA who underwent RT experienced a significant reduction in the WOMAC (Western Ontario and McMaster Universities Osteoarthritis) Pain index (WMD = -2.441; 95% CI = -3.610 to -1.273; p < 0.01), the WOMAC Stiffness index (WMD = -1.018; 95% CI = -1.744 to -0.293; p < 0.01), the WOMAC Function index (WMD = -7.208; 95% CI = -10.412 to -4.004; p < 0.01), and the VAS (Visual Analogue Scale) index (WMD = -5.721; 95% CI = -9.320 to -2.121; p < 0.01). These improvements were observed when compared to the control group. However, no significant difference was found in the 6-MWT (6-Minute Walk Test) index between the two groups (WMD = 2.659; 95% CI= -16.741 to 22.058; p = 0.788). Consequently, RT has the potential to positively enhance pain, stiffness, and function in patients with KOA, while the 6-MWT index may not exhibit significant improvement.
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Affiliation(s)
- Tingrui Xu
- College of Physical Education, Jiangsu Normal University, Xuzhou, China
| | - Borui Zhang
- College of Physical Education, Jiangsu Normal University, Xuzhou, China
| | - Dongmei Fang
- College of Physical Education, Jiangsu Normal University, Xuzhou, China
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Albertini ACDS, Peduzzi M. Interprofessional approach to fall prevention in hospital care. Rev Esc Enferm USP 2024; 58:e20230239. [PMID: 38995076 PMCID: PMC11243146 DOI: 10.1590/1980-220x-reeusp-2023-0239en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2023] [Accepted: 04/23/2024] [Indexed: 07/13/2024] Open
Abstract
OBJECTIVE To understand the perception and experience of health professionals regarding fall prevention practices in hospital inpatient units. METHOD This is a qualitative exploratory and descriptive case study based on the Canadian framework of interprofessional competences. Data was collected from two focus groups, with different health professionals in each group, and thematic content analysis was used. RESULTS Five categories were drawn up which showed intense convergence between the participants of the two focus groups, within the context of fall prevention practices: communication between professionals and patients/carers for fall prevention, interprofessional communication for fall prevention, clarification of roles for fall prevention, health education about risk and fall prevention and continuing education for fall prevention. CONCLUSION Teamwork and collaborative practice are important for achieving good results in the prevention of falls in hospital care, but for this to happen, health professionals need to acquire the necessary competences for collaborative action.
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Affiliation(s)
| | - Marina Peduzzi
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil
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