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Health Concerns in the Elderly

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1. Age is just a number: Views among people aged 50 and over in the English Longitudinal Study of Ageing

and discriminatory practices. Ageism is real: it is manifest in the way older people are portrayed in the media and it plays out with people not getting jobs because they’re perceived to be too old. Ageism even has serious health consequences, including lowered levels of self-efficacy and physical function as well as cardiovascular stress and memory loss (Levy, 1996). Data presented recently at the launch of Wave 8 of the English Longitudinal Study of Ageing (ELSA) showed that perceived age discrimination (...) not agree with the statement that ‘old people are generally grumpy and miserable’ and 90% agree there is a lot to learn from older people. It’s interesting to note that while people have a generally positive attitude towards ageing as it pertains to their lives in the present, they do have concerns when they consider the future: so while 32% of people aged 50+ agree that old age (in general) is a time of loneliness, 41% expect that they themselves will get lonelier as they get older. And while half

2018 The Centre for Ageing Better

2. Effect of Clinical Geriatric Assessments and Collaborative Medication Reviews by Geriatrician and Family Physician for Improving Health-Related Quality of Life in Home-Dwelling Older Patients Receiving Polypharmacy: A Cluster Randomized Clinical Trial (Abstract)

Effect of Clinical Geriatric Assessments and Collaborative Medication Reviews by Geriatrician and Family Physician for Improving Health-Related Quality of Life in Home-Dwelling Older Patients Receiving Polypharmacy: A Cluster Randomized Clinical Trial Polypharmacy and inappropriate drug regimens are major health concerns among older adults. Various interventions focused on medication optimization strategies have been carried out, but the effect on patient-relevant outcomes remains uncertain.To (...) investigate the effect of clinical geriatric assessments and collaborative medication reviews by geriatrician and family physician (FP) on health-related quality of life and other patient-relevant outcomes in home-dwelling older patients receiving polypharmacy.Cluster randomized, single-blind, clinical trial. Norwegian FPs were recruited from March 17, 2015, to March 16, 2017, to participate in the trial with their eligible patients. Participants were home-dwelling patients 70 years or older, using

2019 EvidenceUpdates

3. Food Sources of Energy and Nutrients of Public Health Concern and Nutrients to Limit with a Focus on Milk and other Dairy Foods in Children 2 to 18 Years of Age: National Health and Nutrition Examination Survey, 2011–2014 Full Text available with Trip Pro

Food Sources of Energy and Nutrients of Public Health Concern and Nutrients to Limit with a Focus on Milk and other Dairy Foods in Children 2 to 18 Years of Age: National Health and Nutrition Examination Survey, 2011–2014 Many children are not meeting current nutrient recommendations. The objective of this study was to determine the food sources of energy, nutrients of public health concern, and nutrients to limit with a focus on dairy foods. Twenty-four-hour dietary recall data from children (...) of food sources of these nutrients can help health professionals implement appropriate dietary recommendations and plan age-appropriate interventions.

2018 Nutrients

4. Promoting aging migrants' capabilities: A randomized controlled trial concerning activities of daily living and self-rated health Full Text available with Trip Pro

Promoting aging migrants' capabilities: A randomized controlled trial concerning activities of daily living and self-rated health The aim was to evaluate the 6-month and 1-year effects of a person-centered group-based health-promoting intervention on independence in daily activities and self-rated health. The study was an RCT with follow-ups at 6 months and 1 year. A total of 131 independent living people (70+) who have migrated to Sweden from Finland or Western Balkan region were included (...) . The result indicates that the intervention was offered too early in the aging process to be able to detect effects. Methodological challenges were met during both the recruitment and implementation phases. In response to lessons learned, a multicenter design is recommended for future research in order to strengthen the findings. Furthermore, this study has contributed with experiences on both opportunities and challenges in terms of research with and about older people aging in the context of migration

2018 AIMS public health Controlled trial quality: uncertain

5. Casting light on old shadows: ending sexually transmitted infection epidemics as public health concerns by 2030: advocacy brief

Casting light on old shadows: ending sexually transmitted infection epidemics as public health concerns by 2030: advocacy brief Casting light on old shadows: ending sexually transmitted infection epidemics as public health concerns by 2030: advocacy brief JavaScript is disabled for your browser. Some features of this site may not work without it. Toggle navigation Toggle navigation Search Browse Statistics Related Links Casting light on old shadows: ending sexually transmitted infection (...) epidemics as public health concerns by 2030: advocacy brief View/ Open Rights View Statistics Altmetrics Share Citation World Health Organization . (‎2017)‎. Casting light on old shadows: ending sexually transmitted infection epidemics as public health concerns by 2030: advocacy brief. World Health Organization. . License: CC BY-NC-SA 3.0 IGO Description 8 p. Gov't Doc # WHO/RHR/17.17 Collections Language English Metadata Related items Showing items related by title and MeSH subject.  Всемирная

2017 WHO

6. Multiple illnesses and end-of-life care drive high healthcare costs in old age

with increased healthcare costs. The number of individuals aged over 80 years in the UK has increased by 65% in the last decade. This raises concerns about the pressures this will place on healthcare resources. Getting older is also associated with having more than one health condition at the same time, often referred to as multi-morbidity. Although a large proportion of lifetime healthcare costs incur as people reach the end of life, ageing is also associated with multi-morbidity and consequently complex (...) are more strongly linked to healthcare costs than age alone. This UK study investigated healthcare costs in people over 80 years old. Costs increased to the mid-90s before declining again. Proximity to death was the strongest predictor of cost, which was higher for people aged 80-84: £10,027 per year versus £7,021 per year for those over 100. Multiple illnesses also had a strong influence, with each additional health complaint progressively increasing costs. This suggests that to provide person-centred

2019 NIHR Dissemination Centre

7. Workshop on Synergies Between Alzheimer's Research and Clinical Gerontology and Geriatrics: Current Status and Future Directions. Full Text available with Trip Pro

Workshop on Synergies Between Alzheimer's Research and Clinical Gerontology and Geriatrics: Current Status and Future Directions. Age is the strongest risk factor for physical disability and Alzheimer's disease (AD) and related dementias. As such, other aging-related risk factors are also shared by these two health conditions. However, clinical geriatrics and gerontology research has included cognition and depression in models of physical disability, with less attention to the pathophysiology (...) paradigms emerging from a better understanding of the aging process and the interacting pathways contributing to both physical and cognitive disability. The National Institute of Aging sponsored a workshop to bring together the Claude D. Pepper Older Americans Independence Center and AD Center programs to explore areas of synergies between the research concerns of the two programs. This article summarizes the proceedings of the workshop and presents key gaps and research priorities at the intersection

2018 Biological Sciences and Medical Sciences

8. Intended place of residence in old age of internal migrants aged 15-64 years: a citywide cross-sectional study in Shanghai, China. Full Text available with Trip Pro

and interviewed individually face to face. The primary outcome concerned the intended place of residence in old age of internal migrants living in Shanghai. Information was collected on demographic characteristics, health insurance, economic condition and participation in social activities. Multinomial logistic regression was performed to analyse the factors influencing migrants' intentions concerning their place of residence in old age.A total of 7927 working-age migrants with complete data were analysed (...) were identified as possible motivators for migrants who intended to remain in Shanghai in old age (p<0.05).Most of the migrants expressed an intention to remigrate to their hometowns in old age. Education, economic capacity and social insurance influenced internal migrants in their decision. Relevant authorities should monitor the remigration pattern of ageing migrants, strengthen the senior care system and prepare health service resources that are more adequate, especially in the provinces

2019 BMJ open

9. Understanding the Determinants of the Mental Health of School-aged Children and Youth: a Rapid Review

a conceptual model, theory, or framework to understand the factors that influence the mental health of school-aged children and youth. It will be used to explore local data and potential opportunities for school-based interventions. 2 Context Mental health is a concern for a large proportion of school-aged children and youth in Peel. There are approximately 237,800 students from kindergarten to grade 12 in Peel. (3) According to the 2015 Ontario Student Health and Drug Use Survey, 60% of Peel students (...) indicators for children and young people in Scotland: Final Report. (7) The objective of this paper, published by National Health Services (NHS) Health Scotland, is to establish a set of national indicators for Scotland’s Mental Health Programme for children and youth (aged 17 years and younger). This paper targets policy makers, planners and others focused on the mental health of children and youth at the population level. This report includes policy, data, research studies, expert opinion, as well

2018 Peel Health Library

10. Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older to Higher Versus Lower Blood Pressure Targets: A Clinical Practice Guideline from the American College of Physicians and the American Academy of Family Physicians Full Text available with Trip Pro

. The overall prevalence of hypertension among U.S. adults is 29.0%, and it increases to 64.9% in adults aged 60 years or older ( ). Hypertension was associated with a total of $46 billion in health care services, medications, and missed days of work in the United States in 2011 ( ). Appropriate management of hypertension reduces the risk for cardiovascular disease, renal disease, cerebrovascular disease, and death ( ). However, determining the most appropriate BP targets, particularly for adults aged 60 (...) for the treatment of hypertension in adults aged 60 years or older. The target audience for this guideline includes all clinicians, and the target patient population includes adults aged 60 years or older with hypertension. These recommendations are based on a background evidence review ( ) and systematic review sponsored by the U.S. Department of Veterans Affairs (VA) ( ). Methods Systematic Review of the Evidence The evidence review was conducted by the Portland VA Health Care System Evidence-based Synthesis

2017 American College of Physicians

11. Use of multiple micronutrient powders for point-of-use fortification of foods consumed by infants and young children aged 6?23 months and children aged 2?12 years

of interventions. Plans for updating the guideline The WHO Secretariat will continue to follow the research development in the area of micronutrient interventions aimed at infants and young children aged 6–23 months and children aged 2–12 years. If the guideline merits an update, or if there are concerns about the validity of the guideline, the Department of Nutrition for Health and Development will coordinate the guideline update, following the formal procedures of the WHO handbook for guideline development (...) children aged 6–23 months and children aged 2–12 years ISBN 978-92-4-154994-3 © World Health Organization 2016 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work

2017 World Health Organisation Guidelines

12. Age-related macular degeneration

priorities when making management decisions. 1.2.5 Promote peer support for people with AMD, particularly for people who are beginning intravitreal injections, who may be reassured by discussion with someone who has previously had the same treatment. 1.3 Risk factors 1.3.1 If you suspect AMD, recognise that the following risk factors make it more likely that the person has AMD: older age presence of AMD in the other eye family history of AMD smoking hypertension BMI of 30 kg/m 2 or higher diet low (...) a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

13. Addressing the public health concerns of physical inactivity, low levels of fitness, and unhealthy weight among Chinese school-aged children Full Text available with Trip Pro

Addressing the public health concerns of physical inactivity, low levels of fitness, and unhealthy weight among Chinese school-aged children 30356658 2018 11 14 2213-2961 6 4 2017 Dec Journal of sport and health science J Sport Health Sci Addressing the public health concerns of physical inactivity, low levels of fitness, and unhealthy weight among Chinese school-aged children. 379-380 10.1016/j.jshs.2017.10.002 Li Fuzhong F Oregon Research Institute, Eugene, OR 97403, USA. Shanghai University (...) of Sport, Shanghai 200438, China. Chen Peijie P Shanghai University of Sport, Shanghai 200438, China. eng Editorial 2017 10 04 China J Sport Health Sci 101606001 2213-2961 2017 09 28 2018 10 26 6 0 2018 10 26 6 0 2018 10 26 6 1 ppublish 30356658 10.1016/j.jshs.2017.10.002 S2095-2546(17)30126-6 PMC6189249 Lancet. 2014 Aug 30;384(9945):766-81 24880830 Bull World Health Organ. 2014 Aug 1;92(8):555-64 25177070 PLoS One. 2015 Jul 16;10(7):e0133544 26181052 J Phys Act Health. 2016 Nov;13(11 Suppl 2):S124

2017 Journal of sport and health science

14. Obesity is a concern for bone health with aging Full Text available with Trip Pro

Obesity is a concern for bone health with aging Accumulating evidence supports a complex relationship between adiposity and osteoporosis in overweight/obese individuals, with local interactions and endocrine regulation by adipose tissue on bone metabolism and fracture risk in elderly populations. This review was conducted to summarize existing evidence to test the hypothesis that obesity is a risk factor for bone health in aging individuals. Mechanisms by which obesity adversely affects bone (...) health are believed to be multiple, such as an alteration of bone-regulating hormones, inflammation, oxidative stress, the endocannabinoid system, that affect bone cell metabolism are discussed. In addition, evidence on the effect of fat mass and distribution on bone mass and quality is reviewed together with findings relating energy and fat intake with bone health. In summary, studies indicate that the positive effects of body weight on bone mineral density cannot counteract the detrimental effects

2017 Nutrition research (New York, N.Y.)

15. Perceived Health and Nutrition Concerns as Predictors of Dietary Patterns among Polish Females Aged 13–21 Years (GEBaHealth Project) Full Text available with Trip Pro

was to investigate the associations between perceived health and nutrition concerns and dietary patterns in a representative sample of Polish young females. Data was collected in 2012 through a cross-sectional quantitative survey within the GEBaHealth (Girls Eating Behaviours and Health) project in a group of 1107 Polish girls aged 13-21 years old. Dietary patterns were identified by Principal Component Analysis (PCA) based on dietary data collected with Food Frequency Questionnaires (FFQs). Nutrition and health (...) Perceived Health and Nutrition Concerns as Predictors of Dietary Patterns among Polish Females Aged 13–21 Years (GEBaHealth Project) Health-related concerns can often be factors influencing health-related behaviours. It remains unclear whether a high level of concerns is associated with pro-healthy or unhealthy dietary behaviours and whether any associations between nutrition-related concerns and dietary behaviours exist in a population of girls and young women. The aim of the study

2017 Nutrients

16. Caregiving and all-cause mortality in older men 2005-15: the Concord Health and Ageing in Men Project. (Abstract)

older people take on a caring role their health suffers, we found no difference in mortality between older male caregivers and non-caregivers when we accounted for transitions in their caregiving status.© The Author(s) 2019. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com. (...) Caregiving and all-cause mortality in older men 2005-15: the Concord Health and Ageing in Men Project. while both negative and positive impacts of caregiving on health have been reported, findings regarding caregiver's mortality may be biased by the lack of consideration of changes in their health and caregiving status during follow-up. This study examines the impact of caregiving on the risk of death in older men, allowing for caregiving-transition by individuals and adjusting for changes over

2019 Age and ageing

17. The State of Ageing in 2019: Adding life to our years

occupations. Pessimism about getting older is also linked to poorer health. People who worry about their health getting worse and those who expect to get lonely are around 30% more likely to have a negative experience of ageing than people who don’t. 31 8% 6% 5% 3% 3% 25 to 34 year olds 50 to 64 year olds 35 to 49 year olds 65 to 74 year olds 75 and over professional occupations routine occupations 7% 20% Later lives todayHow will future generations experience later life? In less than 20 years, the number (...) only slightly as people get older, to 68% of people aged 80 and over, with little difference by ethnic group. However, those who don’t go out socially cite significant barriers, including poor health and disability, financial reasons, caring responsibilities or not having anyone to go out with. A quarter (24%) of 55-59 year olds who don’t go out socially cite financial reasons and one in ten 50-59 year olds cites caring responsibilities. 84 People who feel they belong to their neighbourhood 83 Most

2020 The Centre for Ageing Better

18. Tisagenlecleucel for treating relapsed or refractory B-cell acute lymphoblastic leukaemia in people aged up to 25 years

syndrome needs full intensive care and treatment with tocilizumab and steroids. It noted that treatment strategies for these side effects are described in tisagenlecleucel's summary of product characteristics and in the risk management plan that is part of the marketing authorisation. The committee was also aware that tocilizumab has a marketing authorisation for treating CAR T-cell-induced severe or life- threatening cytokine release syndrome in people aged 2 years and older. NHS England's clinical (...) Tisagenlecleucel for treating relapsed or refractory B-cell acute lymphoblastic leukaemia in people aged up to 25 years Tisagenlecleucel for treating relapsed or Tisagenlecleucel for treating relapsed or refr refractory B-cell acute lymphoblastic actory B-cell acute lymphoblastic leukaemia in people aged up to 25 y leukaemia in people aged up to 25 years ears T echnology appraisal guidance Published: 21 December 2018 nice.org.uk/guidance/ta554 © NICE 2019. All rights reserved. Subject to Notice

2019 National Institute for Health and Clinical Excellence - Technology Appraisals

19. Jeffrey Aronson: When I use a word . . . Grimley Evans, geriatrics, gerontology, and geratology

has access to the Shorter Oxford English dictionary whence he has plucked the archaic implication of decadence and impending extinction that he quotes. I could wish that he also had a copy of Collins dictionary from which he would learn that nowadays geratology is ‘the branch of medicine concerned with ageing’. “Dr Alex Comfort pointed out [in The Biology of Senescence , RKP 1956] that while ‘geriatrics’ is a serviceable term for medical practice among old people, ‘gerontology’ is a false coining (...) of Sex (1972), did not coin “geratology”. is the Harvard Professor E[arnest] A Hooton in “An anthropologist looks at medicine” ( Science 1936; 83(2151): 271-6): “I venture to suggest the need of a science, or at least a medical specialty, of geratology, or the study of old age changes and their relation to disease.” Dictionaries (Table 1) typically define “geriatrics” as a medical specialty and “gerontology” as a science, but they either do not define “geratology” at all or define it inconsistently

2018 The BMJ Blog

20. Comprehensive geriatric care in hospitals: the role of inpatient geriatric consultation teams

, ALAIN DENIS, FRANÇOIS DAUE, LUT MERGAERT, CARL DEVOS, PATRIEK MISTIAEN, KOEN VAN DEN HEEDE KCE Report 245Cs Inpatient geriatric consultation teams 1 ¦ FOREWORD As already frequently mentioned, the ageing of our population is foremost good news: it means we all live longer, and live longer in good health. Not surprisingly, also the mean age of patients in hospitals is rising. People aged 75 and older account for almost half of all hospital days on non-geriatric nursing units. Frail older people (...) health-care services but the healthcare services will also have to be re-designed to accommodate the needs of the persons with chronic conditions and multi-morbidity. 4 Ageing hospital population The proportion of patients older than 75 years hospitalised on non-geriatric acute care units a (non G-units) is already relatively high (i.e. 27.24% of the patients in 2011). In addition, this patient group accounts for 43% of all hospitalisation days on acute non geriatric units. The group aged =85 years

2015 Belgian Health Care Knowledge Centre

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