Geriatrics & gerontology international
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Geriatr Gerontol Int · Jul 2018
Frailty index and its associations with self-neglect, social support and sociodemographic characteristics among older adults in rural China.
The frailty index is used to measure the health status of older individuals. However, its association with self-neglect, social support and sociodemographic characteristics of older adults is underexplored. The purpose of the present study was to explore such associations among the rural older adults in Anhui Province of China, and to provide scientific evidence for policy-makers to improve the health and well-being of older adults in rural China. ⋯ Age differences were shown in the associations between self-neglect, social support, sociodemographic characteristics and frailty index, which suggests different measures should be used accordingly for frailty prevention and management. Geriatr Gerontol Int 2018; 18: 987-996.
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Geriatr Gerontol Int · Jul 2018
Comparative StudyPhysical frailty and mortality risk in Japanese older adults.
The association between frailty and increased mortality risk is unknown. The present study assessed the longitudinal relationship between frailty and mortality risk in Japanese community-dwelling older adults. ⋯ Complications of frailty, which include shrinking, exhaustion, low activity, weakness, and slowness, appear to be significant risks for mortality in Japanese older adults. Geriatr Gerontol Int 2018; 18: 1085-1092.
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Geriatr Gerontol Int · Jul 2018
Comparative StudyTrajectories of arterial stiffness and all-cause mortality among community-dwelling older Japanese.
Aortic pulse wave velocity (PWV) is a strong predictor of all-cause mortality in later life. The present prospective study used repeated measures analysis to examine sex-specific age trends in brachial-ankle PWV (baPWV), identify baPWV trajectories and determine whether potential baPWV trajectories were associated with all-cause mortality among community-dwelling older Japanese. ⋯ baPWV increased with age in men and women, and there was no significance between sexes in later life. This prospective study identified four major baPWV trajectory patterns in community-dwelling older adults. Individuals in the very high baPWV trajectory group, especially younger seniors, had a higher mortality risk. Geriatr Gerontol Int 2018; 18: 1108-1113.
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Geriatr Gerontol Int · Jul 2018
Community activities predict disability and mortality in community-dwelling older adults.
With aging, it is important to maintain older community dwellers' regular engagement with familiar community activities (CA) engaged in close to home to protect them from frailty. Thus, the present study aimed to examine whether CA items or CA score were associated with mortality or the need for care under the new long-term care insurance service requirements over 3 years among community-dwelling older Japanese adults. ⋯ CA items and CA score could predict disability and mortality in community-dwelling older adults in Japanese rural areas. Therefore, it is recommended that older adults from all age groups participate in CA. Geriatr Gerontol Int 2018; 18: 1114-1124.
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Geriatr Gerontol Int · Jul 2018
Impact of frailty on chronic pain, activities of daily living and physical activity in community-dwelling older adults: A cross-sectional study.
The present cross-sectional study investigated the relationship between frailty and chronic pain, activities of daily living (ADL), and physical activity in community-dwelling older adults. ⋯ For community-dwelling older adults with frailty, chronic pain can negatively influence sensory, emotional and cognitive aspects of pain, leading to a decline in ADL and lower physical activity. Full pain assessment focused on sensory and emotional aspects of pain is important to identify frailty among older adults. Geriatr Gerontol Int 2018; 18: 1079-1084.