keyword
https://read.qxmd.com/read/38517979/polypharmacy-and-risk-of-fractures-in-older-adults-a-systematic-review
#21
REVIEW
Marie-Eve Gagnon, Denis Talbot, Florence Tremblay, Katherine Desforges, Caroline Sirois
BACKGROUND: Fractures have serious health consequences in older adults. While some medications are individually associated with increased risk of falls and fractures, it is not clear if this holds true for the use of many medications (polypharmacy). We aimed to identify what is known about the association between polypharmacy and the risk of fractures in adults aged ≥65 and to examine the methods used to study this association. METHODS: We conducted a systematic review with narrative synthesis of studies published up to October 2023 in PubMed, Embase, CINAHL, PsychINFO, Cochrane Library, Web of Science, and the grey literature...
March 22, 2024: Journal of Evidence-based Medicine
https://read.qxmd.com/read/38517032/designing-healthier-and-more-sustainable-ultraprocessed-foods
#22
JOURNAL ARTICLE
David Julian McClements
The food industry has been extremely successful in creating a broad range of delicious, affordable, convenient, and safe food and beverage products. However, many of these products are considered to be ultraprocessed foods (UPFs) that contain ingredients and are processed in a manner that may cause adverse health effects. This review article introduces the concept of UPFs and briefly discusses food products that fall into this category, including beverages, baked goods, snacks, confectionary, prepared meals, dressings, sauces, spreads, and processed meat and meat analogs...
March 2024: Comprehensive Reviews in Food Science and Food Safety
https://read.qxmd.com/read/38516938/-minichal-and-items-predictors-of-worst-quality-of-life-in-men-with-arterial-hypertension
#23
JOURNAL ARTICLE
Mónica Diosdado Figueiredo
OBJECTIVE: Systemic arterial hypertension is the most important modificable risk factor for morbidity and mortality and a Public Health problem. The objective was to estímate ítems of worse quality of life (Qol) in both domains of the MINICHAL questionarie and the associated variables. METHODS: An observational study of prevalence in men was carried out. Sociodemographic, comorbidity, clinical, examination, control and serum parameters variables were collected...
March 22, 2024: Revista Española de Salud Pública
https://read.qxmd.com/read/38516934/consensus-on-managing-open-ankle-fractures-in-the-frail-patient
#24
JOURNAL ARTICLE
Enis Guryel, Jo McEwan, Amir A Qureshi, Alastair Robertson, Raju Ahluwalia, Mark Baxter, Lyndon Mason, Will Eardley, Iain McFadyen, Alex Trompeter, Anna V Giblin, Bob Handley, Om Lahoti
AIMS: Ankle fractures are common injuries and the third most common fragility fracture. In all, 40% of ankle fractures in the frail are open and represent a complex clinical scenario, with morbidity and mortality rates similar to hip fracture patients. They have a higher risk of complications, such as wound infections, malunion, hospital-acquired infections, pressure sores, veno-thromboembolic events, and significant sarcopaenia from prolonged bed rest. METHODS: A modified Delphi method was used and a group of experts with a vested interest in best practice were invited from the British Foot and Ankle Society (BOFAS), British Orthopaedic Association (BOA), Orthopaedic Trauma Society (OTS), British Association of Plastic & Reconstructive Surgeons (BAPRAS), British Geriatric Society (BGS), and the British Limb Reconstruction Society (BLRS)...
March 22, 2024: Bone & joint open
https://read.qxmd.com/read/38514338/-chinese-expert-consensus-on-multidisciplinary-decision-making-model-for-mobility-limitation-in-older-adults-2024-edition
#25
JOURNAL ARTICLE
(no author information available yet)
Mobility limitation is an age-related geriatric syndrome that is affected by multiple factors such as aging, multimorbidity, nutritional status, chronic pain, psychological and social factors, which increases the risk of adverse events such as pressure ulcers, venous thrombosis, constipation, frailty, disability, falls and death in older adults. Early identification of mobility limitation and individualized comprehensive management are of great significance to maintain the functional status and quality of life of older adults...
March 26, 2024: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://read.qxmd.com/read/38514075/association-between-vision-impairment-and-increased-prevalence-of-falls-in-older-us-adults
#26
JOURNAL ARTICLE
Huiyan Jin, Yunshu Zhou, Brian C Stagg, Joshua R Ehrlich
BACKGROUND: Vision impairment (VI) is associated with falls in older adults. However, past studies have relied on geographically constrained samples with limited generalizability or self-reports of visual difficulty. To date, there have not been nationally representative studies on the association of objective measures of visual function and falls outcomes. METHODS: We used cross-sectional data from Round 11 of National Health and Aging Trends Study (NHATS), a nationally representative panel study of age-eligible Medicare beneficiaries (N = 2951)...
March 21, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38512092/-the-effect-of-insomnia-on-mild-cognitive-impairment-in-patients-with-vascular-risks-results-of-a-three-year-longitudinal-study
#27
JOURNAL ARTICLE
O V Vorob'ova, N N Shindryaeva, V V Fateeva
OBJECTIVE: To assess the dynamics of sleep parameters based on the analysis of three items of HDRS-17, designed to measure the severity of insomnia, during 36 months of follow-up and their relationship with indicators of the cognitive phenotype in patients with vascular risk factors. MATERIAL AND METHODS: The longitudinal study included 51 patients (mean age 57.7±6.2 years, 19 (37.3%) men)) who met the inclusion criteria. All participants underwent a general clinical examination with assessment of vascular risks and neuropsychological testing using the Montreal Cognitive Assessment (MoCA) and HDRS-17 at baseline and after 36 months...
2024: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://read.qxmd.com/read/38512076/surgical-versus-non-surgical-management-of-lateral-compression-type-1-pelvic-fracture-in-adults-60-years-and-older-the-l1fe-rct
#28
JOURNAL ARTICLE
Elizabeth Cook, Joanne Laycock, Dhanupriya Sivapathasuntharam, Camila Maturana, Catherine Hilton, Laura Doherty, Catherine Hewitt, Catriona McDaid, David Torgerson, Peter Bates
BACKGROUND: Lateral compression type-1 pelvic fractures are a common fragility fracture in older adults. Patients who do not mobilise due to ongoing pain are at greater risk of immobility-related complications. Standard treatment in the United Kingdom is provision of pain relief and early mobilisation, unlike fragility hip fractures, which are usually treated surgically based on evidence that early surgery is associated with better outcomes. Currently there is no evidence on whether patients with lateral compression type-1 fragility fractures would have a better recovery with surgery than non-surgical management...
March 2024: Health Technology Assessment: HTA
https://read.qxmd.com/read/38511977/practices-of-falls-risk-assessment-and-prevention-in-acute-hospital-settings-a-realist-investigation
#29
JOURNAL ARTICLE
Rebecca Randell, Lynn McVey, Judy Wright, Hadar Zaman, V-Lin Cheong, David M Woodcock, Frances Healey, Dawn Dowding, Peter Gardner, Nicholas R Hardiker, Alison Lynch, Chris Todd, Christopher Davey, Natasha Alvarado
BACKGROUND: Falls are the most common safety incident reported by acute hospitals. The National Institute of Health and Care Excellence recommends multifactorial falls risk assessment and tailored interventions, but implementation is variable. AIM: To determine how and in what contexts multifactorial falls risk assessment and tailored interventions are used in acute National Health Service hospitals in England. DESIGN: Realist review and multisite case study...
March 2024: Health Soc Care Deliv Res
https://read.qxmd.com/read/38511508/center-of-mass-position-does-not-drive-energetic-costs-during-climbing
#30
JOURNAL ARTICLE
Melody W Young, Edwin Dickinson, Jon A Gustafson, Michael C Granatosky
Climbing animals theoretically need to optimize the energetic costs of vertical climbing while also maintaining stability. Many modifications to climbing behaviors have been proposed as methods of satisfying these criteria, focusing on controlling the center of mass (COM) during ascent. However, the link between COM movements and metabolic energy costs has yet to be evaluated empirically. In this study, we manipulate climbing conditions across three experimental setups to elicit changes in COM position, and measure the impact of these changes upon metabolic costs across a sample of fourteen humans...
March 21, 2024: Journal of Experimental Biology
https://read.qxmd.com/read/38509792/exploring-the-relationship-between-am-pac-scores-and-mobility-components-in-falls-and-pressure-injury-risk-assessment-tools-a-pathway-to-improve-nursing-clinical-efficiency
#31
JOURNAL ARTICLE
Jan Stenum, Kevin McLaughlin, Ioannis Collector, Karli Funk, Lydia Vincent, Daniel Young, Ann Hendrich, Erik H Hoyer
BACKGROUND: Nurses routinely perform multiple risk assessments related to patient mobility in the hospital. Use of a single mobility assessment for multiple risk assessment tools could improve clinical documentation efficiency, accuracy and lay the groundwork for automated risk evaluation tools. PURPOSE: We tested how accurately Activity Measure for Post-Acute Care (AM-PAC) mobility scores predicted the mobility components of various fall and pressure injury risk assessment tools...
March 21, 2024: Journal of Clinical Nursing
https://read.qxmd.com/read/38509780/assessing-care-dependence-status-and-associated-influencing-factors-among-middle-aged-hemiplegic-stroke-patients-during-the-post-acute-rehabilitation-phase-a-correlational-study
#32
JOURNAL ARTICLE
Lianfeng Yuan, Jun Shen, Shan Ye, Na Zhou
AIMS: To comprehensively examine the prevailing condition of care dependence among middle-aged individuals who have experienced hemiplegia subsequent to a stroke and were currently undergoing post-acute rehabilitation. Additionally, the study sought to analyse the determinants that impacted this phenomenon. DESIGN: A single-centre, cross-sectional study design. METHODS: During the period from January 2020 to October 2022, a cohort of 196 hemiplegic stroke patients, aged between 40 and 65, and within 6 months of their stroke onset, was selected from the cerebrovascular outpatient clinic at a tertiary hospital in Hangzhou...
March 21, 2024: Journal of Clinical Nursing
https://read.qxmd.com/read/38509756/developing-community-level-implementation-networks-to-connect-older-adults-to-evidence-based-falls-prevention-programs
#33
JOURNAL ARTICLE
Sato Ashida, Abby Hellem, Rebecca Bucklin, McKyla Carson, Carri Casteel
Background: Evidence-based falls prevention programs are available in many communities, but participation in such programs remains low. This study aimed to develop community-based referral networks of organizations to facilitate the uptake of evidence-based falls prevention programs through engaging older adults at risk for falls with the RememberingWhen™ program and connecting them to evidence-based programs in Midwestern communities. Methods: Guided by the Practical, Robust Implementation and Sustainability Model (PRISM), referral networks were developed in two Midwestern communities (urban and micropolitan) through a seven-step community engagement plan: establishing and operationalizing the State-level Advisory Board (SAB), identifying falls prevention resources, conducting community assessments, developing Local Advisory Groups (LAG), operationalizing the LAG, developing referral network and protocols, and implementing the network...
March 20, 2024: Health Promotion Practice
https://read.qxmd.com/read/38509497/association-of-sarcopenia-with-osteoporosis-in-chinese-patients-with-type-2-diabetes
#34
JOURNAL ARTICLE
Ke Xu, Xiaozhen Feng, Zeru Xu, Yang Pan, Ping Zhang, Hong Zhu
BACKGROUND: People with type 2 diabetes mellitus (T2DM) present a higher tendency to develop sarcopenia and osteoporosis compared with the normal population. Currently, osteoporosis screening has been frequently performed among T2DM patients, but sarcopenia screening is relatively less, and the association between the two diseases remains unclear. Herein, this study aims to determine the association between sarcopenia and osteoporosis in Chinese T2DM patients. METHODS: This was a retrospective study of 678 patients with T2DM in the First Affiliated Hospital of Wenzhou Medical University...
March 21, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38506913/using-in-shoe-inertial-measurement-unit-sensors-to-understand-daily-life-gait-characteristics-in-patients-with-distal-radius-fractures-during-6-months-of-recovery-cross-sectional-study
#35
JOURNAL ARTICLE
Akiko Yamamoto, Eriku Yamada, Takuya Ibara, Fumiyuki Nihey, Takuma Inai, Kazuya Tsukamoto, Tomohiko Waki, Toshitaka Yoshii, Yoshiyuki Kobayashi, Kentaro Nakahara, Koji Fujita
BACKGROUND: A distal radius fracture (DRF) is a common initial fragility fracture among women in their early postmenopausal period, which is associated with an increased risk of subsequent fractures. Gait assessments are valuable for evaluating fracture risk; inertial measurement units (IMUs) have been widely used to assess gait under free-living conditions. However, little is known about long-term changes in patients with DRF, especially concerning daily-life gait. We hypothesized that, in the long term, the daily-life gait parameters in patients with DRF could enable us to reveal future risk factors for falls and fractures...
March 20, 2024: JMIR MHealth and UHealth
https://read.qxmd.com/read/38506650/the-relationship-between-postural-control-and-cognitive-functioning-following-zumba-dancing-in-middle-aged-women-a-randomized-clinical-trial
#36
JOURNAL ARTICLE
Fatma Ben Waer, Fatma Chaari, Thouraya Fendri, Rabeb Laatar, Haithem Rebai, Sonia Sahli
This study aimed to investigate the effect of 12-week Zumba dancing on postural control and cognitive parameters and the correlations between these parameters in middle-aged women. Thirty-eight women, aged between 50 and 60 years, were randomly allocated to a Zumba group (ZG) or control group. Postural control and cognitive functions [working memory (WM) and reaction time (RT)] were assessed before and after 12 weeks of a Zumba dancing program using a stabilometric force platform, Corsi Block-Tapping Task and Simple RT tests, respectively...
March 20, 2024: Journal of Women & Aging
https://read.qxmd.com/read/38505267/prospective-observational-study-of-nutritional-status-and-oral-supplement-utilization-in-users-of-an-elderly-daycare-service-employing-a-web-based-mini-nutritional-assessment-form-mna-plus
#37
JOURNAL ARTICLE
Hiroki Takano, Yukikazu Kamada, Masaki Ichikawa, Sadao Yoshida
INTRODUCTION: Seniors are vulnerable to frailty, a condition linked to falls, fractures, hospitalizations, and sarcopenia. Even with regular meals, senior daycare users are at risk for malnutrition. METHODS: This study assessed malnutrition risk in daycare users, using the web-based Mini Nutritional Assessment Form (MNA®-SF). Individuals identified as malnourished or at risk were examined for changes in nutritional status with and without oral nutritional supplementation (ONS)...
2024: Frontiers in Nutrition
https://read.qxmd.com/read/38504833/risk-factors-associated-with-acute-sarcopenia-in-patients-hospitalized-with-covid-19
#38
JOURNAL ARTICLE
D M S Silva, T A Valadão, C Caporosi, J E Aguilar-Nascimento, D B Dock-Nascimento
BACKGROUND: The COVID-19 pandemic is an extraordinary global emergency. The pandemic has changed profoundly people's lifestyles. This resulted in reductions in physical activity and changes in dietary intakes that have the potential to accelerate sarcopenia. OBJECTIVE: The aim of this study was to evaluate the risk factors associated with acute sarcopenia in patients hospitalized with COVID-19. METHODS: This was a cross-sectional study conducted from January/2021 to March/2022 in a private hospital in Cuiabá/MT, central region of Brazil...
2024: Journal of Nutrition and Metabolism
https://read.qxmd.com/read/38502676/can-routine-assessment-of-older-people-s-mental-health-lead-to-improved-outcomes-a-regression-discontinuity-analysis
#39
JOURNAL ARTICLE
Kalpita Baird, Ailish Byrne, Sarah Cockayne, Rachel Cunningham-Burley, Caroline Fairhurst, Joy Adamson, Wesley Vernon, David J Torgerson
OBJECTIVE: To assess whether case finding for depression among people aged 65 and above improves mental health. DESIGN: Opportunistic evaluation using a regression discontinuity analysis with data from a randomised controlled trial. SETTING: The REFORM trial, a falls prevention study that recruited patients from NHS podiatry clinics. PARTICIPANTS: 1010 community-dwelling adults over the age of 65 with at least one risk factor for falling (recent previous fall or fear of falling)...
2024: PloS One
https://read.qxmd.com/read/38502170/head-protection-device-for-individuals-at-risk-for-head-injury-due-to-ground-level-falls-single-trauma-center-user-experience-investigation
#40
MULTICENTER STUDY
Susan Haag, John Kepros
BACKGROUND: Falls represent a large percentage of hospitalized patients with trauma as they may result in head injuries. Brain injury from ground-level falls (GLFs) in patients is common and has substantial mortality. As fall prevention initiatives have been inconclusive, we changed our strategy to injury prevention. We identified a head protection device (HPD) with impact-resistant technology, which meets head impact criteria sustained in a GLF. HPDs such as helmets are ubiquitous in preventing head injuries in sports and industrial activities; yet, they have not been studied for daily activities...
March 19, 2024: JMIR Human Factors
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