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Keywords evidence based problems with t...

evidence based problems with the elderly

https://read.qxmd.com/read/38542732/effect-of-the-rs2821557-polymorphism-of-the-human-kv1-3-gene-on-olfactory-function-and-bmi-in-different-age-groups
#1
JOURNAL ARTICLE
Melania Melis, Mariano Mastinu, Giorgia Sollai
The sense of smell plays an important role in influencing the eating habits of individuals and consequently, their body weight, and its impairment has been associated with modified eating behaviors and malnutrition problems. The inter-individual variability of olfactory function depends on several factors, including genetic and physiological ones. In this study, we evaluated the role of the Kv1.3 channel genotype and age, as well as their mutual relationships, on the olfactory function and BMI of individuals divided into young, adult and elderly groups...
March 13, 2024: Nutrients
https://read.qxmd.com/read/38429790/the-predictive-value-of-the-hs-crp-hdl-c-ratio-an-inflammation-lipid-composite-marker-for-cardiovascular-disease-in-middle-aged-and-elderly-people-evidence-from-a-large-national-cohort-study
#2
JOURNAL ARTICLE
Yu Gao, Miyuan Wang, Ruiting Wang, Jinchi Jiang, Yueyao Hu, Wei Wang, Yong Wang, Haijing Li
BACKGROUND AND AIMS: Cardiovascular disease (CVD) is associated with inflammation and abnormal lipid metabolism. However, a single inflammatory index or a single lipid index cannot accurately predict the prognosis of CVD independently because it is prone to be affected by various confounding factors. METHODS: This population-based cohort study included 6,554 participants from the China Health and Retirement Longitudinal Study (CHARLS) to investigate correlations...
March 1, 2024: Lipids in Health and Disease
https://read.qxmd.com/read/38368398/chronic-diseases-spectrum-and-multimorbidity-in-elderly-inpatients-based-on-a-12-year-epidemiological-survey-in-china
#3
JOURNAL ARTICLE
Shan Gao, Shasha Sun, Ting Sun, Tingting Lu, Yan Ma, Hebin Che, Miao Liu, Wanguo Xue, Kunlun He, Yabin Wang, Feng Cao
BACKGROUND: The number and proportion of the elderly population have been continuously increasing in China, leading to the elevated prevalence of chronic diseases and multimorbidity, which ultimately brings heavy burden to society and families. Meanwhile, the status of multimorbidity tends to be more complex in elderly inpatients than community population. In view of the above concerns, this study was designed to investigate the health status of elderly inpatients by analyzing clinical data in Chinese People's Liberation Army (PLA) General Hospital from 2008 to 2019, including the constitution of common diseases, comorbidities, the status of multimorbidity, in-hospital death and polypharmacy among elderly inpatients, so as to better understand the diseases spectrum and multimorbidity of elderly inpatients and also to provide supporting evidence for targeted management of chronic diseases in the elderly...
February 17, 2024: BMC Public Health
https://read.qxmd.com/read/38293413/an-rct-meta-analysis-based-on-the-effect-of-tai-chi-exercise-therapy-on-the-outcome-of-elderly-patients-with-moderate-to-severe-sleep-disorders-a-systematic-review-study
#4
JOURNAL ARTICLE
Lujia Li, Xiaozheng Li, Yuerong Huang, Haojie Li, Cuihan Li, Yuxin Ma, Jianwei Zhang, Fang Peng, Shaojun Lyu
BACKGROUND: According to statistics, about one-fifth of the world's elderly people suffer from sleep disorders, and the problem of sleep disorders in the elderly is extremely serious, and this problem is one of the important causes of chronic diseases such as hypertension, hyperlipidemia, diabetes mellitus, and coronary heart disease in the elderly. The positive effect of Tai Chi exercise therapy on sleep problems has been confirmed, but at present, the effect of the specific duration of Tai Chi exercise on the improvement of elderly people with moderate to severe sleep disorders varies...
January 30, 2024: Heliyon
https://read.qxmd.com/read/38258576/preventive-cardiology-for-the-aging-population-how-can-we-better-design-clinical-trials-of-statins
#5
JOURNAL ARTICLE
Anthony S Wierzbicki
INTRODUCTION: Older adults form a fast-increasing proportion of the world population. However, gains in increasing quantity of life have not been accompanied by similar gains in quality of life. Older people frequently experience frailty, memory problems, and chronic diseases including cardiovascular disease (CVD) and neurodegenerative diseases. Recent trials have demonstrated the efficacy of anti-hypertensive therapy in older populations but failed to show benefits for aspirin. AREA COVERED: Statins clearly reduce CVD events in middle-aged populations...
January 23, 2024: Expert Review of Cardiovascular Therapy
https://read.qxmd.com/read/38227169/expanding-access-to-comprehensive-geriatric-evaluation-via-telehealth-development-of-hybrid-virtual-home-visits
#6
JOURNAL ARTICLE
Cathy C Schubert, Lauren S Penney, Ashley L Schwartzkopf, Teresa M Damush, Alaina Preddie, Soyna Flemming, Jennifer Myers, Laura J Myers, Anthony J Perkins, Ying Zhang, Dawn M Bravata
BACKGROUND: In response to the aging population, the Department of Veterans Affairs (VA) seeks to expand access to evidence-based practices which support community-dwelling older persons such as the Geriatric Resources for Assessment and Care of Elders (GRACE) program. GRACE is a multidisciplinary care model which provides home-based geriatric evaluation and management for older Veterans residing within a 20-mile drive radius from the hospital. We sought to expand the geographic reach of VA-GRACE by developing a hybrid-virtual home visit (TeleGRACE)...
January 16, 2024: Journal of General Internal Medicine
https://read.qxmd.com/read/38189492/vitamin-b12-supplementation-during-pregnancy-for-maternal-and-child-health-outcomes
#7
JOURNAL ARTICLE
Julia L Finkelstein, Amy Fothergill, Sudha Venkatramanan, Alexander J Layden, Jennifer L Williams, Krista S Crider, Yan Ping Qi
BACKGROUND: Vitamin B12 deficiency is a major public health problem worldwide, with the highest burden in elderly people, pregnant women, and young children. Due to its role in DNA synthesis and methylation, folate metabolism, and erythropoiesis, vitamin B12 supplementation during pregnancy may confer longer-term benefits to maternal and child health outcomes. OBJECTIVES: To evaluate the benefits and harms of oral vitamin B12 supplementation during pregnancy on maternal and child health outcomes...
January 8, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38053642/efficacy-of-isupport-brasil-for-unpaid-caregivers-of-people-living-with-dementia-protocol-for-a-randomized-and-controlled-clinical-trial
#8
JOURNAL ARTICLE
Aline Cristina Martins Gratão, Anabel Machado Cardoso, Ana Carolina Ottaviani, Camila Rafael Ferreira Campos, Déborah Cristina de Oliveira, Diana Quirino Monteiro, Elizabeth Joan Barham, Fabiana de Souza Orlandi, Gustavo Carrijo Barbosa, Keila Cristianne Trindade da Cruz, Larissa Corrêa, Luana Aparecida da Rocha, Ludmyla Caroline de Souza Alves, Luiza Barros Maciel, Lucélia Silva Nico, Maria Cristina Corrêa Lopes Hoffmann, Sofia Cristina Iost Pavarini
UNLABELLED: Unpaid caregivers of people living with dementia tend to suffer mental health problems as a result of the negative effects associated with the care tasks. Thus, psychosocial interventions for this population group are necessary. iSupport is an online support program for caregivers that was created by the World Health Organization. OBJECTIVE: To describe the design of a randomized clinical trial to measure the efficacy of the iSupport - Brasil version on caregivers' mental health and well-being...
2023: Dementia & Neuropsychologia
https://read.qxmd.com/read/38050267/music-intervention-for-older-adults-evidence-map-of-systematic-reviews
#9
JOURNAL ARTICLE
Guiyue Ma, Xiaoqin Ma
BACKGROUND: With the increasing aging population, the health problems of the elderly have received increasing attention. As a non-pharmacological interventions, music intervention has been widely used in clinical practice to improve the physical and mental health of the elderly. This article aims to provide a comprehensive review of existing systematic reviews on the health effects of music interventions for older adults in clinical practice. METHODS: The study utilized the evidence map methodology, which involved identifying all relevant systematic reviews, meta-analysis from 7 electronic databases from their inception to November 2022...
December 1, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/38016052/-efficacy-evaluation-of-symptom-complex-physiotherapy-in-polymorbidity-based-on-randomized-comparative-studies
#10
JOURNAL ARTICLE
U Nurzhan Uulu, M A Sagymbaev
UNLABELLED: The problem of comprehensive physical therapy in polymorbidity (PM) identifies among the most urgent difficulties of modern rehabilitation medicine. It is known that PM are more common than it is generally accepted, and their impact on the endpoints of rehabilitative treatment is more significant. Yet, many problems of PM have not been investigated and properly solved. OBJECTIVE: To evaluate the efficacy of comprehensive physical therapy (CPT) in PM in the age aspect on the basis of correlation analysis and ANOVA indicators (OR, RR, Q, x2 , r2 ), as well as evidence-based medicine (EBM), in particular randomized comparative study (RCS)...
2023: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://read.qxmd.com/read/37998428/knowledge-attitude-and-perception-of-health-care-providers-providing-medication-therapy-management-mtm-services-to-older-adults-in-saudi-arabia
#11
JOURNAL ARTICLE
Fawaz M Alotaibi, Zainab M Bukhamsin, Alanoud Nasser Alsharafaa, Ibrahim M Asiri, Sawsan M Kurdi, Dhafer M Alshayban, Mohammed M Alsultan, Bassem A Almalki, Wafa Ali Alzlaiq, Mansour M Alotaibi
INTRODUCTION: Medication Therapy Management (MTM) is identified as a group of services provided to the patient in order to optimize the medication use in order to mitigate adverse drug reactions (ADRs), drug-drug interaction (DDI), and polypharmacy. Elderly populations above 60 years old are at high risk for Medication-related Problems (MRPs) due to several factors. Therefore, MTM programs showed good contributions globally regarding enhancing medication use in the elderly population...
November 10, 2023: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/37947276/cranberries-for-preventing-urinary-tract-infections
#12
REVIEW
Gabrielle Williams, Christopher I Stothart, Deirdre Hahn, Jacqueline H Stephens, Jonathan C Craig, Elisabeth M Hodson
BACKGROUND: Cranberries contain proanthocyanidins (PACs), which inhibit the adherence of p-fimbriated Escherichia coli to the urothelial cells lining the bladder. Cranberry products have been used widely for several decades to prevent urinary tract infections (UTIs). This is the fifth update of a review first published in 1998 and updated in 2003, 2004, 2008, and 2012. OBJECTIVES: To assess the effectiveness of cranberry products in preventing UTIs in susceptible populations...
November 10, 2023: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/37915419/optimizing-polypharmacy-management-in-the-elderly-a-comprehensive-european-benchmarking-survey-and-the-development-of-an-innovative-online-benchmarking-application
#13
JOURNAL ARTICLE
Przemysław Kardas, Alpana Mair, Derek Stewart, Paweł Lewek
Background: Polypharmacy, defined as the simultaneous use of multiple medications by a patient, is a worldwide problem of rising prevalence. Paving the way for drug interactions, adverse drug reactions and non-adherence, it leads to negative health outcomes, increased use of healthcare services and rising costs. Since it is closely related to multimorbidity, it peaks in older adults. So far, not many polypharmacy management programs in the elderly have been introduced in practice. However, due to the rapid ageing of European societies, there is an urgent need to implement them more widely...
2023: Frontiers in Pharmacology
https://read.qxmd.com/read/37884916/association-between-the-location-of-social-medical-insurance-and-social-integration-among-china-s-elderly-rural-migrants-a-nationwide-cross-sectional-study
#14
JOURNAL ARTICLE
Xiaojie Ma, Wenjia Feng, Chaojun Shi, Yifan Wang, Qianqian Gao, Weiqin Cai, Hongqing An, Qi Jing, Runguo Gao, Anning Ma
BACKGROUND: Universal social medical insurance coverage is viewed as a major factor in promoting social integration, but insufficient evidence exists on the integration of elderly rural migrants (ERM), generally aged 60 years and above, in low- and middle-income countries. To address this problem, we explore the relationship between the location of social medical insurance (SMI), such as a host city, and social integration in the context of Chinese ERM. METHODS: This study is based on data from the 2017 National Internal Migrant Dynamic Monitoring Survey in China...
October 27, 2023: BMC Public Health
https://read.qxmd.com/read/37871709/prevalence-and-impact-of-cannabis-use-disorder-on-acute-ischemic-stroke-and-subsequent-mortality-in-elderly-peripheral-vascular-disease-patients-a-population-based-analysis-in-the-usa-2016-2019
#15
REVIEW
Rupak Desai, Brian Brereton, Harika Varma Chintapalli Patta, Prerna Bansal, Akhil Jain, Ankit Vyas
BACKGROUND: Given current evidence linking peripheral atherosclerotic disease, also known as cannabis arteritis, and acute ischemic stroke (AIS) in individuals with cannabis use disorder (CUD), we investigated the frequency and implications of CUD in relation to AIS risk and outcomes among elderly patients with peripheral vascular disease (PVD). METHODS: The National Inpatient Sample (2016-2019) was used to compare geriatric patients with PVD and cannabis use disorder CUD...
October 21, 2023: Current Problems in Cardiology
https://read.qxmd.com/read/37799160/the-impact-of-using-community-home-based-elderly-care-services-on-older-adults-self-reported-health-fresh-evidence-from-china
#16
JOURNAL ARTICLE
Yang He, Baojian Wei, Yushang Li
BACKGROUND: The rapid population aging in China, characterized by a higher prevalence of illnesses, earlier onset of diseases, and longer durations of living with ailments, substantially engenders challenges within the domain of older adults' healthcare. Community home-based elderly care services (CHECS) are a feasible solution to solve the problem of older adults' care and protect older adults' health. The aim of this study is to investigate the relationship, heterogeneity effects and influential mechanisms between older adults' use of CHECS and their self- reported health...
2023: Frontiers in Public Health
https://read.qxmd.com/read/37781570/ethiopian-aging-policy-a-review-of-existing-frameworks-in-relation-to-the-madrid-international-plan-of-action-on-aging
#17
JOURNAL ARTICLE
Ahmed Muhye Seid, Netsanet Fentahun Babbel
BACKGROUND: The increasing life expectancy and the growing number of older people are becoming public health challenges, warranting the need for appropriate policy tools. Existing policy frameworks should prioritize and cover the public health demands of elders. However, there is a lack of concrete evidence on the existing policy tools and programs targeting elders in Ethiopia. OBJECTIVE: This study was to explore the existing policies, programs, and interventions for elderly people in Ethiopia...
December 2023: Public health in practice
https://read.qxmd.com/read/37776294/can-medicaid-be-a-solution-to-the-problem-underinsurance-in-medicaid-expansion-versus-non-expansion-states
#18
JOURNAL ARTICLE
Aniyar Izguttinov, Justin G Trogdon
The positive effects of Medicaid expansions have been extensively documented in the literature. However, it is not clear whether the reform has had an equally meaningful effect with respect to underinsurance, which is the state of having health insurance yet lacking adequate coverage or facing substantial financial risks upon usage of services. Based on a quasi-experimental difference-in-differences approach, we analyzed the data from a nationally representative sample to estimate the effect of Medicaid expansion on the probability of underinsurance among the non-elderly low-income adult population of the U...
2023: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://read.qxmd.com/read/37738843/-spanish-version-of-the-stopp-start-3-criteria-advances-in-the-detection-of-inappropriate-prescribing-medication-in-the-older-people
#19
REVIEW
Eva Delgado-Silveira, María Dolores Molina Mendoza, Beatriz Montero-Errasquín, María Muñoz García, Erick Arturo Rodríguez Espeso, Manuel Vélez-Díaz-Pallarés, Alfonso José Cruz-Jentoft
The STOPP/START criteria are explicit physiologic systems-based criteria that summarize evidence on clinically relevant prescribing problems related to the use of potentially inappropriate medications (STOPP criteria) and potential prescribing omissions (START criteria). The two previous versions of the STOPP/START criteria were published in 2008 and 2015, and their Spanish versions in 2009 and 2015. Version3 of these criteria has just been published in 2023. The aim of this article is to present the Spanish translated version, and to review the use and impact that version2 of 2015 has had in our language...
September 20, 2023: Revista Española de Geriatría y Gerontología
https://read.qxmd.com/read/37435891/clinical-guidelines-for-the-diagnosis-and-treatment-of-fragility-fractures-of-the-pelvis
#20
JOURNAL ARTICLE
Jianzheng Zhang, Licheng Zhang, Chunbao Li, Wei Chai, Lihai Zhang, Hua Chen, Wei Zhang, Zhiyong Hou, Bin Chen, Tiansheng Sun, Peifu Tang, Yingze Zhang
BACKGROUND: Fragility fractures of the pelvis (FFPs) are osteoporotic pelvic fractures or insufficiency pelvic fractures caused by the low energy injury or stress fracture in daily livings in the elderly more than 60 years, which the incidence is increasing with the aging population in our country. FFPs result in considerable morbidity and mortality and as well as massive financial burden on the already strained health systems throughout the world. METHODS: This clinical guideline was initiated by the Trauma Orthopedic Branch of Chinese Orthopedic Association; the External Fixation and Limb Reconstruction Branch of Chinese Orthopedic Association; the National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation; Senior Department of Orthopedics of Chinese PLA general hospital; the Third Hospital of Hebei Medical University...
July 12, 2023: Orthopaedic Surgery
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