Total Energy Expenditure and Functional Status in Older Adults: A Doubly Labelled Water Study
ConclusionThe results of this study suggest that, in clinical practice, older individuals with lower gait speed, worse performance in the 6-minute walk test and lower handgrip strength, may have lower total energy expenditure, being the stimulus for its increase important for the prevention of possible problems related to low energy expenditure. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - October 13, 2020 Category: Nutrition Source Type: research

Age-Related Frailty: A Clinical Model for Geroscience?
AbstractIn their everyday practice, geriatricians are confronted with the fact that older age and multimorbidity are associated to frailty. Indeed, if we take the example of a very old person with no diseases that progressively becomes frail with no other explanation, there is a natural temptation to link frailty to aging. On the other hand, when an old person with a medical history of diabetes, arthritis and congestive heart failure becomes frail there appears an obvious relationship between frailty and comorbidity. The unsolved question is: Considering that frailty is multifactorial and in the majority of cases comorbidi...
Source: The Journal of Nutrition, Health and Aging - October 13, 2020 Category: Nutrition Source Type: research

Symptom Burden Is Associated with Psychological Wellbeing and Mortality in Older Adults
This study aims to analyze the prognostic value of symptom burden, derived from symptom count and frequency, in an older cohort aged 75 to 95. We also explore the association between symptom burden and psychological wellbeing.DesignRandomly assigned cohorts of community-dwelling people aged 75 –95 filled in the postal questionnaire of the Helsinki Aging Study in 2009.SettingCommunity-based, postal questionnaires (survey response rate 74%).Participants1583 community-dwelling people aged 75 –95 in the urban Helsinki area.Main outcomes and measuresThe inquired symptoms were dizziness, back pain, joint pain, chest ...
Source: The Journal of Nutrition, Health and Aging - October 13, 2020 Category: Nutrition Source Type: research

Factors Affecting Trends in Societal Indicators of Ageing Well in Hong Kong: Policies, Politics and Pandemics
ConclusionThe documentation of the trend in HKEQOL shows that while it may be used as a macro indicator that is able to reflect policies affecting the well-being of older people, it is also able to reflect the impact of societal unrest and pandemics, and that the latter may override the effect of existing ageing policies. It also follows that during social unrest and pandemics, specific policies targeting older people may be needed to maintain well-being. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - October 13, 2020 Category: Nutrition Source Type: research

Muscle Quality is Associated with History of Falls in Octogenarians
ConclusionA higher MQ is associated with a reduction in the likelihood falls in octogenarians. Therefore, it may be advantageous for clinicians to evaluate MQ when the screening of the risk of falls in older adults. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - October 12, 2020 Category: Nutrition Source Type: research

Phase Angle and Frailty are Important Prognostic Factors in Critically ILL Medical Patients: A Prospective Cohort Study
ConclusionBoth PhA and frailty are important prognostic factors predicting the outcomes of critical illnesses. Low PhA scores were associated with increased mortality and a longer duration of ICU stay, and frailty was associated with more mechanical ventilation days. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - October 12, 2020 Category: Nutrition Source Type: research

Performance of the Short Physical Performance Battery in Identifying the Frailty Phenotype and Predicting Geriatric Syndromes in Community-Dwelling Elderly
AbstractThe early identification of seniors at high risk of geriatric syndromes is fundamental for targeting interventions to those who most need them. To date, the predictive value of the Short Physical Performance Battery (SPPB) for multifactorial clinical conditions has not been clearly established. Thus, the aim of the present study was to determine whether the SPPB could identify frailty and predict geriatric syndromes in community-dwelling older adults. Participants comprised men and women aged 60 years and older who participated in the Health and Well-being and Aging Survey in Colombia 2015 (n=4125, 57.6% women). A ...
Source: The Journal of Nutrition, Health and Aging - October 12, 2020 Category: Nutrition Source Type: research

Effects of Comorbidities on the Elderly Patients with COVID-19: Clinical Characteristics of Elderly Patients Infected with COVID-19 from Sichuan, China
This study was supposed to describe the clinical characteristics of elderly patients with COVID-19 infection from Sichuan province and the effects of comorbidity.DesignA retrospective study.Settings and participantsCOVID-19 patients from Public Health Clinical Center of Chengdu between December 16, 2019 and February 26, 2020 were included in this study. Patients were divided into elderly group ( ≥60 years old) and non-elderly group (
Source: The Journal of Nutrition, Health and Aging - October 12, 2020 Category: Nutrition Source Type: research

Potential Efficacy of Pragmatic Exercise Program (Sprint) During Hospitalization in Older Adults on Health Care and Physical Performance: A Pilot Study
ConclusionSPRINT appears effective to counteract iatrogenic decline and decreased the LOS. Moreover, this simple pragmatic PA tool seems to improve the life trajectory and healthcare practice in aging population. Further researches are needed to confirm these promising pragmatic results. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - October 12, 2020 Category: Nutrition Source Type: research

Older Adults Hospitalized with COVID-19: Clinical Characteristics and Early Outcomes from a Single Center in Istanbul, Turkey
AbstractObjectiveOlder adults have been continuously reported to be at higher risk for adverse outcomes of Covid-19. We aimed to describe clinical characteristics and early outcomes of the older Covid-19 patients hospitalized in our center comparatively with the younger patients, and also to analyze the triage factors that were related to the in-hospital mortality of older adults.DesignRetrospective; observational study.SettingIstanbul Faculty of Medicine hospital, Turkey.Participants362 hospitalized patients with laboratory-confirmed Covid-19 from March 11 to May 11, 2020.MeasurementsThe demographic information; associate...
Source: The Journal of Nutrition, Health and Aging - October 8, 2020 Category: Nutrition Source Type: research

Association between Frailty and Albuminuria Among Older Chinese Inpatients
AbstractObjectivesOlder adults with frailty are vulnerable to cardiovascular event and subsequent mortality. Frailty and albuminuria share atherosclerotic risk factors. The present study investigated the association of frailty and albuminuria among elderly Chinese inpatients.DesignCross-sectional study.Settings and participantsA total of 202 patients aged over 60 years from the Center of Gerontology and Geriatric, West China Hospital.MeasurementsFrailty was defined using the five-item FRAIL scale. This included measurements of fatigue, resistance, ambulation, illness, and loss of weight. We further determined the random ur...
Source: The Journal of Nutrition, Health and Aging - October 7, 2020 Category: Nutrition Source Type: research

Circulating Cytokines and Lower Body Muscle Performance in Older Adults at Hospital Admission
ConclusionsThus, several serum cytokines/chemokines and growth factors are negatively associated with lower muscle strength in older patients. Further investigation is required to elucidate the mechanism of elevated inflammatory mediators leading to lower muscle strength. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - October 6, 2020 Category: Nutrition Source Type: research

Trajectories of Symptoms in Nursing Home Residents After a Transfer to the Emergency Department
ConclusionSymptom alleviation in NHRs transferred to ED was better achieved in those with pain, fever or dyspnea rather than in those with confusion, agitation and fatigue. NHRs ’ resilience through the stress of an ED transfer could be predicted by comorbidity and functional abilities, challenged by acute conditions representing various levels of stress intensity, and evaluated on the course of non-specific symptoms. NHRs’ resilience is key to estimate the appropriaten ess of an ED transfer and should facilitate advance care planning regarding NHRs’ hospitalizations. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - October 4, 2020 Category: Nutrition Source Type: research

The Prevalence and Clinical Characteristics of Essential Tremor in Elderly Chineses: A Population-Based Study
ConclusionsThe ET prevalence in the elderly of Beijing was 3.29% which is higher in the urban area and in men. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - October 4, 2020 Category: Nutrition Source Type: research

Impact of Serum 25(OH) Vitamin D Level on Mortality in Patients with COVID-19 in Turkey
AbstractBackgroundBecause of the lack of sufficient data, we aimed to investigate the role of serum 25(OH) vitamin D level on COVID severity and related mortality.MethodsThis was a retrospective observational study. Data, including sociodemographic features, clinical characteristics, and laboratory data, and 25(OH) vitamin D levels were recorded for each study participant. Patients were stratified into different vitamin D groups; Normal (Serum 25(OH) vitamin D level>30 ng/mL), Vitamin D insufficiency (21 –29 ng/mL), and deficiency (
Source: The Journal of Nutrition, Health and Aging - October 4, 2020 Category: Nutrition Source Type: research

COVID-19 — The Long Road to Recovery
(Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - October 4, 2020 Category: Nutrition Source Type: research

Amiodarone-Induced Ataxia: A Case Report of Severe Cerebellar Dysfunction and Review of Literature
AbstractAmiodarone therapy is widely prescribed in patients with atrial fibrillation. The higher prevalence of this arrhythmic heart disease, and the specific age-related issues of homeostasis in the elderly population, makes this group particularly exposed to its adverse effects. Among the many described side-effects, neurological impairments are the less documented and studied. Because amiodarone can be responsible for severe complications, as described in the case below, a close monitoring is necessary throughout its prescription. Awareness should be brought on the amiodarone-induced neurological side-effects as they co...
Source: The Journal of Nutrition, Health and Aging - October 4, 2020 Category: Nutrition Source Type: research

Sarcopenia as a Risk Factor for Future HIP Fracture: A Meta-Analysis of Prospective Cohort Studies
AbstractObjectiveOur study aims to determine whether sarcopenia is a predictive factor of future hip fractures.DesignSystematic review and meta-analysis.SetWe searched for potentially suitable articles in PubMed, Cochrane library, Medline and EMBASE from inception to March 2020. The quality of the research was assessed by the Newcastle-Ottawa Scale (NOS). Finally, a meta-analysis was conducted with the Stata software.ParticipantsOlder community-dwelling residents.MeasurementsHip fracture due to sarcopenia.ResultsWe retrieved 2129 studies through our search strategy, and five studies with 23,359 individuals were analyzed in...
Source: The Journal of Nutrition, Health and Aging - October 4, 2020 Category: Nutrition Source Type: research

Methodological Issues and the Impact of Age Stratification on the Proportion of Participants with Low Appendicular Lean Mass When Adjusting for Height and Fat Mass Using Linear Regression: Results from the Canadian Longitudinal Study on Aging
ConclusionsSex-specific residuals in all participants should be calculated prior to stratifying the sample by age group, or other stratification variables, for the purposes of developing appendicular lean mass cut offs or subgroup analyses. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - September 29, 2020 Category: Nutrition Source Type: research

The Association Between Dietary Amino Acid Intake and Cognitive Decline 8 Years Later in Japanese Community-Dwelling Older Adults
ConclusionThe results suggest that lysine, phenylalanine, threonine, and alanine intake is important for the maintenance of cognitive function in older people, independent of total protein intake. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - September 24, 2020 Category: Nutrition Source Type: research

Impact of Social Isolation Due to COVID-19 on Health in Older People: Mental and Physical Effects and Recommendations
ConclusionMental and physical health in older people are negatively affected during the social distancing for COVID-19. Therefore, a multi component program with exercise and psychological strategies are highly recommended for this population during the confinement. Future investigations are necessary in this field. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - September 24, 2020 Category: Nutrition Source Type: research

Plasma N-Terminal Pro-B-Type Natriuretic Peptide Is Associated with Intrinsic Capacity Decline in an Older Population
AbstractObjectivesTo determine the association between plasma N-terminal pro-B-type natriuretic peptide (NT-proBNP) and intrinsic capacity in an older population.MethodWe recruited 283 participants aged 60 ∓97 years (mean 77.42±4.08 years). Intrinsic capacity was assessed with the World Health Organization Integrated Care for Older People (ICOPE) screening tool including six domains: cognition, locomotion, vitality, hearing, vision, and psychology. Multimorbidity, polypharmacy, gait speed, physical activity, lifestyles, and chronic inflammation were assessed. We used multivariate logistic regression and the Spearm...
Source: The Journal of Nutrition, Health and Aging - September 24, 2020 Category: Nutrition Source Type: research

Screening Accuracy of SARC-F for Sarcopenia in the Elderly: A Diagnostic Meta-Analysis
ConclusionsThe screening accuracy of SARC-F was various based on different diagnostic criteria. There were some limitations for SARC-F, however, considering the higher practicability and specificity for screening sarcopenia in practice, SARC-F was still an effective screening tool for sarcopenia in the elderly. And the screening accuracy of SARC-F needs further exploration when EWGSOP2 is applied as diagnostic criteria and geriatric inpatients are the target participants. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - September 24, 2020 Category: Nutrition Source Type: research

Multimorbidity in Community-Dwelling Older Adults in Beijing: Prevalence and Trends, 2004 –2017
AbstractObjectivesThe burden of multimorbidity is increasing worldwide; however, little is known about trends in multimorbidity prevalence among Chinese older adults. We aimed to estimate the prevalence and trends of multimorbidity in community-dwelling older adults in Beijing.DesignLongitudinal.Setting and participantsResidents of Beijing aged ≥60 years.MeasurementsData were derived from the Beijing Longitudinal Study of Aging, using cluster, stratification, and random sampling. A total of 1842, 2914, and 1837 participants were included in the 2004, 2011, and 2017 sample, respectively. Multimorbidity was defined as the...
Source: The Journal of Nutrition, Health and Aging - September 14, 2020 Category: Nutrition Source Type: research

Recovery of Physical Activity Among Older Japanese Adults Since the First Wave of the COVID-19 Pandemic
(Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - September 7, 2020 Category: Nutrition Source Type: research

The Relationship Between Frailty, Obesity and Social Deprivation in Non-Institutionalized Elderly People
AbstractBackgroundWith the increasing prevalence of obesity and the risk of increased dependency among the elderly, it becomes important to characterize the link between obesity and frailty. The relationship between obesity and social deprivation would be bidirectional, with each influencing the other.ObjectivesMain objective was to study the relationship between frailty as defined by Fried and obesity (Body Mass Index (BMI) and abdominal obesity). Secondary objective was to assess the relationship between frailty and social deprivation.Materials and MethodsThis was a cross-sectional study, with data collected between Janu...
Source: The Journal of Nutrition, Health and Aging - September 5, 2020 Category: Nutrition Source Type: research

Prediction of Death with the Frail-NH in Institutionalized Older Adults: A Longitudinal Study from a Middle-Income Country
ConclusionsFrailty is prevalent in nursing homes according to the FRAIL-NH and it was associated with one-year prediction of death for a cut-off>8 points. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - September 1, 2020 Category: Nutrition Source Type: research

PRISMA-7 and Risk for Short-Term Adverse Events in Older Patients Visiting the Emergency Department: Results of a Large Observational and Prospective Cohort Study
This study aimed to examine 1) whether the PRISMA-7 high-risk le vel for disabilities was associated with the length of stay in ED and in hospital, and hospital admission; and 2) performance criteria (i.e., sensitivity, specificity, positive predictive value [PPV], negative predictive value [NPV], likelihood ratios [LR]) of the PRISMA-7 high-risk level for the le ngth of stay in ED and hospital, and hospital admission in older ED users.MethodsA total of 12,983 older ED users of the Jewish General Hospital (Montreal, Quebec, Canada) were recruited in this observational and prospective cohort study. All enrolled participants...
Source: The Journal of Nutrition, Health and Aging - August 27, 2020 Category: Nutrition Source Type: research

SARC-F as a Screening Tool for Sarcopenia and Possible Sarcopenia Proposed by AWGS 2019 in Hospitalized Older Adults
This study investigated the validity of SARC-F≥4 as a screening tool for sarcopenia among hospitalized older adults.DesignCross-sectional retrospective study.SettingA university hospital.ParticipantsThis study included older adult patients (age ≥65 years) who were hospitalized at, and subsequently discharged from, the hospital between April and September 2019 and underwent a nutritional assessment by the nutrition support team during their hospitalization.MeasurementsSARC-F was recorded at the time of admission, and the criteria specified by the Asia Working Group for Sarcopenia in 2019 (AWGS 2019) were applied to di...
Source: The Journal of Nutrition, Health and Aging - August 10, 2020 Category: Nutrition Source Type: research

A Correlation Analysis Between the Nutritional Status and Prognosis of COVID-19 Patients
AbstractPurposeThe present study investigated the correlation between the nutritional status and prognosis of COVID-19 patients, and analyzed the epidemiological characteristics of COVID-19 patients with different nutritional status.Methods429 patients who were diagnosed positive for COVTD-19 in Hubei Provincial Hospital of Traditional Chinese Medicine from December 2019 to March 2020 were selected and divided into different groups based on Controlling Nutritional Status (CONUT) score (0 –4: the low CONUT score group; 5–12: the high CONUT score group). Multivariate logistic regression analysis was applied to in...
Source: The Journal of Nutrition, Health and Aging - August 9, 2020 Category: Nutrition Source Type: research

Prognostic Impact of Delirium in Older People With/Without Dementia: A Retrospective Cohort Study in Taiwan
ConclusionsThe obvious association between in-hospital delirium and worsened long-term prognosis, irrespective of dementia, raises awareness to warrants proactive and multimodal prevention and intervention strategies. Furthermore, the mechanisms about different influence of delirium for patients with/without dementia need to be further explored. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - August 9, 2020 Category: Nutrition Source Type: research

Development of the Brief Geriatric Assessment for the General Practitioner
ConclusionEarly management of geriatric syndromes in the community is important. The current study demonstrated a practical BGA tool for the general practitioner to comprehensively assess geriatric syndromes in community-dwelling older adults. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - August 9, 2020 Category: Nutrition Source Type: research

Association Between Bone Mineral Density and Nutritional Status, Body Composition and Bone Metabolism in Older Adults
AbstractPurposeTo identify an association between bone mineral density (BMD) and nutritional status, body composition and bone metabolism in older patients.MethodsCross-sectional study, involving older adults, with osteopenia/osteoporosis and with normal BMD. The mineral density of the lumbar spine from L1 to L4 and the proximal region of the femur was assessed using dual energy X-ray absorptiometry. Biochemical analyzes were performed of 25(OH)-D, calcium and parathormone. Weight, knee height, and abdominal (AC), mid-upper arm (MUAC) and calf (CC) circumferences were measured. The percentage of body fat (%BF) and Fat-Free...
Source: The Journal of Nutrition, Health and Aging - August 9, 2020 Category: Nutrition Source Type: research

Effects of Multicomponent Exercise on Cognitive Performance and Fall Risk in Older Women With Mild Cognitive Impairment
AbstractBackgroundEmerging evidence suggests that multicomponent exercise provides greater benefits for physical and cognitive function than single component exercise. However, few studies have been conducted to determine these effects in older adults with mild cognitive impairment (MCI) and findings have been less conclusive. It has been reported that older women have a greater risk of falls and a higher incidence of dementia than men.ObjectivesTo examine the effects of multicomponent exercise on cognitive performance and fall risk in older women with MCI.DesignAn experimental design comparing the exercise and control gro...
Source: The Journal of Nutrition, Health and Aging - August 9, 2020 Category: Nutrition Source Type: research

Grip Strength Criterion Matters: Impact of Average Versus Maximum Handgrip Strength on Sarcopenia Prevalence and Predictive Validity for Low Physical Performance
AbstractImportanceMuscle strength has been elevated to the forefront of sarcopenia diagnosis, with handgrip strength the preferred measure. Extant handgrip protocols adopt different handgrip strength (HGS) criteria. Paucity of direct comparison studies assessing the impact of HGS criterion on prevalence of sarcopenia and predictive validity on physical performance contributes to the lack of standardisation of HGS criteria in sarcopenia diagnosis.ObjectivesOur study aims to compare the effect of average (HGSave) versus maximum (HGSmax) HGS criterion on: (1) prevalence of low HGS and sarcopenia; and (2) association with phys...
Source: The Journal of Nutrition, Health and Aging - August 9, 2020 Category: Nutrition Source Type: research

Clinical Frailty Scale and Biomarkers for Assessing Frailty in Elder Inpatients in China
This study aimed to assess the feasibility of the Clinical Frailty Scale (CFS) and clinical biomarkers in assessing the frailty in elder inpatients in China.DesignThe study was a cross-sectional study.Setting and ParticipantsThe study included 642 elder inpatients (295 females and 347 males) aged ≥65 years, from the Department of Geriatrics of Zhejiang Hospital between January 2018 and December 2019.MeasurementsAll participants underwent a comprehensive geriatric assessment and blood tests. Univariate and multivariate logistic regression was used to analyze the association between risk factors and frailty.ResultsThe ave...
Source: The Journal of Nutrition, Health and Aging - August 9, 2020 Category: Nutrition Source Type: research

Erratum to: Predictivity of early depressive symptoms for post-stroke depression
The-authors of the article «Predictivity of early depressive symptoms for Post-Stroke Depression» J Nutr Health Aging. 2015;19(7):754-758 advice several errors in the text. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - August 9, 2020 Category: Nutrition Source Type: research

Erratum to: SARC-F as a Useful Tool for Screening Sarcopenia in Elderly Patients with Hip Fractures
The original version of this article contained an error in Table and manuscript. The correct information Table and manuscript should be as follows. The authors would like to apologize for any inconvenience caused. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - August 5, 2020 Category: Nutrition Source Type: research

Validation of the Danish SARC-F in Hospitalized, Geriatric Medical Patients
ConclusionSARC-F does not seem to be a suitable screening tool for identifying and excluding non-sarcopenic geriatric patients. Furthermore, the SARC-F score was more strongly correlated with reduced muscle strength and physical function than with low muscle mass. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - August 4, 2020 Category: Nutrition Source Type: research

To Drug or Not to Drug: The Geriatrician Dilemma of Polypharmacy
(Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - August 4, 2020 Category: Nutrition Source Type: research

Association of Lower-Extremity Muscle Performance and Physical Activity Level and Intensity in Middle-Aged and Older Adults: A Doubly Labeled Water and Accelerometer Study
ConclusionsThese findings suggest that PALDLW is a key contributor to increasing LEMP among middle-aged and older adults. Maintaining high PALDLW may be beneficial to independent living, and participation in recreational and social activities in middle-aged and older adults. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - August 3, 2020 Category: Nutrition Source Type: research

Sarcopenia in Patients Undergoing Transcatheter Aortic Valve Implantation (TAVI): A Systematic Review of the Literature
ConclusionsSarcopenia is highly prevalent among patients undergoing TAVI, and negatively affects important outcomes. Early diagnosis of this condition might allow a timely start of nutritional and physiotherapy interventions to prevent negative outcomes in TAVI patients. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - August 3, 2020 Category: Nutrition Source Type: research

Opportunistic Diagnosis of Extensive Pulmonary Embolus Following “COVID-19 Blood Battery” in Very Frail Older Patients
AbstractD-dimer is routinely measured to exclude the diagnosis of venous thromboembolism and is its main biomarker. Appropriate age-adjusted D-dimer testing improves D-dimer specificity, could decrease inappropriate CT pulmonary angiograms in the older person, and prevent unnecessary radiation exposure. A “COVID-19 blood battery”, designed to increase the efficiency of evaluation of COVID-19 suspected patients is used in our institution. It includes D-dimers which are elevated in COVID-19 infections and potentially an index of severe infection. These 3 very frail patients presented late to the em ergency depart...
Source: The Journal of Nutrition, Health and Aging - August 3, 2020 Category: Nutrition Source Type: research

Pain Management in Nursing Home Residents: Results from the Incur Study
AbstractObjectivesPain is very common among older persons living in nursing home, affecting 45% to 80% of residents, interfering with daily activities and quality of life. Aims of the study are: 1) to measure the analgesics non-prescription in nursing home residents who present pain symptoms; 2) to identify the main determinants of analgesics non-prescription.DesignRetrospective cross-sectional analysis.SettingData from an observational study ( ‘Incidence of pNeumonia and related ConseqUences in nursing home Residents’ [INCUR] study).Participants800 older persons living in 13 French nursing homes.MeasurmentsPai...
Source: The Journal of Nutrition, Health and Aging - July 12, 2020 Category: Nutrition Source Type: research

The Prevalence and Negative Effects of Thoracic Hyperkyphosis on Chinese Community-Dwelling Older Adults in Wuhan, Hubei Province, China
AbstractBackgroundGlobally, 20% to 50% older adults have been found to have thoracic hyperkyphosis. Negative effects on physical performance have been reported. However, there has been a lack of research on the prevalence and negative effects of thoracic hyperkyphosis among Chinese community-dwelling elderly.DesignA cross-sectional study.SettingThe communities in Wuhan, China.ParticipantsThree hundred and ninety-five Chinese community-dwelling older adults with thoracic hyperkyphosis..MeasuresChinese community-dwelling older adults aged 60 or above lived in Wuhan, China from August to December 2018 were recruited for spine...
Source: The Journal of Nutrition, Health and Aging - July 12, 2020 Category: Nutrition Source Type: research

Screening for Sarcopenia with a Self-Reported Cartoon Questionnaire: Combining SARC-F with Finger-Ring Test
AbstractObjectivesNo pictorial questionnaire is available for screening sarcopenia. We aimed to develop a self-reported cartoon questionnaire based on the SARC-F and the Finger-Ring test and to compare its diagnostic accuracy with the SARC-F and the SARC-F combined with calf circumference (SARC-CalF).DesignA diagnostic accuracy study.SettingUrban communities in Chengdu, China.ParticipantsOlder adults aged ≥ 60 years.MethodsWe established a multidiscipline team to design this pictorial questionnaire, entitled Self-Reported Cartoon SARC-CalF (cSARC-CalF). We used the Asian Working Group for Sarcopenia (AWGS) criteria as t...
Source: The Journal of Nutrition, Health and Aging - July 12, 2020 Category: Nutrition Source Type: research

Guidance for the Prevention of the COVID-19 Epidemic in Long-Term Care Facilities: A Short-Term Prospective Study
ConclusionOur study supports the relevance of guidance to prevent the entry of COVID-19, in particular the staff compartmentalization within zones, as well as the perception of the staff regarding the quality of implementation of those measures in LTCFs. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - July 12, 2020 Category: Nutrition Source Type: research

Poor Appetite Is Associated with Six Month Mortality in Hospitalised Older Men and Women
AbstractObjectivesAppetite loss is common in hospitalised older individuals but not routinely assessed. Poor appetite in hospital has previously been identified as predictive of greater mortality in the six months following discharge in a single study of female patients. The present study aimed to assess this association in a larger sample including both hospitalised men and women.DesignLongitudinal observational study with six month follow up.SettingAcute hospital wards in a single large hospital in England.ParticipantsOlder inpatients aged over 70 years.MeasurementsAppetite was assessed using the Simplified Nutritional A...
Source: The Journal of Nutrition, Health and Aging - July 12, 2020 Category: Nutrition Source Type: research

How Much Money Is Enough? Poverty and Health in Older People
ConclusionAdequacy of disposable income may be a better indicator than absolute income for older people in examining the relationship with health outcomes, particularly for older women. (Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - July 12, 2020 Category: Nutrition Source Type: research

COVID-19 Prevention: Use of Self-Reported Tools to Screen Frail Older Adults
(Source: The Journal of Nutrition, Health and Aging)
Source: The Journal of Nutrition, Health and Aging - July 12, 2020 Category: Nutrition Source Type: research