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Correlates of physical activity among depressed older people in six low ‐income and middle‐income countries: A community‐based cross‐sectional study
ConclusionsThe current data provide guidance for future interventions across LMICs to assist older people with depression engage in regular PA. The promotion of social cohesion may increase the efficacy of future public health initiatives, while from a clinical perspective, somatic co‐morbidities, MCI, pain, and slow gait need to be considered.Key points More than 40% of older people with depression in low‐income and middle‐income countries do not meet physical activity guidelines. Somatic co‐morbidities, lower body mass index, pain, and slow gait need to be considered. The promotion of social cohesion may increase...
Source: International Journal of Geriatric Psychiatry - October 1, 2017 Category: Geriatrics Authors: Davy Vancampfort, Brendon Stubbs, Nicola Veronese, James Mugisha, Nathalie Swinnen, Ai Koyanagi Tags: RESEARCH ARTICLE Source Type: research

Predicting Discharge to Institutional Long ‐Term Care After Stroke: A Systematic Review and Metaanalysis
ConclusionAge and stroke severity are important predictors of institutional long‐term care admission directly from the hospital after an acute stroke. Potentially modifiable factors should be the target of future research. Stroke outcome studies should report discharge destination, defining the model of care provided in the long‐term care setting.
Source: Journal of the American Geriatrics Society - September 1, 2017 Category: Geriatrics Authors: Jennifer K. Burton, Eilidh E.C. Ferguson, Amanda J. Barugh, Katherine E. Walesby, Alasdair M.J. MacLullich, Susan D. Shenkin, Terry J. Quinn Tags: Clinical Management of the Older Adult Source Type: research

Post-stroke Dementia: Epidemiology, Mechanisms and Management
Publication date: Available online 10 August 2017 Source:International Journal of Gerontology Author(s): Gwo-Chi Hu, Yi-Min Chen Post-stroke dementia (PSD) is a clinical entity that encompasses all types of dementia following an index stroke, which may affect up to one third of stroke survivors. Unlike physical disability after stroke, cognitive function usually worsens over time and are often overlooked with detrimental impacts on the quality of life of survivors. The risk factors for post-stroke dementia are multifactorial and includes genetic predisposition, demographic factors (like older age and lower education statu...
Source: International Journal of Gerontology - August 10, 2017 Category: Geriatrics Source Type: research

Nonpharmacological Treatments for Post-Stroke Depression: An Integrative Review of the Literature
<p>Stroke is the fifth leading cause of death and the number one cause of long-term disability. Seventy-five percent of annual stroke victims are older than 65. Post-stroke depression (PSD) is a common consequence of stroke, with the estimated prevalence ranging from 25% to 79%. Although several studies have investigated the impact of pharmacological interventions on PSD, there is a significant gap in knowledge regarding the efficacy of nonpharmacological measures for treatment of PSD. The purpose of the current integrative literature review was to synthesize the state of knowledge on selected nonpharmacological trea...
Source: Research in gerontological nursing - July 27, 2017 Category: Geriatrics Source Type: research

Reconciling Marriage and Care after Stroke.
Abstract Most research on stroke's impact on couples has focused on the transition to caregiving/receiving. Despite considerable evidence that marriage is the primary source of support in the face of chronic conditions, little is known about what happens to marriage in the context of care after stroke. To address this gap, we undertook a qualitative grounded-theory study of 18 couples in which one partner had experienced a stroke. Findings revealed two interrelated themes of the couple processes: working out care, which involved discovering and addressing disruptions in day-to-day activities; and rethinking marria...
Source: Canadian Journal on Aging - July 3, 2017 Category: Geriatrics Authors: Anderson S, Keating N, Wilson D Tags: Can J Aging Source Type: research

Nonpharmacological Treatments for Post-Stroke Depression: An Integrative Review of the Literature
<p>Stroke is the fifth leading cause of death and the number one cause of long-term disability. Seventy-five percent of annual stroke victims are older than 65. Post-stroke depression (PSD) is a common consequence of stroke, with the estimated prevalence ranging from 25% to 79%. Although several studies have investigated the impact of pharmacological interventions on PSD, there is a significant gap in knowledge regarding the efficacy of nonpharmacological measures for treatment of PSD. The purpose of the current integrative literature review was to synthesize the state of knowledge on selected nonpharmacological trea...
Source: Research in gerontological nursing - June 1, 2017 Category: Geriatrics Source Type: research

Survival, Functional Status, and Eating Ability After Percutaneous Endoscopic Gastrostomy Tube Placement for Acute Stroke
ConclusionIn this community‐based sample, individuals who had had a stroke and a PEG tube placed had high mortality, and survivors were unlikely to be functional or mobile or to recover eating ability after hospitalization. A palliative care discussion including goals of care should occur before PEG tube placement is considered.
Source: Journal of the American Geriatrics Society - April 27, 2017 Category: Geriatrics Authors: Karl Meisel, Robert M. Arnold, Irena Stijacic Cenzer, John Boscardin, Alexander K. Smith Tags: Brief Report Source Type: research

Characteristics and Incidence of Chronic Illness in Community ‐Dwelling Predominantly Male U.S. Veteran Centenarians
ConclusionIn a large cohort of predominantly male community‐dwelling elderly veterans, centenarians had a lower incidence of chronic illness than those in their 80s and 90s, demonstrating similar compression of morbidity and extension of health span observed in other studies.
Source: Journal of the American Geriatrics Society - April 19, 2017 Category: Geriatrics Authors: Raya Elfadel Kheirbek, Ali Fokar, Nawar Shara, Leakie K. Bell ‐Wilson, Hans J. Moore, Edwin Olsen, Marc R. Blackman, Maria D. Llorente Tags: Ethnogeriatrics and Special Population Source Type: research

The factors related to early ‐onset depression after first stroke
ConclusionOur findings suggest that early‐onset PSD is likely to be correlated with the severity of stroke and functional disability.
Source: Psychogeriatrics - April 7, 2017 Category: Geriatrics Authors: Kadir Karakus, Refik Kunt, Cagdas O. Memis, Duygu A. Kunt, Bilge Dogan, Filiz Ozdemiroglu, Levent Sevincok Tags: Original Article Source Type: research

Glycemic control and disability ‐free survival in hypoglycemic agent‐treated community‐dwelling older patients with type 2 diabetes mellitus
ConclusionsThese observations show that a too low HbA1c might be associated with a later risk of incident disability as a result of dementia in community‐dwelling older diabetes patients. Geriatr Gerontol Int 2017; •••: ••–••.
Source: Geriatrics and Gerontology International - February 10, 2017 Category: Geriatrics Authors: Takuro Morita, Tazuo Okuno, Taroh Himeno, Keisuke Watanabe, Kumie Nakajima, Yumi Koizumi, Hiroshi Yano, Osamu Iritani, Masashi Okuro, Shigeto Morimoto Tags: Original Article: Epidemiology, Clinical Practice and Health Source Type: research

Physical activity and exercise as countermeasures to physical frailty and sarcopenia.
Abstract The identification of cost-effective interventions that improve the health status and prevent disability in old age is one of the most important public health challenges. Regular physical activity is the only intervention that has consistently been shown to improve functional health and energy balance and to reduce the risk of cardiovascular disease, stroke, diabetes, several cancers, depression and falls. In advanced age, physical activity is also effective at mitigating sarcopenia, restoring robustness, and preventing/delaying the development of disability. On the other hand, physical inactivity is reco...
Source: Aging Clinical and Experimental Research - February 7, 2017 Category: Geriatrics Authors: Marzetti E, Calvani R, Tosato M, Cesari M, Di Bari M, Cherubini A, Broccatelli M, Savera G, D'Elia M, Pahor M, Bernabei R, Landi F, SPRINTT Consortium Tags: Aging Clin Exp Res Source Type: research

Use of Oral Anticoagulant Therapy in Older Adults with Atrial Fibrillation After Acute Ischemic Stroke
ConclusionDespite very high stroke risk, more than 40% of participants were not discharged with an OAC. Dominant reasons included fall risk, poor prognosis, older age, and dementia. These individuals’ high 1‐year mortality rate confirmed their high level of comorbidity. To improve anticoagulation decisions and outcomes in this population, future research should focus on strategies to mitigate fall risk, improve assessment of risks and benefits of anticoagulation in individuals with AF, and determine whether newer anticoagulants are safer in complex elderly and frail individuals.
Source: Journal of the American Geriatrics Society - December 29, 2016 Category: Geriatrics Authors: Emer R. McGrath, Alan S. Go, Yuchiao Chang, Leila H. Borowsky, Margaret C. Fang, Kristi Reynolds, Daniel E. Singer Tags: Clinical Investigation Source Type: research

C-reactive protein level partially mediates the relationship between moderate alcohol use and frailty: the Health and Retirement Study
Conclusions: overall findings suggest that inflammation measured by CRP is one mechanism by which moderate alcohol use may confer protective effects for frailty. These findings inform future research relating alcohol use and frailty, and suggest inflammation as a possible mechanism in the relationship between moderate alcohol use and other beneficial health outcomes.
Source: Age and Ageing - November 10, 2016 Category: Geriatrics Authors: Shah, M., Paulson, D. Tags: Short report Source Type: research

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