Geriatrics & gerontology international
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Geriatr Gerontol Int · Oct 2017
Relationship between fear of falling and functional status in nursing home residents aged older than 65 years.
The present study investigated the relationship between fear of falling and functional status, and sociodemographic and health-related factors in nursing home residents aged older than 65 years. ⋯ The study found a significant associations between Falls Efficacy Scale score and all of the examined parameters of functional status, the number of falls in the previous year, age and marital status of widower/widow. The major finding was that poor balance and an increase in the number of falls in the previous year are independent factors significantly associated with the fear of falling. Geriatr Gerontol Int 2017; 17: 1470-1476.
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Geriatr Gerontol Int · Oct 2017
Prevalence of frailty and its association with sociodemographic and clinical characteristics, and resource utilization in a population of Singaporean older adults.
The present study examined the prevalence of frailty and its association with sociodemographic, clinical and social characteristics, and service utilization in a representative general population sample of Singaporean older adults. ⋯ Frailty is common among older adults in Singapore, and it correlates with many components at the person, health and societal levels, thus highlighting the importance of individual- and population-level frailty detection and interventions in this population. Geriatr Gerontol Int 2017; 17: 1444-1454.
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Geriatr Gerontol Int · Oct 2017
Observational StudyComparison of four criteria for potentially inappropriate medications in Brazilian community-dwelling older adults.
To compare four potentially inappropriate medication (PIM) criteria from different regions of the world in terms of their characteristics, concordance, sensitivity, specificity and predictive values in a community-dwelling sample. ⋯ The present study found moderate-to-high levels of concordance among the four PIM criteria assessed, pointing to a consensus in this field. However, each criterion showed particular characteristics: the EU(7)-PIM criterion had higher sensitivity, the Taiwan criterion higher specificity, and the Beers and STOPP a more balanced profile. These results highlight that each criterion has its own characteristics, and should be used according to health providers' objectives. Geriatr Gerontol Int 2017; 17: 1628-1635.
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Geriatr Gerontol Int · Sep 2017
Vitamin D and the characteristics associated with risk for knee pain among Korean older adults: Findings from a nationally representative survey.
To explore vitamin D and the risk factors associated with knee pain in a representative population of Korean older adults METHODS: Data were analyzed from the Korean National Health and Nutrition Examination Survey (2010-2013). A total of 3874 participants (1728 men, 2146 women) aged 65 years and older who had a measured serum 25-hydroxyvitamin D level were evaluated. Multivariate logistic regression was used to investigate the relationship between serum vitamin D and knee pain severity RESULTS: Sex, age, obesity, education, knee radiographic osteoarthritis, hip pain and back pain were associated with having knee pain. Also, the level of serum 25-hydroxyvitamin D was not significantly associated with knee pain severity. After controlling for confounding factors, the level of serum 25-hydroxyvitamin D was not significantly associated with knee pain, and severity levels of mild, moderate and severe. ⋯ The results show that the serum vitamin D did not have a significant effect on knee pain in older adults in Korea. Geriatr Gerontol Int 2017; 17: 1278-1285.
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Geriatr Gerontol Int · Sep 2017
Comparative StudyPrevalence of potentially inappropriate prescribing among older adults: A comparison of the Beers 2012 and Screening Tool of Older Person's Prescriptions criteria version 2.
To date, there is no study comparing the Beers 2012 and Screening Tool of Older Person's Prescriptions (STOPP) version 2 criteria, nor reporting a comparison of the prevalence of potentially inappropriate Prescribing (PIM) with STOPP version 2. We aimed to evaluate the prescriptions of patients admitted to a geriatric outpatient clinic with these tools, and to document the factors related to PIM use. ⋯ Inappropriate prescription prevalence of ~40% by STOPP version 2 was similar to the global worldwide prevalence - yet at the upper end. STOPP version 2 was more successful than Beers 2012 to detect PIM. Patients with multiple drug use, multiple comorbidities and more dependency were more likely to have PIM requiring special attention during prescription. Geriatr Gerontol Int 2017; 17: 1245-1251.