scholarly journals Grip strength and its determinants among older people in different healthcare settings

2013 ◽  
Vol 43 (2) ◽  
pp. 241-246 ◽  
Author(s):  
Helen C. Roberts ◽  
Holly Emma Syddall ◽  
Jonathan Sparkes ◽  
Jan Ritchie ◽  
Joe Butchart ◽  
...  
Keyword(s):  
Older People ◽  
Grip Strength ◽  
Healthcare Settings

154 The Feasibility of Assessing Sarcopenia Among Older People with Arm Fracture Using Different Criteria

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
K Ibrahim ◽  
M A Mullee ◽  
G Lily Yao ◽  
S Zhu ◽  
M Baxter ◽  
...  
Keyword(s):  
Older People ◽  
Grip Strength ◽  
Sensitivity And Specificity ◽  
Gait Speed ◽  
Speed Test ◽  
Increased Risk ◽  
European Working ◽  
Hand Dynamometer ◽  
Risk Of Falls ◽  
And Gender

Abstract Introduction Osteoporosis and sarcopenia often co-exist (osteo-sarcopenia) and both are associated with increased risk of falls and fractures. Early identification and treatment of sarcopenia among older people with fragility arm fractures could prevent further fractures. This study evaluated the feasibility of assessing sarcopenia in a fracture clinic. Methods People aged 65+ years with arm fracture attending fracture clinics in one acute trust were recruited. Sarcopenia was assessed using gait speed, grip strength with unfractured arm (hand dynamometer using appropriate cut off adjusted for age and gender), skeletal muscle mass index SMI (Bioimpedance BIA), SARC-F questionnaire, the European Working Group on Sarcopenia in Older People (EWGSOP) I and II criteria. The sensitivity and specificity of each measure was calculated against the EWGSOP II criteria as the standard reference. Results 100 patients (Mean age 75 years±7.2; 80 female) were recruited. Sarcopenia was identified among 4% (EWGSOP I), 5% (SMI), 13% (EWGSOP II), 16% (gait speed test), 18% (SARC-F) and 39% (grip strength) and was more prevalent among men. SARC-F had the best sensitivity and specificity (100% and 96% respectively) when compared to the EWGSOP II criteria. Sensitivity and specificity for the remaining measures were respectively (100%, 71%) for grip strength, (75%, 94%) for gait speed, (25%, 97%) with SMI and (25%, 99%) for EWGSOP I. Time needed to complete the assessments was 1–2 minutes for gait speed, grip strength and SARC-F; five minutes for BIA test, and nine minutes when EWGSOP I and II criteria were applied. Data were complete for grip strength and SARC-F. Missing data was reported among 2% for gait speed, 8% for BIA test, 8% for EWGSOP II and 10% for EWGSOP I. Conclusion It was feasible to assess sarcopenia in fracture clinics and SARC-F was a quick, simple and sensitive tool suitable for routine use.

The Relationship Between Perceived Age Discrimination in the Healthcare System and Health: An Examination of a Multi-Path Model in a National Sample of Israelis Over the Age of 50

2021 ◽  
pp. 089826432110580
Author(s):  
Liat Ayalon ◽  
Ella Cohn-Schwartz
Keyword(s):  
Older People ◽  
Health Behaviors ◽  
Health Outcomes ◽  
National Sample ◽  
Age Discrimination ◽  
Path Model ◽  
Negative Effects ◽  
Healthcare Settings ◽  
Perceived Age ◽  
The Relationship

Objectives The present study aims to examine possible pathways that potentially account for the relationship between perceived age discrimination in healthcare settings (as one form of ageism) and health outcomes. Methods We relied on 1570 complete surveys, which constitute a representative national sample of adults aged 50 and above in Israel. Results We found a direct link between perceived age discrimination and health outcomes. This link was partially mediated by self-perceptions of aging and subsequently by health behaviors (e.g., eating vegetables) and preventive health behaviors (e.g., medical check-ups). The link between perceived age discrimination and health behaviors was moderated by age, thus, particularly detrimental for older people over the age of 65 as compared with those between the ages of 50 and 65. Discussion This study adds to the literature as it examines comprehensive mechanisms to account for the path between perceived age discrimination and health status. Our findings point to the unique aspects associated with perceived age discrimination, which potentially make older people more susceptible to its negative effects.

Dietary Potassium Intake and Grip Strength in Older People

1971 ◽  
Vol 13 (4) ◽  
pp. 221-226 ◽  
Author(s):  
T.G. Judge ◽  
N.R. Cowan
Keyword(s):  
Older People ◽  
Grip Strength ◽  
Potassium Intake ◽  
Dietary Potassium

scholarly journals The Relationship between Muscular Strength and Depression in Older Adults with Chronic Disease Comorbidity

2020 ◽  
Vol 17 (18) ◽  
pp. 6830
Author(s):  
Jae-Moo Lee ◽  
Edward J. Ryan
Keyword(s):  
Older Adults ◽  
Chronic Disease ◽  
Older People ◽  
Grip Strength ◽  
Muscular Strength ◽  
Statistical Tests ◽  
Ministry Of Health ◽  
Hand Grip ◽  
Prevalence Of Depression ◽  
The Relationship

Older adults with disease and disability are particularly vulnerable to experiencing more severe consequences of depression. The purpose of the present study is to investigate the relationship between disease comorbidities (number of disease: ND0, 1 disease: ND1 and 2 or more diseases: ND ≥ 2), hand grip strength (low HGS and high HGS), and the prevalence of depression in Korean older adults. Data from the living profiles of older people survey that was conducted by the ministry of health and welfare in Korea were utilized. Data for 6107 females and 4347 males were appropriate for statistical tests. The results demonstrated that depression was more prevalent as ND increased (p < 0.01). In addition, HGS appeared lower as ND increased in both male (p < 0.01) and female subjects (p < 0.01). Furthermore, relative to ND0 and low HGS, ND0 and high HGS showed a ~65% reduction in the prevalence of depression (p < 0.01). After adjusting for age, the prevalence of depression was reduced by ~60% in the subgroup with ND0 and high HGS relative to ND0 and low HGS (p < 0.01). These data demonstrate that muscular strength indices such as HGS may be useful when assessing depression in older adults. Further research in this area is warranted.

Validation of the Hospital Ethical Climate Survey for older people care

2014 ◽  
Vol 22 (5) ◽  
pp. 517-532 ◽  
Author(s):  
Riitta Suhonen ◽  
Minna Stolt ◽  
Jouko Katajisto ◽  
Andreas Charalambous ◽  
Linda L Olson
Keyword(s):  
Older People ◽  
Ethical Climate ◽  
Goodness Of Fit ◽  
Principal Component ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Fit Statistics ◽  
Healthcare Settings ◽  
Ethical Approval ◽  
Valid Instrument

Background: The exploration of the ethical climate in the care settings for older people is highlighted in the literature, and it has been associated with various aspects of clinical practice and nurses’ jobs. However, ethical climate is seldom studied in the older people care context. Valid, reliable, feasible measures are needed for the measurement of ethical climate. Objectives: This study aimed to test the reliability, validity, and sensitivity of the Hospital Ethical Climate Survey in healthcare settings for older people. Design: A non-experimental cross-sectional study design was employed, and a survey using questionnaires, including the Hospital Ethical Climate Survey was used for data collection. Data were analyzed using descriptive statistics, inferential statistics, and multivariable methods. Participants and research context: Survey data were collected from a sample of nurses working in the care settings for older people in Finland (N = 1513, n = 874, response rate = 58%) in 2011. Ethical considerations: This study was conducted according to good scientific inquiry guidelines, and ethical approval was obtained from the university ethics committee. Results: The mean score for the Hospital Ethical Climate Survey total was 3.85 (standard deviation = 0.56). Cronbach’s alpha was 0.92. Principal component analysis provided evidence for factorial validity. LISREL provided evidence for construct validity based on goodness-of-fit statistics. Pearson’s correlations of 0.68–0.90 were found between the sub-scales and the Hospital Ethical Climate Survey. Discussion: The Hospital Ethical Climate Survey was found able to reveal discrimination across care settings and proved to be a valid and reliable tool for measuring ethical climate in care settings for older people and sensitive enough to reveal variations across various clinical settings. Conclusion: The Finnish version of the Hospital Ethical Climate Survey, used mainly in the hospital settings previously, proved to be a valid instrument to be used in the care settings for older people. Further studies are due to analyze the factor structure and some items of the Hospital Ethical Climate Survey.

scholarly journals LACK OF ASSOCIATION BETWEEN ANGIOTENSIN-CONVERTING ENZYME GENOTYPE AND MUSCLE STRENGTH IN PERUVIAN OLDER PEOPLE

2020 ◽  
pp. 686-690
Author(s):  
T. J. Oscanoa ◽  
E. C. Cieza ◽  
F. A. Lizaraso-Soto ◽  
M. L. Guevara ◽  
R. M. Fujita ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Older People ◽  
Grip Strength ◽  
Genetic Factors ◽  
Genotype Distribution ◽  
Related Factors ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Ace Polymorphism ◽  
Significant Difference

Старение может быть связано с уменьшением мышечной силы, а сопутствующими факторами являются заболевания, пол, физическая активность и, возможно, генетические факторы. Среди генетических факторов представляет интерес ренин-ангиотензиновая система, но данные о перуанской популяции отсутствуют. Целью исследования - оценка связи силы сцепления и полиморфизма ангиотензин-конвертазного фермента (АКФ) у пожилых людей в Перу. Было проведено перекрестное исследование в выборке из 104 участников старше 60 лет в Лиме, Перу с анализом полиморфизма АКФ. Мы изучили 104 участника, 46 (44,2%) мужчин и 58 (55,8%) женщин, со средним возрастом и стандартным отклонением ( SD ) 73,7 (7,4) года, в диапазоне 60-90 лет. Частота генотипов D/D, I/D и I/I составила 12,7; 43,7 и 43,7% соответственно. Распределение полиморфизма АKФ по генотипу соответствовало равновесию Харди-Вайнберга ( р =0,746). Средняя ( SD ) сила сцепления при D/D , I/D и I/I полиморфизмах составила 24,8 (7,2); 22,8 (7,2) и 23,4 (7,6) кг соответственно. Не выявлено достоверных различий ( р =0,41) между генетическими группами. В этой небольшой удобной выборке пожилых перуанцев не было обнаружено связи между силой сцепления и генотипом АКФ. Aging can be associated with decreasing muscle strength, and related factors are comorbidities, sex, physical activity, and possibly genetic factors. Among genetic factors the renin-angiotensin system is of interest, but data on the Peruvian population is lacking. The objective of our study was to evaluate the association of grip strength and angiotensin convertase enzyme (ACE) polymorphism in Peruvian older people. A cross-sectional study in a convenience sample of 104 participants over 60 years in Lima, Perú, with analysis of the ACE polymorphism, was performed. We studied 104 participants, 46 men (44,2 %) and 58 women (55,8 %), with a mean age and standard deviation (SD) of 73,7 (7,4) years, range between 60-90 years. The frequency of D/D, I/D and I/I genotypes was 12,7; 43,7 and 43,7 % respectively. The genotype distribution of ACE polymorphism agreed with the Hardy-Weinberg equilibrium ( p =0,746). The mean (SD) of grip strength in the D/D, I/D and I/I polymorphisms were 24,8 (7,2); 22,8 (7,2) and 23,4 (7,6) kg respectively; no significant difference was observed ( p =0,41) between genetic groups. In this small convenience sample of older Peruvians, no association was found between grip strength and ACE genotype.

scholarly journals Differences in body composition and grip between Japanese and Thai older people living in Thailand

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T Yoda ◽  
B Saengrut ◽  
R Rattanasathien ◽  
Y Ishimoto ◽  
T Saito ◽  
...  
Keyword(s):  
Body Composition ◽  
Standard Deviation ◽  
Older People ◽  
Grip Strength ◽  
Ethnic Group ◽  
Muscle Mass ◽  
Body Fat ◽  
Chiang Mai ◽  
Chiang Mai Province ◽  
Muscle Mass Loss

Abstract Background Age-related muscle mass loss is one of the main risk factors for osteoporosis and fractures among older people. Thus, prevention of muscle mass loss in older people is an important issue. We examined ethnic group-related differences in body composition and grip strength among older people living in the same area. Methods We measured body composition and grip strength among local Thai older people living in Chiang Mai Province, as well as in Japanese older people who emigrated to Chiang Mai Province in their retirement. A self-reported questionnaire regarding socio-demographic status was also administered. Measurement items were averaged and compared by sex and ethnic group. Questionnaire items were also categorized by sex and ethnic group. Results A total of 119 older people participated, including 47 Japanese participants (26 men, 21 women) and 72 Thai participants (16 men, 56 women). The average age of Japanese participants was 71.1 years (standard deviation: 4.89), and the average age of Thai participants was 68.8 years (standard deviation: 5.61). Significant differences between ethnic groups were found in percentage of body fat in women (Japanese average: 32.9% vs. Thai average: 37.6%, p &lt; 0.05), skeletal muscle mass index (SMI) in men (Japanese average: 7.85 kg/m2 vs. Thai average: 7.31 kg/m2, p &lt; 0.05) and average grip strength in men (Japanese: 35.1 kg vs. Thai: 30.7 kg, p &lt; 0.05). Conclusions Our preliminary results suggest that Thai older people, particularly men, are weaker than Japanese older people. Decreased muscle mass is directly responsible for functional impairment, involving loss of strength, increased likelihood of falls, and loss of autonomy. Preventing muscle weakness among older people is important. In future studies, we plan to analyze and clarify the differences between Thai and Japanese older people to identify effective methods to prevent muscle mass decreases. Key messages There were significant differences in average % body fat between older Japanese and Thai women. There were significant differences in average SMI and grip strength between older Japanese and Thai men.

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