Physical health status of older adults with severe mental illness: The PH i SMI ‐E cohort study

2018 ◽  
Vol 28 (2) ◽  
pp. 457-467 ◽  
Author(s):  
Noortje Houben ◽  
Eveline P.C.J. Janssen ◽  
Marike R.C. Hendriks ◽  
Digna Kellen ◽  
Bas P.J. Alphen ◽  
...  
Keyword(s):  
Older Adults ◽  
Mental Illness ◽  
Cohort Study ◽  
Health Status ◽  
Physical Health ◽  
Severe Mental Illness ◽  
Physical Health Status

scholarly journals Associations Between Heart Rate Variability Measured With a Wrist-Worn Sensor and Older Adults’ Physical Function: Observational Study

10.2196/13757 ◽  
2019 ◽  
Vol 7 (10) ◽  
pp. e13757 ◽  
Author(s):  
Sarah Anne Graham ◽  
Dilip V Jeste ◽  
Ellen E Lee ◽  
Tsung-Chin Wu ◽  
Xin Tu ◽  
...  
Keyword(s):  
Older Adults ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Health Status ◽  
Physical Health ◽  
Physical Function ◽  
Significant Proportion ◽  
Physical Health Status ◽  
Sf 36 ◽  
Composite Scores

Background Heart rate variability (HRV), or variation in beat-to-beat intervals of the heart, is a quantitative measure of autonomic regulation of the cardiovascular system. Low HRV derived from electrocardiogram (ECG) recordings is reported to be related to physical frailty in older adults. Recent advances in wearable technology offer opportunities to more easily integrate monitoring of HRV into regular clinical geriatric health assessments. However, signals obtained from ECG versus wearable photoplethysmography (PPG) devices are different, and a critical first step preceding their widespread use is to determine whether HRV metrics derived from PPG devices also relate to older adults’ physical function. Objective This study aimed to investigate associations between HRV measured with a wrist-worn PPG device, the Empatica E4 sensor, and validated clinical measures of both objective and self-reported physical function in a cohort of older adults living independently within a continuing care senior housing community. Our primary hypothesis was that lower HRV would be associated with lower physical function. In addition, we expected that HRV would explain a significant proportion of variance in measures of physical health status. Methods We evaluated 77 participants from an ongoing study of older adults aged between 65 and 95 years. The assessments encompassed a thorough examination of domains typically included in a geriatric health evaluation. We collected HRV data with the Empatica E4 device and examined bivariate correlations between HRV quantified with the triangular index (HRV TI) and 3 widely used and validated measures of physical functioning—the Short Physical Performance Battery (SPPB), Timed Up and Go (TUG), and Medical Outcomes Study Short Form 36 (SF-36) physical composite scores. We further investigated the additional predictive power of HRV TI on physical health status, as characterized by SF-36 physical composite scores and Cumulative Illness Rating Scale for Geriatrics (CIRS-G) scores, using generalized estimating equation regression analyses with backward elimination. Results We observed significant associations of HRV TI with SPPB (n=52; Spearman ρ=0.41; P=.003), TUG (n=51; ρ=−0.40; P=.004), SF-36 physical composite scores (n=49; ρ=0.37; P=.009), and CIRS-G scores (n=52, ρ=−0.43; P=.001). In addition, the HRV TI explained a significant proportion of variance in SF-36 physical composite scores (R2=0.28 vs 0.11 without HRV) and CIRS-G scores (R2=0.33 vs 0.17 without HRV). Conclusions The HRV TI measured with a relatively novel wrist-worn PPG device was related to both objective (SPPB and TUG) and self-reported (SF-36 physical composite) measures of physical function. In addition, the HRV TI explained additional variance in self-reported physical function and cumulative illness severity beyond traditionally measured aspects of physical health. Future steps include longitudinal tracking of changes in both HRV and physical function, which will add important insights regarding the predictive value of HRV as a biomarker of physical health in older adults.

scholarly journals Physical Health Status and Frailty Index in Community Dwelling Older Adults in Tehran

Salmand ◽  
2019 ◽  
pp. 652-665
Author(s):  
Sima Ghasemi ◽  
Nastaran Keshavarz Mohammadi ◽  
Farahnaz Mohammadi Shahboulaghi ◽  
Ali Ramezankhani ◽  
Yadollah Mehrabi
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Physical Health ◽  
Frailty Index ◽  
Community Dwelling ◽  
Physical Health Status ◽  
Community Dwelling Older Adults

scholarly journals Predictors of poor mental and physical health status among patients with chronic hepatitis C infection: The Chronic Hepatitis Cohort Study (CHeCS)

Hepatology ◽  
2015 ◽  
Vol 61 (3) ◽  
pp. 802-811 ◽  
Author(s):  
Joseph A. Boscarino ◽  
Mei Lu ◽  
Anne C. Moorman ◽  
Stuart C. Gordon ◽  
Loralee B. Rupp ◽  
...  
Keyword(s):  
Chronic Hepatitis ◽  
Cohort Study ◽  
Hepatitis C ◽  
Health Status ◽  
Physical Health ◽  
Chronic Hepatitis C ◽  
Physical Health Status ◽  
Hepatitis C Infection ◽  
Mental And Physical Health

Care-Receiver and Caregiver Assessments of Functioning: Are There Gender Differences?

2005 ◽  
Vol 24 (2) ◽  
pp. 139-150 ◽  
Author(s):  
Julie C. Shaver ◽  
Diane E. Allan
Keyword(s):  
Older Adults ◽  
Gender Differences ◽  
Health Status ◽  
Physical Health ◽  
Cognitive Functioning ◽  
Functional Status ◽  
Physical Health Status ◽  
Caregiver Relationship ◽  
Cohen's Kappa ◽  
Mental And Physical Health

ABSTRACTIn situations where care-receivers cannot respond to questions about their functional status, caregiver proxies are often substituted. Yet studies addressing caregiver-care-receiver agreement remain limited in scope, focusing primarily on cognitive functioning and caregiver relationship. This study broadens the range of research in this area by examining caregiver and care-receiver reports of individual IADL and AADL items by gender of care-receiver. As well, the degree to which the care-receiver's age and mental and physical health status influence agreement are investigated. Data for this study come from a sample of 388 Manitoba older adults aged 65 and over. Results (using Cohen's kappa) suggest less agreement on the presence of disability for men than for women, particularly among those aged 75–84. Differences by health status were also revealed. The implications of the findings for assessments of functioning are considered.

Socioeconomic differences in incident depression in older adults: The role of psychosocial factors, physical health status, and behavioral factors

2006 ◽  
Vol 61 (5) ◽  
pp. 619-627 ◽  
Author(s):  
Annemarie Koster ◽  
Hans Bosma ◽  
Gertrudis I.J.M. Kempen ◽  
Brenda W.J.H. Penninx ◽  
Aartjan T.F. Beekman ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Physical Health ◽  
Psychosocial Factors ◽  
Socioeconomic Differences ◽  
Behavioral Factors ◽  
Physical Health Status

scholarly journals Physical Health Status among Older Adults Attending Primary Care Clinic at Cheras, Malaysia

2018 ◽  
Vol 16 (Special Issue) ◽  
pp. 219
Author(s):  
Devinder Kaur Ajit Singh ◽  
Norhamizah Ideris ◽  
Yu Chi Heaw ◽  
Nor Najwatul Akmal Ab. Rahman ◽  
Ponnusamy Subramanaim ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Health Status ◽  
Physical Health ◽  
Primary Care Clinic ◽  
Physical Health Status ◽  
Care Clinic

scholarly journals Effects of Yangsaeng (Health Management) Therapy for Korean Older Adults in Nursing Home

2020 ◽  
Vol 17 (20) ◽  
pp. 7507
Author(s):  
Sohyune R. Sok ◽  
Seyoon Kim ◽  
Da Un Jeong ◽  
Youngmi Cho
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Nursing Home ◽  
Health Status ◽  
Nursing Homes ◽  
Physical Health ◽  
Health Management ◽  
Care Providers ◽  
Physical Health Status ◽  
Study Participants

The number of older adults admitted to nursing homes is steadily increasing, and the health management for them is a very important issue in Korean society. This study aimed to examine the effects of Yangsaeng (health management) therapy on physical health status, depression, life satisfaction, and Yangsaeng (health management) of Korean older adults in nursing homes. A quasi-experimental study design using a pretest-posttest control group was employed. Study participants were a total of 80 older adults (intervention: n = 40, control: n = 40) in a nursing home in Seoul, South Korea. Yangsaeng therapy as an intervention consisted of the Meridian therapy and Qi-gong therapy. Yangsaeng therapy was conducted for 50 min per one time, twice a week, and for 10 weeks. Measures were general characteristics of study participants, Cornell Medical Index, Geriatric Depression Scale, life satisfaction scale, and Yangsaeng scale. Data were collected from April 2018 to March 2019. There were statistically significant differences on physical health status, depression, life satisfaction, and Yangsaeng between the two groups. Yangsaeng therapy was an effective intervention for improving physical health status, life satisfaction, and Yangsaeng, and for decreasing depression of older adults in nursing homes. Health care providers need to pay attention to Yangsaeng therapy as a Korean traditional intervention method for the health management of the older adults residing in nursing homes.

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