Institutionalized Older Adults in a Health District in the United Arab Emirates: Health Status and Utilization Rate

Gerontology ◽  
2001 ◽  
Vol 47 (3) ◽  
pp. 161-167 ◽  
Author(s):  
Stephen A. Margolis ◽  
Richard L. Reed
Keyword(s):  
Older Adults ◽  
Health Status ◽  
United Arab Emirates ◽  
Health District ◽  
Utilization Rate

1398-P: Mortality Implications of Comorbid Health Status in Older Adults with Diabetes: The Atherosclerosis Risk in Communities (ARIC) Study

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1398-P
Author(s):  
MARY R. ROONEY ◽  
OLIVE TANG ◽  
B. GWEN WINDHAM ◽  
JUSTIN B. ECHOUFFO TCHEUGUI ◽  
PAMELA LUTSEY ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Atherosclerosis Risk In Communities ◽  
Atherosclerosis Risk ◽  
Aric Study

Health Status of Elderly Population in the Buea Health District, Cameroon

2019 ◽  
Author(s):  
Agbor Nathan Emeh ◽  
Fongang Che Landis ◽  
Tambetakaw Njang Gilbert ◽  
Atongno Ashu Humphrey
Keyword(s):  
Health Status ◽  
Elderly Population ◽  
Health District

Understanding Exercise Challenges and Barriers for Older Adults with Mobility Disabilities

2020 ◽  
Vol 64 (1) ◽  
pp. 1297-1301
Author(s):  
Qiong Nie ◽  
Lyndsie M. Koon ◽  
Madina Khamzina ◽  
Wendy A. Rogers
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Older People ◽  
Health Outcomes ◽  
Quantitative Evaluation ◽  
Exercise Barriers ◽  
Depth Interview ◽  
Physical Limitations ◽  
Barriers And Challenges ◽  
Depth Interviews

Interventions to address exercise challenges in older people have been the focus of recent research, given the importance of exercise for health outcomes. However, exercise challenges for older adults with mobility disabilities have received little attention. We investigated participation of exercise among older adults with mobility disabilities to understand exercise barriers and challenges experienced by this population. We conducted a needs assessment using two archival datasets: a quantitative survey with 1,137 respondents and a qualitative in-depth interview with 23 participants. The quantitative evaluation revealed low participation of walking and less engagement of vigorous activities, and significant correlates of health status and lack of energy with vigorous activities. The in-depth interviews showed exercise challenges were attributed to difficulties with physical limitations, accessibility, and environmental limitations. Individuals with mobility disabilities may face unique challenges and barriers, affordable and effective supports to promote exercise engagement for them should be adapted to such needs.

scholarly journals Health status and quality of life among older adults in rural Tanzania

2010 ◽  
Vol 3 (1) ◽  
pp. 2142 ◽  
Author(s):  
MathewA. Mwanyangala ◽  
Charles Mayombana ◽  
Honorathy Urassa ◽  
Jensen Charles ◽  
Chrizostom Mahutanga ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Health Status ◽  
Rural Tanzania

scholarly journals Healthcare-Seeking Behavior among Chinese Older Adults: Patterns and Predictive Factors

2021 ◽  
Vol 18 (6) ◽  
pp. 2969
Author(s):  
Yanbing Zeng ◽  
Yuanyuan Wan ◽  
Zhipeng Yuan ◽  
Ya Fang
Keyword(s):  
Older Adults ◽  
Predictive Factors ◽  
Medical Insurance ◽  
Utilization Rate ◽  
Heckman Selection Model ◽  
Healthcare Seeking ◽  
Inpatient Services ◽  
Medical Institutions ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

This study aimed to investigate the patterns and predictive factors of healthcare-seeking behavior among older Chinese adults. A sample of 10,914 participants aged ≥60 years from the 2011, 2013 and 2015 China Health and Retirement Longitudinal Study (CHARLS) was included. The bivariate analyses and Heckman selection model was used to identify predictors of healthcare-seeking behavior. Results shows that the utilization rate of outpatient services increased from 21.61% in 2011 to 32.41% in 2015, and that of inpatient services increased from 12.44% to 17.68%. In 2015, 71.93% and 92.18% chose public medical institutions for outpatient and inpatient services, 57.63% and 17.00% chose primary medical institutions. The individuals who were female, were younger, lived in urban, central or western regions, had medical insurance, had poor self-rated health and exhibited activity of daily living (ADL) impairment were more inclined to outpatient and inpatient services. Transportation, medical expenses, the out-of-pocket ratio and the urgency of the disease were associated with provider selection. The universal medical insurance schemes improved health service utilization for the elderly population but had little impact on the choice of medical institutions. The older adults preferred public institutions to private institutions, preferred primary institutions for outpatient care, and higher-level hospitals for hospitalization.

The Relationship Between Expectation Regarding Aging and Functional Health Status Among Older Adults in China

2013 ◽  
Vol 45 (4) ◽  
pp. 328-335 ◽  
Author(s):  
Xianwen Li ◽  
Qiyuan Lv ◽  
Chunyu Li ◽  
Hailian Zhang ◽  
Caifu Li ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Functional Health ◽  
Functional Health Status ◽  
The Relationship

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.

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