Associations Between Dietary Variety and Frailty in Community-Dwelling Older People Who Live Alone: Gender Differences

2021 ◽  
Author(s):  
M. Yokoro ◽  
N. Otaki ◽  
M. Yano ◽  
M. Tani ◽  
N. Tanino ◽  
...  
Keyword(s):  
Gender Differences ◽  
Older People ◽  
Community Dwelling ◽  
Dietary Variety ◽  
Community Dwelling Older People

scholarly journals Efficacy of a Community Health Worker–Based Intervention in Improving Dietary Habits Among Community-Dwelling Older People: A Controlled, Crossover Trial in Japan

2020 ◽  
Vol 47 (1) ◽  
pp. 47-56
Author(s):  
Hiroshi Murayama ◽  
Atsuko Taguchi ◽  
Michael S. Spencer ◽  
Takuhiro Yamaguchi
Keyword(s):  
Older People ◽  
Community Health ◽  
Healthy Aging ◽  
Dietary Habits ◽  
Health Workers ◽  
Design Method ◽  
Group Discussion ◽  
Community Dwelling ◽  
Dietary Variety ◽  
Community Dwelling Older People

Background. Community health workers (CHWs), often called “health promotion volunteers” in Japan, are individuals who act as a natural helping resource in the community. Aim. This study tested the efficacy of a CHW-based intervention to improve dietary habits among community-dwelling older people in Japan, using a controlled, crossover design. Method. Seventy-eight people aged 65 to 74 years with poor dietary variety living in four administrative districts in Hikone City (Shiga Prefecture, Japan) were nonrandomly allocated to an immediate-intervened group (IIG; n = 41) or a delayed-intervened group (DIG; n = 37). Participants joined a biweekly, four-session program (120 minutes/session), comprising “CHW drama-style lectures,” “group discussion among participants and CHWs,” “tasting of dishes,” and “take-home practical activities.” For the initial 2-month period, the IIG received the intervention and the DIG did not. The groups were crossed over for the subsequent 2-month period. The primary outcome measure was participants’ dietary variety score (score range: 0-10). Results. The dietary variety score in the IIG significantly increased in the initial 2-month period compared with the DIG (effect size 1.60 points; 95% confidence interval: 0.75, 2.45). The intervention had a similar effect in the DIG in the subsequent 2-month period. Moreover, an analysis within the IIG showed that the intervention effects persisted for at least 2 months after the intervention. Conclusions. The CHW-based intervention improved dietary habits among older people. Our findings provide evidence that a CHW-based natural helping approach is a possible solution to promote healthy aging in the community.

Prioritization and management of calls from older people to GP out-of-hours services

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Suzanne Smith ◽  
Lucia Carragher
Keyword(s):  
Older People ◽  
Service Provision ◽  
Emergency Services ◽  
Oldest Old ◽  
Community Dwelling ◽  
Third Party ◽  
Older Person ◽  
Out Of Hours ◽  
Accident And Emergency ◽  
Community Dwelling Older People

Abstract Background Urgent out-of-hours medical care is necessary to ensure people can remain living at home into older age. However, older people experience multiple barriers to using out-of-hours services including poor awareness about the general practitioner (GP) out-of-hours (GPOOH) service and how to access it. In particular, older people are reluctant users of GPOOH services because they expect either their symptoms will not be taken seriously or they will simply be referred to hospital accident and emergency services. The aim of this study was to examine if this expectation was borne out in the manner of GPOOH service provision. Objective The objective was to establish the urgency categorization and management of calls to GPOOH , for community dwelling older people in Ireland. Methods An 8-week sample of 770 calls, for people over 65 years, to a GPOOH service in Ireland, was analysed using Excel and Nvivo software. Results Urgency categorization of older people shows 40% of calls categorized as urgent. Recognition of the severity of symptoms, prompting calls to the GPOOH service, is also reflected in a quarter of callers receiving a home visit by the GP and referral of a third of calls to emergency services. The findings also show widespread reliance on another person to negotiate the GPOOH system, with a third party making 70% of calls on behalf of the older person seeking care. Conclusion Older people are in urgent need of medical services when they contact GPOOH service, which plays an effective and patient-centred gatekeeping role, particularly directing the oldest old to the appropriate level of care outside GP office hours. The promotion of GPOOH services should be enhanced to ensure older people understand their role in supporting community living.

Ten‐year trends in lifestyle habits among community‐dwelling older people in Taiwan

2021 ◽  
Author(s):  
Hsiao‐Ting Tsou ◽  
Tai‐Yin Wu ◽  
Kuan‐Liang Kuo ◽  
Sheng‐Huang Hsiao ◽  
Sheng‐Jean Huang ◽  
...  
Keyword(s):  
Older People ◽  
Community Dwelling ◽  
Lifestyle Habits ◽  
Community Dwelling Older People

scholarly journals Frailty Status and All-Cause Mortality in the Community-Dwelling Older People: An Umbrella Review

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 488-489
Author(s):  
A R M Saifuddin Ekram ◽  
Joanne Ryan ◽  
Carlene Britt ◽  
Sara Espinoza ◽  
Robyn Woods
Keyword(s):  
Older People ◽  
Systematic Reviews ◽  
Community Dwelling ◽  
Umbrella Review ◽  
Frailty Phenotype ◽  
Frailty Status ◽  
Increased Risk ◽  
All Cause Mortality ◽  
Community Dwelling Older People ◽  
Meta Analyses

Abstract Frailty is increasingly recognised for its association with adverse health outcomes including mortality. However, various measures are used to assess frailty, and the strength of association could vary depending on the specific definition used. This umbrella review aimed to map which frailty scale could best predict the relationship between frailty and all-cause mortality among community-dwelling older people. According to the PRISMA guidelines, Medline, Embase, EBSCOhost and Web of Science databases were searched to identify eligible systematic reviews and meta-analyses which examined the association between frailty and all-cause mortality in the community-dwelling older people. Relevant data were extracted and summarised qualitatively. Methodological quality was assessed by AMSTAR-2 checklist. Five moderate-quality systematic reviews with a total of 374,529 participants were identified. Of these, two examined the frailty phenotype and its derivatives, two examined the cumulative deficit models and the other predominantly included studies assessing frailty with the FRAIL scale. All of the reviews found a significant association between frailty status and all-cause mortality. The magnitude of association varied between individual studies, with no consistent pattern related to the frailty measures that were used. In conclusion, regardless of the measure used to assess frailty status, it is associated with an increased risk of all-cause mortality.

scholarly journals The composition of the gut microbiome differs among community dwelling older people with good and poor appetite

2021 ◽  
Author(s):  
Natalie J. Cox ◽  
Ruth C.E. Bowyer ◽  
Mary Ni Lochlainn ◽  
Philippa M. Wells ◽  
Helen C. Roberts ◽  
...  
Keyword(s):  
Older People ◽  
Gut Microbiome ◽  
Community Dwelling ◽  
Poor Appetite ◽  
Community Dwelling Older People

Persistence of Noncancer-related Musculoskeletal Chronic Pain Among Community-dwelling Older People

2015 ◽  
Vol 31 (1) ◽  
pp. 79-85 ◽  
Author(s):  
Niina M. Karttunen ◽  
Juha H. O. Turunen ◽  
Riitta S. Ahonen ◽  
Sirpa A. Hartikainen
Keyword(s):  
Chronic Pain ◽  
Older People ◽  
Community Dwelling ◽  
Community Dwelling Older People
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