scholarly journals Functional status of very old people in urban area: The Itabashi Oldest-Old Study I

2005 ◽  
Vol 42 (2) ◽  
pp. 199-208 ◽  
Author(s):  
Yasuyuki Gondo ◽  
Taketo Furuna ◽  
Erika Kobayashi ◽  
Hiroki Inagaki ◽  
Miho Sugiura ◽  
...  
Keyword(s):  
Functional Status ◽  
Urban Area ◽  
Oldest Old ◽  
Old People ◽  
Very Old

Bereavement in Very Old Age: Impact on Health and Relationships of the Loss of a Spouse, a Child, a Sibling, or a Close Friend

2010 ◽  
Vol 60 (4) ◽  
pp. 301-325 ◽  
Author(s):  
Christian J. Lalive d'Epinay ◽  
Stefano Cavalli ◽  
Luc A. Guillet
Keyword(s):  
Depressive Symptoms ◽  
Functional Status ◽  
Old Age ◽  
Oldest Old ◽  
Great Majority ◽  
Close Friend ◽  
Short Term ◽  
Very Old ◽  
Very Old Age

This article deals with the following two questions: In very old age, which are the main sources of bereavement? And what are the consequences of such losses on health and on relationships? The findings are based on the complete set of data compiled in the course of the Swiss Interdisciplinary Longitudinal Study on the Oldest Old (SWILSOO), which provided a 10-year follow-up of a first cohort (1994–2004) and a 5-year follow-up of a second (1999–2004). The data revealed that, in very old age, the great majority of the dear ones who died were either siblings or close friends. Taken as a whole, the bereaved suffered a marked and lasting increase in depressive symptoms, together with a short-term deterioration in their functional status; those bereft of a spouse or a child saw their functional status worsen and exhibited enduring depressive symptoms but they also benefited from support in the form of increased interaction; those bereft of siblings only suffered from a mild, short-term deterioration in functional status; those who had lost a close friend suffered a very significant increase in depressive symptoms. In the medium term, most of these effects disappeared, lending weight to the claim that the survivors manage to cope with the misfortunes of life.

Factors influencing the handling of medicines among very old people living at home in an urban area

2006 ◽  
Vol 18 (6) ◽  
pp. 497-502 ◽  
Author(s):  
Margareta Westerbotn ◽  
Pernilla Hillerås ◽  
Johan Fastbom ◽  
Hedda Agüero-Torres
Keyword(s):  
Urban Area ◽  
Old People ◽  
Very Old ◽  
Factors Influencing ◽  
At Home

scholarly journals MAILED SURVEYS WITH NONAGENARIANS - CHALLENGES AND LESSONS FROM THE VITALITY 90+ STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S868-S868
Author(s):  
Marja Jylha ◽  
Jani Raitanen ◽  
Kristina Tiainen ◽  
Pauliina Halonen ◽  
Linda Enroth
Keyword(s):  
Quality Of Life ◽  
Data Collection ◽  
Oldest Old ◽  
Population Based ◽  
Old People ◽  
Very Old ◽  
Health Functioning ◽  
The Impact ◽  
Base Data

Abstract Reliable population-based data on health, functioning and quality of life among very old people are scarce because only during the last decades this age group has grown to be an important segment of population, and because data collection among the oldest old is challenging. Due to poor health, problems in hearing and vision, cognitive decline, and institutionalization, very old individuals may not be able to participate in research studies, or, the information they give may not be reliable. In the Vitality 90+ Study, the whole population aged 90+ in the Tampere area, Finland, has been investigated six times since 2001. Mailed surveys have been conducted in years 1995, 1996, 1998, 2001, 2003, 2007, 2010, 2014, and 2018. In each data collection, the response rate has been ca 80%. The questionnaires and the wording of the questions have been identical in each survey round, which provides data for investigating time trends in health, functioning, and quality of life. Linkages with national population and care registers are used for studying mortality and care use. In this poster, we analyze the impact of 1) exhaustive base data, 2) the questionnaire, 3) including institutionalized individuals and proxy answers, on the findings and on the quality and reliability of the data. We conclude that mailed surveys can be a feasible method of data collection among very old people, but only in favorable local circumstances and with great efforts from the research group.

Demography and Gerontology: Mortality Trends Among the Oldest Old

1997 ◽  
Vol 17 (6) ◽  
pp. 713-725 ◽  
Author(s):  
EMILY GRUNDY
Keyword(s):  
United States ◽  
Data Analysis ◽  
Recent Work ◽  
Oldest Old ◽  
The United States ◽  
Old People ◽  
Mortality Trends ◽  
Very Old ◽  
Population Science ◽  
Very High

This paper provides a brief introduction to demography and population science and the newly emerged subfield of the demography of ageing. Links with gerontology are explored. Recent work on mortality at very high ages and on the black-white mortality ‘cross-over’ reported from the United States is then reviewed. These topics are important substantively and theoretically and also serve to illustrate demographic approaches to data and data analysis. Analytic approaches to the topics reviewed have had to be imaginative as there are major problems with data on very old people. Recent work indicates that the mortality of very old people, including centenarians, has fallen considerably, at least in those countries where good data exist. The mortality ‘cross-over’, however, appears to be artefactual, at least at ages under 95 years.

scholarly journals Cognitive function among physically independent very old people in an urban community in Japan: The Itabashi Oldest-Old Study II

2005 ◽  
Vol 42 (2) ◽  
pp. 214-220 ◽  
Author(s):  
Hajime Iwasa ◽  
Yasuyuki Gondo ◽  
Taketo Furuna ◽  
Erika Kobayashi ◽  
Hiroki Inagaki ◽  
...  
Keyword(s):  
Cognitive Function ◽  
Urban Community ◽  
Oldest Old ◽  
Old People ◽  
Very Old

Mo-P1:148 Risk factors for all-cause mortality in frail very old people

2006 ◽  
Vol 7 (3) ◽  
pp. 78-79
Author(s):  
O.D. Vasovic ◽  
L.J. Zikic ◽  
G. Sevo ◽  
M. Zamaklar ◽  
D. Milosevic
Keyword(s):  
Risk Factors ◽  
Old People ◽  
Very Old ◽  
All Cause Mortality

scholarly journals Coordination of Strength Exertion During the Chair-Rise Movement in Very Old People

2007 ◽  
Vol 62 (6) ◽  
pp. 636-640 ◽  
Author(s):  
U. Lindemann ◽  
R. Muche ◽  
M. Stuber ◽  
W. Zijlstra ◽  
K. Hauer ◽  
...  
Keyword(s):  
Old People ◽  
Very Old ◽  
Chair Rise

Abstract TMP46: Is There an Effect of Statins on Ischemic Stroke Functional Outcomes in the Oldest Old?

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Matthew Alcusky ◽  
Anne L Hume ◽  
Kate L Lapane
Keyword(s):  
Ischemic Stroke ◽  
Functional Status ◽  
Functional Outcomes ◽  
Acute Treatment ◽  
Functional Dependence ◽  
Oldest Old ◽  
Health Benefit ◽  
Neuroprotective Effects ◽  
Data Set ◽  
Statin Use

Background: The net health benefit of statin use in the oldest patients remains controversial. Preclinical models and previous clinical studies have suggested statins may exhibit neuroprotective effects in stroke, however evidence in the very old remains limited. Our objective was to compare changes in functional status before and after acute ischemic stroke (AIS) between statin users and non-users in a national cohort. Methods: A patient’s first hospitalization for AIS from 04/01/11 to 12/31/2012 was selected from Medicare Part A claims. Patients with a pre-hospitalization nursing home Minimum Data Set assessment and a post-hospitalization assessment in a skilled nursing facility were included. Pre-stroke statin exposure was defined using Part D claims. Functional status was measured continuously and categorically (dependent:<20, partially dependent(PD):20-59, assisted independent(AI):60-100) using Shah’s modified Barthel Index (mBI). Multivariable logistic regression examined the association of statins with a minimum clinically important mBI decrease of 10 points among non-dependent patients. Results: Among 10,203 patients with an assessment before hospitalization, 7.2% died, and 48.7% were included (mean age: 83.6±9.6; 74.5% women). Statin use was common (36.5%), while acute treatment was infrequent (thrombolysis: 4.9%; thrombectomy: 0.1%). The distribution of functional dependence, PD, and AI shifted from 17.3%, 56.1%, and 26.7% at baseline to 49.7%, 44.4%, and 5.9% post-stroke, respectively. A consistent association with 10-point mBI decline was observed for statin exposure among all non-dependent (OR: 0.8; 95%CI: 0.7-1.0) and within strata of PD (OR:0.8; 95%CI: 0.7-1.0) and AI patients (OR: 0.8; 95%CI: 0.5-1.3). In contrast, acute treatment was more strongly associated with function in AI (OR: 0.5; 95%CI: 0.2-1.0) versus PD patients (OR: 1.0; 95%CI: 0.7-1.5). Conclusion: In this high-burden population, our results are suggestive of a possible protective association for pre-stroke statin exposure. Further research is needed to examine temporal and dose-response relationships between statin exposure and functional outcomes across diverse patient populations.

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