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

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

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 The association between cognition and gait in a representative sample of very old people – the influence of dementia and walking aid use

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jerry Öhlin ◽  
Anders Ahlgren ◽  
Robert Folkesson ◽  
Yngve Gustafson ◽  
Håkan Littbrand ◽  
...  
Keyword(s):  
Cognitive Function ◽  
Multiple Imputation ◽  
Gait Speed ◽  
Interaction Analysis ◽  
Old People ◽  
Very Old ◽  
Global Cognitive Function ◽  
People With Dementia ◽  
Walking Aids ◽  
Walking Aid

Abstract Background Cognition has been related with gait speed in older adults; however, studies involving the oldest age group, where many have mobility disability and cognitive impairment, are few. The aim was to investigate the association between global cognitive function and gait speed in a representative sample of very old people, and whether the association was affected by dementia, and walking aid use. Method This cross-sectional study included 1317 participants, mean age 89.4 years, and 68% women, from the Umeå85+/Gerontological Regional Database. Self-paced gait speed was measured over 2.4 m, with or without walking aids, and global cognitive function with the Mini-Mental State Examination (MMSE). The association between cognition and gait speed was analyzed using multiple linear regression and stratified according to dementia. The influence of missing gait speed values was explored using multiple imputation. An interaction analysis was performed to investigate the influence of walking aid use. Results In comprehensively adjusted analyses, MMSE associated with gait speed (unstandardized β (β) 0.011 m/s, 95% Confidence Interval [CI] = 0.009, 0.013, p < 0.001) in the total sample. No association was found in people with dementia (β 0.003 m/s, 95%CI = 0.000, 0.006, p = 0.058), until missing gait speed values were compensated for by multiple imputation (β 0.007 m/s, 95% [CI] = 0.002, 0.011, p = 0.002). In interaction analysis the use of walking aids attenuated the association between cognition and gait speed (β − 0.019 m/s, 95%CI = − 0.024, − 0.013, p < 0.001). Conclusion Global cognitive function appears to associate with gait speed in very old people. However, in people with dementia selection bias was indicated since unless missing gait speed values were accounted for no association was observed. Walking aid use attenuated cognitive load, which may not apply to walking in daily activities, and requires further investigation.

Cognitive function among physically independent very old people in an urban Japanese community

2005 ◽  
Vol 5 (4) ◽  
pp. 248-253 ◽  
Author(s):  
Hajime Iwasa ◽  
Yasuyuki Gondo ◽  
Taketo Furuna ◽  
Erika Kobayashi ◽  
Hiroki Inagaki ◽  
...  
Keyword(s):  
Cognitive Function ◽  
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

One-week prevalence of depressive symptoms and psychotropic drug treatments among old people with different levels of cognitive impairment living in institutional care: changes between 1982 and 2000

2010 ◽  
Vol 22 (7) ◽  
pp. 1154-1160 ◽  
Author(s):  
Hugo Lövheim ◽  
Ellinor Bergdahl ◽  
Per-Olof Sandman ◽  
Stig Karlsson ◽  
Yngve Gustafson
Keyword(s):  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Cognitive Function ◽  
Antidepressant Treatment ◽  
Antidepressant Drug ◽  
Institutional Care ◽  
Old People ◽  
Cross Sectional ◽  
Moderate Cognitive Impairment ◽  
Drug Treatments

ABSTRACTBackground: Dementia and depression are common in advanced age, and often co-exist. There are indications of a decreased prevalence of depressive symptoms among old people in recent years, supposedly because of the manifold increase in antidepressant treatment. Whether the prevalence of depressive symptoms has decreased among people in different stages of dementia disorders has not yet been investigated.Methods: A comparison was undertaken of two cross-sectional studies, conducted in 1982 and 2000, comprising 6864 participants living in geriatric care units in the county of Västerbotten, Sweden. Depressive symptoms were measured using the Multi-Dimensional Dementia Assessment Scale (MDDAS), and the cognitive score was measured with Gottfries’ cognitive scale. Drug data were obtained from prescription records.Results: There was a significant decrease in depressive symptom score between 1982 and 2000 in all cognitive function groups except for the group with moderate cognitive impairment. Antidepressant drug use increased in all cognitive function groups.Conclusion: The prevalence of depressive symptoms decreased between 1982 and 2000, in all levels of cognitive impairment except moderate cognitive impairment. This might possibly be explained by the depressive symptoms having different etiologies in different stages of a dementia disorder, which in turn might not be equally susceptible to antidepressant treatment.

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

UNALTERED IMAGE OF HEALTH MAINTENANCE: AN OBSERVATION OF NON-PARTICIPANTS IN A SWEDISH COHORT STUDY OF 85 TO 86 YEAR OLDS

2015 ◽  
pp. 1-7
Author(s):  
H.-J. DONG ◽  
E. WRESSLE ◽  
J. MARCUSSON
Keyword(s):  
Home Visit ◽  
Hospital Admissions ◽  
Clinic Visit ◽  
Old People ◽  
Related Factors ◽  
Health Maintenance ◽  
Very Old ◽  
Significant Difference ◽  
Sheltered Accommodation

Background: Selection bias is often inevitable in epidemiologic studies. It is not surprising that study conclusions based on participants’ health status are frequently questioned. Objective: This study aimed to assess whether the non-participants affected the characteristics of a general population of the very old people. Design, Setting and Participants: Prospective, cross-sectional (N=650, aged 85 years old) analysis and 1-year follow-up (n=273), in Linköping, Sweden. Measurements: We analysed data on health-related factors from a postal questionnaire, a home visit and a clinic visit at baseline and at the 1-year follow-up. We calculated the effect size to evaluate the degree of differences between the groups. Results: A greater proportion of non-participants resided in sheltered accommodation or nursing homes (participants vs non-response vs refusal, 11% vs 22% vs 40, P<0.001, φ=0.24). During the home visit or clinic visit, a higher proportion of dropouts reported mid-severe problems in EQ-5D domains (mobility and self-care) and limitations in personal activities of daily living, but the differences between participants and dropouts were very small (φ<0.2). No significant difference was found between the groups with regard to emergency room visits or hospital admissions, despite the fact that more participants than dropouts (φ=0.23) had multimorbidities (≥2 chronic diseases). Living in sheltered accommodation or a nursing home (odds ratio (OR), 2.8; 95% confidence interval (CI), 1.5-5), female gender (OR, 1.8; 95% CI, 1.1-3.1) and receiving more home visits in primary care (OR, 1.03; 95% CI, 1-1.06) contributed positively to drop out in the data collection stages over the study period. Conclusion: Non-participants were not considered to be a group with worse health. Mobility problems may influence very old people when considering further participation, which threatens attrition.

scholarly journals Afrontamiento de problemas de salud en personas muy mayores

2015 ◽  
Vol 31 (3) ◽  
pp. 1008 ◽  
Author(s):  
Ana B. Navarro ◽  
Belén Bueno
Keyword(s):  
Old Age ◽  
Self Efficacy ◽  
Satisfaction With Life ◽  
Well Being ◽  
Health Problems ◽  
Old People ◽  
Very Old ◽  
Degree Of Satisfaction ◽  
The One ◽  
Performance Results

<p>This paper assesses the strategies for coping with health problems in advanced old age and their contribution in terms of several performance results. 159 people aged 75 or over and living at home identified their most recent health problem, the strategies used to deal with it, their perception of self-efficacy in handling the problem and their degree of satisfaction with life. The results confirm the use of a range of strategies, with the active-behavioural approach to solving the problem being the one most widely used. In addition, together with active coping strategies of both a cognitive and behavioural nature, correlational analyses indicate that very old people resort to passive and avoidance coping methods. Furthermore, multiple regression analyses highlight the fact that the use of direct and rational actions for solving health problems predicts self-efficacy in dealing with the problem and protects satisfaction with life at this stage. These results confirm that very old people retain the ability to deal effectively with their health problems and, at the same time, uphold their well-being, providing evidence of the adaptive role of coping in very old age.</p>

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