scholarly journals Age-related prevalence of non-cardiac surgery indications

2017 ◽  
Vol 87 (2) ◽  
Author(s):  
Nera Agabiti
Keyword(s):  
Ad Hoc ◽  
Well Being ◽  
Good Health ◽  
Epidemiological Studies ◽  
Old People ◽  
Clear Trend ◽  
Old Patients ◽  
Very Old ◽  
Age Related ◽  
New Treatments

<p>A clear trend in Italy over the last 20 years has been the increasing prevalence of ‘very old’ people (over 75 years of age) within the general population. Routine statistics as well as population surveys and ad hoc epidemiological studies all confirm this trend. The proportion of so-called ‘very old patients in good health’ is the category which is increasing the most. This is due to the economic well-being and generally good living conditions in Italy as well as progress in medical care and the introduction of new treatments and technologies in clinical practice that have improved survival and quality of life. The presence of an increasing number of very old people in the population, with consequent change of the population’s health needs, represents a great challenge both for the healthcare system and for society as a whole.</p>

scholarly journals Individual values and spirituality and their meaning for affective well-being and engagement with life in very old age

2021 ◽  
Author(s):  
Marcella Reissmann ◽  
Anna Storms ◽  
Christiane Woopen
Keyword(s):  
Old Age ◽  
Short Form ◽  
Well Being ◽  
Linear Regression Models ◽  
Old People ◽  
Individual Values ◽  
Very Old ◽  
Age Related ◽  
Broad Concept ◽  
Very Old Age

Abstract Background Individuals’ ideals and aspirations are considered to constitute a central reference frame for subjective evaluations of their perceived reality, and, thus, to be crucial for individual quality of life (QoL) outcomes. By examining individual values and spirituality in very old people, the aim of this study was to describe two constructs representing the aspirations of the individual, as well as the relation of these constructs to both hedonic and eudaimonic QoL outcomes in very old age (VOA). Material and methods Cross-sectional data from a representative survey of people in VOA (NRW80+, n = 1863) were used. Individual values were assessed based on the Portrait Value Questionnaire. A revised questionnaire was developed drawing on the Spiritual Health and Life-Orientation Measure. Individual values and spirituality were studied using descriptive statistics, and hierarchical linear regression models were used to analyze their predictive value for two QoL outcomes: 1) affective well-being as an indicator of hedonic QoL, which was assessed using the positive affect subscale of the short form of the Positive and Negative Affect Schedule, and 2) engagement with life, which captures eudaimonic aspects and which was measured with a subscale of the Valuation of Life Scale. Results The most important values were both protection and growth-oriented values with a social focus. However, only values representing strivings for growth had a positive association with QoL outcomes. Spirituality was of high relevance to very old people, although not in the sense of religious institutions or practices. Rather, it predominantly consisted in environmental, interpersonal, and transcendental connectedness, all of which were positively connected to QoL outcomes. Conclusion Individual values and spirituality can be an important resource for hedonic as well as eudaimonic QoL; however, age-related losses may lead to an emphasis of protective values that are not beneficial in terms of QoL. To support older people on their spiritual journey, a broad concept of spirituality needs to be established among researchers as well as practitioners.

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>

scholarly journals Statin Therapy in Very Old Patients: Lights and Shadows

2021 ◽  
Vol 8 ◽  
Author(s):  
Lidia Cobos-Palacios ◽  
Jaime Sanz-Cánovas ◽  
Mónica Muñoz-Ubeda ◽  
María Dolores Lopez-Carmona ◽  
Luis Miguel Perez-Belmonte ◽  
...  
Keyword(s):  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cardiovascular Prevention ◽  
Vascular Events ◽  
Old Patients ◽  
Very Old ◽  
Aged People ◽  
Age Related ◽  
Very Old Patients ◽  
Statin Use

Atherosclerotic cardiovascular diseases (ASCVD) are the leading cause of death worldwide. High levels of total cholesterol—and of low-density lipoprotein cholesterol in particular—are one of the main risk factors associated with ASCVD. Statins are first-line treatment for hypercholesterolemia and have been proven to reduce major vascular events in adults with and without underlying ASCVD. Findings in the literature show that statins reduce coronary and cerebrovascular morbidity and mortality in middle-aged people, but their benefits in older adults are not as well-established, especially in primary prevention. Furthermore, many particularities must be considered regarding their use in old subjects, such as age-related changes in pharmacokinetics and pharmacodynamics, comorbidities, polypharmacy, and frailty, which decrease the safety and efficacy of statins in this population. Myopathy and a possible higher risk of falling along with cognitive decline are classic concerns for physicians when considering statin use in the very old. Additionally, some studies suggest that the relative risk for coronary events and cardiovascular mortality associated with high levels of cholesterol decreases after age 70, making the role of statins unclear. On the other hand, ASCVD are one of the most important causes of disability in old subjects, so cardiovascular prevention is of particular interest in this population in order to preserve functional status. This review aims to gather the current available evidence on the efficacy and safety of statin use in very old patients in both primary and secondary prevention.

scholarly journals CURRENT CONCEPTUAL APPROACHES FOR ASSESSMENT OF THE PROCESS OF AGEING AND OLD AGE

2017 ◽  
Vol 5 ◽  
pp. 722-727
Author(s):  
Vanina Mihaylova ◽  
Dimitar Shopov ◽  
Iliya Bivolarski ◽  
Adolf Alakidi ◽  
Kristina Kilova
Keyword(s):  
Old Age ◽  
21St Century ◽  
Positive Attitude ◽  
Well Being ◽  
Good Health ◽  
Old People ◽  
Active Approach ◽  
Quality Life ◽  
Long Life ◽  
Elderly And Old People

: Ageing should be considered not only as an increase in the number of elderly and old people in their absolute and relative numbers, but also as a unity of the transformations of the lifecycle, with an emphasis on: later retirement, prolonged period of good‑quality life, an active approach towards the process of retirement and differentiation of the category of “fourth age”. The general preparation for old age has earned a new appeal in the contemporary societies. Motivation of the old people for activity – both physical and intellectual – is of great importance for the better survival of the old age and long life in good health, supported by realized well-being and feeling of joy from life. In this aspect the study of both risk and protective factors for human health (in a salutogenetic perspective) becomes increasingly fundamental. The issue of population at an advanced age has definitely been considered as an independent subject since the beginning of the 21st century. Moreover, the society perceives it as an essential basis for further progress and flourishing of the mankind. In this sense the demographic strategies treating the problem need to address it in a new positive way, with different and positive attitude, accepting the population-related failures and anxiety and turning them into challenges and advantages.

scholarly journals Neovascular Age-Related Macular Degeneration in the Very Old (≥90 Years): Epidemiology, Adherence to Treatment, and Comparison of Efficacy

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Yousif Subhi ◽  
Torben Lykke Sørensen
Keyword(s):  
Macular Degeneration ◽  
Retrospective Chart Review ◽  
Age Related Macular Degeneration ◽  
Neovascular Amd ◽  
Adherence To Treatment ◽  
Comprehensive Overview ◽  
Old Patients ◽  
Very Old ◽  
Age Related ◽  
Treatment Naïve

Purpose. To investigate neovascular age-related macular degeneration (AMD) in patients aged ≥90 years from several perspectives for a comprehensive overview: prevalence, presenting characteristics, treatment adherence, reasons for discontinuation, and efficacy of antivascular endothelial growth factor (VEGF) treatment comparing Ranibizumab and Aflibercept.Methods. In this retrospective chart review, we determined the prevalence and presenting characteristics by reviewing all data for patients referred to our department with treatment-naïve neovascular AMD. By looking at historical cohorts, we determined adherence to treatment, reasons for discontinuation, and treatment outcomes after loading dose, 12 months, and 24 months.Results. Patients aged ≥90 years constituted 7% of the patients. Treatment was discontinued in 51%, primarily because of death and treatment burden. Mean change in best-corrected visual acuity was 3.2, 1.5, and −2.2 ETDRS letters at 4, 12, and 24 months, respectively. Aflibercept was superior to Ranibizumab in visual and anatomic outcomes. After two years of treatment, patients losing ≥15 ETDRS letters made up 19% in the Aflibercept group and 26% in the Ranibizumab group.Conclusions. We propose that the very old patients with neovascular AMD may constitute a distinctive group warranting special attention and possibilities for individualized therapy. Possible differences between anti-VEGF agents need further investigations.

Lack of Resilience Among Very Old Men and Women: A Qualitative Gender Analysis

2011 ◽  
Vol 25 (4) ◽  
pp. 302-316 ◽  
Author(s):  
Lena Aléx ◽  
Berit Lundman
Keyword(s):  
Aging Process ◽  
Life Experiences ◽  
Well Being ◽  
Gender Analysis ◽  
Old People ◽  
Very Old ◽  
The Past ◽  
Resilience Scale ◽  
Old Men ◽  
High Degree

High degree of resilience has been described as an enduring positive view of life despite difficult circumstances during the aging process. How to become old and being old with low resilience have not been studied. The aim of this study was to illuminate experiences about becoming old and being old among very old people with low resilience. Interviews from very old women and men were analyzed using content analysis with the following themes identified: being out of it, emphasizing life experiences from the past, religiousdoubting, and accepting age. Except for religious doubting, the themes contained both similarities and variations between women and men. Our study showed that in spite of scoring low on the Resilience Scale (RS), very old persons can experience integration and well-being. However, the women seemed to be more vulnerable compared to men, and for them, it is important to strengthen social and relational possibilities for contributing to resilience.

scholarly journals Ageing and COVID-19: What Is the Role for Elderly People?

Geriatrics ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. 25 ◽  
Author(s):  
Donatella Rita Petretto ◽  
Roberto Pili
Keyword(s):  
Older Adults ◽  
Life Expectancy ◽  
Elderly People ◽  
Well Being ◽  
Good Health ◽  
Complex Situation ◽  
Risk Of Death ◽  
Age Related ◽  
Total Life Expectancy ◽  
Very High

Italy is one of the oldest countries in Europe and in the world and now it is also one of the first countries that are fighting against COVID-19. In our country, the increasing life expectancy (80.5 for males and 84.9 for females, with a total life expectancy of 82.9) has led to very positive consequences for health and the well-being of elderly people: a very high number of older adults lives and acts independently in their daily life, even if they have one or more than one chronic disease. In the time of COVID-19′s outbreak in Italy, the focus of the media was on elderly people for two main reasons. First, many older people demonstrated a very high civic sense and they were helping society to fight against the pandemic. Second, also in Italy, like in China, the older adults are at higher risk in being infected with COVID-19 and if they get ill, they have a higher risk of death. The balance previously achieved between age-related disorders and a good quality of life and good health is now under high pressure. It is very important to protect elderly people from infection, but also it is important to respect them and to support them in this complex situation. There is a great risk of “ageism”. In agreement with Lloyd-Sherlock and colleagues (2020), in this editorial we propose some hints of analysis, starting from the ongoing experience in Italy.

scholarly journals Exercise and Life-Satisfactory-Fitness: Complementary Strategies in the Prevention and Rehabilitation of Illnesses

2004 ◽  
Vol 1 (2) ◽  
pp. 157-165 ◽  
Author(s):  
Christiane Jennen ◽  
Gerhard Uhlenbruck
Keyword(s):  
Family Environment ◽  
Leisure Time ◽  
Well Being ◽  
Good Health ◽  
Preventive Effect ◽  
The Metabolic Syndrome ◽  
Age Related ◽  
Retrospective View ◽  
Health Promoting ◽  
Positive Outlook

Moderate training of an endurance nature, but also other exercise activities, not only has a preventive effect on various illnesses and pre-illness states such as the metabolic syndrome and cancer, but is also effective in treating patients in the rehabilitation phase after illness, e.g. cardiovascular or cancer. Our investigation demonstrates that even low level physical activity has a very good preventive effect too, which is enhanced when it is accompanied by mental activity and psychological well-being. In total, we investigated 13 000 people on the basis of socio-economic panel polls with respect to life contentment, health status and leisure-time activities. Life contentment is positively linked to contentment with labor, which seems to be an essential aspect with regard to the increasing number of unemployed people in Europe. The second important factor is health-promoting activities during leisure time. Exercise, especially, has a significant influence on life satisfaction as a feeling of physical fitness feeling is regarded as synonymous with good health. The results underline the psycho-neuroimmunological network, which stabilizes our health and shows that different activities in older adults have a significant effect on the aging process and age-related illnesses. Besides the various activities that are important in this arena, namely muscle and mental mobility (‘brawn and brain’), a third component must be taken into consideration: life contentment in the form of a successful retrospective view and a positive outlook, embedded in a psychosocial family environment (‘brood’) and integrated in a stress-free biotope, where life does make sense. Alternative and complementary strategies should be considered in light of these three aspects when we think about additional anti-inflammatory strategies in preventing diseases or treating them and their relapses.Sport has made a few healthy people ill, but sport has also made a good few of ill people healthy! (Gerhard Uhlenbruck, Aphorisms)

scholarly journals Healthy Diet for Healthy Aging

Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4310
Author(s):  
Suey S. Y. Yeung ◽  
Michelle Kwan ◽  
Jean Woo
Keyword(s):  
Dietary Patterns ◽  
Healthy Aging ◽  
Good Health ◽  
Epidemiological Studies ◽  
Healthy Diet ◽  
Sensory Function ◽  
World Health ◽  
Age Related ◽  
Modifiable Factors ◽  
Intrinsic Capacity

Extending healthspan is a major public health challenge. Diet is one of the modifiable factors for preventing age-related diseases and preserving overall good health status during aging. Optimizing individuals’ intrinsic capacity, including domains in cognition, psychological, sensory function, vitality, and locomotion, has been proposed as a model of healthy aging by the World Health Organization. To better understand the relationships between a healthy diet and healthy aging, this review summarizes the recent epidemiologic and clinical data for dietary patterns that have been shown to play a role in (domains of) healthy aging. Regardless of priori or posteriori dietary patterns, it appears that dietary patterns centered on plant-based foods have a beneficial role in (domains of) healthy aging. Our review identified a knowledge gap in dietary patterns and multidimensional concepts of healthy aging. More epidemiological studies should consider intrinsic capacity as an outcome measure to further our understanding of a healthy diet and multidimensional concepts of healthy aging. When a sufficient number of epidemiological studies is available, evidence can be synthesized and clinical trials can be designed to evaluate a healthy diet as a strategy for healthy aging to further our progress in translating evidence to practice and promoting healthy aging.

Escherichia colibacteraemia in adults: age-related differences in clinical and bacteriological characteristics, and outcome

2014 ◽  
Vol 142 (12) ◽  
pp. 2672-2683 ◽  
Author(s):  
C. ROUBAUD BAUDRON ◽  
X. PANHARD ◽  
O. CLERMONT ◽  
F. MENTRÉ ◽  
B. FANTIN ◽  
...  
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Death Rate ◽  
The Elderly ◽  
Age Group ◽  
Old Patients ◽  
Very Old ◽  
Comorbidity Score ◽  
Age Related ◽  
Very Old Patients

SUMMARYTo explore the specificities ofEscherichia colibacteraemia in the elderly, the demographic, clinical and bacteriological characteristics and in-hospital mortality rate of ‘young’ (18–64 years,n = 395), ‘old’ (65–79 years,n = 372) and ‘very old’ (⩾80 years,n = 284) adult patients of the multicentre COLIBAFI cohort study were compared. Clinical and bacteriological risk factors for death were jointly identified by logistic regression and multivariate analysis within each group. ‘Young’ and ‘old’ patients had more comorbidities than ‘very old’ patients (comorbidity score: 1·5 ± 1·3 and 1·6 ± 1·2vs. 1·2 ± 1·2, respectively;P < 0·001), and were more frequently nosocomially infected (22·3% and 23·8%vs. 8·8%, respectively;P < 0·001). ‘Old’ patients had the poorest prognosis (death rate: 16·4%vs.10·4% for ‘young’ and 12·0% for ‘very old’ patients, respectively;P = 0·039). Risk factors for death were age group-specific, suggesting a host–pathogen relationship evolving with age.

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