scholarly journals Criterion validity of the Ekblom-Bak and the Åstrand submaximal test in an elderly population

2019 ◽  
Vol 120 (2) ◽  
pp. 307-316 ◽  
Author(s):  
Daniel Väisänen ◽  
Örjan Ekblom ◽  
Elin Ekblom-Bak ◽  
Eva Andersson ◽  
Jonna Nilsson ◽  
...  

Abstract Purpose The aim of this study was to validate the submaximal Ekblom-Bak test (EB-test) and the Åstrand test (Å-test) for an elderly population. Methods Participants (n = 104), aged 65–75 years, completed a submaximal aerobic test on a cycle ergometer followed by an individually adjusted indirect calorimetry VO2max test on a treadmill. The HR from the submaximal test was used to estimate VO2max using both the EB-test and Å-test equations. Results The correlation between measured and estimated VO2max using the EB method and Å method in women was r = 0.64 and r = 0.58, respectively and in men r = 0.44 and r = 0.44, respectively. In women, the mean difference between estimated and measured VO2max was − 0.02 L min−1 (95% CI − 0.08 to 0.04) for the EB method and − 0.12 L min−1 (95% CI − 0.22 to − 0.02) for the Å method. Corresponding values for men were 0.05 L min−1 (95% CI − 0.04 to 0.14) and − 0.28 L min−1 (95% CI − 0.42 to − 0.14), respectively. However, the EB method was found to overestimate VO2max in men with low fitness and the Å method was found to underestimate VO2max in both women and men. For women, the coefficient of variance was 11.1%, when using the EB method and 19.8% when using the Å method. Corresponding values for men were 11.6% and 18.9%, respectively. Conclusion The submaximal EB-test is valid for estimating VO2max in elderly women, but not in all elderly men. The Å-test is not valid for estimating VO2max in the elderly.

2021 ◽  
Vol 7 (1) ◽  
pp. 36-40
Author(s):  
Nur Ainiyah ◽  
Iis Noventi ◽  
Chilyatiz Zahroh

Elderly is the final stage of the human life cycle. The process of aging is a process that shows a decline in human physical function, emotional changes, as well as social interactions that will  change gradually. Diabetes Mellitus (DM) is a metabolic disease that occurs chronically due to interference with insulin and has various complications for sufferers, both acute and chronic. Decreased physical, unstable emotional, interaction of social abilities decrease, anda also  metabolic disorders and its complications make the elderly had depression which is manifested in the quality of sleep of the elderly. The purpose of this study was to determine the differences in the incidence of depression in men and women in the elderly who suffer from diabetes mellitus. The method in this research was comparative. The population of this study were all elderly in Region X as many as 60 elderly consisting of 27 elderly men and 33 elderly women. The sample in this study was a research of 60 members, using total sampling / depression data collection was done by giving a questionnaire based on the Beck depression scale. Data analysis used elderly depression scores in men and elderly women collected from the results of data collection will be measured the difference with a two-mean difference test (T-test). The results showed the mean depression score for men = 1.59 and the standard deviation = 1.575 and the mean depression score for women = 3.54 the standard deviation was 1.96, the level of significance (p = 0.001; p <0.05). Its shows a significant difference between depression in elderly men and women who suffer from DM. Therefore, it is expected that all members of the elderly family as one of the support systems for the elderly can provide support so that the elderly do not experience depression.


2015 ◽  
Vol 25 (61) ◽  
pp. 191-199 ◽  
Author(s):  
Cristiane Pimentel Nalin ◽  
Lucia Helena de Freitas Pinho França

The increase in the elderly population has prompted research on retirement. This study investigated the importance of resilience, economic satisfaction, the length of retirement, and planning to well-being during retirement of 270 participants. The majority of this sample were men (64%), and the mean age was 65 years (SD = 5.7). The participants were retired members of 10 public and private organizations in Rio de Janeiro. Factor analysis and hierarchical regression were performed. The results showed that determined resilience (mastery, adaptability, confidence and perseverance) and socioeconomic satisfaction were the main predictors of well-being in retirement and explained 28% of this model. The findings suggest that well-being in retirement is closely related to socioeconomic satisfaction and determined resilience. Additional research should address the importance of resilience for the well-being of retirees who are or not members of retirement associations. Resilience attitudes should be promoted in Retirement Education Programs.


1989 ◽  
Vol 29 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Kyriakos S. Markides

Increased survival by blacks and Hispanics is causing a widening of the sex imbalance of the elderly population much like we have observed in the general population. These demographic trends point toward greater widowhood among minority women and continuing high rates of poverty. In addition, we can expect increased rates of disability in minority elderly women, increased dependency, worsening intergenerational relationships, and higher rates of institutionalization.


2021 ◽  
Vol 12 ◽  
Author(s):  
Dandan Guo ◽  
Xin Zhang ◽  
Changqing Zhan ◽  
Qiuxing Lin ◽  
Jie Liu ◽  
...  

Background: Obesity is a potentially modifiable risk factor for cognitive impairment. However, sex-specific relationships between obesity and cognitive impairment in late life remain unclear.Objective: We aimed to assess sex differences in the association between various obesity parameters and cognitive impairment in a low-income elderly population in rural China.Methods: A population-based cross-sectional study was conducted to collect basic information from elderly residents aged 60 years and older from April 2014 to August 2014 in rural areas of Tianjin, China. Obesity parameters, including body mass index (BMI) and waist circumference (WC), and Mini Mental State Examination scores were measured, and the relationships between these variables were assessed.Results: A total of 1,081 residents with a mean age of 67.70 years were enrolled in this study. After adjusting for age, educational attainment, smoking status, drinking status, physical exercise participation, and the presence of diabetes and hyperlipidemia, blood pressure group; a high BMI was found to be associated with an increased prevalence of cognitive impairment in elderly women. Each 1-unit increase in BMI was associated with a 5.9% increase in the prevalence of cognitive impairment. WC was related to the prevalence of cognitive impairment in elderly men, and each 1-cm increase in WC was associated with a 4.0% decrease in the prevalence of cognitive impairment. However, there were no significant associations between WC and cognitive function in women or between BMI and cognitive impairment in men.Conclusion: A greater WC was positively associated with better cognitive function in low-income elderly men in rural China, whereas a higher BMI was associated with an increased risk of cognitive impairment in elderly women, independent of sociodemographic, lifestyle, and health-related comorbid factors. Our results suggest weight management of elderly women in rural China may have cognitive benefits. However, randomized controlled trials would be needed to confirm causality.


2020 ◽  
Vol 8 (2) ◽  
pp. 48-55
Author(s):  
Sri Puzzy Handayani ◽  
Rina Puspita Sari ◽  
Wibisono Wibisono

ABSTRACTIntroduction: 52.31% of the number of health complaints in elderly women is higher than the percentage of elderly men is 49, 74%. Changes that occur in the elderly tend to decrease in physical, psychological, psychosocial systems. This requires an action activity that can reach all aspects of the decline that is by doing elderly gymnastics. The purpose of this research to identify the benefits of elderly exercise on the quality of life of the elderly. Research methods by using literature review as a guide to search for research articles obtained from the internet using the Science Direct site, and Google Scholar. The results analysis of 10 selected research articles shows that elderly exercise can have several benefits, namely: physical benefits can improve physical fitness, body balance, breathing, and decreased blood pressure in elderly hypertension. Psychological benefits can improve sleep quality, decrease insomnia levels, decrease depression levels, reduce stress levels, and manage pain. Social and environmental benefits. Elderly exercise 3 times a week with a minimum duration of 30 minutes and a maximum of 40 minutes with a time of> 4 weeks will be more effective in getting many benefits.


Author(s):  
Fanlei Kong ◽  
Lingzhong Xu ◽  
Mei Kong ◽  
Shixue Li ◽  
Chengchao Zhou ◽  
...  

The aim of this study was to explore the relationship between socioeconomic status (SES), physical health and the need for long-term care (NLTC) of the Chinese elderly, and further, to provide evidence-based advice for establishing an LTC system in China. A cross-sectional survey was conducted in Shandong Province, China in 2017 by using multi-stage random sampling method. Data were collected from elderly individuals aged 60 years and older by self-designed questionnaires through face-to face interviews. A total of 7070 participants were finally included in the database (40.3% male, 59.7% female). Chi-square test analysis and structural equation modeling (SEM) were conducted to clarify the association between SES, physical health and NLTC among the Chinese elderly men and women in Shandong Province. The results of the SEM analysis showed that physical health exerted a strong and negative effect on the NLTC for both genders, with a slightly stronger effect found among the elderly men. SES was found to be significantly and negatively related to the NLTC among the elderly women, while no statistical significance was found for the association between SES and NLTC for elderly men. A significant and positive association between SES and physical health was observed among the elderly men and women, with a slightly stronger effect among the elderly women. Implications for lowering the NLTC and developing an LTC system were addressed based on the findings above.


2017 ◽  
Vol 20 ◽  
Author(s):  
Berta Ausín ◽  
Manuel Muñoz ◽  
Ana Belén Santos-Olmo ◽  
Eloísa Pérez-Santos ◽  
Miguel A. Castellanos

AbstractThe MentDis_ICF65+ Project is an epidemiological study of mental disorders in people 65 to 85 years old in several European cities, including Madrid. Its aim is to determine the lifetime, 12-month, and 1-month prevalence of the main mental disorders in the elderly. The relationship of age and sex with each mental disorder was examined. The sample was collected through random sampling of people over 65 in Madrid, and consisted of 555 persons between 65 and 85 years old. The CIDI65+ was administered. Estimates of prevalence and odds ratios (OR) were made using sample frequencies and according to sex and age. Excluding nicotine dependence, 40.12% of the sample was found to have suffered a mental disorder at some time in their lives, 29.89% in the past year, and 17.70% were currently suffering from a mental disorder. The disorders with the highest prevalence rates were anxiety disorders, alcohol-related disorders, and mood disorders. Elderly women had a higher risk of suffering an anxiety disorder (OR men/women 0.42; CI 0.25–0.68) with a significance level of p < .001, while elderly men were more affected by any substance-related disorder (OR men/women 3.96; CI 1.62–11.07) with a significance level of p < .001. Each disorder’s prevalence decreased with age (OR 65–74/75–85, 1.85; CI 1.25–2.75) with a significance level of p < .01. Results show higher prevalence rates than previous studies reported. The main implications of this study, and the need to adapt mental health services for people over 65, are highlighted.


2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Vinant Bhargava ◽  
Priti Meena ◽  
Ambrish Satwik ◽  
Apurv Srivastava ◽  
A K Bhalla ◽  
...  

Abstract Background and Aims With the increase in the line expectancy of chronic kidney disease in the older population (&gt;60 years), the numbers requiring haemodialysis is progressively rising. The elderly population may be different from the younger in terms of non-suitable vessels for access creation, non-maturation, and vascular calcifications, and this may alter the outcomes of use of arteriovenous fistula (AVF). This study was conducted to analyse the outcomes of AVF in elderly patients (&gt;60 years). Method Retrospective study was conducted in the Department of Nephrology at Sir Ganga Ram Hospital, New Delhi. Patients of more than 60 years of age in whom AVF was created from 1st January 2012 to 31st December 2016 were included in the study. Follow-up data of 3.5 years was analysed. The primary endpoint was to assess primary and secondary patency rates. Results A total of 300 patients were included in the study. The mean age was 63.8 years. Radiocephalic AVF (RCAVF) was the most common site of [69.8% (n = 210)], followed by brachiocephalic (BCAVF) in 25.2% (n = 75) and basilic vein transposition (BVT) in 5% (n = 15). At 12 months, overall survival of the AVF was 66.8%. At 42 months, the primary patency rate of RCAVF, BCAVF, and BVT was 50.6%, 52.6%, and 50.4% respectively. The commonest cause of access failure was thrombosis (20.4%) followed by non-maturation (9%). Vascular access abandonment was found least in BCAVF. Conclusion AVF remains the preferred vascular access for haemodialysis in the elderly population. Brachiocephalic AVF has higher primary and secondary patency rates. Thrombosis and failure of maturation are major concerns in the elderly AVF.


2007 ◽  
Vol 19 (2) ◽  
pp. 3-9 ◽  
Author(s):  
V. Joshi ◽  
J. Lim ◽  
M. Nandkumar

Data on the prevalence of Hypertension (HTN) among elderly Asians is limited. We investigated the prevalence of elevated blood pressure (EBP) and its risk factors in a multiracial Southeast Asian elderly population who participated in the National Kidney Foundation Singapore nationwide screening programme. Among 19,848 subjects ≥ 65 years (approximately 6% of the total Singapore population), the mean age was 70.6 ± 5.26 yrs. After excluding 36.6% with known HTN, analysis revealed that 5,889 (46.8%) of the remaining population had previously undetected EBP >140/ 90. Increasing age, male gender, BMI ≥ 23 kg/m2 and pre-existing diabetes were significantly associated with previously undetected EBP on multivariate analysis. 6% of cases with undetected EBP had proteinuria suggestive of longstanding EBP and renal damage. We conclude that there is a high prevalence of undetected EBP in elderly Asians, suggesting the need for increased e forts in screening in the elderly population. Asia Pac J Public Health 2007; 19(2): 3—9.


2000 ◽  
Vol 32 (1) ◽  
pp. 89-98 ◽  
Author(s):  
M. OMAR RAHMAN

This paper uses prospective data from the Matlab surveillance system in rural Bangladesh to demonstrate that initially co-resident spouses and sons have a major impact on the subsequent mortality of old people, with significant differences by the sex of the elderly person, and the age of the son. Spouses significantly reduce mortality by similar magnitudes for both elderly men and women. On the other hand, co-resident adult sons reduce mortality for elderly women much more than for elderly men, with younger sons being more beneficial than older sons. Furthermore, both married and unmarried females appear to benefit equally from co-resident adult sons. Finally, this analysis suggests that the impact of spouses and sons on mortality in old age is not substantially mediated through changes in elderly economic status.


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