Influence of Age, Gender, and Body Mass Index on Balance and Mobility Performance in Indian Community-Dwelling Older People

Author(s):  
Rafi Mohammed ◽  
A. S. K. Basha ◽  
Shyam Jungade
2021 ◽  
Vol 8 ◽  
Author(s):  
Jinling Liu ◽  
Qun Qu ◽  
Saiyare Xuekelati ◽  
Xue Bai ◽  
Li Wang ◽  
...  

Background: Studies have shown an association between undernutrition and increased adverse outcome, as well as substantial geographic and age variations in undernutrition. Body mass index (BMI), a core indicator of undernutrition, is easy to measure and reflects the nutritional and health status of the human body. It is a simple and suitable tool for epidemiological investigations in large sample populations. Herein, we provide the first description of geographic and age variations in the prevalence of low BMI among community-dwelling older people in Xinjiang.Methods: From January 2019 to December 2019, using a multi-stage random sampling method, we conducted a cross-sectional epidemiological survey of the community-dwelling older people in Xinjiang at different latitudes. Of the 87,000 participants, the statistical analyses included 86,514 participants with complete data.Results: In Xinjiang, the prevalence of low BMI was 7.7% in the community-dwelling older people. The BMI gradually decreased with increasing age and gradually increased with latitude. The prevalence of low BMI in northern Xinjiang was 5.3%, which was significantly lower than that in eastern (7.7%) and southern (9.3%) Xinjiang. In the 60–69-, 70–79-, 80–89-, and ≥90-year age groups, the prevalence rates of low BMI were 5.8, 7.9, 10.0, and 13.9%, respectively. After adjusting for confounding factors (sex, ethnic group, hypertension, diabetes, hyperlipemia, smoking, and drinking), multivariate logistic regression analysis showed that the odds ratios (95% CI) for low BMI in eastern and southern Xinjiang were 1.165 (1.056–1.285) and 1.400 (1.274–1.538), respectively, compared to northern Xinjiang. The adjusted odds ratios (95% CI) for low BMI in the 70–79-, 80–89-, and ≥90-year age groups were 1.511 (1.39–1.635), 2.233 (2.030–2.456), and 3.003 (2.439–3.696), respectively, compared to the 60–69-year age group.Conclusion: The results of this study revealed geographic and age variations in the prevalence of low BMI in the community-dwelling older people in Xinjiang. The prevalence of low BMI gradually increased as the latitude decreased and as age increased.


Gerontologia ◽  
2017 ◽  
Vol 31 (4) ◽  
pp. 253-264
Author(s):  
Riitta Henriksson ◽  
Marika Salminen ◽  
Seija Arve ◽  
Matti Viitanen ◽  
Sini Eloranta

Tutkimuksen tarkoituksena oli vertailla vuosina 1920 (n = 1032) ja 1940 (n = 956) syntyneiden 70-vuotiaiden kotona asuvien turkulaisten koettua terveyttä, elintapoja ja fyysistä toimintakykyä. Tiedot koetusta terveydestä, elintavoista (tupakointi, alkoholinkäyttö ja painoindeksi) ja fyysisestä toimintakyvystä (päivittäiset toiminnot, välineelliset toiminnot ja päivittäisiä toimintoja haittaavat oireet) kerättiin kyselylomakkeiden ja haastatteluiden avulla. Tulosten mukaan vuonna 1940 syntyneet kokivat terveytensä ja fyysisen toimintakykynsä paremmiksi kuin vuonna 1920 syntyneet. Lisäksi 1940 syntyneillä oli vähemmän päivittäistä toimintaa haittaavia oireita kuin vuonna 1920 syntyneillä. Alkoholin käyttö ja ylipaino sen sijaan olivat yleisempiä 1940 syntyneiden kuin 1920 syntyneiden keskuudessa. Tulokset ovat tärkeitä suunniteltaessa ennaltaehkäiseviä palveluita ikääntyville. Self-perceived health, health behaviour and physical functioning – a comparison of two cohorts born in 1920 and 1940 The aim of the study was to compare differences in self-perceived health, health behaviour and physical functioning between community-dwelling 70-year-old citizens of Turku born in 1920 (n=1032) and 1940 (n=956). Data of self-perceived health, health behaviour (smoking, alcohol consumption, body mass index) and physical functioning (activities of daily living, instrumental activities of daily living, symptoms causing difficulties in daily living) were collected using questionnaires and interviews. According to the results, self-perceived health and physical functioning were better among those born in 1940 than among those born in 1920. In addition, symptoms causing difficulties in daily living were less frequent in 1940 cohort than in 1920 cohort. However, alcohol consumption and overweight were more common in 1940 cohort compared to 1920 cohort. These results are applicable in planning of preventive services for older people.


2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Suzanne Smith ◽  
Lucia Carragher

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.


Author(s):  
Hsiao‐Ting Tsou ◽  
Tai‐Yin Wu ◽  
Kuan‐Liang Kuo ◽  
Sheng‐Huang Hsiao ◽  
Sheng‐Jean Huang ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 488-489
Author(s):  
A R M Saifuddin Ekram ◽  
Joanne Ryan ◽  
Carlene Britt ◽  
Sara Espinoza ◽  
Robyn Woods

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.


Author(s):  
Natalie J. Cox ◽  
Ruth C.E. Bowyer ◽  
Mary Ni Lochlainn ◽  
Philippa M. Wells ◽  
Helen C. Roberts ◽  
...  

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