Obesity and impaired cognitive functioning in the elderly: a population-based cross-sectional study (NEDICES)

2013 ◽  
Vol 20 (6) ◽  
pp. 899-e77 ◽  
Author(s):  
J. Benito-León ◽  
A. J. Mitchell ◽  
J. Hernández-Gallego ◽  
F. Bermejo-Pareja
BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041755
Author(s):  
Srinivas Marmamula ◽  
Satya Brahmanandam Modepalli ◽  
Thirupathi Reddy Kumbham ◽  
Rajesh Challa ◽  
Jill E Keeffe

ObjectivesTo assess the prevalence of disabilities (vision, hearing, mobility, cognitive, self-care and communication) and non-communicable diseases (NCDs) among the elderly population in two districts in Telangana, India.DesignPopulation-based cross-sectional study using a cluster random sampling method to select the study clusters.SettingElderly population in Khammam and Warangal districts were recruited. Detailed interviews were conducted by trained community health workers. Personal and demographic information such as age, gender, level of education and a self-report of NCDs was collected. The Washington Disability Questionnaire was administered to assess the presence of disabilities.Participants1821 participants aged ≥60 years, 54.5% were women, and 73.3% had no education.Primary outcome measurePrevalence of disabilities and NCDs.ResultsOverall, the prevalence of at least disability was 20.3% (95% CI 16.3 to 24.9). The prevalence of self- reported disabilities were: seeing (5.9%; 95% CI 4.4 to 7.8), mobility (12.8%; 95% CI 9.7 to 16.8), hearing (3.6%; 95% CI 2.7 to 4.8), cognition (4.8%; 95% CI 3.5 to 6.7), self-care (3.3%; 95% CI 2.3 to 4.7) and communication (1.8%; 95% CI 1.2 to 2.6). Overall, the prevalence of at least one NCD was 34.2% (95% CI 30.9 to 37.7). Hypertension was the most common systemic condition (25.4%; 95% CI 22.4 to 28.7), followed by diabetes (9.0%; 95% CI 7.3 to 11.0), and body pains (muscle-skeletal) (9.9%; 95% CI 8.1 to 12.2).ConclusionEvery fifth elderly person in the districts of Khammam and Warangal in Telangana had at least one self-reported disability. Besides, a third of the elderly had at least one NCD. There is a definite need to develop comprehensive public health strategies to address disabilities and NCDs in Telangana.


2016 ◽  
Vol 7 (5) ◽  
pp. 484-487 ◽  
Author(s):  
U. Kirchmayer ◽  
F. Mayer ◽  
M. Basso ◽  
R. De Cristofaro ◽  
N. Mores ◽  
...  

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Mariana Fagundes Grilo ◽  
Ana Clara Duran

Abstract Background The addition of low-calorie sweeteners (LCS) has been increasingly used by industry but their metabolic effects are controversial. Objectives: to estimate the consumption of foods and beverages with LCS among adolescents, adults and the elderly and to verify which food categories most contribute to this consumption. Methods Cross-sectional study. We used data from the Campinas Health Survey (ISACamp 2014-15) and the Food Consumption and Nutritional Status Survey (ISACamp-Nutri 2015-16) of 2570 individuals from 10 years old. We estimated the prevalence of LCS consumption and described the food categories that most contributed to this consumption. Using regression analysis, we verified which population groups had the highest consumption of products with LCS. Results More than 40% of adolescents, adults and the elderly consumed at least one product with LCS, mainly coming from sweetened beverages, tabletop sweeteners, and yogurt and other dairy beverages. The consumption of LCS was evenly found across adolescents and elderly from all socioeconomic strata, and whether elderly participants presented overweight and/or diabetes. Among adults, greater prevalence of foods and beverages with LCS consumption was found in those with higher education but did not vary by the presence of overweight and/or diabetes. Conclusions We found similar consumption of foods and beverages with LCS in most socioeconomic strata, and in participants with and without overweight or diabetes. Key messages The results can contribute to the development of public policies on clearer information of LCS addition in food labels.


PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260927
Author(s):  
Sul-Hee Kim ◽  
Xianhua Che ◽  
Hee-Jung Park ◽  
Tae-Il Kim

The effect of severely compromised teeth on masticatory function has not been properly evaluated in previous studies, as they were often considered equivalent to the healthy tooth or excluded as if absent in the dentition. Hopeless teeth, which refer to non-salvageable teeth that require extraction, can interfere with masticatory function. As posterior occlusion is directly related to the masticatory function, we evaluated pairs opposing posterior teeth (POPs) that reflect the arrangement as well as the number of remaining posterior teeth. This study investigated the relationship of a hopeless tooth to handgrip strength according to POPs in the elderly. This cross-sectional study used data from the Korea National Health and Nutrition Examination Survey (KNHANES). Among the data of 23,466 participants from 2015 to 2018, participants aged 60 years or older (n = 4,729) were included. In males with POPs scores of 0–7, considered poor posterior occlusion, the association with low handgrip strength persisted in the multivariate logistic regression model adjusted for all confounding variables. The odds ratio (OR) in the absence of hopeless teeth (OR = 1.91, 95% CI: 1.02–3.59) increased in the presence of a hopeless tooth (OR = 2.78, 95% CI: 1.42–5.47). Even with POPs scores of 8–11, considered good posterior occlusion, the association was significantly high in the presence of a hopeless tooth (OR = 2.82, 95% CI: 1.06–7.52). In females, the association disappeared in adjusted models. The fewer pairs of natural posterior teeth with occlusion, the greater the risk of low handgrip strength. Dentition containing hopeless teeth increases the risk of low handgrip strength, even in dentition with sufficient posterior occlusion. Preserving the posterior teeth in a healthy condition through personal oral hygiene and regular dental management is essential for maintaining components of physical function such as handgrip strength.


Nutrition ◽  
2018 ◽  
Vol 55-56 ◽  
pp. 104-110 ◽  
Author(s):  
Luciana M.B. Stoffel ◽  
Francisco Wilker M.G. Muniz ◽  
Paulo R.G. Colussi ◽  
Cassiano K. Rösing ◽  
Eliane L. Colussi

2020 ◽  
Vol 8 (E) ◽  
pp. 284-290
Author(s):  
Mirjana Kralj-Vasilj ◽  
Štefica Mikšić ◽  
Nikolina Farčić ◽  
Dunja Degmenčić ◽  
Maja Miškulin ◽  
...  

BACKGROUND: According to the Gerontological Health Statistics for Croatia, the number of elderly people in Croatia is increasingly growing. The UN classification ranks the Republic of Croatia as the country which belongs to group four of the European countries with elderly population. AIM: The aim of this paper is to examine cognitive functioning and life quality of the elderly. SUBJECTS AND METHODS: A total of 156 participants took part in the study. The cross-sectional study was conducted from March 2016 to October 2016 in the Osječko-baranjska County, Croatia. The World Health Organization quality of life (QOL)-BREF scale was used to test the QOL; cognitive functioning was tested using mini-mental state examination (MMSE) questionnaire. RESULTS: A total of 156 subjects were tested during the study. The MMSE questionnaire for cognitive abilities and dementia assessment: 83 (53%) participants scored 24 or more which indicates a normal result. The participants whose results indicate the presence of disorders also have notably lower life quality in all domains. The participants suffering only from a physical illness exhibit significantly lower values in the environmental domain (Mann–Whitney U-test, p = 0.010) when compared to those suffering both from physical and mental illness whose results show extremely low values in practically all the segments regarding the QOL. The values of the cognitive functioning questionnaire are related to the life quality domains; the strongest connection relates to mental health (Spearman’s rank correlation coefficient Rho = 0.493 p < 0.001) and the weakest connection refers to social functioning. CONCLUSION: After reaching a certain age, the elderly seems to exhibit the lowering in cognitive functioning which consequently reflects on lowering of the life quality as well. The problems regarding the QOL occur as a direct consequence of the gap between the possibilities of the elderly and the demands and conditions set by modern life.


2011 ◽  
Vol 4 (5) ◽  
pp. 509-511
Author(s):  
Pranay Gandhi ◽  
◽  
Sunita Sharma ◽  
Prateek Gandhi

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