Correlates of institutionalization among the oldest old—Evidence from the multicenter AgeCoDe‐AgeQualiDe study

Hajek, André; Luppa, Melanie; Brettschneider, Christian; Leeden, Carolin van der; Bussche, Hendrik van den; Oey, Anke; Wiese, Birgitt; Weyerer, Siegfried; Werle, Jochen; Fuchs, Ângela; Pentzek, Michael; Löbner, Margrit; Stein, Janine; Weeg, Dagmar; Bickel, Horst; Heser, Kathrin; Wagner, Michael; Scherer, Martin; Maier, Wolfgang; Riedel‐Heller, Steffi G.; König, Hans‐Helmut

doi:10.1002/gps.5548

Cited by 15 publications

(14 citation statements)

References 25 publications

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“…Furthermore, main professional home care services were included in our study. It should be noted that some selection bias has been identified in the respective studies [e.g., (37)]. Furthermore, our results reflect the use of professional home care at baseline in all studies.…”

Section: Discussionsupporting

confidence: 59%

Frequency and gender differences in the use of professional home care in late life. Findings from three German old-age cohorts

et al. 2022

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AimThe aim of this study was to investigate the frequency of and the gender differences in the use of professional home care in Germany.MethodsWe used harmonized data from three large cohort studies from Germany (“Healthy Aging: Gender-specific trajectories into the latest life”; AgeDifferent.de Platform). Data were available for 5,393 older individuals (75 years and older). Mean age was 80.2 years (SD: 4.1 years), 66.6% were female. Professional homecare outcome variables were use of outpatient nursing care, paid household assistance, and meals on wheels' services. Logistic regression models were used, adjusting for important sociodemographic variables.ResultsAltogether 5.2% of older individuals used outpatient nursing care (6.2% women and 3.2% men; p < 0.001), 24.2% used paid household assistance (26.1% women and 20.5% men; p < 0.001) and 4.4% used meals on wheels' services (4.5% women and 4.0% men; p = 0.49). Regression analysis revealed that women had higher odds of using paid household assistance than men (OR = 1.48, 95% CI: [1.24–1.76]; p < 0.001), whereas they had lower odds of using meals on wheels' services (OR = 0.64, 95% CI: [0.42–0.97]; p < 0.05). No statistically significant differences in using outpatient nursing care between women and men were found (OR = 1.26, 95% CI: [0.87–1.81]; p = 0.225). Further, the use of home care was mainly associated with health-related variables (e.g., stroke, Parkinson's disease) and walking impairments.ConclusionsOur study showed that gender differences exist in using paid household assistance and in culinary dependency. For example, meals on wheels' services are of great importance (e.g., for individuals living alone or for individuals with low social support). Gender differences were not identified regarding outpatient nursing care. Use of professional home care services may contribute to maintaining autonomy and independence in old age.

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Section: Discussionsupporting

confidence: 59%

Frequency and gender differences in the use of professional home care in late life. Findings from three German old-age cohorts

et al. 2022

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“…The relationship between changes in these clinical factors and older individuals' behavior in using health services should be investigated in further studies. While the baseline assessment of the AgeCoDe study was nearly representative for older adults living in urban areas in Germany ( 44 ), it should be acknowledged that some selection and attrition bias cannot be ruled out in the AgeCoDe/AgeQualiDe study ( 45 ). Individuals with severe impairments did not participate in the study.…”

Section: Discussionmentioning

confidence: 99%

Factors Contributing to Persistent Frequent Attendance in Primary Care Among the Oldest Old: Longitudinal Evidence From the AgeCoDe-AgeQualiDe Study

et al. 2022

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ObjectiveSince there is a lack of longitudinal studies in this area, our aim was to identify the determinants of persistent frequent attendance in primary care among the oldest old in Germany.MethodsLongitudinal data (follow-up wave 7–9) were taken from the multicenter prospective cohort “Study on needs, health service use, costs, and health-related quality of life in a large sample of oldest-old primary care patients (85+)” (AgeQualiDe), covering primary care patients ≥ 85 years (FU7 n = 741, mean age 88.9 years (SD 2.9; 85–100)). Persistent frequent attenders of general practitioner (GP) services (the patients in the top decile of the number of GP consultations in two or more consecutive waves) were our main outcome of interest. Logistic random-effects models were used.ResultsOur analysis included 1,891 observations (766 individuals). Across three waves, we identified 56 persistent frequent attenders. Results of random-effects logistic regressions showed that the odds of being persistent frequent attender were higher for widowed individuals (OR = 4.57; 95% CI [1.07–19.45]). Moreover, a one-point increase in the frailty score and having one more chronic condition increased the odds of being a persistent frequent attender by 68% (OR =1.68; 95% CI [1.05–2.69]) and 23% (OR=1.23, 95% CI [1.05–1.44]), respectively.ConclusionOur study stressed the longitudinal association between frailty and widowhood as well as chronic diseases and persistent frequent attendance among the oldest old in Germany.

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“…In addition, the main mechanisms underlying the effects of RT on neuromuscular function and cognition seems to be significantly affected by age (125)(126)(127)(128). Regarding the setting of recruitment, older adults admitted to LTI are often socially isolated, have more depressive symptoms, a high prevalence of disability and multimorbidity, and increased cognitive decline (129)(130)(131). In the course of time, institutionalization can make things worse by contributing with the exacerbating of preexisting conditions and with the development of new ones (132)(133)(134)(135).…”

Section: Limitationsmentioning

confidence: 99%

Effects of Low-Speed and High-Speed Resistance Training Programs on Frailty Status, Physical Performance, Cognitive Function, and Blood Pressure in Prefrail and Frail Older Adults

Coelho-Júnior

Uchida

2021

Front. Med.

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Aim: The current study investigated the effects of low-speed resistance training (LSRT) and high-speed resistance training (HSRT) on frailty status, physical performance, cognitive function and blood pressure in pre-frail and frail older people.Material and Methods: Sixty older adults, 32 prefrail and 28 frail, were randomly allocated into LSRT, HSRT, and control group (CG). Before and after intervention periods frailty status, blood pressure, heart rate, and a set of physical performance capabilities and cognitive domains were assessed. Exercise interventions occurred over 16 weeks and included four resistance exercises with 4–8 sets of 4–10 repetitions at moderate intensity.Results: The prevalence of frailty criteria in prefrail and frail older adults were reduced after both LSRT and HSRT. In prefrail, LSRT significantly improved lower-limb muscle strength, while mobility was only improved after HSRT. Muscle power and dual-task performance were significantly increased in both LSRT and HSRT. In frail, LSRT and HSRT similarly improved lower-limb muscle strength and power. However, exclusive improvements in dual-task were observed after LSRT. Memory was significantly increased in prefrail and frail, regardless of the type of resistance training. No significant changes were observed in blood pressure and heart rate.Conclusion: Findings of the present study indicated that both LSRT and HSRT reversed frailty status and improved physical performance in prefrail and frail older adults. Notably, different patterns of improvement were observed among RT protocols. Regarding frailty status, LSRT seemed to be more effective in reverse prefrailty and frailty when compared to HSRT. Greater improvements in muscle strength and power were also observed after LSRT, while HSRT produced superior increases in mobility and dual-task performance. One-leg stand performance was significantly reduced in LSRT, but not HSRT and CG, after 16 weeks. In contrast, RT programs similarly improved verbal memory in prefrail. Finally, no changes in blood pressure and heart rate were observed, regardless of the type of RT.Trial Registration: The protocol was approved by the University of Campinas Human Research Ethics Committee (Protocol No. 20021919.7.0000.5404) and retrospectively registered at ClinicalTrials.gov Protocol Registration and Results System: NCT04868071.

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Correlates of institutionalization among the oldest old—Evidence from the multicenter AgeCoDe‐AgeQualiDe study

Cited by 15 publications

References 25 publications

Frequency and gender differences in the use of professional home care in late life. Findings from three German old-age cohorts

Frequency and gender differences in the use of professional home care in late life. Findings from three German old-age cohorts

Factors Contributing to Persistent Frequent Attendance in Primary Care Among the Oldest Old: Longitudinal Evidence From the AgeCoDe-AgeQualiDe Study

Effects of Low-Speed and High-Speed Resistance Training Programs on Frailty Status, Physical Performance, Cognitive Function, and Blood Pressure in Prefrail and Frail Older Adults

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