Integrating functional ageing into daily clinical practice

Michel, Jean‐Pierre; Ecarnot, Fiona

doi:10.22540/jfsf-04-030

Cited by 6 publications

(6 citation statements)

References 41 publications

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“…It was believed that the hospital stay was prolonged because hospital admissions were due to complications and accompanying geriatric syndromes such as pressure sores and delirium were common in patients. Considering the increasing prevalence of chronic conditions with age and the occurrence of chronic conditions mostly in the elderly, it is believed that the progression of diseases and the development of complications may affect individual and social well-being by placing greater burdens on both the patients and the healthcare system (20).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of patients hospitalized in a geriatrics clinic during normalization process of SARS CoV-2

et al. 2021

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Aim: The pandemic of Severe Acute Respiratory Syndrome-Coronavirus-2 was more severe and more fatal for elders and individuals who have chronic diseases. The treatment may be delayed due to the elders' "fear of infection" in hospitals. This study aimed to evaluate the data of older patients who were admitted to the Geriatrics clinic in the normalization period. Materials and Methods: The data was retrieved between June-August 2020, retrospectively from the file database for older patients who were hospitalized in a geriatrics clinic of a university hospital. Results: 23 patients were included in the study and their mean age was 81.4±7.4 years. The most common symptoms at admission were changes in consciousness, weight loss, and malnutrition, respectively. The duration of symptoms was less than a month in 56.5% of patients, 1-3 months in 17.4% of patients, and more than 3 months in 26.1% of patients. The most common indications were delirium, urinary tract infection, and acute renal failure, respectively 73.9% of patients applied from the outpatient clinics and 26.1% from the emergency clinic. The mean hospitalization duration was 24.2 ± 17,2 days. 43.5% of patients had delirium and 21.7% had pressure ulcers during their hospitalization. Conclusion:The hospitalization indications had variations, outpatient hospitalizations were higher, and the duration of hospitalization was longer during normalization process of SARS CoV-2. Approximately, half of the patients had symptoms for more than a month and it is an important point to be investigated. In addition, geriatric syndromes such as delirium and pressure ulcer increased in this process.

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Section: Discussionmentioning

confidence: 99%

Evaluation of patients hospitalized in a geriatrics clinic during normalization process of SARS CoV-2

et al. 2021

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“…The most widely used concept is the Fried physical frailty phenotype, which defines frailty based on three or more of the following five symptoms: unintentional weight loss, slowness, weakness, exhaustion, and low physical activity [5]. Yet, functional decline due to sarcopenia is in the core of frailty syndrome [6].…”

Section: The "Unhappy Triad"mentioning

confidence: 99%

Sarcopenia in Older Adults

Carmeli¹

2021

Background and Management of Muscular Atrophy

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Sarcopenia has become of great interest and focus of many studies since this phenomenon affects many people. Moreover, sarcopenia is associated with two more pandemic phenomena: frailty and obesity. These health-related conditions are increasing in western countries in general and in the older population in particular. Each of such health conditions relates to functional decline, yet the combination of two or three of them in one person severely affects quality of life and longevity. Aged individuals who are less physically active are more likely to develop sarcopenic obesity, and those who are obese with muscle weakness and inactive are disposed to become frail individuals. Hence, frailty and obesity overlap profoundly with the physical manifestations of sarcopenia of aging. These "unhappy" triads encompasses a wider range of geriatric decline that also includes cognitive, psychology and social deterioration associated with adverse outcomes. Nevertheless, this chapter focuses only on sarcopenia and will review the pathophysiological background of age-related decline in muscle mass and strength.

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“…Functional decline in ADL in elderly individuals cannot be attributed to a single domain [9][10][11]. Studies have demonstrated that lifestyle factors, including physical activity, diet, and smoking, are associated with functional ability in elderly people and may have positive/negative effects on functional disability [9][10][11]. Longitudinal studies have suggested that regular physical activity is associated with reduced mortality and risk of physical disability [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Changes in Combined Lifestyle Risks and the Transition of Activities of Daily Living in the Elderly Population of Taiwan: Evidence from the Taiwan Longitudinal Study on Aging

Chang,

Lin,

Chang

et al. 2024

Nutrients

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Functional ability decline occurs with age. This study aims to investigate the associations between the lifestyle factors—exercising, food consumption, and smoking—and the functional ability of the activities of daily living (ADL) by gender. The data were obtained from the Taiwan longitudinal study on aging, a national cohort study. The cross-sectional results demonstrated that the frequency of exercising was negatively associated with ADL in both men and women. Dairy products were positively associated with ADL in men. The longitudinal results illustrated that current and consistent exercising were negatively associated with changes in ADL scores over 4- and 8-year periods in both men and women. Seafood consumption was negatively associated with changes in the subsequent 4-year ADL scores. Past smoking was positively associated with changes in subsequent 4-year ADL scores in men, while current smoking was positively associated with changes in subsequent 8-year ADL scores in women. Therefore, consistent exercising, food consumption, and smoking were associated with ADL functional ability in elderly people, and the associations differed by gender. Elders exercising consistently had good ADL performance and maintained their ADL ability better, especially women. Seafood consumption decreased the risk of ADL decline, while smoking increased the risk of ADL decline.

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Integrating functional ageing into daily clinical practice

Cited by 6 publications

References 41 publications

Evaluation of patients hospitalized in a geriatrics clinic during normalization process of SARS CoV-2

Evaluation of patients hospitalized in a geriatrics clinic during normalization process of SARS CoV-2

Sarcopenia in Older Adults

Changes in Combined Lifestyle Risks and the Transition of Activities of Daily Living in the Elderly Population of Taiwan: Evidence from the Taiwan Longitudinal Study on Aging

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