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Latest & greatest articles for elderly
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has resulted in many countries implementing physical distancing and restriction of movement, particularly for older adults and other vulnerable populations. This requires millions of olderpeople to remain in their homes, many of whom may be isolated from their usual social support network ( ). Olderpeople are the group most at risk in relation to COVID‐19 ( ), and in addition to the many isolating at home, many others are currently confined to nursing homes, rooms in oldage homes and frail care (...) review, we considered olderpeople to be aged 65 years or above. We considered video calls to be calls made via the internet, using computers, tablets or smartphones. COVID‐19 is spreading rapidly, so we needed to answer this question quickly. This meant that we shortened some steps of the normal Cochrane Review process. Two review authors checked 25% of our search results for studies and one review author checked the remaining 75% of our results, where normally two review authors would check all
Corrigendum to: Effects of Transcranial Direct Current Stimulation on Episodic Memory in Older Adults: A Meta-analysis. 31889195 2019 12 31 1758-5368 2019 Dec 31 The journals of gerontology. Series B, Psychological sciences and social sciences J Gerontol B Psychol Sci Soc Sci Corrigendum to: Effects of Transcranial Direct Current Stimulation on Episodic Memory in Older Adults: A Meta-analysis. gbz159 10.1093/geronb/gbz159 Huo Lijuan L Zhu Xinyi X Zheng Zhiwei Z Ma Jialing J Ma Zhuoya Z Gui
Longevity of indirect restorations cemented with self-adhesive resin luting with and without selective enamel etching. A Systematic review and meta-analysis. To investigate the influence of the selective etching in the survival rates of indirect restorations cemented with self-adhesive resin luting.The eligibility criteria were formulated based on PICOS strategy. The search without restrictions was performed in PubMed/Medline, the Cochrane Library, Web of Science, Scopus, LILACS databases (...) screening, removal of duplicates and eligibility criteria application, two studies were selected for this systematic review, with 65 participants (34 in one and 31 in the other). The pooled meta-analysis demonstrated no statistically significant difference in clinical longevity for selective etching in indirect restorations (P > .05; I2 = 0%) and risk ratio of 0.46 [0.19-1.09].Based on the findings, the results of this systematic review suggest that the selective enamel etching prior to application
of Science) comparing novel non-vitamin K antagonist oral anticoagulants (NOACs) with Vitamin K antagonists (VKA) in the elderly population (≥75 years-old) in atrial fibrillation (AF). Risk ratios (RR) were calculated using a random effects model. Trial sequential analysis (TSA) was performed in statistically significant results to evaluate whether cumulative sample size was powered.Four trials rendered data about elderly (≥75 years-old) and younger patients (<75 years-old) with AF. NOACs demonstrated (...) Non-vitamin K antagonist oral anticoagulants in elderly patients with atrial fibrillation: A systematic review with meta-analysis and trial sequential analysis. Elderly population is known to be associated with polymedication, comorbidities and altered drug pharmacokinetics. However, the most adequate oral anticoagulant, attending to its relative efficacy and safety, remains unclear.We searched for phase III randomized controlled trials (MEDLINE, Cochrane Library, SciELO collection and Web
Immunogenicity and safety of human papillomavirus vaccine coadministered with other vaccines in individuals aged 9-25â€¯years: A systematic review and meta-analysis. Adolescents and young adults are at a high risk of developing human papillomavirus (HPV) infections, which can be prevented with the use of vaccines. Moreover, a combined immunization strategy for administration of HPV vaccines with other routine vaccines may lead to better compliance. We aim to comprehensively evaluate (...) immunogenicity and safety in the case of concomitantly administered HPV vaccine in individuals aged 9-25 years.Relevant studies, published up to December 27, 2018, were identified through searches of Medline/PubMed, EMBASE, Web of Knowledge. The pooled relative risk (RR) of immunogenicity and safety information pertaining to the concomitant administration of HPV vaccines with other routine vaccines in healthy participants aged 9-25 years were evaluated.A total of 13 papers (11,657 participants) were included
Effects of Physical Activity Governmental Programs on Health Status in Independent Older Adults: A Systematic Review. This systematic review analyzes the evidence of the effects of physical activity governmental programs oriented toward the health of independent older adults. Medline, Web of Science, PsycINFO, and Psychology & Behavioral Sciences Collection databases were used for data mining, and the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols recommendations (...) were followed. Five studies (n = 2,545 participants) fulfilled the established inclusion criteria. The physical activity programs had beneficial effects on the older adults' quality of life, fall risk, activities of daily living, physical activity levels, nutritional risk, body mass index, arterial pressure, resting heart rate, blood glucose, triglycerides, and/or cholesterol, but did not significantly alter their body fat mass percentage. Programs involving diverse physical capacities seem
The Effect of Active Physical Training Interventions on Reactive Postural Responses in Older Adults: A Systematic Review. A variety of physical interventions have been used to improve reactive balance in older adults.To summarize the effectiveness of active treatment approaches to improve reactive postural responses in community-dwelling older adults.Systematic review guided by PRISMA guidelines.A literature search included the databases PubMed, OVID, CINAHL, ClinicalTrials.gov, OTseeker (...) clinically feasible training methods have the potential to improve reactive postural responses in older adults; however, conclusions on the efficacy of treatment methods are limited because of numerous methodological issues and heterogeneity in outcomes and intervention procedures.
Non-pharmacological interventions for older adults with depressive symptoms: a network meta-analysis of 35 randomized controlled trials. Objective: To assess the effectiveness of non-pharmacological interventions for seniors with depressive symptoms.Methods: A comprehensive literature search was performed. We conducted network meta-analysis in two ways, intervention classes (psychosocial, psychotherapy, physical activity, combined, treatment as usual) and individual intervention (11 categories (...) ). Whenever included studies used different scales, the different instruments were converted to the units of the scale most frequently used (the Geriatric Depression Scale), such that the effect size was reported as a mean difference (MD) with 95% confidence interval (CI). The risk of bias of RCTs included in this review was assessed according to the Cochrane Handbook. Bayesian NMA was conducted using R-3.4.0 software.Results: A total of 35 RCTs with 3,797 enrolled patients were included. Compared
Effects of resistance training on self-reported disability in older adults with functional limitations or disability - a systematic review and meta-analysis. Self-reported disability has a strong negative impact on olderpeople's quality of life and is often associated with the need for assistance and health care services. Resistance training (RT) has been repeatedly shown to improve muscle function (e.g. strength) and functional capacity (e.g. gait speed, chair-rise) in older adults (...) effects on objective measures of lower body functional capacity were significantly associated with effects on self-reported disability (Adj. R2 = 99%, p = 0.002, n = 12 studies), whereas no significant associations with gait capacity or knee extensor strength were found.This review provides evidence that RT has a moderate positive effect on self-reported disability/function in oldpeople with or at risk for disability. The effects are strongly associated with effects on objective measures of lower
of populations aged 50 and older, publications after 2004, clearly defined hearing loss measurements, and non-aggregated, appropriate outcome variables. We excluded deafness, specified hearing losses, and cochlear implant users.Fifteen mortality studies, four hospitalization studies, and one readmission study were identified. After adjustments, three mortality, three hospitalization, and the one readmission study found significant associations.Hearing loss was associated with an increased risk (...) Associations among hearing loss, hospitalization, readmission and mortality in older adults: A systematic review. Older adults with hearing loss face many challenges impacting health outcomes. The objective of this review was to evaluate current evidence for associations among hearing loss, hospitalizations, readmissions and mortality in older adults living with hearing loss.A systematic search, of PubMed, CINAHL and Embase was performed in October 2018. Studies that were included consisted
[Perceptions of sexuality in olderpeople: a systematic review of qualitative studies]. Perceptions of olderpeople about sexuality are little known. This review aimed to synthesize and analyse studies investigating these perceptions in institutionalized and in community-dwelling older people.A systematic search was developed in The Cochrane Library, Medline (Pubmed), PsycINFO, EMBASE, Web of Science, ProQuest, Cuiden, and CINHAL of articles published in both English and Spanish until April (...) 2018.1.122 articles were found, of which 11 met the inclusion criteria. Based on these articles, olderpeople wanted to preserve active sexuality. The social stereotypes, the association between sexuality and fertility and marital duty, the lack of privacy, and the harms of relatives and professionals. The older male gay and bisexual or people with HIV reflected as a barrier to the fear of disclosing their sexual orientation or any disease, respectively.Older people believe sexuality as something
BIS index monitoring and perioperative neurocognitive disorders in older adults: a systematic review and meta-analysis. Perioperative neurocognitive disorders (PND) are common in elderly patients after surgery. It has been reported that BIS-guided anesthesia potentially influenced the occurrence of PND. Therefore, we conducted this systematic review and meta-analysis to explore the associations between bispectral index (BIS) monitoring and PND.Two researchers independently searched for relevant (...) randomized controlled trials (RCTs) in PubMed, EMBASE, and the Cochrane Library (CENTRAL) using keywords related to the BIS and PND from inception to April 22, 2019. Odds ratios (OR) with 95% CI were calculated using a random effects model.Nine RCTs involving 4023 participants aged 60 years or older were included into this meta-analysis. BIS-guided anesthesia was not associated with lower incidence of POD (random effects; OR: 0.69; 95% CI 0.48, 1.01), delayed neurocognitive recovery (DNR) at 1 day, 7
Non-aspirin non-steroidal anti-inflammatory drugs in prevention of colorectal cancer in peopleaged 40 or older: A systematic review and meta-analysis. There is still insufficient data about the risk-benefit profile about recommending non-aspirin, non-steroidal anti-inflammatory drugs (NA-NSAIDs) for colorectal cancer (CRC) prevention, especially in peopleaged 40 years or older. This study specifically addressed the association between regular NA-NSAIDs use and CRC risk in the population aged (...) 40 years or older, performing a comprehensive systematic review and meta-analysis of all published studies on this topic until April 2018, by a search of PubMed, Scopus and Web of science databases and clinical trial registries. Two reviewers independently selected studies based on predefined inclusion criteria and assessed study quality using the Newcastle-Otawa scale. The data was combined with the random effects model. Potential heterogeneity was calculated as Q statistic and I2 value. A total
. Systematic searching yielded 21 articles, relating to 10 different measures. Some instruments were validated only in middle-aged and olderpeople, while others were validated in a wider age range. Measures differed in whether their items related to participants' own experiences of aging, their anticipated future aging, and/or aging in general. None of the measures had had all of its psychometric properties assessed. The Expectations Regarding Ageing-12 and the Anxiety About Ageing Scale received positive (...) A Systematic Review of the Psychometric Properties of Self-Report Measures of Attitudes to Aging. The aim of this study was to describe and systematically evaluate the psychometric properties of attitudes to aging measures that have been validated in adults younger than 60 years. Studies were assessed for methodological quality using the COnsensus-based Standards for the selection of health Measurement INstruments. Best evidence synthesis was performed to summarize the levels of evidence
Determinants of Gambling Disorders in ElderlyPeople-A Systematic Review. Background: Despite the growth in the number of studies on gambling disorders (GDs) and the potentially severe harm it may cause, problem gambling in older adults is rarely apparent in literature. Driven by the need to overcome this limitation, a broad systematic review is essential to cover the studies that have already assessed the determinants of GD in the elderly. Objectives: The aim of this systematic review (...) is to understand the determinants related to GDs in elderlypeople. Methods: A total of 51 studies met the inclusion criteria, and data were synthesized. Results: Three major types of determinants were identified in this review: individual, socio-financial and environmental. Conclusions: This review explored the determinants influencing GDs in olderpeople. The findings are relevant to academics, policymakers, patients, and practitioners interested in the identification and prevention of GD in older
Effects of Physical Exercise Programs on Sarcopenia Management, Dynapenia, and Physical Performance in the Elderly: A Systematic Review of Randomized Clinical Trials. Sarcopenia is a prevalent condition in the elderly population, imposing a significant impact over their functional ability as well as their quality of life. Furthermore, it is associated with greater incidence of major geriatric outcomes, as reduced mobility, falls, loss of independence, cognitive impairment, and all-cause (...) mortality. Physical Exercise Programs directed to improve muscle mass and its function may be key to reduce sarcopenia consequences. However, a significant heterogeneity is found in clinical trials, especially as a consequence of different exercise protocols applied to research subjects.To access the effects of physical exercise programs compared to no exercise interventions to improve sarcopenia components and its determinants in sarcopenic elder individuals.A systematic review was conducted
The art of life and death: 14 year follow-up analyses of associations between arts engagement and mortality in the English Longitudinal Study of Ageing. To explore associations between different frequencies of arts engagement and mortality over a 14 year follow-up period.Prospective cohort study.English Longitudinal Study of Ageing cohort of 6710 community dwelling adults aged 50 years and older (53.6% women, average age 65.9 years, standard deviation 9.4) who provided baseline data in 2004-05 (...) a protective association with longevity in older adults. This association might be partly explained by differences in cognition, mental health, and physical activity among those who do and do not engage in the arts, but remains even when the model is adjusted for these factors.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.