Journal of the American Geriatrics Society,
Год журнала:
2024,
Номер
72(9), С. 2759 - 2769
Опубликована: Июль 1, 2024
Abstract
Background
Type
2
diabetes
mellitus
and
overweight/obesity
increase
healthcare
costs.
Both
are
also
associated
with
accelerated
aging.
However,
the
contributions
of
this
aging
to
increased
costs
unknown.
Methods
We
use
data
from
a
8‐year
longitudinal
cohort
followed
at
16
U.S.
clinical
research
sites.
Participants
were
adults
aged
45–76
years
established
type
overweight
or
obesity
who
had
enrolled
in
Action
for
Health
Diabetes
trial.
They
randomly
(1:1)
assigned
either
an
intensive
lifestyle
intervention
focused
on
weight
loss
versus
comparator
support
education.
A
validated
deficit
accumulation
frailty
index
(FI)
was
used
characterize
biological
Discounted
annual
estimated
using
national
databases
2012
dollars.
Descriptive
characteristics
collected
by
trained
certified
staff.
Results
Compared
participants
lowest
tertile
(least
frail)
baseline
FI,
those
highest
(most
Year
1
averaged
$714
(42%)
higher
medication
costs,
$244
(22%)
outpatient
$800
(134%)
hospitalization
(
p
<
0.001).
At
Years
4
8,
relatively
greater
increases
FI
(third
vs.
first
tertile)
approximate
doubling
total
Mean
(95%
confidence
interval)
relative
savings
randomization
$437
($195,
$579)
per
year
during
1–4
$461
($232,
$690)
1–8.
These
attenuated
95%
interval
no
longer
excluded
$0
after
adjustment
differences
baseline.
Conclusions
Deficit
tracks
well
among
obesity.
It
may
serve
as
useful
marker
project
needs
intermediate
outcome
trials.
Healthcare,
Год журнала:
2024,
Номер
12(6), С. 678 - 678
Опубликована: Март 18, 2024
Introduction:
Self-managed
exercise
and
nutrition
interventions
can
alleviate
pre-frailty
frailty
but
understanding
of
adherence
to
them
is
lacking.
This
study
aimed
explore
the
experiences
of,
barriers
enablers
to,
a
hospital-to-home
self-managed
combined
program
for
hospitalised
older
adults
living
with
frailty.
Methods:
A
hybrid
approach
data-
theory-driven
descriptive
thematic
analysis
identified
experiences,
barriers,
participation
in
3-month,
self-managed,
exercise–nutrition,
frailty-support
program.
Pre-frail
frail
adult
patients
≥
65
years
admitted
acute
medical
unit
at
South
Australian
tertiary
hospital
were
recruited.
Individual
semi-structured
interviews
audio-recorded,
transcribed
verbatim,
analysed
descriptively,
using
Theoretical
Domains
Framework.
Results:
The
component
found
11
common
18
enablers.
included
14
24
Intentions,
Social
influences,
Environmental
context/resource
Emotions
served
as
primary
towards
both
components.
Common
components
Knowledge,
identity,
context/resource,
Emotions.
Conclusions:
research
revealed
important
factors
affecting
exercise–nutrition
pre-frail
within
environment,
resources,
emotion
domains
that
should
be
considered
when
designing
other
intervention
programs
this
population
group.
Archives of Gerontology and Geriatrics,
Год журнала:
2024,
Номер
125, С. 105480 - 105480
Опубликована: Май 9, 2024
Frailty,
a
prevalent
geriatric
syndrome,
presents
challenges
exacerbated
by
malnutrition.
Nutritional
Management
Interventions
(NMIs)
offer
hope
in
frailty
reversal,
necessitating
exploration
of
their
multi-dimensional
outcomes.
Art of Medicine,
Год журнала:
2025,
Номер
unknown, С. 117 - 123
Опубликована: Янв. 2, 2025
The
article
is
devoted
to
the
problem
of
supporting
physical
and
psychological
well-being
elderly.
relevance
topic
"The
role
rehabilitation
in
maintaining
health
improving
quality
life
elderly"
due
increase
number
elderly
people
population
need
support
their
well-being.
Ageing
accompanied
by
decreased
activity
functional
capabilities
an
increased
risk
developing
chronic
diseases,
negatively
affecting
life.
Physical
essential
elderly,
mobility,
reducing
falls,
increasing
overall
vitality.
Because
effectiveness
programs
can
vary,
research
this
area
will
help
develop
optimal
strategies
improve
older
adults.
This
examines
importance
for
people.
primary
attention
paid
impact
on
general
state
health,
purpose
work
study
evaluate
various
types
exercises
age-related
diseases.
Different
exercises,
including
aerobic,
strength,
flexibility
balance
were
analyzed
context
these
symptoms
functions
falls
has
been
studied.
Balance
strength
training
effectively
decrease
frequency
related
injuries.
Multi-component
exercise
that
combine
balance,
aerobic
are
particularly
effective.
Regular
found
muscle
endurance,
which
turn
positively
affects
pays
special
practical
aspects
implementation,
development
individualized
adapted
unique
needs
each
individual.
constant
monitoring
progress
adjustment
according
individual
results
indicated.
In
general,
emphasizes
as
a
tool
also
provides
recommendations
application
programs.
While
beneficial,
adherence
remains
challenge.
Strategies
include
personalized
plans,
ongoing
from
healthcare
providers,
community-based
varies
among
individuals.
Tailoring
meet
specific
person
maximizing
benefits.
Further
be
aimed
at
establishing
methods
rehabilitation.
interest
medical
workers,
scientists,
representatives
care
authorities,
families,
well
public
charitable
organizations.
BMC Health Services Research,
Год журнала:
2025,
Номер
25(1)
Опубликована: Апрель 29, 2025
Restorative
care
is
a
goal-oriented,
time-limited,
multidisciplinary
approach
to
address
functional
decline
in
older
adults.
Within
Australia,
one
form
of
restorative
available
community-dwelling
adults
the
Short-Term
Care
(STRC)
Programme.
Australian
government
expenditure
on
such
services
high,
yet
research
programme
outcomes
scarce.
The
primary
aim
this
study
was
provide
descriptive
analysis
STRC
participant
and
outcome
data
from
clients'
first
episode
with
large,
aged
provider
New
South
Wales
(NSW),
Australia.
Secondary
aims
were:
(i)
examine
any
associations
between
client
demographic
measures
routinely
collected,
(ii)
consider
suitability
for
broader
sector
use
clinical
collected
by
provider.
A
retrospective,
cohort
1
March
2021
28
February
2023
not-for-profit
NSW,
Client
used
(modified
Barthel
Index,
Mini
Nutritional
Assessment
short
form,
Clinical
Frailty
Scale,
Patient-Reported
Outcomes
Measurement
Information
System
10-Question
-
global
health,
Goal
Attainment
Scale
light)
were
collected.
Descriptive
inferential
analyses
completed
explore
data.
Four
hundred
eighty-four
clients
included
study.
mean
age
81.5
(7.6)
majority
female
(56%),
born
Australia
(49%),
had
normal
nutritional
status
entry
(54%),
classified
as
either
pre-frail
or
mildly
frail
(66%).
modified
light
all
showed
statistically
significant
improvements.
Almost
remaining
their
own
home
after
exit
Programme
(99%).
This
looked
at
detailed
large
sample
over
multiple
years
single
provider,
findings
suggest
it
an
effective
program
insights
into
different
used,
identify
those
that
work
well
population,
need
further
consideration.
Current Opinion in Clinical Nutrition & Metabolic Care,
Год журнала:
2024,
Номер
28(1), С. 1 - 5
Опубликована: Дек. 11, 2024
Considering
the
ageing
of
population,
age-related
syndromes,
such
as
frailty,
are
prominent.
In
this
context,
nutrition
is
a
modifiable
factor
considered
key
nonpharmacological
approach
to
prevention
and
treatment.
Yet,
its
contribution
frailty
pathophysiology
conflicting
in
literature.
This
paper
discusses
recent
literature
(January
2023-June
2024)
on
implication
management.
Yonago acta medica,
Год журнала:
2024,
Номер
67(2), С. 80 - 92
Опубликована: Янв. 1, 2024
This
review
aimed
to
clarify
the
concept
of
self-management
in
context
physical
frailty
and
provide
insights
that
support
development
interventions
prevent
frailty.
A
analysis
using
thirty-three
studies
was
performed,
six
attributes
"self-management
frailty"
were
identified:
{Cooperating
with
healthcare
professionals
or
familiar
persons},
{Investing
managing
resources},
{Acquisition
maintenance
individualized
strategies},
{Self-directed
process},
{Goal
setting
personalized
action
planning}
{Living
one's
own
health
condition
a
positive
attitude}.
Self-management
can
be
defined
as
process
which
an
individual
independently
sets
goals
plans,
engages
strategies
such
exercise
nutritional
management,
lives
attitude
by
collaborating
others,
addition
utilizing
resources.
To
strategies,
based
on
learning
theories
lead
cognitive,
emotional,
behavioral
changes
is
necessary.
Cancers,
Год журнала:
2024,
Номер
16(12), С. 2212 - 2212
Опубликована: Июнь 13, 2024
A
prospective
observational
study
was
conducted
in
a
cohort
of
older
adults
≥65
years
(n
=
329),
admitted
to
the
acute
medical
unit
(AMU)
tertiary
hospital,
describe
and
compare
characteristics
including
frailty
status
clinical
outcomes.
Multivariable
models
compared
with
without
history
cancer
determine
associated
pre-frailty.
An
adjusted
Poisson
regression
model
used
length
hospital
stay
(LOS)
between
two
groups.
About
one-fifth
(22%)
had
cancer.
The
most
common
types
were
prostate
20),
breast
13),
lung
8)
gastrointestinal
8).
There
no
difference
prevalence
pre-frailty/frailty
among
patients
or
(58%
vs.
57%,
p
>
0.05).
Pre-frailty/frailty
polypharmacy
(OR
8.26,
95%
CI:
1.74
39.2)
malnutrition
8.91,
2.15
36.9)
Adjusted
analysis
revealed
that
risk
having
longer
LOS
24%
higher
than
those
(IRR
1.24,
CI
1.10
1.41,
<
0.001).
Clinicians
AMU
should
be
aware
have
without.
