Showing papers in "Journal of the American Medical Directors Association in 2017"

TL;DR: The recommendations provided herein are intended for use by healthcare providers in their management of older adults with frailty in the Asia Pacific region and it is proposed that regional guideline support committees be formed to help provide regular updates to these evidence-based guidelines.

TL;DR: Comprehensive geriatric assessment (CGA) is a multidisciplinary diagnostic and treatment process that identifies medical, psychosocial, and functional capabilities of older adults to develop a coordinated plan to maximize overall health with aging.

TL;DR: A systematic review and meta-analysis showed some positive effects of exercise and nutritional interventions for treating sarcopenia in older people, although the quality of the evidence was low.

TL;DR: This meta-analysis has identified the high prevalence of depressive and anxiety symptoms among caregivers of stroke survivors, which were 40.2% and 21.4%, respectively, and female sex of caregivers and stroke survivors as well as Caucasian race were associated with higher prevalence of depression.

TL;DR: Although moreeffective than usual care in improving mood states and agitation, PARO was only more effective than a plush toy in encouraging engagement.

TL;DR: The current literature does not allow to make conclusive recommendations about the use of muscle ultrasound in geriatric practice, but this technique is very promising, and further studies should validate its applications in the context of sarcopenia assessment.

TL;DR: Pre-frailty and frailty with impaired cognitive function, found in 10.7% of this dementia-free population, was associated with an evidently high risk of adverse health outcomes.

TL;DR: A systematic review and meta-analysis revealed that malnutrition and physical frailty in community-dwelling older adults are related, but not interchangeable geriatric syndromes.

TL;DR: There is an evidence-based and effective treatment for OD in the elderly mainly oriented to compensating swallow impairments through adaptation of fluid viscosity and solid food textures to avoid aspiration and choking, and improving nutritional status and oral health to avoid respiratory infections.

TL;DR: Grip strength was an independent predictor of all-cause mortality and cardiovascular diseases in community-dwelling populations and did not differ by sex, and remained after excluding participants with cardiovascular diseases or cancer at baseline.

TL;DR: To address the challenges of DSD diagnosis, a framework for guiding the focus of future research efforts to develop a reliable reference standard is presented, which will improve the ability to clinically diagnose DSD in facility-based patients and research studies.

TL;DR: Polypharmacy is associated with a higher incidence of frailty over 8-year follow-up period and the data suggest evidence of a dose response relationship.

TL;DR: Paro shows promise in enhancing affective and social outcomes for certain individuals with dementia in a community context and subanalyses showed that care recipients with less cognitive impairment responded significantly better to Paro.

TL;DR: Frailty and malnutrition are related but distinct conditions in community-dwelling older adults and both frail/prefrail elderly and those who are malnourished/at nutritional risk should be identified early and offered suitable interventions.

TL;DR: It is indicated that long-term adherence to the DASH diet is important to maintain cognitive function at older ages, irrespective of apolipoprotein E ε4 allele status.

TL;DR: The SGRQ, CAT, CCQ, and HADS are responsive to pulmonary rehabilitation in patients with COPD, and new MCIDs are proposed ranging between -3.0 and -2.0 points for CAT; -0.8 to -1.5 points for HADS-Depression.

TL;DR: Curcumin appears to be safe, well-tolerated, and efficacious among depressed patients, and more robust randomized controlled trials with larger sample sizes and follow-up studies carried out over a longer duration should be planned to ascertain its benefits.

TL;DR: It is suggested that non-AD, but not AD dementia, is associated with increased falls in comparison with CHIs, and the association between gait parameters and falls also differs across cognitive status, suggesting different mechanisms leading to falls in older individuals with dementia in comparison to CHIs who fall.

TL;DR: A model of reversible cognitive frailty was a short- and long-term predictor of all-cause mortality and overall dementia, particularly VaD.

TL;DR: In studies with adequate methods (new user design), PIM use, defined by Beers criteria or the HEDIS-DAE list, was associated with a 1.6-fold increased mortality in older adults, and Physicians should avoid prescribing PIM for older adults whenever feasible.

TL;DR: The classification of frailty status by t-KCL score could be a significant tool to predict the incidences of dependency and mortality in older adults.

TL;DR: Frailty, measured by the FRAIL scale, was associated with increase LOS, complications after surgery, and discharge to rehabilitation facility in geriatric fracture patients and is a promising short screen to stratify and help operationalize the perioperative care of older surgical patients.

TL;DR: Healthy Older People Everyday (HOPE) as mentioned in this paper is an epidemiologic population-based study on community-dwelling older adults aged 65 years and older in Singapore.

TL;DR: Muscle mass and strength curves may be used to extract reference values for subsequent use in research as well as in the clinical setting, and the analyses of trajectories of muscle parameters may help identify cutoffs for the estimation of risk of adverse events.

TL;DR: Long-term cognitive leisure activity programs involving dance or playing musical instruments resulted in improvements in memory and general cognitive function compared with a health education program in older adults with MCI.

TL;DR: One in 4 people with COPD and 1 in 3 people with CHF had MCI, respectively, and future work should consider ways of detecting, managing, or improving cognitive function and other cognition-related outcomes in this group of people.

TL;DR: Serum zonulin was associated with both systemic inflammation and 2 key indices of physical frailty, suggesting that a leaky gut may play a critical role in the development of age-related inflammation and frailty.

TL;DR: It is revealed that social frailty is associated with both cognitive and physical function among Japanese older adults andSocial frailty status was also negatively associated with physical function.

TL;DR: The social frailty index alone or in combination with the PF index has clinical relevance and utility for identifying and stratifying older people at risk of disability.