Dissertations / Theses on the topic 'Frail elderly'
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Figueiredo, Sabrina. "Nordic Walking: a new training for frail elderly." Thesis, McGill University, 2010. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=86946.
Full textThe second manuscript presents the results of a pilot study designed to provide supporting data for a future trial testing a novel walking training strategy - Nordic style pole walking. The purpose of the pilot study was to estimate, for frail elderly persons undergoing physical rehabilitation, the relative efficacy in improving functional walking capacity of two gait training interventions: Nordic Walking and Overground Walking. A randomized controlled trial of 30 participants from two rehabilitations centers of the Greater Montreal Area was carried out: 14 randomized to Nordic Walking and 16 randomized to Overground Walking. Effect sizes for Nordic Walking were moderate for 6MWT (ES = 0.5), large for gait speed (ES = 0.9), and small for fear of falling (E.S = 0.4). Overground Walking showed moderate effects sizes for 6MWT (ES = 0.5) and small ones for gait speed (E.S = 0.4) and fear of falling (E.S = 0.3). After calculating the effectiveness ratio of both interventions, Nordic Walking was 125% more effective in improving gait speed than regular Overground Walking among a frail elderly population. Future trials with large sample sizes are needed to corroborate these results.
Les personnes âgées forment la tranche de la population mondiale dont la croissance est la plus rapide. De plus, l'augmentation de l'espérance de vie grâce aux avancées technologiques en médecine va affecter de façon considérable le système de santé. En effet, le vieillissement de la population implique une diminution des fonctions physiques. Ces diminutions influence la marche et la capacité de se déplacer de façon fonctionnelle et sécuritaire. Une intervention, destinée à améliorer la marche pourrait améliorer la santé et la qualité de vie des personnes âgées fragiles. En premier lieu, une revue structurée de la littérature a été effectuée (Manuscrit 1) afin d'évaluer l'efficacité des programmes couramment utilisés afin d'améliorer la marche chez les personnes âgées. Les banques de données MEDLINE, Embase, CINAHL et Cochrane Library ont permis de trouver des articles anglais ou portugais publiés dans des journaux révisés par les pairs. La taille d'effet de ces programmes de marche ont étés estimés puis illustrés dans un graphique en arbre. Aucun programme de marche n'améliorait significativement l'endurance ou la vitesse de marche. Dans ces études, les programmes avec une taille d'effet importante avaient une puissance statistique faible et les autres programmes avaient une taille d'effet réduite. Afin d'identifier et d'estimer l'efficacité d'interventions destinées à améliorer la marche chez les personnes âgées, d'autres études sont nécessaires.
Le second manuscrit a évalué l'efficacité de deux interventions destinées à améliorer la capacité fonctionnelle de marche chez les personnes âgées fragiles. Un projet pilote de type essai clinique randomisé a comparé la marche nordique au programme « overground walking ». Trente participants en provenance de deux centres de réadaptation de la région de Montréal ont été aléatoirement placés dans la marche nordique (n=14) et dans le « overground walking » (n= 16). Pour la marche nordique, la taille d'effet pour le 6MWT était modérée (ES=0.5), celle de vitesse de marche était importante (ES=0.9), et celle pour la peur de chuter était petite (ES=0.4). Pour le « overground walking », la taille d'effet pour le 6MWT était modéré (ES= 0.5). La taille d'effet pour la vitesse de marche était petite (E.S. = 0.4) tout comme celle pour la peur de chuter (E.S = 0.3). Les ratios d'efficacité pour les deux interventions ont démontré qu'en comparaison avec le « overground walking » la marche nordique est 125% plus efficace pour améliorer la vitesse de marche chez les personnes âgées fragiles. D'autres études avec de plus large échantillons sont nécessaires pour corroborer ces résultats.
Ellmers, Susan E. "Drug handling in fit & frail elderly people." Thesis, University of Bath, 1991. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.292811.
Full textZochling, Jane Margaret. "The Epidemiology of Osteoporosis in the Frail Institutionalized Elderly." University of Sydney. Department of Rheumatology, 2004. http://hdl.handle.net/2123/637.
Full textZochling, Jane Margaret. "The Epidemiology of Osteoporosis in the Frail Institutionalized Elderly." Thesis, The University of Sydney, 2003. http://hdl.handle.net/2123/637.
Full textFaxén, Irving Gerd. "Nutritional status and cognitive function in frail elderly subjects /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7140-004-4/.
Full textBarry, David C. "Preferences of frail elders regarding ideal living environments /." free to MU campus, to others for purchase, 2000. http://wwwlib.umi.com/cr/mo/fullcit?p9988647.
Full textMcNamee, Paul. "The resource implications of care for frail older people." Thesis, University of Newcastle Upon Tyne, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.270586.
Full textWang, Miranda, and 王慕恩. "Nutritional interventions among community-dwelling frail elderly : a systematic review." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193851.
Full textpublished_or_final_version
Public Health
Master
Master of Public Health
Lammes, Eva. "Nutrition, energy metabolism and body composition in the frail elderly /." Stockholm, 2007. http://diss.kib.ki.se/2006/91-7357-058-3/.
Full text張學泰 and Xuetai Zhang. "Community-based care for the frail elderly in urban China." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31243903.
Full textZhang, Xuetai. "Community-based care for the frail elderly in urban China /." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B24873457.
Full textSplinter, Audrey Patricia. "An investigation into how elderly persons perceive elder Abuse." Thesis, University of the Western Cape, 2009. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_6309_1276805303.
Full textThe international concern about human rights, gender equality, domestic violence and the increase in the aging populations has brought elder abuse into the public focus. Elder abuse is a complex, multi-faceted health, social, criminal justice, international public health and human rights issue. The widely divergent and varying definitions is a controversial problem to understanding elder abuse. The elderly have been excluded from national gender-based programs on domestic violence and the abuse of women and children. In South Africa victims of elder abuse are often physically and or cognitively unable to speak for themselves which necessitates that the public be empowered and trained to become advocates for the aged. Lachs &
Pillemer ( 2004 : 1265 ) states that &ldquo
the physical and psychological impairement of elder persons could be predisposing factors for elder abuse &ldquo
. Statistical evidence on the incidence and prevalence rates of elder abuse is lacking as elderly persons are reluctant to identify care givers for fear of abandonment, retaliation and being left destitute ( Lachs &
Pillemer, 2004 : 1265 ). Despite the Bill of Rights as set out in the South African Constitution and the Older Persons Act, No. 13 of 2006 which was developed to deal with the empowerment and protection of elder persons and promote and maintain their status, rights, safety, security and well being the abuse of elder person continues to occur ( Older Persons Act, No. 13 of 2006 ). This qualitative research study is allied with the phenomenological approach in an attempt to understand elder person&rsquo
s perception, viewpoints and perspectives from their lived experiences and personal lives. Three (3) focus group discussions and eighteen (18) one-on-one interviews were conducted with elder persons living in the suburbs of Cape Town. Data from participants were audio-taped, transcribed verbatim before an inductive analysis lead to the emergence of broad themes and patterns. The main findings of the research study concluded that elderly persons were informed but not empowered about financial, emotional and verbal abuse. The abuse of the elder person in old age homes also featured prominently. The findings of the research study can be used to provide education and empower elder persons and the general public on specific aspects related to elder abuse which are : Financial, Emotional, Verbal and the abuse by staff at old age homes. These findings could be utilized by health and social welfare advocates and organisations who offer community educational and development programs to advocate against elder abuse.
Cronin, Donna Leilani. "Effects of functional and resistive exercise training on physical function and perceived self-efficacy and well-being in frail elderly adults." Access restricted to users with UT Austin EID Full text (PDF) from UMI/Dissertation Abstracts International, 2001. http://wwwlib.umi.com/cr/utexas/fullcit?p3036587.
Full textGrenier, Amanda. "Diverse older women : narratives negotiating frailty." Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=82884.
Full textThe twelve older women's storied responses, illustrations and experiences challenge the various stories that are told about them. Their complex accounts both reflect and reject dominant notions, blur the boundary between the frail and non-frail classifications, expose frailty as contextual, temporal and relative, as well as illustrate the connections between medical and social needs. Their individual accounts highlight how they make meaning of their life events in relation to their diverse experiences and identities, as well as how these identities and interpretations are key to their negotiations of life and needs. The variations between the imposed stories about frailty and women's self-perceptions highlight the research, policy and practice relevance of a narrative approach focused on in-depth local accounts, raise questions about the current priorities within home care services, as well as the future of social work practice with older women considered frail.
Rydwik, Elisabeth. "Effects of physical training on physical performance in frail elderly people /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-310-8/.
Full textRomell, Eleanor, and Kevin Broxe. "The Impact of Nutrition on the Frail Elderly - A Literature Study." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-386058.
Full textSAMMANFATTNING Bakgrund: Den äldre populationen är en expanderande grupp med en livslängd som överträffar den förväntade livslängden som man hade för bara ett par år sedan. Det ökade antalet äldre individer är ett direkt resultat av de medicinska framstegen men detta har också skapat en grupp som är sårbar för kroppsliga funktionsnedgångar, försämrad fysisk styrka och dålig livskvalité. Dessa individer är mottagliga för skörhet och malnutrition vilket kan leda till dålig hälsa och dålig livskvalité och blir slutligen en belastningen för hälso- och sjukvården och dess resurser. Det är viktigt att det utförs interventioner för att reversera de negativa effekterna på de äldre individerna och minska de ökande kostnaderna relaterat till skörhet och malnutrition hos dessa äldre individer. Syfte: Syftet med denna litteraturstudie var att demonstrera värdet av nutrition hos äldre med ett specifikt fokus på att förebygga eller reducera förekommandet av skörhet. Metod: Metoden för denna studie har varit litteraturstudie baserad på kvantitativa originalartiklar. Resultat: Det är av stor vikt att den äldre generationen uppehåller en god nutrition vilket innebär; en tillräcklig mängd protein, ett tillräckligt stort kaloriintag samt en diet som minskar risken för malnutrition som annars kan leda till skörhet. Dieter med en ökad mängd protein kan hjälpa att reducera prevalensen av skörhet eller minska vidare utveckling av redan existerande skörhet. Preventionen av malnutrition genom god nutrition med ett tillräckligt intag av kalorier är en väsentlig del för att kunna förebygga skörhet. Slutsats: Forskning visar att god nutrition är väsentligt för äldre vuxna över 60 år. Det är viktigt att denna grupp av individer har en tillräcklig mängd protein in deras diet, att deras totala kaloriintag är tillräckligt och att en god nutrition uppehålls för att kunna undvika malnutrition som senare kan leda till en fortsatt försämring av den redan existerande skörheten. Det är viktigt att förebygga malnutrition som kan leda till skörhet samt främja god nutrition som kan leda till en god livskvalité för äldre Nyckelord: Skörhet, prevention, nutrition, protein, intervention, nutritionsstatus
Ödlund, Olin Ann. "Nutritional and functional effects of energy-dense food in the frail elderly /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7140-080-X/.
Full textLiu, Qiaoming. "Social support for the frail elderly at two kinds of retirement communities." PDXScholar, 1990. https://pdxscholar.library.pdx.edu/open_access_etds/4098.
Full textWong, Irene. "Difficulties & rewards for caregivers who take care of frail elders during the end-of-life period /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36783316.
Full textMak, Suk-kwan Lorensa. "An exploratory study of the influence of Chinese values on the caregiving of Frail elderly /." Hong Kong : University of Hong Kong, 1994. http://sunzi.lib.hku.hk/hkuto/record.jsp?B1399167X.
Full textSävenstedt, Stefan. "Telecare of frail elderly : reflections and experiences among health personnel and family members." Doctoral thesis, Umeå universitet, Institutionen för omvårdnad, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-339.
Full textDumughn, Ishbel. "Mental health, marital intimacy and support in elderly caregivers of physically frail partners." Thesis, University of Edinburgh, 1998. http://hdl.handle.net/1842/26467.
Full textSävenstedt, Stefan. "Telecare of frail elderly : reflections and experiences among health personnel and family members /." Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-339.
Full textMeyer, Rhonda D. (Rhonda Dawn). "Effects of Strength on Selected Psychomotor Performances of Healthy and Frail Elderly Females." Thesis, University of North Texas, 1993. https://digital.library.unt.edu/ark:/67531/metadc500976/.
Full textWissendorff, Ekdahl Anne. "Frail and Elderly Hospital Patients : The Challenge of Participation in Medical Decision Making." Doctoral thesis, Linköpings universitet, Hälsa, Aktivitet, Vård (HAV), 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-81408.
Full textTroyer, Richard. "Attributions of Responsibility Among Caregivers of the Frail Elderly: Predicting Formal Service Use." TopSCHOLAR®, 1989. https://digitalcommons.wku.edu/theses/2920.
Full textSchindler, Doris. "Intergenerational Programming: A Confluence of Interests Between the Frail Elderly and Urban Youth." PDXScholar, 1992. https://pdxscholar.library.pdx.edu/open_access_etds/1387.
Full textSilva, Taís Regina da. "Síndrome da Fragilidade em idosos hospitalizados." Universidade Estadual Paulista (UNESP), 2018. http://hdl.handle.net/11449/152936.
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Introdução: A Síndrome da Fragilidade (SF) descreve o estado clínico no qual o idoso apresenta diminuição das reservas fisiológicas e da função de diversos sistemas e órgãos, de tal modo que a capacidade para lidar com fatores estressores do dia a dia fica comprometida, resultando em vulnerabilidade clínica. A hospitalização é considerada um evento que traz consequências importantes para a funcionalidade do idoso e se tratando de idosos frágeis essa consequência pode ser ainda mais grave. Objetivo: Avaliar a prevalência da Síndrome da Fragilidade em idosos internados através de dois instrumentos: Critérios do Cardiovascular Health Study (CHS) e Índice do Study of Osteoporotic Fractures (SOF) e associar a SF com desfechos da internação. Métodos: Estudo observacional analítico e prospectivo. Foram avaliados 98 pacientes internados e identificados através da análise de prontuário os dados sociodemográficos e clínicos e aplicados, no início da internação, os instrumentos CHS e SOF, que classificaram os pacientes como frágeis, pré frágeis ou saudáveis. Após a saída do paciente, através de análise de prontuário, foi observado o desfecho da internação (tempo de internação, complicações na internação, reinternação e óbito na internação/reinternação). Foram feitas associações das variáveis clínicas e desfechos com a SF e análise de concordância entre os instrumentos. Resultados: A amostra foi composta por 98 pacientes com média de idade de 75,30±9,40 anos, sendo 50% do sexo feminino. A prevalência da SF na amostra pelos critérios CHS foi de 82,65% e pelo índice SOF foi de 71,42%. Foi identificada associação significativa (p<0,05) entre a idade, Índice de Massa Corpórea (IMC) e internações prévias com a SF. Em relação aos desfechos observou-se associação significativa (p<0,05) entre as complicações da internação, tempo de internação, óbito na internação, reinternação e óbito na reinternação com a SF. Os instrumentos CHS e SOF apresentaram concordância substancial (K=0,6316). Conclusão: A amostra apresentou alta prevalência da SF. Idosos considerados frágeis pelos instrumentos CHS e SOF se mostraram mais propensos a ter o desfecho de mortalidade e desenvolverem maior número de complicações e tempo de internação e também apresentaram mais reinternações do que pacientes considerados não frágeis.
Introduction: The Frailty Syndrome (FS) describes the clinical stage in which the elderly people present a reduction of the physiological reserves as well as of the functions of diverse systems and body organs, in a way that the ability to deal with daily stress factors is compromised, resulting in a clinical vulnerability. Hospitalization is considered an event that brings important consequences to the elderly functionality and when dealing with frail elderly people this consequence can be even more serious. Objective: To evaluate the prevalence of the Frailty Syndrome in hospitalized elderly people through two criteria: Cardiovascular Health Study index (CHS) and the Study of Osteoporotic Fractures index (SOF) and to relate the FS with the hospitalization outcome. Methods: Analytical and prospective observational study. Ninety-eight hospitalized patients were evaluated, and based on the medical records, the sociodemographic and clinical data were identified and applied in the beginning of the hospitalization, the CHS and SOF indexes that classified the patients as frail, pre-frail, or healthy. After the patient was discharged from the hospital, the outcome of the hospitalization was observed based on the medical records analysis (hospitalization period, complications and death during the hospitalization and rehospitalization). Clinical variables associations were carried out with the FS and between indexes. Results: The sample was composed by 98 patients, with an average age of 75,30±9,40, and 50% of them were female. The prevalence of the FS in the sample by the CHS index was 82.65% and 71.42% by the SOF index. A significant association was identified (p<0,05) between the age, the Body Mass Index (BMI) and previous hospitalizations with the FS. Regarding the outcomes, a significant association was observed (p<0,05) between the complications during the hospitalization, the hospitalization period, the death, the rehospitalization and the death during the rehospitalization with the FS. The CHS and SOF indexes presented a substantial agreement (K=0,6316). Conclusion: The sample presented a high prevalence of the FS. The elderly people considered frail were more inclined to present death outcome, greater number of complications during the hospitalization, longer hospitalization period and more rehospitalization than the patients considered non-frail.
Lindelöf, Nina. "Effects and experiences of high-intensity functional exercise programmes among older people with physical or cognitive impairment /." Luleå : Luleå tekniska universitet/Hälsovetenskap/Sjukgymnastik, 2008. http://epubl.ltu.se/1402-1544/2008/01/.
Full textHanusaik, Nancy Anna. "Association of measures of functional status with fat-free mass in frail elderly women." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ29708.pdf.
Full textHanusaik, Nancy Anna. "Association of measures of functional status with fat-free mass in frail elderly women." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=27333.
Full textHe, Weijia, and 何維佳. "Use of proxy method for assessing swallowing-related quality of life in frail elderly." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/202377.
Full textpublished_or_final_version
Speech and Hearing Sciences
Master
Master of Philosophy
Owens, Margaret N. "The lived experience of daughters who care for frail, elderly parents in the parents' home." Cincinnati, Ohio : University of Cincinnati, 2004. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=ucin1084469332.
Full textBrink, F. J. "The development of a financial plan to partly cover the cost of frail care in a retirement village in George." Thesis, Port Elizabeth Technikon, 2002. http://hdl.handle.net/10948/84.
Full textJÃnior, Arnaldo Aires Peixoto. "AvaliaÃÃo de marcadores inflamatÃrios, da modulaÃÃo do sistema nervoso autonÃmico e de suas associaÃÃes na fragilidade de idosos." Universidade Federal do CearÃ, 2014. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=12065.
Full textIntroduÃÃo: Sarcopenia, estado inflamaÃÃo crÃnica e diminuiÃÃo da modulaÃÃo autonÃmica cardÃaca sÃo frequentemente descritos em idosos frÃgeis. No entanto, o papel da inflamaÃÃo e diminuiÃÃo da modulaÃÃo autonÃmica em perda de massa muscular associada ao envelhecimento deve ser esclarecido. Objetivo: identificar, em idosos frÃgeis e robustos residentes na comunidade, correlaÃÃes entre alteraÃÃes autonÃmicas, nÃveis sÃricos de marcadores bioquÃmicos de inflamaÃÃo e diminuiÃÃo da forÃa e do desempenho muscular. Resultados: 98 voluntÃrios frÃgeis e robustos com idade de 60 anos ou mais foram submetidos à avaliaÃÃo clÃnica, exames laboratoriais e anÃlise da variabilidade da frequÃncia cardÃaca em decÃbito dorsal e em ortostase. O logaritmo natural do Ãndice de variabilidade da frequÃncia cardÃaca baixa frequÃncia (LF) foi inversamente relacionado com o marcador bioquÃmico da inflamaÃÃo fibrinogÃnio em idosos com fragilidade (p=0,046), mas nÃo em robustos. NÃo houve associaÃÃo entre Ãndices de variabilidade da frequÃncia cardÃaca e marcadores bioquÃmicos de inflamaÃÃo interleucina-6 e proteÃna C reativa ultrassensÃvel. Velocidade da marcha foi negativamente relacionada com o fibrinogÃnio em idosos frÃgeis (p=0,033), mas nÃo em idosos robustos. Em todos os idosos, velocidade da marcha foi negativamente relacionada com o fibrinogÃnio (p=0,017), interleucina-6 (p=0,038) e proteÃna C reativa ultrassensÃvel (p=0,010). ConclusÃo: nossos resultados sugerem que a sarcopenia relacionada inflamaÃÃo pode ser, pelo menos parcialmente, influenciada por diminuiÃÃo da modulaÃÃo autonÃmica em idosos.
Background: sarcopenia, chronic inflammation status and impairment of cardiac autonomic modulation are often described in frailty elderly. However, the role of inflammation and decreased autonomic modulation in loss of muscle mass associated with aging need to be enlightened. Aim: we aimed to identify, in community-dwelling frailty and robust elderly, correlations among autonomic changes, serum levels of biochemical markers of inflammation and decreased muscle strength and performance. Results: 98 volunteers aged 60 or older was assessed by clinical evaluation, laboratory tests and analysis of heart rate variability (HRV) in the supine and standing positions. The natural logarithm of the HRV index Low Frequency (LF) was inversely related with the biochemical marker of inflammation fibrinogen in frail elderly (p=0.049), but not in robust. There was no association between heart rate variability indices and biochemical markers of inflammation interleukin-6 and C-reactive protein high sensitivity. Gait speed was negatively correlated with fibrinogen in frail elderly (p=0.033), but not in elderly robust. In all elderly, gait speed correlated negatively with fibrinogen (p=0.017), IL-6 (p=0.038) and high-sensitivity CRP (p=0.010). Conclusion: our results suggest that inflammation-related sarcopenia can be at least partially influenced by decreased autonomic modulation in the elderly.
Khursigara, Zareen. "Factors regulating resting energy expenditure and thermic effect of food in elderly women." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=84046.
Full textMethods. 13 healthy (H) [X +/- SEM: 81.4 +/- 1.1 yr] and 9 frail elderly women (F) [84.7 +/- 1.6 yr], free from acute conditions underwent REE and TEF measurements (liquid standard mixed meal: 720 kcal, 58% carbohydrate, 14% protein, 28% fat) using ventilated hood indirect calorimetry. Anthropometric and body composition measurements, thyroid hormones, cortisol, cytokines and catecholamine concentrations, and physical activity (PASE) and mobility ("time up and go" TUG) scores were related to the results obtained.
Results. H had a faster TUG: 10.2 +/- 1.6 vs. 21.0 +/- 9.3 s (p=0.001), greater PASE score: 179.2 +/- 116.1 vs. 47.1 +/- 26.2 (p=0.003), greater triiodothyronine [T3]: 5.1 +/- 0.6 vs. 4.3 +/- 0.4 rhomol/L (p=0.003) and lower cortisol concentrations: 351.1 +/- 19.9 vs. 474.5 +/- 43.6 nmol/L (p=0.011). In H vs. F: REE/kg FFM was 1044 +/- 20.4, 1021 +/- 23.7 kcal/day (NS) and TEF response as expressed as % of REE was 18.4 +/- 5.6, 19.5 +/- 4.2 (NS). The time course of glucose (p=0.043) and insulin from 90 minutes onwards (P=0.013) suggested insulin resistance in F. REE was positively correlated with FFM, percent body fat and [T3] (r>0.499, p<0.021).
Conclusion. REE/kg FFM and TEF response was not different between H and F and thus the greater prevalence of malnutrition in F, cannot be explained by these parameters.
Fitzsimons, Claire Frances. "Oxygen uptake kinetics at the onset of exercise and cardiorespiratory fitness in frail elderly people." Thesis, University of Edinburgh, 2006. http://hdl.handle.net/1842/24572.
Full textArdenghi, Diego Macgadi. "Exploring the views of relatives of frail elderly patients about the UBC geriatric dentistry program." Thesis, University of British Columbia, 2014. http://hdl.handle.net/2429/48373.
Full textDentistry, Faculty of
Graduate
Lemieux, Ann L. "The experience of adult sons and daughters of hospitalized frail elderly parents : a qualitative study." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1996. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/mq23378.pdf.
Full textMak, Suk-kwan Lorensa, and 麥淑筠. "An exploratory study of the influence of Chinese values on the caregiving of Frail elderly." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1994. http://hub.hku.hk/bib/B31249899.
Full textSubki, Manal. "Assessment of the nutritional status of frail elderly persons participating in geriatric day hospital rehabilitation program." Thesis, McGill University, 2001. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=33847.
Full textChan, Lung-fai, and 陳龍輝. "Mental health of Chinese spousal caregivers of frail elderly: the role of the traditional Chinese familyvalues." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B38482034.
Full textFernandes, Alan Lins. "Efeitos da suplementação de proteína de soja versus proteína do soro do leite em idosos com pré-fragilidade e fragilidade submetidos a um programa de treinamento de força." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/39/39132/tde-30012018-110203/.
Full textFrailty is a geriatric syndrome characterized by progressive biological decline and associated with decreased muscle mass, strength, and functional capacity. Protein consumption in ideal amounts and of high biological value, combined with resistance training, has been shown promising to attenuate age-related damages. Although, the present research aimed to investigate the chronic effects of different sources of protein supplementation (Soy versus whey) combined with resistance training in pre-frail and frail elderly. This thesis is part of a large clinical trial enrolled on the clinicaltrial.gov platform (NCT01890382) entitled Protein Intake and Resistance Training in Aging: \"The Pro Elderly Study\", in a randomized, doubleblind, placebo-controlled and parallel-group design. Experimental design were randomly composed of three groups, placebo (PLA, n = 21), Whey (n = 22) and Soy (n = 22. All analyzes were evaluated in intention to treat procedure throughout Mixed Model (SAS), was used for analysis of repeated measures and, when appropriate, post hoc Tukey for multiple comparisons. The mean total protein intake (1.2 and 1.3 & sup1; in the whey and soy groups, respectively) was not able to induce different responses between protein sources and superiority to placebo in muscle mass, strength and function in pre-frail and frail elderly. All groups increased lean mass (+ 0.4 kg), appendicular mass (+ 0.3 kg), muscle strength gains during 1-RM test in Leg-Press (+ 13 kg) and chest-press (+5,0 kg), increased peak torque (+ 8.5 Nm) and general PTO (+ 60 Nm & sup1;), CSA of rectus femoris (+ 0.04 cm²) and vastus lateralis (+1.3 cm²), timed-stands (+ 1.1 a.u) and improved quality of life for PLA, whey and soy. Therefore, no differences were observed between protein sources in response to ST on muscle mass, strength or function in pre-frail and frail elderly
Stadnyk, Karen J. "Testing the measurement properties of the Short Form-36 Health Survey in a frail elderly patient population." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq24924.pdf.
Full textFossum, Tracy-Lynn A. "Reasons for choosing community versus institutional long-term care for frail elderly people living with their spouses." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ52899.pdf.
Full textChan, Lung-fai. "Mental health of Chinese spousal caregivers of frail elderly : the role of the traditional Chinese family values /." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38165727.
Full textHui, Yee-ki, and 許綺琪. "Gender differences in psychological wellbeing of spousal carers for frail elderly in Hong Kong: a secondary dataanalysis." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B45167898.
Full textSilva, Vanessa Abreu da 1980. "Desfechos da síndrome da fragilidade : um estudo longitudinal com idosos em atendimento ambulatorial." [s.n.], 2014. http://repositorio.unicamp.br/jspui/handle/REPOSIP/283899.
Full textTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Enfermagem
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Resumo: Este estudo teve como objetivo analisar os desfechos e fatores associados à síndrome da fragilidade de idosos atendidos em serviço de geriatria de um hospital escola. Trata-se de um estudo quantitativo, comparativo e com delineamento longitudinal, integrante da pesquisa maior intitulada "Qualidade de vida em idosos: indicadores de fragilidade e de bem-estar subjetivo", que compreende duas fases. Na Fase 1 (2005-2007), foram avaliados 150 idosos em acompanhamento no ambulatório de geriatria. Na Fase 2 (2013), os idosos foram novamente contatados, por telefone ou visita domiciliar, e submetidos, após o consentimento, a uma entrevista para a coleta de dados sociodemográficos, de saúde e funcionalidade. Foi adotado o fenótipo de fragilidade de Fried et al., 2001. Os desfechos estudados foram: queda, hospitalização, comorbidade e óbito. Na fase 2, dos 150 idosos participantes da primeira fase, 71 evoluíram a óbito e 25 foram excluídos. Assim, a amostra contou com 54 idosos respondentes, com predomínio do sexo feminino e idade igual ou superior a 80 anos. No que diz respeito à saúde e à funcionalidade, houve diferença estatisticamente significante entre todas as variáveis estudadas, com exceção do número de hospitalizações e do número de quedas. É notável o declínio da funcionalidade desses idosos, avaliada por meio dos instrumentos: SPPB, MIF e AIVD, cujas médias dos seus escores reduziram significativamente. O estado cognitivo também apresentou diferença estatística com redução da média do escore do MEEM na fase 2 (p<0,001). Quanto à fragilidade, houve aumento na média do número de critérios (3,83) quando comparados à fase 1 (2,43), e a maioria dos idosos pontuou para todos os critérios de fragilidade, com exceção para o critério "perda de peso não intencional". Houve aumento na proporção de idosos classificados como frágeis (50,0% fase 1 e 88,9% fase 2) e nenhum idoso foi considerado não frágil. O desfecho queda (fase 2) associou-se a hospitalização e com os critérios de fragilidade exaustão e perda de peso não-intencional na fase 1. O idoso que relatou hospitalização na fase 1 teve maior risco de hospitalização na fase 2. Do mesmo modo o desfecho comorbidade (Índice de Comorbidade de Charlson) foi associado a própria comorbidade na fase 1. Sobre o desfecho óbito verificou-se diferença significativa para a variável idade, níveis de fragilidade, comorbidade e o critério de fragilidade baixo nível de atividade física. Este estudo longitudinal proporcionou maior conhecimento sobre os eventos adversos da síndrome da fragilidade em idosos em acompanhamento ambulatorial
Abstract: This study aimed to analyze the outcomes and factors related to the frailty syndrome in a population of elderly patients treated in the outpatient geriatric service of a teaching hospital. This quantitative, comparative and longitudinal study is part of the larger research project "Quality of life in the elderly: frailty and subjective welfare indicators", conducted at the Geriatric Clinic of the Hospital of the State University of Campinas. This study used a convenience sample and had two phases (Phase 1 and 2). In Phase 1 (2005-2007),150 elderly patients followed up at the geriatric clinic were assessed. In Phase 2 (2013), the elderly were contacted again by phone or home visit and, after their consent, they were interviewed to collect sociodemographic and health data. Moreover, frailty was assessed according to the frailty criteria defined by Fried et al. (2001). The following events were considered as outcomes: fall, hospitalization, comorbidity and death. In Phase 2, of the 150 participants in Phase1, 71 died and 25 were excluded. Thus, Phase 2 sample had 54 respondents, predominantly women, and the rate of 80-year-old or older patients almost doubled (34% in Phase 1 and 64.4% in Phase 2). Concerning health and functionality, there was a statistically significant difference between all variables under study, except for number of hospitalizations and number of falls. The decline of functionalityis marked among these elderly and it was assessed using the tools SPPB, FIM and IADL, whose average scores decreased considerably. The cognitive state also showed a statistical difference, with a decrease in the average MMSE score in Phase 2 (p<0.001). As to frailty, the average number of criteria increased in Phase 2 (3.83) when compared to Phase 1 (2.43), and most of the elderly scored on all frailty criteria, except for "unintentional weight loss". The rate of the elderly classified as frail increased (50% in Phase1 and 88.9% in Phase 2) and none of the elderly was considered as non-frail. The outcome fall (Phase 2) was related to hospitalization and to the frailty criteria "exhaustion" and "unintentional weight loss" in Phase 1. Also was observed that the elderly who were hospitalized in Phase 1 were at a higher risk of hospitalization in Phase 2. As regards the outcome comorbidity (Charlson Comorbidity Index), the variable associated was comorbidity itself. Concerning the outcome death, we observed a significant difference in age, levels of frailty, comorbidity, and in the frailty criterion "low level of physical activity". This longitudinal study provided a more comprehensive knowledge of the adverse events of the frailty syndrome in the elderly followed up at an outpatient geriatric clinic. Therefore, we expect to contribute to more efficient public policies for the elderly population, considering the phenomenon of population aging and the magnitude of the frailty syndrome
Doutorado
Enfermagem e Trabalho
Doutora em Ciências da Saúde
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Full textVogler, Constance. "Reducing fall risk in older people discharged from hospital: a randomised controlled trial comparing (i) seated lower limb resistance training, (ii) functional weight-bearing exercises and (iii) social visits." Thesis, The University of Sydney, 2007. https://hdl.handle.net/2123/28062.
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