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1
Cervello, Michelle R. "The Experience of Older Incarcerated Men." Bowling Green State University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1447930020.
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Fleming, Alfred Andrew. "Older Men Working it Out A strong face of ageing and disability." Thesis, The University of Sydney, 2001. http://hdl.handle.net/2123/852.
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This hermeneutical study interprets and describes the phenomena of ageing and living with disability. The lived experiences of 14 older men and the horizon of this researcher developed an understanding of what it is like for men to grow old and, for some, to live with the effects of a major disability. The study is grounded in the philosophical hermeneutics of Gadamer and framed in the context of embodiment, masculinity, and narrative. I conducted multiple in-depth interviews with older men aged from 67 to 83 years of age. Seven of the participants had experienced a stroke and I was able to explore the phenomenon of disability with them. Through thematic and narrative analyses of the textual data interpretations were developed that identified common meanings and understandings of the phenomena of ageing and disability. These themes and narratives reveal that the men's understandings are at odds with conventional negative views of ageing and disability. These older men are 'alive and kicking', they voice counternarratives to the dominant construction of ageing as decline and weakness, and have succeeded in remaking the lifeworld after stroke. Overall I have come to understand an overarching meaning of older men 'working it out' as illustrative of a strong face of ageing and disability. Older men seek out opportunities to participate actively in community life and, despite the challenges of ageing and disability, lead significant and meaningful lives. These findings challenge and extend our limited understandings of men's experiences of ageing and living with disability. This interpretation offers gendered directions for policy development, clinical practice, and future research.
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Fleming, Alfred Andrew. "Older Men Working it Out A strong face of ageing and disability." University of Sydney. Behavioural and Community Health Sciences, 2001. http://hdl.handle.net/2123/852.
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This hermeneutical study interprets and describes the phenomena of ageing and living with disability. The lived experiences of 14 older men and the horizon of this researcher developed an understanding of what it is like for men to grow old and, for some, to live with the effects of a major disability. The study is grounded in the philosophical hermeneutics of Gadamer and framed in the context of embodiment, masculinity, and narrative. I conducted multiple in-depth interviews with older men aged from 67 to 83 years of age. Seven of the participants had experienced a stroke and I was able to explore the phenomenon of disability with them. Through thematic and narrative analyses of the textual data interpretations were developed that identified common meanings and understandings of the phenomena of ageing and disability. These themes and narratives reveal that the men�s understandings are at odds with conventional negative views of ageing and disability. These older men are �alive and kicking�, they voice counternarratives to the dominant construction of ageing as decline and weakness, and have succeeded in remaking the lifeworld after stroke. Overall I have come to understand an overarching meaning of older men �working it out� as illustrative of a strong face of ageing and disability. Older men seek out opportunities to participate actively in community life and, despite the challenges of ageing and disability, lead significant and meaningful lives. These findings challenge and extend our limited understandings of men�s experiences of ageing and living with disability. This interpretation offers gendered directions for policy development, clinical practice, and future research.
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Seymour, Richard G. "Gay men getting older : an interpretive study." Thesis, University of Sheffield, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.489150.
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Shanley, Ryan M. "A Forgotten Population: Older Men Who Live Alone." Miami University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=miami1461952856.
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Shu, Chen-Chun. "The Health Effects of Caregiving in Older Men." Thesis, The University of Sydney, 2018. http://hdl.handle.net/2123/20892.
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Objective: To examine associations between caregiving and specific health outcomes in older men. Methods: Men aged 70 years and older from the Concord Health and Ageing in Men Project (CHAMP) were assessed at wave 1 (2005-2007, n=1705) and three follow-ups. Data were collected on self-reported caregiving status, physical and mental health and nutrient intake. Both hospital admission data and death record were obtained from administrative databases and linked to CHAMP data. Results: At wave 1, 11% older men were caregivers, of whom 158 were looking after their wives or partners. In cross-sectional data analysis, being a caregiver was associated with increased likelihood of reporting anxiety symptoms (OR: 2.32, 95%CI: 1.39-3.87). No longitudinal associations were found between changes in caregiving status and changes in depression or anxiety status. A significantly lower rate of planned overnight admission (elective admission) was found in caregivers compared to non-caregivers (rate ratio: 0.61, 95% CI: 0.45 – 0.83, p= 0.002). From 2005 to 2015, 495 deaths were observed with an average follow-up of 7.39 years (SD= 2.95). Using time-dependent Cox regression models, we did not find any significant difference in all-cause mortality between caregivers and non-caregivers. At follow-up, new caregivers were less likely to have improved diet quality (OR: 0.28, p< 0.05) and less likely to maintain adequate diet quality (OR: 0.36, p< 0.05). New caregivers were also more likely to have a decrease in fibre intake (OR: 2.41, p< 0.05). Discussion: The findings would suggest that support services provided to older male caregivers should be individualised to caregivers’ perceptions and focus on strategies that will assist older men who have high levels of anxiety associated with caregiving. It is reassuring that caregiving did not appear to have an adverse effect on mortality or emergency hospital admissions. Our anecdotal observation is that older carers are often advised to “take better care of themselves” based on the belief that caregiving is believed to have a substantial negative impact on their health. Our study would suggest that the effects of caregiving on health may be subtler.
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Moy, Andrew Peter. "Mean blood velocity and oxygen uptake kinetics in older and younger men." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ58065.pdf.
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Adkins, Jill. "Coming of age : focusing the human rights lens on older men and older women." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/4676.
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Includes bibliographical references.It is most appropriate to open an exploration of the human rights of older persons with the poignant words of Kofi Annan, then Secretary-General of the United Nations, in a statement to the Second World Assembly on Aging in Madrid: I turned 64 today. I therefore feel empowered to quote a Beatles' song that asks, on behalf of all older persons, and I quote: Will you still need me, will you still feed me, when I'm 64? I trust the answer is yes, older people will be provided for, and yes, older people will be needed in the twenty-first century.
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Goodstein, Ryan Michael Blau David. "Essays on the labor force participation of older men." Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2008. http://dc.lib.unc.edu/u?/etd,1512.
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Thesis (Ph. D.)--University of North Carolina at Chapel Hill, 2008.Title from electronic title page (viewed Sep. 16, 2008). "... in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Department of Economics." Discipline: Economics; Department/School: Economics.
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McCarthy, Joanne. "Identity formation and conflict in older Irish gay men." Thesis, University of Lincoln, 2012. http://eprints.lincoln.ac.uk/18950/.
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Gay Irish men over 55 grew up in the 1950s and 1960s when homosexuality in Ireland was illegal, the Catholic Church was an unquestioned dominance within society and the heterosexual family was seen as the basic unit of the Catholic state. The power of the Catholic Church, homophobia and repressive laws combined to create an atmosphere that made many people unable or unsafe to admit their sexuality. Gay men constructed their identity under a cloak of secrecy and negotiated any identity threat and conflict between their multiple identities alone. Evidence suggests that gay and lesbian individuals with religious identities face greater social and psychosocial challenges due to their identity configuration. Furthermore, the challenges faced within identity construction, and the obstacles of threat and conflict, have shown to affect an individual’s mental health. Using the interpretive lens of Identity Process Theory (IPT) the present study used a qualitative design to explore how older gay Irish men (over the age of 55) understand and construct their sexual identity and investigate the strategies they used. Semi-structured interviews were conducted with seven older gay men to explore their experiences, perceptions and understanding of being an older gay person in Ireland and the UK. Thematic analysis identified three themes i) experiences of sexual awareness and identity conflict; ii) the dilemma of ‘staying in ‘ vs. ‘coming out’; iii) dealing with identity conflict. The results suggested that many men faced challenges and barriers to constructing a stable identity. Religious and cultural experiences played a central role in Irish men’s identity acquisition and how they made sense of it. The results show ways in which identity conflicts were created and how the men developed strategies to minimise these conflicts. The study has implications for professionals working therapeutically with sexual minority clients. Recommendations are provided for improved understanding of sexuality issues concerning minority clients within therapeutic work. Health practitioners need to be willing to engage in discussion about the effect that religious and cultural influences have on a client’s well-being, as this will help support patients, reduce psychological distress and improve therapy outcomes.
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Lovell, Dale. "Optimising Aerobic Capacity and Strength in Men Aged 70-80 yrs: The Interaction of Training and Anabolic Hormones." Thesis, Griffith University, 2007. http://hdl.handle.net/10072/366225.
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The purpose of the present study was to: 1. To investigate the effects of sixteen weeks of training (aerobic/resistance) and four weeks of detraining on the cardiovascular system of men aged 70-80 yrs. 2. To investigate the effects of sixteen weeks of training (aerobic/resistance) and four weeks of detraining on the musculoskeletal system of men aged 70-80 yrs. 3. To investigate the effects of sixteen weeks of training (aerobic/resistance) and four weeks of detraining on resting anabolic hormones and the hormonal response to exercise in men aged 70-80 yrs. Methodology Thirty-two previously sedentary men aged 70-80 yrs volunteered to participate in the study. Each subject completed a medical history questionnaire, underwent a detailed medical examination and completed an incremental execise test to volitional fatigue on a cycle ergometer. Pre-training tests included body composition by dual-energy X-ray absorptiometry (DEXA), muscular strength, muscular power and rate of force development (RFD), peak oxygen consumption (V02 peak) and peak cardiac output (apeak). During a 30 min sub-maximum cycle exercise test (10 mins @40W, 50% and 70% V02 peak)a, V02 , heart rate (HR), stroke volume (SV) and blood pressure (BP) were measured after each 10 mins of work, pre-training, after 16 wk training and after four wk detraining.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Physiotherapy and Exercise Science
Griffith Health
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Fristedt, Sofi. "Occupational participation through community mobility among older men and women." Doctoral thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för rehabilitering, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-19486.
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The overall aim of the present thesis was to explore and characterise occupational participation and community mobility from an occupational perspective of health and well-being, and to elucidate potential barriers and facilitators for occupational participation and community mobility in older men and women. In Study I, questionnaires were sent to a sample of older citizens (75+) in three Swedish mid-sized municipalities. This survey focused on actual and preferred travel opportunities and was returned by 957 persons (response rate 46%). Although older people appreciated the existing travel opportunities, there was evidence of restricted community mobility for some sub-groups of older people, due to various perceived barriers. More efforts must be put into accessibility improvements including usability from the perspective of older people. In Study II nine focus group interviews with a total of 42 participants (20 men) were conducted, focusing on older peoples’ motives for, and experiences of, community mobility and occupational participation outside the home. The main category “Continuing mobility and occupational participation outside the home in old age is an act of negotiation” summarised the findings. This main category was abstracted from the generic categories “Occupational means and goals”, “Occupational and mobility adaptation” and “Occupational barriers and facilitators”, and their subcategories. Community mobility was identified as an important occupation that in itself also facilitated occupational participation outside the home. Individual community mobility seemed to be influenced by, for example, age and gender, as well as habits acquired over time. Furthermore, community mobility was negatively affected not only by physical barriers, but also by social and attitudinal barriers in the public environment. Study III identified and described older people’s viewpoints on community mobility and occupational participation in older age through a Q-methodology study conducted with 36 participants, including men and women, both drivers and non-drivers. Three viewpoints were found and assigned content-descriptive denominations; viz.: “Prefer being mobile by car”, “Prefer being mobile by public transport” and “Prefer flexible mobility”. Unfortunately, the existing demand-responsive Special Transportation Systems was not considered an attractive enough alternative by any of the participants. Thus, intermediate community mobility options are needed for those who no longer can drive or use public transport. In Study IV factors associated with community mobility, and decreased community mobility over time, for older men and women were described. Data were based on the Gender study “Aging in men and women: a longitudinal study of gender differences in health behaviour and health among elderly” and collected through surveys in 1994 and 2007. The base-line sample consisted of 605 twin-pairs, i.e., 1,210 individuals, aged 69-88, and the follow-up of 357 individuals (165 men and 192 women), aged 83-97. This surveycovered health and health-related issues including community mobility and occupational participation. Continuing community mobility was cross-sectionally (at follow-up) and prospectively (from baseline to follow-up) associated with better self-reported subjective health rather than self-reported health conditions for both men and women. For men, community mobility was also cross-sectionally associated with few or non-existant depressive symptoms, while reduced community mobility was prospectively associated with higher age for women. Consequently, interventions aiming to enable community mobility must move beyond interventions directed towards health conditions and instead target subjective health and well-being.
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Crisp, Richard. "Adjusting to job loss : Older workless men and economic change." Thesis, University of Manchester, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.499881.
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Biggs, Douglas Neil. "Effects of androstenedione supplementation on testosterone levels in older men." Virtual Press, 2002. http://liblink.bsu.edu/uhtbin/catkey/1233193.
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The purpose of this study was to examine the effects of androstenedione supplementation on testosterone levels in older men. Healthy men (n = 11) between the ages of58 and 69 were divided into two groups: 6 taking 300 mg of androstenedione (mean ± SE, 62.33 ± 2.57) supplement and 5 taking the 300 mg cellulose placebo (mean ± SE, 60.2 ± 1.02) for a period of seven days. Subjects in both groups had been participating in the Ball State University Adult Fitness Program (BSUAFP) for at least one year, incorporating both aerobic and resistance training into their workouts. Testing measures involved the subjects performing two exercises (leg extension and leg curl) while having blood drawn prior to, during, and post-exercise for a period of 20 minutes both pre-and post-supplementation. Specific weights for the subjects were determined with a ten-repetition maximum (10-RM) lift on both exercises. It appeared that the subjects in the androstenedione group were stronger with the exercises than the subjects
in the placebo group, but with no significance. Testosterone, estradiol, and androstenedione were analyzed via hormone assay pre-and post-supplementation. The analysis of the testosterone revealed a significant difference pre-(mean ± SE, 4.65 ± .51 ng/ml) to post-(mean ± SE, 6.72 ± .58 ng/ml) supplementation for the androstenedione group. Analysis of the androstenedione revealed a significant difference pre-(mean ± SE, 0.88 ± .20) to post-(mean ± SE, 7.46 ± 1.25) supplementation for the androstenedione group. The estradiol assay revealed no significant differences pre-to post-supplementation for either group. The placebo group did not demonstrate any significant differences pre-to post-supplementation for either testosterone or androstenedione. The results of this study concluded that supplementation with 300 mg. of androstenedione for a period of seven days significantly elevated blood testosterone in older men.School of Physical Education
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Suen, Yiu Tung. "Older single gay men : questioning the master narrative of coupledom." Thesis, University of Oxford, 2012. http://ora.ox.ac.uk/objects/uuid:493a35b0-1898-49f7-992f-9c0eba086fca.
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This thesis fills an important research gap in the sociology of ageing and life course, and the sociology of sexualities and intimacies by exploring the understudied experience of singlehood among older gay men. It is a qualitative study based on semi-structured in-depth life story interviews conducted with 25 self-identified gay men over the age of 50 who live in England and have been single for most of their lives. The primary objective of the study is to investigate how older single gay men interpret and assign meanings to their lives in later life. In considering the role of narratives in bridging structure and agency, the thesis suggests that the older gay men’s narratives of singlehood need to be understood with reference to the master narrative in society that privileges couplehood. The master narrative undoubtedly informed and at times overshadowed the ways in which the older gay men understood their lives. But at the same time this thesis finds that the research participants engaged with the master narrative in a variety of creative ways – they did not only adopt, but also adapted and subverted the dominant story line. These counter-stories do not only reproduce, but have the potential to reinvent, the meanings of relationships in contemporary societies. To achieve this, resources were needed in reframing the master narrative. From a life course perspective the thesis suggests that the older gay men’s earlier life experiences and current social locations influenced the narratives they told. Only some of the older single gay men were able to (re-)claim sexual citizenship while others were denied this. In addition, the older gay men’s story-telling was filled with ambivalence and ambiguities. As a whole, the thesis sees the older gay men’s stories as displaying agency within structure.
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Swiatek, Scott A. "The Entrance of Older and Younger Men into Feminized Work." University of Akron / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=akron1522760207589488.
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Williams, Jennifer Hughes. "The relationships between older, physically impaired men and their pets." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4953.
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The present study examined older male adults' lived experiences with pet ownership. There is robust literature on older adults and the human-animal bond, but presently there are no qualitative phenomenological studies that focus solely on older physically impaired males who live alone and the relationships they have with their pets. With the guiding framework of biopsychosocial theory and using intensive interviews, 10 older males (65+) who suffered from some physical impairment discussed the relationships they have with their pets, and how their companion animals affect their physical, emotional, and social health. All interviews were transcribed, coded, and analyzed for themes. The results showed that the participants believed they could care for their pet despite their physical limitations. The themes and subthemes that emerged from the interviews were companionship, responsibility, plan for death of owner, routine, focus on animal instead of self, physical benefits despite physical limitations, worry about falls, emotional support, and social connections because of the pet. The present study provides new information about changes in the social behaviors of the older male adult in relation to his pet, where the pet aids the individual in relating to other people. The research results may benefit researchers, healthcare workers, and geriatricians who work with the population of older adult, physically impaired, males. The results demonstrate the need for understanding the relationship of the older male adult and his pet and suggests that pets may help the older males increase their socialization.
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Sorensen, Pernille. "Older men living alone : a photoelicitation study of their social worlds." Thesis, University of East Anglia, 2012. https://ueaeprints.uea.ac.uk/39150/.
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Hayes, Adrian Jonathan. "The health, social and custodial needs of older men in prison." Thesis, University of Manchester, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.514432.
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The UK population, as in nearly every country in the world, is experiencing a period of unprecedented aging. This along with apparently harsher sentencing has created a rise in the number of older prisoners; those aged 60 and over are now the fastest-growing age group in the England and Wales prison system. Research has demonstrated that older prisoners have increased physical and mental health problems, and a different profile of social and custodial needs within the prison environment. However, studies have yet to demonstrate a clear age cut-off defining the older prisoner. The visibility of the older prisoner has been raised in the UK; several high-profile government reports have referred to, and made recommendations towards, this group. A content analysis reported here showed that Her Majesty's Inspectorate of Prisons have increasingly judged prisons on the care provided to the older population. Inspectorate reports also revealed that there have been positive developments In this area for many prisons. This study aimed to examine the needs of older men in prison. A total of 262 men aged 50 and over were interviewed in 12 North West prisons. Over 95% of those over 60 had at least one chronic physical health problem, and 53% were diagnosed with a mental disorder, similar to previous research. A small group had functional needs, but these were often unmet in prison. Most felt older prisoners should be located separately to younger prisoners, and those on dedicated elderly wings had a better quality of life as well as having social needs addressed. Comparison of need across five-year age bands showed similar physical health across the sample, but poorer mental health and quality of life in younger groups, particularly those aged 50 to 54. This may be due to lack of access to additional services for older prisoners, fewer protective factors of being seen as an 'elderly prisoner', or generational differences. A number of suggestions were made for improvements to the care and management of older prisoners, including the use of age 50 as a cut-off for services, development of chronic disease management clinics, engagement with old-age psychiatry, and formalised provision of social care. A national strategy published by HM Prison Service and the Department of Health would be needed to ensure appropriate action is taken and older prisoners' needs addressed.
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Shahab, Ali Mohammed. "Physiological changes following 8 weeks of moderate exercise in older men." Thesis, Norges teknisk-naturvitenskapelige universitet, Institutt for biologi, 2013. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-25988.
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Min masteroppgave går ut på å undersøke hvorvidt moderat trening påvirker DNA-metylering) i skjelettmuskulaturen hos eldre menn. Vi håper at dette kan gi oss mer kunnskap om hvordan trening påvirker muskulaturen til eldre, hvor muskelsvinn er et stort problem. Dette prosjektet er et underprosjekt i et stort kliniske forskningsprosjekt kalt Generasjon 100, som drives ved Institutt for Sirkulasjon og Bildediagnostikk, NTNU.
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Hadley, Robin Andrew. "Life without fatherhood : a qualitative study of older involuntarily childless men." Thesis, Keele University, 2015. http://eprints.keele.ac.uk/3238/.
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This thesis reveals the complexities in older men’s experience of involuntary childlessness. Research literature on both involuntary childlessness and ageing has highlighted the paucity of material on men’s experience. The aim of this study was to explore and understand the impact of childlessness on the lives of older, self-defined, involuntarily childless men. This qualitative study employed a pluralistic framework formed by life course, biographical, and gerontological approaches to explore the lives of 14 men, aged between 49 and 82 years. A broad thematic analysis was applied to the material, and the findings demonstrated the intersections between childlessness and ageing over the life course. Reproductive intentions were affected by many factors including the timing of exiting education, relationship formation and dissolution, and choice of partner. The men’s attitude to fatherhood changed with age and centred on the theme of the ‘social clock’ that revealed the synergy between an individual and societal morès surrounding parenthood. The loss of the assumed father role and relationship ebbed and flowed throughout the men’s lives in a form of complex bereavement. Awareness of feeling both a sense of ‘outsiderness’ and a fear of being viewed as a paedophile were widely reported. Quality of life was linked with current health, and ageing was strongly associated with loss of physical or mental functionality. This thesis supports the case for a biographical method of research drawing on a pluralistic framework. It challenges research that reports men are not affected by the social, emotional and relational aspects of involuntary childlessness. In addition, it adds to the debate between the concepts of ‘emergent’ and ‘hegemonic’ masculinities. Recommendations are made in the conclusion regarding the use of the findings for future research and policy.
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Mueller, Ranell L. "OLDER ADULT MEN’S EMOTIONAL BONDS WITH THEIR DOGS." UKnowledge, 2018. https://uknowledge.uky.edu/gerontol_etds/14.
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Knowledge of the deeper meanings of attachment to companion animals is limited, particularly in terms of older adults. This study employed a modified grounded theory method, a phenomenological lens and a life course perspective to gather and analyze data garnered from individual interviews and panel discussions in order to investigate the multiple dimensions of older adult men’s relationships with their companion animal dogs. Individual audio-recorded in-depth interviews and repeated panel discussions with a sub-group of the participants, convened as a panel over a three-month period, explored behavioral and emotional manifestations of attachment and the emotional bond to their companion animal dogs and the changing nature of that attachment and bond over their life span. Analysis involved open, axial and selective coding of transcripts to reveal underlying patterns within the data. Outcomes included movement toward a theory of companion animal attachment for older adult men as well as insight into the role of dogs in development of older adult men’s identities. This dissertation offers insight into the deeper understanding of the human-animal bond resulting in enhancing quality of life for both older adult male pet owners and their companion animal dogs.
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Leigey, Margaret E. "Life while serving life examining the correctional experiences of older inmates serving a life without parole sentence /." Access to citation, abstract and download form provided by ProQuest Information and Learning Company; downloadable PDF file, 439 p, 2007. http://proquest.umi.com/pqdweb?did=1397904001&sid=4&Fmt=2&clientId=8331&RQT=309&VName=PQD.
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Das, Arpita. "Nutrient intake and its effects on health outcomes in older Australian men." Thesis, University of Sydney, 2020. https://hdl.handle.net/2123/24544.
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Objective: The objective of the thesis was to examine cross‐sectional and prospective associations between nutrient intake and dietary patterns and a range of health outcomes.
Methods: In this thesis, men aged 75 years and older from the Concord Health and Ageing in Men Project (CHAMP) were evaluated. Nutrition data were first collected at a 5‐year follow‐up, hence this thesis analyses data from a 5-year follow-up (considered baseline nutrition) and an 8-year follow-up (considered 3-year follow-up). A validated diet history questionnaire was used to collect dietary intake. Dietary adequacy of nutrient intake was assessed by comparing participants' intake of each nutrient with the Nutrient Reference Values (NRV) for Australia. Attainment of the NRVs of micronutrients or antioxidants or essential nutrients was incorporated into a dichotomised variable using the cut-point method. Individual nutrients were also categorised into quartiles or quintiles. Sources of protein were also captured. Additionally, two different dietary patterns (the Mediterranean and Australian Dietary Guideline Index), monounsaturated: saturated fat and n-6:n-3 fatty acids ratio and individual nutrients, were used as predictor variables. Cross‐sectional and longitudinal data were collected on frailty, muscle mass and strength, depressive symptoms, cardiovascular disease and mortality.
Results: The results presented in Chapter 3 show there was a significant increase in the inadequacy of the NRVs for thiamine, dietary folate, zinc, magnesium, calcium and iodine at 3-year follow-up compared to baseline nutrition. These changes in micronutrient intake were significantly associated with the country of origin in the UK and Italy, low levels of physical activity, having≥2 medical conditions and the use of meal services.
The results in Chapters 4, 6 and 7 show that inadequate intake of antioxidants, particularly vitamin E and zinc, at baseline nutrition was associated with incident frailty, depressive symptoms and congestive cardiac failure in prospective analyses.
The findings in Chapter 5 suggest that inadequate nutrient intake, particularly protein, n-6 PUFA, n-3 PUFA, magnesium and calcium, was significantly associated with FNIH-defined sarcopenia. In addition, each unit decrease in the n-6:n-3 ratio was significantly associated with a 9% increased risk of FNIH-defined sarcopenia, but not with EWGSOP and EWGSOP2 defined sarcopenia.
The results in Chapter 8 indicate that evidence on the associations between dietary or supplemental intake of antioxidants and mortality in the older population is inconclusive.
Chapter 9, which concludes the thesis, indicates that both second and third quintiles of total protein intake were associated with reduced all-cause and cancer mortality. These findings reflect U-shaped associations between total protein intake and all-cause and cancer mortality; however, both the lowest and highest quintiles of protein consumption were not significantly associated with mortality. Plant protein was inversely associated with all-cause and cancer mortality, whereas animal protein intake was positively associated with mortality.
Conclusion: The findings from these studies suggest that inadequate intake of micronutrients, particularly antioxidants, are plausible factors for poor health outcomes in older men. The conclusion can, therefore, be drawn that promoting a healthy diet characterised by plenty of plant-based food and limited amounts of animal-based food can contribute to long-term health benefits and longevity in older Australian men.
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Stanaway, Fiona. "Health and ageing in older male Italian-born immigrants." Thesis, School of Public Health, Faculty of Medicine, 2010. http://hdl.handle.net/2123/13154.
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Meadows, Amber S. "Men Feel it too: An Examination of Body Image and Disordered Eating among Older Males." Digital Archive @ GSU, 2011. http://digitalarchive.gsu.edu/gerontology_theses/27.
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This quantitative study examined body image and disordered eating in older males. Using a series of questionnaires and demographic questions, two research questions were explored: a) What are the characteristics of older males in terms of eating and body image? and b) Are disordered eating behaviors among older males related to dissatisfaction with body image, specifically physical appearance or physical functioning? Paired samples t-tests revealed that older males rated their ideal body figure as significantly smaller than their current figure, t(35) = -5.53, p < .01, which indicates the presence of body dissatisfaction. Twenty percent of participants were found to be at risk for disordered eating attitudes and behaviors. Furthermore, a correlation was found between disordered eating attitudes and body dissatisfaction particularly as it relates to physical appearance, (r(33) = -.486, p < .01).
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Woolley, Marilyn Elisabeth. "Self-care abilities of older men after early discharge following transurethral prostatectomy." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq22751.pdf.
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Lock, Elizabeth. "Some correlates of mental distress in a sample of unemployed older men /." Title page, abstract and contents only, 1989. http://web4.library.adelaide.edu.au/theses/09AR/09arl813.pdf.
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Bassami, Minoo. "The effects of exercise and carbohydrate intake on metabolism in older men." Thesis, Liverpool John Moores University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.438841.
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Taylor, John Andrew. "Circulatory control during acute physical stress in healthy young and older men." Diss., The University of Arizona, 1990. http://hdl.handle.net/10150/185287.
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Aging has been associated with alterations in the physiological responses to physical stressors. This study investigated the regional and systemic hemodynamic responses and venous plasma catecholamine responses to three commonly encountered physical stressors (dynamic exercise, isometric exercise, and orthostasis) in groups of young (25.9 ± 0.7 yr, mean ± SE, range 21 to 29) and older (65.0 ± 0.8 yr, mean ± SE, range 60 to 72) healthy males. In separate experimental sessions, subjects performed supine leg cycling at three submaximal levels (∼45%, ∼65%, and ∼85% of peak oxygen uptake), isometric handgrip to exhaustion (30% of maximal force), and two types of orthostatic stress (lower body negative pressure (LBNP) and standing). In general, there were no differences between the young and older subjects in any baseline hemodynamic variable or baseline plasma catecholamine concentrations. In response to all levels of leg cycling, the young and older subjects had similar arterial blood pressure responses. However, the older subjects did demonstrate an augmented forearm vasoconstriction, mediated at least in part, by greater sympathetic vasoconstriction in the skeletal muscle circulation, perhaps necessary to help offset a lower cardiac output response. In response to isometric handgrip, there was a lesser heart rate response in the older subjects, but there were no age-related differences in the selected regional hemodynamic responses, arterial blood pressure response or the plasma norepinephrine responses. Likewise, in response to both types of orthostatic stress, the older subjects demonstrated a lesser tachycardic response, but there was no decline in their ability to maintain arterial pressure. Therefore, the main conclusion of these studies is that, although aging may alter the regulatory scheme, the arterial pressure response to these forms of acute physical stress is not impaired in older humans.
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Pichocki, Jillian. "Fighting spirit." Fairfax, VA : George Mason University, 2007. http://hdl.handle.net/1920/2923.
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Thesis (M.F.A.)--George Mason University, 2007.Title from PDF t.p. (viewed Jan. 21, 2008). Thesis director: Peggy Feerick. Submitted in partial fulfillment of the requirements for the degree of Master of Fine Art in Art and Visual Technology. Vita: p. 58. Includes bibliographical references (p. 55-56). Also available in print.
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Green, Lenore Frances. "A study of the experience of unemployment, reflections of four older adult men." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq39141.pdf.
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Adey, Joshua Tristan. "The effects of exercise on the cognitive functioning of older men and women /." Title page, abstract and contents only, 2001. http://web4.library.adelaide.edu.au/theses/09ARPS/09arpsa233.pdf.
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Lancki, Kevin M. "Stressor Exposure, Appraisal, and Reactivity Among Middle-Aged and Older Men and Women." Kent State University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=kent1500574202262476.
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Lavender, Andrew. "The effects of dietary creatine monohydrate supplementation and resistance training in older men." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2003. https://ro.ecu.edu.au/theses/1493.
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In order to ascertain the effects of creatine monohydrate (CrH2O) supplementation on muscle mass and strength in older males, seventeen volunteers aged between sixty and eighty years were allocated to a creatine or a placebo group. Both groups took part in a training programme of the knee flexors and extensors of one leg only, consisting of knee flexion in a standing position and knee extension in a seated position. An adjustable, weighted cuff was used to provide resistance and subjects increased their weight reps and sets at their own discretion. The creatine group supplemented their training with CrH20 starting with a loading phase of 15 g CrH20 per day for 14 days and 3 g per day for the following 1 0 weeks. The placebo group took an equivalent amount of dextrose. The study was performed in a double-blind fashion. Strength changes were assessed using isokinetic dynamometry. Both isokinetic and isometric strength were tested. lsokinetic tests were done at 60°, 180° and 240° per second and isometric tests at 45°, 60° and 75°. Endurance was measured at the end of each testing session by means of five sets of 15 repetitions concentric knee extension and flexion at a speed of 180°/sec with 30 s rest between sets. Dual•energy X-ray absorptiometry (DEXA) scans were used to quantify total body lean mass and fat mass as well as limb segment mass changes, these were taken before and after the protocol. Serum creatinine was tested in order to quantify creatine uptake. There were no significant changes in the amount of serum creatinine for either group, nor were there any significant changes in body composition. Significant differences were found to occur in isometric and isokinetic strength, for both groups as a result of training over time. Isometric strength showed a significant increase over time overall (p≥0.05), but there was no statistical significance shown for any of the groups in respect to the baseline values. Subjects supplemented with CrH20 showed significant increases in isokinetic strength at the two slower velocities compared to baseline values. Subjects' endurance improved with training and the Cr group improved more than the PI group despite a slightly lower training volume. The major findings of this study were that CrH20 supplementation improved muscle function when combined with resistance training, particularly for repeated bout maximal activity in older males. The implications of this study are that this type of supplementation/training programme is well tolerated and would prove suitable for the more frail elderly population as well as individuals suffering from muscular degenerative disorders.
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Auster, Josephine Frances. "Determinants of skin self-examination (SSE) in men aged 50 years or older." Thesis, Queensland University of Technology, 2011. https://eprints.qut.edu.au/46236/1/Josephine_Auster_Thesis.pdf.
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Background: Queensland men aged 50 years and older are at high risk for melanoma. Early detection via skin self examination (SSE) (particularly whole-body SSE) followed by presentation to a doctor with suspicious lesions, may decrease morbidity and mortality from melanoma. Prevalence of whole-body SSE (wbSSE) is lower in Queensland older men compared to other population subgroups. With the exception of the present study no previous research has investigated the determinants of wbSSE in older men, or interventions to increase the behaviour in this population. Furthermore, although past SSE intervention studies for other populations have cited health behaviour models in the development of interventions, no study has tested these models in full.
The Skin Awareness Study: A recent randomised trial, called the Skin Awareness Study, tested the impact of a video-delivered intervention compared to written materials alone on wbSSE in men aged 50 years or older (n=930). Men were recruited from the general population and interviewed over the telephone at baseline and 13 months. The proportion of men who reported wbSSE rose from 10% to 31% in the control group, and from 11% to 36% in the intervention group.
Current research: The current research was a secondary analysis of data collected for the Skin Awareness Study. The objectives were as follows:
• To describe how men who did not take up any SSE during the study period differed from those who did take up examining their skin.
• To determine whether the intervention program was successful in affecting the constructs of the Health Belief Model it was aimed at (self-efficacy, perceived threat, and outcome expectations); and whether this in turn influenced wbSSE.
• To determine whether the Health Action Process Approach (HAPA) was a better predictor of wbSSE behaviour compared to the Health Belief Model (HBM).
Methods: For objective 1, men who did not report any past SSE at baseline (n=308) were categorised as having ‘taken up SSE’ (reported SSE at study end) or ‘resisted SSE’ (reported no SSE at study end). Bivariate logistic regression, followed by multivariable regression, investigated the association between participant characteristics measured at baseline and resisting SSE.
For objective 2 proxy measures of self-efficacy, perceived threat, and outcome expectations were selected. To determine whether these mediated the effect of the intervention on the outcome, a mediator analysis was performed with all participants who completed interviews at both time points (n=830) following the Baron and Kenny approach, modified for use with structural equation modelling (SEM).
For objective 3, control group participants only were included (n=410). Proxy measures of all HBM and HAPA constructs were selected and SEM was used to build up models and test the significance of each hypothesised pathway. A likelihood ratio test compared the HAPA to the HBM.
Results: Amongst men who did not report any SSE at baseline, 27% did not take up any SSE by the end of the study. In multivariable analyses, resisting SSE was associated with having more freckly skin (p=0.027); being unsure about the statement ‘if I saw something suspicious on my skin, I’d go to the doctor straight away’ (p=0.028); not intending to perform SSE (p=0.015), having lower SSE self-efficacy (p<0.001), and having no recommendation for SSE from a doctor (p=0.002).
In the mediator analysis none of the tested variables mediated the relationship between the intervention and wbSSE. In regards to health behaviour models, the HBM did not predict wbSSE well overall. Only the construct of self-efficacy was a significant predictor of future wbSSE (p=0.001), while neither perceived threat (p=0.584) nor outcome expectations (p=0.220) were. By contrast, when the HAPA constructs were added, all three HBM variables predicted intention to perform SSE, which in turn predicted future behaviour (p=0.015). The HAPA construct of volitional self-efficacy was also associated with wbSSE (p=0.046). The HAPA was a significantly better model compared to the HBM (p<0.001).
Limitations: Items selected to measure HBM and HAPA model constructs for objectives 2 and 3 may not have accurately reflected each construct.
Conclusions: This research added to the evidence base on how best to target interventions to older men; and on the appropriateness of particular health behaviour models to guide interventions.
Findings indicate that to overcome resistance those men with more negative pre-existing attitudes to SSE (not intending to do it, lower initial self-efficacy) may need to be targeted with more intensive interventions in the future. Involving general practitioners in recommending SSE to their patients in this population, alongside disseminating an intervention, may increase its success.
Comparison of the HBM and HAPA showed that while two of the three HBM variables examined did not directly predict future wbSSE, all three were associated with intention to self-examine skin. This suggests that in this population, intervening on these variables may increase intention to examine skin, but not necessarily the behaviour itself. Future interventions could potentially focus on increasing both the motivational variables of perceived threat and outcome expectations as well as a combination of both action and volitional self-efficacy; with the aim of increasing intention as well as its translation to taking up and maintaining regular wbSSE.
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Bennett, Alexander Nicholas. "Management of chronic disease in older adults with geriatric syndromes: a study of ischaemic heart disease in community- dwelling older men." Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/10560.
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Background Optimising medications is a therapeutic challenge. Currently limited evidence is available on their safety and effectiveness in older people. This thesis’s aims were to investigate the utilisation of guideline recommended medications in community-dwelling older men with ischaemic heart disease (IHD) and their association with incident geriatric syndromes and clinically relevant outcomes. Methods The Concord Health and Ageing in Men Project (CHAMP) comprised of community-dwelling men aged ≥70 years living in the study region. Variables assessed at baseline included demographic, comorbidity, guideline medications (antiplatelet, statin, beta-blocker and an angiotensin converting enzyme inhibitor or angiotensin receptor blocker) and geriatric syndromes (frailty, falls, urinary incontinence, cognitive impairment). Men with angina or previous acute coronary syndrome were classified as having IHD. Follow up assessed geriatric syndromes, mortality and institutionalisation. Results In men with IHD, adherence to medication guidelines was associated with a reduced risk of incident frailty but greater risk of incident falls. Antiplatelet use showed a similar effect. Greater adherence to medication guidelines for IHD was also associated with improved survival and reduced institutionalisation in men with and without geriatric syndromes. Conclusions These findings suggest greater medication guideline adherence has a generally favorable effect on adverse outcomes in older people with IHD.
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Proulx-King, Nichole R. "Older Women/Younger Men: A Look at the Implications of Age Heterogamy in Marriage." Fogler Library, University of Maine, 2004. http://www.library.umaine.edu/theses/pdf/Proulx-KingNR2004.pdf.
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Valdez, Eduardo. "Relationship between Frailty, Oral Health and General Health of Older People." Thesis, The University of Sydney, 2021. https://hdl.handle.net/2123/24678.
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Dentate older people are vulnerable to oral diseases like dental caries, periodontitis and consequently, tooth loss. Dental caries, periodontitis and tooth loss not only have local effects on the dentition and tooth-supporting tissues but also may impact frailty and several chronic diseases.
This thesis contributes to the current state of knowledge on the evidence on the relationship between oral health and the general health in older people and how frailty status impacts oral health and oral health behaviours. The specific aims of the thesis were to: a) review and appraise the evidence on the longitudinal associations between oral health and major chronic diseases in older people through a systematic review of the literature; b) to describe the longitudinal associations between oral health condition and the major chronic diseases in community-dwelling older people and assess the impact of poor oral health on chronic diseases in this population c) to determine what aspects of oral health are worse in frail, compared to non-frail, older men; d) determine whether frailty in older men is associated with poorer oral health and lower levels of dental service utilisation;
To address the first and second aims, a systematic review of longitudinal studies on the relationship between oral health and the four leading causes of death in the older Australian population was conducted. MEDLINE, EMBASE and Scopus databases were searched for published literature up to October 2019 using predefined search strategy (age > 65 and cohort design). A total of 4839 records were identified in the initial database search but only 11 were selected for qualitative analysis. Two studies found that a lower number of teeth was associated with increased risk of dementia (hazard ratio [HR]: 1.85 (95% CI 1.04-3.31), HR: 2.20 (95% CI: 1.1-4.5)), and one study did not show any significant association among oral health status and dementia onset. Four studies found significant associations between tooth loss or lack of posterior occlusal support and an increased likelihood of developing cognitive impairment (OR: 3.31 (95% CI: 1.07–10.2), OR: 1.61 (95% CI 1.03–2.49), OR 2.39 (95% CI: 1.48–3.86), beta estimate: –5.6955 (0.9194) P < 0.0001). One study reported that swallowing difficulties and denture wearing during sleep were independently associated with an approximately 2.3-fold higher risk of incident pneumonia. Another showed that the increase in teeth with periodontal pockets was associated with increased mortality from pneumonia in older people (HR: 3.9 (95%CI 1.1-13.9). Two studies explored the associations between oral health and cancer and cardiovascular diseases mortality during a 4-year follow up period. In both studies, impaired dentition with poor masticatory ability was an independent risk factor for cardiovascular disease mortality (HR: 1.83 (95% CI: 1.12-2.98), HR: 4.60 (95% CI: 1.01–21.1)) but not cancer mortality. The systematic review concluded that, overall, in community-dwelling older adults, there is evidence of a longitudinal relationship between poor oral health and cognitive disorders, respiratory diseases and cardiovascular mortality but not with specific cardiovascular diseases or cancer. However, the findings should be interpreted with caution given the heterogeneity between studies, particularly concerning the definition of the exposure and the most relevant outcomes.
To address the third and fourth aims, cross sectional data from the Concord Health and Ageing in Men Project were used. Australian men aged 70 years or older participated in the study. Data on 601 participants with both frailty status and oral health information were collected between 2015 and 2016. There were significant associations between frailty and dentition status (odds ratio [OR]: 2.49, 95% confidence interval [CI]: (1.17‐5.30), and frailty and active coronal decayed surfaces (ACDS) (OR: 3.01, CI: 1.50‐6.08) but only the frailty association with ACDS remained significant after adjusting for confounders (adjusted OR: 2.46, CI: 1.17‐5.18). There was no association between frailty and dental service utilisation and frailty and self-rated oral health. In summary, frailty was independently associated with the presence of dental caries. However, dental service utilisation and other oral health markers were not significantly associated with frailty after adjusting for confounders.
From the results presented in the chapters of this thesis, important conclusions can be observed: a) there is some evidence of longitudinal relationships between poor oral health and cognitive disorders, respiratory diseases and respiratory and cardiovascular mortality but not cardiovascular disease and cancer in community-dwelling older men; b) the analysis of CHAMP data showed that frailty was independently associated with the presence of the active coronal dental caries in community-dwelling older Australian men. However, frailty was not independently associated with any other oral health conditions, dental service utilisation and self-rated oral health. In combination, the finds of the research conducted for this thesis strongly suggest that a far greater emphasis in the education of dental personnel should be placed on the principles of understanding the ageing of individuals, chronic diseases and the mechanisms underlying the development of frailty and its impact on personal and public health aspects of oral health care.
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Williamson, David L. "Effects of progressive resistance training on skeletal muscle protein isoform adaptations in elderly men." Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1136712.
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Progressive resistance training (PRT) in the elderly has commonly used ATPase histochemistry to evaluate fiber type changes, but evidence shows there are myosin heavy chain (MHC) hybrids in aging muscle that cannot be classified by histochemistry. The purpose of this study was to assess the MHC and whole muscle alterations following a 12-week PRT protocol. Seven healthy men (age=74.0±4.7, weight=74.6±13.5kg) underwent testing for 1-repetition maximum (1-RM), whole muscle (thigh) crosssectional area (CSA) by computed tomography, and a needle muscle biopsy from the vastus lateralis for analysis of MHC, pre- and post-training. The PRT consisted of 2 sets of 10 repetitions, and a third set to volitional exhaustion at 80% 1-RM, 3 days per week for 12 weeks. Muscle ATPase histochemistry analysis for distribution did not significantly differ following training. Muscle samples were freeze dried and dissected for MHC analysis (sodium dodecyl sulfate-polyacrylamide gel electrophoresis (5% gel) and silver stained; 224.0±11.2 and 213.0±8.1 fibers/subject pre-/post-training; total fibers analyzed=3059). MHC analysis demonstrated significant increases in MHC I proportion (10.4%; P<0.05), and significant decreases in MHC UIIa (9.0%; P<0.05), UIIa/x (0.9%; P<0.05), and IIa/x (8.9%; P<0.05) isofroms, along with no change in the MHC Ila and IIx isoforms, pre- versus post-training. In addition, 1-RM (51.9%; P<0.05) and CSA (5.9%; P<0.05) increased from pre- to post-testing. This data supports previous whole muscle changes, more important, is the increase in MHC I and decrease in MHC I/IIa, I/IIa/IIx, and IIa/x hybrids. The myosin light chain 3f (MLC3f) to MLC 2 ratio did not change with the PRT in either the MHC I or MHC IIa isoforms, although there was a significantly greater amount of MLC 3f in the MHC Ila versus the MHC I fibers (p<0.05), pre- and post-training. The myosin isofrom data provides support that aging muscle has the plasticity to adapt in a manner unlike that of young muscle.School of Physical Education
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Kostek, Matthew Christopher. "Effects of low level resistance training on basal metabolism in currently active older men." Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1129633.
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The American College of Sports Medicine (ACSM) currently recommends 1 set of 8 - 12 repetitions as the minimal dose of resistance training (RT) required to achieve the health and fitness benefits gained from RT. Yet, certain benefits derived from resistance training are not mentioned by the ACSM. An increase in basal metabolic rate (BMR) is a possible health benefit derived from RT. However, no previous studies have examined the effect of the ACSM's current resistance training recommendations on BMR. Therefore, the purpose of this study was to determine if this low level of RT could increase BMR in currently active older men. Sixteen subjects were assigned to either a training group or control group for 10 weeks of training. The training group continued their current aerobic activity while adding 1 set of RT 2x/week as recommended by the ACSM. The control group continued their aerobic activity with no modifications. Measurements of strength, fat free mass (FFM), and BMR were made pre- and posttraining. The training group showed an increase in strength (P<0.05) while the control group did not change. The training and control groups showed no change in FFM or BMR (P<0.05). The strength increases reported in the current study were of expected values while FFM and BMR have not been previously examined with this protocol. It was concluded that 10 weeks of RT using 1 set of 8 - 12 repetitions does not increase BMR in currently active older men.School of Physical Education
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Curtin, Samuel V. "Effect of acute oral creatine supplementation on muscle volume in young and older men." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0021/MQ58022.pdf.
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Klima, Dennis Wayne. "Physical Performance and Balance Confidence Among Community-Dwelling Older Adult Men: The Priest Study." Diss., Temple University Libraries, 2010. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/112463.
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Physical TherapyPh.D.
Physical Performance and Balance Confidence Among Community- Dwelling Older Adult Men: The Priest Study Purpose: Studies examining physical performance among older adult men remain limited. The purpose of this study was to examine gait, balance ability, and balance confidence within two cohorts of Roman Catholic priests (age 60-74 years of age and 75+ years) and to analyze predictive markers of physical performance. Participants: Subjects included 131 community-dwelling Roman Catholic priests over 60 (x = 76.1; SD = 9.0; range: 60-97 years) living in rectories, senior housing, or religious communities in 10 states. Materials/Methods: Subjects completed a basic demographic profile, the Berg Balance Scale (BBS), Timed Up and Go (TUG) Test, the Dynamic Gait Index (DGI), and the Activities-specific Balance Confidence (ABC) Scale. Additional assessments included BMI, blood pressure, grip strength, and the Physical Activity Scale for the Elderly (PASE). Data were analyzed data using descriptive statistics, independent T tests with Bonferroni correction, MANCOVA analysis, and stepwise regression modeling. Results: Demographic profiles revealed that 46 subjects (35%) had fallen over the past year. Eighty-six subjects (65%) were taking four or more medications. Younger priests (60--74 years) demonstrated a significantly higher ABC score than the older cohort (75 and above years) of priests (89.1+ 12.6 vs.78.4 + 13.9). Significant differences (p < 0.001) in physical performance between the younger and older age cohorts were noted on the BBS (53.4 + 4.8 vs. 45.5 + 7.5), TUG (10.4 sec. + 2.3 vs. 13.4 sec. + 4.2), and DGI (22.6 + 2.6 vs. 19.0 + 4.2) respectively. Stepwise regression analysis demonstrated that age, balance confidence, a fall in the past three months, and diastolic blood pressure predicted 60% of the variance in the BBS, 61% of the variance on the DGI, and 49% of the variance on the TUG (all p < 0.001). Conclusions: Data findings suggest that both physiologic and psychosocial factors impact the functional profile of the older adult priest. Common tests of physical performance may be incorporated with modifiable variables to establish target interventions for balance, gait, and functional mobility.
Temple University--Theses
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Frendl, Daniel M. "Predicting Other Cause Mortality Risk for Older Men with Localized Prostate Cancer: A Dissertation." eScholarship@UMMS, 2015. https://escholarship.umassmed.edu/gsbs_diss/772.
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Background: Overtreatment of localized prostate cancer (PCa) is a concern as many men die of other causes prior to experiencing a treatment benefit. This dissertation characterizes the need for assessing other cause mortality (OCM) risk in older men with PCa and informs efforts to identify patients most likely to benefit from definitive PCa treatment.
Methods: Using the linked Surveillance Epidemiology and End Results-Medicare Health Outcomes Survey database, 2,931 men (mean age=75) newly diagnosed with clinical stage T1a-T3a PCa from 1998-2009 were identified. Survival analysis methods were used to compare observed 10-year OCM by primary treatment type. Age and health factors predictive of primary treatment type were assessed with multinomial logistic regression. Predicted mortality estimates from Social Security life tables (recommended for life expectancy evaluation) and two OCM risk estimation tools were compared to observed rates. An improved OCM prediction model was developed fitting Fine and Gray competing risks models for 10-year OCM with age, sociodemographic, comorbidity, activities of daily living, and patient-reported health data as predictors. The tools’ ability to discriminate between patients who died and those who did not was evaluated with Harrell’s c-index (range 0.5-1), which also guided new model selection.
Results: Fifty-four percent of older men with localized PCa underwent radiotherapy while 13% underwent prostatectomy. Twenty-three percent of those treated with radiotherapy and 12% of those undergoing prostatectomy experienced OCM within 10 years of treatment and thus were considered overtreated. Health factors indicative of a shorter life expectancy (increased comorbidity, worse physical health, smoking) had little to no association with radiotherapy assignment but were significantly related to reductions in the likelihood of undergoing prostatectomy. Social Security life tables overestimated mortality risk and discriminated poorly between men who died and those who did not over 10 years (c-index=0.59). Existing OCM risk estimation tools were less likely to overestimate OCM rates and had limited but improved discrimination (c-index=0.64). A risk model developed with self-reported age, Charlson comorbidity index score, overall health (excellent-good/fair/poor), smoking, and marital status predictors had improved discrimination (c-index=0.70).
Conclusions: Overtreatment of older men with PCa is primarily attributable to radiotherapy and may be reduced by pretreatment assessment of mortality-related health factors. This dissertation provides a prognostic model which utilizes a set of five self-reported characteristics that better identify patients likely to die of OCM within 10 years of diagnosis than age and comorbidity-based assessments alone.
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Nielsen, Shelley K. (Shelley Kay). "The Development of a Curriculum Guide for a Cancer Awareness Program for Older Adult Males." Thesis, University of North Texas, 1989. https://digital.library.unt.edu/ark:/67531/metadc501144/.
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This thesis focused on the development of a curriculum guide for a cancer awareness program for older men. The background of the problem -- a lack of programs for older men -- and the methods used in developing the guide are detailed in Chapter One. The second chapter consists of current information on disease prevention, aging and cancer with the emphasis on age-related changes and learning needs of older adult men. Chapter Three is the completed instructor's curriculum guide, and the final chapter includes recommendations on implementing the program as part of a community wellness program. The guide could also be used in senior centers, hospital educational programs, or adapted for use in staff inservices.
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Kullberg, Kerstin. "Food in older men with somatic diseases : Eating habits and approaches to food-related activities." Licentiate thesis, Uppsala University, Department of Public Health and Caring Sciences, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-106429.
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The overall aim was to improve the knowledge and understanding of eating habits of older men with somatic diseases, and the men's perceptions about managing food-related habits, such as grocery shopping and cooking. A total of 67 men between 64 and 89 years of age were visited in their homes on two occasions with 1-2 weeks in between. The participants were diagnosed with one of the three diseases Parkinson’s disease, rheumatoid arthritis, or stroke. A food survey, with repeated 24-h recall, was used to assess food intake and meal patterns. Interviews with 18 participants were conducted with open-ended questions. The interviews were further analysed with a thematic framework approach.The findings showed that eating events were distributed over a 24-h period.Further, co-living men had a significantly larger number of eating events over the day (p=0.001). No differences in daily energy intake were observed between co-living and single-living men. Co-living men’s hot eating events were compared with those of single-living men more often cooked from fresh ingredients (p=0.001), including a greater mix of vegetables/roots (p=0.003).Thematic analysis revealed three different approaches to food-related activities(FRA), namely ‘Cooking as a pleasure’, describing joy in cooking; ‘Cooking as a need’, indicating no habits or skills in cooking; and ‘Food is served’, that is, being served meals by a partner. The men's approaches to FRA were affected in particular by gender-related roles, but also by changed life circumstances, activity limitations, personal interests, and a wish to maintain continuity and independence. Further adaptive strategies were used among the men in attempts to maintain continuity and independence in FRA. In conclusion, single-living older men, especially those with activity limitations, were identified as being a vulnerable group from a nutritional perspective. Further, health care efforts in promoting FRA should preferably be individualised with respect to the older man’s approach to these activities.
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Rake, Katherine. "Ageing and inequality : older women and men in the British, French and German welfare states." Thesis, University of Oxford, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.286408.
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Patel, Harnish. "Life course influences on skeletal muscle morphology, mass and function in community dwelling older men." Thesis, University of Southampton, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.536307.
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Van, Niekerk Jan Keyter. "The effects of dehydroepiandrosterone (DHEA) replacement on cognitive function and mood in normal older men." Thesis, University of Cambridge, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.620494.
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Hwang, Jinsook. "Body Image, self-esteem, and clothing of men and women aged 55 years and older." Thesis, This resource online, 1993. http://scholar.lib.vt.edu/theses/available/etd-06232009-063041/.
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