Dissertations / Theses on the topic 'Older people Australia Nutrition'
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1
Horwath, Caroline Christine. "A random population study of the dietary habits of elderly people." Title page, contents and synopsis only, 1987. http://web4.library.adelaide.edu.au/theses/09PH/09phh824.pdf.
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Jia, Xueli. "Nutrition, survival, and cognitive decline in older people." Thesis, University of Aberdeen, 2007. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=186836.
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Roth, Ruth A. "Differences in nutrition knowledge of the elderly according to nutrition risk levels, levels of education, age and gender." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/941354.
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The purpose of the study was to examine nutrition knowledge of elderly congregate meal site participants with particular interest directed towards nutrition risk levels and the demographic characteristics of education, age, and gender. The population utilized in this study were 120 elderly, both male and female, over the age of 60 years who attended ten congregate meal sites in Allen County, Indiana and who volunteered to participate. The researcher administered a 25 question nutrition knowledge survey and the 10 question Determine Your Nutritional Health Checklist at the meal sites. The study was designed to determine if there was a significant difference in nutrition knowledge among elderly at congregate meal sites who exhibit varying nutrition risk, education, and age levels and between elderly men and women. The conclusion was that there was a significant difference between nutrition knowledge of men and women with women scoring more correct answers on the survey. Although not shown statistically other preliminary findings suggest the need for further research; a greater proportion of females than males were in the lowest nutrition risk level; the 60-74 years olds had a higher nutrition knowledge average score than did the two older groups. Further, those with 9-11 years of education and in the lowest nutrition risk level (all females) had the highest nutrition knowledge score; and males with less than eight years of education had the lowest nutrition knowledge score and a preponderance of those were in the moderate or high risk level. The researcher also concluded that more nutrition education is needed for these participants, but it must be geared to their learning level to be effective.Department of Family and Consumer Sciences
4
Hall, Jane. "Television and positive ageing in Australia." Thesis, Hall, Jane (2005) Television and positive ageing in Australia. PhD thesis, Murdoch University, 2005. https://researchrepository.murdoch.edu.au/id/eprint/92/.
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As a means to engage with others, television offers the viewer a great deal. In Australia commercial TV is particularly popular, and many turn daily to this cultural arena which graphically portrays our shared concerns and values. Viewers are kept informed and entertained, advertisements display the luxuries and necessities that direct lifestyle choices,and local and global stories are presented for mutual consideration. Audiences are connected not only with products,personalities and newsmakers, but also with fellow viewers who are sharing the experience. Retired people take particular advantage of this multi-faceted link with the outside world, when additional leisure time and reduced social and physical mobility create spaces that can be filled with the narratives and 'para-social' connections of a medium that transports the world to the viewer. Yet one definitive statement that can be made about popular television is that older people are rarely acknowledged and often ridiculed. An easily accessible and valuable communications medium marginalises those most dependent upon it - for information and entertainment, but also, I would argue, dependent upon it to help facilitate key recommendations of the 'successful ageing' formula.
Authoritative prescriptions for ageing well emphasise the benefits of social engagement, with television helping to facilitate this by involving the viewer with local concerns and wider accounts of human enterprise. Yet the popular media often presume that older people are no longer viable consumers or citizens, thus alienating them from mediated stories and populations. 'Success', according to commercial media sensibilities, is equated with youthfulness and economic means - twin attributes rarely associated with retired people. As a result, advertising is directed primarily at young, middle-class audiences, and the TV programmes to hook their attention are often typecast with similarly youthful protagonists. Older viewers are taken for granted and rarely acknowledged, and more disconcertingly, stereotyped and ridiculed to empower younger viewers. This dissertation seeks to explore these issues from a sociological perspective, primarily within the Australian context. Research strategies include a detailed analysis of the role of television in older people's lives and how they are portrayed, with results aligned with 'successful ageing' guidelines. Included in this approach is a study of how older people are portrayed on commercial TV in Australia, and a discussion of findings. The final section includes a chapter which consists of an examination of negative media portrayals from a political and human rights perspective, and the final chapter which asks how the oldest and frailest may by impacted by the cultural devaluation of old age.
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Hall, Jane. "Television and positive ageing in Australia." Hall, Jane (2005) Television and positive ageing in Australia. PhD thesis, Murdoch University, 2005. http://researchrepository.murdoch.edu.au/92/.
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As a means to engage with others, television offers the viewer a great deal. In Australia commercial TV is particularly popular, and many turn daily to this cultural arena which graphically portrays our shared concerns and values. Viewers are kept informed and entertained, advertisements display the luxuries and necessities that direct lifestyle choices,and local and global stories are presented for mutual consideration. Audiences are connected not only with products,personalities and newsmakers, but also with fellow viewers who are sharing the experience. Retired people take particular advantage of this multi-faceted link with the outside world, when additional leisure time and reduced social and physical mobility create spaces that can be filled with the narratives and 'para-social' connections of a medium that transports the world to the viewer. Yet one definitive statement that can be made about popular television is that older people are rarely acknowledged and often ridiculed. An easily accessible and valuable communications medium marginalises those most dependent upon it - for information and entertainment, but also, I would argue, dependent upon it to help facilitate key recommendations of the 'successful ageing' formula.
Authoritative prescriptions for ageing well emphasise the benefits of social engagement, with television helping to facilitate this by involving the viewer with local concerns and wider accounts of human enterprise. Yet the popular media often presume that older people are no longer viable consumers or citizens, thus alienating them from mediated stories and populations. 'Success', according to commercial media sensibilities, is equated with youthfulness and economic means - twin attributes rarely associated with retired people. As a result, advertising is directed primarily at young, middle-class audiences, and the TV programmes to hook their attention are often typecast with similarly youthful protagonists. Older viewers are taken for granted and rarely acknowledged, and more disconcertingly, stereotyped and ridiculed to empower younger viewers. This dissertation seeks to explore these issues from a sociological perspective, primarily within the Australian context. Research strategies include a detailed analysis of the role of television in older people's lives and how they are portrayed, with results aligned with 'successful ageing' guidelines. Included in this approach is a study of how older people are portrayed on commercial TV in Australia, and a discussion of findings. The final section includes a chapter which consists of an examination of negative media portrayals from a political and human rights perspective, and the final chapter which asks how the oldest and frailest may by impacted by the cultural devaluation of old age.
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Lin, Jou-Chia. "The nutritional effects of the Elderly Nutrition Program: Title III-C for the Menomonie congregate-site meal program participants." Online version, 1999. http://www.uwstout.edu/lib/thesis/1999/1999lin.pdf.
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Loh, Poh Kooi. "Innovations in health for older people in Western Australia." University of Western Australia. School of Medicine and Pharmacology, 2009. http://theses.library.uwa.edu.au/adt-WU2010.0051.
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Australia and many other developed communities are ageing rapidly, placing a strain on the delivery of health services. This thesis examines the use of innovative health services management coupled with information and communication technology (ICT) to more efficiently deliver services to disabled older people in the hospital, community and residential care. The hypothesis explored is that ICT can provide clinical services to older people in poorly serviced communities and groups, thus extending the influence and capabilities of specialist health care professionals. The relevance of these studies is predominantly for those people who live outside the metropolitan regions, particularly in remote and rural communities, and also for those frail older people, who because of disability, are unable to travel to specialist health services. There are a series of studies presented in this thesis which have all been published. They have demonstrated that in a community and rural setting, ICT use in the assessment and management of geriatric syndromes such as dementia is valid and practical. This included the validation of commonly used assessment tools via Telehealth. A Telehealth protocol for assessment of Alzheimer's Dementia (AD) was developed and published. The use of ICT to link health services clinical and administrative data for determining stroke outcomes and disability has been evaluated and a resource utilization prediction model developed. Finally, in residential care a survey and a qualitative study of poor uptake of ICT services in hostels and nursing homes revealed insights into ICT perception by the older people in care facilities and their professional staff. The implications and future development of these studies have been discussed, especially barriers to increased uptake of ICT, cost comparisons and the potential of future technologies such as video conferencing mobile phones.
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Ong, Rachel Kien Ling. "Ageing in Australia : financial independence and work disincentive issues /." Access via Murdoch University Digital Theses Project, 2004. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20050526.150529.
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L'Italien, Matthew R. "Longitudinal Nutrition Risk Assessment of the Elderly." Fogler Library, University of Maine, 2004. http://www.library.umaine.edu/theses/pdf/LItalienMR2004.pdf.
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Yeh, Mei-Chun Patty. "Nutrition knowledge, health benefits and use of nutrition suppliements among older adults in Northwestern Wisconsin." Online version, 2000. http://www.uwstout.edu/lib/thesis/2000/2000yehm.pdf.
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Fleming, Brian James. "The social gradient in health : trends in C20th ideas, Australian Health Policy 1970-1998, and a health equity policy evaluation of Australian aged care planning /." Title page, abstract and table of contents only, 2003. http://web4.library.adelaide.edu.au/theses/09PH/09phf5971.pdf.
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Barake, Roula. "Correlates and consequences of vitamin D status in older people." Thesis, McGill University, 2010. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=86736.
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It is well established that vitamin D contributes to bone health. New evidence from cross-sectional and prospective cohort studies and a few clinical trials suggest that vitamin D status may play a role in functional capacity declining with age; however, there are some gaps in these studies yet to be examined. Little is known about vitamin D status in healthy, free-living, older people in North America. Older individuals may be more vulnerable due to low vitamin D intake and limited endogenous synthesis. Thus, the objectives of this thesis were to (i) determine the distribution of serum 25 hydroxy vitamin D [25(OH)D] concentrations in healthy older people living in Québec and determine how season, age, sex and supplement consumption affect this distribution; (ii) determine to what extent vitamin D intake from foods, supplements and proxy measure of sunlight exposure explain the variation in serum 25(OH)D concentrations, controlling for the effects of age and sex; and determine the dietary predictors of optimal concentration of 25(OH)D; and (iii) examine whether vitamin D status can predict change in functional decline capacity over 1 and 2 years, controlling for season and other potential confounders. Data for this study have been obtained from a random sampling of 405 participants from the NuAge cohort study of 1793 independently-living men and women aged 68 to 82 years at baseline. The NuAge sample is a stratified sample of participants in three age categories 70 ± 2 years, 75 ± 2 years and 80 ± 2 years with approximately equivalent numbers of men and women in each group. For objective (i), a cross-sectional design was applied. Serum 25(OH)D was assessed using radioimmunoassay. Data were analyzed controlling for age, sex, season and other potential confounders. For objective (ii), six 24-hour recalls were obtained for the same subjects as the first study also in a cross-sectional design. In addition to nutrient intake, foods were grouped into 6 food groupIl est bien établi que la vitamine D contribue à la santé osseuse. Des données récentes d'études transversales, de cohortes prospectives et d'essais cliniques suggèrent que la vitamine D pourrait jouer un rôle dans la diminution des capacités fonctionnelles avec l'âge; toutefois, certaines lacunes de ces études n'ont toujours pas été étudiées. On sait peu de choses au sujet des niveaux de vitamine D chez les personnes âgées autonomes, en bonne santé, vivant en Amérique du Nord. Ces personnes peuvent être plus vulnérables aux carences d'une part à cause d'un faible apport en vitamine D et, d'autre part, à cause d'une synthèse endogène limitée. Ainsi, les objectifs de cette thèse étaient de (i) déterminer la distribution des concentrations sériques de 25 hydroxy vitamine D [25 (OH) D] chez les personnes âgées en bonne santé, vivant au Québec et de déterminer comment la saison, l'âge, le sexe et la consommation de suppléments affectent cette distribution; (ii) de déterminer dans quelle mesure l'apport alimentaire de vitamine D, l'apport de suppléments et la saison peuvent expliquer les variations des concentrations sériques de 25 (OH) D, en contrôlant pour les effets de l'âge et du sexe, ainsi que de déterminer l'apport alimentaire idéal de vitamine D pour obtenir un niveau optimal de 25 (OH) D; et, finalement (iii) d'évaluer l'effet de l'état nutritionnel en vitamine D sur la diminution des capacités fonctionnelles pendant 1 et 2 ans, tout en prenant en compte la saison et d'autres variables de confusion potentielles. Cette étude repose sur des données obtenues auprès d'un échantillon aléatoire de 405 participants de l'étude de cohorte NuAge, composée de 1793 hommes et femmes âgés entre 68 et 82 ans au départ, vivant de façon indépendante. Cet échantillon est stratifié selon trois catégories d'âge: 70 ± 2 ans, 75 ± 2 ans et 80 ± 2 ans, avec des nombres comparables d'hommes et de femmes dans chaque gr
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Shapiro, Sheryl Lynn 1961. "NUTRITION AND HEALTH PRACTICES: A STUDY OF HOW SOURCES OF NUTRITIONAL INFORMATION, NUTRITIONAL KNOWLEDGE, HEALTH LOCUS OF CONTROL, AND MOTIVATING FACTORS TOWARD PREVENTIVE HEALTH CONTRIBUTE TO THE ADEQUACY OF THE HEALTHY ELDERLY DIET." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/291265.
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Rozario, Suzanna R. "Evaluation of Nutrition Risk and Body Mass Index in Maine Seniors." Fogler Library, University of Maine, 2006. http://www.library.umaine.edu/theses/pdf/RozarioSR2006.pdf.
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Kingsley, Elizabeth J. S. "Articulating and ameliorating elder abuse in Australia." Thesis, Curtin University, 2002. http://hdl.handle.net/20.500.11937/1753.
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The abuse of older people is a largely unrecognised and under acknowledged social problem in Australia. My major objective in undertaking the work, which is represented by the original published articles that comprise the thesis, was to make a scholarly and practical contribution toward the minimisation of 'elder abuse. This objective was achieved with the development and implementation of a series of studies that articulated and ameliorated elder abuse in Australia.The thesis provides an erudite synthesis of these studies, which fall into four themes that illustrate the nature and scope of my theoretical and professional work in elder abuse. Much of the work was guided by a conceptual framework of ways of knowing in nursing, and was underpinned by the principles and practice of community development and participatory community-based action processes.The outcomes of these studies include work with three stakeholder groups: professionals who deal with elder abuse, older people who are victims or potential victims of abuse, and those who perpetrate abuse on an older person. The work, illustrated in the four themes, includesthe articulation of elder abuse issues with West Australian aged care workersthe development of elder abuse protocols, policy guidelines and ethical principles, to guide professional practice in abuse prevention and interventionthe design and implementation of participative community programs to empower older people, and their carers, to resist being abused or abusing and to assist perpetrators stop their abusethe amelioration of abuse of nursing home residents by staff.The thesis situates my conceptual and clinical effort within the wider corpus of Australian knowledge and practice on elder abuse and contributes to addressing the social problem of elder abuse within the context of Australian aged care.
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Burke, Linda Fiona. "Evaluation of a physical activity and nutrition program for older people." Thesis, Curtin University, 2013. http://hdl.handle.net/20.500.11937/790.
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The aim of the program was to develop, implement and evaluate a low cost, accessible, sustainable, replicable physical activity and nutrition program that would ultimately reduce chronic disease. The thesis demonstrates the importance of evaluation pre, during and post intervention. The program was successful, data from the intervention group improved in areas of physical activity, dietary behaviours, and anthropometric measures, in comparison to the control group participants.
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Ing, Amy. "Food consumption patterns and nutrient intake of homebound elderly." Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=55503.
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Food consumption patterns and their association with nutrient intake in 290 homebound elderly living in Sherbrooke, Quebec were: investigated. Dietary data were collected using three repeated non-consecutive 24-hour recalls and sociodemographic, physical, physiological and psychosocial characteristics were measured. Factor and cluster analyses were used to define food patterns. Due to the homogeneous dietary patterns of this population, neither the five factors nor six clusters formed were distinct. There were few dietary predictors of nutrient intake as mean intakes of energy, folacin, calcium, vitamin D and zinc by subjects in all clusters were inadequate. Protein intakes were also marginal. Eating beef predicted higher intakes of protein, niacin and zinc for women. Smoking predicted both poorer food choices and nutrient intake. A diagnosis of emphysema predicted higher food intakes. Recommended dietary changes for this population include increased consumption of dairy products and other protein sources as well as energy-dense foods in order to increase micronutrient intake and prevent weight loss in some individuals.
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Hoogenboom, Mary Sue. "Factors related to on-site and off-site nutrient intake of participants in the elderly nutrition program : demographics and functional status." Virtual Press, 1994. http://liblink.bsu.edu/uhtbin/catkey/897496.
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Energy and nutrient intake from congregate meals (CM), noncongregate meals (NCM) and total daily intake (TDI) was studied for differences associated with age, income, education, marital status, gender, race, vitamin-mineral supplementation, Body Mass Index, Health Assessment, Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL).TDI was less than 100 percent of Recommended Dietary Allowances for energy, vitamin B6, calcium, magnesium and zinc. Men, single and divorced subjects, and those most educated had significantly greatest intake for various nutrients from CM and TDI; widows had the least. Racial effect was mixed. Young-old had greatest intakes from NCM and TDI. High intake from CM plus NCM did not make TDI adequate.CM was significantly associated with transportation (IADL) and walking (ADL). Those with some problems had lowest nutrient intakes; those with none, the greatest. For toileting (ADL), NCM and TDI intakes were greatest for those with considerable difficulty; lowest for those with some.Department of Home Economics
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Cuevas, Marianela. "Perceptions of elder abuse among Australian elderly individuals and general practitioners." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1998. https://ro.ecu.edu.au/theses/994.
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Research available on elder abuse is limited. There continues to be a lack of uniformity in how to define and identify the problem, as well as how to intervene. One group which continues to be excluded from the process of gaining knowledge on the issue of elder abuse is the elderly themselves. As general practitioners are the primary source of health care for older people, their perspectives on elder mistreatment should be explored as well. The first objective of this study was to examine whether differences existed in the perceived severity of potentially abusive situations between three groups of older people and general practitioners. The second objective was to determine if gender differences existed in perceptions of severity of abuse. The sample consisted of 48 general practitioners, 40 independent elderly, 38 elderly caregivers and 36 elderly care-receivers. The participants' perceptions of elder abuse were assessed using a modified version of a questionnaire developed by Moon and Williams (1993). The questionnaire described 10 potential elder abuse scenarios which covered five categories of abuse: physical, psychological, sexual, financial and neglect. Participants were asked to indicate whether or not they perceived each situation to represent an example of elder abuse and, if they answered affirmatively, to rate the severity of the abusive behaviour and identify which aspect of the scenario they considered abusive. Data were analysed using split-plot analysis of variance, as well as contingency tables. The results suggested that significant differences existed in the perceptions of severity of elder abuse scenarios across groups and gender. General practitioners tended to view the scenarios as less severe examples of elder abuse than the older-aged groups. There were similarities within the elderly groups in that all groups perceived the sexual abuse scenarios as examples of more severe forms of abuse than the financial abuse scenarios. Within the elderly groups, caregivers generally perceived the scenarios as less abusive. With regard to gender differences, females generally perceived the sexual abuse scenarios as more severe than males. This was particularly so for female independent elders and female care-receivers. Both the symbolic interaction theory and social exchange theory were adopted to explain why there were differences in the perceived severity of the scenarios. It was argued that how the participants viewed the interactions between the characters in the scenarios, and whether they perceived the interactions as being rewarding or unrewarding for particular characters, would affect participants' perceptions of severity. To conclude, with such differences in views found, the development of effective assessment and intervention strategies will be difficult. However, both the public and professionals alike need to increase their understanding on the topic of elder abuse, lest the abuse continues.
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Simpson-Young, Virginia. "Meat trays, marginalisation and the mechanisms of social capital creation an ethnographic study of a licensed social club and its older users /." Faculty of Health Sciences, 2008. http://hdl.handle.net/2123/4049.
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Doctor of Philosophy(PhD)Alongside informal networks of friends and family, formal social groupings such as voluntary associations are valued by older people as opportunities for engagement. In Australia, one such grouping is the licensed social (or ‘registered’) club. Approximately 20 per cent of all older Australians, and 80 per cent of older residents of the state of New South Wales, actively participate in such clubs. Despite this, older people’s registered club participation has received little scholarly attention. This ethnographic study of one particular registered club aimed to discover the nature, meaning and role of club participation for its older members. Social capital existing in club-based networks emerged as a further investigative focus, and its mechanisms and outcomes were examined. Participant observation and in-depth interviewing were the main data collection methods used. Data analysis procedures included thematic analysis (based loosely on grounded theory methodology), as well as the more contextsensitive narrative analysis and key-words-in-context analysis. The study found that club participation enabled older members to maintain valued social networks, self-reliance and a sense of autonomy. Social networks were characterised by social capital of the bonding type, being largely homogeneous with respect to age, gender, (working) class and cultural background. Strong cohesive bonds were characterised by intimacy and reciprocity, and possessed norms including equality and the norm of tolerance and inclusiveness. These helped to minimise conflict and build cohesiveness, while protecting older club-goers from increasing marginalisation within the club. Peer grouping within this mainstream setting may have shielded the older club-goers from stigma associated with participation in old-age specific groups. The nature and scale of registered club participation amongst older Australians points to their unique and important role. The findings of this research indicate that – for at least this group of older men and women - club use is a major contributor to maintaining social connectedness and a sense of self as self-reliant, autonomous and capable. In the context of an ageing population, Australia’s registered clubs feature in the mosaic of resources available to older people, and their communities, for the creation of social capital.
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Benoit, Julie E. "Evaluation of Nutritional Risk in Maine's Senior Population with an Emphasis on how Whole Grain Intake Affects Nutritional Status." Fogler Library, University of Maine, 2008. http://www.library.umaine.edu/theses/pdf/BenoitJE2008.pdf.
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Kingsley, Elizabeth J. S. "Articulating and ameliorating elder abuse in Australia." Curtin University of Technology, School of Nursing, 2002. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=13966.
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The abuse of older people is a largely unrecognised and under acknowledged social problem in Australia. My major objective in undertaking the work, which is represented by the original published articles that comprise the thesis, was to make a scholarly and practical contribution toward the minimisation of 'elder abuse. This objective was achieved with the development and implementation of a series of studies that articulated and ameliorated elder abuse in Australia.The thesis provides an erudite synthesis of these studies, which fall into four themes that illustrate the nature and scope of my theoretical and professional work in elder abuse. Much of the work was guided by a conceptual framework of ways of knowing in nursing, and was underpinned by the principles and practice of community development and participatory community-based action processes.The outcomes of these studies include work with three stakeholder groups: professionals who deal with elder abuse, older people who are victims or potential victims of abuse, and those who perpetrate abuse on an older person. The work, illustrated in the four themes, includesthe articulation of elder abuse issues with West Australian aged care workersthe development of elder abuse protocols, policy guidelines and ethical principles, to guide professional practice in abuse prevention and interventionthe design and implementation of participative community programs to empower older people, and their carers, to resist being abused or abusing and to assist perpetrators stop their abusethe amelioration of abuse of nursing home residents by staff.The thesis situates my conceptual and clinical effort within the wider corpus of Australian knowledge and practice on elder abuse and contributes to addressing the social problem of elder abuse within the context of Australian aged care.
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Littbrand, Håkan. "Physical exercise for older people : focusing on people living in residential care facilities and people with dementia." Doctoral thesis, Umeå universitet, Geriatrik, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-39784.
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The main purposes of this thesis were to evaluate a high-intensity functional weight-bearing exercise programme, regarding its applicability (attendance, achieved intensity, adverse events) as well as its effect on physical functions and activities of daily living (ADL) among older people living in residential care facilities, with a special focus on people with dementia. Furthermore, a main purpose was to systematically review the applicability and effects of physical exercise on physical functions, cognitive functions, and ADL among people with dementia. A high-intensity functional weight-bearing exercise programme that includes lower-limb strength and balance exercises in standing and walking, was evaluated in a randomised controlled trial among 191 older people, dependent in ADL, living in residential care facilities, and with a Mini-Mental State Examination (MMSE) score of ten or more. One hundred (52.4%) of the participants had dementia. Participants were randomised to an exercise programme or a control activity, consisting of 29 supervised sessions over 3 months, as well as to an intake of a protein-enriched energy supplement or a placebo drink immediately after each session. The effect on physical functions was evaluated using the Berg Balance Scale, usual and maximum gait speed, and one-repetition maximum in a leg press machine measuring lower-limb strength. The effect on ADL was evaluated using the Barthel Index. These outcome measures were followed up at 3 and 6 months by blinded assessors and analysed using the intention-to-treat principle. The evaluation of the applicability of the high-intensity functional weight-bearing exercise programme showed that there was a high rate of attendance, a relatively high achieved intensity in the exercises, and all except two adverse events were assessed as minor or temporary and none led to manifest injury or disease. No statistically significant differences were observed in applicability when comparing participants with dementia and participants without dementia. In addition, the applicability of the programme was not associated with the participants’ cognitive function. Significant long-term effects of the exercise programme were seen regarding functional balance, gait ability and lower-limb strength in comparison with the control activity. The intake of the protein-enriched energy supplement did not increase the effect of the training. Age, sex, depression, dementia disorder, nutritional status, and level of functional balance capacity did not influence the effect on functional balance of the high-intensity functional weight-bearing exercise programme. There were no significant differences between the groups regarding overall ADL performance. Analyses for each item revealed that a significantly smaller proportion of participants in the exercise group had deteriorated regarding indoor mobility at 3 and 6 months. For people with dementia, there was a significant difference in overall ADL performance in favour of the exercise group at 3 months, but not at 6 months. In a systematic review, randomised controlled trials, evaluating the effects of physical exercise among people with dementia, were identified according to pre-defined inclusion criteria. Two reviewers independently extracted predetermined data and assessed methodological quality. Ten studies were included in the review and the majority of the participants were older people with Alzheimer’s disease living in residential care facilities. Four studies reached “moderate” methodological quality and six “low”. The results showed that among older people with Alzheimer’s disease in residential care facilities, combined functional weight-bearing exercise over 12 months at an intended moderate intensity seems applicable for use regarding attendance and adverse events and there is some evidence that the exercise improves walking performance and reduces ADL decline. Furthermore, there is some evidence that walking exercise over 16 weeks performed individually, where the participant walks as far as possible during the session, reduces decline in walking performance, but adverse events need to be evaluated. In conclusion, among older people who are dependent in ADL, living in residential care facilities, and have an MMSE score of 10 or more, a high-intensity functional weight-bearing exercise programme is applicable for use and has positive long-term effects on functional balance, gait ability, and lower-limb strength and seems to reduce ADL decline related to indoor mobility. An intake of a protein-enriched energy supplement immediately after the exercise does not appear to increase the effect of the training. In people with dementia, the exercise programme may prevent decline in overall ADL performance, but continuous training may be needed to maintain that effect. The positive results regarding applicability and effects of combined functional weight-bearing exercise among people with dementia is confirmed when the scientific literature is systematically reviewed. It seems to be important that exercise interventions among people with dementia last for at least a few months and that the exercises are task-specific and intended to challenge the individual’s physical capacity. Whether physical exercise can improve cognitive functions among people with dementia remains unclear. There is a need for more exercise studies of high methodological quality among people with dementia disorders.
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Paull, Megan. "Sensemaking and the management of older volunteers." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2007. https://ro.ecu.edu.au/theses/287.
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This study explores the experiences of older volunteers and their managers in particular when a change in the perfonnance of the volunteer is noticed by the manager. The impetus for this study was an expressed concern of the managers of volunteers which classified the management of 'older volunteers" as being somehow different from their younger counterparts. Conducted within an interpretivist framework this study employed a two-phase methodology comprising a context setting descriptive quantitative study followed by an in-depth qualitative grounded theory approach. The importance of the in-depth examination revealed the importance of context to the management process.
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Chalmers, Jane. "The oral health of older adults with dementia." Title page, contents and abstract only, 2001. http://web4.library.adelaide.edu.au/theses/09PH/09phc438.pdf.
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Bibliography: leaves 347-361. Presents results of 2 longitudinal studies investigating the oral health of older adults with dementia, using questionnaires and clinical inspections at baseline and one year. Groups studied were nursing home residents and those living in the community, with moderate to severe dementia or no dementia diagnosis. Caries experience was related to dementias severity and not to specific dementia diagnoses. Coronal and root caries experience was higher in dementia participants with moderate-severe dementia, the socio-economically disadvantaged, more functionally dependent, taking neuroleptic medications with high anticholinergic adverse effects, with eating and swallowing problems, were not attending the dentist, who needed assistance and were behaviourally difficult during oral hygiene care and whose carers were burdened.
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Liu, Pui-shan, and 廖珮珊. "The dietary pattern of elder Chinese adults: findings from the Guangzhou Biobank Cohort Study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B39724499.
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Pettit, Robert T. "Preferences of entree items by elderly congregate meal participants according to age and gender." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/941373.
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A food preference questionnaire, utilizing the Food Action Rating Scale (FACT), was developed from entrees used in congregate meal sites throughout the United States and its territories. The list of entrees was reduced to 43 choices. The FACT questionnaire was distributed to all of the participants at the Healthy Lunch Sites served by Area 6 program in East Central Indiana. There were 357 people, age 60 or older, that completed the questionnaire. Their responses were compared by age and gender. Differences in preferences of entrees were noted depending on age and gender. The five most liked entrees of the total group are Country Steak / Brown Gravy, Cubed Steak, Salmon Patties, Chicken and Noodles, and Pork Roast. The five most disliked entrees are Cheese Enchilada / mild or spicy, Turkey Divan, French Dip Sandwich, Boiled Cod, and Bean Burrito / mild or spicy. Their responses were tabulated using factor analysis. A total of eleven clusters of entrees factored together. This provided groups of entrees that received similar scores. For example, some of the groupings were turkey entrees, chopped meat and sauce, barbecued meats, fish entrees. These results can be used by menu planners to assist in writing menus. By locating an entree on one of these tables that is well liked by the group being served, the other foods listed on that particular table can be served alternately during the remainder of the menu cycle to provide a high food acceptance.Department of Family and Consumer Sciences
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Campbell, Kathleen J. "People over 85 years say I'd rather go under a train than go into a nursing home." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2008. https://ro.ecu.edu.au/theses/202.
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This study uses a qualitative in-depth research design to explore the attitudes that community living people over 85 years of age (n=lO) hold towards relocating to an aged care facility. Aged care facilities are supported accommodation options for the elderly that were previously known as nursing homes or hostels (Commonwealth Department of Health and Family Services, 1997). This type of accommodation currently houses 31 % of the total population of people over 85 years of age (Australian Bureau of Statistics, 2004-2005). Attitudes towards new environments are associated with relocation adjustment, and a review of the literature reveals negative perceptions by younger elderly people towards aged care facilities. Demographic trends indicate a rapid increase in the number of very-old people who are in the high-risk group for admission to aged care facilities; however there is a paucity of research regarding their attitudes towards such relocation. There are many implications for aged care service providers as a result of these demographic trends, but particularly in relation to accommodation options for the elderly. This research examines the attitudes that the very-old hold about going into residential care. It also explores the emotions underpinning that attitude. The main areas that emerged included concerns over media representation, perceived lack of control and fear of a loss of independence. There were very negative attitudes toward the loss of the home itself followed by concerns over loss of personal possessions. The very-old have such rich histories embedded in their home and possessions that these things become a part of their identity and culture (Moore, 2000) rather that a separate entity, and therefore the loss of these possessions could ultimately lead to the loss of self. The results have proven to be generally negative toward relocation to an aged care facility and combined with an assumption by the participants that there is no opportunity for future planning once in care, some expressed they would choose death rather than relocation. The implications of allowing these negative attitudes to continue without interventions based on further research and community consultation, will only add to the relocation stress syndrome already being experienced by many of very senior members of society (Capezuti, Boltz, & Renz, 2004).
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Marquis, Ruth. "The meaning of quality in living service environments: An analysis of the experiences of people with disabilities, elderly people and service workers." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1998. https://ro.ecu.edu.au/theses/976.
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The purpose of the study was to examine the experiences of both people with disabilities and elderly people and to identify their perceptions of quality as it relates to living in a service or being supported by a service to live in the community. The study was naturalistic in design and used a phenomenological approach and inductive analysis. It involved immersion in living services for a two year period, in-depth interviews with people living and working in services and participant observation. Fifty service users between the ages of twenty-one and ninety-six, and twenty-six service workers between the ages of twenty-six and fifty-four were informants in the study. The study comprised of three phases, the first phase involved repeated in-depth interviews with service users in two disability and two aged care living services to examine the experiences of people living in services and their perceptions of quality. As a result of the consistency with which relationships with key staff members emerged in the context of quality experiences, selected service workers who were named by service users were also interviewed. The findings in this phase indicated that relationships experienced by service users in their encounters with service workers were more significant in service users' evaluation of quality than tangible acts of physical and environmental care. Relational experiences of people living in services were variable. Some informants experienced consistent validation and socio-emotional support, whilst others experienced role distancing and negative communication experiences. Service workers who were interviewed as a result of being identified by service users in the context of quality, attached importance to the relational domain in the acts and behaviours of providing a service. They also attached personal meaning to their roles as service workers and shared the view that their role as service worker was underpinned by an ethos of communality. The second phase of the study involved accessing another five disability and five aged care services to collect further data to support or refute the findings from phase one. As a result a large data bank was established to confirm the consistency with which relational experiences in living services were linked to perceptions of quality by both service users and service providers. Acts and behaviours which were consistently present in the context of quality were also identified and the need for emotional support in the living context was further confirmed. The third phase of the study involved an in-depth analysis and identification of commonly experienced categories of relationships between service users and workers. Relationships were categorised into ethical and technical living service experiences and exemplars used to illustrate findings. Data analysis indicated that service experiences lie on a continuum, with mutually supportive relationships between service users and workers at one end, and physical and psychological abuse at the other. Experiences were variable in singular service contexts. This highlighted the individual nature of service relationships between service users and workers and the need to articulate human service as relationship. It also highlighted the inadequacies of using standard measures to evaluate quality in living services.
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Chaomuangbon, Sunthorn. "The Response of Elderly People to a B-6 Supplement." Thesis, North Texas State University, 1985. https://digital.library.unt.edu/ark:/67531/metadc500731/.
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Vitamin B-6 status was examined in a group of 46 elderly subjects who were selected from nursing home residents, hospital patients, and free living individuals in Denton County. Subjects were limited to men and women over 60 years of age. Erythrocyte aspartate aminotransferase stimulation with pyridoxal phosphate (in-vitro) was studied as the biochemical criterion of vitamin B-6 status. The pyridoxine status of these 46 subjects (the reference group) was measured in order to be able to identify people with a relatively poor B-6 status. A sub-group of the reference group was composed of 4 subjects who took B-6 supplements (supplemented group). There was no significant difference (0.05 level) in the basal activity, stimulated activity, percentage stimulation, or body weight, after treatment with 10 mg pyridoxine hydrochloride for 4 weeks, even though all 4 subjects had an improved B-6 status (based on percentage stimulation) after taking the supplement. The data indicated that of the 4 subjects tested, 2 showed a large change in the basal activity, stimulated activity, and percentage stimulation. The lack of significant difference (0.05 level) was probably due to a small sample size. One subject reported an increased appetite and body weight after treatment with pyridoxine.
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Subki, 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.
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We assessed the nutritional status and physical function of 121 women (79.4 +/- 6.6 y, 26.8 +/- 5.6 kg/m2) and 61 men (78.6 +/- 8.3 y, 26.6 +/- 4.7 kg/m2) participating in the Geriatric Day Hospital. According to a composite index of malnutrition, 19% of them were found malnourished whereas the Mini-Nutritional Assessment, a validated nutritional screening tool, found that 56% of the elderly were malnourished or at risk for malnutrition. Malnourished persons, as determined by the composite index, had a lower lean body mass (LBM) by bioelectrical impedance analysis compared with the well-nourished group (40.5 +/- 9.7 vs. 42.0 +/- 8.7 kg, p = 0.0001). LBM correlated significantly with handgrip strength (r = 0.34, p = 0.0001) but not with gait speed (r = 0.04, p = 0.27). There were no significant differences between nutritional states for any of the two tests of physical function. The score of the MNA, correlated with gait speed (r = 0.24, p = 0.02) but the performance at the physical tests was not different according to the nutritional status defined by this tool. We conclude that malnutrition is relatively prevalent among frail persons participating in the Geriatric Day Hospital and that malnutrition is one among many other factors that contribute to their low level of physical performance. As such, a nutritional intervention may be of benefit in improving the physical function of frail elderly persons who are malnourished.
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Choi, Heesun 1954. "EFFECTS OF AGING ON NUTRIENTS DIGESTIBILITY IN NONHUMAN PRIMATES." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/277103.
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Ruler, Amanda Jane. "Culture of nursing homes : an ethnomethodological study /." Title page, contents and abstract only, 2000. http://web4.library.adelaide.edu.au/theses/09PH/09phr935.pdf.
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Jackson, Joan. "Is it 'too bloody late'? : Older people's attitudes to physical activity and to the recommendations in the National Physical Activity Guidelines." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2003. https://ro.ecu.edu.au/theses/1321.
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Participation in physical activity confers many health benefits by reducing the risk factor for a number of lifestyle related diseases such as diabetes, colon cancer, and heart disease. Other benefits include improved mental and physical well-being. For older people the benefits are even more important; engagement in physical activity extends to such health benefits as reduction in the risk of falls and related potential injuries. However the most significant benefit to older people is that physical activity enables older people to live independently for longer and with a greater sense of well-being. This study explores, through qualitative research, older people's attitudes to physical activity in general and to the recommendations in the National Physical Activity Guidelines (NPAGs) in particular with the aim of developing recommendations for social marketing practitioners when designing messages about physical activity targeted at older people. Eight focus groups were conducted with male and female, blue and white collar, 'healthy' and 'unhealthy' older people, 65-85 years of age. Ajzen and Fishbein's (1980) Theory of Reasoned Action was the theoretical framework for the study. The study aimed to establish participants' affective, cognitive, and behavioural responses to the recommendations contained in the NPAGs. This theory distinguishes between the person's beliefs relating to the object or issue and the person's perceptions of how they believe other people will react to the same object or issue. That is, social norms influence attitudes and behaviour. There were four major findings from this study. Firstly, it emerged that many of the participants thought that engagement in physical activity meant doing something 'extra' to a normally physically active day; thus the message that incidental activity is beneficial to health needs to be effectively disseminated amongst older people. Secondly, the message relating to the accumulation of short bouts of moderate-intensity physical activity throughout the day had not reached all participants, also suggesting that effective dissemination of this message is warranted. Thirdly, some participants stated that by engaging in physical activity they enjoyed a better night's sleep. Lastly, it emerged that source credibility was an issue for some participants. There was a specific concern that someone 'young' was telling them what to do. Social marketing practitioners could incorporate these findings into a physical activity campaign directed at older people. In addition, it is suggested that an appropriate marketing 'place' strategy would be the use of shopping centres as this would reduce perceived effort and inconvenience as well as reducing psychological costs related to fear of falling, fear of uncontrolled dogs, and fear of crime.
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Deng, Hanbing, and 鄧寒冰. "Validation of dietary and physical activity measures in an older Chinese population." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B39556888.
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Barnett, Zoe L. "Doddering but dear? : investigating the applicability of the stereotype content model (SCM) for aged exemplars in Australia /." [St. Lucia, Qld.], 2006. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe19762.pdf.
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Boeger, Kelly L. "Effect of living arrangement and meals eaten alone on the nutrition status of older adults /." View online, 2008. http://repository.eiu.edu/theses/docs/32211131414052.pdf.
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Chan, Mee-kie Maggie, and 陳美琪. "Protein-energy malnutrition among Chinese elderly medical patients in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31971489.
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MacIntosh, Caroline Gabrielle. "Investigation of the 'anorexia of ageing'." Title page, contents and summary only, 2000. http://web4.library.adelaide.edu.au/theses/09PH/09phm15187.pdf.
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Includes bibliographical references (leaves 349-421) Addresses some of the mechanisms which may potentially contribute to the physiological anorexia of ageing, as suggested by previous animal and human studies.
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Broberg, Berit, and Linnéa Noren. "Näringstillförsel för äldre personer med demenssjukdom." Thesis, University of Gävle, Department of Caring Sciences and Sociology, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-306.
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The aim of this littrature review has been to describe how you can satisfy the need of nourishment for older people who suffer from dementia. Data has been retrieved by searches in Academic Search Elite, Sience Direct, Blackwell, PubMed and in the Journal Vård i Norden. The studies show that most of the people with dementia have a hard time to satisfy the nourishment. The results show that through different preventive measurement you can improve the nourishment for these people, to set the table, play calm music and to have a table companion. By taking the food oneself created a good meal environment and the individually need was provided for. A good oral status improved the nutritional status. Patients who got nourishment addition put on weight or retained their weight. Nursing staff wished and needed more education in nutrition for older people with dementia.
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Hutchings, Linda Lorraine 1949. "A NUTRITION EDUCATION NEEDS ASSESSMENT AND PROGRAM EVALUATION OF TITLE III-C NUTRITION PROGRAMS IN PIMA COUNTY (ELDERLY, MEAL ACCEPTANCE, ETHNICITY, SUPPLEMENTS, ARIZONA)." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/276892.
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Hoogenboom, Mary Sue. "Factors related to nutrient intake of participants in the elderly nutrition day care and homebound program : demographics and functional status." Virtual Press, 1994. http://liblink.bsu.edu/uhtbin/catkey/917015.
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Energy and nutrient intake from agency meals (AM), other meals (OM) and total daily intake (TDI) of 61 day care and homebound subjects was studied for differences associated with age, income, education, marital status, living arrangements, gender, race, vitamin-mineral supplementation, Body Mass Index (BMI), Health Assessment (HA), Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL).The AM provided more than one-third of the recommended allowances for all nutrients except vitamin B6 plus energy for men. TDI was low because of inadequate OM intake. TDI was less than 100 percent of recommended amounts for zinc plus fiber for women. were most significantly associated with intake from OM and TDI followed by education and income. No age, marital status or racial effects were noted.The ADLs and the IADLs were problematic for most of the participants. They were positively correlated with energy and nutrient intake, as intakes increased so did functional difficulties.Ball State UniversityMuncie, IN 47306Center for Gerontology
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Stehlik, Daniela Anna. "Making the invisible visable : an analysis of the Home and Community Care Program : a socialist-feminist perspective." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1991. https://ro.ecu.edu.au/theses/1118.
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As the population of Australia ages, social policy and human service practice in the field of aged care is increasingly important and relevant. The Home and community Care (H.A.C.C.) Program was established in 1985 by the Labor Government as a response to a demand for more community services for the frail aged and was designed to reduce the incidence of institutionalisation by increasing home care services. In this way the Home and Community Care Program is seen as linchpin in the Federal Government's initiative to create an efficient and cost-effective aged care policy to contend with the future growth of Australia's ageing population. This thesis argues that there are several assumptions intrinsic to the H.AC.C. Program that are potentially jeopardising and undermining its usefulness. These assumptions are based on familial ideology and nostalgic conceptualizations of 'the community’ and 'the family'. In addition, these assumptions also involve stereotypic attitudes to women as primary carers and nurturers that ignore, to a great degree, the needs of women themselves. These assumptions, combined with an increasingly neo-conservative view about a reduction in the role of the State and a corresponding increase in family responsibility in welfare, have major implications for Australian women. This socialist-feminist analysis argues that women who are providing care for aged spouses or relatives are doing essential, hard and stressful work, work which is unpaid and often unacknowledged, and that the Australian welfare system is now structured around the invisible labour of such women. Consequentially, the assumption that a social policy program such as H.A.C.C. makes, that is, that there will always be women who care, requires further analysis. This research has revealed that such assumptions have implications for the future development of social policy for the aged in Australia and on the future roles of women in this country. Particular questions which this thesis addresses include, firstly, who actually provides care? Empirical research indicates that the majority of care is provided by one individual, usually the spouse, daughter or daughter-in law. Secondly, what are the assumptions underlying the development and implementation of Home and Community Care social policy in relation to the social construction of caring? Such assumptions are found to include, that the H.A.C.C. Program is premised upon an erroneous concept of the 'community' and consequentially 'community care' and that traditional 'family' and familial values are a precondition to H.A.C.C. service delivery. A socialist-feminist critique offers a deeper analysis of such assumptions by disclosing that the Home and Community Care policies assume that service delivery can be best undertaken by extending the traditional domestic role of women, thus utilising them as an unpaid, or poorly paid, labour force. This analysis also discloses the explicit rejection of the informal service system as having any real economic significance but rather being viewed as ‘complementary’ to the formal service system. Finally, there are future implications of such assumptions for women as primary carers, services users or paid staff within the H.A.C.C. Program which require urgent cognisance in order to develop a future aged care policy in Australia that avoids exploitation of women.
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Petz, Christina M. "What sexuality? : An exploratory study examining sexual activity and affectionate sexual expression in a Western Australian sample of older adults." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1999. https://ro.ecu.edu.au/theses/1206.
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Sexuality later in life has been receiving increased research interest, however, a large majority of research investigates a narrow range of sexual behaviours, primarily frequency of sexual intercourse. There is limited information regarding other forms of sexual expression, specifically affectionate sexual expression that are relevant to older adults. The present day study explores what affectionate sexual behaviours constitute affectionate sexual expression and compares sexual intercourse with affectionate expression. The sample consisted of 77 married men (n=35) and women (n=42) aged 60-89 years who came from various senior groups and organisations in the Perth metropolitan area. A survey was developed that investigated what constituted affectionate expression, and interest and changes in affectionate sexual expression and sexual intercourse.
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Trigg, Lisa. "Improving the quality of residential care for older people : a study of government approaches in England and Australia." Thesis, London School of Economics and Political Science (University of London), 2018. http://etheses.lse.ac.uk/3772/.
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Improving the quality of residential care for older people is a priority for many governments, but the relationship between government actions and high-quality provision is unclear. This qualitative research study uses the cases of England and Australia to examine and compare regulatory regimes for raising provider quality. It examines how understandings of quality in each country are linked to differences in the respective regulatory regimes; how and why these regimes have developed; how information on quality is used by each government to influence quality improvement; and how regulatory regimes influence providers to deliver quality. The study develops a new typology of three provider quality orientations (organisation-focused, consumer-directed, relationship-centred) to examine differences between the two regulatory regimes. The research draws on interviews conducted between January 2015 and April 2017 with 79 individuals from different stakeholder groups in England and Australia, and interviews with 24 individuals from five provider organisations in each country. These interviews highlighted greater differences between the two regimes than previous research suggests. For example, while each system includes a government role for inspecting or reviewing provider quality, there are differences around how quality is formally defined, the role and transparency of quality information, and how some provider quality behaviour is influenced by different policy interventions. Two important findings emerge from the study for policymakers and researchers. First, the importance of considering the broader historical and institutional context of the care sector overall, not simply the regulatory environment, as shown by the more welfare-oriented approach in England when compared to Australia’s highly consumerist approach. Second, the importance of considering the overall ‘regulatory space’ when designing policy interventions for quality. Policymakers should consider the effects and interaction of multiple policy interventions, the impact of funding mechanisms and the activity of multiple stakeholders, and not restrict attention to those policy interventions explicitly developed for quality improvement goals.
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Carlsson, Maine. "Nutritional status, body composition and physical activity among older people living in residential care facilities." Doctoral thesis, Umeå universitet, Geriatrik, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-43780.
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The main purpose of this thesis was to study, whether drinkable yoghurt enriched with probiotic bacteria could have any effect on constipation and body weight (BW) among older people with dementia. Further, it concerns poor nutritional status among older people with physical and cognitive impairments and its relationship with factors commonly occur in older people living in residential care facilities. It also discusses how body composition changes with ageing and the associations between changes in muscle mass and functional balance after a high-intensity weight-bearing exercise program (the HIFE program) and the ingestion of an additional milk-based protein-enriched energy supplement. A six-month feasibility study that included a probiotic drink was performed among 15 old people who were living in special units for people with dementia and who all had constipation. The effects of the probiotic drink on stool habits, and BW were studied. The outcome measures were followed daily for bowel movements and at three and six months for BW. The staff found the study easy to carry out and that the drink was well accepted by the participants. No convincing beneficial effects on stool habits were observed. In addition, a mean BW loss of 0.65 kg/month was registered. A poor nutritional intake, low physical activity level, and an over-night fast of almost 15 hours, 4 hours longer than recommended were also observed. As a part of the FOPANU Study (Frail Older People-Activity and Nutrition Study), a randomized controlled trial was carried out in Umeå - the associations between nutritional status and factors common among old people with physical and cognitive impairments living in residential care facilities was studied. Assessments were made of nutritional status using the Mini Nutritional Assessment (MNA) scale, fat-free mass (FFM) and fat mass (FM) using both bioelectrical impedance spectroscopy (BIS) and skinfold thickness measurements. The effects of a high- intensity functional exercise program with an additional protein-enriched milk drink on ability to build muscle mass were evaluated. Analyses were made to investigate whether nutritional status, assessed using the MNA scale, was associated with medical conditions, drugs, activities of daily living (Barthel ADL index), cognitive impairment (Mini Mental State Examination (MMSE)), and depressive symptoms (Geriatric Depression Scale (GDS)) at baseline. The associations were assessed with multiple linear regression analyses with additional interaction analyses. An independent association was found between poor nutritional status and having had a urinary tract infection (UTI) during the preceding year and being dependent in feeding for both women and men, and having lower MMSE scores for women. A large proportion of the participants, were at risk of malnutrition or were already malnourished. Women, but not men, had significantly lower Fat-Free Mass Index (FFMI) and Fat Mass Index (FMI) with age. Bioelectrical impedance spectroscopy results correlated with skinfold thickness measurements, but on different levels on value for FM%. Despite the high-intensity exercise had long-term effects (at six months, three months after the exercise) on functional balance, walking ability and leg strength. No effects on muscle mass and no additional effects from the protein-enriched drink could be observed after the three months of high intensity exercise. A negative, long-term effect on the amount of muscle mass and BW was revealed at six months (three months after the intervention had ended). The effects from the exercise did not differ for participants who were malnourished. No statistical interactions were observed between sex, depression, dementia disorder, and nutritional status, and the level of functional balance capacity on the outcome at three or six months. In summary, the majority of the included older people with dementia had a low dietary intake, low physical activity level, and lost BW despite receiving a probiotic drink supplement every day for six months. The supplementation had no detectable effect on constipation. Among the participants in the FOPANU Study, UTI during the preceding year was independently associated with poor nutritional status. Being dependent in feeding was associated with poor nutritional status as were lower MMSE scores for women but not for men. Despite the high-intensity exercise program had long-term effects on the fysical function was no effect on the amount of muscle mass at three months observed. The FFM and FM expressed as indexes of body height were inversely related to age for women, but not for men. A high-intensity exercise program did not have any effect on the amount of muscle mass. The ingestion of a protein-enriched drink immediately after exercise produced no additional effect on the outcome and the results did not differ for participants who were malnourished. The negative long-term effect on amount of muscle mass, and BW, indicate that it is necessary to compensate for increased energy demands during a high-intensity exercise program. High age, female sex, depression, mild to moderate dementia syndrome, malnutrition, and severe physical impairment do not seem to have a negative impact on the effect of a high-intensity functional weight-bearing exercise program. Consequently, people with these characteristics in residential care facilities should not be excluded from training and rehabilitation including nutrition. More research is needed in large randomized controlled trials to further explore the association between energy balance and malnutrition among frail old people, with a special focus on UTI and constipation, but also to study how physical exercise affects older people’s nutritional status.Embargo
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Smith, Elaine S. "Quality of life and nutritional risk in elderly home-delivered meal recipients and non-recipients." Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1154781.
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This study evaluated the impact of receiving a home-delivered meal on the quality of life and nutritional risk of elders who were unable to attend congregate meal sites and who were unable to safely prepare a hot meal. Forty-three subjects on a waiting list were matched with a group currently receiving home-delivered meals. Matching criteria were functional needs measure, age, gender, and living arrangement.Home visits were conducted to collect the data and verify demographic information. Nutritional risk was assessed by the Nutrition Screening Initiative's Determine Checklist. Quality of life was measured across various domains including a global quality of life self-rating, mental health appraisal, functional ability, and food enjoyment. Two tailed t-tests failed to show differences in quality of life and nutritional risk between the groups at the 0.05 level of significance.In addition, the study reviewed the resources for meal preparation and grocery shopping possessed by the meal non-recipients that allowed them to remain at home without a meal provided. A significant difference was seen in the number of resources reported for meal preparation assistance with the meal non-recipient group reporting more informal resources.Department of Family and Consumer Sciences
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Doh, Daniel. "Towards active ageing: A comparative study of experiences of older Ghanaians in Australia and Ghana." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2017. https://ro.ecu.edu.au/theses/2010.
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Population ageing has become a central feature of the 21st century, as most countries search for economically viable strategies to support and manage their ageing populations to live in a dignified way. In 2002, the World Health Organisation (WHO) proposed the active ageing policy framework to guide countries to develop policies that promote the quality of life for their older people. However, the interpretation and application of the active ageing model in the literature and policy discussions are inconclusive on the most important elements that promote the quality of life of older people. The discussions have largely focused on health promotion and economic aspects of the model without much attention to other aspects. In addition, there are questions about the extent to which the active ageing model is adaptable to different contexts. The lack of consensus among researchers and policy actors on the meaning of active ageing, and its application to different contexts has resulted in calls for the need for studies that explore active ageing from the perspectives of older people themselves.
This thesis presents findings from a study that examined the meaning of active ageing from the lived experiences of older Ghanaians living in Ghana and Australia, and compared the findings theoretically and conceptually with the World Health Organisation’s (WHO) active ageing model. The study also investigated the extent to which research participants’ socio-cultural and political contexts influenced their respective experiences and the meaning they ascribed to active ageing, and the factors that contributed to their perceived quality of life at old age. The study was designed as an interpretive phenomenological analysis (IPA) in combination with a comparative case study situated within the life course theoretical framework. The study drew on an in-depth qualitative data collected from 30 older Ghanaians, comprising 15 who were living in Ghana and 15 who were living in Australia.
Two key findings emerged from this research. First, experientially, active ageing is multidimensional and comprises social interaction, activity, health, independence, work and employment, spirituality, happiness, and public safety. However, social interaction—which included strong family support systems, friendship networks and community activities—emerged as the single most significant experiential meaning of active ageing, and was considered critical for quality of life at old age. Despite the importance of social interaction for research participants’ quality of life, comparatively, the study found that social interaction is subsumed under the participation pillar of the WHO’s active ageing model, which is not particularly well understood or developed by policy makers compared with the pillar of health. In addition, there were notable variations in participants’ experiential meaning of active ageing between respondents in Ghana and Australia, reinforcing how different policy contexts shape people’s experiences.
Second, the study found four types of quality of life from the typologies of quality of life at old age created in the data using a matrix of high and low levels of social interaction and access to essential social policy services. The types of quality of life in the matrix were optimum agers, happy poor agers, disconnected agers and destitute agers. The data showed that acquiring, creating and maintaining a high level of social interaction together with the development of knowledge, useful skills and personal initiatives in a favourable social, economic and health policy environment are likely to lead to optimum ageing.
The overall contribution of this thesis relates to the need for active ageing stakeholders to contextualise the WHO’s active ageing model based on the perspectives and experiences of older people within their respective socio-cultural and political contexts. In addition, population ageing policy makers may need to consider taking steps to strengthen older people’s family systems, while creating opportunities for them to deepen their social networking and communal living. The study shows the usefulness of creating avenues for older people’s continuous engagement in activities that allow social interaction. Finally, the study also illustrates how optimum ageing occurs as a culmination of life course events, making it imperative for social policies to facilitate sound human capital development, as they have implications for income and the creation of assets needed to fuel social interaction.
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Pratt, John L. "Grey hair." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2007. https://ro.ecu.edu.au/theses/294.
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Chalermsri, Chalobol. "Understanding food choices and practices among older people in Thailand – an exploratory study." Thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-391138.
Full textAbstract:
Background: Food choice and practice of older people is very significant for their health and well-being. Earlier studies have focused on the choices made by older people in developed countries. Therefore, this study aimed to explore food choices and practices among older people in Thailand from the perspectives of older people themselves and their caregivers. Methodology: The study was performed in Samut Sakhon, Thailand. Six Focused Group Discussions and six semi-structured interviews were conducted with older people and their caregivers. The discussions and interviews explored individual food practices and the factors influencing the type and quantity of food selected. Data were transcribed using the denaturalized and verbatim approach, and analysis followed an inductive thematic approach. Results: Both older people and caregivers shared that price and convenience were two common food choice values. Some also mentioned nutritional value as a determining factor. Older people worried about unhygienic food and food which contained chemicals or was contaminated. They were concerned about food preparation process, dirt from pollution of the locality etc. Culture affected the way old people ate with their families, and what they chose to eat. Furthermore, the national Fishery law had a negative impact upon their food selection habits. Conclusion: Older people’s food choice was the outcome from their personal mental processes that weighted, balanced, and prioritized each food choice value such as affordability, convenience, availability or nutritional benefits. To encourage healthy eating habits among older people, individual needs and opinions should be taken into consideration.