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Published: 10 December 2022

Last updated: 29 January 2023

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1

Osmancevic, Himka. "A brief screening instrument for use by lawyers to assess the capacity of older clients with memory deficits." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2006. https://ro.ecu.edu.au/theses/336.

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The number of people in Australia and around the world is increasing rapidly, particularly people over the age of 65. As part of the aging process, cases of dementia. cognitive impairment and mental iIIness become more prevalent. The issue of competence in this population has become more significant in recent years . Older people frequently face decisions that require the consultation of a lawyer, such as issues over wills and financial investments. Preventative law advocate lawyers act as therapeutic agents, preventing stress and discomfort in elderly clients making legal decisions. In order for practising lawyers to act as therapeutic agents, an ability to detect impaired decision making capacity in older adults is required. The present study explores this issue further.

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2

Saub, Roslan. "Oral health status and treatment needs of the institutionalised elderly population in Melbourne /." Connect to thesis, 1996. http://eprints.unimelb.edu.au/archive/00000831.

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3

Au, Kwok-chung. "Economic status and life satisfaction of the elderly." Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19470150.

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4

Miles, L. "Vitamin B12 status and neurological function in older people." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2016. http://researchonline.lshtm.ac.uk/2837733/.

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Ageing is associated with a decline in vitamin B12 status. Overt vitamin B12 deficiency can lead to neurologic disturbances but the public health impact for neurological disease of moderately low vitamin B12 status in older people is unclear. This study aimed to assess the relationship between vitamin B12 status and neurologic function in older people by systematically reviewing existing evidence and conducting secondary analyses on an existing high quality dataset. A systematic review of observational studies showed limited evidence of an association of vitamin B12 status with neurological function in older people. The possibility of an association between vitamin B12 status and neurologic function was further explored in cross-sectional analyses of baseline data from the Older People and Enhanced Neurological Function (OPEN) study, which investigated the effectiveness of vitamin B12 supplementation on electrophysiological indices of neurological function in asymptomatic older people with moderately low vitamin B12 status. This secondary analysis did not show any association between any measure of vitamin B12 status with electrophysiological indices or clinical markers of neurologic function. A systematic review of intervention studies suggested no benefits of vitamin B12 supplementation on neurologic function in asymptomatic older people; but it remained possible that improvement is only apparent in people with the lowest vitamin B12 status. This hypothesis was explored in further secondary analyses of OPEN data: there were no differences in the neurologic response to vitamin B12 supplementation according to baseline or change in vitamin B12 status. The available evidence indicates that concerns over the neurologic impact of moderately low vitamin B12 status in otherwise healthy older people may be unwarranted. Evidence is insufficient to support population screening for moderate vitamin B12 deficiency or population-wide recommendations for vitamin B12 supplementation in healthy asymptomatic older people, even among those with the lowest vitamin B12 status.

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5

Ma, Xiaoguang. "The association between socioeconomic status and health-related quality of life among older people in Hong Kong." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B39634589.

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6

Byrd, Edwina Haith. "An analysis of functional status and utilization behavior in long-term care for the elderly /." The Ohio State University, 1985. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487259125218917.

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7

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 group
Il 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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8

Wong, Wing-tung Tony. "A study on the health status of the single elderly persons in Kwai Chung District." Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19470058.

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9

Liu, Kwong-shing. "Oral health related quality of life, dental status and expectation of Hong Kong elderly." View the Table of Contents & Abstract, 2001. http://sunzi.lib.hku.hk/hkuto/record/B36847458.

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10

Söderström, Lisa. "Nutritional status among older people : Risk factors and consequences of malnutrition." Licentiate thesis, Uppsala universitet, Centrum för klinisk forskning, Västerås, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-207486.

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Despite the high frequency and serious consequences of protein–energy malnutrition, prevention and treatment of malnutrition do not currently receive appropriate attention. Increased awareness of the importance of nutritional screening among older people is needed. The overall aim of this thesis was to extend our current knowledge about malnutrition and the consequences of a poor nutritional status in relation to preterm death, and to identify possible risk factors for developing malnutrition among older people. The aim of Paper I was to estimate the prevalence of malnutrition and to examine the associations between mealtime habits, meal provision, and malnutrition among older people admitted to a Swedish hospital. The aim of Paper II was to examine whether nutritional status, defined according to the three categories in the full Mini Nutritional Assessment (MNA) instrument, is an independent predictor of preterm death in older people. The baseline survey was a cross-sectional study of 1771 patients aged ³65 years who were admitted to hospital. Nutritional status was assessed using the MNA instrument, and possible risk factors associated with malnutrition were recorded during the hospital stay (Paper I). Overall survival was followed up after 35–50 months in a cohort study of 1767 participants (Paper II). Of the 1771 participants, 35.5% were well-nourished, 55.1% were at risk of malnutrition, and 9.4% were malnourished at baseline. An overnight fast >11 hours was associated with risk of malnutrition (odds ratio (OR) 1.46; 95% confidence interval (CI) 1.14–1.87) and being malnourished (OR 1.67; 95% CI 1.04–2.69). Fewer than four eating episodes a day was associated with both risk of malnutrition (OR 1.88, 95% CI 1.52–2.32) and being malnourished (OR 3.10; 95% CI 2.14–4.49). Not cooking independently was also associated with both risk of malnutrition (OR 1.9; 95% CI 1.30–2.93) and being malnourished (OR 5.04; 95% CI 2.95–8.61). At the 50-month follow-up, the survival rates were 75.2% for well-nourished participants, 60.0% for those at risk of malnutrition, and 33.7% for malnourished participants. After adjusting for confounders, the hazard ratios (95% CI) for all-cause mortality were 1.56 (1.18–2.07) in the group at risk of malnutrition and 3.71 (2.28–6.04) in the malnourished group. Nutritional status defined according to the three categories in the full MNA independently predicted preterm death in people aged 65 years and older. This thesis provides additional knowledge of the current nutritional situation among older people admitted to hospital. The high prevalence and serious consequences of malnutrition demonstrated in this thesis underline the importance of screening and taking actions to counteract malnutrition among older people. The data showing that the length of overnight fasting and number of eating episodes per day are possible risk factors for malnutrition are consistent with the current nutritional recommendations. This knowledge may stimulate care providers to decrease the length of overnight fasting and increase the number of eating episodes per day among older people at risk of malnutrition.

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11

Chilma, Dorothy Madalo. "Nutritional status and functional ability of older people in rural Malawi." Thesis, London School of Hygiene and Tropical Medicine (University of London), 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.312510.

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12

Tajvar, M. "Family, social support and health status of older people in Tehran." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2015. http://researchonline.lshtm.ac.uk/2531628/.

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Iran has recently undergone an exceptionally fast fertility transition. The Total Fertility Rate decreased from 7 in 1980 to 1.8 in 2006 along with declines in adult mortality rates. Consequently, Iran is currently experiencing rapid population ageing. As these demographic changes are intertwined with huge social changes, some major challenges may be anticipated in future. One important concern is that the health status of older people, particularly their mental well-being, may be adversely affected if fewer children lead to a reduction in the support available to older people. The aim of the research described in this thesis was to examine direct and stress-buffering associations between social support and mental health in older age groups. Potential differences between men and women in the associations and the role of different sources of support were also examined. A review of the existing literature indicated that this topic is under-researched in Iran or culturally similar countries. A quantitative cross-sectional survey of a random sample of 800 people aged 60+ years resident in Tehran was conducted. In total, 644 people responded. Multilevel mixed-effects models were used to examine the hypotheses. The findings supported the hypothesis of a direct association between functional aspects of social support and mental health but not that of an association between structural aspects of social support and mental health. No strong evidence of a stress-buffering effect of social support in the association between physical functioning and mental health was found, except in the case of receipt of social support with transportation. The only type of support that showed a significant interaction with gender was receipt of support with paperwork. The source of support did not seem to matter. Implications of these findings for older people currently living in Tehran are considered and recommendations for appropriate social support interventions, taking account of the results, are made.

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13

Au, Kwok-chung, and 歐國忠. "Economic status and life satisfaction of the elderly." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31978265.

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14

Reaves, Mekay L. "Perceived status value regarding elderly individuals : assessing cultural influence /." Read thesis online, 2009. http://library.uco.edu/UCOthesis/ReavesML2010.pdf.

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15

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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16

Chiu, Tzu-I. "The effect of social control and personal control on the functional health status of older adults in rural and urban Taiwan." Diss., Online access via UMI:, 2006.

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17

Kwok, Yin-fung Pauly. "Effects of socioeconomic status, social support and psychological status on alcohol consumption in people aged 50 or older : a cross sectional study of baseline data from the Guangzhou Biobank Cohort Study /." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38479941.

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18

Shum, Hoi-cheung Michael. "Denture status and denture wearing habits of community-dwelling and institutionalized elderly Chinese in Hong Kong." Hong Kong : University of Hong Kong, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B21385816.

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19

Sasaki, Ichiro. "Are pension types associated with happiness in Japanese older people?: JAGES cross-sectional study." Kyoto University, 2019. http://hdl.handle.net/2433/242913.

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20

Kaushik, Alka Rani Electrical Engineering &amp Telecommunications Faculty of Engineering UNSW. "Unobtrusive monitoring of health status of elderly people living alone at home." Publisher:University of New South Wales. Electrical Engineering & Telecommunications, 2008. http://handle.unsw.edu.au/1959.4/40771.

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This thesis addresses the hypothesis that unobtrusive monitoring of daily living could be used to evaluate changes in the health status of frail elderly people living alone at home. Low cost motion sensors can be used for monitoring the long term trends in occupant?s well-being in terms of physical, mental, social and environmental factors. The monitored data can be used to quantitatively measure parameters that can provide insight into the level of activity and functional ability of the subject. Any deviations in these parameters can provide information on the changing health status of the subject. This thesis attempts for the first time to establish a mathematical and statistical framework for the monitoring of functional health status in the home using a network of wireless sensors to monitor occupancy in each room of the house. A low power and low cost, unobtrusive occupancy monitoring system using ZigBee wireless technology and passive infrared sensors has been developed by the Biomedical Systems Laboratory at the University of New South Wales. The essence of the occupancy monitoring system is to detect variations in the activities of daily living (ADL) of elderly people living alone at home. The finite state, discrete parameter, time homogeneous Markov chain represents a theoretical framework for an unobtrusive occupancy monitoring system. An implementation of this framework for monitoring occupancy pattern is presented in real time use. The system was evaluated in a series of field studies in laboratory and home environment, in supervised and unsupervised settings, using cohorts of healthy elderly subjects living alone in their homes in community dwelling setting. A pilot trial was conducted in which four healthy elderly subjects living alone had PIR motion sensors installed in their homes at strategic points for a period of up to 13 weeks. The functionality of the system was evaluated over a domain of basic daily activities. A profile of the activities, in real time environment, for different times and days was stored as transition probability matrices. Automatic techniques for interpreting the test data captured by the system in terms of human movements were evaluated and compared with the wellness profile of the subject. Trial results exhibited that clinically significant model parameters were able to detect longitudinal deviations in the functional health status of elderly people.

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Johansson, Yvonne. "Self-Perceived Health and Nutritional Status among Home-Living Older People : A Prospective Study." Doctoral thesis, Linköpings universitet, Hälsouniversitetet, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-51276.

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The overall aim was to follow the development of nutritional status and its significance for general health status using an epiemiologic method in a representative population‐based selection of older individuals in two cohorts. The main focus was to prospectively examine the significance of demographic, social and medical factors and to establish a basis to investigate the possibilities of preventive measures. Methods: Five hundred and eighty‐three individuals (278 women and 305 men), 75 and 80 years old, when included, living in a municipality in Östergötland in Sweden, participated in this study. Data collection took place 2001‐2006 with one examination yearly. The examination included a single question regarding self‐perceived health demographical questions, different questionnaires in the areas of nutritional status, symptoms of depression, cognitive function, health‐related quality of life and well being and objective assessments such as anthropometrical, physical and biochemical measurements. Results: Fifty percent of the women (I) and 58% of the men (II) perceived themselves as healthy. Important factors for women’s health (I) at baseline were no or few symptoms of depression, better physical mobility and better physical health. Among men who perceived themselves as healthy (II) at baseline, important factors were better physical health, maintaining a social network and the ability to walk outdoors. After one year 69% of the women and 75% of the men still perceived themselves as healthy. Among those women (I) who perceived themselves as healthy after one year, better physical mobility and better physical health were still important, with the addition of less or no pain. Important predictors for preserving health among men (II) were no symptoms of depression and the ability to walk up and down stairs. The prevalence of risk for malnutrition (III) was 14.5% (n=84), among women 18.8% and men 10.6%. Risk factors for malnutrition at baseline were a lower TSF, lower handgrip strength and worse physical health according to the PGC MAI. The incidence was 7.6%‐16.2%, and was distributed equally among women and men over time. Predictors for developing malnutrition were lower self‐perceived health, increased number of symptoms of depression. Especially men with symptoms of depression ran a higher risk. Reported energy intake (IV) was low in relation to the estimated requirement, on average 74% among women and 67% among men. Intake of vitamins A, D, E and folate was below the recommended intake and the same pattern was found over time. A smaller weight loss was found among women and men from baseline to Follow‐up 2. Conclusions: The experience of a good physical health was the only common factor for a good self‐perceived health among women and men. The highest risk for developing malnutrition was a combination of impaired self‐perceived health and increased number of symptoms of depression. Clinical implications: A combination of nutritional status, self‐perceived health and symptoms of depression can be a base for clinical judgement and can be used by different professionals in ealth and medical care and in home care service.

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22

Hunt, Katherine J. "Physiological and functional status of older people discharged from hospital with ill-defined conditions." Thesis, University of Southampton, 2009. https://eprints.soton.ac.uk/71892/.

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This study was carried out in response to the policy attention directed at older people discharged from hospital with ill-defined conditions, or signs and symptoms related disease. In England there has been an increase in incidence of this type of hospital admission and policy suggests that patients with these codes have fewer medical/physiological and more ‘social’ conditions that could be better managed in community settings. Currently however, this population has not been characterised. Description of the functional and physiological status of these patients is essential for the planning of future health and social care services. Patients with ill-defined conditions were described via a cross-sectional study of 80 patients aged over 70 years admitted to hospital with collapse/falls. Number of chronic diseases and prescribed medications were obtained from the medical records. Routine blood tests were taken and serum cytokine concentrations (IL-1β, IL-6, TNF-α, IFN-γ) were measured. Deprivation score, functional status, depression and the prevalence of frailty were ascertained. 35 patients received ill-defined condition codes, 45 received other codes. Patients with ‘illdefined conditions’ had normal routine blood results but very high serum concentrations of pro-inflammatory cytokines which did not correlate with number of chronic diseases indicating considerable medical problems. As the policy had suggested, they also had prevalent functional impairment (65.7%), high rates of frailty (77.1%) and pre-frailty (14.3%), and depression (42.9%). Patients with ill-defined conditions had poor outcomes evident in the high readmission (60%) and mortality (20%) rates. Patients were hospitalised for a statistically significantly shorter period than patients with other codes (p<.05) and functional limitations and depression were associated with a longer length of stay. Increasing deprivation and TNF-α concentration were associated with an increase in the odds of an illdefined condition diagnosis at discharge. The association between functional limitations, frailty, chronic disease and depression add considerable complexity to the health of older people with ill-defined conditions. However, the prevalence of multiple morbidity, high serum concentrations of inflammatory markers and poor outcomes indicate that they also have considerable medical problems that may be largely unmet. These medical problems may result from chronic disease symptom crises and manifest as geriatric conditions for which there are no appropriate International Classification of Diseases (ICD-10) codes. The results of this study indicate a need for reevaluation of the ICD-10 system to incorporate the health problems faced by older people and further research into the effect of a more comprehensive community-based chronic disease management that aims to enable frail older people to maintain health and independence at home and prevent readmission in patients with ill-defined conditions.

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23

Shum, Hoi-cheung Michael, and 沈凱翔. "Denture status and denture wearing habits of community-dwelling and institutionalized elderly Chinese in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B31954078.

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Wong, Wing-tung Tony, and 黃永通. "A study on the health status of the single elderly persons in Kwai Chung District." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31978381.

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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.
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26

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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27

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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28

Chan, Yim-ting Tina. "Effect of a diabetes specific formula in the blood sugar and blood lipid profiles and nutritional status of type II diabetes living in nursing homes : a prospective randomized trial." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31971507.

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Ma, Xiaoguang, and 馬曉光. "The association between socioeconomic status and health-related quality of life among older people in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B39634589.

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Mitzel, Gina Marie. "The Impact of Genetics, Socioeconomic Status, and Lifestyle Factors on Visual Health in an Adult Population." Thesis, University of North Texas, 2010. https://digital.library.unt.edu/ark:/67531/metadc33187/.

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The purpose of this dissertation was to understand how genetics, socioeconomic status (SES), and lifestyle factors influence the development of age-related macular degeneration (AMD), glaucoma, and diabetic retinopathy in an adult population in Dallas County. Two hundred fifty-three older adults participated in this study as the sample. Crosstabulation and binary logistic regression were utilized to analyze the data. Results indicated a disparity among participants' test scores, visual health status, and perceptions of their visual impairment and highlighted the fact that many seniors are not educated about age-related retinal disorders. Furthermore, variables reaching statistical significance were consistent with the literature included race/ethnicity, age, having a family history of both AMD and diabetes, frequency of eye exams, and level of education. The results not consistent with the literature as affecting visual health included health insurance, access to health care, body weight, and smoking status. Recommendations for future study included applied research focusing on determining risk factors, raising awareness, educating, and providing early detection of these diseases among low to middle income Caucasian, African American, and Hispanic older adults.

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Rostron, Deirdre Marie. "An exploration of the professional status and recognition of nursing older people: A grounded theory study." Thesis, Curtin University, 2014. http://hdl.handle.net/20.500.11937/2525.

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The focus of this Grounded Theory study was to explore how nurses who care for older people feel they are perceived by other nurses. The study, involving twenty three purposefully selected participants who revealed the basic social psychological problem described as being under siege. They were able to navigate a process to become resilient to be able to survive in this clinical setting and ultimately, become an advocate for older people, themselves, and the profession.

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Miller, Nancy. "Effect of age cohorts and time on smoking status among Missouri adults, 1987-1999 /." free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3036847.

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Tang, Kwan-yi Emily. "Nutritional status of hospitalized geriatrics and the effects of branched-chain amino acids supplementation on pressure sore healing /." Hong Kong : University of Hong Kong, 2000. http://sunzi.lib.hku.hk/hkuto/record.jsp?B21981723.

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Gondiwe, Sokolani Bongororo John. "The legal protection of people with disabilities in South African Labour Law." Thesis, University of Limopopo (Turfloop Campus), 2010. http://hdl.handle.net/10386/511.

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Tsakos, Georgios. "Sociodental impacts related to dental status in older people : a comparative study in Greek and British populations." Thesis, University College London (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.287573.

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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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Hanusaik, Nancy Anna. "Association of measures of functional status with fat-free mass in frail elderly women." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=27333.

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The association of functional status with fat-free mass (FFM) was examined cross-sectionally in a sample of 30 frail elderly women $(81.5 pm 7$ years) to evaluate potential outcome indicators for nutritional interventions. FFM, determined using multi-frequency bioelectrical impedance analysis, was lower in this frail group than in previous reports for "younger" elderly females. All measures of muscle strength (handgrip, biceps, quadriceps) were significantly correlated with FFM $ rm (r ge 0.45, p le 0.02),$ while the measures of global function (Timed "Up & Go" Test and walking speed) as well as self-perceived health were not. The measures of muscle strength and global function were found to have good reliability based on measurements taken on two occasions separated by one week $ rm (ICC ge 0.80).$

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Liu, Kwong-shing, and 廖廣承. "Oral health related quality of life, dental status and expectation of Hong Kong elderly." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B4389446X.

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Murphy, Judith Waple. "Music and quality of life the status of music in Ohio nursing homes /." Connect to this title online, 2003. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1060025164.

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Thesis (Ph. D.)--Ohio State University, 2003.
Title from first page of PDF file. Document formatted into pages; contains xiv, 192 p. Includes bibliographical references (p. 164-192). Available online via OhioLINK's ETD Center

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Bruhn, Hanne. "Factors affecting performance on a respondent-generated quality of life measure an evaluation of the SEIQoL-DW /." Thesis, Available from the University of Aberdeen Library and Historic Collections Digital Resources, 2008. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?application=DIGITOOL-3&owner=resourcediscovery&custom_att_2=simple_viewer&pid=25036.

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41

McCann, Geoff. "The Use Of The Cognitive Status Examination In Detecting Cognitive Impairment In Elderly People." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2000. https://ro.ecu.edu.au/theses/1538.

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Dementia is a growing social problem in Australia because as the population ages, the incidence of dementia increases. While the prevalence rates are only about I% at age 65, they double every five years until by 85 years of age the rate is over 24%. It is expected that by the year 2030, the number of elderly people with dementia will increase by 200%. Dementia is easily recognized in its advanced stages but can be overlooked in the early phase. Family members, care-givers and even the treating medical practitioner may mistakenly attribute the early decline in mental function to the normal aging process. A diagnostic instrument that is easy to administer and score yet is sensitive and specific to the detection of cognitive impairment in the elderly may prove to be of significant benefit to clinicians and assist care-givers and family members in treatment decisions, accommodation requirements and the timely provision of a range of support services. This study investigates the use of the Cognitive Status Examination (CSE) for detecting brain impairment in elderly people. The Cognitive Status Examination comprises the Cognitive Difficulties Scale and a Letter Symbol Substitution Task. It was developed as a screening instrument to detect Alcohol Related Brain Impairment and has proved to be 80% sensitive and 88% specific in detecting brain impairment in that group. This study extended those results to males and females aged 65 years and over with early dementia. A sample of 58 community-dwelling, elderly people aged 65 years and above and a clinical sample of 44 in-patients who were diagnosed with early dementia completed the Cognitive Status Examination. An existing groups, quasi-experimental research design was used. The Cognitive Status Examination proved to be marginally useful as a screening instrument for detecting cognitive impairment in elderly people with early stage dementia with a sensitivity of 59% and a specificity of 93% when the original cut-off scores were used. A revised cut-off score, determined by trial and error, was developed. This resulted in a sensitivity of 86.2% and a specificity of 77.3%, but even with such ad hoc adjustments the CSE fell marginally short of the required 80% for both specifications. Use of the CSE may enable clinicians to utilize existing resources more effectively by referring elderly people in need to appropriate medical care, accommodation and community support services, but further research is required to confirm the revised cutting scores for the CSE. Regression analysis showed that a combination of the raw LST score and the BDI score gained over 90% sensitivity and specificity, and such an actuarial approach also shows promise for future development.

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Williams, Joseph Victor. "Te Mana Motuhake Me Te Iwi Maori : indigineous self determination." Thesis, University of British Columbia, 1988. http://hdl.handle.net/2429/27767.

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Maria Maori Motuhake or Maori self determination is developing into one of the most pressing political and legal issues in modern New Zealand. The Maori struggle for recognition of that right is a long one. It began with contact with British colonisers, and has continued in different forms throughout New Zealand's history. The following thesis suggests that that struggle is one which the Maori share with Indigenous peoples throughout the world. The recognition in law of Mana Maori Motuhake in New Zealand will come from an understanding, by both Maori and Pakeha, of the international nature of that struggle. Accordingly the essential purpose of this thesis is to put the issue of Maori rights into an international and colonial perspective. In Part I, the question of Indigenous self determination is discussed in the context of historical and contemporary developments in international law. It is concluded firstly that there is room for the proposition that a right of Indigenous self determination can be drawn from the current state of international law. Secondly, it is argued that recent developments in the United Nations suggest positive recognition of that right will occur in the near future. In Part II, the development of colonial law in the United States, Canada and New Zealand add a further dimension to this international perspective. In this part parallel developments in the three countries are highlighted to prove the 'indivisibility' of colonialism, and the inexorable development in modern law toward recognition of the 'colonial paradigm'- Native title and Native sovereignty.
Law, Peter A. Allard School of
Graduate

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Kwok, Yin-fung Pauly, and 郭賢鳳. "Effects of socioeconomic status, social support and psychological status on alcohol consumption in people aged 50 or older: a cross sectional study of baseline data from theGuangzhou Biobank Cohort Study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B3972444X.

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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 47306
Center for Gerontology

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45

Maeser, Donna Lee. "In-home health care and hospitalization status." CSUSB ScholarWorks, 1996. https://scholarworks.lib.csusb.edu/etd-project/1202.

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The purpose of the study was to describe the relationship between in-home health care services for elderly patients who were recently discharged from inpatient care and re-hospitalization rates. The design was descriptive and the hypothesis was that the provision of in-home health care services would mitigate a decline in the health status, of an elderly patient, following discharge from inpatient care and prevent re-hospitalization.

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Thompson, Juliana. "An exploration of the role and status of nurses working in nursing homes for older people : a hermeneutic phenomenological study." Thesis, Northumbria University, 2015. http://nrl.northumbria.ac.uk/27314/.

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Older people residing in nursing homes have complex needs requiring the input of nurses skilled in managing multi-morbidities and psychosocial issues. However, in England, nursing homes have proven to be unappealing work settings for potential staff, while nurses who do work in these settings are often afforded low status. Such contradictions pervade current understanding of the nature of work in nursing homes. To-date, few studies have investigated the views and experiences of nursing home nurses themselves regarding the contradictions that arise from role and status issues. This study explores English nursing home nurses’ views regarding status and role. The aims of the study were constructed as follows:  To explore the experiences and views of nursing home nurses working with older people regarding their status and role. -To generate an understanding of how and why these experiences and views occur. -To explore whether emerging insights regarding nursing home nursing can inform workforce development processes. The methodology utilised was hermeneutic phenomenology, based upon the philosophies of Gadamer and Iser. Thirteen nurses from seven nursing homes were each interviewed five times using an episodic interview technique. Data analysis methods were adapted from Van Manen’s hermeneutic phenomenological approach, and Iser’s literary reception theory methods. Four categories emerged from the data - nursing ‘residents’ rather than ‘patients’, business role, stigma, and isolation and exclusion. From these categories, three themes were ascertained - uncertainty about role identity, unpreparedness for the demands of the role, and low occupational status. Participants feel uncertain, unprepared and stigmatised because they are positioned at the intersection of health and social care – a location where health and social care funding issues cross, and healthcare and social care work overlaps. Understanding generated from this study can inform workforce development processes.

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Nhancale, Paulo. "Reform of legal protection of persons with disabilities in Mozambique." Diss., University of Pretoria, 2011. http://hdl.handle.net/2263/18631.

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Mozambique is a least developed country (LDC), and is among the five lowest on the Human Development Index and is known to have no specific protection of people with disabilities (PWDs) with as up to specific legislation has been adopted but g but general laws on social welfare. Although the 2004 Constitution has a generic protection norm nothing much can be found in the whole system. Unfortunately, the 1990 Constitution was more protective and more specifics; the former roughly reduced the extent of protection that existed before. It can be said that Mozambique does not have any protection of PWDs at all.
Thesis (LLM (Human Rights and Democratisation in Africa)) -- University of Pretoria, 2011.
http://www.chr.up.ac.za/
nf2012
Centre for Human Rights
LLM

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Theeke, Laurie Ann. "Sociodemographic and health-related risks for loneliness and outcome differences by loneliness status in a sample of older U.S. adults." Morgantown, W. Va. : [West Virginia University Libraries], 2007. https://eidr.wvu.edu/etd/documentdata.eTD?documentid=5400.

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Thesis (Ph. D.)--West Virginia University, 2007.
Title from document title page. Document formatted into pages; contains ix, 135 p. : ill. Vita. Includes abstract. Includes bibliographical references (p. 119-130).

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Tang, Kwan-yi Emily, and 鄧君儀. "Nutritional status of hospitalized geriatrics and the effects of branched-chain amino acids supplementation on pressure sore healing." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31223461.

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50

Blanchard, Julia Latham. "A study to determine local employers' perspectives regarding the Americans with Disabilities Act." CSUSB ScholarWorks, 1994. https://scholarworks.lib.csusb.edu/etd-project/927.

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This study was designed to explore the implementation strategies and effectiveness of a sample of major employers from several small suburbs of Los Angeles, in Southern California, regarding the Americans with Disabilities Act.

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