The prevalence of depressive symptoms in elderly cancer patients receiving chemotherapy was similar to that in the geriatric population without cancer. It was also consistent with previous studies on elderly cancer population. Pain was found to be a factor related to depressive symptoms. The prevalence of depression may be reduced by pain control. The treatment of depression may both improve the patient's quality of life and enhance their compliance with treatment.

Alzheimer's disease (AD) and dementia with Lewy body (DLB) constitute the most common types of dementia, and are two common geriatric syndromes; however, sarcopenia has not been elaborately evaluated in DLB so far. Therefore, this study aimed to investigate the relationship between sarcopenia and DLB in older adults.Methods: In this retrospective and cross-sectional study, 662 participants, who were followed in a memory clinic at the Geriatrics department of a university hospital, were included. Comprehensive Geriatric Assessment, including the activities of daily living, malnutrition and malnutrition risk, frailty, cognition, and sarcopenia were assessed. Sarcopenia was defined according to the revised European Working Group on Sarcopenia in Older People-2 criteria.Results: A total of 662 participants (461 healthy controls, 133 with AD and 68 with DLB) with a mean age of 73.60 AE 7.50 years were included. The prevalence of probable sarcopenia and sarcopenia was 53.4% and 19.5%, respectively, in patients with AD, whereas it was 55.9% and 19.1%, respectively, in patients with DLB. After adjustment analyses, probable sarcopenia, sarcopenia and low muscle mass were related to AD (P < 0.001, P = 0.001, P < 0.001, respectively). Probable sarcopenia and slow gait speed were associated with DLB (P < 0.01, P < 0.001, respectively).Conclusions: Sarcopenia is common in patients with DLB and in those with AD, and seems to be closely related to low muscle strength and slow gait speed in DLB patients. Considering sarcopenia-related negative health outcomes in older adults, the evaluation of sarcopenia, therefore, should also be among the follow-up and treatment goals of DLB patients.

Objective Corticobasal syndrome (CBS) is one of an atypical parkinsonian syndromes characterized by extrapyramidal features as well as cortical involvement signs. A variety of factors may lead to delirium in older adults with chronic progressive life-limiting neurological illnesses like CBS. Ogilvie's syndrome (OS) is an acute colonic pseudo-obstruction in which abdominal distension, nausea, vomiting, and constipation can be seen. We report a case of OS identified as the underlying possible cause of delirium in an 80-year-old woman with CBS. We also discuss the importance of holistic approach which is essential to manage the underlying cause and to preserve the quality of life in particular for the frail geriatric population who potentially needs palliative care or already benefits from palliative care. Method An older patient with CBS presented with symptoms similar to that of acute colonic obstruction and subsequently developed delirium. The patient was found to have colonic pseudo-obstruction (OS). Result Neostigmin infusion was therefore given to treat it and delirium was resolved. Significance of results To the best of our knowledge, clinical manifestation of delirium as OS in a patient with CBS has not been previously reported. OS may be superimposed to CBS in older patients, and OS in such patients may play a role as a precipitating factor for the development of delirium. Given the fact that CBS is progressive and rare neurodegenerative disease and almost all of these patients need palliative care, eventually, health-care professionals, especially in palliative care, should be aware of distinctive challenges of life-limiting chronic neurological illnesses, such as conditions that may lead to the development of acute colonic pseudo-obstruction because the rapid treatment of them prevents the use of potentially harmful drugs, surgical procedures, or inappropriate interventions.

Comment about ''Depressive Symptoms, Subjective Cognitive Decline, and Subjective Sleep Quality Are Associated with Slips and Falls: Data from the Community Health Survey in Korean Adults'' study

Falls are an important health problem that is common in older people and threatens individual's indipendence. Recognition and elimination of preventable risk factors for falls is important for individual's quality of life. Recognizing and initiating the treatment of geriatric depression, which is one of the most common syndromes in elderly individuals, is possible with Comprehensive Geriatric Assessment. The aim of this study is to reveal the relationship between two common syndromes in elderly, geriatric depression and falls.Material and Methods: 1372 patients aged 60 and over were included in the study. Our study was designed as a crosssectional retrospective. Sociodemographic data of the participants, history of falls frequency in the last year, geriatric depression scale scores, Comprehensive Geriatric Assessment data including gait and balance scales were analyzed from patient follow-up files. Prevalence analysis was performed with the results obtained.Results: Falls was significantly higher in the group with a diagnosis of depression than the group without a diagnosis of depression (35.2%; 26.7%,respectively, p=0.003). There was no significant age difference between the two groups. The female gender ratio was higher in those diagnosed with depression. Falls was found to be correlated with ''Timed Up and Go Test'' and Performance-Oriented Mobility Assessment (POMA) scores in elderly patients diagnosed with depression (p<0.001). Conclusions:There is a significant relationship between depression and frequency of fall. The gait and balance status assessment of patients diagnosed with depression with a history of falls and the management of these conditions should be reviewed. Elderly individuals with depression should be meticulously questioned and followed up in terms of falls. Supportive studies are needed in this regard.