Association between anxious symptoms and sleeping medication use among US older adults

Harris, Daniel A.; McNicoll, Lynn; Epstein‐Lubow, Gary; Thomas, Kali S.

doi:10.1002/gps.4795

Cited by 9 publications

(6 citation statements)

References 36 publications

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“…27 Depression was measured via the two-item Patient Health Questionnaire 28 NHATS module. 29 In addition, subjective well-being 30 was assessed by self-report.…”

Section: Psychosocial Well-beingmentioning

confidence: 99%

U.S. National Profile of Older Adults with Cognitive Impairment Alone, Physical Frailty Alone, and Both

Bandeen‐Roche

Chu

et al. 2020

J American Geriatrics Society

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BACKGROUND/OBJECTIVES To obtain national and regional estimates of prevalence of frailty with or without cognitive impairment, and cognitive impairment with or without frailty among older adults in the United States, and to identify profiles of characteristics that distinguish their joint versus separate occurrence. DESIGN Cross‐sectional. SETTING Community or non–nursing home residential care settings. PARTICIPANTS A U.S. nationally representative sample of 7,497 older adults aged 65 and older from the National Health and Aging Trends Study. MEASUREMENTS Frailty was measured by the physical frailty phenotype. Cognitive impairment was assessed by cognitive performance testing of executive function and memory or by proxy reports. Multinomial logistic regression was used to identify profiles of demographic, socioeconomic, health, behavioral, and psychosocial characteristics that distinguish four subgroups: not‐frail and cognitively intact (“neither”), not‐frail and cognitively impaired (“Cog. only”), frail and cognitively intact (“frailty only”), and frail and cognitively impaired (“both”). RESULTS The prevalence of “Cog. only,” “frailty only,” and “both” was 25.5%, 5.6%, and 8.7%, respectively. Individuals with“frailty only” had the highest prevalence of obesity, current smoking, comorbidity, lung disease, and history of surgery. The “both” group had the highest prevalence of dementia, depression, cardiovascular diseases, and disability. No significant differences were found between the “Cog. only” group and the “neither” group with respect to history of surgery and comorbidity burden. The prevalence of dementia in the “Cog. only” was less than half of that in the “both” group. CONCLUSION The finding of sizable subgroups having physical frailty but not cognitive impairment, and vice versa, suggests that the two cannot be considered necessarily as antecedent or sequela of one another. The study provided empirical data supporting the prioritization of comorbidity, obesity, surgery history, and smoking status in clinical screening of frailty and cognitive impairment before formal diagnostic assessments.

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“…27 Depression was measured via the two-item Patient Health Questionnaire 28 NHATS module. 29 In addition, subjective well-being 30 was assessed by self-report.…”

Section: Psychosocial Well-beingmentioning

confidence: 99%

U.S. National Profile of Older Adults with Cognitive Impairment Alone, Physical Frailty Alone, and Both

Bandeen‐Roche

Chu

et al. 2020

J American Geriatrics Society

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“…Anxiety symptoms and depressive symptoms were assessed via the Generalized Anxiety Disorder‐2 (GAD‐2) and Patient Health Questionnaire‐2 (PHQ‐2) scales, both ranging from 0 to 6. Anxiety was defined as a GAD‐2 score ≥ 3, whereas depression was defined as a PHQ‐2 score ≥ 3, as previously validated 20 . Cognitive tests, including orientation, memory and executive functioning domains, were used to evaluate the cognitive capacity of participants 21 .…”

Section: Methodsmentioning

confidence: 99%

“…Anxiety was defined as a GAD‐2 score ≥ 3, whereas depression was defined as a PHQ‐2 score ≥ 3, as previously validated. 20 Cognitive tests, including orientation, memory and executive functioning domains, were used to evaluate the cognitive capacity of participants. 21 Additionally, the AD8 Dementia Screening Interview was administered to proxy respondents.…”

Section: Methodsmentioning

confidence: 99%

Associations between multimorbidity and frailty transitions among older Americans

Luo

Wang

Fries

et al. 2023

J cachexia sarcopenia muscle

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Background The associations of multimorbidity patterns with transitions between frailty states remain unclear in older individuals. Methods We used data from the National Health and Aging Trends Study 2011–2019. Frailty was measured annually using the Fried frailty phenotype. Multimorbidity patterns at baseline were identified using latent class analysis based on 14 chronic conditions. We used the semi‐Markov multi‐state model to investigate the influences of multimorbidity characterized by condition counts and patterns on subsequent frailty transitions over follow‐ups. Results Among 9450 participants aged ≥65 years at baseline, 34.8% were non‐frail, 48.1% were pre‐frail and 17.0% were frail. Over a median follow‐up of 4.0 years, 16 880 frailty transitions were observed, with 10 527 worsening and 6353 improving. For 7675 participants with multimorbidity, four multimorbidity patterns were identified: osteoarticular pattern (62.4%), neuropsychiatric–sensory pattern (17.2%), cardiometabolic pattern (10.3%) and complex multimorbidity pattern (10.1%). Compared with no disease, multimorbidity was significantly associated with an increased risk of worsening transitions, including from non‐frail to pre‐frail (hazard ratio [HR] = 1.35; 95% confidence interval [CI] = 1.21–1.52), from non‐frail to frail (HR = 1.68; 95% CI = 1.04–2.73), from pre‐frail to frail (HR = 2.19; 95% CI = 1.66–2.90) and from pre‐frail to death (HR = 1.64; 95% CI = 1.11–2.41). Compared with the osteoarticular pattern, neuropsychiatric–sensory, cardiometabolic and complex multimorbidity patterns had a significantly higher risk of worsening frailty (all P < 0.05). Conclusions Multimorbidity was associated with dynamic transitions between frailty states and death among older American adults, and the associations varied across multimorbidity patterns. The findings could offer significant implications for public health policymakers in planning interventions and healthcare resources. They also might inform clinicians regarding providing targeted clinical treatment and health management based on multimorbidity patterns of older people.

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“…Palacios ir kt. atliktame tyrime gauta, kad asmenų, per dieną suvartojančių daugiau angliavandenių (> 260 g/d), statistiškai reikšmingai didesnė dantų ėduonies atsiradimo rizika, lyginant su tais, kurie angliavandenių suvartoja mažiau (< 155 g/d) [17]. Pastebima tendencija, kad sergantieji cukriniu diabetu gliukozės kiekiui kraujyje normalizuoti vartoja lengvai fermentuojamus angliavandenius.…”

Section: Tyrimo Rezultatai Ir Jų Aptarimasunclassified

Pacientų, Sergančių Pirmo Tipo Cukriniu Diabetu, Samprata Apie Burnos Sveikatą

Vaičelionytė¹,

Saldūnaitė²,

Bendoraitienė³

et al. 2021

Health Sciences

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Tyrimo tikslas – išanalizuoti pacientų, sergančių pirmo tipo cukriniu diabetu, žinias apie burnos sveikatą. Medžiaga ir metodai. Tyrimas buvo atliekamas Lietuvos sveikatos mokslų universiteto ligoninės Kauno klinikų Endokrinologijos klinikoje. Tyrime dalyvavo128 respondentai. Tyrimo metodas – anketinė apklausa, vykdyta nuo 2019 m. gruodžio 2 d. iki 2020 m. vasario 29 dienos. Dalyvių imtis atsitiktinė. Gauti rezultatai parodė, kad asmenys, kurių HbA1c (glikuotas hemoglobinas) yra blogas, statistiškai reikšmingai dažniau atsakė, kad seilių funkcijos sutrikimus, dantenų uždegimo ir dantų ėduonies simptomus patiria dažniau, lyginant su asmenimis, kurių HbA1c yra geras (p < 0,05). Nereguliariai maitinasi 65,4 proc. pacientų. Tik 4,7 proc. tiriamųjų pavartoję angliavandenių išsivalo dantis, vieną kartą per dieną dantis valo penktadalis (25,8 proc.), o tarpdančių nevalo trečdalis (31,3 proc.) respondentų. Pas burnos priežiūros specialistą vieną kartą per metus lankosi apie pusė respondentų (46,9 proc.). 43,8 proc. apklaustųjų nežinojo, jog dantenų ligos gali daryti įtaką glikemijos kontrolei, 78,9 proc. iš odontologų ir 82,0 proc. iš burnos higienistų nėra gavę papildomos informacijos apie sergančiųjų diabetu burnos priežiūrą, o tik 14,8 proc. respondentų šeimos gydytojas yra rekomendavęs reguliariai lankytis pas burnos priežiūros specialistą. Išvados. Sergantieji cukriniu diabetu dažnai jaučia seilių funkcijos sutrikimų, dantų ėduonies ir dantenų uždegimo simptomus. Pacientų mitybos ir burnos higienos įpročiai yra prasti, o sergančiųjų cukriniu diabetu informuotumas apie burnos priežiūrą yra nepakankamas.

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Association between anxious symptoms and sleeping medication use among US older adults

Cited by 9 publications

References 36 publications

U.S. National Profile of Older Adults with Cognitive Impairment Alone, Physical Frailty Alone, and Both

U.S. National Profile of Older Adults with Cognitive Impairment Alone, Physical Frailty Alone, and Both

Associations between multimorbidity and frailty transitions among older Americans

Pacientų, Sergančių Pirmo Tipo Cukriniu Diabetu, Samprata Apie Burnos Sveikatą

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