CDC Grand Rounds: Promoting Well-Being and Independence in Older Adults

Olivari, Benjamin; Baumgart, Matthew; Lock, Sarah; Whiting, C Grace; Taylor, Christopher A.; Iskander, John K.; Thorpe, Phoebe; McGuire, Lisa C.

doi:10.15585/mmwr.mm6737a4

Cited by 18 publications

(16 citation statements)

References 12 publications

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“…Again, PA could modify cognitive performance and mood, but on the contrary, appropriate treatment of unaddressed depression and cognitive decline may potentially reflect both on PA and on disability. There is evidence that initial cognitive decline and depression may be underestimated and undertreated in this population segment-as they are inclined to consider them as part of their "normal" aging, although recognition could accelerate diagnosis and improve care and support (Olivari et al, 2018). Indeed, recent longitudinal studies, such as the FINGER study, suggest that a multidomain prolonged intervention consisting of diet, physical exercise, cognitive training, and monitoring of vascular risk reduced the onset of new comorbidities in persons aged 60 to 77 (Marengoni et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Independent Functioning in Nonagenarians Living in a Rural Italian Community: The Mugello Study

et al. 2019

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Nonagenarians are a fast-growing population deserving specific research. We explored the prevalence and characteristics of functionally independent nonagenarians from a rural community-dwelling Italian population. Data were collected in the Mugello Study; 475 persons aged ≥90 years (median age, 92) underwent a home-based clinical and functional assessment, including psychosocial, clinical, functional, and lifestyle history and status and physical and instrumental examinations. Sixty-eight (15%) persons reported no need for help in basic and instrumental daily living activities. Among variables significantly associated with independent functionality after age- and gender-adjusted cross-sectional analysis, lower body mass index (BMI; p = .034) and depressive symptoms ( p = .028), higher current physical activity ( p < .001), better cognitive status ( p = .033), and lower medication intake ( p = .048) were associated with reporting no disability in the logistic regression analysis. Disability was mainly associated with current lifestyle-related potentially modifiable factors. Thus, lifestyle-oriented multidimensional interventions, should be developed and evaluated for their potential effects on functionality, even in the oldest old.

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Section: Discussionmentioning

confidence: 99%

Independent Functioning in Nonagenarians Living in a Rural Italian Community: The Mugello Study

et al. 2019

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“…For states using the module in multiple years, the most recent data for those states were used. The data show that 11.1% of people aged 45 and older in the United States reported SCD and more than half of them (54.7%) had not talked to a health‐care professional about it 18–20 . This and other data are available to the public on the CDC website through the Alzheimer's Disease and Healthy Aging Data Portal (https://www.cdc.gov/aging/agingdata/index.html), which is updated annually with newly released data 17…”

Section: Resultsmentioning

confidence: 99%

Population measures of subjective cognitive decline: A means of advancing public health policy to address cognitive health

Olivari

Baumgart

Taylor

et al. 2021

A&D Transl Res & Clin Interv

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Subjective cognitive decline (SCD) is receiving increasing attention as studies have suggested that SCD status is associated with risk of future cognitive decline and dementia. Population‐based measures of SCD can be extremely useful to the public health community, health‐care providers, researchers, and policymakers. A large population‐based SCD measure now exists through the state‐based Behavioral Risk Factor Surveillance System (BRFSS). All 50 states have included the cognitive decline module, which asks about SCD, to their BRFSS survey one or more times. Population measures of SCD can aid researchers in designing clinical studies by better estimating the populations that may be at risk for more severe cognitive decline based on their SCD status to ensure that the optimal groups are targeted. Population‐level estimates of SCD can also help to inform health‐care providers’ decisions about initiating cognitive assessments, managing other conditions among those with memory problems, and identifying the needs of caregivers.

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“…For instance, one possible intervention is to promote early detection and treatment of cognitive decline, which may be underestimated and undertreated in this very old population, while there is some evidence that its early diagnosis is likely to improve its care and support (Olivari et al, 2018). Regarding comorbidities, a multidomain prolonged intervention including diet, physical exercise, cognitive training, and vascular risk factors monitoring could reduce the onset of new comorbidities, as already demonstrated in a younger population (Marengoni et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Predictors of Mortality in 433 Nonagenarians Inside the Mugello Study: A 10 Years Follow-Up Study

et al. 2022

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Objective to identify the predictors of mortality in a cohort of nonagenarians inside the “Mugello study” after 10 years follow-up. Methods Information on sociodemographic data, cognitive and functional status, lifestyle, medical history, and drug use was collected from 433 non-selected participants aged 90-99 years, living in the Mugello area (Italy). Participants were followed over 10 years and their dates of death were retrieved from the municipal registers. Cox regression analysis was used to determine significant potential prognostic factors. Results The mortality rate was 96.5%. Cox proportional hazards analysis showed that a lower cognitive status was significantly associated with higher mortality as well as a poorer functional status, a higher comorbidity, and a higher number of drugs consumption. Discussion Impaired cognitive function, loss of functional independence, higher comorbidity, and higher drugs intake were the stronger predictors of mortality.

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CDC Grand Rounds: Promoting Well-Being and Independence in Older Adults

Cited by 18 publications

References 12 publications

Independent Functioning in Nonagenarians Living in a Rural Italian Community: The Mugello Study

Independent Functioning in Nonagenarians Living in a Rural Italian Community: The Mugello Study

Population measures of subjective cognitive decline: A means of advancing public health policy to address cognitive health

Predictors of Mortality in 433 Nonagenarians Inside the Mugello Study: A 10 Years Follow-Up Study

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