The stress of aging

Cesari, Matteo; Vellas, Bruno; Gambassi, Giovanni

doi:10.1016/j.exger.2012.10.004

Cited by 80 publications

(40 citation statements)

References 53 publications

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“…In fact acting on frailty through effective interventions may change the aging trajectories of many individuals from the possible "pathological aging" pattern to the more personally and economically desirable "successful aging" (4).…”

Section: Introductionmentioning

confidence: 99%

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Cognitive frailty: Rational and definition from an (I.A.N.A./I.A.G.G.) International Consensus Group

Kelaiditi

Cesari

Canevelli

et al. 2013

The Journal of nutrition, health and aging

719

550

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Abstract:The frailty syndrome has recently attracted attention of the scientific community and public health organizations as precursor and contributor of age-related conditions (particularly disability) in older persons. In parallel, dementia and cognitive disorders also represent major healthcare and social priorities. Although physical frailty and cognitive impairment have shown to be related in epidemiological studies, their pathophysiological mechanisms have been usually studied separately. An International Consensus Group on "Cognitive Specific aim of this approach was to facilitate the design of future personalized preventive interventions in older persons. Finally, the Group discussed the use of multidomain interventions focused on the physical, nutritional, cognitive and psychological domains for improving the well-being and quality of life in the elderly. The consensus panel proposed the identification of the so-called "cognitive frailty" as an heterogeneous clinical manifestation characterized by the simultaneous presence of both physical frailty and cognitive impairment. In particular, the key factors defining such a condition include: 1) presence of physical frailty and cognitive impairment (CDR=0.5); and 2) exclusion of concurrent AD dementia or other dementias. Under different circumstances, cognitive frailty may represent a precursor of neurodegenerative processes. A potential for reversibility may also characterize this entity. A psychological component of the condition is evident and concurs at increasing the vulnerability of the individual to stressors.

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Section: Introductionmentioning

confidence: 99%

“…Thus, similarly to disability prevention, there is an urgent need to act early, before neuronal damage becomes irreversible. , M. CANEVELLI 1,4 , G. ABELLAN VAN KAN 1,2 , P.-J. OUSSET 1 , S. GILLETTE-GUYONNET 1,2 , P. RITZ 2,5 , F. DUVEAU 6 , M.E.…”

Section: Introductionmentioning

confidence: 99%

Cognitive frailty: Rational and definition from an (I.A.N.A./I.A.G.G.) International Consensus Group

Kelaiditi

Cesari

Canevelli

et al. 2013

The Journal of nutrition, health and aging

719

550

View full text Add to dashboard Cite

show abstract

“…There are however, two main theoretical perspectives 34 on ageing that are most commonly considered. These are the biological/chronological and social perspectives (Cesaria et al, 2013;Phillipson, 2013;Lowsky, Olshansky, Bhattacharya & Goldman, 2014). The focus here is not to explore theories of ageing in-depth; this is covered elsewhere (For example : Victor, 2006;Cesaria, et al 2013;Lowsky et al, 2014).…”

Section: Deconstructing the Toronto Declarationmentioning

confidence: 99%

“…These are the biological/chronological and social perspectives (Cesaria et al, 2013;Phillipson, 2013;Lowsky, Olshansky, Bhattacharya & Goldman, 2014). The focus here is not to explore theories of ageing in-depth; this is covered elsewhere (For example : Victor, 2006;Cesaria, et al 2013;Lowsky et al, 2014). What is relevant to this discussion is how old age is constructed in the context of understanding and responding to elder abuse because this is a core dimension of the current definition.…”

Section: Deconstructing the Toronto Declarationmentioning

confidence: 99%

“…In contrast to this biological/chronological approach to understanding ageing, there is a growing voice in the literature that positions ageing as a socially constructed phenomenon (Payne, 2012;Cesaria et al, 2013;Phillipson, 2013). Rejecting the notion of homogeneity in old age and the view that older people are overall more problematic than other age groups, proponents argue that ageing is person, time and place sensitive, and influenced by wider societal attitudes to ageing.…”

Section: Old Age As a Social Constructionmentioning

confidence: 99%

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A cog in the wheel or an agent of change: Knowledge use and practice with older people who are abused in Aotearoa/New Zealand

Brook¹

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Across the past three decades a growing national and international concern about elder abuse is evident in policy, research and social and health care practice. There is currently a considerable body of literature on prevalence, predictors and risk factors as well as debates about definitions, conceptualisations and appropriate legal, policy and practice responses. There is more limited research on how the conceptualisations of ageing and elder abuse shape professional practice. Knowledge use and social work practice in elder abuse in the context of Aotearoa/New Zealand is the focus of this thesis.This thesis presents a qualitative exploratory study of elder abuse practice as reported by twenty social workers engaged in frontline elder abuse work throughout Aotearoa/New Zealand. The purposive sample of social workers practised in a variety of settings and were situated in different geographic locations across the country. The primary focus of this study is to explore how elder abuse is understood, how cases of In individual semi-structured interviews, participants were asked to describe their understandings of elder abuse, to explore the knowledge they use to inform these understandings, and to give details about what actions they take when encountering situations of abuse.An interpretative, social constructionist approach to this research was taken. All twenty accounts of practice were analysed thematically. This provided a means by which the processes of, and influences on, meaning, knowledge use and response-making could be scrutinised, and an understanding of elder abuse practice in Aotearoa/New Zealand could be discerned.The findings indicate that the term 'elder abuse' is universally recognised and articulated in practice, but when explored in depth, understandings about what constitutes elder abuse varied, were dependent on the knowledge individual social ii | P a g e workers brought to their practice, and on the context in which the practice occurred. This knowledge was not always explicitly used and consequently was often left unscrutinised. The use of tacit knowledge was seen to facilitate the establishment of patterns of practice that have become customary and are left unchallenged.The influence of the context on what could or could not be done to respond to elder abuse was acknowledged by many of these social workers. Beyond the immediate resource constraints that were recognised as limiting their options to address abuse, the significance of the socio-economic-historic-cultural-political context and how this informed and shaped social work practice (and the experiences of older people) were not readily identified by most. When these factors were noted, they were largely considered to be insurmountable.The findings from this study highlight that a narrow approach is taken by most of the social workers in this study when working with older people who are abused. There is little demonstrated understanding the socio/political context in which the abuse occurs, and the systemic issues that may co...

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WHO Approach to Healthy Aging

Nestola¹,

Cesari

2022

Geriatric Medicine

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The stress of aging

Cited by 80 publications

References 53 publications

Cognitive frailty: Rational and definition from an (I.A.N.A./I.A.G.G.) International Consensus Group

Cognitive frailty: Rational and definition from an (I.A.N.A./I.A.G.G.) International Consensus Group

A cog in the wheel or an agent of change: Knowledge use and practice with older people who are abused in Aotearoa/New Zealand

WHO Approach to Healthy Aging

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