1,721,015 research outputs found
Probiotic supplementation improved cognitive function in cognitively impaired and healthy older adults: a systematic review of recent trials
No full textIntroduction: Recent evidence suggests that there is clear association between microbiota and cognitive functioning, which is known as microbiome-gut-brain axis. Probiotic bacteria consumption can alter human microbiota; therefore, probiotic supplementation might affect the gut microbiota dynamics and influence cognitive function. Methods: Three electronic databases including PubMed, ProQuest, and EBSCOHost databases were utilized. Manual hand search of article was also done. We selected randomized controlled trial articles that measure cognitive function (as the primary outcome) after intervention with probiotic supplementation on older adult population with AD, MCI, or healthy condition. The following terms and its variant were used: “probiotic,” “cognitive function,” “mild cognitive impairment,” “dementia,” and “Alzheimer’s disease.” Result: Nine of 10 included studies (AD, MCI, or healthy cognition population) showed cognitive function was improved significantly after probiotic supplementation, compared to control group. One study that included severe AD did not show significant changes. Conclusion: Most studies involving AD, MCI, or healthy older adults showed cognitive improvement in subjects treated with probiotics for 12–24 weeks.</p
Insomnia in Indonesia older adults: the role of mental health, sociodemographic status, and physical function
No full textBackground and objective: insomnia can cause impairment in physical, mental, and social functioning, which contributes to considerable healthcare and social challenges. This study aims to investigate various potential associated factors of insomnia among older adults in Indonesia.Methods: publicly available data of the fifth wave of the Indonesia Family Life Survey (IFLS-5) was taken cross-sectionally from 2014 to 2015 with a multistage stratified sampling method. This data included 4236 Indonesian older adults aged of 60 and older from all over Indonesia. Numerous social demographic and wellbeing variables that were gathered through assessments and surveys were examined. The evaluation of despair and its contributing components was done using multivariate logistic regression.Results: older adults with low education (adjusted odds ratio [AOR]: 1.73, 95% confidence interval [CI]: 1.16–2.60), poor subjective economic status (AOR: 1.52, 95% CI: 1.13–2.05), having low life satisfaction (AOR: 1.46, 95% CI: 1.14–1.87), being self-perceived as unhealthy (AOR: 2.26, 95% CI: 1.80–2.84) or lonely (AOR: 1.77, 95% CI: 1.34–2.35), physically dependent measured by Activity Daily Living (AOR: 1.46, 95% CI: 1.01–1.96), having arthritis (AOR: 1.40, 95% CI: 1.04–1.85) and depression (AOR: 4.14, 95% CI: 3.21–5.33) are associated to insomnia.Conclusions: depression has the strongest association to insomnia in elderly. Involving older adults in cognitive and social activities, providing supports for lonely individuals, improving their physical function, prompt treatment of arthritis and symptomatic pain may reduce the risk for insomnia. Early detection and providing mental services including social activities to depressed older adults may also decrease the risk of insomnia
Memory impairment and its associated risk and protective factors among older adults in Indonesia
No full textAims: This study aimed to evaluate the association between memory impairment and its risk and protective factors, focusing on demographic and health-related variables among older adults in Indonesia. Method: The data analyzed were the Indonesian Family Life Survey-5 (IFLS-5) using cross-sectional variables of 4236 older adults aged 60 years and over included in the 2015 round. Memory impairment was assessed by immediate word list recall from the Telephone Interview for Cognitive Status (TICS). Sociodemographic factors and multiple health variables were included as predictors. Data were analyzed using frequency analyses bivariate and stepwise logistic regression tests. Result: Among 4236 older adults, 49.7% were male and 50.3% were female. Stepwise backward analyses showed that memory impairment was independently associated with older age, being female, or not in a union (unmarried, separated, divorced, or widowed), having obtained low levels of education, living in a rural area, reporting low life satisfaction, low social capital, higher dependency, and having clinical depression. Only moderate (but not high or low) physical activity levels were associated with a lower risk. Being underweight increased the risk, but being overweight/obese (as assessed by BMI) protective factors for a lower immediate recall score. Conclusion: Increasing education and continued engagement of older adults in psychosocial activities, including moderate physical activity, improving mental health, preventing weight loss, and maintaining functional ability to decrease dependency, are associated with increased episodic memory, especially in non-married and older women in rural areas of Indonesia
Functional dependency and its associated factors among older adults in Indonesia
No full textBackground/Purpose: this study aims to investigate dependency accordingto Activities of Daily Living (ADL) and Instrumental Activities of Daily Living(IADL) indices and its associated risk and protective factors among Indonesianolder adults.Methods: the sociodemographic factors and health variables from theIndonesia Family Life Survey-5 (IFLS-5), the only large-scale longitudinal fieldsurvey in Indonesia, cross-sectional data of 4236 older adults aged 60 andover were used. ADL and IADL were assessed using the Katz and Lawtonindices. Multivariate logistic regression analyses were conducted to assessthe associations between dependency (measured by ADL and IADL) andsociodemographic, health variables, and other factors.Results: among older adults (mean age: 66.88±6.23), 12.7% and 25.6% weredependent based on ADLs and IADLs, respectively. ADL and IADL limitationswere associated with older age, living in rural areas, low life satisfaction,self-perceived unhealthy, low social capital, depression, having one or morechronic conditions, having dementia, engaging low physical activities, beingoverweight/obese, having a history of falls and self-reported insomnia.Conclusion: improving physical and mental health, creating more age-friendlyenvironment, and reducing chronic morbidities through increasingsocial capital and physical activity to maintain a healthy weight can all reducethe risk for dependency and are particularly important in rural areas. Effectiveand local government policy can support this
Dementia and dependency vs. proxy indicators of the Active Ageing Index in Indonesia
No full textDementia prevalence is increasing worldwide and developing countries are expected to carry the highest burden of this. Dementia has high care needs and no current effective long-term treatment. However, factors associated with active ageing (e.g., longer employment; participation in society; independent, healthy and secure living; and enabling environments to allow people to remain psychosocially and physically active) could help maintain independence in older people for longer. We investigated proxy indicators of the Active Ageing Index (AAI), which were offset against dementia and dependency (assessed by Instrumental Activities of Daily Living or IADL) in multi-ethnic urban (Jakarta) and rural (Sumedang and Borobudur) health care districts on Java, Indonesia. Dementia was assessed using validated cognitive dementia screening tests, the IADL and carer reports. Dementia and dependency prevalence showed large interregional differences and were highest in rural Borobudur. Dementia and dependency were associated with an older age, lower education (for dementia), worse physical health (for dependency) and not engaging in psychosocial activities, such as attending community events, reading (for dementia) and sport activities (for dependency). By supporting active ageing activities in Puskesmas (primary health care centers) and improving access to medical care, rural areas could possibly reduce dementia and dependency risk. Our follow-up study planned in 2021 should illustrate whether recent relevant policies have rendered success in these areas. Using active ageing indicators could focus policies to support regions with targeted interventions to compress care needs in older people
Depression among older adults in Indonesia: Prevalence, role of chronic conditions and other associated factors
No full textBackground: Depression is one of the most common illnesses worldwide, with a prevalence of 5.7% among older adults aged over 60. Depression is a severe health condition that can significantly affect the quality of life. Objective: The objective of this study is to investigate the determinant factors of depression among older adults in Indonesia. Methods: Data of 4236 adults of 60 years old and over were taken from the fifth wave of the Indonesian Family Life Survey (IFLS-5). Sociodemographic and multiple health-related variables collected through interviews and measurements were analyzed. Multivariate logistic regression was used to evaluate depression and its associated factors. Results: The prevalence of depression assessed using ten questions from the Center for Epidemiologic Studies Depression Scale (CES-D 10) was 16.3%. Significant associated factors for depression were moderate and low subjective economic status, living in Java or other regions outside Sumatra and Java, no life satisfaction, self-perceived as having poor health, having dependency (IADL scores), and experienced falls and insomnia. Among chronic conditions, stroke, arthritis, and hearing impairment were also more common in depressed older adults. Conclusion: Predictors of depression identified in this study may be used to help prevent and improve depression in Indonesian older adults, especially those who live on Java. Improvement in healthcare, especially in the prevention and rehabilitation of stroke, arthritis, possible frailty (falls and dependency), hearing impairment, and insomnia, concurrent with early detection of depression in these chronic conditions, may help create a better quality of life among Indonesian older adults.</p
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
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