1,721,279 research outputs found
Unclean Cooking Fuel Use and Health Outcomes in Older Adults: Potential Mechanisms, Public Health Implications, and Future Directions
Background Unclean cooking fuels (ie, polluting fuels including kerosene/paraffin, and solid fuels) are a major contributor to diseases and mortality, specifically in low- and middle-income countries. Methods This review aimed to identify potential mechanisms, public health implications, and future directions of unclean cooking fuel use and health outcomes in older adults. Results There is an expanding body of literature to demonstrate associations between unclean cooking fuel use and multiple mental and physical health outcomes in older adults. Two key mechanisms likely driving such associations include inflammation and oxidative stress. Conclusions Considering that inflammation and oxidative stress have been implicated in multiple other health conditions (eg, arthritis and osteoporosis) in addition to those investigated to date on this topic it would be prudent to continue investigation of unclean cooking fuel use and with yet to be studied health outcomes. Moreover, future research is indeed now required to identify pathways to eliminating unclean cooking fuel globally to better the health of an aging global population and to support the implementation of Sustainable Development Goal 7
Food insecurity is associated with obesity and abdominal obesity among older adults: A cross-sectional analysis of ELSA study
Objectives: Food insecurity, defined as limited or uncertain access to adequate and nutritious food, is a significant public health issue, particularly among older adults. While often associated with undernutrition, food insecurity has also been linked to overweight and obesity due to economic constraints that drive reliance on inexpensive, energy-dense foods in younger people. The aim of this study was to assess the association between food insecurity and measures of adiposity, including body mass index (BMI), waist circumference, and waist-hip ratio, in older adults. Methods: This cross-sectional study utilized data from wave 2 of the English Longitudinal Study of Ageing – ELSA (2004–2005), including adults aged ≥50 years. Food insecurity was assessed through a single-question measure. Multivariable logistic regression models were used to examine the association between food insecurity and obesity-related outcomes, adjusting for potential confounders, and reporting the data as odds ratios (ORs) with their 95% confidence intervals (CIs). Results: Of 7219 participants, with a mean age of 66 years and mainly females (53.6%), 1.3% reported food insecurity, whilst obesity, according to BMI, was present in 28.9%. After adjusting for several potential confounders, food-insecure individuals had higher odds of obesity (OR = 1.55, 95% CI: 1.03–2.32, P = 0.034) and abdominal obesity (OR = 2.28, 95% CI: 1.45–3.60, P < 0.001). No association was found with the waist-hip ratio (P = 0.117). Conclusions: Food insecurity is significantly associated with obesity and central adiposity in older adults, highlighting the need for public health interventions addressing both food access and dietary quality. Further research should evaluate the long-term impact of food insecurity on metabolic health in aging populations
Commentary on: Physical activity and exercise for mild cognitive impairment and dementia:a collaborative international guideline
Physical inactivity is an important, but potentially reversible risk factor for dementia and mild cognitive impairment (MCI). There is literature about physical activity and exercise for the prevention and management of dementia and MCI, but this had not been synthesized into no specific guidelines about this topic. A recent guideline on physical activity and exercise in MCI and dementia was published, authored by several international societies, including lay representatives. In this commentary, we discuss the implications of this guidance for healthcare professionals, caregivers, and lay representatives involved in the care of people with MCI and dementia. The guidelines highlight the importance of physical activity and exercise in cognitively healthy persons and for dementia and MCI, at different stages of these conditions. For primary prevention of dementia, physical activity may be suggested in cognitively healthy persons. In people with MCI, mind-body interventions, such as yoga, have the greatest evidence, and the role of physical activity and exercise requires more evidence from high-quality randomized controlled trials. In people living with moderately severe dementia, exercise may be useful for maintaining physical and cognitive function. There are benefits of physical activity and exercise separate from their impact on cognitive outcomes. The guidelines also proposed some questions for future research. In conclusion, there is limited evidence on the beneficial role of physical activity and exercise in preserving cognitive functions in subjects with normal cognition, MCI or dementia. The guidelines support the promotion of physical activity based on the beneficial effects on almost all facets of health. <br/
The impact of urinary incontinence on multiple health outcomes: an umbrella review of meta-analysis of observational studies.
Sociodemographic and behavioural correlates of lifetime number of sexual partners: findings from the English Longitudinal Study of Ageing
Background No current data are available on correlates of lifetime sexual partners at older ages. This study aimed to explore correlates of the lifetime number of sexual partners in a sample of older adults
The association of physical multimorbidity with suicidal ideation and suicide attempts in England: A mediation analysis of influential factors.
The prevalence and clinical significance of loss of appetite in older patients with chronic kidney disease.
Pain Increases The Risk For Sarcopenia In Community-Dwelling Adults: Results From The English Longitudinal Study Of Ageing.
Barriers and facilitators to physical activity among informal carers: a systematic review of international literature
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