1,721,019 research outputs found
Impact of trained volunteers' services in caring for older persons with dementia: a systematic review
No full textDementia causes a great burden of disease globally. Volunteers' contributions in caring for older persons with dementia (OPD) are growing. This review aims to evaluate the impact of trained volunteers' involvement in providing care and support for OPD. PubMed, ProQuest, EBSCOHost, and Cochrane Library databases were searched using specific keywords. Inclusion criteria were studies of OPD who received interventions delivered by trained volunteers, which were published between 2018 and 2023. Seven studies were included in the final systematic review, comprising studies using quantitative and qualitative approaches. A wide range of outcomes was seen in both acute and home/community-based care settings. Improvements in social interaction, loneliness, mood, ability to recall, and physical activity of OPD were found. Carers and trained volunteers were also found to benefit. Trained volunteers' involvement in OPD care plays a very valuable role for OPD, their caregivers, the volunteers, and in turn to society. This review also emphasizes the importance of person-centred care for OPD
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
Probiotics supplementation or probiotic-fortified products on sarcopenic indices in older adults: systematic review and meta-analysis from recent randomized controlled trials
No full textIntroduction: a noteworthy correlation was seen between changes in the gut microbiome and sarcopenia in older adults. Along with increasing research on probiotic supplementation for various medical problems, we aimed to obtain evidence and summarize the effect of probiotic supplementation on sarcopenic indices among older adults.Methods: we utilized PubMed, EBSCO, and Proquest, in addition to manual search using synonyms and variation for ‘probiotic,’ ‘sarcopenia,’ and ‘older adults.’ Randomized controlled trials investigated the utilization of probiotics or probiotic-containing products in older adults with sarcopenic indices including muscle mass and strength. The random-effects model was applied to the meta-analysis process.Results: seven studies were obtained with 733 pooled older adults. Probiotic supplementation resulted in a significant increase of muscle mass with adjusted SMD (Standardized Mean Difference) of 0.962 (95% CI: 0.288 to 1.635, p = 0.049) using till and trim analysis and muscle strength with SMD of 1.037 (95% CI: 0.077 to 1.996, p = 0.03). However, both outcomes were associated with significantly high heterogeneity (I2 = 89.5% and I2 = 89.9%, respectively).Conclusion: when opposed to a placebo, the probiotic treatment improved the amount of muscle and its endurance based on recent evidence, however, further studies should be done with larger samples and targeted populations
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
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
Associated factors of sarcopenia among urban community-dwelling older adults in West Jakarta: a cross-sectional study
No full textIntroduction: sarcopenia has many risk factors and an increased likelihood of adverse effects. However, the exact mechanism of how these risk factors cause sarcopenia remains to be elucidated. This study aimed to evaluate the association between physical components, olfactory function impairment and sarcopenia in urban communities.Methods: this cross-sectional study involved 334 participants aged 60 years and above residing in urban villages in West Jakarta. The medical history, physical ability, cognitive function and olfactory function of participants were examined. Physical ability was assessed based on activities of daily living and instrumental activities of daily living (IADLs). Regarding olfactory function, six scratch test-type odours common in Indonesia were used. Sarcopenia was measured based on muscle mass, muscle strength and physical performance. Binary logistic analysis and backward logistic regression analysis were utilised to explore the association of sarcopenia with the other variables.Results: sarcopenia was significantly associated with older age (adjusted odds ratio [AOR]=2.613, 95% confidence interval [CI]=1.471–4.640), obesity (AOR=0.190 (0.110–0.329), impaired olfactory function (AOR=1.822, 95% CI=1.086–3.056) and frailty (AOR=3.117, 95% CI=1.375–7.064).Conclusion: the associated factors of sarcopenia include olfactory function, older age, unemployment, impaired IADLs, obesity and frailty
Education level and health profile related to global cognitive impairment in an urban community in West Jakarta, Indonesia
No full textObjectives: this study aims to investigate the association of global cognitive with chronic conditions, physical impairment, olfactory function, socio-demographics and other factors among older adults in the urban community, West Jakarta. Materials and methods: the cross-sectional study involved 334 older adults aged 60 years and older who resided in urban community Jakarta, Indonesia. Trained interviewers visited and evaluated the respondents in the sub-district office. Cognitive function is examined using Montreal Cognitive Assessment-Indonesian Version (MoCA-INA). Respondents were clinically examined using a standardized protocol, which included medical history, general physical examination, cognitive assessment, and blood test for diabetes. Results: global cognitive impairment was significantly associated with being female (adjusted odd ratio [AOR]: 1.99, 95% CI: 1.14–3.50) and low education (AOR: 4.79, 95% CI: 2.80–8.18). Moreover diabetes, impaired balance, and olfactory dysfunction have AOR:3.23 (95% CI: 1.39–7.51), 2.55% (95% CI: 1.07–6.07), and 2.26 (95% CI: 1.32–3.85) respectively. Conclusion: this paper highlights that cognitively impaired and diabetic as well as low education subject in urban community, West Jakarta, Indonesia. Global cognitive impairment was associated with being female, having obtained low levels of education, having diabetes, impaired balance and olfactory dysfunction.</p
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
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