The study examined the nutritional status and wellbeing of older persons in Oredo and the Orhionmwon Local Government Area of Edo State. It was aimed at looking at the relationship between food intake, dietary intake and nutritional status of older persons. A total of one hundred and forty five respondents were used for the study through a mix method approach. The body weight, height and grip strength were measured, and the Mini Nutritional Assessment questionnaire was used to collect the nutritional data. We observed from the findings that 56% of the respondents eat three times daily, and the daily calorie intake from food composition was low due to limited milk use and dairy products. This study concludes that nutritional vulnerability includes good nutritional status and diet quality, and sufficient protein and micronutrient intakes are essential for the health and well-being of older people. The study recommends that the government should strengthen the elderly financial base through a social welfare system and the provision of food banks for older people.

• MeSH
• demografie statistika a číselné údaje   MeSH
• geriatrické hodnocení * metody   statistika a číselné údaje   MeSH
• hodnocení stavu výživy MeSH
• index tělesné hmotnosti MeSH
• lidé středního věku MeSH
• lidé MeSH
• nutriční stav * MeSH
• podvýživa epidemiologie   MeSH
• průzkumy a dotazníky MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• socioekonomické faktory MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• Publikační typ
• pozorovací studie MeSH
• Geografické názvy
• Nigérie MeSH

OBJECTIVE: The aim of this study is to analyse the symptomatic response of elderly people to heat burden and indoor air quality exposure, and to create an index, the basis on which healthcare workers could react and prevent heat-related illnesses when the first symptoms appear. METHODS: The impact of the indoor thermal environment was studied with regards to Humidex and indoor air quality by CO2 concentrations on elderly people's symptomatic response. It was a natural experiment in which two different groups of elderly people (>65 years) were observed: the first group had a diagnosed cardiovascular disease, and the second group did not have the disease. RESULTS: The results show that the expression and aggravation of symptoms are related to an increase of heat burden and low indoor air quality. The symptoms under analysis do not have the same frequency distribution of intensity and, therefore, cannot be interpreted as a single universal symptom index. Instead, two indices must be created separately for both general and specific symptoms. CONCLUSIONS: Healthcare workers should be educated about the interactive influences of the thermal environment and the air quality on health. Unsuitable conditions could be ascertained by the nursing home occupants' symptomatic response.

• MeSH
• bolesti na hrudi etiologie   patofyziologie   MeSH
• dyspnoe etiologie   patofyziologie   MeSH
• edém etiologie   patofyziologie   MeSH
• geriatrické hodnocení statistika a číselné údaje   MeSH
• kardiovaskulární nemoci komplikace   patofyziologie   MeSH
• lidé MeSH
• nauzea etiologie   patofyziologie   MeSH
• oxid uhličitý analýza   MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• tinnitus etiologie   patofyziologie   MeSH
• vysoká teplota škodlivé účinky   MeSH
• znečištění vzduchu ve vnitřním prostředí analýza   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Slovinsko MeSH

OBJECTIVE: Alcohol abuse is related to a wide variety of negative health outcomes including mortality in older people. Alcohol abuse in older people is characterised by certain specific features uncommon in general adult population. The main objective of this study was to analyse the autopsy protocols of deceased older people in relation to blood alcohol concentration (BAC), sex, age, and manner of death. As a positive BAC, >0.20 g/kg was accepted. METHODS: The sample consists of 1,012 deceased older people (i.e. aged 65 years and over) selected out of 2,377 autopsied subjects in the period from 2003–2013. Subjects included into the sample were chosen via the proportional sampling method. Data (BAC, sex, age, and manner of death) was recorded in a single structured protocol. Data was evaluated statistically (Kolmogorov-Smirnov two-sample test, Wilcoxon two-sample test, risk ratio). RESULTS: Among older people, there has been a statistically significant correlation of natural death with sex (men died earlier) and with increased BAC (people with positive BAC died earlier). In case of violent death there is a difference in the types of accidents in older people with positive BAC (>0.2 g/kg) and with negative BAC (≤0.2 g/kg). Drowning is more common in older people with positive BAC. CONCLUSIONS: Health campaigns in Europe and the Czech Republic aimed at reducing alcohol consumption mainly deal with young people. Alcohol abuse has an impact on premature mortality even in older people. As shown by this study, older people with positive BAC die significantly earlier.

• MeSH
• alkoholismus mortalita   MeSH
• geriatrické hodnocení statistika a číselné údaje   MeSH
• lidé MeSH
• obsah alkoholu v krvi * MeSH
• příčina smrti * MeSH
• retrospektivní studie MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• sexuální faktory MeSH
• věkové faktory MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika epidemiologie   MeSH

BACKGROUND: Clostridium difficile infection (CDI) is becoming a serious problem predominantly in geriatric patients, who are a significant risk group. The goal of this study was to evaluate the risk factors for mortality in CDI patients and to construct a binary logistic regression model that describes the probability of mortality in geriatric patients suffering from CDI. METHODS: In this retrospective study, we evaluated a group of 235 patients over 65 years of age with confirmed diagnoses of CDI, hospitalized at the Department of Internal Medicine, Geriatrics and General Practice, Brno, from January 2008 to December 2013. The examined group comprised 148 women (63 %) and 87 men (37 %). For the diagnosis of CDI, confirmation of A and B toxins in the patients' stool or an autopsy confirmation was crucial. RESULTS: The impact of antibiotic therapy on the increased incidence of CDI was clearly confirmed in our study group when examining patients' histories. Other risk factors included cerebrovascular disease, dementia, the presence of pressure ulcers, and immobility. Our new model consisted of a combination of the following parameters: the number of antibiotics used (from patients' history), nutritional status (Mini Nutritional Assessment short-form test), presence of pressure ulcers, and occurrence of fever. CONCLUSION: Our logistic regression model may predict mortality in geriatric patients suffering from CDI. This could help improve the therapeutic process.

• MeSH
• antibakteriální látky terapeutické užití   MeSH
• Clostridioides difficile * MeSH
• geriatrické hodnocení statistika a číselné údaje   MeSH
• incidence MeSH
• lidé MeSH
• míra přežití MeSH
• prognóza MeSH
• pseudomembranózní enterokolitida mikrobiologie   mortalita   terapie   MeSH
• rizikové faktory MeSH
• rozložení podle pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• věkové rozložení MeSH
• zlepšení kvality MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika epidemiologie   MeSH

BACKGROUND: Evaluating the quality of care provided to older individuals is a key step to ensure that needs are being met and to target interventions to improve care. To this aim, interRAI's second-generation home care quality indicators (HCQIs) were developed in 2013. This study assesses the quality of home care services in six European countries using these HCQIs as well as the two derived summary scales. METHODS: Data for this study were derived from the Aged in Home Care (AdHOC) study - a cohort study that examined different models of community care in European countries. The current study selected a sub-sample of the AdHOC cohort from six countries whose follow-up data were complete (Czech Republic, Denmark, Finland, Germany, Italy and the Netherlands). Data were collected from the interRAI Home Care instrument (RAI-HC) between 2000 and 2002. The 23 HCQIs of interest were determined according to previously established methodology, including risk adjustment. Two summary measures, the Clinical Balance Scale and Independence Quality Scale were also determined using established methodology. RESULTS: A total of 1,354 individuals from the AdHOC study were included in these analyses. Of the 23 HCQIs that were measured, the highest proportion of individuals experienced declines in Instrumental Activities of Daily Living (IADLs) (48.4 %). Of the clinical quality indicators, mood decline was the most prevalent (30.0 %), while no flu vaccination and being alone and distressed were the most prevalent procedural and social quality indicators, respectively (33.4 and 12.8 %). Scores on the two summary scales varied by country, but were concentrated around the median mark. CONCLUSIONS: The interRAI HCQIs can be used to determine the quality of home care services in Europe and identify areas for improvement. Our results suggest functional declines may prove the most beneficial targets for interventions.

• MeSH
• činnosti denního života MeSH
• etnicita MeSH
• geriatrické hodnocení metody   statistika a číselné údaje   MeSH
• kohortové studie MeSH
• kvalita života * MeSH
• lidé MeSH
• organizační modely MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• služby domácí péče * organizace a řízení   normy   statistika a číselné údaje   MeSH
• stárnutí * fyziologie   psychologie   MeSH
• ukazatele kvality zdravotní péče normy   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Česká republika MeSH
• Dánsko MeSH
• Finsko MeSH
• Itálie MeSH
• Německo MeSH
• Nizozemsko MeSH

• MeSH
• geriatrické hodnocení metody   statistika a číselné údaje   MeSH
• hypertyreóza diagnóza   krev   MeSH
• hypotyreóza diagnóza   krev   MeSH
• kohortové studie MeSH
• křehký senior psychologie   statistika a číselné údaje   MeSH
• lidé MeSH
• logistické modely MeSH
• multivariační analýza MeSH
• průřezové studie MeSH
• průzkumy a dotazníky MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• testy funkce štítné žlázy MeSH
• thyreotropin krev   MeSH
• thyroxin krev   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• Publikační typ
• souhrny MeSH

Aging affects functions of the hands among older adults living in homes for elderly people. The lack of opportunities to be active in daily living tasks during the day leads to the impairment of hand functions, upper extremity functions, grip functions, and overall manual dexterity. The aim of our experiment was to determine the impact of a six-month movement intervention programme on the hand function. We assessed the manual dexterity of older adults by means of the Test of Manipulation Functions, using the “Ministav” construction set. The sample tested was a group of 20 women and men, aged 70–93, who live permanently in a home for elderly people in Brno. The results represent the positive impact of the intervention programme on the hand function. The statistics proved a significant improvement in 7 subtests; only the subtest assessing the ability to lift the House object into a required height by the non-dominant hand using a finger grip proved deterioration. Generally, we succeeded in improving the co-ordination and co-operation of the upper extremities in most seniors; the quality of both the bidigital grip and the palm grip improved. The control measurements proved positive changes in targeted movements, the rapidity of the manual task performance increased, and the quality of cognitive functions improved.

• MeSH
• činnosti denního života MeSH
• domovy pro seniory MeSH
• geriatrické hodnocení statistika a číselné údaje   MeSH
• lidé MeSH
• longitudinální studie MeSH
• motorické dovednosti MeSH
• péče o sebe MeSH
• plnění a analýza úkolů MeSH
• ruka fyziologie   MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• síla ruky MeSH
• stárnutí fyziologie   MeSH
• terapie cvičením metody   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH