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      Healthy Lifestyles Associated With Socioeconomic Determinants in the Older Adult Population

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          Abstract

          Introduction/Objective:

          The evaluation of lifestyle in older adults and the study of socioeconomic determinants becomes an essential indicator of the health conditions of older adults. The purpose of this study was to establish the relationship between socioeconomic factors and healthy lifestyles in older adults.

          Methods:

          Study with a quantitative approach, descriptive type, non-experimental design, cross-sectional in a sample of 407 elderlies who have applied a self-designed instrument for socioeconomic characterization and the FANTASTIC test to assess lifestyle. For data analysis, a bivariate analysis was applied using chi2 and multivariate analysis using ordinal logistic regression.

          Results:

          53% of elderlies aged between 60 and 70 years reported their lifestyle as excellent and very good. Age, average household income, and perceived health status are associated with healthy lifestyles in older adults.

          Conclusions:

          This study found that in addition to socioeconomic determinants, self-perceived health is a factor that influences the lifestyles of this population.

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          [Revalidation and standardization of the cognition mini-exam (first Spanish version of the Mini-Mental Status Examination) in the general geriatric population].

          Maria Ventura, C. La Licata, Cheryl Lobo … (1999)
          The revalidation of the Mini Examen Cognoscitivo (MEC), first Spanish version (1978) of the Mini-Mental Status Examination (MMSE) and documentation of "population-based norms" should clarify the potential confusion induced by later versions of MMSE. The Zaragoza Study on the prevalence of dementia and depression in a representative sample of the elderly community (N = 1,080). MEC-35 and MEC-30 points, and validated, Spanish versions of Geriatric Mental State (GMS), History and Aetiology Schedule (HAS) and Social Status Schedule (SSS). a) validation of MEC (standardized lay interviewers) against the gold standard of psychiatric diagnosis (DSM-III-R), two months later; b) "population-based norms" in the "healthy" population, and c) comparison with other MMSE versions. The instrument fulfills criteria of "feasibility", "content", "procedural" and "construct validity". Test-retest reliability: weighted kappa = 0.637. MEC-30 (cut-off point 23/24), sensitivity = 89.8%, specificity = 75.1% (80.8% with the cut-off at 22/23), and ROC curve, AUC = 0.920. The coefficients of individual items were satisfactory and the specificity increases in MEC-35 (83.9%). Other MMSE Spanish versions have not improved these coefficients. "Population-based norms" confirm the hypothesized influence of age and education level. MEC-30 is the version with most comparable results with the MMSE in USA. The validity of MEC is confirmed in the elderly population, with the same cut-off points recommended in the original standardization. MEC-30 is the best version for international comparisons.
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            Determinants of Quality of Life in Ageing Populations: Results from a Cross-Sectional Study in Finland, Poland and Spain

            Alberto Raggi, Barbara Corso, Nadia Minicuci … (2016)
            Purpose To comprehensively identify the determinants of quality of life (QoL) in a population study sample of persons aged 18–50 and 50+. Methods In this observational, cross-sectional study, QoL was measured with the WHOQOL-AGE, a brief instrument designed to measure QoL in older adults. Eight hierarchical regression models were performed to identify determinants of QoL. Variables were entered in the following order: Sociodemographic; Health Habits; Chronic Conditions; Health State description; Vision and Hearing; Social Networks; Built Environment. In the final model, significant variables were retained. The final model was re-run using data from the three countries separately. Results Complete data were available for 5639 participants, mean age 46.3 (SD 18.4). The final model accounted for 45% of QoL variation and the most relevant contribution was given by sociodemographic data (particularly age, education level and living in Finland: 17.9% explained QoL variation), chronic conditions (particularly depression: 4.6%) and a wide and rich social network (4.6%). Other determinants were presence of disabling pain, learning difficulties and visual problems, and living in usable house that is perceived as non-risky. Some variables were specifically associated to QoL in single countries: age in Poland, alcohol consumption in Spain, angina in Finland, depression in Spain, and self-reported sadness both in Finland and Poland, but not in Spain. Other were commonly associated to QoL: smoking status, bodily aches, being emotionally affected by health problems, good social network and home characteristics. Conclusions Our results highlight the importance of modifiable determinants of QoL, and provide public health indications that could support concrete actions at country level. In particular, smoking cessation, increasing the level of physical activity, improving social network ties and applying universal design approach to houses and environmental infrastructures could potentially increase QoL of ageing population.
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              Effects of physical exercise on the cognition of older adults with frailty syndrome: A systematic review and meta-analysis of randomized trials

              Paulo Rossi, Bianca Ferdin Carnavale, Ana Farche … (2021)
              Article 0 comments Cited 17 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Prim Care Community Health
                Journal ID (iso-abbrev): J Prim Care Community Health
                Journal ID (publisher-id): JPC
                Journal ID (hwp): spjpc
                Title: Journal of Primary Care & Community Health
                Publisher: SAGE Publications (Sage CA: Los Angeles, CA )
                ISSN (Print): 2150-1319
                ISSN (Electronic): 2150-1327
                Publication date (Electronic): 15 July 2022
                Publication date Collection: Jan-Dec 2022
                Volume: 13
                Electronic Location Identifier: 21501319221112808
                Affiliations
                [1 ]Fundación Universitaria María Cano sede Popayán, Colombia
                [2 ]Fundación Universitaria María Cano sede Neiva, Colombia
                [3 ]Universidad Surcolombiana, Neiva, Colombia
                Author notes
                [*]Piedad Rocio Lerma Castaño, Fundación Universitaria María Cano sede Neiva, Calle 21 8 B-15 Barrio Tenerife, Neiva Huila 410010, Colombia. Emails: piedadrociolermacastano@ 123456fumc.edu.co ; pirlecast28@ 123456gmail.com
                Author information
                https://orcid.org/0000-0002-2307-9351
                https://orcid.org/0000-0002-9546-8436
                Article
                Publisher ID: 10.1177_21501319221112808
                DOI: 10.1177/21501319221112808
                PMC ID: 9289897
                PubMed ID: 35838325
                SO-VID: cf1512df-13e2-46e8-b059-e45580b4b629
                Copyright © © The Author(s) 2022
                License:

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Date received : 9 March 2022
                Date revision received : 17 June 2022
                Date accepted : 23 June 2022
                Categories
                Subject: Original Research
                Custom metadata
                cover-date January-December 2022
                typesetter ts1

                Keywords: aging,lifestyle,socioeconomic factors,elderly
                Data availability:
                Keywords: aging, lifestyle, socioeconomic factors, elderly

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