Öz
World becomes more and more elderly; on the other hand, obesity is on the rise. The frequency of obesity is very high in geriatric individuals and it is associated with many diseases as well as leading to a decrease in quality of life and disability in the elderly. The aim of this study is to compare Comprehensive Geriatric Assessment (CGA) of geriatric obese and non-obese patients. 39 normal weight and 41 obese patients who applied to Geriatric Clinic for various reasons were included in the study. Basic activities of daily Life (BADLs), instrumental activities of daily living (IADLs), Tinetti balance and gait assessment, time up and go, mini mental state examination, mini nutritional assessment, Yesavage geriatric depression and Pittsburgh sleep quality indices tests were applied to the patients and also gait speed and hand grip strength of each patient was determined. Consequently, obese elderly patients were found to be deteriorated in some physical abilities and functions which are needed to maintain daily life such as gait and balance, muscle strength, certain daily life activities and mood and sleep quality compared to normal weight.
Anahtar Kelimeler
Destekleyen Kurum
No funding by any institution was supplied for this study.
Kaynakça
- Calle, E.E., et al., Body-mass index and mortality in a prospective cohort of U.S. adults. N Engl J Med, 1999. 341(15): p. 1097-105.
- Pardo Silva, M.C., et al., Adult obesity and number of years lived with and without cardiovascular disease. Obesity (Silver Spring), 2006. 14(7): p. 1264-73.
- Ogden, C.L., et al., Prevalence of overweight and obesity in the United States, 1999-2004. JAMA, 2006. 295(13): p. 1549-55.
- Sokar-Todd, H.B. and A.M. Sharma, Obesity research in Canada: literature overview of the last 3 decades. Obes Res, 2004. 12(10): p. 1547-53.
- Ardahan, M. and E. Konal, The prevalence of hypertension and obesity and effective factors: A cross-sectional bazaar study. J Pak Med Assoc, 2019. 69(7): p. 1018-1021.
- Pekcan AG, et al., Population based study of obesity in Turkey: results of the Turkey Nutrition and Health Survey (TNHS)-2010. Progress in Nutirion, 2017. 19(3): p. 248-256.
- Guo, H.J. and A. Sapra, Instrumental Activity of Daily Living (IADL), in StatPearls. 2020: Treasure Island (FL).
- Busch Tde, A., et al., Factors associated with lower gait speed among the elderly living in a developing country: a cross-sectional population-based study. BMC Geriatr, 2015. 15: p. 35.
- Bohannon, R.W., Grip Strength: An Indispensable Biomarker For Older Adults. Clin Interv Aging, 2019. 14: p. 1681-1691.
- Perell, K.L., et al., Fall risk assessment measures: an analytic review. J Gerontol A Biol Sci Med Sci, 2001. 56(12): p. M761-6.
- Kopke, S. and G. Meyer, The Tinetti test: Babylon in geriatric assessment. Z Gerontol Geriatr, 2006. 39(4): p. 288-91.
- Browne, W. and B.K.R. Nair, The Timed Up and Go test. Med J Aust, 2019. 210(1): p. 13-14 e1.
- Podsiadlo, D. and S. Richardson, The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc, 1991. 39(2): p. 142-8.
- Onwuekwe, I., Assessment of mild cognitive impairment with mini mental state examination among adults in southeast Nigeria. Ann Med Health Sci Res, 2012. 2(2): p. 99-102.
- Plassman, B.L., et al., Prevalence of cognitive impairment without dementia in the United States. Ann Intern Med, 2008. 148(6): p. 427-34.
- Conforto, R.M. and L. Gershman, Cognitive processing differences between obese and nonobese subjects. Addict Behav, 1985. 10(1): p. 83-5.
- Gustafson, D., et al., A 24-year follow-up of body mass index and cerebral atrophy. Neurology, 2004. 63(10): p. 1876-81.
- Hassing, L.B., et al., Overweight in midlife is related to lower cognitive function 30 years later: a prospective study with longitudinal assessments. Dement Geriatr Cogn Disord, 2010. 29(6): p. 543-52.
- Dahl, A., et al., Being overweight in midlife is associated with lower cognitive ability and steeper cognitive decline in late life. J Gerontol A Biol Sci Med Sci, 2010. 65(1): p. 57-62.
- Anstey, K.J., et al., Body mass index in midlife and late-life as a risk factor for dementia: a meta-analysis of prospective studies. Obes Rev, 2011. 12(5): p. e426-37.
- Qizilbash, N., et al., BMI and risk of dementia in two million people over two decades: a retrospective cohort study. Lancet Diabetes Endocrinol, 2015. 3(6): p. 431-436.
- Luppino, F.S., et al., Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry, 2010. 67(3): p. 220-9.
- Ha, H., C. Han, and B. Kim, Can Obesity Cause Depression? A Pseudo-panel Analysis. J Prev Med Public Health, 2017. 50(4): p. 262-267.
- Guigoz, Y. and B. Vellas, The Mini Nutritional Assessment (MNA) for grading the nutritional state of elderly patients: presentation of the MNA, history and validation. Nestle Nutr Workshop Ser Clin Perform Programme, 1999. 1: p. 3-11; discussion 11-2.
- Buysse, D.J., et al., The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res, 1989. 28(2): p. 193-213.
- Wang, P., et al., Prevalence and associated factors of poor sleep quality among Chinese older adults living in a rural area: a population-based study. Aging Clin Exp Res, 2020. 32(1): p. 125-131.
Öz
Dünya gittikçe daha yaşlı hale geliyor ve obezite sıklığı artıyor. Geriatrik bireylerde obezite sıklığı yüksek olduğu gibi birçok hastalıkla ilişkilidir ve yaşam kalitesinde düşmeye ve malüllüğe sebep olmaktadır. Bu çalışmanın amacı, geriatrik obez ve obez olmayan hastaların Kapsamlı Geriatrik Değerlendirme Kriterleri İndekslerini karşılaştırmaktır. Çalışmaya 39 normal kilolu ve çeşitli nedenlerle Geriatri kliniğine başvuran 41 obez hasta dahil edildi. Kapsamlı Geriatrik Değerlendirme, Günlük Yaşamın Temel Aktiviteleri, Günlük Yaşam Enstrümantal Aktiviteleri, Tinetti Dengesi ve Yürüyüş Değerlendirmesi, Zamanlı kalkma ve yürüme, Mini Mental Değerlendirme, Mini Beslenme Değerlendirmesi, Yesevage Geriatrik Depresyon ve Pittsburgh Uyku Kalitesi Endeksi testleri uygulandı ve her hastanın yürüme hızı ve el kavrama gücü tespit edildi. Sonuç olarak, yaşlı obez hastaların yürüyüş ve denge, kas gücü, bazı günlük yaşam aktiviteleri ve ruh hali ve uyku kalitesi gibi günlük yaşamı sürdürmek için gerekli olan bazı fiziksel yetenek ve işlevlerde normal kiloya göre kötüleştiği görüldü.
Anahtar Kelimeler
Kaynakça
- Calle, E.E., et al., Body-mass index and mortality in a prospective cohort of U.S. adults. N Engl J Med, 1999. 341(15): p. 1097-105.
- Pardo Silva, M.C., et al., Adult obesity and number of years lived with and without cardiovascular disease. Obesity (Silver Spring), 2006. 14(7): p. 1264-73.
- Ogden, C.L., et al., Prevalence of overweight and obesity in the United States, 1999-2004. JAMA, 2006. 295(13): p. 1549-55.
- Sokar-Todd, H.B. and A.M. Sharma, Obesity research in Canada: literature overview of the last 3 decades. Obes Res, 2004. 12(10): p. 1547-53.
- Ardahan, M. and E. Konal, The prevalence of hypertension and obesity and effective factors: A cross-sectional bazaar study. J Pak Med Assoc, 2019. 69(7): p. 1018-1021.
- Pekcan AG, et al., Population based study of obesity in Turkey: results of the Turkey Nutrition and Health Survey (TNHS)-2010. Progress in Nutirion, 2017. 19(3): p. 248-256.
- Guo, H.J. and A. Sapra, Instrumental Activity of Daily Living (IADL), in StatPearls. 2020: Treasure Island (FL).
- Busch Tde, A., et al., Factors associated with lower gait speed among the elderly living in a developing country: a cross-sectional population-based study. BMC Geriatr, 2015. 15: p. 35.
- Bohannon, R.W., Grip Strength: An Indispensable Biomarker For Older Adults. Clin Interv Aging, 2019. 14: p. 1681-1691.
- Perell, K.L., et al., Fall risk assessment measures: an analytic review. J Gerontol A Biol Sci Med Sci, 2001. 56(12): p. M761-6.
- Kopke, S. and G. Meyer, The Tinetti test: Babylon in geriatric assessment. Z Gerontol Geriatr, 2006. 39(4): p. 288-91.
- Browne, W. and B.K.R. Nair, The Timed Up and Go test. Med J Aust, 2019. 210(1): p. 13-14 e1.
- Podsiadlo, D. and S. Richardson, The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc, 1991. 39(2): p. 142-8.
- Onwuekwe, I., Assessment of mild cognitive impairment with mini mental state examination among adults in southeast Nigeria. Ann Med Health Sci Res, 2012. 2(2): p. 99-102.
- Plassman, B.L., et al., Prevalence of cognitive impairment without dementia in the United States. Ann Intern Med, 2008. 148(6): p. 427-34.
- Conforto, R.M. and L. Gershman, Cognitive processing differences between obese and nonobese subjects. Addict Behav, 1985. 10(1): p. 83-5.
- Gustafson, D., et al., A 24-year follow-up of body mass index and cerebral atrophy. Neurology, 2004. 63(10): p. 1876-81.
- Hassing, L.B., et al., Overweight in midlife is related to lower cognitive function 30 years later: a prospective study with longitudinal assessments. Dement Geriatr Cogn Disord, 2010. 29(6): p. 543-52.
- Dahl, A., et al., Being overweight in midlife is associated with lower cognitive ability and steeper cognitive decline in late life. J Gerontol A Biol Sci Med Sci, 2010. 65(1): p. 57-62.
- Anstey, K.J., et al., Body mass index in midlife and late-life as a risk factor for dementia: a meta-analysis of prospective studies. Obes Rev, 2011. 12(5): p. e426-37.
- Qizilbash, N., et al., BMI and risk of dementia in two million people over two decades: a retrospective cohort study. Lancet Diabetes Endocrinol, 2015. 3(6): p. 431-436.
- Luppino, F.S., et al., Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry, 2010. 67(3): p. 220-9.
- Ha, H., C. Han, and B. Kim, Can Obesity Cause Depression? A Pseudo-panel Analysis. J Prev Med Public Health, 2017. 50(4): p. 262-267.
- Guigoz, Y. and B. Vellas, The Mini Nutritional Assessment (MNA) for grading the nutritional state of elderly patients: presentation of the MNA, history and validation. Nestle Nutr Workshop Ser Clin Perform Programme, 1999. 1: p. 3-11; discussion 11-2.
- Buysse, D.J., et al., The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res, 1989. 28(2): p. 193-213.
- Wang, P., et al., Prevalence and associated factors of poor sleep quality among Chinese older adults living in a rural area: a population-based study. Aging Clin Exp Res, 2020. 32(1): p. 125-131.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Haziran 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 1 Sayı: 1 |
