BACKGROUND To compare the outcomes of Comprehensive Geriatric Assessments by family physicians and geriatricians. METHODS An explorative observational study was conducted in six family practices (12 ambulatory family practitioners) and 1 geriatric department (4 hospital-based geriatricians) from a university medical center in Nijmegen (the Netherlands). As participants, we included 587 patien...

BACKGROUND There is limited insight into the attributable effect of anemia and comorbidity on functional status and mortality in old age. METHODS The Leiden 85-plus Study is a population-based prospective follow-up study of 562 people aged 85 years. Anemia was defined according to World Health Organization criteria. We measured 3 parameters of functional status at baseline and annually therea...

The aim of this study is to establish the existing relationship among variables referred to the person, specifically age and gender, and the functional dependence in basic ADL and in IADL, as well as the possible relationship it has with the increase of morbidity and mortality in a random sample of 598 individuals older than 65 years. Of these individuals, 34.6% were categorized as dependent fo...

BACKGROUND Knowledge about the circumstances under which injurious falls occur could provide healthcare workers with better tools to prevent falls and fall-related injuries. Therefore, we assessed whether older persons who sustain an injurious fall can be classified into specific fall types, based on a combination of fall location and activity up to the moment of the fall. In addition, we asses...

The general aim of this thesis was to explore and describe perceived participation in everyday occupations, and the factors associated with participation among persons with stroke in a sample from Iran. Furthermore, the aim was to describe and understand the lived experience of participation in everyday occupations following stroke. This thesis was based on four studies. The first three studies...

BACKGROUND To maintain the sustainability of public long-term care insurance (LTCI) in Japan, a preventive care policy was introduced in 2006 that seeks to promote active improvement in functional status of elderly people who need only light care. This policy promotes the use of day care services to facilitate functional improvement, and contains the use of home help services that provide instr...

Physical function is recognized as an important indicator of health in older people and many studies have been undertaken. With increasing age, objectively measured health and functional status decline, physical and cognitive capacities decrease, and the number of chronic diseases and the extent of disability in performing daily activities increases. Maintaining good functional capacity is a cr...

In this article, we examine changes in life expectancy free of disability using longitudinal data collected from 1984 through 2000 from two cohorts who composed the Longitudinal Studies of Aging I and II. Life expectancies with and without ADL and/or IADL disability are calculated using a Markov-based multistate life table approach. At age 70, disability-free life expectancy increased over a 10...

Objective: Our aim was to evaluate the cognitive functions and daily living activities of the elderly diabetics who were under a basal-bolus intensive insulin therapy. Methods: Our study included 108 patients admitted to our outpatient clinic who are over 65 years of age and under an intensive insulin therapy. Minimental state examination (MMSE), activities of daily living (ADL), and instrument...

BACKGROUND Few studies have investigated factors associated with depression among elderly people with and without stroke concurrently, using identical settings, procedures and study variables. The aim was to investigate the prevalence of stroke and depression and to compare the factors associated with depression in people with and without stroke. METHODS A postal mail survey was sent to 65-, ...