Zusammenfassung
Durch die in den letzten Jahrzehnten stetig angestiegene Lebenserwartung müssen in der kurativen Medizin und Rehabilitation Anpassungen vorgenommen werden, um nicht nur die ...kalendarische Lebenserwartung, sondern auch die Zahl der gesunden Lebensjahre zu steigern. Die manuelle Medizin bietet hier, immer in Kombination mit anderen physikalischen Modalitäten, insbesondere bewegungstherapeutischen Maßnahmen, eine Vielzahl an Möglichkeiten, Schmerzen zu lindern, die Aktivitäten (körperlich, mental und sozial) sowie die Lebensqualität der älteren Menschen deutlich zu verbessern und damit die Pflegebedürftigkeit um Jahre hinauszuschieben.
The article discusses the features that, in the regional aspect, influence the choice of various strategies for the preservation of individual health by older people. It is concluded that the ...individual health of the elderly depends on the specific social environment, as well as on individual psychological and physiological factors, on the level of activity and autonomy in decision-making. The study was conducted by the Sociological Institute of the RAS – branch of the FCTAS RAS from March to September 2022 in two regions of the Russian Federation: St. Petersburg and rural areas of the Republic of Karelia. The main research method used was semi-structured interviews, the approach to analysing interview data was thematic. One of the results of the analysis is the identification of specific factors of two health preservation strategies typical for older people: self-help, with distinctive features of autonomy in the social environment, the poor financial situation of representatives of this strategy and their search for alternative methods of treatment; and a care strategy related to older people’s trust in institutional medicine, their experience in managing a chronic disease, and their higher financial status. The results of the study allow us to conclude that when choosing a particular strategy, older people are guided by such factors as the level of trust in the social environment in general and profess ional medicine in particular, individual psychological and emotional aspects of ideas about maintaining one’s health and the level of personal material well-being.
ObjectiveTo evaluate the effect of aerobic exercise on cognitive function in people with mild cognitive impairment (MCI).DesignSystematic review and meta-analysis of aerobic exercise intervention for ...cognitive function in older adults with MCI.Data sourcesPubMed, EMBASE, SinoMed, China National Knowledge Infrastructure (CNKI), Wanfang and Chinese Science and Technology Periodical (VIP) databases from their inception to 31 January 2015, the Cochrane Central Register of Controlled Trials (Cochrane Library, 2015, Issue 3) and the reference lists of all retrieved articles.Eligibility criteriaRandomised controlled trials, older adults with MCI, aerobic exercises compared with no specific exercise intervention for global cognitive ability and any specific domains of cognition.Data synthesisMeta-analysis was conducted with RevMan V.5.3 software using the fixed-effect model for the available data without significant heterogeneity, or the random-effect model was used if appropriate.Results11 studies were identified involving 1497 participants. Meta-analysis showed that aerobic exercise significantly improved global cognitive ability (Mini-Mental State Examination (MMSE) scores: MD=0.98, 95% CI 0.5 to 1.45, p<0.0001; Montreal Cognitive Assessment (MoCA) scores: MD=2.7, 95% CI 1.11 to 4.29, p=0.0009); weakly, positively improve memory (immediately recall: SMD=0.29, 95% CI 0.13 to 0.46, p=0.0005; delay recall: SMD=0.22, 95% CI 0.09 to 0.34, p=0.0005). No significant improvement was found in other domains of cognition.ConclusionsAerobic exercise led to an improvement in global cognitive ability and had a positive effect with a small effect size on memory in people with MCI. However, owing to the limitations of the included studies, these findings should be interpreted cautiously.
Background and aims: Aging is increasing rapidly both in Iran and across the world. One of today’s challenges is the need for psychotherapy and improvement of mental health among the elderly. ...Therefore, a way should be sought out for improving happiness, especially among the elderly. This study was aimed to investigate the effect of music on the happiness of the elderly residing at the retirement homes in Kermanshah, west Iran in 2019. Methods: The population of this empirical study of pretest-posttest design including an intervention group and a control group, consisted of all elderly people residing at the retirement homes across Kermanshah in 2019. Participants were selected based on inclusion criteria using convenience sampling and then randomly assigned to intervention group (n: 31) and control group (n: 31). To collect data, the Oxford Happiness Questionnaire (OHQ) was administered to both groups. Afterwards pieces of Kurdish folk and Arnd Stein’s relaxing music authorized by the Ministry of Culture and Islamic Guidance were played for the intervention group through three 45-50-minute sessions per week, and the control group continued their daily activities as before. After one month, the posttest was administered to both groups. Data were analyzed by paired t test and covariance analysis run in SPSS software. Results: The results demonstrated that after a period of music therapy, there was a significant difference in happiness and its dimensions between the two groups. The mean±standard deviation score of happiness was 74.16±10.32 at pretest and 96.90±5.42 at posttest. Mean life satisfaction score was 19.35±4.62 at pretest and 27.48±2.41 at posttest. Mean self-esteem score was 17.77±2.87 at pretest and 23.16±1.81 at posttest. Mean Subjective well-being score was 12.94±1.57 at pretest and 15.35±1.40 at posttest. Mean satisfaction score was 10.94±2.11 at pretest and 13.16±1.59 at posttest, and mean positive mood score was 13.16±2.16 at pretest and 17.74±1.06 at posttest. The paired t test results showed that the mean score of elderlies residing in Kermanshah retirement homes improved after a music therapy program in terms of happiness dimensions including life satisfaction (P<0.001), self-esteem (P<0.001), subjective well-being (P<0.001), satisfaction (P<0.001), and positive mood (P<0.001). Conclusion: This study demonstrated that music improved happiness in the elderly at retirement homes. Thus, we can use music as a non-medicinal, inexpensive tool for enhancement of happiness along with other therapies at retirement homes and hospitals.
The present work aims to carry out a structured and bibliographic review based on the results found regarding the terms Hippotherapy and Elderly people. For the reference search, the following ...keywords in English, Hippotherapy and Elderly, were used as descriptors, these keywords being always entered in databases of the same language. The computerized databases SCOPUS, WOS, SPORTDiscus were used. PubMed and Cochrane. To limit the search for documents, four inclusion criteria were introduced: i) Mention at least some of the characteristics of Hippotherapy for the elderly (minimum 20 words that mention the subject), ii) Select only scientific documents (journal articles) These articles may have an experimental design or be review articles, iii) Be accessible and be available in full text or with access to the abstract, and iiii) Be written in Spanish, English or Portuguese. The results show that the papers on Hippotherapy in the elderly address different research topics and show that equestrian therapies have beneficial therapeutic effects in the elderly population. Hippotherapy interventions improve static balance and dynamic balance, postural balance, functional mobility, flexibility, muscular strength, gait and cadence of steps. They reduce spasticity, causing a decrease in the risk of falls and an improvement in the quality of life of the elderly. In addition, they cause benefits on a psychological level, reducing levels of stress and depression, which produces an improvement in the quality of sleep and positively influences mood.
Abstract
Context:
Today, older people are starting to form a higher proportion of the entire population in the whole community due to an increase in life expectancy. In the future, the challenge for ...our health care is to ensure proper quality of life, especially for the rural elderly who are devoid of basic amenities. This study attempts to assess the health status of the elderly in a rural area of Vijayapura district, which can help to plan health-care facilities for the old in this part of northern Karnataka.
Aims:
The aims of this study included the study of the sociodemographic profile and finding out the morbidity pattern among the rural geriatric age group.
Settings and Design:
The current study was done as cross-sectional research undertaken in Ukkali, the rural field practice areas of a tertiary care hospital.
Materials and Methods:
One hundred and seventy-five elderly selected by the systematic random sampling method were included in this study. The participants were interviewed using pretested and semi-structured questionnaires through house-to-house visits and data were collected.
Statistical Analysis:
The statistical analysis was done using Chi-square test and proportions.
Results:
The most commonly prevalent morbidities found were joint pain (47.1%) and hypertension (34.3%). Association was found between various morbidities and habits in the rural elderly.
Conclusion:
The present study concludes that health demand in the elderly is of high importance in the Indian scenario, especially in rural areas. Efforts are needed to educate and make these elderly aware of healthy aging.
Background: Depression is a condition that can cause the elderly people to experience mental or emotional disorders due to stress and loneliness that felt. Stress is something that can disturb the ...elderly people caused by anxiety, loneliness due to changes in roles in the family or in their life. The purpose of this study was to determine the relationship between stress and loneliness with depression in the elderly people in Banjar Kawan, Tampaksiring, Bali. Method: This study used cross sectional design with 68 elderlies were recruited as respondents based on inclusion criteria by using purposive sampling techniques. The instruments were used included the Perceived Stress Scale (PSS-10), UCLA Loneliness Scale Version 3, and Geriatric Depression Scale (GDS). The results of this study showed that most of the respondents aged 64 years, female, last education was elementary school, marital status was married with an income of <500,000. Result: The correlation results showed a significantly weak positive correlation between stress and depression (r = 0.284, p = 0.019) and loneliness with depression (r = 0.254, p = 0.037). The results of multiple linear regression showed that stress (β = 0.266) most influenced the occurrence of depression compared to loneliness (β = 0.039) so that the higher the stress felt, the higher the symptoms of depression in the elderly people. Conclusion: The elderly people are hoped that they could improve their health by actively participating in many activities in order to not causing symptoms of depression that are getting worse. Key Words: depression, elderly people, loneliness, stress.