Most Down Articles

Published in last 1 year | In last 2 years| In last 3 years| All| Most Downloaded in Recent Month | Most Downloaded in Recent Year|

In last 3 years

Please wait a minute...


For Selected: Download Citations EndNote Reference Manager ProCite BibTeX RefWorks Toggle Thumbnails

Select

Effects of cognitive emotion regulation strategies on frailty in elderly patients with comorbidities MIAO Yu-fei, QIAN Xiang-yun Practical Geriatrics    2023, 37 (8): 839-842.   DOI: 10.3969/j.issn.1003-9198.2023.08.020 Abstract （133）      PDF （1063KB）（4487）       Objective To explore the cognitive emotion regulation strategies adopted by the elderly patients with comorbidities in response to events and its relationship with frailty. Methods From May to December 2021, the convenience sampling method was used to select 300 elderly patients with comorbidities in Nantong Third People's Hospital as the research subjects. Questionnaires conducted using the patient general information questionnaire,Chinese version of Tilburg Frailty Assessment Scale, and Chinese version of Cognitive Emotion Regulation Questionnaire(CERQ-C). The incidence rate of frailty and the relationship of cognitive emotion regulation strategy with frailty were analyzed. Results The incidence rate of frailty in the elderly patients with comorbidities was 57.0%(171/300). There were significant differences in age, residence status, marital status, recent memory, smoking, drinking and cognitive emotional regulation between the frailty group and the non-frailty group. Binary Logistic regression analysis showed that aged, recent memory decline and non-adaptive cognitive emotional regulation were risk factors for frailty, while adaptive cognitive emotion regulation, refocus planning and drinking were protective factors. Conclusions The prevelence of frailty in elderly patients with comorbidities is high. Elderly patients with comorbidities tend to adopt non-adaptive cognitive emotion regulation strategies in response to negative life events. Cognitive emotional regulation strategies, age, recent memory and drinking can affect frailty. Reference | Related Articles | Metrics

Select

Practical Geriatrics    2023, 37 (10): 1076-1080.   DOI: 10.3969/j.issn.1003-9198.2023.10.026 Abstract （141）      PDF （999KB）（3968）       Reference | Related Articles | Metrics

Select

Practical Geriatrics    2023, 37 (9): 878-881.   DOI: 10.3969/j.issn.1003-9198.2023.09.004 Abstract （110）      PDF （1042KB）（3337）       Reference | Related Articles | Metrics

Select

Practical Geriatrics    2023, 37 (10): 978-983.   DOI: 10.3969/j.issn.1003-9198.2023.10.002 Abstract （117）      PDF （1157KB）（3184）       Reference | Related Articles | Metrics

Select

Practical Geriatrics    2023, 37 (2): 116-118.   DOI: 10.3969/j.issn.1003-9198.2023.02.003 Abstract （137）      PDF （1157KB）（2987）       Reference | Related Articles | Metrics

Select

Practical Geriatrics    2024, 38 (2): 109-113.   DOI: 10.3969/j.issn.1003-9198.2024.02.001 Abstract （172）      PDF （1278KB）（2792）       Reference | Related Articles | Metrics

Select

Effects of transcranial direct current stimulation combined with motor imagery training on upper limb motor function and cognitive function in patients with hemiplegia after stroke REN Sha-sha, CHENG Kai, XU Liang, ZHOU Mo, GAO Ming-xia Practical Geriatrics    2023, 37 (5): 449-453.   DOI: 10.3969/j.issn.1003-9198.2023.05.005 Abstract （152）      PDF （1041KB）（2669）       Objective To observe the effect of transcranial direct current stimulation(tDCS) combined with motor imagery training(MIT) on upper limb motor function and cognitive function in the patients with hemiplegia after stroke. Methods A total of 84 patients with hemiplegia after stroke were randomly divided into tDCS group, MIT group and combination group, with 28 cases in each group. Before and 4 weeks after treatment, Fugl Meyer assessment for the upper extremity(FMA-UE), Wolf motor function test(WMFT), Mini-Mental State Examination(MMSE), Montreal Cognitive Assessment Scale(MoCA) and modified Barthel Index(MBI) were used to evaluate the effect in the three groups. Results After 4 weeks of treatment, the scores of FMA-UE, WMFT, MMSE, MoCA and MBI in the three groups were significantly improved compared with those before treatment(all P<0.05), especially in the combination group(P<0.05). Conclusions tDCS combined with MIT can significantly improve the motor function of upper limb and cognitive function in the patients with hemiplegia after stroke, and improve the ability of the activities of daily living. Reference | Related Articles | Metrics

Select

Effects of social isolation, sleep quality and their interaction on cognitive function in the elderly WU Gen-li, ZHANG Li, ZHAO Ya-xuan Practical Geriatrics    2023, 37 (5): 495-499.   DOI: 10.3969/j.issn.1003-9198.2023.05.015 Abstract （129）      PDF （1039KB）（2635）       Objective To explore the effect of social isolation, sleep quality and their interaction on cognitive function in the elderly. Methods From October to December 2021, stratified sampling method was used to select 520 elderly people from Bengbu City. Lubben Social Network Scale, Pittsburgh Sleep Quality Index and Montreal Cognitive Assessment-Basic were used to evaluate the social isolation, sleep quality and cognitive function of the elderly, and Logistic regression analysis and interaction analysis were used to analyze the association among them. Results A total of 506 elderly were enrolled in the study finally. Among the 506 elderly, 166(32.8%) presented with social isolation, 138(27.3%) with sleep disorders, and 116(22.9%) with cognitive dysfunction. After adjusting age, education level, living status, marital status, and combined chronic diseases, the results of binary Logistic regression analysis showed that social isolation(OR=3.637, 95%CI:2.174-6.205) and sleep disorder(OR= 3.308, 95%CI:1.970-5.556) were the influencing factors of cognitive dysfunction in the elderly. The results of interaction analysis showed that the risk of cognitive impairment in the elderly with social isolation and sleep disorder was 11.811(95%CI:5.923-23.552) times higher than that in the elderly without social isolation and sleep disorder, with a relative excess risk due to interaction(RERI) of 8.167(95%CI:0.199-16.134), with an attributable proportion of interaction(AP)of 0.640(95%CI:0.379-0.902), with the synergy index(S) of 3.276(95%CI:1.374-7.814). Conclusions Social isolation and sleep quality are the risk factors of cognitive function in the elderly, and their effects on cognitive function have additive interaction. Reference | Related Articles | Metrics

Select

Practical Geriatrics    2023, 37 (4): 402-406.   DOI: 10.3969/j.issn.1003-9198.2023.04.020 Abstract （146）      PDF （1006KB）（2548）       Reference | Related Articles | Metrics

Select

Practical Geriatrics    2022, 36 (8): 784-787.   DOI: 10.3969/j.issn.1003-9198.2022.08.008 Abstract （141）      PDF （1117KB）（2294）       Reference | Related Articles | Metrics

Select

Study on the predictive value of Padua score for venous thromboembolism in elderly inpatients GAO Wei-fei, LI Peng, QIAO Zhen, MA Li-na Practical Geriatrics    2023, 37 (8): 803-805.   DOI: 10.3969/j.issn.1003-9198.2023.08.012 Abstract （113）      PDF （1045KB）（2229）       Objective To assess the predictive value of Padua score for venous thromboembolism(VTE) in the elderly inpatients. Methods A retrospective analysis was performed and 150 elderly inpatients in Department of General Practice of Hangzhou Third People's Hospital from January 2018 to June 2021 were included. All of them underwent CT pulmonary angiography or venous ultrasound of both upper(lower)limbs, and were divided into VTE group and non-VTE group. The baseline data including age, gender, underlying disease, Padua score, D-dimer, mean platelet volume(MPV), albumin were collected and compared between the two groups. Multivariate Logistic regression was used to analyze the risk factors of VTE. Receiver operating characteristic (ROC) curve analysis was carried out to assess the predictive value of Padua score. Results There were statistically significant differences in Padua score, age, hypertension, acute infection, D-dimer, MPV and albumin between the two groups. Multivariate Logistic regression analysis showed that aged ≥85 years old was the independent risk factor for VTE of elderly inpatients. The area under the curve (AUC) of Padua score to predict the incidence of VTE was 0.631, with a cut-off value of 4.5, and the Youden index was 0.36. Conclusions The predictive value of Padua score for VTE in elderly inpatients is limited. Reference | Related Articles | Metrics

Select

Practical Geriatrics    2023, 37 (6): 626-629.   DOI: 10.3969/j.issn.1003-9198.2023.06.022 Abstract （161）      PDF （1101KB）（2175）       Reference | Related Articles | Metrics

Select

Practical Geriatrics    2023, 37 (9): 873-877.   DOI: 10.3969/j.issn.1003-9198.2023.09.003 Abstract （146）      PDF （1107KB）（2063）       Reference | Related Articles | Metrics

Select

Practical Geriatrics    2022, 36 (8): 762-765.   DOI: 10.3969/j.issn.1003-9198.2022.08.003 Abstract （158）      PDF （995KB）（2061）       Reference | Related Articles | Metrics

Select

Relationship between frailty and cognitive function of community-dwelling elderly: the mediating mechanism of resilience LIU Hong, LI Yan-zhang, ZHANG Hui, XIONG Mei, ZHANG Yu-ping Practical Geriatrics    2022, 36 (8): 842-845.   DOI: 10.3969/j.issn.1003-9198.2022.08.021 Abstract （143）      PDF （1085KB）（2027）       Objective To explore the relationship between frailty and cognitive function of community-dwelling elderly, and to analyze the mediating effect of resilience between frailty and cognitive function. Methods A total of 827 community-dwelling elderly were investigated by Tilburg Frailty Indicator(TFI), 10-item Connor-Davidson Resilience Scale(CD-RISC-10), Mini-Mental State Examination (MMSE) and self-made general condition scale. Results The incidence rate of frailty and cognitive decline among community-dwelling elderly was 30.11% and 21.04%, respectively. Frailty was significantly negatively correlated with resilience(r=-0.45, P<0.01) and cognitive function(r=-0.34, P<0.01), and resilience was significantly positively correlated with cognitive function (r=0.39, P<0.01). The model fitting results showed that resilience played a mediating role in the relationship between frailty and cognitive function(β=-0.13, P<0.01). Conclusions Frailty has a direct predictive effect on the cognitive function of community-dwelling elderly, and it is moderated by the mediating effect of resilience. Reducing the frailty degree of the elderly and improving the level of resilience might reduce the incidence of cognitive decline and promote the healthy aging of the elderly. Reference | Related Articles | Metrics

Select

Relationship between serum soluble triggering receptor expressed on myeloid cells-1 and the severity and prognosis of elderly patients with acute ischemic stroke LIN Qiao-mao, LI Kuo, XIANG Ning, WANG Hai-yan Practical Geriatrics    2022, 36 (8): 827-832.   DOI: 10.3969/j.issn.1003-9198.2022.08.018 Abstract （116）      PDF （1075KB）（2016）       Objective To investigate the relationship between the serum level of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) and the severity and prognosis of the elderly patients with acute ischemic stroke (AIS). Methods A total of 98 elderly patients with AIS were selected as the AIS group and were divided into a mild deficit group (n=28), a moderate deficit group (n=29) and a severe deficit group (n=41) according to the score of National Institutes of Health Stroke Scale (NIHSS) at admission, and were divided into a poor prognosis group (n=38) and a good prognosis group (n=60) according to the score of modified Rankin Scale (mRS) after 6 months. And another 45 elderly healthy individuals were selected as the control group during the same period. The serum levels of sTREM-1, interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α) and S100B were measured by enzyme linked immunosorbent assay. Pearson or Spearman correlation was used to analyze the correlations of serum sTREM-1 with IL-6, TNF-α, S100B, NIHSS and mRS scores in AIS patients. The influencing factors of poor prognosis of AIS were analyzed by Logistic regression. The predictive value of sTREM-1 for poor prognosis was analyzed using receiver operator characteristic (ROC) curve. Results The serum levels of sTREM-1, IL-6, TNF-α and S100B were increased in the AIS group compared with the control group (all P＜0.01). The serum levels of sTREM-1, IL-6, TNF-α and S100B were sequentially increased in the mild, moderate and severe deficit groups (all P＜0.01). The serum level of sTREM-1 in the patients with AIS was positively correlated with the levels of IL-6, TNF-α, S100B and NIHSS, mRS scores (r=0.764, 0.816, 0.823, 0.733, 0.626, all P＜0.01). Single factor analysis showed that the level of serum HDL-C was lower, the levels of LDL-C, sTREM-1, IL-6, TNF-α, S100B and NIHSS score were higher,the time from onset to admission was longer in the poor prognosis group than those in the good prognosis group (all P<0.05). Multivariate Logistic regression analysis showed that IL-6 (OR=1.037, 95%CI: 1.004-1.071), TNF-α (OR=1.046, 95%CI: 1.018-1.074), S100B (OR=1.139, 95%CI: 1.035-1.254), NIHSS score (OR=1.347, 95%CI: 1.085-1.674), sTREM-1 (OR=2.172, 95%CI: 1.098-4.296) were the independent risk factors of poor prognosis in the elderly patients with AIS. The area under ROC curve, sensitivity and specificity of serum sTREM-1 level to predict poor prognosis in the patients with AIS were 0.816, 94.74% and 61.67% respectively. Conclusions The increase of serum sTREM-1 in the elderly AIS patients is closely related to the severity and prognosis of AIS, and can be used as a predictor for poor prognosis. Reference | Related Articles | Metrics

Select

Nutrition status and the risk factors in the elderly YU A-cui, CHEN Xi, YANG Meng-na, SONG Xiao-ming, LI Hao, CI Li-ya Practical Geriatrics    2022, 36 (8): 822-826.   DOI: 10.3969/j.issn.1003-9198.2022.08.017 Abstract （156）      PDF （1099KB）（2006）       Objective To assess the nutritional status in the elderly and to analyze the risk factors affecting the nutrition. Methods Through cluster sampling methods, 262,226 elderly people aged over 65 years old in Yantai City from December 2019 to March 2020 were selected and underwent Mini-Nutritional Assessment Short-Form (MNA-SF) assessment. Multivariate Logistic regression was used to analyze the risk factors influencing malnutrition. Results The results showed that among the 219 222 validly surveyed elderly people in Yantai, 24 489 (11.2%) were assessed to be at risk of malnutrition and 1589 (0.7%) were assessed as malnutrition. Compared with the normal nutrition group, there were statistical differences in age, education level, place of residence, marital status, pension mode, polypharmacy, self-care ability, cognitive function, risk of aspiration, risk of falling, risk of pressure ulcer, and depressive state in the risk of malnutrition and malnutrition group. Multivariate Logistic regression analysis showed that older age, urban residence, institutional care, decline in self-care ability, cognitive dysfunction, risk of aspiration, risk of falling, risk of pressure ulcers, depression and polypharmacy were the risk factors of malnutrition (P＜0.01). Higher education level and being married were the protective factors of malnutrition in the elderly (P＜0.01). Conclusions The incidence rate of malnutrition in the elderly is influenced by lots of factors. Attention should be paid to the assessment of the nutritional status, and targeted interventions should be formulated to improve their nutritional status. Reference | Related Articles | Metrics

Select

Practical Geriatrics    2022, 36 (9): 952-955.   DOI: 10.3969/j.issn.1003-9198.2022.09.020 Abstract （141）      PDF （1187KB）（2006）       Reference | Related Articles | Metrics

Select

Practical Geriatrics    2024, 38 (2): 119-122.   DOI: 10.3969/j.issn.1003-9198.2024.02.003 Abstract （153）      PDF （1125KB）（1997）       Reference | Related Articles | Metrics

Select

Analysis of the influencing factors of nutritional status in elderly patients with stroke during convalescence by comprehensive geriatric assessment WANG Xiao-jiao, WANG Ning, CUI Hong, YE Tong, GUO Jia-yi, WANG Xiao-ming, JIA Xin Practical Geriatrics    2022, 36 (8): 809-812.   DOI: 10.3969/j.issn.1003-9198.2022.08.014 Abstract （120）      PDF （1022KB）（1984）       Objective To analyze the influencing factors of the nutritional status in the elderly patients with stroke during convalescence by comprehensive geriatric assessment (CGA). Methods A total of 114 patients with stroke ( age≥60 years old, the length of stay>24 h) in our hospital from August 2019 to April 2021 were selected, and were divided into 3 groups: the old aged group (aged ≥80 years old, n=38), the middle aged group ( aged 70-79 years old, n=40) and the young aged group ( aged 60-69 years old, n=36). The nutritional status of the patients were assessed by mini-nutritional assessment (MNA). All the patients received CGA. The influencing factors of malnutrition in the elderly patients with stroke during convalescent were analyzed by multivariate Logistic regression. Results Among the 114 patients, 34 patients presented with malnutrition risk (29.82%) and 32 patients with malnutrition (28.07%). There was significant difference in the incidence of malnutrition between the old aged group and the young aged group (P< 0.05). Multivariate Logistic regression analysis showed that age, the course of stroke, activities of daily living, dysphagia, tooth loss or aging affecting eating, psychological disorders, cognitive impairment and offspring looking after their parents were the independent influencing factors of malnutrition in the elderly patients with stroke during convalescence. Conclusions CGA can more comprehensively evaluate the influencing factors of nutritional status in the elderly patients with stroke during convalescence, which is helpful for the development of individualized management measures. Reference | Related Articles | Metrics

Select

Practical Geriatrics    2024, 38 (3): 232-235.   DOI: 10.3969/j.issn.1003-9198.2024.03.005 Abstract （112）      PDF （1157KB）（1924）       Reference | Related Articles | Metrics

Select

Relationship between sleep disorder and social frailty among community-dwelling elderly SONG Ge, WANG Ying, GAO Huan-ling, CHEN Ling, YANG Yu-lin Practical Geriatrics    2022, 36 (8): 813-817.   DOI: 10.3969/j.issn.1003-9198.2022.08.015 Abstract （147）      PDF （1054KB）（1895）       Objective To explore the relationship between sleep disorder and social frailty of the elderly in community, so as to provide reference for prevention and improvement of social frailty in the elderly. Methods The general data questionnaire, Social Frailty Assessing Tool and Pittsburgh Sleep Quality Index (PSQI) scale were surveyed through face-to-face interview with participants at their houses. And the relationship between sleep disorder and social frailty was analyzed. Results A total of 516 valid questionnaires were finally included in this research. The incidence rate of sleep disorder was 42.05%, and the incidence rate of social frailty was 12.79% in the elderly. There were significant differences in the number of chronic diseases, physical exercise, intellectual activities and sleep disorders between the social frailty group and the non-social frailty group (P<0.05 or P＜0.01). Logistic regression analysis showed that sleep disorder was an independent risk factor of social frailty (OR=1.904,95%CI: 1.095-3.311, P=0.022).There were significant differences in the total score of social frailty and the score of each item between the sleep disorder group and the non-sleep disorder group (P<0.05 or P＜0.01). Correlation analysis results showed that the total score of PSQI was moderately positively correlated with social frailty (r=0.429, P<0.001), and the scores of 7 factors of PSQI were positively correlated with social frailty (P<0.05). Conclusions The incidence rates of sleep disorder and social frailty are high in the elderly. Sleep disorder is an independent risk factor of social frailty in the elderly in the community. It is necessary to pay more attention to the sleep quality of the elderly, and to prevent and intervene the sleep disorder of the elderly from multiple dimensions, so as to further improve the health level and quality of life of the elderly population. Reference | Related Articles | Metrics

Select

Practical Geriatrics    2022, 36 (8): 850-853.   DOI: 10.3969/j.issn.1003-9198.2022.08.023 Abstract （146）      PDF （1013KB）（1894）       Reference | Related Articles | Metrics

Select

Value of cortical bone thickness and gray value measured by X-ray in predicting the risk of hip fragility fracture in elderly patients with osteoporosis XU Qin, WANG Li-ming, SHA Wei-ping, YAN Fei, HUANG Qun, ZHOU Zhi-ping Practical Geriatrics    2022, 36 (8): 805-808.   DOI: 10.3969/j.issn.1003-9198.2022.08.013 Abstract （135）      PDF （1029KB）（1865）       Objective To investigate the value of cortical bone thickness and gray value measured by X-ray in predicting the risk of hip fragility fracture of the elderly patients with osteoporosis. Methods The clinical data of 82 elderly patients with osteoporosis who underwent X-ray pelvic examination in our hospital from March 2018 to February 2021 were retrospectively analyzed. The incidence of hip fragility fracture of the patients was recorded, and the clinical data of the fracture group and the non-fracture group were compared. The risk factors of hip fragility fracture in the elderly patients with osteoporosis were analyzed by Multivariate Logistic regression, and the receiver operating characteristic (ROC) curve was drawn to analyze the value of cortical bone thickness and gray value measured by X-ray in predicting the risk of hip fragility fracture in the elderly patients with osteoporosis. Results Among the 82 patients, 28 presented with hip fragility fracture, and the incidence rate was 34.15%. The bone mineral density of L2 vertebra and greater trochanter, the cortical bone thickness of the upper and the lower of lesser trochanter, and the gray value of X-ray scanning in the fracture group were lower than those in the non-fracture group (P<0.05). Multivariate Logistic regression analysis showed that the cortical bone thickness of the upper of lesser trochanter (OR=3.374, 95%CI: 1.853-8.429, P=0.012) and gray value of X-ray scanning (OR=3.133, 95%CI:1.506-6.475, P=0.023) were the risk factors for hip fragility fracture in the elderly patients with osteoporosis. ROC curve analysis showed that the area under the curve (AUC) of the cortical bone thickness of the upper of lesser trochanter combined with the gray value of X-ray scanning in predicting hip fragility fracture in the elderly patients with osteoporosis was 0.856, which was higher than that of the two indexes separately (Z=1.976, P=0.048; Z=2.202, P=0.028). Conclusions The cortical bone thickness of the upper of lesser trochanter and the gray value of X-ray scanning can predict the risk of hip fragility fractures in the elderly patients with osteoporosis, and the combination of the two indexes has a higher predictive efficiency. Reference | Related Articles | Metrics

Select

Practical Geriatrics    2023, 37 (10): 1041-1043.   DOI: 10.3969/j.issn.1003-9198.2023.10.016 Abstract （92）      PDF （1199KB）（1841）       Reference | Related Articles | Metrics

Select

Effect of lipoprotein(a) on perioperative myocardial injury in elderly patients with coronary heart disease after PCI SUN Jun-xiang, CHEN Yan-chun, YIN Yun-jie, ZHUANG Qian, WEI Peng-fei, XU Liang, YANG Song Practical Geriatrics    2022, 36 (8): 818-821.   DOI: 10.3969/j.issn.1003-9198.2022.08.016 Abstract （121）      PDF （1038KB）（1780）       Objective To explore the relationship between lipoprotein(a) [Lp(a)] and perioperative myocardial injury(PMI) in the elderly patients with coronary heart disease(CHD). Methods A total of 200 elderly patients with CHD who received PCI in Yixing People's Hospital from January 2020 to March 2021 were enrolled in this study. According to the level of troponin T (cTnT), the patients were divided into the observation group with elevated cTnT level (n=106) and the control group with normal cTnT level (n=94), and the differences in all the clinical data between the two groups were analyzed. According to SYNTAX score, the patients were divided into low score group (0-22), middle score group (23-32) and high score group (≥33). The level of Lp(a) was detected and compared among all groups. Results The levels of age and Lp(a), the numbers of the stents and the total length of the stents were significant higher in the observation group than those in the control group(P<0.05). According to SYNTAX score, the level of Lp(a) in the low score group, the middle score group and the high score group was 168.29±28.97 mg/L, 294.72±28.25 mg/L and 465.29±48.62 mg/L, respectively, with significant differences among the three groups (P<0.05). The Logistic regression analysis showed that age(OR=1.106, 95%CI: 1.044-1.171), Lp(a)(OR=2.291, 95%CI: 1.150-4.562), total length of the stents(OR=1.015, 95%CI: 1.004-1.027)were the independent influencing factors of PMI. Conclusions The preoperative high level of Lp(a) is a risk factor of PMI after PCI in the elderly patients with CHD. Lp(a) has a positive relationship with the severity of coronary lesions. Reference | Related Articles | Metrics

Select

Practical Geriatrics    2023, 37 (2): 213-216.   DOI: 10.3969/j.issn.1003-9198.2023.02.027 Abstract （125）      PDF （1023KB）（1773）       Reference | Related Articles | Metrics

Select

Effect of thyroid hormones on carotid artery intima-media thickness in elderly patients with chronic heart failure WANG Bo, MA Yun-fei, WANG Ke Practical Geriatrics    2022, 36 (8): 801-804.   DOI: 10.3969/j.issn.1003-9198.2022.08.012 Abstract （124）      PDF （1034KB）（1746）       Objective To analyze the effect of thyroid hormones on carotid intima-media thickness (IMT) in the elderly patients with chronic heart failure. Methods A retrospective analysis was performed on 108 elderly patients with chronic heart failure admitted to our hospital from June 2017 to June 2021. According to the level of IMT, the patients were divided into the thickening group (IMT≥1.0 mm, n=46) and the non-thickening group (IMT<1.0 mm, n=62). The general data and clinical data of the two groups were compared, and the influencing factors of IMT in the elderly patients with chronic heart failure were analyzed by Logistic regression. At the same time, the patients were divided into low group (TSH<1.00 mIU/L, n=26), medium group (1.00 mIU/L≤TSH≤2.74 mIU/L, n=55) and high group (TSH > 2.74 mIU/L, n=27) according to the quartile level of TSH. The level of IMT and carotid artery plaque number of the patients with different TSH levels were compared. Results Compared with the non-thickening group, the patients in the thickening group were older, and had longer course of disease, lower level of free thyroxine acid, and higher levels of TSH, C-reactive protein (CRP), total cholesterol (TC) and apolipoprotein A1, with statistical significance (P<0.05). Logistic regression analysis showed that aged ≥70 years old, TSH≥3 mIU/L, CRP≥3.5 mmol/L and TC≥4.5 mmol/L were the independent risk factors of IMT thickening in the elderly patients with chronic heart failure. Compared with the high group, the level of IMT in the low group and the middle group were significantly decreased (P<0.05). There was no significant difference in carotid artery plaque number among the patients with different TSH levels (P>0.05). Conclusions The development of IMT might be correlated with age, TSH, CRP and TC in the elderly patients with chronic heart failure. Reference | Related Articles | Metrics

Select

Epidemiological characteristics of hypertension combined with diabetes among the elderly people in Nanjing, China YAO Zhu-ling, WANG Zhi-yong, XIONG Ya-qing, XU Fei Practical Geriatrics    2022, 36 (8): 796-800.   DOI: 10.3969/j.issn.1003-9198.2022.08.011 Abstract （151）      PDF （1047KB）（1738）       Objective To investigate the prevalence and distribution characteristics of hypertension combined with diabetes among the elderly people in Nanjing. Methods From April to October 2017, 20 883 regular residents aged ≥60 years old were selected in Nanjing by multistage stratified cluster sampling method, and they were investigated by general information questionnaire, physical examination and laboratory examination. The outcome variables were diagnosed and newly-identified hypertension and diabetes. The differences in the prevalence of hypertension and diabetes among the different sub-populations were analyzed. Results The prevalence of hypertension and diabetes in the elderly population of Nanjing was 59.0% (95%CI:0.584-0.597) and 28.7% (95%CI:0.281-0.293), respectively; While the prevalence of comorbidity of hypertension and diabetes was 20.7% (95%CI:0.202-0.213). There were significant differences in the prevalence of comorbidity of hypertension and diabetes among the elderly with different age, gender, place of residence, body mass index (BMI), education level, ethnicity, physical activity situation and medical insurance types (P<0.05). Among the newly discovered patients with the comorbidity of hypertension and diabetes, there were significant difference in the prevalence among the elderly with different place of residence, BMI and medical insurance types (P<0.05). Conclusions The prevalence of hypertension, diabetes and their co-morbidities are high in the elderly population of Nanjing. We should pay attention to the elderly who live in urban, being overweight or obese and using employee medical insurance. Reference | Related Articles | Metrics

Select

Correlation of anxiety and depression with quality of life in elderly patients with Parkinson’s disease HUANG Mei, CHEN Hua-yu, JI Jing, ZHANG Li Practical Geriatrics    2023, 37 (1): 96-99.   DOI: 10.3969/j.issn.1003-9198.2023.01.024 Abstract （119）      PDF （1044KB）（1729）       Objective To investigate the correlation of anxiety and depression with quality of life in the elderly patients with Parkinson’s disease(PD). Methods A total of 214 elderly patients with PD from the Department of Neurology and Department of Neurosurgery, the First Affiliated Hospital with Nanjing Medical University were enrolled in this study, and Parkinson’s Disease Quality of Life Questionnaire(PDQ-39), Beck Anxiety Inventory(BAI) and Geriatric Depression Scale(GDS) were used to investigate the patients’ quality of life, anxiety and depression, respectively. The correlation of anxiety and depression with quality of life was analyzed. Results The score of PDQ-39 in the elderly patients with PD was 90.75±22.34. The score of BAI was positively correlated with the score of affect and negatively correlated with the score of social support. The score of GDS was positively correlated with the score of affect, humiliation, cognition and somatic discomfort. Conclusions Anxiety and depression are the main risk factors for quality of life. It is important to pay attention to the psychological state of the elderly patients with PD and to strengthen psychological care. Reference | Related Articles | Metrics