Syndrome In Elderly Women Research Articles

Risk Factors Associated with Empty Nest Syndrome in Elderly Women in the Work Area of Public Health Center (Puskesmas) 1 Kembaran Banyumas Regency in 2014

Empty nest syndrome is often experienced by women, especially in nuclear families. Empty nest syndromes are experienced by old age at the time when the cubs last married or left home. The phenomenon of empty nest syndrome is widely experienced by women of advanced age with various diverse forms. This study aims to study the risk factors associated with empty nest syndrome in older women in the Puskesmas l Kembaran Working Area of Banyumas Regency in 2014. This type of research is a quantitative study using a cross-sectional approach with a population of 184 older women. The analysis used is Chi-Square and Logistic Regression. The results showed that the age of older women who experienced empty nest syndrome (63.6%), in the category of elderly old (57.6%), basic education (77.7%), non-work (58.7%) and social activities (93.5%). The results of the Chi-square test obtained variables related to the empty nest syndrome were self-concept (p-value = 0.016), communication with children (p-value = 0.027), and communication with partners (p-value- 0.026). Variables that are not related to the incidence of empty nest syndrome are age (p-value = 0.368), education (p-value = 0.834), occupation (p-value = 0.957) and social activities (p-value = 0.935). According to the logistic regression test results, self-concept is the most dominant variable associated with the empty nest syndrome (p = 0.020. OR = 2.103). The conclusion of the self-concept research is the variable most related to the empty nest syndrome. It is recommended that older women need to increase their social activities. Children should often visit parents or contact them by phone, and posyandu cadres explain the importance of social interaction in posyandu activities for the elderly.

여성 노인의 대사증후군 예방을 위한 적정 신체구성성분 및 체력수준의 임계값 분석

The purpose of this study is to analyze the appropriate body composition and senior fitness level for the prevention of metabolic syndrome in elderly women. Participant in this study divided into two groups, metabolic syndrome and normal elderly groups. All participants in this study were subjected to body composition test and elderly-specific physical fitness test. Blood pressure, blood glucose, triglycerides, and HDL-c were also measured. An independent t test was performed to compare the variables of the two groups. The ROC curve was used to analyze the threshold values of optimal body composition and senior fitness level for the prevention of metabolic syndrome. The results were following, There were differences in body weight, BMI, and body fat percentage between the two groups, but there was no difference in muscle mass. In addition, it was confirmed that the relative hand grip strength was a statistically significant level of cut off value among all the senior fitness test variables. It has been confirmed that an appropriate body mass index is essential to prevent metabolic syndrome in elderly women, and we insist that exercise program that can increase the relative hand grip strength should be provided.

The effect of combined training on serum concentrations of inflammatory cytokines and factors associated with metabolic syndrome in elderly women with fatty liver

هدف: بیماری کبد چرب غیر الکلی (NAFLD) به شدت با تغییر سطح سایتوکاین‌های التهابی و افزایش ناهنجاری‌های متابولیکی همراه است. در این مطالعه اثر تمرین ترکیبی بر غلظت سرمی سایتوکاین‌های پیش التهابی اینترلوکین 18(IL18)، ضد التهابی اینترلوکین 10(IL10) و عوامل مرتبط با اختلال متابولیک در زنان سالمند مبتلا به کبد چرب بررسی شد.روش­ ها : تعداد 24 زن سالمند مبتلا به NAFLD با روش هدفمند انتخاب و به طور تصادفی به گروه تمرین (n=12) و کنترل (n=12) تقسیم شدند. تمرین ترکیبی به مدت ده هفته اجرا شد. سطوح IL18 و IL10 با بسته آزمایشگاهی زلبایو به روش الایزا و کبد چرب با روش سونوگرافی سنجیده شدند. سایر عوامل خونی و تن سنجی اندازه گیری شدند. تحلیل آماری با آزمون‌های تی زوجی و ویلکاکسون، کواریانس و همبستگی اسپیرمن انجام شد.نتایج: در گروه تمرین تری گلیسرید (TG) (00/0p=)، شاخص مقاومت به انسولین (HOMA-IR) (01/0p=) ، چربی کبد (00/0p=)، آسپارتات آمینو ترانسفراز (AST) (04/0p=) و گلوکز (00/0p=) به طور قابل توجهی کاهش یافتند. مقدار انسولین (11/0p=) و آلانین آمینو ترانسفراز (ALT) (07/0p=) بین گروه‌ها تفاوت معناداری نداشت.نتیجه ­گیری: تمرین ترکیبی می تواند باعث بهبود سطح سایتوکاین‌های التهابی و کاهش عوامل خطر متابولیکی مرتبط با کبد چرب غیر الکلی شود و با افزایش اثرات ضد التهابی نقش مؤثری در سلامتی سالمندان ایفا کند.

The Relationship Between Adversity Quotient (AQ) and Empty Nest Syndrome in Elderly Women in Larangan Village, Sidoarjo

This study aims to examine the relationship between adversity quotient and empty nest syndrome in elderly women in Larangan village, Sidoarjo. The hypothesis in this study is that there is a negative relationship between adversity quotient and empty nest syndrome in elderly women in Larangan Sidoarjo village, namely the higher the adversity quotient of elderly women, the lower the empty nest syndrome of elderly women, and vice versa. This study uses a correlational quantitative approach with a sample of elderly women in Larangan Village, Sidoarjo, with a total sample of 199 from a total population of 424 elderly. In this study, two scales were used, the adversity quotient variable using the adversity quotient scale and the empty nest syndrome. Hypothesis analysis was performed using Pearson's product moment correlation technique on SPSS version 20.0 for windows. Based on the results of the study, the correlation coefficient (r) between adversity quotient and empty nest syndrome in elderly women in Larangan Sidoarjo village was (r) = -0.441, with a significant value (p) = 0.000 (p <0.05) and the test results coefficient of determination 0.194 (adjusted R Square) which indicates that the hypothesis of this study is accepted, namely there is a relationship between adversity quotient and empty nest syndrome in elderly women in Larangan Sidoarjo Village and Adversity Quotient provides an effective contribution of 19.4% to the Empty nest variable. syndrome and 80.6% were influenced by other factors, such as gender, age, spirituality, etc.

An Analysis of The Correlation between Breast-feeding, Bone Mineral Density and Metabolic Syndrome in Elderly Women

An Analysis of The Correlation between Breast-feeding, Bone Mineral Density and Metabolic Syndrome in Elderly Women

수중운동 유형에 따른 치매 예방 프로그램이 여성 노인의 인지기능, 악력 및 대사증후군 위험요인에 미치는 영향

이 연구는 여성 노인 30명을 대상으로 12주간 수중 노인 심리운동 프로그램 적용 시 인지기능, 악력 및 대사증후군 위험요인에 미치는 영향을 검증하여 치매 예방 프로그램을 위한 기초자료를 제공하는데 그 목적이 있다. 수중 노인 심리운 동 프로그램은 12주간 주 2회, 회당 50분을 실시하였다. 수중 노인 심리운동 전·후로 인지기능, 악력 및 대사증후군 위험요인의 변화를 평가하였다. 운동 전·후에 인지기능은 사전에 비해 통계적으로 유의한 차이를 보였으며(P＜0.01), 악력과 대사증후군 위험요인은 통계적으로 유의한 차이를 보이지 않았다. 연구결과 다음과 같은 결론을 얻었다. 첫째, 여성 노인의 치매 예방 프로그램 중 다양한 수중운동 유형의 프로그램 적용을 고려하는데 유용한 자료가 될 수 있을 것으로 사료된다. 둘째, 본 연구에서 활용된 수중 노인 심리운동 중재 프로그램은 스스로 즐기며 자발적으로 참여하기에 다수의 수중운동 시설에 효율적인 프로그램 중 하나가 될 수 있는 가능성을 제시할 것으로 사료된다.

Sarcopenic obesity negatively affects muscle strength, physical function and quality of life in obese elderly women

We evaluated the negative effect of sarcopenic obesity (SO) on muscle strength, physical function and quality of life in obese elderly women using the appendicular lean mass (aLM) adjusted for BMI, and aLM adjusted for height and fat mass residuals approach. Participated fifty-eight obese elderly women aged 60 to 70 years separated by two groups (OS) and non-sarcopenic (OS) in two different approaches. The prevalence of SO was also verified between methods and its effects on handgrip strength, lean body mass, chair-stand test, time-up-and-go test, six-minute-walk test, peak O 2 consumption, heart rate recovery and quality of life. The SO group presented significantly lower lean body mass, lower handgrip strength, inferior scores in the functional tests, inferior aerobic fitness, an impaired heart rate recovery, and an inferior aspect of quality of life as compared with the NSO group. Furthermore, no elderly woman was classified with SO by the aLM adjusted for height and fat mass residuals method. The cutoff-point addressed by the aLM/BMI represents a tool in clinical geriatric practice to identify and prevent this obesity/muscle syndrome in elderly women.

여자 노인의 근육량 및 비만도와 대사증후군, 신체활동 및 식이요인과의 관련성 연구 : 제4-5기 국민건강영양조사(2008-2011년도)자료를 이용하여

This study examined the relationships among muscle mass and obesity, metabolic syndrome, and physical activity in elderly women. The 4SUPth/SUP-5SUPth/SUP (2008 to 2011) Korean national health and nutrition examination survey data were analyzed using the SPSS 23.0 package program. The results showed that sarcopenic obese group had significantly higher metabolic syndrome parameters, such as waist circumference, diastolic blood pressure, fasting blood glucose, and triacylglyceride, compared to non-sarcopenic non-obese group. The sarcopenic non-obese group showed a 2 times higher risk of metabolic syndrome, and the non-sarcopenic obese and sarcopenic obese groups showed a 6 times higher risk of metabolic syndrome than the non-sarcopenic non-obese group. The non-sarcopenic groups showed higher amounts of high intensity, moderate intensity, and total physical activities than the sarcopenic groups. In addition, non-sarcopenic groups participated more in high-intensity exercise but less in flexibility exercise than the sarcopenic groups. Furthermore, the participants had a carbohydrate dependent diet with a low intake of vitamins and mineral. These results suggest that the elderly women should consistently participate in physical activities and eat a balanced diet to decrease the risk of metabolic syndrome by maintaining their body weight and muscle mass to normal levels. Therefore, to reduce metabolic syndrome in elderly women, it is important develop and promote exercise and nutritional education programs to reduce metabolic syndrome in elderly women.

Association Between Uric Acid and Metabolic Syndrome in Elderly Women.

ObjectiveTo investigate the relationship between uric acid and metabolic syndrome (MetS) in elderly women.MethodsA total of 468 women aged ≥60 years participating in a health examination were enrolled. The association between uric acid and MetS and its individual variables was evaluated by univariate and multivariate logistic regression models.ResultsA dose-response relationship was observed for the prevalence of MetS and uric acid quartiles. Subjects in the second, third and fourth quartile of uric acid had a 2.23-fold, 2.25-fold and 4.41-fold increased risk, respectively, of MetS than those in the first uric acid quartile (p for trend <0.001). Furthermore, each 1 mg/dl increment of serum uric acid level had a 1.38-fold increased risk of MetS (OR 1.38; 95% CI, 1.14-1.69; p=0.001).ConclusionsOur present study demonstrated that elevated uric acid was positively associated with the prevalence of MetS in elderly women. Further random control trials are needed to elucidate the effectiveness of treatment of hyperuricaemia in reducing the incidence of MetS in elderly women.

Factors associated with frailty syndrome in elderly women

Objective: to evaluate the factors associated with frailty syndrome in elderly women in an outpatient clinic. Methods: cross-sectional study with 252 elderly women. The Mini Mental State Examination and the Edmonton Frail Scale were applied. The association of variables was performed using simple linear regression (Fisher’s F and Student’s t tests), p≤0.05. Results: there was prevalence of married women (44.4%) with low schooling (50.0%) and living with relatives (50.8%). Among them, 28.6% had mild, 13.0% moderate and 3.6% severe frailty. The factors associated with the syndrome were age (p=0.021), level of education (p=0.001), living with relatives (p=0.013), illnesses (p=0.023), falls (p=0.001) and hospitalization in the last 12 months (p=0.001). Conclusion: evidenced that almost half of the sample presented some type of frailty. Thus, it is important to evaluate this population frequently, considering the associated factors that can contribute to frailty.

Emotional burnout syndrome in elderly women–physicians

This paper presents the results of a comparative study of the clinical symptoms of emotional burnout syndrome among 84 elderly women working in the specialty of physicians and 48 women who have officially ceased working in this specialty. The findings suggest that emotional burnout syndrome can take place in the elderly and is most closely associated with continued professional activity. The cessation of this working activity leads to stress, often with the subsequent development of posttraumatic stress disorder and stressinduced diseases. However, in this case, the clinical symptoms of emotional burnout syndrome do not disappear but are only transformed with joining of various psychosomatic disorders. Thus, the elderly who suffer from emotional burnout syndrome are a risk group as regards the formation and development of stress-associated diseases and require close attendance within the compulsory program of medical examination.

여성 노인의 근감소성 비만과 대사증후군 위험인자 간의 연관성 검증

This study examined the association with sarcopenic-obesity and metabolic syndrome risk factors in elderly women. This was a cross sectional study involving 261 elderly women (aged 74.0±6.9 years). Total body composition analysis was performed with a dual-energy X-ray absorptiometry (DXA). Measured metabolic risk factors included waist circumference (WC), triglyceride (TG), high density lipoprotein-cholesterol (HDL-C), fasting blood glucose (FBG), systolic (SBP) and diastolic blood pressure (DBP). Using the cut-off values of the Asian Working Group for Sarcopenia (AWGS) study and body mass index (BMI), subjects were classified as subgroups of normal, sarcopenia, obesity, and sarcopenic-obesity. One-way ANOVA followed by a LSD post-hoc test was used to compare any group differences in measured variables among the sarcopenic-obesity based subgroups. Logistic regression analyses were used to determine the odds ratio (OR) of sarcopenic-obesity status for having metabolic syndrome. There were significantly increases for WC, TG, SBP and decrease HDL-C across incremental sarcopenic-obesity status. Compared with the normal group (reference group, OR=1), the sarcopenia group (OR=2.53), obesity group (OR=3.99), and sarcopenic- obesity group (OR=5.56) had significantly higher ORs for having metabolic syndrome. The findings of this study suggested that healthy diet, and regular exercise should be promoted for sarcopenic-obesity that is important factor to prevent metabolic syndrome in elderly women.

High serum uric acid levels increase the risk of metabolic syndrome in elderly women: The PRO.V.A study

Background and aimsSerum uric acid (SUA) is the end-product of purine metabolism in humans, and its levels often increase in subjects with metabolic syndrome (MetS). Despite several studies demonstrating a relationship between increased SUA levels and the prevalence of MetS, prospective data on SUA as a predictor of the incidence of MetS in the elderly are limited. Our aim was to conduct a prospective study on the association between SUA concentrations and the onset of MetS in an elderly Italian cohort. Methods and resultsThis is a cohort study (Progetto Veneto Anziani; Pro.V.A.) involving community-dwelling subjects aged ≥65 years and followed up for a mean 4.4 years. We included 1128 participants (aged 74.7 ± 7.1 years) without MetS at the baseline. Gender-specific SUA groups according to the standard deviation (SD) from the mean were considered, taking the incidence of MetS as the main outcome.The mean SUA level was significantly higher in men than in women (5.4 ± 1.2 vs. 4.5 ± 1.2 mg/dl; p < 0.0001). Over the 4.4-year follow-up, 496 individuals developed MetS. After adjusting for potential confounders, Cox's regression analysis revealed no relationship between higher baseline SUA concentrations and the incidence of MetS in men or in the sample as whole, while women with SUA levels more than 1 SD above the mean (≥5.7 mg/dl) carried a 58% higher risk (95%CI: 1.03–2.40; p = 0.03) of being newly diagnosed with MetS during the follow-up. ConclusionHigh SUA levels significantly and independently predicted MetS in older women, but not in men, over a 4.4-year follow-up.

Effects of Yoga techniques on reducing mental symptoms of immobility syndrome in elderly women

Background and Aim: Immobility syndrome is the symptomsofphysical, metabolic, and mental disorder due todaily immobility andcauses disorder inbalanceof elderly people. The purpose of this study was to determine the effects of yoga techniques on reducing mental symptoms of immobility syndrome in elderly women. Materials and Method : The present study was a quasi experimental with pre-test and post -test analysis that contains experimental and control goups. Statistical population of the current study was 65-70 year-old women which were members of elderly women Association of city Health Office in Area 2 of Tehran. After interviewing for thestudy ofimmobilizationsyndrome and applying Genetal health questionnair (GEQ),20 elderly women with low general health were selected and randomly assigned to experimental (n=10) and control (n=10) groups. Using Symptom Check List-90-Revised (SCL-90-R) test psychological status of participants were measured. Experimental group Received 8 1-hour sessions of yoga therapy monthly for a period of 2 months. No intervention was carried out for control group. The mental health status of both groups were evaluated after Yoga-therapy.Analysis of covariance was applied to analyze the data. Results : After applying yoga techniques, scores of experimental group were decreased in indexes of SCL-90-R (P<0.001). Conclusion : The literature suggeststhatyoga techniques have beneficial effects on management of anxiety, depression, somatization, interpersonal sensitivity symptoms and could lead to appearance of a balance in physical, emotional, and mental capacities of elderly women. Hence, yoga can be used as an alternative medical system for these disorders. Key words : Yoga , mental symptoms, Immobility syndrome , Elderly women

Purple urine bag syndrome in elderly woman with nutritional supplements

The purple urine bag syndrome is a rare entity which typically affects elderly women with prolonged urinary catheterization and weakening chronic diseases. Other predisposing factors are previous urologic pathology, immobility syndrome and chronic constipation. The purple color is due to the presence of high loads of bacteria with sulphatase--phosphatase activity which develop in an alkaline environment as well as the presence of other factors. In the case we present the administration of nutritional supplements containing tryptophan conditioned the generation of this syndrome.

Serum calcium level is associated with metabolic syndrome in elderly women

Objective To investigate the association between serum calcium level and metabolic syndrome, defined using the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III) definition, in Korean elderly women. Study design We conducted a cross-sectional study of 1941 elderly women (mean age: 65.16 ± 4.58 years) who participated in annual health examinations at Korea university Medical Center between January 1, 2006 and December 31, 2009 and had normal serum calcium levels. Results Women with metabolic syndrome had higher serum calcium levels than those without metabolic syndrome (9.26 ± 0.35 vs. 9.20 ± 0.33, P < 0.001). In multiple logistic regression analysis, serum calcium level within normal range was positively associated with the risk of having metabolic syndrome (odds ratio 2.12, 95% confidence interval 1.50–2.98). With regard to components of metabolic syndrome, serum calcium level was also positively associated with the risk of having high triglyceride, and high glucose, whereas it was inversely associated with the risk of having low high density lipoprotein. However, there was no association of serum calcium level with abdominal obesity or high blood pressure. Conclusions The higher was the level of calcium within normal range, the greater were the odds of metabolic syndrome in healthy and elderly women. Prospective studies are needed to investigate the role of calcium in the development of metabolic syndrome in the future.

The Prevalence of Obesity, Abdominal Obesity and Metabolic Syndrome among Elderly in General Population

Background: The prevalence of obesity, abdominal obesity and metabolic syndrome is important for health policies and clinical practice. The aim of study is to estimate the prevalence of obesity, abdominal obesity and metabolic syndrome among older than 65 years in general population and identify the differences by gender. Additionally, we examined the prevalence of the abnormality of metabolic components by sex. Methods: We analyzed data from the Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV) 2007. The subjects of this study include persons over 65 years. We used data about demographics, chronic diseases, medications and blood laboratory results. Results: The prevalence of obesity, abdominal obesity and metabolic syndrome in elderly women was 46.9%, 56.3% and 46.7% (International Diabetes Federation [IDF] criteria) respectively. In elderly men, 23.1%, 26.6% and 21.7% (IDF criteria). The prevalence of metabolic syndrome by modified ATP III was 63.2% in elderly women and 41.7% in elderly men. The prevalence of these was significantly higher in women elderly other in men elderly (P < 0.001). The abnormality of HDL-C among the individual metabolic components was significantly higher in women elderly than in men elderly. The prevalence of HDL-C abnormality in women elderly reached 79.9%. Conclusion: The prevalence of obesity, abdominal obesity and metabolic syndrome was higher in Korea than US and Europe, and higher among women elderly than men elderly. Recent increase in prevalence of these might be a public health problem.

저항성운동 트레이닝이 여성노인의 대사증후군 지표와 우울수준에 미치는 영향

The metabolic syndrome is gaining reputation as an important risk factor for major chronic diseases. Depression is prevalent among women and has been associated with variety of diseases. therefore, metabolic syndrome and depression are becoming an important health problem in elderly women. In this study, the metabolic syndrome were based on the guidelines of the National Cholesterol Education Program Adult Treatment Panel Ⅲ. The purpose of the study was to investigate the effect of resistance exercise training on metabolic syndrome risk factor and depression in old women The participants included 18 elderly women(68.16± 2.03), Each individual was assessed for metabolic syndrome according to the NECP-ATP Ⅲ critera. Depressive symptoms level were assessed by the Center for Epidemiological Studies-Depression Scale(CES-D). The result of this study were as follows. 12 weeks resistance exercise training had a positive influence in blood glucose (p.001) but had not a positive effect in waist circumstance, TG, HDL-C, blood pressure and depression level. In conclusion, the 12 weeks resistance exercise training had a positive effects on blood glucose, metabolic syndrome in elderly women.

Dietary intake is not associated to the metabolic syndrome in elderly women.

Background:The metabolic syndrome is a complex metabolic disturbance due to an interaction between genetic factors, poor dietary habits and physical inactivity.Aims:To investigate the role of dietary intake on the prevalence of the metabolic syndrome in a population of elderly, socially active women in Brazil.Patients and Methods:A total of 284 women with mean age 69.3 ± 6.3 years were evaluated in a cross-sectional retrospective study. The metabolic syndrome was diagnosed according to criteria of the International Diabetes Federation. The dietary intake was evaluated through a questionnaire for 24-hour dietary recall. The groups with or without the metabolic syndrome were compared for dietary intake and risk factors for metabolic syndrome by the multiple regression model adjusted for age, smoking, physical activity, educational level, total energy intake and fiber contents of the diet. The odds ratio for the presence of the metabolic syndrome was calculated for each nutrient by quartile for total energy intake adjusted by the residue method.Results:The prevalence of metabolic syndrome was 32% in the sample. There was not found any association between dietary intake, including all macronutrients and several micronutrients, and the presence of metabolic syndrome.Conclusion:No associations were observed between nutritional factors and the prevalence of the metabolic syndrome in elderly women, a result possibly due to the fact that these factors have an influence in earlier phases of life, or to a recent modification of dietary habits, which however was not able to prevent the establishment of the syndrome.

Ballonisation apicale transitoire du ventricule gauche ou syndrome de tako-tsubo : à propos de 14 cas

Tako-tsubo syndrome is a new diagnostic entity, still little known. Also called transient left ventricular apical ballooning, stress cardiomyopathy, and neurogenic myocardial stunning, it mimics myocardial infarction, combining chest pain with electrocardiographic changes and a moderate rise in the serum markers of necrosis. Angiography of the coronary artery is normal while that of the left ventricle shows ballooning and basal hyperkinesis. This disorder appears to concern 1 to 2% of patients admitted for suspected myocardial infarction. The aim of our study was to describe the characteristics of this syndrome on the basis of our clinical experience and to analyze the current physiopathological explanations. Between September 2004 and May 2007, 14 patients in our department were diagnosed with tako-tsubo syndrome. The criteria on which this diagnosis was based were electrocardiographic changes, anomalies of left ventricular kinetics, and absence of stenosis greater than 50% in the coronary arteries. Nearly all cases occurred in women (13/14), whose mean age was 70.4+/-4.3 years. Eleven patients reported chest pain at admission and 4 had signs of heart failure. The ECG was pathological in all cases. Serum markers routinely showed elevated troponin Ic, with a peak at 2.9+/-1.5 ng/mL. Most patients had coronary angiography, which showed the absence of significant coronary artery disease together with the abnormal left ventricular contractility typical of this diagnosis. An emotional or physical trigger was identified in 11 cases. The clinical course was simple, with neither severe complications nor recurrence; contractile kinetics returned to normal in the month following the onset of symptoms. Tako-tsubo syndrome has a favorable prognosis in the intermediate and long term, although severe complications may occur. The etiology of this syndrome is unknown, but it must be considered as a differential diagnosis of acute coronary syndrome in elderly women with normal coronary angiography.