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oai:open-archive.highwire.org:ageing:15/2/1052015-05-19HighWireOUPageing:15:2
MORBIDITY AND MORTALITY IN AN INITIALLY HEALTHY ELDERLY SAMPLE: FINDINGS AFTER FIVE YEARS OF FOLLOW-UP
THOMAS, PAULA D.
GARRY, PHILIP J.
GOODWIN, JAMES S.
Articles
This report summarizes morbidity and mortality data for 263 initially healthy elderly men and women from the beginning of this study through five years of follow-up. The mortality rate for this sample averaged approximately 1.8% per year and the duration of terminal illness averaged 4.9 months. The cancer incidence rate has increased whereas new diagnoses of cardiovascular disease and degenerative conditions have declined. The data support the potential for maximizing vigour and health well into the seventh and eighth decades of life.
Oxford University Press
1986-03-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/15/2/105
http://dx.doi.org/10.1093/ageing/15.2.105
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/1112015-05-19HighWireOUPageing:15:2
GLUCOSE TOLERANCE FOLLOWING STROKES IN THE ELDERLY
SAMANTA, A.
BLANDFORD, R. L
BURDEN, A. C.
CASTLEDEN, C. M.
Articles
Two standard 75 g oral glucose tolerance tests (OGTT) were performed on each of 16 patients, aged 65–84 years, presenting with a thrombotic stroke, and not previously known to have diabetes mellitus. The tests were performed within the first week and 12 weeks after the initial episode. There was no significant difference in the plasma glucose values between the tests. Six patients were diagnosed diabetic on the basis of both OGTT<inf>s</inf> being abnormal. Of the remaining ten, there was no worsening of glucose tolerance immediately following a stroke. It is concluded that an abnormal glucose tolerance soon after a stroke in the elderly represents true diabetes mellitus rather than ‘functional diabetes’.
Oxford University Press
1986-03-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/15/2/111
http://dx.doi.org/10.1093/ageing/15.2.111
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/1142015-05-19HighWireOUPageing:15:2
BURNLEY RELATIVES' CLINIC
ROBERTS, N. A.
HAJELA, V. P.
Articles
The organization of a clinic for relatives of geriatric patients is described, including a retrospective study of the reasons for referral to the clinic and a discussion of its value to patients, relatives and the geriatric team.
Oxford University Press
1986-03-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/15/2/114
http://dx.doi.org/10.1093/ageing/15.2.114
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/1192015-05-19HighWireOUPageing:15:2
THE EFFECT OF A VINYL FLOOR SURFACE AND A CARPETED FLOOR SURFACE UPON WALKING IN ELDERLY HOSPITAL IN-PATIENTS
WILLMOTT, MARTIN
Articles
Fifty-eight elderly hospital patients walked along a 10-m length of carpeted corridor and a 10-m length of vinyl-tiled corridor. Gait speed and step length were significantly greater on the carpeted than on the vinyl surface.
Oxford University Press
1986-03-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/15/2/119
http://dx.doi.org/10.1093/ageing/15.2.119
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/1212015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
ISAACS, BERNARD
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/121
http://dx.doi.org/10.1093/ageing/15.2.121
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/122-a2015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
SHEEHAN, L. J.
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/122-a
http://dx.doi.org/10.1093/ageing/15.2.122-a
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/122-b2015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
AGATE, J. N.
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/122-b
http://dx.doi.org/10.1093/ageing/15.2.122-b
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/1222015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
MOORE-SMITH, B.
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/122
http://dx.doi.org/10.1093/ageing/15.2.122
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/1232015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
WRIGHT, W. B.
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/123
http://dx.doi.org/10.1093/ageing/15.2.123
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/124-a2015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
MACLENNAN, W. J.
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/124-a
http://dx.doi.org/10.1093/ageing/15.2.124-a
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/124-b2015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
AGATE, J. N.
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/124-b
http://dx.doi.org/10.1093/ageing/15.2.124-b
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/1242015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
HALL, DAVID A.
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/124
http://dx.doi.org/10.1093/ageing/15.2.124
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/125-a2015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
BOYD, R. V.
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/125-a
http://dx.doi.org/10.1093/ageing/15.2.125-a
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/125-b2015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
BOYD, R. V.
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/125-b
http://dx.doi.org/10.1093/ageing/15.2.125-b
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/1252015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
BOYD, R. V.
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/125
http://dx.doi.org/10.1093/ageing/15.2.125
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/126-a2015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
SHEEHAN, L. J.
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/126-a
http://dx.doi.org/10.1093/ageing/15.2.126-a
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/126-b2015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
ISAACS, BERNARD
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/126-b
http://dx.doi.org/10.1093/ageing/15.2.126-b
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/1262015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
ISAACS, BERNARD
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/126
http://dx.doi.org/10.1093/ageing/15.2.126
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/127-a2015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
HALL, DAVID A.
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/127-a
http://dx.doi.org/10.1093/ageing/15.2.127-a
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/1272015-05-19HighWireOUPageing:15:2
BOOK REVIEWS
HALL, DAVID A.
Book Reviews
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/127
http://dx.doi.org/10.1093/ageing/15.2.127
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/1282015-05-19HighWireOUPageing:15:2
BOOKS RECEIVED
Books Received
Oxford University Press
1986-03-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/15/2/128
http://dx.doi.org/10.1093/ageing/15.2.128
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/652015-05-19HighWireOUPageing:15:2
ABNORMAL INDICES OF NUTRITION IN THE ELDERLY: A STUDY OF DIFFERENT CLINICAL GROUPS
MORGAN, D. BRIAN
NEWTON, HELEN M. V.
SCHORAH, CHRISTOPHER J.
JEWITT, M. ANNE
HANCOCK, MARGARET R.
HULLIN, ROY P.
Articles
Anthropometric and biochemical indices of nutrition were measured in 450 elderly women in six groups spanning a wide range of physical dependency. Data from the group of active subjects living at home was used to derive reference ranges for elderly women. Although the index values of this group did not differ greatly from those seen in young subjects, there were large differences between this and some of the other elderly groups where the frequency of low values was as high as 50% for some parameters. Food intakes were measured in four of the six groups and relationships were found between energy, protein and vitamin C intake and body weight, plasma protein levels and vitamin C concentration, respectively. Our findings suggest that, among elderly women, low levels of nutrient intake make a significant contribution to poor anthropometric and biochemical nutritional status. Improvements in diet should be reflected in the indices measured and might, in turn, have beneficial effects on health.
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/65
http://dx.doi.org/10.1093/ageing/15.2.65
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/772015-05-19HighWireOUPageing:15:2
SEASONAL CHANGES IN THE BIOCHEMICAL INDICES OF VITAMIN D DEFICIENCY IN THE ELDERLY: A COMPARISON OF PEOPLE IN RESIDENTIAL HOMES, LONG-STAY WARDS AND ATTENDING A DAY HOSPITAL
DAVIES, M.
MAWER, E. B.
HANN, J. T.
TAYLOR, J. L.
Articles
The seasonal changes in the biochemical indices of vitamin D nutrition have been measured in elderly people with differing requirements for institutionalized care. Residents of local authority homes (LAH) showed an increase in serum 25-hydroxyvitamin D<inf>3</inf> [25(OH)D<inf>3</inf>] between spring and autumn (means 14–17 nmol/1, <it>P</it><0.002). No significant seasonal changes were seen in patients on long-stay wards [(GW) serum 25(OH)D<inf>3</inf> 9.5 and 9.5 nmol/1] and in day-hospital attenders [(GDH) 25 and 26.8 nmol/1]. Significant differences (<it>P</it><0.02 to <it>P</it><0.0001) were found between the mean serum 25(OH)D<inf>3</inf> amongst the three groups. A significant linear relationship (r=0.84, <it>P</it>=0.036) was found between mean serum 25-hydroxyvitamin D<inf>2</inf>[25(OH)D<inf>2</inf>] and dietary vitamin D<inf>2</inf>. The intake of vitamin D was suboptimal in all groups. The incidence of 25-hydroxyvitamin D deficiency [25(OH)D<12.5 nmol/1] varied from 11.7% of residents in LAH in autumn to 47% of GW patients in spring; but hypocalcaemia occurred less often (LAH 1.3% in autumn, GW 4.7% in spring). The diet assumes a greater role in protecting against vitamin D deficiency when the total 25(OH)D is low. Because most diets contain insufficient amounts of vitamin D, elderly institutionalized people will remain at high risk of developing vitamin D deficiency unless specific preventative measures are adopted.
Oxford University Press
1986-03-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/15/2/77
http://dx.doi.org/10.1093/ageing/15.2.77
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/842015-05-19HighWireOUPageing:15:2
LOW-DOSE SUBCUTANEOUS HEPARIN IN THE PREVENTION OF DEEP-VEIN THROMBOSIS AND PULMONARY EMBOLI FOLLOWING ACUTE STROKE
MCCARTHY, S. T.
TURNER, J.
Articles
Venous thrombo-embolism is a major and often unrecognized cause of morbidity and mortality in patients after acute strokes. Three hundred and five elderly patients were randomly allocated to either control (161) or treatment (144) with 5000 units calcium heparin subcutaneously 8-hourly for two weeks. A reduction in deep-vein thrombosis rate from 72.7% in the control group to 22.2% in treatment patients was achieved. In patients who died (84), post-mortem examination to look for pulmonary emboli was performed in 71. Comparison between treated and untreated patients showed significantly fewer deaths and pulmonary emboli in the treated group. Most of the beneficial effect on mortality was seen in patients with lighter strokes. When patients with pulmonary emboli at post-mortem were excluded, there was no significant difference in the death rate in treatment (17) and control (14) groups. At post-mortem, 9.9% of the strokes were haemorrhagic (4 in the treatment and 3 in the control group). Low-dose calcium heparin given subcutaneously following acute stroke reduced the number of deep-vein thromboses, pulmonary emboli and deaths without increasing the number of haemorrhagic strokes in this study.
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/84
http://dx.doi.org/10.1093/ageing/15.2.84
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/892015-05-19HighWireOUPageing:15:2
ATRIAL FIBRILLATION AND STROKE IN ELDERLY HOSPITALIZED PATIENTS
TRESEDER, A. S.
SASTRY, B. S. D.
THOMAS, T. P. L.
YATES, M. A.
PATHY, M. L. J.
Articles
Of 4100 consecutive admissions to the Department of Geriatric Medicine, 414 patients (10.1%) were identified as having atrial fibrillation (AF); 138 (33%) had transient AF and 276 (67%) had constant AF. In the constant group, 41.7% of patients had had a stroke compared with 26.8% in the transient group (<it>P</it><0.01). A random sample of 200 patients in sinus rhythm from the 4100 admissions had a stroke prevalence of 19%. This study suggests that constant AF has a greater association with stroke than transient AF.
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/89
http://dx.doi.org/10.1093/ageing/15.2.89
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/932015-05-19HighWireOUPageing:15:2
CIRCADIAN RHYTHMS OF HEART RATE AND PREMATURE VENTRICULAR BEATS IN THE AGED
TAMMARO, A. E.
CASALE, G.
MCOLA, P. DE
Articles
The chronobiological analysis by means of the cosinor method on the dynamic electrocardiographic tracings of 30 subjects aged over 65 years with no clinical or instrumental signs of heart disease revealed a significant circadian rhythm of heart rate with acrophase in the early afternoon. When compared with a group of 30 young adult subjects, the elderly exhibited only a non-significant reduction of the rhythm amplitude. Elderly patients with heart disease exhibited a similar chronobiological pattern of heart rate. Premature ventricular beats (PVB<inf>s</inf>) were present in all subjects and occurred mostly during the day. A significant circadian rhythm was present only in elderly heart patients with 30–150 PVB<inf>s</inf>/h. The circadian distribution of PVBs showed significant inter-individual differences with nocturnal acrophase in about one third of the patients. The chronobiological analysis can represent the basis for a more appropriate therapeutic approach to the elderly with PVBs.
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/93
http://dx.doi.org/10.1093/ageing/15.2.93
en
Copyright (C) 1986, British Geriatrics Society
oai:open-archive.highwire.org:ageing:15/2/992015-05-19HighWireOUPageing:15:2
SYMPTOMS OF MYOCARDIAL INFARCTION IN OLD AGE: CLINICAL CASE, RETROSPECTIVE AND PROSPECTIVE STUDIES
WROBLEWSKI, MAREK
MIKULOWSKI, PAWEL
STEEN, BERTIL
Articles
In a clinical case study (n=71), a retrospective study (n=96), and a prospective study (n=60, 10 cases and 50 controls)—all of a duration of three years—prevalence and kind of symptoms of myocardial infarction in geriatric long-term care patients were studied. The findings suggest a low diagnostic accuracy of acute myocardial infarction in the elderly. The clinical features seem to be different compared to those of younger patients. Intense dyspnoea, syncope and weakness are more common than chest pain.
Oxford University Press
1986-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/15/2/99
http://dx.doi.org/10.1093/ageing/15.2.99
en
Copyright (C) 1986, British Geriatrics Society