Journal of Aging Research The latest articles from Hindawi Publishing Corporation © 2015 , Hindawi Publishing Corporation . All rights reserved. Health Status and Health Determinants of Older Immigrant Women in Canada: A Scoping Review Mon, 27 Jul 2015 06:12:45 +0000 Increasing international migration in the context of aging populations makes a comprehensive understanding of older immigrant women’s health status and determinants of their health particularly urgent. Using Arksey and O’Malley’s framework, we conducted a scoping review to examine the available literature on the health of older immigrant women in Canada. We searched CINAHL, PsycINFO, Embase, Medline, and Cochrane databases for the period of 1990 to 2014 for Canadian-based, peer-reviewed studies on the topic. A total of 20 articles met the inclusion criteria. These articles were divided into six areas of focus: physical health; mental health; abuse; health promotion and chronic disease prevention; barriers to healthcare access and utilization; and health beliefs, behaviours, and practices. Our results show that the health of older immigrant women is affected by the interplay of various social determinants of health including the physical and social environment; economic conditions; cultural beliefs; gendered norms; and the healthcare delivery system. Our results also revealed that older immigrant women tend to have more health problems, underutilize preventive services, such as cancer screening, and experience more difficulties in accessing healthcare services. Sepali Guruge, Birpreet Birpreet, and Joan A. Samuels-Dennis Copyright © 2015 Sepali Guruge et al. All rights reserved. Cumulative Weight Exposure Is Associated with Different Weight Loss Strategies and Weight Loss Success in Adults Age 50 or Above Thu, 28 May 2015 14:10:58 +0000 Objectives. To evaluate if cumulative weight exposure is associated with weight loss strategy choices and weight loss success. Methods. Data from the National Health and Nutrition Examination Survey were used; a total of 4,562 people age 50 years or older who reported trying to lose weight in the last year were studied. Cumulative weight exposure (CWE) score was defined as the sum of body mass index points above 25 kg/m2 at the age of 25, 10 years ago, 1 year ago, and now. Weight loss strategies were self-reported and weight loss success was defined as reaching a 5% weight loss in the last year. Results. Chosen strategies for weight loss vary across tertiles of CWE. Participants in the highest CWE tertile were about 4 to 20 times more likely to lose at least 5% of body weight in the past year compared to those in the lowest CWE tertile ().  Discussion. Strategies used to lose weight and weight loss success using different weight loss strategies vary considerably across cumulative weight exposure. Thus, cumulative weight exposure might be a variable worth considering when intervening with this population. Martin Sénéchal, Jana Slaght, and Danielle R. Bouchard Copyright © 2015 Martin Sénéchal et al. All rights reserved. Intramuscular Olanzapine in the Management of Behavioral and Psychological Symptoms in Hospitalized Older Adults: A Retrospective Descriptive Study Sun, 24 May 2015 11:30:57 +0000 Background. While behavioral and psychological symptoms are frequent in hospitalized older adults with dementia or delirium, data supporting the off-label use of intramuscular atypical antipsychotics remain scarce. We examined the use of short-acting intramuscular (IM) olanzapine in hospitalized older adults to manage behavioral and psychological symptoms. Methods. A retrospective observational study of inpatients 65 years or older with at least one order for olanzapine IM during admission in urban Ontario Canada was conducted. Patient demographics, prescriptions for olanzapine IM, reason for administration, perceived effectiveness, adverse events, concurrently prescribed psychotropics, comorbidities, and patient discharge destination were recorded. Results. Among 82 patients aged 65–96 years (mean ± SD 79.3 ± 7.7) 85 cases were identified. Cognitive impairment or dementia affected 63.5% and 50.6% had comorbidities. Olanzapine IM was ordered 102 times and 34 patients (41%) received at least one dose. The intended efficacy was achieved in 79.4% of 78 cases of 124 doses given (62.9%). Fourteen (41%) patients who received doses experienced adverse events, with sedation and hypotension being the most common. Conclusions. Olanzapine IM appears effective in hospitalized older adults but is associated with potential adverse events. Structured monitoring and documentation are needed to ensure safe use in this high-risk population. Silvia Duong, Kam-Tong Yeung, and Feng Chang Copyright © 2015 Silvia Duong et al. All rights reserved. An Open-Label Trial of Memantine for Cognitive Impairment in Patients with Posttraumatic Stress Disorder Tue, 12 May 2015 09:09:01 +0000 Background. Studies using standard neuropsychological instruments have demonstrated memory deficits in patients with PTSD. We evaluated the efficacy and safety of the N-methyl-D-aspartate antagonist memantine in veterans with PTSD and cognitive impairment. Methods. Twenty-six veterans with PTSD and cognitive impairment received 16 weeks of memantine in an open-label fashion. Cognition was assessed using the Spatial Span, Logical Memory I, and Letter-Number Sequencing subtests of the Wechsler Memory Scale III and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). RBANS measures attention, language, visuospatial skills, and immediate and delayed memories. The Clinician Administered PTSD Scale (CAPS), Hamilton Depression Scale (HAM-D), Hamilton Anxiety Scale (HAM-A), Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q), and Sheehan Disability Scale (SDS) were secondary outcome measures. Results. There was a significant improvement in RBANS, both total and subscale scores (), over time. There was a reduction in total CAPS scores, avoidance/numbing symptoms (CAPS-C) and hyperarousal symptoms (CAPS-D), HAM-D, Q-LES-Q, and SDS scores. However, there was no reduction in reexperiencing (CAPS-B) and HAM-A scores. Memantine was well tolerated. Conclusions. Memantine improved cognitive symptoms, PTSD symptoms, and mood in veterans with PTSD. Randomized double-blind studies are needed to validate these preliminary observations. Sriram Ramaswamy, Jayakrishna Madabushi, John Hunziker, Subhash C. Bhatia, and Frederick Petty Copyright © 2015 Sriram Ramaswamy et al. All rights reserved. Older Primary Care Patients’ Attitudes and Willingness to Screen for Dementia Mon, 20 Apr 2015 07:07:01 +0000 Objective. To understand older primary care patients’ perceptions of the risks and benefits of dementia screening and to measure the association between attitudes and screening behaviors. Methods. Eligible patients completed the Perceptions Regarding Investigational Screening for Memory in Primary Care (PRISM-PC) questionnaire and then were asked to undergo dementia screening by a telephone screening instrument. Results. Higher scores on the PRISM-PC questionnaire items that measure attitudes about benefits of screening were associated with decreased odds of refusing screening. Participants who refused screening had significantly lower PRISM-PC questionnaire scores on the items that measure perceived benefits compared to those who agreed to screening. Participants who refused screening were less likely to agree on screening for other conditions, such as depression and cancer. Participants who know someone with Alzheimer’s disease (AD) were less likely to refuse screening. Discussion. Patients’ attitudes about the benefits of dementia screening are associated with their acceptance of dementia screening. Nicole R. Fowler, Anthony J. Perkins, Hilary A. Turchan, Amie Frame, Patrick Monahan, Sujuan Gao, and Malaz A. Boustani Copyright © 2015 Nicole R. Fowler et al. All rights reserved. 10-Hydroxy-2-decenoic Acid, the Major Lipid Component of Royal Jelly, Extends the Lifespan of Caenorhabditis elegans through Dietary Restriction and Target of Rapamycin Signaling Thu, 19 Feb 2015 07:02:02 +0000 Royal jelly (RJ) produced by honeybees has been reported to possess diverse health-beneficial properties and has been implicated to have a function in longevity across diverse species as well as honeybees. 10-Hydroxy-2-decenoic acid (10-HDA), the major lipid component of RJ produced by honeybees, was previously shown to increase the lifespan of Caenorhabditis elegans. The objective of this study is to elucidate signaling pathways that are involved in the lifespan extension by 10-HDA. 10-HDA further extended the lifespan of the daf-2 mutants, which exhibit long lifespan through reducing insulin-like signaling (ILS), indicating that 10-HDA extended lifespan independently of ILS. On the other hand, 10-HDA did not extend the lifespan of the eat-2 mutants, which show long lifespan through dietary restriction caused by a food-intake defect. This finding indicates that 10-HDA extends lifespan through dietary restriction signaling. We further found that 10-HDA did not extend the lifespan of the long-lived mutants in daf-15, which encodes Raptor, a target of rapamycin (TOR) components, indicating that 10-HDA shared some longevity control mechanisms with TOR signaling. Additionally, 10-HDA was found to confer tolerance against thermal and oxidative stress. 10-HDA increases longevity not through ILS but through dietary restriction and TOR signaling in C. elegans. Yoko Honda, Yoko Araki, Taketoshi Hata, Kenji Ichihara, Masafumi Ito, Masashi Tanaka, and Shuji Honda Copyright © 2015 Yoko Honda et al. All rights reserved. The Relationship between Intramuscular Adipose Tissue, Functional Mobility, and Strength in Postmenopausal Women with and without Type 2 Diabetes Tue, 27 Jan 2015 09:25:18 +0000 Objectives. To determine (1) whether intramuscular adipose tissue (IntraMAT) differs between women with and without type 2 diabetes and (2) the association between IntraMAT and mobility and strength. Methods. 59 women ≥ 65 years with and without type 2 diabetes were included. A 1-Tesla MRI was used to acquire images of the leg. Timed-up-and-go (TUG) and grip strength were measured. Regression was used to determine associations between the following: (1) type 2 diabetes and IntraMAT (covariates: age, ethnicity, BMI, waist : hip ratio, and energy expenditure), (2) IntraMAT and TUG (covariates: diabetes, age, BMI, and energy expenditure), and (3) IntraMAT and grip strength (covariates: diabetes, age, height, and lean mass). Results. Women with diabetes had more IntraMAT. After adjustment, IntraMAT was similar between groups (diabetes mean [SD] = 13.2 [1.4]%, controls 11.8 [1.3]%, ). IntraMAT was related to TUG and grip strength, but the relationships became nonsignificant after adjustment for covariates (difference/percent IntraMAT [95% CI]: TUG = 0.041 seconds [−0.079–0.161], , grip strength = −0.144 kg [−0.335–0.066], ). Conclusions. IntraMAT alone may not be a clinically important predictor of functional mobility and strength; however, whether losses in functional mobility and strength are promoted by IntraMAT accumulation should be explored. Janet M. Pritchard, Sarah Karampatos, Karen A. Beattie, Lora M. Giangregorio, George Ioannidis, Stephanie A. Atkinson, Lehana Thabane, Hertzel Gerstein, Zubin Punthakee, Jonathan D. Adachi, and Alexandra Papaioannou Copyright © 2015 Janet M. Pritchard et al. All rights reserved. Efficacy of Female Rat Models in Translational Cardiovascular Aging Research Wed, 31 Dec 2014 09:24:03 +0000 Cardiovascular disease is the leading cause of death in women in the United States. Aging is a primary risk factor for the development of cardiovascular disease as well as cardiovascular-related morbidity and mortality. Aging is a universal process that all humans undergo; however, research in aging is limited by cost and time constraints. Therefore, most research in aging has been done in primates and rodents; however it is unknown how well the effects of aging in rat models translate into humans. To compound the complication of aging gender has also been indicated as a risk factor for various cardiovascular diseases. This review addresses the systemic pathophysiology of the cardiovascular system associated with aging and gender for aging research with regard to the applicability of rat derived data for translational application to human aging. K. M. Rice, J. C. Fannin, C. Gillette, and E. R. Blough Copyright © 2014 K. M. Rice et al. All rights reserved. The Combined Effects of Tai Chi, Resistance Training, and Diet on Physical Function and Body Composition in Obese Older Women Sun, 28 Dec 2014 09:16:50 +0000 Obesity is a major health problem in the USA, especially in minority populations over the age of 60 years, and the aging process can cause adverse effects on physical function. Previous research has shown that Tai Chi, resistance training (RT), and diet result in overall health improvements. However, the combination of these specific interventions has yet to be translated to obese older women in an urban setting. The purpose of this study was to examine a combined intervention on the primary outcomes of physical function and body composition. Using a nonrandomized design, 26 obese women ( years) completed a 12-week intervention; participants were assigned to an intervention (EXD) group or a control (CON) group. The EXD group () participated in Tai Chi, RT, and a dietary session. The CON group () was asked to continue their normal lifestyle. Timed up and go (TUG) time was reduced by seconds () in the EXD group while the CON group saw a borderline significant increase of 0.71 sec (). The combined intervention helped improve performance on TUG time, but there were no significant increases in other body composition or function measures. S. A. Maris, D. Quintanilla, A. Taetzsch, A. Picard, J. Letendre, L. Mahler, I. Lofgren, F. Xu, and M. J. Delmonico Copyright © 2014 S. A. Maris et al. All rights reserved. Sustainability Literacy of Older People in Retirement Villages Mon, 22 Dec 2014 10:13:32 +0000 With many developed countries experiencing the aging of the population, older people play a large role in contributing to environmental problems but also to environmental solutions. The purpose of this research is to understand the awareness and behavior of current older people living in retirement villages towards sustainability development. To achieve this, a sustainability literacy survey was conducted with 65 older residents of a private retirement village located 10 Km outside the Brisbane, Australia’s central business district (CBD). Most of residents recognized the importance of environment protection and would like to lead a more environmentally friendly lifestyle. In addition, the majority were willing to pay higher prices for a living environment with sustainable features. The importance of positive social communications was emphasized with most residents having established good relationships with others in the village. The findings provide an important insight into consumer perspectives regarding the sustainable features that should and can be incorporated into the village planning and development. Bo Xia, Jian Zuo, Martin Skitmore, Laurie Buys, and Xin Hu Copyright © 2014 Bo Xia et al. All rights reserved. Using Structured Observation and Content Analysis to Explore the Presence of Older People in Public Fora in Developing Countries Mon, 08 Dec 2014 00:10:11 +0000 There is a lack of research on the everyday lives of older people in developing countries. This exploratory study used structured observation and content analysis to examine the presence of older people in public fora and considered the methods’ potential for understanding older people’s social integration and inclusion. Structured observation occurred of public social spaces in six cities each located in a different developing country and in one city in the United Kingdom, together with content analysis of the presence of people in newspaper pictures and on television in the selected countries. Results indicated that across all fieldwork sites and data sources, there was a low presence of older people, with women considerably less present than men in developing countries. There was variation across fieldwork sites in older people’s presence by place and time of day and in their accompanied status. The presence of older people in images drawn from newspapers was associated with the news/non-news nature of the source. The utility of the study’s methodological approach is considered, as is the degree to which the presence of older people in public fora might relate to social integration and inclusion in different cultural contexts. Geraldine Nosowska, Kevin McKee, and Lena Dahlberg Copyright © 2014 Geraldine Nosowska et al. All rights reserved. Prevalence of Frailty Indicators and Association with Socioeconomic Status in Middle-Aged and Older Adults in a Swiss Region with Universal Health Insurance Coverage: A Population-Based Cross-Sectional Study Wed, 22 Oct 2014 11:18:03 +0000 Frailty prevalence in older adults has been reported but is largely unknown in middle-aged adults. We determined the prevalence of frailty indicators among middle-aged and older adults from a general Swiss population characterized by universal health insurance coverage and assessed the determinants of frailty with a special focus on socioeconomic status. Participants aged 50 and more from the population-based 2006–2010 Bus Santé study were included ( = 2,930). Four frailty indicators (weakness, shrinking, exhaustion, and low activity) were measured according to standard definitions. Multivariate logistic regressions were used to determine associations. Overall, 63.5%, 28.7%, and 7.8% participants presented no frailty indicators, one frailty indicator, and two or more frailty indicators, respectively. Among middle-aged participants (50–65 years), 75.1%, 22.2%, and 2.7% presented 0, 1, and 2 or more frailty indicators. The number of frailty indicators was positively associated with age, hypertension, and current smoking and negatively associated with male gender, body mass index, waist-to-hip ratio, and serum total cholesterol level. Lower income level but not education was associated with higher number of frailty indicators. Frailty indicators are frequently encountered in both older and middle-aged adults from the Swiss general population. Despite universal health insurance coverage, household income is independently associated with frailty. Idris Guessous, Jean-Christophe Luthi, Christopher Barrett Bowling, Jean-Marc Theler, Fred Paccaud, Jean-Michel Gaspoz, and William McClellan Copyright © 2014 Idris Guessous et al. All rights reserved. Geospatial Relationships between Awareness and Utilization of Community Exercise Resources and Physical Activity Levels in Older Adults Thu, 16 Oct 2014 07:28:44 +0000 Introduction. It is unclear if community-based fitness resources (CBFR) translate to heightened activity levels within neighboring areas. The purpose of this study was to determine whether awareness and utilization of fitness resources and physical activity differed depending on residential distance from CBFR. Methods. Four hundred and seventeen older adults ( years) were randomly recruited from three spatial tiers (≤1.6, >1.6 to ≤3.2, and >3.2 to 8.0 km) surrounding seven senior centers, which housed CBFR. Participants completed questionnaires on health history, CBFR, and physical activity, gathering data on CBFR awareness, utilization, and barriers, overall levels, and predictors to engagement in moderate to vigorous physical activity (MVPA). Results. Across spatial tiers, there were no differences in positive awareness rates of CBFR or CBFR utilization. Engagement in MVPA differed across spatial tiers , with the >3.2 to 8.0 km radius having the highest mean energy expenditure. Across all sites, age and income level were significant predictors of low and high amounts of MVPA, respectively, and current health status and lack of interest represented barriers to CBFR utilization . Conclusion. Closer proximity to CBFR did not impact awareness or utilization rates and had an inverse relationship with physical activity. Christopher J. Dondzila, Ann M. Swartz, Kevin G. Keenan, Amy E. Harley, Razia Azen, and Scott J. Strath Copyright © 2014 Christopher J. Dondzila et al. All rights reserved. Improving Quality of Life in Nursing Homes: The Structured Resident Interview Approach Thu, 09 Oct 2014 09:04:40 +0000 The quality of life (QOL) of the approximately 1.5 million nursing facility (NF) residents in the US is undoubtedly lower than desired by residents, families, providers, and policy makers. Although there have been important advances in defining and measuring QOL for this population, there is a need for interventions that are tied to standardized measurement and quality improvement programs. This paper describes the development and testing of a structured, tailored assessment and care planning process for improving the QOL of nursing home residents. The Quality of Life Structured Resident Interview and Care Plan (QOL.SRI/CP) builds on a decade of research on measuring QOL and is designed to be easily implemented in any US nursing home. The approach was developed through extensive and iterative pilot testing and then tested in a randomized controlled trial in three nursing homes. Residents were randomly assigned to receive the assessment alone or both the assessment and an individualized QOL care plan task. The results show that residents assigned to the intervention group experienced improved QOL at 90- and 180-day follow-up, while QOL of residents in the control group was unchanged. Howard B. Degenholtz, Abby L. Resnick, Natalie Bulger, and Lichun Chia Copyright © 2014 Howard B. Degenholtz et al. All rights reserved. Is the Cloze Procedure Appropriate to Evaluate Health Literacy in Older Individuals? Age Effects in the Test of Functional Health Literacy in Adults Thu, 11 Sep 2014 06:27:39 +0000 Health literacy has received increasing attention because of its importance for older individuals’ health, as studies have shown a close relation between older individuals’ health literacy and their health. Research also suggests that older individuals have low levels of health literacy, but this finding is variable and may depend on which health literacy test is used. Older individuals assessed with the Test of Functional Health Literacy (TOFHLA) score lower than younger individuals, but a previous study suggested that this may result from age-related differential item functioning (DIF) on the TOFHLA. The study reported here assessed age-related DIF in a sample of community-dwelling volunteers. Twenty-two percent of items were differentially more difficult for older individuals independent of their overall ability, and when these items were eliminated from the total score, age differences were no longer found. Performance on a working memory task predicted older but not younger individuals’ performance on the age-related items. At least part of older individuals’ apparent deficits in health literacy when assessed by the TOFHLA may be related to DIF on its items. The TOFHLA, and any measure that employs the cloze procedure to evaluate reading comprehension, should be used cautiously in older individuals. Raymond L. Ownby, Amarilis Acevedo, Drenna Waldrop-Valverde, and Robin J. Jacobs Copyright © 2014 Raymond L. Ownby et al. All rights reserved. Could Some Geriatric Characteristics Hinder the Prescription of Anticoagulants in Atrial Fibrillation in the Elderly? Wed, 10 Sep 2014 00:00:00 +0000 Several studies have reported underprescription of anticoagulants in atrial fibrillation (AF). We conducted an observational study on 142 out of a total of 995 consecutive ≥75 years old patients presenting AF (14%) when admitted in an emergency unit of a general hospital, in search of geriatric characteristics that might be associated with the underprescription of anticoagulation therapy (mostly antivitamin K at the time of the study). The following data was collected from patients presenting AF: medical history including treatment and comorbidities, CHADS2 score, ISAR scale (frailty), Lawton’s scale (ADL), GDS scale (mood status), MUST (nutrition), and blood analysis (INR, kidney function, and albumin). Among those patients for who anticoagulation treatment was recommended (73%), only 61% were treated with it. In the group with anticoagulation therapy, the following characteristics were observed more often than in the group without such therapy: a recent (≤6 months) hospitalization and medical treatment including digoxin or based on >3 different drugs. Neither the value of the CHADS2 score, nor the geriatric characteristics could be correlated with the presence or the absence of an anticoagulation therapy. More research is thus required to identify and clarify the relative importance of patient-, physician-, and health care system-related hurdles for the prescription of oral anticoagulation therapy in older patients with AF. Paule Denoël, Jacques Vanderstraeten, Pierre Mols, and Thierry Pepersack Copyright © 2014 Paule Denoël et al. All rights reserved. Employing a Participatory Research Approach to Explore Physical Activity among Older African American Women Thu, 21 Aug 2014 00:00:00 +0000 Introduction. Older African American women are particularly vulnerable to unhealthy lifestyle behaviors such as physical inactivity and the resultant chronic diseases and conditions. This study explored older African American women’s perception of physical activity as well as facilitators of and barriers to being physically active in their local environment. Methods. Using a participatory research approach, a total of 7 women aged 65 years and over had their PA level assessed objectively through accelerometry. In addition, physical activity was discussed through the photo-elicitation procedure, which was supplemented by semistructured interviews. Qualitative thematic analysis was used to identify patterns and themes emerging from participants’ interview. Results. Participants exhibited low levels of physical activity and viewed “physical activity” to be a broadly defined, nonspecific construct. Interviews revealed that many participants lack important knowledge about physical activity. A variety of personal, social, and environmental facilitators and barriers were reported by the participants. Conclusion. Efforts should be made towards clarifying information on physical activity in this population in order to help them incorporate physical activity into their routines, overcome barriers, and make use of opportunities to be active. Emerson Sebastião, Kelechi Ibe-Lamberts, Julie Bobitt, Andiara Schwingel, and Wojtek Chodzko-Zajko Copyright © 2014 Emerson Sebastião et al. All rights reserved. Factors Affecting Mortality in Elderly Patients Hospitalized for Nonmalignant Reasons Sun, 03 Aug 2014 00:00:00 +0000 Elderly population is hospitalized more frequently than young people, and they suffer from more severe diseases that are difficult to diagnose and treat. The present study aimed to investigate the factors affecting mortality in elderly patients hospitalized for nonmalignant reasons. Demographic data, reason for hospitalization, comorbidities, duration of hospital stay, and results of routine blood testing at the time of first hospitalization were obtained from the hospital records of the patients, who were over 65 years of age and hospitalized primarily for nonmalignant reasons. The mean age of 1012 patients included in the study was 77.8 ± 7.6. The most common reason for hospitalization was diabetes mellitus (18.3%). Of the patients, 90.3% had at least a single comorbidity. Whilst 927 (91.6%) of the hospitalized patients were discharged, 85 (8.4%) died. Comparison of the characteristics of the discharged and dead groups revealed that the dead group was older and had higher rates of poor general status and comorbidity. Differences were observed between the discharged and dead groups in most of the laboratory parameters. Hypoalbuminemia, hypertriglyceridemia, hypopotassemia, hypernatremia, hyperuricemia, and high TSH level were the predictors of mortality. In order to meet the health necessities of the elderly population, it is necessary to well define the patient profiles and to identify the risk factors. Teslime Ayaz, Serap Baydur Sahin, Osman Zikrullah Sahin, Ozlem Bilir, and Halil Rakıcı Copyright © 2014 Teslime Ayaz et al. All rights reserved. Psychological Impacts among Older and Younger People Living with HIV/AIDS in Nanning, China Mon, 14 Jul 2014 10:03:53 +0000 Objectives. The HIV epidemic has drastically increased among older adults in China, yet little research has examined the psychological impacts among older and younger people living with HIV/AIDS (PLWHAs). This study examined and compared self-efficacy, depression, well-being, and quality of life among older and younger PLWHAs in China. Method. A two-stage sampling procedure was used to recruit a final sample of 148 participants. Older adults were defined as age 50 and older. Result. Compared to younger PLWHAs aged 18–49 years old, older PLWHAs reported lower levels of well-being (7.6 versus 11.4), higher levels of depression (18.6 versus 15.8), and poorer quality of life. Self-efficacy was similar among older (23.9) and younger (24.6) PLWHAs. A higher level of depression among older PLWHAs was associated with much lower levels of subjective well-being and quality of life (physical health and psychological health). Conclusion. The findings suggest that older PLWHAs face psychological problems and mental health challenges beyond those experienced by younger PLWHAs. Intervention programs dedicated to improving mental health and quality of life are greatly needed for HIV infected older adults. Hongjie Liu, Xin He, Judith A. Levy, Yongfang Xu, Chunpeng Zang, and Xinqin Lin Copyright © 2014 Hongjie Liu et al. All rights reserved. The Relationship between Health and Community across Aging Cohorts Tue, 10 Jun 2014 06:51:42 +0000 Research is needed to examine the connection between older adults and their community as they age. This is important as increasing numbers of older adults wish to age in place. Regression models were examined across 3 cohorts testing relationships among social capital indicators (neighborhood trust, neighborhood support, neighborhood cohesion, neighborhood participation, and telephone interaction) with health outcomes (self-rated health, activities of daily living (ADL), and instrumental activities of daily living (IADL)). Results showed that most social capital indicators remained significant for all health outcomes into very old age. Development of tools for individual and community interventions to ensure optimal fit between the aging individual and their environment is discussed, along with recommendations for enhancing social work theory and practice. Julie Norstrand and Keith T. Chan Copyright © 2014 Julie Norstrand and Keith T. Chan. All rights reserved. A Brief Report on the Factor Structure of the Cognitive Measures in the HRS/AHEAD Studies Wed, 28 May 2014 11:33:11 +0000 Using cognitive data from the Health and Retirement Study and Asset Health Dynamics Among the Oldest Old studies that were collected between 1992 and 2004, McArdle and colleagues (2007) found that a two-factor model (episodic memory and mental status) fit better than a one-factor model. The question that was addressed in the present study was whether these results would replicate in newer cohorts of data, collected between 2006 and 2010. We also tested age, education, and gender as predictors of the identified factors. Results confirm that a two-factor structure fits better than the single-factor model in the newer cohorts. Differential predictors were also observed. A. Nayena Blankson and John J. McArdle Copyright © 2014 A. Nayena Blankson and John J. McArdle. All rights reserved. Accelerometer Derived Activity Counts and Oxygen Consumption between Young and Older Individuals Mon, 26 May 2014 00:00:00 +0000 The purpose of this investigation was to compare accelerometer activity counts and oxygen consumption between young and elderly individuals. Sixteen young ( yrs) and sixteen elderly ( yrs) participants completed 30 minutes of resting oxygen consumption to determine resting metabolic rate and four 6 min walking intensities ranging from 27 to 94 mmin−1. Resting oxygen uptake was significantly lower for the older participants. Exercise oxygen consumption was significantly higher for the elderly group. There were no significant differences in activity counts between groups at each of the exercise intensities. When using measured resting metabolic rate, activity counts of 824 and 2207 countsmin−1 were associated with moderate (3 METs) physical activity intensity for the older and young participants, respectively. However, using standard resting metabolic rate (3.5 mLkg−1min−1), activity counts of 784 and 2009 countsmin−1 were associated with moderate physical activity intensity for the elderly and young participants, respectively. These findings indicate that activity counts are similar across age groups even though the oxygen consumption of exercise is greater among elderly individuals. Lucas Whitcher and Charilaos Papadopoulos Copyright © 2014 Lucas Whitcher and Charilaos Papadopoulos. All rights reserved. Redundant Vasodilator Pathways Underlying Radial Artery Flow-Mediated Dilation Are Preserved in Healthy Aging Wed, 21 May 2014 06:41:49 +0000 Background. Blocking nitric oxide (NO) and vasodilator prostanoids (PN) does not consistently reduce flow-mediated dilation (FMD) in young adults. The impact of aging on the contribution of NO and PG to FMD is unknown. Methods. FMD was measured in older adults (,  y) after arterial infusion of saline, N(G)-monomethyl-L-arginine (L-NMMA), and ketorolac + L-NMMA. Data were compared to published data in young adults. Results. L-NMMA reduced FMD in older adults ( to ) although this was not statistically significant () and did not differ () from the reduction observed in young adults ( to ; ). Blocking PN did not affect FMD in young or older adults. In older adults, L-NMMA reduced (; range = 36–123% decrease), augmented (; 10–122% increase), or did not change FMD (; 0.4% increase). After PN blockade, FMD responses were reduced (), augmented (), or unaffected (). Conclusions. NO or PN blockade did not consistently reduce FMD in healthy older adults, suggesting the existence of redundant vasodilator phenotypes as observed previously in young adults. Kevin D. Ballard, Michael E. Tschakovsky, Amanda L. Zaleski, Donna M. Polk, Paul D. Thompson, Francis J. Kiernan, and Beth A. Parker Copyright © 2014 Kevin D. Ballard et al. All rights reserved. Interactions between Identity and Emotional Expression in Face Processing across the Lifespan: Evidence from Redundancy Gains Tue, 15 Apr 2014 12:18:22 +0000 We tested how aging affects the integration of visual information from faces. Three groups of participants aged 20–30, 40–50, and 60–70 performed a divided attention task in which they had to detect the presence of a target facial identity or a target facial expression. Three target stimuli were used: (1) with the target identity but not the target expression, (2) with the target expression but not the target identity, and (3) with both the target identity and target expression (the redundant target condition). On nontarget trials the faces contained neither the target identity nor expression. All groups were faster in responding to a face containing both the target identity and emotion compared to faces containing either single target. Furthermore the redundancy gains for combined targets exceeded performance limits predicted by the independent processing of facial identity and emotion. These results are held across the age range. The results suggest that there is interactive processing of facial identity and emotion which is independent of the effects of cognitive aging. Older participants demonstrated reliably larger size of the redundancy gains compared to the young group that reflect a greater experience with faces. Alternative explanations are discussed. Alla Yankouskaya, Pia Rotshtein, and Glyn W. Humphreys Copyright © 2014 Alla Yankouskaya et al. All rights reserved. Erratum to “Sarcopenia, A Neurogenic Syndrome?” Tue, 15 Apr 2014 00:00:00 +0000 Ping Kwan Copyright © 2014 Ping Kwan. All rights reserved. The Use of Session RPE to Monitor the Intensity of Weight Training in Older Women: Acute Responses to Eccentric, Concentric, and Dynamic Exercises Sun, 13 Apr 2014 13:23:40 +0000 The rating of perceived exertion (RPE) is ability to detect and interpret organic sensations while performing exercises. This method has been used to measure the level of effort that is felt during weight-training at a given intensity. The purpose of this investigation was to compare session RPE values with those of traditional RPE measurements for different weight-training muscle actions, performed together or separately. Fourteen women with no former weight-training experience were recruited for the investigation. All participants completed five sessions of exercise: familiarization, maximum force, concentric-only (CONC-only), eccentric-only (ECC-only), and dynamic (DYN = CONC + ECC). The traditional RPE method was measured after each series of exercises, and the session RPE was measured 30 min after the end of the training session. The statistical analyses used were the paired t-test, one-way analysis of variance, and repeated measures analysis of variance. Significant differences between traditional RPE and session RPE for DYN, CONC, and ECC exercises were not found. This investigation demonstrated that session RPE is similar to traditional RPE in terms of weight-training involving concentric, eccentric, or dynamic muscle exercises, and that it can be used to prescribe and monitor weight-training sessions in older subjects. Sandro S. Ferreira, Kleverton Krinski, Ragami C. Alves, Mariana L. Benites, Paulo E. Redkva, Hassan M. Elsangedy, Cosme F. Buzzachera, Tácito P. Souza-Junior, and Sergio G. da Silva Copyright © 2014 Sandro S. Ferreira et al. All rights reserved. Blood Transfusion Reactions in Elderly Patients Hospitalized in a Multilevel Geriatric Hospital Thu, 03 Apr 2014 08:52:54 +0000 Background/Objectives. Blood transfusion is a critical issue for patients with chronic diseases such as heart failure, chronic kidney disease, and malignancy. However, side effects are not rare. The purpose of the study is to evaluate the frequency of adverse blood transfusion reactions in hospitalized elderly patients during a one-year period. Design/Setting/Participants. Blood transfusion reactions such as fever, chills, dyspnea, and others following blood transfusions in hospitalized geriatric patients during one-year period were examined. Results. 382 blood units (242 patients) were administered during the study period. In 40 (11%) cases, blood transfusion reactions occurred. Fever was the most common reaction in 29 cases (72%), four (10%) had shortness of breath, and 3 (8%) had vomiting and chills each. There were no lethal cases in the 24-hour period following blood transfusions. Conclusion. A relatively low rate of adverse blood transfusion reactions occurred in our geriatric patients. We may speculate that this is related to underreporting of minor symptoms due to the high percentage of demented patients in this population. E. Lubart, R. Segal, N. Tryhub, E. Sigler, and A. Leibovitz Copyright © 2014 E. Lubart et al. All rights reserved. Sources of Life Strengths Appraisal Scale: A Multidimensional Approach to Assessing Older Adults’ Perceived Sources of Life Strengths Sun, 09 Mar 2014 07:46:44 +0000 Both cognitive and psychosocial theories of adult development stress the fundamental role of older adults’ appraisals of the diverse sources of cognitive and social-emotional strengths. This study reports the development of a new self-appraisal measure that incorporates key theoretical dimensions of internal and external sources of life strengths, as identified in the gerontological literature. Using a pilot study sample and three other independent samples to examine older adults’ appraisals of their sources of life strengths which helped them in their daily functioning and to combat life challenges, adversity, and losses, a psychometric instrument having appropriate reliability and validity properties was developed. A 24-month followup of a randomly selected sample confirmed that the nine-scale appraisal measure (SLSAS) is a promising instrument for appraising older adults’ sources of life strengths in dealing with stresses of daily life’s functioning and also a robust measure for predicting outcomes of resilience, autonomy, and well-being for this age group. A unique strength of the appraisal instrument is its critically relevant features of brevity, simplicity of language, and ease of administration to frail older adults. Prem S. Fry and Dominique L. Debats Copyright © 2014 Prem S. Fry and Dominique L. Debats. All rights reserved. Gray and Green Revisited: A Multidisciplinary Perspective of Gardens, Gardening, and the Aging Process Thu, 06 Mar 2014 11:37:41 +0000 Over fourteen years ago, the concept of “gray and green” was first introduced by Wright and Lund (2000) to represent a new awareness and a call for increased scholarship at the intersection of environmental issues and the aging process. This review paper revisits that concept with a fresh perspective on the specific role of gardens and gardening in the aging experience. As example, gardening is one of the most popular home-based leisure activities in the US and represents an important activity in the lives of older adults in a variety of residential settings. Yet, there has been a lack of any comprehensive and multidisciplinary (science and humanities) examination of the nexus between gardening and the aging experience, and in particular with research connections to stewardship and caring. In this paper, we review contemporary articles demonstrating the multidisciplinarity of gardening and the aging process. First, we will focus on the beneficial psychological effects resulting from the cultivation of caring, including personal contentment and artistic expression. Second, we will focus on stewardship and how gardening increases health, community awareness, and a connection to future generations. On the surface, this may demonstrate a separation between the humanities and science, but we will clarify a symbiotic relationship between the two disciplines in our conclusion. Scott D. Wright and Amy Maida Wadsworth Copyright © 2014 Scott D. Wright and Amy Maida Wadsworth. All rights reserved. Effect of Posture Training with Weighted Kypho-Orthosis (WKO) on Improving Balance in Women with Osteoporosis Thu, 06 Mar 2014 07:30:53 +0000 Objectives. To determine the effect of weighted kypho-orthosis (WKO) on improving balance in women with osteoporosis. In this nonrandomized controlled clinical trial, 31 patients with osteoporosis were included. The patients were assigned to two groups: (1) control group who received 4-week home-based daily exercise program including weight bearing, back strengthening, and balance exercises and (2) intervention group (WKO) who performed aforementioned exercises and wore WKO for one hour twice a day. Patients were assessed using clinical balance tests (timed up and go test, functional reach test, and unilateral balance test) before and 4 weeks after start of treatment. Results. Functional reach and timed up and go test were improved significantly in both groups compared to baseline. The improvement in intervention group was more significant in comparison to control group (). Discussion. Posture training with WKO together with exercise program improved two clinical balance tests in women with osteoporosis. Conclusion. Posture training support (PTS) applied as WKO together with back extension exercises can be prescribed as an intervention in elderly women in order to reduce the risk of falling. Seyed Ahmad Raeissadat, Leyla Sedighipour, Safura Pournajaf, Reza Vahab Kashani, and Shahram Sadeghi Copyright © 2014 Seyed Ahmad Raeissadat et al. All rights reserved.