Abstract Background To halt the spread of COVID-19, Austria implemented a 7-week ‘lockdown’ in March/April 2020. We assess whether ensuing reduction social contacts led to increased loneliness among older adults (60+). Methods Three analyses were conducted: (i) comparison between pre-pandemic (SHARE: 2013–17) and pandemic (May 2020) levels (UCLA-3 scale), (ii) an assessment cross-sectional correlation being affected by COVID-19 restriction measures (iii) longitudinal analysis weekly changes...

Background Whether or not, and how, health inequalities change throughout older age is currently under debate. The goal of this study was to assess the net impact education, occupational class, income wealth on frailty trajectories among adults in Continental Europe. Methods We modelled index within a repeated cohort design community-dwelling population (50+) 10 countries, using growth curve models based 54 036 observations from 20 965 respondents 4 waves (2004–2013) Survey Health, Ageing...

Abstract Background Monitoring trajectories of intrinsic capacity (IC) in older adults has been suggested by the World Health Organization as a means to inform prevention avoid or delay negative health outcomes. Due lack longitudinal studies, it is currently unclear how IC changes over time and whether repeatedly measured predicts Methods Based on 4 751 repeated observations (range = 0–100) during 21 years follow-up among 754 70 older, we assessed IC, time-varying predicted risk chronic...

frailty fluctuations, that is, within-person up and down deviations from individual long-term index trajectories represent a hitherto both conceptually empirically untapped facet of among older adults. to assess the size fluctuations in old age their association with levels, growth as well sex socio-economic position. total 18,704 biannual observations 4,514 community-dwelling adults (65+) 10 European countries over 12 years Survey Health, Ageing Retirement Europe (SHARE) were analysed. A...

Previous research demonstrated substantial associations between frailty and depression in late life, but it remains unclear whether this relationship is best explained by reciprocal influences of these variables or common causes. This study investigated the interdependencies across time examining cross-lagged effects within individuals, while accounting for variability baseline levels long-term development individuals.We modeled longitudinal data from six panel waves gathered Survey Health,...

Abstract Background The frailty index (FI) is an established predictor of all-cause mortality among older adults, but less known with regard to cause-specific mortality, and whether the predictive power FI varies between men women by socio-economic position. Methods We assessed during 8 years follow-up (median = 7 years) population-representative sample adults (65 + , n 2,561) from European Health Interview Survey in Austria (ATHIS 2014). A at baseline was constructed 41 health deficits....

Previous research examining the relationship between loneliness and depressive symptoms often treated these constructs as static traits rather than dynamic states. The current study focused on short-term, prospective link symptoms, while also analyzing potential gender differences. We modeled panel data from seven bi-weekly assessments gathered in FRequent health Assessment In Later life (FRAIL70+) study. At baseline, sample size amounted to N = 426 community-dwelling older adults aged 70...

Frailty may represent a modifiable risk factor for dementia, but the direction of that association remains uncertain. We investigated frailty trajectories in years preceding dementia onset using data from 23,672 participants (242,760 person-years follow-up, 2,906 cases incident dementia) across four cohort studies United States and Kingdom. Bayesian non-linear models revealed accelerations 4-9 before dementia. Among whose time between measurement exceeded prodromal period, remained...

BackgroundPrevious research found poverty to be associated with adverse health outcomes among older adults but the factors that translate low economic resources into poor physical are not well understood. The goal of this analysis was assess impact material, psychosocial, and behavioural as education in explaining poverty-health link.

Recent research highlights the importance of both job resources and personal in demands-resources model. However, results previous studies on how these are related to each other they operate relation health-impairment process model ambiguous. Thus, authors tested an alternative model, considering be domains same underlying factor linking this process. Survey data two Austrian occupational samples (N 1 = 8657 N 2 9536) were analyzed using confirmatory analysis (CFA) structural equation...

Abstract Background Baseline frailty index (FI) values have been shown to predict mortality among older adults, but little is known about the effects of changes in FI on mortality. Methods In a coordinated approach, we analyzed data from 4 population-based cohorts: Health and Retirement Study (HRS), Survey Health, Ageing Europe (SHARE), English Longitudinal (ELSA), Aging Amsterdam (LASA), comprising total 24 961 respondents (65+), 95 897 observations, up 9 repeated assessments, 23 years...

Abstract The aim of this study was to investigate trends in frailty and its relationship with mortality among older adults aged 64–84 years across a period 21 years. We used data from 1995 2016 the Longitudinal Aging Study Amsterdam. A total 7,742 observations 2,874 respondents same age range (64–84 years) 6 measurement waves were included. Frailty measured 32-item index, cutpoint ≥0.25 indicate frailty. outcome measure 4-year mortality. Generalized estimating equation analyses showed that...

Consistent and reproducible estimates of the underlying true level frailty are essential for risk stratification monitoring health changes. The purpose this study is to examine reliability index (FI).

Abstract Background Previous research indicates that frailty and loneliness are interrelated. The aim of this study is to analyze their possible reciprocal relationship while disentangling between- within-person effects. separation these sources variance vital for a better understanding potential causal mechanisms. Methods Within the FRequent health Assessment In Later life (FRAIL70+) project, participants aged 70 over completed two measurement bursts spread one year apart with seven...

Passive suicide ideation (PSI) is common among older adults, but prevalences have been reported to vary considerably across European countries. The goal of this study was assess the role individual-level risk factors and societal contextual associated with PSI in old age. We analyzed longitudinal data from Survey Health, Ageing, Retirement Europe (SHARE) on 6,791 community-dwelling respondents (75+) 12 Bayesian logistic multilevel regression models were used variance components,...

Little is known about within-person frailty index (FI) changes during the last years of life. In this study, we assess whether there a phase accelerated health deficit accumulation (terminal decline) in late-life. A total 23,393 observations from up to 21 life 5713 deceased participants AHEAD cohort Health and Retirement Study were assessed. FI with 32 deficits was calculated for 10 successive biannual, self- proxy-reported assessments (1995–2014), according time-to-death analyzed piecewise...

Abstract Background It is unclear whether frailty index (FI) change captures mortality risk better than and independently of the current FI level, i.e. a regular assessment among older adults provides additional insights for stratification or not. Methods We used data from LASA 75-PLUS-study, which monitored health 508 (75+) between 2016 2019 every 9 months. Joint models longitudinal time-to-event were to assess impact both within-person during last year on risk. Results Twenty percent...

Importance An accessible marker of both biological age and dementia risk is crucial to advancing prevention treatment strategies. Although frailty a candidate for that role, the nature relationship between not well understood. Objective To clarify temporal incident by investigating trajectories in years preceding onset. Design, Setting, Participants Participant data came from 4 prospective cohort studies: English Longitudinal Study Ageing, Health Retirement Study, Rush Memory Aging Project,...

Euthanasia remains a controversial topic in both public discourses and legislation. Although some determinants of acceptance euthanasia physician-assisted death have been identified previous studies, there is still shortage information whether different forms are supported by the same or sub-populations authoritarian personality dispositions linked to attitudes towards euthanasia.A large, representative face-to-face survey was conducted Austria 2014 (n = 1,971). Respondents faced three...

The incidence of chancroid in Rotterdam has increased by more than five-fold during 1977-78. In a retrospective study 53 patients with seen at this clinic period, the results smears were positive 82% and cultures 84% (of those for whom had been performed). Symptoms generally mild. Treatment co-trimoxazole was highly effective clinically, as confirmed in-vitro sensitivity studies.

Abstract Background Previous research suggested that there might be distinct patterns of functional decline in the last years life depending on condition leading to death, but validity these results and hence explanatory value death for late-life disability are uncertain. Methods A total 636 decedents from a cohort 754 community-living persons, 70+ age (Yale PEP Study) provided 33 700 monthly observations self-/proxy-reported during 5 life. Nonlinear trajectories short-term fluctuations by...

Background : Back pain (BP) represents a widespread public health problem in Europe. The morbidity depends on several indicators, which must be investigated to discover risk groups. examination of trends socioeconomic developments should ensure better understanding the complex link between socioeconomic-status and BP. Therefore, role social inequalities for BP has been among Austrian subpopulations over 24-year period. Methods Self-reported data from nationally representative surveys...