- Frailty in Older Adults
- Nutrition and Health in Aging
- Health disparities and outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Hip and Femur Fractures
- Physical Activity and Health
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Systems and Public Health
- Dementia and Cognitive Impairment Research
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Chronic Disease Management Strategies
- Technology Use by Older Adults
- Balance, Gait, and Falls Prevention
- Geriatric Care and Nursing Homes
- Dialysis and Renal Disease Management
- COVID-19 and healthcare impacts
- Mobile Health and mHealth Applications
- Diabetes Management and Education
- Obesity, Physical Activity, Diet
- Intensive Care Unit Cognitive Disorders
- Multisensory perception and integration
- Telemedicine and Telehealth Implementation
- Aging and Gerontology Research
- Diabetes Treatment and Management
- Health, Environment, Cognitive Aging
University of Chicago
2015-2024
University of Illinois Chicago
2019-2024
University of Chicago Medical Center
2022-2023
John Wiley & Sons (United States)
2023
University of California, Riverside
2020
Society of Thoracic Surgeons
2017
Valve (United States)
2017
Emory and Henry College
2017
Montreal Heart Institute
2015
Virginia Department of Environmental Quality
2015
Objectives To determine whether there may be a common mechanism resulting in global sensory impairment of the five classical senses (vision, smell, hearing, touch, and taste) older adults. Design Representative, population‐based study. Setting National Social Life, Health, Aging Project. Participants Community‐dwelling U.S. adults aged 57 to 85. Measurements The frequency with which co‐occurred across was estimated as an integrated measure aging. It hypothesized that multisensory deficits...
The goals of this paper were: (a) to promote research using the National Social Life, Health and Aging Project (NSHAP) Wave 2 data by providing relevant background information for a broad range chronic conditions (b) provide framework combining these into informative comorbidity indices. measured in NSHAP were grouped across several health domains: cardiovascular, endocrine metabolic, cancer, lung, inflammatory bone, neurological, sensorimotor. Prevalences each condition reported as...
Medical care delivery has been substantially disrupted during the coronavirus disease 2019 (COVID-19) pandemic, leading to delays in medical care, particularly among older adults. Less is known about how these have affected different segments of this population. Understanding negative health consequences adults face from delayed will provide critical insights into longer-term population needs following pandemic.We used data a COVID-19 substudy embedded nationally representative longitudinal...
Most measures of cognitive function used in large-scale surveys older adults have limited ability to detect subtle differences across domains, and standard clinical instruments are impractical administer general surveys. The Montreal Cognitive Assessment (MoCA) can address this need, but has limitations a survey context. Therefore, we developed adaptation the MoCA, called MoCA-SA, describe its psychometric properties large national survey. Using pretest sample (n=120), reduced MoCA...
Accelerometry measures older adult (in)activity with high resolution. Most studies summarize activity over the entire wear time. We extend prior work by analyzing hourly data to determine how frailty and other characteristics relate among adults. Using wrist accelerometry collected from National Social Life, Health Aging Project (n = 651), a nationally-representative probability sample of adults, we used mixed effects linear regression model logarithm counts per minute as function an adapted...
The geriatric functional measures and syndromes collected 5 years apart in Waves 1 2 of the National Social Life, Health, Aging Project (NSHAP) data set included: difficulty with activities daily living instrumental living, timed up go, a 3-m walk, repeated chair stands, self-reported physical activity, accelerometry-assessed (in)activity, falls, fractures, frailty. purpose this paper was to describe collection methods report preliminary population estimates for each measures.Frequencies,...
Introduction Accelerometers are increasingly used in research. Four to 7 days of monitoring is preferred estimate average activity but may be burdensome for older adults. We aimed investigate: 1) 7-day accelerometry protocol adherence, 2) demographic predictors 3) day the week effect, and 4) calculated from versus fewer among Methods 2003–2006 adult hip data National Health Nutrition Examination Survey (NHANES) sample. determined proportions with 1–7 valid (10–20 hours) wear identified...
To evaluate global sensory impairment (GSI, an integrated measure of dysfunction) as a predictor physical function, cognition, overall health, and mortality.Prospective study.The National Social Life, Health, Aging Project.A national probability sample 3,005 home-dwelling older U.S. adults assessed at baseline (2005-06) 5-year follow-up (2010-11).Gait speed, activity, disability, mortality.At baseline, with worse GSI were slower (Timed Up Go times: odds ratio (OR) = 1.32, 95% confidence...
Older adults receive important health benefits from more robust social capital. Yet, the mechanisms behind these associations are not fully understood. Some evidence suggests that higher levels of capital ultimately affect through alterations in physical activity (PA), but most this research has relied on self-reported PA. The aim study was to determine whether components capital, including network size and composition as well frequency participation various community activities, were...
Digital health technology has the potential to revolutionise geriatric care. The digital divide decreased among older adults,1The Lancet Healthy LongevityTackling divide.Lancet Longev. 2021; 2: e601Summary Full Text PDF Google Scholar and over a third of adults aged 50 years in USA already use for or independence.2Kakulla B Older embrace tech entertainment day-to-day living.https://www.aarp.org/research/topics/technology/info-2022/2022-technology-trends-older-americans.htmlDate: December,...
Abstract Background For older, frail adults, exercise before surgery through prehabilitation (prehab) may hasten return recovery and reduce postoperative complications. We developed a smartwatch-based prehab program (BeFitMe) for older adults that encourages tracks at-home exercise. The objective of this study was to assess patient perceptions about facilitators barriers generally using smartwatch among adult thoracic patients optimize future implementation. Methods recruited patients, aged...
Abstract Introduction “Frailty” has attracted attention for its promise of identifying vulnerable older adults, hence potential use to better tailor geriatric health care. There remains substantial controversy, however, regarding nature and ascertainment. Recent years have seen a proliferation frailty assessment methods. We argue that the development assessments should be grounded in “validation”—the process substantiating measurement accurately precisely measures what it intends, identify...
Abstract Background Mobility assessments are commonly used among older adults as risk stratification for falls, preoperative function, frailty, and mortality. We determined if gait speed self‐reported difficulty walking similarly associated with social isolation loneliness, which key markers of well‐being linked to health outcomes. Methods 2015–2016 data from the National Social life Health Aging Project (NSHAP), an in‐person nationally‐representative survey 2640 community‐dwelling ≥65 years...
Chronic obstructive pulmonary disease (COPD) predominantly affects older adults. However, the co-morbid occurrence of geriatric conditions has been understudied.Characterize prevalence among community-dwelling U.S. adults with self-reported COPD.We conducted a nationally representative, cross-sectional study 3,005 (ages 57-85 years) from National Social Life, Health, and Aging Project (NSHAP). We evaluated select (multimorbidity, functional disability, impaired physical function, low...
<b><i>Background:</i></b> Functional capacity assessment is a critical step in the preoperative evaluation to identify patients at increased risk of cardiac complications and disability after major noncardiac surgery. Smartphones offer potential objectively measure functional but are limited by inaccuracy with poor capacity. Open-source methods exist analyze accelerometer data estimate gait cadence (steps/min), which directly associated activity intensity. Here, we...
Coronavirus Disease 2019 (COVID-19) has had an impact on nutrition at individual, community, national, and global levels.1Naja F. Hamadeh R. Nutrition amid the COVID-19 pandemic: A multi-level framework for action.Eur J Clin Nutr. 2020; 74: 1117-1121Crossref PubMed Scopus (313) Google Scholar been associated with weight loss also linked to cachexia sarcopenia.2Morley J.E. Kalantar-Zadeh K. Anker S.D. COVID-19: major cause of sarcopenia?.J Cachexia Sarcopenia Muscle. 11: 863-865Crossref (130)...
Few studies present clinical management approaches and outcomes of coronavirus disease 2019 (COVID-19) outbreaks in skilled nursing facilities (SNFs). We describe a pathway for large COVID-19 outbreak an urban SNF with predominantly racial minority (>90% black), medically complex, older residents.
Objectives: Falls represent a significant cause of morbidity and mortality in older adults, are more common among those living alone. We aimed to determine if there is an association between loneliness falls. Methods: Participants were surveyed three waves separated by 5 years. used the three-item UCLA Loneliness Scale measure loneliness. Results: Data from 2337 respondents, with both fall data at least two consecutive waves, included. Over 51% respondents reported 23% ≥ In multivariate...