There is accumulating evidence that involvement in leisure activities may be related to risk of dementia; however, there no consensus concerning the underlying mechanism this association. Hypothesizing contribute cognitive reserve (CR), we examined association between and incident dementia its subtypes within a general population sample, categorizing activity as stimulating, passive, physical, social. The possibility these associations driven by other proxies CR was also examined.Analyses...

Legal dispositions for advance care planning (ACP) are available but used by a minority of older adults in Switzerland. Some studies found that knowledge and perception those positively associated with their higher usage. The objective the present study is to test hypothesis an association between increased ACP more positive them. Data collected 2014 among 2125 Swiss community-dwellers aged 71 80 Lausanne cohort 65+ (Lc65+), population-based longitudinal on aging frailty. collection was...

OBJECTIVES The wish to die may be different in geriatric patients than younger terminally ill patients. This study aimed develop and validate instruments for assessing the DESIGN Cross‐sectional study. SETTING Geriatric rehabilitation unit of a university hospital. PARTICIPANTS Patients (N = 101) aged 65 years or older with Mini‐Mental State Examination score 20 higher, admitted consecutively over 5‐month period. MEASUREMENTS Schedule Attitudes Toward Hastened Death (SAHD) was adapted...

Numerous studies have attempted to identify predictors of institutionalization in the general population. Gender led inconsistent results. Some authors argued that older women were more likely than men use long-term care services, while others failed highlight a specific gender effect on services. The aim this study was assess effects preferences citizens for using panel disability situations.We used set ten vignettes displaying situations with or without an able-bodied spouse present and...

The activity theory posits that productive activities are beneficial to older people's well-being. This study examined how quality of life (QoL), globally and in its different dimensions, may be affected by stopping or initiating volunteering, which psychosocial mechanisms might at work such associations.This used an explicative sequential mixed method design: analyses 2011 2016 data from participants the Lausanne cohort 65+ (n = 1,976, age 68-77 years 2011) were followed qualitative focus...

ABSTARCTObjective: Although affective and spiritual states may share some common clinical features, the precise nature of relationship between depression spirituality is still unclear. We tested hypothesis that two instruments measure depressive symptoms distress describe similar dimensions.Methods: Patients admitted to geriatric rehabilitation (N = 185; mean age 81.3 ± 6.9 years) had assessed with 15-item Geriatric Depression Scale (GDS-15) evaluated Spiritual Distress Assessment Tool...

Slow walking speed (WS) is predictive of mortality but may be difficult to measure, which compromises the assessment frailty, based on Fried et al's phenotype. The timed Moberg picking-up test (MPUT), developed evaluate hand's function, was found moderately significantly correlated with WS. We compared relationship between slowness, assessed by MPUT and WS tests, mortality.Observational (prospective cohort study).4731 community-dwelling adults included in 2004, 2009, or 2014 ongoing Lausanne...

Abstract Background In view of population aging, a better knowledge factors influencing the type long-term care (LTC) among older adults is necessary. Previous studies reported close relationship between incontinence and institutionalization, but little known on opinions citizens regarding most appropriate place care. This study aimed at evaluating impact urine and/or fecal preferences community–dwelling citizens. Methods We derived data from Lausanne cohort 65+, population-based individuals...

ObjectivesSlowness is a marker of frailty captured by the Fried phenotype walking speed test which, for health or logistical reasons, sometimes difficult to perform. The Moberg picking-up (MPUT) another timed functional test. It measures hand motor activity and might represent an alternative assess slowness when cannot be evaluated. This study aimed evaluate relationship between MPUT speed.DesignCross-sectional.Setting ParticipantsIn total, 2748 individuals aged 66 83 years who participated...

Few studies have examined the frailty trajectories of young-old adults using Fried phenotype. Dropouts due to death were rarely taken into account. This longitudinal study aimed identify with and without adjustment for non-random attrition analyse related factors.We used first two samples community-dwelling people in Lausanne cohort 65+. Frailty phenotype was assessed at age 66-71 years every third year over 10 years. A group-based trajectory modelling-first then attrition-identified among...

Abstract This study investigated whether fear of falling (FOF) measured by two different instruments, the Falls Efficacy Scale-International (FES-I) and single question on FOF activity restriction (SQ-FAR), is associated with mortality at 6-year follow-up. Participants ( n = 1359, 58.6% women) were community-dwelling persons enrolled in Lausanne cohort 65 + , aged 66 to 71 years baseline. Covariables assessed baseline included demographic, cognitive, affective, functional health status,...

Frailty is a health characteristic resulting from the loss of physiological reserve multiple organs, leading to exposure adverse outcomes, and possibly reversible in its earliest stages. It identified by specific phenotype that contributes practice geriatric medicine, where it considered potential target for preventive action. This has recently attracted interest other medical specialties risk assessment before stressful interventions older adults. Whereas frailty unusual sexagenarians,...