Showing posts with label Elderly. Show all posts
Showing posts with label Elderly. Show all posts
Tuesday, August 25, 2015
Dementia cases to nearly triple by 2050 - report
PARIS, France - The number of people with dementia worldwide will nearly triple from 47 million today to 132 million in 2050, a report said Tuesday.
Dementia is an umbrella term for degenerative diseases of the brain characterised by a gradual decline in the ability to think and remember.
Accounting for well over half of cases, Alzheimer's is the most common form of dementia.
As the world gets older, the number of people with dementia is set to increase exponentially, notes the World Alzheimer Report 2015, produced by Alzheimer's Disease International.
Today there are 900 million people 60 or older. Over the next 35 years, that age group will grow by 65 percent in rich countries, 185 percent in lower-middle income nations, and 239 percent in poor countries.
In 2015 alone, there will be about 10 million new cases, one every few seconds and nearly 30 percent more than in 2010.
The risk increases dramatically as we age.
Fewer than four out of every 1,000 people aged 60 to 64 are afflicted with some form of what used to be called senility. But from the age of 90, that ratio jumps to 105 for every 1,000 people, more than 10 percent.
The global cost burden of dementia is likewise increasing sharply, having risen by more than 35 percent over the last five years to $818 billion (709 billion euros) in 2015.
Sixty percent of the cost was for medical and institutional care.
"Population ageing alone drives the projected increases," said the report.
source: interaksyon.com
Sunday, November 24, 2013
Poetry breaks through fog of Alzheimer's sufferers
STRATFORD-UPON-AVON - The teenager's voice breaks the silence that hangs over the dozing, grey-haired figures. "If you can keep your head when all about you are losing theirs and blaming it on you," she recites -- "you'll be a man, my son," finishes one of the pensioners, with a burst of recognition.
Alzheimer's has stolen most of Margaret's memories, but she can still remember the line from Rudyard Kipling's famous poem that she learnt years ago, a rare moment of clarity in the fog of the cruel disease.
This retirement home in central England is one of many institutions and hospitals across the country turning to poetry to provide some respite from the symptoms of dementia, such as the loss of memory, communication and basic skills.
While it provides no cure, the rhythm and pace of well-known verse can act as a trigger for memories and speech, according to Jill Fraser, whose charity "Kissing it Better" organizes reading sessions for the elderly.
If patients "hear one word that they can remember from poetry, it brightens their day up," adds Elaine Gibbs, who runs the Hylands House retirement home in Stratford-upon-Avon -- fittingly, the home of William Shakespeare.
Miriam Cowley, elegant in a flowered dress and her grey hair tied up into a bun, listens attentively as a teenager reads her "Daffodils" by William Wordsworth.
"I did know the poem but I've forgotten it. I learnt it when I was a kid at school, a long time ago," said the retired teacher, who suffers from short-term memory loss.
"It brings back good memories. I will have some good dreams after that, dreams of daffodils, of trees."
'The poetry broke open the dam'
The home can be a sombre place because of the prevalence of residents with Alzheimer's, dubbed "the long good-bye" because of the way it slowly steals away everything that makes a person who they are.
But as a woman bashes a plate incessantly against a table at one end of the room, seemingly oblivious to her surroundings, one of the teenage volunteer readers says spending time there "gives you a real buzz."
"You come in here and everyone is sitting there by themselves," says Hannah Ciotkowski, 15. Then when someone starts reading a poem aloud "you can immediately see life in them, they are smiling."
"It's wonderful when suddenly they join in with a line," adds Anita Wright, an 81-year-old former actress with the Royal Shakespeare Company who also reads poetry at Hylands.
She recalls how one patient with advanced dementia broke down in tears when she heard a poem about a man bidding farewell to his lover, and started recounting how her fiance had died.
"She had not said a single word since she had been to this home and the poem just broke open the dam," Wright said.
Lyn Darnley, head of voice at the RSC, says poetry can be very powerful.
"These rhythms run deeply inside of us and poetry can touch and spark memories of not just emotions but the deep senses of language," she told AFP.
Experts caution that poetry will not halt the onslaught of dementia, which affects 800,000 people in Britain.
"Poetry does not cure dementia," says Dave Bell, a specialist nurse with Dementia UK, a charity which works to improve the quality of life for people affected by the disease.
"But there is a sense of achievement and self-esteem for the person because they can remember something," he says, adding that it also helps them connect with other people.
Fifteen-year-old Hannah is certainly convinced: "I hope that when I am old, people will come visit me, read to me, and sing to me."
source: interaksyon.com
Tuesday, October 8, 2013
Get richer, die younger - study
PARIS - We all live longer when times are good, right? Not so, according to a new study which says that in developed countries, the elderly have a higher mortality rate when the economy goes into higher gear.
Even its authors are baffled by the outcome.
The finding was "highly unexpected," Herbert Rolden from the Leyden Academy on Vitality and Ageing in the Netherlands, told AFP.
In the long term, economic prosperity is credited with lower mortality rates across all age groups -- largely due to a drop in old-age mortality.
But the picture changes when you look at short-term economic fluctuations, according to the study which appears in the Journal of Epidemiology and Community Health.
For every rise of one percentage point in a country's gross domestic product, mortality among 70-74-year-old men rose by 0.36 percent and for women of the same age by 0.18 percent, it found.
Among 40-45-year-olds, the corresponding rise was 0.38 percent for men and 0.16 for women.
The study analyzed mortality and economic growth figures from 1950 to 2008 in 19 developed countries -- Australia, Japan, New Zealand, the United States, and several in Europe.
"Since many developed countries are currently in a recession, one could expect that this has a dampening effect on old age survival," says the study.
"However, it has been found that annual increases in unemployment, or decreases in gross domestic product (GDP) are associated with LOWER mortality rates."
A similar, seemingly counterintuitive trend had already been found in younger people.
That had been ascribed to more work stress and traffic accidents due to higher employment in economic boom times.
But such factors are unlikely to hold true for older, retired people, said Rolden.
"We are still in the dark on what really explains the association," he admitted.
The cause may lie in a change in social structure, with younger relatives and friends working longer and having less time to care for the elderly, according to one untested theory.
Another idea pins the blame on air pollution, which increases during economic expansion and is likelier to have more of an effect on frail people.
The team call for more research. Unravelling the mystery could have many benefits, they say.
source: interaksyon.com
Wednesday, October 2, 2013
The best and worst countries to grow old in? Philippines ranks 44th out of 91 surveyed nations
GENEVA - Rankings of the best and worst countries to grow old, according to the UN-backed Global AgeWatch Index 2013 released on Tuesday, the first survey of its kind to collect global data on the wellbeing of the elderly in a rapidly ageing world.
The index, compiled by the HelpAge International advocacy group and the UN Population Fund, ranks 91 countries by comparing data from the World Health Organization and other agencies on older people's incomes, health, education, employment and their environments.
Top 10
1. Sweden
2. Norway
3. Germany
4. Netherlands
5. Canada
6. Switzerland
7. New Zealand
8. USA
9. Iceland
10. Japan
Britain came in at 13, ahead of Australia (14) and France (18).
Lower down in the rankings were the emerging economies of Brazil (31), China (35), South Africa (65), India (73) and Russia (78).
Bottom 10:
82. Honduras
83. Montenegro
84. West Bank and Gaza
85. Nigeria
86. Malawi
87. Rwanda
88. Jordan
89. Pakistan
90. Tanzania
91. Afghanistan
Literally midway between the best and the worst is the Philippines, which was ranked 44th out of the 91 surveyed countries. In Southeast Asia, the Philippines ranked just behind Thailand (42) and ahead of Vietnam (53), Indonesia (71), and Cambodia (80) - although Malaysia and Singapore were notably absent from the list, with Global AgeWatch citing insufficient data.
Global AgeWatch had this to say about growing old in the Philippines:
"While older people still face challenges in achieving income security and health status, the government is taking positive action, such as the Expanded Senior Citizens Act of 2010. A targeted old age allowance is still too limited to make any difference.
"There are also policies and programmes that recognise older people's contribution, provide entitlements to access social services, promote their full employment and maximise opportunities for their participation in national development. The government also recognises the need to address older people's specific needs in terms of healthcare, housing and income security."
source: interaksyon.com
Wednesday, July 24, 2013
Elderly with diabetes 50 percent likelier to have disability
PARIS - Older adults with diabetes are between 50 and 80 percent likelier to have a disability compared to people without the disease, according to a review published on Wednesday.
Researchers at the Baker IDI Heart and Diabetes Institute in Melbourne, Australia, trawled through more than 3,200 previously published studies that explored the link between diabetes and disability.
They narrowed the catch down to 26 studies.
Most of the people in these studies were aged over 65 -- an age category in which Type-2 diabetes, also called adult onset diabetes, predominates.
Disability was defined as either crimped mobility or an impaired ability to perform daily activities such as bathing, eating, using the phone, shopping and using transport.
Lead epidemiologist Anna Peeters said the association between diabetes and disability was long known but until now poorly identified.
The causes remain mysterious, she said.
"It's possible that the high blood glucose concentrations experienced by people with diabetes might lead to chronic muscle inflammation, eventually resulting in physical disability, and some studies have shown that diabetes is associated with rapid and worsening muscle wasting," she said.
"The complications associated with diabetes, such as heart disease, stroke, and kidney disease, can all result in disability.
"As the world's population ages, and diabetes becomes more common, it seems clear that we will see an increased need for disability-related health resources."
The paper appears in the journal The Lancet Diabetes and Endocrinology.
According to the UN's World Health Organization (WHO), 347 million people around the world have diabetes, a disease in which the body fails to break down glucose in the blood through the hormone insulin.
Ninety percent of these have the Type 2 form of the disease, which typically shows up in adulthood or late childhood, driven by obesity and a sedentary lifestyle.
source: interaksyon.com
Thursday, March 28, 2013
Elderly at higher risk of lung infections, say experts
PARIS - Lung infections that are easily treated in the young are a cause for great concern in elderly people such as South Africa's 94-year-old anti-apartheid icon Nelson Mandela, experts say.
With age, muscle function declines and the nervous system that sends the impulse to breathe becomes less responsive, meaning that less oxygen enters the lungs on breathing in, and more carbon dioxide stays behind on breathing out.
It becomes harder to clear mucus that collects in the lungs, especially when people lie in bed or sit for long periods -- a high risk factor for lung infections like bronchitis or pneumonia because of the accumulation of mucus.
At the same time, a weakening immune system means the body is less able to fight infection, according to the US National Institutes of Health (NIH).
"When we are young and fit, we cough up (mucus) vigorously. When we are old, we cough less easily and if we already have weakened lungs the mucus stays behind and there is a high risk of congestion," said French pulmonologist Bertrand Dautzenberg.
"This is why old people are prone to respiratory infections, which are a key cause of death among the elderly."
Also, he said, most people on reaching the age of 90 use about 50 percent of their lung capacity, compared to 20 percent in youth.
"If, in addition, a part of one's lung has previously been damaged by tuberculosis... one is left with very little spare capacity."
Mandela has a long history of lung problems, and was most recently treated for an infection in December last year, when he spent nearly three weeks in hospital.
He was previously briefly hospitalized for an acute respiratory infection in January 2011.
In 1988, while serving a 27-year prison term, Mandela was diagnosed with early stage TB after complaining of dampness in his cell.
Two liters (1.1 pints) of fluid were drained from his chest at the time and he spent six weeks recuperating in hospital.
According to Dautzenberg, respiratory infections are often a contributing factor to death in the elderly.
The symptoms can be dire and resemble the eating disorder anorexia, he said: patients stop eating and become exhausted over time.
If they suffer a shortage of oxygen, this could affect other organs like the brain or kidneys.
In hospital, though doctors can provide oxygen and physiotherapy to loosen and expel any mucus.
source: interaksyon.com
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