Update in Geriatrics

Updates3 October 2006Update in GeriatricsWilliam J. Hall, MDWilliam J. Hall, MDFrom the University of Rochester School of Medicine, Rochester, New York.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-145-7-200610030-00012 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The articles in this Update in Geriatrics came from a review of approximately 30 peer-reviewed journals during 2005. The selected articles are important clinical research studies that pertain to elderly patients in the primary care setting, with a concentration on improving functionality. Topics covered are cognitive and physical function, stroke, age and frailty, and quality of care. Changes to clinical practice emerging from these articles are shown in the Table .Table. Changes to Practice Emerging from Articles Important to Geriatricians in 2005* Cognitive and Physical FunctionHigher ...References1. Kado DM, Karlamangla AS, Huang MH, Troen A, Rowe JW, Selhub J, et al. Homocysteine versus the vitamins folate, B6, and B12 as predictors of cognitive function and decline in older high-functioning adults: MacArthur Studies of Successful Aging. Am J Med. 2005;118:161-7. [PMID: 15694902] CrossrefMedlineGoogle Scholar2. Ravaglia G, Forti P, Maioli F, Martelli M, Servadei L, Brunetti N, et al. Homocysteine and folate as risk factors for dementia and Alzheimer disease. Am J Clin Nutr. 2005;82:636-43. [PMID: 16155278] CrossrefMedlineGoogle Scholar3. Tucker KL, Qiao N, Scott T, Rosenberg I, Spiro A. High homocysteine and low B vitamins predict cognitive decline in aging men: the Veterans Affairs Normative Aging Study. Am J Clin Nutr. 2005;82:627-35. [PMID: 16155277] CrossrefMedlineGoogle Scholar4. FDA Public Health Advisory: Deaths with Antipsychotics in Elderly Patients with Behavioral Disturbances. Rockville, MD: U.S. Food and Drug Administration; 11 April 2005. Accessed at www.fda.gov/cder/drug/advisory/antipsychotics.htm on 16 August 2006. Google Scholar5. Singh BN, Singh SN, Reda DJ, Tang XC, Lopez B, Harris CL, et al. Amiodarone versus sotalol for atrial fibrillation. N Engl J Med. 2005;352:1861-72. [PMID: 15872201] CrossrefMedlineGoogle Scholar6. Di Bari M, van de Poll-Franse LV, Onder G, Kritchevsky SB, Newman A, Harris TB, et al. Antihypertensive medications and differences in muscle mass in older persons: the Health, Aging and Body Composition Study. J Am Geriatr Soc. 2004;52:961-6. [PMID: 15161462] CrossrefMedlineGoogle Scholar7. von Haehling S, Sandek A, Anker SD. Pleiotropic effects of angiotensin-converting enzyme inhibitors and the future of cachexia therapy [Editorial]. J Am Geriatr Soc. 2005;53:2030-1. [PMID: 16274392] CrossrefMedlineGoogle Scholar8. Reuben DB, Roth C, Kamberg C, Wenger NS. Restructuring primary care practices to manage geriatric syndromes: the ACOVE-2 intervention. J Am Geriatr Soc. 2003;51:1787-93. [PMID: 14687359] CrossrefMedlineGoogle Scholar9. Wenger NS, Solomon DH, Roth CP, MacLean CH, Saliba D, Kamberg CJ, et al. The quality of medical care provided to vulnerable community-dwelling older patients. Ann Intern Med. 2003;139:740-7. [PMID: 14597458] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From the University of Rochester School of Medicine, Rochester, New York.Disclosures: None disclosed.Corresponding Author: William J. Hall, MD, Department of Medicine, University of Rochester School of Medicine, Box MED, 601 Elmwood Avenue, Rochester, NY 14642; e-mail, [email protected]rochester.edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByStride Length Predicts Adverse Clinical Events in Older Adults: A Systematic Review and Meta-AnalysisSurgical results in older patients with lumbar spinal stenosis according to gait speed in relation to the diagnosis for sarcopenia Gait Speed at Discharge and Risk for Readmission or Death: A Prospective Study of an Emergency Ward Population Influence of dioxin-related compounds on physical function in Yusho incident victimsShort-Term Change in Gait Speed and Clinical Outcomes in Older Patients With Acute Heart FailureCombinations of gait speed testing protocols (automatic vs manual timer, dynamic vs static start) can significantly influence the prevalence of slowness: Results from the Korean Frailty and Aging Cohort StudyFunctional Performances on Admission Predict In-Hospital Falls, Injurious Falls, and Fractures in Older Patients: A Prospective StudyAN OBSERVATIONAL STUDY OF GAIT SPEED IN ELDERLY PARTICIPANTS ATTENDING OUTPATIENT CLINIC GERIATRIC DEPARTMENT, MADRAS MEDICAL COLLEGE, CHENNAIWalking Speed, Risk Factors, and Cardiovascular Events in Older Adults—Systematic ReviewSarcopenia, but not excess weight or increased caloric intake, is associated with coronary subclinical atherosclerosis in the very elderlyDifferences in lifestyle, physical performance and quality of life between frail and robust Brazilian community-dwelling elderly womenGait Speed and Decline in Gait Speed as Predictors of Incident DementiaIncreased follistatin associated with decreased gait speed among old adultsApplication of the clinical version of the narrow path walking test to identify elderly fallersHypertension and agingRelationship of anabolic and catabolic biomarkers with muscle strength and physical performance in older adults: a population-based cross-sectional studyGait DeclineMulti-modal intervention to reduce cardiovascular risk among hypertensive older adults: Design of a randomized clinical trialFitness-related factors associated with survival in older womenAssociation between Blood Lead and Walking Speed in the National Health and Nutrition Examination Survey (NHANES 1999–2002)Association Between Gait Speed as a Measure of Frailty and Risk of Cardiovascular Events After Myocardial InfarctionTrajectories of Gait Speed Predict Mortality in Well-Functioning Older Adults: The Health, Aging and Body Composition StudyMobility Activity and Its Value as a Prognostic Indicator of Survival in Hospitalized Older AdultsElectromagnetic pollution: another risk factor for infertility, or a red herring?Is symptomatic knee osteoarthritis a risk factor for a trajectory of fast decline in gait speed? Results from a longitudinal cohort studyPredicting Cause-Specific Mortality of Older Men Living in the Veterans Home by Handgrip Strength and Walking Speed: A 3-Year, Prospective Cohort Study in TaiwanMuscle function, physical performance and body composition changes in men with prostate cancer undergoing androgen deprivation therapyBalance and walking speed predict subsequent 8-year mortality independently of current and intermediate events in well-functioning women aged 75 years and olderImprovement in Usual Gait Speed Predicts Better Survival in Older AdultsUpdate in Geriatric MedicineDavid B. Reuben, MD* 3 October 2006Volume 145, Issue 7Page: 538-543KeywordsACE inhibitorsAntipsychoticsDeliriumElderlyExerciseHealth care qualityHypertensionMedical risk factorsStrokeTransient ischemic attacks ePublished: 3 October 2006 Issue Published: 3 October 2006 CopyrightCopyright © 2006 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...