Aim: We developed a scale to measure the social activities of community-dwelling older men requiring support. Methods: The participants were a group of 134 men, ≥65 years old, who required support and were living in ...Aim: We developed a scale to measure the social activities of community-dwelling older men requiring support. Methods: The participants were a group of 134 men, ≥65 years old, who required support and were living in Hokkaido, Japan. An anonymous questionnaire was administered through individual interviews. Valid responses were obtained from 121/134 interviewees. The construct validity of the resulting scale was assessed by exploratory factor analysis (EFA). Criterion-related validity was tested with Spearman’s rank correlation test based on the Social Activities Index for Elderly People (SAI-E). Reliability was assessed by Cronbach’s alpha. Results: A Social Activities Scale for Community-dwelling Older Men Requiring Support (SASOMS) scale was created, comprised of the following three subscales: daily interactions with familiar people;intimate relationships with family members;and interactions with others through activity programs (e.g., exercise, games, recreation, etc.). The created SASOMS scale correlated with the SAI-E (r = 0.557), and its criterion-related validity was confirmed. The alpha coefficient of the new scale was 0.791, and its internal consistency was confirmed. Conclusions: The reliability and validity of the developed SASOMS scale was confirmed, demonstrating that it can be used to assess social activities specifically in older men requiring support. Our results suggest that the scale can be used effectively by care providers who support older men requiring care. The usability of the SASOMS should continue to be improved, and it is necessary to verify its validity in longitudinal studies.展开更多
Purpose Declines in muscle mass and function are inevitable during the aging process.However,what is the“normal age appropriate”decline of muscle mass and function?Further,is this decline uniform for muscle mass ver...Purpose Declines in muscle mass and function are inevitable during the aging process.However,what is the“normal age appropriate”decline of muscle mass and function?Further,is this decline uniform for muscle mass versus functions or between different functional abilities?Using recognized Sarcopenia criteria[i.e.skeletal muscle mass index(SMI)defined as appendicular skeletal muscle mass/height(kg/m^(2)),handgrip strength,gait velocity],the aim of the present project was to determine corresponding changes in community-dwelling men 70 years+with low SMI over a 2-year period.Methods One hundred and seventy-seven(177)men within the lowest SMI quartile of a recent epidemiologic study(n=965)were included in the 2-year follow-up analysis.Muscle mass was determined via direct-segmental,multi-frequency Bio-Impedance-Analysis,handgrip strength was tested with a Jamar hand-dynamometer and habitual gait speed was assessed with photo sensors applying the 10 m protocol.Results SMI,handgrip strength and gait velocity all declined significantly(P<0.001;effect size,d′0.39-1.17),however,with significantly higher reductions(P<0.001)in functional compared with morphologic Sarcopenia criteria(P≤0.006).Less expected,handgrip strength featured a fourfold higher decline compared with gait velocity(−12.8±10.9%versus−3.5±9.0%).Conclusion We provided evidence for significant non-uniform changes of Sarcopenia criteria in a cohort of community dwell-ing men 70 years+with low SMI.We doubt that this result might be a particularity of the selected cohort;however,studies with other(older)cohorts should address this issue in more depth.Of practical relevance,our data further give implications for the prioritization of interventions that address Sarcopenia criteria in older community-dwelling men.展开更多
The aim of this study was to evaluate the incidence and severity of erectile dysfunction (ED) and hypogonadism in 193 men presenting with lower urinary tract symptoms (LUTSs) in the younger (20 - 39 years old) and old...The aim of this study was to evaluate the incidence and severity of erectile dysfunction (ED) and hypogonadism in 193 men presenting with lower urinary tract symptoms (LUTSs) in the younger (20 - 39 years old) and older (40 - 60 years old) age groups depending on the presence of metabolic syndrome (MetS). Triglycerides, glucose and high-density lipoprotein cholesterol, serum total testosterone (TT), sex hormone-binding globulin, prostate-specific antigen, pituitary hormones levels were measured in serum. Standardized criteria (2009) were used to determine the prevalence of MetS. Patients were assessed based on the International Prostate Symptom Score (IPSS) and the IPSS-Quality of Life (IPSS-QoL) for LUTSs and the International Index of Erectile Function (IIEF) for ED. Hypogonadism was determined in accordance with the ISA, ISSAM, EAU, EAA and ASA recommendations. In men with MetS in the younger age group the incidence of ED was 2.4 times higher, and that of low TT level and hypogonadism was 8.4 times higher compared to men without the syndrome. In the older age group, an increased incidence of ED and low TT level in men with MetS compared to men without the syndrome was on the trend level, but the incidence of hypogonadism was for sure higher (by 1.6 times). In conclusion, the study showed that ED and hypogonadism are associated with MetS by a high degree of certainty in young men with LUTSs. In men of the older age group with LUTSs, the presence of MetS is not so clearly associated with ED and hypogonadism due to the fact that the incidence of these urogenital diseases is also high in men without MetS.展开更多
文摘Aim: We developed a scale to measure the social activities of community-dwelling older men requiring support. Methods: The participants were a group of 134 men, ≥65 years old, who required support and were living in Hokkaido, Japan. An anonymous questionnaire was administered through individual interviews. Valid responses were obtained from 121/134 interviewees. The construct validity of the resulting scale was assessed by exploratory factor analysis (EFA). Criterion-related validity was tested with Spearman’s rank correlation test based on the Social Activities Index for Elderly People (SAI-E). Reliability was assessed by Cronbach’s alpha. Results: A Social Activities Scale for Community-dwelling Older Men Requiring Support (SASOMS) scale was created, comprised of the following three subscales: daily interactions with familiar people;intimate relationships with family members;and interactions with others through activity programs (e.g., exercise, games, recreation, etc.). The created SASOMS scale correlated with the SAI-E (r = 0.557), and its criterion-related validity was confirmed. The alpha coefficient of the new scale was 0.791, and its internal consistency was confirmed. Conclusions: The reliability and validity of the developed SASOMS scale was confirmed, demonstrating that it can be used to assess social activities specifically in older men requiring support. Our results suggest that the scale can be used effectively by care providers who support older men requiring care. The usability of the SASOMS should continue to be improved, and it is necessary to verify its validity in longitudinal studies.
文摘Purpose Declines in muscle mass and function are inevitable during the aging process.However,what is the“normal age appropriate”decline of muscle mass and function?Further,is this decline uniform for muscle mass versus functions or between different functional abilities?Using recognized Sarcopenia criteria[i.e.skeletal muscle mass index(SMI)defined as appendicular skeletal muscle mass/height(kg/m^(2)),handgrip strength,gait velocity],the aim of the present project was to determine corresponding changes in community-dwelling men 70 years+with low SMI over a 2-year period.Methods One hundred and seventy-seven(177)men within the lowest SMI quartile of a recent epidemiologic study(n=965)were included in the 2-year follow-up analysis.Muscle mass was determined via direct-segmental,multi-frequency Bio-Impedance-Analysis,handgrip strength was tested with a Jamar hand-dynamometer and habitual gait speed was assessed with photo sensors applying the 10 m protocol.Results SMI,handgrip strength and gait velocity all declined significantly(P<0.001;effect size,d′0.39-1.17),however,with significantly higher reductions(P<0.001)in functional compared with morphologic Sarcopenia criteria(P≤0.006).Less expected,handgrip strength featured a fourfold higher decline compared with gait velocity(−12.8±10.9%versus−3.5±9.0%).Conclusion We provided evidence for significant non-uniform changes of Sarcopenia criteria in a cohort of community dwell-ing men 70 years+with low SMI.We doubt that this result might be a particularity of the selected cohort;however,studies with other(older)cohorts should address this issue in more depth.Of practical relevance,our data further give implications for the prioritization of interventions that address Sarcopenia criteria in older community-dwelling men.
文摘The aim of this study was to evaluate the incidence and severity of erectile dysfunction (ED) and hypogonadism in 193 men presenting with lower urinary tract symptoms (LUTSs) in the younger (20 - 39 years old) and older (40 - 60 years old) age groups depending on the presence of metabolic syndrome (MetS). Triglycerides, glucose and high-density lipoprotein cholesterol, serum total testosterone (TT), sex hormone-binding globulin, prostate-specific antigen, pituitary hormones levels were measured in serum. Standardized criteria (2009) were used to determine the prevalence of MetS. Patients were assessed based on the International Prostate Symptom Score (IPSS) and the IPSS-Quality of Life (IPSS-QoL) for LUTSs and the International Index of Erectile Function (IIEF) for ED. Hypogonadism was determined in accordance with the ISA, ISSAM, EAU, EAA and ASA recommendations. In men with MetS in the younger age group the incidence of ED was 2.4 times higher, and that of low TT level and hypogonadism was 8.4 times higher compared to men without the syndrome. In the older age group, an increased incidence of ED and low TT level in men with MetS compared to men without the syndrome was on the trend level, but the incidence of hypogonadism was for sure higher (by 1.6 times). In conclusion, the study showed that ED and hypogonadism are associated with MetS by a high degree of certainty in young men with LUTSs. In men of the older age group with LUTSs, the presence of MetS is not so clearly associated with ED and hypogonadism due to the fact that the incidence of these urogenital diseases is also high in men without MetS.
