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1.
Physiol Rev ; 102(1): 339-341, 2022 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-34494892

RESUMO

During the COVID-19 pandemic, efforts have been made worldwide to develop effective therapies to address the devastating immune-mediated effects of SARS-CoV-2. With the exception of monoclonal antibody-mediated therapeutics and preventive approaches such as mass immunization, most experimental or repurposed drugs have failed in large randomized clinical trials (https://www.who.int/publications/i/item/therapeutics-and-covid-19-living-guideline). The worldwide spread of SARS-CoV-2 virus revealed specific susceptibilities to the virus among the elderly and individuals with age-related syndromes. These populations were more likely to experience a hyperimmune response characterized by a treatment-resistant acute lung pathology accompanied by multiple organ failure. These observations underscore the interplay between the virus, the biology of aging, and outcomes observed in the most severe cases of SARS-CoV-2 infection. The ectoenzyme CD38 has been implicated in the process of "inflammaging" in aged tissues. In a current publication, Horenstein et al. present evidence to support the hypothesis that CD38 plays a central role in altered immunometabolism resulting from COVID-19 infection. The authors discuss a critical but underappreciated trifecta of CD38-mediated NAD+ metabolism, aging, and COVID-19 immune response and speculate that the CD38/NAD+ axis is a promising therapeutic target for this disease.


Assuntos
ADP-Ribosil Ciclase 1/metabolismo , COVID-19/fisiopatologia , Glicoproteínas de Membrana/metabolismo , SARS-CoV-2 , ADP-Ribosil Ciclase 1/genética , Envelhecimento , Regulação Enzimológica da Expressão Gênica , Humanos , Glicoproteínas de Membrana/genética , NAD/metabolismo
2.
Appl Ergon ; 98: 103555, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34425517

RESUMO

PURPOSE: Although firefighters are required to perform various high-intensity critically essential tasks, the influence of neuromuscular function on firefighter occupational performance is unclear. The primary aim of the current study was to identify the key neuromuscular determinants of stair climb (SC) performance in firefighters. METHODS: Leg extension isometric peak torque (PT), peak power (PP), torque steadiness at 10% (Steadiness10%) and 50% (Steadiness50%) of PT, fatigability following 30 repeated isotonic concentric contractions at 40% of PT, percent body fat (%BF), and a weighted and timed SC task were examined in 41 (age: 32.3 ± 8.2 yrs; %BF: 24.1 ± 7.9%) male career firefighters. RESULTS: Faster SC times (74.7 ± 13.4 s) were associated with greater PT and PP, less fatigability, younger age, and lower %BF (r = -0.530-0.629; P ≤ 0.014), but not Steadiness10% or Steadiness50% (P ≥ 0.193). Stepwise regression analyses indicated that PP and Steadiness50% were the strongest predictors of SC time (R2 = 0.442, P < 0.001). However, when age and %BF were included in the model, these variables became the only significant predictors of SC time (R2 = 0.521, P < 0.001) due to age and %BF being collectively associated with all the neuromuscular variables (excluding Steadiness10%). CONCLUSIONS: Lower extremity neuromuscular function, specifically PP and steadiness, and %BF are important modifiable predictors of firefighter SC performance, which becomes increasingly important in aging firefighters.


Assuntos
Bombeiros , Adulto , Envelhecimento , Humanos , Extremidade Inferior , Masculino , Força Muscular , Torque , Adulto Jovem
3.
Rev. SPAGESP ; 22(2): 118-131, jul.-dez. 2021.
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1340817

RESUMO

RESUMO Este artigo se dedica a apresentar um relato de experiência profissional com um grupo de mulheres idosas, participantes de um projeto de extensão universitária, em uma universidade pública de uma cidade no interior do estado de São Paulo. O referencial teórico que amparou tal atividade foi o grupo operativo de Pichon-Rivière, que nos serviu como ferramenta para reflexões acerca das dificuldades e possibilidades de envelhecer, por meio das trocas de experiências no nível grupal. Como principais resultados identificamos que o envelhecimento feminino é composto por muitas nuances que perpassam algumas dificuldades exclusivas ao gênero, tais como a desigualdade salarial, a obrigação e desvalorização do trabalho doméstico, o ambiente ainda clandestino da sexualidade e os padrões de beleza.


ABSTRACT This article aims to talk about an interventional experience with a group of elderly women, who are participants of a university extension project in a public university in a city countryside of São Paulo State. The theoretical framework that supported such activity was the Pichon-Rivière, which served as a tool for reflection on the difficulties and possibilities of aging through the exchange of experiences at the group level. As main results, we identified that female aging is composed of nuances that go through some difficulties exclusive to gender, such as wage inequality, the obligation and devaluation of domestic work, the environment of sexuality still perceived as clandestine and standards of beauty.


RESUMEN Este artículo está dedicado a presentar un relato de la experiencia profesional con un grupo de mujeres ancianas, participantes de un proyecto de extensión universitaria, en una universidad pública de una ciudad del interior del estado de São Paulo. El marco teórico que apoyó esta actividad fue el grupo operativo de Pichon-Rivière, que sirvió como herramienta de reflexión sobre las dificultades y posibilidades del envejecimiento, a través del intercambio de experiencias a nivel grupal. Como principales resultados identificamos que el envejecimiento femenino se compone de muchos matices que atraviesan algunas dificultades exclusivas de género, como la desigualdad salarial, la obligación y desvalorización del trabajo doméstico, el ambiente aún clandestino de la sexualidad y los estándares de belleza.


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Grupos de Autoajuda , Envelhecimento , Saúde do Idoso
4.
Rev. SPAGESP ; 22(2): 5-18, jul.-dez. 2021. ilus, tab
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1340809

RESUMO

RESUMO A sociedade contemporânea caracteriza-se por um processo de envelhecimento permeado por estereótipos relacionados à proximidade da morte, negada pela sociedade ocidental. Para descortinar essa temática, objetivou-se identificar os significados que idosos em cuidados paliativos atribuem à morte e à vida. Realizou-se dois grupos focais com 18 idosos em cuidados paliativos, compreendidos por análise textual no software IRaMuTeQ. Os resultados organizaram-se em quatro classes: "Significações sobre a morte" retrata sua aceitação, "As relações entre vida e morte na velhice" apresenta a ambivalência dessa díade, "Significações sobre a vida na velhice" avalia essa fase da vida, "Atividades diárias e ressignificação da vida" aborda seus novos papeis. Conclui-se que a rede de apoio e a espiritualidade influenciam a significação da morte pelo idoso.


Contemporary society is characterized by an aging process permeated by stereotypes related to the proximity of death, denied by Western society. To unveil this theme, the objective was to identify the meanings that elderly in palliative care attribute to death and life. Two focus groups were held with 18 elderly in palliative care, understood by textual analysis in the IRaMuTeQ software. The results were organized into four classes: "Meanings about death" portrays their acceptance, "The relationships between life and death in old age" presents the ambivalence of this dyad, "Meanings about life in old age" assesses this phase of life, "Daily activities and life resignification" addresses their new roles. It is concluded that the support network and spirituality influence the meaning of death by the elderly.


RESUMEN La sociedad contemporánea es demarcada por proceso de envejecimiento impregnado de estereotipos respecto a la proximidad con la muerte. En este entorno, el objetivo de este estudio fue identificar los significados que las personas mayores, en cuidados paliativos, atribuyen a la muerte y la vida. Así, se realizaron dos grupos focales con 18 personas mayores en cuidados paliativos para la recogida de datos, y luego sometida a análisis textual en el software IRaMuTeQ. Los resultados se organizaron en cuatro clases: "Significados sobre la muerte" retrata su aceptación, "Las relaciones entre la vida y la muerte en la vejez" presenta la ambivalencia de esta díada, "Significados sobre la vida en la vejez" evalúa esta fase de la vida, "Actividades diarias y la resignificación de la vida "aborda sus nuevos roles. Se concluye que la red de apoyo y la espiritualidad influyen en el significado de la muerte de los ancianos.


Assuntos
Humanos , Idoso , Cuidados Paliativos , Religião , Envelhecimento , Atitude Frente a Morte , Espiritualidade
5.
Int J Chron Obstruct Pulmon Dis ; 16: 2973-2981, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34744434

RESUMO

Background: To examine trends in chronic obstructive pulmonary disease (COPD) mortality and years of life lost (YLL) due to COPD for all provinces in China during 2005-2020. Methods: Data for COPD mortality were derived from China National Mortality Surveillance System (NMSS). We analyzed the numbers and age-standardized rates of death and YLL due to COPD in China, during 2005-2020. We carried out decomposition analysis to analyze the drivers of change in COPD deaths during the study period. Results: The age-standardized mortality rate of COPD in China decreased significantly from 99.5/100,000 in 2005 to 50.5/100,000 in 2020. Similar trend was seen in the age-standardized YLL rate. The mortality rate increased with age. During 2005-2020, the age-standardized mortality rate decreased in all provinces (except for Tibet) with the largest decline in Jilin (-77.8%), Henan (-68.4%) and Fujian (-67.1%). The decreased number of deaths was decomposed as population growth (8.5%) and population ageing (69.7%) with offset by decline of age-specific mortality (-87.5%). Conclusion: COPD remains an important public health problem in China, though significant reductions of COPD mortality and YLL rate were observed. Vigorous prevention and control strategies should be enhanced to improve the quality of life of COPD patients and reduce the premature death caused by COPD in Chinese population.


Assuntos
Doença Pulmonar Obstrutiva Crônica , Qualidade de Vida , Envelhecimento , China/epidemiologia , Humanos , Mortalidade , Mortalidade Prematura , Doença Pulmonar Obstrutiva Crônica/diagnóstico
6.
Zhonghua Liu Xing Bing Xue Za Zhi ; 42(9): 1683-1688, 2021 Sep 10.
Artigo em Chinês | MEDLINE | ID: mdl-34814601

RESUMO

Biological age (BA) can be used to measure the aging process of individuals and make up for the deficiency that chronological age cannot explain the discrepancy of health status among individuals at same chronological age. In recent years, multiple measurements of BA based on clinical or phenotypic, molecular biological, or compound indicators have emerged. In the paper, we summarize some common measurements of BA and compare their validities.


Assuntos
Envelhecimento , Humanos
7.
Zhonghua Liu Xing Bing Xue Za Zhi ; 42(10): 1713-1721, 2021 Oct 10.
Artigo em Chinês | MEDLINE | ID: mdl-34814606

RESUMO

Geriatric epidemiology deals with the application of epidemiological techniques to study the distribution and prevention of health status, diseases, and risk factors among the elderly, to develop intervention measures for promoting healthy ageing. The ageing of the population is a gradually developed phenomenon that is accelerating in China, geriatric epidemiology is one of the important branches of epidemiology and the major pillars of geriatric preventive medicine that play an important role in disease prevention and health promotion. In this article, we reviewed the recent Chinese studies in geriatric epidemiology, and synthesized the distributions and determinants of health-related status in Chinese elderly, and finally highlighted the future trends and expectations of the geriatric epidemiological research.


Assuntos
Geriatria , Envelhecimento Saudável , Idoso , Envelhecimento , China/epidemiologia , Nível de Saúde , Humanos
8.
Sensors (Basel) ; 21(21)2021 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-34770611

RESUMO

This preliminary investigation studied the effects of concurrent and terminal visual feedback during a standing balance task on ankle co-contraction, which was accomplished via surface electromyography of an agonist-antagonist muscle pair (medial gastrocnemius and tibialis anterior muscles). Two complementary mathematical definitions of co-contraction indices captured changes in ankle muscle recruitment and modulation strategies. Nineteen healthy older adults received both feedback types in a randomized order. Following an analysis of co-contraction index reliability as a function of surface electromyography normalization technique, linear mixed-effects regression analyses revealed participants learned or utilized different ankle co-contraction recruitment (i.e., relative muscle pair activity magnitudes) and modulation (i.e., absolute muscle pair activity magnitudes) strategies depending on feedback type and following the cessation of feedback use. Ankle co-contraction modulation increased when concurrent feedback was used and significantly decreased when concurrent feedback was removed. Ankle co-contraction recruitment and modulation did not significantly change when terminal feedback was used or when it was removed. Neither ankle co-contraction recruitment nor modulation was significantly different when concurrent feedback was used compared to when terminal feedback was used. The changes in ankle co-contraction recruitment and modulation were significantly different when concurrent feedback was removed as compared to when terminal feedback was removed. Finally, this study found a significant interaction between feedback type, removal of feedback, and order of use of feedback type. These results have implications for the design of balance training technologies using visual feedback.


Assuntos
Tornozelo , Retroalimentação Sensorial , Idoso , Envelhecimento , Eletromiografia , Humanos , Contração Muscular , Músculo Esquelético , Equilíbrio Postural , Reprodutibilidade dos Testes
9.
Front Public Health ; 9: 655831, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34778158

RESUMO

The distribution of the SARS-CoV-2 virus has reached pandemic proportions. While COVID-19 can affect anyone, it is particularly hazardous for those with "co-morbidities." Older age is an especially strong and independent risk factor for hospital and ICU admission, mechanical ventilation and death. Health systems must protect persons at any age while paying particular attention to those with risk factors. However, essential freedoms must be respected and social/psychological needs met for those shielded. The example of the older population in Israel may provide interesting public health lessons. Relatively speaking, Israel is a demographically young country, with only 11.5% of its population 65 years and older as compared with the OECD average of >17%. As well, a lower proportion of older persons is in long-term institutions in Israel than in most other OECD countries. The initiation of a national program to protect older residents of nursing homes and more latterly, a successful vaccine program has resulted in relatively low rates of serious COVID-19 related disease and mortality in Israel. However, the global situation remains unstable and the older population remains at risk. The rollout of efficacious vaccines is in progress but it will probably take years to cover the world's population, especially those living in low- and middle-income countries. Every effort must be made not to leave these poorer countries behind. Marrying the principles of public health (care of the population) with those of geriatric medicine (care of the older individual) offers the best way forward.


Assuntos
COVID-19 , Idoso , Idoso de 80 Anos ou mais , Envelhecimento , Humanos , Pandemias , Saúde Pública , SARS-CoV-2
10.
Am J Occup Ther ; 75(4)2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34780618

RESUMO

IMPORTANCE: Adults aging with intellectual and developmental disabilities (IDD) continue to face barriers to participation in meaningful occupation; moreover, the increased life expectancy of adults with IDD intensifies the need for age- and environment-specific support. OBJECTIVE: To map and categorize transdisciplinary literature on environmental modifications and supports for adults aging with IDD. DATA SOURCES: Studies published between January 1, 2000, and January 1, 2019, identified through PubMed and Scopus. Study Selection and Data Collection: Eleven articles met the inclusion criteria and contained information specific to occupational participation based on environmental modification (e.g., physical space, technology, universal design, type of living setting), social supports (e.g., family members, caretakers, peer groups, health care professionals, policies, organizational infrastructure), or both and adults age ≥35 yr with IDD. FINDINGS: Eleven studies met the criteria for this scoping review. Thematic coding was used to examine the articles within one or more themes: definition of need, environmental risk and assessment, environmental setting, intervention and program planning, use of technology, and bureaucracy. CONCLUSIONS AND RELEVANCE: This review highlights collective and individual outcomes in the areas of assessment, intervention, and advocacy. Further research is needed within the scope of occupational therapy and disability studies that examines environmental factors and participation outcomes in this population. What This Article Adds: The authors define the interconnectedness of adults aging with IDD and environmental factors, identify barriers to participation, and guide occupational therapy practitioners' logic on how to positively affect environmental change and supports through intervention.


Assuntos
Deficiência Intelectual , Terapia Ocupacional , Adulto , Envelhecimento , Criança , Deficiências do Desenvolvimento , Humanos , Apoio Social
11.
JCI Insight ; 6(21)2021 11 08.
Artigo em Inglês | MEDLINE | ID: mdl-34747367

RESUMO

COVID-19 is caused by SARS-CoV-2 (SC2) and is more prevalent and severe in elderly and patients with comorbid diseases (CM). Because chitinase 3-like-1 (CHI3L1) is induced during aging and CM, the relationships between CHI3L1 and SC2 were investigated. Here, we demonstrate that CHI3L1 is a potent stimulator of the SC2 receptor angiotensin converting enzyme 2 (ACE2) and viral spike protein priming proteases (SPP), that ACE2 and SPP are induced during aging, and that anti-CHI3L1, kasugamycin, and inhibitors of phosphorylation abrogate these ACE2- and SPP-inductive events. Human studies also demonstrate that the levels of circulating CHI3L1 are increased in the elderly and patients with CM, where they correlate with COVID-19 severity. These studies demonstrate that CHI3L1 is a potent stimulator of ACE2 and SPP, that this induction is a major mechanism contributing to the effects of aging during SC2 infection, and that CHI3L1 co-opts the CHI3L1 axis to augment SC2 infection. CHI3L1 plays a critical role in the pathogenesis of and is an attractive therapeutic target in COVID-19.


Assuntos
Envelhecimento , COVID-19/metabolismo , Proteína 1 Semelhante à Quitinase-3/metabolismo , Envelhecimento/efeitos dos fármacos , Aminoglicosídeos/farmacologia , Aminoglicosídeos/uso terapêutico , Enzima de Conversão de Angiotensina 2/metabolismo , COVID-19/tratamento farmacológico , Linhagem Celular Tumoral , Proteína 1 Semelhante à Quitinase-3/antagonistas & inibidores , Células HEK293 , Humanos , SARS-CoV-2/fisiologia
12.
Investig Clin Urol ; 62(6): 690-696, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34729968

RESUMO

PURPOSE: The purpose of this study was to investigate the effect of aging on bladder function and caveolin protein expression in rat urothelium. MATERIALS AND METHODS: Female Sprague-Dawley rats were divided into the following two groups: young age control group (12 weeks) and old-aged group of rats (80 weeks). Urodynamic measurements were taken to compare the contraction interval and the contraction pressure between the two groups. The expression and cellular localization of caveolin 1 and 2 in the urothelium of the rat urinary bladder were determined by Western blot and immunofluorescence microscopy. RESULTS: In cystometrograms, the contraction interval (min) was significantly shorter in the old-aged group (3.7±0.5 min) than in the young age control group (6.2±0.8 min). Also, the average contraction pressure (mmHg) was lower in the old-aged group (8.4±0.6 mmHg) than in the young age control group (13.2±1.3 mmHg). Caveolin 1 and 2 were expressed in the subepithelial area in the urothelium. The protein expression of both caveolin 1 and 2 was significantly lower in the old-aged group than in the young age control group. CONCLUSIONS: Aging caused a significant change in the expression of caveolin 1 and 2 in the urothelium of the rat urinary bladder. These findings suggest that these molecules might have specific roles in the functional change of the urinary bladder that occurs in association with aging.


Assuntos
Bexiga Urinária Hiperativa , Urotélio , Envelhecimento , Animais , Caveolina 1 , Feminino , Ratos , Ratos Sprague-Dawley
14.
Home Healthc Now ; 39(6): 301, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34738964
15.
Phytomedicine ; 93: 153772, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34753028

RESUMO

BACKGROUND: Panax ginseng (PG) and red ginseng (RG) are considered to be effective anti-aging treatments. However, evidence of their therapeutic mechanisms and difference in anti-aging effects is lacking. PURPOSE: To explore the potential therapeutic mechanisms of RG and PG in brain damage in D-Gal-induced aging mice, and evaluate the difference in anti-aging effects caused by their compositional differences. METHODS: We first tested the chemical components in PG and RG. In D-Gal aging mouse model, RG and PG (800 mg/kg) were orally administered for 9 weeks. The mice performed the Radial Arm Maze (RAM) behavior test. We collected blood, brain tissue, and fecal samples and performed biochemical analysis, histological examination, western blot, and Illumina MiSeq sequencing analysis. RESULTS: The results of component analysis showed that the total polyphenols and rare ginsenosides were present in RG in 3.2, and 2.2 fold greater concentrations, respectively, compared to PG, while the proportion of non-starch polysaccharides in the crude polysaccharides of RG was 1.94 fold greater than that of PG. In D-Gal-induced aging mice, both PG and RG could prevent the increase in acetylcholinesterase (AChE), and malondialdehyde (MDA) levels, and improved the expression of superoxide dismutase (SOD), and catalase (CAT) in the serum. Meanwhile, both PG and RG could ameliorate brain tissue architecture and behavioral trial. In addition, the D-Gal-induced translocation of nuclear factor-κB (NF-κB), as well as activation of the pro-apoptotic factors Caspase-3 and the PI3K/Akt pathways were inhibited by PG and RG. Overall, both PG and RG exerted anti-aging effects, with RG stronger than PG. Finally, although both PG and RG regulated the diversity of gut microbes, RG appeared to aggravate the increase in probiotics, such as Bifidobacterium and Akkermania, and the decrease in inflammatory bacteria to a greater extent compared to PG. CONCLUSION: Our results suggest that RG is more conducive to delay the D-Gal-induced aging process than PG, with possible mechanisms including beneficial changes in brain structure, cognitive functions, oxidative stress inhibition, and gut microbiome structure and diversity than PG, These mechanisms may rely on the presence of more total polyphenols, rare ginsenosides and non-starch polysaccharides in RG.


Assuntos
Microbioma Gastrointestinal , Panax , Acetilcolinesterase , Envelhecimento , Animais , Camundongos , Estresse Oxidativo , Fosfatidilinositol 3-Quinases/metabolismo
16.
Artigo em Inglês | MEDLINE | ID: mdl-34769667

RESUMO

Self-perceptions of aging (SPA) is associated with various health-related outcomes, including physical performance. No previous study has investigated the potential predictive influence of SPA on physical performance among Swedish community-dwelling older adults. This was a cross-sectional study using a random sample of 153 Swedish community-dwelling individuals aged 70 and older. Multiple logistic regression analysis was performed, using the subscale "Attitude Towards Own Aging" of the Philadelphia Geriatric Center Morale Scale, as a measure of SPA. The Short Physical Performance Battery (SPPB) was dichotomized and used as the outcome variable. SPA was a significant predictor (OR = 1.546, CI = 1.066-2.243) of physical performance, adjusted for age, cognitive function, and life-space mobility. Further analyses revealed significant sex differences, with SPA not being included in the model for the men whilst it was still a significant predictor (OR = 1.689, CI = 1.031-2.765) of physical performance in the group of women. SPA plays a significant role in predicting physical performance among Swedish community-dwelling older adults. To further clarify this relationship and its consequences, future longitudinal research should focus on the relationship between SPA, physical performance, and fall risk.


Assuntos
Avaliação Geriátrica , Vida Independente , Idoso , Idoso de 80 Anos ou mais , Envelhecimento , Estudos Transversais , Feminino , Humanos , Masculino , Desempenho Físico Funcional , Autoimagem
17.
Artigo em Inglês | MEDLINE | ID: mdl-34769929

RESUMO

This study examined the relationship between social cohesion and the perceived interest in, the usefulness of, and the ease of use of an instructor-based driver assistance system in a sample of older adults. With the aging of the population, the use of technologies to support the driving skills of the elderly is expected, and it is necessary to clarify the conditions under which the elderly will be interested in these advanced technologies. Traditionally, social cohesion has been focused on as a function of instrumental and practical support in the lives of the elderly. Since social cohesion reflects the intention to help each other, it could be an opportunity to provide information on advanced driving skill techniques to older people who are becoming more difficult to drive. As an initial exploration, this study examined whether social cohesion was associated with the interest in, the usefulness of, and the ease of use of an instructor-based driver assistance system in 150 elderly people. The results showed that a greater social cohesion was significantly associated with these evaluations, and that a comprehension of the system also contributed. The possession of a license was significantly associated with interest in the program. These findings are an essential step toward the understanding of the roles of social cohesion and positive perception of advanced technology in older adults.


Assuntos
Condução de Veículo , Comportamento Cooperativo , Idoso , Envelhecimento , Humanos , Intenção
18.
Healthc Q ; 24(3): 72-75, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34792452

RESUMO

Much is already written on how the COVID-19 pandemic ravaged Canada's frail, elderly population - the impact of the global pandemic turned the decades-long challenges within our nation's long-term care sector into daily news coverage. While no commission or report can ever begin to relieve the pain and suffering of individuals who lived through the pandemic, healthcare leaders owe it to all to respond to the urgent call for action to re-envision elder care for the future. The time to act is now. Our leaders need to collaborate and connect with our seniors to take quick action on their recommendations. Our leaders need to be nimble and creative; they need to work together across the system to rethink how aging seniors can be supported and change the system, its funding models and, ultimately, how we value and care for our aging population now and into the future.


Assuntos
COVID-19 , Pandemias , Idoso , Envelhecimento , Canadá , Humanos , SARS-CoV-2
19.
J Aging Stud ; 59: 100957, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34794708

RESUMO

Older peoples' independent living in their own homes and their ability to move around and maintain social relations in their communities have been acknowledged as important aims to support their well-being. In this article, we study Special Transport Services as a means to support older persons with 'aging in place' - that is, within their communities. From "go-alongs" (shared dial-a-ride bus journeys) and "sit-down interviews" (at participant's home or a café) with 12 older people living in a Finnish suburb, we explored their everyday dial-a-ride bus trips to the local mall. We used actor-network theory and the concept of motility to show how at first glance what appeared to be simple dial-a-ride journeys were in fact produced by a complex and fluid actor network consisting of people, rules, norms, practices, technical devices, as well as other objects and tools. Associations between various human and non-human actors compensated for the functional limitations experienced by the participants, but also created difficulties during the journeys. Our main finding is that the actor network of dial-a-ride bus did physically help older people be more mobile, but at the same time the service required a wide range of know-how and skills. We argue that developing a truly age-friendly environment - with inclusive services to help older individuals age well within their community - requires a detailed understanding from their perspective of the actor networks that produce those services. When planning old age services, there is a need to engage with older people from different social backgrounds to develop services that are genuinely supportive and easy to use for a heterogeneous group. Our findings can be utilized in developing physical and social environments that better support older people's mobility and enable them to age well in the community.


Assuntos
Envelhecimento Saudável , Vida Independente , Idoso , Idoso de 80 Anos ou mais , Envelhecimento , Humanos , Meio Social
20.
J Aging Stud ; 59: 100966, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34794711

RESUMO

Studies on aging tend to apply a traditional approach to gender roles. This is especially evident in studies of widowhood, as responses to this life transition tend to be shaped by gender. Studies on food and widowhood in old age suggest that men and women differ when it comes to food related life after the loss of a spouse. As the traditionalist story goes, men face practical challenges because they lack cooking skills whereas women face emotional challenges because they are no longer the food provider. However, this research often overlooks that married couples may have had non-traditional ways of dividing domestic household tasks, and that this division of labor is likely to have affected the way in which widows and widowers experience and handle food related challenges. Applying a life course perspective to 31 qualitative interviews, I show that the way older men and women adjust to food activities in widowhood is shaped by the way these activities were shared in their marriage rather than by gender per se.


Assuntos
Viuvez , Idoso , Envelhecimento , Feminino , Identidade de Gênero , Humanos , Masculino , Casamento , Cônjuges
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