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Cancer statistics in Chinese older people,2022:current burden,time trends,and comparisons with the US,Japan,and the Republic of Korea

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Science China(Life Sciences) 2023年第5期66卷 1079-1091页

作者： Wen Ju Rongshou Zheng Siwei Zhang Hongmei Zeng Kexin Sun Shaoming Wang Ru Chen Li Li Wenqiang Wei Jie He Office for Cancer Registry National Cancer Center/National Clinical Research Center for Cancer/Cancer HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100021China

Largely due to population ageing,the cancer burden from older people has been rising,which imposed considerable pressure on current Chinese healthcare system.We provide comprehensive information about cancer burden of Chinese older people based on the most recent data from National Central Cancer Registry of China.The logarithmic linear regression was used to project the current cancer burden in 2022,and Joinpoint regression was used for temporal trend analysis from 2000 to 2017.We also estimated cancer statistics of older people in the US,Japan and the Republic of Korea for comparisons.It is estimated that 2.79 million cases and 1.94 million deaths occur for Chinese older people,representing 55.8%and 68.2%of cases and deaths in all population in 2022.The overall cancer incidence rate gradually increased among older women,while the mortality rates declined for both sexes.Notably,approximately 10.0%of all cases and 17.7%of all deaths are from people aged over 80 years,and cancer incidence and mortality in this age group showed upward trends for women.Lung cancer and digestive cancers are the leading cancer types for Chinese older people.Compared with other countries,China has lower incidence rates but higher mortality rates for older people.The rapidly growing burden of prostate cancer,breast cancer,colorectal cancer,and declines in esophageal cancer,stomach cancer,and liver cancer among older people indicate the cancer pattern in China is being in a transition stage to that in developed countries.Our findings imply that it should be the national health priority to meet the growing demands for cancer diagnosis,treatment and care services from the older people as the rapid population ageing in next few decades.

关键词： cancer burden older people temporal trend cancer pattern population ageing

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Development of a bioheat model for older people under hot and cold exposures

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Building Simulation 2022年第10期15卷 1815-1829页

作者： Lili Ji Abdelaziz Laouadi Liangzhu Wang Michael A.Lacasse Construction Research Centre National Research Council Canada1200 Montréal RoadOttawaON K1A 0R6Canada Department of Building Civil and Environmental EngineeringConcordia University1455 De Maisonneuve Blvd.W.MontrealQC H3G 1M8Canada

Physiological modeling is important to evaluate the effects of heat and cold conditions on people’s thermal comfort and health. Experimental studies have found that older people (above 65 year old) undergo age-related weakening changes in their physiology and thermoregulatory activities, which makes them more vulnerable to heat or cold exposure than average aged young adults. However, addressing the age-related changes by modeling has been challenging due to their wide variability among the older population. This study develops a two-node physiological model to predict the thermal response of older people. The model is built on a newly developed two-node model for average-age young adults by accounting for the age-related attenuation of thermoregulation and sensory delays in triggering thermoregulatory actions. A numerical optimization method is developed to compute the model parameter values based on selected benchmark data from the literature. The proposed model is further validated with published measurement data covering large input ranges. The model predictions are in good agreement with the measurements in hot and cold exposure conditions with a discrepancy 0.60 °C for the mean skin temperature and of 0.30 °C for the core temperature. The proposed model can be integrated into building simulation tools to predict heat and cold stress levels and the associated thermal comfort for older people in built environments.

关键词： older people physiological modeling age-related changes thermal comfort heat stress cold stress

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The Effect of Brain Gym on Global Cognitive Function of Institutionalized older people

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International Journal of Mental Health Promotion 2022年第3期24卷 375-383页

作者： Araceli Cano-Estrada Araceli Jimenez-Mendoza Denny Contreras-Guerrero Mario Hernandes-Alejandro Andres Salas-Casas Escuela Superior de Tlahuelilpan Universidad Autónoma del Estado de HidalgoTlahuelilpanHidalgoMéxico Escuela Nacional de Enfermería y Obstetricia.Universidad Nacional Autónoma de México Mexico CityMéxico Departomento de Bioingenieria Unidad Profesional Interdisciplinaria de Biotecnología del Instituto Politecnico Nacional(UPIBIIPN)Mexico CityMexico Instituto de Ciencias de la Salud.Universidad Autónoma del Estado de Hidalgo.Pachuca Hidalgo.México.Scuela Superior de TlahuelilpanUniversidad Autónoma del Estado de HidalgoTlahuelilpanHidalgoMéxico

Cognitive function of older adults is influenced by several factors such as age,sex,education,and physical activity so that it can impact the decrease in progressive cognitive function.It is necessary to implement cognitive training in old people’s care to prevent or delay the onset of age-related cognitive decline.Brain gym is a series of simple motion exercises and is an alternative therapy that stimulates the brain.This study aims to evaluate the effect of brain gym as a cognitive training intervention on global cognitive functioning of institutionalized older population.The study is a non-randomized quasi-experimental one using pre-and post-test control group design.The participants of the study were 65 years old or older who had been part of gerontological centers from a local community.They were divided into two groups:control and intervention,each one with 15 people.Mini-Mental State Examination was applied to the sample before and after the cognitive training.The brain gym training consists of bi-weekly group meeting for 12 weeks,lasting 50 min each.The treated group had a significantly better global cognitive function.Recalling(memory),orientation and language skills were the domains with the most significant changes(polder people lease type your abstract here.Abstract of a research paper is typically 200 to 400 words in length,and 150 to 300 words for a review paper.Abstract shall be running continuously(not structured)and shall not include reference citations.Abbreviations that appear only once in the abstract should be defined in full.If abbreviations appear more than once,the full definitions should be provided first before they can be used elsewhere.

关键词： Cognitive function brain gymnastic older people gerontological center physical activity

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Advance care planning readiness for Chinese older people:An integrative review and conceptual framework

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Frontiers of Nursing 2023年第1期10卷 43-49页

作者： Kalok Wong Hao-Bin Yuan Wipada Kunaviktikul Faculty of Health Sciences and Sports Macao Polytechnic UniversityMacao SAR 999078China Centro Hospitalar Conde de São Januário Macao SAR 99078China School of Nursing Panyapiwat Institute of ManagementBang TalatNonthaburi 11120Thailand

Advance care planning is a process of discussion in which patients can communicate their end-of-life care preferences to family members and health care providers for consideration.Readiness for advance care planning is a patient's preparedness to engage in advance care planning.This review aims to develop the conceptual framework for advance care planning readiness for Chinese older people.The current knowledge from the published studies was identified and synthesized by an integrative review.The conceptual framework was developed based on the social-ecological model and the theory of planned behavior.The factors from the social environment/community,health care professionals,and individual/family layers were defined.These factors may influence an individual's medical decision-making,which in turn triggers individual behavioral mechanisms that arise from interactions between motivations,attitudes,and beliefs.Relevant factors should be considered when assessing the behavior of personnel engaged in advance care planning or formulating appropriate intervention measures to improve advance care planning par ticipation in China.This framework can be used to guide studies that explore how the social/familial/individual factors predict the readiness for advance care planning among Chinese older people,and to design intervention studies to test the effect of family function on the readiness for advance care planning.

关键词： advance care planning Chinese culture older people readiness

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Digital inclusion of older people: harnessing digital technologies to promote healthy ageing in the Western Pacific Region

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Intelligent Medicine 2021年第3期1卷 134-136页

作者： Shan Xu Dong Min Yiwen Cheng Peng Wang Yue Gao China Academy of Information and Communications Technology Beijing 100191China

Adapting systems and technology for an aging population has benefits for older people,the consumer market industry itself and all of society.To promote knowledge sharing on innovations for healthy ageing and digital inclusion of older people in the Western Pacific Region,a hybrid conference on“Digital inclusion of older peo-ple:harnessing digital technologies to promote healthy ageing in the Western Pacific Region”was held on 23 June 2021 by China Academy of Information and Communications Technology,a WHO Collaborating Centre for Digital Health.Barriers from demand side include:(1)unaffordability;(2)poor Information and Communication technology(ICT)knowledge and skills for navigation;and(3)low self-efficacy and motivation.Supply barriers include:(1)youth-centred design;(2)ageism;and(3)anti-facilitative environment including infrastructure and age-biased technology.Existing practices to overcome digital inclusion barriers were shared:(1)landmark ini-tiatives related to the health and social welfare;(2)laws and policies to improve aged care services,strengthen social services,enrich spiritual and cultural life for older people;(3)ICT infrastructure and residential care facil-ities based on the philosophy of family care and supported by community care;(4)affordable digital application and adaptive feature design to better enable and motivate their desire to use digital technology;and(5)com-munity activities such as trainings and tutorials to enhance digital capacity and literacy of older people.Main principles highlighted include market motivation,human-centered design,creating enabling environments,and multi-stakeholder collaborations to provide guidance to customize strategy under context of different regions and countries,instead of a one-size-fits-all solution,to avoid the risk of exacerbating inequalities experienced by older people,caused by accelerated ICT innovation,and advocate for more affordable products in the silver market.

关键词： Digital inclusion Information and communication technology Healthy ageing Silver market older people

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Strengthening Active Aging through older people’s Association and Economic Activity of the older people in Nepal

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Advances in Aging Research 2024年第2期13卷 15-24页

作者： Hom Nath Chalise James Brightman Central Department of Population Studies Tribhuvan University Kathmandu Nepal University of Central Florida Orlando Florida USA

Aging is a natural lifelong process ending in death. Many older people are living in poverty. older people are generally considered dependent on others as they grow older. The purpose of this article is to explore the entrepreneurship activities of Nepalese older adults. Data for this study were collected from the project Help Age International (HAI) implemented in Nepal. Qualitative data observations and interviews were used to collect data. The findings of this study show the formation of the older people’s Association (OPA) has supported many older people to participate outside the home in various social activities. Moreover, regular deposits through OPAs offer little help. OPAs support older people in their need of financial support to implement minor entrepreneurship. older people who received support were pleased and were actively involved in their activities and also regularly deposited money in them. Subsequently, older people’s participation in social activities has increased and also helped to lower elderly abuse, loneliness, and depression. Local governments should promote such activities which will help with healthy aging.

关键词： Aging in Nepal Active Aging older people’s Association older people Healthy Aging

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Effect of auricular plaster for primary hypertension in older people:A meta-analysis

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World Journal of Meta-Analysis 2022年第2期10卷 63-73页

作者： Yong Qin Yu Lou Xiao-Yan Shen Yun Gai Department of Cardiology The Seventh People's Hospital of Shanghai University of TCMShanghai 200137China Department of General Medicine The Seventh People's Hospital of Shanghai University of TCMShanghai 200137China

BACKGROUND Hypertension is a critical public health problem globally.Antihypertensive drugs can create an extra burden on hypertension patients'self-regulation leading to an imbalance of blood supply and demand.This study aimed to evaluate the effect of auricular plaster therapy combined with western medicine to treat primary hypertension in older people.AIM To carry out a systematic review and meta-analysis for the effect of auricular plaster in elderly hypertension patients.METHODS Multiple databases like PubMed,EMBASE,Cochrane Library,Chinese Biomedical Literature on Disc,China National Knowledge Infrastructure,Wan Fang and Chinese Science and Technology Periodical Database were used to search for the relevant studies and full-text articles involved in the evaluation of auricular plaster combined with western medicine and western medicine alone for primary hypertension in older people.All included articles were quality assessed and the data analysis was conducted with the Review Manager(5.4).Forest plots,sensitivity analysis and funnel plots were also performed on the included articles.RESULTS In this analysis,fourteen(14)relevant studies were included.The Meta-analysis showed a significant difference in the effective ratio(OR=3.62;95%CI,2.46 to 5.33;P<0.00001),diastolic blood pressure change(5.68 mmHg;95%CI,3.49 to 7.87;P<0.00001),systolic blood pressure change(MD=8.78 mmHg;95%CI,5.04 to 12.53;P<0.00001)and symptom score(MD=3.20;95%CI,1.23 to 5.18;P=0.001)between auricular plaster combined with western medicine group and western medicine alone group.One bias was detected as selection bias and another two in reporting bias.Sensitivity analysis fulfilled the stability of the results.CONCLUSION Our study suggested that auricular plaster combined with western medicine improved primary hypertension better than western medicine alone.Limited by the quality of included studies,further studies should be performed to confirm our findings.

关键词： Primary hypertension older people Auricular plaster Meta-analysis

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Aging Experiences among older people in Conakry/Guinea: Towards an Age-Friendly City and Community

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Advances in Aging Research 2023年第4期12卷 67-86页

作者： Mamadou Dioulde Balde Alpha Oumar Sall Tiany Sidibe Madeleine Toure Ramata Diallo Aissatou Diallo Sadan Camara Center for Research in Reproductive Health in Guinea (CERREGUI) Conakry Guinea

older people are a demographically significant group, who represent a vulnerable layer within conditions for active and healthy aging that may be lacking in both urban and rural areas. Objective: To identify the main barriers and opportunities for the establishment of age-friendly cities and communities in a low-income country. Methods: This was a qualitative study that involved focus group discussions with older people, and service providers (health and social services) in the city of Conakry. The older people were purposively selected with the support of older people associations, and men and women were equally represented in the sample. Results: The analysis focused on the experience of old age as well as the barriers and opportunities for active healthy aging specific to the sub-Saharan context. The results indicate that a good quality of life for older adults boils down to the acquisition of good health and decent housing. Other concerns frequently reported were food and education problems for their children and security. Conclusion: This study contributes to strengthening the understanding of the age-friendly cities and communities’ approach in the context of sub-Saharan African countries.

关键词： older people Age-Friendly Cities and Communities Barriers Opportunities Conakry

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Exploring the Care Experience of a Comprehensive Geriatric Assessment Team in the Management of Debilitating Syndromes in older people

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Journal of Clinical and Nursing Research 2022年第4期6卷 139-142页

作者： Chan Bai The First Affiliated Hospital of Xi’an Jiaotong University Medical College Xi’an 710065China

This study was conducted to investigate the clinical effects of applying the integrated geriatric assessment team approach on the care of elderly patients with debilitating syndromes.This study was conducted in Xi’an Jiaotong University hospital from January 2021 to January 2022.Around 50 patients with the geriatric debilitating syndrome were selected and retrospectively were analyzed,and psychiatrists,geriatric nurses,pharmacists,medical specialists,physiotherapists,and dieticians were selected to form a comprehensive geriatric assessment team.The patients were then assessed,a treatment plan was developed,and care was provided according to the actual situation,and the effectiveness of the clinical intervention was analyzed.This study demonstrated that,of the 50 patients in this study,the longest hospital stay was 15 days,while the shortest was 4 days,and the average length of stay was 10.23±4.37 days.Around 40 of the patients were able to eat on their own and consume food as prescribed,with a compliance rate of 80%,showing the effectiveness rate of the geriatric assessment team.In summary,the use of a comprehensive geriatric assessment team to treat and care for patients with debilitating syndromes in the elderly is an effective way,and this can significantly improve the life quality of the patients.

关键词： Integrated geriatric assessment team older people Debilitating syndrome Care outcomes

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中国老年人临终前生活自理能力的衰退轨迹

人口学

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人口学 2020年第3期

作者：张文娟王东京

本文以老年人为研究对象，以基本生活自理能力(ADL)为测量指标，使用“中国老年健康长寿影响因素跟踪调查”(CLHLS)数据，分析在1998-2014年期间去世的老年人群临终前的生活自理能力的变化轨迹。作者利用组基轨迹模型对男性和女性老年... 详细信息

本文以老年人为研究对象，以基本生活自理能力(ADL)为测量指标，使用“中国老年健康长寿影响因素跟踪调查”(CLHLS)数据，分析在1998-2014年期间去世的老年人群临终前的生活自理能力的变化轨迹。作者利用组基轨迹模型对男性和女性老年人的生活自理能力变化过程分别进行拟合，发现老年人在临终前的生活自理能力存在显著差异并归纳出三种变化轨迹：生活自理能力完好型、快速发展型和缓慢下降型。研究发现生命历程早期阶段的经历、所处的社会经济状况、年龄效应和队列效应都会对生活自理能力的衰退轨迹产生显著影响。增龄带来的生活自理能力下降使老年人临终前的失能风险及其持续时间增加，而较晚的出生队列在临终前出现长时间失能的可能性较低。在三类轨迹中，自理能力缓慢下降型轨迹受到各种因素的影响最为显著，而该类型的出现概率是影响失能老年人照料负担的主要因素，由此也证明了除去年龄效应与性别差异之外，由社会经济状况、健康行为习惯、生活环境等因素合力产生的健康保护作用将会在失能老年人照料负担增长过程中发挥主导作用。研究还发现老年女性在临终前会面临更高的失能风险和更长时间的失能存活期，其生活自理能力变化过程受到更多因素的影响。

关键词：生活自理能力老年人失能组基轨迹模型 ADL older people disability group-based trajectory model

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