Coping review of dementia fear studies among middle-aged and elderly people in the community

This study used Arksey and O’Malley’s scoping review methodology as a framework and searched the following databases:PubMed,Embase,EBSCO,CINAHL,Web of Science,Cochrane Library,Scopus,CNKI,Wanfang,VIP,and the Chinese Biomedical Literature Database.The database is open to December 20,2023,and documents related to the fear of dementia among the elderly in the community are described and analyzed to provide a reference for future research in this field.At the same time,we screened,extracted,and summarized relevant information from 21 included documents(16 in English and 5 in Chinese),which consisted of 16 cross-sectional studies,2 quasi-experimental studies,2 randomized controlled studies,and 1 longitudinal study.Sixteen of the included documents mentioned the incidence or level of dementia fear among the elderly in the community,2 addressed the adverse effects of dementia fear,and 4 reported prevention and intervention measures for dementia fear.In total,there are 8 assessment tools,and the influencing factors are categorized into sociodemographic characteristics,psychological and behavioral characteristics,sociocultural background factors,and health and dementia-related factors.The final conclusion is that the fear of dementia is common among the elderly in the community.In the future,the application of research tools should be expanded among middle-aged individuals,with considerations for other types of dementia in mind.It is recommended to conduct large-scale,multi-center randomized controlled trials while confirming the intervention’s effect on different types of middle-aged and elderly individuals,focusing on the long-term impact of these intervention measures to promote healthy aging.

Correlation between psychological traits and the use of smart medical services in young and middle-aged adults: An observational study

BACKGROUND Psychological problems affect economic development.However,there is a huge gap between mental health service resources and mental health service needs.Existing mental health service technology and platforms cannot meet all the diverse mental health needs of people.Smart medicine is a new medical system based online that can effectively improve the quality and efficiency of medical services and make mental health services accessible.AIM To explore the level of intelligent medical use among young and middle-aged people and its correlation with psychological factors.METHODS Convenience sampling was used to select 200 young and middle-aged patients with medical experience at the Third People's Hospital of Chengdu between January 2022 and January 2023 as the research subjects.The general condition Questionnaire,Eysenck Personality Questionnaire,Symptom Checklist-90,General Health Questionnaire,and Smart Medical Service Use Intention Questionnaire were used to collect data.Pearson’s correlation was used to analyze the correlation between the participants’willingness to use smart medical services and their personality characteristics,psychological symptoms,and mental health.RESULTS The results revealed that the mental health of young and middle-aged people was poor,and some had psycho-logical problems such as anxiety,depression,and physical discomfort.Familiarity,acceptance,and usage of smart healthcare in this population are at a medium level,and these levels correlate with psychological characteristics.Acceptance was positively correlated with E,and negatively correlated with P,anxiety,fear,anxiety/insomnia,and social dysfunction.The degree of use was negatively correlated with P,obsessive-compulsive symptoms,depression,anxiety,hostility,paranoia,and somatic symptoms.CONCLUSION The familiarity,acceptance,and usage of smart medical services among the middle-aged and young groups are related to various psychological characteristics.

The Relationship between Mental Health Literacy and Subjective Well-Being of Young and Middle-Aged Residents: Perceived the Mediating Role of Social Support and Its Urban-Rural Differences

This study investigates mental health literacy among young and middle-aged urban and rural residents and the differences in mental health literacy,perceived social support and subjective well-being.From January to February 2022,620 participants(320 rural and 300 urban residents)from three provinces of China were selected by con-venience sampling.A general data questionnaire,mental health literacy scale,perceived social support scale and subjective well-being scale were administered.The mental health literacy scores of urban residents were 3.34±0.57 and those of rural residents were 2.73±0.79.The results of multiple regression analysis showed that the mental health literacy scores of rural residents were more significant than those of urban residents in terms of sex and age,while urban residents’mental health literacy scores were more significant than those of rural resi-dents in terms of monthly income.Mental health literacy,perceived social support and subjective well-being of young and middle-aged urban and rural residents were all positively correlated(P<0.01).While the level of mental health literacy is better among urban residents than rural residents,perceived social support plays a partial mediating role between mental health literacy and subjective well-being of both urban and rural residents,and should be the focus of researchers seeking to improve the level of well-being of residents.

Public Square Dancing Intervention on Subjective Well-Being of Middle-Aged and Elderly People:A Meta-Analysis

Objective:To understand the influence of public square dancing on the subjective well-being of middle-aged and elderly people.Methods:According to the principle of Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)guidelines,we search Chinese databases,such as CNKI,Wanfang Data,and VIP,and English databases,such as Proquest,Web of Science,Pubmed,Cochrane,and ScienceDirect,and collect relevant articles at home and abroad from 2006 to December 2019 for meta-analysis in January 2020.Result:A total of 10 articles were included.The meta-analysis results showed that the well-being of middle-aged and elderly people in the public square dancing intervention group was significantly higher than that of the other exercise group and control group(both P<0.01).The results of the subgroup analysis showed the following:Different durations of intervention significantly influence the intervention effect(P<0.01).No difference was found between the effect of the mixed-gender intervention and the individual female intervention(P>0.05).No significant difference was found between the groups with weekly intervention frequency(P>0.05).Conclusion:Public square dancing intervention is effective for middle-aged and elderly people’s subjective well-being.Neither mixed intervention nor the times of weekly intervention have an impact on the intervention effect.However,the length of duration of intervention influences the intervention effect.

Relationship between Waist Circumference, Waist-Height Ratio, Body Fat Percentage, Visceral Fat and Bone Mineral Density in Middle-Aged and Elderly Zhuang of China

Objective: To understand the correlation between different degrees of obesity and bone mineral density (BMD). Methods: 772 cases (300 men and 472 females) of Zhuang over 40 years old were randomly selected. The BMD and T score were calculated by measuring the right heel bone using a quantitative-ultrasound densitometer. Body composition index of body weight, waist circumference (WC), waist height ratio (WtHR), body fat percentage (BFP) and visceral fat (VF) were measured using a bioelectrical impedance method. Results: The BMI, WC, and WtHR of the male osteoporosis group were lower than those of the normal bone mass (NBM) group (P Conclusion: BMI is positively correlated with BMD in Zhuang. BFP has a greater correlation with female BMD, and a small reduction in BFP can result in a significant decrease in BMD. BMD of male was positively correlated with abdominal obesity indicators (WC, WtHR, VF). However, abdominal obesity has no obvious effect on the promotion of BMD in women, and increased WtHR can lead to a decrease in BMD. Zhuang can appropriately increase the amount of fat within the normal weight range. At the same time, reasonable exercise and balanced nutrition to avoid excessive obesity or low body weight can reduce the incidence of osteoporosis and osteoporosis fractures.

Associations of short-term ambient temperature exposure with lung function in middle-aged and elderly people:A longitudinal study in China

The short-term associations of ambient temperature exposure with lung function in middle-aged and elderly Chinese remain obscure.The study included 19,128 participants from the Dongfeng-Tongji cohort's first(2013)and second(2018)follow-ups.The lung function for each subject was determined between April and December 2013 and re-assessed in 2018,with three parameters(forced vital capacity[FVC],forced expiratory volume in 1 s[FEV1],and peak expiratory flow[PEF])selected.The China Meteorological Data Sharing Service Center provided temperature data during the study period.In the two follow-ups,a total of 25,511 records(average age:first,64.57;second,65.80)were evaluated,including 10,604 males(41.57%).The inversely J-shaped associations between moving average temperatures(lag01–lag07)and FVC,FEV1,and PEF were observed,and the optimum temperatures at lag04 were 16.5C,18.7C,and 16.2C,respectively.At lag04,every 1C increase in temperature was associated with 14.07 mL,9.78 mL,and 62.72 mL/s increase in FVC,FEV1,and PEF in the lowtemperature zone(<the optimum temperatures),whereas 5.72 mL,2.01 mL,and 11.64 mL/s decrease in the high-temperature zone(the optimum temperatures),respectively(all P<0.05).We observed significant effect modifications of gender,age,body mass index,body surface area,smoking status,drinking status,and physical activity on the associations(all Pmodification<0.05).Non-optimal temperatures may cause lung function decline.Several individual characters and lifestyles have effect modification on the temperature effects.

Study on Body Form and Garment Size Series of the Middle Age and Aged People

This paper was designed to analyze on the data, which was obtained from 'National Physique Fitness Investigation Report (2000)'. In order to get the typical body form and figure type of the middle age and aged people, it was focused on the body form data of this group (age 40 - 60). After calculation and analyzing, the distinguishing feature of body form and the distribution of figure type were deduced. Finally, the re-classification of body form for Chinese middle age and aged people was suggested. It as also suggested that a new garment size series especially for the middle age and aged should be built to fit for these people. This conclusion would be useful and significant to design and production for clothing company, especially that who take the aged people as their target consumer.

Willingness of People of Different Ages to Learn Online——Taking Guizhou Cadre Online Learning School as an Example

The method of statistical analysis is employed in this paper to research the interests of online cadre learners, including learners from administrative organizations directly governed by the provincial government, Zunyi city and the state-owned enterprises directly governed by the provincial government in 2011 through the courseware of Guizhou Cadre Online Learning School. The difference in willingness to study in this manner between people of differing ages is examined through data analysis.

Prevalence and influence factors of self-medication in Chinese middle-aged and elderly people: evidence from 2011, 2013 and 2015 CHARLS panel data

Self-medication is an increasingly frequent phenomenon worldwide and has an important influence on health.In this study,we analyzed the self-medication prevalence rate in Chinese middle-aged and elderly people,and explored the influence factors.The data from China Health and Retirement Longitudinal Study(CHARLS)in 2011,2013 and 2015 were used.Self-medication prevalence was calculated as the number of whole people divided by the number of people taking self-medication.The influence factors of self-medication were analyzed by panel data random effect model.We excluded observations with missing values in our analysis,leaving 16 962,17 876 and 19 572 observations in 2011,2013 and 2015,respectively.The average 3-year self-medication prevalence was 45.52%.Moreover,11.70%of respondents practiced self-medication with prescription medicine in 2011,2013 and 2015.Respondents living in non-rural areas(P=0.009)and western region(P=0.000)took more self-medication.Self-medication was a common phenomenon among middle-aged and elderly population in China.The government should strengthen the guidance for the middle-aged and elderly people who took more self-medication,such as those living in urban and western region.

Analysis of the impact of exercise education interventions on middle-aged and elderly people in Central-western rural China

This study aims to analyze the impact of health education effort that promote exercise activities have had on middle-aged and older people in central-western rural China.The Project for Family Health Care(PFHC)of the population in central and western China used questionnaires completed anonymously to survey 4217 randomly selected respondents in the baseline year of 2011,and 4529 in the end-line year of 2015.We used bivariate and multivariate analyses to examine the associations between several factors and regular exercise activities.The 2011 baseline year sample indicated that 90.5%of respondents knew the functions of regular exercise,but that only 45.4%participated in regular exercise activities.In the baseline multivariate model,a number of factors were positively associated with the prevalence of participation in regular exercise activities.Respondents who were women,older,retired,lived with children,had chronic diseases,and self-reported better health were more likely to participate in regular exercise.The proportion of those participating in regular exercise increased to 75.9%among the end-line year respondents after health education.This study revealed that health education interventions effectively encouraged rural middle-aged and elderly people to participate in regular exercise activities.Health education efforts of this sort for rural middle-aged and older adults should be further strengthened,and more public facilities for exercise should be provided.

METABONOMICS CHARACTERISTICS OF MIDDLE-AGED AND ELDERLY CHINESE PEOPLE WITH QI-INSUFFICIENCY CONSTITUTION

The aim of the work was to investigate the metabonomic characteristics of qi-insufficiency constitution among middle-aged and elderly healthy Chinese people.All healthy Chinese participants were screened from 2012annual health check-up for middle-aged and elderly community residents(=50 years old)at Chajiao community,

Historical Course Follows Climate Change: Patterns of the Northern Hemisphere — From Peoples’ Migration until the Industrial Revolution (3^rd-18^thCentury)

This paper relates to the statement that the so-called “Little Ice Age” (RCC 6: 1.350-1.800 A.D.) represents—besides the 8k-Event (8.200-8.000 yr cal. B.P.)—the fastest and strongest onset in Holocene History [1]. Its intention focuses on the correlation of interplaying natural processes (i.e. solar energy variation, aerosols, oceanic currents, volcanism as part of plate tectonics, heat flow) with social/political evidence through the time-span of Peoples’ Migration until Industrial Revolution (3rd-18th Century). The time-span comprises the cool/wet/respectively dry climate phase of the P.M. (260-550), a Climate Optimum (600-1.100 A.D.) owning a final Thermal Maximum (1.100-1.260 A.D.) and the “little Ice Age” (1.350-1.800 A.D.), the latter intercalated by the Sp&#246;rer Minimum (1.460-1.550 A.D.) and the Maunder Minimum (1.650-1.720 A.D.). Thereby, an average temperature difference of 1.0&#176;C - 2.0&#176;C seems sufficient for incising climatic/cultural consequences [2]. It has become obvious that a Climate Optimum primarily provides constructive life conditions;however with a problematic final as the following “Effect-Chain” tells: balanced agricultural/cultural population growth → rich harvests → satisfying nourishment → health, encouragement → overpopulation under favorable materialistic conditions → increasing stress → lack of food, high prices → revolts → migration. In contrast, cool/wet/resp. dry conditions originate destructive/depressive conditions (see Peoples’ Migration) which initiate the following “Effect Chain”: bad agricultural conditions → poor/no harvesting → famine → disease, growing death rate → social, political revolts, wars → human cruelties with psychic/religious background (inquisition, witch-combustion → general chaos (30 yr-war) → death, migration (maritime endeavors, colonization). Furthermore, it should be stressed that volcanic aerosols play besides the solar influx variation—an important role on climate/cultural change [3]. However, the effects of oceanic currents’ heat flow of Mid-Oceanic Ridges and Hot Spots, as well as Earth-Magnetism and Sun/Earth Geometry are poorly understood in this context (Example: Iceland as hot spot situated on the Mid-Atlantic Ridge having been working since 40 Ma). The Chapter-introducing citations play a challenging role in regard to Science Criticism and touch the so-called 95% Confidence line (accepted realm of causal interrelation and according recommendation to Society [4]).

A cognitive function predicted method by Useful Field of View tests among elder people in Beijing

Objective:To analyze the visual functions of the elder people in China by Useful Field of View (UFOV) to verify performances in Chinese elders.Methods:A total of 90 participants aged 60 years or above were recruited from residents in the Jiade Senior Apartment and the Fuchengmen Public Health Community in Beijing.Participants completed three tests,Mini Mental State Examination (NMSE),Digit Span test and UFOV.We also tested the digit span and UFOV the following year.Results:The correlation between age and MMSE score was significant (r =-0.422,P <.001).Digit Span scores showed significant negative relationships for all three subtests (P <.01) between ages.The scores of UFOV test 1 showed a non-significant correlation with age,r =0.147,P >.1,while UFOV test 2 and UFOV test 3 showed significant positive relationships with ages,(both P <.01).Thirty-nine participants (out of 90) finished the digit span and UFOV the following year.Only UFOV test 3 has a significant differential performance between two years (t =-2.95,P <.01).We found UFOV tests showed the visual response capacity and had a strong correlation with ages (statistically significant).Conclusion:UFOV could be an effective way to evaluate cognitive ability in Chinese elderly people and the selective-attention test of UFOV may be a more sensitive measurement.

Risk Factors for Age-Related Macular Degeneration in Elderly Chinese Population in Shenyang of China

Objective The paper aims to evaluate the risk factors for age‐related macular degeneration （AMD） in elderly Chinese population in Shenyang,a northeast city of China.Methods A case‐control study was conducted to investigate the risk factors for the prevalence of AMD.Ninety three AMD patients diagnosed by a complete ophthalmic examination were recruited as cases from the outpatient departments of two eye hospitals in Shenyang,while 108 normal subjects of similar age and sex were recruited as controls.A questionnaire was administered among both cases and controls.Results AMD patients aged 60 years and older accounted for 75.3%.There were significantly higher educational levels,shorter smoking history,less sunlight exposure and cataract,and higher proportion of antioxidants intake in controls than in AMD patients.The frequency of intake of fruits,legumes,fish and shrimps was significantly higher in controls than in AMD patients.In a binary logistic regression analysis,smoking and cataract were the risk factors for AMD （OR：4.44,95% CI：2.27‐8.69;OR：4.47,95% CI：2.26‐8.85 respectively）.The high educational background was a protective factor for AMD （OR：0.761,95% CI：0.51‐0.98）.Conclusion A low educational background,smoking and cataract are associated with a higher prevalence of AMD.

Aged People in Chinese Society and Housing Planning for the Elderly People

China is galloping to a society of aged people,accord-ing to the Fourth National Population Survey,there hasbeen 97.38 million people over 60 years of age,accountingfor 8.59% of the total population.In other words,there hasbeen an increase of 0.95 Percentage than that of the ThirdNational Population Survey in 1982.The number of elderlypeople increased in the 8 years period at the annual rate of3.02%,which was one time higher than the average total in-crease(1.48). Five cities and provinces,namely,Shanghai,Beijing,Tianjin,Zhejiang Province and Jiangsu Provincehave already become aged society.By the end of 1991,elder-ly People has reached 100 million.It is estimated that by2000, China will enter aged People’society with the totalamount of 131 million elderly people,accounting for 10%of the total population.Problems of the elderly People are vitally important so-cial issues.We often say that the children are the future ofmankind and there is no hope for the human being Withoutthe healthy development of

The Experience and Enlightenment of the Development of Old-age Care Services in Russia

Through the analysis of the history and current situation of Russia＇s old-age care services system, this paper analyzes and studies the old-age care services system in Russia. By means of law and social policy, Russia can promote the active participation of the elderly in politics, economy, culture and other activities to promote the positive image of the elderly. The active aging policy in Russia and the development trend of the old-age care service to promote the social adaptation and re-employment of the elderly are of positive significance to the development of our country＇s old-age care service.

Research progress on the effects of phthalates on reproductive health of childbearing population and their offspring

The total fertility rate of women in childbearing age showed a downward trend in China.In addition to the age and genetic factors,environmental endocrine disruption can also impair fertility.The impact of increasing new environmental pollutants on the couples in childbearing age has become a research hotspot recently.Phthalate acid esters(PAEs)is a common plasticizer in plastic products,which is widely found in toys,food packaging,construction materials,electronic and medical components,personal care products,office and school supplies and other plastic packaging products,and is the main substance of environmental pollution.Multiple studies have shown that PAEs can not only cause environmental and water pollution,but also have a variety of toxic effects such as reproductive toxicity,genotoxicity,immunotoxicity,neurotoxicity,teratogenicity,and carcinogenesis.Therefore,its impact on human health,especially on reproductive health of people of reproductive age and their offspring,cannot be ignored.However,the current epidemiological study of PAEs and new alternatives in reproductive health population is still controversial,and the toxicity mechanism is still in the exploration stage.This article through to PAEs of parental generation,children(including embryo)of reproductive development and the influence of genetic toxicity research progress at home and abroad to do a review,aims to promote effective control measures for the establishment of PAEs pollutants rather than on reproductive health risk prediction,thus for PAEs of adverse reproductive outcomes of reproductive stage of people provide a scientific basis for precision control and guidance.

Serum Vitamin E Reference Intervals in a Black Congolese Population of Kinshasa

Context: Vitamin E is a powerful antioxidant and plays an important role in human reproduction. However, micronutrient deficiency is a major public health problem, particularly in developing countries. This study aimed to establish reference intervals (RIs) for vitamin E in black Congolese people of childbearing age using an ELISA method to provide a reference for clinically assessing vitamin E status. Methods: A total of 127 healthy people between the ages of 20 and 42 who underwent check-ups were randomly selected for the study. ELISA method measured the level of vitamin E. The effect of gender on vitamin E level was assessed, and RI was established using a parametric approach. Results: Women showed significantly higher levels of vitamin E than men (p = 0.01). The RI of vitamin E in people of childbearing age was 3.71 to 13.72, 4.52 to 14.64, and 4.17 to 13.52 mg/L, respectively, for the whole population, women and men. Conclusion: Using an ELISA method, this study established RI for vitamin E in the black Congolese population of childbearing age. We also found that women had significantly higher vitamin E levels than men. The results could provide a scientific basis for interpreting vitamin status in people of childbearing age in our setting.

Japan Soon to Have 20,000 People Over Age 100

日本,是一个世界长寿之国。本文提供的资料,让读者信服:Japan ishome to the world’s oldest woman and man.但是,文章的结尾透露了这种现象也是喜忧掺半。

克拉霉素联合抗痨药治疗老年人复治肺结核临床观察

目的观察克拉霉素联合氧氟沙星、力克肺疾和利福喷丁治疗老年人复治肺结核的临床疗效。方法选择住院60例老年人复治肺结核病人为研究对象,随机分为治疗组和对照组。治疗组采用克拉霉素和氧氟沙星联合力克肺疾、利福喷丁四联抗痨;对照组采用力克肺疾、利福喷丁、氧氟沙星三联抗痨。疗程均为6个月(强化期2个月,维持期4个月,维持期均以力克肺疾和利福喷丁治疗),6个月后随访所有患者的症状、复查肝肾功能及胸片。结果治疗组在胸片病灶吸收方面,较对照组有明显改善(P<0.05);但在药物不良反应方面两种方案无显著差异(P>0.05)。结论克拉霉素联合氧氟沙星、力克肺疾及利福喷丁比氧氟沙星联合力克肺疾、利福喷丁治疗老年人复治肺结核疗效好。