Prevalence of geriatric syndromes among people aged 65 years and older at four community clinics in Moscow

Olga N Tkacheva,1 Nadezda K Runikhina,1 Valentina S Ostapenko,1 Natalia V Sharashkina,1 Elen A Mkhitaryan,1,2 Julia S Onuchina,1 Sergei N Lysenkov,1,3 Nikolai N Yakhno,2 Yan Press4–6 1Pirogov Russian National Medical University, The Russian Clinical Research Center for Gerontology, Moscow...

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Autores principales: Tkacheva ON, Runikhina NK, Ostapenko VS, Sharashkina NV, Mkhitaryan EA, Onuchina JS, Lysenkov SN, Yakhno NN, Press Y
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Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:79ba15c94af942ebbbad21561399fc752021-12-02T00:42:39ZPrevalence of geriatric syndromes among people aged 65 years and older at four community clinics in Moscow1178-1998https://doaj.org/article/79ba15c94af942ebbbad21561399fc752018-02-01T00:00:00Zhttps://www.dovepress.com/prevalence-of-geriatric-syndromes-among-people-aged-65-years-and-older-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Olga N Tkacheva,1 Nadezda K Runikhina,1 Valentina S Ostapenko,1 Natalia V Sharashkina,1 Elen A Mkhitaryan,1,2 Julia S Onuchina,1 Sergei N Lysenkov,1,3 Nikolai N Yakhno,2 Yan Press4–6 1Pirogov Russian National Medical University, The Russian Clinical Research Center for Gerontology, Moscow, Russia; 2Neurology Department, Sechenov First Moscow State Medical University, Moscow, Russia; 3Department of Evolution, Faculty of Biology, Lomonosov Moscow State University, Moscow, Russia; 4Department of Family Medicine, Siaal Research Center for Family Medicine and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; 5Yasski Clinic, Comprehensive Geriatric Assessment Unit, Clalit Health Services, Beer-Sheva, Israel; 6Unit for Community Geriatrics, Division of Health in the Community, Ben-Gurion University of the Negev, Beer-Sheva, Israel Background: Geriatric syndromes (GSs) are common in older adults and have a significant effect on their quality of life, disability, and use of health care resources. Few studies have assessed the prevalence of GSs in Russia. The aim of this study is to assess the prevalence of GSs among older adults living in the community in Moscow. Methods: A cross-sectional study was conducted in four community clinics in Moscow. A total of 1,220 patients completed a screening questionnaire, and 356 of them also underwent a comprehensive geriatric assessment (CGA). Results: The mean age of the 1,220 participants was 74.9±6.1 years; 75.5% were women. Based on the questionnaire, 58.3% reported visual or hearing impairment, 58.2% cognitive impairment, 46% mood disorder, 42% difficulty walking, 28.3% urinary incontinence, 21.3% traumatic falls (over the previous year), and 12.2% weight loss. The mean number of GSs per patient was 2.9±1.5. Based on CGA, a decline in Instrumental Activity of Daily Living score was identified in 34.8% of the patients, a risk of malnutrition (Mini-Nutritional Assessment score, 17–23.5) in 25.8%, probable cognitive impairment (Mini-Mental State Examination score <25) in 8.6%, and symptoms of depression (15-item Geriatric Depression Scale score >5) in 36.2%. On the whole, patients demonstrated good mobility (average walking speed, 1±0.2 m/s) and hand grip strength (23.9±6.4 kg in women and 39.1±8.3 kg in men), but poor balance (only 39.4% were able to maintain their balance on one leg for 10 s or more). Conclusion: The results of this study demonstrate a high prevalence of GSs among community-dwelling people aged 65 years and older in Moscow. The results provide a better understanding of the needs of older adults in Russia and can facilitate planning for medical and social assistance for this population. Keywords: geriatric syndromes, comprehensive geriatric assessment, questionnaire, community-dwelling, RussiaTkacheva ONRunikhina NKOstapenko VSSharashkina NVMkhitaryan EAOnuchina JSLysenkov SNYakhno NNPress YDove Medical Pressarticlegeriatric syndromescomprehensive geriatric assessmentquestionnairecommunity-dwellingRussiaGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 251-259 (2018)
institution DOAJ
collection DOAJ
language EN
topic geriatric syndromes
comprehensive geriatric assessment
questionnaire
community-dwelling
Russia
Geriatrics
RC952-954.6
spellingShingle geriatric syndromes
comprehensive geriatric assessment
questionnaire
community-dwelling
Russia
Geriatrics
RC952-954.6
Tkacheva ON
Runikhina NK
Ostapenko VS
Sharashkina NV
Mkhitaryan EA
Onuchina JS
Lysenkov SN
Yakhno NN
Press Y
Prevalence of geriatric syndromes among people aged 65 years and older at four community clinics in Moscow
description Olga N Tkacheva,1 Nadezda K Runikhina,1 Valentina S Ostapenko,1 Natalia V Sharashkina,1 Elen A Mkhitaryan,1,2 Julia S Onuchina,1 Sergei N Lysenkov,1,3 Nikolai N Yakhno,2 Yan Press4–6 1Pirogov Russian National Medical University, The Russian Clinical Research Center for Gerontology, Moscow, Russia; 2Neurology Department, Sechenov First Moscow State Medical University, Moscow, Russia; 3Department of Evolution, Faculty of Biology, Lomonosov Moscow State University, Moscow, Russia; 4Department of Family Medicine, Siaal Research Center for Family Medicine and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; 5Yasski Clinic, Comprehensive Geriatric Assessment Unit, Clalit Health Services, Beer-Sheva, Israel; 6Unit for Community Geriatrics, Division of Health in the Community, Ben-Gurion University of the Negev, Beer-Sheva, Israel Background: Geriatric syndromes (GSs) are common in older adults and have a significant effect on their quality of life, disability, and use of health care resources. Few studies have assessed the prevalence of GSs in Russia. The aim of this study is to assess the prevalence of GSs among older adults living in the community in Moscow. Methods: A cross-sectional study was conducted in four community clinics in Moscow. A total of 1,220 patients completed a screening questionnaire, and 356 of them also underwent a comprehensive geriatric assessment (CGA). Results: The mean age of the 1,220 participants was 74.9±6.1 years; 75.5% were women. Based on the questionnaire, 58.3% reported visual or hearing impairment, 58.2% cognitive impairment, 46% mood disorder, 42% difficulty walking, 28.3% urinary incontinence, 21.3% traumatic falls (over the previous year), and 12.2% weight loss. The mean number of GSs per patient was 2.9±1.5. Based on CGA, a decline in Instrumental Activity of Daily Living score was identified in 34.8% of the patients, a risk of malnutrition (Mini-Nutritional Assessment score, 17–23.5) in 25.8%, probable cognitive impairment (Mini-Mental State Examination score <25) in 8.6%, and symptoms of depression (15-item Geriatric Depression Scale score >5) in 36.2%. On the whole, patients demonstrated good mobility (average walking speed, 1±0.2 m/s) and hand grip strength (23.9±6.4 kg in women and 39.1±8.3 kg in men), but poor balance (only 39.4% were able to maintain their balance on one leg for 10 s or more). Conclusion: The results of this study demonstrate a high prevalence of GSs among community-dwelling people aged 65 years and older in Moscow. The results provide a better understanding of the needs of older adults in Russia and can facilitate planning for medical and social assistance for this population. Keywords: geriatric syndromes, comprehensive geriatric assessment, questionnaire, community-dwelling, Russia
format article
author Tkacheva ON
Runikhina NK
Ostapenko VS
Sharashkina NV
Mkhitaryan EA
Onuchina JS
Lysenkov SN
Yakhno NN
Press Y
author_facet Tkacheva ON
Runikhina NK
Ostapenko VS
Sharashkina NV
Mkhitaryan EA
Onuchina JS
Lysenkov SN
Yakhno NN
Press Y
author_sort Tkacheva ON
title Prevalence of geriatric syndromes among people aged 65 years and older at four community clinics in Moscow
title_short Prevalence of geriatric syndromes among people aged 65 years and older at four community clinics in Moscow
title_full Prevalence of geriatric syndromes among people aged 65 years and older at four community clinics in Moscow
title_fullStr Prevalence of geriatric syndromes among people aged 65 years and older at four community clinics in Moscow
title_full_unstemmed Prevalence of geriatric syndromes among people aged 65 years and older at four community clinics in Moscow
title_sort prevalence of geriatric syndromes among people aged 65 years and older at four community clinics in moscow
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/79ba15c94af942ebbbad21561399fc75
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