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A longitudinal study of falls in an elderly population: I. Incidence and morbidity.

Falls among the elderly, although associated with substantial morbidity and mortality, have not been previously the subject of a longitudinal study. This five-year prospective study of an active ambulatory institutionalized population over 65 years of age, revealed an annual fall rate of 668 incidents per 1000, with a rising frequency in successive age groups after age 75. Forty-five per cent of all subjects suffered at least one fall during the study period. Women had a higher fall rate in all age groups and the severity of their injuries appeared to increase with age. Injuries severe enough to be brought ordinarily to the immediate attention of a physician occurred in 17.5% of falls. Among subjects who ultimately died after suffering many falls, there appeared in some to be a 'clustering' of falls prior to death.

Accidents

Preliminary longitudinal studies of serum polyamines in patients with colorectal carcinoma.

Polyamines, whose biosynthesis is a prerequisite for cell proliferation, are potential indicators of malignant growth. In view of this, serum polyamine levels were examined in longitudinal studies of patients with either colorectal carcinoma or Gardner's syndrome (inherited colonic polyposis possessing a potential for malignant degeneration). Of 10 patients examined longer than one year, serum polyamine levels reflected the disease status. This study indicates that biochemical surveillance of patients by polyamine analysis may be feasible and possibly applicable to other types of tumors.

Adenocarcinoma

Longitudinal studies of chromosomal abnormalities and reticulum cell proliferation in New Zealand Black mice.

A longitudinal study of 40 New Zealand Black (NZB) mice and 20 BALB/c control animals was performed. A significant association was observed between the presence of acquired spleen-cell aneuploidy at some time during life and development of histological evidence of reticulum-cell neoplasia in individual animals. This finding is compatible with the hypothesis that aneuploid clones which arise in the spleens of aging NZBs are at least potentially neoplastic. However, no relationship between histologically neoplastic reticulum cell proliferation and aneuploidy was apparent in single splenic specimens obtained from NZB mice of various ages. This lack of association indicates that failure to detect chromosomal abnormalities on direct study of cells from a tumor cannot be taken as evidence that the neoplastic cells themselves lack such abnormalities.

Aneuploidy

[Development of gingival inflammations in schoolchildren instructed in proper oral hygiene in a seven-year longitudinal study conducted under clinically controlled conditions and as part of the Preventive Stomatology research project (author's transl)].

Instruction of six- and seven-year-old children (N = 1167) at the beginning of this longitudinal study was given by a stomatological nurse at weekly intervals and, later, at fortnightly and monthly intervals, respectively. Compared with a group of untreated controls were not only those children who were instructed in proper oral hygiene but children receiving additional doses of amine fluorides as well. During the seven-year period of observation there was noted a distinct improvement in oral hygiene (OHI) as well as a reduction of gingival inflammations (PM index). Whereas additional administration of amine fluorides had no appreciable effect upon both oral hygiene and the condition of health of the gingiva there was a direct relation to the frequency of instructions in oral hygiene at school.

Child

[Clinical-radiological parallel control of a longitudinal study of the anti-caries effect of aminofluoride applied locally for 7 years in a double-blind test].

The determination of anticarious effects of topically administered fluorine compounds is usually based on short-time cross-sectional or longitudinal studies. In a comparison made for a period of more than seven years the anticarious effects of amine fluorides administered to selected groups of test subjects have been studied under controlled clinical experimental conditions.

Child

[Reliability, heritability, correlation in longitudinal studies (author's transl)].

An analogy exists between the mathematical models of psychological test theory and quantitative genetics, as well as between the parameters, reliability and heritability, derived from these models. With the same results, heritability and correlation in longitudinal studies are only different approaches to the same problem, the reliability of measurement in the long run, that is of fundamental consequence for personnel selection.

Anthropometry

A long-term longitudinal study of intellectual ability of older adults: the matter of selective subject attrition.

Two hundred and forty-six subjects aged 60 to 94 were tested with the WAIS at test session 1, the start of a longitudinal study which lasted approximately 20 years. The subject attrition from the first session to the last (session No. 11) was progressive and selective, leaving mainly the intellectually superior ones in the study. Two facts appeared particularly important: One, little intellectual decline was seen in these superior subjects until very late in life. Two, analyses based on such superior subjects without reference to the larger body of subject populations can lead to spurious generalizations about aging in general. Age decline in intellectual ability seen in more representative populations may not be apparent when analyzing data of select samples.

Aged

Age-related decrement in hearing for speech. Sampling and longitudinal studies.

A 10-year study was conducted in which 282 adults in age decades of 20 through 80 were tested in a comprehensive battery of tasks requiring the perception of speech under a variety of conditions in which the speech signal was degraded. The original results were plotted to reveal the differences in performance of the population samples of each decade. In follow-up studies, after 3 years and again after 7 years, samples of the original subject population were retested. The results of the first, stratified sampling and of the longitudinal studies are compared. The two most apparent trends are: (1) the perception of degraded (distorted and competed) speech undergoes a noticeable decline beginning with the 5th decade of life, and (2) the decline is sharply steeper in the 7th decade.

Adolescent

A longitudinal study on electrical pulp testing following Le Fort type osteotomy and Le Fort type fracture.

A longitudinal study of electrical pulp testing was carried out in 27 cases, or 53 maxillary halves following Le Fort type fractures and Le Fort type osteotomies. On the average, most teeth required positive responses around 7 months or around 11 months afterwards. The central and lateral incisor teeth demonstrated poor results; only 8 percent and 36 percent responded positively at 8 months, and at 14 months, 23 per cent and 50 per cent, respectively. The overall percentage of responsive teeth was 29 percent at 6 months and 85 percent at 14 months. These results are discussed and compared with those of segmental maxillary osteotomy, together with the value of pulp testing in the diagnosis in fracture and osteotomy.

Adolescent

Generations and aging: a longitudinal study.

This study is a longitudinal investigation of the relationship between age and subjective outlook. Over the years, a number of theoretical positions have been introduced to either account for or to minimize age differences in attitudes, values and beliefs. The author has organized these theories of aging into three basic sociological fremeworks or models: the "generations" model, the "age status" model and the "illusion of differences" model. Using a relatively simple methodological desihn, hypotheses derived from these models were tested through secondary analysis of survey data. Strong support was found for the "generations" hypothesis, weak support for the "age status" hypothesis, and no support at all for the "illusion of differences" hypothesis.

Adult

Pharyngeal colonization with Haemophilus influenzae type b: a longitudinal study of families with a child with meningitis or epiglottitis due to H. influenzae type b.

A longitudinal study of pharyngeal colonization with Haemophilus influenzae type b included 264 members of families that had a child with meningitis or epiglottitis due to this organism. It was found that (1) 52 of 67 such families contained at least one carrier of H. influenzae type b, who was usually a sibling; (2) H. influenzae type b spread slowly in 39 families colonized continuously during a six-month period, with only eight of 19 uncolonized siblings acquiring the organism during that time; (3) 18 of 30 initially colonized families contained one or more carriers after 12 months, including 30% of initially colonized siblings; (4) the highest carrier rate of H. influenzae type b occurred in recovered patients, 80% of whom were colonized after hospital discharge; (5) titers of antibody in serum were higher in colonized than in uncolonized individuals (P less than 0.001); (6) levels of antibody in colonized children were lower in those younger than two years than in older children (P less than 0.001); and (7) prolonged or heavy colonization with H. influenzae type b was not associated with unusually high titers of antibody.

Age Factors

Longitudinal study of bowel and bladder control by day and at night in the first six years of life. II: The rôle of potty training and the child's initiative.

The rôle of potty training and the child's own initiative to use the pot were evaluated in 320 Swiss children in the Zurich longitudinal study (1955--1976). Initiating potty training in the first months of life has a short-term effect on bowel control, but no effect on bladder control by day or at night. Frequent daily prompting to use the pot results in a higher percentage of completely bowel-trained children, and of children partially but not completely dry during the day. It has no influence on bladder control at night. Asking for the pot is part of the maturation process of bladder control. A child who does not ask for the pot may not soil himself but is unlikely to be dry by day nor, especially, by night. The child's asking for the pot cannot be induced by frequent prompting.

Child

Longitudinal study of bowel and bladder control by day and at night in the first six years of life. I: Epidemiology and interrelations between bowel and bladder control.

The development of bowel and bladder control by day and at night during the first six years of life in 320 Swiss children in the Zurich longitudinal study (1955--1976) is described in detail. A scoring system was used which included intermediate stages of control. With toilet-training started in 96 per cent of the children during the first year of life, bowel control was completed in 32 per cent at age one, in 75 per cent at age two and in 97 per cent at age three. Complete bladder control by day and at night were established in none of the children at age one, in 20 per cent at ages two and three and in 90 per cent at age four. Complete bowel control and complete bladder control by day and at night were found in 5 per cent at age two, in 11 per cent at age three, in 77 per cent at age four and in 91 per cent at age six. The significant relationships between bowel control, bladder control during the day and bladder control at night (p less than 0-001) demonstrate that the same developmental process acts in bowel and bladder control. Highly correlated to each other, first bowel control develops, then bladder control by day and finally bladder control at night. The relevance of these interrelations for toilet-training and for the management of enuretic and encopretic children is discussed.

Child

The Incidence of Suicide Following Metabolic and Bariatric Surgery: A Prognosis Systematic Review and Meta-Analysis of Longitudinal Studies.

BACKGROUND: Metabolic and bariatric surgery (MBS) effectively manages severe obesity but may lead to psychological complications such as completed suicides and suicide attempts. This review aimed to analyze suicide and self-harm incidence post-MBS. METHODS: We searched MEDLINE, EMBASE, PsycINFO, and the Cochrane Library databases on August 16, 2022, for longitudinal studies with incidence data on suicide following MBS. We performed a single proportion meta-analysis on the incidence of outcomes and assessed the certainty of evidence using the GRADE approach. The review was registered with PROSPERO (CRD42022352137). RESULTS: Eighty-four studies were included. The meta-analysis showed an incidence of 230.64 suicides per 100,000 participants (95% CI: 167.51 to 317.49) in pooled individual-level data and an incidence of 43.02 suicides per 100,000 person-years (95% CI: 32.49 to 56.97) in pooled person-year data. Evidence was low certainty or very low certainty. CONCLUSIONS: The average suicide incidence (231 per 100,000 people) in people with obesity who underwent MBS significantly exceeded the 2019 WHO global estimate for the general population (nine per 100,000 people). These findings underscore the need to incorporate structured psychological screening and follow-up into the perioperative management process of MBS, as patient mental health may play a pivotal role in postoperative adherence and long-term outcomes.

Humans

Longitudinal study of heart size in older people.

Transverse cardiac diameter and transverse thoracic diameter were measured in a longitudinal study of older men and women at the original examination and after five years. The cardiothoracic ratio overestimated 5-year changes in heart size, because of significant decreases with age in transverse thoracic diameter. A regression equation to predict transverse cardiac diameter from age and weight had been previously computed from the data obtained at the initial examination. This was a satisfactory predictor of recorded 5-year changes except in women of 70 years and over at entry to the study in whom the predicted change was significantly larger than the recorded change. This had resulted from the death during the 5 years of women in that age group with larger transverse cardiac diameters.

Aged

A longitudinal study of the genetics of personality.

A longitudinal twin study was conducted to determine whether personality traits with significant heritability in adolescence remain so in adulthood. A subsample of a group of twins who had been administered in Minnesota Multiphasic Personality Inventory and the California Psychological Inventory in adolescence was readministered the same two inventories 12 years later. The subsample was found to be representative of the sample from which it was drawn. Different patterns of significantly heritability were found for the two ages studied: Several personality traits demonstrated evidence of significant heritability in either adolescence or adulthood, while others demonstrated evidence of significant heritability at both ages. In addition, genetic influences on the change from adolescence to adulthood were found for several personality traits. The results raise important questions for the interpretation of twin research and the understanding of genetic influences on personality development.

Adolescent

Association of high-sensitivity cardiac troponin I levels below the sex-specific 99th percentile with late-life dementia: the Perth Longitudinal Study of Ageing Women.

BACKGROUND: Elevated high-sensitivity cardiac troponin (hs-cTn) levels are linked with cardiovascular disease and cognitive impairment, both of which are strong risk factors for late-life dementia (LLD). This study examined the association between hs-cTnI levels below the sex-specific 99th percentile for myocardial injury and the incidence of LLD in older women. METHODS: 986 community-dwelling women aged &#x2265;70 years without prior LLD and with hs-cTnI <15.6&#x2009;ng/L (stratified into quartiles) were included from the Perth Longitudinal Study of Ageing Women. The primary outcome was incident LLD events, including LLD hospitalisation or death, over 14.5 years obtained from linked health records. Associations between hs-cTnI and LLD outcomes were explored using multivariable-adjusted Cox models, as part of restricted cubic splines. RESULTS: At baseline, participants' mean (&#xb1;SD) age was 75.2&#xb1;2.7 years. Over 14.5 years of follow-up, LLD events (n=174, 17.7%), hospitalisations (n=155, 15.7%) and deaths (n=68, 6.9%) were recorded. Compared with those in the lowest quartile (Q1, median 3.1&#x2009;ng/L), women in the highest quartile of hs-cTnI (Q4, median 7.3&#x2009;ng/L) had a greater risk of developing LLD-related events (adjusted HR: 1.88, 95%&#x2009;CI: 1.22 to 2.91), hospitalisation (adjusted HR: 1.65, 95%&#x2009;CI: 1.04 to 2.64) and death (adjusted HR: 2.27, 95%&#x2009;CI: 1.13 to 4.59), after adjusting for established cardiovascular and dementia risk factors, including apolipoprotein E (APOE) genotype. CONCLUSION: Among older women, hs-cTnI levels below the sex-specific 99th percentile for myocardial injury were associated with an increased risk of LLD events over 14.5 years. These findings suggest that hs-cTnI may identify older women at higher risk of LLD, capturing both cardiovascular and brain health vulnerability in older age. TRIAL REGISTRATION NUMBER: ACTRN12617000640303.

Humans

Development and Validation of a Predictive Model for Identification of Cognitive Impairment Risk in Older Adults with Subjective Cognitive Decline&#xff1a;A Longitudinal Study.

BACKGROUND: Subjective cognitive decline (SCD) is a transitional state between objective cognitive impairment and cognitively intact mental status, providing a critical window for implementing preventive interventions to delay objective cognitive decline. AIMS: We aimed to develop a predictive model for SCD progression in older adults with mild cognitive impairment (MCI). This model will facilitate the identification of risk factors and establishment of targeted interventions for community-based SCD management. METHODS: Data from the China Health and Retirement Longitudinal Study (CHARLS) was utilized in this study, extracting 18 indicators. Potential predictors selected through univariate Cox regression and LASSO regression analyses were sequentially incorporated into a multivariable Cox regression model. A nomogram was constructed to establish a predictive model. Model validation encompassed Area Under Curve (AUC) metrics for discriminative capacity, complemented by quantitative assessments using calibration curve analysis for precision verification and decision curve analysis (DCA) for clinical utility evaluation. RESULTS: A total of 1099 older adults with SCD were included in the final analysis, of whom 114 (10.3%) developed MCI. Multivariable Cox regression identified residence, marital status, educational level, social participation, gait speed, and baseline cognitive function. The model demonstrated time-dependent AUC values of 0.885, 0.830, 0.839, and 0.836 in the training set when evaluating discriminative capacity at 2-, 4-, 7-, and 9-year, respectively. The predictive model showed excellent predictive ability according to AUC, calibration curve, and DCA. CONCLUSIONS: A predictive model was created to estimate the risk of developing MCI in older individuals with SCD, offering clinician-actionable intervention benchmarks for preventive care.

Humans