bluuebunny/crossref_metadata_2025_split huggingface dataset:
NUTRITIONAL NEEDS AND PREFERENCES AMONG AFRICAN AMERICAN CUSTODIAL GRANDMOTHERS: A QUALITATIVE STUDY
Authors: Mayfield Kellie E , Whitley Deborah , Kelley Susan J 
Published: November 2019

Abstract
This presentation summarizes a qualitative analysis from focus groups with African American, urban dwelling grandmothers raising grandchildren in parent-absent households. Nutritional needs of custodial grandparents are an under explored area of research. Previous studies on custodial grandparents have acknowledged the physical, social, and familial burdens they endure as caregivers of their grandchildren. Limited financial support is a consistent concern. One manifestation of having scarce monetary resources is not being able to meet daily nutritional requirements. As a result, adverse health outcomes related to the onset of diet-related diseases (e.g., obesity, hypertension, diabetes) are too common, especially for custodial grandparents of color. The present study qualitatively explores grandmothers’ (N=9) experiences and ideas about food choices/options, decisions about when and where to purchase food, and the involvement of grandchildren in food-related practices and traditions. Grandparent participants were recruited from a community-based intervention, a program that provides health and social support services to grandparents raising grandchildren in Atlanta. Each of the focus groups consisted of 4-6 custodial grandmothers , facilitated by a doctoral-level community nutritionist. The major themes summarized from the qualitative group interviews were framed within a feminist/race theoretical context. Dominant themes from the focus group encounters include traditional gender roles related to food purchase and preparation, prioritizing food options to meet family preferences, available/accessible urban-based food options, food knowledge deficits, and sustaining cultural identity and nutritional health. Findings suggest implications for food and health policy, community-level programming, and nutrition education interventions.
FAMILY COHESION MODERATES THE RELATIONSHIP BETWEEN ACCULTURATION AND HEALTH AMONG OLDER CHINESE AMERICANS
Authors: Wang Kaipeng , Zhang Anao , Sun Fei , Hu Rita X 
Published: November 2019

Abstract
Migration and resettlement are major life events that affect immigrants’ functioning and health status. Previous research has well-established the influence of acculturation and family cohesion on Chinese Americans’ mental health and health behavior; however, the moderation effect of family cohesion on the relationship between acculturation and self-rated health – a robust measure of an individual’s general health – has not been examined among this population. The purpose of this study is to examine the association between family cohesion, acculturation, and self-rated health among older Chinese Americans. Data came from a survey of 385 Chinese Americans aged 55 and older living in a large metropolitan area in Southwest America through face-to-face interviews. We used logistic regression to examine the association between acculturation, family cohesion, and self-reported health. In general, acculturation was significantly associated with higher odds of reporting excellent or good health after adjusting for demographic and psychosocial covariates; however, the association between acculturation and self-reported health differed by family cohesion. We found that acculturation was positively associated with self-reported health only among those with medium or high family cohesion, but not among those with low family cohesion. Findings highlighted the significance of involving family members and strengthening family support for providing acculturation services, such as language class and healthy literacy education, to older Americans. Family cohesion needs to be considered by health and mental health care providers for older Chinese Americans to further understand the resources and barriers that influence their health service use and health behaviors.
GRIEF EXPERIENCE PATTERNS AMONG OLDER ADULTS IN RURAL CHINA: A LATENT PROFILE ANALYSIS
Authors: Pan Haimin 
Published: November 2019

Abstract
Grief experiences among older adults in China are understudied, though a variety of negative bereavement outcomes have been delineated. The present work sought to explore grief patterns among Chinese older people in rural areas, as well as the factors influencing the bereavement results. Participants were 352 older residents who responded to a face-to-face interview and lived in rural areas in Zhejiang Province of China. Latent profile analysis (LPA) was used to identify subtypes of class membership in combing complicated grief (CG), depression, anxiety, and meaning in life. Afterwards, these subgroups were compared on demographic characteristics and meaning making variable. The LPA model best fitting the data was a three-class solution comprised of “adaptive” (n=235; 66.8% of the sample), “moderate maladaptive” (n=83; 23.6% of the sample), and “severe maladaptive” groups (n=34; 9.7% of the sample). Compared to the “severe maladaptive” group, participants in the “adaptive” group had better physical functioning, higher education and incomes levels, and less meaning making engagement, while participants in the “moderate maladaptive” group had longer bereavement duration, better physical functioning, and less meaning making activities. Relative to the “moderate maladaptive” group, participants who were adaptive to the loss possessed longer bereavement duration better physical functioning, higher education and incomes levels, and less meaning making engagement. Findings suggest three distinct patterns of bereavement outcomes among Chinese older adults. Multiple factors impacting the results were taken into consideration. Future replication is necessary to validate these subgroups, and professional services should be provided to bereaved older Chinese in need.
WHEN I’M 75: COLLEGE STUDENTS’ SELF-PERCEPTIONS OF AGING IN AN INTRODUCTORY GERONTOLOGY COURSE
Authors: Hahn Sarah J , Kinney Jennifer 
Published: November 2019

Abstract
This presentation examines college students’ self-perceptions of aging using written essays from the assignment “When I’m 75” that was assigned at the beginning and end of the semester in an introductory gerontology course. Despite robust literature on people’s attitudes toward aging and older adults, far less is known about attitudes toward one’s own aging, especially among college students. Interpretive Phenomenological Analysis was used to analyze the students’ perception of their aging experience in their written assignment. Three overarching superordinate themes were identified: challenges of aging, proactive steps to avoid negative consequences of aging, and housing considerations. Findings suggest that after completing an introductory gerontology course, students demonstrated an understanding of some age-related changes yet still had a stereotypical understanding of what it is like to be age 75. This suggests the need to engage students in moving beyond stereotypes and to better link older age with their own future experience.
STRAIN AMONG CAREGIVERS OF OLDER BREAST CANCER PATIENTS
Authors: Overcash Janine A , Fugett Susan , Tan Alai , Ginther Jane , Williams Nicole 
Published: November 2019

Abstract
Caregiver strain is the emotional and physical demands associated with providing care, particularly when the needs exceed the resources. The purpose of this presentation is to illustrate the predictors of strain among caregivers of older breast cancer patients. Relationships among caregiver strain (Modified Caregiver Strain Index), age, employment status, patient characteristics and scores on the comprehensive geriatric assessment (grip strength, Timed up & Go, Mini Nutritional Assessment, MiniCog, Geriatric Depression Scale, Pittsburgh Sleep Quality Index, and Brief Fatigue Inventory) are described. This cross sectional study included women who were diagnosed with breast cancer, over the age of 69 years, receiving any type of treatment and seeking an initial assessment in a geriatric oncology program.. Dyads (N=39) had a mean patient age of 77 and caregiver age of 64 years. Most patients were diagnosed with infiltrating ductal carcinoma 30 (76.9%), most had lumpectomy 23 (59%), and were stage 1 15 (38.5%). Most patients had one caregiver 22(56.4%) who worked full-time 12(30.8) and rated their health as very good 16 (25.4%). Increasing age of the caregiver was associated with less caregiver strain (r = -0.45, p=.02). Employment status of the caregiver was significantly related to caregiver strain -0.35 (p=.03). Caregivers employed full time 3.5 (p = .08), and part time 5.9 (p=0.3) experienced greater strain (mean±SD: 9.4±8.8) than those employed full-time (4.7±3.4). Patient depression, caregiver employment status and age of the caregiver are related to caregiver strain. Healthcare providers must assess for strain in cancer givers of cancer patients.
GENETIC INFLUENCES ON LUNG FUNCTION CONTRIBUTE TO SUBSEQUENT AGE CHANGES IN MOTOR FUNCTION
Authors: Finkel Deborah G , Ernsth-Bravell Marie 
Published: November 2019

Abstract
Researchers have striven to determine whether the age changes in physical and cognitive functioning are coincident, or does change in one domain precede functioning in the other. Dual change score models (DCSM) facilitate testing of hypotheses about temporal patterns of aging. Previous investigations in the Swedish Adoption/Twin Study of Aging (SATSA) indicate three directional effects: age changes in processing speed contribute to subsequent age changes in cognition, age changes in lung function contribute to subsequent age changes in processing speed, and age changes in motor function contribute to subsequent age changes in processing speed. In the current analysis we apply DCSM to twin data to examine the nature of the longitudinal relationship between motor functioning and lung function. Three motor functioning factors were created from 20 performance measures: balance, flexibility, and fine motor movement. Peak expiratory flow measured lung function. Participants were 829 adults aged 50-88 at the first of 9 waves of testing (mean = 4.4 waves) covering a 27-year follow-up period (mean = 13.1 years). Model comparisons indicated that genetic influences on decline in lung function contributed to subsequent decline in motor function. Combined with previous results, these results suggest a pathway that may start with age declines in lung function, which then contribute to declines in motor function, which in turn contribute to subsequent declines in processing speed and then cognitive decline. These data indicate that interventions focusing on improving or maintain lung function should have the added effect of maintaining motor and cognitive function.
ASSOCIATION BETWEEN BLOOD PRESSURE AND COGNITIVE FUNCTION OF COMMUNITY-DWELLING OLDEST OLD IN OKINAWA, JAPAN
Authors: Namihira Yukihiro , Tokashiki Takashi , Ishida Akio , Ohya Yusuke , Dodge Hiroko H 
Published: November 2019

Abstract
Background: Adults 80 years and older are the fastest-growing segment of the Japanese population and face a high risk of cognitive decline. There are some evidences connecting hypertension to cognitive decline. In mid-life hypertension is known to have influence the cognitive decline in older age. However, a few study have examined the association between hypertension or vascular stiffness and cognitive function among elderly over 80 years old. We analyzed the associations between vascular stiffness and cognitive function among relatively healthy community-dwelling non-demented oldest old. Method: Data came from the Keys to Optimal Cognitive Aging (KOCOA) study; an ongoing cohort of relatively healthy volunteers aged over 80 years old, living in Okinawa, Japan. In 2017, 105 non-demented (Clinical Dementia Rating &lt; 1) subjects completed three kinds of examination for vascular function (75 % female, mean age (SD) 84.0 (3.0)). We categorized subjects into low and high cognitive function groups using Montreal Cognitive Assessment (MoCA) (25/26 as a cutpoint). Logistic regression models were used to examine the association between cognitive and vascular functions. Results: Narrower pulse pressure, an indicator of lower arterial stiffness, was associated with better cognitive function among subjects, after adjusting for gender, age, and education (p≦0.05), although systolic and diastolic blood pressure were not. Conclusion: Our findings suggest that narrower pulse pressure is related with cognitive preservation. The present study supports the hypothesis that lower arterial stiffness is related with better cognitive function even among the oldest old.
EFFECT OF INFLUENZA VACCINE ON TWEAK LEVELS IN THE ELDERLY: IMPLICATION IN CARDIOVASCULAR PROTECTION
Authors: Tavenier Juliette , Ouyang Min , Li Huifen , Leng Sean X 
Published: November 2019

Abstract
Substantial evidence suggests a protective effect of annual influenza immunization on cardiovascular diseases (CVD). The inflammatory mediator TNF-related weak inducer of apoptosis (TWEAK) is thought to be involved in the pathogenesis of CVD. We previously showed that administration of a standard-dose influenza vaccine reduced circulating TWEAK levels. This study aimed to test the hypothesis that a high-dose vaccine would have greater impact on TWEAK levels than the standard-dose. Two groups of participants matched on age and sex were included in the study. One group (n=25) received standard-dose vaccine during 2008-2009 season, the other group (n=25) received high-dose vaccine during 2014-2015 season. Soluble TWEAK (sTWEAK) levels were assessed using ELISA in serum samples collected immediately before vaccination and during the 4th week after vaccination. Vaccine-induced strain specific antibody titers were measured by hemagglutination inhibition assay. The participants had a mean age 86 years and 68% were women. Our preliminary results thus far demonstrated no statistically significant change in sTWEAK levels after vaccination in either group (Wilcoxon matched-pairs signed rank test: standard-dose group: median change [interquartile range]=11.2 [-92.2–197.1] pg/mL, p=0.72; high-dose group: -24.8 [-58.9–87.3] pg/mL, p=0.70). Pre-vaccination sTWEAK levels tended to be negatively associated with age (unadjusted linear regression of log2(x) transformed TWEAK levels on age: estimate [±SE]=-4.6% [±2.7%] change in TWEAK level per year, p=0.08). We continue to evaluate more pre- and post-vaccination samples. We have also begun exploring TWEAK expression by circulating immune cells (T and B lymphocytes and monocytes) and potential impact of influenza immunization in older adults.
THE ASSOCIATION BETWEEN VITAMIN K STATUS AND CARDIOVASCULAR DISEASE IN OLDER ADULTS
Authors: Shea M Kyla , Weiner Daniel , Matuszek Gergory , Booth Sarah L , Kritchevsky Stephen , Cushman Mary , Barger Kathryn 
Published: November 2019

Abstract
A role for vitamin K in cardiovascular disease (CVD) has been proposed because vitamin K-dependent proteins are present in vascular tissue. We evaluated the association between vitamin K status and incident CVD and mortality in older adults from the Health, Aging, and Body Composition Study (Health ABC), and conducted a replication analysis using the Multi-ethnic Study of Atherosclerosis (MESA). In both cohorts circulating phylloquinone (vitamin K1), measured from baseline fasting blood samples, was categorized as ≤0.5nM, &gt;0.5-≤1.0nM, and &gt;1.0nM. Multivariable Cox proportional hazards models assessed the association between circulating phylloquinone and risk of a composite of CVD and mortality. In Health ABC (n=1246, mean age 74 years, 57% female, 58% Caucasian), over a median 11.5 follow-up years, participants with ≤0.5 nM plasma phylloquinone (n=351) had a 27% higher risk for CVD and mortality compared to those with &gt;1.0nM (n=457) [adjusted hazard ratio (95% confidence interval) (HR(95%CI)): 1.27(1.06-1.52)]. However, the risk for CVD and mortality did not differ between those with &gt;0.5-≤1.0nM (n=438) and with &gt;1.0nM plasma phylloquinone [HR(95%CI): 1.03(0.87-1.52)]. Serum phylloquinone was similarly associated with CVD and mortality in MESA, over a median 12.1 follow-up years (n=764, mean age 62 years, 54% female, 35% Caucasian) [HR(95%CI), compared to those with &gt;1.0nM (n=368): &lt;0.5nM (n=253): 1.54(1.03-2.32); 0.5-≤1.0nM (n=153): 1.23(0.76, 1.98)]. Lower circulating phylloquinone was associated with a higher CVD and mortality risk in two independent cohorts. Additional studies are needed to corroborate our findings and clarify if certain segments of the population can derive cardiovascular benefit from improving vitamin K status.
CARDIOVASCULAR HEALTH AND SUCCESSFUL AGING: THE MULTI-ETHNIC STUDY OF ATHEROSCLEROSIS
Authors: Lan Tzuo-Yun , Krefman Amy , Bancks Michael , Shea Steven , Liu Kiang , Allen Norrina 
Published: November 2019

Abstract
Individual risk factors have been shown to be associated with successful aging. However, the combined effect of behaviors and biomarkers on successful aging remains unclear. By using the Multi-Ethnic Study of Atherosclerosis (MESA) dataset, this study was to examine the association of AHA’s Cardiovascular Health (CVH) with successful aging. A total of 1,597 who were followed from baseline (2000-2002) at age 49-64 through exam 6 (2016-2018) at age 65-80 were included. CVH, including smoking, body mass index (BMI), physical activity, diet, blood pressure, cholesterol, and blood glucose, was measured at baseline. The CVH score, ranging from 0-14, was divided into ideal (11–14), intermediate (9–10), and poor (0–8) groups. Normal or successful aging, defined as avoiding major disease (including cancer, cardiovascular, or severe lung or kidney diseases), no disability, high cognitive function, high physical functioning, and engagement with life, was assessed at exam 6. We compared the cumulative incidence of successful aging among three groups. Modified Poisson regression model was employed to estimate relative risk (RR) adjusting for age, gender, race, education, income, marital status, and alcohol consumption. Among study participants at baseline, 36% were in ideal, 39% in Intermediate, and 25% in poor CVH. By exam 6, only 18% met the criteria for successful aging. Compared with the poor group, the adjusted RRs (95 % CI) of successful aging for the intermediate and ideal groups were 1.78 (1.23-2.56) and 2.56 (1.79-3.67). Our data suggest that CVH in midlife is associated with successful aging in later life.
IDENTIFYING COGNITIVE IMPAIRMENT WITH PRIMARY CARE IMPLEMENTATION OF THE BRIEF INTERVIEW FOR MENTAL STATUS
Authors: Gilbert Karen L 
Published: November 2019

Abstract
Overview: An estimated 5.7 million Americans are affected by Alzheimer’s disease (AD; 2018 Alzheimer’s disease facts and figures, 2018, p. 367). Cognitive impairment fails to be identified in the primary care setting as often as 76% of the time (Moyer, 2014, p. 793). Screening can identify patients with emerging impairment who might otherwise appear cognitively intact Grober, Wakefield, Ehrlich, Mabie & Lipton, 2017, p.191). Early identification of cognitive impairment promotes evaluation of treatable causes (Possin et al., 2018, p. 150), and access to early treatment for irreversible disease, facilitating future planning (Swallow, 2017, pp. 57, 63). Methods: This quantitative study’s aim was to identify patients with occult cognitive impairment. After training staff in a Palm Beach County Florida primary care practice, the Brief Interview of Mental Status (BIMS) was administered to patients aged 45 years and older. Results: Seven of 120 screened patients, with no known AD diagnosis, scored as moderately impaired. One of these patients was 64 years of age, the remaining six ranged from age 71 to 93. Fourteen patients scored at the lowest range of “cognitively intact,” eight were under age 65. Conclusion: Cognitive screening of primary care patients with no known diagnosis of AD identified approximately 7% scoring as moderately impaired; an additional 12% scored at the lowest range of “cognitively intact,” suggesting a potentially emerging cognitive impairment warranting follow up evaluation for treatable causes, developing AD, or a related neurocognitive disorder.
PARALLEL DEVELOPMENT OF MEMORY, DISABILITY, AND COMORBIDITY IN U.S. ADULTS AGE 65 AND OLDER
Authors: Bishop Nicholas J , Wang Kaipeng 
Published: November 2019

Abstract
Cognitive health, physical function, and chronic disease represent interdependent health outcomes that may exert influence on the course of each other’s development. To investigate the association between baseline health in each domain and developmental change across domains, we estimated trajectories of working memory, mobility limitations, and comorbidity among US adults age 65 and older over 18 years. We drew observations from the nationally-representative Health and Retirement Study with an analytic sample consisting of 5,963 adults age 65 and over in 1998. Immediate word recall, an 11-item Nagi scale of mobility limitations, and a summary count of eight doctor-diagnosed chronic conditions were measured biennially from 1998 to 2016. Parallel-process quadratic growth models with individually-varying time scores were used to estimate non-linear trajectories of each health measure, allowing identification of associations between baseline health and developmental change in each health process at both earlier and later stages of older adulthood. All estimates adjusted for covariates, complex survey design, and missing data. Greater baseline immediate word recall was associated with less rapid increase in mobility limitations at earlier ages. More baseline mobility limitations were associated with faster increase in comorbidity at earlier ages. Greater baseline chronic conditions were associated with more rapid increase in mobility limitations at later ages. These results highlight the importance of conceptualizing health among older adults as an interdependent and developmental process and should help clinicians recognize that single-domain health status may influence the progression of other health outcomes at different stages of older adulthood.
TUNING ENVIRONMENTAL LIGHTING TO IMPROVE SLEEP QUALITY AND COGNITIVE PERFORMANCE IN OLDER ADULTS
Authors: Shishegar Nastaran , Boubekri Mohamed 
Published: November 2019

Abstract
Sleep is important for memory consolidation, hence the disruption of normal sleep patterns as a result of age-related changes in the circadian system could be one of the contributors to memory impairment among older adults. It is now well-established that light is the main environmental element that synchronizes circadian rhythms. An appropriate lighting condition can be considered as a non-pharmacological solution to improve the sleep quality of individuals and consequently their overall health and well-being. The present study investigates the effectiveness of two proposed whole-day lighting interventions (L1 and L2) applied by Tunable White Lighting Technology (TWLT) on sleep quality and cognitive performance in older adults. Both lighting interventions provide a high illuminance level (500 lux) in the morning and then the illumination is dimmed gradually throughout the day and reached 100 lux in the evening. However, while L1 offers a constant Correlated Color Temperature (CCT) of 2700K, during the L2 intervention, the CCT is changing in the range of 6500K – 2700K from morning towards evening. Fifteen healthy older adults (mean age = 73.2 years; 12F) participated in a 41-day counterbalanced crossover study. Participants were exposed to each lighting condition for 9 days. Actigraphy, standard questionnaires (PROMIS and PSQI), and tests (Trail Making Test (TMT) A & B and Digit Symbol Substitution Test (DSST)) were employed to measure sleep quality and cognitive performance before, during, and after lighting interventions. Significant improvements in sleep quality and cognitive performance were found for both lighting interventions with better outcomes for L2.