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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Comorbidities, polypharmacy, functionality and nutritional status in Turkish community-dwelling female elderly
Gulistan Bahat1, Fatih Tufan, Zumrut Bahat
1Division of Geriatrics, Department of Internal Medicine, Istanbul Medical School, Istanbul University, Capa, 34390, Istanbul, Turkey, gbahatozturk@yahoo.com.
This study found high rates of polypharmacy and functional dependency in Turkish elderly women. Nutritional status was poorer compared to other regions, highlighting the need for comprehensive geriatric care.
Area of Science:
- Geriatric Medicine
- Epidemiology
- Public Health
Background:
- Geriatric epidemiological data from developing countries are scarce.
- Most elderly populations reside in developing nations.
- This study focuses on Turkish community-dwelling female elderly patients.
Purpose of the Study:
- To investigate comorbidities, polypharmacy, functional status, and nutritional status in Turkish elderly women.
- To provide data on geriatric health in a developing country context.
- To identify health disparities and needs in this demographic.
Main Methods:
- Cross-sectional study of female geriatrics outpatient clinic patients.
- Comprehensive geriatric assessment including chronic diseases, medications, functionality (ADL, IADL), cognition, and nutrition (MNA-SF).
- Data collected via patient self-reports and medication reviews.
Main Results:
- 515 female patients (mean age 73.4) included.
- High prevalence of chronic diseases (mean 2.8), hypertension (75.3%), depression (45.5%), and dementia (39.4%).
- Polypharmacy (≥4-5 drugs) affected 63.2-47.6%; functional dependency (ADL/IADL) was 23.4%/64.0%; poor nutrition was 39.1%.
Conclusions:
- Polypharmacy and functional dependency are prevalent in Turkish elderly women.
- Nutritional status is poorer than in other Turkish urban areas and males, but better than in Iranian counterparts.
- Findings emphasize geographical variations and the global need for comprehensive geriatric assessments.
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