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The role of participation of religious and social organization on disability of elderly: Case study in Jakarta, Indonesia
8th Congress of the EUGMS / European Geriatric Medicine 3S (2012) S33–S143
P154
Disclosure.– No significant relationships.
The role of participation of religious and social organization on disability of elderly: Case study in Jakarta, Indonesia
http://dx.doi.org/10.1016/j.eurger.2012.07.156
Y. Handajani Public Health, Faculty of Medicine of Atma Jaya University, Jakarta, Indonesia
Orthostatic tolerance among elderly endurance athletes and healthy controls
Keywords: Religious; Social organization; Disability; Case study; Elderly; Urban Jakarta-Indonesia Introduction.– Prevalence of disability in several South-East Asian countries ranged from 8.3 to 20% (Wai-man, C & Chi, Iris, 2001) and the prevalence in Indonesia was 43.4% (HHS, 2002). Text.– The objective of this study was to investigate the influence of the religious and social organization participation to functional disability in basic activities of daily living and instrumental activities daily living. Methods.– This research was an analytical research with cross sectional technique. The population studied are 60-years-old or older peoples who live in the five regions of Jakarta district. The samples are taken using a 3-fold cluster-stratification method. Results.– The participation elderly on social and religious organization will protect disability in decline of functional disabilities. The elderly who prayed regularly and participating in religious organization would not have functional disability in basic activities of daily living (ADL) and instrumental activities daily living (IADL). Furthermore, participation on the organization of older people group will protect in decline of functional disability in basic activities of daily living (ADL) and instrumental activities daily living (IADL). For those reasons, it was important for improving of the elderly continually on participating in organization activities, especially social and spiritual organization. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.155 P155
Sociodemographic determinants of extreme longevity M. Poulain Iacchos, UCL, Charleroi, Belgium Introduction.– Sociodemographic characteristics are determinants explaining extreme longevity: beside age and sex we consider matrimonial history and living arrangements. Methods.– Data used are extracted from the continuous registration system in Belgium. Compared to longitudinal surveys, administrative data are also suitable for longitudinal studies. They give less information but include date of death and describe the situation of the person at that moment. The method used is survival analysis. Results.– Two thousand nine hundred and twenty-nine Belgian centenarians are concerned including 659 men. Most centenarians were widowed at death (1957 women and 551 men), few were still married, mostly men (nine women and 73 men, while 274 women and 32 men were never married. Among female centenarians, 55% were younger compared to their husband while for male centenarians, 81% were older. Early widowhood favors longevity for women but not for men. For living arrangement, three fourth of the centenarians were institutionalized at death but the timing of their entry in nursing home is later compared to the total population. Living in married couple is protective but being single and living alone is also profitable for women only. Conclusion.– As far as the marital history is concerned, the protective effect of marriage emerges. The duration of life spent in a married couple as well as the impact of widowhood are crucial for survival. Concerning the living arrangement in the latter phase of the life span, living in institution increases mortality risk but this effect decreases at older ages.
S79
P156
M. Mellingsaeter a,∗ , T. Bruun Wyller a , V.B. Wyller b , A. Hylen Ranhoff c a Department Of Geriatric Medicine, Oslo University Hospital„ Oslo, Norway b Department Of Peadiatric Medicine, Oslo, Norway c Department Of Internal Medicine, Diakonhjemmet hospital, Oslo, Norway Introduction.– Physical activity is associated with longevity; however, there is diverging evidence about how endurance training affects orthostatic tolerance in the elderly. An old statement says: “Fit men can run, but they cannot stand”. Method.– Fifty-four men, 65+, healthy and without medication, were subjected to head-up tilt-test (HUT). Thirty were participants in the 54 km long cross-country skirace “Birkebeineren” (athletes), and 24 had an ordinary level of daily physical activity (controls). They underwent 30◦ and 70◦ HUT. Heart rate (HR), blood pressure (BP) and stroke volume were continuously and non-invasively monitored. Stroke index (SI), cardiac index, and total peripheral resistance index (TPRI) were calculated. We calculated changes in hemodynamic variables from resting state to HUT, using the median from periods of 240 s at rest and after tilt. Results.– At rest, HR was lower and SI higher among the athletes, albeit blood pressures were not significantly different. The athletes had significantly larger fall in systolic and mean BP and smaller increase in HR in response to 30◦ HUT. This trend was also seen after 70◦ HUT, but the differences were not statistically significant. TPRI response was equal in the two groups. Conclusions.– Despite a larger fall in blood pressure during orthostatic challenge, the increase in HR were lower among the athletes, suggesting a lower set-point of blood pressure during orthostasis. This may explain differences in orthostatic tolerance during daily activities. Furthermore, our results indicate that endurance training has substantial impact on cardiovascular autonomic control in the elderly. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.157 P157
Do nonagenarian siblings provide mutual support? Insights from the EU GeHA project E. Cevenni a , L. Celani a , J. Rea b , A. Numminen c , O. Virras d , K. Broczek e , E. Sikora f , C. Franceschi a , M. Rea g,∗ a Luigi Galvani, University of Bologna, Bologna, Italy b Family Medicine, Royal Free Hospital, London, United Kingdom c Kalaevantie, Tampere School of Public Health, Tampere, Finland d Kalevantie, Tampere School of Public Health, Tampere, Finland e Medicine, Nencki Institute, Warsaw, Poland f Experimental Biology, Nencki Institute, Warsaw, Poland g School Of Medicine, Dentistry And Biomedical Science, Queens University Belfast, Belfast, United Kingdom Introduction.– Sibling relationships have been described as intimate, congenial, loyal, apathetic or hostile but little is known about sibling relationships in very old age. We asked nonagenarian brothers and sisters from the EU-funded Genetics of Healthy Ageing (GeHA) project whether they had felt supported by having a living sibling to have better coping abilities. Methods and results.– Nonagenarian siblings were a convenience sample from four countries from the GeHA study–Italy, Poland, N Ireland, Finland. All were consented willing participants. Most
P154
Disclosure.– No significant relationships.
The role of participation of religious and social organization on disability of elderly: Case study in Jakarta, Indonesia
http://dx.doi.org/10.1016/j.eurger.2012.07.156
Y. Handajani Public Health, Faculty of Medicine of Atma Jaya University, Jakarta, Indonesia
Orthostatic tolerance among elderly endurance athletes and healthy controls
Keywords: Religious; Social organization; Disability; Case study; Elderly; Urban Jakarta-Indonesia Introduction.– Prevalence of disability in several South-East Asian countries ranged from 8.3 to 20% (Wai-man, C & Chi, Iris, 2001) and the prevalence in Indonesia was 43.4% (HHS, 2002). Text.– The objective of this study was to investigate the influence of the religious and social organization participation to functional disability in basic activities of daily living and instrumental activities daily living. Methods.– This research was an analytical research with cross sectional technique. The population studied are 60-years-old or older peoples who live in the five regions of Jakarta district. The samples are taken using a 3-fold cluster-stratification method. Results.– The participation elderly on social and religious organization will protect disability in decline of functional disabilities. The elderly who prayed regularly and participating in religious organization would not have functional disability in basic activities of daily living (ADL) and instrumental activities daily living (IADL). Furthermore, participation on the organization of older people group will protect in decline of functional disability in basic activities of daily living (ADL) and instrumental activities daily living (IADL). For those reasons, it was important for improving of the elderly continually on participating in organization activities, especially social and spiritual organization. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.155 P155
Sociodemographic determinants of extreme longevity M. Poulain Iacchos, UCL, Charleroi, Belgium Introduction.– Sociodemographic characteristics are determinants explaining extreme longevity: beside age and sex we consider matrimonial history and living arrangements. Methods.– Data used are extracted from the continuous registration system in Belgium. Compared to longitudinal surveys, administrative data are also suitable for longitudinal studies. They give less information but include date of death and describe the situation of the person at that moment. The method used is survival analysis. Results.– Two thousand nine hundred and twenty-nine Belgian centenarians are concerned including 659 men. Most centenarians were widowed at death (1957 women and 551 men), few were still married, mostly men (nine women and 73 men, while 274 women and 32 men were never married. Among female centenarians, 55% were younger compared to their husband while for male centenarians, 81% were older. Early widowhood favors longevity for women but not for men. For living arrangement, three fourth of the centenarians were institutionalized at death but the timing of their entry in nursing home is later compared to the total population. Living in married couple is protective but being single and living alone is also profitable for women only. Conclusion.– As far as the marital history is concerned, the protective effect of marriage emerges. The duration of life spent in a married couple as well as the impact of widowhood are crucial for survival. Concerning the living arrangement in the latter phase of the life span, living in institution increases mortality risk but this effect decreases at older ages.
S79
P156
M. Mellingsaeter a,∗ , T. Bruun Wyller a , V.B. Wyller b , A. Hylen Ranhoff c a Department Of Geriatric Medicine, Oslo University Hospital„ Oslo, Norway b Department Of Peadiatric Medicine, Oslo, Norway c Department Of Internal Medicine, Diakonhjemmet hospital, Oslo, Norway Introduction.– Physical activity is associated with longevity; however, there is diverging evidence about how endurance training affects orthostatic tolerance in the elderly. An old statement says: “Fit men can run, but they cannot stand”. Method.– Fifty-four men, 65+, healthy and without medication, were subjected to head-up tilt-test (HUT). Thirty were participants in the 54 km long cross-country skirace “Birkebeineren” (athletes), and 24 had an ordinary level of daily physical activity (controls). They underwent 30◦ and 70◦ HUT. Heart rate (HR), blood pressure (BP) and stroke volume were continuously and non-invasively monitored. Stroke index (SI), cardiac index, and total peripheral resistance index (TPRI) were calculated. We calculated changes in hemodynamic variables from resting state to HUT, using the median from periods of 240 s at rest and after tilt. Results.– At rest, HR was lower and SI higher among the athletes, albeit blood pressures were not significantly different. The athletes had significantly larger fall in systolic and mean BP and smaller increase in HR in response to 30◦ HUT. This trend was also seen after 70◦ HUT, but the differences were not statistically significant. TPRI response was equal in the two groups. Conclusions.– Despite a larger fall in blood pressure during orthostatic challenge, the increase in HR were lower among the athletes, suggesting a lower set-point of blood pressure during orthostasis. This may explain differences in orthostatic tolerance during daily activities. Furthermore, our results indicate that endurance training has substantial impact on cardiovascular autonomic control in the elderly. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.157 P157
Do nonagenarian siblings provide mutual support? Insights from the EU GeHA project E. Cevenni a , L. Celani a , J. Rea b , A. Numminen c , O. Virras d , K. Broczek e , E. Sikora f , C. Franceschi a , M. Rea g,∗ a Luigi Galvani, University of Bologna, Bologna, Italy b Family Medicine, Royal Free Hospital, London, United Kingdom c Kalaevantie, Tampere School of Public Health, Tampere, Finland d Kalevantie, Tampere School of Public Health, Tampere, Finland e Medicine, Nencki Institute, Warsaw, Poland f Experimental Biology, Nencki Institute, Warsaw, Poland g School Of Medicine, Dentistry And Biomedical Science, Queens University Belfast, Belfast, United Kingdom Introduction.– Sibling relationships have been described as intimate, congenial, loyal, apathetic or hostile but little is known about sibling relationships in very old age. We asked nonagenarian brothers and sisters from the EU-funded Genetics of Healthy Ageing (GeHA) project whether they had felt supported by having a living sibling to have better coping abilities. Methods and results.– Nonagenarian siblings were a convenience sample from four countries from the GeHA study–Italy, Poland, N Ireland, Finland. All were consented willing participants. Most