The effect of type 2 diabetes on body composition of older adults.

Abstract:

:This review describes the effect of type 2 diabetes on fat mass, fat distribution, and lean mass, and changes in these parameters, in older adults, focusing on observational studies. Studies show that type 2 diabetes is associated with an unfavorable body composition characterized by more visceral fat, less thigh subcutaneous fat, and more fat infiltration in the muscle compared with persons without the disease. Longitudinal studies found an accelerated decline in muscle mass in older persons with type 2 diabetes. Studies are needed to examine the consequences of these changes in body composition on physical functioning, morbidity, and mortality risk.

journal_name

Clin Geriatr Med

authors

Koster A,Schaap LA

doi

10.1016/j.cger.2014.08.020

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

41-9, vii-viii

issue

1

eissn

0749-0690

issn

1879-8853

pii

S0749-0690(14)00090-1

journal_volume

31

pub_type

杂志文章,评审
  • Infections in elderly persons. An altered clinical presentation.

    abstract::The high prevalence, morbidity, and mortality of infectious diseases in the geriatric population mandates that clinicians caring for older patients become better acquainted and familiar with the special and unique characteristics and features of this common clinical problem. Only through such awareness and understandi...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Norman DC,Toledo SD

    更新日期:1992-11-01 00:00:00

  • Approach to ischemic heart disease, coronary care, and severe heart failure (including cardiogenic shock).

    abstract::Elderly patients with cardiovascular disease require slightly different management strategies compared with younger patients. Diagnosis is more difficult. Procedures, both diagnostic and therapeutic, are more dangerous. Despite higher risks, elderly patients have much to gain from aggressive therapies such as angiopla...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Fein SA,Breisblatt W,Doyle JT,Singh A

    更新日期:1994-02-01 00:00:00

  • Nonsurgical Treatment of Urinary Incontinence in Elderly Women.

    abstract::Urinary incontinence is a prevalent condition in elderly women with significant associated morbidity. Incontinence can by grouped into several types: stress incontinence, urgency incontinence, overflow incontinence, functional incontinence, and mixed urinary incontinence. Careful evaluation, including history and phys...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2015.07.003

    authors: Parker WP,Griebling TL

    更新日期:2015-11-01 00:00:00

  • Sleep disturbances in long-term care.

    abstract::Nighttime sleep disruption is characteristic of long-term care residents, is typically accompanied by daytime sleepiness, and may be caused by a multitude of factors. Causal factors include medical and psychiatric illness, medications, circadian rhythm abnormalities, sleep disordered breathing and other primary sleep ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2007.08.001

    authors: Martin JL,Ancoli-Israel S

    更新日期:2008-02-01 00:00:00

  • Transitional care of the long-term care patient.

    abstract::This article reviews the literature on transitional care to and from the LTC environment, highlighting strategies to improve the quality of care transitions. Several factors are vital in the improvement of systems of care dealing with transitions. Key factors include communication with and among health care providers,...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章

    doi:10.1016/j.cger.2011.02.004

    authors: Oakes SL,Gillespie SM,Ye Y,Finley M,Russell M,Patel NK,Espino D

    更新日期:2011-05-01 00:00:00

  • Geriatric trauma.

    abstract::Elderly individuals not only live longer but are also more active than in the past. Accompanying this increase in activity is the number of older trauma victims. The effect of aging on response to injury is reviewed, and the initial evaluation and treatment of geriatric trauma are delineated in this article. Specific ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Levy DB,Hanlon DP,Townsend RN

    更新日期:1993-08-01 00:00:00

  • Assessing the impact of antihypertensive therapy on quality of life in the elderly.

    abstract::Quality of life is becoming increasingly important in assessing the impact of therapy for hypertension in elderly persons. Although the concept of quality of life is new and is in need of further definition, good measures already exist to examine the effects of therapy in the major domains of quality of life such as s...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Weiler PG

    更新日期:1989-11-01 00:00:00

  • Gynecologic factors in sexual dysfunction of the older woman.

    abstract::Older women may experience sexual dysfunction due to many different causes. Some problems related to menopausal hormonal change may be easily treated with estrogen supplements. Other problems involve intricate interpersonal relations between the woman and her sexual partner and may require a combination of medical the...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Goldstein MK,Teng NN

    更新日期:1991-02-01 00:00:00

  • Surgical management of the hip in the elderly patient.

    abstract::Hip surgery is the most common major orthopedic procedure performed in the elderly. The indications are fracture and pain secondary to degenerative arthritis. Patients undergoing hip replacement for arthritis have excellent outcomes with decreased pain, increased mobility, and a low mortality. Age should not be a cont...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Ochs M

    更新日期:1990-08-01 00:00:00

  • Psychiatric disorders among nursing home residents. Depression, anxiety, and paranoia.

    abstract::The number of people in nursing homes is growing at a rapid rate as the population includes greater numbers of elderly Americans. Psychiatric disorders, including depression, anxiety, and paranoia, are commonly seen among this group. Recognition and treatment of these disorders by health care professionals can improve...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Phan TT,Reifler BV

    更新日期:1988-08-01 00:00:00

  • Diabetic neuropathy in older adults.

    abstract::Diabetic neuropathy is a heterogeneous disease with diverse pathology. Recognition of the clinical homolog of these pathologic processes is necessary in achieving appropriate intervention. Treatment should be individualized so the particular manifestation and underlying pathogenesis of each patient's clinical presenta...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2008.03.011

    authors: Vinik AI,Strotmeyer ES,Nakave AA,Patel CV

    更新日期:2008-08-01 00:00:00

  • Prostate Cancer in Elderly Men: Screening, Active Surveillance, and Definitive Therapy.

    abstract::Prostate cancer (PCa) is a common medical condition in the United States, with an estimated 16% of men receiving a diagnosis during their lifetime. Although it is the second leading cause of cancer-specific deaths among men, PCa will not be the cause of death for most men who are diagnosed with it. Although there are ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2015.07.004

    authors: Roussel B,Ouellet GM,Mohile SG,Dale W

    更新日期:2015-11-01 00:00:00

  • Immunological aspects of aging and malnutrition: consequences and intervention with nutritional immunomodulators.

    abstract::As knowledge of molecular and cellular mechanisms of development and aging is elucidated, the need to understand the relationships among tissues, organ systems, health habits, nutrition, physical activity, and environmental factors on successful aging becomes more explicit. Progress in our understanding of how the imm...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Heuser MD,Adler WH

    更新日期:1997-11-01 00:00:00

  • Can screening older patients for cancer save lives?

    abstract::Cancer screening of the elderly is warranted for those cancers for which early detection and treatment improve life expectancy. There is excellent evidence to include screening for breast cancer with clinical examination and mammography for elderly women. There is also reasonable evidence to screen for cervical cancer...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Oddone EZ,Feussner JR,Cohen HJ

    更新日期:1992-02-01 00:00:00

  • Postprandial hypotension.

    abstract::Postprandial hypotension is a prevalent condition in the elderly population and seems to be more common in frail elderly individuals who may be more susceptible to complications such as syncope and falls. Diagnosis is relatively easy and may be reversible in many cases. The epidemiology and pathophysiology of postpran...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0690(02)00012-5

    authors: O'Mara G,Lyons D

    更新日期:2002-05-01 00:00:00

  • Transitional care: hospital to home.

    abstract::Contemporary acute hospital care of older adults must include special attention to the transitional, or peridischarge, phase of hospitalization. This article reviews the evidence from outcomes data and economic factors that demonstrate that precise transitional planning is a critical element in the care of older hospi...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Hall WJ,Oskvig RO

    更新日期:1998-11-01 00:00:00

  • Hispanic-American elders. Implications for health-care providers.

    abstract::American health-care practitioners are faced with a rapidly growing, geriatric, Hispanic-American population. This group shares certain cultural links but is largely heterogeneous and comprised of many subgroups, the largest of which are Mexican Americans, Puerto Ricans, and Cuban Americans. Health-care practitioners ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Pousada L

    更新日期:1995-02-01 00:00:00

  • Palliative Care and Symptom Management in Older Patients with Cancer.

    abstract::Older patients with cancer are best served by a multidisciplinary approach with palliative care (PC) playing an integral role. PC focuses on symptom control irrespective of its cause and should not be associated only with terminal care. It provides an additional layer of support in the care of patients with cancer wit...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2015.08.004

    authors: Alexander K,Goldberg J,Korc-Grodzicki B

    更新日期:2016-02-01 00:00:00

  • Diagnosis and treatment of pulmonary embolism in the elderly.

    abstract::Pulmonary embolism (PE) is a difficult diagnosis in patients of all ages, but more so in the elderly. Nonspecific symptoms and laboratory results are often misattributed to common diseases or to age itself, and can delay or even deter the diagnosis and treatment of PE. Advanced age is sometimes mistakenly seen as a co...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0690(02)00055-1

    authors: Berman AR,Arnsten JH

    更新日期:2003-02-01 00:00:00

  • Caring for the incontinent elder: advanced practice nursing concepts.

    abstract::Urinary incontinence (UI) in the older adult is a multisystem health problem that has an impact on the lives of millions of older adults. Advanced practice nurses (APNs) specializing in gerontology,family, and adult practice are equipped educationally with the expertise to prevent, assess, and manage this health probl...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2004.04.015

    authors: Cacchione PZ,Decker SA

    更新日期:2004-08-01 00:00:00

  • Rehabilitation and total joint arthroplasty.

    abstract::The long-term outcomes following primary TJA for OA are favorable. However, surgery alone fails to fully restore physical function and address longstanding impairments associated with chronic joint disease. Older adults undergoing TJA can gain similar benefits as those who are younger; however, the elderly are at incr...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章

    doi:10.1016/j.cger.2012.05.005

    authors: Westby MD

    更新日期:2012-08-01 00:00:00

  • Osteoporosis.

    abstract::Bone is a complex organ which contains an organic matrix which serves as scaffolding, includes mineral as calcium distributed in a pattern providing structure and serves as an ion reservoir for the body. Throughout life it dynamically changes in response to changes in activity, body mass, and weight bearing. It is imp...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2005.02.002

    authors: Simon LS

    更新日期:2005-08-01 00:00:00

  • Preoperative Screening.

    abstract::Older adults undergoing elective surgical procedures suffer higher rates of morbidity and mortality than younger patients. A geriatric-focused preoperative evaluation can identify risk factors for complications and opportunities for health optimization and care coordination. Key components of a geriatric preoperative ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2017.08.004

    authors: Marwell JG,Heflin MT,McDonald SR

    更新日期:2018-02-01 00:00:00

  • Infectious Diarrhea: Norovirus and Clostridium difficile in Older Adults.

    abstract::Norovirus infection usually results in acute gastroenteritis, often with incapacitating nausea, vomiting, and diarrhea. It is highly contagious and resistant to eradication with alcohol-based hand sanitizer. Appropriate preventative and infection control measures can mitigate the morbidity and mortality associated wit...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2016.02.008

    authors: White MB,Rajagopalan S,Yoshikawa TT

    更新日期:2016-08-01 00:00:00

  • Evaluation of the elderly patient with acute chest pain.

    abstract::Chest pain is one of the most common and serious chief complaints. Geriatricians must be well versed in evaluating elderly patients who have chest pain. This article discusses the initial diagnostic evaluation of elderly patients with chest pain. Specific emphasis is placed on identifying acute coronary syndromes, aor...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2007.01.005

    authors: Kelly BS

    更新日期:2007-05-01 00:00:00

  • Obesity and aging.

    abstract::This review focuses on studies that pertain to obesity and aging. The prevalence of obesity in the elderly is discussed, with an emphasis on body-fat distribution as it relates to morbidity and mortality rates. Treatment options, such as physical activity, growth hormones, and drug therapy, are briefly mentioned. A se...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Kotz CM,Billington CJ,Levine AS

    更新日期:1999-05-01 00:00:00

  • Pain in cognitively impaired older persons.

    abstract::To summarize, there has been shamefully little empirical research directly examining the prevalence and correlates of pain among cognitively impaired older people. Even less is known about techniques for assessing and managing pain in this group. Existing evidence suggests that cognitively impaired older persons may v...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Parmelee PA

    更新日期:1996-08-01 00:00:00

  • Stroke rehabilitation.

    abstract::It is clear from this article that additional studies examining what factors can be used to predict the outcome of stroke and what process achieves the best outcome most effectively need to be developed. The available data support the usefulness of a coordinated rehabilitation program in the treatment of the functiona...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Lorish TR

    更新日期:1993-11-01 00:00:00

  • Role of the environment in falls prevention.

    abstract::Environmental change offers an attractive approach to falls prevention, particularly as part of multidimensional intervention strategies. This article reviews and summarizes prior research that has examined environmental factors in falls experienced by older people in community and long-term care settings. Limitations...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Connell BR

    更新日期:1996-11-01 00:00:00

  • Interventional techniques for back pain.

    abstract::Most Americans will be afflicted by some form of spine-related pain in their lifetime. In older patients, the most frequent source of back pain is lumbar spinal stenosis or vertebral compression fracture. Although most back pain is self-limited, some patients will require interventional techniques. This article review...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2007.12.006

    authors: Lavelle WF,Lavelle ED,Smith HS

    更新日期:2008-05-01 00:00:00