2018年11月16日 星期五

新聞選輯:體重減輕、走路變慢 都是失能前奏

連結 資料來源

體重減輕、走路變慢 都是失能前奏
楊雅馨
2018-11-14
今周刊1143期

年齡不能作為判別老化程度的重要指標,衰弱症才是評估身體功能是否衰退的依據。當長輩出現五個徵兆,未來容易有跌倒、失能的風險。

你知道「衰弱症」嗎?或許你還不清楚,甚至對它感到陌生,然而,在台灣六十五歲以上的長者,每百人有五至十一人罹患衰弱症。

台大醫院竹東分院院長、台大醫院老年醫學部主治醫師詹鼎正解釋,簡單來說,當看到一位長者,外表看起來沒力、走路很慢等等,就有可能是衰弱症了。

「衰弱症是整體功能性衰退的重要指標。」長庚紀念醫院內科部一般內科暨高齡醫學科主任陳英仁進一步說明,當出現體重下降、活動力低、感覺無力、走路緩慢、肌力下降,這五項指標只要符合三項以上,就可以稱為衰弱症,前兩項則是前期徵兆。詹鼎正提醒,此測量對象為六十五歲以上的長者,目前醫界並不認為中年人適用於衰弱症的指標。

常運動:心跳加快才有效
至於評估之後,發現有衰弱症該怎麼辦?醫師會建議病人到老人醫學科門診做「周全性老年評估」找出真正的問題點,透過及早發現健康行為的改變,身體功能是可以回復的,甚至還能恢復得更好,年老並不等於一定會失能。

要預防衰弱、延緩失能,強化運動、均衡營養是關鍵。正常規律地運動可幫助老年人持續擁有活動力,陳英仁表示,運動可分為高強度「三四三」,即每周最少三次,一次最少四十五分鐘,心跳達每分鐘一三○下,最少持續十五分鐘;中強度為「五四一」,為每周最少五次,一次最少四十五分鐘,心跳每分鐘達一一○下,最少持續十五分鐘;若體力不佳,也可以分次,總計達十五分鐘即可。

有效的運動一定要讓心跳加快,最簡單的檢測方法,即評估運動時喘的程度,應達到有點喘,但還可以講話,才是最恰當的強度;若喘到沒法講話,就代表超出心臟可負荷的範圍。


2018年11月13日 星期二

期刊文章:Technology and Aging

From:https://journals.sagepub.com/doi/abs/10.1518/155723405783703028

Technology and Aging

Wendy A. Rogers, Aideen J. Stronge, Arthur D. Fisk,First Published June 1, 2005 Research Article
https://doi.org/10.1518/155723405783703028

Article Information
Volume: 1 issue: 1, page(s): 130-171
Issue published: June 1, 2005

Wendy A. Rogers, Aideen J. Stronge, Arthur D. Fisk


Abstract
Technological advancements have become widespread, and their implementation into products of everyday use is accelerating. Technology has the potential to improve the lives of older adults by increasing their safety, security, and independence in daily life. However, too often older adults' capabilities and limitations are not considered in the design of current and future technologies. In 1990, the National Research Council identified the importance of human factors in the design of technology for an aging population. The goal of this chapter is to review research on aging and technology since that report to determine the contributions of human factors research to issues of aging and technology design. In this chapter we address the extent to which older adults use new technologies, factors to consider in the adoption of technology (e.g., attitudes), the influence of technology design on older adults' performance (e.g., design of input devices), and ways to optimize training for older adults in using new technologies (e.g., age-specific instructional designs). We then review emerging areas of research that may direct the focus of human factors research in the next decade. These areas of research include ubiquitous computing (e.g., home monitoring systems), health care technologies (e.g., telehealth), robotics (e.g., Nursebot), and automated systems (e.g., cruise control). Finally, we consider opportunities and challenges to human factors research as the field continues to address the questions of optimizing technology for older adult users.

期刊文章:Aging and Human Performance

From:https://journals.sagepub.com/doi/abs/10.1518/001872008X312161

Aging and Human Performance

Neil Charness,First Published June 1, 2008 Other
https://doi.org/10.1518/001872008X312161

Article information
Volume: 50 issue: 3, page(s): 548-555
Article first published online: June 1, 2008; Issue published: June 1, 2008

Neil Charness
Psychology Department, Florida State University, Tallahassee, Florida, charness@psy.fsu.edu

Abstract
Objectives: I identify major theoretical and practical contributions to aging and human performance as reflected primarily in the pages of Human Factors.Background: Populations worldwide are aging. True experimental work on aging is not possible because age levels cannot be manipulated. Sophisticated theoretical frameworks and modeling techniques are required to reach valid inferences about age effects and age changes. Method:Citation analysis was used to identify articles in Human Factors dealing with age or aging and to rank them for citation impact. Results: Special issues on aging were followed by increased publication rates for articles on age or aging, particularly in the 1990s. Most-cited articles deal primarily with age and driving. Conclusions:Applied contributions rely on improved measurement of performance and on methodological advances, including simulation and modeling. Design changes that provide environmental support for declining cognitive, perceptual, and psychomotor abilities can serve as a powerful intervention for maintaining and improving older adult performance. Training is also a robust way to improve performance at both the basic ability level and the level of task performance. Human factors specialists can improve quality of life for an aging population. Applications: Guidelines for older users are now being developed by standards bodies and are implemented in domains such as Web design. Much of the focus of human factors research has been on improving efficiency in the performance of aging adults in the workforce, but reducing errors and increasing comfort and satisfaction in health-related activities should receive greater attention.

新聞選輯:Healthcare in Aging Societies

From:https://www.loc.gov/today/cyberlc/feature_wdesc.php?rec=8372

Healthcare in Aging Societies

Technology Innovation for Healthcare in Aging Societies

TITLE: Technology Innovation for Healthcare in Aging Societies

SPEAKER: Jean-Pierre Auffret
EVENT DATE: 2018/05/16
RUNNING TIME: 72 minutes
TRANSCRIPT: View Transcript (link will open in a new window)

DESCRIPTION:

Jean-Pierre Auffret of the George Mason University School of Engineering reviewed and analyzed the status and potential of information and communications technology for healthcare in aging societies including the Americas, Europe, Africa and Asia. Many developed economies are actively planning and adjusting for aging societies including Japan, Korea and Germany as well as the U.S. These countries have established healthcare and pension systems, community based senior services, and robust information and communications technology and mobile ecosystems which provide the flexibility for healthcare, social inclusion and labor productivity.

期刊文章:ENVIRONMENTAL GERONTOLOGY: AGING IN THE MARGINS

From:
https://academic.oup.com/innovateage/article/2/suppl_1/376/5171478
INTEREST GROUP SESSION - ENVIRONMENTAL GERONTOLOGY: AGING IN THE MARGINS: THEMES OF VULNERABILITY
A B Mitchell J Yeh
Innovation in Aging, Volume 2, Issue suppl_1, 1 November 2018, Pages 376,https://doi.org/10.1093/geroni/igy023.1394
Published:
11 November 2018

Abstract

The Environmental Gerontology Interest Group symposium presents five studies from the United States, United Kingdom, and Canada that focus on marginalized people and places. The studies interrogate barriers to and supports for aging in place, including the influence of mental health, challenges faced by homeless older adults, and effects of gentrification. Utilizing community-based participatory research approaches, as well as qualitative and quantitative methods, the studies examine hazardous contexts and precarious personal experiences often-overlooked in aging research and urban policymaking. The symposium critically explores themes of vulnerability in later life and demonstrates avenues for future research. 

2018年11月12日 星期一

新聞選輯:退休理財術-上班族做好2大保足感 打造安心退休生活

資料來源:https://www.chinatimes.com/newspapers/20181110000397-260210

退休理財術-上班族做好2大保足感 打造安心退休生活


新聞選輯:別太羨慕修長雙腿 研究:小腿太細恐引來肌少症

資料來源:http://news.ltn.com.tw/news/life/breakingnews/2607656

別太羨慕修長雙腿 研究:小腿太細恐引來肌少症
2018-11-09 21:33

〔即時新聞/綜合報導〕很多女生都希望擁有修長、纖細的雙腿,但其實小腿太細也不好。研究發現,50歲以上的男女若小腿圍小於34、32公分,就有肌肉量不足的風險,可能導致失能、甚至縮短壽命的後果。

綜合報導指出,國立陽明大學高齡與健康研究中心教授陳亮恭最近發表以小腿圍作為簡易評估肌肉量的大型研究成果,其中發現50歲以上男女,小腿圍若分別低於34、32公分,肌肉量就可能不足,其罹患肌少症風險更有約6成。陳亮恭指出,肌少症是指「肌肉量少」而且「肌力不足」,患者四肢無力就容易跌倒,嚴重可能導致失能、甚至縮短壽命。

新聞選輯:老年人對抗衰弱症 補足所需營養是關鍵


老年人對抗衰弱症 補足所需營養是關鍵
健康醫療網
健康醫療網/記者林怡亭報導2018年11月11日 上午8:43
(健康醫療網/記者林怡亭報導)

研究指出,老年人越走越慢,部分原因可能是營養不夠或運動不足等因素,造成的肌少症或衰弱症。為了增進弱勢族群的健康,衛生福利部苗栗醫院特別在後龍鎮水尾里社區關懷據點,舉辦「健康飲食~三好一巧我健康」活動,現場邀請營養師分享如何用健康且簡單的食材,做出兼顧經濟又營養的美食。

掌握三好一巧原則 補足長者營養所需

這次活動中,為了讓大家了解肌少症對於老人衰弱的影響,現場也親自示範健康餐點製作,希望民眾能夠從重視居家飲食開始,掌握吃得下、吃得夠、吃得對、吃得巧等三好一巧的原則,滿足長輩營養所需;衛生福利部苗栗醫院營養師彭雅渂組長指出,營養師群們設計主食包括香油拌飯,利用料理技巧讓飯較軟嫩,並添加香油增加油脂養分,另外也準備清蒸鮮魚,選用肉質較軟的魚類為主,以清蒸燉煮方式,再加入薑絲、蔥、米酒,能去腥、提味,能提供蛋白質以及飽和脂肪需求。

新聞選輯:想要及早預防失智 這個動作和打麻將效果相當

資料來源:https://udn.com/news/story/7266/3473751



想要及早預防失智 這個動作和打麻將效果相當

2018-11-11 09:20聯合報 記者李樹人╱即時報導

台北市牙醫師公會理事長潘建誠醫師指出,許多老人家以為缺牙沒有什麼大不了,但越來越多研究證實,缺牙將引發許多疾病,最常見的是,進食不便,咀嚼不爛,以致吸收不良,影響腸胃道健康,造成營養不良。

此外,長期缺牙,還會影響外觀,臉頰凹陷,模樣變老,比起同年齡的人,看起來就蒼老許多。再者,長期缺牙,口腔裡面的咀嚼肌肉就會退化,連帶也會影響吞嚥功能,甚至引發吸入性肺炎。

潘建誠指出,呼吸道與消化道在喉頭附近相通,如果咀嚼功能不好,無法將食物咬爛,加上吞嚥功能變差,到了喉頭附近,食物就可能跑錯地方,如果進入呼吸道,就會造成吸入性肺炎。

2018年11月9日 星期五

新聞選輯:8年後台灣將進入超高齡社會:別再說「孤老」,請接受「獨立老」

資料來源:http://www.cheers.com.tw/article/article.action?id=5092270&from=share

8年後台灣將進入超高齡社會:別再說「孤老」,請接受「獨立老」 

洪雪珍 Web only 2018-11 

一天比一天老去,本來就不是一件容易的事。即使如此,每個人還是一天比一天老,而且一代比一代活得老,唯一能做的事,準備好老去,做好三件事:存錢、存健康,以及會過生活。 

最重要的是,認清現實,接受老化,用正確的心態迎接它。 

未來不再有兒孫滿堂 
相比日本,台灣的老人太自艾自憐,活得太悲情,因為我們的社會觀念還留在短命的時代。雖然早已步入「高齡化社會」,再八年就進到「超高齡社會」,每五個人當中,有一人是65歲以上,我們仍然無法坦然面對長夀這件事。 那麼,長壽就不是禮物,而是詛咒,不斷地抱怨各種老去的困境,讓人無法安老。