Tuesday December 11, 2018

Study: Gout May Increase Dementia Risk in Elderly

Gout -- a very common condition -- is caused by deposits of crystals of a substance called uric acid (also known as urate) in the joints, which leads to inflammation

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The researchers believe that this type of low intensity sound therapy may benefit humans. (IANS)
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Elderly people suffering from gout may have 17-20 per cent higher risk of dementia, suggests a new study by a team that includes an Indian-origin researcher.

Gout — a very common condition — is caused by deposits of crystals of a substance called uric acid (also known as urate) in the joints, which leads to inflammation.

Periods of time when patients are experiencing gout symptoms are called flares. Flares can be unpredictable and debilitating, developing over a few hours and causing severe pain in the joints.

“Our study found a considerable increased risk of dementia associated with gout in the elderly,” said co-author Jasvinder Singh, a Professor of Medicine and Epidemiology at the University of Alabama at Birmingham, in the US.

For the study, presented at the Annual European Congress of Rheumatology (EULAR 2018), the researchers included 1.23 million Medicare beneficiaries, of which 65,325 had incident dementia.

Dementia Risk to 50-year-olds With Raised Blood Pressure
Dementia Risk to 50-year-olds raises with Blood Pressure . Pixabay

In an analysis which was adjusted for various potential confounding variables including demographics, comorbidities and commonly used medications, the results showed that gout is independently associated with a significantly higher risk of dementia.

The association was larger in older age groups, females, black race, and people with higher medical comorbidity.

Subgroup analyses indicated that gout was associated with a significant 20-57 per cent increase in dementia in patients without key comorbidities; coronary artery disease (CAD), hyperlipidemia, cardiovascular disease, diabetes or hypertension.

Also Read: Study: Dementia Risk to 50-year-olds With Raised Blood Pressure

However, this was not the case in patients with each of these comorbidities, except in patients with CAD, the researchers said.

Guidelines for the treatment of gout recommend lowering uric acid levels, although maintaining too low levels is a concern because uric acid is thought to protect the brain, they added.

“Further study is needed to explore these relationships and understand the pathogenic pathways involved in this increased risk,” Singh noted. (IANS)

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Loss of Teeth in Elder People Linked to Malnutrition

The results showed that 20.6 per cent of participants were at risk for malnutrition and 4.7 per cent were malnourished

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Poor dental health may lead to risk of diabetes. Pixabay
Tooth loss in elderly linked to malnutrition. Pixabay

Older adults with just 10 to 19 teeth are at higher risk malnutrition, warns a new study.

These patients also had higher rates of weight loss, lower appetite and were at increased risk for dementia and/or depression as well as severe illnesses than those who had a normal nutrition status.

Older adults were also found to be at risk for impaired oral health, the findings showed.

“The mouth is the entry way for food and fluid intake. If its integrity is impaired, the functional ability of an individual to consume an adequate diet may be adversely impacted,” said Rena Zelig, lead author at Rutgers University in the US.

Further, the researchers said that dental clinics were ideal locations to perform nutritional status screenings as they can identify patients who may not regularly visit a primary care provider and who may be at risk for malnutrition.

teeth
In addition, greater than 87 per cent of them partially or completely lacked teeth. Pixabay

“Clinicians also can provide patients with referrals to Registered Dietitians and community assistance programmes such as Meals on Wheels to prevent further decline in nutritional status,” Zelig said.

The study, published in Journal of Ageing Research and Clinical Practice, analysed the health records of 107 senior citizens treated aged 65 and above.

The results showed that 20.6 per cent of participants were at risk for malnutrition and 4.7 per cent were malnourished.

Also Read- Here’s How Cannabis Affect Women

In addition, greater than 87 per cent of them partially or completely lacked teeth.

However, further study was needed to examine the relationships between tooth loss and malnutrition risk and the impact of tooth loss on the eating experience and eating-related quality of life, the researchers said. (IANS)