Baxter Cochran (gallonband02)

the tasks. Although high body mass index (BMI) is a risk factor of heart failure (HF), HF patients with a higher BMI had a lower mortality rate than that in HF patients with normal or lower BMI, a phenomenon that has been termed the "obesity paradox". However, the relationship between body composition, i.e., fat or muscle mass, and clinical outcome in HF remains unclear. We retrospectively analyzed data for 198 consecutive HF patients (76 years of age; males, 49%). Patients who were admitted to our institute for diagnosis and management of HF and received a dual-energy X-ray absorptiometry scan were included regardless of left ventricular ejection fraction (LVEF) categories. Muscle wasting was defined as appendicular skeletal muscle mass index < 7.0 kg/m in males and < 5.4 kg/m in females. Increased percent body fat mass (increased FM) was defined as percent body fat > 25% in males and > 30% in females. The median age of the patients was 76 years (interquartile range [IQR], 67-82 years) and 49% of ents. High percent body fat mass is associated with lower risk of short-term cardiac events in HF patients. Providing care for someone with a disease or chronic condition can have a negative psychological, physical, social, and economic impact upon informal caregivers. Despite the socio-economic relevance and more than three decades of caregiver intervention research only very few translational efforts of successful interventions are reported. Still less of theseinterventions have been implemented into routine services. The aim of the ReDiCare study (German acronym BerTA) is to evaluate the effectiveness of a stepped counselling approach for burdened caregivers delivered by care counsellors of two long-term care insurances and registered psychotherapists. A pragmatic randomised controlled trial with 572 caregivers of older adults (≥ 60 years) receiving benefits of one of the two participating long-term care insurances. Participants are assigned (t ) to either the ReDiCare intervention or a control group receiving routine care and counselling. Data are collected at baseline (-t ), 3-month (t ), 9-month (t ) der group of caregivers. selleck chemical The intervention is one of the very few translational studies in caregiver intervention research and will provide valuable insights into relevant factors for training, intervention protocol adherence, effectiveness, and costs for future implementation steps. Deutsches Register Klinischer Studien (German Clinical Trials Register), DRKS00014593 ( , registered 14 May 2018) and International Clinical Trials Registry Platform, DRKS00014593 ( https//apps.who.int/trialsearch/ ). Deutsches Register Klinischer Studien (German Clinical Trials Register), DRKS00014593 ( , registered 14 May 2018) and International Clinical Trials Registry Platform, DRKS00014593 ( https//apps.who.int/trialsearch/ ). The social and economic impact of dementia for the development of accessible and sustainable care for individuals with dementia (IwD). Physical exercise has been seen as a beneficial non-pharmacological therapy in the prevention and management of dementia, and possible benefits may not only impact on participants, but also indirectly on their caregivers. Thus, this quasi-experimental non-randomized study aimed to analyze the effects of an exercise intervention on functional capacity, behavioural and psychological symptoms in dementia (BPSD) and quality of life of institutionalized older adults with dementia, perceived by their formal caregivers. Sixty-four institutionalized older adults (from both genders, aged 65-93 yrs. old), clinically diagnosed with dementia, were divided into two groups control group (CG, continued with usual care, n = 26) and exercise group (EG, 6-month supervised multicomponent exercise intervention, n = 38). Nine caregivers (