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Purpose: To determine the safety and efficacy of transurethral resection of the prostate (TUR-P) in patients 85 years or older. Methods: In this retrospective, multicentre study, patients equal or older than 85 years at the time of surgery (2015–2020) were included. Several pre-, peri- and postoperative parameters were collected. The main outcome criterion was spontaneous voiding with a post-void residual (PVR) volume < 100 ml at dismission and at 12 months after surgery. Results: One hundred sixty-eight patients (median age: 87 years, interquartile range [IQR]: 86–89) were recruited. The patients took on average 5.2 permanent medications (3–8), 107 (64%) were anticoagulated preoperatively and neurological co-morbidities were present in 29 (17%). The indication for surgery was recurrent urinary retention in 66.3% (n = 110) with a mean retention volume of 849 ml. The mean PVR volume of the remaining 35% was 146 ml. Surgery was successfully completed in all patients. A perioperative surgical revision had to be performed in 3% and 13 patients (7.7%) required blood transfusion. After catheter removal, 85% of patients were able to void spontaneously with a PVR < 100 ml, and 14.3% were dismissed with a catheter. Twelve months data were available for 93 patients (55%). Of this cohort, 78 (83.9%) were able to void spontaneously with a PVR < 100 ml, 12 (12.9%) were on permanent catheterization. One patient (0.6%) died perioperatively. The only significant factor associated with an unsuccessful outcome was the number of permanent medications (6.8 vs. 5.0, p = 0.005). Conclusion: This retrospective multicentre study documents the safety and efficacy of TURP (monopolar and bipolar) in the old-old cohort. [ABSTRACT FROM AUTHOR]

Research on multitasking driving has suggested age-related deterioration in driving performance. It has been shown that physical and cognitive functioning, which are related to driving performance and decline with aging, are positively associated with physical activity behavior. This study aimed to explore whether driving performance decline becomes severe with advancing age and whether physical activity behavior modifies age-related deterioration in driving performance. A total of one hundred forty-one healthy adults were categorized into three groups based on their age; old-old (74.21 ± 2.33 years), young-old (66.53 ± 1.50 years), and young adults (23.25 ± 2.82 years). Participants completed a realistic multitasking driving task. Physical activity and cardiorespiratory fitness levels were evaluated. Older groups drove more slowly and laterally than young adults, and old-old adults drove slower than young-old ones across the whole driving course. Physical activity level did not interact with the aging effect on driving performance, whereas cardiovascular fitness interacted. Higher-fitness young-old and young adults drove faster than higher-fitness old-old adults. Higher-fitness old adults drove more laterally than higher-fitness young adults. The present study demonstrated a gradual decline in driving performance in old adults, and cardiorespiratory fitness interacted with the aging effect on driving performance. Future research on the interaction of aging and physical activity behavior on driving performance in different age groups is of great value and may help deepen our knowledge. [ABSTRACT FROM AUTHOR]

Background: Autobiographical memory enables us to construct a personal narrative through which we identify ourselves. Especially important are memories of formative events. Objective: This study describes autobiographical memories of people who have reached old-old age (85 years and above), studying 3 types of memories of particular impact on identity and adaptation: first memories, pivotal memories and traumatic memories. In this paper, we examine the content, characteristic themes and environments, and structural characteristics of each of the 3 types of memory. Methods: The participants were 26 persons from a larger longitudinal study with an average age of 91 years; half were men and the other half women. The study integrated qualitative and quantitative tools. An open-ended questionnaire included questions about the participants' life story as well as questions about the 3 types of memories. The responses were rated by 3 independent judges on dimensions of central themes and structural characteristics. Results: First memories had a more positive emotional tone, more references to characters from the participant's social circle, a stronger sense of group belonging, and a more narrative style than the other types of memories. Pivotal and traumatic memories were described as more personal than first memories. Conclusion: The 3 types of memories reflect different stages in life development, which together form a sense of identity. They present experiences from the past on select themes, which may assist in the complex task of coping with the difficulties and limitations that advanced old age presents. Future research should examine the functional role of those memories and whether they enable the old-old to support selfhood in the challenging period of last changes and losses. Copyright © 2010 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

This study investigated age effects in prospective memory performance within older adults. The first aim was to explore this issue by examining event- and time-based prospective memory performance in two age groups: young-old (60–75 years) and old-old adults (76–90 years). Moreover, this study for the first time investigated whether forming implementation intentions could be used to improve prospective memory in young-old and old-old adults. Results showed a general effect of age in prospective memory performance for both task types. In addition, no general effect of implementation intentions in prospective memory performance across both task types and age groups was found. However, testing implementation intention effects separately for both age groups revealed that the formation of implementation intentions enhanced prospective memory only for the young-old adults, but did not substantially affect the performance in the time-based task and even impaired it in the event-based task for the old-old adults. Findings indicate that the formation of implementation intentions might be a powerful memory strategy for young-old adults, but not for the very old. [ABSTRACT FROM AUTHOR]

Objectives: The purpose of this study was to 1) investigate lifetime weight changes in community dwelling old-old, those age 80 or older; 2) explore reasons for weight changes from their personal perspective and 3) examine ways the old-old feel they can successfully lose weight. A cross sectional design was used for this qualitative study. Setting: One county of a southeastern U.S. state. Participants: Nine community dwelling old-old. Measurement: Content analysis of transcripts was used to examine the interviews. Results: All of the old-old interviewed had reached their maximum weight after the age of 65. Average lifetime weight gain was 73 pounds. All wanted to lose weight and found ways to incorporate small changes in their everyday lives. Conclusion: With increasing life expectancy among older adults, health promotion targeting weight control needs to include the old-old. [ABSTRACT FROM AUTHOR]

This study examined patterns and predictors of change in medication use among old-old participants (aged 75 to 94 years) in a three-wave national Israeli study. The findings indicated a significant increase in the number of medications on short-term follow-up (3.6 years) and a modest, marginally significant increase in the long term ( 11.7 years). The number of medications was predicted by predisposing characteristics and baseline needs of physical and mental health, explaining 20% of the variance in the short- and long-term models. Women, married individuals, and those with low perceived health and low depressive symptoms tended to increase their use in the short term, whereas men, low-income individuals, and those with higher comorbidities and low difficulties in instrumental activity of daily living tended to increase their use in the long term. The leveling of medication use found on long-term follow-up highlights the particular dynamics of health behavior and health care practices relating to the old-old population. [ABSTRACT FROM AUTHOR]

OBJECTIVES: To examine whether well-known predictors of mortality change their predictive power over time, being reduced or even reversed in the old-old. DESIGN: A multidimensional survey of the Cross-Sectional and Longitudinal Aging Study conducted from 1989 to 1992 with follow-up of mortality after 6, 8, 10, and 12 years since 1989. SETTING: Israel. PARTICIPANTS: Participants (N=1,369) were drawn from a national sample of the Jewish Israeli population aged 75 to 94. MEASUREMENTS: Data included sociodemographic factors and measures of health, physical condition, cognitive performance, and depression. RESULTS: The results showed that age, sex, disability, self-rated health, and marital status predicted mortality and that their predictive power changed over 9 years. CONCLUSION: In the old-old, predictors of mortality changed over time, and their predictive effect eventually diminished. The predictors found to be most significant (age, sex, disability, and self-rated health) support the common cause theory. [ABSTRACT FROM AUTHOR]

Objectives: This study compares depression levels among lifetime kibbutz members (n = 525) and old-age kibbutz residents (n = 366) with a comparable national sample (n = 412) and assesses the relationship between depression and individual differences related to lifetime in a kibbutz (e.g., health) and those related to current living conditions (e.g., social network). Methods: The analysis is based on data from the Cross-Sectional and Longitudinal Aging Study conducted in Israel between 1989 and 1992 and the follow-up during 1993 and 1994. Results: The findings indicate significantly lower depressive symptomatology among women, but not among men, residing in kibbutz communities. The women's lower level of depressive symptoms appears to be a result of better physical and mental functioning among kibbutz members and of such favorable lifestyle characteristics as frequent contact with their children among old-age kibbutz residents. Discussion: Both lifetime and current living conditions contribute to better mental health of women in the kibbutz at older ages. [ABSTRACT FROM AUTHOR]

Background: Research on the effects of sedentary behavior on the health-related quality of life (HRQoL) of the elderly is limited. The present study aimed to determine the association between sedentary behavior and the HRQoL of the young-old (aged 65-74 years) people and old-old (aged ≥75 years) people.Methods: This study used the raw data of the 7th Korea National Health and Nutrition Examination Survey for 2016. The study subjects were 1,415 people aged over 65 years. The association between HRQoL and average daily sitting time was analyzed using the point biserial correlation coefficient. The effect of sedentary behavior on HRQoL was analyzed by logistic regression analysis.Results: Overall, elderly people aged ≥65 years spent 7.9 h in sedentary pursuits: the young-old spent 7.7 h and the old-old spent 9.0 h. Longer sitting time was found to be associated with lower HROoL while shorter sitting time was associated with higher HROoL, with the relationship stronger among the old-old than among the young-old. This means that the effects of either having longer time sitting per day and low quality of life or shorter time sitting per day and high quality of life are more pronounced in the old-old in comparison to the young-old.Conclusions: Sedentary behavior is significantly associated with people's HRQoL. Interventions towards improving the HRQoL by reducing sedentary behavior based on the respective characteristics of young-old and old-old people are needed. [ABSTRACT FROM AUTHOR]