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Psychophysiological Models to Identify and Monitor Elderly with a Cardiovascular Condition
- Source :
- Sensors, Vol 20, Iss 3240, p 3240 (2020), Sensors (Basel, Switzerland), Sensors, 11, 20, Sensors, 20(11):3240. MDPI AG, Sensors; Volume 20; Issue 11; Pages: 3240
- Publication Year :
- 2020
-
Abstract
- The steadily growing elderly population calls for efficient, reliable and preferably ambulant health supervision. Since cardiovascular risk factors interact with psychosocial strain (e.g., depression), we investigated the potential contribution of psychosocial factors in discriminating generally healthy elderly from those with a cardiovascular condition, on and above routinely applied physiological assessments. Fifteen elderly (aged 60 to 88) with a cardiovascular diagnosis were compared to fifteen age and gender matched healthy peers. Six sequential standardized lab assessments were conducted (one every two weeks), including an autonomic test battery, a 6-min step test and questionnaires covering perceived psychological state and experiences over the previous two weeks. Specific combinations of physiological and psychological factors (most prominently symptoms of depression) effectively predicted (clinical) cardiovascular markers. Additionally, a highly significant prognostic model was found, including depressive symptoms, recently experienced negative events and social isolation. It appeared slightly superior in identifying elderly with or without a cardiovascular condition compared to a model that only included physiological parameters. Adding psychosocial parameters to cardiovascular assessments in elderly may consequently provide protocols that are significantly more efficient, relatively comfortable and technologically feasible in ambulant settings, without necessarily compromising prognostic accuracy.
- Subjects :
- STRESS
MACARTHUR
Heart Rate Variability
Cardiovascular
lcsh:Chemical technology
Biochemistry
Ventricular Function, Left
Psychosocial functioning
Analytical Chemistry
Elderly
0302 clinical medicine
Surveys and Questionnaires
Medicine
Heart rate variability
prognostic model
lcsh:TP1-1185
030212 general & internal medicine
Social isolation
Instrumentation
Depression (differential diagnoses)
Aged, 80 and over
RISK
HEART-RATE-VARIABILITY
Depression
cardiovascular
Loneliness
Middle Aged
DEPRESSION
Atomic and Molecular Physics, and Optics
Allostatic load
Social Isolation
Respiratory
HEALTH
medicine.symptom
Psychosocial
medicine.medical_specialty
Monitoring, Ambulatory
Models, Psychological
Heart Rate Recovery
elderly
Article
03 medical and health sciences
Social support
loneliness
Humans
Electrical and Electronic Engineering
ALLOSTATIC LOAD
VALIDITY
Aged
business.industry
Stroke Volume
respiratory
psychosocial functioning
depression
Heart Disease Risk Factors
Case-Control Studies
Physical therapy
Prognostic model
business
SOCIAL SUPPORT
Stress, Psychological
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 14248220
- Volume :
- 20
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Sensors
- Accession number :
- edsair.doi.dedup.....ea50729b6cac3e2c238e6a3feae3fc77