Thursday, January 11, 2018
Gilster - Mary Lee Corp. Issues a Recall For Undeclared Milk Allergen in Essential Everyday® Chicken Coating - FDA Safety Alerts & Drug Recalls
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FDA warns Becton Dickinson & Company of significant violations of the law as part of ongoing investigation into lead testing issues - FDA Press Releases
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FDA acts to protect kids from serious risks of opioid ingredients contained in some prescription cough and cold products by revising labeling to limit pediatric use - FDA Press Releases
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Wednesday, January 10, 2018
No Expiration Date on the Association Between Physical Activity and Mortality - American Geriatric Society
This editorial comments on the article by LaMonte et al.
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Competing Risks of Fracture and Death in Older Adults with Chronic Kidney Disease - American Geriatric Society
Objectives
To examine whether chronic kidney disease (CKD) at any stage is associated with fracture risk after adjusting for competing mortality and to determine whether age or race modify the relationship between CKD and fracture risk.
Design
Prospective cohort study.
Setting
Department of Veterans Affairs (VA) national healthcare system.
Participants
Men receiving VA primary care aged 65 and older with no history of fracture or osteoporosis therapy (N = 712, 918).
Measurements
We determined CKD stage from baseline estimated glomerular filtration rate (eGFR). Participants were followed for up to 10 years for occurrence of any fracture or death. We ascertained fractures and covariates from VA medical records and Medicare claims.
Results
Of the 356,459 older veterans with CKD (defined as eGFR <60 mL/min per 1.73 m2), 15.7% (n = 56,032) experienced a fracture, and 43.0% (n = 153,438) died over a median time at risk of 5.2 years. Veterans with CKD Stages 3 to 5 had a greater risk of death than those without CKD, which biased estimates from traditional survival models. Competing risk models showed that Stage 3 CKD was associated with greater hazard (adjusted subdistribution hazard ratio (sdHR) = 1.07, 95% confidence interval (CI) = 1.02–1.11) of fracture (than those without CKD) and a trend toward greater hazard for Stage 4 (sdHR = 1.07, 95% CI = 0.94–1.22) and Stage 5 (sdHR = 1.31, 95% CI = 0.97–1.77) CKD. Age, race, and bone mineral density did not modify the relationship between CKD and fracture risk.
Conclusions
In older male veterans, CKD, including Stage 3, is associated with a moderately greater fracture risk irrespective of age, race, or bone mineral density.
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Association Between Sensory Impairment and Dementia in Older Adults: Evidence from China - American Geriatric Society
Objectives
To determine the association between sensory impairment and dementia in Chinese older adults.
Design
Cross-sectional.
Setting
Older adults in 31 provinces of China.
Participants
Individuals aged 65 and older (N = 250,752).
Measurements
Psychiatrists ascertained dementia based on the International Classification of Diseases, 10th Revision. Sensory impairment was measured as only hearing impairment, only vision impairment, and combined sensory impairment (combined hearing and vision impairment). Hearing impairment was defined as greater than 40 dB loss in the better ear according to the standard of the World Health Organization (WHO) Prevention of Deafness and Hearing Impairment (PDH) standard 97.3. Ophthalmologists assessed vision impairment according to the WHO best-corrected visual acuity (BCVA) criteria (low vision: 0.05≤BCVA ≤0.29; blindness: no light perception ≤ BCVA <0.05, visual field less than 10 degrees; the better-seeing eye).
Results
The prevalence of dementia was 0.41% (95% CI = 0.39–0.44%) without sensory impairment, 0.83% (95% CI = 0.70–0.99%) with only visual impairment, 0.61 (95% CI = 0.53–0.71%) with only hearing impairment, and 1.27% (95% CI = 1.00–1.61%) with combined sensory impairments. After adjusting for sociodemographic characteristics, vision impairment (odds ratio (OR) = 1.58, 95% CI = 1.28–1.96) and combined sensory impairments (OR = 1.64, 95% CI = 1.23–2.20) were associated with greater risk of severe to extremely severe dementia. Hearing impairment was not significantly associated with dementia.
Conclusion
Sensory impairments are associated with greater risk of dementia in Chinese older adults. Studies are needed to further explore the pathway of this association in Chinese elderly adults and to provide suggestions to improve health status for this population.
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