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Article Yaşlılarda Düşme Riski ile İlgili Faktörler(2024) Karahan, Zehra Can; Seymen, Fatma Nur; Özcan, Ayşenur; Türkmen, CeyhunAmaç: Düşme yaşlı yetişkinlerde çok yaygın olarak görülen önemli bir problemdir. Çalışmanın amacı, yaşlı bireylerde düşme riski ile ilgili faktörleri incelemektir. Araçlar ve Yöntem: Çalışmada 65 yaş üstü 110 birey incelendi. Bireylerin demografik bilgileri ve son 1 yıl içerisindeki düşme sayıları kaydedildi. Katılımcıların bilişsel becerileri Montreal Bilişsel Değerlendirme (MoCa) Ölçeği ile, anteriyoposterior dinamik denge Fonksiyonel Uzanma Testi (FUT) ile, lateral denge Tandem Duruş Testi (TDT) ile, denge ve düşme olasılığı Berg Denge Testi (BDT), fonksiyonel hareketlilik Zamanlı Kalk Yürü Testi (ZKYT) ile, alt ekstermite enduransı ve fonksiyonel kas gücü 1-Dakikalık otur-kalk Tesi (1-DOKT) ile ve servikal propriosepsiyon stabilizatör ile değerlendirildi. Bulgular: Katılımcıların yaş ortalaması 71.26±6.20'dir ve son bir yıl içinde 0.41±1.02 düşme yaşamışlardır. TDT süresi: 25.95±7.93 saniye, MoCa: 18.65±4.90, FUT: 21.83±8.38 cm, BDT: 51.11±4.47, ZKYT: 12.01±3.89 saniye, 1-DOKT: 18,61±8,23 tekrar, servikal propriyosepsiyon hatası: % 15.49±13.01 olarak bulundu. Düşme sayısı ile yaş (r=-0.081, p=0.399), boy (r=-0.030, p=0.756), TDT (r=0.144, p=0.134), bilişsel düzey (r=-0.015, p=0.878), BBT(r=-0.079, p=0.414) ve servikal propriyosepsiyon(r=-0.135, p=0.160) arasında istatistiksel olarak anlamlı olmayan negatif bir korelasyon görüldü. Erkekler kadınlara kıyasla daha fazla düşme bildirmiştir ve olasılık oranı 3.14'tür (%95 güven aralığı: 1.21-8.14). Sonuç: Bu çalışma, yaşlı insanlar arasında düşmelerle ilişkili faktörlere dair değerli bilgiler sunmaktadır. Bulgular, düşmelerde kilit bir faktör olarak cinsiyetin önemini göstermekte ve vücut ağırlığı, denge, servikal propriosepsiyon ve yaşın düşme olasılığı üzerindeki olası etkisini ortaya koymaktadır.Article The Relationship of Cognitive Functions with Physical Fitness Parameters, Balance, and Fall Risk in Older Adults(2025) Yiğit, Öznur; Korkusuz, Süleyman; Korkusuz, Büşra SeçkinoğullarıObjectives: This study examines the effects of cognitive parameters on physical fitness, balance, and fall risk. Materials and Methods: The study included 79 older adults. Cognitive functions of older adults were assessed using the Montreal Cognitive Assessment Scale (MoCA) and Clock Drawing Test (CDT). The Berg Balance Scale (BBS) was used to assess balance and fall risk, and the Senior Fitness Test (SFT) was used to assess physical fitness parameters (PFP). According to MoCA, individuals were included in the Mild Cognitive Impairment (n=38) and Normal Cognitive Level (n=41) groups. Results: The mean age of individuals in the Mild Cognitive Impairment group was 71.50 ± 4.41, while the mean age of individuals in the Normal Cognitive Level group was 70.48 ± 4.57. In our study, individuals with mild cognitive impairment were found to have worse balance scores and physical fitness parameter scores, except for lower and upper extremity flexibility and aerobic endurance. While a significant relationship was noted between MoCA and balance as well as fall risk, no relationship was found between CDT and the balance score. Furthermore, no association between the CDT and any physical fitness parameter was found, despite a good correlation between the MoCA and several physical fitness parameters. Conclusion: In conclusion, it was shown that global cognition in geriatric individuals is related to balance and PFP, such as agility, upper and lower extremity strength.Article Association of Cognitive Status, Anxiety and Depression With Hearing Loss in the Elderly(2024) Gülmez, Mehmet İhsan; Aydın, CansetObjective: Hearing loss is an important problem that is common among older people. Dementia can be defined as a group of disorders that adversely affect memory, thinking function and the ability to perform daily activities. Hearing loss leads to poor quality of life due to loneliness, social isolation, anxiety and susceptibility to depression. Hearing aids are the primary tool used in the management of hearing loss. In this study, we aimed to compare participants with and without hearing loss in terms of cognitive status, depression and anxiety, and to assess the effect of hearing aid use on this process. Method: Between June 2023 and June 2024, 608 patients over the age of 50 who registered at the psychiatric outpatient clinic of Hatay Training and Research Hospital were included in the study. Participants were enrolled if they presented to the Psychiatry outpatient clinic during the selected time interval, were over 50 years of age and agreed to participate in the study. Participants' demographic information, educational status, social information, hearing aid use, minimental score, Beck anxiety score, and geriatric depression score were recorded. Results: When comparing patients with and without hearing loss, statistically significant differences were observed on the Minimental Test, Beck Anxiety Score and Geriatric Depression Score. Conclusion: In this study, a statistically significant relationship was found between hearing loss and cognitive status, depression and anxiety, and it was suggested that the use of hearing aids may be beneficial in terms of preventing the development or slowing the progression of these pathologies.
