john morley
@drjohnmorley
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Columns and blogs on aging successfully Professor, Geriatrics St Louis University
St louis
Joined October 2010
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#ใจซ่อนรักEP1
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LINGORM TSOU EP1
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Mission of Sant Rampal Ji
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दहेज मुक्त
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Rohit Sharma
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Kasie
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ドリームジャーニー
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#アンメット
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CDTV
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#INDvsAUS
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ヒロアカ
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Kohli
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新ウマ娘
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デュランダル
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アニメ化
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ブエナビスタ
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Joselu
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カルストンライトオ
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ロッキン
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Starc
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ビリーヴ
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Batalla de Carabobo
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ドリジャ
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DANCERACHA ATE TEASERS
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Dobbs
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三瓶先生
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Robert Eggers
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新シナリオ
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#小島健誕生祭2024
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As an assistant professor Lancet rejected a review from me. I was devastated. 3 months later they asked me to write a review on the same subject. I sent them the same paper without any changes. They accepted it and paid me to publish I! I learnt the review process was nonsense
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Italian study shows ventilation can cut school COVID cases by 82%
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Isn't time that medical schools start teaching geriatrics in detail in place of the ridiculous amount of minutia that is taught in Anatomy, Pathology and Biochemistry ? in an aging society little question which is more valuable.
#gerotwitter
#AGS
#medicine
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Geriatricians are most satisfied physicians despite being poorest paid. desperately need more geriatricians
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Multiple causes of sarcopenia
@reshmaamerchant
@mancunianmedic
@wassdoc
@mikelizquierdo_
@Age_Matters
@macesari
@GeriMedMD
@GeriatricDr
@RollandYves2
@brunovellas
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Fong, T.G., Inouye, S.K. The inter-relationship between delirium and dementia: the importance of delirium prevention. Nat Rev Neurol (2022).
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Ability, not age, should be the only factor determining what exercise you do via
@ConversationUK
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Frailty: a new vital sign in heart failure comes of age
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I am old (73) and if I become delirious in hospital it is 80% likely that is caused by a doctor or a nurse. Health professionals need education and stop thinking physical restraints are the treatment for delirium
“The drug is necessary.” “It’s only short term.” “His renal function is not that bad.” “This is the usual treatment we use in this scenario.”“I didn’t see any evidence of delirium; you do realize he’s old?” “I have to run that by our attending.”
Humbling and inspiring piece!
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The Rapid Geriatric Assessment screens for geriatric syndromes
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Antipsychotics are grossly overused in older persons
@geripaldoc
@GeriatricCoach
@GerisReg
@AmerGeriatrics
@Geriatrician1
@GeriMedMD
@Age_Matters
@sharon_inouye
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Physical Exercise in the Oldest Old . Outstanding review article. Brilliantly illustrated.
@mikelizquierdo_
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Older persons in hospital need to exercise and get out of bed. 1Kg of muscle(roughly a quadriceps) is lost in 3 days of hosptalisation. So many problems in hospital are due to lying in bed
#Izquierda
#gerotwitter
#AGS
#geriatrics
#aging
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Exercise intervention improves quality of life in older adults after myocardial infarction: randomised clinical trial Exercise wins again
@mikelizquierdo_
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I would suggest at least 3 months of geriatrics is necessary for all med students except those going into pediatrics. A similar time should be given to medical residents. There is a nee to recognize that geriatrics is much more than just looking after older adults
Solution: mandatory geriatric medicine clerkship rotation (FYI peds is mandatory, so is obgyn).
#geriatrics
#meded
@NGIG1415
@ResidentDoctors
@GeriInterestGp
@CanGeriSoc
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I am writing an editorial on the future of geriatrics. Appreciate any ideas those of you out there have. I believe it is time to redesign our future
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SLUMS belongs to US government which was done deliberately by me so it could never be copyrighted or charged for. the same should apply to the Rapid cognitive Screen (RCS) is derived from the SLUMS and should therefore also be free. They both detect MCI as well as dementia
Looks like the MOCA test is following the path of the MMSE where it is a pay to play scenario (see pic). I guess we need to move to the SLUMS?
#geriatrics
#dementia
#Alzheimer
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Peter Hotez: physician-scientist-warrior combating anti-science - The Lancet
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Sushi and red wine for my 75th birthday. Almost time to stop working
@brunovellas
@RollandYves2
@macesari
@mancunianmedic
@Age_Matters
@MiltaLittle
@wassdoc
@angelasanford22
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Benefits of Resistance Training in Early and Late Stages of Frailty and Sarcopenia: A Systematic Review and Meta-An…
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Physical activity guidelines for older people: knowledge gaps and future directions - The Lancet Healthy Longevity
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Today the giants of geriatrics are: FRAILTY; SARCOPENIA; ANOREXIA OF AGING and COGNITIVE DYSFUNCTION
@Age_Matters
@brunovellas
@macesari
@wassdoc
@sharon_inouye
@JuergenBauer
@mikelizquierdo_
@DrGustavoDuque
@DrBenKirk
@SGerontologist
@YaleGeriatrics
@BrownGeriPal
#aging
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Muscle mass starts to decline at 30 so primary prevention for Sarcopenia starts then. Secondary prevention starts when SARC-F positiv. Tertiary prevention is attempting to reverse disability
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The second addition of our text on SARCOPENIA is published. Thanks to Alfonso
@mancunianmedic
@Age_Matters
@RollandYves2
@macesari
@MiltaLittle
@GoalsDriveCare
@mikelizquierdo_
@DrBenKirk
@DrGustavoDuque
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Important study showing that exercise during hospitalization improves not only physical but also mental function.Why are all hospitals not doing it.Better than physical therapy
In-hospital multicomponent individualized
#physicalexercise
#vivifrail
. The magical bullet that improves physical, cognitive, ADL & depression outcomes in hospitalised older people: Scaping from the bed and exercising during hospital stay.
@exerciseworks
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Resistance Training for Older Adults: Position Statement... : The Journal of Strength & Conditioning Research
@DrBenKirk
@mikelizquierdo_
@wassdoc
#MedTwitter
#MedStudentTwitter
@GeriMedMD
@macesari
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Physical activity guidelines for older people: knowledge gaps and future directions
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Me in my home office with a picture seeihg a kid in the free clinic we started
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The decline in skeletal muscle mass with aging is mainly attributed to a reduction in type II muscle fiber size
@DrBenKirk
@wassdoc
@mikelizquierdo_
@DrGustavoDuque
@macesari
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My daughter, a nursing home administrator, was in at work at 6 today to give Easter eggs to the night staff as they went home. Those who work in nursing homes work hard and with love for the residents without much appreciation. They are superheros.
@wassdoc
@macesari
Spare a thought today for all those in Nursing Homes and for the staff treating and caring for them.
#COVID19
#ageing
@tcddublin
@roinnslainte
@tilda_tcd
@hpscireland
@DeirdrelangLang
@hrbireland
@HSE
@irishgerontsoc
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Geriatricians get little respect. Our expertise is not considered as important by most other physicians
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Exercise interventions in healthy older adults with sarcopenia: A systematic review and meta‐analysis
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The GERIATRIC 5Ms – the 5 simple words every geriatrician needs to know (the new mantra) via
@GeriSoc
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Overlap between frailty and sarcopenia
@macesari
@MiltaLittle
@runnermandoc
@RollandYves2
@brunovellas
@Human1stMD
@mcknightsltcn
@GeriMedMD
@AmerGeriatrics
@Age_and_Ageing
@Age_Matters
@GoalsDriveCare
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A Giant in Geriatrics: A Tribute to Professor John Edward Morley
Ivan Aprahamian, Reshma A. Merchant & J. G. Ouslander
The journal of nutrition, health & aging volume 26, pages539–542 (2022
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WHO unveils special issue on measuring healthy ageing
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As a GERIATRICIAN i would like 10,000 followers. PLEASE FOLLOW ME
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I was given my shot by a nurse from the Children's Hospital as can be seen from the band-aid with cartoons on it. No side effects. Can't wait to get second shot on 20th
@mancunianmedic
@macesari
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Me with my Aging Successfully plate when I retired 2 years ago. Really need to stop working
@wassdoc
@MiltaLittle
@tmiles2054
@macesari
@mancunianmedic
@Age_Matters
@GeriatricCoach
@Geriatrician1
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Care plan for FRAILTY:deprescribing, the management of sarcopenia, the treatable causes of weight loss, and the causes of exhaustion (depression, anaemia, hypotension, hypothyroidism, and B12 deficiency);social support and a physical activity with resistance piece program.
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Vitamin D supplementation worsens Alzheimer's progression: Animal model and human cohort studies
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Sarcopenia as a comorbidity of cardiovascular disease
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Physicians should write a prescription for exercise for each of their patients
@mikelizquierdo_
@wassdoc
@macesari
@DrBenKirk
@DrGustavoDuque
#MedTwitter
#MedStudentTwitter
@EIMnews
Are there many more important things to consider during the pandemic?
#MovementAsMedicine
'Stay physically active during COVID-19 with exercise as medicine'
#Infographic
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When I was an intern we used to put people to bed for 6 months to treat heart failure.they all died during the bed rest. BED REST IS FOR DEAD PEOPLE
3 weeks in bed reduce fitness =30 years aging
@6EAScot
@HCOPTHERAPY_NUH
@HcopTeam
@C54Hcop
@nottmhospitals
@NUHMedicine
@AnnMarieRiley10
@betterageing
@GeriSoc
@TashMasud
@nuhpatientgroup
@exerciseworks
@Strength4_Life
@SharedGovNUH
@darren_aw
@MoppettSarah
@ChiefNurseNUH
@IdtNuh
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Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta‐analysis
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Geriatrics is knowing the person and their needs and expectations and treating geriatric syndromes (frailty, sarcopenia, anorexia of aging and cognitive dysfunction. It is the ultimate of personalized medicine
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Dr Warren was the founder of modern geriatrics. Everyone in geriatrics pays tribute to her
@mancunianmedic
@runnermandoc
@macesari
@wassdoc
@sharon_inouye
@MiltaLittle
Remembering the achievements of Dr Marjory Warren of West Middlesex Hospital, ‘midwife of geriatric medicine’ on International Women’s Day.
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This is a magnificent guideline to nonpharmacological treatment of dementia. Would add exercise and Mediterranean diet with extravirgin olive oil(polyphenols)
Please re-Tweet this terrific infographic: "Good Practice Principles in
#Dementia
Care”
(image via
@3SpiritUKNZ
)
#Alzheimers
#caregiving
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New national osteoporosis guidance—implications for geriatricians
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100,000 pupils in England off school with confirmed Covid last week, figures show
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Persons in ICU have better outcomes if got out of bed and exercised
@mikelizquierdo_
@DrBenKirk
@DrGustavoDuque
@mancunianmedic
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Please wear a mask please
#COVIDIsAirborne
& masking is essential. It protects people like me who are immunocompromised.
The CDC needs to immediately revisit this to prevent a SURGE this winter. If they act SOON they will save lives.
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42% of hospitalized persons over 65 years develop a hospital acquired complication . Spend longer in hospital and do worse when they go home.Please keep hospitalized persons out of bed and cognitively impaired
Older people in hospital are at high risk of acute complications.
This study looked at:
#delirium
, functional decline, new incontinence, falls.
Strong dose-response association with outcomes.
@AlisonMudge
@sharon_inouye
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I have known that antipsychotics do not treat delirium for over 30 years because I treated delirium and learnt you do not need drugs. Sad that physicians still use them and with nurses physically restrain patients.will bad health professional behavior ever stop?
Pair of systematic reviews in
@AnnalsofIM
- antipsychotics ineffective to treat in-hospital delirium, also ineffective for delirium prevention except maybe in post-op settings.
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Hospital stay results in remarkable loss of strength. persons in hospital need exercise therapists not physical therapists. See Izquirdo's study. Its time to have exercise therapists in hospital for older persons
Once again data showing around 10% reduction in strength (knee extension) during an inpatient stay (chart here is indicative!)
#BGSconf
Peter Hartley
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Editorial: Exercise, Aging and Frailty: Guidelines for Increasing Function
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A Systematic Review of Clinical Practice Guidelines for Identification and Management of Frailty
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Cognitive dysfunction in diabetes mellitus has multiple causes
@DiabetesKings
@SDGeriatrics
@DianeEMeier
@JoslinDiabetes
@dianecox61
@DiabetesHealth
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It is sad how blatantly the COVID19 pandemic has exposed the underlying ageism inherent in modern society. Us old people are expendable. I have published 8 articles and editorial and have 4 in press this year.Really wish at 74 I could be as productive as young people
Is age-based triage system in the pandemic a kind of
#ageism
?
“Shortages of equipment and other resources are inevitable, and that older people will “make way” for more deserving patients.”
#COVID19
#gerotwitter
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Sarcopenia and frailty in individuals with dementia: A systematic revi...
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There are half as many geriatricians now than in 1990 in USA. That is less than 1 geriatrician per 10,000 older persons. Who will look after me when i am old? We must do a better job at training gps to look after the elderly. consider using the RGA
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Nearly 30 years ago we produced DELIRIUMS:
D rugs(anticholinergic)
E motional
Low pO2 (CHF, COPD, stroke)
I nfection
R etention of urine/feces
I ctal
U ndernutrition/dehydration
M etabolic (Ca,TSH,B12)
S leep disorders
Delirium is a sudden, temporary onset of confusion that causes changes in the way people think and behave, and can affect older adults in hospital. Read our patient pamphlet to learn how to recognize and manage it:
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A systematic review of the evidence for deprescribing interventions among older people living with frailty
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Exercise interventions for cognitive function in adults older than 50: a systematic review with meta-analysis
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@CeliaMcKee
Not geting a grant funded is not a failure. You are a heroine for writing it. I have had many grants rejected. Some of my eventual real successes started as unfounded proud of will be successful.
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Screening for sarcopenia with SARC-F in older patients hospitalized with cardiovascular disease
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So nice to see one more study showing that resistance exercise works better than regular physical therapy for sarcopenia. when will it become a part of routine physical therapy?
Impact of resistance training on sarcopenia in nursing care facilities: A pilot study
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An excellent review of the importance of exercise in older persons
@mikelizquierdo_
@wassdoc
@AGSJournal
@JAMDAcom
@Age_Matters
@Age_and_Ageing
@brunovellas
What are the harms and benefits associated with long-term (≥ 1 year) physical exercise training to prevent falls and physical performance? García-Hermoso, A., Ramirez-Vélez, R., Sáez de Asteasu, M.L. et al. Sports Med (2020).
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Do geriatricians earn enough to make costs of medical school worth it? NO. Its time to make medical school free for those who go into geriatrics. Older persons need better care than they get from nonspecialists in aging.
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Effect of Exercise Intervention on Functional Decline in Very Elderly Patients via
@JAMAInternalMed
part of
@JAMANetwork
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Just finished recording 3 talks for the geriatric conference in Mexico. Exhausted. I could learn to hate ZOOM.
@mancunianmedic
@Age_Matters
@macesari
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Impossible to understand how Republicans support theTRUMPET
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Diagnosis, Management, and Pathophysiology of Arterial and Venous Thrombosis in COVID-19 via
@JAMA_current
part of
@JAMANetwork
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Walking speed requires cognitive as well as muscular function. walking speed is a good biomarker for speed of aging
Measuring
#gaitspeed
dramatically improves the accuracy of
#dementia
prediction in older adults with cognitive impairment (CIND), found
@giulia_grande
CIND AUC=0.69
CIND + slow gait speed AUC=0.83 (!!)
check out our last work 👉
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Editorial: Exercise, Aging and Frailty: Guidelines for Increasing Function
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Exercise interventions for older adults: A systematic review of meta-a...
@DrBenKirk
@mikelizquierdo_
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Novavax COVID vaccine surprisingly effective against all Omicron variants
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The dangers of staying in bed.
@mancunianmedic
@Age_Matters
@wassdoc
@MiltaLittle
@GeriMedMD
@Human1stMD
@macesari
@Age_and_Ageing
@Dakota_GWEP
@sharon_inouye
@reshmaamerchant
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John E. Morely, MD, named to World's Top Medicine Scientists
Congratulations to Dr. John Morely for being named among the top 100 medical scientists by .
Dr. Morely's complete award bio may be found at:
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The role of exercise in medical care is grossly under should be a component of in hospital and outpatient management. We pay for very expensive medicines but we don’t pay for exercise classes. Let’s get our priorities right!
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