Tuo Yu Chen

Taipei Medical University | TMU · College of Public Health

Objectives Although individual sleep characteristics are related to frailty, these characteristics do not occur separately. A multidimensional measure of sleep might provide a better estimation of frailty compared to isolated sleep characteristics. This study investigated the association of a multidimensional measure of sleep health with frailty bo...

The measures against the coronavirus disease (COVID-19) pandemic, such as lockdown, pose a major challenge to those who manage work and caregiving demands. Drawing on social cognitive theory, which emphasizes the critical role of self-referent thought and human agency in overcoming obstacles and striving toward goals, the present longitudinal study...

Introduction: Recent evidence suggests that the effects of fear of falling on falls may differ by race/ethnicity. This study investigated whether race/ethnicity (white, black, and Hispanic) moderated the longitudinal effects of fear of falling on the incidence of falling and having a repeated fall among community-dwelling older adults. Methods:...

Objective The relationships between different insomnia symptom subtypes and the onset of depression among older adults are inconsistent. It may be that each subtype has a distinct temporal effect on depression not easily captured by the different follow-up intervals used in past studies. We systemically investigated the temporal effects by examinin...

Background Sleep problems are common among working individuals. A growing body of research has documented that effort-reward imbalance (ERI) predicts poor sleep outcomes. Objective Extending this literature, we investigated the bidirectional relationship between ERI and sleep problems; for each direction, we tested predictor’s baseline level and i...

The association of poor nutritional status with falls-related injuries other than fractures is unclear. Although there are sex differences in poor nutritional status and the rate of falls-related injuries, whether the impacts of poor nutritional status on falls-related injuries differ by sex is unclear. We investigated whether baseline poor nutriti...

Background Hypertension poses a serious health problem among Thai older adults which could subsequently lead to disability. However, little to no research has been conducted to understand modifiable risk factors of disability among community-dwelling older adults with hypertension in Thailand. In addition, sex is an important social determinant of...

The purpose of this study was to estimate the cost of outpatient care for older patients with a primary diagnosis of hypertension, heart attack, and stroke at community hospitals in Thailand. This cross-sectional study used cost information in 2014 from four community hospitals. The hospital cost information consisted of service data, hospital stat...

The purpose of this study was to estimate the cost of outpatient care for older patients with a primary diagnosis of hypertension, heart attack, and stroke at community hospitals in Thailand. This cross-sectional study used cost information in 2014 from four community hospitals. The hospital cost information consisted of service data, hospital stat...

Multimorbidity increases the risks of disability and death and are prevalent among older adults. Evidence shows that sleep might play an important role in multimorbidity. However, previous research studies sleep quality and quantity in isolated manners, where in reality sleep quality and quantity are likely to affect each other. Besides, no study h...

About 60% of the older adults in Thailand experience hypertension, a condition that increases the risks of disability. However, little to no study has investigated modifiable risk factors to prevent disability in this segment of population in Thailand. Therefore, this study aims to investigate factors associated with disability among community-dwel...

Although research has shown that food insecurity may lead to sleep problems due to mental illness, it remains unclear whether physical health also mediates this relationship in addition to poor mental health. We investigated whether frailty and depressive symptoms mediated the association of food insecurity with sleep deficiency (i.e., inadequate a...

It cannot be deniable that smartphone apps have grown exponentially and are playing a crucial role in the response to the COVID-19 pandemic in many countries. This paper aims to investigate data privacy, regulations and legal issues on COVID-19 tracking apps. A literature search will be followed the PRISMA guidelines extension for a scoping review....

Non-communicable diseases (NCDs) become one of serious health issues globally including Thailand. The Wellness Center was introduced by the Ministry of Public Health (MOPH) in public hospitals since 2018 for both healthy people and people who at risk for NCDs. It incorporates risk evaluation, health assessment, health behaviors changing, health pro...

Falls are a major public health issues globally. However, no study with nationally representative samples, previously, had been done to understand falls among older adults in the Philippines and Vietnam. Using a biopsychosocial perspective, this study investigated the prevalence of falls and their associated factors among community-dwelling older a...

Although individual sleep characteristics are related to frailty, these characteristics do not occur separately. A multidimensional measure of sleep might provide a better estimation of frailty compared to isolated sleep characteristics. This study investigated the association of a multidimensional measure of sleep health with frailty and examined...

Research suggests that the effects of fear of falling on falls may differ by race/ethnicity. We investigated whether race/ethnicity (White, Black, and Hispanic) moderated the longitudinal effects of fear of falling on the incidence of falling and having a repeated fall among community-dwelling older adults. We used data from 2011-2018 of the Nation...

It cannot be deniable that smartphone apps have grown exponentially and are playing a crucial role in the response to the COVID-19 pandemic in many countries. This paper aims to investigate data privacy, regulations and legal issues on COVID-19 tracking apps. A literature search will be followed the PRISMA guidelines extension for a scoping review....

Non-communicable diseases (NCDs) become one of serious health issues globally including Thailand. The Wellness Center was introduced by the Ministry of Public Health (MOPH) in public hospitals since 2018 for both healthy people and people who at risk for NCDs. It incorporates risk evaluation, health assessment, health behaviors changing, health pro...

hosted by the Open University of Hong Kong

With the graying workforce worldwide, identifying factors that facilitate older workers’ health is critically important. We examined whether gardening mitigates the relationship of work–family conflict with disability, chronic conditions, depressive symptoms, and self-rated health among older workers. We drew a subsample of older workers aged 55 ye...

Background Many studies have been conducted to investigate risk factors of falls in older people, but little is known about falls among centenarians. We analyzed the cross-sectional data from the 5-COOP to investigate the prevalence and correlates of falls among centenarians. Methods Data collection was carried out in 2011- 2014 in Japan, France,...

Falls among older adults can lead to severe physical and psychological consequences. However, whether leisure participation changes after falling is not clear. We investigated whether falls resulted in reduced leisure participation in terms of duration, number, and intensity among older adults. Secondary data from the Health and Retirement Study an...

Health and wellness coaching (HWC) has emerged as an important vocation that complements traditional primary care and caregiving services. Although prior studies have reviewed HWC scientific literature, there is an apparent lack of literature on the global HWC training programmes. In this paper, we attempt to address this gap by analysing data pert...

The association of sleep with pain is well documented among adult populations. Even though both sleep problems and pain are prevalent in older adults, the longitudinal and bidirectional relationship between sleep deficiency (i.e., insufficient and poor sleep) and pain is less well established. This study investigated the association between sleep d...

We investigated the longitudinal relationship between sleep health and a spectrum of pain outcomes among community-dwelling older adults. Data came from the Nihon University Japanese Longitudinal Study of Aging (N=2888) and the Panel on Health and Aging of Singaporean Elderly (N=2111). Poor sleep health was operationalized as having insufficient sl...

With the rapidly aging workforce worldwide, the need to retain healthy older workers is greater than ever. To promote health among older workers, a better understanding of the factors that contribute to their health is crucial. With this in mind, we investigated the impact of work–family conflict and work–family enrichment on older workers’ health....

Objectives: Maintaining offline social participation (i.e. face-to-face social interaction) is key for healthy aging, but older adults who experience pain tend to restrict their social activity outside of the home. The onset of pain may set off a downward spiral where lowered social participation increases the risk of depression and vice versa. Th...

The role of ethnicity in predicting future falls among community-dwelling older Singaporeans.

"The more likely a person has difficulty sleeping, the more likely they are going to be up and walking around in the dark at night," said Orfeu Buxton, associate professor of biobehavioral health, Penn State. "You might think that if they have a physician-prescribed sleep medication that risk of falling might go down because they would stay in bed,...

Study objectives: Cross-sectional studies suggest that insomnia symptoms are associated with falls in later life. This longitudinal study examines the independent and interactive effects of the extent of insomnia symptoms (i.e., multiple co-existing insomnia symptoms) and sleep medications on fall risk over a 2-year follow-up among community-dwell...

Aim: The present study examined whether ethnicity independently predicted future falls among community-dwelling older Singaporeans, and whether ethnicity moderated the relationships between falls risk factors at baseline and falls at follow up. Methods: Data from a longitudinal survey of older Singaporeans were used. Baseline assessment included...

We conducted a cross-lagged mediation analysis to examine the casual link between insomnia symptoms and falls among older adults using data from three waves of the Health and Retirement Study (2006[Time1], 2010[Time2], and 2014[Time3]; n=2755). We hypothesized that, through the development of poor health (Time2), insomnia symptoms (Time1) would lea...

This current study investigated the construct validity and reliability of the Geriatric Fear of Falling Measure (GFFM) among community-dwelling older adults in the United States. Eighty-eight participants were assessed on the GFFM together with demographics, falls, and fear of falling and falls-efficacy measures at baseline and an 8-week follow-up...

Prevalence and associated factors of falls among centenarians: The results from the 5-COOP study

Insomnia symptoms as a predictor of single and recurrent falls

Measuring fear of falling among older adults in Florida: The Modified Falls Efficacy Scale-International Florida (mFES-IF)

The effects of a multicomponent cognitive behavioral group intervention on falls and physical risk of falls.

Severe pain is not associated with elevated risk of falling among Chinese older adults: Results from a longitudinal panel study in Singapore

Would older adults fall less if they receive help from caregivers? It depends!

Disablement can be described as the process of moving from ability to inability to perform tasks and activities as a result of a physical or mental health condition. Several conceptual models have been proposed to explain the disablement process. This entry reviews the Nagi scheme; the International Classification of Impairment, Disability, and Han...

The effects of the A Matter of Balance program on falls and physical risk of falls.

Does receiving help for daily activities protect older adults from falling?

Introduction: This study investigated the effects of the A Matter of Balance (MOB) program on falls and physical risk factors of falling among community-dwelling older adults living in Tampa, Florida, in 2013. Methods: A total of 110 adults (52 MOB, 58 comparison) were enrolled in this prospective cohort study. Data on falls, physical risk of fa...

Cancer symptoms and the side effects of its treatment can increase the risk of falling among older adults with cancer. This study aimed to identify predictors of falling and recurrent falls among community-dwelling older adults with cancer over a 2-year period. Data from the Health and Retirement Study were used (N = 1,630) in this study. The sampl...

The effects of the A Matter of Balance program on the measures of psychological consequences of falling

Can be downloaded: http://scholarcommons.usf.edu/cgi/viewcontent.cgi?article=6004&context=etd

Prospective predictors of falls and recurrent falls among community-dwelling older adults with cancer: Results from the Health and Retirement Study

Prospective predictors of falls and recurrent falls.

Tai Chi: Moving for Better Balance (TCMBB) as an intervention for improving postural control

Objective: This study examined speed of processing, executive functioning, and psychomotor speed as independent prospective predictors of falls and recurrent falls across 3 years. Method: The participants were 509 community-dwelling older adults. Measures of speed of processing, executive function, psychomotor speed, and known risk factors of fa...

This study examines whether participation in gardening predicts reduced fall risk and performance on balance and gait-speed measures in older adults. Data on adults age 65 and older (N = 3,237) from the Health and Retirement Study and Consumption and Activities Mail Survey were analyzed. Participants who spent 1 hr or more gardening in the past wee...

Change in leisure involvement among older adults after falling

Parkinson's disease (PD) patients develop progressive cognitive decline. The degree to which such decline impacts instrumental activities of daily living (IADL) among individuals in the early stages of PD without dementia is not well documented. The Everyday Cognitive Battery Reasoning subtest (ECB) was used to assess ability to solve everyday reas...