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The Prevalence of Neurological Symptoms among Chinese Older Adults in the Greater Chicago Area

Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, IL 60612, USA

Background: Neurological symptoms influence health and well-being among older adults. However, Chinese older adults are underrepresented in most studies on neurological symptoms. This study aims to examine the prevalence of neurological symptoms among U.S. Chinese older adults. Methods: Data were drawn from the PINE study, a population-based survey of U.S Chinese older adults in the greater Chicago area. Guided by a community-based participatory research approach, a total of 3,159 Chinese older adults aged 60 and above were surveyed. Clinical review of system (ROS) was used to assess the presence of dizziness, syncope/fainting, fall, seizures, weakness, numbness, tingling, tremor, and stiffness. Results: Neurological symptoms were commonly experienced by U.S Chinese older adults (50.6%). Symptoms as dizziness (31.0%), numbness (19.0%), and falls (14.8%) were commonly reported. Participants were more likely to report any neurological symptom if they were older , less educated, low income, with poorer self-perceived health status, poorer quality of life, and worsened health change over last year. Conclusions: Neurological symptoms are common among Chinese older adults in the U.S. Future longitudinal research is needed to examine risk factors and health outcomes associated with neurological symptoms.
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Keywords population studies; older adults; neurological symptom; Chinese aging

Citation: XinQi Dong, Manrui Zhang. The Prevalence of Neurological Symptoms among Chinese Older Adults in the Greater Chicago Area. AIMS Medical Science, 2015, 2(1): 35-50. doi: 10.3934/medsci.2015.1.35

References

  • 1. Walke LM, Byers AL, Gallo WT, et al. (2007)The association of symptoms with health outcomes in chronically ill adults. J Pain Symp Manag 33: 58-66.
  • 2. Amato MP, Ponziani G, Rossi F, et al. (2001) Quality of life in multiple sclerosis: the impact of depression, fatigue and disability. Mult Scler 7: 340-344.    
  • 3. Franssen EH, Reisberg B, Kluger A, et al. (1991) Cognition-independent neurologic symptoms in normal aging and probable Alzheimer's disease. Arch Neurol-Chicago 48: 148-154.    
  • 4. Carson AJ, Ringbauer B, Stone J, et al. (2000) Do medically unexplained symptoms matter? A prospective cohort study of 300 new referrals to neurology outpatient clinics. J Neurol Neurosur Ps 68: 207-210.
  • 5. Aggarwal NT, Bennett DA, Bienias JL, et al. (2000) The prevalence of dizziness and its association with functional disability in a biracial community population. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 55: M288-M292.    
  • 6. Galvin JE (2009) Chapter 12. Mental Status and Neurological Examination in Older Adults. In: Halter JB, Ouslander JG, Tinetti ME et al, editors. Hazzard's Geriatric Medicine and Gerontology, 6e. New York, NY: The McGraw-Hill Companies.
  • 7. De Rijk MC, Breteler MMB, Graveland GA, et al. (1995) Prevalence of Parkinson's disease in the elderly The Rotterdam Study. Neurology 45: 2143-2146.    
  • 8. Moran MG, Thompson TL, Nies AS (1988) Sleep disorders in the elderly. Am J Psychiat 145:1369-1378
  • 9. Whitehouse PJ, Price DL, Struble RG, et al. (1982) Alzheimer's disease and senile dementia: loss of neurons in the basal forebrain. Science 215: 1237-1239.    
  • 10. Stanton B (2011) The neurology of old age. Clin Med 11: 54-56.    
  • 11. Grimby A, Rosenhall U (1995) Health-related quality of life and dizziness in old age. Gerontology 41: 286-298.    
  • 12. Suzuki M, Ohyama N, Yamada K, et al. (2002) The relationship between fear of falling, activities of daily living and quality of life among elderly individuals. Nurs Health Sci 4: 155-161.    
  • 13. Rahman S, Griffin HJ, Quinn NP, et al. (2008) Quality of life in Parkinson's disease: the relative importance of the symptoms. Movement Disord 23: 1428-1434.    
  • 14. Fried TR, Tinetti ME, Iannone L, et al. (2011) Health outcome prioritization as a tool for decision making among older persons with multiple chronic conditions. Arch Intern Med 171: 1856-1858.    
  • 15. Czerwiński E, Białoszewski D, Borowy P, et al. (2007) Epidemiology, clinical significance, costs and fall prevention in elderly people. Ortop Traumatol Rehabil 10: 419-428.
  • 16. Olsky M, Murray J. Dizziness and fainting in the elderly. (1990) Emerg Medicine Clin N Am 8:295-307.
  • 17. Hartshorn JC (1996) Seizures and the elderly. Crit Care Nurs Clin North Am 8: 71-78.
  • 18. Chew WM, Birnbaumer DM (1999) Evaluation of the elderly patient with weakness: an evidence based approach. Emerg Medicine Clin N Am 17: 265-278.    
  • 19. Holland AT, Palaniappan LP (2012) Problems with the collection and interpretation of Asian-American health data: omission, aggregation, and extrapolation. Ann Epidemiol 22:397-405.    
  • 20. Van Den Eeden SK, Tanner CM, Bernstein AL, et al. (2003) Incidence of Parkinson's disease: variation by age, gender, and race/ethnicity. Am J Epidemiol 157: 1015-1022.    
  • 21. Chiu HFK, Lam LCW, Chi I, et al. (1998) Prevalence of dementia in Chinese elderly in Hong Kong. Neurology50(4):1002-1009.
  • 22. Cohen B, Bulatao RA, Anderson NB (2004) Critical perspectives on racial and ethnic differences in health in late life. Washington: National Academies Press.
  • 23. Chen EY, Lam LC, Chen RY, et al. (1996) Negative symptoms, neurological signs and neuropsychological impairments in 204 Hong Kong Chinese patients with schizophrenia. Br J Psychiatry 168: 227-233.    
  • 24. Yu IT-S, Lee NL, Zhang XH, et al. (2004) Occupational exposure to mixtures of organic solvents increases the risk of neurological symptoms among printing workers in Hong Kong. J Occup Environ Med 46: 323-330.    
  • 25. US Census Bureau U. American Community Survey. 2010.
  • 26. White L, Petrovitch H, Ross GW, et al. (1996) Prevalence of dementia in older Japanese-American men in Hawaii: the Honolulu-Asia aging study. JAMA 276: 955-960.    
  • 27. Dong X, Chang E, Wong E, et al. (2011) Assessing the health needs of Chinese older adults: Findings from a community-based participatory research study in Chicago's Chinatown. J Aging Res 2010.
  • 28. Dong X, Chen R, Simon M (2014) The prevalence of medical conditions among U. S Chinese community-dwelling older adults. J Gerontol A Biol Sci Med Sci 69(Suppl 2), S15-S22.
  • 29. Dong X, Zhang M, Simon M (2014) The prevalence of cardiopulmonary symptoms among Chinese older adults in the Greater Chicago Area. J Gerontol A Biol Sci Med Sci 69(Suppl 2), S39-S45.
  • 30. Dong X, Chang E-S, Bergren S (2014) The Prevalence of Musculoskeletal Symptoms among Chinese older adults in the Greater Chicago area-Findings from the PINE study. AIMS Med Sci 1:87-102.    
  • 31. Simon MA, Chang E-S, Zhang M, et al. (2014) The Prevalence of Loneliness Among US Chinese Older Adults. J Aging Health 26: 1172-1188.    
  • 32. Dong X, Simon MA, Odwazny R, et al. (2008) Depression and elder abuse and neglect among a community-dwelling Chinese elderly population. J Elder Abuse Negl 20: 25-41.    
  • 33. Dong X, Simon M, Beck T, et al. (2010) A cross-sectional population-based study of elder self-neglect and psychological, health, and social factors in a biracial community. Aging Ment Health 14: 74-84.    
  • 34. Dong X, Wong E, Simon MA (2014) Study design and implementation of the PINE study. J Aging Health 26: 1085-99.    
  • 35. Dong X, Chang E-S, Wong E, et al. (2011) Working with culture: lessons learned from a community-engaged project in a Chinese aging population. Aging Health 7: 529-537.    
  • 36. Simon MA, Chang E-S, Rajan KB, et al. (2014) Demographic Characteristics of US Chinese Older Adults in the Greater Chicago Area Assessing the Representativeness of the PINE Study. J Aging Health 26: 1100-1115.    
  • 37. Fortin AH, Dwamena FC, Smith RC (2012) Clinician-Centered Interviewing. In: Henderson M, Tierney L, Smetana G, editors. The Patient History: An Evidence-Based Approach to Differential Diagosis. New York: The McGraw-Hill Companies.
  • 38. Kokmen E, Bossemeyer RW, Barney J, et al. (1977) Neurological manifestations of aging. J Gerontol 32: 411-419.    
  • 39. Ropper AH, Samuels MA, Klein JP (2014) Chapter 29. The Neurology of Aging. Adams and Victor's Principles of Neurology, 10e. New York: The McGraw-Hill Companies.
  • 40. Vellas BJ, Albarede JL, Garry PJ (1992) Diseases and aging: patterns of morbidity with age; relationship between aging and age-associated diseases. Am J Clin Nutr 55: 1225S-1230S.
  • 41. McEwen BS, Stellar E. (1993) Stress and the individual: mechanisms leading to disease. Arch Intern Med 153: 2093-2101.    
  • 42. Boult C, Murphy J, Sloane P, et al. (1991) The relation of dizziness to functional decline. J Am Geriatr Soc 39: 858-861.    
  • 43. Sloane P, Blazer D, George LK (1989) Dizziness in a community elderly population. J Am Geriatr So 37: 101-108.    
  • 44. Colledge NR, Wilson JA, Macintyre CC, et al. (1994) The prevalence and characteristics of dizziness in an elderly community. Age Ageing 23: 117-120.    
  • 45. Harris M, Eastman R, Cowie C (1993)S ymptoms of sensory neuropathy in adults with NIDDM in the US population. Diabetes Care 16: 1446-1452.
  • 46. Ashton-Miller JA, Alexander NB (2009) Biomechanics of Mobility. In: Halter JB, Ouslander JG, Tinetti ME et al, editors. Hazzard's Geriatric Medicine and Gerontology. New York: The McGraw-Hill Companies.
  • 47. Tinetti ME, Williams CS, Gill TM (2000) Dizziness among older adults: a possible geriatric syndrome. Ann Intern Med 132: 337-344.
  • 48. Tinetti ME, Baker DI, McAvay G, et al. (1994) A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med 331: 821-827.    
  • 49. Ruitenberg A, Ott A, van Swieten JC, et al. (2001) Incidence of dementia: does gender make a difference? Neurobiol Aging 22: 575-580.    
  • 50. Gao S, Hendrie HC, Hall KS, et al. (1998) The relationships between age, sex, and the incidence of dementia and Alzheimer disease: a meta-analysis. Arch Gen Psychiatry 55: 809-815.    
  • 51. Jorm AF, Jolley D (1998) The incidence of dementia A meta-analysis. Neurology 51: 728-733.    
  • 52. Haaxma CA, Bloem BR, Borm GF, et al. (2007) Gender differences in Parkinson's disease. J Neurol Neurosurg Psychiatry 78:819-824.    
  • 53. Murphy DG, DeCarli C, Mclntosh AR, et al. (1996) Sex differences in human brain morphometry and metabolism: an in vivo quantitative magnetic resonance imaging and positron emission tomography study on the effect of aging. Arch Gen Psychiatry 53: 585-594.    
  • 54. Adler NE, Boyce T, Chesney MA, et al. (1994) Socioeconomic status and health: the challenge of the gradient. Am Psychol 49: 15-24.    
  • 55. Evans GW, Kantrowitz E (2002) Socioeconomic status and health: the potential role of environmental risk exposure. Annu Rev Public Health 23: 303-331.    
  • 56. Ross CE, Zhang W (2008) Education and psychological distress among older Chinese. J Aging Health 20: 273-289.    
  • 57. Fratiglioni L, Grut M, Forsell Y, et al. (1991) Prevalence of Alzheimer's disease and other dementias in an elderly urban population Relationship with age, sex, and education. Neurology41: 1886-92.
  • 58. Araya R, Lewis G, Rojas G, et al. (2003) Education and income: which is more important for mental health? J Epidemiol Community Health 57: 501-505.    
  • 59. Cox AM, McKevitt C, Rudd AG, et al. (2006) Socioeconomic status and stroke. Lancet Neurol 5:181-188.    
  • 60. Karp A, Kayreholt I, Qiu C, et al. (2004) Relation of education and occupation-based socioeconomic status to incident Alzheimer's disease. Am J Epidemiol 159: 175-183.    
  • 61. Aggarwal NT, Bennett DA, Bienias JL, et al. (2000) The prevalence of dizziness and its association with functional disability in a biracial community population. J Gerontol A Biol Sci Med Sci 55: M288-M292.    
  • 62. Scaf-Klomp W, Sanderman R, Ormel J, et al. (2003) Depression in older people after fall related injuries: a prospective study. Age ageing 32: 88-94.    

 

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Copyright Info: © 2015, XinQi Dong, et al., licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

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