Yale OAIC activities will focus on multifactorial geriatric health conditions-health conditions common among older persons that result from combinations of multiple factors, that may be prevented by multifactorial interventions, and that trigger multiple possible outcomes. Building on the foundation laid over previous periods of OAIC support, we will focus on identifying solutions to barriers impeding a more complete understanding of the etiology, prevention, treatment, and outcomes of multifactorial geriatric conditions. We propose a portfolio that includes: 1) investigations of traditional disease entities such as recurrent Ml and pneumonia from the novel perspective of the geriatric syndrome model; 2) methodologic projects that take our epidemiologic and intervention studies to the next level of complexity by developing longitudinal methods for analyzing the effect of precipitating events on outcomes and for handling the common occurrence of bi-directionality (feed back loops) between risk factor or treatment and outcome and methods for determining the mechanisms of action of multifactorial intervention strategies; 3)novel applications of existing technologies, such as Geographic Information Systems, to evaluate the penetration, and effectiveness, of real world implementation of multifactorial interventions; 4) the categorization, analysis, and dissemination of new and existing measures of multiple domains for use by investigators throughout all OAlCs; 5) exploratory projects such as the development of a strategy for eliciting older persons' treatment goals when faced with multifactorial geriatric health conditions; and 6) capitalizing on unanticipated research opportunities and encouraging potential translational research as exemplified by a proposed pilot which examines alterations in oxidative stress responsiveness with human aging. This last project is particularly exciting because the paradigms guiding this work at the cellular level parallel those guiding Yale OAIC work at the human level, thus offering the promise of breakthrough discoveries concerning the etiology, prevention and treatment, of multifactorial geriatric health conditions. To support these, and other, projects the Yale OAIC will include the following cores: 1)leadership/administrative; 2)research career development which will offer early career, transitional career, and affiliated faculty, development awards; 3) Pilot/exploratory studies; 4) Field; 5) Data Management/Informatics; 6) Biostatistics.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Center Core Grants (P30)
Project #
3P30AG021342-06S1
Application #
7678806
Study Section
Special Emphasis Panel (ZAG1-ZIJ-8 (J1))
Program Officer
Nayfield, Susan G
Project Start
2002-09-30
Project End
2013-05-31
Budget Start
2008-09-01
Budget End
2009-05-31
Support Year
6
Fiscal Year
2008
Total Cost
$498,631
Indirect Cost
Name
Yale University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
043207562
City
New Haven
State
CT
Country
United States
Zip Code
06520
Gill, Thomas M; Han, Ling; Gahbauer, Evelyne A et al. (2018) Prognostic Effect of Changes in Physical Function Over Prior Year on Subsequent Mortality and Long-Term Nursing Home Admission. J Am Geriatr Soc 66:1587-1591
Wanigatunga, Amal A; Manini, Todd M; Cook, Delilah R et al. (2018) Community-Based Activity and Sedentary Patterns Are Associated With Cognitive Performance in Mobility-Limited Older Adults. Front Aging Neurosci 10:341
Snyder, Peter J; Bhasin, Shalender; Cunningham, Glenn R et al. (2018) Lessons From the Testosterone Trials. Endocr Rev 39:369-386
Makris, Una E; Ferrante, Lauren E; Mody, Lona (2018) Leadership Lessons: Building and Nurturing a High-Performing Clinical Research Team. J Am Geriatr Soc 66:1258-1261
Agogo, George O; Ramsey, Christine M; Gnjidic, Danijela et al. (2018) Longitudinal associations between different dementia diagnoses and medication use jointly accounting for dropout. Int Psychogeriatr 30:1477-1487
Kabiri, Mina; Brauer, Michelle; Shafrin, Jason et al. (2018) Long-Term Health and Economic Value of Improved Mobility among Older Adults in the United States. Value Health 21:792-798
Rosso, Andrea L; Metti, Andrea L; Glynn, Nancy W et al. (2018) Dopamine-Related Genotypes and Physical Activity Change During an Intervention: The Lifestyle Interventions and Independence for Elders Study. J Am Geriatr Soc 66:1172-1179
Stabenau, Hans F; Becher, Robert D; Gahbauer, Evelyne A et al. (2018) Functional Trajectories Before and After Major Surgery in Older Adults. Ann Surg 268:911-917
Liu, Zuyun; Han, Ling; Wang, Xiaofeng et al. (2018) Disability Prior to Death Among the Oldest-Old in China. J Gerontol A Biol Sci Med Sci 73:1701-1707
Ferrante, Lauren E; Pisani, Margaret A; Murphy, Terrence E et al. (2018) The Association of Frailty With Post-ICU Disability, Nursing Home Admission, and Mortality: A Longitudinal Study. Chest 153:1378-1386

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