Publications by authors named "Caglar Cosarderelioglu"

Objectives: To assess the impact of sarcopenia and vitamin D levels on the severity of lower urinary tract symptoms (LUTS).

Methods: A total of 193 male patients, aged 60 years and above, who visited the geriatric outpatient clinic at Ibn-i Sina Hospital in Ankara, Turkey, between December 2019 and March 2021, were enrolled. Sarcopenia was diagnosed according to the criteria set by the European Working Group on Sarcopenia in Older People.

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Background: Frailty indicates older people who are vulnerable to stressors. The relation between ultrasonographic parameters of muscle and frailty among older people has yet to be investigated.

Aims: The aim of the study is to investigate the relationship between frailty and the ultrasonographic measurements of the rectus femoris muscle (RFM).

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  • The angiotensin type 2 receptor (ATR) plays a crucial but still unclear role in lung health, particularly in alveolar fibroblasts, contrasting with the angiotensin type 1 receptor (ATR) that is found mainly in lung pericytes.
  • Disruption of ATR leads to increased oxidative stress and worsened lung permeability, especially during Hyperoxic Acute Lung Injury (HALI), with aging mice exhibiting more severe lung damage and higher mortality when lacking ATR.
  • Research indicates that using Losartan to block ATR may not offer protective benefits in ATR-deficient mice, while the ATR agonist Compound 21 (C21) shows promise in reversing lung damage, suggesting a shift in treatment strategies to enhance ATR function instead of blocking it
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While physical frailty has been recognized as a clinical entity for some time, the concept of cognitive frailty (CF) is now gaining increasing attention in the geriatrics research community. CF refers to the co-occurrence of physical frailty and cognitive impairment in older adults, which has been suggested as a potential precursor to both dementia and adverse physical outcomes. However, this condition represents a challenge for researchers and clinicians, as there remains a lack of consensus regarding the definition and diagnostic criteria for CF, which has limited its utility.

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Background The renin-angiotensin system plays a crucial role in human physiology, and its main hormone, angiotensin, activates 2 G-protein-coupled receptors, the angiotensin type-1 and type-2 receptors, in almost every organ. However, controversy exists about the location, distribution, and expression levels of these receptors. Concerns have been raised over the low sensitivity, low specificity, and large variability between lots of commercially available antibodies for angiotensin type-1 and type-2 receptors, which makes it difficult to reconciliate results of different studies.

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Chronic activation of inflammatory pathways (CI) and mitochondrial dysfunction are independently linked to age-related functional decline and early mortality. Interleukin 6 (IL-6) is among the most consistently elevated chronic activation of inflammatory pathways markers, but whether IL-6 plays a causative role in this mitochondrial dysfunction and physical deterioration remains unclear. To characterize the role of IL-6 in age-related mitochondrial dysregulation and physical decline, we have developed an inducible human IL-6 (hIL-6) knock-in mouse (TetO-hIL-6mitoQC) that also contains a mitochondrial-quality control reporter.

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The reported primary dementia-protective benefits of angiotensin II type 1 receptor (ATR) blockers (ARB) are believed, at least in part, to arise from systemic effects on blood pressure. However, there is a specific and independently regulated brain renin-angiotensin system (RAS). Brain RAS acts mainly through three receptor subtypes; ATR, ATR, and ATR.

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Chronic inflammation, oxidative stress, and dysregulation of the renin-angiotensin system are closely linked, and their crosstalk commonly contributes to age-related physical and cognitive decline. The primary dementia-protective benefits of Angiotensin II type 1 receptor (AT1R) blockers are believed to arise from systemic effects on blood pressure. However, there is an independently regulated brain-specific renin-angiotensin system.

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Introduction: In advanced age, both sarcopenia and erectile dysfunction (ED) occur with similar underlying causes through different mechanisms. In our study we investigated the association between sarcopenia and ED in older men.

Methods: A total of 193 male patients aged 60 years and older were included in the study.

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Aging is a key risk factor in Alzheimer's dementia (AD) development and progression. The primary dementia-protective benefits of angiotensin II subtype 1 receptor (AT1R) blockers are believed to arise from systemic effects on blood pressure. However, a brain-specific renin-angiotensin system (b-RAS) exists, which can be altered by AT1R blockers.

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  • Falls significantly contribute to health risks in older adults, and this study explores the link between sarcopenia (loss of muscle mass) and blood pressure in elderly patients who experience falls.
  • The study involved 72 elderly patients, revealing that the majority had varying degrees of sarcopenia, with higher arterial stiffness indicated by increased pulse wave velocity in those affected.
  • Findings suggest that sarcopenia is associated with fluctuations in central and peripheral blood pressure, highlighting the need for thorough blood pressure assessments in older adults diagnosed with sarcopenia to better manage fall risk.
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Background: A curfew for elderly people was announced in Turkey to protect the geriatric population during the COVID-19 pandemic. Although this may have the beneficial effect of preventing infection, psychological distress may also increase with prolongation of the pandemic.

Methods: Geriatric patients were interviewed by telephone due to the ongoing curfew.

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  • The methods for diagnosing sarcopenia are not widely accessible, creating a need for practical initial screening tests.
  • The study evaluated the effectiveness of blink rate as a possible alternative for screening dynapenia in patients aged 65 and older.
  • Results showed a significant correlation between blink rate and grip strength, suggesting that blink rate could serve as a useful diagnostic tool for identifying dynapenia, particularly in patients with mobility challenges.
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The renin-angiotensin system (RAS) was initially considered to be part of the endocrine system regulating water and electrolyte balance, systemic vascular resistance, blood pressure, and cardiovascular homeostasis. It was later discovered that intracrine and local forms of RAS exist in the brain apart from the endocrine RAS. This brain-specific RAS plays essential roles in brain homeostasis by acting mainly through four angiotensin receptor subtypes; ATR, ATR, MasR, and ATR.

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  • The study investigated the impact of zoledronic acid treatment on daily living activities, cognitive functions, depression, muscle strength, and overall performance.
  • A total of 115 patients were analyzed, showing significant increases in bone mineral density after treatment but a decline in cognitive functioning and gait speed.
  • Ultimately, the findings suggested that while zoledronic acid improves bone density, it may negatively affect cognitive aspects and muscle performance without significantly impacting daily living activities or levels of depression.
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  • This study examines the connection between sarcopenia, sarcopenic obesity (SO), and the risk of death in older hospitalized patients.
  • It found that 21.1% of participants had SO and 11.4% had sarcopenia, both of which were linked to higher mortality rates within 2 years.
  • The findings emphasize the need for preventive and treatment strategies to lower mortality risks associated with these conditions in older adults after they leave the hospital.
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A severe and common pulmonary vascular complication of liver disease is hepatopulmonary syndrome (HPS). It is a triad of liver dysfunction and/or portal hypertension, intrapulmonary vascular dilatations, and increased alveolar-arterial oxygen gradient. Prevalence varies according to various study groups from 4%-47%.

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Portopulmonary hypertension is one of the main pulmonary conditions affecting patients with liver disease and/or portal hypertension. Other conditions include hepatopulmonary syndrome and hepatic hydrothorax. Portopulmonary hypertension is caused by pulmonary vasoconstriction and increased pulmonary vascular resistance.

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