Jay Acharya , Radcliffe Lisk , Rashid Mahmood , Amir Manzoor , Francesca Young , Mitveer Gill , Keefai Yeong , Kevin Kelly , Jonathan Robin , David Fluck , Christopher Henry Fry , Thang Sieu Han
{"title":"Frailty and delirium: A fatal combination in older adults","authors":"Jay Acharya , Radcliffe Lisk , Rashid Mahmood , Amir Manzoor , Francesca Young , Mitveer Gill , Keefai Yeong , Kevin Kelly , Jonathan Robin , David Fluck , Christopher Henry Fry , Thang Sieu Han","doi":"10.1016/j.aggp.2025.100180","DOIUrl":"10.1016/j.aggp.2025.100180","url":null,"abstract":"<div><h3>Background</h3><div>Frailty and delirium commonly coexist in acutely ill older adults, but they are variably measured. The Clinical Frailty Scale (CFS) and the 4AT scores are advocated as standardised tools to assess these conditions. We have developed risk categories based on these scales to predict mortality.</div></div><div><h3>Methods</h3><div>Two-graph ROC curve analysis derived thresholds at 5.5 for CFS and 1 for 4AT for predicting mortality, from which three composite <em>Risk-Categories</em> were created: “<em>Low-Risk</em>” represents low scores for both CFS (1–6) and 4AT (0); <em>Intermediate-Risk”</em> represents either high CFS (7–9) or high 4AT (1–12) scores; and <em>High-Risk</em>” represents both high CFS and 4AT scales. These <em>Risk-Categories</em> were used to predict in-hospital or 30-day mortality using logistic regression, and up to 27 months since admission using Cox regression; adjusted for age, sex, Charlson comorbidity index, anticholinergic burden and polypharmacy.</div></div><div><h3>Results</h3><div>There were 1192 patients (57.1 % women) of mean age 86.1 yr (SD=7.1) consecutively admitted to a hospital. Compared to those in the “<em>Low-Risk</em>” category (reference), in-hospital mortality odds-ratios (ORs; 95 %CI) were greater for those in the “<em>Intermediate-Risk”</em> category: OR=1.74 (1.11–2.72), and “<em>High-Risk</em>” category: OR=2.72 (1.47–5.02). Corresponding values for within 30-day mortality were: OR=1.75 (1.18–2.60) and OR=3.03 (1.76–5.21). Risk of death within 27 months of admission was increased in the “<em>High-Risk</em>” category: hazard ratio=1.46 (1.14–1.87). The association of CFS and mortality was partially mediated by 4AT.</div></div><div><h3>Conclusion</h3><div>Mortality in hospital was approximately doubled in “<em>Intermediate-Risk</em>” and tripled in “<em>High-Risk</em>” patients, which persisted after discharge. These risk categories are a useful tool for identifying high-risk patients.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100180"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144335935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Addressing conflicts in later life through intergenerational mediation: A scoping review","authors":"Arezo Feroz, Amanda Oliveri, Marley Goldenberg, Gagan Takhar, Michelle Hur, Jamie-Leigh LeTourneau","doi":"10.1016/j.aggp.2025.100178","DOIUrl":"10.1016/j.aggp.2025.100178","url":null,"abstract":"<div><div>Intergenerational mediation has significant implications for the well-being and quality of life of older adults and their families. Literature has emerged relating to the complexities of mediation practices and their effectiveness in addressing diverse issues older adults face. This scoping review aims to synthesize existing research on intergenerational mediation and explore, assess, and map key concepts related to mediating conflicts within later-life families. Databases, including PsychINFO, EMBASE, MEDLINE and CINAHL; Sociological Abstracts and International Bibliography of Social Sciences, were searched (as of Febraury 6th, 2024) and 930 titles and abstracts were identified. Of these, 44 met the inclusion criteria.</div><div>In this paper, the aim is to synthesize existing research on intergenerational mediation, mapping key concepts and identifying the gaps in literature across various articles and studies. Scoping review allows for a broader inclusion of different types of studies, without needing to assess methodological quality as a systemic review would, this makes systematic review less appropriate, especially if the studies are still emerging.</div><div>Seven themes emerged in the review of the literature: (a) mediation practice and guidelines; (b) sources of family conflict; (c) prevention of elder abuse and neglect; (d) family dynamics; (e) ethics; (f) mediation and law; and (g) implications for social work practice. The scoping review identified research gaps, including limited articles on intergenerational mediation across different cultures, religions, and geographic contexts. Due to the lack of consistent definitions of elder abuse in many countries, research is limited, highlighting the need for future research. The literature lacks sufficient exploration of the intersection of mediating conflicts and the older adults' aging process. Findings from this scoping review can inform best practices for intergenerational mediation and older adults’ aging.</div><div>Mediation provides a confidential space for collaborative discussions, aiding to prevent elder abuse and empower older adults. This review underscores the multifaceted role of mediation in social work, highlighting its potential to enhance care for older adults and their families.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100178"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144314649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brittany Stahnke , Roxxi Davis , Morgan Cooley , Porsha Farmer
{"title":"Reflections of those who have lived: Phenomenological perspectives from adults at end-of-life from an Eriksonian lens","authors":"Brittany Stahnke , Roxxi Davis , Morgan Cooley , Porsha Farmer","doi":"10.1016/j.aggp.2025.100175","DOIUrl":"10.1016/j.aggp.2025.100175","url":null,"abstract":"<div><div>There is little research focused on the knowledge that those in the last stage of their lives can offer. The last phase of life brings with it unique wisdom and life advice that can be used to guide all people in their journeys. The purpose of this study was to provide scholarship detailing advice and learnings of those in this unique and final life stage. Nine participants were interviewed in the year 2021, and transcripts were analyzed in an interpretative phenomenological manner. Main themes of life suffering and values presented with sub-themes including illness, loss, family, faith, and purpose. The importance of choice in the lives we live, as well as hard work supports the abilities to succeed in valued areas. Family was stated to be the most important part of these lives; however, with or without family, one also benefits from a sense of accomplishment and pride in themselves.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100175"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The burden and determinants of cognitive impairment among individuals with chronic diseases in Ethiopia: A systematic review and meta-analysis","authors":"Addisu Getie , Melaku Bimerew , Mihretie Gedfew , Baye Tsegaye Amlak , Tegene Atamenta Kitaw , Adam Wondmieneh","doi":"10.1016/j.aggp.2025.100171","DOIUrl":"10.1016/j.aggp.2025.100171","url":null,"abstract":"<div><h3>Introduction</h3><div>Cognitive impairment is a medical condition caused by neurodegeneration, marked by a gradual decline in neurological, motor, psychological, and cognitive domain functions, as well as daily activities. It primarily affects individuals with conditions such as Alzheimer's disease, stroke, HIV/AIDS, diabetes mellitus, cancer, epilepsy, dementia, and other chronic illnesses, as well as older adults. While some individual studies have explored the effects of cognitive impairment, there is a lack of nationwide research to provide a comprehensive understanding of its burden among individuals with chronic diseases.</div></div><div><h3>Objective</h3><div>To assess the pooled prevalence of cognitive impairment and its associated factors among individuals with chronic diseases in Ethiopia.</div></div><div><h3>Methods</h3><div>Several databases were examined to find available articles. The data were extracted and sorted in Microsoft Excel before being exported to STATA/MP 17.0 for analysis. A random-effects Der Simonian-Laird model with a 95 % confidence interval was used to pool the data. Cochrane I<sup>2</sup> statistics and Egger's test were used to evaluate heterogeneity and publication bias, respectively. To determine the cause of heterogeneity, subgroup analysis was performed. A log-odds ratio was utilized to illustrate the association between cognitive impairment and its associated factors. P-values less than 0.05 were considered statistically significant.</div></div><div><h3>Result</h3><div>This study included 22 individual articles comprising a total of 6818 participants. The overall prevalence of cognitive impairment among individuals with chronic diseases was 44.43 % (95 % CI: 37.76–51.10). Studies conducted in Addis Ababa reported a higher prevalence of 50.89 % (95 % CI: 34.59–67.19). Similarly, research focusing on older adults indicated the highest prevalence, at 57.58 % (95 % CI: 28.78–86.39). Participants who are unable to read and write were 3.82 times more likely to experience cognitive impairment compared to those who had completed primary education (AOR = 3.82; 95 % CI: 2.97–4.91).</div></div><div><h3>Conclusion</h3><div>This review found a high prevalence of cognitive impairment among Ethiopians with chronic diseases, especially in older adults and those in Addis Ababa. Illiteracy significantly increased the risk. These findings highlight the need for targeted cognitive screening and integration of cognitive care into chronic disease management.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100171"},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144243066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influence of increased forward trunk tilt angle on stride length shortening during gait in older adults: Secondary analysis","authors":"Ryo Tanaka , Hungu Jung , Shunsuke Yamashina , Yu Inoue , Haruki Toda , Takeshi Imura , Hiroyuki Tamura","doi":"10.1016/j.aggp.2025.100174","DOIUrl":"10.1016/j.aggp.2025.100174","url":null,"abstract":"<div><h3>Background</h3><div>Gait in older adults frequently entails augmented forward trunk tilt (FTT) and diminished hip extension, resulting in diminished stride length. However, the relationship between these factors remains unclear. The objective of this study was to verify the hypothesis that an augmented FTT angle impedes hip extension angles during gait, consequently diminishing stride length and walking speed.</div></div><div><h3>Methods</h3><div>A secondary analysis was conducted using data from previous studies. The Microsoft Kinect V2 sensor was utilized to track the coordinates of the lower extremities and trunk during gait. Spatiotemporal variables, including walking speed and stride length, were calculated alongside peak FTT and hip extension angles.</div></div><div><h3>Results</h3><div>The optimal model, as indicated by the highest values for goodness-of-fit indices (goodness-of-fit index = 0.98, adjusted goodness-of-fit index = 0.91, comparative fit index = 0.98, root mean square error of approximation = 0.11), demonstrated that an augmented peak FTT angle results in a diminished peak hip extension angle during gait, consequently leading to a reduction in stride length and walking speed.</div></div><div><h3>Conclusion</h3><div>In older adults, reduced walking speed is associated with shorter stride length, primarily due to decreased hip extension angle. The increased peak FTT angle contributes to this reduction in hip extension. To prevent decreases in walking speed, it is recommended that older adults engage in exercises that focus on trunk stabilization and hip extension.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100174"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unravelling the occupational factor and hypertension puzzle among Indian older adults","authors":"Priya Maurya , Aparajita Chattopadhyay , Palak Sharma","doi":"10.1016/j.aggp.2025.100172","DOIUrl":"10.1016/j.aggp.2025.100172","url":null,"abstract":"<div><h3>Background</h3><div>Poor health significantly impacts productive years of life. This study examines hypertension onset and survival probabilities for hypertension among adults aged 60 years and above, focusing on variations by working status and occupational profile.</div></div><div><h3>Data and methods</h3><div>The study utilized data from the first wave of the Longitudinal Ageing Study in India (2017–2018), comprising a sample of 31,782 individuals aged 60 years and above (15,293 males and 16,489 females). The primary outcome variable was the onset of hypertension, which was self-reported but confirmed by a health professional. The year of diagnosis was recorded as the onset year of hypertension. To achieve the study objectives, descriptive statistical analyses and Cox proportional hazards models were applied.</div></div><div><h3>Results</h3><div>The study revealed that approximately 41.01% of males and 33.62% of females were expected to remain free from hypertension beyond the age of 80. The onset of hypertension showed a marked acceleration after the age of 40, with an inverse relationship between increasing age and hypertension-free survival. Additionally, working older adults were found to have a 21% lower likelihood of developing hypertension compared to those who had previously worked but were currently not working.</div></div><div><h3>Conclusion</h3><div>The findings indicate that continued economic activity in later life is associated with improved survival rates and a delayed onset of hypertension among older adults. These results underscore the importance of promoting active and healthy aging through policies.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100172"},"PeriodicalIF":0.0,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144211925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sulaiman Alshakhs M.D., Sara Mohamed, Ibtihal Kamal, Sa'ad Laws, Mai A. Mahmoud MBBS, MEHP
{"title":"The scope of frailty assessment tools in the middle east: unraveling gaps and trends","authors":"Sulaiman Alshakhs M.D., Sara Mohamed, Ibtihal Kamal, Sa'ad Laws, Mai A. Mahmoud MBBS, MEHP","doi":"10.1016/j.aggp.2025.100168","DOIUrl":"10.1016/j.aggp.2025.100168","url":null,"abstract":"<div><h3>Background</h3><div>Frailty is a multidimensional syndrome associated with increased risk of adverse health outcomes in older adults. As Middle Eastern populations age, validated frailty assessment tools (FATs) are essential to inform care planning. However, regional uptake and validation remain unclear.</div></div><div><h3>Objective</h3><div>This scoping review aimed to map the use and validation of FATs among adults aged 55 and above in the Middle East, identify research gaps, and explore cross-country trends.</div></div><div><h3>Methods</h3><div>Following PRISMA-ScR guidelines, a comprehensive literature search was conducted in May 2022 and updated in December 2024 across PubMed, Embase, Web of Science, and Scopus. Search terms targeted “frailty,” “geriatric,” and 17 Middle Eastern countries. Inclusion criteria comprised primary studies using or discussing FATs among adults aged 55+, conducted in or including a Middle Eastern country. Non-English/Arabic texts, non-primary literature, and studies lacking frailty definitions or tools were excluded. In total, 103 studies were included.</div></div><div><h3>Results</h3><div>The Clinical Frailty Scale (CFS) and Fried Frailty Phenotype (FFP) were the most commonly used tools, appearing in 36 and 32 studies respectively. However, only 12 studies reported tool validation, and just 7 conducted cultural adaptation. Research output was highest in Turkey (28 studies), Iran (17), and Saudi Arabia (14), while 6 countries had no studies. Most studies used FATs in hospital settings.</div></div><div><h3>Conclusion</h3><div>Frailty research is growing in the Middle East but remains fragmented and under-validated. Standardized tools adapted to local contexts are urgently needed. Strengthening clinical care and policy will require greater regional collaboration and investment in culturally relevant research</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100168"},"PeriodicalIF":0.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optimizing one-leg standing test duration for screening functional decline in community-dwelling older adults","authors":"Akira Iwata , Izumi Arihara , Keita Sasada , Atsuki Kanayama , Kenichiro Tsubokura , Gaito Kitada , Ryoga Ueba , Shuji Okuno , Toshimitsu Ohmine , Saki Yamamoto","doi":"10.1016/j.aggp.2025.100169","DOIUrl":"10.1016/j.aggp.2025.100169","url":null,"abstract":"<div><h3>Objective</h3><div>This cross-sectional study aimed to investigate whether the ability to maintain one-leg standing test for varying durations (10, 30, or 60 s) is associated with physical function and fall history.</div></div><div><h3>Methods</h3><div>158 community-dwelling older adults participated. They performed the one-leg standing test for a maximum of 60 s and were categorized into those who could or could not maintain the position at each time point. Physical function was assessed through mobility (gait speed and five times sit-to-stand test), balance (Timed Up and Go (TUG) test and two-step test), and knee extension strength. Fall history was self-reported.</div></div><div><h3>Results</h3><div>The proportions unable to maintain standing increased with test durations: 14.6 % for 10 s, 26.6 % for 30 s, and 41.1 % for 60 s. Independent <em>t</em>-tests showed that the maintained groups demonstrated significantly better mobility and balance performance than the non-maintained groups at each duration (all <em>p</em> < 0.01), and that the maintained groups at 10 s and 30 s exhibited significantly greater knee extension strength (<em>p</em> < 0.01). Multiple regression analyses confirmed that the one-leg standing was independently associated with physical function outcomes. Chi-square tests revealed no significant association between standing duration and fall history.</div></div><div><h3>Conclusions</h3><div>The one-leg standing test was consistently associated with physical function but showed limited ability to predict fall history. A shorter duration (10 s) effectively detected severe impairments, whereas a longer duration (60 s) was more sensitive for identifying early declines. The choice of test duration should be guided by the specific functional deficits being assessed.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100169"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hamza Ehtesham , Ahmed Kamal Siddiqi , Marium Omair Mirza , Mushtaq Ahmad , Rija Shakil
{"title":"Trends in chronic kidney disease-related mortality among older adults in the United States from 1999-2020","authors":"Hamza Ehtesham , Ahmed Kamal Siddiqi , Marium Omair Mirza , Mushtaq Ahmad , Rija Shakil","doi":"10.1016/j.aggp.2025.100161","DOIUrl":"10.1016/j.aggp.2025.100161","url":null,"abstract":"<div><h3>Background</h3><div>With increasing age in the United States, the disease burden of chronic kidney disease (CKD) has increased. The CKD-related mortality trends have not been explored for individuals aged ≥ 65 years. The aim of the study was to identify and evaluate the trends in sex, race, and region among CKD-related mortality in older adults.</div></div><div><h3>Methods</h3><div>Death records sourced from the CDC WONDER (Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research) database were used to analyze mortality trends of CKD in individuals aged ≥65 years from 1999 to 2020. We computed age-adjusted mortality rates (AAMRs) per 100,000 population and annual percent changes (APC) using Joinpoint software. The analysis was structured according to year, sex, race/ethnicity, and geographical regions.</div></div><div><h3>Results</h3><div>From 1999 to 2020, there were 1,572,057 CKD-related deaths. The age-adjusted mortality rate (AAMR) rose from 1999 to 2005, declined until 2009, surged from 2009 to 2012, fell in 2015, and increased again in 2020. Men had a higher AAMR (225) than women (136.3). Non-Hispanic Black or African Americans experienced the highest AAMR (319.2), followed by NH American Indian or Alaska Native (229.5), Hispanic (178.5), NH white (154.5), and NH Asian or Pacific Islander (144.1). Regionally, AAMR was highest in the Midwest (184.6) and lower in non-metropolitan areas (133.3) compared to metropolitan areas (126.3).</div></div><div><h3>Conclusion</h3><div>CKD-related mortality is rising among U.S. adults ≥ 65, especially in non-Hispanic African American males in the Midwest and rural areas. Screening high-risk individuals can enable early detection and lower mortality rates.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100161"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social factors and nutritional health in aging","authors":"Liang-Kung Chen MD, PhD","doi":"10.1016/j.aggp.2025.100167","DOIUrl":"10.1016/j.aggp.2025.100167","url":null,"abstract":"","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100167"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}