Archives of Gerontology and Geriatrics Plus最新文献

{"title":"Association of cognitive function and phase angle in older adults with cognitive impairment","authors":"Derong Zeng ,&nbsp;Hiroyuki Nishimoto ,&nbsp;Teruaki Kawasaki ,&nbsp;Ichiro Akiguchi ,&nbsp;Kayoko Fukui ,&nbsp;Ayae Kinoshita","doi":"10.1016/j.aggp.2025.100122","DOIUrl":"10.1016/j.aggp.2025.100122","url":null,"abstract":"<div><div>Phase angle (PhA) has garnered increasing attention; however, its relationship with cognitive function has not been fully elucidated. This cross-sectional study explores the relationship between PhA using bioelectrical impedance analysis, and cognitive function among older adults with cognitive impairment in Japan, ranging from subjective cognitive decline to Alzheimer's disease. We hypothesized that lower PhA values, correlates with greater cognitive decline. To test this, we analyzed data from 726 cognitively impaired patients, focusing on variables such as PhA, walking speed, and cognitive assessments including the Mini-Mental State Examination. The results show that higher PhA values are significantly associated with improved cognitive performance, and no significant \"gender × PhA\" interaction was detected in the overall sample.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100122"},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Poverty among older adult women in Turkey: The association between poverty, quality of life, and depressive symptoms","authors":"Nurhalime Akkaya,&nbsp;Taner Artan,&nbsp;Ahmed Taha Arifoglu","doi":"10.1016/j.aggp.2025.100120","DOIUrl":"10.1016/j.aggp.2025.100120","url":null,"abstract":"<div><div>The factors associated with depressive symptoms in women struggling with poverty continue to be the subject of debate in the literature. This study aimed to examine the relationship between poverty and depressive symptoms in older adult women struggling with poverty in Turkey and to investigate the mediating role of quality of life in this relationship. The population and sample of the study consisted of 400 older adult women aged 65 years and above living in Turkey (M = 71.7, SD = 6.7). According to these findings, poverty has a positive direct relationship on depressive symptoms and a negative direct relationship on quality of life in older adult women. Finally, this study found that quality of life plays a partially negative mediating role in the relationship poverty on depressive symptoms in older adult women. In other words, quality of life was found to have a preventive role in the relationship between poverty on depressive symptoms. Based on these findings, several recommendations have been made to strengthen the mental health of older women.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100120"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘–What time is it? –Twenty years past two.’ The role of utilitarian and playful engagement in robot appropriation in later life","authors":"Mireia Fernández-Ardèvol ,&nbsp;Andrea Rosales ,&nbsp;Rebeca Oliván","doi":"10.1016/j.aggp.2025.100119","DOIUrl":"10.1016/j.aggp.2025.100119","url":null,"abstract":"<div><div>We analyzed the utilitarian and hedonic (playful) forms of engagement with a socially assistive robot (SAR) by dependent older people in a domestic environment. The case study involved seven users (73–88 years old, five women and two men) living in Barcelona with a certain degree of dependence. Participants hosted the robot in their homes for two months, and their appropriation processes moved between utilitarian (practical) and playful (hedonic) approaches. Practical users expressed a goal-oriented relation with the robot. They were attached to existing interaction scripts, whereas playful users showed comparatively higher levels of experimentation, expressed more entertainment, and perceived more companionship, which positively related to attachment. Playful relationships appear to relate to higher levels of adoption and appropriation of the robot compared to utilitarian ones. The case study demonstrates diverse paths of appropriating a new robotic technology in agentic and varied ways, which helps overcome common stereotypical assumptions that depict (dependent) older individuals as merely passive receivers of such technologies. In terms of design, all participants requested more voice interaction opportunities. Finally, the robot should include personalized hedonic features as playful opportunities to foster adoption.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100119"},"PeriodicalIF":0.0,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why do older adults choose private healthcare services? Evidence from an urban context in India using Andersen's Behavioral Model","authors":"Manik Halder,&nbsp;Nuruzzaman Kasemi","doi":"10.1016/j.aggp.2024.100118","DOIUrl":"10.1016/j.aggp.2024.100118","url":null,"abstract":"<div><h3>Background</h3><div>This study investigates the factors influencing older adults’ preference for private healthcare services in an urban Indian setting, guided by Andersen's Behavioral Model. Focusing on Siliguri Municipal Corporation, West Bengal, it examines socio-demographic, economic, and health-related determinants that drive healthcare choices among the elderly.</div></div><div><h3>Methods</h3><div>Survey was conducted from April to September 2023, gathering primary data from 400 older adults. Binary logistic regression was applied to identify the predisposing, enabling, and need-based factors associated with private healthcare service utilization.</div></div><div><h3>Results</h3><div>The analysis revealed significant disparities in private healthcare utilization based on age, social group, wealth, working status, health insurance, BMI, and health conditions. Younger elderly adults (young-old) were more likely to opt for private healthcare compared to the oldest-old. Individuals from the General social group showed higher utilization than those from marginalized groups such as SC/ST. Married participants exhibited greater private healthcare utilization, while wealthy individuals were more inclined to access private services. However, insured individuals were less likely to utilize private healthcare, potentially reflecting better access to government services. Employment status also positively influenced private healthcare choices, with working individuals reporting higher utilization. Conversely, health conditions such as ADL limitations, underweight, and obesity were negatively associated with private healthcare use, reflecting unique health and accessibility challenges.</div></div><div><h3>Conclusion</h3><div>The findings highlight a complex interplay of socio-demographic, economic, and health factors influencing private healthcare choices among older adults in urban India. These insights call for targeted policies to address disparities and enhance equitable healthcare access, particularly for vulnerable groups.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100118"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143084198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inflammatory and immunological markers and risk for mortality and cognitive impairment in a longitudinal study of older adults from the longevous project","authors":"M.R. Caldeira ,&nbsp;C.M. Almada-Filho ,&nbsp;M.C. Brunialti ,&nbsp;R. Salomão ,&nbsp;M.S. Cendoroglo","doi":"10.1016/j.aggp.2024.100116","DOIUrl":"10.1016/j.aggp.2024.100116","url":null,"abstract":"<div><div>Senescence of the immunological system is characterized by alterations in immune system cells associated with aging, often linked to cognitive disorders and mortality.Objective:To determine the prevalence of immunological changes, including immunological risk profile (IRP), and its association with cognitive impairments or mortality in oldest-old individuals.Method:A longitudinal study of 201 older adults aged ≥80 years, able to walk unaided, with no cognitive or immunological impairment, and with no serious disease at baseline was conducted. Blood samples were collected at 2-year intervals between 2012 and 2014 during the morning period. High-sensitivity CRP testing was conducted. TCD4 and TCD8 cell counts were performed by flow cytometry and plasma cytokines by CytometricBeadArray (CBA) Human Enhanced Sensitive (BD Biosciences, San Jose, CA, USA) as per manufacturer directions. After the 2-year follow-up, an analysis of associations of test results with cognitive status, as measured by the Mini-Mental State Exam (MMSE), or with mortality, based on medical records and death certificates provided by relatives, was performed. Results:Mean age was 84.4 years.Higher IL6 and hs-CRP levels were observed in deceased participants that weremale (<em>p</em> = 0.016). Higher IL6 levels were associated with cognitive impairment in female participants (<em>p</em> = 0.008). CD4 (p-value &lt;0.001) and CD4/CD8 ratio (p-value = 0.013) decreased, and lower CD4/CD8 values were associated with cognitive impairment in women (<em>p</em> = 0.045).Conclusion:In the independent oldest-old participants with controlled chronic diseases, both men and women aged equally, and not all exhibited inflammation. However, even slight changes in inflammatory markers can be associated with increased risk for mortality and cognitive decline.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100116"},"PeriodicalIF":0.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wisdom's moderating role in the association between perceived ageism and life satisfaction among older adults in Japan: A pre-registered study","authors":"Yuho Shimizu ,&nbsp;Masashi Suzuki ,&nbsp;Yukako Hata ,&nbsp;Toshiro Sakaki","doi":"10.1016/j.aggp.2024.100110","DOIUrl":"10.1016/j.aggp.2024.100110","url":null,"abstract":"<div><div>To maintain and improve older adults’ life satisfaction, identifying the associated variables is effective. Previous studies reported that older adults who strongly perceive ageism from their surroundings exhibit low life satisfaction. This study examined whether these results can be replicated. Furthermore, variables moderating the association between perceived ageism and life satisfaction among older adults may exist. Hence, this study exploratively examined wisdom as a moderating variable. Specifically, among those with higher wisdom, life satisfaction is not low even if they perceive ageism from their surroundings, whereas, among those with lower wisdom, individuals with stronger perceived ageism are more likely to exhibit lower life satisfaction. We administered a pre-registered online survey among 718 older Japanese adults. A multiple regression analysis was conducted with life satisfaction as the dependent variable and perceived ageism, wisdom, their interaction effect, subjective wealth, subjective health, age, gender, and whether they lived alone as independent variables. The results revealed that individuals with greater perceived ageism experienced lower life satisfaction. However, participants’ wisdom did not moderate this association. Rather, it may be more appropriate to view wisdom as an independent variable that predicts life satisfaction. Other variables that may moderate this association between perceived ageism and life satisfaction should also be considered.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100110"},"PeriodicalIF":0.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietary diversity as a foundation for healthy aging","authors":"Liang-Kung Chen MD, PhD","doi":"10.1016/j.aggp.2024.100117","DOIUrl":"10.1016/j.aggp.2024.100117","url":null,"abstract":"","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100117"},"PeriodicalIF":0.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual delivery of Go4Life® resources: A pilot study enhancing physical activity in older adults through pre- and post-intervention evaluation","authors":"Nazia Naz S. Khan MD, MS ,&nbsp;Syed S. Raza BS ,&nbsp;Nikhil Regmi MD ,&nbsp;Ling Wang Ph.D","doi":"10.1016/j.aggp.2024.100112","DOIUrl":"10.1016/j.aggp.2024.100112","url":null,"abstract":"<div><div>The increase in life expectancy and prevalent inactivity linked to aging and concurrent health issues emphasize the need for accessible, regular motivational interventions in the era of mHealth. In this pre-post intervention study of adults aged 50 and older, we customized the high-quality, publicly available Go4Life<strong>®</strong> resources from the National Institute of Aging (NIA) to create automated motivational text messages with video clips, and periodic questionnaires. Twenty subjects received brief education on exercise benefits, along with weekly automated text messages, questionnaires, and feedback via the Dialog Health platform. Participants were followed weekly for 3 months. Primary outcomes included physical activity (PA) frequency, level, and duration pre-and post-intervention. Secondary outcomes included weekly changes in activity level developed from the NIA's Track your activity sheets and RAND 36-Item Short Form Survey Instrument (SF-36) questionnaires. The Generalized Estimating Equation with ordinal data is employed to find the average change in PA over 12 weeks. Only 13 subjects completed both the pre &amp; post-surveys. The mean age was 61 years (age range of 50–73 years), and the mean BMI (range: 21.45–42.69) was 30.5; 55 % were females and 45 % males. Our study showed a statistically significant increase in the frequency of strengthening (mean = 1.23 (SD = 0.44) pre-intervention and mean = 2.08 (SD = 0.95) post-intervention, <em>p</em> = 0.02) and balancing ((mean = 1.31 (SD = 0.48) pre-intervention and mean = 2.31 (SD = 1.11) post-intervention, <em>p</em> = 0.02) exercises post intervention. No significant difference in responses to SF-36 questionnaires pre-and post-intervention. A larger study is warranted to determine further the effectiveness of periodic virtually delivered Go4life<strong>®</strong> resources to increase PA among older adults.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100112"},"PeriodicalIF":0.0,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The silver lining: A decade of improvement in disability-free living among older Americans (2008–2017)","authors":"Deirdre Kelly-Adams ,&nbsp;Esme Fuller-Thomson","doi":"10.1016/j.aggp.2024.100113","DOIUrl":"10.1016/j.aggp.2024.100113","url":null,"abstract":"<div><div>Recent research indicates that there has been a decline in the prevalence of many types of disabilities among older Americans. Less is known about temporal trends in disability-free life among older Americans. This study aims to: (1) detect temporal trends in the prevalence and odds of being free of disabilities among Americans aged 65+; 2) establish if these temporal trends differ by gender and age cohort (65–74; 75–84; 85 and older); 3) examine if these temporal trends are attenuated by generational differences in educational attainment. We conducted a secondary analysis of 10 years of annual nationally representative data from the American Community Survey with 5.4 million community-dwelling and institutionalized older adults. Individuals were defined as free from disability if they did not have serious memory problems, hearing problems, serious vision problems, limitations in activities of daily living (i.e., bathing, dressing), or functional limitations (i.e., walking, climbing stairs). The prevalence of being free of all disabilities among the US population aged 65 and older increased from 60.8 % to 64.9 % between 2008 and 2017. Had the prevalence remained at the 2008 levels, there would have been an additional 2.07 million older Americans living with one or more disabilities in 2017. The improvements in the odds of being free of disabilities across the decade was higher for women (26 %) than for men (18 %). Much of the improvement was due to higher levels of education. Improvements among baby boomers (aged 65–74) were much more modest than among older cohorts.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100113"},"PeriodicalIF":0.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heart rate reserve effects on brain activation and cognitive-motor performance while doing an instrumented trail walking task in middle-aged to older adults","authors":"Alka Bishnoi ,&nbsp;Manuel E. Hernandez","doi":"10.1016/j.aggp.2024.100115","DOIUrl":"10.1016/j.aggp.2024.100115","url":null,"abstract":"<div><div>Heart rate reserve (HRR) has been associated with cardiovascular risk in older adults. Previous studies have shown a decrease in HRR associated with decrease in motor and cognitive function in older adults while doing Stroop walking task. However, the link between HRR and changes in cognitive-motor function while dual tasking merit needs further exploration. The objective of this study was to evaluate the effects of HRR on prefrontal cortex (PFC) activation and on cognitive-motor performance during instrumented trail walking task (TWT). We hypothesized that there will be an increase in PFC activation and better cognitive-motor performance with increase in HRR during TWT. This cross-sectional study included 30 middle-aged to older adults who walked at a comfortable walking speed on an instrumented treadmill. Functional near-infrared spectroscopy was used to quantify relative PFC oxyhemoglobin (HbO₂) and deoxyhemoglobin (Hb) levels. Cognitive performance calculated using error rate (ER) and motor performance calculated using stride length (SL), stride width (SW), stride time (ST). A linear mixed effect was conducted to investigate the effects of HRR, task, and their interaction on primary measures after controlling for covariates. Our results showed that HbO₂ and Hb levels differed significantly, showing increases in PFC activation, i.e. higher HbO₂ and lower Hb during TWT with increase in HRR. This increase in PFC activation was associated with increased speed and higher cognitive-motor performance, suggesting these tasks can distinguish changes in automaticity in adults with varying HRR. We also found a decrease in ST association with a higher HRR.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100115"},"PeriodicalIF":0.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}