Archives of Gerontology and Geriatrics Plus最新文献

{"title":"Addressing conflicts in later life through intergenerational mediation: A scoping review","authors":"Arezo Feroz,&nbsp;Amanda Oliveri,&nbsp;Marley Goldenberg,&nbsp;Gagan Takhar,&nbsp;Michelle Hur,&nbsp;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":"2025-09-01","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}

{"title":"Factors associated with frailty progression in community-dwelling older adults: A cross-sectional observational study","authors":"Yuko Sawada ,&nbsp;Akihiro Kakuda ,&nbsp;Emiko Tanaka ,&nbsp;Etsuko Tomisaki ,&nbsp;Taeko Watanabe ,&nbsp;Munenori Matsumoto ,&nbsp;Rika Okumura ,&nbsp;Hiroshi Kinoshita ,&nbsp;Tokie Anme","doi":"10.1016/j.aggp.2025.100179","DOIUrl":"10.1016/j.aggp.2025.100179","url":null,"abstract":"<div><div>This cross-sectional observational study aimed to identify factors associated with frailty status in community-dwelling older adults. A total of 188 older adults (mean age: 75.9 ± 6.7 years) attending municipal exercise facilities between 2019 and 2022 were included. Data were collected on participants' basic characteristics, physical fitness, and scores from the Kihon Checklist (KCL). Frailty status was classified into robust (KCL score ≤3), pre-frail (4–7), and frail (≥8) groups based on established criteria. Group differences were analyzed using the Kruskal–Wallis test with Bonferroni correction for multiple comparisons. Significant differences among the robust, pre-frail, and frail groups were observed in most physical fitness and frailty-related items, particularly grip strength, walking ability, and lifestyle-related functions, except for cognition and depression. These findings indicate that specific domains of physical function are significantly associated with frailty status. Interventions targeting a broad range of physical fitness factors are essential to mitigate frailty in older adults.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100179"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144472058","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":"Development and evaluation of a Protection Motivation Theory-based intervention to promote life planning and reduce ageism among younger people","authors":"Yuho Shimizu","doi":"10.1016/j.aggp.2025.100189","DOIUrl":"10.1016/j.aggp.2025.100189","url":null,"abstract":"<div><div>Previous studies have developed interventions aimed at simultaneously promoting long-term life planning and reducing ageism among younger individuals. Building on this work, the present study developed a novel intervention based on Protection Motivation Theory and evaluated its effectiveness in a sample of younger participants (<em>N</em> = 498). The intervention comprised the following components: a free-writing task addressing potential negative future events (to target threat appraisal), an explanatory text aimed at reducing ageism, a free-writing task designed to enhance hope for the future, and an explanatory text intended to strengthen the perception that life planning is both meaningful and achievable (to target coping appraisal). Following the intervention, participants demonstrated increased emphasis on life planning, stronger behavioral intentions regarding life planning, and greater hope for the future. Additionally, levels of ageism and aging anxiety significantly decreased. Given its effectiveness in enhancing a wide range of psychological and attitudinal outcomes, this intervention shows strong potential for implementation in educational settings targeting younger populations.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100189"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757449","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 ,&nbsp;Izumi Arihara ,&nbsp;Keita Sasada ,&nbsp;Atsuki Kanayama ,&nbsp;Kenichiro Tsubokura ,&nbsp;Gaito Kitada ,&nbsp;Ryoga Ueba ,&nbsp;Shuji Okuno ,&nbsp;Toshimitsu Ohmine ,&nbsp;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> &lt; 0.01), and that the maintained groups at 10 s and 30 s exhibited significantly greater knee extension strength (<em>p</em> &lt; 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":"2025-09-01","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}

{"title":"Corrigendum to “Delirium in the emergency department: Incidence and risk factors in a Ligurian hospital” [Archives of Gerontology and Geriatrics Plus Volume 2, Issue 2, June 2025, 100165]","authors":"Thomas Fraccalini ,&nbsp;Andrea Trogolo ,&nbsp;Monica Traversa ,&nbsp;Beatrice Tarozzo ,&nbsp;Luciano Cardinale ,&nbsp;Giuseppe Maina ,&nbsp;Salvatore Di Gioia ,&nbsp;Davide Minniti ,&nbsp;Ivana Finiguerra ,&nbsp;Roberta Vacchelli ,&nbsp;Martina Battaglia ,&nbsp;Angelica Ruggeri ,&nbsp;Valerio Ricci ,&nbsp;Alessandro Maraschi ,&nbsp;Thomas Roberts ,&nbsp;Giovanni Volpicelli ,&nbsp;Luca Tagliafico","doi":"10.1016/j.aggp.2025.100173","DOIUrl":"10.1016/j.aggp.2025.100173","url":null,"abstract":"","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100173"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866279","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 ,&nbsp;Melaku Bimerew ,&nbsp;Mihretie Gedfew ,&nbsp;Baye Tsegaye Amlak ,&nbsp;Tegene Atamenta Kitaw ,&nbsp;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 I² 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":"2025-09-01","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 ,&nbsp;Hungu Jung ,&nbsp;Shunsuke Yamashina ,&nbsp;Yu Inoue ,&nbsp;Haruki Toda ,&nbsp;Takeshi Imura ,&nbsp;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":"2025-09-01","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":"Tackling polypharmacy in geriatric patients: Is increasing physicians’ awareness adequate?","authors":"Henry Sutanto","doi":"10.1016/j.aggp.2025.100185","DOIUrl":"10.1016/j.aggp.2025.100185","url":null,"abstract":"<div><div>Polypharmacy among geriatric patients poses significant clinical and economic challenges, including increased risks of adverse drug reactions, cognitive decline, and hospitalizations. While raising physician awareness is necessary, it is insufficient on its own. This narrative review highlights the importance of comprehensive, evidence-based interventions to optimize medication management. Tools such as the Beers Criteria, STOPP/START guidelines, Anticholinergic Cognitive Burden (ACB) scale, and Drug Burden Index (DBI) are essential for identifying potentially inappropriate medications and reducing medication-related harm. The review underscores the need for structured medication reviews, deprescribing protocols, and individualized care planning. Furthermore, clinical decision support tools (CDSS) enhance prescribing safety by identifying drug-drug interactions and recommending safer alternatives. Systemic reforms—like policy incentives for deprescribing, medication reconciliation programs, and telemedicine-enabled interventions—support continuity of care and improve adherence. Interdisciplinary collaboration, involving pharmacists, nurses, and geriatricians, is critical for effective polypharmacy management. In low- and middle-income countries (LMICs), tailored solutions such as task-shifting, simplified prescribing protocols, and culturally sensitive education are emphasized. Overall, the article advocates for a comprehensive approach that combines clinical tools, systemic strategies, and collaborative care to ensure safer, more effective pharmacotherapy for older adults.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100185"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518001","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 ,&nbsp;Aparajita Chattopadhyay ,&nbsp;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":"2025-09-01","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}

{"title":"Prevalence of depression, anxiety, burden, burnout, and stress in informal caregivers: An umbrella review of meta-analyses","authors":"Xun Ci Soh ,&nbsp;Andree Hartanto ,&nbsp;Naoki Ling ,&nbsp;Mary Reyes ,&nbsp;Lester Sim ,&nbsp;Nadyanna M. Majeed","doi":"10.1016/j.aggp.2025.100197","DOIUrl":"10.1016/j.aggp.2025.100197","url":null,"abstract":"<div><div>Informal caregiving is a physically and emotionally taxing role that has a profound impact on caregivers’ emotional and mental well-being. Previous research has examined the mental health of caregivers and found elevated levels of depression, anxiety, burden, burnout, or stress. However, the global rates of the five mental health factors and/or outcomes (i.e., depression, anxiety, burden, burnout, and stress) among caregivers remain largely unclear. Therefore, this umbrella review examines the prevalence of these factors and/or outcomes, including various subgroup factors, such as gender, medical and/or psychological condition of the care recipient, region, and assessment tools. A systematic search was conducted in five databases and two sources, and a total of 18 meta-analyses were included for final analysis. The overall median prevalence was 33.35% for depression, 35.25% for anxiety, and 49.26% for burden. However, we could not examine the rates of stress and burnout due to insufficient meta-analysis. Subgroup analyses were comparable across gender, medical and/or psychological condition of the care recipient, and region, suggesting that caregivers face comparable mental health risks across these diverse groups. These findings highlight the need for greater mental health awareness and for governmental and healthcare institutions to introduce effective interventions and stronger support systems.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100197"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866277","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}