Archives of Gerontology and Geriatrics Plus最新文献

{"title":"Association of weight loss and decreased food intake with mortality in the oldest population: People in their 80s versus those aged ≥90 years","authors":"Yuri Takada,&nbsp;Kasumi Ikuta,&nbsp;Sakiko Fukui","doi":"10.1016/j.aggp.2025.100138","DOIUrl":"10.1016/j.aggp.2025.100138","url":null,"abstract":"<div><h3>Objective</h3><div>This study investigated the relationship between weight loss (WL), decreased food intake (DFI), and mortality among nursing home residents in their 80s and those aged ≥90 years.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted with 296 residents aged ≥80 years (138 in their 80s and 158 aged ≥90 years) from five nursing homes in Japan. All had care need levels ≥3 and had been admitted for at least 3 months. Data from electronic care records (2016–2020) were analyzed. WL was categorized with cutoffs at 3 %, 5 %, and 10 %, and DFI was assessed with a 10 % cutoff, measured over 90 days post-admission. Cox proportional hazard models evaluated the associations between WL, DFI, and mortality for both age groups.</div></div><div><h3>Results</h3><div>For residents aged ≥90 years, WL was significantly associated with mortality at all cutoffs: 3 % WL (hazard ratio [HR] 2.22), 5 % WL (HR 3.22), and 10 % WL (HR 8.86). No significant association was found between WL and mortality in their 80s (3 % WL: HR 1.97; 5 % WL: HR 1.27; 10 % WL: HR 1.86). DFI was significantly associated with increased mortality risk in both age groups.</div></div><div><h3>Conclusions</h3><div>WL of 3 % or more and DFI of 10 % or more within the first 90 days were linked to higher mortality risk in residents aged ≥90 years. For those in their 80s, only DFI was associated with increased mortality risk. Monitoring WL and DFI is crucial for assessing mortality risk, especially in the oldest residents.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100138"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579421","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":"Association of CBC and CBC-derived inflammatory markers with depression and post-diabetes mellitus depression: A large cohort NHANES study spanning 2011–2020","authors":"Wen Chen ,&nbsp;Fasheng Deng","doi":"10.1016/j.aggp.2025.100131","DOIUrl":"10.1016/j.aggp.2025.100131","url":null,"abstract":"<div><h3>Background</h3><div>Inflammation promotes the risk of depression-related diseases but remains controversial. Therefore, this study investigated the association between complete blood count (CBC)/CBC-derived inflammatory markers and depression/post-diabetes mellitus (DM) depression.</div></div><div><h3>Method</h3><div>Initially, based on NHANES database during 2011-2020, 17,628 participants were included to construct generalized linear models (GLMs) and restricted cubic spline (RCS) curves to explore associations and dose-response relationship between CBC/CBC-derived inflammatory markers and depression, respectively. Furthermore, 2,197 DM participants were selected to build GLMs and RCS curves to investigate associations and dose-response between CBC/CBC-derived inflammatory markers and post-DM depression, respectively.</div></div><div><h3>Result</h3><div>After GLMs and RCS curves analyses, we found that high CBC inflmmatory markers including white blood cells (WBC), lymphocytes, neutrophils and red blood cell distribution width (RDW) were positively association and linear dose-response relationships with depression. CBC-derived inflammatory marker like systemic immune inflammation index (SII) was association with the risk of developing depression, exhibiting a nonlinear dose-response relationship. Additionally, high WBC increased the risk of having post-1 type DM (T1DM) with nonlinear dose-response relationship, while high monocytes resulted in a susceptibility to post-2 type DM (T2DM) depression with linear relationship.</div></div><div><h3>Conclusion</h3><div>The association of CBC/CBC-derived inflammatory markers with depression/post-depression suggested that inflammtion contributed to depression-related diseases.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100131"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629062","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":"Study on the risk of comorbid hypertension in multiple chronic diseases","authors":"Zihang Xiang,&nbsp;Handong Li","doi":"10.1016/j.aggp.2025.100135","DOIUrl":"10.1016/j.aggp.2025.100135","url":null,"abstract":"<div><h3>Background</h3><div>Hypertension is a common chronic disease in the elderly, with complex causes and multiple complications, making it a key comorbidity risk factor for chronic diseases.</div></div><div><h3>Method</h3><div>Using a hypothetical cohort from the CHARLS dataset (<em>n</em> = 19,283) and supplemented by CLHLS (<em>n</em> = 14,982), we employed a multi-state transition probability model to calculate hypertension incidence under various chronic disease conditions and its marginal impact on other chronic diseases.</div></div><div><h3>Results</h3><div>We ranked the conditional incidence of hypertension across 13 chronic disease combinations and identified key comorbidities. Additionally, we ranked the marginal impact of hypertension on other chronic diseases.</div></div><div><h3>Conclusions</h3><div>(1) Among common chronic diseases, hypertension poses the highest risk in healthy elderly individuals in healthy state. (2) In men, the highest risk factors for hypertension, in descending order, are memory-related diseases, stroke, diabetes, heart disease, and dyslipidemia. In women, these are cancer, stroke, diabetes, dyslipidemia, and heart disease. (3) Liver and stomach diseases “reduce” the risk of hypertension in men, while chronic lung disease, memory-related diseases, stomach disease, and kidney disease “reduce” the risk in women. (4) Hypertension in men does not significantly increase the risk of other chronic diseases, but it does in women. (5) Gender differences in hypertension among the elderly stem from differences in the types of comorbidities of chronic disease between men and women, rather than gender itself.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100135"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551495","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":"Challenges and solutions in managing acquired joint contracture (AJC) in older adults: Insights from healthcare professionals","authors":"Anne Laure Roy,&nbsp;Patrice Piette,&nbsp;Marie Dandois,&nbsp;Bastien Fraudet,&nbsp;Emilie Leblong,&nbsp;Anne Le Gagne,&nbsp;Philippe Gallien","doi":"10.1016/j.aggp.2025.100132","DOIUrl":"10.1016/j.aggp.2025.100132","url":null,"abstract":"<div><h3>Background</h3><div>Acquired Joint Contracture (AJC) is a complex neuromuscular disorder marked by muscle stiffness and contractions, impacting patients' quality of life. It presents a spectrum of clinical manifestations and challenges in diagnosis and treatment. While genetic and neurophysiological factors are suspected, further research is needed to develop targeted therapies and enhance patient care, particularly in cases leading to wheelchair dependency.</div></div><div><h3>Design</h3><div>This study comprises two phases: exploratory interviews with 12 healthcare professionals and a quantitative assessment involving 187 participants.</div></div><div><h3>Method</h3><div>In Phase 1, expert healthcare professionals were interviewed to gather their extensive knowledge and insights on acquired deforming hypertonia and wheelchair positioning challenges. Phase 2 involved developing a structured questionnaire based on the Phase 1 findings, which comprehensively assessed the frequency, difficulty, impact, solutions, and satisfaction levels related to hypertonia and wheelchair positioning among healthcare professionals, enabling a quantitative analysis of responses.</div></div><div><h3>Result</h3><div>Results highlight challenges associated with various forms of hypertonia, including anterocollis and hip flexion, impacting both patients and caregivers. Despite healthcare professionals' expertise, certain scenarios remain consistently challenging, emphasizing the need for enhanced awareness and education. Further research is warranted to address gaps in understanding and improve care strategies for AJC patients.</div></div><div><h3>Conclusion</h3><div>The study underscores the complexities healthcare professionals face in managing AJC and emphasizes the imperative for continued research to enhance diagnostic and therapeutic approaches.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100132"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562751","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":"Cognitive assessment across normal aging and subjective cognitive decline using PGIMS and Stroop color-word test: A cross-sectional study","authors":"Akshata Rao ,&nbsp;Abhijith R Rao ,&nbsp;Bhawana Painkra ,&nbsp;Sakthi Kiruthika ,&nbsp;Sunil Kumar ,&nbsp;Meenal Thakral ,&nbsp;Swati Bajpai ,&nbsp;Shodhan Aithal ,&nbsp;Aparajit Ballav Dey ,&nbsp;Prasun Chatterjee","doi":"10.1016/j.aggp.2025.100133","DOIUrl":"10.1016/j.aggp.2025.100133","url":null,"abstract":"<div><h3>Background</h3><div>Early detection of abnormal neurodegeneration amidst normal cognitive aging is crucial. Subjective cognitive decline (SCD) may indicate Alzheimer's disease (AD) onset. Thus, we assess cognitive domains across the aging spectrum using simple neuropsychological tools.</div></div><div><h3>Methodology</h3><div>In this cross-sectional study, we examined 44 SCD individuals, 40 older controls (OC), and 20 young controls (YC) aged 40–60 years. Participants underwent demographic assessments, history evaluations, and screening using the Geriatric Depression and Anxiety Scales and the Clinical Dementia Rating (CDR) scale. Cognitive assessments included the PGI Memory Scale (PGIMS) and Stroop test, measuring memory and executive function.</div></div><div><h3>Results</h3><div>Both SCD and OC scored notably lower than YC in verbal retention of dissimilar words (Coefficient: -0.34, 95 % CI: -0.64 to -0.04) and in the Stroop word test (SCD Co-efficient: -0.08, 95 % CI: -0.16 to 0.01 and OC Co-efficient: -0.07, 95 % CI: -0.14 to 0.01) and the Stroop Color test (SCD Coefficient: -0.19; 95 % CI: -0.31 to -0.07 and OC Co-efficient: -0.10, 95 % CI: -0.21 to 0.01). SCD individuals scored significantly lower in the Stroop color-word tests (SCWT), and delayed recall memory in PGIMS (Co-efficient: -0.11, 95 %CI: -0.21 to -0.02) and -0.62; 95 % CI: -1.19 to -0.04, respectively).</div></div><div><h3>Conclusion</h3><div>Cognitive aging affects auditory short-term memory and processing speed while preserving mental balance. SCD is marked by deficits in delayed recall and executive function, suggesting early cognitive decline. Identifying these impairments with simple neuropsychological tools aids early detection, but further research with larger samples, longitudinal data, and biomarkers is needed to refine diagnosis and track neurodegeneration.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100133"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579362","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":"Associations among appetite, social networks, and loneliness in community-dwelling older adults: A cross-sectional study","authors":"Keisuke Fujii OTR, PhD ,&nbsp;Kento Noritake MS ,&nbsp;Daiki Nakashima MS ,&nbsp;Yuta Kubo PhD ,&nbsp;Kyosuke Yorozuya PhD ,&nbsp;Soma Tsujishita PhD ,&nbsp;Naoki Tomiyama MS","doi":"10.1016/j.aggp.2025.100136","DOIUrl":"10.1016/j.aggp.2025.100136","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to clarify the association between reduced appetite and social factors, particularly social networks and loneliness, among community-dwelling older adults. Appetite is a key determinant of nutritional status and overall health in older adults, and its decline has been linked to adverse health outcomes, including frailty, sarcopenia, and increased mortality.</div></div><div><h3>Methods</h3><div>Primary assessments included the Japanese version of the Simplified Nutritional Appetite Questionnaire, Lubben Social Network Scale-6, and UCLA Loneliness Scale to evaluate appetite, social networks, and loneliness. Multiple regression analysis was performed with appetite as the dependent variable and social network and loneliness as independent variables.</div></div><div><h3>Results</h3><div>Loneliness was significantly associated with reduced appetite in 126 participants, whereas social network size had no significant relationship with appetite.</div></div><div><h3>Conclusions</h3><div>These findings suggest that in the context of reduced appetite among older adults, subjective loneliness may be a more critical factor than the mere quantity of social contact. The results of this study indicated that reducing loneliness is crucial when considering intervention strategies to improve appetite in older adults. In addition to traditional population-based approaches aimed at expanding social networks, individualized interventions that address loneliness and provide psychological support may be necessary.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100136"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579415","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":"Advance care planning for older adults with advanced dementia living at old age homes- perspective of the surrogates","authors":"Faye Chan ,&nbsp;Jenny Lee ,&nbsp;Derek Lai ,&nbsp;Connie Tong ,&nbsp;Christopher Lum ,&nbsp;Jean Woo","doi":"10.1016/j.aggp.2025.100134","DOIUrl":"10.1016/j.aggp.2025.100134","url":null,"abstract":"<div><h3>Background</h3><div>ACP can be useful for person-centered dementia care. Without awareness of patients’ care preferences, surrogates are uncomfortable in making decisions to forgo LST for people with advanced dementia (PWAD), which can impact their quality of life. From clinical experience, the ACP sign-up rate of surrogates was low. Understanding the characteristics of the surrogates who completed the ACP process with signing document may shed light on our understanding of facilitators and overcoming of ACP barriers.</div></div><div><h3>Aim</h3><div>The study aims to explore the views of surrogates who signed the ACP forms to forgo LST for PWAD. This retrospective qualitative study involved 23 surrogates who signed the ACP forms to forgo LST for PWAD. The interviews were transcribed and coded using a thematic content analysis framework.</div></div><div><h3>Results</h3><div>An overarching thematic arrangement of the process for ACP decision-making by surrogates of PWAD includes seven emerged themes: (1) Pragmatic arrangement, (2) Timing of ACP, (3) Meaning of suffering, (4) Emotional stress, (5) Family support, (6) ACP barriers and (7) Decision-making. The progression from trigger/initiation, through internal struggles and addressing ACP factors (enhancers and barriers) to decisionmaking as an outcome was moderated by the healthcare team.</div></div><div><h3>Conclusion</h3><div>Lacking awareness of ACP and patients’ care values and preferences can impact the surrogates negatively in making proxy care decisions. Public education and capacity building training for care professionals on ACP are needed. The healthcare team need to facilitate PWD and their families early enough to involve PWD with appropriate palliative care support including effective communication.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100134"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637703","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 relationship between immigrant status, cultural/racial background, and hypothyroidism among middle-aged and older Canadians: An analysis of Canadian Longitudinal Study on Aging data","authors":"ZhiDi Deng PharmD ,&nbsp;Karen M Davison PhD RD ,&nbsp;Michelle Cartier MA ,&nbsp;Andie MacNeil MA MSW ,&nbsp;Esme Fuller-Thomson PhD","doi":"10.1016/j.aggp.2025.100129","DOIUrl":"10.1016/j.aggp.2025.100129","url":null,"abstract":"<div><h3>Objective</h3><div>Little is known about hypothyroidism among immigrants. We investigated associations between immigration recency, cultural/racial origin, and hypothyroidism.</div></div><div><h3>Methods</h3><div>Using the Canadian Longitudinal Study on Aging (unweighted <em>n</em> = 26,036), analyses were conducted to examine associations between hypothyroidism and sociodemographic factors including immigrant status, immigrants' cultural/racial origin, and health and dietary intake covariates.</div></div><div><h3>Results</h3><div>The sample included 1,953 individuals with hypothyroidism; most respondents were born in Canada (81.3 %), 55 years+ (60.6 %), with annual household incomes &gt;$50,000 (67.7 %), in a relationship (75.4 %), and had some post-secondary education (62.5 %). Binary logistic regression analyses indicated lower odds of hypothyroidism for those who immigrated to Canada &lt;20 years ago (OR=0.62, 95 % CI 0.42–0.93, <em>p</em> = 0.019) compared to Canadian-born. For South Asian immigrants, the odds of hypothyroidism were 77 % higher than those born in Canada (OR=1.77, 95 % CI 1.18–2.66, <em>p</em> = 0.006). Hypothyroidism was associated with gender, age, marital status, education status, presence of comorbidities, hypertension, drinking behavior, disease risk, bone density, nutritional risk, and dietary intakes of fat, omega-3 fats, fruits and vegetables, pulses and nuts, and calcium containing foods (p's&lt;0.05).</div></div><div><h3>Conclusions</h3><div>We found that immigrants who arrived &lt;20 years ago had significantly lower odds of hypothyroidism, but longer-term immigrants were comparable to those born in Canada. These findings are in keeping with the healthy immigrant effect. The higher odds of hypothyroidism among those from South Asia suggests there may be a need to proactively screen for hypothyroidism in this population. Non-pharmacologic nutrition-based interventions may be helpful in the prevention or management of hypothyroidism, however more research is needed.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100129"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135087","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":"‘Underestimation of fall risks by older adults: The need for professional evaluation to identify home hazards’","authors":"E．Y Ishigaki ,&nbsp;A．S Passos ,&nbsp;L．E．G Leme","doi":"10.1016/j.aggp.2025.100128","DOIUrl":"10.1016/j.aggp.2025.100128","url":null,"abstract":"<div><div>Falls are a significant public health issue among older adults, often resulting in serious injuries and decreased quality of life. Approximately 30–50 % of falls are related to environmental factors, with 60 % occurring within the home.</div></div><div><h3>Objective</h3><div>This study aims to analyze the extent to which Brazilian older adults accurately perceive fall risks in their home environment, emphasizing the potential gap between self-perception and actual hazards.</div></div><div><h3>Methods</h3><div>90 older adults were assessed through home visits using the Home Safety Self-Assessment Tool (HSSAT), an American instrument adapted for the Brazilian context. The HSSAT, a 67-item self-assessment tool covering nine household areas, was administered by trained researchers. Data were collected through both self-assessment by the older adults and assessments by healthcare professionals to analyze perception discrepancies. A test-retest analysis was also conducted with 30 participants.</div></div><div><h3>Results</h3><div>Results showed that older adults identified an average of 5.1 risk factors, whereas healthcare professionals identified 12.6 on average, indicating low to moderate agreement between the two groups. The highest risk areas were the bathroom (25.6 %) and kitchen (20.2 %) in the self-assessment, while professionals found additional risks, especially in the bedroom (15.5 %) and kitchen (13.4 %). In the test-retest analysis, only nine items showed good agreement. Still, the second assessment revealed higher scores, suggesting improved risk perception due to a potential educational effect of the initial evaluation.</div></div><div><h3>Conclusion</h3><div>These findings reveal that older adults significantly underestimate fall risks, amplifying the critical need for healthcare professionals to assess environmental hazards accurately.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100128"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349253","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":"Educational inequalities in the prevalence of vision impairment among older adults in India: A decomposition analysis","authors":"Rakesh Chandra ,&nbsp;Satyam Kumar Rai ,&nbsp;Aditya Singh","doi":"10.1016/j.aggp.2025.100126","DOIUrl":"10.1016/j.aggp.2025.100126","url":null,"abstract":"<div><h3>Background</h3><div>Vision impairment (VI) in the elderly is a significant health challenge, leading to functional limitations and economic hardship. This study aims to examine education-based inequalities in the prevalence of VI among older adults (aged 45 years and above) in India.</div></div><div><h3>Methods</h3><div>The sample included Data from 59,555 older adults from the Longitudinal Ageing Study in India (LASI), 2017–18. We analyzed the prevalence of VI (distance and near vision impairment) among older adults. Using concentration curves we compared VI inequality along the axes of wealth and education. Erreygers Concentration Index (ECI) was used to measure education-based inequalities in the prevalence of VI, and a decomposition analysis was conducted to identify the socio-economic factors contributing to the inequalities.</div></div><div><h3>Results</h3><div>Overall, 79 % (95 % CI: 78.91, 79.76) of the older adults had VI based on 20/40 visual acuity. Our findings depict that there was significant education-based inequality in the prevalence of VI [ECI: -0.1792, (p&lt;0.001)]. Education (55 %) was the primary contributing factor to inequality in the prevalence of VI. Additionally, gender (13 %) and residence (8 %) were prominent while wealth contributed only 3 %.</div></div><div><h3>Conclusion</h3><div>Study highlights a significant inequality in vision health in relation to educational attainments. Targeted Interventions that address educational disparities in health outcomes may help in reducing VI burden. A sustained policy focus on promoting healthy behaviors and routine eye check-ups, establishing dedicated geriatric eye clinics, and providing accessible and affordable healthcare services is desirable.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100126"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143376882","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}