Archives of Gerontology and Geriatrics Plus最新文献

{"title":"The meaning in group volunteering and its influence on the well-being of community-dwelling older volunteers in Japan: A qualitative study","authors":"Kaori Hotta ,&nbsp;Mina Ishimaru","doi":"10.1016/j.aggp.2024.100086","DOIUrl":"10.1016/j.aggp.2024.100086","url":null,"abstract":"<div><h3>Background</h3><div>The aging population is projected to increase globally. Creating a system where the older population can play an active role in their communities and help each other is challenging. This qualitative study aimed to determine the meaning in volunteering activities and its influence on well-being as well as the relationship between them identified by community-based older volunteers through group volunteering activities.</div></div><div><h3>Methods</h3><div>This descriptive qualitative study followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. We conducted semi-structured face-to-face interviews of older adults aged &gt;65 years (<em>N</em> = 12), who volunteered and routinely interacted with each other in their area of residence between February and March 2021.</div></div><div><h3>Results</h3><div>Relationships between the meaning of volunteering and well-being were identified by community-dwelling older volunteers. Volunteering was a part of their lives and they had acquired a role in the community, which influenced their self-care for health maintenance and positive enjoyment. A place to continuously learn from each other influenced positive enjoyment, self-acceptance, self-growth, and motivation to undertake new challenges. Forming a volunteer community where supporters and recipients helped each other and had positive relationships and identifying a place for oneself also had a positive impact and stimulated interactions that sparked motivation and joy.</div></div><div><h3>Conclusions</h3><div>The meaning in volunteering activities identified by older volunteers in the community had an impact on their well-being, including subjective and psychological well-being. A new finding of this study is the identification of these meanings, their impact on well-being, and the relationship between these meanings and well-being.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"1 4","pages":"Article 100086"},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142422962","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":"Estimation of efficacy of a home monitoring and communication platform to prevent frailty among older adults in Sweden- a pilot study with a randomized controlled trial design","authors":"Marina Taloyan ,&nbsp;Maksims Kornevs ,&nbsp;Linda Timm ,&nbsp;Hassan Alinaghizadeh ,&nbsp;Minna Teriö ,&nbsp;Sanna Bjälevik-Chronan ,&nbsp;Sebastiaan Meijer ,&nbsp;Susanne Guidetti","doi":"10.1016/j.aggp.2024.100083","DOIUrl":"10.1016/j.aggp.2024.100083","url":null,"abstract":"<div><h3>Background</h3><p>The aging population of the world is increasing. Aging leads to risks for frailty and other chronic diseases and health systems must focus more on prevention to guarantee healthy aging. The primary objective was to estimate the efficacy of the POSITIVE-(<em>The Maintaining and imPrOving the intrinSIc capaciTy Involving Primary Care and caregiVErs)</em> system in improving frailty during a 6-month follow-up period.</p></div><div><h3>Method</h3><p>A randomized controlled, assessor-blinded pilot study (RCT) with 50 individual &lt; 70 years, pre-frail or frail was recruited from a primary care center in Stockholm Region. All participants received a drug review, nutritional recommendations, and a Vivifrail physical exercise program. In addition, the intervention group received POSITIVE including a tablet, an application, and portable measurement devices. The intervention group was monitored remotely by a primary care nurse at the primary health care centre during a six-month follow-up period.</p></div><div><h3>Results</h3><p>At baseline there was a significance between the groups regarding the FTS-5 scale, and significantly more obese participants in the intervention group. The drug reviews showed that three of 43 participants got a review and new diseases were discovered. The test of interactions showed a tendency for significant differences over time between the groups in frailty measured by Fried Frailty Phenotype's and FTS-5 scales.</p></div><div><h3>Conclusion</h3><p>Frailty status over time in the intervention group not differed significantly from the controls. Including individuals to the project even through a pandemic showing that the design is possible for future studies to show effects of new ways of preventing frailty at home.</p></div><div><h3>Trial Registration</h3><p>ClinicalTrials.gov. Registration number: NCT04592146. October 19, 2020. https://clinicaltrials.gov/ct2/show/NCT04592146?term=positive&amp;draw=2&amp;rank=7</p></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"1 4","pages":"Article 100083"},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950307824000808/pdfft?md5=f06de0e7e5c3066c0f1e4fbef93eedfa&pid=1-s2.0-S2950307824000808-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274305","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":"Trends in cerebrovascular diseases, pelvic and hip fractures-related mortality among older adults in the United States from 1999–2020","authors":"Rija Shakil MBBS ,&nbsp;Ahmed Mustafa Rashid MBBS ,&nbsp;Muhammad Haleem Nasar MBBS ,&nbsp;Marium Omair Mirza MBBS ,&nbsp;Muttia Abdul Sattar MBBS ,&nbsp;Taha Abdul Ahad MBBS ,&nbsp;Sehar Ul Duaa MBBS ,&nbsp;Rana Usman Anwar MD ,&nbsp;Prinka Perswani MD","doi":"10.1016/j.aggp.2024.100085","DOIUrl":"10.1016/j.aggp.2024.100085","url":null,"abstract":"<div><h3>Background</h3><p>We aim to evaluate trends in Cerebrovascular Diseases (CVD) and pelvic and hip fractures (PHF)-related deaths among adults (≥ 65 years) in the US from 1999 to 2020, highlighting the differences based on demographics.</p></div><div><h3>Methods</h3><p>We analyzed death certificates from the CDC WONDER (Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research) database spanning 1999 to 2020, related to CVD and PHF in people aged ≥65 years. Age-Adjusted Mortality Rates (AAMRs) per 100,000 persons and annual percent change (APC) were computed using Joinpoint software. The analysis was organized by year, sex, race/ethnicity, and geographic distribution (states, census regions, metropolitan/non-metropolitan areas).</p></div><div><h3>Results</h3><p>The AAMR for CVD and PHF decreased from 4.5 in 1999 to 2.2 in 2020. Similar pattern was observed for AAMR in females and males. Highest overall AAMR was noted in Non-Hispanic (NH) White adults (3.2) and lowest in African Americans (1.2). States of Wyoming, Alaska, North Dakota, Oregon, and Minnesota were in the top 90th percentile of AAMR while Florida, District of Columbia, Nevada, Arizona, and New York were in lower 10th percentile. Highest AAMRs were observed in Midwestern census region, followed by Western, Southern and Northeastern regions (3.8,2.8,2.7, and 1.9 respectively). Nonmetropolitan areas had a higher AAMR (4.4 vs 2.5) than metropolitan areas.</p></div><div><h3>Conclusion</h3><p>The CVDs and PHF related mortality rate increased steadily after 2014. NH white females were found to be at increased risk. A research-based management plan needs to be devised for post stroke pelvic and hip fractures in elderly.</p></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"1 4","pages":"Article 100085"},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950307824000821/pdfft?md5=284c2b141d8259c93d147f464a6eee80&pid=1-s2.0-S2950307824000821-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274393","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":"Smart ageing with sway: Opportunities and challenges","authors":"Zhaohui Su Ph.D. ,&nbsp;Ruijie Zhang ,&nbsp;Dean McDonnell Ph.D. ,&nbsp;Barry L Bentley Ph.D. ,&nbsp;Yayra Kweku Adobor ,&nbsp;Jianlin Jiang ,&nbsp;Yifan Liu ,&nbsp;Xin Yu ,&nbsp;Ruru Chen Ph.D. ,&nbsp;Tumaresi Alimu Ph.D. ,&nbsp;Xinxin Wu Ph.D. ,&nbsp;Ali Cheshmehzangi Ph.D. ,&nbsp;Sabina Šegalo Ph.D. ,&nbsp;Junaid Ahmad Ph.D. ,&nbsp;Xiao Zhang Ph.D. ,&nbsp;Chee H Ng Ph.D., M.D. ,&nbsp;Claudimar Pereira da Veiga Ph.D. ,&nbsp;Yu-Tao Xiang Ph.D., M.D.","doi":"10.1016/j.aggp.2024.100079","DOIUrl":"10.1016/j.aggp.2024.100079","url":null,"abstract":"<div><div>Smart ageing is the process of leveraging accessible socio-ecological opportunities to proactively build the desired lifestyle and preferred quality of life as people age. Different from other ageing models, smart ageing views the ageing process from a socio-ecological perspective, a process which is shaped by the interplay of social, cultural, economic, political, and technological factors, along with medical ones. Rather than taking a one-size-fits-all approach and pre-emptively defining a “universal” factor that decides the ageing process, smart ageing respects and emphasises individuals’ agency and efficacy in deciding what is important and appropriate to their well-being and designing their own ageing journey. While smart ageing can be a solution to population ageing, ingrained inequality issues like the digital divide can nevertheless hinder its ability to help people age at their own pace and with grace. To shed light on the issue, this paper examines the tsunami of social issues population ageing could unleash, and discusses how the smart ageing model—along with its opportunities and challenges—can help people better navigate their ageing adventure.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"1 4","pages":"Article 100079"},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651599","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":"Evaluating the effectiveness of Tai Chi in short-term, medium-term, and long-term on balance and strength among the elderly: A systematic review and meta-analysis","authors":"Lina Nan ,&nbsp;Diana Grunberg ,&nbsp;Sinha De Silva ,&nbsp;Divya Sivaramakrishnan","doi":"10.1016/j.aggp.2024.100080","DOIUrl":"10.1016/j.aggp.2024.100080","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate Tai Chi´s effectiveness on balance and strength in the elderly across different intervention durations.</div></div><div><h3>Methods</h3><div>We conducted a comprehensive meta-analysis of 37 randomised controlled trials (RCTs) on balance and 22 RCTs on strength. The databases were searched in February 2023: AMED, CINAHL Plus, Medline, Web of Science, and Embase.</div></div><div><h3>Results</h3><div>Tai Chi significantly improved balance (SMD = 0.40; 95 % CI: 0.05 to 0.75; <em>P</em> = 0.03) and strength (SMD = 0.43; 95 % CI: 0.01 to 0.84; <em>P</em> = 0.04) in the elderly, especially in medium-term interventions (8–16 weeks). Long-term effects were not statistically significant, indicating variability in the sustained impact of Tai Chi.</div></div><div><h3>Conclusions</h3><div>Tai Chi is effective in improving balance and strength among the elderly, particularly with medium-term interventions. The variability in results across different study durations suggests a need for further research to optimise Tai Chi protocols and maximise its benefits in elderly care.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"1 4","pages":"Article 100080"},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950307824000778/pdfft?md5=a39191a72483e5df617f9ebea4ab90b1&pid=1-s2.0-S2950307824000778-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142312859","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":"Changes in quality of life and health across the first two years of the COVID-19 pandemic: A mixed methods, longitudinal study of older adults","authors":"Andrea Huseth-Zosel Ph.D. ,&nbsp;Heather R. Fuller Ph.D.","doi":"10.1016/j.aggp.2024.100081","DOIUrl":"10.1016/j.aggp.2024.100081","url":null,"abstract":"<div><p>The objective of this study was to identify shifts in older adults’ well-being over the first two years of the COVID-19 pandemic. Between March 2020 and April 2022, 76 adults aged 65+ from the upper Midwest participated in telephone interviews across five timepoints. Quantitative and qualitative questions focused on perceptions of QOL, physical health and mental health, as well as changes over the two years of interviews. Repeated measures ANOVAs indicated significant changes in self-reported QOL over time, but no significant changes to self-reported physical or mental health. Thematic content analysis revealed relevant themes for each content area. Findings provided a longitudinal view of changes in perceived QOL and health among older adults during the COVID-19 pandemic. Despite quantitative improvements in QOL and stability in health, qualitative themes indicated nuances impacts including challenges to physical activity and fluctuations in mental health and QOL.</p></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"1 4","pages":"Article 100081"},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S295030782400078X/pdfft?md5=2b1c8cb9cfc8c768278d72b686d0eb89&pid=1-s2.0-S295030782400078X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274392","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":"Frailty in older people living in Africa: A systematic review of prevalence and associated factors","authors":"Ayele Semachew Kasa ,&nbsp;Shu-Chun Lee ,&nbsp;Hui-Chen (Rita) Chang","doi":"10.1016/j.aggp.2024.100078","DOIUrl":"10.1016/j.aggp.2024.100078","url":null,"abstract":"<div><h3>Background</h3><p>Despite rapid population ageing in Africa, research on frailty in the region remains limited and fragmented. This systematic review aimed at summarising the available data to determine the prevalence of frailty in Africa.</p></div><div><h3>Methods</h3><p>Original research articles that reported the prevalence and associated factors of frailty in older people were included. The PubMed, Web of Science, SCOPUS, CINAHL, Science Direct, African Index Medicus, African Journals Online, WHO Global Health Library, and HINARI databases were searched between July 30 and September 30, 2022. Eleven studies were selected based on predefined eligibility criteria. To ensure methodological quality, the included studies were independently assessed by two authors. Data were extracted using a standardised data extraction checklist. Due to high heterogeneity among the studies, data were systematically examined using a narrative review.</p></div><div><h3>Results</h3><p>This review included a sample of 4,112 older people from different regions in Africa. Of the 11 included studies, five (45.5%) recruited study participants from community settings whereas two studies were from nursing homes. A variety of frailty measurement instruments were employed across the studies. The prevalence of frailty considerably varies across the studies: ranging from 9.25% to 77.1%. Increasing age, multimorbidity, nutritional problems, depression, and physical inactivity were identified as risk factors for frailty.</p></div><div><h3>Conclusions</h3><p>The findings revealed a varying degree of frailty among older people in Africa. It is recommended that institutions provide opportunities for physical activity, ensure adequate nutrition, promote social interaction, and manage chronic illnesses to mitigate frailty.</p></div><div><h3>Registration</h3><p>PROSPERO ID of CRD42021272920.</p></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"1 4","pages":"Article 100078"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950307824000754/pdfft?md5=a6e476d6594f4b905ba81f0816fe342d&pid=1-s2.0-S2950307824000754-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142172045","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":"Potential of Kinect-assessed stepping test for assessing fall risk in community-dwelling older women","authors":"Nobuo Takeshima ,&nbsp;Eiji Fujita ,&nbsp;Takeshi Kohama ,&nbsp;Yosuke Osuka ,&nbsp;Narumi Kojima ,&nbsp;Masanobu Kusunoki ,&nbsp;William F. Brechue ,&nbsp;Hiroyuki Sasai","doi":"10.1016/j.aggp.2024.100077","DOIUrl":"10.1016/j.aggp.2024.100077","url":null,"abstract":"<div><h3>Background</h3><p>Previously, we have shown that movement path distance and displacement during a 20-sec stepping test (ST) discriminates between independent and dependent-living older adults. The present study aims to determine whether movement and displacement characteristics during ST are an indicator of risk of falling in independent-living, community-dwelling older women</p></div><div><h3>Methods</h3><p>Independent-living older women recruited for this cross-sectional study were divided into a fall (F: n = 154) or no fall (NF: n = 847) history group. Each participant completed one trial of an eyes open, ST. ST outcome measures included head total movement distance (TMD), maximum movement displacement of the head (MMD), total knee movement distance (KMD), maximum height of the left and right knees (MKH), and step number (STEP) as determined with a KINECT^TM infrared depth sensor. Ratio of KMD/TMD was calculated to index upper- body sway relative to the lower-body.</p></div><div><h3>Results</h3><p>Age, height, body mass, and BMI were not different between groups. KMD (F: median: 4.812 m, interquartile range (IQR): 3.720–7.718 m; NF: 5.309 m, 4.266–6.600 m), TMD / KMD (F: 0.145 m, 0.107–0.196 m; NF: 0.127 m, 0.100–0.170 m) and MKH (F: 0.073 m, 0.052–0.106 m, NF: 0.091 m, 0.060–0.135 m) were different between F and NF (Mann-Whitney, P &lt; 0.05). Logistic regression revealed an association between falls and KMD (OR 1.232, 95 % CI 1.108–1.370).</p></div><div><h3>Conclusions</h3><p>Characteristics of ST movement and displacement assessed with Kinect^TM provide useful indicators for fall risk assessment among independent-living, community-dwelling older women.</p></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"1 4","pages":"Article 100077"},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950307824000742/pdfft?md5=0c270e293ed0da929aa92035b5f74966&pid=1-s2.0-S2950307824000742-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142161946","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":"Factors for the decline of ADL before and after the COVID-19 of people with dementia in Japan","authors":"Taiga Fuju ,&nbsp;Natsumi Shinya ,&nbsp;Kumiko Yamada ,&nbsp;Reiko Oshima ,&nbsp;Taiki Yoshita ,&nbsp;Naoya Tsukii ,&nbsp;Yuta Ishimitsu ,&nbsp;Naoto Okonogi ,&nbsp;Yukiko Tanaka ,&nbsp;Tomoyuki Shinohara","doi":"10.1016/j.aggp.2024.100076","DOIUrl":"10.1016/j.aggp.2024.100076","url":null,"abstract":"<div><h3>Background</h3><p>This study aimed to investigate the determinants of decline in activities of daily living (ADL) among people with dementia following the onset of the coronavirus disease of 2019 (COVID-19).</p></div><div><h3>Methods</h3><p>A retrospective analysis was performed, including 37 individuals with dementia residing in group and nursing homes. The study cohort experienced a resurgence in facility admissions following COVID-19 outbreak, spanning from September to December 2022. Multivariate generalized linear mixed-effects models were employed to assess the Barthel Index at the time of readmission, which served as the dependent variable. Demographic variables before contracting COVID-19 were considered independent predictors if they were significantly associated with the Barthel Index at the time of readmission. Random intercepts were applied to account for variations among facilities in which individuals resided before contracting COVID-19.</p></div><div><h3>Results</h3><p>Care level, degree of independent living for disabled older adults, and the ability to perform daily ambulatory movements were significantly associated with the Barthel Index at the time of readmission. When used as independent variables, both daily ambulatory movement (beta = 0.350) and care level (beta = -0.347) showed significant associations with the Barthel Index at the time of readmission. Whereas using daily ambulatory movements and the degree of independent living for disabled older adults as independent variables, only the degree of independent living for disabled older adults (beta = -0.757) was significantly associated with the Barthel Index at the time of readmission.</p></div><div><h3>Conclusion</h3><p>The ability to engage in daily ambulatory movement affects the decline in ADLs due to COVID-19.</p></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"1 4","pages":"Article 100076"},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950307824000730/pdfft?md5=3653aec8f2f67175d1eaddb582f4ef11&pid=1-s2.0-S2950307824000730-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142097915","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":"Periodontal management may reduce hospitalization for acute coronary syndrome and stroke in older individuals","authors":"Ayako Edahiro ,&nbsp;Tatsuro Ishizaki ,&nbsp;Seigo Mitsutake ,&nbsp;Akihiko Kitamura ,&nbsp;Takumi Hirata ,&nbsp;Atsushi Saito","doi":"10.1016/j.aggp.2024.100075","DOIUrl":"10.1016/j.aggp.2024.100075","url":null,"abstract":"<div><h3>Background</h3><p>This study aimed to examine the impact of periodontal management on the occurrence of acute coronary syndrome and stroke using retrospective analysis of Japanese health insurance claims data.</p></div><div><h3>Methods</h3><p>The analysis included health insurance claims data of individuals aged ≥ 75 years who had been diagnosed with periodontal disease and received treatment between September 2016 and February 2017. Hospitalizations related to acute coronary syndrome and stroke were observed as outcome events during the follow-up period from March 2017 to March 2019. Covariates such as sex, age, place of residence, and chronic diseases were adjusted for using a generalized linear mixed model.</p></div><div><h3>Results</h3><p>The study involved 117,010 participants with a mean age of 80.0 ± 4.0 years, and 44.7 % were male. The analysis suggested that supportive periodontal therapy significantly reduced the risk of hospitalization for acute coronary syndrome (adjusted odds ratio: AOR 0.88, <em>P</em> = 0.017). Supportive periodontal therapy also showed a borderline significant 13 % reduction in stroke hospitalizations.</p></div><div><h3>Conclusions</h3><p>Periodontal treatment is associated with a decreased risk of acute hospitalization. Regular periodontal management, aimed at minimizing oral chronic inflammation, can potentially lower the risk of developing acute coronary syndrome and stroke.</p></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"1 4","pages":"Article 100075"},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950307824000729/pdfft?md5=da13e091a26c1bdcfe4156e7f1493e77&pid=1-s2.0-S2950307824000729-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142097913","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}