{"title":"Cognitive assessments as screening for mild cognitive impairment and dementia: A new role in the era of early diagnosis and anti-amyloid β therapy.","authors":"Shinichiro Maeshima, Aiko Osawa, Chisato Kamizato, Hidenori Arai","doi":"10.1111/ggi.70048","DOIUrl":"https://doi.org/10.1111/ggi.70048","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aging in Southeast Asia and Japan: Challenges and opportunities.","authors":"Ryota Sakamoto","doi":"10.1111/ggi.70062","DOIUrl":"https://doi.org/10.1111/ggi.70062","url":null,"abstract":"<p><p>Trends in life expectancy and fertility in Southeast Asia reflect the region's vulnerability to conflicts, natural disasters, infectious diseases and other crises. Southeast Asia is characterized by significant diversity, not only in its natural environment, history, religions, economic situations and political systems, but also in its challenges and healthcare systems, which include traditional medicine and local healing practices. Despite these differences, common issues are shared across the region, such as an aging population, the need for universal access to safe and secure healthcare, and the pursuit of peace and environmental harmony. Currently, Japan's aging population is more pronounced than in Southeast Asia, with a notable prevalence of older adults with chronic diseases, including dementia and living alone. However, if current demographic trends continue, most Southeast Asian nations might face similar challenges in the future. This article focuses on the 90th percentile age over time and advocates the importance of considering the relative position of age in society, rather than simply focusing on age alone. Additionally, it is recognized that individuals of the same chronological age can show significant variation in health, shaped by their life circumstances and lifestyles. As Japan leads in addressing aging-related issues, it plays a critical role in sharing its experiences. Because the health status of certain age groups in society varies from region to region and era to era, depending on the environment and culture, measures should be adapted to the realities of each society, with the cooperation of the international community to address shared challenges. Geriatr Gerontol Int 2025; ••: ••-••.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and psychometric properties of the Japanese Residential Environment Checklist for Safety (J-RECS): Self-assessment tool for environmental fall risk factors.","authors":"Ryuichi Sawa, Yuya Sakano, Junshiro Yamamoto, Buichi Tanaka, Minoru Yamada","doi":"10.1111/ggi.70075","DOIUrl":"https://doi.org/10.1111/ggi.70075","url":null,"abstract":"<p><strong>Aim: </strong>The aims of this study were to develop a self-assessment tool for environmental fall risk factors in Japanese residential environments and to examine its content validity and inter-rater reliability.</p><p><strong>Methods: </strong>The Japanese Residential Environment Checklist for Safety (J-RECS) was first developed through panel meetings and refined by incorporating the perspectives of older adults. A total of 111 medical and long-term care professionals were recruited to explore the content validity. Each item of the J-RECS was evaluated for relevance, and the item content validity index and scale content validity index were calculated. Moreover, 30 older adults living in their homes were enrolled in this study to investigate the inter-rater reliability. Older adults and rehabilitation professionals simultaneously and independently assessed the older adults' homes, and the kappa statistic was calculated to measure the level of agreement for all J-RECS items.</p><p><strong>Results: </strong>Of all the J-RECS items, 42 (91.3%) showed an item content validity index ≥0.8. Four items that did not meet the criteria were related to regular use of tables and storage spaces located below knee height. The majority of the items (97.8%) demonstrated moderate-to-excellent levels of agreement. The final version of the J-RECS included 42 items and demonstrated a scale content validity index of 0.91.</p><p><strong>Conclusions: </strong>The J-RECS has confirmed content validity and inter-rater reliability for appropriately identifying environmental fall risk factors in Japanese residential environments through self-assessment, even for non-professionals. Geriatr Gerontol Int 2025; ••: ••-••.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reply to comment on: Consideration of confounding factors in assessing the associations between physical parameters and glycated hemoglobin levels among older patients with diabetes mellitus.","authors":"Shuhei Nakanishi","doi":"10.1111/ggi.70072","DOIUrl":"https://doi.org/10.1111/ggi.70072","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Causes of applying Long-Term Care Insurance certification for patients with heart failure with systolic dysfunction.","authors":"Hiroki Tsuchiya, Shinya Fujiki, Takeshi Kashimura, Yuji Okura, Kunio Kodera, Hiroshi Watanabe, Kazuyoshi Takahashi, Shogo Bannai, Tatsuro Hatano, Takahiro Tanaka, Nobutaka Kitamura, Tohru Minamino, Takayuki Inomata","doi":"10.1111/ggi.70052","DOIUrl":"https://doi.org/10.1111/ggi.70052","url":null,"abstract":"<p><strong>Aim: </strong>The number of patients with heart failure with disability and the use of Long-Term Care Insurance (LTCI) has been increasing in the Japanese aging society. This study investigated the main causes of LTCI demands for better care management.</p><p><strong>Methods: </strong>We carried out a retrospective study including patients with heart failure with reduced ejection fraction in seven hospitals in Niigata City from 2011 to 2016. Data related to LTCI introduction, such as the main cause and degree of impairments, were collected from official documents for LTCI registration based on the doctor's opinion. Of 3738 patients, 312 were newly eligible for LTCI.</p><p><strong>Results: </strong>LTCI was introduced due to cardiac and non-cardiac diseases in 49.4% and 50.6% of patients, respectively. Physical impairment was milder in the cardiac group than major non-cardiac groups (Kruskal-Wallis test; P < 0.001, Steel test; cardiac vs cancer: P = 0.027 vs stroke: P < 0.001 vs orthopedic: P = 0.002 vs others: P = 0.041). Only the cancer group had a poorer prognosis than the cardiac group (log-rank test with Bonferroni correction; cardiac vs cancer: P < 0.001 vs stroke: P = 0.282 vs orthopedic disease: P = 0.866 vs others: P = 0.476).</p><p><strong>Conclusion: </strong>Half of the LTCI users were introduced due to non-cardiac diseases in heart failure patients. The cause of LTCI indicating the degree of the patient's disability and prognosis is valuable information to provide favorable care. Geriatr Gerontol Int 2025; ••: ••-••.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gideon Dzando, Paul R Ward, Lillian Mwanri, Lucy W Maina, Justice Moses K Aheto, Rachel C Ambagtsheer
{"title":"Developing a feasible frailty screening instrument for older people in Sub-Saharan Africa: Exploratory and confirmatory factor analysis.","authors":"Gideon Dzando, Paul R Ward, Lillian Mwanri, Lucy W Maina, Justice Moses K Aheto, Rachel C Ambagtsheer","doi":"10.1111/ggi.70068","DOIUrl":"https://doi.org/10.1111/ggi.70068","url":null,"abstract":"<p><strong>Aim: </strong>Frailty screening is gaining significant attention in Sub-Saharan Africa. However, the frailty screening instruments used are developed and validated in high-income countries and may not capture the cultural nuances that are associated with frailty in this region. This study aimed to develop a feasible frailty screening instrument for older people in Sub-Saharan Africa.</p><p><strong>Methods: </strong>A cross-sectional secondary data analysis was conducted on a sample of 2860 community-dwelling older people aged 60 years and above from Kenya and Ghana. A 33-item Frailty Index was developed in each dataset using similar age-related deficits. Item-total correlation and exploratory factor analysis were performed on the Kenyan dataset to identify the underlying dimensions. Confirmatory factor analysis was conducted on the Ghanaian dataset to validate the factor structure identified in the exploratory factor analysis.</p><p><strong>Results: </strong>The initial 33 health deficits were reduced to 17 deficits after excluding items with poor correlation and factor loadings. The final 17-item frailty instrument yielded a robust five-factor structure, including social and emotional relationships, physical mobility and functional independence, psychological well-being, hearing ability, and vision. Confirmatory factor analysis confirmed the factor structure with good model fit indices. Reliability was excellent (>0.70) across the factors in both datasets, highlighting the instrument's suitability for frailty screening in Sub-Saharan Africa.</p><p><strong>Conclusion: </strong>The new frailty instrument has a clear multidimensional structure that captures key aspects of aging in Sub-Saharan Africa. The tool offers a feasible and efficient means of identifying older people at risk for frailty to aid prompt interventions. Geriatr Gerontol Int 2025; ••: ••-••.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ryo Katayose, Mika Okura, Hidenori Arai, Mihoko Ogita
{"title":"Reply to comment on \"Association between self-reported weight loss and new long-term care insurance certifications: A 9-year Japanese older adult cohort study\".","authors":"Ryo Katayose, Mika Okura, Hidenori Arai, Mihoko Ogita","doi":"10.1111/ggi.70070","DOIUrl":"https://doi.org/10.1111/ggi.70070","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mechanism for the association between diabetes or anti-diabetic medications and incident dementia.","authors":"Atsushi Araki","doi":"10.1111/ggi.70066","DOIUrl":"https://doi.org/10.1111/ggi.70066","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143978153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on \"Low trunk muscle mass could predict severe stress urinary incontinence in Asian women\".","authors":"Zeynep Kemik, Dilara Donmez Güler, Esra Ates Bulut","doi":"10.1111/ggi.70071","DOIUrl":"https://doi.org/10.1111/ggi.70071","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}