Geriatrics & Gerontology International最新文献

{"title":"Expanding perspectives on workload and emotional exhaustion among older assistant care workers: A commentary on Ma et al.","authors":"Lien-Chung Wei, Hsien-Jane Chiu","doi":"10.1111/ggi.70001","DOIUrl":"10.1111/ggi.70001","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 4","pages":"637-638"},"PeriodicalIF":2.4,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491708","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":"Comprehensive geriatric assessment in nonhospitalized settings: An overview of systematic reviews","authors":"Jaya Singh Kshatri, Daisy J.A. Janssen, Susan D. Shenkin, Asit Mansingh, Sandipana Pati, Subrata Kumar Palo, Sanghamitra Pati","doi":"10.1111/ggi.70004","DOIUrl":"10.1111/ggi.70004","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Comprehensive geriatric assessment (CGA) is a commonly used intervention for addressing the health needs of older people. Traditionally used for hospital inpatients, there is inconclusive evidence on its effectiveness in other settings. This overview of reviews aims to synthesize the current evidence regarding CGA models, their effectiveness, feasibility and acceptability in nonhospital settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>The overview included systematic reviews with or without meta-analysis reporting on older adults (≥50 years) undergoing CGA in primary care facilities, outpatient care, community-based programs, long-term care settings and home-based care, excluding narrow high-risk groups or specific disease conditions. MEDLINE, Embase, Cochrane CENTRAL, PsychInfo and CINAHL, were searched up to August 2023, with blinded double screening and data extraction. Review quality was assessed using Assessing the Methodological Quality of Systematic Reviews-2.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 2574 identified articles, 22 systematic reviews (478 primary studies, >136 336 participants) met the inclusion criteria. Most reviews were of moderate to good quality, 73% were based in community or home settings, and in 50% of the reviews the participants were aged ≥65 years. They identified diverse CGA models without uniform definition or domains of assessment, most delivered by nurses and multidisciplinary teams, with variation of input duration (6–36 months) and poor reporting of frequency of assessment or follow-up duration. Most reviews found no effect of CGA on rates of admission to hospitals or long-term care facilities, quality of life or function. Of the 10 reviews that reported it as an outcome, only two found that CGA reduced mortality risk by 13% and 14% at longest follow-up. Of the three reviews reporting frailty as an outcome, two showed benefit, with one meta-analysis showing significant reduction in frailty (relative risk, 0.77 [95% CI, 0.64–0.93]). The acceptability of CGA is good among care providers, but limited information was found among patients. Facilitators for implementation identified include preexisting interprofessional working, skilled staff, better informed patients and focus on patient convenience. The evidence was exclusively from high-income countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>CGA models are highly heterogenous across domains, delivery, dosage and frequency. Most systematic reviews show little to no evidence of benefit of CGA on rates of hospitali","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 4","pages":"491-503"},"PeriodicalIF":2.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ggi.70004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: Association between self-reported weight loss and new long-term care insurance certifications: A 9-year Japanese older adult cohort study","authors":"Merve Yilmaz Kars, Ilyas Akkar, Orhan Cicek, Zeynep Iclal Turgut, Mustafa Hakan Dogan, Muhammet Cemal Kizilarslanoglu","doi":"10.1111/ggi.70011","DOIUrl":"10.1111/ggi.70011","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 4","pages":"644-645"},"PeriodicalIF":2.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467698","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 validation of a new tool for simultaneous screening of malnutrition, sarcopenia and cachexia in older adults","authors":"Ahmed Mohammed Hassan Haroun,&nbsp;Mona Hegazy Mohamed,&nbsp;Marwa Abd El Azeem Abd EL Gawad,&nbsp;Doha Rasheedy","doi":"10.1111/ggi.70010","DOIUrl":"10.1111/ggi.70010","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The high prevalence of malnutrition, sarcopenia and cachexia among older adults presents a significant health care challenge, underscoring the need for effective screening tools. Given the frequent overlap of these conditions, a tool capable of simultaneously screening for all three conditions is imperative.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The development process included an extensive review of existing assessment instruments and data on risk factors, clinical presentations, and consequences of the three conditions. The tool underwent rigorous testing to evaluate its reliability and validity in a sample of 300 older adults. It was compared against standard diagnostic criteria and assessed alongside other screening tools, including the Mini Nutritional Assessment-Short Form, the Short Nutritional Assessment Questionnaire and the Simple Questionnaire to Rapidly Diagnose Sarcopenia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eighteen percent (<i>n</i> = 54) of participants were diagnosed with an overlap of the three conditions, 10% (<i>n</i> = 30) of cases presented with sarcopenia alone and 3% (<i>n</i> = 10) were diagnosed with malnutrition only. The new tool demonstrated Cronbach's alpha of 0.818 and high construct validity. The newly developed tool and Mini Nutritional Assessment–Short Form had the highest diagnostic accuracy for predicting the malnutrition and sarcopenia. The Short Nutritional Assessment Questionnaire had the highest diagnostic accuracy for predicting cachexia, whereas the Simple Questionnaire to Rapidly Diagnose Sarcopenia exhibited the lowest diagnostic accuracy across all conditions. The retention criteria for items were deemed valid for the 19 items included in the finalized version of the new tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Screening for malnutrition, sarcopenia and cachexia in older adults using a single tool was feasible. The new tool was easy to use and did not require anthropometric measurements or physical performance tasks. <b>Geriatr Gerontol Int 2025; 25: 511–519</b>.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 4","pages":"511-519"},"PeriodicalIF":2.4,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457549","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":"Response to the Letter to the Editor, “Is oral frailty a cause or a consequence?”","authors":"Masanori Iwasaki,&nbsp;Maki Shirobe,&nbsp;Keiko Motokawa,&nbsp;Tomoki Tanaka,&nbsp;Kazunori Ikebe,&nbsp;Takayuki Ueda,&nbsp;Shunsuke Minakuchi,&nbsp;Masahiro Akishita,&nbsp;Hidenori Arai,&nbsp;Katsuya Iijima,&nbsp;Hiroyuki Sasai,&nbsp;Shuichi Obuchi,&nbsp;Hirohiko Hirano","doi":"10.1111/ggi.70006","DOIUrl":"10.1111/ggi.70006","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 4","pages":"640-641"},"PeriodicalIF":2.4,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457568","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":"Reconstruction of a resilient and secure community and medical care system in the coronavirus era – English translation of the Japanese opinion released from the Science Council of Japan","authors":"Katsuya Iijima,&nbsp;Masahiro Akishita,&nbsp;Tamao Endo,&nbsp;Tetsuo Ichikawa,&nbsp;Norio Ozaki,&nbsp;Kouetsu Ogasawara,&nbsp;Yasuki Kihara,&nbsp;Masafumi Kuzuya,&nbsp;Hiroko Komatsu,&nbsp;Hiroko Terasaki,&nbsp;Yuichiro Doki,&nbsp;Haruko Noguchi,&nbsp;Kiyoko Nishi,&nbsp;Yumi Nishimura,&nbsp;Nobuhiko Haga,&nbsp;Motohiko Miyachi,&nbsp;Dr Seiji Yasumura PhD,&nbsp;Junko Wake,&nbsp;Hidenori Arai","doi":"10.1111/ggi.15073","DOIUrl":"10.1111/ggi.15073","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Over 3 years have passed since the outbreak of novel coronavirus disease 2019 (COVID-19), a disease associated with a high risk of severe illness and death among older individuals. This period has brought to light regional and social issues, including issues in overall and regional healthcare, that existed before the epidemic. “COVID-19-related frailty” is defined as secondary damage to health caused by inactivity and disconnection from human interaction owing to prolonged isolation among older individuals. Now in its fourth year, COVID-19 cannot be taken lightly, even though it is now a Category 5 infectious disease. Looking at it from the perspective of the Corona (COVID-19)/post-Corona (COVID-19) era and society, it is necessary to reconstruct regional communities in which active residents can resume their activities, a resilient regional society from multiple perspectives, and a medical and care system that can give the public a sense of security, all of which will lead to the development of local communities.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Current situation and problems&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 &lt;ol&gt;\u0000 \u0000 &lt;li&gt;Weak healthcare systems in emergencies such as emerging infectious diseases and disasters&lt;/li&gt;\u0000 &lt;/ol&gt;\u0000 &lt;/div&gt;\u0000 \u0000 &lt;div&gt;The COVID-19 pandemic has posed challenges in the management of older individuals in Japan. These challenges are common to those encountered with other emerging infectious diseases and disasters; however, the pandemic has emphasized the vulnerability of older adults.\u0000 &lt;ol&gt;\u0000 \u0000 &lt;li&gt;End-of-life care and advance care planning do not function during a contingency&lt;/li&gt;\u0000 &lt;/ol&gt;\u0000 &lt;/div&gt;\u0000 \u0000 &lt;div&gt;The COVID-19 pandemic has had a significant effect on the end-of-life (EOL) care of older adults, with the lack of implementation and dysfunction of advance care planning (ACP) identified as the biggest factors. This has made it difficult for this population to share their values, intentions, and life goals with their families and healthcare providers.\u0000 &lt;ol&gt;\u0000 \u0000 &lt;li&gt;Inadequate use of information and communication technology and the latest technologies&lt;/li&gt;\u0000 &lt;/ol&gt;\u0000 &lt;/div&gt;\u0000 \u0000 &lt;div&gt;Disparity in the digital field (digital divide) is more pronounced among older individuals. Consequently, the benefits of new technologies, such as digitalization and robotics, have not fully reached older individuals, leading to social isolation and frailty in this population.\u0000 &lt;ol&gt;\u0000 ","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 4","pages":"481-490"},"PeriodicalIF":2.4,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ggi.15073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: PRISMA-7 is a predictor of intensive care unit admission and mortality in older patients in an emergency department","authors":"Korhan Kollu,&nbsp;Muhammet Cemal Kizilarslanoglu","doi":"10.1111/ggi.70002","DOIUrl":"10.1111/ggi.70002","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 4","pages":"639"},"PeriodicalIF":2.4,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457544","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":"Response to commentary on “Frailty as a predictor of mortality in the oldest old: A systematic review and meta-analysis”","authors":"Jin Hean Koh,&nbsp;Justina Angel Tan,&nbsp;Reshma Aziz Merchant,&nbsp;Li Feng Tan","doi":"10.1111/ggi.70008","DOIUrl":"10.1111/ggi.70008","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 4","pages":"642-643"},"PeriodicalIF":2.4,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143447659","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":"Reducing the burden of informal care through lecanemab: A case of a patient with mild cognitive impairment who continues to drive","authors":"Jumpei Maruta,&nbsp;Akitoshi Takeda,&nbsp;Koki Inoue","doi":"10.1111/ggi.70007","DOIUrl":"10.1111/ggi.70007","url":null,"abstract":"<p>This case report discusses a 75-year-old patient with mild cognitive impairment who successfully continued driving while treated with lecanemab. The treatment appeared to stabilize cognitive function and facilitate ongoing physical activity, potentially reducing informal care burdens associated with driving cessation. Further research is warranted to explore long-term impacts.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 4","pages":"628-629"},"PeriodicalIF":2.4,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ggi.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidimensional insights about healthy aging from the cohort study for community-dwelling older adults: The SONIC study","authors":"Kei Kamide,&nbsp;Kazunori Ikebe,&nbsp;Yukie Masui,&nbsp;Takeshi Nakagawa,&nbsp;Mai Kabayama,&nbsp;Hiroshi Akasaka,&nbsp;Tomoaki Mameno,&nbsp;Yuki Murotani,&nbsp;Madoka Ogawa,&nbsp;Saori Yasumoto,&nbsp;Koichi Yamamoto,&nbsp;Takumi Hirata,&nbsp;Yasumichi Arai,&nbsp;Yasuyuki Gondo,&nbsp;the SONIC study group","doi":"10.1111/ggi.70003","DOIUrl":"10.1111/ggi.70003","url":null,"abstract":"<p>The Septuagenarian, Octogenarian, Nonagenarian Investigation with Centenarian (SONIC) study was established considering population trends and targeting the oldest-old population. This study is unique in its narrow age range, consisting of individuals aged in their 70s, 80s and 90s, and is carried out as a longitudinal cohort study with follow ups every 3 years in urban and rural areas of eastern and western Japan. The aims of the SONIC study are primarily to clarify aging-related changes in multiple domains of human functioning, explore the dynamics of interactions among these domains and identify factors influencing healthy longevity, including psychological well-being. Investigations spanning medical, dental, nutritional, psychological and sociological fields were carried out by specialists, yielding important results. Findings from the SONIC study in Japan, a super-aged society, will provide valuable information for addressing the global aging trend. This review introduces the results from the SONIC study, and explains factors contributing to healthy longevity and happy aging. <b>Geriatr Gerontol Int 2025; 25: 346–355</b>.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 3","pages":"346-355"},"PeriodicalIF":2.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ggi.70003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}