{"title":"The relationship between lifestyle and the risk of depression among people living with someone who needs care: The Yamagata Cohort Study.","authors":"Chisaki Uno, Kaori Sakurada, Hiroshi Inaba, Yoko Ishida, Yumi Matsuda, Tsuneo Konta","doi":"10.1111/ggi.70184","DOIUrl":"https://doi.org/10.1111/ggi.70184","url":null,"abstract":"<p><strong>Aim: </strong>This study investigated the association between lifestyle habits and the risk of depression among people living with someone needing care in Japan.</p><p><strong>Methods: </strong>Data were collected from those who participated in the Yamagata Cohort Study; 11 019 participants aged 40 and above were considered. The primary endpoints were living with someone in need of care and depression risk, and individual factors related to these endpoints were examined. Unadjusted and multifactor-adjusted logistic regression analyses were conducted to examine the association between the risk of depression and personal factors among those living with someone needing care.</p><p><strong>Results: </strong>Of the participants, 942 (8.5%) were living with someone who needed care. The proportion of participants who were at risk for depression was significantly higher among those living with someone needing care; this group also had significantly higher odds ratios than those at low risk of depression for the following factors: economic comfort: hardship; sleep duration: more than 9 h; getting enough sleep, including nights and naps: not enough; go out at least once a week: no; and walking or equivalent physical activity in daily life for at least 1 h a day: no.</p><p><strong>Conclusion: </strong>To reduce the risk of depression among family caregivers, providing them with appropriate social and financial support is crucial. Geriatr Gerontol Int 2025; ••: ••-••.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091608","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}
Junsong Xu, Ran Meng, Jie Yan, Wei Zheng, Yuquan Wu, Qingyong Chen
{"title":"Bidirectional impact of dementia and aspiration pneumonia on cognitive decline in older adults: A retrospective cohort analysis.","authors":"Junsong Xu, Ran Meng, Jie Yan, Wei Zheng, Yuquan Wu, Qingyong Chen","doi":"10.1111/ggi.70176","DOIUrl":"https://doi.org/10.1111/ggi.70176","url":null,"abstract":"<p><strong>Aim: </strong>Dementia and aspiration pneumonia are common and debilitating conditions in older adults. While both are significant contributors to morbidity and mortality, the interaction between these conditions remains inadequately understood. This study aimed to explore the bidirectional relationship between dementia and aspiration pneumonia and to assess its impact on cognitive decline in older patients.</p><p><strong>Methods: </strong>A retrospective cohort analysis of 500 elderly dementia patients at a tertiary care center (2018--2022) was conducted, and participants were classified by aspiration pneumonia occurrence. Cognitive function was assessed via the Mini-Mental State Examination (MMSE) at baseline and follow-up, with Kaplan-Meier analysis evaluating time-to-pneumonia and Cox regression modeling of bidirectional relationships while adjusting for confounders.</p><p><strong>Results: </strong>Among 500 dementia patients (mean age 78.3 ± 7.2 years), Kaplan-Meier analysis revealed significantly earlier pneumonia onset in severe dementia patients (log-rank P < 0.001), with Cox regression showing that severe dementia conferred triple the pneumonia risk (hazard ratio [HR] = 3.01, 95% confidence interval [CI]: 2.15-4.21) and that swallowing dysfunction independently increased the hazard ratio 3.45-fold (95% CI: 2.61-4.55); aspiration pneumonia accelerated cognitive decline (β = -2.35, 95% CI: -3.12 to -1.58).</p><p><strong>Conclusion: </strong>This study revealed that dementia severity substantially increases time-dependent pneumonia hazard (severe dementia HR = 3.01), while pneumonia accelerates cognitive deterioration, forming a bidirectional cycle amplified by swallowing dysfunction. Early dysphagia management and pneumonia prevention strategies are crucial for disrupting this progression in older adults. Geriatr Gerontol Int 2025; ••: ••-••.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145085798","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}
Brijesh Sathian, Farah Rahat, Reham Kamal Aboshdid, Hanadi Al Hamad
{"title":"Questioning the validity of questionnaire-based frailty measures in cardiovascular risk prediction","authors":"Brijesh Sathian, Farah Rahat, Reham Kamal Aboshdid, Hanadi Al Hamad","doi":"10.1111/ggi.70173","DOIUrl":"10.1111/ggi.70173","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 10","pages":"1458-1459"},"PeriodicalIF":2.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145085818","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":"Quality of life in older individuals with chronic diseases: Incorporating the respiratory disease perspective.","authors":"Wangfei Ji, Lina Xu","doi":"10.1111/ggi.70185","DOIUrl":"https://doi.org/10.1111/ggi.70185","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145085835","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":"Relationship between end of life of older adults in long-term care facilities and full-time dental hygienist service: A 2-year multicenter study","authors":"Nami Machi, Yutaka Watanabe, Kazuhito Miura, Kimiya Ozaki, Misuzu Sato, Masanori Iwasaki, Maki Shirobe, Hirohiko Hirano, Yuki Ohara, Yoshihiro Kugimiya, Masataka Itoda, Takeshi Kikutani, Midori Tsuneishi, Yuko Kuboyama, Shinsuke Mizutani, Shigekazu Komoto, Yutaka Yamazaki","doi":"10.1111/ggi.70171","DOIUrl":"10.1111/ggi.70171","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to examine the relationship between dental hygienist work arrangements in long-term care insurance facilities and the likelihood of residents dying in the facility (in-facility death) rather than in a hospital (hospital death).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this 2-year, multicenter, longitudinal study, a baseline survey of 958 residents from 30 long-term care insurance facilities was conducted in 2019, followed by a 2-year outcome survey. The survey items comprised end-of-survey outcomes (death, inpatient discharge), length of stay, and resident preferences for end-of-life care in the facility. A modified Poisson analysis was conducted, with the dependent variable end of life in the facility coded as 1 (possible) or 0 (not possible) and whether the facility had a full-time hygienist representing the primary explanatory variable.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 958 residents (202 men and 742 women; mean age: 86.3 ± 8.1 years) included in the study, 464 were in the facility discharge group, and of these 142 (37.3%) died in the hospital and 239 (62.7%) died in the facility. Having access to a full-time dental hygienist (risk ratio [RR]: 1.23, 95% confidence interval [CI]: 1.03–1.46) and a preference for end of life in the facility (RR: 1.48, 95% CI: 1.23–1.79) were significantly associated with the end of life in the facility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The presence of a full-time dental hygienist in long-term care insurance facilities was associated with end of life in the facility for older adult residents requiring long-term care. <b>Geriatr Gerontol Int 2025; 25: 1404–1411</b>.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 10","pages":"1404-1411"},"PeriodicalIF":2.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145074936","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}
Muhammad Nouman Javed, Muhammad Huzaifa Sabir, Muhammad Owais
{"title":"Comment on \"Associations of body mass index, lifestyle factors and medical findings in midlife with fragility in older ages: A 15-year longitudinal study\".","authors":"Muhammad Nouman Javed, Muhammad Huzaifa Sabir, Muhammad Owais","doi":"10.1111/ggi.70183","DOIUrl":"https://doi.org/10.1111/ggi.70183","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064240","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: Loneliness and isolation: Are they associated with the wish for an earlier end of life?","authors":"Esra Cataltepe","doi":"10.1111/ggi.70174","DOIUrl":"10.1111/ggi.70174","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 10","pages":"1460-1461"},"PeriodicalIF":2.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145052716","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}