Geriatrics & Gerontology International最新文献

{"title":"Correction to \"Availability and Quality of Long-Term Care Services for Older Adults in Five Southeast Asian Countries\".","authors":"","doi":"10.1111/ggi.70846","DOIUrl":"10.1111/ggi.70846","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":"e70846"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149024515","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":"Exploring the Mediating Roles of Aging Perceptions and Physical Activity on Healthy Aging Perspectives Among Older Adults With Chronic Diseases in Taiwan and China: A Cross-Sectional Study.","authors":"Yu-Rung Wang, Fu-Mei Lin, LingXiao Ye, LiYun Yu, JungHee Kang, Martha Biddle, Ching-Min Chen","doi":"10.1111/ggi.70809","DOIUrl":"10.1111/ggi.70809","url":null,"abstract":"<p><strong>Aim: </strong>Both Taiwan and China, the two most predominant Chinese-speaking regions in the world, are experiencing rapid population aging. The relationships between age and perspectives of healthy aging for older adults with chronic diseases across different settings have been underexplored. This study aimed to compare aging perceptions, physical activity, and perspectives of healthy aging among older adults with chronic diseases in Taiwan and China. It investigated whether aging perceptions and physical activity accounted for the association between age and healthy aging perspectives.</p><p><strong>Methods: </strong>We conducted a cross-sectional study using face-to-face surveys. Participants (N = 812; 412 from Taiwan and 400 from China) aged > 60 years with one or more chronic diseases were recruited from outpatient departments and community health service centers in two coastal cities. Parallel mediation analyses were performed using PROCESS for SPSS with 5000 bootstrap samples.</p><p><strong>Results: </strong>Significant differences were found between the two samples in body mass index, religious affiliation, smoking, drinking, living status, aging perceptions, and overall physical activity. In Taiwan, aging perceptions and leisure activity statistically accounted for the association between age and healthy aging perspectives, explaining 47.6% of the variance. In China, aging perceptions and health-related changes accounted for this association, explaining 21.9% of the variance.</p><p><strong>Conclusions: </strong>The pathways linking age to healthy aging perspectives among older adults with chronic diseases differed between Taiwan and China. Region-specific healthcare policies and interventions targeting aging perceptions and promoting leisure activity in Taiwan, and health-related change management in China are needed to enhance healthy aging perspectives.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":"e70809"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13559510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919265","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":"\"Executive and General Cognitive Domain as a Relevant Factor of Specific Neuropsychiatric Symptoms in Alzheimer's Disease\" in Response to the Comments by J.I.","authors":"Tomoyuki Nagata, Kiwamu Okabe, Shunichiro Shinagawa","doi":"10.1111/ggi.70830","DOIUrl":"https://doi.org/10.1111/ggi.70830","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":"e70830"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030158","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":"Dysphagia in Older Adults as a Geriatric Syndrome: From Disease-Based Diagnosis to Mechanism-Based Assessment.","authors":"Hideaki Takahata","doi":"10.1111/ggi.70841","DOIUrl":"10.1111/ggi.70841","url":null,"abstract":"<p><p>Dysphagia in older adults is commonly described using disease-specific labels, such as post-stroke dysphagia, Parkinson-related dysphagia, or sarcopenic dysphagia. These labels are clinically useful, but they do not always explain the mechanisms that determine swallowing presentation or guide management in individual patients. Even within the same diagnostic category, one patient may present primarily with impaired neural control and delayed swallow initiation, whereas another may present with reduced muscular output, inefficient clearance, and fatigue. In daily practice, these mechanisms often overlap, and clinicians frequently adjust management according to the dominant and modifiable contributors rather than relying on the disease label alone. This narrative review reconsiders dysphagia in older adults as a multifactorial clinical condition that shares key characteristics of geriatric syndromes. It organizes the mechanisms contributing to dysphagia into clinically relevant domains, including neural control, muscle function, activity level, systemic reserve, and external modifiers. This perspective does not replace disease-based diagnosis. Instead, it provides a structured way to make clinical reasoning more explicit, integrating physiological impairment, activity-level limitation, and contextual factors. Understanding dysphagia in older adults as a geriatric syndrome may support more individualized, comprehensive, and multidisciplinary assessment and management in geriatric and rehabilitation practice.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":"e70841"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148989240","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":"Osteosarcopenia in Older Adults With Rheumatoid Arthritis: Clinical Correlates and Its Association With Rheumatoid Cachexia.","authors":"Firuzan Fırat Ozer, Saliha Sunkak, Zuhal Bilgili, Özlem Şen, Emine Güven","doi":"10.1111/ggi.70847","DOIUrl":"10.1111/ggi.70847","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the prevalence of osteosarcopenia in older patients with rheumatoid arthritis (RA) compared with age- and sex-matched controls and to examine its relationship with RA-related clinical, nutritional, and functional parameters, including rheumatoid cachexia (RC).</p><p><strong>Methods: </strong>This retrospective cross-sectional study included 268 individuals: 134 patients aged ≥ 60 years with RA and 134 age- and sex-matched controls. Fat mass index (FMI), fat-free mass index (FFMI), and muscle mass were assessed by bioelectrical impedance analysis. Sarcopenia was defined using an EWGSOP2-aligned approach and osteoporosis according to WHO criteria. RC was defined as FFMI < 10th percentile and FMI > 25th percentile. Disability and nutritional risk were assessed using the Lawton-Brody IADL and MNA-SF.</p><p><strong>Results: </strong>Compared with controls, patients with RA had lower BMI, FFMI, and FMI (all p ≤ 0.001), while visceral fat did not differ. Sarcopenia, osteoporosis, and osteosarcopenia were more prevalent in RA than in controls (49.3% vs. 20.9%, 53.0% vs. 32.1%, and 28.4% vs. 10.4%; all p < 0.001). Within RA, osteosarcopenia was associated with lower serum albumin and IADL scores and higher RC prevalence (39.5%). RC remained independently associated with osteosarcopenia after adjustment for demographic, comorbidity, and RA-specific factors (adjusted OR 10.43, 95% CI 3.13-34.79; p < 0.001).</p><p><strong>Conclusions: </strong>Osteosarcopenia was more than twice as common in older patients with RA than in matched controls. Rheumatoid cachexia clustered within the osteosarcopenia subgroup and remained independently associated with osteosarcopenia. These findings support osteosarcopenia as a distinct catabolic phenotype in RA characterized by rheumatoid cachexia, lower serum albumin levels, and greater functional impairment.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":"e70847"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016525","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":"Self-Application of Aging Stereotypes as an Independent Predictor of Loneliness in Community-Dwelling Older Adults: A Cross-Sectional Study","authors":"Rahime Aslan,&nbsp;Mahsun Toplu","doi":"10.1111/ggi.70822","DOIUrl":"10.1111/ggi.70822","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Loneliness is common in later life and may be shaped by aging stereotypes. Drawing on Stereotype Embodiment Theory, this study examined whether the components of aging-stereotype internalization predict loneliness independently of sociodemographic factors and whether effects differ by dimension.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this cross-sectional study, 485 community-dwelling adults aged 65 or older in Turkey completed the Elderly Internalized Stigma Scale (EISS), indexing awareness, agreement, and self-application, and the Social and Emotional Loneliness Scale for Adults (SELSA-S). Spearman's correlations and multiple linear regression were used, with separate models for total, emotional, and social loneliness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Self-application showed the strongest bivariate association with loneliness (<i>ρ</i> = 0.25, <i>p</i> &lt; 0.001), whereas agreement was unrelated. It was independently associated with total loneliness (<i>β</i> = 0.23) and both dimensions (<i>β</i> = 0.18 emotional, <i>β</i> = 0.21 social; all <i>p</i> &lt; 0.001), whereas awareness was not. Agreement showed a negative coefficient consistent with suppression. Being unmarried was the strongest correlate of emotional loneliness (<i>β</i> = 0.55) but was unrelated to social loneliness (<i>β</i> = 0.04), for which self-application had the largest standardized coefficient among the included predictors. Separating the components explained more variance than the composite score.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Loneliness was associated with applying aging stereotypes to oneself rather than with awareness or general agreement, and this held for both dimensions. Being married was associated with lower emotional loneliness but not with social loneliness. Findings for social loneliness should be interpreted cautiously given the low internal consistency of that subscale. Interventions targeting self-directed stereotypes merit evaluation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148873854","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":"Japanese Anticholinergic Risk Scale and Domain-Specific Functional Outcomes in Older Poststroke Patients.","authors":"Ayaka Matsumoto, Yoshihiro Yoshimura","doi":"10.1111/ggi.70842","DOIUrl":"10.1111/ggi.70842","url":null,"abstract":"<p><strong>Aim: </strong>International anticholinergic burden scales may incompletely capture country-specific prescribing patterns and drug availability. Although the Japanese Anticholinergic Risk Scale (JARS) reflects Japanese clinical practice, its prognostic relevance in poststroke patients remains unclear. We examined whether JARS was associated with functional outcomes across activities of daily living (ADL), cognition, swallowing, nutrition, and muscle strength in older patients after stroke.</p><p><strong>Methods: </strong>This retrospective cohort study enrolled consecutive patients aged ≥ 65 years undergoing poststroke rehabilitation. Anticholinergic burden was assessed using JARS at admission. The primary outcome was Functional Independence Measure (FIM)-motor at discharge. Secondary outcomes were FIM-cognitive, Food Intake Level Scale, Geriatric Nutritional Risk Index (GNRI), and handgrip strength at discharge. Multivariable linear regression was performed for total JARS and, as an exploratory analysis, psychotropic drug-derived JARS, with adjustment for relevant covariates. p-values were adjusted across the five outcomes using the Benjamini-Hochberg false discovery rate (FDR) procedure.</p><p><strong>Results: </strong>Among 747 patients (median age, 80.0 years; 51% men), 484 (64.8%) had a JARS score of ≥ 1. Total JARS was not associated with discharge FIM-motor score (B = 0.032, 95% CI -0.799 to 0.862), FIM-cognitive score, FILS, or handgrip strength. However, higher total JARS was negatively associated with GNRI at discharge in the primary analysis (B = -0.603; 95% CI, -1.061 to -0.146; FDR-adjusted p = 0.049) although this association did not remain statistically significant in the modified-JARS sensitivity analysis (B = -0.666; 95% CI, -1.179 to -0.154; FDR-adjusted p = 0.055). Psychotropic drug-derived JARS was associated with lower FIM-cognitive score (B = -0.800; 95% CI, -1.318 to -0.282; FDR-adjusted p = 0.013), but not with the other outcomes after FDR adjustment.</p><p><strong>Conclusions: </strong>JARS was not associated with discharge ADL, swallowing, or muscle strength. A modest association with nutritional risk was observed in the primary analysis, although this finding should be interpreted cautiously because statistical significance was not retained in the modified-JARS sensitivity analysis. Psychotropic drug-derived JARS was associated with cognitive level. These findings support domain- and drug-class-specific interpretation of anticholinergic burden.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":"e70842"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13569641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944554","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":"Reply to “Comment on ‘Early Acute-Phase Energy Intake Is Independently Associated With Swallowing Decline in Older Patients With Aspiration Pneumonia’”","authors":"Mitsuaki Shigemasa,&nbsp;Yoshiaki Yatomi,&nbsp;Jun Kayashita,&nbsp;Yoshihiro Hattori,&nbsp;Shota Tanimoto","doi":"10.1111/ggi.70828","DOIUrl":"10.1111/ggi.70828","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148864372","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":"Diagnostic Value of Gastrocnemius Shear Wave Elastography Combined With BMI in Different Stages of Sarcopenia in Elderly Patients With Type 2 Diabetes Mellitus and Sex Differences: A Cross-Sectional Study.","authors":"Yanli Chen, Qingrong Zeng, Qiwen Xia, Kaiquan Wang, Huan Mou, Rui Tang, Kui Ren, Jinhua Wang","doi":"10.1111/ggi.70829","DOIUrl":"10.1111/ggi.70829","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the diagnostic and differential value of gastrocnemius shear wave elastography (SWE) combined with body mass index (BMI) in different stages of Type 2 diabetes mellitus (T2DM) related sarcopenia in elderly patients and to analyze sex differences.</p><p><strong>Methods: </strong>A total of 269 participants were classified into four groups according to the AWGS 2019: healthy controls (n = 62), those with T2DM without sarcopenia (n = 68), those with T2DM with possible sarcopenia (n = 64), and those with T2DM with sarcopenia (n = 75). SWE was used to measure the elastic modulus of the dominant-side gastrocnemius under relaxed (E-rest) and contracted (E-cont) conditions. Logistic regression was used to construct prediction models for total and sex-stratified populations, which were evaluated in three scenarios: core diagnosis, early risk identification, and differential factor analysis.</p><p><strong>Results: </strong>The patients with T2DM in the sarcopenia group were the oldest, had the longest diabetes duration, and had the lowest BMI, ASMI, handgrip strength, and E-cont; conversely, E-rest did not show significant intergroup differences. Lower E-cont and lower BMI were independent risk factors. The combined model showed excellent performance in the core diagnosis scenario (AUC 0.988; sensitivity 92.0%; specificity 95.4%), and the sex-stratified models also demonstrated strong performance (AUC 0.984 for males and 0.991 for females). The protective effect of E-cont was stronger in females (OR 0.710) than in males (OR 0.806), whereas the protective effect of BMI was stronger in males (OR 0.358) than in females (OR 0.388). The AUCs were 0.954 for early risk identification and 0.966 for differential factor analysis. The T2DM with possible sarcopenia group exhibited a low E-cont/high BMI pattern, whereas the T2DM with sarcopenia group exhibited a low E-cont/low BMI pattern.</p><p><strong>Conclusion: </strong>E-cont is an early indicator of T2DM-related muscle decline. The combined model showed good diagnostic and differential performance across sarcopenia stages, with sex differences. The model serves as a noninvasive tool for risk stratification.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":"e70829"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148929759","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":"Family Resilience and Family Adaptation in Caregivers of Disabled Older Adults: A Latent Profile Analysis.","authors":"Li Chen, Liu Yang, Jialin Wang, Ying Huang, Jiling Ye","doi":"10.1111/ggi.70813","DOIUrl":"10.1111/ggi.70813","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to identify latent profiles of family resilience among primary family caregivers of disabled older adults, investigate factors associated with these profiles, and examine their cross-sectional associations with family adaptation.</p><p><strong>Design: </strong>A cross-sectional design with latent profile analysis.</p><p><strong>Methods: </strong>We recruited 328 pairs of disabled older adults and their primary family caregivers from communities in Chengdu between April and November 2025. Data were collected on demographic and clinical characteristics, social support, family resilience, family adaptation, and disability level. To identify distinct family resilience profiles, latent profile analysis was employed. Factors associated with profile membership were then examined using multinomial logistic regression, and differences in family adaptation across profiles were tested with the BCH method.</p><p><strong>Results: </strong>Three distinct family resilience profiles emerged: Stress-Dysfunctional (25.29%), Adaptive-Buffering (46.38%), and Integrative-Growth (28.34%). Profile membership was associated with urban residence, higher income, milder caregiving disability, and stronger social support. Furthermore, higher levels of family resilience were positively associated with better family adaptation.</p><p><strong>Conclusions: </strong>This study demonstrates that distinct family resilience profiles are significantly associated with family adaptation outcomes. Key factors such as urban residence, higher household income, caring for older adults with milder disability, and stronger social support play a crucial role in shaping these resilience profiles.</p><p><strong>Impact: </strong>These three resilience profiles may assist nurses in identifying families at varying risk levels and inform the development of tailored psychosocial interventions for families caring for disabled older adults, thereby improving family adaptation and reducing caregiver burden.</p><p><strong>Patient or public contribution: </strong>Disabled older adults and their primary family caregivers completed structured questionnaires as study subjects. They were not involved in study design, outcome measure selection, data analysis, or interpretation of findings.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":"e70813"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13561583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148929794","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}