Geriatrics & Gerontology International最新文献

{"title":"Joint Effect of Subjective Memory Impairment and Physical Inactivity on Cognitive Impairment: A 2-Year Follow-Up Study Among the Elderly in a Korean Population-Based Cohort Study.","authors":"Woolim Ko, Hyunsuk Jeong, Hyeon Woo Yim, Sanghyuk Bae","doi":"10.1111/ggi.70844","DOIUrl":"10.1111/ggi.70844","url":null,"abstract":"<p><strong>Aim: </strong>Subjective memory impairment and insufficient physical activity (IPA) are individual risk factors for dementia. This study investigated the interactive effects of severe subjective memory impairment (SSMI) and IPA on cognitive impairment in older adults in a Korean population-based cohort.</p><p><strong>Methods: </strong>This prospective cohort study included 703 community-dwelling adults aged ≥ 60 years. Cognitive impairment was assessed using the Mini Mental Status Examination for Dementia Screening. The SSMI was assessed using the Subjective Memory Complaints Questionnaire-Global and IPA was examined using the Swedish Mammography Cohort Physical Activity Questionnaire. We calculated the Relative Excess Risk due to Interaction (RERI) to estimate the magnitude of the additive interaction. We also estimated the attributable proportion (AP), which estimates the amount of overall risk that can be explained by the variable.</p><p><strong>Results: </strong>We categorized into four groups based on the presence or absence of SSMI and IPA: S-I- (no SSMI, no IPA), S-I+ (no SSMI, with IPA), S+I- (with SSMI, no IPA), and S+I+ (with SSMI, with IPA). At the 2-year follow-up, the excess risk of cognitive impairment due to the interaction between SSMI and IPA was 123% (RERI), representing 38% (AP) of the total risk (RERI = 1.23, 95% CI: 0.07-4.72; AP = 0.38, 95% CI: 0.07-0.69).</p><p><strong>Conclusion: </strong>The interaction effect of SSMI and IPA was greater than the individual effects of each factor in cognitive impairment. These findings suggest the importance of targeting older adults with both SSMI and IPA for effective dementia prevention strategies.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":"e70844"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148989193","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":"Possible Sarcopenia and Subsequent Cognitive Function in Older Chinese Adults: Limited Evidence for Mediation by Frailty","authors":"Daming Qiu,&nbsp;Dongyun Cao,&nbsp;Yihuan Liu","doi":"10.1111/ggi.70823","DOIUrl":"10.1111/ggi.70823","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine the longitudinal association between possible sarcopenia and subsequent cognitive function in older Chinese adults and whether a 27-item frailty index accounted for this association.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analyzed China Health and Retirement Longitudinal Study data using a primary three-stage sequence: possible sarcopenia, physical activity and covariates in 2011; frailty in 2013; and cognition in 2015. Multiple imputation (<i>m</i> = 20), bootstrap estimation with Rubin pooling and independent R 4.5.0 replication were used. Sensitivity analyses included a 16-item non-disability score, exploratory physical activity effect modification, inverse probability of censoring weighting, five additional temporal sequences and reverse-path models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The primary sequence included 2036 participants. Possible sarcopenia had a negative but imprecise adjusted total association with later cognition (TE = −0.112, 95% CI −0.242 to 0.019; <i>p</i> = 0.094). The direct association was similar (NDE = −0.107, 95% CI −0.238 to 0.024), while the indirect association through frailty was small and included zero (NIE = −0.0047, 95% CI −0.0141 to 0.0046). The non-disability score and all additional sequences showed no precise indirect association. The physical-activity interaction was unsupported (<i>p</i> = 0.192). IPCW strengthened the total, but not the indirect, association.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The primary sequence did not provide precise evidence of an association between possible sarcopenia and later cognition, and the analysis did not provide statistically precise evidence that frailty mediated the association. Findings were time-window-dependent and compatible with bidirectional or shared aging processes rather than a validated early marker or a single frailty-mediated pathway.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148864305","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":"Interest in and Feasibility of a Dementia Prevention Program Among Community-Dwelling Older Adults: A Questionnaire Survey","authors":"Minoru Kouzuki,&nbsp;Hideyuki Tazumi,&nbsp;Nao Nakada","doi":"10.1111/ggi.70820","DOIUrl":"10.1111/ggi.70820","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Despite accumulating evidence regarding dementia prevention strategies, disseminating research findings to the public is often challenging. Therefore, this study examined potential strategies to support sustained engagement in dementia prevention activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The participants were members of senior citizens' clubs in Tottori Prefecture, Japan. We used a questionnaire survey to collect data on basic demographics, frailty, and subjective cognitive decline (SCD), which also included questions on awareness of the Tottori Method Dementia Prevention Program, interest in experiencing the program if an instructor was dispatched, and the feasibility of engaging in the program through internet-based delivery or printed materials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 9506 respondents were included in the analysis. Awareness of the dementia prevention program was 11.9%. Overall, 50.4% of the respondents registered a desire to try the program if an instructor was dispatched. The highest proportion of respondents (50.5%) reported willingness to engage in the program if materials summarizing activities that could be completed in approximately 10 min were provided. However, frailty and SCD were associated with lower interest in these dementia prevention activities (adjusted odds ratios [95% confidence interval] = 0.77 [0.67–0.89] and 0.86 [0.79–0.95], respectively).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Opportunities to experience the program and activities that can be completed in a short time should be availed to promote sustained engagement in dementia prevention activities. Additionally, proactive outreach strategies targeting individuals at a higher risk of health problems may be necessary to effectively disseminate the information as they may be less interested in dementia prevention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148864238","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":"Repeated Gastrointestinal Disease Reporting and Subsequent Multidomain Health Deterioration: Longitudinal Analyses in CHARLS and ELSA","authors":"Ding Peng,&nbsp;Huihong Zhai","doi":"10.1111/ggi.70827","DOIUrl":"https://doi.org/10.1111/ggi.70827","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine whether repeated gastrointestinal disease reporting was associated with subsequent multidomain health deterioration and whether the direction of association was consistent across two national aging cohorts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>CHARLS was the primary longitudinal cohort. Participants with at least two gastrointestinal exposure assessments across waves 1–3 were classified as never, intermittent/low, or persistent/high reporting. The primary composite comprised cognitive, ADL, IADL, or depressive-symptom deterioration. Logistic and robust Poisson models were fitted. ELSA provided a cross-cohort consistency analysis using a pre-Wave-1 gastrointestinal disease/medication proxy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>CHARLS included 12 144 participants/5607 events; fully adjusted models included 9555/4523. Adjusted relative risks were 1.10 (95% CI 1.03–1.18) for intermittent/low and 1.06 (1.01–1.11) for persistent/high reporting. In ELSA, the fully adjusted three-level education model included 3286/1752 and yielded an odds ratio of 1.24 (0.97–1.59); the longitudinal-weighted estimate was 1.21 (0.90–1.63). Gastrointestinal exposure produced negligible incremental discrimination in either cohort.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Repeated gastrointestinal reporting was associated with a small increase in subsequent deterioration in CHARLS, while ELSA estimates were directionally similar but less precise. Gastrointestinal history may prompt broader geriatric assessment but is not a stand-alone predictor or evidence of causality.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148848972","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 “Sample Representativeness and Test–Retest Reliability in the Japanese Everyday Ageism Scale: A Methodological Reconsideration”","authors":"Kenjiro Kawaguchi,&nbsp;Chie Koga,&nbsp;Isaku Kurotori,&nbsp;Hiroki Takeuchi,&nbsp;Atsushi Nakagomi","doi":"10.1111/ggi.70825","DOIUrl":"10.1111/ggi.70825","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839091","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":"Withholding Oral Anticoagulation at Discharge and Post-Discharge Stroke and Bleeding Vulnerability in a Predominantly Older Cohort Hospitalized With Acute Heart Failure and Atrial Fibrillation","authors":"Jumpei Yamamoto,&nbsp;Keijiro Nakamura,&nbsp;Hiromasa Hayama,&nbsp;Yoshinari Enomoto,&nbsp;Masaya Yamamoto,&nbsp;Hidehiko Hara,&nbsp;Hisao Hara,&nbsp;Yukio Hiroi","doi":"10.1111/ggi.70817","DOIUrl":"https://doi.org/10.1111/ggi.70817","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>In older adults hospitalized with acute heart failure and atrial fibrillation, bleeding concern often drives withholding of oral anticoagulation at discharge. Whether withholding marks a genuinely lower bleeding-risk phenotype or residual clinical vulnerability is uncertain. We examined its association with post-discharge ischemic stroke, major bleeding, and death in a predominantly older cohort.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analyzed a registry of patients hospitalized with acute heart failure and atrial fibrillation. In a discharge-based analysis of patients discharged alive and free of stroke or major bleeding at discharge, we used stabilized inverse-probability-of-treatment weighting for discharge anticoagulation. Ischemic stroke and major bleeding were modeled with weighted Fine–Gray competing-risk regression (death as competing event) and death with weighted Cox regression, contrasting no anticoagulant versus anticoagulant. Age-restricted analyses (≥ 75, ≥ 80 years) and absolute risks were prespecified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 560 patients (no anticoagulant 72, anticoagulant 488; mean age 78 years), withholding was associated with higher ischemic stroke (subdistribution hazard ratio 3.14, 95% confidence interval [CI] 1.26–7.81) and did not identify a lower bleeding-risk phenotype, with numerically higher major bleeding overall (1.98, 0.95–4.14) that reached significance among patients aged ≥ 80 years (2.41, 1.05–5.54). No significant association with death was observed (hazard ratio 1.34, 0.70–2.55). Three-year cumulative incidences of bleeding were 25.6% (no anticoagulant) versus 13.4% (anticoagulant).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Discharge anticoagulation withholding did not identify a lower post-discharge bleeding-risk phenotype but marked residual thromboembolic vulnerability, with a higher bleeding-risk trajectory, particularly among patients aged ≥ 80 years, supporting structured post-discharge anticoagulation reassessment in older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811179","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":"Multifaceted Associations of Oral Frailty and Meal Positioning With Aspiration Pneumonia","authors":"Xinze Wu,&nbsp;Tatsuma Okazaki,&nbsp;Jiro Okochi,&nbsp;Satoru Ebihara","doi":"10.1111/ggi.70819","DOIUrl":"https://doi.org/10.1111/ggi.70819","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811297","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":"Weekend Warrior Physical Activity, Sedentary Behavior, and Incident Disability in Middle-Aged and Older Adults: A UK Biobank Accelerometer Study","authors":"Xuan Zhu,&nbsp;Heyan Xia,&nbsp;Tao Sun,&nbsp;Xiaojun Wang","doi":"10.1111/ggi.70818","DOIUrl":"https://doi.org/10.1111/ggi.70818","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Regular moderate-to-vigorous physical activity (MVPA) is associated with lower risks of functional decline and disability. Whether concentrating MVPA into 1 or 2 days per week—the “weekend warrior” pattern—is associated with disability risk similarly to regularly distributed activity remains unclear, particularly among individuals with high sedentary behavior.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analyzed wrist-worn accelerometer data from 41 225 UK Biobank participants without identifiable baseline disability based on available indicators (mean age 61.6 years; 60.3% women). Participants were classified as inactive (&lt; 150 min/week), weekend warriors (≥ 150 min/week with ≥ 50% accumulated in 1–2 days), or regularly active (≥ 150 min/week but not weekend warriors). Disability was assessed once during follow-up and defined as a self-reported need for assistance with at least one of six activities of daily living because of a health condition. Associations with incident disability were estimated using Cox proportional hazards models for interval-censored outcomes, adjusting for sociodemographic characteristics, lifestyle factors, and baseline health status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>During a median follow-up of 7.7 years, 2589 participants were classified as having disability at follow-up. Compared with inactive individuals, weekend warrior and regularly active patterns were associated with similarly lower disability risk (weekend warrior: HR 0.68, 95% CI 0.61–0.75; regularly active: HR 0.66, 95% CI 0.60–0.73). These associations were observed across sedentary behavior levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Accumulating recommended MVPA within 1 or 2 days per week was associated with disability risk reductions comparable to regularly distributed activity. Flexible activity patterns may help support functional independence and healthy aging.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811296","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":"Impact of Frailty on Activities of Daily Living in Hospitalized Older Adults: A Systematic Review and Meta-Analysis","authors":"Tomohiko Kamo,&nbsp;Ryoma Asahi,&nbsp;Yasuko Inaba,&nbsp;Isao Uno,&nbsp;Naoto Kamide,&nbsp;Masato Azami,&nbsp;Hirofumi Ogihara,&nbsp;Shota Hayashi,&nbsp;Takeshi Kera","doi":"10.1111/ggi.70811","DOIUrl":"https://doi.org/10.1111/ggi.70811","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To determine whether frailty is associated with activities of daily living (ADL) and other clinical outcomes in hospitalized older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>MEDLINE, Embase and CENTRAL were searched for English-language cohort studies published from 1 January 2001 to 23 October 2025. Eligible studies included hospitalized adults aged ≥ 65 years (or samples with ≥ 80% aged ≥ 65 years), used a defined frailty measure and compared frail with non-frail participants. Two reviewers independently selected studies, extracted data and assessed risk of bias using the Quality In Prognosis Studies tool. Random-effects meta-analyses generated standardized mean differences (SMDs) or risk ratios (RRs) with 95% confidence intervals (CIs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifty-seven cohort studies were included. Frailty was associated with worse ADL status (SMD −1.04, 95% CI −1.89 to −0.20), higher mortality (RR 2.26, 95% CI 1.86–2.76), lower likelihood of discharge home (RR 0.79, 95% CI 0.73–0.86), and higher 30-day (RR 1.47, 95% CI 1.13–1.90) and 90-day readmission risks (RR 1.75, 95% CI 1.07–2.86). Pneumonia risk was not statistically significant. Heterogeneity was substantial to considerable for all pooled outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Frailty identifies hospitalized older adults at increased risk of functional dependence, mortality, non-home discharge, and readmission. Substantial heterogeneity and residual confounding warrant cautious interpretation and support standardized frailty and functional-outcome assessment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 9","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811299","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":"Effect of Sleep Report Feedback With Health Guidance Using a Sleep Monitoring Device for Improving Sleep in Community-Dwelling Older People: A Three-Arm Randomized Controlled Trial","authors":"Hitomi Chikama,&nbsp;Miyae Yamakawa,&nbsp;Kazue Shigenobu,&nbsp;Hiroyuki Kurakami,&nbsp;Kodai Nobuhara,&nbsp;Kazuhiro Umemura,&nbsp;Wataru Mizukami,&nbsp;Yasushi Takeya,&nbsp;Eriko Koujiya,&nbsp;Hiroyoshi Adachi,&nbsp;Manabu Ikeda","doi":"10.1111/ggi.70756","DOIUrl":"10.1111/ggi.70756","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate the effectiveness of sleep monitoring, report feedback, and telephone-based guidance regarding sleep hygiene and daytime activity for community-dwelling older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a three-arm randomized controlled trial among community-dwelling adults in Japan. Participants were divided into three groups: (A) sleep report feedback and telephone-based health guidance for 6 months; (B) sleep report feedback and telephone-based health guidance for the first 3 months followed by sleep report feedback alone for the subsequent 3 months; and (C) sleep report feedback alone for 6 months. All groups used a sleep monitoring device. The Athens Insomnia Scale (AIS) score was the primary outcome. We analyzed time-series data by comparing different groups before and after the intervention to determine factors influencing the AIS score. All significance levels were set at <i>p</i> &lt; 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 229 participants (80, 74, and 75 participants in groups A, B, and C, respectively) were randomized (men: 37.1%; mean age: 78.5 years; average AIS score: 6.5). Linear mixed model analysis revealed a significant group-by-time interaction for AIS scores (<i>p</i> = 0.002). Both intervention groups showed significant within-group improvements in AIS scores at 3 months compared with baseline, whereas the control group showed no significant change over time. In between-group comparisons, Group B showed significantly lower AIS scores than the control group at 3 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Combining sleep report feedback with telephone-based health guidance may support improvement in subjective sleep status among community-dwelling older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>Committee and registered in the UMIN Clinical Trials Registry (study number: 21249; date of first registration: December 15, 2021; receipt number: R000052743; https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052743)</p>\u0000 </section>\u0000 </div>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13448883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684082","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}