Geriatrics最新文献

{"title":"Fibromyalgia and Risk of Alzheimer's DiseaseRelated Dementia: A Nationwide Bidirectional Case-Control Study.","authors":"Eli Magen, Israel Magen, Eugene Merzon, Ilan Green, Avivit Golan-Cohen, Shlomo Vinker, Ariel Israel","doi":"10.3390/geriatrics11030061","DOIUrl":"10.3390/geriatrics11030061","url":null,"abstract":"<p><p><b>Background/Objectives:</b> To evaluate the association between fibromyalgia and dementia, with emphasis on temporal directionality and Alzheimer's disease-related dementia. <b>Methods:</b> We conducted a nationwide, population-based matched case-control study including 9232 patients with fibromyalgia and 46,160 age- and sex-matched controls. Diagnoses in the Leumit Health Services database are recorded using a hybrid coding scheme that combines ICD-9-CM and WHO ICD-10 codes; the specific codes used to ascertain fibromyalgia and each dementia subtype are listed in the Methods. Outcomes were assessed within two predefined windows: up to 20 years before and up to 10 years after fibromyalgia diagnosis. Alzheimer disease-related dementia was defined as the primary outcome. Multivariable logistic regression was used to estimate odds ratios (ORs) with 95% confidence intervals (CIs). <b>Results:</b> During the 20 years preceding fibromyalgia diagnosis, no increased dementia prevalence was observed; Alzheimer disease-related dementia was less frequent among fibromyalgia patients (0.16% vs. 0.31%; absolute difference -0.15 percentage points; OR 0.52, 95% CI 0.31-0.89). In contrast, during the 10 years following diagnosis, fibromyalgia was associated with a higher prevalence of Alzheimer's disease-related dementia (1.43% vs. 0.99%; absolute difference +0.44 percentage points; OR 1.45, 95% CI 1.18-1.78). No consistent associations were found for other dementia subtypes, which should be interpreted as exploratory given low event counts. <b>Conclusions:</b> Fibromyalgia is associated with a higher prevalence of Alzheimer's disease-related dementia in the years following diagnosis, with no evidence of pre-diagnostic elevation. Although this temporal pattern argues against reverse causation, the prevalence-based design and residual confounding preclude causal inference. Fibromyalgia should be regarded as a potential risk marker for subsequent Alzheimer-related neurodegeneration rather than a demonstrated causal factor.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148029295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Personality Traits and Attention in Israeli Older Adults: An Exploratory Study.","authors":"Dubi Lufi, Iris Haimov","doi":"10.3390/geriatrics11030060","DOIUrl":"10.3390/geriatrics11030060","url":null,"abstract":"<p><p><b>Background/Objectives:</b> The purpose of the present study was to assess the relationships between attention level and personality traits among 44 older adults aged from 65 to 75 in the Israeli population. The participants were 19 females and 25 males, with a mean age of 68.13 years, and 12.32 years average of formal education, who provided clinical history for screening. <b>Methods:</b> The participants completed the 44-item Big Five Inventory, the d2 Test of Attention, and the Mathematics Continuous Performance Test (MATH-CPT), a computerized test that measures participants' attention levels by recording their responses to visual stimuli. <b>Results:</b> The results showed significant correlations between attention and the domains of Conscientiousness and Neuroticism. Linear regression analysis, with the MATH-CPT measures as the dependent variable and the Big Five personality factors as independent variables, revealed a significant model explaining 41.60% of the variance in MATH-CPT performance. Linear regression analysis of the measures of the d2 test of attention as dependent variables and the Big Five factors as independent variables showed a significant model that explained 47.70% of the variance. No association was found between age and the domains of the Big Five personality traits. <b>Conclusions:</b> This study discusses the implications of the significant correlations between personality domains and measures of attention in older adults. The findings suggest that individuals who are organized, task-oriented, goal-focused, responsible, imaginative, creative, and interested in educational experiences may be better able to perform attention-related tasks in older age.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148029219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound-Based Wearable for Older Chronic Back Pain Patients: A Requirement Analysis of a User Interface for Biofeedback.","authors":"Luis Perotti, Oskar Stamm, Susan Vorwerg-Gall, Lisa Mesletzky, Drin Ferizaj, Steffen Dißmann, Sandra Stube-Lahmann, Marc Fournelle, Nils Lahmann, Ursula Müller-Werdan","doi":"10.3390/geriatrics11030059","DOIUrl":"10.3390/geriatrics11030059","url":null,"abstract":"<p><strong>Purpose: </strong>This study explores how older adults with chronic back pain (CBP) evaluate different user interface (UI) designs and gamification elements for an ultrasound-based wearable providing real-time biofeedback during segmental stabilization exercises (SSE). The aim is to identify design preferences and motivational factors to enhance usability, engagement, and adherence in this specific population.</p><p><strong>Methods: </strong>We conducted a mixed-methods study with 15 older adults (aged ≥ 65) experiencing CBP. Participants interacted with three UI mockups (simple, anatomical, and playful) via a Wizard-of-Oz simulation and evaluated additional motivational elements (e.g., points, badges, progress charts). Semi-structured interviews and the Technology Usage Inventory (TUI) subscales were used to assess usability, acceptance, and intention to use.</p><p><strong>Results: </strong>Participants preferred the simple and anatomical UI designs, citing clarity, professionalism, and ease of interpretation. The playful design was viewed as less appropriate due to perceived infantilization. Game elements such as progress tracking, points, and levels were positively received, while competitive features like leaderboards were viewed critically. Most participants expressed interest in integrating pain education, favoring multimedia formats.</p><p><strong>Conclusions: </strong>Digital health tools for older adults must prioritize intuitive, medically reliable interfaces and allow personalization of motivational and educational components. The findings highlight the need for age-appropriate UI design and suggest that well-balanced gamification and educational features may enhance perceived acceptance and have the potential to support long-term use, which should be evaluated in longitudinal studies.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148029237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitudes, and Practices of Oral Care for Residential Older People Among Healthcare Providers in Macao.","authors":"Miffy M F Lam, Florence M F Wong","doi":"10.3390/geriatrics11030058","DOIUrl":"10.3390/geriatrics11030058","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Oral health is integral to the overall well-being and quality of life of older adults. For institutionalized older residents who depend on staff for daily care, the knowledge, attitudes, and practices (KAP) of healthcare providers directly influence oral health outcomes. This study aimed to assess oral care KAP among healthcare providers in Macao's residential care facilities and to examine the relationships between KAP and personal characteristics. <b>Methods</b>: A cross-sectional study was conducted from September to December 2023 using a structured KAP questionnaire. Data were collected from 225 healthcare providers across four nursing homes in Macao. <b>Results</b>: Significant positive correlations were found among KAP (Spearman's γ = 0.293-0.419; <i>p</i> < 0.001). Mean scores were 15.60 (SD = 2.27)/19 for knowledge, 52.13 (SD = 5.75)/65 for attitudes, and 45.87 (SD = 5.93)/55 for practices. Denture care was the major knowledge deficit. Knowledge was associated with age 18-20 (<i>p</i> = 0.002), age 31-40 (<i>p</i> = 0.015), and university education (<i>p</i> = 0.003). Attitudes were associated with age 18-20 (<i>p</i> = 0.002), female gender (<i>p</i> = 0.005), and primary education (<i>p</i> = 0.044). Practice was associated with training programme attendance (<i>p</i> = 0.006) and female gender (<i>p</i> = 0.016). All associations involving the age 18-20 subgroup (<i>n</i> = 3) and male gender (<i>n</i> = 16) should be interpreted with caution due to very small sample sizes. <b>Conclusions</b>: Oral care KAP among HAs and PCWs in Macao's residential care homes are positively but modestly correlated. Most providers acquired knowledge through induction training with verified competency outcomes and personal experience. These findings highlight the need for structured, repeatable training and suggest that Macao's data can contribute to international efforts to improve oral care in institutionalized aging populations. Future research should employ longitudinal or observational designs and include all elderly care facilities in Macao.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148029071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anodal Transcranial Direct Current Stimulation Enhances Short-Term Balance During Locomotive Training in Older Adults with Locomotive Syndrome: A Pilot Randomized Controlled Trial.","authors":"Hitoshi Shitara, Tsuyoshi Tajika, Eiji Takasawa, Hirotaka Chikuda","doi":"10.3390/geriatrics11030056","DOIUrl":"10.3390/geriatrics11030056","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Locomotive syndrome (LS) is associated with impaired balance and functional decline in older adults. Although locomotive training (LT) improves mobility, whether central neuromodulation enhances short-term balance adaptation remains unclear. This pilot randomized controlled trial examined the additive effect of anodal transcranial direct current stimulation (tDCS) with LT on balance. <b>Methods</b>: Sixteen community-dwelling adults aged ≥ 65 years with LS were randomized (1:1:1) to anodal tDCS + LT (<i>n</i> = 6), sham tDCS + LT (LT group, <i>n</i> = 6), or anodal tDCS alone (<i>n</i> = 4). Participants underwent five consecutive days of intervention. The primary outcome was eyes-open single-leg stance time, assessed before stimulation and at 10, 20, 50, and 80 min during and after stimulation on days 1-5. Group × time interactions were evaluated using linear mixed-effects models adjusted for baseline and age. Long-term outcomes were assessed on days 1, 5, and 12. <b>Results</b>: In the primary analysis, a significant group × time interaction for right-sided single-leg stance time was observed between the anodal tDCS + LT and the LT groups (F(1,58) = 6.08, <i>p</i> = 0.017; β = 0.966), indicating greater within-day improvement with combined therapy, but not in sensitivity analyses treating time as a categorical variable. No significant interactions were observed on the left side. Secondary outcomes showed time-dependent improvements without consistent group-specific effects or significant group × day interactions over the long term. No serious adverse events occurred. <b>Conclusions</b>: Anodal tDCS with LT improved short-term balance in the primary analysis; however, these effects were model-sensitive and not sustained over 12 days. These findings should be considered preliminary and hypothesis-generating. Larger trials are needed to determine optimal stimulation dosing and long-term efficacy.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148029288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metabolic Changes After the Implementation of a Recreational Physical Activity Program at Mexican Elderly Adults' Welfare Homes.","authors":"Moisés Martínez Briseño, Manuel Abraham Gómez-Martínez, Diana Rodríguez-Vera, Kenneth Rubio Carrasco, Raúl Lugo Villegas, María de Los Ángeles Frías Fernández, Marco A Loza-Mejía, José A Morales-González, Rodolfo Pinto-Almazán, Etzel Cruz Cruz, Arely Vergara-Castañeda","doi":"10.3390/geriatrics11030057","DOIUrl":"10.3390/geriatrics11030057","url":null,"abstract":"<p><p><b>Background/objective:</b> Hypertension and type 2 diabetes are major causes of morbidity in older adults. Although pharmacological treatments remain the cornerstone of management, structured physical activity has been shown to provide additional benefits, yet evidence from institutionalized populations in Latin America is limited. This study evaluated the impact of a 12-month supervised exercise program on blood pressure (BP), glycated hemoglobin (HbA1c), and body composition in elderly people attending welfare homes in Mexico. <b>Methods</b>: A community-based intervention trial was conducted (February 2018-January 2019) with 260 adults (aged > 60 years) with hypertension and/or diabetes. Participants were allocated based on shelter site to either a control group (n = 129; pharmacological treatment only) or an intervention group (n = 131; pharmacological treatment plus five one-hour supervised recreational physical activity sessions per week). Monthly anthropometric, clinical, and biochemical measurements were analyzed using parametric/non-parametric tests and estimation of effect size (Cohen's d). <b>Results</b>: Median age was 70 years (86% female). After 12 months, systolic BP decreased from 148.4 to 129.7 mmHg in the intervention group vs. 147.7 to 131.3 mmHg in controls. Diastolic BP showed greater reduction in the intervention group (-25%; 93.1 to 68.9 mmHg) than in controls (-13.5%; 88.1 to 76.2 mmHg). HbA1c reductions were also superior in the intervention group (-2.28% vs. -1.86%). Both groups lost fat mass, but lean mass preservation was limited. <b>Conclusions:</b> Structured community-based physical activity significantly improves BP, glycemic control, and body composition, supporting its integration into routine institutional care with limited resources.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148029017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Day Surgery in Older Adults: Safety, Effectiveness, and Best Practices for Patient Selection and Perioperative Care-A Narrative Review.","authors":"Judit Groman, Zsolt Viktor Göböl, Andrea Virág, Gyula Domján, Klara Gadó","doi":"10.3390/geriatrics11030054","DOIUrl":"10.3390/geriatrics11030054","url":null,"abstract":"<p><strong>Background: </strong>The growing number of older adults undergoing surgical procedures requires care models that minimise hospital exposure, optimise safety, and support rapid recovery. Day surgery has become an increasingly attractive option for selected older patients, provided their medical, functional and psychosocial needs are carefully assessed. Recent developments in prehabilitation, geriatric-focused perioperative pathways and enhanced post-discharge follow-up have further expanded its potential. This narrative review aims not only to synthesise current evidence, but also to provide a clinically oriented framework for patient selection, perioperative optimisation, and safe implementation of day surgery pathways in older adults.</p><p><strong>Main findings: </strong>Evidence from the past decade indicates that day surgery can be safe and effective for adults aged ≥65 when supported by structured preoperative assessment, targeted optimisation, and clear discharge criteria. Older patients benefit particularly from reduced risks of hospital-acquired complications, including infection, delirium, immobility and functional decline. Prehabilitation programmes focusing on nutrition, strength, balance and medication review are associated with improved postoperative stability and faster return to baseline function. Multidisciplinary teamwork, integrating surgeons, anaesthetists, geriatricians, nurses, physiotherapists, dietitians and caregivers, play a key role in identifying modifiable risks and ensuring continuity of care. Studies also highlight the value of post-discharge telephone follow-up, caregiver engagement and close collaboration with primary care in preventing readmissions.</p><p><strong>Conclusions: </strong>Day surgery is a viable and patient-centred option for many older adults when careful selection and preparation are combined with age-sensitive perioperative care. Most adverse outcomes can be mitigated through systematic prehabilitation, thoughtful anaesthetic planning, early mobilisation and structured follow-up. The evidence suggests that older patients may benefit from reduced hospital stay, less exposure to harm, and faster functional recovery.</p><p><strong>Implications for practice: </strong>The findings support broader integration of geriatric day surgery into routine care pathways, especially within health systems facing capacity constraints. Clinicians should consider implementing standardised geriatric assessment, multidisciplinary optimisation strategies, and robust discharge and follow-up protocols to enhance safety and effectiveness. With appropriate preparation and coordinated teamwork, day surgery can contribute meaningfully to safer, more efficient and more patient-centred surgical care for older adults.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13293459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148029353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Dual Tasking on Intersegmental Coordination During Walking in People with Parkinson's Disease: A Cross-Sectional Case-Control Study.","authors":"Valéria Feijó Martins, Edilson Fernando de Borba, Lucas de Liz Alves, Leonardo A Peyré-Tartaruga, Flávia Gomes Martinez","doi":"10.3390/geriatrics11030053","DOIUrl":"10.3390/geriatrics11030053","url":null,"abstract":"<p><p><b>Background:</b> In dual-task (DT) conditions, individuals must walk while simultaneously engaging in cognitive or motor tasks, which impacts gait performance, especially in older adults and individuals with Parkinson's disease (PD). Gait impairments in PD under DT conditions have implications for intersegmental coordination. <b>Research question:</b> Intersegmental coordination and gait biomechanics during the DTs were compared between people with PD and older adults. <b>Methods:</b> Thirty-two individuals (16 PD, H&Y 1-3; and 16 older adults) participated in this study and were asked to walk under the following self-selected conditions: single task, DT with a math component, and texting on a cell phone. Spatiotemporal, angular, and intersegmental coordination data were collected using a markerless motion analysis system (OpenCap). <b>Results:</b> Dual-task conditions significantly affected spatiotemporal and kinematic variables, as well as intersegmental coordination. A significant task effect was observed for thigh-shank coordination, whereas no significant group effect was found for the main coordination outcomes. <b>Significance:</b> Significant task effects were observed for intersegmental coordination (thigh-shank CRP), with no significant group differences. The concurrent demands of processing visual and motor information for texting and walking lead to significant reductions in gait speed and lower limb movement, as well as altered intersegmental coordination, with task demands rather than disease status being the primary driver of coordination changes.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148029293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-Centred Care for Older Patients Considering Surgery: An Evaluation of the Perioperative Care of Older Patients Service at an Australian Tertiary Hospital.","authors":"Rachel Aitken, Katherine Gregorevic, Michelle Preeo, Ross Bicknell, Alyssa Griffiths, Jared Tower, Ned Douglas, Chuan-Whei Lee, Janette Wright, Jai Darvall, Wen Kwang Lim","doi":"10.3390/geriatrics11030055","DOIUrl":"10.3390/geriatrics11030055","url":null,"abstract":"<p><p><b>Background/Objectives</b>: As mounting numbers of older people consider surgery, the importance of aligning treatments with patient values and goals is paramount. This has led to the growth of POPS (Perioperative care of Older Patients) services internationally and across Australia. An observational pilot evaluation of the Melbourne Health POPS service was conducted throughout 2022, with the aims of describing the population, measuring patient-reported outcomes and comparing postoperative outcomes to a matched historical cohort. <b>Methods</b>: Data were sourced from clinical review, electronic medical records and health intelligence. Patients who pursued surgery were matched 2:1 with a 2020 control cohort on up to 10 characteristics ranked on clinical judgement. Patient-reported outcomes were collected at 3 months post-surgery or at the clinic in consenting participants. <b>Results</b>: There were 128 participants, of whom 64 (50%) pursued non-surgical management. Participants were older (median 79 [13] years), frail (median CFS 5 [2]), and multimorbid (median CCI 5 [2.25]). Despite increased perioperative risk amongst the POPS surgical group (ASA-4 23.4% vs. 5.5%, <i>p</i> < 0.001), increased incidence of postoperative delirium (15% vs. 5.8%, <i>p</i> = 0.042) and ICU admission (21.7% vs. 7.5%, <i>p</i> = 0.006) compared to the control group, median length of stay was similar (4.3 [6.7] vs. 4.3 [5.1] days, <i>p</i> = 0.537). Patient-reported outcomes were similar between surgical and non-surgical POPS groups (90.7% vs. 88.1% would make the same surgical decision, <i>p</i> = 0.697). <b>Conclusions</b>: Patients attending POPS were multimorbid with geriatric syndromes and elevated perioperative risk. A high proportion pursued non-operative care. Patient-reported feedback was high with low decisional regret.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148029006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two Months of Active Video Game Training Improves Selected Lipid Profile Markers in Older Adults: A Preliminary Study.","authors":"Agali Y López-Miguel, Ángel E Brizuela-Araujo, Omar A López-López, Juan J Calleja-Núñez, Roberto Espinoza-Gutiérrez, Elena C Guzmán-Gutiérrez, Aracely Serrano-Medina, José Moncada-Jiménez, Jorge A Aburto-Corona","doi":"10.3390/geriatrics11030052","DOIUrl":"10.3390/geriatrics11030052","url":null,"abstract":"<p><p><b>Background</b>: The purpose of this study was to compare the effects of two months of exergaming, conventional resistance exercise training, and no exercise on body composition and cardiometabolic risk factors in physically inactive older adults. <b>Methods</b>: For the preliminary study, twenty-four physically inactive adults aged 60-74 yrs. were allocated to an active video game training group (AVG n = 8), a conventional exercise group (CEG n = 7), or a non-exercising control group (CON n = 9). The AVG and CEG completed 24 supervised exercise training sessions over two months (three sessions per week) at self-selected, predominantly moderate-to-vigorous intensity, while the CON maintained usual daily activities. Body weight, skeletal muscle mass, body fat percentage, phase angle, and fasting blood biomarkers (glucose, total cholesterol, LDL, HDL, VLDL, and triglycerides) were assessed before and after the intervention. <b>Results</b>: No significant interactions were observed for body composition variables. Body weight decreased significantly following exercise training in both the AVG and CEG (<i>p</i> < 0.05). Significant interactions were found for total cholesterol (<i>p</i> = 0.001) and LDL cholesterol (<i>p</i> = 0.009). The AVG demonstrated significant reductions in fasting glucose, total cholesterol, and LDL cholesterol (<i>p</i> < 0.05), whereas the CEG showed a significant reduction only in total cholesterol. In contrast, the CON exhibited a significant increase in total cholesterol over the same period (<i>p</i> < 0.05). <b>Conclusions</b>: Two months of exergaming-based exercise training may lead to greater improvements in lipid-related cardiometabolic risk factors compared with conventional resistance exercise training in physically inactive older adults. These findings suggest that exergaming could be a promising exercise modality for supporting cardiometabolic health in aging populations.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148029198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}