Gerontology最新文献

{"title":"Awareness of Age-Related Gains and Losses and Their Associations with Hearing-Related Health Behaviors in Midlife and Older Adulthood.","authors":"Jana Koch, Brooke Brady, Lidan Zheng, Markus Wettstein, Kaarin J Anstey","doi":"10.1159/000552795","DOIUrl":"10.1159/000552795","url":null,"abstract":"<p><strong>Introduction: </strong>How people perceive their own aging may delay (or motivate) engagement in health behaviors in response to age-related decline. Hearing loss is a common, age-related condition but many adults delay help-seeking and underutilize hearing aids. We examined whether gain- and loss-focused awareness of age-related change (AARC) predict interindividual differences in hearing-related health behaviors.</p><p><strong>Methods: </strong>Data were drawn from 503 adults (mean age = 64.06 years, 69.4% female) from Resilient Minds, an app-based research study. All participants reported at least some hearing difficulties (80.5% mild, 13.5% moderate, 6% severe). AARC gains and AARC losses were assessed using the 10-item Awareness of Age-Related Change questionnaire. Informal help-seeking, formal help-seeking, and hearing aid use were assessed using dichotomous items (yes/no). We conducted logistic regressions, adjusting for objective hearing (pure tone average), age, sex, socioeconomic status, social engagement, and comorbidities. Interaction terms assessed whether age moderated these associations.</p><p><strong>Results: </strong>Higher AARC losses were associated with greater likelihood of formal help-seeking (odds ratio [OR] = 1.06, p = 0.04) and using hearing aids (OR = 1.13, p = 0.01). While AARC gains did not directly predict these behaviors, an age interaction showed that higher AARC gains were linked to informal help-seeking only among older adults.</p><p><strong>Conclusion: </strong>Awareness of age-related losses may be adaptive when it reflects realistic recognition of age-related challenges, like hearing difficulties. Promoting positive, gain-focused views of aging could support earlier informal help-seeking among older adults by encouraging open conversations about hearing concerns within their close social networks.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"691-703"},"PeriodicalIF":3.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148224537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stressful Life Event Exposure Is Associated with Combined Physical and Cognitive Decline in Older Adults.","authors":"Jasper Holleman, Ingemar Kåreholt, Miia Kivipelto, Shireen Sindi","doi":"10.1159/000553040","DOIUrl":"10.1159/000553040","url":null,"abstract":"<p><p><p>Introduction: Physical and cognitive impairment constitute significant threats to healthy aging and the maintenance of independence but may be preventable through reduction of modifiable risk factors. While chronic stress has been linked to cognitive and physical function separately, few studies have accounted for combined decline. This study assessed associations between exposure to stressful life events (SLEs) and cognitive decline, physical decline, and combined physical and cognitive decline.</p><p><strong>Methods: </strong>Data were taken from the Cardiovascular Risk Factors, Aging and Dementia (CAIDE) cohort study of community-dwelling older adults in Finland (n = 701). SLE exposure was assessed retrospectively at baseline using a 32-item questionnaire. Cognitive function (mean z score) was based on 5 cognitive tests, while physical function was based on self-reported mobility and ability to perform activities of daily living. Both were assessed at baseline and follow-up (mean 8.3 years). A combined physical-cognitive function score was created by multiplying the cognitive and physical function scores. Multivariate multiple linear regression was conducted to assess associations between SLE exposure and decline in physical/cognitive function over time.</p><p><strong>Results: </strong>Greater lifetime SLE exposure was associated with cognitive decline only in the presence of simultaneous physical decline. Recent SLEs were associated with cognitive decline alone, while non-recent SLEs were associated with physical decline. Acute SLEs (sudden onset, short duration), especially those related to bereavement, were associated with cognitive and physical decline individually and combined, while chronic SLEs (extended duration) were not.</p><p><strong>Conclusion: </strong>Both physical and cognitive function should be accounted for to understand the role of chronic stress in aging. Associations appear to depend on stress type and timing, providing insight into the temporal dynamics linking stressor exposure, cognitive decline, and physical decline. </p>.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"639-651"},"PeriodicalIF":3.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148251286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation Analysis of Hand Flexibility and Balance Function in Patients with Parkinson's Disease.","authors":"Weining Wang, Ce Li, Baoyao Zeng, Chen Wang, Yimin Sun, Jian Wang, Yulian Zhu","doi":"10.1159/000549664","DOIUrl":"10.1159/000549664","url":null,"abstract":"<p><strong>Introduction: </strong>Parkinson's disease (PD) is a progressive neurological disorder caused by a reduction in dopamine in the substantia nigra and striatum of the basal ganglia. Patients with mild to moderate PD have poor hand dexterity, reduced grip strength, and lower self-perceived hand function ability. The aim of the study was to explore the correlation between hand function and balance function in patients with PD.</p><p><strong>Methods: </strong>Overall, 196 patients with PD who visited the Department of Rehabilitation Medicine and the Department of Neurology of Huashan Hospital affiliated to Fudan University from June 2022 to December 2024 were selected, with Hohn-Yahr stages II-III. The hand function and balance function of the patients were evaluated. The correlation between the hand function and balance function of the patients was observed through the Simple Test for Evaluating Hand Function (STEF), Berg Balance Scale (BBS), and Timed Up and Go Test (TUGT).</p><p><strong>Results: </strong>The hand function of the patients was positively correlated with the balance function. The right hand STEF test was negatively correlated with the total Berg score at the opening period (r = -0.563, p < 0.01) and was positively correlated with the duration of TUGT (r = 0.527, p < 0.01). The results obtained with the left hand were similar to those of the right hand.</p><p><strong>Conclusion: </strong>Improved hand function correlates with better balance and shorter completion times on the Timed Up and Go Test (TUGT). Hand function assessments may therefore predict balance performance in patients. Future research should determine whether these functions are interdependent or operate independently.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"85-94"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145573426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and Safety of Hospital-at-Home versus Traditional Hospital Care in Older Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Hongyao He, Yajie Li, Yaqin Li, Xiaomin Xu, Qiuyan Fu, Xuemei Peng, Gang Yuan, Wen He, Ling Zhang, Zhexin Lin, Miaohong Chen","doi":"10.1159/000551394","DOIUrl":"10.1159/000551394","url":null,"abstract":"<p><p><p>Introduction: This systematic review and meta-analysis aimed to evaluate the effectiveness and safety of the Hospital-at-Home (HaH) model compared to traditional hospital care for older patients.</p><p><strong>Methods: </strong>We comprehensively searched PubMed, Embase, Medline, Cochrane Library, SinoMed, Scopus, and <ext-link ext-link-type=\"uri\" xlink:href=\"http://ClinicalTrials.gov\" xmlns:xlink=\"http://www.w3.org/1999/xlink\">ClinicalTrials.gov</ext-link> for randomized controlled trials (RCTs) published up to April 15, 2024. The primary outcomes were length of stay (LOS) and readmission rates. Secondary outcomes included total cost, mortality, adverse events, and instrumental activities of daily living (IADL).</p><p><strong>Results: </strong>Eleven RCTs involving 3,301 patients were included. The HaH group demonstrated a significantly shorter LOS (SMD = -0.45; 95% CI: -0.62 to -0.28; p < 0.01) and lower total healthcare costs (SMD = -0.40; 95% CI: -0.52 to -0.28; p < 0.0001) than the traditional care group. HaH was also associated with a reduced risk of readmission, with subgroup analyses showing consistent benefits at 1, 3, and 9 months. Additionally, patients receiving HaH showed modest but significant improvements in IADL scores (SMD = -0.15; 95% CI: -0.26 to -0.04; p < 0.0001). However, no significant differences were found between the two groups in terms of mortality (RR = 1.03; 95% CI: 0.49-2.18; p = 0.93) or adverse event rates (RR = 1.01; 95% CI: 0.43-2.36; p = 0.084).</p><p><strong>Conclusion: </strong>For a selected group of older patients, HaH appears to be a viable alternative to traditional hospitalization, offering advantages in reducing LOS, healthcare costs, and readmission rates, while potentially improving functional recovery without increasing risks to patient safety. Further research is warranted to confirm these findings and refine implementation strategies. </p>.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"384-396"},"PeriodicalIF":3.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13160507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geriatrics Comanagement of the Vulnerable Older Surgical Patients.","authors":"Richard Besdine, Lynn McNicoll","doi":"10.1159/000551397","DOIUrl":"10.1159/000551397","url":null,"abstract":"","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"557-558"},"PeriodicalIF":3.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148338423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Motoric Cognitive Risk Syndrome among Community-Dwelling Older Adults in China: Prevalence, Associated Factors, and Adverse Outcomes.","authors":"Hongtao Cheng, Hexiao Ding, Shuangni Huang, Jingyang Zhang, Tianxu Miao, Siyu Zhang, June Zhang","doi":"10.1159/000551825","DOIUrl":"10.1159/000551825","url":null,"abstract":"<p><strong>Introduction: </strong>Motoric cognitive risk syndrome (MCR) is a screening syndrome that has been associated with increased dementia risk in prior studies. This study aimed to investigate the prevalence, associated factors, and adverse outcomes of MCR among community-dwelling older adults in China.</p><p><strong>Methods: </strong>A cross-sectional analysis was conducted among 5,242 China Health and Retirement Longitudinal Study (CHARLS) participants aged ≥60 years to examine factors associated with prevalent MCR, and prospective outcomes were evaluated over a 3-year follow-up. The Boruta algorithm was used for feature selection. Multivariate logistic regression analysis was employed to assess associations, while XGBoost was applied as a complementary baseline classification approach to rank feature importance for distinguishing prevalent MCR.</p><p><strong>Results: </strong>The prevalence of MCR was 12.9% among the study population, with higher rates in unmarried, illiterate, and older participants. Physical performance measures emerged as the strongest associated factors, with five-time sit-to-stand test (odds ratio [OR] = 1.05, 95% confidence interval [95% CI]: 1.03-1.07), handgrip strength (OR = 0.98, 95% CI: 0.97-0.99), and mobility score (OR = 1.12, 95% CI: 1.04-1.19) showing significant associations. Higher education level (OR = 0.67, 95% CI: 0.51-0.89) and social activity participation (OR = 0.69, 95% CI: 0.58-0.82) were inversely associated with prevalent MCR, while stroke (OR = 2.18, 95% CI: 1.43-3.24), visual impairment (OR = 1.40, 95% CI: 1.08-1.84), and poor self-reported health status (OR = 1.50, 95% CI: 1.13-2.00) were associated with higher odds of prevalent MCR. MCR was prospectively associated with activities of daily living disability (adjusted OR = 1.40, 95% CI: 1.12-1.73) but not hospitalization (adjusted OR = 1.08, 95% CI: 0.87-1.34).</p><p><strong>Conclusion: </strong>These findings underscore the importance of incorporating physical performance measures and social factors in MCR screening protocols and may inform screening and risk stratification in aging populations.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"517-527"},"PeriodicalIF":3.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emotional Reactivity to Daily Physical Symptoms in Adulthood and Old Age: The Role of Different Facets of Social Support.","authors":"Angelica V Hosea, Johanna Drewelies, Emma K Bridger, Sophie Potter","doi":"10.1159/000553171","DOIUrl":"10.1159/000553171","url":null,"abstract":"<p><p><p>Introduction: Routine physical symptoms can impact our everyday emotional experiences in adulthood and old age, with evidence of elevated emotional reactivity on days with more symptoms. Social support is known to profoundly influence emotional regulation in the face of challenge. Although different types and sources of support are known to differ in how helpful they are, this has not been tested for emotional reactivity to routine physical symptoms. We therefore examined (1) emotional support received in daily life, (2) perceptions of support from friends, and (3) from family, as moderators of emotional reactivity to routine physical symptoms. We also aimed to extend limited and inconsistent evidence on the moderating role of functional limitations and age.</p><p><strong>Methods: </strong>Multilevel models were applied to the MIDUS 3: Daily Diary Project (2017-2019), wherein 1,021 participants (M_age = 62.7; range = 43-90; 56% female) reported routine physical symptoms, emotional support received, positive and negative affect on eight consecutive days.</p><p><strong>Results: </strong>Evidence for the differential role of social support emerged: perceived support from family (but not friends) attenuated emotional reactivity, while emotional reactivity was exacerbated on days when emotional support was received (but only for negative affect). No \"spillover\" effect indicated that the potentially negative role of received support is short-lived and context-dependent. We found exacerbated emotional reactivity for those with more limitations, but age was unrelated.</p><p><strong>Conclusion: </strong>Findings add to the literature on the complex role of social support and functional health for handling the emotional ups and downs of everyday symptom as we age. </p>.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"704-717"},"PeriodicalIF":3.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13446885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148328690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthy Aging at Moderate Altitudes.","authors":"Annalisa Cogo, Benjamin D Levine, Martin Burtscher","doi":"10.1159/000549062","DOIUrl":"10.1159/000549062","url":null,"abstract":"","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"1-2"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum.","authors":"","doi":"10.1159/000549508","DOIUrl":"10.1159/000549508","url":null,"abstract":"<p><p>In the article by Yong et al. entitled \"Impact of Informal Caregiving at Older Ages on Loneliness and Social Networks in Singapore\" [Gerontology. 2025;71:990-1002; https://doi.org/10.1159/000548267], there is an error in the Results section. The word \"effective\" should read \"effect.\" The corrected sentence is: \"The average treatment effect represents an additive effect; i.e., if all older adults were informal caregivers, the loneliness score would be different (higher) by 0.31 points.\"</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"84"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum.","authors":"","doi":"10.1159/000551107","DOIUrl":"10.1159/000551107","url":null,"abstract":"<p><p>The article \"Polypharmacy following Dementia Diagnoses in Vietnam: Results from Real-World Data in Outpatient Settings\" [Gerontology. 2026;72:211-221; https://doi.org/10.1159/000550017] by Hoang et al. was published with the wrong open access license. The correct license of the article is CC-BY.The original article has been updated.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"329-330"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147480384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}