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"What Is the Most Important to Them?" Swiss Health Care Proxies, Nurses, and Physicians Discuss Planning Practices for Aged Care Residents Who No Longer Have Medical Decision-Making Capacity. “对他们来说什么是最重要的?”瑞士卫生保健代理、护士和医生讨论不再有医疗决策能力的老年护理居民的规划实践。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2023-11-24 DOI: 10.1159/000535455
Laura Jones, Florent Rhyner, Rachel Rutz Voumard, Fiorella Figari Aguilar, Eve Rubli Truchard, Ralf J Jox
{"title":"\"What Is the Most Important to Them?\" Swiss Health Care Proxies, Nurses, and Physicians Discuss Planning Practices for Aged Care Residents Who No Longer Have Medical Decision-Making Capacity.","authors":"Laura Jones, Florent Rhyner, Rachel Rutz Voumard, Fiorella Figari Aguilar, Eve Rubli Truchard, Ralf J Jox","doi":"10.1159/000535455","DOIUrl":"10.1159/000535455","url":null,"abstract":"<p><strong>Introduction: </strong>Multiple morbidities, including neurodegenerative diseases such as dementia, which result in diminished decision-making capacity (DMC), make care and care planning complicated for residential aged care facility (RACF) residents. While advance care planning has been highlighted as essential for ensuring that this population receives care that is coherent with their wishes, there are few models specifically designed for this population. This study aimed to explore the current practices for care planning and decision-making for Swiss RACF residents who no longer have medical DMC.</p><p><strong>Methods: </strong>Semi-structured focus groups were conducted with 23 nurses in three RACFs and with 13 physicians working in 9 RACFs. Semi-structured interviews were conducted with 18 health care proxies of 16 residents without DMC. Thematic analysis was conducted to identify the most salient themes across the dataset.</p><p><strong>Results: </strong>Analyses identified many collaborative processes between nurses, physicians, and health care proxies including family meetings, reconstructing residents' presumed will, making anticipatory decisions, and documenting these decisions. These processes were, however, highly variable and differed between institutions and between residents within each facility, with a lack of standardization. This variability was highlighted to be problematic for information transmission within facilities and in case of hospital or facility transfer.</p><p><strong>Conclusions: </strong>These results highlight the importance of standardized yet flexible processes of care planning for people who no longer have DMC and provide insights for the development of such models specifically designed to address this problem.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"173-183"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10866175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138440612","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}
引用次数: 0
Relationship between Walking and Driving, and Cognitive Functioning Common to Both Modes of Mobility, in Healthy Older Adults. 在健康老年人中,步行和驾驶与两种活动方式共同的认知功能之间的关系。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2023-12-02 DOI: 10.1159/000535115
Chantal Chavoix, Laurence Paire-Ficout, Sylviane Lafont
{"title":"Relationship between Walking and Driving, and Cognitive Functioning Common to Both Modes of Mobility, in Healthy Older Adults.","authors":"Chantal Chavoix, Laurence Paire-Ficout, Sylviane Lafont","doi":"10.1159/000535115","DOIUrl":"10.1159/000535115","url":null,"abstract":"<p><strong>Introduction: </strong>Driving and walking, the two main modes of mobility, require numerous common skills in the motor, sensory, and cognitive domains that deteriorate with age. The objective of this study was to investigate the relationship between walking and driving in healthy older drivers and to determine whether certain cognitive processes are involved in both modes of mobility.</p><p><strong>Method: </strong>Seventy-six older drivers from the Safe Move cohort were assessed in the following three domains: (1) cognition, using parts A and B of the Trail Making Test (TMT), the digit symbol substitution test (DSST), the Stroop test, and the Digit span; (2) gait, using a dual-task (DT) paradigm with a counting task; and (3) driving, assessed via a 40-50 min on-road test. Analyses were also performed on 2 subgroups: young-old (70-74 years old; n = 43) and old-old (≥75 years; n = 33).</p><p><strong>Results: </strong>Four significant correlations were found across the whole sample between gait performance under DT conditions and driving scores. One correlation was also found in old-old adults. None were found in young-old adults. Furthermore, several cognitive measures were significantly correlated to both modes of mobility: TMT-A and B completion time in the whole sample, and DSST performance in the whole sample and old-old adults.</p><p><strong>Discussion/conclusion: </strong>Walking in complex conditions and on-road driving performance are closely related in healthy older drivers. Visuospatial attention, processing speed, and executive function are crucial and common cognitive processes to both modes of mobility in this population. Impairment in these cognitive functions should thus alert health professionals as it can quickly lead to mobility disorders, loss of autonomy and social isolation. Developing specific preventive programs and mobility support systems for healthy older adults is also crucial.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"184-192"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138477452","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}
引用次数: 0
Respiratory Muscle Strength Is Related to Handgrip Performance in Community-Dwelling Persons Aged 80+ from the BUTTERFLY Study. BUTTERFLY研究中80岁以上社区居民的呼吸肌力量与手握能力的关系。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2024-02-05 DOI: 10.1159/000536361
Lisa Dreessen, Aziz Debain, Siddhartha Lieten, Bert Bravenboer, Sofie Vermeiren, Roberta Vella-Azzopardi, Veerle Knoop, Axelle Costenoble, Celeste Smeys, Rock-Ange Iranyeza, Kristof E Y Van der Meulen, Eef Vanderhelst, Daniel Schuermans, Ivan Bautmans
{"title":"Respiratory Muscle Strength Is Related to Handgrip Performance in Community-Dwelling Persons Aged 80+ from the BUTTERFLY Study.","authors":"Lisa Dreessen, Aziz Debain, Siddhartha Lieten, Bert Bravenboer, Sofie Vermeiren, Roberta Vella-Azzopardi, Veerle Knoop, Axelle Costenoble, Celeste Smeys, Rock-Ange Iranyeza, Kristof E Y Van der Meulen, Eef Vanderhelst, Daniel Schuermans, Ivan Bautmans","doi":"10.1159/000536361","DOIUrl":"10.1159/000536361","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to evaluate the association of respiratory muscle strength with sarcopenia and its indicators in the oldest old.</p><p><strong>Methods: </strong>Maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), and sarcopenia-related factors (handgrip strength and appendicular lean mass) were evaluated in a cohort of n = 286 (45.5% female) non-frail, community-dwelling persons aged 83.6 ± 3.0 years (age range 80-97 years).</p><p><strong>Results: </strong>The sample presented a sarcopenia prevalence of 32.2%. Sarcopenic subjects showed comparable MIP and MEP as non-sarcopenic ones (female: MIP 43.9 ± 18.9 vs. 50.3 ± 19.5, p = 0.053; MEP 63.0 ± 23.0 vs. 69.2 ± 19.1, p = 0.067; male: MIP, 65.1 ± 24.4 vs. 64.4 ± 23.9, p = 0.433; MEP 87.7 ± 33.3 vs. 93.8 ± 30.9, p = 0.124). Statistically significant but very low associations were found between grip strength and MIP (r = 0.193 for male, p &lt; 0.05 and r = 0.257 for female participants, p &lt; 0.01) and MEP (r = 0.200 for male, p &lt; 0.01 and r = 0.191 for female participants, p &lt; 0.05). Lean mass was significantly correlated to MIP and MEP in female (r = 0.253, p &lt; 0.01 and r = 0.343, p &lt; 0.01, respectively), whereas this association was not found in male participants. Grip strength was the only statistically significant predictor of MEP (r2 = 0.212, p &lt; 0.001), while MIP was independently predicted by age, male sex, and grip strength (r2 = 0.177, p &lt; 0.001).</p><p><strong>Conclusions: </strong>Peripheral muscle strength is a statistically significant, albeit weak predictor for respiratory muscle strength in well-functioning, community-dwelling persons aged 80+. When confronted to a low grip strength, one should be aware of concomitant respiratory muscle weakness, as this is a known risk factor for atelectasis and pneumonia. Given the relatively low association with handgrip strength, respiratory muscle strength testing might be indicated.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"526-535"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139691607","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}
引用次数: 0
Conditioned Medium of Infrapatellar Fat Stem Cells Alleviates Degradation of Chondrocyte Extracellular Matrix and Delays Development of Osteoarthritis. 髌下脂肪干细胞的条件培养基可减轻软骨细胞细胞外基质的降解,延缓骨关节炎的发展。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2024-08-19 DOI: 10.1159/000540505
Shiping He, Shihan Wang, Ruizhou Liu, Hui Chen, Qiang Wang, Dazhou Jia, Longchi Chen, Jihang Dai, Xiaolei Li
{"title":"Conditioned Medium of Infrapatellar Fat Stem Cells Alleviates Degradation of Chondrocyte Extracellular Matrix and Delays Development of Osteoarthritis.","authors":"Shiping He, Shihan Wang, Ruizhou Liu, Hui Chen, Qiang Wang, Dazhou Jia, Longchi Chen, Jihang Dai, Xiaolei Li","doi":"10.1159/000540505","DOIUrl":"10.1159/000540505","url":null,"abstract":"<p><strong>Introduction: </strong>Osteoarthritis (OA) is a prevalent clinical chronic degenerative condition characterized by the degeneration of articular cartilage. Currently, drug treatments for OA come with varying degrees of side effects, making the development of new therapeutic approaches for OA imperative. Mesenchymal stem cells (MSCs) are known to mitigate the progression of OA primarily through paracrine effects. The conditioned medium (CM) derived from MSCs encapsulates a variety of paracrine factors secreted by these cells.</p><p><strong>Methods: </strong>In this study, we investigated the effect of the CM of infrapatellar fat pad-derived MSCs (IPFSCs) on OA in vitro and in vivo, as well as and the potential underlying mechanisms. We established three experimental groups: the normal group, the OA group, and the CM intervention group. In vitro experiments, we used methods such as qPCR, Western blot, immunofluorescence, and flow cytometry to detect the impact of CM on OA chondrocytes. In vivo experiments, we evaluated the changes in the knee joints of OA rats after intra-articular injection of CM treatment.</p><p><strong>Results: </strong>The results showed that injection of CM into the knee joint inhibited OA development in a rat model induced by destabilization of the medial meniscus and anterior cruciate ligament transection. The CM increased the deposition of extracellular matrix-related components (type II collagen and Proteoglycan). The activation of PI3K/AKT/NF-κB signaling pathway was induced by IL-1β in chondrocytes, which was finally inhibited by CM-IPFSCs treatment.</p><p><strong>Conclusion: </strong>In summary, IPFSCs-CM may have therapeutic potential for OA.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"1171-1187"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142004063","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}
引用次数: 0
LncRNA MALAT1 Facilitates Parkinson's Disease Progression by Increasing SOCS3 Promoter Methylation. LncRNA MALAT1通过增加SOCS3启动子甲基化促进帕金森病的进展。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2024-10-16 DOI: 10.1159/000541719
Yuqi Liu, Dan Feng, Fenfen Liu, Yun Liu, Fangya Zuo, Yujie Wang, Lanlan Chen, Xiuhong Guo, Jinyong Tian
{"title":"LncRNA MALAT1 Facilitates Parkinson's Disease Progression by Increasing SOCS3 Promoter Methylation.","authors":"Yuqi Liu, Dan Feng, Fenfen Liu, Yun Liu, Fangya Zuo, Yujie Wang, Lanlan Chen, Xiuhong Guo, Jinyong Tian","doi":"10.1159/000541719","DOIUrl":"10.1159/000541719","url":null,"abstract":"<p><strong>Introduction: </strong>Long noncoding RNA metastasis-associated lung adenocarcinoma transcript 1 (MALAT1) has been shown to be involved in Parkinson's disease (PD) progression, but its mechanism needs to be further explored.</p><p><strong>Methods: </strong>Mice were injected with 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) to induce PD mice models, and BV2 cells were treated with lipopolysaccharides (LPS) to mimic PD cell models. MALAT1 expression and suppressor of cytokine signaling 3 (SOCS3) protein level were examined using quantitative real-time PCR and Western blot, respectively. Cell functions were tested by cell counting kit 8 assay and flow cytometry. The interaction between MALAT1 and SOCS3 was confirmed using RNA pull-down and RIP assays.</p><p><strong>Results: </strong>MALAT1 was upregulated in MPTP-induced PD mice and LPS-induced BV2 cells. Silencing of MALAT1 increased viability, while inhibiting apoptosis and inflammation in LPS-induced BV2 cells. Besides, MALAT1 enhanced the SOCS3 promoter methylation to decrease its expression by recruiting DNMT1, DNMT3A, and DNMT3B. Furthermore, SOCS3 knockdown eliminated sh-MALAT1-mediated the inhibition effect on LPS-induced BV2 cell injury. In vivo, MALAT1 silencing ameliorated neurological impairment and neuroinflammation in MPTP-induced PD mice.</p><p><strong>Conclusion: </strong>Our data revealed that MALAT1 worsened PD processes via inhibiting SOCS3 expression by increasing its promoter methylation.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"1294-1304"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142463161","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}
引用次数: 0
Exercise Regulates Myokines in Aging-Related Diseases through Muscle-Brain Crosstalk. 运动通过肌脑串扰调节衰老相关疾病的肌因子。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2023-11-24 DOI: 10.1159/000535339
Bingqing Wang, Jiling Liang, Chen Lu, Aming Lu, Cenyi Wang
{"title":"Exercise Regulates Myokines in Aging-Related Diseases through Muscle-Brain Crosstalk.","authors":"Bingqing Wang, Jiling Liang, Chen Lu, Aming Lu, Cenyi Wang","doi":"10.1159/000535339","DOIUrl":"10.1159/000535339","url":null,"abstract":"<p><strong>Background: </strong>The related functions of skeletal muscle and brain decrease significantly with age, and muscle-brain-related diseases are primarily associated with each other. Exercise can promote the secretion of myokines in skeletal muscle, showing a beneficial effect on the function of both, reflecting muscle-brain crosstalk. However, the key mechanism of action of exercise-regulated myokines in muscle-brain diseases remains unclear.</p><p><strong>Summary: </strong>This review is intended to sort out and explore the key mechanism of the effect of exercise regulatory myokines on muscle-brain diseases through summarizing the relevant literature on the level of motor regulatory myokines in recent years and pay special attention to the impact of exercise type, intensity, and duration on myokine expression levels.</p><p><strong>Key messages: </strong>The mechanism by which exercise regulates myokine levels in muscle-brain diseases is explained, and an effective exercise prescription for myokine expression that is more suitable for the elderly based on relevant literature is proposed. This work may hold certain value for subsequent exercise treatment of chronic diseases in the elderly and for further research on muscle-brain crosstalk.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"193-209"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138440610","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}
引用次数: 0
Combined Prognostic Impact of Two Quick Frailty Assessments in Acute Heart Failure. 急性心力衰竭两种快速虚弱程度评估对预后的综合影响。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2023-12-18 DOI: 10.1159/000534757
Mitsutoshi Oguri, Hideki Ishii, Rin Fujita, Hiroshi Takahashi, Toyoaki Murohara
{"title":"Combined Prognostic Impact of Two Quick Frailty Assessments in Acute Heart Failure.","authors":"Mitsutoshi Oguri, Hideki Ishii, Rin Fujita, Hiroshi Takahashi, Toyoaki Murohara","doi":"10.1159/000534757","DOIUrl":"10.1159/000534757","url":null,"abstract":"<p><strong>Introduction: </strong>We aimed to investigate the prognostic impact of frailty (defined by the Study of Osteoporotic Fracture [SOF] index and the Clinical Frailty Scale [CFS]) in hospitalized patients with acute decompensated heart failure (HF).</p><p><strong>Methods: </strong>A total of 1,053 patients over 75 years of age, who were primarily admitted to hospital with a diagnosis of acute decompensated HF, were enrolled. The prognostic value of frailty by the two tools for predicting all-cause mortality was analyzed using multivariate Cox regression models.</p><p><strong>Results: </strong>The incidence of frailty was 57.1% when using the SOF index, 37.6% when using the CFS, and 23.3% when using both tools. Frailty, via the SOF index or CFS, was an independent predictor of all-cause mortality in model 1, after adjustment for significantly associated factors by univariate analysis (hazard ratio [HR] 1.38, 95% confidence interval [CI] 1.04-1.84, p = 0.027; HR 1.53, 95% CI 1.15-2.05, p = 0.003, respectively), and in model 2, after adjustment for previously reported prognostic factors (HR 1.42, 95% CI 1.07-1.89, p = 0.015; HR 1.56, 95% CI 1.17-2.07, p = 0.002, respectively). Compared to non-frail patients, frail patients via both tools had a significantly higher incidence of all-cause mortality in models 1 (adjusted HR 2.16, 95% CI 1.42-3.29, p &lt; 0.001) and 2 (adjusted HR 2.30, 95% CI 1.51-3.50, p &lt; 0.001).</p><p><strong>Conclusions: </strong>Combined frailty screening using the SOF index and CFS contributed to stratify the risk of mortality in patients with acute decompensated HF.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"248-256"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800645","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}
引用次数: 0
Associations between Plant-Based Dietary Patterns and Sensory Impairments among Chinese Older Adults: Based on the Chinese Longitudinal Healthy Longevity Survey. 中国老年人植物性膳食模式与感官障碍之间的关系:基于中国健康长寿纵向调查。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2024-08-02 DOI: 10.1159/000540611
Xingxu Song, Zhong Tian, Kexin Jiang, Kai He, Yuhan Huang, Chengxiang Hu, Xue He, Lina Jin, Yuchun Tao
{"title":"Associations between Plant-Based Dietary Patterns and Sensory Impairments among Chinese Older Adults: Based on the Chinese Longitudinal Healthy Longevity Survey.","authors":"Xingxu Song, Zhong Tian, Kexin Jiang, Kai He, Yuhan Huang, Chengxiang Hu, Xue He, Lina Jin, Yuchun Tao","doi":"10.1159/000540611","DOIUrl":"10.1159/000540611","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to investigate the relationship between the plant-based dietary index and vision impairment (VI), hearing impairment (HI), and dual sensory impairment (DSI) among Chinese aged 65 and older.</p><p><strong>Methods: </strong>Based on the 2018 data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), a cross-sectional study was conducted on 14,859 samples. The assessment of dietary quality utilized the plant-based diet index (PDI), healthy plant-based diet index (hPDI), and unhealthy plant-based diet index (uPDI). Logistic regression analysis was used to examine the associations between PDIs and sensory impairments. Additionally, restricted cubic spline analysis was utilized to investigate the nonlinear association between PDIs and sensory impairments.</p><p><strong>Results: </strong>Participants in the highest quintile of PDI exhibited reduced prevalence of VI (OR 0.78, 95% CI: 0.67-0.90, ptrend &lt;0.001), HI (OR 0.83, 95% CI: 0.70-0.99, ptrend &lt;0.001), and DSI (OR 0.62, 95% CI: 0.51-0.77, ptrend &lt;0.001) relative to those in the lowest quintile. Moreover, individuals who ranked in the highest quintile for hPDI exhibited a 25% reduced risk of VI disease. Conversely, those in the highest quintile of uPDI were associated with increased prevalence of VI (OR 1.37, 95% CI: 1.17-1.61, ptrend &lt;0.001), HI (OR 1.36, 95% CI: 1.12-1.65, ptrend &lt;0.001), and DSI (OR 1.56, 95% CI: 1.25-1.95, ptrend &lt;0.001). The relationship between PDIs increasing by every 10 units and sensory impairments showed similar patterns. Notably, hPDI demonstrated a nonlinear relationship with HI (pfor nonlinearity = 0.001), while the others exhibited linear associations.</p><p><strong>Conclusion: </strong>The increase in PDI and hPDI correlates with a reduced prevalence of one or more sensory impairments. Conversely, an increase in uPDI is associated with an elevated prevalence of multiple sensory impairments. Our study findings emphasize the significance of plant-based food quality, advocating for adherence to a plant-based dietary pattern while reducing the intake of less healthy plant foods and animal-based products.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"1042-1054"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141888948","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}
引用次数: 0
Erratum. 勘误。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2024-06-13 DOI: 10.1159/000539598
{"title":"Erratum.","authors":"","doi":"10.1159/000539598","DOIUrl":"10.1159/000539598","url":null,"abstract":"","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"892"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141316995","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}
引用次数: 0
Impaired Standing Balance in Older Adults with Cognitive Impairment after a Severe Fall. 严重跌倒后有认知障碍的老年人站立平衡能力受损。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2024-04-27 DOI: 10.1159/000538598
Laura Schmidt, Tania Zieschang, Jessica Koschate, Tim Stuckenschneider
{"title":"Impaired Standing Balance in Older Adults with Cognitive Impairment after a Severe Fall.","authors":"Laura Schmidt, Tania Zieschang, Jessica Koschate, Tim Stuckenschneider","doi":"10.1159/000538598","DOIUrl":"10.1159/000538598","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Fall-related sequelae as well as balance and gait impairments are more pronounced in older adults who are cognitively impaired (OACI) compared to older adults who are cognitively healthy (OACH). Evidence is scarce about differences in standing balance and gait in OACH and OACI after a fall, even though these are major risks for recurrent falls. Thus, the aim of this study was to investigate early impairments in gait and balance, by adding inertial measurement units (IMUs) to a functional performance test in OACH and OACI after a severe fall with a presentation to the emergency department (ED) and immediate discharge.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The study sample was stratified into participants with and without probable cognitive impairment using the result of the Montreal Cognitive Assessment total score (maximum of 30 points). The cutoff for probable cognitive impairment was set at ≤ 24. Standing balance and gait parameters were measured using three IMUs in n = 69 OACH (72.0 ± 8.2 years) and n = 76 OACI (78.7 ± 8.1 years). Data were collected at participants' homes as part of a comprehensive geriatric assessment in the \"SeFallED\" study within 4 weeks after presentation to the ED after a severe fall (German Clinical Trials Register ID: 00025949). ANCOVA was used for statistical analysis, adjusted for age.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The data indicated significantly more sway for OACI compared to OACH during balance tasks, whereas no differences in gait behavior were found. In detail, differences in standing balance were revealed for mean velocity (m/s) during parallel stance with eyes open (&lt;inline-formula&gt;&lt;mml:math id=\"m1\" xmlns:mml=\"http://www.w3.org/1998/Math/MathML\"&gt;&lt;mml:mrow&gt;&lt;mml:msubsup&gt;&lt;mml:mi&gt;η&lt;/mml:mi&gt;&lt;mml:mi&gt;p&lt;/mml:mi&gt;&lt;mml:mn&gt;2&lt;/mml:mn&gt;&lt;/mml:msubsup&gt;&lt;/mml:mrow&gt;&lt;/mml:math&gt;&lt;/inline-formula&gt; = 0.190, p &lt; 0.001) and eyes closed on a balance cushion (&lt;inline-formula&gt;&lt;mml:math id=\"m2\" xmlns:mml=\"http://www.w3.org/1998/Math/MathML\"&gt;&lt;mml:mrow&gt;&lt;mml:msubsup&gt;&lt;mml:mi&gt;η&lt;/mml:mi&gt;&lt;mml:mi&gt;p&lt;/mml:mi&gt;&lt;mml:mn&gt;2&lt;/mml:mn&gt;&lt;/mml:msubsup&gt;&lt;/mml:mrow&gt;&lt;/mml:math&gt;&lt;/inline-formula&gt; = 0.059, p = 0.029), as well as during tandem stance (&lt;inline-formula&gt;&lt;mml:math id=\"m3\" xmlns:mml=\"http://www.w3.org/1998/Math/MathML\"&gt;&lt;mml:mrow&gt;&lt;mml:msubsup&gt;&lt;mml:mi&gt;η&lt;/mml:mi&gt;&lt;mml:mi&gt;p&lt;/mml:mi&gt;&lt;mml:mn&gt;2&lt;/mml:mn&gt;&lt;/mml:msubsup&gt;&lt;/mml:mrow&gt;&lt;/mml:math&gt;&lt;/inline-formula&gt; = 0.034, p = 0.044) between OACI and OACH. Further differences between the two groups were detected for path length (m/s2) during parallel stance with eyes open (&lt;inline-formula&gt;&lt;mml:math id=\"m4\" xmlns:mml=\"http://www.w3.org/1998/Math/MathML\"&gt;&lt;mml:mrow&gt;&lt;mml:msubsup&gt;&lt;mml:mi&gt;η&lt;/mml:mi&gt;&lt;mml:mi&gt;p&lt;/mml:mi&gt;&lt;mml:mn&gt;2&lt;/mml:mn&gt;&lt;/mml:msubsup&gt;&lt;/mml:mrow&gt;&lt;/mml:math&gt;&lt;/inline-formula&gt; = 0.144, p &lt; 0.001) and eyes closed (&lt;inline-formula&gt;&lt;mml:math id=\"m5\" xmlns:mml=\"http://www.w3.org/1998/Math/MathML\"&gt;&lt;mml:mrow&gt;&lt;mml:msubsup&gt;&lt;mml:mi&gt;η&lt;/mml:mi&gt;&lt;mml:mi&gt;p&lt;/mml:mi&gt;&lt;mml:mn&gt;2&lt;/mml:mn&gt;&lt;/mml:msubsup&gt;&lt;/m","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"755-763"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851125","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}
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