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Targeting Cartilage miR-195/497 Cluster for Osteoarthritis Treatment Regulates the Circadian Clock. 用于骨关节炎治疗的靶向软骨miR-195/497簇调节昼夜节律。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2023-10-12 DOI: 10.1159/000534292
Shi Shi, Lele Zhang, Qi Wang, Qian Wang, Dejian Li, Wei Sun, Chengqing Yi
{"title":"Targeting Cartilage miR-195/497 Cluster for Osteoarthritis Treatment Regulates the Circadian Clock.","authors":"Shi Shi, Lele Zhang, Qi Wang, Qian Wang, Dejian Li, Wei Sun, Chengqing Yi","doi":"10.1159/000534292","DOIUrl":"10.1159/000534292","url":null,"abstract":"<p><strong>Introduction: </strong>Osteoarthritis (OA) is the most prevalent and debilitating joint disease without an effective therapeutic option. Multiple risk factors for OA have been identified, including abnormal chondrocyte miRNA secretion and circadian rhythms disruption, both of which have been found to cause progressive damage and loss of articular cartilage. Environmental disruption of circadian rhythms in mice predisposes animals to cartilage injury and OA.</p><p><strong>Methods: </strong>The role of miR-195/497 cluster during OA progression was verified by mouse OA model with intra-articular injection of Agomir and Antagomir. We performed micro-CT analysis, Osteoarthritis Research Society International scores, and histological analysis in mouse knee joints. RNA sequencing was performed on the mouse cartilage cell line to explore the molecular mechanism of the miR-195/497 cluster and proteins in signaling pathway were evaluated using Western blot. Senescence-associated phenotypes were detected by Western blot, senescence β-galactosidase staining, and immunofluorescence.</p><p><strong>Results: </strong>This study demonstrated that miR-195/497-5p expression is disrupted in OA with senescent chondrocytes. In addition, miR-195/497-5p influenced the circadian rhythm of mice chondrocytes by modulating the expression of the Per2 protein, resulting in the gradual degradation of articular cartilage. We found that the miR-195/497 cluster targets DUSP3 expression. The deletion of the miR-195/497 cluster increased the level of DUSP3 expression and decreased the levels of phosphorylated ERK 1/2 and CREB. Per2 transcription is upregulated by stimulating CREB and ERK 1/2 phosphorylation.</p><p><strong>Conclusion: </strong>Our findings identify a regulatory mechanism connecting chondrocyte miR-195/497-5p to cartilage maintenance and repair and imply that circadian rhythm disturbances affected by miR-195/497-5p are risk factors for age-related joint diseases such as OA.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"59-75"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41198797","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
Serum Proteomic Signatures of Common Health Outcomes among Older Adults. 老年人常见健康后果的血清蛋白质组特征。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2024-01-12 DOI: 10.1159/000534753
Jackson A Roberts, Sayantani Basu-Roy, Jong Shin, Vijay R Varma, Andrew Williamson, Chad Blackshear, Michael E Griswold, Julián Candia, Palchamy Elango, Ajoy C Karikkineth, Toshiko Tanaka, Luigi Ferrucci, Madhav Thambisetty
{"title":"Serum Proteomic Signatures of Common Health Outcomes among Older Adults.","authors":"Jackson A Roberts, Sayantani Basu-Roy, Jong Shin, Vijay R Varma, Andrew Williamson, Chad Blackshear, Michael E Griswold, Julián Candia, Palchamy Elango, Ajoy C Karikkineth, Toshiko Tanaka, Luigi Ferrucci, Madhav Thambisetty","doi":"10.1159/000534753","DOIUrl":"10.1159/000534753","url":null,"abstract":"<p><strong>Introduction: </strong>In aging populations, the coexistence of multiple health comorbidities represents a significant challenge for clinicians and researchers. Leveraging advances in omics techniques to characterize these health conditions may provide insight into disease pathogenesis as well as reveal biomarkers for monitoring, prognostication, and diagnosis. Researchers have previously established the utility of big data approaches with respect to comprehensive health outcome measurements in younger populations, identifying protein markers that may provide significant health information with a single blood sample.</p><p><strong>Methods: </strong>Here, we employed a similar approach in two cohorts of older adults, the Baltimore Longitudinal Study of Aging (mean age = 76.12 years) and InCHIANTI Study (mean age = 66.05 years), examining the relationship between levels of serum proteins and 5 key health outcomes: kidney function, fasting glucose, physical activity, lean body mass, and percent body fat.</p><p><strong>Results: </strong>Correlations between proteins and health outcomes were primarily shared across both older adult cohorts. We further identified that most proteins associated with health outcomes in the older adult cohorts were not associated with the same outcomes in a prior study of a younger population. A subset of proteins, adiponectin, MIC-1, and NCAM-120, were associated with at least three health outcomes in both older adult cohorts but not in the previously published younger cohort, suggesting that they may represent plausible markers of general health in older adult populations.</p><p><strong>Conclusion: </strong>Taken together, these findings suggest that comprehensive protein health markers have utility in aging populations and are distinct from those identified in younger adults, indicating unique mechanisms of disease with aging.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"269-278"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139466428","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
Type II Muscle Fiber Capillarization Is an Important Determinant of Post-Exercise Microvascular Perfusion in Older Adults. II 型肌纤维毛细血管化是老年人运动后微血管灌注的重要决定因素。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2023-12-18 DOI: 10.1159/000535831
Milan W Betz, Floris K Hendriks, Alfons J H M Houben, Mathias D G van den Eynde, Lex B Verdijk, Luc J C van Loon, Tim Snijders
{"title":"Type II Muscle Fiber Capillarization Is an Important Determinant of Post-Exercise Microvascular Perfusion in Older Adults.","authors":"Milan W Betz, Floris K Hendriks, Alfons J H M Houben, Mathias D G van den Eynde, Lex B Verdijk, Luc J C van Loon, Tim Snijders","doi":"10.1159/000535831","DOIUrl":"10.1159/000535831","url":null,"abstract":"<p><strong>Introduction: </strong>Microvascular perfusion is essential for post-exercise skeletal muscle recovery to ensure adequate delivery of nutrients and growth factors. This study assessed the relationship between various indices of muscle fiber capillarization and microvascular perfusion assessed by contrast-enhanced ultrasound (CEUS) at rest and during recovery from a bout of resistance exercise in older adults.</p><p><strong>Methods: </strong>Sixteen older adults (72 ± 6 y, 5/11 male/female) participated in an experimental test day during which a muscle biopsy was collected from the vastus lateralis and microvascular perfusion was determined by CEUS at rest and at 10 and 40 min following a bout of resistance exercise. Immunohistochemistry was performed on muscle tissue samples to determine various indices of both mixed and fiber-type-specific muscle fiber capillarization.</p><p><strong>Results: </strong>Microvascular blood volume at t = 10 min was higher compared with rest and t = 40 min (27.2 ± 4.7 vs. 3.9 ± 4.0 and 7.0 ± 4.9 AU, respectively, both p &lt; 0.001). Microvascular blood volume at t = 40 min was higher compared with rest (p &lt; 0.001). No associations were observed between different indices of mixed muscle fiber capillarization and microvascular blood volume at rest and following exercise. A moderate (r = 0.59, p &lt; 0.05) and strong (r = 0.81, p &lt; 0.001) correlation was observed between type II muscle fiber capillary-to-fiber ratio and the microvascular blood volume increase from rest to t = 10 and t = 40 min, respectively. In addition, type II muscle fiber capillary contacts and capillary-to-fiber perimeter exchange index were strongly correlated with the microvascular blood volume increase from rest to t = 40 min (r = 0.66, p &lt; 0.01 and r = 0.64, p &lt; 0.01, respectively).</p><p><strong>Conclusion: </strong>Resistance exercise strongly increases microvascular blood volume for at least 40 min after exercise cessation in older adults. This resistance exercise-induced increase in microvascular blood volume is strongly associated with type II muscle fiber capillarization in older adults.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"290-301"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800670","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
Impact of a COVID-19-Related Lockdown on the Experience of Informal Caregiving in Singapore. 新冠肺炎相关封锁对新加坡非正式护理体验的影响。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2023-10-21 DOI: 10.1159/000534723
Vicky Mengqi Qin, Abhijit Visaria, Rahul Malhotra
{"title":"Impact of a COVID-19-Related Lockdown on the Experience of Informal Caregiving in Singapore.","authors":"Vicky Mengqi Qin, Abhijit Visaria, Rahul Malhotra","doi":"10.1159/000534723","DOIUrl":"10.1159/000534723","url":null,"abstract":"<p><strong>Introduction: </strong>Lockdowns, while limiting COVID-19 transmission, can affect provision of care by informal caregivers and their caregiving experience. We assessed, among informal caregivers in Singapore, (a) the perceived impact of a 2-month (April to May 2020) nationwide lockdown on their care provision, (b) correlates of different perceptions of the impact of the lockdown on care provision, and (c) association of different perceptions of the impact with negative and positive experiences of caregiving.</p><p><strong>Methods: </strong>In the August 2020 wave of the Singapore Life Panel (SLP; nationally representative, longitudinal monthly survey of Singapore citizens and permanent residents aged 50-70 years at baseline), 1,094 participants identified as informal caregivers reported whether their care provision became easier, remained the same, or became harder during the lockdown, compared to before the lockdown. We used multinomial logistic regression to assess the association of caregiver, care recipient, and caregiving context characteristics with their perceptions. Linear regression models examined the association of their perceptions with negative and positive experience domains of the modified Caregiver Reaction Assessment.</p><p><strong>Results: </strong>Just over one-third (36.1%) of the informal caregivers reported that their care provision became harder during the lockdown compared to before the lockdown. However, nearly one-fifth (18.0%) said that it became easier, and the rest (45.9%) said that it remained the same. Care provision was more likely to be perceived as having become harder among caregivers who were male, of Chinese ethnicity, in worse health, whose care recipients had functional limitations, who did not have caregiving support from cohabiting family members before the lockdown, and who had caregiving support from non-cohabiting family members before the lockdown. The perception that care provision became easier was less likely among caregivers who were of higher age, were unemployed, were socially isolated, and whose care recipients had functional limitations. Caregivers who perceived that care provision became harder during the lockdown were worse-off in negative experiences of caregiving.</p><p><strong>Conclusion: </strong>A nationwide lockdown did not make care provision harder for all informal caregivers. However, informal caregivers for whom it did were more likely to have greater negative experiences of caregiving. The heterogeneity of the impact of lockdowns and the possibility of offering flexibility to non-cohabiting family members who support caregiving should be important considerations when planning for such disruptions.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"102-114"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10794967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49689954","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
Foot Problems in Older Adults Presenting to a Falls and Balance Clinic. 在跌倒与平衡诊所就诊的老年人的足部问题。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2024-05-03 DOI: 10.1159/000539160
Josephine White, Andrea B Maier, Laura Iacobaccio, Rebecca Iseli
{"title":"Foot Problems in Older Adults Presenting to a Falls and Balance Clinic.","authors":"Josephine White, Andrea B Maier, Laura Iacobaccio, Rebecca Iseli","doi":"10.1159/000539160","DOIUrl":"10.1159/000539160","url":null,"abstract":"<p><strong>Introduction: </strong>Foot problems, including musculoskeletal problems, peripheral neuropathy, peripheral arterial disease and dermatologic pathology are common in older adults and are associated with an increased risk of falling. Multicomponent podiatry interventions have been shown to reduce the incidence of falls. This paper aimed to identify older adults requiring podiatry input in a Falls and Balance clinic; to describe the model of foot health care they receive; to explore cross-sectional associations between foot problems and function and ultimately demonstrate the role of podiatry input in the multidisciplinary management of falls risk.</p><p><strong>Methods: </strong>Cohort study of patients attending a Falls and Balance Clinic for Comprehensive Geriatric Assessment. Demographic information was collected and functional independence, mobility, foot problems, and footwear were assessed in the clinic.</p><p><strong>Results: </strong>One-hundred and two patients were included; median age 79.3 (73-84.3) years, 68.6% female, 93.1% residing independently, 62.7% used a gait aid. Podiatry referrals were made in 80.4% of cases, with muscle weakness being the most common problem identified (90.2%); 74.8% were found to be wearing inappropriate footwear. Most patients received footwear education and half were prescribed foot and ankle strengthening exercises. Hallux and lesser toe weakness were associated with lower Short Physical Performance Battery scores (p &lt; 0.001).</p><p><strong>Conclusion: </strong>The majority of older adults in the Falls and Balance Clinic required podiatry input, with foot weakness and inappropriate footwear being common reasons for referral. Those with weakness of the hallux and lesser toes had poorer balance and mobility, which is known to be associated with greater falls risk. This highlights the need for podiatry assessment and interventions as part of the multidisciplinary approach to the management of falls risk in older adults.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"732-740"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848796","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
Insights from a National Database for Programs Supporting Neuropsychiatric Symptoms of Dementia in Australia. 从澳大利亚痴呆症神经精神症状支持项目的国家数据库中获得的启示。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2024-05-16 DOI: 10.1159/000539337
Mustafa Atee, Thomas Morris, Daniel Whiting, Stephen Macfarlane, Marie Alford
{"title":"Insights from a National Database for Programs Supporting Neuropsychiatric Symptoms of Dementia in Australia.","authors":"Mustafa Atee, Thomas Morris, Daniel Whiting, Stephen Macfarlane, Marie Alford","doi":"10.1159/000539337","DOIUrl":"10.1159/000539337","url":null,"abstract":"","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"855-857"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11309041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140921865","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
Modification of Risk for All-Cause and Cardiovascular Disease-Related Mortality with Changes in the Body Mass Index in Older Individuals: A Population-Based Cohort Study. 体质指数变化对老年人全因死亡率和心血管疾病相关死亡率风险的影响:基于人群的队列研究
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2024-06-10 DOI: 10.1159/000539479
Mei-Ju Chen, Yun-Ju Lai, Chu-Chieh Chen, Chen Hsieh, Yi-Chang Chou, Yung-Feng Yen
{"title":"Modification of Risk for All-Cause and Cardiovascular Disease-Related Mortality with Changes in the Body Mass Index in Older Individuals: A Population-Based Cohort Study.","authors":"Mei-Ju Chen, Yun-Ju Lai, Chu-Chieh Chen, Chen Hsieh, Yi-Chang Chou, Yung-Feng Yen","doi":"10.1159/000539479","DOIUrl":"10.1159/000539479","url":null,"abstract":"<p><strong>Introduction: </strong>Existing evidence evaluating the impact of change in body mass index (BMI) on the risk of all-cause and cardiovascular disease (CVD)-related mortality in older people is limited and inconsistent. This population-based cohort study evaluated the association of changes in BMI over time with all-cause and CVD-related mortality in older adults.</p><p><strong>Methods: </strong>We recruited 55,351 adults aged over 65 years between 2006 and 2011 from Taipei Elderly Health Examination Program who underwent repeated annual health examinations at 3.2-year intervals and were followed up for mortality over 5.5 years. Cox proportional hazard and Fine-Gray sub-distribution hazard models with death from non-CVD causes as the competing risk were used to determine the impact of changes in BMI status on the risk of all-cause or CVD-related mortality, respectively.</p><p><strong>Results: </strong>Over 227,967 person-years of follow-up, 4,054 participants died, including 940 (23.2%) CVD-related deaths. After adjusting for other covariates, &gt;10% decrease in BMI was significantly associated with a higher risk of all-cause (adjusted hazard ratio [AHR] = 1.93; 95% confidence interval [CI]: 1.74-2.13) and CVD-related mortality (AHR = 1.96; 95% CI: 1.60-2.40), compared with stable BMI. Sensitivity analysis showed that a &gt;10% decrease in BMI was significantly associated with a high risk of all-cause and CVD-related mortality in participants with normal weight, underweight, overweight, or obesity at baseline.</p><p><strong>Conclusion: </strong>Older adults with &gt;10% decrease in BMI are at high risk of all-cause and CVD-related mortality. Our findings suggest that older individuals experiencing a substantial reduction in BMI should undergo a thorough evaluation to minimize the risks associated with mortality.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"903-913"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300463","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
Dose-Response Relationship between C-Reactive Protein/Albumin Ratio and In-Hospital Mortality in Elderly Patients with Acute Ischemic Stroke. 老年急性缺血性脑卒中患者c反应蛋白/白蛋白比值与住院死亡率的量效关系
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2023-11-10 DOI: 10.1159/000535074
Mingquan Li, Yan Chen, Zhibin Chen, Liumin Wang, Wen Xie, Yanli Zhang, Lina Wang, Ling Liu, Hui Zhao, Pingmin Wei
{"title":"Dose-Response Relationship between C-Reactive Protein/Albumin Ratio and In-Hospital Mortality in Elderly Patients with Acute Ischemic Stroke.","authors":"Mingquan Li, Yan Chen, Zhibin Chen, Liumin Wang, Wen Xie, Yanli Zhang, Lina Wang, Ling Liu, Hui Zhao, Pingmin Wei","doi":"10.1159/000535074","DOIUrl":"10.1159/000535074","url":null,"abstract":"<p><strong>Introduction: </strong>The C-reactive protein/albumin ratio is a reliable indicator of outcome risk in several diseases. This study aims to evaluate prognostic power of the C-reactive protein/albumin ratio for in-hospital mortality and the dose-response relationship between the two in the oldest-old patients with acute ischemic stroke.</p><p><strong>Methods: </strong>A longitudinal observational study was conducted on patients with acute ischemic stroke (aged ≥80 years) from two tertiary hospitals between January 1, 2014, and January 31, 2020. Based on the tertiles of the C-reactive protein/albumin ratio, the patients were divided into three groups. Restrictive cubic spline and robust locally weighted regression analysis were performed on continuous variables to examine the dose-response relationship between the C-reactive protein/albumin ratio and in-hospital mortality risk. All-cause mortality during hospitalization was the outcome for this study.</p><p><strong>Results: </strong>The study included 584 patients (mean age = 84.6 ± 3.1 years; 59.6% men). The C-reactive protein/albumin ratio was divided into three groups, namely, T1 of &lt;0.73, T2 of 0.73-2.03, and T3: &gt;2.03. After adjusting for demographic and clinical characteristics, a higher C-reactive protein/albumin ratio was independently associated with in-hospital mortality. The hazard ratio for this association was 2.01 (95% confidence interval: 1.12-3.60, p = 0.019). A dose-response relationship between the C-reactive protein/albumin ratio and in-hospital mortality risk was observed. Sensitivity analysis found no attenuation in the hazard ratio in uninfected individuals, whereas no difference in the hazard ratio was noted in individuals with infections.</p><p><strong>Conclusions: </strong>When predicting in-hospital mortality in the oldest-old patients with ischemic stroke, the C-reactive protein/albumin ratio might be a helpful and convenient metric.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"125-133"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89717870","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
What Is the Real-Life Experience of Older Adults on Smart Healthcare Technologies? An Exploratory Interview Study. 老年人对智能医疗保健技术的真实体验是什么?一项探索性访谈研究。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2024-06-06 DOI: 10.1159/000539539
Jiaxin Zhang, Hailiang Wang, Qingchuan Li, Yan Luximon
{"title":"What Is the Real-Life Experience of Older Adults on Smart Healthcare Technologies? An Exploratory Interview Study.","authors":"Jiaxin Zhang, Hailiang Wang, Qingchuan Li, Yan Luximon","doi":"10.1159/000539539","DOIUrl":"10.1159/000539539","url":null,"abstract":"<p><strong>Introduction: </strong>Smart healthcare technologies (SHCTs) exhibit the great potential to support older Hong Kong adults with their health problems. Although there are various SHCTs in the Hong Kong market, and some adoption predictors have been proposed and investigated, little is known about older users' views on and real-life experiences with these technologies. This exploratory study examined the experiences, functional needs, and barriers of three kinds of SHCT (i.e., smart wearable devices, smart health monitors, and healthcare applications) with older adults in real life.</p><p><strong>Methods: </strong>A convenience sampling method was applied to recruit twenty-two older adults from the Hong Kong community. The interview was designed in semi-structured and conducted in a face-to-face setting. The content analysis was used to summarize the older adults' functional needs and barriers in real life.</p><p><strong>Results: </strong>We found older adults mainly applied SHCTs to address physical health, but there are few technological solutions for mental health in practice. There are four types of barriers in using SHCT. However, social support in Hong Kong community greatly helps reduce the barriers in technology use. Based on the findings, we discussed the possible solutions based on the social and technology perspective.</p><p><strong>Conclusion: </strong>Current technologies still could not fully address older adults' needs for healthy aging, and various barriers still hinder the actual adoption. By deeply understanding and considering the social context, technology innovation can facilitate the adoption of SHCT and promote a healthy aging society.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"978-990"},"PeriodicalIF":3.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141283473","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
Is the Pentagon-Copying Task More than a Cognitive Feature? Associations with Handgrip Strength, Gait Speed, and Frailty in Older Adults. 五边形复制任务不仅仅是一种认知特征吗?老年人握力、步态速度和虚弱的相关性。
IF 3.1 3区 医学
Gerontology Pub Date : 2024-01-01 Epub Date: 2023-10-13 DOI: 10.1159/000534555
Alberto Sardella, Federica Bellone, Giuseppe Mandraffino, Fabio Malacarne, Giuseppe Maltese, Giovanni Squadrito, Maria C Quattropani, Giorgio Basile
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