Revista Espanola de Geriatria y Gerontologia最新文献

{"title":"Validez de 3 métodos predictivos para estimar la talla en pacientes de edad avanzada","authors":"David Robles-Torres ,&nbsp;Natividad Lago-Rivero ,&nbsp;Brais Bea-Mascato ,&nbsp;Iván Agra Blanco ,&nbsp;Elena Cerdeira Regueira ,&nbsp;Noemí Martínez-López-de-Castro","doi":"10.1016/j.regg.2025.101655","DOIUrl":"10.1016/j.regg.2025.101655","url":null,"abstract":"<div><h3>Introduction</h3><div>In daily clinical practice, we relatively often encounter situations in which it is not possible to measure the height of elderly patients in a conventional way. For these cases, predictive methods have been developed to estimate the height of patients by measuring body segments. The aim of this paper is to determine the best method for estimating the actual height of elderly patients.</div></div><div><h3>Material and methods</h3><div>A cross-sectional study was carried out with 130 participants over 65 years of age institutionalised in a socio-health centre. Height was calculated using three estimation methods for each study participant and the results were then compared with the actual height of the patients. Correlation coefficient (R), mean absolute error (MAE) and mean square error (MSE) were calculated for each of the three methods.</div></div><div><h3>Results and discussion</h3><div>The method ‘height estimation from ulnar measurement’ had an R<!--> <!-->=<!--> <!-->0.97 with an MAE<!--> <!-->=<!--> <!-->0.0386 and an MSE<!--> <!-->=<!--> <!-->0.0019, the ‘knee-heel height formula of Chumlea’ had an R<!--> <!-->=<!--> <!-->0.94 with an MAE<!--> <!-->=<!--> <!-->0.0300 and an MSE<!--> <!-->=<!--> <!-->0.0013 and finally, the ‘knee-malleolus formula of Arango and Zamora’ had an R<!--> <!-->=<!--> <!-->0.9 with an MAE<!--> <!-->=<!--> <!-->0.0353 and an MSE<!--> <!-->=<!--> <!-->0.0018.</div></div><div><h3>Conclusions</h3><div>The Chumlea formula is considered the best method for estimating height in elderly patients in whom height cannot be measured conventionally, as it has a very good correlation coefficient (R<!--> <!-->=<!--> <!-->0.94) and the lowest deviation of the results.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101655"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of older adults with severe aortic stenosis and indication of non-cardiac surgery for colorectal neoplasm: What do we treat first?","authors":"Paula Aldama Marín ,&nbsp;Paula Lavandera Verdera ,&nbsp;Nicolás María González-Senac ,&nbsp;Maite Vidán Astiz","doi":"10.1016/j.regg.2025.101623","DOIUrl":"10.1016/j.regg.2025.101623","url":null,"abstract":"<div><div>Severe aortic stenosis may increase risks and pose limitations in non-cardiac surgeries, sometimes requiring prior treatment. Surgery for colorectal neoplasms is frequently the priority indicated treatment as its delay can increase the risk of developing complications (e.g. bowel obstruction). The coexistence of both conditions in older comorbid patients may be challenging during the decision-making process. In this case series, four cases of older adults with severe aortic stenosis and colorectal neoplasms with surgical indication are presented. A description of the management of each case, with a revision of the current cardiovascular risk assessment guidelines, is done.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101623"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relación entre el ángulo de fase medido por bioimpedanciometría eléctrica con la fragilidad física, sarcopenia y comorbilidad en pacientes mayores","authors":"Elodia Teresa Bernabeu-Serrano ,&nbsp;Eoin Duggan ,&nbsp;Román Romero-Ortuño","doi":"10.1016/j.regg.2025.101651","DOIUrl":"10.1016/j.regg.2025.101651","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate the association between phase angle (PA), measured by electrical bioimpedance, and age, comorbidity, physical frailty, and sarcopenia in individuals over 50<!--> <!-->years old attending a falls clinic.</div></div><div><h3>Materials and methods</h3><div>Data were collected on demographics (age, sex), anthropometric measurements (body mass index [BMI]), comorbidity (CIRS-G score), physical frailty (SHARE-FI score), probable sarcopenia (by handgrip strength and 5 sit-to-stand test [5-STS]), and bioimpedance parameters (PA and sarcopenia as per Sergi's equation). Bivariate correlations and multiple linear regression models were applied to determine association<em>.</em></div></div><div><h3>Results</h3><div>The study included 107 patients (61 women) from the <em>Falls and Syncope Unit, Mercer's Institute for Successful Ageing, St James’ Hospital, Dublin</em>; with a mean age of 69.8 years, PA of 4.7°, and BMI of 26.4<!--> <!-->kg/m². PA demonstrated an inverse correlation with SHARE-FI (ρ: −0.23, <em>P</em> <!-->=<!--> <!-->.019), which remained significant after adjusting for age. PA was also inversely correlated with CIRS-G (ρ: −0.40, <em>P</em> <!-->&lt;<!--> <!-->.001); in regression analysis, this association was independent of age (<em>P</em> <!-->&lt;<!--> <!-->.001) and SHARE-FI (<em>P</em> <!-->=<!--> <!-->.539). PA was inversely associated with bioimpedance-confirmed sarcopenia (<em>P</em> <!-->=<!--> <!-->.002) and probable sarcopenia by handgrip strength (ρ: 0.25, <em>P</em> <!-->=<!--> <!-->.009) and 5-STS (ρ: −0.32, <em>P</em> <!-->=<!--> <!-->.001). Among patients with confirmed or probable sarcopenia (n<!--> <!-->=<!--> <!-->49), PA was inversely related to CIRS-G (<em>P</em> <!-->=<!--> <!-->.011), independent of age (<em>P</em> <!-->=<!--> <!-->.003) and SHARE-FI (<em>P</em> <!-->=<!--> <!-->.959).</div></div><div><h3>Conclusions</h3><div>PA decreases with age and is significantly influenced by comorbidities, but not by physical frailty. This relationship persists in patients with confirmed or probable sarcopenia, suggesting that PA could be a valuable marker for assessing the burden of comorbidities in these patients.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101651"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sobrecarga en cuidadores familiares de personas atendidas en el domicilio por Atención Primaria durante la pandemia covid-19: estudio exploratorio","authors":"Ana María Capitán Fernández ,&nbsp;Vanessa Gutiérrez Vallés ,&nbsp;Carlos Luis Pérez ,&nbsp;Miguel Cerrillo Borja ,&nbsp;Nerea Rodríguez Morales ,&nbsp;Raquel Tejedor Bartolomé ,&nbsp;Carolina Lapena Estella","doi":"10.1016/j.regg.2025.101656","DOIUrl":"10.1016/j.regg.2025.101656","url":null,"abstract":"<div><h3>Introduction</h3><div>Primary Care cares for dependent people in their homes, and also supports their main caregivers. With the covid-19 pandemic, this care was altered.</div></div><div><h3>Aim</h3><div>To analyze the level of burden in the informal caregiver role during the first months of the covid-19 pandemic; and study their perception of the support received during the pandemic by Primary Care.</div></div><div><h3>Methods</h3><div>Explanatory sequential design, combining different methodologies. First, a retrospective longitudinal quantitative study to assess the characteristics of people cared at home and the overload of their informal caregivers before and after the covid-19 first months between March 2020 and December 2021. Secondly, based on these data, 12 informal caregivers with a greater worsening of overload were selected for the qualitative study. In-depth interviews were conducted to find out their perception of their burden.</div></div><div><h3>Results</h3><div>A total of 13,353 people receiving home care were analyzed for the quantitative study, with a mean age of 86.4 years (SD: 9.1), of which 71.8% were women, 34% of the caregivers were overloaded, which increased by 2.5%(<em>P</em> <!-->&lt;<!--> <!-->0.001). This overload increased significantly during the covid-19 pandemic. With the 12 interviews of the qualitative study, it was concluded that there was no relevant impact of confinement on the patient that received home care, which would have occurred on the caregivers, due to uncertainly or the lack of social interaction. The informants highlighted the difficulty of telephone access to the Primary Care center and dissatisfaction with the loss of face-to-face contact, although they valued the longitudinality and the telephone follow-up carried out.</div></div><div><h3>Conclusion</h3><div>It is necessary to reinforce support strategies in the care of informal caregivers within the receiving home care program to reduce the burden seen.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101656"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep quality, frailty components and body composition of community-dwelling older adults: An exploratory study","authors":"Flávia F. Lage,&nbsp;Tamyres Andréa C. Valim,&nbsp;Lara V. Fernandes,&nbsp;Amanda C. Queiroz da Silva,&nbsp;Wellington Shegueto,&nbsp;Camila M. De Melo","doi":"10.1016/j.regg.2025.101636","DOIUrl":"10.1016/j.regg.2025.101636","url":null,"abstract":"<div><h3>Background</h3><div>Sleep patterns change with the aging process, resulting in an increased risk of sleep disorders. Sleep quality might be associated with body composition and has been associated with frailty. The objective of the present study was to evaluate the association of sleep quality with frailty components and body compositions of community-dwelling elderly individuals.</div></div><div><h3>Methods</h3><div>Observational and cross-sectional study conducted with ≥60 years of both sexes. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS). Self-reports of involuntary weight loss, handgrip strength (HGS), self-reported fatigue by the Geriatric Depression Scale (GDS), gait speed (GS) and levels of physical activity were assessed. Anthropometric measurements of body weight, height, calf circumference (CC) and waist circumference (WC), and body composition was assessed.</div></div><div><h3>Results</h3><div>A total of 141 participants (82% female; 69.5<!--> <!-->±<!--> <!-->6.4 years old) were studied. It was found 60% of poor sleep quality. The prevalence of frailty was 2%, and 38% of the participants were classified as prefrail. Positive moderate correlations between sleep quality and BMI, CC, WC, GS, fat mass, fat mass and depressive symptoms (<em>p</em> <!-->&lt;<!--> <!-->0.05) were found. The logistic regression test revealed that HGS was positively associated with good sleep quality, while fat mass and depressive symptoms were negatively associated.</div></div><div><h3>Conclusion</h3><div>The present study demonstrated a high prevalence of poor sleep quality and a low prevalence of frailty in community-dwelling older adults. Sleep was associated with strength, body composition and depressive symptoms in this population.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101636"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a Multicomponent Exercise Program with Virtual Reality (MEP-VR) versus standard approaches on functional and cognitive domains in hospitalised geriatric patients: Study protocol for a randomized controlled trial","authors":"Maria Cristina Ferrara ,&nbsp;Fabiola Zambom-Ferraresi ,&nbsp;Arkaitz Galbete ,&nbsp;Marisa Fernández-González de la Riva ,&nbsp;Maite Izco-Cubero ,&nbsp;Agurne García-Baztán ,&nbsp;Amaya Capón-Sáez ,&nbsp;Soledad Domínguez-Mendoza ,&nbsp;Itxaso Marín-Epelde ,&nbsp;Fabricio Zambom-Ferraresi ,&nbsp;Nicolás Martínez-Velilla","doi":"10.1016/j.regg.2025.101646","DOIUrl":"10.1016/j.regg.2025.101646","url":null,"abstract":"<div><h3>Background</h3><div>Conventional care models for older adults often disregard negative effects of hospitalization and neglect potential benefits of technology. This trial aims to investigate effects of Multicomponent Exercise Program with Virtual Reality (MEP-VR) on functional and cognitive outcomes in hospitalized older adults, compared to MEP-only or usual care approaches.</div></div><div><h3>Methods</h3><div>This three-arm, parallel-group, randomized controlled trial will include 255 participants aged 75 or older, with a Barthel Index score of at least 60, able to walk and cooperate, have an estimated hospital stay of at least four days, and provide informed consent. Patients with severe dementia, terminal illness, or clinical instability will be excluded. Participants will be randomly assigned to a control group or one of two intervention groups. The intervention groups will receive either MEP-VR or MEP-only program, consisting of supervised aerobic exercise, resistance training, and balance training, with or without a virtual reality component. The intervention will occur over four consecutive days, each session lasting 30–40<!--> <!-->min. The primary outcome measure will be functional changes at discharge. Cognition, mood, quality of life, and immersive virtual reality (IVR) usability will also be assessed.</div></div><div><h3>Discussion</h3><div>Technological advances are rapidly increasing with population aging, creating potential benefits for integrating technology into older adult care. This study will evaluate the implementation of IVR combined with MEP. If our hypothesis proves accurate, it will pave the way for modifying the hospitalization system, helping to reduce the critical healthcare burden resulting from hospital-acquired disability in the older population.</div></div><div><h3>Trial registration</h3><div>This study was approved by the Navarra Clinical Research Ethics Committee on June 14th, 2021 (PI_2021_90). The trial was retrospectively registered at ClinicalTrials.gov, registration number <span><span>NCT06469554</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101646"},"PeriodicalIF":0.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619185","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":"Carcinoma papilar incidental sobre quiste de conducto tirogloso","authors":"Verónica Vallejo Herrera ,&nbsp;María José Vallejo Herrera ,&nbsp;Carmen Bautista Recio","doi":"10.1016/j.regg.2025.101648","DOIUrl":"10.1016/j.regg.2025.101648","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101648"},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterizing active mobility patterns of older people in Santiago de Chile","authors":"Gonzalo Cancino Hidalgo,&nbsp;Marie Geraldine Herrmann-Lunecke,&nbsp;Rodrigo Mora","doi":"10.1016/j.regg.2025.101649","DOIUrl":"10.1016/j.regg.2025.101649","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Older people represent the fastest growing group worldwide. However, their mobility patterns have often been neglected in the literature and in public policies. To better understand the mobility of older persons, the objective of this study is to characterize the active mobility of older people in Santiago de Chile, through an analysis of the citywide Origin-Destination Survey of 2012.</div></div><div><h3>Methods</h3><div>The analysis involved the 34 communes of Greater Santiago (about 7 million), a highly fragmented and unequal city. For processing and analysis, sociodemographic variables were selected – gender, age, economic income – along with variables related to mobility – travel purpose, distance travelled, travel time, mode of travel. Microsoft Excel was used to consolidate data and produce tables and graphs, while IBM SPSS Statistics 25 was used for recoding, creation of analysis variables and control variables, plus statistical processing.</div></div><div><h3>Results</h3><div>Results show that older people make a greater number of care-related trips (43% of trips), outside of peak hours, and with a higher proportion of active modes (mainly walking) than other groups. The prevalence of active modes is inversely related to income, being more dominant in low-income communes. Finally, results indicate that 70% of trips taken by older people are less than 5<!--> <!-->km, with 48% less than 2<!--> <!-->km. In this sense, older people are making most of their trips within their neighborhoods.</div></div><div><h3>Conclusions</h3><div>The above poses significant challenges for public policy and urban health aimed at the elderly, especially regarding investment in urban equipment, green areas and commercial or community equipment, as well as the design of safe and suitable sidewalks for the elderly. Building a city of proximity and age-friendly streets seems to be an urgent challenge for Chilean cities.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101649"},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paciente mayor compleja con presentación atípica de endocarditis infecciosa: a propósito de un caso","authors":"Gracia Fajardo Tórtola ,&nbsp;María Teresa Vidán Astiz ,&nbsp;Javier Ortiz Alonso ,&nbsp;Martha Kestler","doi":"10.1016/j.regg.2025.101637","DOIUrl":"10.1016/j.regg.2025.101637","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101637"},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tratamiento con ketamina de los trastornos de conducta asociados a la demencia. Caso clínico","authors":"Cristina Garzon-Rodriguez ,&nbsp;Enrique Contreras ,&nbsp;Sonsoles Frutos ,&nbsp;Fernando Nebrera ,&nbsp;Miguel Sanchez-Dalp ,&nbsp;Antonio Ayala","doi":"10.1016/j.regg.2025.101650","DOIUrl":"10.1016/j.regg.2025.101650","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101650"},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}