Revista Espanola de Geriatria y Gerontologia最新文献

{"title":"Experiencia y presencia de la cibermareo en la exposición inmersiva a la realidad virtual en adultos mayores que viven en la comunidad","authors":"Mauricio Lorca ,&nbsp;Esperanza Araya ,&nbsp;Manuel Monrroy ,&nbsp;Javier Enríquez ,&nbsp;Paula Moscoso ,&nbsp;Rodrigo Montefusco ,&nbsp;Mauricio San Martín","doi":"10.1016/j.regg.2025.101634","DOIUrl":"10.1016/j.regg.2025.101634","url":null,"abstract":"<div><h3>Introduction</h3><div>Immersive virtual reality (IVR) is gaining influence in daily life and is being used in healthcare for promotion, prevention, and rehabilitation. This study evaluated the user experience and the presence of cybersickness in individuals over 65 years old exposed to this technology.</div></div><div><h3>Method</h3><div>A non-probabilistic convenience sampling method was used. Twenty-three participants (19 women) attended IVR sessions lasting 15–20<!--> <!-->minutes, twice a week for three weeks. Health, sociodemographic, technology familiarity, motion sickness history, the Abbreviated Mini-Mental State Examination, the Geriatric Depression Scale, the Simulator Sickness Questionnaire, and a user experience questionnaire were applied.</div></div><div><h3>Results</h3><div>The 56.5% reported difficulty using technology; none exhibited technological anxiety. All participants (100%) found the glasses easy to use; 87% found learning to use them simple, and 91.3% felt confident using them without assistance. Additionally, 95.7% found IVR useful. All participants positively valued the use of IVR glasses and were willing to use them again or recommend them. The perception of no, negligible, or minimal symptoms was 95.7% in session 1, 82.6% in session 3, 95.7% in session 6, and 100% in sessions 2, 4, and 5.</div></div><div><h3>Conclusions</h3><div>IVR is well-received and tolerated by older adults, making it a promising tool for rehabilitation. The enthusiasm and positive perception of its utility and ease of use were reflected in the high acceptance and willingness to reuse this technology.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101634"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488609","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":"Factores asociados a la calidad de vida de las mujeres mayores que viven en el ámbito rural: una revisión bibliográfica","authors":"María Josefa López-Navarro ,&nbsp;Carmen Rodríguez-Blázquez ,&nbsp;Lorena Patricia Gallardo-Peralta","doi":"10.1016/j.regg.2025.101629","DOIUrl":"10.1016/j.regg.2025.101629","url":null,"abstract":"<div><div>Quality of life (QoL) is a construct that predicts disease outcomes and well-being in old age. We analyzed factors associated with QoL in older women in rural settings. We also had the following specific objectives: (i)<!--> <!-->to examine socioeconomic variables; (ii)<!--> <!-->to examine physical and mental health variables, and (iii)<!--> <!-->to examine psychosocial variables.</div><div>A literature review was conducted in the main health sciences databases over the last five years. The search yielded 991 articles. Of these, 24 were reviewed, none carried out in Spain. Women in rural areas showed lower QoL scores than men. The main variables associated with QoL were household structure, educational level, income, multimorbidity, comorbidity, depression, frailty, anxiety and loneliness.</div><div>This confirms the lack of studies on the QoL of older women in rural areas in Europe, specifically in Spain, which is a priority objective for public health.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101629"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474251","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":"Adultos mayores con fragilidad que consultan en Urgencias","authors":"Maricelis Cruz-Grullón ,&nbsp;Nuria Molist-Brunet ,&nbsp;Eva Alda-Sánchez ,&nbsp;Gemma Cuesta-Castellón ,&nbsp;Andrea Padovani-Velasquez ,&nbsp;Emma Puigoriol-Juvanteny ,&nbsp;Matilde Barneto-Soto ,&nbsp;Joan Espaulella-Panicot","doi":"10.1016/j.regg.2025.101627","DOIUrl":"10.1016/j.regg.2025.101627","url":null,"abstract":"<div><h3>Introduction</h3><div>Managing the care of older adults with frailty is currently a major challenge, especially in the Emergency Department (ED) and the Acute Medical Unit (AMU). The aim of this paper is to describe the use of healthcare resources of patients with frailty admitted to the AMU.</div></div><div><h3>Methods</h3><div>Prospective, descriptive and observational study, from March 2022 to March 2023. Patients admitted to the AMU ≥ 85-years-old with moderate-advanced frailty and &lt;<!--> <!-->85-years-old from selected risk groups (from nursing homes, dementia and advanced chronic disease) were analysed. The degree of frailty was classified according to the Clinical Frailty Scale (CFS). Demographic data, clinical data, conventional hospitalisation and alternatives to conventional hospitalisation (intermediate care, hospital at home), advanced care planning, 3-months mortality after discharge and hospital readmissions between 72<!--> <!-->hours and 28 days after discharge were assessed.</div></div><div><h3>Results</h3><div>A total of 354 patients were studied, of whom 202 (57%) were female; mean age 87.7<!--> <!-->±<!--> <!-->3.83 years. 212 (60%) patients were admitted to some alternative to conventional hospitalisation, 120 (56.6%) intermediate care and 92 (43.4%) hospital at home). 138 (39%) patients had a previous assessment by primary care and 85 (24%) patients had advance care planning. 3-months mortality after discharge was 78 patients (22%) and readmissions were 73 patients (20.6%).</div></div><div><h3>Conclusions</h3><div>The AMU is a key area for tailoring urgent care for older people with frailty, optimising the use of alternatives to conventional hospitalisation and planning ahead for acute episode and future decompensation.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101627"},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419903","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":"Estudio de las fortalezas personales como predictores de actitudes positivas hacia las personas mayores de 65 años en estudiantes universitarios de España, Chile y Colombia","authors":"Jesús González-Moreno ,&nbsp;María Cantero-García ,&nbsp;Ana Isabel Agusti ,&nbsp;Maria Antonia Parra-Rizo ,&nbsp;Javier Guillem-Saiz","doi":"10.1016/j.regg.2025.101632","DOIUrl":"10.1016/j.regg.2025.101632","url":null,"abstract":"<div><h3>Introduction</h3><div>Attitudes, which influence perception, thought, and motivation, guide behaviors. Positive attitudes foster greater concern for the needs of others, improving care and reducing discrimination. This study evaluated the attitudes of Hispanic university students (from Spain, Chile, and Colombia) toward older adults, exploring how these attitudes relate to sociodemographic variables and personal strengths.</div></div><div><h3>Materials and Methods</h3><div>The primary objective was to develop a predictive model of positive attitudes. A total of 803 university students participated in the study. Descriptive analyses and ANOVA were used to compare attitudes across countries, along with correlation and multiple linear regression analyses to identify key predictors.</div></div><div><h3>Results</h3><div>The findings suggest generally positive attitudes toward older adults, with higher scores observed in Spain compared to Chile and Colombia. A positive, albeit weak, correlation was found with variables such as age and gender. The final predictive model included educational level, interest in aging-related topics, and the personal strengths of love, gratitude, and kindness, explaining 15% of the variance in attitudes.</div></div><div><h3>Conclusions</h3><div>In conclusion, positive attitudes and personal strengths significantly contribute to, fostering more inclusive and respectful treatment of this population. The study highlights the importance of promoting these strengths in educational contexts to combat ageism and enhance social sensitivity toward aging.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101632"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395995","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":"Beneficios de un programa ambulatorio de ejercicio multicomponente unido a la valoración geriátrica integral para pacientes mayores de la comunidad con fragilidad física","authors":"Ruth Aguado Ortego,&nbsp;Lucía Gómez González,&nbsp;Montserrat Gómez Rubiano,&nbsp;Esperanza Fernández Rodriguez,&nbsp;Juan José Baztán Cortés,&nbsp;Javier Gómez-Pavón","doi":"10.1016/j.regg.2025.101625","DOIUrl":"10.1016/j.regg.2025.101625","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>The greatest challenge in healthcare is maintaining the functional capacity of the elderly through prevention and reversal programs for situations of physical fragility before crossing the threshold of disability. The aim of this study is to describe the functional evolution of frail and pre-frail elderly people in the community, after a multifactorial intervention based on comprehensive geriatric assessment followed by an outpatient multicomponent exercise program.</div></div><div><h3>Patients and methods</h3><div>Longitudinal observational study, from May 27, 2021 to January 15, 2023, which included patients with physical frailty (Short Physical Performance Battery [SPPB] &lt; 10) from the Frailty and Fall Prevention Clinic, to carry out an outpatient multicomponent exercise program for 12 weeks, supervised by a multidisciplinary team made up of geriatrics, physiotherapy and specialized nursing. The degree of frailty was assessed using the SPPB (10-12 points: robust, 7-9 points: pre-frail, 4-6 points: frail, 0-3 points: disability). The outcome variables were the pre- and post-intervention difference in SPPB, gait speed, grip strength and quality of life (EuroQoL EQ-5D), compared by Student's T test for paired samples.</div></div><div><h3>Results</h3><div>A total of 46 patients were included (82.3 years±5.47; 73.91% women). Before the intervention, 39.13% of the patients were categorized as frail and 60.87% as pre-frail. After the intervention, a gain of 3.56 points in the SPPB was achieved (<em>P</em>&lt;.001), being 85.37% of the patients categorized as robust, 14.63% as pre-frail, and none of them as frail. Furthermore, the gait speed improved 0.38m/s (<em>P</em>&lt;.001); the grip strength increased 2.84 kg in women (<em>P</em>&lt;.05) and 3.91 kg in men (<em>P</em>&lt;.05); and the EuroQoL score raised 29.15 points (<em>P</em>&lt;.001).</div></div><div><h3>Conclusion</h3><div>Multicomponent exercise on an outpatient basis, combined with comprehensive geriatric assessment performed in a geriatric department by a multidisciplinary team, contributes to the reversal of frailty.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101625"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387467","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":"Financial well-being of the older adult Brazilians","authors":"Kelmara Mendes Vieira,&nbsp;Taiane Keila Matheis,&nbsp;Breno Augusto Diniz Pereira,&nbsp;Leander Luiz Klein","doi":"10.1016/j.regg.2025.101631","DOIUrl":"10.1016/j.regg.2025.101631","url":null,"abstract":"<div><h3>Background and objective</h3><div>The objective of this study is to identify the perceived financial well-being of older adult Brazilians. Additionally, it aims to evaluate whether this perception differs according to socioeconomic and demographic profiles. As far as is known, this is the first study to assess the financial well-being of the older adult in a representative sample of cases.</div></div><div><h3>Materials and methods</h3><div>A survey was conducted with 1129 Brazilians aged 60 or older. Perceived financial well-being was assessed using a set of 23 items distributed across four dimensions: financial security, financial tranquility, financial freedom, and satisfaction with financial management. The analysis techniques included descriptive statistics, chi-square tests, and regression analysis.</div></div><div><h3>Results</h3><div>The results indicate that most older adult exhibited high levels of financial well-being. A significant portion of the older adult (40%) still show shallow levels of financial well-being. When analyzing the dimensions that form financial well-being, it was found that although the older adults are mostly satisfied with how they manage their resources, few still feel financially secure, especially regarding their future financial capacity. It is also noteworthy that despite good results for financial freedom, there is still a significant portion of the older adult for whom this freedom mainly refers to satisfying day-to-day consumption needs, but is rarely enough to support larger financial expenditures such as a vacation trip. The worst levels were identified among those from lower social classes, non-whites, those with lower levels of education, and those without their own home.</div></div><div><h3>Conclusions</h3><div>The government, the financial system, and society need to unite to prevent financial digitalization, the lack of financial preparation for retirement, and changes in social security systems from negatively impacting the financial well-being of the older adult.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101631"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395996","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":"Hipervitaminemia B12 de probable origen tumoral en paciente mayor: a propósito de un caso","authors":"Daniel Rosselló-Jiménez,&nbsp;Anna Soriano Villalbí,&nbsp;Enrique Asensi-Batlle,&nbsp;Mireia Llonch-Masriera","doi":"10.1016/j.regg.2025.101633","DOIUrl":"10.1016/j.regg.2025.101633","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101633"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387670","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":"Update on vaccines against respiratory syncytial virus (RSV): A narrative review","authors":"José Gutierrez-Rodriguez ,&nbsp;Jaime Rodríguez-Salazar ,&nbsp;Francisco José Tarazona-Santabalbina","doi":"10.1016/j.regg.2025.101630","DOIUrl":"10.1016/j.regg.2025.101630","url":null,"abstract":"<div><div>Respiratory syncytial virus (RSV) infections pose a significant challenge to healthcare systems due to their impact on older adults, particularly those who are frail. Implementing an appropriate vaccination policy for these patients could help reduce healthcare resource utilization and costs while enhancing the quality of life for elderly individuals and their families. This narrative review aims to present the latest evidence on RSV and the available vaccines. Of the five vaccines evaluated, three have demonstrated significant efficacy in individuals over 60 years of age. Based on the current evidence, it is recommended that individuals over 75 be offered RSV vaccination, with priority given to those with chronic heart or lung conditions, frailty, or who reside in long-term care facilities.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101630"},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387468","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":"Manejo multidisciplinar de un caso severo de pioderma gangrenoso en una paciente de edad avanzada","authors":"Miguel Mansilla-Polo ,&nbsp;Carlos Abril-Pérez ,&nbsp;Mar Merino-Romero ,&nbsp;Rafael Botella-Estrada","doi":"10.1016/j.regg.2024.101617","DOIUrl":"10.1016/j.regg.2024.101617","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101617"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143131865","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":"La geriatría dentro del sistema sanitario español: pasado y futuro","authors":"José Manuel Ribera Casado ,&nbsp;Alfonso J. Cruz Jentoft","doi":"10.1016/j.regg.2025.101626","DOIUrl":"10.1016/j.regg.2025.101626","url":null,"abstract":"<div><div>Geriatrics is the medical specialty that cares for health problems of older persons, including acute care, chronic care and rehabilitation, in various settings such as the community, hospitals and long-term care. This article analyzes the situation of geriatric medicine in Spain before and after the COVID-19 pandemic, highlighting the challenges and changes needed to improve geriatric care in the future.</div><div>The first part of this paper describes the main landmarks of the Spanish health system. In 1986, a key law <em>(Ley General de Sanidad)</em> was approved by the Spanish Parliament, launching the development of the national health care system. In parallel, we describe and comment the development of geriatrics in Spain along this period is described. Later, the interactions between the health system and geriatrics along the next decades is reported, using 2020 (when started the COVID-19 pandemic started) as deadline of our past history. In the second part, the most important characteristics of the current situation of Spanish and European geriatric medicine are described, in order to propose ideas on how geriatric care can be designed and reimagined in the future.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101626"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075970","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}