Annals of Geriatric Medicine and Research最新文献_第10页

Integrated Community Care in Korea: Implementation and Challenges. 韩国的综合社区护理：实施与挑战。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-09-01 Epub Date: 2025-09-23 DOI: 10.4235/agmr.25.0150

Soong-Nang Jang

引用次数: 0

Heart Failure in Patients with Sarcopenia: Systematic Review and Meta-Analysis. 肌肉减少症患者的心力衰竭：系统回顾和荟萃分析。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-09-01 Epub Date: 2025-04-10 DOI: 10.4235/agmr.24.0186

Pedro Ivo Carmo Campos, Juliano Bergamaschine Mata Diz, Amanda Aparecida Oliveira Leopoldino, Marcus Vinicius Bolivar Malachias

{"title":"Heart Failure in Patients with Sarcopenia: Systematic Review and Meta-Analysis.","authors":"Pedro Ivo Carmo Campos, Juliano Bergamaschine Mata Diz, Amanda Aparecida Oliveira Leopoldino, Marcus Vinicius Bolivar Malachias","doi":"10.4235/agmr.24.0186","DOIUrl":"10.4235/agmr.24.0186","url":null,"abstract":"Background: The prevalence of sarcopenia and heart failure (HF) is estimated to be between 8%-34% and 3%-11.8%, respectively. The prevalence of HF in patients with sarcopenia and the prognosis of this association remain unclear.Methods: A systematic review was conducted across MEDLINE/PubMed, Embase, CENTRAL, SciELO, and CINAHL databases, with manual searches in Google Scholar and grey literature. Meta-analysis was performed on the gathered results to assess the prevalence of HF in patients with sarcopenia, estimate phenotypes related to left ventricular ejection fraction (LVEF), and evaluate the associated mortality risk.Results: Out of 7,080 studies, 16 were selected. In patients with sarcopenia, HF prevalence was 32% (95% CI 0.07-0.61, p<0.001, I²=100%). Patients with both conditions showed 45.9% (95% confidence interval [CI], 0.34-0.58; p<0.001, I²=90.69%) with reduced LVEF, 10.3% (95% CI, 0.00-0.29; p<0.001, I²=99%) with mildly reduced LVEF, and 29.1% (95% CI, 0.14-0.45; p<0.001, I²=99%) having preserved LVEF.Conclusion: HF is highly prevalent in patients with sarcopenia and increases mortality risk.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"295-304"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020611","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}

引用次数: 0

Sarcopenic Obesity Defined by Japanese Working Group on Sarcopenic Obesity in Post-Stroke Inpatients: Prevalence and Clinical Implications. 日本卒中后住院患者肌少性肥胖工作组定义的肌少性肥胖：患病率和临床意义。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-09-01 Epub Date: 2025-04-16 DOI: 10.4235/agmr.25.0021

Ayaka Matsumoto, Yoshihiro Yoshimura, Hidetaka Wakabayashi, Fumihiko Nagano, Sayuri Shimazu, Yoshifumi Kido, Ai Shiraishi, Takenori Hamada, Kouki Yoneda, Takahiro Bise, Aomi Kuzuhara

{"title":"Sarcopenic Obesity Defined by Japanese Working Group on Sarcopenic Obesity in Post-Stroke Inpatients: Prevalence and Clinical Implications.","authors":"Ayaka Matsumoto, Yoshihiro Yoshimura, Hidetaka Wakabayashi, Fumihiko Nagano, Sayuri Shimazu, Yoshifumi Kido, Ai Shiraishi, Takenori Hamada, Kouki Yoneda, Takahiro Bise, Aomi Kuzuhara","doi":"10.4235/agmr.25.0021","DOIUrl":"10.4235/agmr.25.0021","url":null,"abstract":"Background: Sarcopenic obesity (SO) is characterized by the coexistence of sarcopenia and obesity, associated with adverse health outcomes. This study aimed to investigate the prevalence of SO as defined by the recently published Japanese Working Group on Sarcopenic Obesity (JWGSO) criteria in post-stroke patients undergoing rehabilitation and its association with activities of daily living (ADL) and length of hospital stay.Methods: This retrospective cohort study analyzed stroke patients aged 40-75 years undergoing rehabilitation. SO was diagnosed using JWGSO criteria. The primary outcome was the Functional Independence Measure (FIM) motor score at discharge, with length of hospital stay as a secondary outcome. Multiple linear regression analysis was performed to assess associations between SO and outcomes.Results: The study included 405 patients with a median age of 65 years (interquartile range, 58-71), of whom 60.7% were male. The prevalence of JWGSO-defined SO was 5.4%. Multivariate regression analysis revealed no significant association between JWGSO-defined SO and FIM-motor at discharge (β=0.015, p=0.664) or length of stay (β=0.008, p=0.828). Sarcopenia alone demonstrated significant negative associations with both outcomes.Conclusion: The prevalence of JWGSO-defined SO in post-stroke rehabilitation patients was 5.4%, with no significant association with ADL or length of hospital stay. Sarcopenia alone showed stronger associations with outcomes, suggesting the importance of addressing muscle mass and strength in stroke rehabilitation.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"326-334"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002182","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}

引用次数: 0

Pandemic Preparation and Response in Long-Term Care Hospitals: Lessons from COVID-19 Outbreaks and Preparedness for Future Infectious Diseases. 长期护理医院的大流行准备和应对：COVID-19疫情的教训和对未来传染病的防范。

IF 2.8

Annals of Geriatric Medicine and Research Pub Date : 2025-09-01 Epub Date: 2025-06-02 DOI: 10.4235/agmr.25.0031

Jin Ju Park, Kiju Kim, Hyuk Ga, Heekyung Chun, Pyung Suk Ki, Seung Gyu Ji, Joong-Sik Eom, Tark Kim, Jacob Lee

{"title":"Pandemic Preparation and Response in Long-Term Care Hospitals: Lessons from COVID-19 Outbreaks and Preparedness for Future Infectious Diseases.","authors":"Jin Ju Park, Kiju Kim, Hyuk Ga, Heekyung Chun, Pyung Suk Ki, Seung Gyu Ji, Joong-Sik Eom, Tark Kim, Jacob Lee","doi":"10.4235/agmr.25.0031","DOIUrl":"10.4235/agmr.25.0031","url":null,"abstract":"Background: This study aimed to analyze the coronavirus disease-19 (COVID-19) response in long-term care hospitals (LTCHs) and establish a preparedness and management framework for addressing novel infectious diseases.Methods: A national survey was conducted in Korea between June 19 and June 30, 2023. Using an anonymous online questionnaire, the survey gathered information on the general characteristics of participating hospitals, preparedness for infectious diseases in LTCHs prior to the COVID-19 pandemic, preparedness for in-house outbreaks during the COVID-19 pandemic, experiences of in-house COVID-19 outbreaks, and a section related to vaccines and treatments.Results: Of the 1,425 domestic LTCHs, 201 (14.1%) completed the survey. Of the 201, before the COVID-19 pandemic, 24.9% of LTCHs had a disaster preparedness team and 27.9% had conducted training for infectious disease disaster preparedness. During the COVID-19 pandemic, 99.0% of the institutions established response teams for preparedness against COVID-19, and 89.1% of the 201 institutions experienced in-house outbreaks. Most institutions had experienced shortages of materials (78.8%), staff (96.1%), and caregivers (88.3%). The COVID-19 treatments prescribed at the LTCFs were: nirmatrelvir/ritonavir (86.6%), molnupiravir (36.8%), and remdesivir (22.4%). Independent vaccination was administered in 99% of the institutions.Conclusions: Despite the establishment of response systems, most LTCHs experienced in-house outbreaks during the COVID-19 pandemic. These institutions commonly faced challenges such as staffing shortages and supply constraints. To ensure better preparedness for future outbreaks, infection control systems should be regularly evaluated and maintained through ongoing training, even during non-outbreak periods.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"375-383"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250182","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}

引用次数: 0

Bridging the Gap: Addressing the Need for Home Healthcare in South Korea's Aging Population. 缩小差距：满足韩国老龄人口对家庭保健的需求。

IF 2.8

Annals of Geriatric Medicine and Research Pub Date : 2025-06-01 Epub Date: 2025-03-21 DOI: 10.4235/agmr.25.0023

Dae Hyun Kim, Joo Hyung Kim

引用次数: 0

Bidirectional Relationship among Cognitive Function, Muscle Mass, and Grip Strength in Older Adults: the BUSAN Study. 认知功能、肌肉质量和握力在老年人中的双向关系：釜山研究。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-06-01 Epub Date: 2025-02-25 DOI: 10.4235/agmr.24.0157

Du-Ri Kim, Jong-Hwan Park, Ting-Fu Lai, Myung-Jun Shin, Tae Sik Goh, Jung Sub Lee, Eunsoo Moon, Yeong-Ae Yang

{"title":"Bidirectional Relationship among Cognitive Function, Muscle Mass, and Grip Strength in Older Adults: the BUSAN Study.","authors":"Du-Ri Kim, Jong-Hwan Park, Ting-Fu Lai, Myung-Jun Shin, Tae Sik Goh, Jung Sub Lee, Eunsoo Moon, Yeong-Ae Yang","doi":"10.4235/agmr.24.0157","DOIUrl":"10.4235/agmr.24.0157","url":null,"abstract":"Background: With the increasing number of older individuals, understanding the interplay among muscle strength, muscle mass, and cognitive functions in aging populations is important. This study aimed to investigate the relationships among muscle mass, muscle strength, and cognitive function among older adults, with a focus on understanding the bidirectional correlations among these factors.Methods: A total of 335 participants aged ≥65 years were analyzed. Comprehensive assessments, including body composition measurements, cognitive function evaluations using the Korean version of Mini-Mental State Examination (K-MMSE), tablet-based cognitive tests, and grip strength measurements were conducted. Statistical analyses included Spearman correlation and binary logistic regression explore the relationships among muscle mass, grip strength, and cognitive function while adjusting for potential confounders.Results: Significant correlations were observed among grip strength, lean and skeletal muscle mass index, and cognitive function. Lower grip strength was associated with lower K-MMSE scores, indicating a higher risk of cognitive decline. But lean and skeletal muscle masses index were not associated with cognitive decline. Further analysis revealed a bidirectional relationship, with cognitive decline being associated with reduced grip strength.Conclusion: Maintaining muscle strength and mass are important potential strategies to support cognitive health in older individuals. These findings suggest a potential reciprocal relationship where better cognitive function may also contribute to the maintenance or improvement of grip strength. This interconnectedness highlights the importance of considering both physical and cognitive health in aging populations.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":"29 2","pages":"199-206"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12214992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545402","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}

引用次数: 0

Evaluation of Activities of Daily Living: Current Insights and Future Horizons. 日常生活活动的评估：当前的见解和未来的视野。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-06-01 Epub Date: 2025-02-06 DOI: 10.4235/agmr.24.0172

Jin-Ho Kim, Seok Bum Lee

引用次数: 0

Angiotensin-Converting Enzyme Inhibitors versus Angiotensin Receptor Blockers in Older Patients with acute Myocardial Infarction after a Successful Stent Implantation. 血管紧张素转换酶抑制剂与血管紧张素受体阻滞剂在支架置入术后老年急性心肌梗死患者中的作用。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-06-01 Epub Date: 2025-02-04 DOI: 10.4235/agmr.24.0187

Geum Ko, Jae-Geun Lee, Ki Yung Boo, Joon-Hyouk Choi, Song-Yi Kim, Seung-Jae Joo, Jin-Yong Hwang, Seung-Ho Hur, Seok Kyu Oh, Myung Ho Jeong

{"title":"Angiotensin-Converting Enzyme Inhibitors versus Angiotensin Receptor Blockers in Older Patients with acute Myocardial Infarction after a Successful Stent Implantation.","authors":"Geum Ko, Jae-Geun Lee, Ki Yung Boo, Joon-Hyouk Choi, Song-Yi Kim, Seung-Jae Joo, Jin-Yong Hwang, Seung-Ho Hur, Seok Kyu Oh, Myung Ho Jeong","doi":"10.4235/agmr.24.0187","DOIUrl":"10.4235/agmr.24.0187","url":null,"abstract":"Background: This study aimed to evaluate the long-term clinical outcomes of patients with acute myocardial infarction (AMI) who underwent successful stent implantation and were subsequently treated with angiotensin-converting enzyme inhibitors (ACEI) or angiotensin receptor blockers (ARB).Methods: Among 13,104 patients enrolled in the Korean AMI registry, 2,763 older patients aged 70 years or older, who were prescribed either ACEI or ARB at discharge, were included in this study. Propensity score matching (PSM) was performed to adjust for baseline confounders. The primary outcome was a composite of cardiac death and recurrent myocardial infarction (MI) at the 3-year follow-up.Results: In PSM cohort, use of ACEI at discharge was associated with a significantly lower incidence of primary outcome (hazard ratio, 1.60; 95% confidence interval, 1.20-2.14; p=0.001) compared to those of ARB at discharge. Additionally, incidences of cardiac death, recurrent MI and all-cause death were lower in use of ACEI at discharge than in those of ARB. However, there were no statistically significant differences between the two groups in hospitalization for heart failure, any revascularization, stent thrombosis, or stroke.Conclusion: The findings of this study suggest that ACEI use at discharge, compared with ARB use, was associated with lower incidences of cardiac death, and recurrent MI in older patients with AMI after successful stent implantation.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"213-222"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12214979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411119","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}

引用次数: 0

Phase Angle following Intradialytic Neuromuscular Electrical Stimulation and Oral Protein Supplementation in Patients undergoing Chronic Hemodialysis. 慢性血液透析患者分析性神经肌肉电刺激和口服蛋白质补充后的相位角。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-06-01 Epub Date: 2025-02-13 DOI: 10.4235/agmr.24.0108

Jungho Shin, Jae Hyeon Park, Jae Yoon Park, Ran-Hui Cha

{"title":"Phase Angle following Intradialytic Neuromuscular Electrical Stimulation and Oral Protein Supplementation in Patients undergoing Chronic Hemodialysis.","authors":"Jungho Shin, Jae Hyeon Park, Jae Yoon Park, Ran-Hui Cha","doi":"10.4235/agmr.24.0108","DOIUrl":"10.4235/agmr.24.0108","url":null,"abstract":"Background: Sarcopenia is a prevalent condition in patients undergoing chronic hemodialysis. Therefore, a convenient and reliable method of monitoring muscle health is required. This study identified the utility of the phase angle (PhA) to estimate muscle health, and evaluated its changes following intradialytic neuromuscular electrical stimulation (NMES) and oral nutritional supplement interventions in patients undergoing chronic hemodialysis.Methods: This post-hoc analysis was conducted using data obtained from a 12-week multicenter randomized trial that examined the effects of NMES and protein supplementation. The participants were divided into four groups according to intradialytic NMES and protein supplementation. The PhA, muscle mass, muscle strength, and physical performance were measured every 4 weeks.Results: Overall, 59 participants completed the study. PhA values were linearly associated with muscle mass and muscle strength. Additionally, high PhA levels indicated fast gait speed and shortened timed up-and-go test (TUG) results. We further evaluated the association between the PhA slope and muscle health-related parameters. In participants with the PhA slope <0° over 12 weeks, TUG results worsened over time, relative to those with a slope ≥0° over 12 weeks, independent of age, sex, diabetes, and body mass index. NMES did not improve the PhA values over time; however, protein supplementation tended to increase the PhA values.Conclusion: PhA is a reliable marker for estimating and monitoring muscle health in patients undergoing chronic hemodialysis, and a strong association exists between PhA and TUG results.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"223-232"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12214980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411210","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}

引用次数: 0

Hypoalbuminemia as an Unusual Presentation of Undiagnosed Atypical Celiac Disease in an 84-Year-Old Woman. 低白蛋白血症是84岁妇女未确诊的非典型乳糜泻的不寻常表现。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-06-01 Epub Date: 2025-02-04 DOI: 10.4235/agmr.24.0154

Filip Ernoić, Marko Vodanović, Ana Maria Vrga, Marinko Marušić, Filip Sedlić, Krešimir Luetić

{"title":"Hypoalbuminemia as an Unusual Presentation of Undiagnosed Atypical Celiac Disease in an 84-Year-Old Woman.","authors":"Filip Ernoić, Marko Vodanović, Ana Maria Vrga, Marinko Marušić, Filip Sedlić, Krešimir Luetić","doi":"10.4235/agmr.24.0154","DOIUrl":"10.4235/agmr.24.0154","url":null,"abstract":"Celiac disease is a chronic, immune-mediated enteropathy that is precipitated by dietary gluten in genetically predisposed individuals. Gastrointestinal symptoms and signs of malabsorption characterize a classical form of the disease, while patients with nonclassical celiac disease lack significant gastrointestinal symptoms. We report an uncommon case of celiac disease in an 84-year-old oligosymptomatic female with a recently treated colon tumor, diagnosed during the investigation of profound hypoproteinemia and hypoalbuminemia. In this case, two factors could have been misleading about the cause of hypoalbuminemia: malignant tumor and advanced age. Since the oncological disease was in remission, and the albumin concentration in the healthy elderly people in the community usually exceeds 38 g/L until after the age of 90, we pursued an alternative cause, leading to the diagnosis of celiac disease. Even in the absence of intestinal symptoms, advanced age, or other diagnoses, celiac disease should be considered a potential differential diagnosis in every patient presenting with hypoalbuminemia.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"265-268"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12215003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411138","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}

引用次数: 0