Annals of Geriatric Medicine and Research最新文献

{"title":"Predictors of Poor Post-discharge Exercise Adherence in Older Inpatients with Musculoskeletal Disorders.","authors":"Sae Yoda, Tatsuya Hirase","doi":"10.4235/agmr.25.0171","DOIUrl":"10.4235/agmr.25.0171","url":null,"abstract":"<p><strong>Background: </strong>Maintaining good exercise behavior contributes to the prevention of adverse health outcomes in older inpatients with musculoskeletal disorders. This prospective cohort study aimed to identify the predictors of poor exercise behavior in older inpatients with musculoskeletal disorders after discharge from a rehabilitation hospital.</p><p><strong>Methods: </strong>The study included 117 older inpatients aged ≥60 years with musculoskeletal disorders at a rehabilitation hospital, which consisted of the convalescent rehabilitation ward and the community-based integrated care ward. Baseline assessments, including demographics, physical function, cognitive function, psychological status, sleep disorders, and nutritional status, were obtained at discharge from the hospital. Exercise behavior was assessed using the transtheoretical model at baseline and at the 6-month follow-up after discharge from the hospital. Based on behavioral changes at baseline and follow-up, participants were classified into those with poor exercise behavior and those without. Logistic regression analyses were performed to identify the predictors of poor exercise behavior.</p><p><strong>Results: </strong>Of the 117 participants, 53 (45.3%) had poor exercise behavior. Lower exercise self-efficacy and more depressive symptoms at baseline were associated with poor exercise behavior during the 6-month follow-up after discharge. These associations remained significant after adjusting for age, sex, body mass index, comorbidities, and physical function measures.</p><p><strong>Conclusion: </strong>Lower exercise self-efficacy and more depressive symptoms are predictors of poor exercise behavior after hospital discharge among older inpatients with musculoskeletal disorders. Our findings underscore the importance of strategies to enhance mental well-being and maintain good exercise behavior following discharge in this population.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":"30 1","pages":"85-91"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595357","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":"Point-of-Care Ultrasound-Based Assessment of Sarcopenia to Predict Revisits or Mortality in Older Adults at the Emergency Department: A Prospective Observational Study.","authors":"Svenja L Haak, Lisa Giezen, Deborah Blanca, Hjalmar R Bouma, Heleen Lameijer, Jan C Ter Maaten, Ewoud Ter Avest","doi":"10.4235/agmr.25.0106","DOIUrl":"10.4235/agmr.25.0106","url":null,"abstract":"<p><strong>Background: </strong>Older patients visiting the emergency department (ED) are at increased risk of adverse outcomes, including ED revisits and mortality. Sarcopenia quantification by point-of-care ultrasound (POCUS) may be a useful bedside screening tool, especially when traditional frailty screening instruments, reliant on history taking, cannot be used. This study evaluated whether POCUS measurement of rectus femoris cross-sectional area (RFcsa) can predict adverse outcomes in older patients visiting the ED.</p><p><strong>Methods: </strong>In this single-centre prospective study, patients aged ≥70 years presenting to the ED of a Dutch university hospital and enrolled in the Acutelines data and biobank were included. RFcsa was measured using POCUS. ROC-analysis assessed the overall accuracy of RFcsa for prediction of the primary outcome, which was defined as the composite of ED revisit or death within 3 months. Logistic regression determined the added value of RFcsa to Karnofsky Performance Score (KPS).</p><p><strong>Results: </strong>During the study period, a total of 68 patients were included. Twenty-six patients (38%) met the primary endpoint. RFcsa showed excellent intra-rater reliability (interclass correlation coefficient=0.98). However, the accuracy to predict the composite endpoint was low, with an area under the curves of 0.53 (0.39-0.66) for unadjusted RFcsa and 0.51 (0.36-0.66) for sex-adjusted RFcsa. The addition of RFcsa in a multivariate logistic regression model with KPS did not increase the overall explained variance in the primary endpoint.</p><p><strong>Conclusion: </strong>In older patients presenting in the ED, POCUS-measured RFcsa does not predict ED revisits or death within 3 months. (Trial Registration No. NCT05369962 at ClinicalTrials.gov).</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"77-84"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145655874","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":"Ethical Guidelines for Artificial Intelligence Use in Scholarly Publishing for Annals of Geriatric Medicine and Research: A Framework for Integrity.","authors":"Jee-Hyun Noh, Hyuk Ga, Jae-Young Lim","doi":"10.4235/agmr.26.0050","DOIUrl":"10.4235/agmr.26.0050","url":null,"abstract":"","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":"30 1","pages":"1-2"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595339","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":"Citizen-Led Integrated Care in Rural Depopulation Areas: Addressing Depression and Frailty in Older Adults.","authors":"Suhyeon Choi, Susan Park, Eunhee Choi, Jihee Choi, Minkyoung Kim, Seok-Gyu Kim, Sunyoung Park, Soong-Nang Jang","doi":"10.4235/agmr.25.0177","DOIUrl":"10.4235/agmr.25.0177","url":null,"abstract":"<p><strong>Background: </strong>Rural areas in Korea are experiencing both super-aging and depopulation, creating critical gaps in health and social care. Using a citizen participatory approach, we sought to address the care gaps for older adults in rural areas. This study examined the changes in frailty and depressive symptoms observed during a citizen-led intervention.</p><p><strong>Methods: </strong>This study is a single- arm pre-post quasi-experimental design. A 12-week intervention was implemented using local citizens as care providers. Intervention components included identifying and planning individual care needs, providing health education, organizing tailored community activities, and conducting AI-assisted weekly check-up calls to monitor health status.</p><p><strong>Results: </strong>Changes appeared more pronounced among vulnerable subgroups. Older adults with frailty showed an observed decrease in depressive symptoms compared to those with prefrailty or robust status. Conversely, among those with depressive symptoms, frailty levels appeared to increase more slowly than those without depressive symptoms. These patterns are consistent with the previously reported bidirectional associations between frailty and depression and may reflect the tendency for changes in one domain to coincide with changes in the other, rather than indicating a causal influence.</p><p><strong>Conclusion: </strong>This citizen-led care intervention showed more noticeable short-term changes among older adults with higher vulnerability, particularly those with frailty or depressive symptoms. These findings indicate potential roles for citizen participation in enhancing social support and supporting ongoing monitoring in rural depopulation areas. The results suggest that citizen participation is a potentially feasible and sustainable approach to care systems in aging, resource-limited communities.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":"30 1","pages":"51-61"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595330","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":"The Growing Burden of Fall-Related Injuries among Older Adults: A Seven-Year Study from a Tertiary Medical Center in Taiwan.","authors":"Yu-Chieh Tsai, Shey-Ying Chen, Ya-Mei Chen, Edward Pei-Chuan Huang, Feng-Ping Lu","doi":"10.4235/agmr.25.0128","DOIUrl":"10.4235/agmr.25.0128","url":null,"abstract":"<p><strong>Background: </strong>As Taiwan's population ages, falls among older adults have become a critical public health concern. However, limited data exist regarding temporal trends and injury patterns in fall-related emergency department (ED) visits. This study aimed to examine trends in fall-related ED visits and hospitalizations among older adults in Taiwan and to explore injury distributions by age group.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study using data from the National Taiwan University Hospital between 2011 and 2017. Patients aged ≥65 years were compared with those aged 20-64 years. Fall-related visits were identified using chief complaints and the International Classification of Diseases 9th/10th revision (ICD-9/ICD-10) codes. Outcomes included hospitalization rates, length of stay, and 30-day mortality.</p><p><strong>Results: </strong>A total of 22,471 fall-related ED visits were analyzed. While visits among younger adults declined (annual growth rate, -1.34%), visits among older adults increased (2.37% annually), with the steepest rise in those aged ≥85 years. Hospitalization occurred in 27.1% of older adults, nearly double that of younger adults (14.4%). Older adults also had longer hospital stays and higher 30-day mortality rates, findings consistent even when restricted to lower limb fractures.</p><p><strong>Conclusion: </strong>Fall-related ED visits and hospitalizations are rising disproportionately among Taiwan's older population. Targeted prevention strategies and transitional care interventions are urgently needed to address the growing clinical and economic burden of falls in aging societies.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":"30 1","pages":"70-76"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595301","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":"Impaired Daily Activities due to Cognitive Decline among Older Koreans Living with a Family Member with Dementia.","authors":"Inmyung Song","doi":"10.4235/agmr.25.0206","DOIUrl":"10.4235/agmr.25.0206","url":null,"abstract":"<p><strong>Background: </strong>Cohabiting with a family member with dementia may be associated with declines in the caregiver's own cognitive function. However, existing studies have been focused solely on spousal caregivers, highlighting the need for broader research across more diverse populations.</p><p><strong>Methods: </strong>This cross-sectional study used data from the 2024 Korea Community Health Survey. The analysis included individuals aged 50 years and older who had a family member with dementia (n=17,596). The dependent variable was self-reported impairment in daily activities due to cognitive decline. The main independent variable was cohabitation with a family member with dementia. Multiple logistic regression analysis was conducted to estimate the association between cohabiting with a family member with dementia and impaired daily activities due to cognitive decline.</p><p><strong>Results: </strong>Of the 17,596 participants, 52.3% were women, 17.6% cohabited with a family member with dementia, and 9.4% reported impairments in daily activities due to cognitive decline. The prevalence of impaired daily activities due to cognitive decline was 23.3% among individuals cohabiting with a family member with dementia, compared to 7.8% among those who were not (p&lt;0.0001). After adjusting for sociodemographic and health and behavioral factors, cohabiting with a family member with dementia remained significantly associated with increased risk of impaired daily activities due to cognitive decline (odds ratio=1.86, p&lt;0.0001).</p><p><strong>Conclusion: </strong>Cohabiting with a family member with dementia is associated with impaired daily functioning due to cognitive decline. These findings underscore the need for policy measures to monitor and support the cognitive health of family caregivers of individuals with dementia.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":"30 1","pages":"120-127"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595324","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":"Prediction of Postoperative Hypokalemia in Patients with Severe Carotid Artery Stenosis undergoing Standard Carotid Endarterectomy: A Retrospective Cohort Study.","authors":"Suiyuan Hu, Xuan Lai, Yunfeng Han","doi":"10.4235/agmr.25.0164","DOIUrl":"10.4235/agmr.25.0164","url":null,"abstract":"<p><strong>Background: </strong>Postoperative hypokalemia is a common electrolyte disturbance associated with adverse outcomes, particularly in older adults. This study aimed to identify risk factors and develop predictive models for hypokalemia within 24 hours after carotid endarterectomy (CEA) for severe carotid artery stenosis, a condition that primarily affects older patient populations.</p><p><strong>Methods: </strong>A retrospective cohort of 1,076 CEA patients (October 2021 to May 2023) was analyzed. Risk factors were identified using univariate and multivariate logistic regression. A predictive nomogram was developed and internally validated via bootstrapping. Machine learning models (Random Forest and XGBoost) were developed and interpreted using SHAP (SHapley Additive exPlanations) analysis. Subgroup analyses were performed in patients aged ≥70 years and by comparing postoperative potassium levels &gt;4.0 mmol/L versus 3.5-4.0 mmol/L.</p><p><strong>Results: </strong>The cohort had a median age of 65 years. Multivariate analysis identified preoperative potassium (odds ratio [OR]=0.60, 95% confidence interval [CI] 0.50-0.72), hemoglobin (OR=0.74, 95% CI 0.63-0.88), BMI (OR=0.74, 95% CI 0.63-0.88), and postoperative visual analogue scale score (OR=1.28, 95% CI 1.09-1.51) as independent predictors. Frailty showed borderline significance (OR=1.56, 95% CI 1.00-2.44, p=0.05). The nomogram achieved an area under the curve (AUC) of 0.710, demonstrating good discrimination and calibration. Machine learning models similarly performed well (AUC 0.707-0.709).</p><p><strong>Conclusion: </strong>We developed a validated tool to predict postoperative hypokalemia after CEA. The model highlights that in addition to biochemical and surgical factors, geriatric syndromes like frailty and nutritional status are pivotal risk determinants. This facilitates early, individualized management, including tailored potassium supplementation, nutritional support, and pain control, especially for vulnerable older adults, to mitigate complications and promote recovery.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":"30 1","pages":"18-27"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595366","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":"Utility of Self-Rated vs. Informant-Rated Ascertain Dementia-8 for Detection of Early Cognitive Impairment: Experience of a \"Real-World\" Memory Clinic.","authors":"Khin Khin Win, Justin Chew, Jun Pei Lim, Esther Ho, Noorhazlina Ali, Mark Chan, Wee Shiong Lim","doi":"10.4235/agmr.25.0082","DOIUrl":"10.4235/agmr.25.0082","url":null,"abstract":"<p><strong>Background: </strong>The Ascertain Dementia 8-item Questionnaire (AD8) is a validated informant-based interview for early dementia detection. Research suggests the utility of self-rated AD8 to identify milder dementia forms in research settings. This study compares the factor structure, reliability, and diagnostic performance between AD8-Self and AD8-Informant for early cognitive impairment (ECI) in a clinical setting.</p><p><strong>Methods: </strong>Five hundreds fifteen patient-informant dyads (43 cognitively intact and 472 ECI) from a tertiary memory clinic completed both self-reported and informant AD8. We conducted exploratory factor analysis to determine the factor structure, Cronbach's alpha for internal consistency, and receiver operating characteristic (ROC) curve analysis for ECI, including a subgroup analysis for mild cognitive impairment (MCI).</p><p><strong>Results: </strong>The mean age and education of ECI participants were 75.61 years (range, 51-95) and 5.6 years (range, 0-20), respectively, and 72.6 years (range, 51-89) and 6.8 years (range, 0-16) in the MCI subgroup. Unlike AD8-Informant's one-factor structure, AD8-Self had a two-factor structure corresponding to memory and non-memory domains. AD8-Self demonstrated lower reliability (Cronbach's alpha: ECI 0.666 vs. 0.764; MCI 0.663 vs. 0.709). In ECI, AD8-Informant (cutoff score ≥3) showed better diagnostic performance (sensitivity 89%, specificity 79%) than AD8-Self (cutoff score ≥4; sensitivity 27.1%, specificity 95.3%) (AUC 0.915 vs. 0.593; p&lt;0.001). Similar results were found in MCI (sensitivity 64.7% vs. 26.5%; specificity 79.1% vs. 95.3%; AUC 0.745 vs. 0.600; p=0.002).</p><p><strong>Conclusion: </strong>AD8-Self has a distinct factor structure, lower reliability, and inferior diagnostic performance compared to AD8-Informant for ECI/MCI detection. Our result do not support AD8-Self as a standalone tool for detecting ECI or MCI.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"109-119"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145655931","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":"Sarcopenia: From Global Consensus to Korean Implementation - A Narrative Review and Standpoint.","authors":"Geon Young Jang, Sunghwan Ji, Heewon Jung, Ji Yeon Baek, Il-Young Jang, Kyoung Min Kim, Miji Kim, Clara Yongjoo Park, Kwang-Pyo Lee, Dongryeol Ryu, Sang Yoon Lee, Ok Hee Jeon, Sunyoung Kim","doi":"10.4235/agmr.25.0182","DOIUrl":"10.4235/agmr.25.0182","url":null,"abstract":"<p><p>Sarcopenia is a major geriatric syndrome characterized by progressive loss of muscle mass and strength, resulting in disability and mortality. This narrative review synthesizes international consensus recommendations and Korean evidence to guide context-specific sarcopenia management strategies. PubMed, Embase, Cochrane Library, and KoreaMed (January 2000-November 2025) were searched, focusing on randomized trials, meta-analyses, systematic reviews, clinical practice guidelines, and large observational studies. Global diagnostic frameworks have evolved from muscle mass-based definitions toward multidimensional models that incorporate muscle strength and physical performance. Exercise and nutrition remain the mainstay treatments, with resistance-based training and adequate protein intake. Currently, pharmacologic options with proven clinical benefit are limited. In Korea, growing evidence supports the effectiveness of community-based sarcopenia interventions, underscoring the need for standardized, integrated delivery models that bridge the fragmented healthcare system and enable sustainable implementation.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":"30 1","pages":"3-17"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595306","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":"Association between Dietary Variety, Oral Function, and Body Composition among Outpatients at a Community Dental Clinic.","authors":"Emi Akama, Wataru Fujii, Sayaka Nishio, Yumeko Sumino, Erika Matsumoto, Kosuke Akama, Toshiyuki Tsujisawa, Shirou Tabe","doi":"10.4235/agmr.25.0184","DOIUrl":"10.4235/agmr.25.0184","url":null,"abstract":"<p><strong>Background: </strong>Japan's rapidly aging population has increased the urgency of addressing frailty among older adults. Oral hypofunction and malnutrition are recognized as key contributors to frailty, and both are considered reversible through early interventions. However, little is known about the effectiveness of integrating nutritional guidance and oral function training in community dental clinics. This study aimed to examine the association between dietary variety, oral function, and body composition among outpatients aged 50 years and older, and to evaluate the effects of targeted interventions over a 1-year period.</p><p><strong>Methods: </strong>A total of 74 outpatients (mean age 72.3±9.6 years) were assessed at baseline and after 1 year. Dietary variety was evaluated using the Dietary Variety Score (DVS), and oral function was assessed using seven standardized parameters. Body composition, including weight, body fat percentage, and muscle mass, was assessed using a bioelectrical impedance analyzer. Based on DVS results, registered dietitians provided nutritional counseling, while dental hygienists delivered tailored oral function training. Statistical analyses included the Wilcoxon signed-rank and McNemar's tests.</p><p><strong>Results: </strong>Significant improvements were observed in eight of the ten DVS food groups, resulting in a higher total DVS score. Tongue coating index and tongue pressure also improved significantly, and the prevalence of oral hypofunction declined. No significant changes were found in body composition.</p><p><strong>Conclusion: </strong>Integrating nutritional guidance and oral function training in a community dental setting improved dietary variety and oral function in older adults. These findings suggest that multidisciplinary care in community dental clinics may contribute to health promotion and frailty prevention.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":"30 1","pages":"101-108"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595345","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}