Annals of Geriatric Medicine and Research最新文献_第3页

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 3.2

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":3.2,"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

Group Chair-stand Exercise and Cognitive Recovery in Sarcopenic Stroke Patients. 肌肉减少性脑卒中患者的团体椅站运动与认知恢复。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-08-29 DOI: 10.4235/agmr.25.0089

Fumihiko Nagano, Yoshihiro Yoshimura, Ayaka Matsumoto, Yoichi Sato, Takafumi Abe, Sayuri Shimazu, Ai Shiraishi, Takahiro Bise, Yoshifumi Kido, Takenori Hamada, Aomi Kuzuhara, Kouki Yoneda, Kenichiro Maekawa

{"title":"Group Chair-stand Exercise and Cognitive Recovery in Sarcopenic Stroke Patients.","authors":"Fumihiko Nagano, Yoshihiro Yoshimura, Ayaka Matsumoto, Yoichi Sato, Takafumi Abe, Sayuri Shimazu, Ai Shiraishi, Takahiro Bise, Yoshifumi Kido, Takenori Hamada, Aomi Kuzuhara, Kouki Yoneda, Kenichiro Maekawa","doi":"10.4235/agmr.25.0089","DOIUrl":"https://doi.org/10.4235/agmr.25.0089","url":null,"abstract":"Background: Evidence on the effectiveness of exercise for cognitive recovery in patients with sarcopenia is limited. This study examined the association between group-based chair-stand exercise and cognitive improvement during convalescent rehabilitation.Methods: This retrospective cohort study included stroke patients with sarcopenia and impaired cognitive level, defined as a Functional Independence Measure (FIM)-cognitive score ≤23, admitted between 2016 and 2023. All patients received standard rehabilitation and participated in group-based chair-stand exercise twice daily. The frequency of exercise during hospitalization was recorded. The primary outcome was FIM-cognitive score at discharge. Secondary outcomes were handgrip strength (HG) and FIM-motor score. Multivariate linear regression analysis was used to examine associations between exercise frequency and outcomes, adjusting for potential confounders.Results: Of the 1,220 patients admitted, 273 sarcopenic stroke patients with reduced cognitive level (mean age 80 years; 48% male) were included in the final analysis dataset; the median (IQR) frequency of performing chair-stand exercise per day was 43 (20-71). Higher exercise frequency was independently associated with better FIM-cognitive score at discharge (β=0.217, p<0.001), greater HG (β=0.146, p=0.008), and improved FIM-motor score (β=0.295, p<0.001).Conclusion: Frequent participation in group-based chair-stand exercise was associated with improvements in cognitive and physical function in sarcopenic stroke patients. Incorporating simple, repetitive resistance exercises into rehabilitation programs may enhance recovery outcomes in this vulnerable population.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973433","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}

引用次数: 0

Potentially inappropriate medication in homebound older adults receiving home medical care. 在家接受家庭医疗护理的老年人可能用药不当。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-08-21 DOI: 10.4235/agmr.25.0107

Yukari Hattori, Taro Kojima, Hironobu Hamaya, Takashi Yamanaka, Sumito Ogawa, Masahiro Akishita

{"title":"Potentially inappropriate medication in homebound older adults receiving home medical care.","authors":"Yukari Hattori, Taro Kojima, Hironobu Hamaya, Takashi Yamanaka, Sumito Ogawa, Masahiro Akishita","doi":"10.4235/agmr.25.0107","DOIUrl":"https://doi.org/10.4235/agmr.25.0107","url":null,"abstract":"Aim: This study aimed to reveal demographic data for care-dependent older adults receiving home medical care and to evaluate whether potentially inappropriate medication (PIM) prescriptions were associated with hospitalization and death.Methods: Data of health-care and long-term care insurance claims of older adults aged ≥65 years receiving home medical care of Kure City, Japan in April 2017 were obtained.　They included age, sex, recorded diagnosis on medical claims, level of long-term care (LTC) needs, and medication profile. Hospital admissions and deaths were identified between April 2017 and April 2019. Factors associated with hospitalization/death and PIM (≥1 PIM) defined by STOPP-J were analyzed statistically.Results: A total of 2052 participants (mean age 86.5±7.4 years, female 71.7%) were included. The mean number of prescribed medications was 6.6±4.3. PIM increased as LTC level became severer (8.7% for support level 1 and 2, 22.6% for care level 1 and 2, 26.0% for care level 3 to 5). Among PIM, H2 receptor antagonists were the most common medication (29.0%), followed by antiplatelet agents (22.6%), magnesium oxide (19.4%), non-benzodiazepine sedatives (17.7%), and benzodiazepines (16.8%). On logistic regression analysis, the number of medications, PIM, and care level 1 and 2 were associated with higher likelihood of hospital admission. There was no significant correlation between each PIM and hospital admissions. Regarding death, while age was associated with higher likelihood, female gender and severer level of disability were associated with lower likelihood.Conclusions: PIM was prevalent among homebound older adults, suggesting that careful medication review should be conducted especially in those with disability.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973352","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}

引用次数: 0

Physician's Role in Managing Driver's Licenses for Older Adults: Implications for Korea. 医生在老年人驾驶执照管理中的作用：对韩国的启示。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-08-21 DOI: 10.4235/agmr.25.0088

Seung Young Yoon, Da Hea Seo

{"title":"Physician's Role in Managing Driver's Licenses for Older Adults: Implications for Korea.","authors":"Seung Young Yoon, Da Hea Seo","doi":"10.4235/agmr.25.0088","DOIUrl":"10.4235/agmr.25.0088","url":null,"abstract":"The increasing proportion of older adult drivers presents a growing road safety challenge in Korea, highlighted by a significant rise in traffic accidents involving individuals aged 65 years and older. In response, Korean authorities have implemented mandatory cognitive and physical assessments for license renewal, complemented by community-based educational programs. However, international comparisons reveal that the involvement of physicians as gatekeepers in assessing driver fitness is more robust in the United States and Canada, where legal frameworks either permit or require healthcare professionals to report medically at-risk drivers to licensing authorities. These systems balance public safety with patient confidentiality by providing statutory protection for reporting physicians, though barriers such as legal ambiguity, concerns over liability, and inconsistent practices persist. Evidence suggests that mandatory reporting laws increase physician engagement and reporting rates, yet emotional and ethical dilemmas may hinder compliance. In Korea, strengthening the physician's role in the driver license management system-supported by legal immunity and clear guidelines-could enhance early identification of at-risk drivers and reduce accident rates among older adults. A multidisciplinary approach, involving secondary assessments by occupational therapists and licensing authorities, is recommended to ensure objective evaluation of driving competence. Adopting a reporting model may further clarify responsibilities and improve outcomes. Ultimately, integrating physicians more actively into the licensing process is essential for safeguarding both older adult drivers' autonomy and public safety in an aging society.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973436","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}

引用次数: 0

Video capsule endoscopy: think pharyngeal pouch - retention of a video capsule in a 94-year-old in the upper gastrointestinal tract. 视频胶囊内窥镜：认为咽袋-视频胶囊滞留在一个94岁的上胃肠道。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-08-20 DOI: 10.4235/agmr.25.0086

William Tai, Renate Claassen

引用次数: 0

Empowering self-assessment of frailty: A revised CFS-Self tool for primary and community care. 增强对脆弱性的自我评估：用于初级和社区护理的修订后的CFS-Self工具。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-08-01 DOI: 10.4235/agmr.25.0076

Sai Zhen Sim, Xinyao Ng, Wei Chun Gan, Dexin Zheng, Shu Yun Tan, Wee Shiong Lim, Eng Sing Lee

引用次数: 0

Preliminary Detection of Acute Exacerbation of Lobar Pneumonia and Heart Failure Using an Anomaly-detection System Based on a Circadian Rhythm Model Constructed from Non-contact Vital Data. 基于非接触生命数据构建的昼夜节律模型的异常检测系统初步检测大叶性肺炎急性加重和心力衰竭。

IF 2.8

Annals of Geriatric Medicine and Research Pub Date : 2025-07-04 DOI: 10.4235/agmr.25.0059

Tsuyoshi Kobayashi, Kenichi Hashimoto, Takemi Matsui

{"title":"Preliminary Detection of Acute Exacerbation of Lobar Pneumonia and Heart Failure Using an Anomaly-detection System Based on a Circadian Rhythm Model Constructed from Non-contact Vital Data.","authors":"Tsuyoshi Kobayashi, Kenichi Hashimoto, Takemi Matsui","doi":"10.4235/agmr.25.0059","DOIUrl":"https://doi.org/10.4235/agmr.25.0059","url":null,"abstract":"Many frail older person patients with multiple comorbidities are hospitalized in long-term care hospitals and nursing facilities. Due to pre-existing conditions and immunosuppressive states, there are significant individual differences, such as weakness, sluggishness, and asymptomatic status. These differences make it challenging to find a patient's exacerbation using a conventional threshold of vital signs. We developed a Circadian Rhythm Anomaly-Detection system designed for each patient, which compares each patient's past 2 weeks average respiratory rate circadian rhythm with that of last 24 hours. Respiratory rate was measured using a piezoelectric sensor located under the mattress. Prior to the doctor's diagnosis of acute exacerbation of lobar pneumonia and heart failure, a bedridden 88-year-old female patient with multiple chronic diseases showed abnormal Circadian Rhythm status. However, there were no significant changes in vital signs. Circadian Rhythm Anomaly-Detection system appears promising for a future system to promote medical inspection to elderlies.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561461","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}

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 2.8

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":2.8,"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