Annals of Geriatric Medicine and Research最新文献

{"title":"Relationships between In-person and Digital Social Interactions with Family and Friends and Loneliness among Older Adults in Japan: A Cross-Sectional Analysis of the 2024 JACSIS.","authors":"Yu Koizumi, Takeshi Miura, Kazumi Kubota, Miya Aishima, Yukiko Matsumura, Yuka Kanoya, Takahiro Tabuchi","doi":"10.4235/agmr.25.0215","DOIUrl":"10.4235/agmr.25.0215","url":null,"abstract":"<p><strong>Background: </strong>This study examined how the frequency of in-person, telephone, text-based communication, and video interactions with non-cohabiting family and friends relates to loneliness among older adults in Japan.</p><p><strong>Methods: </strong>We analyzed data from 6,786 adults aged ≥65 in the 2024 Japan COVID-19 and Society Internet Survey (JACSIS) study. Interaction frequency with non-cohabiting family and friends was categorized into none (reference), monthly, and weekly or more. Loneliness was measured using the 3-item UCLA Loneliness Scale and dichotomized at ≥4, indicating loneliness; a ≥7 cut-off was used in sensitivity analyses. Logistic regression models adjusted for sociodemographic, lifestyle, and health-related factors.</p><p><strong>Results: </strong>For family, significant associations with lower loneliness were observed only at weekly frequencies-in-person (adjusted odds ratio [aOR]=0.764, 95% confidence interval [CI] 0.664-0.879), text (aOR=0.747, 95% CI 0.659-0.846), and telephone (aOR=0.624, 95% CI 0.543-0.718), whereas for friends, significant associations were observed at monthly frequencies-in-person (aOR=0.621, 95% CI 0.549-0.701), text (aOR=0.881, 95% CI 0.778-0.997), and telephone (aOR=0.734, 95% CI 0.659-0.819). Video calls were associated with lower odds of severe loneliness (score ≥7) in sensitivity analyses-weekly calls with family (aOR=0.736, 95% CI 0.547-0.991) and monthly calls with friends (aOR=0.656, 95% CI 0.470-0.917).</p><p><strong>Conclusion: </strong>Interactions with friends show associations with lower levels of loneliness at lower frequencies than family contact. While text and phone calls are broadly associated with reduced loneliness, video calls showed an association specifically with a lower prevalence of severe loneliness, underscoring the potential for tailored communication strategies.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"266-276"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784944","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":"Prospective Associations between Self-perceived Voice Disorders and Psychological, Social, and Physical Well-being among Community-Dwelling Older Adults.","authors":"Iku Nishimura, Kenji Tsunoda, Yuya Fujii, Koki Nagata, Bora Hwang, Tomohiro Okura","doi":"10.4235/agmr.25.0163","DOIUrl":"10.4235/agmr.25.0163","url":null,"abstract":"<p><strong>Background: </strong>Self-perceived voice disorders (PVD) are common in later life and may affect psychological, social, and physical well-being. However, longitudinal evidence in community settings remains limited. This study sought to examine whether PVD predicted changes in well-being among community-dwelling older adults.</p><p><strong>Methods: </strong>Data were obtained from a community cohort in Kasama City, Japan. Older adults (n=273; aged 76.5 years; 57.1% female) were classified based on baseline Voice Handicap Index-10 scores (0, no; 1-4, mild; and ≥5, PVD). Outcomes were assessed annually through 2025 using the Geriatric Depression Scale (GDS), Lubben Social Network Scale (LSNS), Physical Activity Scale for the Elderly, and physical performance measures (handgrip strength, single-leg balance with eyes open, sit-and-reach, and 5-m habitual walk). Linear mixed models analyzed the fixed effects of group, time, and their interaction while adjusting for selected covariates.</p><p><strong>Results: </strong>Significant group effects were observed for the GDS, total LSNS scores, and the LSNS family scale, indicating that participants with PVD had weakened psychological and social well-being and smaller family networks. Additionally, a notable group effect was observed in sit-and-reach, with PVD participants showing less flexibility than those without it in the physical performance measures.</p><p><strong>Conclusion: </strong>Among community-dwelling older adults, PVD was prospectively associated with increased depressive symptoms, diminished social networks, particularly smaller family networks, and reduced physical flexibility. These findings suggest that PVD preceding medical diagnosis may signal broader declines in psychological, social, and physical well-being, highlighting the importance of early identification and support.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"161-169"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515289","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 Type 2 Diabetes and 30-Day Clinical Outcomes following Hospital Discharge for Hip Fracture in Older Adults.","authors":"Rocío Queipo Matas, Marta Neira Álvarez, Jorge Gómez Cerezo","doi":"10.4235/agmr.25.0141","DOIUrl":"10.4235/agmr.25.0141","url":null,"abstract":"<p><strong>Background: </strong>Population aging is increasing the prevalence of type 2 diabetes mellitus (T2DM) and hip fractures, which are major contributors to morbidity, mortality, and healthcare costs among older adults. The coexistence of both conditions further worsens clinical outcomes and quality of life. This study analyzes the association between T2DM and 30-day outcomes after hip fracture.</p><p><strong>Methods: </strong>Observational, longitudinal study with a 1-month follow-up after hospital discharge, including a total of 1,164 patients aged ≥65 years with hip fracture treated at a public university hospital between 2017 and 2022. The main variable was the presence of T2DM. Sociodemographic, clinical, and surgical variables, along with 30-day outcomes (mortality, readmission, reoperation, functional change, and change of residence), were collected.</p><p><strong>Results: </strong>Patients with insulin-treated diabetes showed a higher percentage of 30-day hospital readmission (11.4%) compared with patients without diabetes (3.3%) and those with non-insulin-treated diabetes (2.9%). Insulin-treated diabetes was associated with an increased risk of 30-day hospital readmission (hazard ratio=3.36; 95% confidence interval 1.59-7.08). No statistically significant differences were observed in the remaining outcomes analyzed.</p><p><strong>Conclusion: </strong>Individuals with insulin-treated diabetes exhibit an increased risk of hospital readmission following hip fracture. These findings highlight the need for targeted perioperative management, closer post-discharge monitoring, and diabetes-specific care pathways for this high-risk subgroup. Implementing individualized follow-up and optimizing glycemic control may help reduce early readmissions and improve short-term clinical outcomes in patients with type 2 diabetes, particularly those treated with insulin.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":"30 2","pages":"199-207"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346794","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":"Age, Comorbidities, and Outcomes following Hip Arthroplasty: A Retrospective Cohort Study from Vietnam.","authors":"Dao Thi Ngoc Nguyen, Vu Ton Ngoc Phan, Huy Mach Thai Tran, Hung Quoc Ha, Hieu Minh Dang, Phat Thanh Tran, Sang Thanh Nguyen, Phuc Tan Nguyen Le","doi":"10.4235/agmr.25.0172","DOIUrl":"10.4235/agmr.25.0172","url":null,"abstract":"<p><strong>Background: </strong>While advanced age is a known risk factor for postoperative complications following hip arthroplasty, its role as an independent predictor versus a surrogate for comorbidity remains unclear, particularly in developing countries. This study aimed to investigate the independent impact of age on postoperative outcomes and explore the mediating role of key comorbidities in a resource-limited setting.</p><p><strong>Methods: </strong>We retrospectively reviewed 769 adult patients undergoing hip arthroplasty at a Vietnamese tertiary hospital (2021-2024), categorized into three groups: younger adults (18-64 years), older adults (65-79 years), and oldest old (≥80 years). The primary outcome was a composite of major postoperative complications. Multivariable logistic regression and structural equation modeling were used to identify independent predictors and assess mediation effects.</p><p><strong>Results: </strong>Among 769 patients, 363 were younger (47.2%), 241 older adults (31.3%), and 165 oldest old (21.5%). Complication rates increased significantly with age (18.7%, 36.9%, and 60.0%, respectively; p&lt;0.001). However, multivariable adjustment showed that age was not an independent predictor. Instead, heart failure (adjusted odds ratio [aOR]=5.49, 95% confidence interval [CI] 2.19-13.74) and preoperative anemia (aOR=1.77, 95% CI 1.21- 2.59) were identified as independent risk factors. Mediation analysis revealed that the effect of age on complications was significantly mediated through preoperative anemia.</p><p><strong>Conclusion: </strong>Increased postoperative risk in older adults is driven by comorbidity burden rather than chronological age. Preoperative anemia and heart failure are critical, independent predictors, with anemia acting as a key mediator for the effects of age. Individualized correction of modifiable comorbidities may be more beneficial than using age alone to assess surgical risk.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"217-227"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724112","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 pressure ulcers and phase angle in older adults residing in long-term care facilities.","authors":"Lu Yin, Yohei Sawaya, Tamaki Hirose, Takahiro Shiba, Ryo Sato, Keisuke Fukuda, Kei Shibahara, Tomohiko Urano","doi":"10.4235/agmr.26.0013","DOIUrl":"https://doi.org/10.4235/agmr.26.0013","url":null,"abstract":"<p><strong>Background: </strong>In this study, we aimed to investigate the association between the presence of pressure ulcers and body composition parameters in older residents of long-term care facilities and identified the most relevant indicators.</p><p><strong>Methods: </strong>This cross-sectional observational study assessed 156 residents. Body composition was measured, including body mass index (BMI) and phase angle (PhA). Functional assessments included the Barthel index (BI), and Clinical Frailty Scale. The participants were classified into two groups based on the presence or absence of pressure ulcers. Group comparisons and receiver operating characteristic analyses were used to determine the area under the curve (AUC) and cutoff values. The diagnostic performance of the combined cutoff values was also examined. Binary logistic regression was used to evaluate the association between PhA and the presence of pressure ulcers.</p><p><strong>Results: </strong>Twenty (12.8%) participants had pressure ulcers, 90% of which were mild-stage. PhA was lower in the pressure ulcer group (p < 0.001), with an optimal cutoff value of 3.1° (AUC 0.72). Using the cutoff values derived from each assessment, the combination of PhA with BI or BMI improved the AUC to a maximum of 0.78. Logistic regression demonstrated a significant association between PhA and the presence of pressure ulcers (p < 0.05).</p><p><strong>Conclusion: </strong>Phase angle may serve as a complementary biomarker for pressure ulcer risk assessment and may be more useful when combined with functional and nutritional indicators. The use of body composition parameters for noninvasive risk assessment could play an important role in future pressure ulcer prevention strategies.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018034","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":"Association of Cachexia with Activities of Daily Living and Discharge Destinations among Inpatients with Dysphagia undergoing Convalescent Rehabilitation: A Multicenter Cohort Study.","authors":"Shintaro Togashi, Tomoyuki Murakami, Hidetaka Wakabayashi, Akio Shimizu, Shinta Nishioka, Ryo Momosaki","doi":"10.4235/agmr.25.0048","DOIUrl":"10.4235/agmr.25.0048","url":null,"abstract":"<p><strong>Background: </strong>Although a recent study reported an association between cachexia, as defined by the Asian Working Group for Cachexia (AWGC), and lower functional recovery at discharge among post-stroke patients capable of oral intake during the convalescent rehabilitation phase, its impact on functional recovery in patients with dysphagia remains unclear. This study aimed to evaluate the association between cachexia, according to AWGC criteria, and both functional status and discharge destinations among inpatients with dysphagia.</p><p><strong>Methods: </strong>This prospective cohort study enrolled 198 inpatients with dysphagia from eight convalescent rehabilitation hospitals. Cachexia was defined using the AWGC criteria at baseline. The primary outcome was the total Functional Independence Measure (FIM) at discharge, while the secondary outcomes were the Food Intake LEVEL Scale (FILS) score and discharge destinations. We applied generalized linear models to evaluate the association between cachexia and total FIM score at discharge, adjusting for age, sex, baseline FILS score, comorbidities, and use of enteral nutrition.</p><p><strong>Results: </strong>Of 198 patients, the median age was 83.0 years (interquartile range, 77.0-88.0); 111 (56.1%) were women, and 33 (16.7%) had cachexia. After adjusting for covariates, cachexia was not significantly associated with total FIM score at discharge (β=0.03, 95% confidence interval [CI] -0.10 to 0.15, p=0.66), FILS (β=0.23, 95% CI -0.53 to 1.00, p=0.55), or discharge destinations including discharge to home (β=0.25, 95% CI -0.75 to 1.35, p=0.63).</p><p><strong>Conclusion: </strong>Cachexia, as defined by the AWGC, was not significantly associated with either functional status at discharge or discharge destinations among inpatients with dysphagia undergoing convalescent rehabilitation.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"128-136"},"PeriodicalIF":2.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193393","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":"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":2.8,"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":2.8,"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":2.8,"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":2.8,"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}