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Journal of Applied Gerontology最新文献

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Ageism and Loneliness in People Over 50: Understanding the Role of Self-Perception of Aging and Social Isolation in a Chilean Sample. 50岁以上人群的年龄歧视和孤独：了解智利样本中年龄自我感知和社会孤立的作用。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-10-01 Epub Date: 2025-01-24 DOI: 10.1177/07334648251314283
Oscar Terán-Mendoza, Vicente Cancino
{"title":"Ageism and Loneliness in People Over 50: Understanding the Role of Self-Perception of Aging and Social Isolation in a Chilean Sample.","authors":"Oscar Terán-Mendoza, Vicente Cancino","doi":"10.1177/07334648251314283","DOIUrl":"10.1177/07334648251314283","url":null,"abstract":"<p><p>Population aging represents a global challenge. In this context, loneliness has positioned itself as a critical problem with adverse effects on the physical and mental health of the elderly. This study aimed to explore the role of negative self-perception of aging (SPA) and social isolation as mediators in the relationship between ageism and loneliness. Structural equation modeling (SEM) was used in a sample of 307 people over 50 in Chile. The results show that both age discrimination and ageist stereotypes are directly associated with higher levels of loneliness. Negative SPA significantly mediated the relationships between discrimination and loneliness, as well as between stereotypes and loneliness. These findings highlight the importance of psychological and cultural variables in objective and subjective outcomes of interpersonal relationships, suggesting the need for interventions to mitigate the effects of ageism and improve SPA to favor healthy aging.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1681-1690"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the Validity of Measures of Health-Related Quality of Life in Older Adults at Increased Risk of Falls and/or Fractures in Exercise Clinical Trials. 在运动临床试验中探索老年人跌倒和/或骨折风险增加的健康相关生活质量测量的有效性
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-10-01 Epub Date: 2025-02-26 DOI: 10.1177/07334648251316633
Carrie-Anne Ng, Brendan Mulhern, Akanksha Akanksha, Mina Bahrampour, Paul Jansons, Jakub Mesinovic, Anoohya Gandham, Costas Glavas, Peter R Ebeling, Rosalie Viney, David Scott
{"title":"Exploring the Validity of Measures of Health-Related Quality of Life in Older Adults at Increased Risk of Falls and/or Fractures in Exercise Clinical Trials.","authors":"Carrie-Anne Ng, Brendan Mulhern, Akanksha Akanksha, Mina Bahrampour, Paul Jansons, Jakub Mesinovic, Anoohya Gandham, Costas Glavas, Peter R Ebeling, Rosalie Viney, David Scott","doi":"10.1177/07334648251316633","DOIUrl":"10.1177/07334648251316633","url":null,"abstract":"<p><p>Exercise targeting physical function and body composition may mitigate falls and fracture risk among older adults. This study aimed to identify the most valid instrument(s) to assess quality of life (QoL) in this context by comparing the psychometric properties of the EQ-5D-3L, EQ-5D-5L, CDC Healthy Days measure, Modified Falls Efficacy Scale (MFES), and Work Productivity and Activity Impairment Questionnaire. Data from four exercise trials (<i>n</i> = 210, mean age 64.8 ± 7.4, 79.0% female) were analyzed. Construct validity and responsiveness were compared. There was moderate to strong convergence between the EQ-5D (-3L and -5L) and MFES, and EQ-5D-3L and CDC index (correlation: 0.45-0.61). Only the EQ-5D-3L demonstrated good known-group validity (effect size: 0.98-3.7). Responsiveness was low across all instruments (standardized response mean: -0.33-0.49). The instruments are valid for assessing QoL in older adults at risk of falls and/or fractures. However, variation in their psychometric properties should be considered when selecting instruments for exercise trials.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1711-1723"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12420939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effective Solutions for Caregivers of Older Adults: A Review of Systematic Reviews. 老年人照顾者的有效解决方案：系统综述。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-10-01 Epub Date: 2025-01-09 DOI: 10.1177/07334648241312999
Molly McHugh, Ellen Munsterman, Hannah Cho, Mary D Naylor
{"title":"Effective Solutions for Caregivers of Older Adults: A Review of Systematic Reviews.","authors":"Molly McHugh, Ellen Munsterman, Hannah Cho, Mary D Naylor","doi":"10.1177/07334648241312999","DOIUrl":"10.1177/07334648241312999","url":null,"abstract":"<p><p>This umbrella review aims to describe caregiver interventions tested across populations of informal caregivers of older adults and to examine the effect of caregiver interventions on depression, burden, and quality of life across intervention types and care-recipient populations. PubMed, Scopus, APA PsycInfo, ABIM, Sociological Abstracts, PAIS, and EconLit databases were systematically searched. Forty systematic reviews were identified as meeting inclusion criteria. Most commonly, interventions focused on improving outcomes for caregivers of older adults with dementia. Among the included reviews, caregiver depression was most likely to be reduced by caregiver interventions, and cognitive behavioral therapy (CBT) and mindfulness-based interventions (MBI) were most effective. The use of information and communication technologies to deliver caregiver interventions is increasingly common. Standardization of intervention classifications and transparent reports of intervention delivery details will strengthen research in this field.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1571-1583"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact on the Short-Term Hospital Outcomes From COVID Pandemic Among Older Adults With Sepsis. COVID大流行对老年败血症患者短期住院结果的影响
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-10-01 Epub Date: 2025-01-03 DOI: 10.1177/07334648241311659
Se Won Lee, Mavis Smith, Soohyoung Rain Lee
{"title":"Impact on the Short-Term Hospital Outcomes From COVID Pandemic Among Older Adults With Sepsis.","authors":"Se Won Lee, Mavis Smith, Soohyoung Rain Lee","doi":"10.1177/07334648241311659","DOIUrl":"10.1177/07334648241311659","url":null,"abstract":"<p><p><b>Objective:</b> This study evaluates clinical characteristics, hospitals outcomes, and mortality determinants in older sepsis patients before and during COVID-19. <b>Methods:</b> Retrospective of sepsis cases (aged 65+) from nine hospitals (2018-2020) using ICD codes. Multivariate logistic regression was used to analyze mortality predictors. <b>Results:</b> Of 4635 sepsis patients, 515 (11.1%) passed in-hospital, with mortality rising to 13.9% during the pandemic from 10% prior (<i>p</i> < .01). Pandemic admissions had more racial minorities and severe comorbidities. Patient safety indicator events decreased during the pandemic (14.8% vs. 17.9%, <i>p</i> < .01), while home discharge rates remained consistent. Pandemic admission and lack of insurance correlated with increased mortality, alongside advanced age, ICU admission, and opioid and sedative use. <b>Conclusion:</b> COVID-19 pandemic admission and socioeconomic factors heightened mortality risks in older sepsis patients, highlighting the need for targeted care strategies.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1623-1628"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How did the Sudden Closures of Adult Day Services During COVID-19 Impact Dementia Care Dyads? COVID-19期间成人日间服务的突然关闭对痴呆症护理机构有何影响？
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-10-01 Epub Date: 2025-03-11 DOI: 10.1177/07334648251315261
Laura M Girling, Regina L Hrybyk
{"title":"How did the Sudden Closures of Adult Day Services During COVID-19 Impact Dementia Care Dyads?","authors":"Laura M Girling, Regina L Hrybyk","doi":"10.1177/07334648251315261","DOIUrl":"10.1177/07334648251315261","url":null,"abstract":"<p><p>The COVID-19 pandemic significantly disrupted daily routines across all age groups. However, the impact of the enforced closures of Adult Day Services (ADS) on dementia care dyads has received limited qualitative attention. To address this gap, data from a National Institute of Health (NIH) study (<i>N</i> = 43) were analyzed to explore how COVID-19 impacted community-dwelling persons with dementia and their caregivers. Analyses were conducted on the subsample of caregivers (<i>n</i> = 13) who supported a community-dwelling person with dementia who attended an ADS program at the onset of COVID-19. Findings indicate four central themes: (a) struggle to meet the needs of the person with dementia, (b) physical and cognitive decline of the person with dementia, (c) lack of time for self-care, and (d) adaptations by ADS and caregivers. This study posits that the mandated closure of ADS sites due to COVID-19 exacerbated both caregiving burden and deterioration in individuals with dementia.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1615-1622"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Leisure-Time Physical Activity and Life Satisfaction in Older Adults: The Moderating Effect of Dementia Diagnosis. 老年人闲暇时间体育活动与生活满意度：痴呆诊断的调节作用。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-10-01 Epub Date: 2025-01-11 DOI: 10.1177/07334648251313887
Jaehyun Kim, Hyejin Park, Yongseop Kim, Junhyoung Kim
{"title":"Leisure-Time Physical Activity and Life Satisfaction in Older Adults: The Moderating Effect of Dementia Diagnosis.","authors":"Jaehyun Kim, Hyejin Park, Yongseop Kim, Junhyoung Kim","doi":"10.1177/07334648251313887","DOIUrl":"10.1177/07334648251313887","url":null,"abstract":"<p><p>This study investigated the relationship between different intensities of leisure-time physical activity (LTPA) (i.e., vigorous LTPA vs. leisure walking) and life satisfaction, and the moderating effect of dementia diagnosis on this association in a representative sample of U.S. older adults derived from the 2022 National Health Interview Survey (<i>n</i> = 8,779). Multivariable regression analysis revealed significant associations between both LTPA intensity and life satisfaction. Moderation analysis revealed that dementia diagnosis significantly influenced the relationship between vigorous LTPA and life satisfaction in older adults, while no significant dementia diagnosis moderating effect was found to affect the relationship between leisure walking and life satisfaction. These findings suggest that vigorous LTPA was particularly beneficial for enhancing the life satisfaction of people living with dementia (PLWD), while leisure walking universally enhances life satisfaction in older adults regardless of their dementia status. Practical suggestions and implications are provided for designing LTPA programs tailored to the specific needs of PLWD.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1701-1710"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Do Physical Activities Prevent the Occurrence of Bothersome Pain? 体育活动能预防恼人疼痛的发生吗？
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-10-01 Epub Date: 2025-01-11 DOI: 10.1177/07334648251313883
Bian Liu, Chen Yang, Madhu Mazumdar, Melissa Aldridge, R Sean Morrison, Lihua Li
{"title":"Do Physical Activities Prevent the Occurrence of Bothersome Pain?","authors":"Bian Liu, Chen Yang, Madhu Mazumdar, Melissa Aldridge, R Sean Morrison, Lihua Li","doi":"10.1177/07334648251313883","DOIUrl":"10.1177/07334648251313883","url":null,"abstract":"<p><p>We examined the associations between physical activity (PA)-measured through self-reported walking and vigorous activities-and pain occurrence (self-reported bothersome pain or frequent pain medication use), and persistent pain (pain occurring for two consecutive years). This analysis used a large, nationally representative sample of 2279 older adults from the National Health and Aging Trends Study of 2015-2018, and applied generalized estimating equation regression with propensity score weighting. Approximately 70% and 50% of the participants reported walking and vigorous activities respectively at baseline. The cumulative incidence over the 3-year follow-up time was approximately 60%, and was similar across PA groups. The risk of pain occurrence or persistent pain did not differ by walking or by vigorous activity status (relative risks ranged from 0.97 to 1.20, and the 95% CIs included one). While pain occurrence was common among older adults, our analysis did not find it to be associated with PA.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1691-1700"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12246169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Older Adults' Internet Use on Economic Burden of Informal Caregiving. 老年人网络使用对非正式照护经济负担的影响
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-10-01 Epub Date: 2025-01-09 DOI: 10.1177/07334648241311653
Jeehoon Kim, Heesoo Joo, Sally A Hageman
{"title":"Impact of Older Adults' Internet Use on Economic Burden of Informal Caregiving.","authors":"Jeehoon Kim, Heesoo Joo, Sally A Hageman","doi":"10.1177/07334648241311653","DOIUrl":"10.1177/07334648241311653","url":null,"abstract":"<p><p>This study examines the impact of older adults' Internet use on care hours and its influence on estimating national cost savings with active and potential Internet users. Using data from the 2015 National Health and Aging Trends Study (<i>n</i> = 1,806), we employed a survey weighted two-part model with gamma distribution. The cost savings were estimated by a replacement approach. Older adults' health-related Internet use was associated with a substantially reduced hours of informal care by 27.7% (19.8 hours per month, <i>p</i> < .05). An annually estimated cost reduction of informal caregiving was US$3,094 per older adult with functional difficulties by replacing the 2020 median wage of home health aide workers. The annual cost savings in informal caregiving are estimated to be US$8.1 billion with active users and US$20.1 billion with potential health-related Internet users. Promoting health-related Internet use among older adults with functional difficulties could help relieve the economic burden of informal caregiving.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1584-1594"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trajectories of Cognitive Function and Predictors Among Older Adults in Korea for 8 Years: A National Panel Data Analysis. 韩国老年人8年的认知功能轨迹和预测因素：一项全国面板数据分析。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-10-01 Epub Date: 2025-01-14 DOI: 10.1177/07334648251314281
Dayeon Lee, Sunghee H Tak
{"title":"Trajectories of Cognitive Function and Predictors Among Older Adults in Korea for 8 Years: A National Panel Data Analysis.","authors":"Dayeon Lee, Sunghee H Tak","doi":"10.1177/07334648251314281","DOIUrl":"10.1177/07334648251314281","url":null,"abstract":"<p><p>This study aims to examine the trajectory of older adults' cognitive function over time and identify its predictors. Based on the model of neuroplasticity and cognitive reserve, participants' general characteristics as well as their physical, mental, and social factors were included as predictors of cognitive function. A latent growth model analysis was used to examine the trajectory of cognitive function and its predictors. The analysis of the unconditional model revealed that older adults' cognitive function significantly decreased over time. The rate of cognitive decline was significantly related with age, current smoking status, depression scores, number of social activities, time spent in group cognitive activities, and number of individual cognitive activities. The findings identified predictors affecting initial cognitive function and the rate of cognitive decline in older adults. The rate of cognitive decline varies widely among individuals. Identifying these differences is essential for effectively tailoring interventions that address individual needs.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1641-1650"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-Perceptions of Aging and Physical Activity in Older Adults with Arthritis: Impact of General Health. 老年关节炎患者的衰老自我认知和身体活动：对总体健康的影响。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-10-01 Epub Date: 2025-01-10 DOI: 10.1177/07334648241313410
Sarah B Lieber, Jerad Moxley, Lisa A Mandl, M Carrington Reid, Sara J Czaja
{"title":"Self-Perceptions of Aging and Physical Activity in Older Adults with Arthritis: Impact of General Health.","authors":"Sarah B Lieber, Jerad Moxley, Lisa A Mandl, M Carrington Reid, Sara J Czaja","doi":"10.1177/07334648241313410","DOIUrl":"10.1177/07334648241313410","url":null,"abstract":"<p><p>How negative self-perceptions of aging relate to physical activity (PA) in older adults with arthritis is unclear. We examined whether general health mediated the relationship between Awareness of Age-Related change (AARC) losses and PA. We analyzed baseline data from a randomized controlled trial of a PA intervention for adults ≥60 years who self-reported PA, AARC, general health, pain, and social support. We evaluated point-biserial correlations between PA and other factors in participants with self-reported arthritis and developed a mediation model incorporating AARC losses, general health, and PA. We observed significant correlations between PA and general health, social support, and AARC losses in this physically active sample. General health mediated the effect of AARC losses on PA. While negative self-perceptions of aging were associated with less PA in older adults with arthritis, their impact was attenuated by general health. PA interventions for this population may benefit by targeting perceived general health.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1661-1668"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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