European Geriatric Medicine最新文献

{"title":"Response to letter to the editor, regarding \"Falls prevention in community-dwelling older adults and implementation of world falls guidelines: a call for action across Europe\".","authors":"L J Seppala, J Ryg, M Montero-Odasso, A Casas-Herrero, C Ruggiero, T Masud, N van der Velde","doi":"10.1007/s41999-025-01308-7","DOIUrl":"https://doi.org/10.1007/s41999-025-01308-7","url":null,"abstract":"","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187323","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}

{"title":"Challenging ageist language: promoting dignity and respect in healthcare communication.","authors":"Ian Perera, Marina Kotsani, Sofia Duque, Tamar Yellon, Anne Wissendorff Ekdahl, Mirko Petrovic, Karolina Piotrowicz","doi":"10.1007/s41999-025-01313-w","DOIUrl":"https://doi.org/10.1007/s41999-025-01313-w","url":null,"abstract":"","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087719","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}

{"title":"Effects of functional task training on physical performance in older adults: a systematic review and meta-analysis.","authors":"Raúl Nieves-Silva, Luis Chirosa-Ríos, Ignacio J Chirosa-Ríos, Darío Martinez-Garcia, Daniel Jimenez-Lupión, Daniel Jerez-Mayorga","doi":"10.1007/s41999-025-01310-z","DOIUrl":"https://doi.org/10.1007/s41999-025-01310-z","url":null,"abstract":"<p><strong>Methods: </strong>A systematic search of PubMed, Web of Science, Scopus, and SPORTDiscus databases was conducted up to January 2025. Randomized controlled trials evaluating the effects of FTT on functional outcomes in adults aged ≥ 60 years were included. Data were extracted independently using predefined criteria focused on functional outcomes. Primary outcomes included the BBS, TUG, and 6-Minute Walk Test.</p><p><strong>Results: </strong>Twelve trials with a total of 491 participants were included. Compared to control interventions, FTT demonstrated significant improvements in BBS (SMD = 1.03; 95% CI [0.18, 1.89]; p = 0.02), TUG (SMD = 0.85; 95% CI [0.10, 1.60]; p = 0.03), and 6MWT (SMD = 0.49; 95% CI [0.07, 0.91]; p = 0.02). Within-group analyses showed consistent enhancements post-FTT in functional performance. Heterogeneity was high in BBS and TUG outcomes and low for 6MWT.</p><p><strong>Conclusions: </strong>Functional Task Training appears to be an effective approach to improve balance, mobility, and endurance in older adults. However, the certainty of evidence is limited, and findings should be interpreted with caution. These results support the integration of FTT into geriatric rehabilitation programs, while underscoring the need for future high-quality trials with standardized protocols and comprehensive outcome reporting.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082182","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}

{"title":"Call to collaborate on data science for older people across Europe: an EuGMS Big Data Special Interest Group position paper.","authors":"Anneka Mitchell, Giulia Ogliari, Jennifer Kirsty Burton, Andrew Clegg, Oliver Todd","doi":"10.1007/s41999-025-01276-y","DOIUrl":"https://doi.org/10.1007/s41999-025-01276-y","url":null,"abstract":"","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087749","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}

{"title":"Validation of Subjective and Objective Decisional Trees to prescribe exercise using the pace tool in outpatient older adults.","authors":"F-J-M Ruiz, M-J Kergoat, F Andriamampionona, C Brodeur, O Beauchet, T Tannou, F Buckinx, M Aubertin-Leheudre","doi":"10.1007/s41999-025-01305-w","DOIUrl":"https://doi.org/10.1007/s41999-025-01305-w","url":null,"abstract":"<p><strong>Methods: </strong>A tool called PACE, including two decisional trees (SDT for physicians and ODT for exercise professionals), was co-created to integrate PA prescriptions in outpatient geriatric care. The SDT comprised 13 questions from validated questionnaires (FRAIL, FIND, and SARC-F), and the ODT included four geriatric functional tests (30-s chair test, functional reach test, balance, and normal walking speed). SDT and ODT were administered to ninety-seven patients. Cronbach's alpha, confirmatory factor analysis, Pearson's correlation, Kappa, and Tau-B correlation were conducted.</p><p><strong>Results: </strong>The SDT and ODT demonstrated good internal consistency (α = 0.74-0.86 and α = 0.75, respectively). Concurrent validity showed significant correlations between the SDT and indices of frailty and sarcopenia (r = 0.62-0.90, p < 0.001) and objective functional tests (r = 0.66-0.72, p < 0.001). The ODT showed significant correlations with functional tests (r = 0.65-0.88, p < 0.001). Despite some correlations between the decisional trees (r = 0.48-0.68, p < 0.001), their concordance was limited (kappa = 0.08-0.41). Sub-analyses revealed higher correlations and concordances when the caregiver living with the patient was involved in SDT responses.</p><p><strong>Conclusions: </strong>The SDT and ODT demonstrated good validity for assessing the functional performance profile of older adults and can be used to prescribe exercise programs using PACE. This study highlights the importance of involving caregivers in the SDT assessment to refine PACE prescriptions.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087708","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}

{"title":"Never went out of style.","authors":"Camila S Badell, Oscar J Ponce-Ponte, Eloy F Ruiz","doi":"10.1007/s41999-025-01295-9","DOIUrl":"https://doi.org/10.1007/s41999-025-01295-9","url":null,"abstract":"","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070998","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}

{"title":"Physical activity interventions for hospitalised people living with dementia: systematic review and meta-analysis.","authors":"Emma Elliott, Jodi Ventre, Sarah Kate Smith, William Carey, Charlotte Eost-Telling, Annemarie Money, Toby Bryce-Jones, Victoria Dickens, Chris J Todd, Emma R L C Vardy","doi":"10.1007/s41999-025-01304-x","DOIUrl":"https://doi.org/10.1007/s41999-025-01304-x","url":null,"abstract":"<p><strong>Purpose: </strong>People living with dementia are vulnerable to adverse outcomes of hospitalisation, such as functional decline and deconditioning. The aim of this review was to examine the effectiveness of hospital-based interventions involving physical activity on deconditioning outcomes in people living with dementia.</p><p><strong>Methods: </strong>Five databases (MEDLINE, CENTRAL, Embase, PsycINFO, and CINAHL) were searched to January 2025 to identify eligible studies. Two researchers independently carried out screening, data extraction and quality assessment.</p><p><strong>Inclusion criteria: </strong>adults with a diagnosis of dementia, acute hospital admission, and interventions involving physical activity during hospitalisation. Data were pooled for strength, balance, functional outcomes, readmission, falls, length of stay, and delirium. We used GRADE to assess the certainty of evidence.</p><p><strong>Results: </strong>2179 records were identified and six studies (n = 576 with dementia) included: one randomised-controlled trial, five non-randomised or quasi-randomised. Studies were conducted in an \"acute care for elders unit\" (n = 2), acute psychogeriatric ward (n = 2), general medical unit (n = 1), and geriatric rehabilitation ward (n = 1) across six countries. In meta-analyses, there was less decline in basic activities of daily living at 3 months in the physical activity group (change from pre-admission status); two studies, mean difference 1.27 (95% CI 0.36-2.18) but there were no differences found in all other outcomes at discharge or 3 months, compared to usual care. Certainty of the evidence is low/very low.</p><p><strong>Conclusion: </strong>Due to the limited available evidence, there is uncertainty about the effect of physical activity interventions above usual care. More high-quality research is needed to improve outcomes for people living with dementia in hospital.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076482","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}

{"title":"Addressing the evidence gap: exploratory insights into dual challenges of mild cognitive impairment and hematologic cancer in older adults through mixed methods and social listening study.","authors":"Vincenza Frisardi, Valeria De Sando, Guia Conceining, Mathias Schlögl","doi":"10.1007/s41999-025-01292-y","DOIUrl":"https://doi.org/10.1007/s41999-025-01292-y","url":null,"abstract":"<p><strong>Purpose: </strong>The ageing European population faces a dual burden of increasing mild cognitive impairment (MCI) and hematologic malignancies, yet the overlap of these conditions remains poorly understood and insufficiently addressed in current research and clinical practice. This study aims to explore the unmet needs and challenges encountered by older adults living with both MCI and hematologic malignancies, to inform the development of integrated, person-centered care models for this raising population.</p><p><strong>Methods: </strong>A mixed-methods approach was employed, combining a systematic literature review (2018-2023) with qualitative social listening from publicly available caregiver and patient platforms. Screening followed PRISMA guidelines; posts were analyzed thematically using NVivo software.</p><p><strong>Results: </strong>The systematic review found no eligible studies addressing the dual diagnosis, reflecting a substantial evidence gap. Social listening identified two dominant themes: (1) persistent feelings of isolation among patients and (2) significant emotional and logistical burden on caregivers. Both findings emphasize the disconnect between current care models and patient realities.</p><p><strong>Conclusion: </strong>Older adults with coexisting MCI and hematologic malignancies represent a neglected and highly vulnerable population. The lack of dedicated research and integrated care highlights an urgent need for new clinical frameworks and tools that better account for cognitive health in geriatric oncology. Future research should focus on developing and validating brief, sensitive cognitive screening tools, training clinicians in cognitively-informed oncology care, and designing multidisciplinary support systems for patients and caregivers navigating dual diagnoses.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071053","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}

{"title":"Reliability of functional physical performance tests adapted in a remote format for older people with a history of falls.","authors":"Mariana Luiz de Melo, Paulo Henrique Silva Pelicioni, Ana Laura Oliveira Dias, Daiene de Morais, Mel Silva de Sá, Karina Gramani-Say, Juliana Hotta Ansai","doi":"10.1007/s41999-025-01309-6","DOIUrl":"https://doi.org/10.1007/s41999-025-01309-6","url":null,"abstract":"<p><strong>Aims: </strong>To analyze the reliability of the Short Physical Performance Battery (SPPB), Timed Up and Go test (TUG), and TUG with dual task (TUGDT) adapted in a remote format for older adults with a history of falls.</p><p><strong>Methods: </strong>This reliability study was conducted with community-dwelling older adults with a history of at least two falls in the past year. The test was performed remotely and synchronously at the participant's home and after 1 month. The intra-rater reliability was assessed by the same researcher, who watched the recordings and re-evaluated each test performed. The inter-rater reliability was assessed by a second researcher, who also watched the recordings asynchronously and evaluated each test at baseline and after 1 month.</p><p><strong>Results: </strong>The final sample consisted of 54 volunteers, mostly women (89%), with a mean age of 73 years. The intra-rater evaluation showed excellent reliability in the postural balance tests (score), chair rise (score and seconds), SPPB, TUG, TUGDT, and number of animals spoken in the dual task, and lower reliability in the gait test (score) and when comparing the initial versus final evaluations. The inter-rater evaluation showed excellent reliability in most tests, and good reliability in the gait tests (score), chair rise (score), and TUGDT.</p><p><strong>Conclusion: </strong>Functional physical performance tests applied remotely can be used in a complementary way to assess older people with a history of falls, in situations such as difficulties in leaving home, social restriction, and fear of falling.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071087","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}

{"title":"Efficacy of two calcifediol supplementation regimens in older adults post-hip fracture surgery. A clinical trial.","authors":"Leonor Cuadra-Llopart, Antoni Salvà Casanovas, Georgina Cerdà Mas, Esther Jovell-Fernández","doi":"10.1007/s41999-025-01303-y","DOIUrl":"https://doi.org/10.1007/s41999-025-01303-y","url":null,"abstract":"<p><strong>Background: </strong>Vitamin D deficiency is highly prevalent among older adults with hip fracture and may compromise recovery. This study evaluated the effectiveness of two calcifediol supplementation regimens in correcting serum 25-hydroxyvitamin D [25(OH)D] levels and supporting functional recovery.</p><p><strong>Methods: </strong>In this randomized clinical trial, 50 patients aged ≥ 75 years with hip fracture and serum 25(OH)D < 30 ng/mL were assigned to receive calcifediol 266 μg daily for 5 days (intervention group, IG) or 266 μg weekly for 5 weeks (control group, CG). Primary endpoints were the proportion achieving 25(OH)D > 30 ng/mL, change in parathyroid hormone, and functional recovery assessed at discharge and at 3, 6, and 12 months post-fracture.</p><p><strong>Results: </strong>The mean age was 86 years; 64% were women. Baseline 25(OH)D was 13.3 ng/mL in the IG and 12.0 ng/mL in the CG. After one month, both groups showed increased concentrations (38.2 vs. 35.2 ng/mL; p = 0.50). PTH decreased more in the IG (43.5 vs. 75.2 pg/mL; p = 0.001). Approximately 50% of patients showed clinically meaningful functional improvement. Multivariate analysis indicated lower relative functional gain in CG participants who did not achieve optimal 25(OH)D levels (67.2 vs. 43.7; p = 0.06). No significant differences in long-term functional outcomes were observed between groups.</p><p><strong>Conclusions: </strong>Both daily and weekly calcifediol regimens effectively corrected vitamin D deficiency in older adults with hip fracture. Functional improvement at discharge was observed in both groups and was clinically relevant.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier: NCT03213886 (Date of registration: 11/07/2017).</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065951","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}