European Geriatric Medicine最新文献

{"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}

{"title":"Resuscitation and goals of care discussions in geriatrics: from perception to clinical practice.","authors":"Mariana Alves, Rozemarijn L van Bruchem-Visser, Ruth Piers","doi":"10.1007/s41999-025-01312-x","DOIUrl":"https://doi.org/10.1007/s41999-025-01312-x","url":null,"abstract":"","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":"145065909","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":"Psychometric comparison and score conversion between World Health Organization Disability Assessment Schedule 2.0 and activities of daily living scales in community-dwelling older adults.","authors":"Siqi Cheng, Chengbei Hou, Yue Wu, Xinyan Du, Hongjun Liu, Rui Li, Shaoyuan Lei, Xiaolin Yue, Yansu Guo","doi":"10.1007/s41999-025-01306-9","DOIUrl":"https://doi.org/10.1007/s41999-025-01306-9","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the performance of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) with activities of daily living (ADL) scales for disability assessment and to explore the score conversion between these two measures in a community-dwelling geriatric population.</p><p><strong>Methods: </strong>Data were drawn from the observational cohort study, the Beijing Longitudinal Disability Survey in Community Elderly, including 2170 community-dwelling adults aged ≥ 65 years. The 12-item WHODAS 2.0, ADL scales, and other corresponding measurements (mobility, cognition, depression, pain, nutrition, frailty, and sarcopenia) were evaluated face-to-face by well-trained assessors. Receiver operating characteristic (ROC) curve analysis was used to assess the accuracy of discriminating participants with ADL disability. Spearman's correlation coefficients were calculated to evaluate the associations between WHODAS 2.0, ADL scales, and other geriatric assessment tools. Equipercentile equating was performed to develop a conversion table between the WHODAS 2.0 and ADL scales.</p><p><strong>Results: </strong>Among 2170 community-dwelling older adults, the mean (SD) age was 74.1 (7.2) years, and 867 (40.0%) were male. Using the ADL scales, 1660 participants (76.5%) were defined as independent and 510 (23.5%) as dependent. Our results found an agreement between WHODAS 2.0 and ADL in categorizing older adults with disability. WHODAS 2.0 had a sensitivity of 95.1% and specificity of 77.3% in detecting disabled versus non-disabled older adults, with an area under the ROC curve of 0.963. WHODAS 2.0 also presents strong correlations with ADL scales and other geriatric assessment tools. In addition, a conversion table between WHODAS 2.0 and ADL scores was built with high precision.</p><p><strong>Conclusion: </strong>WHODAS 2.0 demonstrates good discriminative ability for ADL disability and correlates strongly with various geriatric assessments, supporting that it is an applicable, sensitive, and comprehensive measure for disability assessment in community-dwelling older adults. The conversion between the WHODAS 2.0 and ADL scales allows for the comparison and synthesis of scores across studies and offers clinicians valuable references when interpreting results from different disability scales.</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":"145065874","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":"Assessing the risk of sarcopenia among community-dwelling older adults in Israel: a national cross-sectional survey.","authors":"Miri Lutski, Ziv Karni-Efrati, Inbar Zucker, Dvora Frankenthal","doi":"10.1007/s41999-025-01297-7","DOIUrl":"https://doi.org/10.1007/s41999-025-01297-7","url":null,"abstract":"<p><strong>Purpose: </strong>With aging population and the growing burden of sarcopenia on health systems, early risk assessment is essential. This study assessed the risk of sarcopenia and associated factors among community-dwelling older adults.</p><p><strong>Methods: </strong>This cross-sectional study used data from the Israel National Elderly Falls Survey (2018-2019) among adults aged 65+ by the Israel Center for Disease Control. Data were collected via telephone interviews on demographic, health, and functional characteristics. Sarcopenia risk was assessed using the validated five-item Mini Sarcopenia Risk Assessment (MSRA-5) questionnaire, with a cutoff score of ≤ 45 indicating risk. Multivariable logistic regression estimated odds ratios (ORs) and 95% confidence intervals (CIs) for sarcopenia risk.</p><p><strong>Results: </strong>A total of 2668 participants were included in the study, with a mean age of 73.2 ± 5.7 years, and 56.3% were female. Based on the MSRA-5 cutoff score (≤ 45), 65.1% (n = 1738) were classified as at risk for sarcopenia. Older age (OR = 1.21 per 5-year increase, 95% CI 1.10-1.33), Arab ethnicity (OR = 2.05, 95% CI 1.59-2.64), lower education level (OR = 1.57, 95% CI 1.29-1.92), and anxiety/depression (OR = 1.83, 95% CI 1.32-2.54) were associated with the prevalence of sarcopenia risk. Functional limitations, including difficulty performing household activities (OR = 1.96, 95% CI 1.42-2.69) and physical inactivity (OR = 1.72, 95% CI 1.40-2.11), were also associated with sarcopenia risk. A dose-response relationship was observed with medication use, with progressively higher odds of sarcopenia risk among those taking > 8 medications per day (OR = 2.75, 95% CI 1.52-4.98).</p><p><strong>Conclusion: </strong>These findings highlight the high prevalence of sarcopenia risk among older adults in Israel and emphasize the importance of early screening to identify at-risk individuals.</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":"145065930","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":"Correction: Appropriateness of antibiotic use in nursing homes for suspected urinary tract infections: comparison across five European countries.","authors":"Matilde Bøgelund Hansen, Jesper Lykkegaard, Malene Plejdrup Hansen, Carl Llor, Ana Garcia Sangenis, Pia Touboul-Lundgren, Pascale Bruno, Ruta Radzeviciene, Lina Jaruseviciene, Marilena Anastasaki, Christos Lionis, Anna Kowalczyk, Maciek Godycki-Ćwirko, Beatriz Gonzalez Lopez-Valcárcel, Fabiana Raynal Floriano, Athina Chalkidou, Lars Bjerrum, Jette Nygaard Jensen","doi":"10.1007/s41999-025-01300-1","DOIUrl":"https://doi.org/10.1007/s41999-025-01300-1","url":null,"abstract":"","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034429","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 exergaming with a resistance component versus traditional resistance training on sarcopenia in pre-frail and frail nursing home residents: a pilot randomized controlled trial.","authors":"Tai Wa Liu, Bonny Y M Wong, Timothy T T Yam, William W N Tsang, Gary Tse, Queenie C M Kwan, Kevin Hung, John K T Chui, H C Wu, C P Leung, Janet Y H Wong","doi":"10.1007/s41999-025-01294-w","DOIUrl":"https://doi.org/10.1007/s41999-025-01294-w","url":null,"abstract":"<p><strong>Purpose: </strong>To compare exergaming with a resistance component and traditional resistance training in terms of feasibility and the preliminary effects on sarcopenia, cognition, functional mobility, and frailty among pre-frail and frail nursing home residents.</p><p><strong>Methods: </strong>A two-arm pilot randomized controlled trial was conducted in three nursing homes. Thirty residents who met the criteria for pre-frailty or frailty and had low handgrip strength were randomized to participate in either exergaming with resistance (EGRG) or traditional resistance training (TRTG) for 12 weeks (twice-weekly, 40-min sessions). The primary outcomes included sarcopenia-related parameters (e.g., muscle mass, strength, lower extremity function, SARC-CalF). The secondary outcomes were cognition (HK-MoCA), functional mobility (TUG), and frailty (CFS-C). Assessments were performed at baseline and 6, 12, 16, and 24 weeks.</p><p><strong>Results: </strong>Thirty of 93 approached residents were enrolled and randomized (EGRG; n = 15, TRTG; n = 15), and 24 completed the study (80% retention). No significant group × time interaction was found for any outcome. Both groups showed significant improvements in handgrip strength, knee flexor/extensor strength, and the SPPB, TUG, and HK-MoCA scores from post-intervention to the 3-month follow-up. No significant changes were observed in the muscle mass, SARC-CalF, or CFS-C scores. Adherence was higher in the EGRG group (77.7%) than in the TRTG group (60.1%).</p><p><strong>Conclusion: </strong>Exergaming with a resistance component is feasible for pre-frail and frail nursing home residents and yields comparable improvements in muscle strength, physical function, and cognition to those achieved with traditional resistance training.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065888","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}