European Geriatric Medicine最新文献_第3页

Defining optimal orthogeriatric hip fracture care: a delphi consensus approach.

IF 3.5 3区医学

European Geriatric Medicine Pub Date : 2025-02-06 DOI: 10.1007/s41999-025-01156-5

H E van Bremen, L J Seppala, E A Gans, J H Hegeman, N van der Velde, H C Willems

{"title":"Defining optimal orthogeriatric hip fracture care: a delphi consensus approach.","authors":"H E van Bremen, L J Seppala, E A Gans, J H Hegeman, N van der Velde, H C Willems","doi":"10.1007/s41999-025-01156-5","DOIUrl":"https://doi.org/10.1007/s41999-025-01156-5","url":null,"abstract":"Purpose: Development of consensus-based recommendations on core and optimal elements of orthogeriatric hip-fracture care.Methods: An online Delphi survey was performed in the Netherlands. A total of 72 statements were derived from a framework encompassing all phases of care for older patients with a hip fracture. These statements were presented to the panelists in two rounds to identify elements for minimal and optimal orthogeriatric care. Panelists included professionals with experience in hip-fracture care and patient representatives. The level of agreement was measured using a 5-point Likert scale. Consensus was considered if > 75% of the panelists agreed or disagreed.Results: Ninety-two persons were invited to participate in the survey; 63 participated in the first round and 55 in the second round. One statement was added in the second round. Most participants had a background in geriatrics (36% in the second round) or trauma surgery/orthopaedics (20% in the second round). Consensus was reached on 48 statements for minimal orthogeriatric care and 60 statements for optimal orthogeriatric care.Conclusion: This study supports previously established recommendations for older adults with hip fractures. In addition, it offers practical recommendations for implementation of orthogeriatric care regarding both core and optimal care elements for hospitals at every different level of maturity and at every step in the care process. This may decrease the intra- and inter-hospital variability of clinical management of hip-fracture patients. Organizational and logistical elements present a barrier to overcoming the gap between the current practice and the optimal situation.","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257192","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

Mortality of Parkinson's disease during the COVID-19 pandemic. COVID-19 大流行期间帕金森病的死亡率。

IF 3.5 3区医学

European Geriatric Medicine Pub Date : 2025-02-01 Epub Date: 2024-11-20 DOI: 10.1007/s41999-024-01117-4

Salvatore Chirumbolo

引用次数: 0

Associations of nutritional intake and inflammatory factors with sarcopenia in community-dwelling older adults: a cross-sectional study. 营养摄入和炎症因子与社区老年人肌肉减少症的关联：一项横断面研究。

IF 3.5 3区医学

European Geriatric Medicine Pub Date : 2025-02-01 Epub Date: 2025-01-11 DOI: 10.1007/s41999-024-01147-y

Jiaqian Xu, Shuangshuang Jia, Ruining Xie, Xin Yan, Lingzhi Chen, Xiaoyu Cheng, Li Bai, Yaqing Li, Yujing Wang, Yi Qiao

{"title":"Associations of nutritional intake and inflammatory factors with sarcopenia in community-dwelling older adults: a cross-sectional study.","authors":"Jiaqian Xu, Shuangshuang Jia, Ruining Xie, Xin Yan, Lingzhi Chen, Xiaoyu Cheng, Li Bai, Yaqing Li, Yujing Wang, Yi Qiao","doi":"10.1007/s41999-024-01147-y","DOIUrl":"10.1007/s41999-024-01147-y","url":null,"abstract":"Purpose: Sarcopenia is an age-related disease that is related to nutritional intake and chronic low-grade inflammation. The aim of this study was to investigate the association of dietary intake, inflammatory markers and sarcopenia among the community-dwelling older adults.Methods: A total of 1001 older adults aged 60 and above were recruited. According to the criteria established by the Asian Working Group for Sarcopenia 2019, this paper assessed the presence of sarcopenia and using a Food Frequency Questionnaire to evaluate daily dietary intake. Serum levels of inflammatory markers were measured using the ELISA method.Results: A total of 1001 participants took part in the study (mean 70.6 years), comprising 396 males and 605 females, the prevalence of sarcopenia was 19.6%. Multivariate analysis revealed that high levels of leucine, methionine, threonine, histidine, aspartic acid, calcium, zinc, and vitamin C were associated with a lower risk of sarcopenia. Higher dietary inflammatory index scores were associated with a higher risk of sarcopenia (OR 1.67, 95% CI 1.12-2.47). Higher tumor necrosis factor-like weak inducer of apoptosis (TWEAK) (OR 1.04, 95% CI 1.02-1.07) was associated with a higher risk of sarcopenia, and a lower skeletal muscle mass, strength, and physical function. Conversely, higher insulin-like growth factor-1 (IGF-1) (OR 0.83, 95% CI 0.74-0.94) and glutathione S-transferase (GST) (OR 0.75, 95% CI 0.61-0.91) were associated with a lower risk of sarcopenia.Conclusions: This cross-sectional study revealed alterations in amino acid and micronutrient intake among older adults with sarcopenia. The levels of TWEAK were associated with an increased risk of sarcopenia, whereas IGF-1 and GST were associated with a reduced risk of sarcopenia.","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":"33-44"},"PeriodicalIF":3.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967190","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

Sex differences in the association between sarcopenia index and sarcopenia: a cross-sectional study from a Chinese community-based population. 骨骼肌减少症指数与骨骼肌减少症相关性的性别差异：来自中国社区人群的横断面研究。

IF 3.5 3区医学

European Geriatric Medicine Pub Date : 2025-02-01 Epub Date: 2024-12-02 DOI: 10.1007/s41999-024-01111-w

Hong Yang, Yunda Huang, Guihua Jiang, Zhiping Duan, Runfen Du, Yinan Hao, Wei Huang, Xiaoling Liu

{"title":"Sex differences in the association between sarcopenia index and sarcopenia: a cross-sectional study from a Chinese community-based population.","authors":"Hong Yang, Yunda Huang, Guihua Jiang, Zhiping Duan, Runfen Du, Yinan Hao, Wei Huang, Xiaoling Liu","doi":"10.1007/s41999-024-01111-w","DOIUrl":"10.1007/s41999-024-01111-w","url":null,"abstract":"Purpose: The sarcopenia index (SI) is a convenient method to screen for sarcopenia, but few studies have analysed whether there are sex differences. The aim of this study was to analyse sex differences in the relationship between SI and sarcopenia in a Chinese community-based population.Methods: This cross-sectional study included participants from 2011 China Health and Retirement Longitudinal Study. The SI was defined as 100 × creatinine / cystatin C. Diagnosis of sarcopenia based on the Asian Working Group for Sarcopenia 2019 consensus. Logistic regression model, linear regression model, and natural spline model were used to analyze the association between SI and sarcopenia.Results: A total of 7,118 participants with a mean age of 60.6 ± 10.1 were included, 53.4% females. In males, the prevalence of sarcopenia decreased by 25% for every 10 increase in SI, and skeletal muscle mass index (SMI) increased by 0.04, odds ratio (OR), β, and 95% confidence interval (CI) were 0.75 (0.65-0.87), 0.04 (0.02-0.05), both P < 0.001. In females, the SI was not significantly associated with sarcopenia, OR and 95% CI were 0.99 (0.9 ~ 1.08), P = 0.775; for every 10 increase in SI, the SMI in females decreased by 0.03, β and 95% CI were -0.03 (-0.04 ~ -0.01), P = 0.001.Conclusion: In the Chinese community, the SI is negatively associated with sarcopenia in males and has moderate diagnostic test performance. It was not associated with sarcopenia in females, and using the SI to screen for sarcopenia in females may not be a reliable method.","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":"55-65"},"PeriodicalIF":3.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774008","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

The relationship between depression and cardiovascular disease in older people: results from a large-scale epidemiological cohort study in Japan. 老年人抑郁症与心血管疾病之间的关系：日本大规模流行病学队列研究的结果。

IF 3.5 3区医学

European Geriatric Medicine Pub Date : 2025-02-01 DOI: 10.1007/s41999-024-01128-1

Kaoruko Komuro, Jin Komuro, Hidehiro Kaneko, Yuta Suzuki, Akira Okada, Katsuhito Fujiu, Norifumi Takeda, Hiroyuki Morita, Koichi Node, Hideo Yasunaga, Issei Komuro, Masaki Ieda, Norihiko Takeda

{"title":"The relationship between depression and cardiovascular disease in older people: results from a large-scale epidemiological cohort study in Japan.","authors":"Kaoruko Komuro, Jin Komuro, Hidehiro Kaneko, Yuta Suzuki, Akira Okada, Katsuhito Fujiu, Norifumi Takeda, Hiroyuki Morita, Koichi Node, Hideo Yasunaga, Issei Komuro, Masaki Ieda, Norihiko Takeda","doi":"10.1007/s41999-024-01128-1","DOIUrl":"https://doi.org/10.1007/s41999-024-01128-1","url":null,"abstract":"Background: Depression is known to be associated with a greater risk of developing cardiovascular disease (CVD) in middle-aged people. However, it is not certain how depression would influence incident CVD in older people aged ≥ 75 years. We investigated the association between depression and CVD in older people.Methods: We analyzed 146,085 individuals aged ≥ 75 years including 7581 individuals (5.2%) with depression registered in the DeSC database from April 2014 to November 2022. We excluded those with a prior history of CVD. The incidence of composite CVD events, comprising ischemic heart disease (IHD), heart failure, and stroke was documented. A Cox proportional hazard regression analysis was conducted to estimate hazard ratios (HR) associated with the presence of depression.Results: The median age was 79 years and 41.0% were men. During the mean follow-up period of 3.4 ± 1.5 years, 39,552 composite CVD events (IHD: n = 10,916; heart failure: n = 26,719; stroke: n = 13,090) were recorded. Multivariable Cox regression analyses showed that older individuals with depression had a greater risk of composite CVD events than those without (hazard ratio [HR] 1.29, 95% confidence interval [CI] 1.24-1.34). The HR (95% CI) of depression was 1.26 (1.17-1.37) for IHD, 1.25 (1.19-1.31) for heart failure, and 1.30 (1.21-1.39) for stroke, respectively. While considering the limitations of real-world data, we conducted multiple sensitivity analyses, which confirmed the results of the primary analysis.Conclusions: The presence of depression was independently associated with a greater risk of developing CVD even in older individuals.","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076114","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

Investigating the efficacy of AI-enhanced telerehabilitation in sarcopenic older individuals. 研究人工智能增强型远程康复对肌肉疏松老年人的疗效。

IF 3.5 3区医学

European Geriatric Medicine Pub Date : 2025-02-01 Epub Date: 2024-10-25 DOI: 10.1007/s41999-024-01082-y

Meiqi Wei, Deyu Meng, Shichun He, Zongnan Lv, Hongzhi Guo, Guang Yang, Ziheng Wang

{"title":"Investigating the efficacy of AI-enhanced telerehabilitation in sarcopenic older individuals.","authors":"Meiqi Wei, Deyu Meng, Shichun He, Zongnan Lv, Hongzhi Guo, Guang Yang, Ziheng Wang","doi":"10.1007/s41999-024-01082-y","DOIUrl":"10.1007/s41999-024-01082-y","url":null,"abstract":"Objective: This study explores the effectiveness of 3D pose estimation technology in Yi Jin Jing (a traditional Chinese exercise) interventions for sarcopenic older individuals.Design: A randomized controlled trial involving 93 participants (mean age: 71.64 ± 7.09 years; 41 males and 52 females) divided into three groups: a face-to-face offline traditional training group (OFFG), a general remote online training group (ONG), and an AI-based online remote training group (AIONG).Methods: Participants in each group underwent their respective training programs. The effectiveness of the interventions was measured using Appendicular Skeletal Muscle Mass Index, Grip Strength, 6-meter Walking Speed, Timed-Up-and-Go Test, and Quality of Life assessments.Results: Significant improvements were observed across all groups in ASMI, Grip Strength, 6-meter Walking Speed, TUGT, and QoL. However, there were no statistically significant differences between the groups in terms of the magnitude of these improvements. AIONG showed outcomes comparable to OFFG and ONG methods.Conclusions: AI-based telerehabilitation with 3D pose estimation is a viable and effective alternative for remote exercise interventions. It offers precise guidance and enhances the quality of rehabilitation training, demonstrating outcomes comparable to traditional and general online methods.","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":"115-123"},"PeriodicalIF":3.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511389","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

Response to the letter to the editor following the article 'Is artificial intelligence ageist?' 对《人工智能是年龄歧视吗？》一文后致编辑的信的回应

IF 3.5 3区医学

European Geriatric Medicine Pub Date : 2025-02-01 Epub Date: 2024-11-22 DOI: 10.1007/s41999-024-01110-x

Yanira Aranda Rubio

引用次数: 0

Is Artificial Intelligence ageist? Correspondence.

IF 3.5 3区医学

European Geriatric Medicine Pub Date : 2025-02-01 Epub Date: 2025-02-11 DOI: 10.1007/s41999-024-01116-5

Amnuay Kleebayoon, Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

Moving from just measuring, to acting on frailty in specialties outside geriatrics. 从仅仅测量，到在老年医学以外的专业中对虚弱采取行动。

IF 3.5 3区医学

European Geriatric Medicine Pub Date : 2025-02-01 DOI: 10.1007/s41999-025-01154-7

John S M Houghton

引用次数: 0

Exploring how falls prevention practitioners assess and manage concerns about falling. 探索跌倒预防从业人员如何评估和管理对跌倒的担忧。

IF 3.5 3区医学

European Geriatric Medicine Pub Date : 2025-02-01 Epub Date: 2024-12-17 DOI: 10.1007/s41999-024-01127-2

Bianca Nicklen, Kim Delbaere, Toby J Ellmers

{"title":"Exploring how falls prevention practitioners assess and manage concerns about falling.","authors":"Bianca Nicklen, Kim Delbaere, Toby J Ellmers","doi":"10.1007/s41999-024-01127-2","DOIUrl":"10.1007/s41999-024-01127-2","url":null,"abstract":"Background: Concerns about falling (CaF) are common in older adults. They can lead to various negative outcomes, including an increased risk for future falls. The Worlds Falls Guidelines recently published recommendations for assessing and treating CaF. However, the extent to which these guidelines have been adopted into falls prevention practice (in addition to the barriers preventing implementation) are currently unknown.Methods: A cross-sectional survey was completed by 114 healthcare professionals working in falls prevention and rehabilitation services in the UK and Ireland. The survey explored their experiences and perceptions regarding the management and assessment of CaF.Results: Only 39% of respondents reported using the Falls Efficacy Scale-International (FES-I), a tool recommended by the World Falls Guidelines for assessing CaF. Healthcare professionals in hospital settings were significantly less likely to use the FES-I compared to those working in the community (X2 = 6.324, p = 0.043). While there was no significant difference between settings regarding the type of intervention used to manage CaF, only about 50% of participants adopted a holistic approach combining physical and psychological strategies as recommended by the World Falls Guidelines. The most commonly identified barriers to clinical management of CaF were a lack of both time and perceived effective interventions, particularly for those working within hospital settings (X2 = 6.209, p = 0.013 and X2 = 3.752, p = 0.053, respectively).Conclusion: These findings indicate low levels of adoption of the World Falls Guidelines recommendations for assessing and managing CaF, especially in hospital settings. Future work should focus on addressing these barriers to maximise the clinical adoption of these recommendations.","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":"219-227"},"PeriodicalIF":3.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840074","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