Journal of Aging and Health最新文献

{"title":"Psychosocial Pathways Between Physical Activity and Mild Cognitive Impairment in Community-Dwelling Older Adults: Mediation and Moderation Analyses.","authors":"Daniel Eduardo da Cunha Leme, Mia Liza A Lustria, Dawn C Carr, Neil Charness, Kenneth M Langa, Zhe He","doi":"10.1177/08982643261475378","DOIUrl":"10.1177/08982643261475378","url":null,"abstract":"<p><p>ObjectiveTo examine whether physical activity (PA) relates to mild cognitive impairment (MCI) both directly and indirectly through depressive symptoms and social isolation, and whether social isolation moderates this association.MethodsThis cross-sectional analysis used data from the 2011-2014 National Health and Nutrition Examination Survey (<i>n</i> = 2,933; ≥60 years). Self-reported PA, depressive symptoms, and social isolation were assessed. MCI was defined as a composite cognitive score greater than one standard deviation below the sample mean.ResultsWeighted path analysis showed that higher PA levels were inversely associated with MCI. Depressive symptoms and social isolation mediated this association. Social isolation moderated the PA-MCI relationship, with the inverse association being most pronounced among individuals with higher isolation levels.ConclusionsPA is associated with MCI in older adults through psychosocial pathways, and social isolation shapes this relationship. Promoting PA may be particularly relevant for those experiencing social isolation.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643261475378"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13560887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686133","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}

{"title":"Identifying Combinations of Factors Associated With Meeting Age-Specific Sleep Duration Recommendations Among US Midlife and Older Adults: A Study Using Signal Detection Analysis.","authors":"Astrid N Zamora, Velarie Y Ansu-Baidoo","doi":"10.1177/08982643251351695","DOIUrl":"10.1177/08982643251351695","url":null,"abstract":"<p><p>ObjectiveTo identify subgroups of midlife and older adults from the United States (US), defined by specific combinations of factors, who are more or less likely to meet age-specific sleep duration recommendations.MethodsParticipants (<i>n</i> = 3,124) aged ≥ 40 years were drawn from the 2011-2018 National Health and Nutrition Examination Survey cycles. The primary outcome was meeting age-specific sleep duration recommendations (7 to 9 hours per night) to promote optimal health. Signal detection analysis was used to identify subgroups, defined by combinations of socio-demographic, clinical, cardiometabolic, and behavioral factors, that predicted whether participants met age-specific sleep duration recommendations.ResultsThe mean age of participants was 58.3 (standard error = 0.3) years, with a mean sleep duration of 7.3 (standard error = 0.03) hours/night. Overall, 64.3% met the age-specific sleep duration recommendations. Eight subgroups were identified through signal detection, with race/ethnicity being the primary splitting variable. The subgroup most likely to meet the sleep duration recommendations (82.9%; 353/426) identified as Non-Hispanic White, had a poverty income ratio score ≥ 3.2 (indicating household income 3.2 times the poverty threshold), and had no history of trouble sleeping. In contrast, the subgroup least likely to meet the sleep duration recommendations (45.0%; 144/320) identified as racial/ethnic minorities, had a history of trouble sleeping, and engaged in less than 324 minutes of moderate-to-vigorous physical activity per week.ConclusionsFindings from this cross-sectional study highlight the importance of examining combinations of factors to systematically identify subgroups more or less likely to meet age-specific sleep duration recommendations for optimal health. Future research should explore how these factors change over time to inform public health strategies aimed at improving sleep health among US midlife and older adults, particularly those from racial and ethnic minority backgrounds.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"376-386"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327627","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":"Do Falling Frequency and Neighborhood Environment Jointly Influence Physical Activity Behavior in Midlife and Older Adults?: A Longitudinal Investigation.","authors":"Steve Amireault, Jorge Banda, Kelsie J Muller, Elizabeth A Richards, Shirley Rietdyk","doi":"10.1177/08982643251345173","DOIUrl":"10.1177/08982643251345173","url":null,"abstract":"<p><p><b>Objective:</b> Drawing upon the socio-ecological framework, this study examines whether the neighborhood environment moderates the relation between falling frequency and physical activity (PA) behavior among adults 55 years or older. <b>Methods:</b> At baseline, participants (<i>N</i> = 430) reported number of falls during the past 12 months and leisure-time PA during the past month. At follow-up, PA was assessed weekly using the Physical Activity Scale for Elderly for four consecutive weeks. We used the Bike Score^TM, Walk Score®, and Index of Relative Rurality to capture objective attributes of the neighborhood environment. <b>Results:</b> The relation between falling frequency and PA was negative and tended to be stronger for recurrent fallers who lived in a neighborhood environment that was less bikeable, less walkable, and more rural. <b>Discussion:</b> This study offers novel quantitative insights that underscore the importance of examining how personal and environmental factors combine to influence PA behavior in the context of fall prevention and management.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"363-375"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287101","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":"Development and Validation of a Social Frailty Index Among Older Adults in the Philippines.","authors":"Edina Yi-Qin Tan, Hanzhang Xu, Rahul Malhotra, Mark Ryan B Paguirigan, Grace Trinidad Cruz, Yasuhiko Saito, Truls Østbye","doi":"10.1177/08982643251356716","DOIUrl":"10.1177/08982643251356716","url":null,"abstract":"<p><p>BackgroundSocial frailty has not been studied in the Philippines, a Southeast Asian country with distinct sociocultural characteristics.ObjectiveTo (i) develop and validate the Social Frailty Index-Philippines (SFI-Phil), using all-cause mortality (up to 4 years) as the outcome and (ii) evaluate performance of SFI-Phil across age, sex, and residence.MethodsPerforming regression analyses on baseline and 4-year follow-up data from 5153 older adults aged 60+ from the nationally representative Longitudinal Study of Ageing and Health in the Philippines (LSAHP), we selected and validated a parsimonious model of social predictors.ResultsThe resulting 6-item SFI-Phil demonstrated satisfactory accuracy in predicting mortality up to 4 years (C-statistic 0.640, 95% confidence interval [CI]: 0.608-0.673) in a validation sample and across demographic strata, although better amongst 60-69 year olds, men, and urban residents.ConclusionSFI-Phil, developed considering Philippines's sociocultural context, can be used to assess social frailty among older adults in the Philippines.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"404-413"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531024","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":"Racial and Ethnic Differences in Loneliness and Social Isolation Among Older Adults With Hearing Loss: Findings From the Health and Retirement Study.","authors":"Charity T Lewis, Samantha Malak, Fumiko Hamada, Julia Toman","doi":"10.1177/08982643251360309","DOIUrl":"10.1177/08982643251360309","url":null,"abstract":"<p><p>ObjectiveOur study examines racial/ethnic differences in loneliness and social isolation among older adults with hearing loss.MethodsData were drawn from the 2022 Health and Retirement Study, including participants ages ≥50 with objectively determined hearing loss (<i>N</i> = 1817). Linear models were employed to analyze the association between race/ethnicity and both loneliness and social isolation.ResultsInitially, Black adults reported higher loneliness scores than White adults, but this trend reversed after controlling for contextual factors. Hispanic adults consistently showed lower loneliness scores across all models compared to both Black and White adults. Black adults reported significantly lower levels of social isolation compared to White adults, whereas Hispanic adults consistently exhibited higher levels than Black adults throughout the analysis.ConclusionThese findings reveal distinct patterns of loneliness and social isolation across racial/ethnic groups among adults with hearing loss, highlighting the interplay between these outcomes and social, cultural, and societal factors.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"464-475"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621171","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":"Disability Among Middle Aged and Older Immigrants: Differences by Citizenship, English Proficiency, and Years in United States.","authors":"Shane D Burns, Elizabeth H Baker, Connor M Sheehan, Kyriakos S Markides","doi":"10.1177/08982643251359389","DOIUrl":"10.1177/08982643251359389","url":null,"abstract":"<p><p>ObjectivesUnited States (U.S.) immigrants are rapidly aging, although little is known on how acculturation influences their disability risk.MethodsWe pooled 2000-2018 data (<i>n</i> = 50,075) from the National Health Interview Survey (NHIS) to examine odds of activities of daily living (ADL) disability among middle aged (40-64) and older (65+) immigrants based on three acculturation indicators while accounting for various measures.ResultsAmong middle aged immigrants, citizenship was associated with <i>higher</i> odds of ADL disability after accounting for socioeconomic factors. Among both middle aged and older immigrants, English proficiency was associated with <i>lower</i> odds of ADL disability until accounting for socioeconomic factors. Among older immigrants, <i>lower</i> ADL disability odds were observed among those with English proficiency <i>and</i> greater U.S. duration.DiscussionAcculturation had heterogenous influences on ADL disability risk among aging U.S. immigrants, while the interplay of these mechanisms shaped varied outcomes.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"451-463"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621170","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}

{"title":"Perceived Neighborhood Disorder, Health Behaviors, and Inflammation Among Older Adults: A Mediation Analysis.","authors":"Weidi Qin, Jiao Yu, Tatyana Brown","doi":"10.1177/08982643251356732","DOIUrl":"10.1177/08982643251356732","url":null,"abstract":"<p><p>ObjectivesThis study investigates whether neighborhood disorder has indirect effects on inflammation via health behaviors and whether the pathways vary by race and ethnicity.MethodsThe study sample came from the Health and Retirement Study in 2014 and 2016. Inflammation level was assessed with C-reactive protein. Neighborhood disorder and health behaviors were self-reported. Structural equation modeling was conducted to test the objectives.ResultsFindings revealed significant direct effects of neighborhood disorder on inflammation (B = 0.034, 95% CI: 0.009, 0.058) and indirect effects via physical activity (B = 0.010, 95% CI: 0.006, 0.014). Neighborhood disorder was linked to inflammation through physical activity among older White adults, but not among older Black and Hispanic adults.DiscussionInterventions to provide opportunities for physical activity may reduce inflammation levels among older adults living in neighborhoods with disorders. Future research may consider unique social experiences influencing inflammation among older Black and Hispanic adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"427-438"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531025","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}

{"title":"The Impact of Ageism and Pain on Pandemic-Related Stress in Older Adults: A Structural Equation Modeling and Mediation Analysis.","authors":"Kylie A Arsenault, Ying C MacNab, Gordon J G Asmundson, Thomas Hadjistavropoulos","doi":"10.1177/08982643251345422","DOIUrl":"10.1177/08982643251345422","url":null,"abstract":"<p><p>Although research has linked ageism and pain to increased stress in older adults, their influence on stress within the context of pandemics has not been adequately examined. Our objective was to investigate relationships among pain, ageism, and pandemic-related stress in older adults using structural equation modeling (SEM) and mediation analysis. We hypothesized that pain would exert a direct and/or indirect influence on pandemic-related stress, and ageism a direct influence. Data were collected from 486 North American older adults in January 2024. Participants completed measures of pain, ageism, and pandemic-related stress. SEM and mediation analyses yielded evidence suggesting ageism and pain influence pandemic-related stress, although ageism mediated pain's impact on pandemic-related stress. This study underscores how pain and ageism can impact older adults' psychological well-being during pandemics. Findings highlight a potential need for public health interventions to address ageism and pain during future waves of COVID-19 or other global health crises.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"351-362"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13310302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121418","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}

{"title":"Social Support and Social Strain Sources as Predictors of Multimorbidity Changes in Middle-Aged and Older Adults.","authors":"Jason T Newsom, Jennifer Saucedo, Mallory R Kroeck, AnnaMarie S O'Neill, Heather G Allore, Corey L Nagel, Anda Botoseneanu, Em F Trubits, David A Dorr, Ana R Quiñones","doi":"10.1177/08982643251351090","DOIUrl":"10.1177/08982643251351090","url":null,"abstract":"<p><p>ObjectivesThis study examines whether social strain and support from various sources are associated with accumulation of chronic conditions in older adults.MethodsGrowth mixture modeling was used to investigate which network sources of support and strain were related to morbidity accumulation over 12 years among 5,321 individuals over age 50 in the Health and Retirement Study.ResultsHigher overall social support-comfort provided by others-was associated with a greater likelihood of belonging to the low morbidity trajectory class versus the high and increasing morbidity classes, but overall social strain-tense or conflictual interactions-was not. The source of support/strain mattered, and support from children was a more consistent predictor of trajectory classes than support from other sources.DiscussionThe importance of social support, particularly from children, suggests that psychosocial interventions could be developed and tailored to the children of older adults to promote healthier aging.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"387-403"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12642862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486958","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}

{"title":"Impacts of Perceived Discrimination During the COVID-19 Pandemic on Depression Among Older Chinese Immigrants in Aotearoa New Zealand.","authors":"Polly Yeung, Christine Stephens, Gloria Gao, Rachel Huang","doi":"10.1177/08982643251359150","DOIUrl":"10.1177/08982643251359150","url":null,"abstract":"<p><p>Racial discrimination against Chinese immigrants to various countries worldwide has risen sharply during the COVID-19 pandemic, but limited research exists regarding the pathways through which racial discrimination impacts older immigrants' mental health. This study explored the relationship of perceived discrimination to depression among older Chinese immigrants living in Aotearoa New Zealand, through pathways of chronic health conditions, language barriers, and COVID-19 risks while taking into account the effects of anxiety and loneliness. Descriptive and regression analysis was conducted from a convenience sample of 1159 older Chinese immigrants aged between 55 and 80. While there was no significant direct effect of perceived discrimination to depression, the results showed a significant indirect effect of perceived discrimination, chronic illnesses, COVID-19 risks, and language barriers on depression, which was mediated by anxiety and loneliness. Ageing policies and interventions must address anti-racism to reduce the social and health inequalities faced by older ethnic people.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"439-450"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13310275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576849","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}