Aneeka Ratnayake, Yao Tong, Zahra Reynolds, Steffany Chamut, Lien T Quach, Phoebe Mbabazi, Shruti Sagar, Samuel Maling, Crystal M North, Eliza Passell, Moka Yoo-Jeong, Alexander C Tsai, Robert Paul, Christine S Ritchie, Janet Seeley, Susanne S Hoeppner, Flavia Atwiine, Edna Tindimwebwa, Samson Okello, Noeline Nakasujja, Deanna Saylor, Meredith L Greene, Stephen Asiimwe, Jeremy A Tanner, Mark J Siedner, Brianne Olivieri-Mui
{"title":"Longitudinal Trends in Physical Activity Among Older Adults With and Without HIV in Uganda.","authors":"Aneeka Ratnayake, Yao Tong, Zahra Reynolds, Steffany Chamut, Lien T Quach, Phoebe Mbabazi, Shruti Sagar, Samuel Maling, Crystal M North, Eliza Passell, Moka Yoo-Jeong, Alexander C Tsai, Robert Paul, Christine S Ritchie, Janet Seeley, Susanne S Hoeppner, Flavia Atwiine, Edna Tindimwebwa, Samson Okello, Noeline Nakasujja, Deanna Saylor, Meredith L Greene, Stephen Asiimwe, Jeremy A Tanner, Mark J Siedner, Brianne Olivieri-Mui","doi":"10.1177/08982643251314064","DOIUrl":"10.1177/08982643251314064","url":null,"abstract":"<p><strong>Introduction: </strong>Physical Activity (PA) and its links to frailty, quality of life (QoL), and other comorbidities in older Ugandans living with HIV remain under-explored.</p><p><strong>Methods: </strong>We analyzed data from three annual assessments of older people living with HIV (PLWH) and age- and sex-similar people not living with HIV (PnLWH). We fitted linear generalized estimating equations (GEE) regression models to estimate the correlates of PA, including demographics, frailty, QoL, HIV, and other comorbidities.</p><p><strong>Results: </strong>We enrolled 297 PLWH and 302 PnLWH. Older age (b = -157.34, 95% CI [-222.84, -91.83]), living with HIV (b = -979.88 [95% CI: -1878.48, -81.28]), frailty (b = -3011.14 [95% CI: -4665.84, -1356.45]), and comorbidities (b = -2501.75 [95% CI: -3357.44, -1646.07]) were associated with lower overall PA. Higher general QoL (b = 89.96 [95% CI: 40.99, 138.94]) was associated with higher PA.</p><p><strong>Conclusion: </strong>PA interventions may support wellbeing of older people in the region, and tailored interventions should be explored.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251314064"},"PeriodicalIF":2.2,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985526","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}
Danting Gan, Ana Baylin, Karen E Peterson, Luis Rosero-Bixby, Edward A Ruiz-Narváez
{"title":"Social Connections, Leukocyte Telomere Length, and All-Cause Mortality in Older Adults From Costa Rica: The Costa Rican Longevity and Healthy Aging Study (CRELES).","authors":"Danting Gan, Ana Baylin, Karen E Peterson, Luis Rosero-Bixby, Edward A Ruiz-Narváez","doi":"10.1177/08982643251313923","DOIUrl":"https://doi.org/10.1177/08982643251313923","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the association of social connections with blood leukocyte telomere length (LTL) and all-cause mortality in older Costa Ricans.</p><p><strong>Methods: </strong>Utilizing data from the Costa Rican Longevity and Healthy Aging Study (CRELES), a prospective cohort of 2827 individuals aged 60 and above followed since 2004, we constructed a Social Network Index (SNI) based on marital status, household size, interaction with non-cohabitating adult children, and church attendance. We used linear regression to assess SNI's association with baseline LTL (<i>N</i> = 1113), and Cox proportional-hazard models to examine SNI's relationship with all-cause mortality (<i>N</i> = 2735).</p><p><strong>Results: </strong>Higher SNI levels were associated with longer telomeres and decreased all-cause mortality during follow-up. Being married and regular church attendance were associated with 23% and 24% reductions of the all-cause mortality, respectively.</p><p><strong>Discussion: </strong>These findings underscore the importance of social engagement in promoting longevity among older Costa Ricans, suggesting broader implications for aging populations globally.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251313923"},"PeriodicalIF":2.2,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958534","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":"Typology of Social Participation and Network and Health in Older Adults: Results From the Canadian Longitudinal Study on Aging.","authors":"Véronique Deslauriers, Mélanie Levasseur","doi":"10.1177/08982643241311632","DOIUrl":"https://doi.org/10.1177/08982643241311632","url":null,"abstract":"<p><p>This study aimed to document the typology of social participation and network among older Canadians and examine their associations with health. Using 2011-2015 cross-sectional data from the Canadian Longitudinal Study on Aging, a latent profile analysis was conducted to identify patterns of social participation and network, and multinomial logistic regressions examined associations with self-rated health. Four types of social participation and networks characterized older Canadians: diverse (74.0%), childless (12.1%), restricted (9.7%), and very socially active (4.3%). Compared to the diverse group and excellent/very good health, belonging to the restricted group was associated with higher probabilities of reporting fair or poor health, both general (1.95; <i>p</i> < .001) and mental (2.18; <i>p</i> < .001). Still comparing to the diverse group and excellent/very good health, the very socially active group presented lower likelihood of reporting good general health (0.82; <i>p</i> = .03). These results suggest that the social participation and network are associated with health inequalities in older Canadians. Future studies should look at the role of virtual interactions in the health of older adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241311632"},"PeriodicalIF":2.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958536","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}
Ann L Gruber-Baldini, Richard H Fortinsky, Barbara Resnick, Laurence S Magder, Brock A Beamer, Kathleen Mangione, Denise Orwig, Ellen F Binder, Michael Terrin, Jay Magaziner
{"title":"Impact of a Multi-Component Home-Based Physical Therapy Intervention on Cognitive Outcomes: Results From the CAP Randomized Controlled Trial.","authors":"Ann L Gruber-Baldini, Richard H Fortinsky, Barbara Resnick, Laurence S Magder, Brock A Beamer, Kathleen Mangione, Denise Orwig, Ellen F Binder, Michael Terrin, Jay Magaziner","doi":"10.1177/08982643241311624","DOIUrl":"10.1177/08982643241311624","url":null,"abstract":"<p><strong>Objective: </strong>Differences in cognitive outcomes for two home-based 16-week interventions after usual rehabilitative care post-hip fracture were examined.</p><p><strong>Methods: </strong>Community Ambulation Project randomized controlled trial included 210 hip fracture participants. Interventions: Specific multi-component (PUSH) included strength-, balance-, function-, and endurance-based exercises; non-specific active control (PULSE) included seated range-of-motion exercises and sensory transcutaneous electrical neurostimulation. Cognitive measures: Modified Mini-Mental State Examination, plus Hooper Visual Organization Test and Trails A/B in an ancillary study (CAP-MP, <i>n</i> = 40), assessed pre-randomization and 16 and 40 weeks post-randomization.</p><p><strong>Results: </strong>Over 16 weeks, PUSH-assigned participants became faster on Trails A (Δ = -6.3, 95% CI: -16.7, 4.2); those in PULSE became slower (Δ = 9.3, 95% CI: -1.7, 20.3, <i>p</i> = .04). At 40 weeks, PUSH-assigned participants became faster on Trails B (Δ = -21.5, 95% CI: -46.2, 3.3) while those in PULSE became slower (Δ = 15.2, 95% CI: -11.9, 42.3, <i>p</i> = .04). No other significant differences were found.</p><p><strong>Discussion: </strong>Results suggest that multi-component exercise interventions like PUSH may prevent/delay decline or improve attention and psychomotor speed in patients with recent hip fracture.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241311624"},"PeriodicalIF":2.2,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958531","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}
Mary Beth MacLean, Christina Wolfson, Sarah Hewko, Emile Tompa, Jill Sweet, David Pedlar
{"title":"Predictors of Retirement Voluntariness Using Canadian Longitudinal Study on Aging Data.","authors":"Mary Beth MacLean, Christina Wolfson, Sarah Hewko, Emile Tompa, Jill Sweet, David Pedlar","doi":"10.1177/08982643241229760","DOIUrl":"10.1177/08982643241229760","url":null,"abstract":"<p><p><b>Objectives:</b> Involuntary exit from the labor force can lead to poor health and well-being outcomes. Therefore, the purpose of this research is to better understand the factors that contribute to perceived retirement voluntariness. <b>Methods:</b> We conducted descriptive and multivariable logistic regression analyses using a sample of recent retirees (<i>n</i> = 2080) from the Canadian Longitudinal Study on Aging (CLSA). <b>Results:</b> More than one-quarter (28%) of older workers perceived their retirement to be involuntary. Among 37 possible predictors, 14 directly predicted retirement voluntariness and many more indirectly predicted retirement voluntariness. Only four direct predictors were common to both women and men, retiring because of organizational restructuring/job elimination; disability, health, or stress; financial possibility; and having wanted to stop working. <b>Discussion:</b> Findings suggest the need for employment support, health promotion, work disability prevention, financial education, and support that is sensitive to the differences between women and men to prevent involuntary retirement.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"75-95"},"PeriodicalIF":4.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643319","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}
Alessandro Feraldi, Cristina Giudici, Nicolas Brouard
{"title":"Estimating the Sex Gap in Depression-Free Life Expectancy Among Widowed Americans Aged 50 and Older: An Application Using the Interpolated Markov Chain Approach.","authors":"Alessandro Feraldi, Cristina Giudici, Nicolas Brouard","doi":"10.1177/08982643241233029","DOIUrl":"10.1177/08982643241233029","url":null,"abstract":"<p><strong>Objectives: </strong>Using Interpolated Markov Chain software, we compare the length of life with and without depression among married individuals and widowers, and the related sex differences.</p><p><strong>Methods: </strong>We applied a multi-state life table approach to estimate depression-free life expectancy among recent cohorts of older married and widowed women and men in the United States, using data from the Health and Retirement Study over a 7-year period (2012-2018).</p><p><strong>Results: </strong>The study revealed that the difference in life expectancy between sexes widens in the context of widowhood. At age 50, the sex gap in depression-free life expectancy is 0.8 years among married people, whereas the gap almost doubles to 1.7 years among widowed people.</p><p><strong>Discussion: </strong>By quantifying disparities in the duration of life affected by depression between married and widowed women and men, policymakers could properly allocate resources specifically to address the mental health needs of these groups.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"117-130"},"PeriodicalIF":4.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914016","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":"Age Changes in Religious Service Attendance in Mexican American Older Adults: A Growth Curve Analysis.","authors":"Samuel Stroope, Rhiannon A Kroeger","doi":"10.1177/08982643231219034","DOIUrl":"10.1177/08982643231219034","url":null,"abstract":"<p><strong>Objectives: </strong>This study examines age patterns in religious attendance in older Mexican Americans. Previous research has focused on majority-white samples, limiting generalizability to other groups. Research in ethnic minority populations is needed.</p><p><strong>Methods: </strong>We descriptively analyze Hispanic Established Population for the Epidemiological Study of the Elderly (Hispanic EPESE) data and estimate a mixed effects linear growth curve model to assess the relationship between age and religious attendance. <b>Results:</b> Descriptive results reveal an inverse U-shaped pattern of religious attendance. Results from the growth curve model indicate rising religious attendance after age 65 and a decline after the mid-70s, an earlier decline compared to majority-white studies. <b>Discussion:</b> These findings have implications for individual well-being, the functioning of religious congregations, and for understanding the patterning of a salient form of social participation among older adults. Further research is needed to explore the underlying mechanisms and to examine religious attendance patterns in understudied populations.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"31-39"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441721","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}
Margaret C Fahey, Kyle J Walters, Andreana M Benitez, Rachel L Tomko, Bethea A Kleykamp, Erin A McClure
{"title":"Cannabis Perceptions and Patterns of Use Among Older Adult Cancer Survivors.","authors":"Margaret C Fahey, Kyle J Walters, Andreana M Benitez, Rachel L Tomko, Bethea A Kleykamp, Erin A McClure","doi":"10.1177/08982643241231320","DOIUrl":"10.1177/08982643241231320","url":null,"abstract":"<p><p><b>Objectives:</b> To descriptively assess cannabis perceptions and patterns of use among older adult cancer survivors in a state without a legal cannabis marketplace. <b>Methods:</b> This study used weighted prevalence estimates to cross-sectionally describe cannabis perceptions and patterns of use among older (65+) adults (<i>N</i> = 524) in a National Cancer Institute-designated center in a state without legal cannabis access. <b>Results:</b> Half (46<i>%</i>) had ever used cannabis (18% following diagnosis and 10<i>%</i> currently). Only 8% had discussed cannabis with their provider. For those using post-diagnosis, the most common reason was for pain (44%), followed by insomnia (43%), with smoking being the most common (40%) mode of use. Few (<3%) reported that cannabis had worsened any of their symptoms. <b>Discussion:</b> Even within a state without a legal cannabis marketplace, older cancer survivors might commonly use cannabis to alleviate health concerns but unlikely to discuss this with their providers.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"96-105"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11297974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681926","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}
Alessandra T Andreacchi, Alberto Brini, Edwin Van den Heuvel, Graciela Muniz-Terrera, Alexandra Mayhew, Philip St John, Lucy E Stirland, Lauren E Griffith
{"title":"An Exploration of Methods to Resolve Inconsistent Self-Reporting of Chronic Conditions and Impact on Multimorbidity in the Canadian Longitudinal Study on Aging.","authors":"Alessandra T Andreacchi, Alberto Brini, Edwin Van den Heuvel, Graciela Muniz-Terrera, Alexandra Mayhew, Philip St John, Lucy E Stirland, Lauren E Griffith","doi":"10.1177/08982643231215476","DOIUrl":"10.1177/08982643231215476","url":null,"abstract":"<p><strong>Objectives: </strong>To quantify inconsistent self-reporting of chronic conditions between the baseline (2011-2015) and first follow-up surveys (2015-2018) in the Canadian Longitudinal Study on Aging (CLSA), and to explore methods to resolve inconsistent responses and impact on multimorbidity.</p><p><strong>Methods: </strong>Community-dwelling adults aged 45-85 years in the baseline and first follow-up surveys were included (<i>n</i> = 45,184). At each survey, participants self-reported whether they ever had a physician diagnosis of 35 chronic conditions. Identifiable inconsistent responses were enumerated.</p><p><strong>Results: </strong>32-40% of participants had at least one inconsistent response across all conditions. Illness-related information (e.g., taking medication) resolved most inconsistent responses (>93%) while computer-assisted software asking participants to confirm their inconsistent disease status resolved ≤53%. Using these adjudication methods, multimorbidity prevalence at follow-up increased by ≤1.6% compared to the prevalence without resolving inconsistent responses.</p><p><strong>Discussion: </strong>Inconsistent self-reporting of chronic conditions is common but may not substantially affect multimorbidity prevalence. Future research should validate methods to resolve inconsistencies.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"40-53"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138453056","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}
Jessica Finlay, Ashly C Westrick, Viveka Guzman, Gabriella Meltzer
{"title":"Neighborhood Built Environments and Health in Later Life: A Literature Review.","authors":"Jessica Finlay, Ashly C Westrick, Viveka Guzman, Gabriella Meltzer","doi":"10.1177/08982643231217776","DOIUrl":"10.1177/08982643231217776","url":null,"abstract":"<p><p><b>Objectives:</b> This literature review aims to assess the current state of the field linking neighborhood environments to later-life health and wellbeing. <b>Methods:</b> We used electronic databases (e.g., PubMed, Google Scholar, and ProQuest) to search for studies published between 2010 and 2022 examining associations between neighborhood built environmental variables and later-life physical, cognitive, mental, and social health outcomes. <b>Results:</b> Among 168 studies reviewed, the majority were quantitative (<i>n</i> = 144) and cross-sectional (<i>n</i> = 122). Neighborhood environmental variables significantly associated with later-life health outcomes included population density/rurality, walkability/street connectivity, access to services and amenities, neighborhood quality and disorder, and parks/green/blue/open space. Neighborhoods operated through behavioral and biological pathways including hazardous exposures, affective states (e.g., stress and restoration), and lifestyle (e.g., exercise, socialization, and diet). <b>Discussion:</b> Neighborhoods and healthy aging research is a burgeoning interdisciplinary and international area of scholarship. Findings can inform upstream community interventions and strengthen clinical care.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"3-17"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296502","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}