Elizabeth W Regan, Kathleen Cameron, Angelica Herrera-Venson, Gardenia A Juarez, Subashan Perera, Jennifer Vincenzo, Jennifer S Brach
{"title":"Characteristics of Evidenced-Based Falls Prevention Program Completers and Non-Completers and Difference in Outcomes.","authors":"Elizabeth W Regan, Kathleen Cameron, Angelica Herrera-Venson, Gardenia A Juarez, Subashan Perera, Jennifer Vincenzo, Jennifer S Brach","doi":"10.1177/08982643251327032","DOIUrl":"10.1177/08982643251327032","url":null,"abstract":"<p><p>Evidenced-based community falls prevention programs can reduce falls in older adults. We sought to (1) describe the characteristics of program participants who met completion criteria by receiving the full program dose (completers) versus those who did not (non-completers), and (2) determine the differences in outcomes (falls, fear of falling and physical function) between the two groups. Data from ten programs from 2014-2019 were evaluated. Completers were older and reported more fear of falling and lower perceived health at baseline. A higher proportion of completers had reduced falls, decreased fear of falling, and were more likely to take actions to reduce fall risk. Both groups improved in physical function with no evidence of a difference between groups. While completers gained a greater benefit, both groups demonstrated a fall risk reduction. A larger loss of non-completers to follow-up may have impacted results. Targeting programs for individuals may improve completion rates.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"213-222"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651874","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}
Calley E Fisk, Jennifer A Ailshire, Katrina M Walsemann
{"title":"Living in Historically Redlined Neighborhoods and the Cognitive Function of Black and White Adults.","authors":"Calley E Fisk, Jennifer A Ailshire, Katrina M Walsemann","doi":"10.1177/08982643251315020","DOIUrl":"10.1177/08982643251315020","url":null,"abstract":"<p><p>ObjectivesWe determined if living in historically redlined neighborhoods was associated with level and change in cognitive functioning and if this association differed for Black and White older adults.MethodsWe linked the Health and Retirement Study 1998-2018 data to redlining scores from the Historic Redlining Indicator data. Our sample included adults aged 50 years and older (24,230 respondents, 129,618 person-period observations). Using three-level linear mixed models, we estimated the relationship between living in historically redlined neighborhoods on level and change in cognitive functioning for pooled and race-stratified samples.ResultsResidents of historically redlined \"Declining\" and \"Hazardous\" neighborhoods had lower cognitive functioning scores compared to residents of \"Best/Desirable\" neighborhoods. Among Black adults, living in \"Hazardous\" neighborhoods was associated with slower declines in cognitive functioning compared to living in \"Best/Desirable\" neighborhoods.DiscussionHistorical redlining is associated with older adults' cognitive functioning, underscoring the importance of sociohistorical context for the neighborhood-cognition relationship.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"123-135"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12271469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015909","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}
Yannick Stephan, Angelina R Sutin, Brice Canada, André Hajek, Tiia Kekäläinen, Antonio Terracciano
{"title":"Personality and Markers of Lower Extremity Function: Findings From Six Samples.","authors":"Yannick Stephan, Angelina R Sutin, Brice Canada, André Hajek, Tiia Kekäläinen, Antonio Terracciano","doi":"10.1177/08982643241296995","DOIUrl":"10.1177/08982643241296995","url":null,"abstract":"<p><p>ObjectivesThis study investigated the associations between Five-Factor Model personality traits and balance impairment and lower limb strength.MethodsMiddle-aged and older adults (Age range: 34-104 years; <i>N</i> >27,000) from six large samples from the US and England were assessed for standing balance, lower limb strength, personality traits, sociodemographic, and health-related variables.ResultsHigher extraversion, openness, agreeableness, and conscientiousness were related to lower balance impairment risk and better lower limb strength. Higher neuroticism was associated with higher risk of balance impairment and with weaker lower limb strength. Biological, clinical, behavioral, and psychological factors partially accounted for these associations between personality and risk of balance impairment. Depressive symptoms and physical activity partially mediated the associations between personality traits and limb strength.DiscussionPersonality traits have replicable associations with lower extremity functions. The study identifies potential moderators and mediators of these associations.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"200-212"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617773","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":"Examining Differences in the Predictive Capacity of Educational Polygenic Scores on Physical Limitations Among Older Adults With European or African Ancestry.","authors":"Kenzie Latham-Mintus, Micah Azariah Williams, Wade Catt","doi":"10.1177/08982643251320426","DOIUrl":"10.1177/08982643251320426","url":null,"abstract":"<p><p>This research examined whether educational polygenic scores were associated with physical limitations among older adults with European or African ancestry. In the European ancestry sample, we found that education polygenic scores were significantly associated with physical limitations, net of age, sex, and current socioeconomic status. In the African ancestry sample, education polygenic scores were not associated with physical limitations in any of the models. Observed educational attainment was a robust predictor of physical limitations in both samples. This research demonstrates the inequalities in the predictive capacity of educational polygenic scores for physical health. We hypothesize that this disparity is a result of structural barriers to educational attainment by race, selection bias, and/or racial inequities in data collection. All of these explanations stem from structural racism and highlight the limited usefulness of polygenic scores for clinical decision-making.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"181-191"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400481","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":"What are the Modifiable Risk Factors for Later Life Frailty Development Found Within Midlife Community-Dwelling Adults? A Systematic Review.","authors":"Sophie Longworth, Barnabas Panayiotou","doi":"10.1177/08982643261423579","DOIUrl":"https://doi.org/10.1177/08982643261423579","url":null,"abstract":"<p><p>ObjectivesThe older population and prevalence of frailty are increasing worldwide. Understanding how midlife exposures influence frailty risk is increasingly important for public health. This review sought to identify modifiable risk factors present in midlife that are associated with the onset of frailty in later life, aiming to inform earlier prevention strategies.MethodsWe conducted a systematic review of studies examining modifiable risk factors in community-dwelling adults aged 39-64 years, using three databases and strict inclusion criteria, following PRISMA guidelines.ResultsTwenty cohort studies identified 27 modifiable risk factors across six domains; Lifestyle, Psychological, Social, Physical, Environmental, and Biochemical. Lifestyle factors such as physical activity, diet, smoking, alcohol use, and body composition were the most prominent.ConclusionPromoting awareness may empower midlife adults to instigate changes to reduce future frailty risk. Further research should clarify the causal strength of these factors to guide prevention efforts.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643261423579"},"PeriodicalIF":2.2,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311618","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}
Kristine J Ajrouch, Toni C Antonucci, Simon Brauer, Wassim Tarraf, Laura B Zahodne
{"title":"Social Relations Across Race/Ethnic Groups and Links to Cognitive Health.","authors":"Kristine J Ajrouch, Toni C Antonucci, Simon Brauer, Wassim Tarraf, Laura B Zahodne","doi":"10.1177/08982643261426606","DOIUrl":"https://doi.org/10.1177/08982643261426606","url":null,"abstract":"<p><p>ObjectiveSocial relations are considered a critical protective factor for cognitive health yet may differ in form and function across race and ethnic groups.MethodUsing a representative metro-Detroit sample (<i>N</i> = 606), we compared group means to (1) test whether Middle Eastern and North African (MENA) Americans social relations are distinct from other groups and (2) examine links between social relations and cognitive health using structural equation models.ResultsMENA Americans' social relations differed from White and Black Americans. Larger networks and more positive relationship quality were associated with better cognitive health across all groups but particularly among MENA Americans. A lower proportion of women in networks was associated with better cognitive health for White Americans.ConclusionsFindings suggest that the form and function of social relations vary across racial and ethnic groups. Such knowledge is critical in clarifying how social networks may be leveraged to promote cognitive health across groups.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643261426606"},"PeriodicalIF":2.2,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146260091","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}
Yan Sin Leung, Depeng Jiang, Philip St John, Robert Tate
{"title":"Age-Dependent Functional Decline and Recovery Patterns After Dementia Diagnosis in the Oldest-Old.","authors":"Yan Sin Leung, Depeng Jiang, Philip St John, Robert Tate","doi":"10.1177/08982643261428246","DOIUrl":"https://doi.org/10.1177/08982643261428246","url":null,"abstract":"<p><p>BackgroundDementia prevalence and incidence rise sharply among the oldest-old (≥85 years), yet whether age-at-diagnosis shapes functional trajectories remains unclear. Understanding age-specific patterns is critical for tailoring care strategies.ObjectivesTo determine whether age at dementia diagnosis influences patterns of functional decline and recovery, and to identify the functional domains driving age-specific trajectories.MethodsUsing Manitoba Follow-up Study data, participants were grouped by age at dementia diagnosis (<85, 85-89, ≥90) or no dementia. We tracked Basic Activities of Daily Living (BADLs), Instrucmental Activities of Daily Living (IADLs), and SF-36 Physical/Mental scores. Generalized additive mixed models and mixed-effects random forest analyses assessed trajectories, dependence, and recovery.ResultsAge at diagnosis showed differences in trajectories. The ≥85 group showed steep post-diagnosis decline; the <85 group declined more steadily. Complex tasks (e.g., cutting toenail) were most impaired. Recovery occurred, particularly in IADLs and in the ≥90 group.ConclusionsAge at dementia diagnosis showed meaningful differences in functional decline and recovery, supporting age-specific care strategies.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643261428246"},"PeriodicalIF":2.2,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221702","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}
Marcelo de Maio Nascimento, Andreas Ihle, Miguel Peralta, Gerson Ferrari, Élvio Rúbio Gouveia, Adilson Marques
{"title":"Post-Stroke Depression and Activities of Daily Living: Sex-Differentiated Analysis of the Moderating Role of Physical Activity in Older European Adults.","authors":"Marcelo de Maio Nascimento, Andreas Ihle, Miguel Peralta, Gerson Ferrari, Élvio Rúbio Gouveia, Adilson Marques","doi":"10.1177/08982643261427819","DOIUrl":"https://doi.org/10.1177/08982643261427819","url":null,"abstract":"<p><p>ObjectivesTo examine the mediating role of activities of daily living (ADL) in the association between stroke and depressive symptoms, and to investigate whether moderate physical activity (MPA) moderates this mediation in older adults, using sex-stratified analyses.MethodsCross-sectional data from 31,137 participants (≥65 years) were analysed using wave eight of the Survey of Health, Ageing and Retirement in Europe. Depression, ADL limitations, stroke history and weekly frequency of MPA were assessed. Mediation and moderated mediation analyses were conducted.ResultsADL partially mediated the association between stroke and depression in males (36.53%) and females (37.20%). In males, both medium and high weekly frequencies of MPA significantly moderated the direct and indirect associations between stroke, ADL and depression. In females, only a high frequency of MPA (> once per week) showed a significant moderating effect.ConclusionLimitations in ADLs represent an important pathway linking stroke and depression in older age.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643261427819"},"PeriodicalIF":2.2,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146208328","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}
Han-Yun Tseng, Stephen Aichele, Oliver Schilling, Hans-Werner Wahl, Manfred Diehl
{"title":"Are Health and Negative Affect Decoupled in Late Adulthood? The Moderating Role of Self-Perceptions of Aging.","authors":"Han-Yun Tseng, Stephen Aichele, Oliver Schilling, Hans-Werner Wahl, Manfred Diehl","doi":"10.1177/08982643261426726","DOIUrl":"https://doi.org/10.1177/08982643261426726","url":null,"abstract":"<p><p>ObjectivesPhysical health often declines with age, yet subjective well-being (SWB) tends to remain stable. Stereotype Embodiment Theory proposes that internalized self-perceptions of aging (SPAs) shape how physical changes are interpreted. This study tested whether SPA buffered the affective impact of health decline. The role of SPA was tested in midlife and late adulthood.MethodsData came from the ILSE, a population-based study of 1,002 adults initially aged 40 or 60 and followed for 20 years. SWB was assessed via negative affect (NA). Health was physician-rated, and SPA was measured with the Attitudes Toward Own Aging scale. Latent growth curve models tested trajectories and SPA moderation.ResultsHealth declined in both cohorts, whereas NA remained largely stable. SPA moderated the health-affect link in late adulthood only: positive SPA buffered NA increases, whereas negative SPA showed concurrent deterioration.ConclusionsSPA shaped whether health decline translated into greater NA in late adulthood.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643261426726"},"PeriodicalIF":2.2,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146196117","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":"Beyond Use: Predictors of Complementary and Alternative Medicine Modality Count Among Older Adults in the United States.","authors":"Priyanka Shrestha, James Scott Brown, Xiao Qiu","doi":"10.1177/08982643261424610","DOIUrl":"https://doi.org/10.1177/08982643261424610","url":null,"abstract":"<p><p>ObjectiveTo identify predictors of the number of complementary and alternative medicine (CAM) modalities used among older U.S. adults and examine how sociodemographic, health, and healthcare access factors influence CAM use diversity.MethodWe analyzed 2017 National Health Interview Survey data from 5,804 adults aged ≥65, using negative binomial regression to assess sociodemographic, health, cultural, and access-related predictors of the number of CAM modalities used.ResultsRespondents used an average of 0.31 different CAM modalities. Greater CAM use diversity was linked to younger age, female gender, higher income and education, residence in the Western U.S., psychological distress, financial barriers to medication, valuing culturally sensitive care, and conditions such as cancer and arthritis. Lower diversity was associated with older age, larger households, diabetes, and hypertension.DiscussionFindings indicate that CAM engagement reflects both proactive wellness orientations and responses to unmet needs, underscoring the importance of culturally sensitive, integrated geriatric care.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643261424610"},"PeriodicalIF":2.2,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133613","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}