Sage open aging最新文献_第2页

Classifying the Types of Falls Among Community-Dwelling Older Adults. 社区居住老年人跌倒类型的分类。

Sage open aging Pub Date : 2026-07-21 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261464309

Abigail L Kehrer-Dunlap, Rebecca M Bollinger, Audrey A Keleman, Erin R Foster

引用次数: 0

Association of Social Isolation With Life-Space Mobility, Sleep Quality, Physical Function, and Fear of Falling Among Community-Dwelling Older Adults Requiring Long-Term Care. 在需要长期护理的社区居住老年人中，社会孤立与生活空间流动性、睡眠质量、身体功能和跌倒恐惧的关系

Sage open aging Pub Date : 2026-07-21 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261464798

Toshiki Mizuno, Masaaki Isaka, Sayaka Sato, Yuko Higuchi, Kei Kamide

{"title":"Association of Social Isolation With Life-Space Mobility, Sleep Quality, Physical Function, and Fear of Falling Among Community-Dwelling Older Adults Requiring Long-Term Care.","authors":"Toshiki Mizuno, Masaaki Isaka, Sayaka Sato, Yuko Higuchi, Kei Kamide","doi":"10.1177/30495334261464798","DOIUrl":"10.1177/30495334261464798","url":null,"abstract":"Objective: This study aimed to examine the factors associated with social isolation among community-dwelling older adults requiring long-term care.Methods: We conducted a cross-sectional analysis of 70 day service attendees requiring long-term care who were independently ambulatory and had sufficient cognitive function to participate. Social isolation was defined as a score of <12 on the Six-item Lubben Social Network Scale. Life-space mobility was assessed using the Life Space Assessment, sleep quality using the Pittsburgh Sleep Quality Index, physical function using the Timed Up-and-Go test, and grip strength and fear of falling using the Falls Efficacy Scale. Separate multivariable-adjusted logistic regression models were constructed by adjusting for age, sex, and care need level. Variables that were significant in the separate models were simultaneously entered into a multivariable model.Results: In separate multivariable-adjusted models, lower life-space mobility, poorer sleep quality, and a greater fear of falling were significantly associated with social isolation, whereas physical function was not. However, none of these associations remained significant when considered simultaneously.Conclusions: Lower life-space mobility, poorer sleep quality, and greater fear of falling were associated with social isolation only in separate multivariable-adjusted models. These exploratory findings should be interpreted cautiously and require confirmation in larger studies.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261464798"},"PeriodicalIF":0.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148564132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Basic Geriatric Knowledge and Awareness Among Palestinian Physicians: A Cross-Sectional Study. 巴勒斯坦医生的基本老年知识和意识：一项横断面研究。

Sage open aging Pub Date : 2026-07-16 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261466743

Jalal Al Khateeb, Nicolas Elshatleh, Seham Madaka, Rita Yacoub, Raghad Sweity, Oadi N Shrateh, Hussein Hallak

{"title":"Basic Geriatric Knowledge and Awareness Among Palestinian Physicians: A Cross-Sectional Study.","authors":"Jalal Al Khateeb, Nicolas Elshatleh, Seham Madaka, Rita Yacoub, Raghad Sweity, Oadi N Shrateh, Hussein Hallak","doi":"10.1177/30495334261466743","DOIUrl":"10.1177/30495334261466743","url":null,"abstract":"Population aging is increasing demand for competent geriatric care. This is the first multicenter study in Palestine to assess physician geriatric knowledge using a validated instrument (Revised Facts on Aging Quiz), providing baseline data for curriculum reform in a country with no accredited geriatrics fellowship program. 378 physicians of the Palestinian Ministry of Health completed a self-administered questionnaire covering demographics, professional level, geriatrics education, and knowledge using the validated Revised Facts on Aging Quiz. Among 378 physicians (mean age 30.17±8.07 years; 65.34% male), the mean knowledge score was 20.35±4.14 (A score of 56.5% correct, while indicating foundational knowledge, leaves a 43.5% gap in understanding, a deficit that may translate into suboptimal care for older adults, including missed geriatric syndromes and inappropriate prescribing). Knowledge was not significantly associated with age, or gender. Physicians trained in Palestine scored higher than those trained abroad (20.82±4.28 vs. 19.84±3.94; p=0.022). Scores differed by professional level (ANOVA p=0.025), with interns highest (20.90±3.93) and general practitioners lowest (18.80±4.20). Common misconceptions involved older adults' adaptability, work capacity, and depression prevalence. Overall geriatric knowledge was moderate, but prevalent misconceptions highlight significant educational deficiencies. Knowledge differed by professional level and country of medical education, suggesting both career stage and educational environment affect geriatrics competency. We recommend that Palestinian medical schools integrate a minimum of 20 contact hours of geriatrics content into existing internal medicine and family medicine rotations, including clinical exposure to well-elderly care, geriatric syndromes, and polypharmacy management.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261466743"},"PeriodicalIF":0.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13376555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148582048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diabetes-Associated Risk and Population Burden of Comorbid Conditions Among Older Adults and Elderly Persons in India. 糖尿病相关风险和印度老年人合并症的人口负担

Sage open aging Pub Date : 2026-07-03 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261458939

Junaid Khan

{"title":"Diabetes-Associated Risk and Population Burden of Comorbid Conditions Among Older Adults and Elderly Persons in India.","authors":"Junaid Khan","doi":"10.1177/30495334261458939","DOIUrl":"10.1177/30495334261458939","url":null,"abstract":"Diabetes substantially increases the burden of multimorbidity in later life, posing a major challenge for healthy aging in India. Using nationally representative data, this study examined the prevalence, likelihood, and population-attributable risk (PAR) of cardiovascular disease (CVD), lung disease, musculoskeletal disorders, and eye problems among older adults and elderly persons. The prevalence of CVD was considerably higher among adults aged 60 years and above with diabetes than among non-diabetics. Diabetes contributed substantially to the CVD burden across socioeconomic and demographic groups, with the highest PAR estimates observed among overweight women aged 45 to 59 years and urban women. Eye problems also showed consistently elevated attributable risks, particularly among women aged 45 to 59 years, residents of Central India, and socially disadvantaged groups. In contrast, diabetes-attributable risks for lung disease and musculoskeletal disorders were comparatively modest and significant mainly among specific age-sex groups. Overall, the findings indicate that diabetes is an important contributor to chronic disease burden in later life, especially for CVD and eye disorders, with considerable variations across sex, socioeconomic status, region, and body mass index. These findings highlight the need for targeted diabetes management and prevention strategies to reduce chronic morbidity and improve healthy aging outcomes nationally.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261458939"},"PeriodicalIF":0.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13332295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148393325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the Struggle: Older Adults' Experiences and Coping Approaches to Low Back Pain. 理解挣扎：老年人腰痛的经历和应对方法。

Sage open aging Pub Date : 2026-07-03 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261463010

Beauty Yayra Kponton, Richard Abeiku Bonney, Margaret Marfo, Frank Nketia Boakye, Priscilla Yeye Adumoah Attafuah, Patricia Avadu, Cecilia Eliason

{"title":"Understanding the Struggle: Older Adults' Experiences and Coping Approaches to Low Back Pain.","authors":"Beauty Yayra Kponton, Richard Abeiku Bonney, Margaret Marfo, Frank Nketia Boakye, Priscilla Yeye Adumoah Attafuah, Patricia Avadu, Cecilia Eliason","doi":"10.1177/30495334261463010","DOIUrl":"10.1177/30495334261463010","url":null,"abstract":"Background: Chronic Low back pain (CLBP) is a prevalent musculoskeletal disorder, especially among older adults, and a leading cause of global disability. CLBP impacts physical abilities, quality of life, and mental health, resulting in frailty, falls, depression, and anxiety. This study explores the experiences and coping mechanisms of older adults with CLBP in Ghana.Methods: Using a qualitative approach, semi-structured interviews were conducted with older adults aged 60+ diagnosed with CLBP at Komfo Anokye Teaching Hospital. Sixteen participants were included. Thematic analysis identified recurring themes.Results: Four main themes emerged: biological, psychological, social well-being, and coping strategies. Participants used pharmacological and non-pharmacological methods, including physical therapy, rest, and traditional medicine. Some benefited from strong support systems, while others faced challenges in accessing care, financial aid, and maintaining social connections.Conclusion: The study highlights the diverse experiences of older adults with CLBP, emphasizing the need for tailored interventions and support networks to enhance their quality of life and well-being.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261463010"},"PeriodicalIF":0.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13332274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148393324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sustaining the Long-Term Care Workforce: An Appreciative Inquiry into the Relational and Generative Factors Driving Staff Retention. 维持长期护理人员：对驱动员工保留的关系和生成因素的欣赏性调查。

Sage open aging Pub Date : 2026-06-25 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261461981

Joey Oi Yee Wong, Karen Lok Yi Wong, Yong Zhao, Christine Meng, Margaret Lin, Nathan A Boucher, Lillian Hung

{"title":"Sustaining the Long-Term Care Workforce: An Appreciative Inquiry into the Relational and Generative Factors Driving Staff Retention.","authors":"Joey Oi Yee Wong, Karen Lok Yi Wong, Yong Zhao, Christine Meng, Margaret Lin, Nathan A Boucher, Lillian Hung","doi":"10.1177/30495334261461981","DOIUrl":"10.1177/30495334261461981","url":null,"abstract":"Literature often explores turnover, burnout, and inadequate support of long-term care (LTC) workforces, and their negative impact on staff retention and care delivery. However, current evidence on positive core elements that retain staff is limited and does not adequately capture multidisciplinary staff perspectives. This study uses the appreciative inquiry approach with multidisciplinary staff in an urban LTC home in Canada to examine positive drivers of staff retention. Reflexive thematic analysis identified three retention drivers: (1) being valued as a whole person rather than solely as a worker, (2) experiencing relational belonging through team cohesion and family-like connections with residents and colleagues, and (3) working within a supportive organizational environment that fosters flexibility, autonomy, and career development. These findings reveal that workforce sustainability extends beyond wages and workload to include relational, cultural, and identity-affirming dimensions of work. We propose the C.A.R.E. model based on our findings: Cultivate community, Amplify the positive core, ensure Resources for growth and Inclusivity, and Empower LTC workforce by supporting equity and diverse voices. The path to a sustainable LTC system is to nurture an environment that inspires staff to stay; we call for more research on how to achieve this with LTC communities.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261461981"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148348546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Support Dynamics Among Community-Dwelling Live-Alone Persons With Dementia Who Lack Familial Care Options. 缺乏家庭照顾选择的社区独居痴呆症患者的支持动态。

Sage open aging Pub Date : 2026-06-16 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261459193

Laura Girling, Mary Nemec

引用次数: 0

Effect of Oral and Gut Microbiota, Dietary Intake, and Genetic Polymorphisms on Older Adults with Metabolic Dysfunction Associated Fatty Liver Disease. 口腔和肠道微生物群、饮食摄入和遗传多态性对老年人代谢功能障碍相关脂肪肝的影响

Sage open aging Pub Date : 2026-06-16 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261458922

Satoshi Sato, Chikara Iino, Takafumi Sasada, Keisuke Furusawa, Kenta Yoshida, Kaori Sawada, Tatsuya Mikami, Shigeyuki Nakaji, Hirotake Sakuraba, Shinsaku Fukuda

{"title":"Effect of Oral and Gut Microbiota, Dietary Intake, and Genetic Polymorphisms on Older Adults with Metabolic Dysfunction Associated Fatty Liver Disease.","authors":"Satoshi Sato, Chikara Iino, Takafumi Sasada, Keisuke Furusawa, Kenta Yoshida, Kaori Sawada, Tatsuya Mikami, Shigeyuki Nakaji, Hirotake Sakuraba, Shinsaku Fukuda","doi":"10.1177/30495334261458922","DOIUrl":"10.1177/30495334261458922","url":null,"abstract":"Objective: This study aimed to investigate the factors involved in the development and progression of metabolic dysfunction-associated fatty liver disease (MASLD) in older adults from various aspects.Methods: Among general residents aged ≥60 years who participated in a health checkup project, 124 individuals in a normal group and 77 in an MASLD group were targeted in this study. Differences in nutrient intake, MASLD-related single nucleotide polymorphisms (SNPs), and oral and gut microbiota between the normal and MASLD groups were investigated. Furthermore, multivariate analysis was conducted to determine which cardiometabolic criteria were associated with the identified variables.Result: The MASLD group had increased oral Veillonella and Megasphaera and decreased gut Blautia. Oral Veillonella and Magasphaera were positively associated with body mass index (BMI), waist circumference, and systolic blood pressure. Gut Blautia negatively correlated with BMI, waist circumference, fasting blood sugar, HbA1c, triglycerides, and positively correlated with high-density lipoprotein cholesterol. However, no association was observed between nutritional intake and SNPs.Conclusion: Because oral and gut microbiota are strongly involved in MASLD in older individuals, improving oral hygiene and probiotics may prevent the onset and progression of MASLD by improving the oral and gut environment.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261458922"},"PeriodicalIF":0.0,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148280887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sarcopenia Risk, Bone Turnover and Metabolic Health Indices Among Community-Dwelling Older Adults in Ghana: An Observational Study. 加纳社区老年人骨骼肌减少症风险、骨转换和代谢健康指数：一项观察性研究

Sage open aging Pub Date : 2026-06-15 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261456207

Isaac Lawer Kpabitey, Emmanuel Kwaku Ofori, Eric NanaYaw Nyarko, Richmond Owusu Ateko, Seth Kwabena Amponsah, Aliu Issahaku, Nafisa Akua Assan, Clement Nii Amugi, Henry Asare-Anane, Alfred Edwin Yawson

{"title":"Sarcopenia Risk, Bone Turnover and Metabolic Health Indices Among Community-Dwelling Older Adults in Ghana: An Observational Study.","authors":"Isaac Lawer Kpabitey, Emmanuel Kwaku Ofori, Eric NanaYaw Nyarko, Richmond Owusu Ateko, Seth Kwabena Amponsah, Aliu Issahaku, Nafisa Akua Assan, Clement Nii Amugi, Henry Asare-Anane, Alfred Edwin Yawson","doi":"10.1177/30495334261456207","DOIUrl":"10.1177/30495334261456207","url":null,"abstract":"This study examined the risk of sarcopenia and its association with bone turnover markers, insulin resistance, and skeletal muscle mass among community-dwelling older adults in Ghana. In this cross-sectional study, 140 adults aged ≥60 years were assessed using the SARC-F questionnaire to estimate the risk of sarcopenia. Skeletal muscle mass was estimated using bioelectrical impedance analysis (Omron HBF-514), and metabolic and bone turnover markers were measured in fasting blood samples. The prevalence of sarcopenia risk was 44.3%, with women facing more difficulties climbing stairs. The risk of sarcopenia was more common in older age groups. Sarcopenia risk was associated with higher insulin resistance (τ = .475), C-telopeptide (τ = .540), urine calcium/creatinine ratio (τ = .620), and osteocalcin (τ = .651), but with lower skeletal muscle mass (τ = -.624; all p < .01). Nearly half of the older adults screened were at risk of sarcopenia, highlighting the need for early identification and preventive strategies. These findings underscore the importance of age and metabolic factors in sarcopenia risk, as well as the need for routine monitoring of bone turnover biomarkers in aging populations.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261456207"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13269737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oral Health Care for Older Adults: Implications for U.S. Nursing Homes: A Structured Narrative Review. 老年人口腔保健：对美国养老院的启示：一项结构化的叙述回顾。

Sage open aging Pub Date : 2026-06-08 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261458044

Xiaochuan Wang, Eman Zaman

{"title":"Oral Health Care for Older Adults: Implications for U.S. Nursing Homes: A Structured Narrative Review.","authors":"Xiaochuan Wang, Eman Zaman","doi":"10.1177/30495334261458044","DOIUrl":"10.1177/30495334261458044","url":null,"abstract":"Oral health in long-term care facilities, particularly in U.S. nursing homes, is an increasing concern as the older adult population continues to grow. Poor oral health among older adults is associated with adverse physical and psychosocial outcomes, yet oral care remains underprioritized in institutional settings. This structured narrative review synthesizes literature on oral health care for older adults, focusing on workforce roles and organizational practices relevant to U.S. nursing homes. Literature was identified through searches of electronic databases, including PubMed, ProQuest, and PsycINFO. The included studies examine oral health care practices, training programs, and organizational factors influencing care delivery with implications for U.S. nursing home care. Findings indicate persistent gaps in oral care for older adults due to barriers such as limited staff training, organizational constraints, and insufficient institutional prioritization. These factors align with broader social and structural determinants shaping access to and quality of oral care. Several studies highlight the potential benefits of integrating oral health education into health professional training and nursing home practice, although reported effects were mixed. Overall, the review highlights the importance of targeted staff education, organizational support, and improved funding and resources in enhancing oral health care delivery in U.S. nursing home care contexts.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261458044"},"PeriodicalIF":0.0,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13247284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0