Australasian Journal on Ageing最新文献

{"title":"Differentiating Cognitive Challenges During Menopause Transition From Dementia: Key Considerations","authors":"Aimee Spector, Caroline Gurvich","doi":"10.1111/ajag.70102","DOIUrl":"https://doi.org/10.1111/ajag.70102","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145272440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frailty in Older Patients With Atrial Fibrillation and Its Relationship With Anticoagulant Use: A Multi-Centred Observational Study in New South Wales","authors":"Tu N. Nguyen,&nbsp;Kenji Fujita,&nbsp;Sarah N. Hilmer","doi":"10.1111/ajag.70101","DOIUrl":"https://doi.org/10.1111/ajag.70101","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to examine the prevalence of frailty in hospitalised older patients with atrial fibrillation (AF) and its relationship with oral anticoagulant (OAC) prescription during admission. The secondary aim was to examine the association between frailty and rate-/rhythm-control medication prescriptions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective observational study included adults aged 65 years or older with AF admitted to six hospitals in Australia in 2022. Frailty was defined by a Frailty Index ≥ 0.25. Logistic regression models were applied to examine the association between frailty and the prescriptions of OAC, rate-control and rhythm-control drugs during hospitalisation. Results are presented as odds ratios (OR) and 95% confidence intervals (CI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 685 patients, with a mean age of 82.6 (SD 8.3), 50% female and 43% identified as frail. Overall, 76% were prescribed OAC (68% in the frail versus 81% in the non-frail, <i>p</i> &lt; 0.001), 38% received rate-control drugs (42% in the frail vs. 34% in the non-frail, <i>p</i> = 0.04), 27% received rhythm-control drugs (23% in the frail vs. 31% in the non-frail, <i>p</i> = 0.02). The adjusted ORs of frailty on prescriptions were 0.58 (95% CI 0.39–0.86) for OAC, 1.75 (95% CI 1.22–2.52) for rate-control drugs and 0.83 (95% CI 0.55–1.24) for rhythm-control drugs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study revealed a high prevalence of frailty in older inpatients with AF. Frailty was associated with reduced likelihood of prescription of OAC and increased likelihood of prescribing rate-control medications, with no independent impact on rhythm-control therapy. Further studies are needed to understand these prescribing patterns.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145272794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"24-h Movement Patterns: Sleep, Sedentary Behaviour and Physical Activity of Older Retired Olympic and Commonwealth Games Athletes—An Observational Study","authors":"Jennifer T. Gale,&nbsp;Meredith C. Peddie,&nbsp;David Gerrard,&nbsp;Hamish Osborne,&nbsp;Takiwai Russell-Camp,&nbsp;Debra L. Waters,&nbsp;Eduardo C. Costa,&nbsp;Xaviour J. Walker,&nbsp;Lara Vlietstra","doi":"10.1111/ajag.70097","DOIUrl":"https://doi.org/10.1111/ajag.70097","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Increasing age is associated with reduced physical activity and greater time spent sedentary. However, participation in competitive sport in early adulthood can promote physical activity in older age. To provide insight, this study aimed to objectively and contextually describe the 24-h movement patterns of retired elite New Zealand athletes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twenty-eight adults aged over 60 years (mean 74 ± 7 years) who represented New Zealand at an Olympic or Commonwealth Games provided data for this cross-sectional study. Participants completed data collection in their homes and then wore two accelerometers continuously for 7 days: an ActiGraph GT3X+ on the wrist and an ActivPAL on the thigh. Participants also completed three 24-h activity recalls. Periods of time spent sedentary, sleeping and physically active were determined by validated cut points and algorithms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants spent an average of 7 h 8 min (SD 58 min) per night asleep; 43% of participants were short sleepers (&lt; 7 h/night). Participants spent an average of 3 h 20 min (SD 40 min) engaged in light- and 2 h 22 min (SD 1 h 1 min) engaged in moderate-to-vigorous physical activity per day. On average, participants spent 46% of their day sedentary. Walking and outdoor work/gardening were the most reported types of activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This group of retired New Zealand elite athletes engaged in physical activity exceeding the amount recommended for extra health benefits by the World Health Organization. A significant number of participants were identified as having insufficient sleep and may benefit from an intervention to improve overall sleep duration.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145272222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hot Stuff: Exploring the Association Between Hot Days and Emergency Department Presentations Amongst Older Patients","authors":"Carol Lu Hunter,&nbsp;Nicholas Moore,&nbsp;Paul Middleton,&nbsp;Danielle Ni Chróinín","doi":"10.1111/ajag.70100","DOIUrl":"10.1111/ajag.70100","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Climate change has contributed to fluctuating temperature extremes over recent years. Higher temperatures increase mortality and morbidity in older patients. This study aimed to investigate temporal trends over the week and the association between hot temperatures and emergency department (ED) presentations amongst older patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a retrospective observational study using ED presentation data of persons aged 65 years or older from 2010 to 2021 attending at multi-centre secondary and tertiary referral institutions (<i>n</i> = 6) within South Western Sydney Health District, serving a population of ~820,000. The primary outcome was the rate of ED presentations amongst older patients on hot/very hot days/nights, compared to non-hot days/nights.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 693,620 ED presentations of people aged 65 years or older across study sites over the study period. During this time, there were 160 hot days and 331 hot nights. The seasonal Auto Regressive Integrated Moving Average (ARIMA) model (adjusted for weekends/public holidays/Mondays/Fridays) showed an inconsistent effect across the sites studied for hot days (estimate range −0.11 to 1.37) and hot nights (estimate range −0.81 to 1.17). There were also significantly decreased presentations on weekends/public holidays and increased presentations on Mondays (<i>p</i> = 0.003).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Although we did not observe an association between heat and presentations, this may reflect regional variation and thus the broader risks of climate change for older people remain undetermined. Factors that influence reduced weekend presentations and Monday surges, irrespective of temperature variations, should be further investigated to identify opportunities for intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of Handgrip Strength and Body Mass Index With All-Cause Mortality: A 14-Year Follow-Up of the Korea Longitudinal Study of Aging","authors":"Jaehyuck Lee,&nbsp;Duk-Hee Lee","doi":"10.1111/ajag.70098","DOIUrl":"10.1111/ajag.70098","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The associations of handgrip strength and body mass index (BMI) with mortality vary across age groups. This study aimed to investigate whether these associations differ between middle-aged and older adults in the Korean population. Additionally, we assessed whether handgrip strength had the potential to affect the relationship between obesity and mortality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 9311 individuals aged 45–84 years from the Korean Longitudinal Study on Aging were followed up for 14 years. Hazard ratios for all-cause mortality were estimated separately for the middle-aged (less than 65 years) and older (65 years or older) groups using age- and sex-specific tertiles of handgrip strength and Korean obesity criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The relationships between handgrip strength or BMI with mortality did not materially differ across age groups. Both age groups exhibited the highest mortality rates among the individuals with low handgrip strength or a BMI &lt; 18.5 kg/m². Conversely, the lowest mortality was found in those with high handgrip strength or a BMI from 23.0 to 29.9 kg/m². When stratified by handgrip strength, the BMI level associated with the lowest mortality risk shifted towards a higher BMI category in the low-strength group compared to the high-strength group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While the associations between handgrip strength, BMI and mortality were similar across age groups, the pattern of the BMI–mortality relationship was clearly modified by handgrip strength. This suggests that muscle strength should be considered when evaluating the health risks of obesity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: Analgesic and Adjuvant Co-Prescribing in Australian and Finnish Residential Care Homes","authors":"Merve Yılmaz Kars,&nbsp;Ilyas Akkar,&nbsp;Orhan Cıcek,&nbsp;Mustafa Hakan Dogan,&nbsp;Zeynep Iclal Turgut,&nbsp;Muhammet Cemal Kızılarslanoglu","doi":"10.1111/ajag.70099","DOIUrl":"10.1111/ajag.70099","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changing patterns of referrals in response to a multicomponent rehabilitation program for people with dementia and their care partners","authors":"Diane Gibson,&nbsp;Stephanie Mulhall,&nbsp;Angela Chau,&nbsp;Georgina Chelberg,&nbsp;Lara Wiseman,&nbsp;Stephen Isbel,&nbsp;Kasia Bail,&nbsp;Nathan M. D'Cunha","doi":"10.1111/ajag.70096","DOIUrl":"https://doi.org/10.1111/ajag.70096","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This article examines referral types and patterns over the first 30 months of a new multicomponent rehabilitation program for people with dementia and care partners, the Sustainable Personalised Intervention for Cognition Care and Engagement (SPICE) program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Administrative referral records were analysed from July 2022 to December 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The most common referral sources (<i>n</i> = 239) were private geriatricians (<i>n</i> = 84), self-referral (<i>n</i> = 54), public geriatricians (<i>n</i> = 46) and community organisations (<i>n</i> = 30), with fewer referrals from general practitioners (<i>n</i> = 2) and community care providers (<i>n</i> = 2). Referrals from geriatricians increased over time, while those from community organisations and self-referrals remained stable.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The changes in referral pathways suggest evolving awareness of the SPICE program. As multidisciplinary dementia care services expand under the Australian National Dementia Action Plan, further research is needed to understand referral pathways by health professionals across different sectors to enhance awareness and accessibility.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70096","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145111379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the impact of ‘Age-Friendly Cities and Communities’ membership: Health and activity outcomes among older adults in urban Japan","authors":"Michael Annear,&nbsp;Tianci Li,&nbsp;Dai Sugimoto","doi":"10.1111/ajag.70095","DOIUrl":"10.1111/ajag.70095","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Population ageing and urbanisation are global trends that highlight the importance of cities as a nexus for policy and planning to support healthy ageing. This study assessed whether membership in the World Health Organization's Age-Friendly Cities and Communities (AFCC) Network is associated with improved health behaviours and outcomes among older adults in urban Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Three geographically diverse Japanese AFCCs (Akita, Takarazuka and Fujisawa) and one non-AFCC (Musashino) were selected. Quota samples of 175 middle-aged and older adults were obtained in each city (<i>n</i> = 700). Validated Japanese-language instruments measured physical activity (IPAQ-SF), environmental perceptions (IPAQ-ENV), health-related quality of life (WHOQOL-BREF) and expectations regarding ageing (ERA-12).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Over 60% of AFCC residents met physical activity guidelines, with walking as the dominant mode. However, AFCCs performed no better than the non-AFCC in terms of physical activity, health status or future health expectations. Akita, Japan's longest-standing AFCC member, recorded significantly lower scores across all health and activity indicators. Environmental features, including walkability and access to services, were not significantly associated with sufficient weekly physical activity. Only physical health status was a significant predictor of adequate activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Membership of an AFCC Network was not associated with better physical activity or health outcomes in urban Japan. Findings raise concerns about the implementation and impact of the AFCC framework, highlighting the need for more robust evaluation, greater national coordination and participatory planning. Policy reform may be necessary to ensure that symbolic commitments to age-friendly planning are translated into tangible health benefits for older urban populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Swallow screening of older adults at hospital admission","authors":"Anna Miles,&nbsp;Amanda Sextus,&nbsp;Becca Hammond,&nbsp;Jacqui Allen","doi":"10.1111/ajag.70094","DOIUrl":"10.1111/ajag.70094","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The risk of swallowing difficulties increases in older adults due to a combination of factors such as multiple comorbidities and polypharmacy. Swallowing may be further destabilised by the onset of acute illness. At hospital admission, these factors can be identified and combined with a simple screening tool to select patients for additional assessment and intervention. This prospective observational cross-sectional cohort study aimed to screen hospitalised adults age 75 years or older (older than 65 years for Māori and Pasifika) for swallowing risks, regardless of the reason for admission.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 644 participants were screened with the Eating Assessment Tool (EAT-10) self-report questionnaire from August 2021 to December 2023. Clinical teams were instructed to use the EAT-10 to guide management. Clinical outcomes were monitored for 30 days postdischarge, and the relationship between EAT-10 scores and subsequent clinical management was explored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Age and ethnicity were not correlated with increased EAT-10 (<i>p</i> &gt; .05), but the number of comorbidities (<i>p</i> &lt; .001) and regular medications on admission were correlated with a higher EAT-10 score (<i>p</i> &lt; .001). Despite the screening process, there were associations between elevated EAT-10 scores and readmission (<i>p</i> &lt; .001), pneumonia (<i>p</i> &lt; .001) and mortality (<i>p</i> &lt; .01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These results suggest that screening for swallowing difficulties in at-risk older patients is valuable and allows teams to take action to prevent adverse clinical outcomes. Further investigation is required to clarify the timing for screening and to explore optimal clinical pathways for those identified at risk.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical function versus cognitive status: Which better predicts independence in basic activities among long-lived cognitively preserved older adults","authors":"Juliedy Waldow Kupske,&nbsp;Júlia de Mattos,&nbsp;Tainara Steffens,&nbsp;Eduarda Blanco-Rambo,&nbsp;Marcelo Bandeira-Guimarães,&nbsp;Mikel L. Sáez de Asteasu,&nbsp;Mikel Izquierdo,&nbsp;Eduardo Lusa Cadore,&nbsp;Caroline Pietta-Dias","doi":"10.1111/ajag.70093","DOIUrl":"https://doi.org/10.1111/ajag.70093","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to compare physical function and cognitive status according to the level of dependence in basic activities of daily living (ADL) and to determine which of these variables better predict functional independence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study included 231 individuals over 90 years of age. Physical function was assessed using the Timed Up and Go (TUG) test and handgrip strength (HGS), and cognitive function was assessed using the Mini-Mental State Examination (MMSE). A binary logistic regression adjusted for age was conducted to identify which variables related to physical performance or cognitive status could predict independence in basic ADL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results showed that the model including TUG (OR = 4.3; 95% CI = 2.18–8.34) along with HGS (OR = 2.0; 95% CI = 1.14–3.45) provided the best fit. This indicates that better performance on the TUG test increases the odds of independence by 4.3 times, and each increment in HGS doubles that chance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We conclude that older individuals with better physical function and greater muscle strength are more likely to be independent in ADL.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70093","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145062382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}