Canadian Geriatrics Journal最新文献

筛选
英文 中文
Decision-Making Capacity Assessment Education using Online Modules. 使用在线模块的决策能力评估教育。
IF 1.8
Canadian Geriatrics Journal Pub Date : 2026-06-03 eCollection Date: 2026-06-01 DOI: 10.5770/cgj.29.934
Lesley Charles, Eileen Tang, Tara Kilkenny, Sharna Polard, Peter George Jaminal Tian, Jasneet Parmar
{"title":"Decision-Making Capacity Assessment Education using Online Modules.","authors":"Lesley Charles, Eileen Tang, Tara Kilkenny, Sharna Polard, Peter George Jaminal Tian, Jasneet Parmar","doi":"10.5770/cgj.29.934","DOIUrl":"10.5770/cgj.29.934","url":null,"abstract":"<p><strong>Background/objectives: </strong>Specialized training is necessary for health-care providers such as physicians, nurses, and social workers, to be able to accurately perform decision-making capacity assessments (DMCAs). With an increasing demand for flexible, accessible education, there is growing interest in utilizing online training modules to keep health-care providers up to date on current best practices in DMCAs. This study evaluates the effectiveness of online training modules in enhancing clinicians' self-reported knowledge, confidence, and comfort with the core concepts necessary to conduct DMCAs.</p><p><strong>Methods: </strong>This was a pretest/posttest study on an online DMCA training. Participants from a regional health authority (Alberta, Canada) took 13 online modules on 15 core DMCA concepts, from March to December 2021. A pretest and a posttest were completed before and after completion of the modules. Agreement to Likert-like items were collected and compared at a group level. Additionally, the ratings were compared with historical data from face-to-face DMCA workshops.</p><p><strong>Results: </strong>A total of 683 pretests and 241 posttests were completed. All 15 posttest ratings were higher (<i>p</i> < .001) than pretest ratings. Compared to the historical face-to-face workshops, the self-reported ratings in the online modules tended to be higher both on pretest and posttest. However, the changes in self-reported ratings from pretest to posttest were similar between the online modules and the historical workshops.</p><p><strong>Conclusion: </strong>Online learning of DMCA concepts can lead to higher self-reported learning posttest to pretest. Furthermore, the changes in self-reported ratings are similar to those observed in face-to-face workshops.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"29 2","pages":"95-101"},"PeriodicalIF":1.8,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058427","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
Effects of Exercise Order of Combined Power and Endurance Training on Arterial Stiffness and Hemodynamic Parameters in Previously Trained Hypertensive Older Adults. 力量耐力联合训练顺序对老年高血压患者动脉僵硬度和血流动力学参数的影响
IF 1.8
Canadian Geriatrics Journal Pub Date : 2026-06-03 eCollection Date: 2026-06-01 DOI: 10.5770/cgj.29.895
Bruno Bavaresco Gambassi, Beatriz de Sá Mota, David Guilherme Marques, Daniel Yakovi Ribeiro, Vinícius Silva, Luiz Alexandre Nunes, Fabiano de Jesus Furtado Almeida, Mayara Aragão, Celsiane do Espírito Santo Costa, Roberto Bianco, María Rúa-Alonso, Paulo Adriano Schwingel
{"title":"Effects of Exercise Order of Combined Power and Endurance Training on Arterial Stiffness and Hemodynamic Parameters in Previously Trained Hypertensive Older Adults.","authors":"Bruno Bavaresco Gambassi, Beatriz de Sá Mota, David Guilherme Marques, Daniel Yakovi Ribeiro, Vinícius Silva, Luiz Alexandre Nunes, Fabiano de Jesus Furtado Almeida, Mayara Aragão, Celsiane do Espírito Santo Costa, Roberto Bianco, María Rúa-Alonso, Paulo Adriano Schwingel","doi":"10.5770/cgj.29.895","DOIUrl":"10.5770/cgj.29.895","url":null,"abstract":"<p><strong>Background: </strong>Combining power training (PT) with endurance training (ET) offers health benefits for older adults. However, little is known about the effects of PT plus ET on arterial stiffness and hemodynamic parameters in previously trained hypertensive older adults. Additionally, the effects of exercise order-PT followed by ET versus ET followed by PT-on arterial stiffness and hemodynamic parameters remain unclear in older adults.</p><p><strong>Objective: </strong>This study aimed to a) examine the effects of concurrent training (CT) on arterial stiffness and hemodynamic parameters in previously trained hypertensive older adults; and b) to investigate the effects of concurrent PT and ET exercise order on arterial stiffness and hemodynamic parameters in previously trained hypertensive adults.</p><p><strong>Methods: </strong>Older adults with grade 1 hypertension were randomized into two groups: PT then ET group (DPTETG) and ET then PT group (ETDPTG). Both groups trained twice weekly for 16 weeks. Arterial stiffness and hemodynamic parameters were measured at baseline and after 16 weeks.</p><p><strong>Results: </strong>No significant changes in arterial stiffness or hemodynamic parameters emerged after 16 weeks in either group (<i>p</i> > .05).</p><p><strong>Conclusion: </strong>This study demonstrates that 16 weeks of different exercise orders of concurrent power and ET do not change arterial stiffness and hemodynamic parameters in older adults with hypertension.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"29 2","pages":"70-78"},"PeriodicalIF":1.8,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058503","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
Association Between the Japanese Version of Montreal Cognitive Assessment Tasks and Driving as the Primary Mode of Transport Among Community-Dwelling Older Adults. 日语版蒙特利尔认知评估任务与社区居住老年人驾车作为主要交通方式的关系
IF 1.8
Canadian Geriatrics Journal Pub Date : 2026-06-03 eCollection Date: 2026-06-01 DOI: 10.5770/cgj.29.917
Yuya Nakajima, Hidenori Onishi, Yasutaka Mizukami, Tomoko Okamoto, Taisei Inoue, Akemi Koujimoto, Naohiro Konoshita, Tokuharu Tanaka, Akiko Matsunaga, Masafumi Kubota, Masamichi Ikawa, Hideaki Hori, Yasutaka Kobayashi, Hiroyuki Hayashi, Osamu Yamamura
{"title":"Association Between the Japanese Version of Montreal Cognitive Assessment Tasks and Driving as the Primary Mode of Transport Among Community-Dwelling Older Adults.","authors":"Yuya Nakajima, Hidenori Onishi, Yasutaka Mizukami, Tomoko Okamoto, Taisei Inoue, Akemi Koujimoto, Naohiro Konoshita, Tokuharu Tanaka, Akiko Matsunaga, Masafumi Kubota, Masamichi Ikawa, Hideaki Hori, Yasutaka Kobayashi, Hiroyuki Hayashi, Osamu Yamamura","doi":"10.5770/cgj.29.917","DOIUrl":"10.5770/cgj.29.917","url":null,"abstract":"<p><strong>Background: </strong>Deciding whether to continue driving or transition to alternative means of transportation is a challenging issue for older adults in preventive care settings. This study aimed to identify potential associations between the Japanese version of the Montreal Cognitive Assessment (MoCA-J) and driving as the primary mode of transport among older adults.</p><p><strong>Methods: </strong>The participants of this cross-sectional study were community-dwelling older adults participating in a long-term preventive care program. Participants were divided into two groups (DRIVING or OTHER) based on their questionnaire response regarding the main mode of transport used when going out, where the OTHER group included all participants who selected any other mode than a car driven by themselves. Cognitive function was measured using 13 MoCA-J tasks. Binary logistic regression analysis was used to identify associations between MoCA-J results and inclusion in the DRIVING group.</p><p><strong>Results: </strong>Among the 199 participants, 156 were categorized into DRIVING group and 43 into OTHER group. The DRIVING group showed significantly higher task achievement rates than the OTHER group in trail-making, digit span, and phonemic verbal fluency tests. Of these, only the trail-making test results were associated with inclusion in the DRIVING group (odds ratio, 2.82; 95% confidence interval, 1.22-6.51; <i>p</i> =.016).</p><p><strong>Conclusions: </strong>The trail-making task of MoCA-J may assist health-care professionals in providing driving guidance to older adults.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"29 2","pages":"88-94"},"PeriodicalIF":1.8,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058495","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
Caregiver Attitudes, Motivations and Care Quality in Residential Memory Care: a Scoping Review Protocol. 住宿记忆照护的照护者态度、动机与照护品质:一项范围检讨方案。
IF 1.8
Canadian Geriatrics Journal Pub Date : 2026-06-03 eCollection Date: 2026-06-01 DOI: 10.5770/cgj.29.901
Sarah Maat, Frances Carr, Megan Kennedy, Peggy Chi, Whitney Berta, Adrian Wagg
{"title":"Caregiver Attitudes, Motivations and Care Quality in Residential Memory Care: a Scoping Review Protocol.","authors":"Sarah Maat, Frances Carr, Megan Kennedy, Peggy Chi, Whitney Berta, Adrian Wagg","doi":"10.5770/cgj.29.901","DOIUrl":"10.5770/cgj.29.901","url":null,"abstract":"<p><strong>Background: </strong>The motivations and attitudes of caregivers strongly influence the care they provide. Motivation is also a central component in staff retention and care consistency, whereas attitude shapes delivery and degree of person-centeredness in care. Although caregiver attitudes and motivations have been examined separately in dementia care research, these constructs have not been comprehensively mapped together within residential memory care settings or explicitly linked to care quality.</p><p><strong>Objective: </strong>This review aims to assess literature pertaining to attitudes and motivations of formal caregivers in residential dementia care facilities and to examine how these constructs are associated with care quality. This review seeks to generate practical insights to inform workforce training and recruitment strategies to support high-quality, person-centered dementia care.</p><p><strong>Inclusion criteria: </strong>Literature focused on the attitudes and motivations of formally employed caregivers providing care to residents in a residential memory care setting. Studies published of any design, from any year, country, or language will be considered.</p><p><strong>Method: </strong>This scoping review will follow the Joanna Briggs Institute (JBI) method. A comprehensive search will be conducted across major health, social science, and interdisciplinary databases, along with grey literature sources. Data will be extracted according to a JBI template informed by three theoretical frameworks: the Tripartite Model of Attitudes, the Empathy-Altruism Hypothesis, and Person-Centered Care. Results will be reported in accordance with the PRISMA-ScR guidelines.</p><p><strong>Registration: </strong>Open Science Framework https://osf.io/8yrge.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"29 2","pages":"137-143"},"PeriodicalIF":1.8,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058442","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
Geriatrician and General Internist Clinical Payments in Canada 2022-2023: Fee for Service and Alternative Payment Plan. 2022-2023年加拿大老年病专家和普通内科医生临床支付:服务费和替代支付计划。
IF 1.8
Canadian Geriatrics Journal Pub Date : 2026-06-03 eCollection Date: 2026-06-01 DOI: 10.5770/cgj.29.929
Ashley B Martel, Jasmine C Mah, Kiran J Shu, Jaspreet S Bhangu, Michael J Borrie
{"title":"Geriatrician and General Internist Clinical Payments in Canada 2022-2023: Fee for Service and Alternative Payment Plan.","authors":"Ashley B Martel, Jasmine C Mah, Kiran J Shu, Jaspreet S Bhangu, Michael J Borrie","doi":"10.5770/cgj.29.929","DOIUrl":"10.5770/cgj.29.929","url":null,"abstract":"<p><p>A Comprehensive Geriatric Assessment (CGA) completed by a geriatrician assessing an older person living with frailty and multiple comorbidities involves longer visit durations than standard General Internal Medicine (GIM) consultations, reflecting the need for detailed evaluation. Medical trainees have little formal education about how they will be remunerated as specialists or that there are different methods of clinical payments between provinces of Canada, including Fee for Service (FFS) and Alternative Payment Plans (APP). GIM is a reasonable comparator to Geriatric Medicine because, while not using CGA, GIM residents are also trained to assess medically complex patients who often have comorbidities. The goal of this paper was to provide transparency for medical trainees about differences in the proportion of FFS or APP and the average clinical payments made to geriatricians and general internists between the provinces of Canada. Using data from the Canadian Institute for Health Information (CIHI), we show mean, mean trimmed to $100,000 and median clinical payments to geriatricians across Canada. Average payments were generally lower in provinces with predominantly an APP as the main source of payments compared to provinces with a split model of APP and FFS where payments demonstrated larger variances. The clinical payments to general internists were higher than for geriatricians. In addition to increasing transparency in specialist payments, Provincial Medical Associations and Sections or Divisions of Geriatric Medicine, could use these data to advocate for comparable remuneration between geriatricians and general internists when renegotiating clinical payments funding agreements.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"29 2","pages":"102-106"},"PeriodicalIF":1.8,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058420","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
Ensuring Clinical Practice Guidelines Meet the Needs of the End-User: a Prioritization Survey for Guideline Topics for Behavioural and Psychological Symptoms of Dementia. 确保临床实践指南满足最终用户的需求:痴呆行为和心理症状指南主题的优先调查
IF 1.8
Canadian Geriatrics Journal Pub Date : 2026-06-03 eCollection Date: 2026-06-01 DOI: 10.5770/cgj.29.914
Kayla Atchison, Jennifer A Watt, Jennifer Porter, Dallas Seitz, Julia Kirkham, Zahra Goodarzi
{"title":"Ensuring Clinical Practice Guidelines Meet the Needs of the End-User: a Prioritization Survey for Guideline Topics for Behavioural and Psychological Symptoms of Dementia.","authors":"Kayla Atchison, Jennifer A Watt, Jennifer Porter, Dallas Seitz, Julia Kirkham, Zahra Goodarzi","doi":"10.5770/cgj.29.914","DOIUrl":"10.5770/cgj.29.914","url":null,"abstract":"<p><strong>Background: </strong>Behavioural and psychological symptoms of dementia (BPSD) are complex to assess and manage, and a lack of updated clinical practice guidelines (CPGs) leads to variation in clinical practice. When generating CPGs, involvement of end-users in developing and prioritizing topics is key to creating effective recommendations.</p><p><strong>Methods: </strong>To inform the creation of a CPG for the management of BPSD, we completed a Canada-wide online BPSD topic prioritization survey using Qualtrics. In January-March 2023 the survey was disseminated widely to identify preferred terminology to use in the guideline and to prioritize topics to be included.</p><p><strong>Results: </strong>Two hundred fifty-four persons responded to the survey. Participants were mostly female (88.2%), identified as women (87.0%), were aged 50-64 (37.0%), from Ontario (69.7%), and from nursing roles (n=83). BPSD was the most preferred terminology (32.1%) followed by responsive behaviours (26.2%). Seven topics were reviewed for guideline inclusion, with priority placed on prevention, non-drug management, and prodromal symptoms. Comments from participants identified concerns around validity of detection tools, possible lack of available evidence, and conflict between standardized approaches versus the need for individualized care.</p><p><strong>Conclusions: </strong>Involvement of end-users in the determination of terminology and prioritization of topics was an effectual way to ensure CPGs represent the needs of the user.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"29 2","pages":"79-87"},"PeriodicalIF":1.8,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058447","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
Augmented Reality for Balance Rehabilitation in Older Persons: A Scoping Review. 增强现实在老年人平衡康复:范围审查。
IF 1.8
Canadian Geriatrics Journal Pub Date : 2026-06-03 eCollection Date: 2026-06-01 DOI: 10.5770/cgj.29.892
Afeef Vehra, Patricia Hewston, Manuela Kunz, George Ioannidis, Sophia Matarazzo, Teshan Dias Desinghe, Noorain Mamdani, Alexandra Papaioannou
{"title":"Augmented Reality for Balance Rehabilitation in Older Persons: A Scoping Review.","authors":"Afeef Vehra, Patricia Hewston, Manuela Kunz, George Ioannidis, Sophia Matarazzo, Teshan Dias Desinghe, Noorain Mamdani, Alexandra Papaioannou","doi":"10.5770/cgj.29.892","DOIUrl":"10.5770/cgj.29.892","url":null,"abstract":"<p><strong>Background: </strong>Falls are a leading cause of injury and loss of independence in older adults. Impaired balance is a modifiable risk factor yet traditional rehabilitation approaches may not fully address balance control. Augmented reality (AR) provides an interactive method to support balance training and fall prevention. This scoping review summarizes key characteristics of AR interventions for balance rehabilitation in older adults, as well as associated outcome measures.</p><p><strong>Methods: </strong>Literature searches were performed across CENTRAL, CINAHL, EMBASE, Medline, PubMed, ScienceDirect, SCOPUS, and Web of Science from inception to July 2024. Using Arksey and O'Malley's framework, we included studies meeting the following criteria: (i) older adults (65+), (ii) AR-based balance rehabilitation, (iii) randomized control trials (RCTs) or observational studies, and (iv) outcomes related to balance, balance confidence, or fear of falling, categorized using the Balance Evaluation Systems Test (BESTest) framework. Two reviewers independently screened and extracted data.</p><p><strong>Results: </strong>Ten studies (six RCTs, four observational) involving 235 participants (ages 64.70-75.8 yrs) met inclusion. AR interventions were delivered 1-5 times/week over 4 to 12 weeks (4-36 total hr), with adherence rates of 83.3% to 100%. The most frequently assessed balance systems were stability in gait (100%) and anticipatory postural adjustments (90%), which improved with AR. Only one study evaluated all balance systems. RCTs showed statistically significant improvements in balance, while observational studies mainly reported associations and trends.</p><p><strong>Conclusions: </strong>This review highlights AR as a complementary tool for fall prevention, supporting tailored interventions across balance domains. Clinicians may find AR useful for engaging older adults in targeted, functional rehabilitation.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"29 2","pages":"124-136"},"PeriodicalIF":1.8,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058417","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
What's a "Cognitive" Intervention? The PICC-M Framework to Distinguish Cognitive Remediation, Stimulation, Training, Therapy, and Rehabilitation. 什么是“认知”干预?区分认知补救、刺激、训练、治疗和康复的PICC-M框架。
IF 1.8
Canadian Geriatrics Journal Pub Date : 2026-03-04 eCollection Date: 2026-03-01 DOI: 10.5770/cgj.29.893
Sara Pishdadian, Jixuan Jin
{"title":"What's a \"Cognitive\" Intervention? The PICC-M Framework to Distinguish Cognitive Remediation, Stimulation, Training, Therapy, and Rehabilitation.","authors":"Sara Pishdadian, Jixuan Jin","doi":"10.5770/cgj.29.893","DOIUrl":"10.5770/cgj.29.893","url":null,"abstract":"<p><p>Psychosocial interventions targeting cognition improve objective cognitive test performance, strategy use, emotional well-being, and quality of life in individuals with mild cognitive impairment and early dementia. These interventions have been labeled as cognitive training, cognitive remediation, cognitive rehabilitation, cognitive stimulation, and overlap with cognitive (psycho)therapy. The inconsistent labeling of the interventions has resulted in ambiguity of what a cognitive intervention entails and limits the translation of interventions into clinical practice. To address this, we propose a new framework, \"PICC-M\", that classifies cognitive interventions based on five active ingredients or the mechanisms resulting in clinically significant change. These ingredients are psychotherapeutic support (P), individualized patient goals (I), cognitive exercises (C), compensatory strategies (C), and metacognitive strategies (M). We examine three intervention programs to illustrate how this framework clarifies each intervention's active ingredients and their relation to cognitive, psychological, and functional outcomes. The PICC-M framework lays the foundation for dismantling studies to isolate and test the effectiveness of specific active ingredients and ultimately support clinical delivery of evidence-based interventions for older individuals with neurocognitive deficits.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"29 1","pages":"59-64"},"PeriodicalIF":1.8,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12931405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312837","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
Prevalence and Outcomes of Frailty in Older Men-the Manitoba Follow-Up Study. 老年男性衰弱的患病率和结果——马尼托巴随访研究。
IF 1.8
Canadian Geriatrics Journal Pub Date : 2026-03-04 eCollection Date: 2026-03-01 DOI: 10.5770/cgj.29.907
Philip D St John, Robert B Tate
{"title":"Prevalence and Outcomes of Frailty in Older Men-the Manitoba Follow-Up Study.","authors":"Philip D St John, Robert B Tate","doi":"10.5770/cgj.29.907","DOIUrl":"10.5770/cgj.29.907","url":null,"abstract":"<p><strong>Background: </strong>The Frailty Index (FI) is a measure of frailty with recent guidance on its calculation. Objectives were: 1) To determine the prevalence of frailty and its component domains at different ages in older men; and 2) To determine if the FI, and/or its component scores predict death or long-term care (LTC) admission. Design: A cohort study. Setting: Most of the participants lived in Canada. Subjects: 3,983 men who qualified for air crew training during the Second World War. We included 1,711 men (mean age 76) free of dementia, living in the community, who had data to construct a FI in 1996.</p><p><strong>Methods: </strong>Medical conditions have been measured from 1948. Functional status, health status, and social well-being have been measured by survey since 1996. We constructed a FI from these data and calculated the prevalence of frailty from the age of 75+. We considered three domains of frailty: medical, functional, and psychosocial. We calculated the mortality risk and the risk of LTC care admission using proportional hazards models.</p><p><strong>Results: </strong>Frailty, dementia, and LTC use are all strongly related to age. The FI is associated with mortality and LTC admission at all ages. This effect was a spectrum of risk. The effect of functional domains was seen at all ages, while the effect of medical conditions on these outcomes declined with advancing age. Psychosocial domains were less strongly correlated with these outcomes.</p><p><strong>Conclusions: </strong>The FI is associated with adverse outcomes, and should be considered in clinical and policy decisions.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"29 1","pages":"1-7"},"PeriodicalIF":1.8,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12931404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147292045","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
Reference Values of Quadriceps Muscle Thickness Measured by Point-of-Care Ultrasound by Sex and Age Groups in Older Adults. 老年人点护理超声测量股四头肌厚度按性别和年龄组的参考值。
IF 1.8
Canadian Geriatrics Journal Pub Date : 2026-03-04 eCollection Date: 2026-03-01 DOI: 10.5770/cgj.29.913
Uyanga Ganbat, Boris Feldman, Portia Tang, Altan-Ochir Byambaa, Shane Arishenkoff, Graydon S Meneilly, Jonathan Little, Teresa Liu-Ambrose, Kenneth M Madden
{"title":"Reference Values of Quadriceps Muscle Thickness Measured by Point-of-Care Ultrasound by Sex and Age Groups in Older Adults.","authors":"Uyanga Ganbat, Boris Feldman, Portia Tang, Altan-Ochir Byambaa, Shane Arishenkoff, Graydon S Meneilly, Jonathan Little, Teresa Liu-Ambrose, Kenneth M Madden","doi":"10.5770/cgj.29.913","DOIUrl":"10.5770/cgj.29.913","url":null,"abstract":"<p><p>Sarcopenia is an age-related skeletal muscle disorder characterized by decreased muscle mass, strength, and physical function, which increases the risk of adverse outcomes in older adults. Recently, ultrasound has emerged as a practical tool for estimating muscle thickness as a proxy for muscle quantity. However, standardized protocols, reference data, and diagnostic cut-off values for ultrasound-based muscle assessment remain lacking. This study pooled participants from three cohorts in which quadriceps muscle thickness was assessed in B-mode with a linear probe using point-of-care ultrasound (POCUS). Of 391 participants, 389 were included in the final analysis. Age was categorized into five-year groups (65-69, 70-74, 75-79, 80-85, and over 85 years old). Means and standard deviations (SD) of quadriceps thickness were calculated by sex and age group. Mean age was 77 ± 7 years. Quadriceps muscle thickness followed a normal distribution with a standard deviation of 0.5 cm. Mean thickness declined with advancing age. Our pooled analysis found a mean quadriceps muscle thickness of 2.0 cm. The decline with advancing age was modest, with the lowest value observed in participants aged 85 years and older (1.8 ± 0.4). On average, muscle thickness decreased by approximately 0.1 cm per decade after age 65. These findings provide age- and sex-specific reference values for quadriceps muscle thickness measured by POCUS, and support its potential utility as a feasible tool for muscle assessment in older adults.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"29 1","pages":"28-30"},"PeriodicalIF":1.8,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12931416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147292005","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信
小红书