Archives of gerontology and geriatrics最新文献

{"title":"Resistance training and blood pressure: Insights from a meta-analysis of the aging population","authors":"Negin Ghasemi Kahrizsangi ,&nbsp;Mohammad Ali Faridi Dastjerdi ,&nbsp;Faraz Golafshan ,&nbsp;Navidreza Ghasemi Kahrizsangi ,&nbsp;Mohammad Hossein Shafieyoun ,&nbsp;Mohammad Hadi Parsaeefar","doi":"10.1016/j.archger.2025.105941","DOIUrl":"10.1016/j.archger.2025.105941","url":null,"abstract":"<div><h3>Background</h3><div>Hypertension is a prevalent cardiovascular risk factor in older adults, contributing to morbidity and mortality worldwide. While aerobic exercise is well-established for blood pressure (BP) management, the role of resistance training (RT) in aging populations remains less clear, with inconsistent findings across studies.</div></div><div><h3>Objective</h3><div>To evaluate the effect of RT on BP in adults aged 60 and older and explore moderators such as intervention duration, gender, and session frequency.</div></div><div><h3>Method</h3><div>Following PRISMA guidelines, we searched PubMed, Web of Science, Scopus, Cochrane Library, and Google Scholar for randomized controlled trials (RCTs) of RT (≥4 weeks) in older adults (mean age ≥60 years), published until February 2025. Data on systolic, diastolic, and mean BP were pooled using random-effects models, with subgroup and meta-regression analyses to assess heterogeneity sources.</div></div><div><h3>Results</h3><div>Fifty-one RCTs (<em>n</em> = 2025) demonstrated that RT significantly reduced systolic BP (MD = -6.11 mmHg), diastolic BP (MD = -2.53 mmHg), and mean BP (MD = -4.10 mmHg; all <em>p</em> &lt; 0.001). Subgroup analysis revealed larger systolic (females: -7.95 mmHg; males: -6.02 mmHg, NS) and diastolic BP reductions (females: -4.24 mmHg; males: -3.39 mmHg, NS), with mean BP reduced significantly in both sexes (females: -4.02 mmHg; males: -7.08 mmHg). Short-term (≤12 weeks) and higher frequency interventions enhanced BP reductions. Heterogeneity was high but sensitivity analyses confirmed robustness.</div></div><div><h3>Conclusion</h3><div>RT effectively lowers BP in older adults, supporting its inclusion in hypertension management strategies. Short-term, frequent RT protocols may optimize outcomes, particularly for females. Further research is needed to explore long-term effects and underlying mechanisms.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"137 ","pages":"Article 105941"},"PeriodicalIF":3.5,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144489958","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":"Health outcomes and healthcare utilization among older adults based on weight status and muscle strength: Insights from 27 European countries","authors":"Rafaela Cavalheiro do Espírito Santo,&nbsp;Geiziane Melo,&nbsp;Viney Prakash Dubey,&nbsp;Arturas Razbadauskas,&nbsp;Cesar Agostinis-Sobrinho","doi":"10.1016/j.archger.2025.105940","DOIUrl":"10.1016/j.archger.2025.105940","url":null,"abstract":"<div><h3>Background</h3><div>Overweight/obesity and low muscle strength negatively affect older adults’ health and are public health concerns. While previous studies link these conditions to poor outcomes, few have examined their combined association with healthcare use and chronic diseases. This study aims to assess these relationships.</div></div><div><h3>Methods</h3><div>A cross-sectional study using data from Wave 8 of the Survey of Health, Ageing and Retirement in Europe. Four groups were formed based on muscle strength(High vs Low)and weight status(Overweight/obesity vs Non-Overweight/obesity): Overweight/obesity and Low Muscle Strength (O/LM), Non- Overweight/obesity and Low Muscle Strength (NO/LM), Overweight/obesity and High Muscle Strength (O/HM), and Non- Overweight/obesity and High Muscle Strength (NO/HM).</div></div><div><h3>Results</h3><div>Among 53,217 participants(mean age 69.0), 56.9 % were women. Most participants were overweight or obese(63.0 %). Median muscle strength was 41.0 kg for men and 26.0 kg for women. Group distributions included 16.6 % in O/LM, 2.5 % in NO/LM, 53.4 % in O/HM, and 27.5 % in NO/HM. The O/LM group had a higher prevalence of long-term illnesses, multiple chronic diseases, and emergency hospitalizations. They were more likely to take five or more medications. In contrast, the NO/HM group showed better health, with fewer chronic conditions and lower medication use. The O/HM group had more public long-term care insurance. The O/LM group had higher probabilities of chronic diseases such as diabetes, stroke, and Alzheimer's, with risks decreasing across the groups.</div></div><div><h3>Conclusion</h3><div>Overweight/obesity with low muscle strength significantly increases healthcare utilization and the burden of chronic diseases in older adults, highlighting the need for targeted interventions for this vulnerable group.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"137 ","pages":"Article 105940"},"PeriodicalIF":3.5,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144489959","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":"Pinch strength as an independent correlate of cognitive impairment beyond grip strength in older adults","authors":"Jing Ren ,&nbsp;Xiaoyan Chen ,&nbsp;Wenhua Jiang ,&nbsp;Qian Chen ,&nbsp;Ming Yang","doi":"10.1016/j.archger.2025.105938","DOIUrl":"10.1016/j.archger.2025.105938","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare pinch strength parameters against grip strength metrics for identifying cognitive impairment in community-dwelling older adults.</div></div><div><h3>Design</h3><div>Cross-sectional analysis of baseline data from a prospective cohort study.</div></div><div><h3>Setting and participants</h3><div>954 community-dwelling older adults from three communities.</div></div><div><h3>Methods</h3><div>Pinch and grip strength were measured using portable dynamometers. Derived metrics included peak strength, coefficient of variation (CV), fatigue index, and pinch/grip ratio. Functional assessments were also collected. Cognitive impairment was defined by a Mini-Cog score ≤ 2. Multivariable logistic regression models, adjusted for age, sex, and education, assessed associations between standardized strength metrics and cognitive impairment, reporting adjusted odds ratios (ORs) and 95 % confidence intervals (CIs). Model performance was compared using Area Under the Receiver Operating Characteristic Curve (AUC), Decision Curve Analysis (DCA), and calibration.</div></div><div><h3>Results</h3><div>Cognitive impairment prevalence was 32.7 % (312/954). Lower peak pinch strength strongly correlated with cognitive impairment (OR 0.50, 95 % CI 0.40–0.61), remaining robust after adjusting for grip strength (OR 0.48, 95 % CI 0.38–0.60). Peak grip strength association attenuated when pinch was included. Higher grip strength CV also correlated with cognitive impairment (OR 1.2–1.3, <em>p</em> &lt; 0.05). A simple model with peak pinch strength (AUC 0.689) performed comparably to a full model (AUC 0.699, <em>p</em> = 0.121) and significantly better than a peak grip strength model (AUC 0.633, <em>p</em> &lt; 0.001). DCA indicated clinical utility for pinch-strength-based models.</div></div><div><h3>Conclusions</h3><div>Peak pinch strength demonstrated a stronger association with cognitive impairment than peak grip strength. This finding warrants further research into the mechanisms linking fine motor strength and cognition.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"137 ","pages":"Article 105938"},"PeriodicalIF":3.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144366799","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":"The longitudinal relationship between intrinsic capacity, falls, and physical activity in Dutch older adults","authors":"Wesna Belimbegovski ,&nbsp;Laura A. Schaap ,&nbsp;Annemiek J. Linn ,&nbsp;Stephanie Medlock ,&nbsp;Julia C.M. van Weert ,&nbsp;Nathalie van der Velde ,&nbsp;Natasja M. van Schoor","doi":"10.1016/j.archger.2025.105936","DOIUrl":"10.1016/j.archger.2025.105936","url":null,"abstract":"<div><h3>Background</h3><div>The relationship between intrinsic capacity (IC) and falls has not been studied in Western European older adults. This study aimed to examine the relationship between IC, falls, and physical activity (PA) in a Western European country, and to examine whether PA mediates the relation between IC and falls.</div></div><div><h3>Methods</h3><div>This study used data from community dwelling older adults from the Longitudinal Aging Study Amsterdam. Per participant, a baseline IC score was calculated (possible range 0–100). A Cox regression analysis (<em>n</em> = 1257) and a linear mixed model analysis (<em>n</em> = 1874) were used to examine the relation between IC and falls over a 3 year follow-up and between IC and PA over 3 and 6 years, respectively. A mediation analysis (<em>n</em> = 898) examined whether PA mediated the relation between IC and falls.</div></div><div><h3>Results</h3><div>Each one-point increase in IC score was associated with a 0.98 times lower 3-year fall hazard (95 % CI, 0.97–0.99). In older adults living in non-urban areas, those with the highest IC scores (range 71.7–92.5) spent on average 192 kcal/day more on PA (95 % CI, 127–256) than those with the lowest IC scores (range 26.5–63.0), while in older adults living in urban areas, those with the highest IC scores spent on average 89 kcal/day more on PA (95 % CI, 8–171). PA did not mediate the relationship between IC and falls.</div></div><div><h3>Conclusion</h3><div>Higher IC in older adults reduced fall risk and increased PA levels. Further research is needed on the acceptability and effectiveness of IC measurement in clinical practice.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"137 ","pages":"Article 105936"},"PeriodicalIF":3.5,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144371299","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":"Influencing factors for multi-dimensional frailty of older adults in community: A systematic review and meta-analysis","authors":"Dongmei Yao ,&nbsp;Shenbi Yang ,&nbsp;Zhifei Wen ,&nbsp;Jing He ,&nbsp;Shuyang Ji ,&nbsp;Minhang Xia ,&nbsp;Hongyan Wang ,&nbsp;Xiangeng Zhang","doi":"10.1016/j.archger.2025.105935","DOIUrl":"10.1016/j.archger.2025.105935","url":null,"abstract":"<div><h3>Objective</h3><div>To systematically evaluate the factors associated with multidimensional frailty assessed by the Tilburg Frailty Indicator among community-dwelling older adults.</div></div><div><h3>Methods</h3><div>A computerized search was conducted on ten databases, including CNKI, WanFang, VIP, CBM, PubMed, Web of Science, Embase, Scopus, Cochrane Library, and CINAHL, covering studies from inception to December 3, 2024. Literature screening, quality assessment, and data extraction were performed independently by two investigators, and meta-analysis was performed using STATA 18 software. The quality of the evidence was evaluated using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach.</div></div><div><h3>Results</h3><div>A total of 28 articles with 138,924 participants were included, and 18 influencing factors were extracted. Meta-analysis results showed that: aged(OR=1.19), female(OR=1.53), marital status(no spouse) (OR=2.02), rural residence (OR=1.32), low education level(OR=2.53), fear of falling (OR=5.38), drinking (OR=1.20), smoking(OR=1.12), unhealthy lifestyle (OR=2.52), sleep disorders (OR=2.40), depression(OR=1.52), chronic diseases (OR=2.06), comorbidity (OR=2.08), self-rated poor health(OR=1.89), and hospitalization (OR=1.34) were risk factors for multidimensional frailty in community-dwelling older adults. Satisfaction with living conditions(OR=0.22), physical activity (OR=0.74), and consumption of tea (OR=0.53)were protective factors.</div></div><div><h3>Conclusion</h3><div>There are many factors involved in the incidence of multidimensional frailty in community-dwelling older adults by a meta-analysis. Screening for multidimensional frailty in community-dwelling older adults can be carried out early based on their risk factors, and corresponding measures can be taken according to the factors that can be intervened in order to delay or reduce the multidimensional frailty in community-dwelling older adults.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"137 ","pages":"Article 105935"},"PeriodicalIF":3.5,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271212","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":"The effect of aging on hearing outcomes after sudden sensorineural hearing loss (SSNHL): A retrospective study","authors":"Jelena Vukelic ,&nbsp;Diana Marzic ,&nbsp;Anja Liovic ,&nbsp;Dubravko Manestar ,&nbsp;Dubravka Matesa Anic","doi":"10.1016/j.archger.2025.105932","DOIUrl":"10.1016/j.archger.2025.105932","url":null,"abstract":"<div><h3>Objectives</h3><div>To analyze the effect of aging on hearing outcomes following treatment for sudden sensorineural hearing loss (SSNHL).</div></div><div><h3>Materials and methods</h3><div>This retrospective study reviewed records of 106 SSNHL patients categorized into younger (&lt;65 years) and older (≥65 years). Hearing outcomes and related factors including sex, absolute gain, treatment timing, Hyperbaric Oxygen Therapy (HBOT), audiogram type, and contralateral ear thresholds were examined.</div></div><div><h3>Results</h3><div>Treatment outcomes between age groups showed no statistically significant difference (<em>p</em> = 0.053), though younger age was consistently linked to better recovery. A significant negative correlation between age and absolute hearing gain was observed (<em>r</em> = -0.296, <em>p</em> &lt; 0.05). Younger females showed superior outcomes compared to younger males (<em>p</em> &lt; 0.05). Early treatment predicted better recovery (χ² = 9.04, <em>p</em> &lt; 0.01). A normal contralateral ear threshold was associated with better recovery (<em>p</em> &lt; 0.05). A multivariate logistic regression model was developed (AUC = 0.781). Symptom duration (<em>p</em> &lt; 0.05) and intratympanic therapy (<em>p</em> &lt; 0.05) were significant predictors of hearing outcomes. Age was not a significant independent predictor (<em>p</em> = 0.054), but it improved model fit, supporting its clinical relevance.</div></div><div><h3>Conclusions</h3><div>The timing of treatment initiation is important for SSNHL prognosis. Although age did not reach statistical significance in the multivariate model, its consistent association with better outcomes and contribution to model fit highlight its continued clinical relevance. Early intervention is the key predictor of recovery, reinforcing the value of age-informed, personalized treatment strategies in managing SSNHL.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"137 ","pages":"Article 105932"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144262835","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":"Knowledge, awareness, beliefs, attitudes, current practices, and perceptions of responsibility to the identification and management of sarcopenia among Australian general practitioners and practice nurses: A national survey","authors":"Robin M. Daly ,&nbsp;David Scott ,&nbsp;Nicole Kiss ,&nbsp;Michael Tieland ,&nbsp;Brenton Baguley ,&nbsp;Jackson J. Fyfe ,&nbsp;Ramesh Manocha","doi":"10.1016/j.archger.2025.105923","DOIUrl":"10.1016/j.archger.2025.105923","url":null,"abstract":"<div><h3>Objective</h3><div>To explore Australian general practitioners’ (GPs) and practice nurses’ (PNs) awareness, understanding, knowledge, beliefs, attitudes current practices, perceptions of responsibility, confidence, barriers and enablers to identification and management of sarcopenia.</div></div><div><h3>Methods</h3><div>A national, anonymous 33-item, online purpose-designed survey covering the topics in the aims was conducted from March-May 2024.</div></div><div><h3>Results</h3><div>1364 participants (97 % GPs, 62 % female) participated. Two-thirds were familiar with sarcopenia and recognised it included low muscle mass (89 %), strength (66 %) and function (53 %), but 35 % incorrectly identified low physical fitness. Knowledge on common signs/symptoms, risk factors, consequences, and treatments was generally high, but only 10–18 % recognised stiff/inflexible muscles, cramps and persistent muscle pain are not signs/symptoms, and only 9–12 % recognised any form or aerobic exercise and eating more fruits/vegetables are ineffective treatments. Most (&gt;80 %) believed they should play an active role in sarcopenia identification/treatment, but only 23 % screened/assessed for it. Most indicated education (90 %) and screening/assessment (86 %) should be prioritized in primary care, but lack of priority (68 %), time (47 %) and confidence/knowledge (23 %) were obstacles to address sarcopenia in practice. Lack of referral options and access to appropriate tools were key barriers and protocol implementation and access to relevant training were the main enablers to identification/treatment.</div></div><div><h3>Conclusion</h3><div>Primary care clinicians in Australia are familiar with and have some intuitive understanding of, and positive attitudes/beliefs toward sarcopenia, recognising they should play a key role in identifying/managing it, but report it’s not a priority, they lack knowledge, confidence, referral options, appropriate tools and time to address it in practice.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"137 ","pages":"Article 105923"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144296857","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":"Determinant of functional independence in older patients with heart failure: physical function vs. muscle mass","authors":"Suguru Honma ,&nbsp;Satoshi Katano ,&nbsp;Toshiyuki Yano ,&nbsp;Ryohei Nagaoka ,&nbsp;Aki Habaguchi ,&nbsp;Ryo Numazawa ,&nbsp;Katsuhiko Ohori ,&nbsp;Hidemichi Kouzu ,&nbsp;Masaki Katayose ,&nbsp;Nobuhiro Yoshioka ,&nbsp;Masato Furuhashi ,&nbsp;Akiyoshi Hashimoto","doi":"10.1016/j.archger.2025.105933","DOIUrl":"10.1016/j.archger.2025.105933","url":null,"abstract":"<div><h3>Aim</h3><div>While sarcopenia affects functional independence in older patients with heart failure (HF), the differential impact of its components—including muscle mass (MM), muscle strength (MS), and physical function (PF)—remain underexplored. We investigated these components’ independent and synergistic associations with functional independence in older patients with HF, including sex-specific differences.</div></div><div><h3>Methods</h3><div>We studied 587 older patients with HF (299 women; mean age, 79±7 years). MM, MS, and PF were assessed using dual-energy X-ray absorptiometry, handgrip strength, and physical performance tests (gait speed, five-times sit-to-stand test [FTSS], short physical performance battery [SPPB]), respectively. Cutoffs for each component followed the Asian Working Group for Sarcopenia 2019 criteria. Functional independence was assessed using the Barthel Index (BI).</div></div><div><h3>Results</h3><div>Sarcopenia was associated with lower BI scores. Poor PF independently predicted reduced BI scores (slow gait speed: 8.4 points; prolonged FTSS: 10.9 points; low SPPB: 14.8 points; all <em>p</em> &lt; 0.001), whereas low MM and weak MS did not. Low MM amplified the negative impact of poor PF on BI scores consistently across sexes. Machine-learning analysis revealed MM status-specific predictors of PF: clinical factors (female sex, HF symptoms) and comorbidities predicted poor PF in patients with normal MM; renin-angiotensin system inhibition, and cardiomyopathy were associated with preserved PF in patients with low MM.</div></div><div><h3>Conclusions</h3><div>In older patients with HF, sarcopenia is closely and negatively associated with BI score primarily through poor PF; MM potentially modifies this relationship independent of sex. MM status-specific factors associated with PF suggest the importance of phenotype-specific approaches in facilitating functional independence.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"137 ","pages":"Article 105933"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330192","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":"How the combined approach of subjective and functional health improves the early identification of the older adults at risk of adverse events?","authors":"Yvanna Simon ,&nbsp;Antoine Gbessemehlan ,&nbsp;Luc Letenneur ,&nbsp;Catherine Helmer ,&nbsp;Camille Ouvrard ,&nbsp;Valérie Bergua ,&nbsp;Hélène Amiéva ,&nbsp;Karine Pérès","doi":"10.1016/j.archger.2025.105934","DOIUrl":"10.1016/j.archger.2025.105934","url":null,"abstract":"<div><h3>Background</h3><div>Combining the assessment of subjective health and functional health may provide a more comprehensive approach to characterize and address the health needs of the older adults.</div></div><div><h3>Objective</h3><div>To explore the relationship between functional (IADL-limitation) health combined with self-rated health (SRH), and the risk of adverse events: mortality, ADL-limitation and institutionalization.</div></div><div><h3>Methods</h3><div>The sample included 4429 participants aged 65 years and over from three French population-based cohorts followed up to 20 years. An indicator combining a SRH item and IADL-limitation was created to define four \"health status\" groups: (1) Good SRH without IADL-limitation (reference); (2) Poor SRH without IADL-limitation; (3) Good SRH with IADL-limitation; (4) Poor SRH with IADL-limitation. Survival models analyzed separately the association between health status and risk of death, ADL-limitation or institutionalization.</div></div><div><h3>Results</h3><div>Compared with participants with good SRH and no IADL-limitations, individuals without IADL-limitations who reported poor SRH also had an increased risk of death, ADL-limitation and institutionalization. In addition, those with IADL limitations, regardless of their SRH status, had at least twice the risk of death and subsequent ADL-limitations.</div></div><div><h3>Conclusion</h3><div>Our findings revealed that as soon as perceived a poor SRH, even in the absence of IADL-limitation, the risk of adverse health events increases. These risks are higher for individuals with IADL-limitations, regardless of their SRH status. These preliminary findings emphasize that taking into account perception of decline in absence of limitations can help to identify early symptoms before irreversible losses occur, allowing for the implementation of targeted prevention strategies for older adults.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"137 ","pages":"Article 105934"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271309","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":"Using machine learning to identify predictors of self-perceptions of aging among older adults in England","authors":"Mohsen Joshanloo","doi":"10.1016/j.archger.2025.105922","DOIUrl":"10.1016/j.archger.2025.105922","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to identify the strongest predictors of self-perceptions of aging (SPA) from an extensive set of 55 variables, including demographic, psychological, social, and economic factors.</div></div><div><h3>Methods</h3><div>Data were drawn from the English Longitudinal Study of Ageing, comprising over 7,000 adults aged 50 and older. Two advanced machine learning models, Random Forest and extreme gradient boosting (XGBoost), were used for data analysis. This approach allowed for a comprehensive evaluation of the relative importance of each predictor.</div></div><div><h3>Results</h3><div>Psychological factors emerged as the strongest predictors of positive SPA, outweighing health-related and demographic variables. Sense of control was identified as the strongest predictor, followed by pleasure derived from daily life experiences and the perception of life as worthwhile. Other significant predictors included components of emotional well-being (e.g., anxiety and happiness), autonomy, self-realization, and the quality of interpersonal relationships.</div></div><div><h3>Discussion</h3><div>The results indicate that a sense of competence, autonomy, and relatedness forms a vital foundation for positive self-perceptions of aging. These factors are enhanced by both hedonic and eudaimonic experiences, which contribute to the emotional and existential richness of the aging process. The findings highlight opportunities for targeted interventions and the refinement of existing theoretical models.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"137 ","pages":"Article 105922"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213501","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}