Archives of gerontology and geriatrics最新文献

{"title":"Sarcopenic obesity and falls in older adults: A validation study of ESPEN/EASO criteria and modifications in Western China communities","authors":"Runjie Li ,&nbsp;Xiaoyan Chen ,&nbsp;Huiyu Tang ,&nbsp;Shuyue Luo ,&nbsp;Rongna Lian ,&nbsp;Wenyi Zhang ,&nbsp;Xiangyu Zhang ,&nbsp;Xiaoyi Hu ,&nbsp;Ming Yang","doi":"10.1016/j.archger.2024.105557","DOIUrl":"10.1016/j.archger.2024.105557","url":null,"abstract":"<div><h3>Objectives</h3><p>The ESPEN and the EASO recently developed consensus criteria for sarcopenic obesity (SO), employing the skeletal muscle mass to weight (SMM/W) ratio. Emerging evidence suggests that adjusting skeletal muscle mass for body mass index (SMM/BMI) could enhance the predictive accuracy for health outcomes. We aimed to validate the ESPEN/EASO criteria and explore the potential benefits of the SMM/BMI adjustment in predicting falls among older adults in Western China.</p></div><div><h3>Methods</h3><p>We conducted a multicenter, cross-sectional study and included community-dwelling older adults. The diagnosis of SO was determined using the standard ESPEN/EASO consensus criteria (SO_ESPEN) and a modified version adjusting SMM/BMI (SO_ESPEN-M). The associations of SO_ESPEN, SO_ESPEN-M, and their components with falls were analyzed.</p></div><div><h3>Results</h3><p>Among the 1353 participants, the prevalence of SO was 13.2 % (SO_ESPEN) and 11.4 % (SO_ESPEN-M), which increased with age and higher BMI levels. Within participants with a normal BMI, 4.2 % and 6.2 % were found to have SO_ESPEN and SO_ESPEN-M, respectively. SMM/W and SMM/BMI negatively correlated with fall risk (<em>p</em>=0.042 and <em>p</em>=0.021, respectively). Upon adjusting for confounders, only SO_ESPEN was significantly associated with falls (odds ratios [OR] 1.61, 95 % confidence interval [CI] 1.08 to 2.40), whereas the association for SO_ESPEN-M did not achieve significance (OR 1.55, 95 % CI 0.99 to 2.43).</p></div><div><h3>Conclusions</h3><p>This research validated the ESPEN/EASO criteria (SO_ESPEN) and their modified version (SO_ESPEN-M) among community-dwelling older adults in Western China. The SMM/BMI adjustment appears to offer a lower estimate of SO prevalence, with only SO_ESPEN showing a significant association with falls.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"127 ","pages":"Article 105557"},"PeriodicalIF":3.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536099","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":"Priority interventions for the prevention of falls or fractures in patients with osteoporosis: A network meta-analysis","authors":"Shanshan Wei ,&nbsp;Yaoyu He ,&nbsp;Keru Liu ,&nbsp;Ruoxian Wang ,&nbsp;Yuhuan Wang","doi":"10.1016/j.archger.2024.105558","DOIUrl":"10.1016/j.archger.2024.105558","url":null,"abstract":"<div><h3>Background</h3><p>The fractures of patients with osteoporosis represent a major health care burden that requires efficient prevention.</p></div><div><h3>Objective</h3><p>To analyze the efficacy and significance of diverse interventions for preventing falls or fractures in patients with osteoporosis, and to establish a foundation for clinical interventions.</p></div><div><h3>Methods</h3><p>Ten databases were searched for studies published before January 30, 2024. Screening, data extraction, and risk of bias assessment were independently conducted by two researchers using Stata 14.0 software. A network meta-analysis using the frequentist framework was then performed to determine the effectiveness of various interventions for preventing and managing falls and fractures in patients with osteoporosis. The findings were used as basis for the prioritization of interventions.</p></div><div><h3>Results</h3><p>The initial search yielded 3894 studies. After 3878 studies were excluded, 16 studies were finally included. For the prevention of falls in patients with osteoporosis, effective interventions include exercise and exercise plus medication. A combination of exercise, assessment and modifications, quality improvement strategies, social engagement, basic falls risk assessment, and assistive technology may be the preferred recommended intervention. For the prevention of fractures in patients with osteoporosis, no statistically significant disparities were observed among the compared interventions, exercise may be the preferred recommended intervention.</p></div><div><h3>Conclusion</h3><p>Exercise and exercise plus medication are effective in reducing the number of falls in patients with osteoporosis. Although exercise may be the optimal intervention for fracture prevention, the quality of current evidence remains inadequate. Large-scale high-quality randomized controlled trials are necessary to substantiate these findings.</p></div><div><h3>Trial registration</h3><p>PROSPERO CRD42024507487</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"127 ","pages":"Article 105558"},"PeriodicalIF":3.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141630275","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":"Pleiotropic effects on Sarcopenia subphenotypes point to potential molecular markers for the disease","authors":"Isabela D. Fonseca ,&nbsp;Luiz Eduardo Fabbri ,&nbsp;Lauro Moraes ,&nbsp;Daniel B. Coelho ,&nbsp;Fernanda C. Dos Santos ,&nbsp;Izinara Rosse","doi":"10.1016/j.archger.2024.105553","DOIUrl":"10.1016/j.archger.2024.105553","url":null,"abstract":"<div><p>Sarcopenia is a progressive age-related muscle disease characterized by low muscle strength, quantity and quality, and low physical performance. The clinical overlap between these subphenotypes (reduction in muscle strength, quantity and quality, and physical performance) was evidenced, but the genetic overlap is still poorly investigated. Herein, we investigated whether there is a genetic overlap amongst sarcopenia subphenotypes in the search for more effective molecular markers for this disease. For that, a Bioinformatics approach was used to identify and characterize pleiotropic effects at the genome, <em>loci</em> and gene levels using Genome-wide association study results. As a result, a high genetic correlation was identified between gait speed and muscle strength (rG=0.5358, p=3.39 × 10^-8). Using a Pleiotropy-informed conditional and conjunctional false discovery rate method we identified two pleiotropic <em>loci</em> for muscle strength and gait speed, one of them was nearby the gene <em>PHACTR1</em>. Moreover, 11 pleiotropic <em>loci</em> and 25 genes were identified for muscle mass and muscle strength. Lastly, using a gene-based GWAS approach three candidate genes were identified in the overlap of the three Sarcopenia subphenotypes: <em>FTO, RPS10</em> and <em>CALCR</em>. The current study provides evidence of genetic overlap and pleiotropy among sarcopenia subphenotypes and highlights novel candidate genes and molecular markers associated with the risk of sarcopenia.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"127 ","pages":"Article 105553"},"PeriodicalIF":3.5,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545692","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":"Risk and Protective Factors for Cognitive Decline in Brazilian Lower Educated Older Adults: A 15-year follow-up study using group-based trajectory modelling","authors":"Fabiana Ribeiro ,&nbsp;Anouk Geraets ,&nbsp;Yeda Aparecida de Oliveira Duarte ,&nbsp;Anja K. Leist","doi":"10.1016/j.archger.2024.105555","DOIUrl":"10.1016/j.archger.2024.105555","url":null,"abstract":"<div><h3>Background</h3><p>Patterns of cognitive change and modifiable factors for cognitive decline versus stable cognitive trajectories have rarely been described in lower-educated older adults.</p></div><div><h3>Objectives</h3><p>We aimed to identify long-term trajectories of cognitive functioning and possible factors associated with cognitive decline.</p></div><div><h3>Design and participants</h3><p>We used data of 1,042 adults aged ≥ 60 participating in the Health, Welfare and Aging Study (SABE), São Paulo, Brazil, without cognitive impairment at baseline. Data were collected across four waves (2000-2015). Group-based trajectory modelling was used to identify cognitive trajectories. Associations with socioeconomic variables, childhood background, lifestyle, and cardiovascular risk factors were explored using weighted multinomial logistic regressions.</p></div><div><h3>Measurements</h3><p>The abbreviated Mini-Mental State Examination was used to measure cognition.</p></div><div><h3>Results</h3><p>Three cognitive trajectories were identified: stable (n= 754, 68.6%), mild-decline (n= 183, 20.8%), and strong-decline (n= 105, 10.7%). At baseline, respondents in the strong-decline group were more likely to be older than those with stable and mild-decline trajectories. Furthermore, participants in both the mild and strong-decline groups were more likely to have no schooling, be divorced/separated, receive less than 4 monthly wages, and be underweight (BMI &lt; 18.5) compared to the stable group. Finally, the mild-decline group were more likely to have lived in rural areas during childhood than participants located in a stable trajectory.</p></div><div><h3>Conclusions</h3><p>Our findings suggest that interventions to reduce cognitive decline for low-educated older adults might include both addressing inequalities and improving modifiable risk factor burden.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"127 ","pages":"Article 105555"},"PeriodicalIF":3.5,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167494324002310/pdfft?md5=feda4d98f2d40e54176dc55ea8bc3511&pid=1-s2.0-S0167494324002310-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141602369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hearing impairment increases the risk of hip fracture-related mortality and recurrent hip fractures: A propensity score matching analysis","authors":"Yeonjoo Choi ,&nbsp;Sangwon Han ,&nbsp;Yun Jae Kim ,&nbsp;Ji Wan Kim ,&nbsp;Chul-Ho Kim","doi":"10.1016/j.archger.2024.105548","DOIUrl":"10.1016/j.archger.2024.105548","url":null,"abstract":"<div><h3>Purpose</h3><p>Despite the ongoing rise in hip fractures and the adverse effects of hearing impairment (HI) on increased mortality and morbidity, research addressing the influence of HI on mortality risk or complications in patients with hip fractures remains absent. This study aimed to analyze the effects of HI on mortality and treatment outcomes among patients with hip fracture.</p></div><div><h3>Methods</h3><p>We retrospectively collected data from consecutive patients diagnosed with hip fractures between January 2007 and March 2022 who had auditory examination records. From the initially enrolled 265 patients, data for 58 with HI and 58 without HI (control group) were extracted using a 1:1 propensity score matching. The primary outcome included comparison of mortality rates, and the secondary outcome encompassed the comparison of postoperative medical and surgical complications.</p></div><div><h3>Results</h3><p>The 1-year cumulative mortality rate was not significantly different between the HI and control groups, but the overall cumulative mortality rate was significantly higher in the HI than in the control group (63.0 % and 48.6, respectively; <em>P</em> = 0.046) in a follow-up period of up to 16 years. The HI group had a significantly higher incidence of “second hip fractures due to falls” than the control group (<em>P</em> = 0.016), although no differences in other medical and surgical complications were revealed.</p></div><div><h3>Conclusions</h3><p>Awareness of the long-term risk of higher mortality when managing patients with hip fracture and HI is important. To reduce the risk of second hip fractures, paying more attention to fall prevention education and taking a more proactive approach, especially for those with HI.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"127 ","pages":"Article 105548"},"PeriodicalIF":3.5,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536098","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":"COVID-19 vaccination and long COVID among 50 years older and above European: The role of chronic multimorbidity","authors":"Yumeng Gao ,&nbsp;Qian Shen ,&nbsp;Yuhan Zang ,&nbsp;Tongtong Miao ,&nbsp;Man Yang ,&nbsp;Yaqi Liu ,&nbsp;Xiaowei Zheng ,&nbsp;Suwen Shen ,&nbsp;Wenyan Wu","doi":"10.1016/j.archger.2024.105554","DOIUrl":"https://doi.org/10.1016/j.archger.2024.105554","url":null,"abstract":"<div><h3>Background and aims</h3><p>We aimed to explore the association between coronavirus disease-19 (COVID-19) vaccination and long COVID according to the status of chronic multimobidity.</p></div><div><h3>Methods</h3><p>A total of 1913 participants were recruited in the cross-sectional study on the basis of the Survey of Health and Retirement in Europe. COVID-19 vaccination was defined as vaccination within the last 12 months. Chronic multimorbidity was defined as history of 2 + chronic disease. The study outcome was long COVID during the 12-month follow-up. Multivariable logistic models were performed to estimate the influence of chronic multimorbidity on the association of vaccination with long COVID. Net reclassification improvement (NRI) and integrated discrimination improvement (IDI) were calculated.</p></div><div><h3>Results</h3><p>Chronic multimorbidity significantly modified the association of COVID-19 vaccination with long COVID (<em>P</em>_interaction = 0.024). The rates of study outcome were significantly lower among vaccinated participants in the chronic multimorbidity subgroup, but not in the other subgroup. Multivariable odds ratios (95 % confidence intervals) of study outcome for unvaccination vs. vaccination were 1.494 (1.013–2.203) in those with multimorbidity and 0.915 (0.654–1.280) in those without multimorbidity, respectively. Adding COVID-19 vaccination to a model containing conventional risk factors significantly improved risk reclassification for study outcome among those with chronic multimobidity (continuous NRI was 25.39 % [<em>P</em> = 0.002] and IDI was 0.42 % [<em>P</em> = 0.075])</p></div><div><h3>Conclusion</h3><p>An inverse association of COVID-19 vaccination with long COVID was found among participants with chronic multimorbidity, but not among those without chronic multimorbidity. Chronic multimorbidity might expand the influence of unvaccination on developing long COVID among European aged ≥50 years.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"126 ","pages":"Article 105554"},"PeriodicalIF":3.5,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540972","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":"Intrinsic capacity decline as a predictor of functional disability in the elderly: A systematic review and meta-analysis","authors":"Xuedan Wang ,&nbsp;Tingting Yang ,&nbsp;Yidan Li ,&nbsp;Chi Ma ,&nbsp;Mengyu Yang ,&nbsp;Qiuxia Qian ,&nbsp;Guifen Ma ,&nbsp;Hongbo Pei ,&nbsp;Juanjuan Feng ,&nbsp;Fanghong Yan ,&nbsp;Xiangping Fan ,&nbsp;Jianxun Cao ,&nbsp;Yuxia Ma","doi":"10.1016/j.archger.2024.105550","DOIUrl":"10.1016/j.archger.2024.105550","url":null,"abstract":"<div><h3>Objectives</h3><p>To examine the predictive value of intrinsic capacity decline on functional disability among the elderly.</p></div><div><h3>Design</h3><p>Meta-analysis.</p></div><div><h3>Methods</h3><p>PubMed, EMBASE, Web of Science, The Cochrane Library, Wanfang Database, China Knowledge Resource Integrated Database (CNKI), Weipu Database (VIP), and Chinese Biomedical Database (CBM) were searched for relevant studies published from the inception until June 1, 2024. Stata 17.0 software was used to perform the meta-analysis. The methodological quality was evaluated using the Newcastle Ottawa Scale. The overall quality of evidence used GRADE guidelines to assess. A study protocol was registered in PROSPERO (CRD42023475461).</p></div><div><h3>Results</h3><p>The meta-analysis included 8 cohort studies including 9744 elderly people. Functional disability including ADL disability (<em>n</em> = 6) and IADL disability (<em>n</em> = 7). The results showed that intrinsic capacity decline could predict ADL disability (HR = 1.08, 95 %CI 1.04–1.12; <em>I</em>² = 98.2 %, <em>P</em> &lt; 0.001) and IADL disability (HR = 1.11, 95 %CI 1.05–1.17; <em>I</em>² = 96.4 %, <em>P</em> &lt; 0.001). The overall risk of bias was low. And the grade of evidence that assessed by GRADE guidelines was rated as moderate.</p></div><div><h3>Conclusions</h3><p>Intrinsic capacity decline is a predictor of functional disability in the elderly. Therefore, screening intrinsic capacity decline has important clinical implications for early identifying the risk of functional disability, which contributes to providing individualized interventions ahead of potential functional disability for the elderly, thereby preventing functional disability, improving the quality of life and promoting healthy aging.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"126 ","pages":"Article 105550"},"PeriodicalIF":3.5,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592401","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":"Dynamics of declines: How biomarker variability illuminates the aging process","authors":"Liang-Kung Chen","doi":"10.1016/j.archger.2024.105547","DOIUrl":"10.1016/j.archger.2024.105547","url":null,"abstract":"","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"125 ","pages":"Article 105547"},"PeriodicalIF":3.5,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473357","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":"Association of head and neck CT-derived sarcopenia with mortality and adverse outcomes: A systematic review","authors":"Jin Hean Koh ,&nbsp;Lucas Tze Peng Tan ,&nbsp;Claire Yi Jia Lim ,&nbsp;Linus Zhen Han Yuen ,&nbsp;Jamie Sin Ying Ho ,&nbsp;Justina Angel Tan ,&nbsp;Ching Hui Sia ,&nbsp;Leonard Leong Litt Yeo ,&nbsp;Frederick Hong Xiang Koh ,&nbsp;James Thomas Patrick Decourcy Hallinan ,&nbsp;Andrew Makmur ,&nbsp;Benjamin Y.Q. Tan ,&nbsp;Li Feng Tan","doi":"10.1016/j.archger.2024.105549","DOIUrl":"10.1016/j.archger.2024.105549","url":null,"abstract":"<div><h3>Background</h3><p>There is growing interest in the association of CT-assessed sarcopenia with adverse outcomes in non-oncological settings.</p></div><div><h3>Purpose</h3><p>The aim of this systematic review is to summarize existing literature on the prognostic implications of CT-assessed sarcopenia in non-oncological patients.</p></div><div><h3>Materials and Methods</h3><p>Three independent authors searched Medline/PubMed, Embase and Cochrane Library up to 30 December 2023 for observational studies that reported the presence of sarcopenia defined on CT head and neck in association with mortality estimates and other adverse outcomes, in non-oncological patients. The quality of included studies were assessed using the Quality of Prognostic Studies tool.</p></div><div><h3>Results</h3><p>Overall, 15 studies (3829 participants) were included. Nine studies were at low risk of bias, and six were at moderate risk of bias. Patient populations included those admitted for trauma or treatment of intracranial aneurysms, ischemic stroke, transient ischemic attack, and intracranial stenosis. Sarcopenia was associated with increased 30-day to 2-year mortality in inpatients and patients undergoing carotid endarterectomy or mechanical thrombectomy for acute ischemic stroke. Sarcopenia was also associated with poorer neurological and functional outcomes, increased likelihood of admission to long-term care facilities, and longer duration of hospital stays. The observed associations of sarcopenia with adverse outcomes remained similar across different imaging modalities and methods for quantifying sarcopenia.</p></div><div><h3>Conclusion</h3><p>CT-assessed sarcopenia was associated with increased mortality and poorer outcomes across diverse patient populations. Measurement and early identification of sarcopenia in vulnerable patients allows for enhanced prognostication, and focused allocation of resources to mitigate adverse outcomes.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"126 ","pages":"Article 105549"},"PeriodicalIF":3.5,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473359","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":"Cross-sectional and longitudinal associations between late-life depressive symptoms and cognitive deficits: 20-year follow-up of the Kuakini Honolulu-Asia aging study","authors":"Kalpana J. Kallianpur ,&nbsp;Hardeep K. Obhi ,&nbsp;Timothy Donlon ,&nbsp;Kamal Masaki ,&nbsp;Bradley Willcox ,&nbsp;Peter Martin","doi":"10.1016/j.archger.2024.105551","DOIUrl":"10.1016/j.archger.2024.105551","url":null,"abstract":"<div><h3>Objective</h3><p>To examine depressed affect, somatic complaints, and positive affect as longitudinal predictors of fluid, crystallized and global cognitive performance in the Kuakini Honolulu-Asia Aging Study (HAAS), a large prospective cohort study of Japanese-American men.</p></div><div><h3>Methods</h3><p>We assessed 3,088 dementia-free Kuakini-HAAS participants aged 71–93 (77.1 ± 4.2) years at baseline (1991–1993). Depressive symptoms were evaluated by the Center for Epidemiologic Studies Depression (CES-D) Scale. Baseline CES-D depression subscales (depressed and positive affects; somatic complaints) were computed. The Cognitive Abilities Screening Instrument (CASI) measured cognitive performance on a 100-point scale; fluid and crystallized cognitive abilities were derived from CASI factor analysis. Cognition was also evaluated at 4 follow-up examinations over a 20-year period. Multiple regression assessed baseline CES-D subscales as predictors of cognitive change. The baseline covariates analyzed were CASI, age, education, prevalent stroke, <em>APOE</em> ε4 presence, and the longevity-associated <em>FOXO3</em> genotype.</p></div><div><h3>Results</h3><p>Cross-sectionally, baseline CES-D subscales were related to cognitive measures; e.g., higher depressed affect was associated with lower crystallized ability (β = −0.058, p ≤ 0.01), and somatic complaints were linked to poorer fluid ability (β = −0.045, p ≤ 0.05) and to worse global cognitive function as measured by total CASI score (β = −0.038, p ≤ 0.05). However, depression subscales did not significantly or consistently predict fluid ability, crystallized ability, or global cognitive performance over time.</p></div><div><h3>Conclusion</h3><p>Psychological and physical well-being were associated with contemporaneous but not subsequent cognitive functioning. Assessment of depressive symptoms may identify individuals who are likely to benefit from interventions to improve mood and somatic health and thereby maintain or enhance cognition.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"127 ","pages":"Article 105551"},"PeriodicalIF":3.5,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539006","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}