Archives of gerontology and geriatrics最新文献

{"title":"Association between oral health and physical frailty in community-dwelling older adults: A systematic review and meta-analysis","authors":"Min Jung Ko ,&nbsp;Seongwoo Seo ,&nbsp;Jong Seob So ,&nbsp;Hoi-In Jung ,&nbsp;Hong-Seop Kho ,&nbsp;Kyung Lhi Kang ,&nbsp;Seung-Ryong Ha ,&nbsp;Nam-Hee Kim ,&nbsp;Jina Lee Linton ,&nbsp;Jeong-Hyun Kang","doi":"10.1016/j.archger.2025.106059","DOIUrl":"10.1016/j.archger.2025.106059","url":null,"abstract":"<div><h3>Objective</h3><div>Oral health and function are increasingly recognized as important determinants of overall health in the older population. This systematic review aimed to synthesize current pieces of evidences on how various oral factors are associated with the onset and progression of physical frailty in community-dwelling older adults.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted using Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library. Studies including community-dwelling adults aged 50 years or older with oral health-related measures and physical frailty were included. Meta-analyses were performed, and sensitivity and subgroup analyses were conducted to validate the findings. The quality of studies was evaluated using the Risk of Bias for Nonrandomized Studies version 2.0. tool.</div></div><div><h3>Results</h3><div>Twenty-five articles involving 63,842 adults were selected. The parameters related to the masticatory and swallowing function and oral dryness demonstrated significant associations with physical frailty. Meta-analyses revealed significant associations of physical frailty with having fewer than 20 teeth (OR 2.62, 95 % CI [1.95–3.53]), subjective swallowing difficulty (OR 2.48, 95 % CI [1.70–3.60]), edentulism (OR 2.04, 95 % CI [1.59–2.61]), subjective masticatory difficulty (OR 2.02, 95 % CI [1.64–2.50]), subjective perception of dry mouth (OR 1.97, 95 % CI [1.61–2.41]), and perceived oral health status (OR 1.66, 95 % CI [1.59–1.73]).</div></div><div><h3>Conclusions</h3><div>This systematic review demonstrated that poor oral health and impaired oral function were significantly associated with physical frailty among older adults. These findings strongly support incorporating oral health screenings into routine geriatric assessments to identify older adults at risk of physical frailty and to inform targeted preventive strategies.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"141 ","pages":"Article 106059"},"PeriodicalIF":3.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415118","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 impact of music therapy on agitation in elderly patients with dementia: A systematic review and meta-analysis","authors":"Jing Hu,&nbsp;Ling Xu","doi":"10.1016/j.archger.2025.106048","DOIUrl":"10.1016/j.archger.2025.106048","url":null,"abstract":"<div><div>Agitation impacts 50 - 80 % of elderly dementia patients, imposing burdens on caregivers and healthcare systems. Pharmacological treatments are limited, whereas non-pharmacological music therapy (MT) holds promise. This study sought to evaluate MT's efficacy in alleviating agitation. A thorough search across multiple databases was carried out, incorporating 14 studies (10 RCTs, 4 pre-post trials; <em>n</em> = 847). Meta-analysis demonstrated that MT significantly reduced agitation with a moderate effect size (<em>d</em> = 0.42). Subgroup analyses yielded consistent findings. Heterogeneity was low, and publication bias was negligible. MT effectively mitigated agitation in dementia patients despite heterogeneity in aspects like music duration and genre, underscoring its generalizability, particularly in resource-constrained areas and households lacking professional nursing support. It offers evidence for integrating MT into patient care. The review was registered on PROSPERO (CRD420251033860).</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"140 ","pages":"Article 106048"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234452","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 interaction between activities of daily living and psychological resilience on all-cause mortality and cognitive impairment among Chinese older adults: A cohort study based on CLHLS","authors":"Yingtian Wang ,&nbsp;Haining Qi ,&nbsp;Xinru Hu ,&nbsp;Qian Yu ,&nbsp;Manshu Yu ,&nbsp;Fan Yang ,&nbsp;Xirui Qiu ,&nbsp;Fangyi Chen ,&nbsp;Ye Ding ,&nbsp;Meng Jiang ,&nbsp;Xiaoxiao Wang ,&nbsp;Li Liu ,&nbsp;Wei Wang","doi":"10.1016/j.archger.2025.106047","DOIUrl":"10.1016/j.archger.2025.106047","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the joint effects and interactions of psychological resilience (PR) and activities of daily living (ADL) on cognitive impairment and all-cause mortality.</div></div><div><h3>Methods</h3><div>Chinese older adults were recruited from the Chinese Longitudinal Healthy Longevity Survey. Cox proportional hazards regression and log-binomial regression were employed to estimate the associations between exposures and all-cause mortality and cognitive impairment (defined as MMSE score &lt;18 or self-reported dementia). Interactions were test on the basis of multivariable regressions.</div></div><div><h3>Results</h3><div>Compared to participants with normal ADL and high PR (Group 1), participants with limited ADL and high PR (Group 3, HR = 2.105; 95 % CI: 1.656, 2.676) and those with limited ADL and low PR (Group 4, HR = 3.076; 95 % CI: 2.436, 3.884) showed significantly increased risks of all-cause mortality. Moreover, the synergistic interactions between ADL and PR for all-cause mortality were evidenced by relative excess risk due to interaction (RERI = 0.824; 95 % CI: 0.363, 1.286), attributable proportion due to interaction (AP = 0.268; 95 % CI: 0.121, 0.415) and synergy index (SI = 1.659; 95 % CI: 1.134, 2.426). Regarding cognitive impairment, compared to Group 1, Group 3 (RR = 1.662; 95 % CI: 1.073, 2.576) and Group 4 (RR = 2.138; 95 % CI: 1.399, 3.8) exhibited increased risks. Additionally, subgroup analysis showed additive interaction for cognitive impairment was significant only in males.</div></div><div><h3>Conclusions</h3><div>Limited ADL and low PR jointly increase the risks of cognitive impairment and all-cause mortality in Chinese older adults, with a synergistic additive interaction observed for all-cause mortality.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"140 ","pages":"Article 106047"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245255","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 leisure-time physical activities on bone mineral density in postmenopausal women: Systematic review and meta-analysis","authors":"Anıl Siyahtaş ,&nbsp;Elif Ünlügedik Sayın ,&nbsp;Döndü Kurnaz","doi":"10.1016/j.archger.2025.106054","DOIUrl":"10.1016/j.archger.2025.106054","url":null,"abstract":"<div><div>The aim of this systematic review and meta-analysis was to evaluate the impact of leisure-time physical activity (LTPA) on bone mineral density (BMD) in postmenopausal women. The protocol was developed according to PRISMA guidelines and registered in PROSPERO. Searches were conducted from January to February 2025 across PubMed, The Cochrane Library, EBSCO, Web of Science, PsycINFO, Scopus, National Thesis Center, TR Index, and Turkiye Clinics search engines. The methodological quality of the studies was assessed using the RoB-2 tool. Data were pooled through meta-analysis, and certainty of evidence was appraised using GRADE. 13 findings of 12 studies with a total sample size of 9836 were included in the meta-analysis. BMD across multiple anatomical sites remained stable in intervention groups, but declined in controls, although differences were not statistically significant (<em>p</em> &gt; 0.05). Subgroup analyses suggested varying effectiveness by activity type, ranking them as follows: Structured physical activity modalities &gt; Tai Chi &gt; Pilates ≈ Handball &gt; Step/Dance. Intervention duration appeared most favorable at 6 months, followed by 3, 12, and 9 months. LTPA does not significantly increase BMD overall in postmenopausal women, yet may help maintain bone mass and exert localized benefits depending on activity type and duration. These findings underscore the potential role of structured exercise in mitigating age-related bone loss, although further high-quality trials are warranted.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"140 ","pages":"Article 106054"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350491","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":"Normative reference values for the six-minute walk test in older adults: A systematic review and meta-analysis","authors":"Khadijeh Otadi,&nbsp;Kazem Malmir","doi":"10.1016/j.archger.2025.106026","DOIUrl":"10.1016/j.archger.2025.106026","url":null,"abstract":"<div><h3>Background</h3><div>The six-minute walk test (6MWT) is widely used to assess functional capacity in older adults, but performance differs by various factors. This review compiled 6MWT reference values and identified key predictors of performance.</div></div><div><h3>Methods</h3><div>Studies on average 6MWT distances in older adults were found through PubMed, Scopus, Web of Science, Ovid, and PEDro, with no date limits. Participant data were summarized using descriptive statistics. A random-effects meta-analysis combined mean distances, with heterogeneity assessed using Cochran's Q test and I² statistics. Subgroup analyses examined variations by age, gender, BMI, height, and region, while regression analyses identified predictors of 6MWT performance.</div></div><div><h3>Results</h3><div>Of 72 studies, 28 were included in the meta-analysis. Men walked farther (473.11 m) than women (428.35 m). Distance declined with age, from 587.43 m (age 60–64) to 325.53 m (age ≥80). Overweight participants walked more (461.24 m) than those with normal BMI (425.33 m). By region, Oceania showed the highest distance (485.42 m), followed by Europe, the Americas, and Asia. Meta-regression showed distance decreased by 10.25 m per year of age and increased by 4.44 m per kg of weight. Gender, BMI, and height were not significant predictors.</div></div><div><h3>Conclusions</h3><div>The 6MWT remains a valuable tool for assessing functional capacity in older adults. Age and weight were the most significant predictors of 6MWT performance, with distance decreasing markedly with age and increasing with body weight. Regional factors also influenced outcomes, while gender, BMI, and body height had less impact. Clinicians should use age-adjusted evaluations and promote weight management strategies to preserve mobility in older adults.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"140 ","pages":"Article 106026"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202311","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":"Evidence for health promotion interventions to improve cognitive and physical functioning outcomes in older adults with MCI: A state-of-the-art review","authors":"Tasmin Alanna Rookes ,&nbsp;Rachael Frost ,&nbsp;Louise Marston ,&nbsp;Megan Armstrong ,&nbsp;Yolanda Barrado-Martin ,&nbsp;Kate Walters","doi":"10.1016/j.archger.2025.106049","DOIUrl":"10.1016/j.archger.2025.106049","url":null,"abstract":"<div><h3>Background</h3><div>Health promotion activities for people with mild cognitive impairment (MCI) may improve their overall health and prevent progression to dementia. We need to understand the best approaches to behaviour change in this population.</div></div><div><h3>Aim</h3><div>To summarise the types of health promotion interventions and current clinical effectiveness evidence for physical and cognitive functioning outcomes in people with MCI.</div></div><div><h3>Design</h3><div>State-of-the art review</div></div><div><h3>Method</h3><div>Medline was searched in April 2025, for systematic reviews synthesising randomised controlled trials testing effectiveness of health promotion interventions in older adults with MCI, published since 2015. Abstracts, titles, and full texts were single screened and, for eligible reviews, the characteristics, intervention type, primary outcome, and evidence for people with MCI, were extracted. Key messages were narratively synthesised across reviews, grouping by type of intervention and outcome measure.</div></div><div><h3>Results</h3><div>From 1776 titles and abstracts, 57 systematic reviews were eligible. Regular moderate intensity multicomponent physical exercise and memory-focussed cognitive training interventions had the strongest evidence base for improving cognitive functioning. However, combining physical exercise and cognitive training was more beneficial for cognitive domains and physical functioning, in comparison to doing them individually. The evidence for nutrition interventions was mixed. One review of psychological interventions showed improvements for wellbeing.</div></div><div><h3>Conclusion</h3><div>There is evidence that health promotion interventions can support people with MCI and dementia to improve or maintain their cognitive function, through multicomponent physical activity combined with cognitive training. More evidence is needed for nutritional recommendations, psychological interventions, and social inclusion interventions.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"140 ","pages":"Article 106049"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246088","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":"Longitudinal bidirectional dynamic association between handgrip strength and cognitive function in Chinese older adults: a cross-lag modeling study","authors":"Xuan Zhang,&nbsp;Chenxiao Jia,&nbsp;Haixia Hao,&nbsp;Yurong Liu,&nbsp;Wenli Lu,&nbsp;Yuan Wang","doi":"10.1016/j.archger.2025.106052","DOIUrl":"10.1016/j.archger.2025.106052","url":null,"abstract":"<div><h3>Objective</h3><div>This study examined the bidirectional dynamic relationship between handgrip strength and cognitive function and the influence of gender and age differences among Chinese adults aged 60 and above.</div></div><div><h3>Method</h3><div>Data were derived from the 2013–2015 waves of the China Health and Retirement Longitudinal Study (CHARLS), including 4533 older adults. Cross-lagged panel models were used to analyze the temporal relationship between handgrip strength and cognitive function. Covariates covered sociodemographic characteristics, lifestyle factors, and health indicators. Data analysis was performed using SAS 9.4 and R 4.4.1.</div></div><div><h3>Results</h3><div>During the 2-year follow-up, both handgrip strength and cognitive function showed declining trends in older adults. Cross-lagged analysis revealed that baseline handgrip strength positively predicted follow-up cognitive function (<em>P</em> &lt; 0.001), indicating that individuals with greater baseline grip strength maintained better cognitive performance. Conversely, baseline cognitive function also positively predicted follow-up handgrip strength (<em>P</em> &lt; 0.001).These bidirectional associations exhibited gender differences: the predictive effect of handgrip strength on cognition was stronger in males (<em>P</em> &lt; 0.001), whereas the effect of cognition on handgrip strength was more pronounced in females (<em>P</em> &lt; 0.001). Age-stratified analysis demonstrated that the association between handgrip strength and cognition was strongest in the 70–79 age group (<em>P</em> &lt; 0.001). However, this relationship weakened in adults aged 80 and above, potentially due to compensatory mechanisms or external environmental support.</div></div><div><h3>Conclusion</h3><div>A bidirectional muscle-cognition association exists in older adults, supporting the incorporation of handgrip strength testing into cognitive screening. Gender- and age-specific interventions should prioritize rural populations with low education and high-risk individuals aged 70–79 years. These findings provide a scientific basis for preventing cognitive decline in aging populations.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"140 ","pages":"Article 106052"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310328","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 effectiveness of cognitive behavioral therapy on loneliness among older adults: A systematic review and meta-analysis","authors":"Taiyuan Luan ,&nbsp;Yue Wang ,&nbsp;Bing Li ,&nbsp;Rixin Qin ,&nbsp;Zhong Li ,&nbsp;Xuexue Lei ,&nbsp;Haiyan Guo","doi":"10.1016/j.archger.2025.106053","DOIUrl":"10.1016/j.archger.2025.106053","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the efficacy of Cognitive Behavioral Therapy (CBT) on improving loneliness among older adults.</div></div><div><h3>Design</h3><div>A systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across 10 electronic databases from their inception to June 21, 2025, to identify eligible randomized controlled trials (RCTs). Studies included older adult participants aged 60 years or above. Two reviewers independently performed the screening process, data extraction, and quality assessment of the selected studies. All statistical analyses were carried out using Stata version 18.0.</div></div><div><h3>Results</h3><div>Eight RCTs involving 720 participants were included. Pooled analysis revealed a significant and large effect of CBT on improving loneliness among older adults (<em>SMD</em> = -1.00, <em>95 % CI</em>, -1.59 to -0.42, <em>p</em> &lt; 0.001; low-quality evidence), though substantial heterogeneity was present (<em>I²</em> = 90.5 %). Subgroup analyses indicated that shorter intervention duration (≤12 weeks) (<em>SMD</em> = -1.41, <em>95 % CI</em>: -2.51 to -0.32, <em>p</em> = 0.011), group-based format (<em>SMD</em> = -1.49, <em>95 % CI</em>: -2.63 to -0.36, <em>p</em> = 0.010), and online delivery (<em>SMD</em> = -1.51, <em>95 % CI</em>: -3.93 to 0.92, <em>p</em> = 0.233) may enhance intervention effectiveness. Subgroup analyses also revealed differences across settings. CBT interventions were effective among community-dwelling older adults (<em>SMD</em> = -0.91, <em>95 % CI</em>: -1.46 to -0.35, <em>p</em> = 0.001), whereas no significant effect was observed among institution-dwelling populations.</div></div><div><h3>Conclusion</h3><div>CBT was associated with improvements on loneliness among older adults. However, given the substantial heterogeneity observed across studies, these pooled estimates should be interpreted as exploratory rather than definitive. Subgroup findings suggest that intervention format, intervention duration, delivery modality and settings may influence outcomes. Further well-designed rcts are needed to confirm the effectiveness.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"140 ","pages":"Article 106053"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310321","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 effectiveness of artificial agents on loneliness reduction in older adults: a systematic review and meta-analysis","authors":"Zhengke Fu ,&nbsp;Mengsi Yan ,&nbsp;Xuefeng Han ,&nbsp;Kaixuan Zhang ,&nbsp;Xianghong Zhao","doi":"10.1016/j.archger.2025.106056","DOIUrl":"10.1016/j.archger.2025.106056","url":null,"abstract":"<div><div>This meta-analysis reviewed studies comparing loneliness of older adults receiving artificial agent interventions with those not receiving them, to evaluate this treatment’s efficacy in alleviating loneliness and other mental health problems among older people; and assess factors that moderate intervention effectiveness. Eligible studies were identified by a systematic search of PubMed, the Cochrane Central Register of Controlled Trials, EMBASE, CINAHL (EBSCO), PsycINFO (EBSCO), CNKI, Wanfang, Weipu, SinoMed, and ClinicalTrials.gov. Standardized mean differences with 95 % confidence intervals were extracted and pooled. Meta-regression and subgroup analysis determined the influence of trial characteristics. A total of 16 studies with 781 participants were included. Artificial agent treatment may significantly reduce loneliness in older adults, with acceptable heterogeneity (SMD= -0.69 [95 % CI, -0.89 to -0.40]; <em>p</em>=.000; I²=64.51 %). Artificial agents reduced loneliness more markedly for participants dwelling in non-community-based settings (<em>p</em>=.016). Social robots reduced loneliness more effectively than app/web-based agents (<em>p</em>=.033). Animal-shaped artificial agents had a significantly larger effect size than humanoid agents on loneliness reduction (<em>p</em>=.016). Longer session duration (<em>p</em>=.005), fewer weekly sessions (<em>p</em>=.000), and shorter session times (<em>p</em>=.005) produced greater loneliness reduction. Artificial agents had a significant effect on depression (SMD=-0.42, [95 % CI -0.72 to -0.12], <em>P</em>=.01), but no significant effects on quality of life or happiness (SMD=0.24, [95 % CI -1.0 to 0.58], <em>P</em>=.16 and SMD=0.63, [95 % CI -1.09 to 2.35], <em>P</em>=.47, respectively). Findings suggested artificial agents may alleviate loneliness in older adults. Treatment effectiveness may be moderated by participants’ settings, session length, treatment duration, sessions per week, agent delivery platform, and agent type.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"140 ","pages":"Article 106056"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350508","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":"Effects of dual-task prioritization training on dual-task walking in older people: A single-blinded randomized controlled trial","authors":"Wei-Chen Chen ,&nbsp;Yea-Ru Yang ,&nbsp;Ching-Ya Chiu ,&nbsp;Ray-Yau Wang","doi":"10.1016/j.archger.2025.106050","DOIUrl":"10.1016/j.archger.2025.106050","url":null,"abstract":"<div><h3>Objective</h3><div>Dual-task walking (DTW) performance is commonly reduced in older adults and is associated with a higher risk of falls. While dual-task deficits have been documented, it remains unclear how different task prioritization strategies during training influence DTW outcomes. This study compared effects of posture-first (PF), supraposture-first (SF), and conventional training on DTW performance in older adults.</div></div><div><h3>Methods</h3><div>A three-arm randomized, single-blind controlled study was conducted. Thirty-nine community-dwelling older adults were randomly assigned to PF, SF, or control groups to receive 12-session of cognitive-motor dual-task training with distinct task prioritization instructions. Cognitive and motor DTW performance, Trail Making Test Part B, Berg Balance Scale, single-task walking performance, and secondary task performance were assessed pre- and post-intervention.</div></div><div><h3>Results</h3><div>The PF group showed significant improvements in both cognitive and motor DTW performance, including speed (cognitive: <em>p</em> = 0.001, motor: <em>p</em> = 0.008), cadence (<em>p</em> &lt; 0.001), and dual-task cost (DTC-speed) (<em>p</em> &lt; 0.001). Compared to the SF and control groups, the PF group showed greater improvements in stride length (<em>p</em> = 0.009 vs. SF; <em>p</em> = 0.001 vs. control) and DTC (<em>p</em> = 0.025 vs. SF; <em>p</em> = 0.005 vs. control) during cognitive DTW. During motor DTW, improvements in speed (<em>p</em> = 0.008), cadence (<em>p</em> = 0.016), and DTC (<em>p</em> = 0.049) were also greater than in the SF group.</div></div><div><h3>Conclusions</h3><div>Posture-first strategy during training enhances cognitive and motor DTW performance more effectively than other approaches. These findings support its implementation to improve functional mobility and dual-task coordination in older adults.</div></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"140 ","pages":"Article 106050"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145325081","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}