Archives of gerontology and geriatrics最新文献

{"title":"Prognostic accuracy of eight frailty instruments for all-cause mortality in Australian primary care","authors":"R.C Ambagtsheer ,&nbsp;J Beilby ,&nbsp;R Visvanathan ,&nbsp;M.Q Thompson ,&nbsp;E Dent","doi":"10.1016/j.archger.2024.105625","DOIUrl":"10.1016/j.archger.2024.105625","url":null,"abstract":"<div><h3>Aim</h3><p>To investigate the ability of eight frailty instruments to accurately predict all-cause mortality and other adverse outcomes in Australian primary care patients.</p></div><div><h3>Methods</h3><p>Study participants included adults aged ≥75 years attending one of three primary care clinics in South Australia. Frailty instruments studied were Fried's frailty phenotype (FFP), the Frailty Index (FI) of cumulative deficits, Kihon Checklist (KCL), the Fatigue Resistance Ambulation Illness and Loss of weight (FRAIL) scale, Groningen Frailty Indicator (GFI), PRISMA-7, Reported Edmonton Frail Scale (REFS), and gait speed. Primary outcomes were all-cause mortality at 12- and 24-months. Secondary outcomes included falls, general practice attendance, hospital admission and emergency department (ED) presentation at 12-months.</p></div><div><h3>Results</h3><p>243 participants (55.6 % female) with a mean (SD) age of 80.2 (4.6) years were included. 29 participants (16.6 %) were classified as frail at baseline by FFP. All frailty instruments demonstrated a significant ability to predict 12- and 24-month mortality. The REFS showed the highest _auROC for both 12- and 24-month mortality. The REFS, Frailty Index, Kihon Checklist, FRAIL scale, and gait speed showed excellent discriminative ability for 12-month mortality (auROC ≥ 0.8 - &gt;0.9), while the remainder showed acceptable discrimination. All frailty instruments, with the exception of the GFI, showed an excellent discriminative ability for 24-month mortality (_auROC 0.8-&lt;0.9).</p></div><div><h3>Conclusions</h3><p>All frailty instruments possessed adequate discriminative ability for all-cause mortality predicting in older primary care patients. Frailty measurement is thus a valuable strategy to identify older patients at risk of mortality and can guide clinical decision-making in primary care settings.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"128 ","pages":"Article 105625"},"PeriodicalIF":3.5,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167494324003017/pdfft?md5=167e87ea8ecaf5b7656f90e37d543838&pid=1-s2.0-S0167494324003017-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142173484","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":"Prediction of cognitive impairment among Medicare beneficiaries using a machine learning approach","authors":"Zongliang Yue,&nbsp;Sara Jaradat,&nbsp;Jingjing Qian","doi":"10.1016/j.archger.2024.105623","DOIUrl":"10.1016/j.archger.2024.105623","url":null,"abstract":"<div><h3>Objective</h3><p>Developing machine learning (ML) models to predict cognitive impairment among Medicare beneficiaries in the United States.</p></div><div><h3>Methods</h3><p>This retrospective study used the 2016–2019 Medicare Current Beneficiary Survey Cost and Use and Survey Public Use Files. Medicare beneficiaries aged 65 and older (n=4,965) with at least two consecutive years’ data were included. Cognitive impairment was categorized into three stages: severe, moderate, and none based on self-reported data. Baseline year’s demographic, socioeconomic factors, self-reported functional limitations, health status and comorbidities, number of concurrent medications, level of social engagement, behavioral variables, and satisfaction of medical care’s quality were features assessed in ML algorithms to predict next years’ cognitive function. ML models in six major categories were developed, tested, and compared (accuracy, AUC, and F1 score) using Python version 3.11. The importance of features was evaluated using the total reduction of the Gini. A subgroup analysis was conducted among beneficiaries who were 80 years and older.</p></div><div><h3>Results</h3><p>Approximately 11.1% of beneficiaries aged ≥ 65 had moderate or severe cognitive function impairment. Baseline cognitive function was the most significant predictor for next year’s cognitive function impairment, followed by baseline IADL, level of social activities, ADL, general health status, income, age, education, region of residence, and body mass index. Beneficiaries 80 years and older had satisfaction of medical care’s quality among the top 10 most significant predictors.</p></div><div><h3>Conclusions</h3><p>Older adults’ baseline cognitive function and IADL were top two predictors of cognitive function impairment. Clinicians should regularly screen and monitor older adults’ cognitive and daily function.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"128 ","pages":"Article 105623"},"PeriodicalIF":3.5,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167494324002991/pdfft?md5=0db126249f110346935bd40c5816e9e5&pid=1-s2.0-S0167494324002991-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164216","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":"The correlation between frailty trajectories and adverse outcomes in older patients: A systematic review","authors":"Wen Zhang ,&nbsp;Li Zhou ,&nbsp;Yutong Zhou ,&nbsp;Yao Chen ,&nbsp;Keyi She ,&nbsp;Hongtao Zhang ,&nbsp;Yue Gao ,&nbsp;Dandan Jiang ,&nbsp;Xinhong Yin","doi":"10.1016/j.archger.2024.105622","DOIUrl":"10.1016/j.archger.2024.105622","url":null,"abstract":"<div><h3>Introduction</h3><p>Frailty is a geriatric syndrome that is highly susceptible to adverse health outcomes and is a major burden that exacerbates society's medical care. By investigating the frailty trajectory within the older demographic and initially recognizing its clinical outcomes, we will have more tactics to manage the at-risk population.</p></div><div><h3>Methods</h3><p>We executed a systematic review of trajectory studies elucidating the connection between frailty and adverse outcomes among older individuals (≥ 65 years) and explored articles published in English and Chinese from the inception of the database until Jun 30, 2024, in PubMed, Web of Science, Embase, The Cochrane Library, CINAHL, Scopus, CNKI, China Online Journals, VIP Information, and SinoMed.</p></div><div><h3>Results</h3><p>The database survey unearthed 3522 articles, of which 21 were deemed eligible. The majority incorporated distinct assessment tools and statistical methodologies to classify frailty trajectories into three groups. Although these frailty trajectories produced inconsistent clinical outcomes, they did reveal trends in the frailty status of older adults.</p></div><div><h3>Conclusion</h3><p>The link between frailty trajectories and adverse outcome is a multifaceted and complex process that is currently understudied. More comprehensive and in-depth longitudinal studies should be conducted to explore the mechanism of interaction between the two to obstruct the progression of the frailty trajectory and bolster support for interventions.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"128 ","pages":"Article 105622"},"PeriodicalIF":3.5,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S016749432400298X/pdfft?md5=4283bbe82a24b4f95435f5dc5fe9536a&pid=1-s2.0-S016749432400298X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142168750","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":"Factors associated with cognitive impairment in patients with atrial fibrillation: A systematic review and meta-analysis","authors":"Ziling Feng ,&nbsp;Wenqi Liu ,&nbsp;Yamin Liu ,&nbsp;Wenyan Zhang ,&nbsp;Ni Xiong ,&nbsp;Wenhang Chen ,&nbsp;Jianzhou Yang ,&nbsp;Xinyin Wu ,&nbsp;Wenjie Dai","doi":"10.1016/j.archger.2024.105619","DOIUrl":"10.1016/j.archger.2024.105619","url":null,"abstract":"<div><h3>Background</h3><p>Atrial fibrillation (AF) is associated with an increased risk of cognitive impairment. Therefore, exploring factors which may be associated with cognitive impairment is important. Correspondingly, this study aimed to systematically evaluate factors associated with cognitive impairment in AF patients by synthesizing relevant evidence.</p></div><div><h3>Methods</h3><p>A database search of the PubMed, Embase, Cochrane Library, Web of Science, CBM, CNKI, Wanfang, and VIP databases was conducted from inception until December 21, 2023. The effect size was expressed as a combined odds ratio (OR) and 95 % confidence interval (95 % CI). The heterogeneity was qualitatively analyzed by Cochran's Q test and quantified by the <em>I²</em> statistic.</p></div><div><h3>Results</h3><p>A total of 7,128 studies were identified from the 8 databases, and 39 studies of 3,491,423 participants were included. A meta-analysis was performed on 19 influencing factors. Advanced age (OR=1.38, 95 % CI: 1.11–1.71), female sex (OR=2.19, 95 % CI: 1.18–4.06), smoking (OR=2.44, 95 % CI: 1.24–4.80), hypertension (OR=1.61, 95 % CI: 1.27–2.03), diabetes (OR=1.42, 95 % CI: 1.20–1.67), and hearing impairment (OR=1.37, 95 % CI: 1.05–1.81) were risk factors for cognitive impairment. A higher education level (OR=0.57, 95 % CI: 0.46–0.72), oral anticoagulants (OR=0.61, 95 % CI: 0.48–0.78), novel oral anticoagulants (OR=0.63, 95 % CI: 0.54–0.73), warfarin (OR=0.55, 95 % CI: 0.39–0.79), novel oral anticoagulants relative to warfarin (OR=0.88, 95 % CI: 0.81–0.97), catheter ablation (OR=0.74, 95 % CI: 0.58–0.94) and exercise (OR=0.66, 95 % CI: 0.61–0.72) were protective factors for cognitive impairment.</p></div><div><h3>Conclusions</h3><p>Age, sex, education level, smoking, exercise, hypertension, diabetes, hearing impairment, anticoagulation therapy, and catheter ablation were associated with cognitive impairment in AF patients.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"128 ","pages":"Article 105619"},"PeriodicalIF":3.5,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167494324002954/pdfft?md5=44308fad0e31191e0fdd90ed8ae4eda2&pid=1-s2.0-S0167494324002954-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142147061","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":"Trends, transitions and patterning in social activity over time among aging women and men: A secondary analysis of the Canadian Longitudinal Study on Aging (CLSA)","authors":"Gilciane Ceolin ,&nbsp;Gerry Veenstra ,&nbsp;Sanaz Mehranfar ,&nbsp;Rana Madani Civi ,&nbsp;Nadia A. Khan ,&nbsp;Annalijn I. Conklin","doi":"10.1016/j.archger.2024.105618","DOIUrl":"10.1016/j.archger.2024.105618","url":null,"abstract":"<div><p>Social isolation matters for health and longevity, but little research examines transitions into or out of social isolation or whether transitions are gendered or socially patterned. We described gender-specific trends in breadth and lack of social participation over 6 years overall and by age, country of origin, geographic location, education, wealth, and household income. We used three waves of CLSA data to evaluate changes in social isolation (0–1 activities) and broad social participation (5+ activities) in adults aged 45–75 (<em>n</em> = 24,788), by gender and socio-demographics, in linear and multinomial logistic regressions with post-estimated predicted probabilities. The number of social activities decreased over time, with greater declines for women. About half the sample (more men than women) stayed not highly socially active (&lt;5 activities) and almost 1 in 5 became not highly socially active. Most adults (77 %) remained not socially isolated and 14 % became or remained socially isolated. Women were more likely than men to remain not highly socially active and less likely to have multiple social isolation transitions. Broad social participation changed over time for several subgroups of women and men, with gender differences notable for income levels. Social disparities in social isolation transitions differed by gender only for education. Older age and socioeconomically disadvantaged adults had higher probabilities of becoming socially isolated or becoming less socially active. Findings indicated the diversity of social activities declined as Canadians age into later life and transitions in both social isolation and social participation differed between genders, especially for specific vulnerable subpopulations.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"128 ","pages":"Article 105618"},"PeriodicalIF":3.5,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167494324002942/pdfft?md5=a2c3d77a8d5426236bebbce65c5d9dd7&pid=1-s2.0-S0167494324002942-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164244","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":"Food insecurity and body mass index among older people: A systematic review and meta-analysis","authors":"Vincenza Gianfredi ,&nbsp;Daniele Nucci ,&nbsp;Roberta Lattanzio ,&nbsp;Sara Piccinelli ,&nbsp;Giovanni Cicconi ,&nbsp;Sheila Jackeline Santisteban Farfan ,&nbsp;Alessandro Berti ,&nbsp;Marilena D'Amico ,&nbsp;Noemi Sabatelli ,&nbsp;Fabio Guzzardi ,&nbsp;Laura Bronzini ,&nbsp;Fabrizio Ernesto Pregliasco ,&nbsp;Stefania Maggi ,&nbsp;Nicola Veronese ,&nbsp;Pinar Soysal","doi":"10.1016/j.archger.2024.105606","DOIUrl":"10.1016/j.archger.2024.105606","url":null,"abstract":"<div><p>Food insecurity, characterized by inadequate access to sufficient and nutritious food, poses a significant challenge to the health and well-being of older adults. This systematic review and meta-analysis was aimed to examine the association between food insecurity and body mass index (BMI) in older people, i.e., aging 60 and above. PRISMA 2020 guidelines were followed. The protocol was registered in PROSPERO in advance (ID CRD 42024543271). PubMed/MEDLINE, and Scopus were searched up to February 2024. Out of 5834 retrieved article, a total of 13 studies met the inclusion criteria, encompassing diverse geographic regions and socioeconomic contexts. The meta-analysis revealed a significant association between food insecurity and higher BMI (both obesity and overweight) in older adults. Pooled estimates indicated that food-insecure older individuals were more likely to be overweight or obese (combined) compared to their food-secure counterparts [OR= 1.29 (95% CI= 1.28-1.30), p&lt;0.001; I²= 94.92]. Results were also confirmed for overweight or obesity alone. Notably, food insecurity was linked to increased consumption of energy-dense, nutrient-poor foods, contributing to higher BMI. These findings underscore the complex relationship between food insecurity and BMI among older adults, emphasizing the need for targeted interventions to address food access and nutritional quality.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"128 ","pages":"Article 105606"},"PeriodicalIF":3.5,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167494324002826/pdfft?md5=ec5e843085c032f5f7e5168cba1634fc&pid=1-s2.0-S0167494324002826-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142098876","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":"Role of α-amino-3‑hydroxy-5-methyl-4-isoxazolepropionic acid receptors and the antagonist perampanel in geriatric epilepsy and status epilepticus","authors":"Yi-Te Huang ,&nbsp;Tzu-Hsin Huang ,&nbsp;Yu-Shiue Chen ,&nbsp;Ya-Jhen Li ,&nbsp;Chin-Wei Huang","doi":"10.1016/j.archger.2024.105605","DOIUrl":"10.1016/j.archger.2024.105605","url":null,"abstract":"<div><p>The α-amino-3‑hydroxy-5-methyl-4-isoxazolepropionic acid receptor (AMPAR) is an ionotropic glutamate receptor recognized for its active involvement in epilepsy. Through AMPAR functional alterations, multiple factors contribute to the increased susceptibility to seizures in the geriatric population. These factors include changes in the hippocampus, neuroinflammation, ischemic insults, amyloid deposition, previous seizures, alterations in the microenvironment, and neurovascular unit dysfunction. Perampanel, a noncompetitive AMPAR antagonist, has been approved for the treatment of focal and generalized epilepsy. However, a complete understanding of AMPAR's role in epileptogenesis and the pharmacotherapy of perampanel in the geriatric population remains elusive. To address this gap, we conducted a comprehensive literature review, screening 1557 articles and ultimately selecting 94 relevant ones. We provided insights into AMPAR functionality changes and perampanel's role in treating geriatric epilepsy. Various clinical trials and retrospective studies have demonstrated that the safety and efficacy of perampanel in the older population are comparable to those in the younger population, with overall good tolerability. It is also effective for treating focal and generalized onset seizures and possibly for managing status epilepticus. In conclusion, the existing body of evidence supports the safety and efficacy of perampanel in the geriatric population, indicating its potential as a valuable therapeutic option for focal and generalized epilepsy. Additional research is warranted to deepen our understanding of AMPAR's involvement in epileptogenesis and to refine the pharmacotherapeutic nuances in this specific demographic.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"128 ","pages":"Article 105605"},"PeriodicalIF":3.5,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167494324002814/pdfft?md5=160fe69a64ff53fb070576c50a7afafa&pid=1-s2.0-S0167494324002814-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142099532","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":"Prevalence of successful aging in older adults: A systematic review and meta-analysis","authors":"Yue Zhou,&nbsp;Yujian Sun,&nbsp;Yufan Pan,&nbsp;Yu Dai,&nbsp;Yi Xiao,&nbsp;Yufeng Yu","doi":"10.1016/j.archger.2024.105604","DOIUrl":"10.1016/j.archger.2024.105604","url":null,"abstract":"<div><h3>Background</h3><p>Successful aging (SA) describes the multidimensional aspects of achieving optimal physical and mental health and social well-being combinations in old age. Recent years have seen increasing interest in understanding SA prevalence. This study systematically evaluates the current state of SA globally, defined as multidimensional outcomes.</p></div><div><h3>Objective</h3><p>To systematically evaluate the global prevalence of SA in older adults.</p></div><div><h3>Methods</h3><p>We searched PubMed, Embase, Web of Science, Cochrane Library, China Biomedical Database, China National Knowledge Infrastructure, Wanfang Data Knowledge Service Platform, and Weipu Database from inception to February 14, 2024. Two researchers independently conducted literature screening, data extraction, and quality evaluation. Meta-analysis was performed using Stata 16.0.</p></div><div><h3>Results</h3><p>Thirty studies comprising 250,460 older adults were included. Meta-analysis showed the overall global prevalence of SA was 24.0 % [95 % CI (20.7 %, 27.3 %)]. Prevalence rates were 25.1 % in Asia, 21.5 % in Europe, 20.6 % in the Americas; 16.8 % in developed and 27.1 % in developing countries. Subgroup analyses indicated higher SA rates among male older adults, married/cohabiting, living in urban areas, and having higher education levels.</p></div><div><h3>Conclusions</h3><p>The global prevalence of SA among older adults is low, with variations across age groups, regions, and education levels. Due to the limitations of the included studies, further high-quality research is needed to validate these findings.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"128 ","pages":"Article 105604"},"PeriodicalIF":3.5,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167494324002802/pdfft?md5=c77e9026d7186ce7a5b1d6270f45dd84&pid=1-s2.0-S0167494324002802-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142049602","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":"Gerascophobia or Excessive Fear of Aging Scale (GEFAS): Development, validation, and exploration of psychometric properties of a brief instrument using classical testing theory and item response theory","authors":"Waqar Husain ,&nbsp;Farrukh Ijaz ,&nbsp;Muhammad Ahmad Husain ,&nbsp;Ammar Achraf ,&nbsp;Hasan M. Isa ,&nbsp;Khaled Trabelsi ,&nbsp;Seithikurippu R. Pandi-Perumal ,&nbsp;Amir H. Pakpour ,&nbsp;Haitham Jahrami","doi":"10.1016/j.archger.2024.105599","DOIUrl":"10.1016/j.archger.2024.105599","url":null,"abstract":"<div><h3>Background</h3><p>Gerascophobia, or excessive fear of aging, is thought to be caused by a mixture of cognitive, experiential, and physiological factors acting on a person at particular time points. Measurement tools for evaluating geraschophobia remain insufficiently developed, despite this commonplace fear's distress.</p></div><div><h3>Objective</h3><p>The objective of the current study was to develop and validate the Gerascophobia or Excessive Fear of Aging Scale (GEFAS) and analyze its psychometric properties.</p></div><div><h3>Methods</h3><p>Three successive investigations were carried out with a total of 1594 participants. Exploratory and confirmatory factor analyses were conducted to evaluate the construct validity of the GEFAS. Convergent and discriminant validity was assessed by examining relationships with measures of depression, anxiety, stress, death anxiety, psychosocial illness, and life satisfaction. Multiple linear regression was used to investigate factors that predict fear of aging.</p></div><div><h3>Results</h3><p>The GEFAS demonstrated high reliability (Cronbach alpha &gt;0.8). Factor analysis supported a single-factor solution for the scale (fitness indices CFI, TLI, NNFI, NFI, RFI, and MFI all &gt; 0.95; RMSEA=0.06. Significant positive correlations were found between fear of aging and depression (<em>r</em> = 0.270; <em>p</em> &lt; 0.01), anxiety (<em>r</em> = 0.311; <em>p</em> &lt; 0.01), stress (<em>r</em> = 0.285; <em>p</em> &lt; 0.01), death anxiety (<em>r</em> = 0.600; <em>p</em> &lt; 0.01), and psychosocial illness (<em>r</em> = 0.243; <em>p</em> &lt; 0.01). A significant inverse correlation was observed with life satisfaction. Gender differences were also noted, with women exhibiting greater fear of aging than men (<em>p</em> &lt; 0.01; <em>d</em> = 0.488).</p></div><div><h3>Conclusion</h3><p>The GEFAS fills a significant gap in the psychological/psychiatric literature as a useful tool for evaluating the fear of aging. The study concludes that the excessive fear of aging contributes to poor mental health.</p></div>","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"128 ","pages":"Article 105599"},"PeriodicalIF":3.5,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167494324002759/pdfft?md5=db4925f85744c9c8c27918ca9bf505b1&pid=1-s2.0-S0167494324002759-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142013076","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":"Empowering older adults on the digital pathways to healthy aging","authors":"Liang-Kung Chen","doi":"10.1016/j.archger.2024.105603","DOIUrl":"10.1016/j.archger.2024.105603","url":null,"abstract":"","PeriodicalId":8306,"journal":{"name":"Archives of gerontology and geriatrics","volume":"127 ","pages":"Article 105603"},"PeriodicalIF":3.5,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019868","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}