BMC Geriatrics最新文献

{"title":"What neighborhood environment configuration can alleviate depressive symptoms in older adults: a fuzzy-set qualitative comparative analysis.","authors":"Yan Nan, Tingshuai Ge, Quanbao Jiang","doi":"10.1186/s12877-025-06193-0","DOIUrl":"https://doi.org/10.1186/s12877-025-06193-0","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"546"},"PeriodicalIF":3.4,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The future of artificial intelligence in gerontological nursing in Saudi Arabia.","authors":"Noura Almadani","doi":"10.1186/s12877-025-06136-9","DOIUrl":"https://doi.org/10.1186/s12877-025-06136-9","url":null,"abstract":"<p><strong>Background: </strong>As a part of Vision 2030, Saudi Arabia initiated a health transformation program to enhance the quality and efficiency of healthcare services through digitizing the health sector and introducing various technological innovations.</p><p><strong>Methods: </strong>A qualitative approach was used to explore the future of artificial intelligence (AI) of eight postgraduate students in the gerontological nursing program by investigating their perceptions, experiences, and challenges. The data was presented as key themes and subthemes using thematic analysis methods.</p><p><strong>Results: </strong>The thematic analysis revealed the precise role of AI in gerontological nursing. While participants strongly believe that AI has the potential to improve patient care and nursing efficiency, they also expressed significant concerns regarding ethical implications.</p><p><strong>Conclusions: </strong>The research highlights that AI is pivotal in developing healthcare solutions for older adults. By automating routine tasks and offering personalized medical and social interactions, AI can potentially transform gerontological nursing practices.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"544"},"PeriodicalIF":3.4,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of infections, DNA methylation and telomere length on frailty trajectories in hospitalized older patients: the INFRAGEN study protocol.","authors":"Wenxiang Guo, Leonardo Bencivenga, Bruno Micael Zanforlini, Chiara Curreri, Maria Cristina Ferrara, Benedetta Maisano, Luca Tinelli, Laura Andreea Ceparano, Raffaella Merenda, Chiara Cosma, Lucia Manfron, Nicolò Gentili, Silvia Sturani, Monica Cardi, Alice Campion, Benedetta Berardi, Martina Lombardi, Elisabetta D'Aversa, Francesca Salvatori, Veronica Tisato, Joanne Vanessa Vargas, Grazia Daniela Femminella, Donato Gemmati, Giuseppe Sergi, Giuseppe Bellelli, Paolo Mazzola, Caterina Trevisan, Stefano Volpato","doi":"10.1186/s12877-025-06194-z","DOIUrl":"10.1186/s12877-025-06194-z","url":null,"abstract":"<p><strong>Background: </strong>Infectious diseases are among the most common causes of hospitalization in older adults and may lead to a high burden on the individual's health and healthcare system. However, it is unclear whether and to which extent these events might affect frailty, fastening its development or hampering its reversion. The aims of the INFRAGEN project are 1) to assess the impact of acute infections on frailty trajectories in older inpatients, and 2) to evaluate the modifying effect of sociodemographic, clinical, functional, and genetic/epigenetic factors on that association.</p><p><strong>Methods: </strong>INFRAGEN is a multicenter prospective observational study that will be conducted in the acute Geriatric Units of four Italian centers (Ferrara, Padova, Monza, and Napoli). The project will involve individuals aged ≥ 70 with no or mild-to-moderate pre-admission frailty (Clinical Frailty Scale [CFS] < 6) and diagnosis of acute infectious diseases at the time of hospital admission or during hospitalization. For each participant, we will record data concerning the multidimensional geriatric assessment and the type and severity of infectious diseases (diagnosed according to ICD-9 codes). Blood samples will be collected to assess Global DNA methylation, Leukocyte Telomere Length (LTL), and levels of circulating markers associated with biological processes related to frailty (inflammatory state, dysmetabolism, brain modifications, and oxidative stress). Frailty status will be evaluated through the CFS and Frailty Index at admission (referring to the 2 weeks before hospitalization), hospital discharge, and after 3 months. In a subsample, genetic/epigenetic analyses will also be performed at the 3-month follow-up.</p><p><strong>Discussion: </strong>INFRAGEN will contribute to exploring the complex pathophysiologic mechanisms of frailty in the context of infections in older adults through a translational approach.</p><p><strong>Trial registrations: </strong>NCT06430073 (ClinicalTrials.gov); Registration date: 2024-05-28.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"545"},"PeriodicalIF":3.4,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of the Fitness and Nutrition Program for Seniors (FANS) to improve Physical Activity and Kinanthropometric Measures among Community-Dwelling Older Adults living with Frailty: a Quasi-experimental Study.","authors":"Pei-Shan Li, Chia-Jung Hsieh, Nae-Fang Miao, Chuan-Hsiu Tsai, Chieh-Yu Liu, Hung-Ru Lin, Shu-Fang Vivienne Wu, Jordan Koh","doi":"10.1186/s12877-025-06171-6","DOIUrl":"https://doi.org/10.1186/s12877-025-06171-6","url":null,"abstract":"<p><strong>Background: </strong>Due to the impact of COVID-19, telehealth technologies have become crucial for managing the health of community-dwelling older adults with frailty. This study builds upon the Fitness and Nutrition Program for Seniors (FANS), a hybrid course based on the Transtheoretical Model, which integrates both in-person and remote care tailored for this population. This research aimed to investigate the effectiveness of this intervention on physical activity and kinanthropometric measures.</p><p><strong>Methods: </strong>This quasi-experimental research involved 81 older adults from community care centers, with 43 in the experimental group receiving the FANS and 38 in the control group continuing their usual health activities. Outcome measures, evaluated using intention-to-treat analysis, included physical activity (assessed with the Short Physical Performance Battery, grip strength, Timed Up and Go test, and overall activity level) and kinanthropometric measures (body mass index, mid-upper arm circumference, and calf circumference). Changes over 3 and 6 months were analyzed using Generalized Estimating Equations.</p><p><strong>Result: </strong>The intervention group exhibited significant improvements in all physical activity measures (p < 0.001) and mid-upper arm circumference (p < 0.001) immediately and over time. The study identified significant differences between the two groups in physical activity on the Short Physical Performance Battery, which increased by 0.66 points (p < 0.05), Five Times Sit to Stand test, which was 1.83 s faster (p < 0.05), Timed Up and Go test, which was 2.63 s faster (p < 0.001), and physical activity levels, which increased by 6.47 MET/hr (p < 0.001). Additionally, kinanthropometric measurements, such as mid-upper arm circumference, which increased by 2.28 cm (p < 0.001), and calf circumference, which increased by 1.34 cm (p < 0.01), also showed significant differences. Significant interactions (group × time) were observed between the FTSST (Wald χ² = 5.103, p < 0.05) and PA level (Wald χ² = 4.080, p < 0.05) after three months. Additionally, significant interactions were found for the TUG (Wald χ² = 6.856, p < 0.01), PA level (Wald χ² = 34.888, p < 0.001), MUAC (Wald χ² = 19.695, p < 0.001), and CC (Wald χ² = 10.181, p < 0.01) after six months.</p><p><strong>Conclusion: </strong>The FANS proved to be a viable and effective health promotion program, significantly enhancing physical function and body measurements among frail older adults, thereby supporting their independence and well-being.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier NCT05242549 (16/02/2022).</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"543"},"PeriodicalIF":3.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inappropriate vitamin D supplementation among multimorbid older patients: a multicountry analysis.","authors":"Elisavet Moutzouri, Shanthi Beglinger, Martin Feller, Anne Eichenberger, Olivia Dalleur, Wilma Knol, Marielle Emmelot-Vonk, Denis O'Mahony, Benoit Boland, Carole E Aubert, Patricia O Chocano-Bedoya, Drahomir Aujesky, Anne Spinewine, Nicolas Rodondi","doi":"10.1186/s12877-025-06189-w","DOIUrl":"10.1186/s12877-025-06189-w","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of vitamin D supplementation and the percentage of participants with a lack of appropriate vitamin D supplementation (\"potential underuse\") or potentially inappropriate vitamin D supplementation (\"potential overuse\") and risk factors for these are currently unclear.</p><p><strong>Methods: </strong>Cross-sectional analysis from the OPERAM study, a multicenter cluster randomized controlled trial in four European countries (Belgium, Ireland, The Netherlands, Switzerland) including multimorbid (≥ 3 chronic conditions) older patients, with polypharmacy (≥ 5 chronic medications). For the definition of potential underuse and overuse we used high-risk conditions, which were defined according to the START criteria (version 2) for potential prescribing omissions in older people i.e., E2) long-term systemic corticosteroid therapy, known osteoporosis or osteopenia, E3) previous fragility fractures, and E5) housebound/in nursing homes or experiencing falls. We used mixed effect logistic regression to identify factors associated with underuse and overuse.</p><p><strong>Results: </strong>2008 patients (79.4y, SD 6.3, 45% female) were included. 825/2008 (41.1%) were supplemented with vitamin D. We identified 681 participants with potential underuse (33.9% of all participants, 69.7% of non-vitamin D users) and 204 with potential overuse (10.2% of all participants, 24.7% of vitamin D users). In the multivariable logistic regression analysis increasing age and being male were associated with underuse, while the number of baseline medications and previous hospitalizations were associated with both underuse and overuse. Specifically, underuse decreased with an increasing number of medications (OR: 0.93, 95% CI: 0.90-0.95), while overuse increased (OR: 1.08, 95% CI: 1.04-1.12). Previous hospitalizations were linked to underuse (OR: 1.08, 95% CI: 1.00-1.17) and inversely associated with overuse (OR: 0.88, 95% CI: 0.77-0.99).</p><p><strong>Conclusions: </strong>One-third of multimorbid older adults experienced potential underuse, while up to 10% potential overuse of vitamin D supplementation. Polypharmacy, previous hospitalizations, increasing age and being male are factors associated with inappropriate use of vitamin D. A better targeted vitamin D supplementation is warranted.</p><p><strong>Trial registration: </strong>NCT02986425, Registration date 2016-10-21.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"541"},"PeriodicalIF":3.4,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pagetoid squamous cell carcinoma in situ (Pagetoid bowen's disease) of the nipple in an older male patient: a case report and literature review.","authors":"Xiangru Chen, Lin An, Ye Zhao, Yuxi Jia","doi":"10.1186/s12877-025-06238-4","DOIUrl":"10.1186/s12877-025-06238-4","url":null,"abstract":"<p><strong>Background: </strong>Pagetoid Bowen's disease (PBD) is a rare histological type of skin squamous cell carcinoma in situ. Due to its atypical pathological changes, it is often misdiagnosed and missed in clinical practice, making it difficult to diagnose. This is a rare report of unilateral nipple area PBD in an older male patient, providing insights into the diagnosis and treatment planning of PBD.</p><p><strong>Case presentation: </strong>Here, we report the case of a 65-year-old Asian man with skin manifestations, such as erythema, scaling, erosion, and exudation of the left nipple. He had been treated for eczema for a long time without improvement, and his condition had recurred and worsened. Histopathological examination revealed scattered Pagetoid cell nests in the epidermis, an atypical manifestation of PBD. Sex and the specific site of the patient are rare in all PBD case reports. We made an accurate diagnosis by combining skin histopathology, immunohistochemistry, and other clinical examinations. Radical surgery was performed on a skin tumor located on the patient's left nipple.</p><p><strong>Conclusions: </strong>This case suggests that when clinicians encounter situations in which clinical morphology and histopathology cannot provide a panorama of the disease, immunohistochemical examination becomes crucial for confirming the diagnosis. An accurate understanding of PBD can reduce the misdiagnosis rates of mammary Paget's disease (MPD) and superficial disseminated melanoma.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"542"},"PeriodicalIF":3.4,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Study protocol for developing deprescribing clinical practice guidelines: evidence-based GRADE methodology and a Delphi consensus method.","authors":"Hui Wen Quek, Amy Page, Kenneth Lee, Christopher Etherton-Beer","doi":"10.1186/s12877-025-06202-2","DOIUrl":"10.1186/s12877-025-06202-2","url":null,"abstract":"<p><strong>Background: </strong>Deprescribing has emerged as a strategy to reduce the use of potentially inappropriate medicines, particularly in older people. Evidence-based deprescribing clinical practice guidelines are a key enabler in integrating deprescribing into routine care. This protocol outlines the development of deprescribing clinical practice guidelines targeting many commonly prescribed medicines for older people, specifically focusing on applying the evidence-based Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology alongside a Delphi consensus-building process.</p><p><strong>Methods: </strong>The guideline development process follows the World Health Organisation Handbook for Guideline Development, Australian National Health and Medical Research Council Guideline Development Methodology, and the Appraisal of Guidelines for Research & Evaluation (AGREE) II Instrument with adaptations made to suit the guideline's purpose, available resources, and the urgent need for recommendations to support clinical decision-making. This project is developed by a multidisciplinary healthcare team, representatives from professional organisations, and patient or carer stakeholders. The development involves a two-part sequential approach: evidence-deriving using a structured GRADE methodology and consensus-building processes using a standardised Delphi approach. Firstly, a comprehensive systematic review and meta-analysis of the literature was conducted to identify evidence related to deprescribing in older people, with the evidence presented and certainty assessed using the GRADE framework. Where quality evidence is available, evidence-based recommendations will be formulated following the evidence-to-decision GRADE framework. For areas with insufficient quality evidence, consensus-based recommendations will be developed using a modified Delphi method. Additional good practice statements will be developed where necessary to facilitate the practical application of these recommendations.</p><p><strong>Discussion: </strong>Given the large scope of the currently proposed guidelines, the proposed approach discussed in this protocol is adapted based on several important considerations on the practical, operational, and resource issues. Given deprescribing is an emerging area and the limited availability of evidence for some drug classes, expert consensus and input from patient representatives offer a valuable alternative for recommendation development. The final guideline will provide clinicians with broad guidance for deprescribing common medicines used in older people that complement existing single-drug-class deprescribing guidelines and other treatment guidelines.</p><p><strong>Trial registration: </strong>Not applicable.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"538"},"PeriodicalIF":3.4,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Grief in the elderly: a qualitative content analysis.","authors":"Roya Marsa, Bahman Bahmani, Abbas Ebadi, Manoochehr Azkhosh, Ahmad Delbari","doi":"10.1186/s12877-025-06027-z","DOIUrl":"10.1186/s12877-025-06027-z","url":null,"abstract":"<p><strong>Background: </strong>Grief is a humane, universal, personal, multidimensional and very common experience among the elderly. Although some studies have been done on describing grief, there has been no consensus among researchers on a theoretical or empirical definition. This study was done to interpret the concept of grief based on Iranian elderly experiences.</p><p><strong>Methods: </strong>This qualitative study was done via conventional content analysis method with individual, deep, and semi-structured interviews with the participation of 16 elderly aged 60-85 years old via purposive sampling method with maximum variance sampling in selecting participants. Data analysis was done via Lindgren et al. (Int J Nurse 108:103632, 2020) method.</p><p><strong>Results: </strong>According to the experiences expressed by the participants, six main categories were obtained, including a unique experience, experiencing a sense of loneliness, psychological health threat, physical health threat, social health threat, and meaning threat.</p><p><strong>Conclusions: </strong>Grief in the elderly is a Unique experience, perceived by sense of loneliness, life meaning threat, and all-round health threat. The results of this study can help the healthcare team in better understanding this concept as well as the grief experience among the elderly together with implementation of investigations, interventions, and assessment of supportive measures for promoting geriatric health.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"540"},"PeriodicalIF":3.4,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between frailty, BMI, and mortality in older adults: results from the CLHLS.","authors":"Yang Gao, Hua Zhang, Kun Fang, Yao Yao, Jianshe Chen, Hui Lu, Xiangyang Gao, Yongsheng Liu","doi":"10.1186/s12877-025-06197-w","DOIUrl":"10.1186/s12877-025-06197-w","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"539"},"PeriodicalIF":3.4,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lifestyle modifications and control of cardiovascular risk factors in older adults with hypertension: from NHANES 1999-2018.","authors":"Ying Tang, Zhi Zhang, Xiaowei Liu","doi":"10.1186/s12877-025-06204-0","DOIUrl":"10.1186/s12877-025-06204-0","url":null,"abstract":"<p><strong>Background: </strong>Self-management of hypertension is particularly emphasized for older patients. Specifically, it is critical that initiatives regarding lifestyle modifications be applied to reduce the cardiovascular burden of hypertension among the elderly population.</p><p><strong>Methods: </strong>We included participants aged 65 years or older with hypertension from the National Health and Nutrition Examination Survey (NHANES) years 1999-2018 to analyze the adherence to lifestyle recommendations and the control of cardiovascular risk factors. Recommended lifestyle behaviors and targets for cardiovascular risk factor controls were defined according to the clinical guidelines for the management of hypertension. Logistic regression analyses were utilized to identify factors associated with nonadherence.</p><p><strong>Results: </strong>Of 10,162 participants (mean age, 74.45 years) included, 4350 (42.81%) had controlled blood pressure. Adherence to healthy lifestyle behaviors varied among respondents. Smoking cessation (88.82%) and alcohol reduction (74.11%) were relatively high, whereas adherence to physical activity (14.57%), low salt diet (36.81%), and fiber intake (12.87%) were significantly lower. A significant proportion of respondents achieved target levels for LDL-C (76.00%) and HbA1c (72.49%), whereas fewer participants met BMI (25.02%) and waist circumference (31.26%) goals for cardiovascular risk factor control. After multivariable adjustment, male gender (OR: 1.53 [1.09-2.17]), non-Hispanic black race (OR: 1.85 [1.06-3.24]), metabolic syndrome status (no vs. yes, OR: 0.67 [0.47-0.94]), and chronic kidney disease status (no vs. yes, OR: 0.63 [0.41-0.97]) were associated with increased odds of unhealthy lifestyle, whereas male gender (OR: 1.37 [1.04-1.80]), high socioeconomic status (OR: 1.61 [1.05-2.49]), metabolic syndrome status (no vs. yes, OR: 0.03 [0.02-0.04]), and diabetes mellitus status (no vs. yes, OR: 0.68 [0.49-0.96]) were associated with increased odds of uncontrolled cardiovascular risk.</p><p><strong>Conclusions: </strong>Adherence to physical activity and healthy diet, and control of central obesity are suboptimal among older patients with hypertension. The etiology of nonadherence is multifactorial and includes causes associated with sociodemographic status, and comorbidities.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"537"},"PeriodicalIF":3.4,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12272962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}