BMC Geriatrics最新文献

{"title":"Psychological resources and illness recovery in later life: independent associations of positive mental health and attitudes to aging.","authors":"Jianqian Wu, Yixuan Li, Qiuling Chao","doi":"10.1186/s12877-025-06449-9","DOIUrl":"10.1186/s12877-025-06449-9","url":null,"abstract":"<p><strong>Background: </strong>Illness recovery represents a critical correlate of functional independence and quality of life among aging populations. This cross-sectional study aimed to examine the independent associations between two distinct psychosocial resources-positive mental health (PMH) and attitudes to aging-and illness recovery outcomes in older adults.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 1,200 older adults (mean age = 68.49 ± 7.09 years, 56.9% female) recruited from three provinces in China, with data collection spanning from October 2020 to April 2021. Participants completed (1) the Mental Health Continuum-Short Form (MHC-SF), (2) the Attitudes to Aging Questionnaire-12 (AAQ-12), and (3) the Illness Recovery Questionnaire. Statistical analyses were performed using R 4.4.3, employing logistic ridge regression and ridge regression.</p><p><strong>Results: </strong>Flourishing was associated with higher odds of no-illness status (OR 1.249, 95%CI 1.098 to 1.424), lower odds of high treatment costs (OR 0.819, 95%CI 0.682 to 0.968), fewer treatment methods (β -0.157, 95%CI -0.272 to -0.031) and comorbidities (β -0.503, 95%CI -0.751 to -0.270). Positive attitudes to aging showed similar patterns, with higher odds of no-illness status (OR 1.170, 95%CI 1.019 to 1.320) and lower odds of illness aggravation (OR 0.912, 95%CI 0.866 to 0.976) and moderate-to-high treatment costs (OR 0.827, 95%CI 0.699 to 0.984), as well as reduced comorbidity burden (β -0.258, 95%CI -0.523 to -0.002). In contrast, languishing was associated with lower odds of minimal treatment costs (≤ CNY 500; OR 0.835, 95%CI 0.703 to 0.994). Negative attitudes to aging were associated with higher odds of illness aggravation (OR 1.128, 95%CI 1.013 to 1.251), non-recovery (OR 1.204, 95%CI 1.055 to 1.373), high treatment costs (OR 1.230, 95%CI 1.036 to 1.481), and extended treatment duration (OR 1.154, 95%CI 1.035 to 1.271), as well as greater number of treatment methods (β 0.175, 95%CI 0.050 to 0.307) and higher comorbidity burden (β 0.673, 95%CI 0.385 to 0.953).</p><p><strong>Conclusions: </strong>High positive mental health (flourishing) and positive attitudes to aging were significantly associated with better health and illness recovery outcomes among older adults. These findings emphasize the potential value of integrating positive mental health and positive attitudes to aging in clinical assessment and intervention. Further investigation of the biopsychosocial model incorporating positive psychology principles is warranted to elucidate a bio-positive-psychosocial medical model.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"749"},"PeriodicalIF":3.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190833","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":"Multimorbidity and its association with health-related quality of life among older adults in india: a cross-sectional analysis of LASI wave-1.","authors":"Vasim Ahamad, Raza Mohammad, Anil Kumar Pal, K R Chouhan","doi":"10.1186/s12877-025-06427-1","DOIUrl":"10.1186/s12877-025-06427-1","url":null,"abstract":"<p><strong>Background: </strong>Multimorbidity is common among older people and is associated with a reduction in quality of life, including physical and psychological dimensions of health. This study aims to examine the association between multimorbidity and health-related quality of life (HRQoL) by gender and key socioeconomic factors among older adults in India.</p><p><strong>Method: </strong>The Longitudinal Ageing Study in India (LASI) Wave-I data were used, and older persons aged 60 and above were selected for the study, which included 30,716 final samples. The HRQoL was measured based on a EuroQol Five-Dimension (EQ-5D) measure. The preliminary study used descriptive statistics to examine the baseline characteristics of the sample, the prevalence of chronic conditions, and the mean EQ-5D score. Aside from that, the findings on the association of EQ-5D score with exposure and the independent variables were carved out using a multiple linear regression model. Furthermore, the results were stratified by gender and tested for interactions.</p><p><strong>Results: </strong>This study revealed that 23.8% of older adults had multimorbidity, with a higher prevalence among females and older age groups. Hypertension (32.7%), bone/joint diseases (19.6%), diabetes (14.3%), and stroke (2.5%) were common conditions. Individuals with multimorbidity exhibited significantly lower HRQoL scores (mean: 10.53) compared to those with single (8.98) or no morbidity (7.54). Adjusted regression models confirmed that multimorbidity (β = 2.19, 95%CI: 2.04,2.35) and female gender (β = 0.86, 95%CI: 0.71,1.00) strongly predicted poorer HRQoL. The association between multimorbidity and HRQoL was stronger in females compared to males. Lower socioeconomic status, rural residence, and poor self-rated health further exacerbated these disparities. These findings highlight the negative impact of multimorbidity on the physical and psychological well-being of older adults in India.</p><p><strong>Conclusions: </strong>This study found that multimorbidity significantly reduces HRQoL among older adults in India, with women, individuals of lower socioeconomic status, and those reporting poor self-rated health experiencing the most significant burden. These findings highlight the need for gender-sensitive, equity-focused public health strategies aimed at managing chronic conditions and improving quality of life among the ageing population in India.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"740"},"PeriodicalIF":3.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190874","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":"Mitigation of detraining effects: physical activity improves protein profile and physical function of aged amid COVID-19.","authors":"Renato Jimenez Gomez, Fernanda Rodrigues Monteiro, Angélica Rodrigues Botelho, Ariane Nardy, Fernanda Cristina da Silva, Millena Soares de Almeida, Vitória Paixão, Brenda Rodrigues Silva, Marcelo Rossi, Jônatas Bussador do Amaral, Gislene Rocha Amirato, Carlos André Freitas Santos, Guilherme Eustáquio Furtado, Rodolfo de Paula Vieira, Ana Paula Ribeiro, Luiz Henrique da Silva Nali, André Luis Lacerda Bachi","doi":"10.1186/s12877-025-06347-0","DOIUrl":"10.1186/s12877-025-06347-0","url":null,"abstract":"<p><strong>Aim: </strong>We investigated the impact of abrupt interruption, imposed by COVID-19, and subsequent resumption of regular practice of a combined exercise training program on protein, renal profile, and physical functional capacity in physically active older adults before the pandemic.</p><p><strong>Methods: </strong>Thirty-five volunteers (mean age 64.36 ± 19.43 years) participated, with data collected before the COVID-19 pandemic (PRE), 12 months after social isolation (PAN, detraining period), and 10 months after returning to regular exercise (POST).</p><p><strong>Results: </strong>In the POST period, both older women (n = 26) and men (n = 9) exhibited higher serum levels of albumin and total protein (p < 0.0001 for albumin and total proteins in older women group; p = 0.0033 for albumin and p = 0.0002 for total proteins in older men group) compared to PRE and PAN. Older women showed, both at PAN and POST, elevated serum creatinine levels (p = 0.0309; p = 0.0003, respectively) and Timed Up and Go Test (TUGT) values (p = 0.0096; p = 0.0013, respectively), along with decreased estimated creatinine clearance in PAN (p = 0.0132; p = 0.0005, respectively) compared to PRE. Additionally, older women demonstrated lower gait speed (p = 0.0210) and muscle strength (p = 0.0002) in POST compared to PAN and PRE. Older men exhibited higher serum creatinine levels and estimated creatinine clearance in POST compared to PRE. Significant correlations between biochemical parameters, estimated creatinine clearance, and physical functional tests were observed, particularly in older women.</p><p><strong>Conclusions: </strong>Overall, the study suggests that resuming combined exercise training partially mitigated the detraining-induced impairment in metabolic and physical capacities among older adults.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"738"},"PeriodicalIF":3.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190810","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":"Safety and efficacy of cipepofol for painless digestive endoscopy in older patients: a randomized, double-blind, non-inferiority trial.","authors":"Qingqin Xu, Jingdong Zhang, Xiaoyan Yan, Xin Qiao, Wenxiu Zhu, Jingxing Chen, Yun Xue, Wenchao Zhang","doi":"10.1186/s12877-025-06414-6","DOIUrl":"10.1186/s12877-025-06414-6","url":null,"abstract":"<p><strong>Background: </strong>Cipepofol, a novel anesthetic agent, may offer advantages for older patients undergoing painless digestive endoscopy. This study evaluated the safety and efficacy of this approach compared to a combination of etomidate and propofol (EP).</p><p><strong>Methods: </strong>In this single-center, double-blind, randomized, non-inferiority trial, 120 older patients(aged 65-90 years) undergoing painless gastroscopy or colonoscopy were randomized to receive either cipepofol (0.3-0.4 mg/kg; n = 60) or EP (1:1 ratio, 0.15-0.2 mL/kg; n = 60). Primary outcomes included sedation duration. Secondary outcomes assessed sedation success, recovery time, discharge readiness, adverse events, and hemodynamic stability.</p><p><strong>Results: </strong>All patients achieved successful sedation (100%). Initial sedation duration was comparable between the cipepofol and EP groups (8.73 [5.10, 10.18] vs. 7.41 [5.35, 9.09] minutes; p = 0.165). Recovery times were similar (5.49 [3.51, 7.62] vs. 4.86 [3.36, 8.86] minutes; p = 0.819), while discharge readiness was faster in the cipepofol group (1.67 [0.78, 2.38] vs. 2.96 [1.21, 7.23] minutes; p = 0.002). Adverse events, including hypotension, bradycardia, and hypoxia, were comparable. Injection pain occurred only in the EP group (5%).</p><p><strong>Conclusion: </strong>In older patients undergoing painless digestive endoscopy, cipepofol is non-inferior to the etomidate-propofol combination in sedation duration and safety. It also shares the characteristic of stable hemodynamics and offers advantages, including reduced injection pain and a shorter time to meet discharge criteria, providing a simplified choice for clinical practice.</p><p><strong>Trial registration: </strong>ChiCTR2400088889, Date of Registration: 2024-08-28, https://www.chictr.org.cn/showproj.html?proj=212632 .</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"748"},"PeriodicalIF":3.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190846","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":"Non-enhancing bowel dilatation and secondary ileus on CT as a surgical red flag in geriatric patients with atypical presentations.","authors":"Xirang Wang, Jian Kang, Yuxiang Li, Xiaofeng Sun, Yunpeng Wu, Jun Zhang, Hehui Tao, Li Wang, Ruizhou Rong, Miao Wang, Kang Liu, Zhen Ban","doi":"10.1186/s12877-025-06431-5","DOIUrl":"10.1186/s12877-025-06431-5","url":null,"abstract":"<p><strong>Background: </strong>Ischemic bowel disease represents a critical diagnostic challenge in emergency surgical practice. Despite its relatively low incidence in patients presenting with abdominal pain, this condition demands urgent attention due to its potentially fatal outcomes when management is delayed.</p><p><strong>Case presentation: </strong>We present a clinically instructive case of a nonagenarian female initially diagnosed with colonic pneumatosis through imaging studies. Subsequent diagnostic reevaluation revealed progressive colonic necrosis requiring emergent surgical intervention. The patient underwent successful segmental colectomy with colostomy, achieving full recovery and discharge within 14 postoperative days.</p><p><strong>Conclusion: </strong>This case highlights three critical aspects in managing geriatric patients with acute abdominal emergencies: The inherent diagnostic limitations posed by atypical presentations in elderly populations, including unreliable history-taking and attenuated physical signs; The insufficient sensitivity of conventional laboratory markers (leukocytosis, NEUT%, PCT, lactate elevation) for detecting intestinal ischemia; The pivotal role of contrast-enhanced computed tomography (CT) in surgical decision-making, particularly the prognostic significance of non-enhancing bowel wall dilatation as a radiographic hallmark of transmural necrosis. Early surgical consultation and protocolized CT interpretation are paramount for optimizing outcomes in this high-risk patient cohort.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"744"},"PeriodicalIF":3.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190786","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":"Geriatric nutrition risk index as an indicator of acute exacerbation and mortality risk in patients with idiopathic pulmonary fibrosis.","authors":"Pelin Pınar Deniz, İsmail Hanta, Pelin Duru Çetinkaya, Sedef Küçükyalçın","doi":"10.1186/s12877-025-06377-8","DOIUrl":"10.1186/s12877-025-06377-8","url":null,"abstract":"<p><strong>Background: </strong>Idiopathic pulmonary fibrosis (IPF) is more common in older patients, and malnutrition is also frequently detected in IPF patients.</p><p><strong>Aims: </strong>We aimed to use the Geriatric Nutritional Risk Index (GNRI) to evaluate the risk of malnutrition and investigate the relationships between malnutrition risk, the frequency of IPF exacerbations, and the risk of mortality in this patient group.</p><p><strong>Methods: </strong>In this retrospective study, we evaluated consecutive IPF patients who initiated antifibrotic therapy at our hospital between January 1, 2017 and January 1, 2023, and were 65 years or older. Patients classified the GNRI stage as 'at risk' (< 98 points) or 'not at risk' (≥ 98 points) based on their GNR scores. The two groups were compared in terms of acute exacerbation (AE), hospitalization, and mortality.</p><p><strong>Results: </strong>Our study determined that 41% of patients had malnutrition-related risk at the time of diagnosis. The number of IPF exacerbations was significantly higher in the group at high risk of malnutrition compared to the group without malnutrition risk (2.42 ± 3.42 vs. 0.91 ± 1.67, p = 0.031). Additionally, during treatment, mortality rates were also significantly higher in the group at high risk of malnutrition (50.0%) compared to the group without malnutrition risk (20.6%) (p = 0.025).</p><p><strong>Conclusions: </strong>The present study demonstrated that malnutrition-related risk was significantly associated with increased IPF exacerbations. Importantly, these results suggest that the assessment of malnutrition-related risk by GNRI provides information for predicting AE and mortality risk in patients with IPF.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"731"},"PeriodicalIF":3.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190851","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":"Geriatric cognitive frailty and short-term prognosis following hip fracture surgery.","authors":"Bin Li, Jing Chang, Yiwei Wang, Cheng Huang, Yan Shi","doi":"10.1186/s12877-025-06412-8","DOIUrl":"10.1186/s12877-025-06412-8","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the prevalence of cognitive frailty in geriatric patients with hip fractures and to assess its association with short-term postoperative complications following surgical intervention.</p><p><strong>Methods: </strong>This single-centre observational study enrolled geriatric patients (aged ≥ 65 years) undergoing surgical intervention for hip fracture. Patients were stratified into cognitive frailty and non-cognitive frailty groups based on assessments using the FRAIL scale and the Montreal Cognitive Assessment (MoCA). Clinical outcomes, including duration of hospitalisation and postoperative complications (e.g., cardiovascular, pulmonary, cerebrovascular, gastrointestinal events, and delirium), were compared between the cohorts. Multivariable logistic regression analysis was employed to identify independent risk factors for postoperative complications.</p><p><strong>Results: </strong>A total of 159 patients (mean age: 81.35 ± 8.44 years) were enrolled, of whom 28.3% were classified as having cognitive frailty. Compared to the non-frail group, the cognitive frailty group exhibited a significantly longer hospital stay (15.6 ± 3.3 days vs. 13.9 ± 2.7 days, P < 0.05) and a higher incidence of postoperative complications (24.4% vs. 8.8%, P = 0.011). Multivariate analysis identified cognitive frailty (OR = 2.73, 95% CI: 1.03-7.25) and the Charlson Comorbidity Index (CCI) (OR = 1.31, 95% CI: 1.01-1.70) as independent risk factors for postoperative complications.</p><p><strong>Conclusion: </strong>Cognitive frailty is highly prevalent among elderly patients with hip fractures and represents an independent predictor of short-term postoperative complications. Early identification of cognitive frailty could enhance risk stratification and perioperative management for this vulnerable population.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"734"},"PeriodicalIF":3.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190858","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":"Risk factors for 30-day COVID-19 mortality among people living with dementia in Alberta, Canada: a retrospective cohort study.","authors":"Maya Goerzen, Andrea Gruneir, Deniz Cetin-Sahin, Claire Godard-Sebillotte, Eric Smith, Pamela Roach, Julia Kirkham, Dallas Seitz","doi":"10.1186/s12877-025-06448-w","DOIUrl":"10.1186/s12877-025-06448-w","url":null,"abstract":"<p><strong>Background: </strong>People living with dementia (PLWD) were disproportionately impacted by the COVID-19 pandemic, experiencing high mortality rates in the initial waves. However, factors contributing to their increased risk of death following COVID-19 infection remain unclear. Given that PLWD are a heterogenous population with varying susceptibility to negative health outcomes, this study aimed to identify independent factors associated with 30-day COVID-19 mortality among PLWD and vulnerable subgroups of PLWD.</p><p><strong>Methods: </strong>We conducted a retrospective cohort analysis using administrative data from March 1st 2020 to December 1st 2020, in Alberta, Canada. We examined the association between an outcome variable created to examine mortality in the 30-days following COVID-19 infection and factors related to the demographics and health (e.g., age, comorbidities), health service use (e.g., past physician utilization), and environment (e.g., community or long-term care) of PLWD in our study cohort and subgroups of our study cohort based on age, sex, and living setting (community, long-term care).</p><p><strong>Results: </strong>Among our study cohort of PLWD (N = 1526), 28% of individuals died within 30 days following COVID-19 infection. After adjusting for confounders, increasing age (AOR = 2.38, 95% CI: 1.12-5.06), male sex (AOR = 2.30, 95% CI: 1.76-3.01), and living in long-term care (AOR = 5.91, 95% CI: 4.49-7.79) were associated with a higher risk of 30-day COVID-19 mortality. Additionally, congestive heart failure, diabetes with complications, and renal failure were linked to mortality among certain subgroups of PLWD.</p><p><strong>Conclusions: </strong>The 30-day COVID-19 case fatality rate was high among PLWD. PLWD who were older, male, and living in long-term care were at the greatest risk. The findings of this study demonstrate that specific groups of PLWD, based on both demographic and site-of-care-related factors, would benefit most from improved attention in future infectious disease public health planning.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"745"},"PeriodicalIF":3.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190782","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 role of caregivers' self-compassion in care recipients' depression and malnutrition: a cross-sectional study.","authors":"Cigdem Bozkir, Cigdem Tekin, Tugce Kartal","doi":"10.1186/s12877-025-06413-7","DOIUrl":"10.1186/s12877-025-06413-7","url":null,"abstract":"<p><strong>Background: </strong>Social isolation among older adults receiving home care may adversely affect their psychological and nutritional status. As care recipients are externally dependent, their health outcomes should not be evaluated independently of caregivers. This cross-sectional study aimed to investigate the relationship between caregivers' self-compassion and the nutritional and depression status of care recipients.</p><p><strong>Methods: </strong>A total of 382 elderly individuals (aged ≥65 years) receiving home care and their primary caregivers in Malatya, Türkiye, were included. Data were collected through structured interviews using validated Turkish versions of the Self-Compassion Scale (SCS), Geriatric Depression Scale Short Form (GDS-SF), and Mini Nutritional Assessment Short Form (MNA-SF). Independent and dependent variables included caregivers' SCS scores and care recipients' GDS-SF and MNA-SF scores, respectively. Analyses included descriptive statistics, Pearson correlations, and multiple linear regressions to control for confounders.</p><p><strong>Results: </strong>Caregivers had a mean SCS score of 16.79±2.11. Care recipients had a mean GDS-SF score of 7.30±3.16, with 49.2% experiencing mild depression, and a mean MNA-SF score of 9.52±2.70, with 58.4% at risk of malnutrition. SCS scores were positively correlated with MNA-SF (r = 0.241, p < 0.01) and negatively correlated with GDS-SF (r = -0.147, p < 0.01). In multiple regression models, caregiver self-compassion significantly predicted better nutritional outcomes (β = 0.175, p < 0.001) but not depression outcomes (β = -0.068, p = 0.172) in care recipients.</p><p><strong>Conclusions: </strong>Higher self-compassion in caregivers is associated with improved nutritional status in elderly care recipients. Supporting caregivers' psychological resilience could enhance home care outcomes.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"751"},"PeriodicalIF":3.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190854","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":"Falls risk perception among older adults and carers: a cross-sectional study.","authors":"Mahbub Hasan, Bernard Walsh, Christopher Oldmeadow, Andrea Coda","doi":"10.1186/s12877-025-06403-9","DOIUrl":"10.1186/s12877-025-06403-9","url":null,"abstract":"<p><strong>Objectives: </strong>The main objective of the study was to explore and compare patient and carer perception of risk of falls using a concept perception of falls risk scale. We also investigated the relationship between poor perception of falls risk and potential determinants of poor perception of falls risk.</p><p><strong>Methods: </strong>A cross-sectional quantitative study was developed to capture perception of risk of falls. Informed written consents were obtained. Face to face and telephone interviews were conducted with questionnaires to explore perception of patients and carers about falls risk.</p><p><strong>Results: </strong>Participants underwent a structured interview answering survey questions related to perceptions and experiences of falls. Data was collected for 76 patients and 36 carers. 81% of the analysis population exhibited poor perception of falls risk in our concept perception of falls risk scale; this was evident among 88% of patients compared to 67% of carers. Both age and psychotropic medication were found to be potential determinants of differences in poor perception of falls risk.</p><p><strong>Conclusion: </strong>Perception of risk of fall is low among older adults and their carers. This study findings suggest participants in various settings and their carers need education about their falls risk to improve their falls risk awareness.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"750"},"PeriodicalIF":3.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190869","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}