BMC Geriatrics最新文献

{"title":"Association between grip strength level and fall experience among older Chinese adults: a cross-sectional study from the CHARLS.","authors":"Gengxin Dong, Yuxin Guo, Ji Tu, Yunqing Zhang, Huaze Zhu, Dapeng Bao, Junhong Zhou","doi":"10.1186/s12877-025-05735-w","DOIUrl":"10.1186/s12877-025-05735-w","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the dose-response relationship between levels of grip strength and the fall experience among older adult Chinese.</p><p><strong>Methods: </strong>This study used data from the 2015 China Health and Retirement Longitudinal Study (CHARLS), including 5,486 older Chinese adults aged 60 and above. Grip strength was measured with a dynamometer, and falls were recorded via questionnaire. Logistic regression and restricted cubic spline (RCS) tests assessed the relationship between grip strength and fall experience. Additionally, disparities across different genders, age, and residential areas were explored.</p><p><strong>Results: </strong>After adjusting for confounding factors, compared to the lowest quartile of grip strength, the fall experience of older men decreased by 39% (OR = 0.61, 95% CI = 0.45-0.84, p = 0.002) in the third quartile and 42% (OR = 0.58, 95% CI = 0.42-0.80, p < 0.001) in the highest quartile, the fall experience of older women decreased by 33% (OR = 0.67, 95% CI = 0.51-0.88, p = 0.004) in highest quartile. Restricted cubic spline analysis indicated a negative dose-response relationship between grip strength levels and fall experience among older Chinese adults. Subgroup analyses revealed that the negative dose - response relationship between grip strength levels and fall experience was absent among the elderly aged 75 and above, as well as among rural - dwelling females.</p><p><strong>Conclusion: </strong>This cross-sectional study utilizing CHARLS data reveals a significant negative dose-response relationship between grip strength and falls among Chinese older adults aged 60 to 75 years living in urban areas and Chinese older men of the same age group residing in rural areas. Within this demographic, grip strength can be preliminarily used to estimate the likelihood of falls, enabling the early implementation of preventive interventions to reduce the personal and societal impacts associated with fall-related injuries.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"156"},"PeriodicalIF":3.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571985","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":"Trends in disability (2001-2019), chronic medical conditions (1996-2020), and mortality (1995-2020) in Japanese older adults: analyses based on national datasets.","authors":"Hungu Jung, Masahiro Akishita, Shinya Ishii","doi":"10.1186/s12877-025-05799-8","DOIUrl":"10.1186/s12877-025-05799-8","url":null,"abstract":"<p><strong>Background: </strong>The overall health status of older adults in Japan has reportedly improved. However, it is unclear whether such improvement has occurred in the baby boomer generation, the oldest of whom turned 65 in 2015. In addition, the health status of oldest-old adults (aged > 85 years) was not examined extensively in previous studies. This study aimed to characterize trends in disability and chronic medical conditions in adults aged 65-89 years which includes the baby boomer generation.</p><p><strong>Methods: </strong>From the Comprehensive Survey of Living Conditions (2001-2019), Patient Survey (1996-2020), and Vital Statistics (1995-2020), we documented disability rates, rates of treatment for nine chronic medical conditions (malignant neoplasms, diabetes mellitus, hypertension, ischemic heart disease, cerebrovascular diseases, pneumonia, fractures, osteoporosis, chronic kidney disease, and joint disorders), total mortality rates, and rates of mortality from specific causes (malignant neoplasms, heart diseases, cerebrovascular diseases, and pneumonia) in both sexes and in five age groups (65-69, 70-74, 75-79, 80-84, and 85-89 years).</p><p><strong>Results: </strong>Overall, rates of disability decreased significantly in both sexes. Both total mortality rates and rates of mortality from specific medical causes declined significantly. These trends were observed in the baby boomer generation. The rates of treatment for most medical conditions also significantly decreased. However, the treatment rates of diabetes mellitus, pneumonia, and fractures in adults aged 85-89 years remained high or did not decrease. In contrast, the treatment rates of chronic kidney disease steadily increased over time.</p><p><strong>Conclusions: </strong>Overall health status continues to improve in older Japanese adults, including the baby boomer generation and the oldest-old cohort. However, for several diseases, no improvement was observed; thus, further public health interventions are necessary.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"155"},"PeriodicalIF":3.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571986","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":"Internet use and healthcare utilization among older adults in China: a nationally representative cross-sectional study.","authors":"Rize Jing, Xiaozhen Lai, Long Li, Hufeng Wang","doi":"10.1186/s12877-025-05798-9","DOIUrl":"10.1186/s12877-025-05798-9","url":null,"abstract":"<p><strong>Background: </strong>Research on whether Internet use is related to older adults' health service use is limited. Hence, this study aimed to empirically examine the associations between Internet use and the different types of healthcare utilization among Chinese older adults and whether there were urban or rural differences.</p><p><strong>Methods: </strong>This study used large-scale nationwide data for Chinese older adults from the 2018 China Longitudinal Aging Social Survey (CLASS). The main explanatory variables were general Internet use and different types of Internet usage, including usage for communication, entertainment, and as instruments. The outcome measures included outpatient and inpatient care utilization, specifically examining the choice of health providers after an illness, the rate of outpatient care utilization after an illness, hospital admission, and the number of hospital admissions in the past two years. Logistic regression, zero-inflated negative binomial regression, and multinomial logistic regression were conducted to assess the associations between Internet use and healthcare utilization. Given the potential urban-rural disparities in Internet use, we applied an interaction term between Internet use and urban-rural status in each model to examine its moderating effects. The potential bias was addressed using the propensity score matching (PSM) method.</p><p><strong>Results: </strong>Compared with older adults who did not use the Internet, Internet users had a lower probability of hospital admission in the past two years (OR: 0.63, 95% CI: 0.55-0.72), fewer hospital admissions (IRR: 0.80, 95% CI: 0.69-0.93), and a higher probability of choosing outpatient care in hospitals after an illness (RRR: 1.22, 95% CI: 1.01-1.47). Using the Internet for communication showed the strongest association with healthcare utilization among different types of Internet use. The urban/rural interaction term was negatively associated with outpatient care utilization but positively associated with inpatient care utilization.</p><p><strong>Conclusions: </strong>This study highlights the important role of the Internet in shaping healthcare utilization, particularly in addressing urban-rural disparities. Implementing Internet-based interventions among older adults is recommended to reduce disparities and improve healthcare access.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"150"},"PeriodicalIF":3.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565915","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":"Effect of intravenous esketamine on postoperative sleep disturbance, anxiety, and depression in elderly patients undergoing laparoscopic abdominal surgery: a randomized controlled trial.","authors":"Haijin Wang, Lan Wang, Jing Gao, Fengqi Zhou","doi":"10.1186/s12877-025-05787-y","DOIUrl":"10.1186/s12877-025-05787-y","url":null,"abstract":"<p><strong>Background: </strong>The population of elderly individuals undergoing surgical procedures is increasing, necessitating effective postoperative management strategies. Postoperative sleep disturbance, anxiety, and depression are significant contributors to overall recovery in this demographic, especially following laparoscopic abdominal surgery.</p><p><strong>Methods: </strong>This study included 200 records of elderly patients undergoing laparoscopic abdominal surgery. Patients were divided into an esketamine group, receiving intravenous esketamine, and a control group, receiving normal saline. Parameters such as surgery and anesthesia duration, fluid volume, blood loss, urine output, sleep disturbance, anxiety, depression, pain assessment, and adverse events were compared between the two groups.</p><p><strong>Results: </strong>The esketamine group had significantly fewer postoperative sleep disturbances, lower anxiety and depression scores on days 1 and 3, and lower Visual Analog Scale (VAS) scores compared to the control group (P < 0.05). They also required less rescue analgesia, used fewer opioids, and consumed fewer non-opioid analgesics (P < 0.05). However, the esketamine group experienced a higher incidence of dissociative symptoms (P < 0.05), while other adverse events were similar between the groups. Overall, esketamine improved pain management and reduced anxiety and depression but increased the risk of dissociative symptoms.</p><p><strong>Conclusions: </strong>Intravenous esketamine administration in elderly patients undergoing laparoscopic abdominal surgery was associated with reduced postoperative sleep disturbance, lower postoperative pain scores, lower anxiety and depression scores, decreased rescue analgesia requirements, reduced opioid consumption, and a lower use of non-opioid analgesic medications.</p><p><strong>Clinical trial number: </strong>This clinical study was registered at Chinese Clinical Trial Registry (ChiCTR, ChiCTR2400087795).</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"148"},"PeriodicalIF":3.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565908","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":"Perceptions and experiences of chair-based yoga by older adults with multimorbidity - a qualitative process evaluation of the Gentle Years Yoga randomised controlled trial.","authors":"Lesley Ward, Garry A Tew, Laura Wiley, Fiona Rose, Camila S Maturana Palacios, Laura Bissell, Jenny Howsam, Tim Rapley","doi":"10.1186/s12877-025-05782-3","DOIUrl":"10.1186/s12877-025-05782-3","url":null,"abstract":"<p><strong>Background: </strong>Yoga is increasingly practised by older adults, with growing evidence for its safety and effectiveness across a range of health conditions common to the age group. This process evaluation, embedded within a randomised controlled trial of chair-based yoga for older adults with multimorbidity, qualitatively explored participants' perceptions and experiences of the chair-based yoga programme.</p><p><strong>Methods: </strong>One-to-one interviews and class observations were conducted with a subset of trial participants randomised to receive the 12-week chair-based yoga programme. Interview participants were selectively recruited to represent the demographic breadth of the main trial cohort; one yoga class was observed at each delivery site. Interviews were audio recorded, independently transcribed, and analysed according to longitudinal and thematic analysis.</p><p><strong>Results: </strong>Twenty-five yoga participants were interviewed once (N = 10) or twice (N = 15), providing a 40-interview data set. Participants were aged 66-91 years (mean age 74 years), 56% female (N = 14), predominantly White British (N = 22, 88%), with 2-8 long term health conditions (mean 4.5 conditions). Four interlinked and overarching themes predominated: perceptions of healthy ageing, delineating yoga and exercise, yoga as an adaptable multifaceted health tool, and patterns of ongoing yoga practice. Participants equated acute symptom presentation, not multimorbidity, with illness, and mostly viewed their health as good. They distinguished yoga from exercise based on its integration of the breath with physical movements, which provided a mental focus unfound in other physical activities. Impact of the yoga programme ranged from minimal to transformative, dependent on meaningful biopsychosocial improvements. Accordingly, continuation of yoga beyond the trial ranged from none to full integration as a multifaceted health management tool.</p><p><strong>Conclusions: </strong>Participant experiences of the yoga programme interlinked views on health, ageing, exercise, and sustainable health management. Yoga presented as a safe, acceptable, and adaptable option for non-pharmacological health management in older adults. Impact on biopsychosocial health was variable, and directly linked to participants' longer term yoga engagement. Education of health professionals and activity providers regarding ageist stereotypes of health and ageing, together with the evidence base for the safety and effectiveness of yoga, could support and broaden yoga's reach and engagement among both older adult and multimorbid cohorts.</p><p><strong>Trial registration: </strong>ISRCTN ISRCTN13567538. Registered 18 March 2019.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"152"},"PeriodicalIF":3.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565923","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":"Impact of living patterns and social participation on the health vulnerability of urban and rural older persons in Jiangsu Province, China.","authors":"Juan Zheng, Jianqiang Xu, Yuhang Wu, Daqi Liu","doi":"10.1186/s12877-025-05797-w","DOIUrl":"10.1186/s12877-025-05797-w","url":null,"abstract":"<p><strong>Background: </strong>This study analyzes the influence of living patterns and social participation on the health vulnerability of older people in urban and rural areas and provides a reference for addressing this vulnerability.</p><p><strong>Methods: </strong>A total of 3500 participants aged 60 years and above from Jiangsu Province, China, were surveyed. The vulnerability index, which evaluates self-rated health, risk of falling, general pain or discomfort, chronic diseases, emotional characteristics, depression, anxiety, is used to measure health vulnerability. A multiple linear regression model is used to evaluate the effects of living patterns and social participation on health vulnerability.</p><p><strong>Results: </strong>A certain level of health vulnerability exists among Chinese urban and rural older people. Living with family members has a positive effect on their health. Individuals who live alone have worse health and lower subjective well-being. Social participation significantly reduces the comprehensive levels of general health vulnerability, physical health vulnerability, and mental health vulnerability of older people. For urban older people, living with families reduces the level of physical and mental health vulnerability, whereas living alone significantly increases health vulnerability. Living patterns significantly affect the psychological vulnerability of rural older people. Social participation has an important impact on the health of older people who live alone, especially on the mental health vulnerability of older people who live alone in urban areas.</p><p><strong>Conclusion: </strong>Living patterns and social participation are important factors that affect the health vulnerability of older people in both urban and rural areas. Social participation has a significant effect on the health of older people who live alone. In particular, for older people who live alone in cities, being socially active can help change their \"sedentary\" lifestyle, thereby promoting physical and mental health and reducing vulnerability.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"149"},"PeriodicalIF":3.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565911","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":"A brief report of the economic burden and epidemiological finding of suicide attempts among the older adults in Korea from 2007 to 2021.","authors":"Seoyoon Lee, Hyung Eun Shin, Rugyeom Lee, Sooyeon Jo, Seung Cheor Lee, Hyeon-Kyoung Cheong, Yong Joo Rhee, In-Hwan Oh","doi":"10.1186/s12877-025-05793-0","DOIUrl":"10.1186/s12877-025-05793-0","url":null,"abstract":"<p><strong>Aim: </strong>Quantifying the increased personal and social losses following suicide attempts among the aging population presents a significant challenge. There is an urgent need to determine the economic burden of suicide attempts among older adults in Korea.</p><p><strong>Subjects and methods: </strong>The economic burden of suicide attempts from 2007 to 2021 was assessed using claim data from the Health Insurance Review & Assessment and Causes of Death Statistics in Korea. The analysis focused on individuals diagnosed with injuries, poisoning, and other consequences of external causes (S00-T98), intentional self-harm (X60-X84), sequelae of intentional self-harm (Y87.0), and personal history of self-harm (Z91.5). Economic impacts were analyzed by year, primary and secondary diagnoses in claim data, and Cause of Death Statistics.</p><p><strong>Results: </strong>The mean age of study participants was 72.86 years, with women accounting for 48.4% of the sample. The total cost of suicide attempts increased dramatically from $0.167 million in 2007 to $1.591 million in 2021. The most frequently observed ICD-10 codes associated with these attempts were toxic effects of substances chiefly nonmedicinal as to source (T51-T65), followed by poisoning by drugs, medicaments, and biological substances(T36-T50) for both genders. While the total number of suicidal attempts generally increased annually, there were declines noted in 2020 and 2021.</p><p><strong>Conclusion: </strong>This study informs the high level of economic costs of suicide attempts that were being neglected. By thoroughly understanding demographic characteristics, emerging trends, and cost classifications, policymakers can devise more effective strategies to prevent suicide attempts, provide timely support, and mitigate the associated economic and social burdens.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"147"},"PeriodicalIF":3.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565902","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":"Missing incidents and the risk of harm in persons living with dementia reported to the Swedish police- A nationwide retrospective registry study.","authors":"Mikael Larsson, Kristofer Årestedt, Anders Svensson, Henrik Andersson, Maria Wolmesjö","doi":"10.1186/s12877-025-05809-9","DOIUrl":"10.1186/s12877-025-05809-9","url":null,"abstract":"<p><strong>Background: </strong>The number of persons living with dementia is increasing globally, including in Sweden, and these persons are at heightened risk of going missing and coming to harm. When they do go missing, the police get involved. There is a dearth of knowledge surrounding the prevalence and outcomes of harm in these instances in many countries, including Sweden, which affects our understanding of the associated risks and necessary interventions. Therefore, the aim of this study was to describe incidents of missing people and explore factors associated with harm in persons living with dementia as reported to the Swedish Police.</p><p><strong>Methods: </strong>Data on background characteristics, the missing incidents, and police response was collected from a nationwide police registry. The missing incidents were analysed using descriptive statistics and logistic regression was used to explore factors associated with harm.</p><p><strong>Results: </strong>A total of 1,041 missing person case reports concerning persons living with dementia were identified. In 61 (6%) of these reports, the missing person was harmed. The level of harm varied from lacerations to death. Male sex, no prior missing incidents, cold season, time since last contact, delayed reporting, and prolonged duration of police search effort were significantly associated with an increased probability of harm.</p><p><strong>Conclusions: </strong>Persons living with dementia constituted a substantial proportion of all missing persons case reports submitted to the Swedish Police during the study period. Persons living with dementia were also at considerable risk of harm when missing, as even minor injuries can lead to substantial consequences. Furthermore, time was a critical factor, emerging as the strongest predictor of harm in the study. This calls for the development of collaborative routines between the police and professional caregivers caring for persons living with dementia.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"153"},"PeriodicalIF":3.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565919","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":"Association between nap time, nighttime sleep, and multimorbidity in Chinese older adults: a cross-sectional study.","authors":"Yanliqing Song, Lin Chen, Yue Liu","doi":"10.1186/s12877-025-05807-x","DOIUrl":"10.1186/s12877-025-05807-x","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to explore the relationship between sleep duration and multimorbidity among elderly Chinese and to determine the optimal sleep duration for preventing multimorbidity.</p><p><strong>Methods: </strong>This study is based on data from the 2020 China Health and Elderly Care Longitudinal Survey (CHARLS), which collected detailed information from 5,761elderly individuals, including demographic characteristics, sleep duration, health status, and lifestyle information. Logistic regression models were used to investigate the relationship between sleep duration and multimorbidity, and restricted cubic spline analysis was employed to analyze the dose-response relationship between sleep duration and multimorbidity.</p><p><strong>Results: </strong>After adjusting for potential confounders, a U-shaped association was found between nighttime sleep duration and the likelihood of multimorbidity among the elderly. Specifically, elderly individuals with a nighttime sleep duration of 7 h had the lowest incidence of multimorbidity. Compared to those with 6-8 h of nighttime sleep, elderly individuals with less than 6 h (OR = 1.24, 95% CI: 1.05-1.48) or more than 8 h (OR = 1.79, 95% CI: 1.37-2.34) of nighttime sleep had a 24% and 79% increased likelihood of multimorbidity, respectively. The restricted cubic spline analysis further confirmed this U-shaped relationship, showing that the likelihood of multimorbidity gradually decreased as sleep duration increased from 6 to 7 h, but gradually increased as sleep duration exceeded 7 h. Additionally, a positive correlation was found between napping habits and the likelihood of multimorbidity, with elderly individuals without napping habits having a lower likelihood of multimorbidity compared to those with napping habits. Subgroup analysis indicated no significant differences in the impact of 6-8 h of nighttime sleep on multimorbidity among male and female elderly individuals and different age groups.</p><p><strong>Conclusion: </strong>Appropriate nighttime sleep duration may be an important factor in preventing multimorbidity among the elderly, while increased napping duration may increase the likelihood of multimorbidity. These findings provide scientific evidence for sleep health management among the elderly, suggesting the promotion of appropriate sleep duration to reduce the likelihood of multimorbidity in this population.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"151"},"PeriodicalIF":3.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565905","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":"Caring perception questionnaire of the home-dwelling elderly: development and validation study.","authors":"Mingjiao Feng, Lei Huang, Yuqin Chen, Yanjie You, Hongwei Chang, Lihua Zhang, Fengjian Zhang, Yilan Liu","doi":"10.1186/s12877-025-05785-0","DOIUrl":"10.1186/s12877-025-05785-0","url":null,"abstract":"<p><strong>Background: </strong>The care requirements of the elderly who live at home should receive enough attention as the world's population ages. On the basis of this, a questionnaire on the elderly who live at home must be created and validated.</p><p><strong>Objective: </strong>The objective is to create and validate a tool that will allow caregivers to more accurately measure how well-cared-for elderly people perceive them to be at home.</p><p><strong>Methods: </strong>This study developed a caring perception questionnaire through literature review and interviews in Wuhan. Fifteen experts from six provinces reviewed the initial 43-item draft. When faulty questionnaires were eliminated, the valid sample size for the exploratory factor analysis of the first survey was 238. For confirmatory factor analysis, the second survey's valid sample size was 260. The final version included 31 items, validated for reliability and validity.</p><p><strong>Results: </strong>A 52-item questionnaire was created based on interviews, refined to 43 items after expert feedback, with a content validity index of 0.88. The first survey (238 valid responses) showed a Cronbach's α of 0.945, and the second (260 valid responses) confirmed good model fit and consistency. The final version has 31 items.</p><p><strong>Conclusions: </strong>With good reliability and validity, the caring perception questionnaire of the home-dwelling elderly was developed, which could be used as a tool to evaluate the current situation of humanistic care for the home-dwelling elderly.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"146"},"PeriodicalIF":3.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555831","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}