{"title":"Predicting the relationship of general self-efficacy and quality of life of the older adults with physical/mobility disabilities: a cross-sectional study in Northern Iran.","authors":"Elham Emamgholizadeh-Baboli, Fatemeh Pashaei-Sabet, Hamid Haghani, Zahra Fotokian","doi":"10.1186/s12877-025-06348-z","DOIUrl":"10.1186/s12877-025-06348-z","url":null,"abstract":"<p><strong>Background: </strong>Given the high prevalence of physical and mobility disabilities among older adults worldwide, and their impact on both mental and physical health, understanding the factors associated with quality of life in this population is essential. This study aimed to determine the relationship between general self-efficacy and quality of life among older adults with physical/mobility disabilities.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in 2020 on 200 older adults with physical and mobility disabilities referred to selected educational and medical centers affiliated with Babol University of Medical Sciences, using quota sampling. Data were collected using the Abbreviated Mental Test (AMT), demographic questionnaire, the World Health Organization Quality of Life-BREF (WHOQOL-BREF), and the 10-item General Self-Efficacy Scale (GSE-10). Data were analyzed using SPSS version 20, employing Pearson correlation and linear regression, with the significance level set at p < 0.05.</p><p><strong>Results: </strong>There was a direct and significant relationship between general self-efficacy and overall quality of life, as well as all its domains. General self-efficacy accounted for 35% of the variance in overall quality of life among the participants. Specifically, for every 1.95-unit increase in general self-efficacy, the overall quality of life score increased by 1 unit. Moreover, multivariable linear regression analysis indicated that self-efficacy remained a strong and statistically significant predictor of overall quality of life after adjusting for age, gender, education, income, and the presence of chronic illnesses (comorbidity) (β = 1.166, 95% CI: 0.936-1.397, p < .001).</p><p><strong>Conclusions: </strong>Enhancing self-efficacy may play a pivotal role in improving the quality of life among older adults with physical or mobility disabilities. Future longitudinal and qualitative studies are warranted to guide the design of tailored and culturally appropriate interventions.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"723"},"PeriodicalIF":3.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145173391","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}
BMC GeriatricsPub Date : 2025-09-26DOI: 10.1186/s12877-025-06356-z
S F F Groenestein, M Bussemaker, S van der Pas
{"title":"Help provided by community-dwelling older adults in the Netherlands during the COVID-19 pandemic.","authors":"S F F Groenestein, M Bussemaker, S van der Pas","doi":"10.1186/s12877-025-06356-z","DOIUrl":"10.1186/s12877-025-06356-z","url":null,"abstract":"<p><strong>Background: </strong>The global expansion of the COVID-19 virus led many countries, including the Netherlands, to implement socially restrictive measures to protect vulnerable groups from the virus, without considering negative consequences. Older individuals show large differences in vulnerability, but were defined as vulnerable, overlooking their strengths and resilience. We aim to investigate the impact of the COVID-19 pandemic and its restrictive measures on provided help by community dwelling older individuals in the Netherlands; and (2) to examine the cross-sectional effect of social capital and mental wellbeing on the provided help.</p><p><strong>Methods: </strong>This cross-sectional study utilized data from the Impact Corona study from October/November 2020. Community-dwelling older individuals in the Netherlands, aged 65 years and older, completed an online questionnaire. Providing help was measured by 'already providing help' to at least one of the defined subgroups for the question 'To what extent are you willing to offer help to (group) during the covid-19 pandemic?'. Followed by the question of what type of assistance this was, such as grocery shopping. Social capital was measured by the amount of social contact, trust in people in general, knowing sufficient people who could provide help and provided help in the neighborhood. Mental wellbeing was measured by questions about feeling more anxious, stressed and staying home during the pandemic. Data was analyzed using descriptive statistics and logistic regression analyses.</p><p><strong>Results: </strong>7,616 Older individuals participated in this study. About one third (32.9%) of the older individuals provided help during the COVID-19 pandemic (56.2% female, 73.4% multi-person household, 60.4% in good health). The majority provided the same (60.9%) or more (29.7%) help than before the pandemic and had a higher social capital, and a better mental wellbeing, compared to older individuals who did not provide help.</p><p><strong>Conclusions: </strong>Overall, a third of the older individuals still provided help and remained socially involved during the pandemic. They had high social capital and mental well-being, supporting their helping behavior. When developing future restrictive measures, a distinction based on health and vulnerability should be prioritized over one based primarily on age, to prevent the emergence of a different form of vulnerability.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"719"},"PeriodicalIF":3.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145173398","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}
BMC GeriatricsPub Date : 2025-09-26DOI: 10.1186/s12877-025-06354-1
Laura Jones, Rachel Rutz Voumard, Florent Rhyner, Fiorella Figari Aguilar, Eve Rubli Truchard, Ralf J Jox
{"title":"Proxy, nurse, and physician needs regarding advance care planning by proxy for aged care residents lacking decision making capacity: an exploratory study.","authors":"Laura Jones, Rachel Rutz Voumard, Florent Rhyner, Fiorella Figari Aguilar, Eve Rubli Truchard, Ralf J Jox","doi":"10.1186/s12877-025-06354-1","DOIUrl":"10.1186/s12877-025-06354-1","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"728"},"PeriodicalIF":3.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145173407","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 diversified social interaction and health among older adults in China: a longitudinal analysis by interaction type and frequency.","authors":"Linbin Luo, Yiqing Xing, Zhao Shang, Weicun Ren, Liang Zhang","doi":"10.1186/s12877-025-06408-4","DOIUrl":"10.1186/s12877-025-06408-4","url":null,"abstract":"<p><strong>Background: </strong>Among the social determinants of health, social interaction is considered a modifiable factor and an essential component of the global active ageing strategy. This study examined the associations of various types and frequencies of social interaction with health outcomes among older adults in China, while accounting for potential simultaneity and heterogeneity biases.</p><p><strong>Methods: </strong>This study used data from the Chinese Health and Retirement Longitudinal Study (CHARLS), a five-wave Panel survey conducted in 2011, 2013, 2015, 2018, and 2020, comprising 38,420 observations from 7,864 individuals aged 60 years and above. Social interaction was categorised into three types: leisure-based individual interaction, community-based organisational interaction, and responsibility-driven caregiving interaction, to capture its diversity. Descriptive statistics were used to summarise health status and social interaction. Generalised estimating equation regression models were used to examine the associations between one- or two-wave-lagged social interaction and health outcomes (self-rated health, mental health, cognitive function, and diagnosed diseases). Random-effects estimation addressed individual-level heterogeneity. The 2SLS model was applied to assess potential bidirectional associations between interaction frequency and health, followed by endogeneity test.</p><p><strong>Results: </strong>Social interaction was associated with more favourable health outcomes among older adults, particularly in the medium to long term. One-wave-lagged interaction was linked to better self-rated health (β = 0.014, P < 0.05), lower mental distress (β=-0.232, P < 0.05), and better cognitive function (β = 0.233, P < 0.001), with no significant association with diagnosed disease. Leisure-based and community-based interactions corresponded to more favourable physical and mental health, whereas responsibility-driven interactions were associated with better cognition but also greater mental distress. Interaction frequency was positively associated with health, and was higher among those with better access to facilities and public transport. Living with children or a spouse, being employed and having a higher income tended to report more favourable health outcomes.</p><p><strong>Conclusion: </strong>Active social interaction, regular participation in leisure activities, organized social activities, and informal social interactions are associated with more favourable health outcomes among older adults. Policies should prioritize supportive environments and age-friendly community renovations, while families and society should strengthen internal and external support systems to help foster active and healthy aging.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"730"},"PeriodicalIF":3.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145173322","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}
BMC GeriatricsPub Date : 2025-09-26DOI: 10.1186/s12877-025-06323-8
Ezgi Atalay, Fatma Gündüz Zeybekoğlu, Kemal Torpuş, Galip Usta
{"title":"Flood disaster experiences of elderly individuals living in the western black sea region of Türkiye: a phenomenological study.","authors":"Ezgi Atalay, Fatma Gündüz Zeybekoğlu, Kemal Torpuş, Galip Usta","doi":"10.1186/s12877-025-06323-8","DOIUrl":"10.1186/s12877-025-06323-8","url":null,"abstract":"<p><p>The increase in the elderly population, the issue of flood risk management and flood preparedness stands out as an important issue that needs special attention. This study aimed to evaluate the feelings and thoughts of the elderly individuals who experienced floods in Türkiye before, during, and after the floods, and to reveal how they were affected, their vulnerability, and coping capacities. In this regard, phenomenological design, one of the qualitative research methods, was used in the study. Purposive sampling techniques were used for this study. A semi-structured interview form, which was prepared by the researchers by reviewing the relevant literature and taking expert opinions, was used to collect the data. The data of the study were collected between September and October 2024. The study was carried out with 14 people based on data saturation. Within the scope of the study, three themes were created. These are (theme 1) elderly people's risk knowledge and their views on the preparation process, (theme 2) vulnerabilities and coping capacities of elderly individuals during disasters, and (theme 3) post-flood needs, social network relations, and lessons learned. As a result of the analysis, it was determined that elderly individuals were aware of local disaster hazards, but despite this, the elderly did not make individual disaster preparations. It was determined that elderly individuals do not have sufficient access to early warning messages before the flood disaster occurs. During the disaster, elderly individuals were trapped in water, exhibited risky behaviors, experienced fragility during the evacuation process, and suffered material and moral losses. In the post-disaster period, elderly individuals have some basic needs such as clean water, medicine, shelter, toilets, nutrition, clothing, and health care, and their neighbors and relatives provide support in meeting these needs. The results obtained from the study may contribute to increasing the flood response capacity for elderly individuals, a vulnerable group in disasters.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"717"},"PeriodicalIF":3.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145173332","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 mediating role of sarcopenia in the link between loneliness and frailty among nursing home residents: a cross-sectional study.","authors":"Zhenfei Chen, Dongxing Zheng, Shangqing Wu, Jiaze Dai, Haiman Huang, Yu Yang","doi":"10.1186/s12877-025-06342-5","DOIUrl":"10.1186/s12877-025-06342-5","url":null,"abstract":"<p><strong>Background: </strong>The present work focused on investigating the frailty status of older nursing home residents by analyzing the relationships among loneliness, sarcopenia, and frailty. The study explored the mediating effect of sarcopenia on loneliness and frailty among elderly individuals.</p><p><strong>Methods: </strong>From January to June 2022, 190 elderly individuals were enrolled from four nursing homes in Guangzhou, Dongguan, Zhanjiang, and Nanning using a convenience sampling method. A field survey was conducted using a sociodemographic questionnaire, the Frailty Phenotype, the UCLA Loneliness Scale, and the SARC-F screening tool. The data were analyzed with SPSS 25.0 and Process 4.1 software. Normally distributed continuous variables are presented as the means ± standard deviations (Mean±SD) . Associations among loneliness, sarcopenia, and frailty were assessed via Pearson correlation analysis. Moreover, the mediating effect of sarcopenia on loneliness and frailty was examined via linear regression. The bootstrap method in Process 4.1 was employed to test its mediating effect.</p><p><strong>Results: </strong>The frailty prevalence among elderly nursing home residents was 34.74%. The loneliness score was positively related to the frailty score (r = 0.156, P < 0.05, 95% CI:0.014-0.292), the sarcopenia score was positively related to the frailty score (r = 0.512, P < 0.01, 95% CI:0.399-0.610), and the loneliness score was positively related to the sarcopenia score (r = 0.214, P < 0.01, 95%CI:0.074-0.346). Sarcopenia demonstrated a complete mediating effect on loneliness and frailty among elderly nursing home residents. Sarcopenia typically achieved a mediating effect of 0.107 (95% CI: 0.026-0.197), accounting for 68.59% of the overall effect.</p><p><strong>Conclusions: </strong>Sarcopenia is a key factor influencing the occurrence of frailty in lonely elderly individuals in nursing homes.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"722"},"PeriodicalIF":3.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145173372","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}
BMC GeriatricsPub Date : 2025-09-26DOI: 10.1186/s12877-025-06390-x
Shweta Gore, Lin-Na Chou, Amol Karmarkar, Deepak Adhikari, Julie Keysor, J Andrew Taylor, Amit Kumar
{"title":"Five-year trajectories of gait speed and hand grip strength in older adults with cardiometabolic multimorbidity: a national retrospective cohort study.","authors":"Shweta Gore, Lin-Na Chou, Amol Karmarkar, Deepak Adhikari, Julie Keysor, J Andrew Taylor, Amit Kumar","doi":"10.1186/s12877-025-06390-x","DOIUrl":"10.1186/s12877-025-06390-x","url":null,"abstract":"<p><strong>Background: </strong>Cardiometabolic multimorbidity, defined as the coexistence of diabetes and heart disease, is increasingly common in older adults and is associated with adverse health outcomes. While individual conditions such as diabetes or heart disease have been linked to declines in physical function, little is known about how their coexistence affects objective physical performance measures over time. This study aimed to compare changes in gait speed and hand grip strength over five years among older adults with and without cardiometabolic multimorbidity and to identify factors associated with these declines.</p><p><strong>Methods: </strong>We conducted a retrospective secondary analysis of the National Health and Aging Trends Study linked to Medicare administrative data from 2015 to 2019. Community-dwelling participants aged 66 years and older enrolled in Medicare fee-for-service were included. The participants were categorized into four groups: diabetes only, heart disease only, both conditions, or neither. Gait speed and hand grip strength were assessed annually over five years. Generalized estimating equation models were used to estimate changes in physical function, adjusting for demographics, clinical characteristics, and socioeconomic factors.</p><p><strong>Results: </strong>The analytic sample included 4,351 participants. At baseline, older adults with both diabetes and heart disease presented significantly lower gait speed and hand grip strength than those with only one or neither condition. Over five years, the cardiometabolic multimorbidity group experienced the most pronounced declines. In fully adjusted models, cardiometabolic multimorbidity was associated with a decline in gait speed (β = -0.034, SE = 0.010) and hand grip strength (β = -0.048, SE = 0.015). Additionally, female sex (β = -0.049 for gait speed; β = -0.460 for hand grip strength), poorer self-rated health (β = -0.122 for gait speed; β = -0.061 for hand grip strength), and non-White race (β: -0.098 for African American and β : -0.055 for Others for gait speed;) were independently associated with steeper declines in physical function.</p><p><strong>Conclusion: </strong>Older adults with coexisting diabetes and heart disease experience accelerated declines in gait speed and hand grip strength compared with those with either condition alone or neither. These findings highlight the need for targeted functional monitoring and preventive interventions in this high-risk population, with particular attention given to sex, perceived health, and race-related disparities in physical aging.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"716"},"PeriodicalIF":3.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12466057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145173290","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}
BMC GeriatricsPub Date : 2025-09-26DOI: 10.1186/s12877-025-06373-y
Jing Wang, Wenting Zuo, Yuwei Tan, Li Dou, TaoGuo, Zhenxing Wang
{"title":"Association between subjective well-being and the risk of cardiovascular diseases among older adults: evidence from the Chinese longitudinal healthy longevity survey.","authors":"Jing Wang, Wenting Zuo, Yuwei Tan, Li Dou, TaoGuo, Zhenxing Wang","doi":"10.1186/s12877-025-06373-y","DOIUrl":"10.1186/s12877-025-06373-y","url":null,"abstract":"<p><strong>Background/objective: </strong>Evidence regarding the impact of subjective well-being (SWB) on the incidence of cardiovascular diseases (CVD) among Chinese older adults was limited. This study aimed to ascertain the association between integrated SWB score and the risk of CVD among Chinese older adults.</p><p><strong>Methods: </strong>A prospective cohort study was designed based on the data from the survey in 2011-2012 and 2014 of Chinese Longitudinal Healthy Longevity Survey (CLHLS). Participants aged over 65 years without CVD at baseline were included in this study. SWB was measured by a scale consisting of 8-item question. The outcome was CVD (heart disease or stroke) that occurred during the observation period. Restricted cubic splines were used to determine the linear relationship between SWB and CVD risk. Hierarchical regression based on modified Poisson regressions was performed to estimate the association between SWB and CVD risk. Subgroup analyses were conducted in mutually exclusive and overlapping subgroups based on healthy lifestyles. Moreover, sensitivity analyses were performed to confirm the robustness of the main analysis.</p><p><strong>Results: </strong>A total of 5,120 eligible participants were included in this cohort study, and 827 participants suffered from CVD during follow-up period (the incidence of CVD was 16.15%). Per 1-standard deviation (SD) increase in SWB was associated with 10.5% reduction in the risk of CVD (adjusted relative risk [RR] = 0.895, 95% CI: 0.833 to 0.962). The robustness of the association was verified by sensitivity analyses. The heterogeneity of association was observed in subgroups with different number of healthy lifestyles. In subgroups with a number of healthy lifestyles of 2 to 4, 3 to 5, or 4 to 6, per 1-SD increase in SWB was associated with a 9.6% (adjusted RR = 0.904, 95% CI: 0.836 to 0.977), 13.0% (adjusted RR = 0.870, 95% CI: 0.799 to 0.948) and 17.9% (adjusted RR = 0.821, 95% CI: 0.731 to 0.922) reduction in CVD risk.</p><p><strong>Conclusion: </strong>An inverse linear association is observed between SWB and CVD risk among Chinese older adults. The strength of the association was greater in subgroups with more healthy lifestyles than that with less healthy lifestyles. Enhancing SWB and fostering more healthy lifestyle behaviors among older adults contributed to the prevention of CVD.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"710"},"PeriodicalIF":3.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145173289","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}
BMC GeriatricsPub Date : 2025-09-26DOI: 10.1186/s12877-025-06328-3
Antoine Gbessemehlan, Cécile Proust-Lima, Luc Letenneur, Hélène Amieva, Karine Pérès
{"title":"Healthy aging: how does a multidimensional construct of functional ability predict objective and subjective outcomes?","authors":"Antoine Gbessemehlan, Cécile Proust-Lima, Luc Letenneur, Hélène Amieva, Karine Pérès","doi":"10.1186/s12877-025-06328-3","DOIUrl":"10.1186/s12877-025-06328-3","url":null,"abstract":"<p><strong>Background: </strong>Despite the comprehensive and holistic conceptual approach proposed by the WHO to measure Functional Ability (FA) in healthy aging, research exploring both intrinsic capacity (IC) and environments is rare. This study aimed to define a multidimensional FA construct based on the WHO framework and investigate its association with objective (mortality, IADL-disability) and subjective (poor life satisfaction, poor perceived health) outcomes.</p><p><strong>Methods: </strong>The sample included 587 older participants from the AMI (Aging Multidisciplinary Investigation) epidemiological cohort. In total eight subdomains of FA were defined using Structural Equation Models: five related to IC and three to the living environment (from 30 collected variables in total). Cox regression models were used to investigate the association between FA and incident adverse outcomes.</p><p><strong>Results: </strong>Participants were classified into four levels of FA (34% in very high, 16% in high, 22% in medium, and 28% in low). Compared to those with very high FA, participants with low FA had significantly higher risks of death (Hazard Ratio HR = 2.19; 95% Confidence Interval: 1.30-3.68), IADL-disability (HR = 3.13; 95% CI: 1.99-4.92) and were more likely to experience poor life satisfaction (HR = 1.87; 95% CI: 1.15-3.03) and poor perceived health (HR = 3.97; 95% CI: 1.85-8.53).</p><p><strong>Conclusion: </strong>Low FA levels are strongly associated with increased risks of both objective and subjective negative outcomes. These findings highlight the importance of simultaneously considering IC and environment to properly explore FA in healthy aging.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"727"},"PeriodicalIF":3.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145173305","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}
BMC GeriatricsPub Date : 2025-09-26DOI: 10.1186/s12877-025-06395-6
Mustafa Nal, Ummahan Cömert, Melike Öztürk, Gülfer Bektaş
{"title":"Rational use of medicines in the older adult: the role of trust in the health care system.","authors":"Mustafa Nal, Ummahan Cömert, Melike Öztürk, Gülfer Bektaş","doi":"10.1186/s12877-025-06395-6","DOIUrl":"10.1186/s12877-025-06395-6","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"715"},"PeriodicalIF":3.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145173394","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}