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Age, gender and psychological well-being in older students: A study on continuing education and active aging 年龄、性别与大龄学生心理健康:继续教育与积极老龄化的研究
Pub Date : 2026-01-23 DOI: 10.1016/j.aggp.2026.100250
Pablo Rosser , Seila Soler

Introduction

This study examined how age and gender relate to multiple indicators of psychological well-being among adults enrolled in university continuing-education programmes, to inform more inclusive learning designs for ageing populations.

Methods

A quantitative, descriptive–correlational pilot study was conducted with 60 adult learners enrolled in the University Programme for Older Adults at the University of Alicante. Data were collected using a 41-item questionnaire based on Ryff’s Psychological Well-Being framework and analysed using descriptive statistics, independent-samples t-tests, one-way ANOVA, and non-parametric correlations (Kendall’s Tau-b and Spearman’s Rho) when distributional assumptions were not met.

Results

Participants were mainly aged 66–75 years (53.3%) and were predominantly women (60%). Statistically significant gender differences emerged in seven well-being items, and age-group differences were observed in ten items related to social support, loneliness, life satisfaction, stress management, and openness to change. Older age tended to be associated with higher life-satisfaction indicators and lower openness to new experiences.

Discussion

Results support the need to tailor lifelong-learning programmes to the psychosocial profiles of adult learners, with attention to gendered patterns and age-related changes. Targeted strategies to enhance social connection, autonomy, and meaningful engagement may strengthen well-being and participation in later-life learning.
本研究调查了年龄和性别与参加大学继续教育项目的成年人心理健康的多个指标之间的关系,为老年人提供更具包容性的学习设计。方法对阿利坎特大学老年人大学项目的60名成人学习者进行了定量、描述性相关的初步研究。使用基于Ryff心理健康框架的41项问卷收集数据,在不满足分布假设的情况下,使用描述性统计、独立样本t检验、单向方差分析和非参数相关性(Kendall 's Tau-b和Spearman 's Rho)进行分析。结果参与者年龄以66 ~ 75岁为主(53.3%),女性居多(60%)。统计上显著的性别差异出现在7个幸福感项目中,在10个与社会支持、孤独、生活满意度、压力管理和对变化的开放程度相关的项目中观察到年龄组差异。年龄越大,生活满意度指数越高,对新体验的开放程度越低。讨论结果表明,有必要根据成人学习者的社会心理状况量身定制终身学习计划,并注意性别模式和年龄相关的变化。有针对性的策略,以加强社会联系,自主性和有意义的参与可能会加强福祉和参与晚年学习。
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引用次数: 0
Functional social support subtypes as mediators of the association between depression and executive function: A moderated mediation analysis of the Canadian Longitudinal Study on Aging Comprehensive cohort 功能性社会支持亚型在抑郁与执行功能之间的中介作用:加拿大老龄化纵向研究综合队列的有调节中介分析
Pub Date : 2026-01-14 DOI: 10.1016/j.aggp.2026.100248
Emily C Rutter , Anita Iacono , Carrie L. Shorey , Mark Oremus , Colleen J Maxwell , Suzanne L Tyas

Background

For adults living with depression, social support interventions may offer a potential strategy to protect key cognitive domains, such as executive function. However, the extent to which the association between depression and executive function is mediated by social support, and how this varies by specific subtypes of support, is unknown. The objective of this study was to investigate whether functional social support subtypes mediated the association between depressive symptoms and executive function, and whether this mediation was moderated by age and sex.

Methods

Using the Canadian Longitudinal Study on Aging (CLSA) Comprehensive cohort (n = 14,133) of community-dwelling adults 45 to 85 years at baseline and conditional process analysis of baseline and 3-year follow-up data, this study investigated whether functional (perceived) social support subtypes mediated the association between depressive symptoms and executive function, and whether this mediation was moderated by age and sex.

Results

Functional social support significantly mediated the association between depression and executive function, with this mediation varying by subtype of support, age, and sex. Overall, low levels of emotional/informational support, affectionate support, and positive social interactions (but not tangible support) showed more pronounced and consistent mediation for females 75 and older, compared to males or younger age groups.

Conclusions

Clinical and health policy interventions targeting specific subtypes of functional social support may be useful in mitigating the negative impacts of depression on cognitive function; these interventions to support cognitive health may be particularly relevant for older females.
对于患有抑郁症的成年人,社会支持干预可能提供一种潜在的策略来保护关键的认知领域,如执行功能。然而,抑郁症和执行功能之间的关联在多大程度上是由社会支持介导的,以及社会支持的具体亚型如何改变这种关联,目前尚不清楚。本研究的目的是探讨功能性社会支持亚型是否介导抑郁症状和执行功能之间的关联,以及这种中介是否受年龄和性别的调节。方法采用加拿大纵向老龄化研究(CLSA)的综合队列(n = 14,133),以45 - 85岁的社区居住成年人为基线,并对基线和3年随访数据进行条件过程分析,研究功能性(感知)社会支持亚型是否介导抑郁症状和执行功能之间的关联,以及这种中介是否受年龄和性别的调节。结果功能性社会支持在抑郁与执行功能之间具有显著的中介作用,且这种中介作用因支持类型、年龄和性别而异。总体而言,与男性或更年轻的群体相比,低水平的情感/信息支持、深情支持和积极的社会互动(但不是有形的支持)在75岁及以上的女性中表现出更明显和一致的中介作用。结论针对功能性社会支持的特定亚型进行临床和卫生政策干预可能有助于减轻抑郁症对认知功能的负面影响;这些支持认知健康的干预措施可能与老年女性特别相关。
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引用次数: 0
A culturally tailored virtual intervention for Alzheimer’s family caregivers: Addressing practical challenges and future directions 针对阿尔茨海默氏症家庭护理人员的文化定制虚拟干预:解决实际挑战和未来方向
Pub Date : 2026-01-14 DOI: 10.1016/j.aggp.2026.100247
Dongmi Kim , Seulgi Ryu , Wonshik Chee , Eun-Ok Im

Background

As interest in virtual care delivery grows, few studies have rigorously explored the real world implementation challenges of culturally tailored, technology-based interventions for Asian American caregivers of persons living with Alzheimer’s Disease (PLAD). This study aims to identify and examine key practical barriers to implementing such interventions and to inform the development of more effective and sustainable virtual support programs.

Methods

This study draws on an ongoing virtual intervention targeting Asian American caregivers of PLAD. Data sources include weekly research diaries maintained by intervention team members and meeting minutes from regular team discussions. A simple content analysis was conducted to identify recurring themes and challenges faced during implementation.

Results

Seven major challenges were identified: (a) difficulties in retention; (b) concerns regarding participant authenticity and fraudulent cases; (c) technological barriers and challenges with virtual reality (VR) features; (d) variability in cultural tailoring needs; (e) stigma and challenges in building rapport; (f) time zone and geographic constraints; and (g) limited resources available for Asian American caregivers. To address these issues, recommended strategies include: flexible and supportive delivery with progress tracking, multilayered participant verification and education, technical support and intuitive design, bicultural perspectives and ongoing training, trust-building and encouragement of help-seeking behaviors, prioritizing time zone compatibility and providing flexible engagement options, and advocacy for expanded caregiver resources.

Conclusions

Practical and cultural challenges must be addressed when designing and delivering technology-based interventions. Incorporating these considerations can enhance caregiver resilience, improve engagement, and support better outcomes for Asian American families affected by AD.
随着人们对虚拟医疗服务的兴趣日益浓厚,很少有研究严谨地探讨了针对阿尔茨海默病患者(PLAD)的亚裔美国护理人员的文化定制、基于技术的干预措施在现实世界中的实施挑战。本研究旨在确定和检查实施此类干预措施的关键实际障碍,并为更有效和可持续的虚拟支持计划的发展提供信息。方法:本研究利用一项正在进行的虚拟干预,目标是亚裔美国人的PLAD护理人员。数据来源包括干预小组成员维护的每周研究日记和定期小组讨论的会议记录。进行了简单的内容分析,以确定执行过程中反复出现的主题和面临的挑战。结果确定了七个主要挑战:(a)保留困难;(b)对参与者真实性和欺诈案件的关注;(c)虚拟现实(VR)功能的技术障碍和挑战;(d)文化适应需要的可变性;(e)建立融洽关系的耻辱和挑战;(f)时区和地理限制;(g)亚裔美国人护理人员可用资源有限。为了解决这些问题,建议的策略包括:灵活和支持性的交付,包括进度跟踪、多层次的参与者验证和教育、技术支持和直观设计、双文化视角和持续培训、建立信任和鼓励寻求帮助的行为、优先考虑时区兼容性和提供灵活的参与选择,以及倡导扩大护理人员资源。在设计和提供基于技术的干预措施时,必须解决实际和文化方面的挑战。结合这些考虑因素可以增强护理人员的适应能力,提高参与度,并为受AD影响的亚裔美国家庭提供更好的结果。
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引用次数: 0
Kinematic analysis of one-leg standing for locomotive syndrome screening using marker-less motion capture and machine learning: A cross-sectional study 使用无标记运动捕捉和机器学习进行机车综合征筛查的单腿站立运动学分析:一项横断面研究
Pub Date : 2026-01-03 DOI: 10.1016/j.aggp.2026.100244
Kazuaki Hamada B.S. , Yu Inoue Ph.D. , Shigeharu Tanaka Ph.D. , Hungu Jung Ph.D. , Kenta Hirohama M.S. , Ryo Yamasaki B.S. , Koji Ono Ph.D. , Ryo Tanaka Ph.D.

Objectives

Locomotive syndrome (LS), caused by musculoskeletal dysfunction, is a major concern for older adults, contributing to physical decline, increased caregiving needs, and loss of autonomy. This study aimed to develop a novel LS screening method by analyzing kinematic data from the one-leg standing (OLS) test using a marker-less motion capture system combined with machine learning.

Methods

A total of 294 community-dwelling older adults participated, and LS severity was evaluated using the LS risk test. Kinematic data were collected during the OLS test by marker-less motion capture system and analyzed with neural network models to classify LS severity into stage 1 or higher and stage 2 or higher.

Results

The proposed model demonstrated superior classification accuracy compared to conventional OLS time-based assessments, with area under the curve (AUC) values of 0.901 for stage 1 or higher and 0.904 for stage 2 or higher, exceeding the performance reported in previous studies.

Conclusions

This study demonstrates the feasibility of integrating kinematic analysis with machine learning to screen LS. The developed model offers a noninvasive and efficient tool for LS detection, suitable for both telemedicine and community-based applications. By facilitating early detection of LS, this approach has the potential to improve enhance clinical outcomes and reduce caregiving burdens.
机车综合征(LS)是由肌肉骨骼功能障碍引起的,是老年人主要关注的问题,会导致身体衰退、护理需求增加和自主性丧失。本研究旨在开发一种新的LS筛选方法,通过使用无标记运动捕捉系统结合机器学习分析单腿站立(OLS)测试的运动学数据。方法采用LS风险测试对294例社区老年人进行LS严重程度评价。通过无标记运动捕捉系统收集OLS测试过程中的运动学数据,并使用神经网络模型进行分析,将LS严重程度分为1级及以上和2级及以上。结果与传统的OLS时间评价相比,该模型的分类精度更高,第一阶段及以上的曲线下面积(AUC)为0.901,第二阶段及以上的AUC为0.904,超过了以往研究报告的性能。结论本研究证明了将运动学分析与机器学习相结合来筛选LS的可行性。所开发的模型为LS检测提供了一种无创、高效的工具,适用于远程医疗和社区应用。通过促进LS的早期发现,这种方法有可能改善临床结果并减轻护理负担。
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引用次数: 0
Evaluating the two-minute walk test as a time-efficient alternative to the six-minute walk test in Nigerian older adults: Insights from an exploratory mediation and moderation analysis 评估两分钟步行测试作为时间效率替代六分钟步行测试在尼日利亚老年人:来自探索性调解和适度分析的见解
Pub Date : 2026-01-03 DOI: 10.1016/j.aggp.2026.100243
Michael E. Kalu , Ajayi K. Oladimeji , Israel Adandom , Nusrat S. Nessa , Chigozie L.J. Ugwu , Chukwuebuka P. Onyekere , Francis O. Kolawole , Henrietta Fawole

Purpose

This study aimed to test whether the 2-Minute Walk Test (2MWT) can substitute for the 6-Minute Walk Test (6MWT) when estimating functional capacity in Nigerian older adults and to identify physiological mediators or moderators of that relationship.

Methods

We conducted a cross-sectional study and recruited 409 adults ≥ 60 years who completed both walk tests; gait speed was the primary outcome. Age, sex, body-mass index (BMI), Montreal Cognitive Assessment scores, and estimated VO₂ max were also recorded.

Results

This study indicated that 2MWT gait speed strongly predicted 6MWT gait speed (β = 0.547, p < 0.001), accounting for 35 % of its variance. Age, cognition, BMI, and VO₂ max did not mediate this association, but VO₂ max moderated it (interaction β = 0.0175, p < 0.05). Bland–Altman analysis showed a small systematic underestimation by the 2MWT, with acceptable agreement when mean speeds were 0.7–1.2 m s⁻¹.

Conclusion

We concluded that the 2MWT could offer a time-efficient proxy for the 6MWT in low-resource settings, although clinicians should interpret results cautiously in individuals with low aerobic fitness.
目的本研究旨在测试2分钟步行测试(2MWT)是否可以替代6分钟步行测试(6MWT)来估计尼日利亚老年人的功能能力,并确定这种关系的生理介质或调节因子。方法:我们进行了一项横断面研究,招募了409名≥60岁的成年人,他们完成了两项步行测试;步态速度是主要观察指标。此外,还记录了年龄、性别、身体质量指数(BMI)、蒙特利尔认知能力评价分数、VO₂max预测值等。结果本研究表明,2MWT步态速度对6MWT步态速度有较强的预测作用(β = 0.547, p < 0.001),占方差的35%。年龄、认知、BMI和vo2 max没有介导这种关联,但vo2 max调节了这种关联(交互作用β = 0.0175, p < 0.05)。Bland-Altman分析显示2MWT有一个小的系统性低估,当平均速度为0.7-1.2 m s时,结果是可以接受的。我们的结论是,在低资源环境下,2MWT可以作为6MWT的时间效率代表,尽管临床医生在低有氧适应度的个体中应谨慎解释结果。
{"title":"Evaluating the two-minute walk test as a time-efficient alternative to the six-minute walk test in Nigerian older adults: Insights from an exploratory mediation and moderation analysis","authors":"Michael E. Kalu ,&nbsp;Ajayi K. Oladimeji ,&nbsp;Israel Adandom ,&nbsp;Nusrat S. Nessa ,&nbsp;Chigozie L.J. Ugwu ,&nbsp;Chukwuebuka P. Onyekere ,&nbsp;Francis O. Kolawole ,&nbsp;Henrietta Fawole","doi":"10.1016/j.aggp.2026.100243","DOIUrl":"10.1016/j.aggp.2026.100243","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to test whether the 2-Minute Walk Test (2MWT) can substitute for the 6-Minute Walk Test (6MWT) when estimating functional capacity in Nigerian older adults and to identify physiological mediators or moderators of that relationship.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study and recruited 409 adults ≥ 60 years who completed both walk tests; gait speed was the primary outcome. Age, sex, body-mass index (BMI), Montreal Cognitive Assessment scores, and estimated VO₂ max were also recorded.</div></div><div><h3>Results</h3><div>This study indicated that 2MWT gait speed strongly predicted 6MWT gait speed (β = 0.547, p &lt; 0.001), accounting for 35 % of its variance. Age, cognition, BMI, and VO₂ max did not mediate this association, but VO₂ max moderated it (interaction β = 0.0175, p &lt; 0.05). Bland–Altman analysis showed a small systematic underestimation by the 2MWT, with acceptable agreement when mean speeds were 0.7–1.2 m s⁻¹.</div></div><div><h3>Conclusion</h3><div>We concluded that the 2MWT could offer a time-efficient proxy for the 6MWT in low-resource settings, although clinicians should interpret results cautiously in individuals with low aerobic fitness.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"3 1","pages":"Article 100243"},"PeriodicalIF":0.0,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postural instability in the digital age: A scoping review of screen exposure and balance outcomes in community-dwelling older adults 数字时代的姿势不稳定:对社区居住的老年人的屏幕暴露和平衡结果的范围审查
Pub Date : 2026-01-02 DOI: 10.1016/j.aggp.2025.100242
Tamanna Sharma BPT, (MPT) , Nidhi Sharma BPT, MPT, PhD , Simranjeet Kaur BPT, MPT , Parveen Kumar BPT, MPT , Preeti Kapri BPT, MPT

Background

Digital screen use is increasingly common among older adults, yet its implications for balance and postural control are not well defined. Age-related sensory, vestibular and cognitive changes may increase vulnerability to balance disturbances during screen-based activities.

Objective

To map and describe how screen exposure has been explored in relation to balance-related outcomes in community-dwelling adults aged 60 years and older.

Methods

A scoping review was conducted following Joanna Briggs Institute guidance and the PRISMA-ScR framework. Systematic searches of eight electronic databases identified studies published in English between December 2000 and June 2024. Observational and experimental studies assessing any form of digital screen exposure in relation to balance, gait, vestibulo-ocular function, or dizziness in adults aged ≥60 years were eligible. Data were charted descriptively to map exposure types, balance domains, measurement tools, and methodological characteristics.

Results

Five studies met the inclusion criteria. Screen exposures included total daily screen time, smartphone use during walking, sustained near-focus visual tasks, and immersive or visually provocative digital environments. Balance-related outcomes encompassed postural sway, gait parameters, dynamic visual acuity, vestibulo-ocular reflex function, and self-reported dizziness. Substantial heterogeneity was observed across exposure definitions, measurement tools, and study designs. Most evidence was cross-sectional or based on short-duration experimental protocols.

Conclusion

Evidence examining screen exposure and balance in older adults is limited and methodologically diverse. This scoping review provides a structured mapping of the existing literature rather than an assessment of effects or causality, highlighting gaps to inform future research on digital behaviour and balance in ageing populations.
数字屏幕的使用在老年人中越来越普遍,但其对平衡和姿势控制的影响尚未得到很好的定义。与年龄相关的感觉、前庭和认知变化可能会增加屏幕活动中平衡性障碍的易感性。目的绘制并描述如何探索屏幕暴露与60岁及以上社区居住成年人平衡相关结果的关系。方法根据Joanna Briggs研究所的指导和PRISMA-ScR框架进行范围审查。对8个电子数据库进行系统搜索,确定了2000年12月至2024年6月期间用英语发表的研究。在年龄≥60岁的成年人中,评估任何形式的数字屏幕暴露与平衡、步态、前庭-眼功能或头晕相关的观察性和实验性研究均符合条件。将数据绘制成描述性图表,以绘制暴露类型、平衡域、测量工具和方法特征。结果5项研究符合纳入标准。屏幕暴露包括每天总屏幕时间、走路时使用智能手机、持续的近焦视觉任务、沉浸式或视觉刺激的数字环境。平衡相关的结果包括姿势摇摆、步态参数、动态视力、前庭-眼反射功能和自我报告的头晕。在暴露定义、测量工具和研究设计中观察到大量异质性。大多数证据是横断面的或基于短时间的实验方案。结论:检查老年人屏幕暴露和平衡的证据有限,方法多样。这一范围审查提供了现有文献的结构化映射,而不是对影响或因果关系的评估,突出了差距,为未来关于老龄化人口的数字行为和平衡的研究提供了信息。
{"title":"Postural instability in the digital age: A scoping review of screen exposure and balance outcomes in community-dwelling older adults","authors":"Tamanna Sharma BPT, (MPT) ,&nbsp;Nidhi Sharma BPT, MPT, PhD ,&nbsp;Simranjeet Kaur BPT, MPT ,&nbsp;Parveen Kumar BPT, MPT ,&nbsp;Preeti Kapri BPT, MPT","doi":"10.1016/j.aggp.2025.100242","DOIUrl":"10.1016/j.aggp.2025.100242","url":null,"abstract":"<div><h3>Background</h3><div>Digital screen use is increasingly common among older adults, yet its implications for balance and postural control are not well defined. Age-related sensory, vestibular and cognitive changes may increase vulnerability to balance disturbances during screen-based activities.</div></div><div><h3>Objective</h3><div>To map and describe how screen exposure has been explored in relation to balance-related outcomes in community-dwelling adults aged 60 years and older.</div></div><div><h3>Methods</h3><div>A scoping review was conducted following Joanna Briggs Institute guidance and the PRISMA-ScR framework. Systematic searches of eight electronic databases identified studies published in English between December 2000 and June 2024. Observational and experimental studies assessing any form of digital screen exposure in relation to balance, gait, vestibulo-ocular function, or dizziness in adults aged ≥60 years were eligible. Data were charted descriptively to map exposure types, balance domains, measurement tools, and methodological characteristics.</div></div><div><h3>Results</h3><div>Five studies met the inclusion criteria. Screen exposures included total daily screen time, smartphone use during walking, sustained near-focus visual tasks, and immersive or visually provocative digital environments. Balance-related outcomes encompassed postural sway, gait parameters, dynamic visual acuity, vestibulo-ocular reflex function, and self-reported dizziness. Substantial heterogeneity was observed across exposure definitions, measurement tools, and study designs. Most evidence was cross-sectional or based on short-duration experimental protocols.</div></div><div><h3>Conclusion</h3><div>Evidence examining screen exposure and balance in older adults is limited and methodologically diverse. This scoping review provides a structured mapping of the existing literature rather than an assessment of effects or causality, highlighting gaps to inform future research on digital behaviour and balance in ageing populations.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"3 1","pages":"Article 100242"},"PeriodicalIF":0.0,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145925283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multi-domain intervention for prevention of cognitive decline among older adults with mild cognitive impairment: A cluster randomized trial protocol (TINAGE trial) 多领域干预预防老年轻度认知障碍患者认知能力下降:一项聚类随机试验方案(TINAGE试验)
Pub Date : 2025-12-25 DOI: 10.1016/j.aggp.2025.100239
Saritha Susan Vargese , Neha Elizabath Eldho , Pramod Thomas , Deepak Thomas Varughese , Thomas Mathew

Background

With global demographic shifts leading to an increasingly aging population, the prevalence of cognitive decline, including mild cognitive impairment (MCI), is on the rise. Despite significant research efforts, effective interventions for preventing cognitive decline and dementia remain limited. This study aims to investigate the effects of a 2-year multidomain intervention on cognition in community-dwelling older adults above 60 years with mild cognitive impairment.

Methods

A two-arm cluster randomized trial will be conducted among older adults aged 60–75 years with MCI. The eligible participants will be identified through house-to-house visits in the selected wards (20 wards) of Tiruvalla taluk. Identified, consented adults will be screened using a validated tool. The 20 wards will be randomly divided into two arms: intervention and control. Among those diagnosed with MCI, 21 individuals from each ward will be randomly enrolled in the study. The multidomain intervention includes nutrition, physical activity, social support and engagement, cognitive stimulation training, and management of metabolic and vascular risk factors. Approval from the Institutional Review Board (IRB) has been obtained (IEC Study Number: IEC/2022/08/279. Trial has been registered in CTRI, CTRI registration number: CTRI/2023/11/060181.

Conclusion

The cluster randomized trial will investigate the effectiveness of a culturally adapted multidomain intervention in the prevention of cognitive decline among older adults with mild cognitive impairment. If found effective can be scaled to similar settings.
随着全球人口结构的变化导致人口老龄化的加剧,包括轻度认知障碍(MCI)在内的认知能力下降的患病率正在上升。尽管进行了大量的研究,但预防认知能力下降和痴呆的有效干预措施仍然有限。本研究旨在探讨2年多领域干预对60岁以上轻度认知障碍社区老年人认知能力的影响。方法对60 ~ 75岁老年轻度认知损伤患者进行双组随机试验。合格的参与者将通过在Tiruvalla taluk的选定病房(20个病房)挨家挨户的访问来确定。将使用经过验证的工具对已确定的、同意的成年人进行筛选。这20个病房将被随机分为两组:干预组和控制组。在被诊断为轻度认知障碍的患者中,每个病房将随机招募21名患者参与研究。多领域干预包括营养、身体活动、社会支持和参与、认知刺激训练以及代谢和血管危险因素的管理。已获得机构审查委员会(IRB)的批准(IEC研究编号:IEC/2022/08/279)。试验已在CTRI注册,CTRI注册号:CTRI/2023/11/060181。结论:本研究旨在探讨文化适应性多领域干预对轻度认知障碍老年人认知能力下降的预防效果。如果发现有效,可以扩展到类似的设置。
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引用次数: 0
Who falls and why? Navigating the physiological and psychological contributors in fall outcomes among self-perceived unhealthy middle-aged and older adults in India 谁会倒下,为什么?在印度自我认为不健康的中老年人中,在跌倒结果中导航生理和心理因素
Pub Date : 2025-12-25 DOI: 10.1016/j.aggp.2025.100240
Madhurima Sharma , Sandip Das , Indrajit Goswami

Background

Incidental falls are a leading cause of mortality and serious injury among elderly persons, particularly those who perceive themselves as unhealthy. This study aimed to examine the impact of physiological and psychological factors on fall outcomes among Indian adults with negative self-rated health (SRH).

Methods

Secondary data from the first wave (2017–18) of the Longitudinal Ageing Study in India were analyzed, including 10,326 respondents aged 45 years and above with poor or very poor self-rated health. Multivariate logistic regression models were used to examine associations between physiological and psychological factors and three fall outcomes (fall, multiple falls, and fall-related injuries). Analyses accounted for age-group differences (45–59 vs. ≥60 years) and state-level variation in fall prevalence.

Results

Among adults with poor SRH, 14.5% reported at least one fall, 7.1% multiple falls, and 6.8% fall-related injuries. Fall prevalence was higher among women, adults aged ≥60 years, rural residents, those with no schooling, and physically inactive individuals. Chronic pain showed the strongest association with falls (aOR=1.61), multiple falls (aOR=1.54), and injuries (aOR=1.47). Sensory impairments (visual: aOR=1.15; hearing: aOR=1.28), functional limitations (ADL limitations: aOR=1.21 for falls; mobility impairment: aOR=1.30 for multiple falls), and psychological factors (depressive symptoms: aOR=1.05 for falls; cognitive impairment: aOR=1.33 for injuries) were also significant predictors.

Conclusion

Physiological and psychological factors, particularly chronic pain and sensory impairments substantially increase fall risk among Indian adults with poor SRH. The higher risk among older adults and notable state-level variation underscore the need for age- and region-specific fall prevention strategies.
背景:意外跌倒是老年人死亡和严重受伤的主要原因,特别是那些认为自己不健康的老年人。本研究旨在探讨生理和心理因素对印度成人负自评健康(SRH)跌倒结局的影响。方法分析印度纵向老龄化研究第一波(2017-18)的二次数据,包括10326名45岁及以上、自评健康状况较差或极差的受访者。多变量logistic回归模型用于检验生理和心理因素与三种跌倒结局(跌倒、多次跌倒和跌倒相关损伤)之间的关系。分析考虑了年龄组差异(45-59岁vs.≥60岁)和各州秋季患病率的差异。结果在SRH较差的成年人中,14.5%报告至少一次跌倒,7.1%报告多次跌倒,6.8%报告跌倒相关损伤。女性、年龄≥60岁的成年人、农村居民、没有上学的人和缺乏运动的人的跌倒患病率较高。慢性疼痛与跌倒(aOR=1.61)、多次跌倒(aOR=1.54)和损伤(aOR=1.47)的相关性最强。感觉障碍(视觉:aOR=1.15;听力:aOR=1.28)、功能限制(跌倒时ADL限制:aOR=1.21;多次跌倒时行动障碍:aOR=1.30)和心理因素(跌倒时抑郁症状:aOR=1.05;受伤时认知障碍:aOR=1.33)也是重要的预测因素。生理和心理因素,特别是慢性疼痛和感觉障碍显著增加了印度成人SRH不良患者的跌倒风险。老年人中较高的风险和显著的州一级差异强调了针对年龄和区域的跌倒预防策略的必要性。
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引用次数: 0
Public narratives of geriatric diseases in the digital space: A topic modelling analysis of YouTube comments 数字空间中老年病的公共叙事:YouTube评论的主题建模分析
Pub Date : 2025-12-25 DOI: 10.1016/j.aggp.2025.100241
Ayushi Das , Preeti Dhillon
In the digital age, social media platforms such as YouTube have become vital sources of health information and public discourse. This study analyses YouTube comments to explore public knowledge, perceptions, and emotional responses to three geriatric diseases dementia, hypertension and diabetes. Comments were collected via YouTube API v3 from the top 100 most-viewed videos for each disease, totalling 129,613 comments. Keywords were selected using Google Trends. After extensive preprocessing, word cloud analysis, sentiment analysis and topic modelling (with parameters optimized through grid search and coherence scores) were performed, identifying five coherent thematic clusters for each disease. Topic modelling identified five key themes per disease: dementia discussions centred on emotions (29 %), caregiving (27 %), political discourse (17 %), fear of cognitive decline (16 %), and diet (11 %). Hypertension topics focused on treatment searches (28.9 %), lifestyle and diet (26.4 %), medication and comorbidities (17 %), knowledge about blood pressure (16.2 %), and work/kidney disease (11.5 %). Diabetes conversations emphasized Indian dietary ingredients (37.2 %), diet-insulin-blood pressure interactions (20.7 %), general diet (16.8 %), weight management (13.3 %), and emotions/spirituality (12 %). Sentiment analysis showed mostly neutral comments across diseases, with 81.4 % neutrality in hypertension treatment searches and 89.8 % neutrality in diabetes dietary ingredients. Dementia caregiving had the highest negative sentiment (43.5 %), while dementia emotions scored 46 % positive sentiment. The findings suggest that while hypertension and diabetes prompt neutral, disease management focused discussions, dementia elicits stronger emotional responses and misinformation. This highlights the need for targeted public health interventions and support systems to address the unique challenges of less prevalent neurodegenerative conditions such as dementia.
在数字时代,YouTube等社交媒体平台已成为健康信息和公共话语的重要来源。这项研究分析了YouTube上的评论,以探索公众对痴呆、高血压和糖尿病三种老年疾病的知识、认知和情绪反应。评论是通过YouTube API v3从每种疾病的前100个观看次数最多的视频中收集的,共有129,613条评论。使用谷歌Trends选择关键词。经过广泛的预处理,进行了词云分析、情感分析和主题建模(通过网格搜索和连贯分数优化参数),为每种疾病确定了五个连贯的主题聚类。主题建模确定了每种疾病的五个关键主题:以情绪为中心的痴呆症讨论(29%)、护理(27%)、政治话语(17%)、对认知能力下降的恐惧(16%)和饮食(11%)。高血压主题集中在治疗搜索(28.9%),生活方式和饮食(26.4%),药物和合并症(17%),血压知识(16.2%)和工作/肾脏疾病(11.5%)。糖尿病对话强调印度饮食成分(37.2%)、饮食-胰岛素-血压相互作用(20.7%)、一般饮食(16.8%)、体重管理(13.3%)和情绪/精神(12%)。情感分析显示,疾病之间的评论大多是中性的,在高血压治疗搜索中有81.4%的中性,在糖尿病饮食成分中有89.8%的中性。痴呆症护理的负面情绪最高(43.5%),而痴呆症情绪的正面情绪为46%。研究结果表明,虽然高血压和糖尿病会引发中性的、以疾病管理为重点的讨论,但痴呆症会引发更强烈的情绪反应和错误信息。这突出表明需要有针对性的公共卫生干预和支持系统,以应对痴呆等不太普遍的神经退行性疾病的独特挑战。
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引用次数: 0
A foundational analysis of internal consistency for 17 geriatric/gerontological outcome measures in Nigerian older adults: Do we need further psychometric evaluation? 尼日利亚老年人17项老年/老年预后指标内部一致性的基础分析:我们是否需要进一步的心理测量评估?
Pub Date : 2025-12-17 DOI: 10.1016/j.aggp.2025.100238
Chukwuebuka Prince Onyekere , Daniel Rayner , Francis Kolawole , Perpetua Chinenye Obi , Peace Temitope Kumapayi , Chigozie Louisa J. Ugwu , Michael Ebe Kalu

Background and objectives

Many gerontological outcome measures developed and validated in advanced countries may produce unreliable results in Nigeria, necessitating psychometric evaluation of these tools. This study provides the foundational psychometric analysis of internal consistency across 17 common gerontological measures among community-dwelling older adults in Nigeria.

Research design and methods

This is a secondary analysis of 409 (83.9 % females) Nigerian older adults (mean age 67.96±6.67 years) who responded to 17 measures evaluating cognitive, environmental, physical, psychological, and social outcomes. Cronbach’s alpha was interpreted as ≥0.7 (high), close to 0.6 (moderate) and <0.5 (low). Item-test and item-rest correlations were considered acceptable if greater than 0.5 and >0.3, respectively.

Results

Mini-Mental State Examination, Memory Assessment Clinic Questionnaire, Attention Assessment Scale, Neighbourhood Satisfaction Subscale of the Neighbourhood Environment Walkability Scale (NEWS), Life-space Mobility Questionnaire, 9-Item Modified Physical Literacy Instrument, Geriatric Anxiety Scale, Geriatric Depression Scale, Fall Efficacy Scale- International, Keele Assessment of Participation, University of California, Los Angeles Loneliness Scale, Lubben Social Network Scale, Multidimensional Scale of Perceived Social Support, Connectedness subscale of Social Isolation Scale (SIS) demonstrated high internal consistency (≥0.7). Similarly, Montreal Cognitive Assessment (MoCA) and the belongingness subscale of SIS demonstrated moderate internal consistency (close to 0.6), while other NEWS subscales, Physical Activity Scale for the Elderly (PASE), and the International Personality Item Pool (IPIP) had low internal consistency (<0.5).

Conclusion

Fourteen measures demonstrated strong internal consistency in this sample, providing preliminary support for their potential suitability in Nigerian older adult population. A complete validation of reliability will require subsequent analyses of dimensionality, test–retest consistency, and measurement invariance across relevant populations to finalise confident use.
背景和目的在发达国家开发和验证的许多老年学结果测量在尼日利亚可能产生不可靠的结果,因此有必要对这些工具进行心理测量学评估。本研究提供了尼日利亚社区居住老年人中17种常见老年学测量的内部一致性的基本心理测量分析。研究设计和方法这是一项对409名尼日利亚老年人(83.9%为女性)(平均年龄67.96±6.67岁)的二次分析,这些老年人对17项评估认知、环境、身体、心理和社会结果的措施有反应。Cronbach’s alpha解释为≥0.7(高),接近0.6(中等)和<;0.5(低)。如果项目-测试和项目-休息相关性分别大于0.5和>;0.3,则认为是可以接受的。结果心理状态量表、记忆评估临床问卷、注意力评估量表、社区环境步行性量表(NEWS)邻里满意度子量表、生活空间流动性量表、9项修正体素养量表、老年焦虑量表、老年抑郁量表、国际跌倒效能量表、Keele参与量表、加州大学洛杉矶分校孤独感量表、Lubben社会网络量表、感知社会支持多维度量表、社会隔离量表(SIS)的连通性子量表具有较高的内部一致性(≥0.7)。同样,蒙特利尔认知评估(MoCA)和SIS的归属感子量表具有中等的内部一致性(接近0.6),而NEWS的其他子量表、老年人身体活动量表(PASE)和国际人格项目库(IPIP)具有较低的内部一致性(<0.5)。结论该样本中14项测量指标具有较强的内部一致性,为其在尼日利亚老年人群体中的潜在适用性提供了初步支持。完整的可靠性验证将需要对相关人群的维度、测试-重测试一致性和测量不变性进行后续分析,以最终确定可靠的使用。
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引用次数: 0
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Archives of Gerontology and Geriatrics Plus
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