Pub Date : 2026-01-14DOI: 10.1016/j.aggp.2026.100249
Natan Feter , Marcos Cirilo Sana Monteiro , Leticia Vitória Mourão Meira Pereira , Eduarda da Cunha Policarpo , Samuel Carvalho Dumith
Objectives
Population aging in Brazil has led to a significant increase in the burden of neurological disorders. This study aimed to examine the association of demographic aging with this burden.
Study design
An ecological temporal-trend study.
Methods
This time-series ecological study analyzed neurological disorder burden and population aging across 27 Brazilian states (1991–2023). Data from the Global Burden of Disease (IHME) and Brazilian Institute of Geography and Statistics (IBGE) were used. We calculated annual percentage changes (APCs) for five neurological indicators and population aging. Prais-Winsten regression analyzed aging trends, and linear regression assessed its association with neurological disorders, adjusting for covariates.
Results
The proportion of older adults (≥60 years) in Brazil more than doubled from 6.6% in 1991 to 14.2% in 2022. Concomitantly, all indicators of neurological disorders, including mortality (a 34.6% increase) and disability-adjusted life years (DALYs, a 20.5% increase), exhibited upward trends. Our findings reveal that aging is an independent predictor of worsening health indicators; each one-percentage-point increase in the elderly population was associated with a 2.9% rise in mortality and a 1.8% increase in DALYs.
Conclusion
Population aging is a significant and independent indicator of worsening neurological health in Brazil, posing critical public health challenges that require coordinated action. It is essential to strengthen the Unified Health System (SUS) to address the demand for specialized neurological care.
{"title":"What is the burden of neurological disorders associated to population aging in Brazil? ecological temporal-trend study","authors":"Natan Feter , Marcos Cirilo Sana Monteiro , Leticia Vitória Mourão Meira Pereira , Eduarda da Cunha Policarpo , Samuel Carvalho Dumith","doi":"10.1016/j.aggp.2026.100249","DOIUrl":"10.1016/j.aggp.2026.100249","url":null,"abstract":"<div><h3>Objectives</h3><div>Population aging in Brazil has led to a significant increase in the burden of neurological disorders. This study aimed to examine the association of demographic aging with this burden.</div></div><div><h3>Study design</h3><div>An ecological temporal-trend study.</div></div><div><h3>Methods</h3><div>This time-series ecological study analyzed neurological disorder burden and population aging across 27 Brazilian states (1991–2023). Data from the Global Burden of Disease (IHME) and Brazilian Institute of Geography and Statistics (IBGE) were used. We calculated annual percentage changes (APCs) for five neurological indicators and population aging. Prais-Winsten regression analyzed aging trends, and linear regression assessed its association with neurological disorders, adjusting for covariates.</div></div><div><h3>Results</h3><div>The proportion of older adults (≥60 years) in Brazil more than doubled from 6.6% in 1991 to 14.2% in 2022. Concomitantly, all indicators of neurological disorders, including mortality (a 34.6% increase) and disability-adjusted life years (DALYs, a 20.5% increase), exhibited upward trends. Our findings reveal that aging is an independent predictor of worsening health indicators; each one-percentage-point increase in the elderly population was associated with a 2.9% rise in mortality and a 1.8% increase in DALYs.</div></div><div><h3>Conclusion</h3><div>Population aging is a significant and independent indicator of worsening neurological health in Brazil, posing critical public health challenges that require coordinated action. It is essential to strengthen the Unified Health System (SUS) to address the demand for specialized neurological care.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"3 1","pages":"Article 100249"},"PeriodicalIF":0.0,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146173409","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}
Chronic heart disease (CHD) and chronic lung disease (CLD) are major contributors to morbidity and mortality among ageing populations, often sharing common risk factors and biological pathways. Despite evidence of cardiopulmonary interactions, few studies in India have examined gender differences and effect modification in the association between CLD and CHD using nationally representative data. This study estimates the prevalence of CLD and CHD among Indian adults aged ≥45 years, examines their association, and explores gender differences in the distribution and contribution of BMI, self-rated health, hypertension, diabetes, cancer, stroke, and high cholesterol within this association.
Data and Methods
We analysed cross-sectional data from 60,632 respondents in Wave 1 of the LASI (2017–2018). Weighted descriptive statistics and multivariable logistic regression models assessed associations between CLD and CHD, incorporating interaction terms for key health risk factors. Mediation analysis used the Karlson–Holm–Breen method to decompose total effects into direct and indirect effects.
Results
The prevalence of CHD and CLD was 3.86% and 7.29%, respectively. Females with CLD had higher odds of CHD (AOR=2.89) than males. Significant interaction effect modifications were observed for SRH, hypertension, high BMI, diabetes, cancer, stroke, and high cholesterol, predominantly among females. Mediation decomposition analysis identified SRH as the strongest mediator, explaining 34% of the observed CLD–CHD association overall (52% in males, 24% in females), followed by hypertension (10%) and high cholesterol (5%).
Conclusion
CLD and CHD are more prevalent among middle-aged and older adults in India, with co-occurrence influenced by age, multimorbidity, obesity, poor SRH and cardiometabolic conditions. Gender differences and geographic variation underscore the need for tailored strategies. Recognising CLD–CHD coexistence can inform comprehensive geriatric assessment, risk stratification and coordinated care, while population-level interventions should integrate lifestyle promotion, multimorbidity management and gender-sensitive approaches.
{"title":"Association between chronic lung disease and chronic heart disease among middle-aged and older adults in India: A gender-stratified cross-sectional analysis","authors":"Hemant Singh Gurjar , Gaurav Sharma , Anjna Kumari","doi":"10.1016/j.aggp.2026.100245","DOIUrl":"10.1016/j.aggp.2026.100245","url":null,"abstract":"<div><h3>Background</h3><div>Chronic heart disease (CHD) and chronic lung disease (CLD) are major contributors to morbidity and mortality among ageing populations, often sharing common risk factors and biological pathways. Despite evidence of cardiopulmonary interactions, few studies in India have examined gender differences and effect modification in the association between CLD and CHD using nationally representative data. This study estimates the prevalence of CLD and CHD among Indian adults aged ≥45 years, examines their association, and explores gender differences in the distribution and contribution of BMI, self-rated health, hypertension, diabetes, cancer, stroke, and high cholesterol within this association.</div></div><div><h3>Data and Methods</h3><div>We analysed cross-sectional data from 60,632 respondents in Wave 1 of the LASI (2017–2018). Weighted descriptive statistics and multivariable logistic regression models assessed associations between CLD and CHD, incorporating interaction terms for key health risk factors. Mediation analysis used the Karlson–Holm–Breen method to decompose total effects into direct and indirect effects.</div></div><div><h3>Results</h3><div>The prevalence of CHD and CLD was 3.86% and 7.29%, respectively. Females with CLD had higher odds of CHD (AOR=2.89) than males. Significant interaction effect modifications were observed for SRH, hypertension, high BMI, diabetes, cancer, stroke, and high cholesterol, predominantly among females. Mediation decomposition analysis identified SRH as the strongest mediator, explaining 34% of the observed CLD–CHD association overall (52% in males, 24% in females), followed by hypertension (10%) and high cholesterol (5%).</div></div><div><h3>Conclusion</h3><div>CLD and CHD are more prevalent among middle-aged and older adults in India, with co-occurrence influenced by age, multimorbidity, obesity, poor SRH and cardiometabolic conditions. Gender differences and geographic variation underscore the need for tailored strategies. Recognising CLD–CHD coexistence can inform comprehensive geriatric assessment, risk stratification and coordinated care, while population-level interventions should integrate lifestyle promotion, multimorbidity management and gender-sensitive approaches.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"3 1","pages":"Article 100245"},"PeriodicalIF":0.0,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146173311","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}
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.
{"title":"Kinematic analysis of one-leg standing for locomotive syndrome screening using marker-less motion capture and machine learning: A cross-sectional study","authors":"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.","doi":"10.1016/j.aggp.2026.100244","DOIUrl":"10.1016/j.aggp.2026.100244","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"3 1","pages":"Article 100244"},"PeriodicalIF":0.0,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976556","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}
Pub Date : 2026-01-03DOI: 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 , Ajayi K. Oladimeji , Israel Adandom , Nusrat S. Nessa , Chigozie L.J. Ugwu , Chukwuebuka P. Onyekere , Francis O. Kolawole , 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 < 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.</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}
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.
{"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) , Nidhi Sharma BPT, MPT, PhD , Simranjeet Kaur BPT, MPT , Parveen Kumar BPT, MPT , 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}
{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"3 2","pages":"Article 100261"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146211261","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}
Pub Date : 2025-12-25DOI: 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.
{"title":"Multi-domain intervention for prevention of cognitive decline among older adults with mild cognitive impairment: A cluster randomized trial protocol (TINAGE trial)","authors":"Saritha Susan Vargese , Neha Elizabath Eldho , Pramod Thomas , Deepak Thomas Varughese , Thomas Mathew","doi":"10.1016/j.aggp.2025.100239","DOIUrl":"10.1016/j.aggp.2025.100239","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"3 1","pages":"Article 100239"},"PeriodicalIF":0.0,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145925284","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}
Pub Date : 2025-12-25DOI: 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.
{"title":"Who falls and why? Navigating the physiological and psychological contributors in fall outcomes among self-perceived unhealthy middle-aged and older adults in India","authors":"Madhurima Sharma , Sandip Das , Indrajit Goswami","doi":"10.1016/j.aggp.2025.100240","DOIUrl":"10.1016/j.aggp.2025.100240","url":null,"abstract":"<div><h3>Background</h3><div>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).</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"3 1","pages":"Article 100240"},"PeriodicalIF":0.0,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145925285","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}
Pub Date : 2025-12-25DOI: 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。
{"title":"Public narratives of geriatric diseases in the digital space: A topic modelling analysis of YouTube comments","authors":"Ayushi Das , Preeti Dhillon","doi":"10.1016/j.aggp.2025.100241","DOIUrl":"10.1016/j.aggp.2025.100241","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"3 1","pages":"Article 100241"},"PeriodicalIF":0.0,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145884384","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}
Pub Date : 2025-12-17DOI: 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.
{"title":"A foundational analysis of internal consistency for 17 geriatric/gerontological outcome measures in Nigerian older adults: Do we need further psychometric evaluation?","authors":"Chukwuebuka Prince Onyekere , Daniel Rayner , Francis Kolawole , Perpetua Chinenye Obi , Peace Temitope Kumapayi , Chigozie Louisa J. Ugwu , Michael Ebe Kalu","doi":"10.1016/j.aggp.2025.100238","DOIUrl":"10.1016/j.aggp.2025.100238","url":null,"abstract":"<div><h3>Background and objectives</h3><div>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.</div></div><div><h3>Research design and methods</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"3 1","pages":"Article 100238"},"PeriodicalIF":0.0,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145840231","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}
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