Archives of Gerontology and Geriatrics Plus最新文献_第2页

The association between cognitive leisure activities, mobility, participation and physical activities among community-dwelling older adults in Nigeria 尼日利亚社区居住老年人的认知休闲活动、流动性、参与和身体活动之间的关系

Archives of Gerontology and Geriatrics Plus

Pub Date : 2026-03-01 Epub Date: 2026-02-04 DOI: 10.1016/j.aggp.2026.100257

Sochima Johnmark Obiekwe, Favour Chidera Kanu, Marvelous Oyinloluwa Adeniyi, Chisom Jennifer Chima, Uzoamaka Nwakaego Akobundu, Uchenna Prosper Okonkwo

Introduction

Cognitive leisure activities are known to improve cognition, executive function, and quality of life, yet their influence on mobility, physical activity, and social participation among older adults is underexplored. This study examined these associations in community-dwelling older adults in Nigeria.

Methods

A cross-sectional survey was conducted with 220 (mean age: 70.4 ± 7.36 years) consecutively recruited older adults in Nnewi, using the modified Cognitive Leisure Activities Scale (CLAS), Life-Space Questionnaire (LSQ), Physical Activity Scale for the Elderly (PASE), and the Participation Scale (P-Scale).

Results

Over 70% of participants reported never playing chess, checkers, scrabble, or puzzles, while nearly half read books regularly and two-thirds socialised with friends at least monthly. Religious activities were highly prominent, with 90.4% participating weekly or more, while volunteering and club activities were also common. In contrast, creative pursuits such as painting, writing, and attending theatre, concerts, or museums were rare. Listening to music, singing, and watching television showed more balanced distributions across weekly and daily frequencies. The mean physical activity score (PASE) was 139.19 (SD = 60.65), and most participants reported no-to-mild participation restrictions with good levels of mobility. Correlation and regression analyses revealed that cognitive leisure activities were strongly associated with higher life-space mobility and lower participation restrictions, but not with physical activity.

Conclusion

Greater engagement in cognitive leisure activities can influence higher life-space mobility and lower participation restrictions, but their influence may be limited or indirect on physical activity; therefore, they should not be sidelined in promoting healthy ageing among community-dwelling older adults.

众所周知，认知休闲活动可以改善老年人的认知、执行功能和生活质量，但它们对老年人的行动能力、身体活动和社会参与的影响尚未得到充分探讨。本研究在尼日利亚社区居住的老年人中调查了这些关联。方法采用改进的认知休闲活动量表（CLAS）、生活空间问卷（LSQ）、老年人体力活动量表（PASE）和参与量表（P-Scale），对Nnewi地区连续招募的220名老年人（平均年龄70.4±7.36岁）进行横断面调查。结果：超过70%的参与者从不下棋、跳棋、拼字游戏或拼图，近一半的人经常读书，三分之二的人至少每月与朋友聚会一次。宗教活动非常突出，有90.4%的人每周或以上参加一次，而志愿服务和俱乐部活动也很常见。相比之下，创造性的追求，如绘画、写作、参加戏剧、音乐会或博物馆是罕见的。听音乐、唱歌和看电视在每周和每日频率上的分布更为平衡。平均身体活动得分（PASE）为139.19 (SD = 60.65)，大多数参与者报告无至轻度参与限制，活动水平良好。相关分析和回归分析显示，认知休闲活动与较高的生活空间流动性和较低的参与限制密切相关，但与身体活动无关。结论更多的认知休闲活动可以提高生活空间流动性和降低参与限制，但对身体活动的影响可能有限或间接；因此，在促进社区居住的老年人健康老龄化方面，他们不应被排除在外。

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引用次数: 0

A review on Centella asiatica (L.) nutrient and phytochemical composition and its potential neuroprotective effect in Alzheimer’s disease 积雪草营养成分、植物化学成分及其对阿尔茨海默病潜在神经保护作用的研究进展

Archives of Gerontology and Geriatrics Plus

Pub Date : 2026-03-01 Epub Date: 2025-12-10 DOI: 10.1016/j.aggp.2025.100237

Vinoth Kumar Ganesan , Rallapalli Rajyalakshmi , Kumaraswamy Dabburu , Dharani Abirama Sundari Shanmugam , Ashwini Devi Balaraman

Background

Alzheimer's disease (AD) is a gradually developing neurodegenerative disease that affects 47 million individuals globally and is the leading cause of mortality. The disease's pathophysiology is complicated, and several hypotheses have been proposed to explain it, including the amyloid cascade hypothesis, tau hypothesis, cholinergic hypothesis, and oxidative stress hypothesis, all of which involve various biochemical processes. Centella asiatica (L.) has been used as a medicinal herb for thousands of years in India, China, Sri Lanka, Nepal, and Madagascar. Centella asiatica (L.) is one of the chief herbs for treating skin problems, to heal wounds, for revitalising the nerves and brain cells, hence primarily known as a "Brain Tonic" in India.

Methods

Using the internet databases Science Direct, Web of Science, Scopus, PubMed, and Google Scholar, the neuroprotective effect of Centella asiatica (L.) was searched. The literature review revealed that Centella asiatica (L.) has been shown to exert broad neuroprotective effects through various mechanisms, including enzyme inhibition, preventing the development of amyloid plaques in AD, reducing dopamine neurotoxicity in Parkinson's disease (PD), and reducing oxidative stress.

Result

It is possible to argue that Centella asiatica (L.) is a sought after phytopharmaceutical with neuroprotective effects, derived from traditional medicine.

Conclusion

Centella asiatica (L.) is a widely consumed green vegetable in many countries; incorporating it as a functional food into a regular diet is a practical approach to reap its many health advantages and nutritional profile. Taking advantage of this plant's medicinal, nutraceutical, and nutritional properties would be a significant contribution to holistic healthy ageing.

阿尔茨海默病（AD）是一种逐渐发展的神经退行性疾病，影响全球4700万人，是导致死亡的主要原因。该疾病的病理生理非常复杂，目前已经提出了几种假说来解释它，包括淀粉样蛋白级联假说、tau假说、胆碱能假说和氧化应激假说，这些假说都涉及多种生化过程。积雪草（Centella asiatica， L.）在印度、中国、斯里兰卡、尼泊尔和马达加斯加被用作草药已有数千年的历史。积雪草（L.）是治疗皮肤问题、愈合伤口、恢复神经和脑细胞活力的主要草药之一，因此在印度主要被称为“脑补品”。方法利用Science Direct、Web of Science、Scopus、PubMed、谷歌Scholar等网络数据库，对积雪草的神经保护作用进行检索。文献综述显示积雪草（Centella asiatica， L.）已被证明通过多种机制发挥广泛的神经保护作用，包括酶抑制，防止AD中淀粉样斑块的形成，降低帕金森病（PD）中的多巴胺神经毒性，以及降低氧化应激。结果积雪草（Centella asiatica， L.）是一种从传统医学中衍生出来的具有神经保护作用的植物药。结论积雪草（centella asiatica， L.）是许多国家广泛食用的绿色蔬菜；将它作为一种功能性食品纳入日常饮食是一种实用的方法，可以获得它的许多健康优势和营养成分。利用这种植物的药用、营养和营养特性将对整体健康老龄化做出重大贡献。

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引用次数: 0

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

Archives of Gerontology and Geriatrics Plus

Pub Date : 2026-03-01 Epub 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

Associations between sleep patterns and depressive symptoms across disability types in Chinese middle-aged and older adults 中国中老年人不同残疾类型的睡眠模式与抑郁症状的关系

Archives of Gerontology and Geriatrics Plus

Pub Date : 2026-03-01 Epub Date: 2026-02-04 DOI: 10.1016/j.aggp.2026.100256

JING LI PHD

Background

Depression prevalence among elderly individuals with disabilities significantly exceeds that in the general population; however, sleep-depression associations across disability types remain poorly understood. This study examined associations between sleep patterns and depressive symptoms across disability types in Chinese middle-aged and older adults.

Methods

This study utilized data from the 2018 China Health and Retirement Longitudinal Study (CHARLS), collecting demographic information, health status, and sleep patterns of participants. We included 1997 participants aged ≥45 years with disabilities categorized into five types: physical, cognitive, visual, hearing, and multiple disabilities. Depressive symptoms were assessed using the CES-d-10 scale, with scores ≥10 indicating depressive symptoms. Multivariable logistic regression and restricted cubic splines were used to examine associations between sleep patterns and depressive symptoms across disability types.

Results

The overall prevalence of depressive symptoms was 52.63%, with the highest rate in participants with multiple disabilities (64.09%). Compared with short sleep, normal sleep (6–8 h) reduced depression risk by 30–65% across all disability types. The strongest protective association was observed in visual impairment (OR=0.35, 95% CI: 0.22–0.55). Napping associations varied by disability type. Long napping (>90 min) was associated with a 62% lower risk of cognitive impairment (OR=0.38, 95% CI: 0.18–0.81), while short napping (<30 min) was associated with a threefold higher risk of multiple disabilities (OR=3.01, 95% CI: 1.18–7.71).

Conclusion

This study provides disability type-stratified comparative evidence on the heterogeneous manifestations of sleep depressive symptom relationships across different disability types. Six to eight hours of nighttime sleep was associated with reduced depressive symptoms across all disability types, while the associations with napping varied by disability type, suggesting the need for disability-specific individualized sleep intervention strategies.

背景：老年残疾人抑郁症患病率明显高于普通人群；然而，睡眠抑郁与各种残疾之间的联系仍然知之甚少。本研究考察了中国中老年人不同残疾类型的睡眠模式与抑郁症状之间的关系。方法利用2018年中国健康与退休纵向研究（CHARLS）的数据，收集参与者的人口统计信息、健康状况和睡眠模式。我们纳入了1997名年龄≥45岁的残疾患者，他们被分为五种类型：身体残疾、认知残疾、视觉残疾、听力残疾和多重残疾。采用CES-d-10量表评估抑郁症状，得分≥10分为抑郁症状。使用多变量逻辑回归和受限三次样条来检查不同残疾类型的睡眠模式和抑郁症状之间的关联。结果抑郁症状总体患病率为52.63%，其中多重残疾患者患病率最高（64.09%）。与短时间睡眠相比，在所有残疾类型中，正常睡眠（6-8小时）可将抑郁风险降低30-65%。在视力障碍中观察到最强的保护性关联（OR=0.35, 95% CI: 0.22-0.55）。小睡的关联因残疾类型而异。长时间午睡（90分钟）与认知障碍风险降低62%相关（OR=0.38, 95% CI: 0.18-0.81），而短时间午睡（30分钟）与多重残疾风险增加三倍相关（OR=3.01, 95% CI: 1.18-7.71）。结论本研究为不同残疾类型睡眠抑郁症状关系的异质性表现提供了残疾类型分层的比较证据。在所有残疾类型中，6到8小时的夜间睡眠与抑郁症状的减轻有关，而与午睡的关系因残疾类型而异，这表明需要针对残疾的个性化睡眠干预策略。

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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

Archives of Gerontology and Geriatrics Plus

Pub Date : 2026-03-01 Epub 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

Association between chronic lung disease and chronic heart disease among middle-aged and older adults in India: A gender-stratified cross-sectional analysis 印度中老年人慢性肺病和慢性心脏病之间的关系：一项性别分层的横断面分析

Archives of Gerontology and Geriatrics Plus

Pub Date : 2026-03-01 Epub Date: 2026-01-11 DOI: 10.1016/j.aggp.2026.100245

Hemant Singh Gurjar , Gaurav Sharma , Anjna Kumari

Background

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.

背景：慢性心脏病（CHD）和慢性肺部疾病（CLD）是老年人群发病率和死亡率的主要原因，通常具有共同的危险因素和生物学途径。尽管存在心肺相互作用的证据，但在印度很少有研究使用具有全国代表性的数据来检查CLD和冠心病之间关联的性别差异和效果改变。本研究估计了年龄≥45岁的印度成年人中CLD和冠心病的患病率，研究了它们之间的相关性，并探讨了BMI、自评健康、高血压、糖尿病、癌症、中风和高胆固醇在这一相关性中的分布和贡献的性别差异。数据和方法我们分析了LASI第一波（2017-2018）60,632名受访者的横截面数据。加权描述性统计和多变量逻辑回归模型评估了CLD和冠心病之间的关联，纳入了关键健康风险因素的相互作用项。中介分析采用Karlson-Holm-Breen方法将总效应分解为直接效应和间接效应。结果冠心病和CLD患病率分别为3.86%和7.29%。CLD女性发生冠心病的几率高于男性（AOR=2.89）。在SRH、高血压、高BMI、糖尿病、癌症、中风和高胆固醇中观察到显著的相互作用改变，主要发生在女性中。中介分解分析发现SRH是最强的中介，解释了观察到的CLD-CHD相关的34%（男性52%，女性24%），其次是高血压（10%）和高胆固醇（5%）。结论cld和CHD在印度中老年人群中较为常见，并受年龄、多发病、肥胖、不良SRH和心脏代谢状况的影响。性别差异和地域差异突出表明需要有针对性的战略。认识到慢性阻塞性肺病和冠心病共存可以为全面的老年评估、风险分层和协调护理提供信息，而人群层面的干预措施应结合生活方式促进、多病管理和性别敏感方法。

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引用次数: 0

Psychological and functional outcomes of a community-based physical activity program for older adults: A prospective study in Brazil 以社区为基础的老年人体育活动项目的心理和功能结果：巴西的一项前瞻性研究

Archives of Gerontology and Geriatrics Plus

Pub Date : 2026-03-01 Epub Date: 2026-02-02 DOI: 10.1016/j.aggp.2026.100254

Ivon Gretel Winkler Maisonnave , Clarissa Biehl Printes , Fabiane de Oliveira Brauner , Dalvan Griebler , Rafael Reimann Baptista

To evaluate longitudinal associations between participation in a community-based, multicomponent physical activity program and changes in depressive symptoms, physical functionality, and fall prevalence among older adults. Prospective cohort study with 12-month follow-up. Citywide program conducted through a public-university partnership in southern Brazil. A total of 500 older adults (≥60 years), referred by public health services or self-enrolled. Priority was given to individuals with chronic conditions and sedentary lifestyles. Structured physical activity program including aerobic, resistance, balance, and flexibility exercises, delivered across indoor, outdoor, aquatic, and gym-based environments. Depressive symptoms (Geriatric Depression Scale, GDS-15), functional performance (30-Second Sit-to-Stand Test, handgrip strength), fall prevalence, and self-rated health. Generalized Estimating Equations (GEE) were used to assess changes over time, considering within-subject correlations. Improvements were observed over the evaluation period. The proportion of participants with depressive symptoms (GDS >5) decreased from 9.6% to 4.9% (p = 0.021). Fall prevalence declined from 27.2% to 14.1% (p < 0.001), and self-rated health improved (p < 0.001). Functional performance measures also showed favorable changes. No evidence of selective attrition was found, sample reductions over time reflected rolling program enrollment. Participation in a multicomponent physical activity program was associated with improvements in psychological well-being and functional health among older adults. These findings support the integration of structured physical activity into community health initiatives aimed at healthy aging.

评估老年人参与社区多成分体育活动项目与抑郁症状、身体功能和跌倒患病率变化之间的纵向关联。前瞻性队列研究，随访12个月。在巴西南部通过一所公立大学合作开展的全市范围的项目。共有500名老年人（≥60岁），由公共卫生服务机构转诊或自行登记。优先考虑慢性病患者和久坐不动的生活方式。有组织的体育活动计划，包括有氧，阻力，平衡和柔韧性练习，在室内，室外，水上和健身房的环境交付。抑郁症状（老年抑郁量表，GDS-15），功能表现（30秒坐立测试，握力），跌倒发生率和自评健康。使用广义估计方程（GEE）来评估随时间的变化，考虑到受试者内部的相关性。在评估期间观察到情况有所改善。有抑郁症状的参与者比例（GDS >5）从9.6%下降到4.9% （p = 0.021）。跌倒患病率从27.2%下降到14.1% (p < 0.001)，自评健康状况得到改善（p < 0.001）。功能性能指标也显示出良好的变化。没有发现选择性流失的证据，随着时间的推移，样本减少反映了滚动计划的注册。参与多成分体育活动项目与老年人心理健康和功能健康的改善有关。这些发现支持将有组织的体育活动纳入旨在健康老龄化的社区健康倡议。

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引用次数: 0

Association between locomotive syndrome and pre-frailty in community-dwelling older adults: A cross-sectional study 在社区居住的老年人中，运动综合征与前期虚弱之间的关系：一项横断面研究

Archives of Gerontology and Geriatrics Plus

Pub Date : 2026-03-01 Epub Date: 2025-11-17 DOI: 10.1016/j.aggp.2025.100230

Junji Nishimoto , Kazuaki Hamada , Naoki Deguchi , Ryo Tanaka

Background

In super-aged societies, preventing frailty is a key public health priority to ensure longer, healthier lives. Locomotive syndrome (LS), defined as impaired mobility because of musculoskeletal dysfunction, is a modifiable risk factor for frailty. However, the association between LS severity and pre-frailty has not yet been fully elucidated. This study sought to clarify whether the degree of LS is related to pre-frailty among community-dwelling older adults.

Methods

This cross-sectional analysis included data from the DETECt-L cohort (2021–2024). The severity of LS was evaluated in adults aged 65 years and older using three measures: the two-step test, the stand-up test, and the 25-item Geriatric Locomotive Function Scale. Pre-frailty was assessed using the Japanese adaptation of the Cardiovascular Health Study criteria. The association between LS severity and pre-frailty was analyzed using binary logistic regression, with adjustments for age, sex, body mass index, back and knee pain, and history of falls.

Results

Among 512 participants, the prevalence of pre-frailty increased with LS severity. Compared with participants in the non-LS, the proportion of pre-frailty was higher in LS stage 2 (OR: 2.184, 95% CI: 1.094–4.358, P = 0.027), and the same was true for LS stage 3 (OR: 2.254, 95% CI: 1.032–4.922, P = 0.041).

Conclusions

In independently living older adults, LS stage 2 or higher was significantly associated with pre-frailty. Preventing the transition from stage 1 to stage 2 may help reduce pre-frailty risk and support healthy aging. Early orthopedic management of LS could serve as a strategic approach to mitigate frailty in super-aged societies.

在超老龄化社会，预防虚弱是确保更长寿、更健康生活的一项关键公共卫生优先事项。机车综合征（LS），被定义为由于肌肉骨骼功能障碍而导致的活动能力受损，是一种可改变的脆弱危险因素。然而，LS严重程度与前期虚弱之间的关系尚未完全阐明。本研究旨在澄清在社区居住的老年人中，LS的程度是否与前期虚弱有关。方法本横断面分析包括来自DETECt-L队列（2021-2024）的数据。采用两步测试、站立测试和25项老年机车功能量表对65岁及以上成人的LS严重程度进行评估。采用日本心血管健康研究标准对虚弱前期进行评估。使用二元logistic回归分析LS严重程度与前期虚弱之间的关系，并调整年龄、性别、体重指数、背部和膝盖疼痛以及跌倒史。结果在512名参与者中，随着LS严重程度的增加，虚弱前期的患病率增加。与非LS的参与者相比，LS第2期的预衰弱比例更高（OR: 2.184, 95% CI: 1.094-4.358, P = 0.027）， LS第3期也是如此（OR: 2.254, 95% CI: 1.032-4.922, P = 0.041）。结论在独立生活的老年人中，LS 2期及以上与虚弱前期显著相关。防止从第一阶段过渡到第二阶段可能有助于减少脆弱前风险，并支持健康老龄化。LS的早期矫形管理可以作为一种战略方法来减轻超高龄社会的脆弱性。

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引用次数: 0

A descriptive study of the annual mobility assessment 年度流动性评估的描述性研究

Archives of Gerontology and Geriatrics Plus

Pub Date : 2026-03-01 Epub Date: 2026-02-03 DOI: 10.1016/j.aggp.2026.100259

Michael L. Puthoff PT, PhD, Catherine J. Byrne PT, MPT, DHSc

Background

Preclinical mobility limitations (PCML) begin with subtle changes that might not be perceived but often lead to loss of function. The newly developed Annual Mobility Assessment (AMA) was designed to identify PCML, but to date, there is no published data on the AMA.

Objective

To examine the time requirements of the AMA, limitations detected with recommended age and sex normative data, explore the relationship between measures, and describe recommendations based on results.

Methods

64 participants, aged 55 years and older, were enrolled. The AMA includes self-reported mobility measures and physical performance tests; usual and fast gait speed, 30 s sit to stand, Four Square Step Test, Timed Up and Go (TUG), and TUG–Cognitive. Participants were classified as having a mobility limitation (ML), PCML, or no PCML based on comparison to normative data. Means and standard deviations were calculated around demographic data and the time required to complete the assessment. The frequency of classifications was counted and the correlation between measures examined.

Results

The AMA can be completed in under 30 min. The AMA identified ML or PCML in 31.3% of participants, 23.4% were recommended for a physical therapy examination, and 46.9% referred to a community-based exercise program. Correlation was low between self-reported and physical performance measures, but this may be due to AMA design.

Conclusion

The AMA can be completed within a reasonable timeframe, detects limitations, and leads to actionable outcomes. Results raise questions around cut-scores and the relationship between measures, which may guide future updates to the AMA.

临床前活动受限（PCML）始于细微的变化，这些变化可能不被察觉，但往往导致功能丧失。新开发的年度流动性评估（AMA）旨在识别PCML，但到目前为止，还没有关于AMA的公开数据。目的探讨AMA的时间要求、推荐年龄和性别规范资料发现的局限性，探讨措施之间的关系，并根据结果提出建议。方法纳入64名年龄在55岁及以上的参与者。AMA包括自我报告的活动能力测量和身体表现测试；通常和快速的步态速度，30秒坐到站，四方步测试，计时起来和走（TUG），和TUG -认知。根据与规范数据的比较，参与者被分类为具有活动受限（ML）， PCML或无PCML。根据人口统计数据和完成评估所需的时间计算平均值和标准差。统计分类的频率，并检查措施之间的相关性。结果AMA可在30 min内完成。美国医学会在31.3%的参与者中发现ML或PCML， 23.4%的参与者被推荐进行物理治疗检查，46.9%的参与者被推荐参加社区运动项目。自我报告与身体表现测量之间的相关性较低，但这可能是由于AMA设计所致。结论AMA可以在合理的时间框架内完成，发现局限性，并产生可操作的结果。结果提出了关于分数线和测量之间关系的问题，这可能会指导未来AMA的更新。

{"title":"A descriptive study of the annual mobility assessment","authors":"Michael L. Puthoff PT, PhD, Catherine J. Byrne PT, MPT, DHSc","doi":"10.1016/j.aggp.2026.100259","DOIUrl":"10.1016/j.aggp.2026.100259","url":null,"abstract":"<div><h3>Background</h3><div>Preclinical mobility limitations (PCML) begin with subtle changes that might not be perceived but often lead to loss of function. The newly developed Annual Mobility Assessment (AMA) was designed to identify PCML, but to date, there is no published data on the AMA.</div></div><div><h3>Objective</h3><div>To examine the time requirements of the AMA, limitations detected with recommended age and sex normative data, explore the relationship between measures, and describe recommendations based on results.</div></div><div><h3>Methods</h3><div>64 participants, aged 55 years and older, were enrolled. The AMA includes self-reported mobility measures and physical performance tests; usual and fast gait speed, 30 s sit to stand, Four Square Step Test, Timed Up and Go (TUG), and TUG–Cognitive. Participants were classified as having a mobility limitation (ML), PCML, or no PCML based on comparison to normative data. Means and standard deviations were calculated around demographic data and the time required to complete the assessment. The frequency of classifications was counted and the correlation between measures examined.</div></div><div><h3>Results</h3><div>The AMA can be completed in under 30 min. The AMA identified ML or PCML in 31.3% of participants, 23.4% were recommended for a physical therapy examination, and 46.9% referred to a community-based exercise program. Correlation was low between self-reported and physical performance measures, but this may be due to AMA design.</div></div><div><h3>Conclusion</h3><div>The AMA can be completed within a reasonable timeframe, detects limitations, and leads to actionable outcomes. Results raise questions around cut-scores and the relationship between measures, which may guide future updates to the AMA.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"3 1","pages":"Article 100259"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146173312","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

Understanding barriers and enablers of health insurance awareness among older adults in India: Insights from LASI, 2017–18, with a focus on migration status 了解印度老年人健康保险意识的障碍和推动因素：来自LASI的见解，2017-18，重点是移民身份

Archives of Gerontology and Geriatrics Plus

Pub Date : 2026-03-01 Epub Date: 2026-02-02 DOI: 10.1016/j.aggp.2026.100253

Samrat Sarkar, Sumit Narayan Dwivedi, Reshmi R．S．

Background

Awareness of health insurance is uneven among older adults in India and remains a critical barrier to enrolment. This study examines the social and structural factors associated with health insurance unawareness among uninsured older adults in India, with particular attention to migration status.

Data & Methods

Data were drawn from Wave 1 of the Longitudinal Ageing Study in India (LASI, 2017–18). The analysis was restricted to uninsured older adults. Chi-square tests and binary logistic regression models were used to examine associations between migration status, socio-demographic characteristics, and health insurance unawareness.

Results

Model 1 shows that non-migrant older adults are 7% more likely to be unaware of health insurance than migrants [UOR: 1.07*, CI: 1.04–1.12]. Higher education reduces this likelihood, with older adults at higher education levels having 78% lower odds of unawareness [UOR: 0.22, CI: 0.20–0.23]. In Model 2, after adjusting for all factors, non-migrants continue to show higher odds of unawareness [AOR: 1.12***, CI: 1.08–1.17]. Urban residents are less likely to be unaware than rural residents [AOR: 0.57, CI: 0.55–0.60], and those living with a spouse also show lower odds compared to individuals living alone [AOR: 0.76***, CI: 0.64–0.90]. **

Conclusion

Migration status, education, and social factors are significantly associated with health insurance unawareness among older adults. Non-migrants, older adults with low education, rural residents, and those living alone or in poorer conditions are more likely to be unaware of health insurance. Promoting insurance literacy can help to increase awareness.

背景：印度老年人对医疗保险的认识参差不齐，这仍然是参加医疗保险的一个关键障碍。本研究考察了与印度无保险老年人缺乏健康保险意识相关的社会和结构因素，特别关注移民身份。数据&方法数据来自印度纵向老龄化研究（LASI, 2017-18）的第一波。该分析仅限于没有保险的老年人。使用卡方检验和二元逻辑回归模型来检验移民身份、社会人口特征和健康保险不了解之间的关系。结果模型1显示，非移民老年人不了解医疗保险的可能性比移民老年人高7% [UOR: 1.07*, CI: 1.04-1.12]。高等教育降低了这种可能性，受过高等教育的老年人无意识的几率降低了78%[比值比：0.22，置信区间：0.20-0.23]。在模型2中，在对所有因素进行调整后，非流动人口继续表现出较高的无意识几率[AOR: 1.12***, CI: 1.08-1.17]。与农村居民相比，城市居民不知情的可能性更低[AOR: 0.57, CI: 0.55-0.60]，与配偶一起生活的人也比独居的人更低[AOR: 0.76***, CI: 0.64-0.90]。**结论移民身份、文化程度和社会因素与老年人健康保险意识缺失有显著关系。非移民、受教育程度低的老年人、农村居民、独居者或生活条件较差的人更有可能不了解医疗保险。推广保险知识有助于提高保险意识。

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引用次数: 0