Archives of Gerontology and Geriatrics Plus最新文献

{"title":"The burden and determinants of cognitive impairment among individuals with chronic diseases in Ethiopia: A systematic review and meta-analysis","authors":"Addisu Getie ,&nbsp;Melaku Bimerew ,&nbsp;Mihretie Gedfew ,&nbsp;Baye Tsegaye Amlak ,&nbsp;Tegene Atamenta Kitaw ,&nbsp;Adam Wondmieneh","doi":"10.1016/j.aggp.2025.100171","DOIUrl":"10.1016/j.aggp.2025.100171","url":null,"abstract":"<div><h3>Introduction</h3><div>Cognitive impairment is a medical condition caused by neurodegeneration, marked by a gradual decline in neurological, motor, psychological, and cognitive domain functions, as well as daily activities. It primarily affects individuals with conditions such as Alzheimer's disease, stroke, HIV/AIDS, diabetes mellitus, cancer, epilepsy, dementia, and other chronic illnesses, as well as older adults. While some individual studies have explored the effects of cognitive impairment, there is a lack of nationwide research to provide a comprehensive understanding of its burden among individuals with chronic diseases.</div></div><div><h3>Objective</h3><div>To assess the pooled prevalence of cognitive impairment and its associated factors among individuals with chronic diseases in Ethiopia.</div></div><div><h3>Methods</h3><div>Several databases were examined to find available articles. The data were extracted and sorted in Microsoft Excel before being exported to STATA/MP 17.0 for analysis. A random-effects Der Simonian-Laird model with a 95 % confidence interval was used to pool the data. Cochrane I² statistics and Egger's test were used to evaluate heterogeneity and publication bias, respectively. To determine the cause of heterogeneity, subgroup analysis was performed. A log-odds ratio was utilized to illustrate the association between cognitive impairment and its associated factors. P-values less than 0.05 were considered statistically significant.</div></div><div><h3>Result</h3><div>This study included 22 individual articles comprising a total of 6818 participants. The overall prevalence of cognitive impairment among individuals with chronic diseases was 44.43 % (95 % CI: 37.76–51.10). Studies conducted in Addis Ababa reported a higher prevalence of 50.89 % (95 % CI: 34.59–67.19). Similarly, research focusing on older adults indicated the highest prevalence, at 57.58 % (95 % CI: 28.78–86.39). Participants who are unable to read and write were 3.82 times more likely to experience cognitive impairment compared to those who had completed primary education (AOR = 3.82; 95 % CI: 2.97–4.91).</div></div><div><h3>Conclusion</h3><div>This review found a high prevalence of cognitive impairment among Ethiopians with chronic diseases, especially in older adults and those in Addis Ababa. Illiteracy significantly increased the risk. These findings highlight the need for targeted cognitive screening and integration of cognitive care into chronic disease management.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100171"},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144243066","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":"Influence of increased forward trunk tilt angle on stride length shortening during gait in older adults: Secondary analysis","authors":"Ryo Tanaka ,&nbsp;Hungu Jung ,&nbsp;Shunsuke Yamashina ,&nbsp;Yu Inoue ,&nbsp;Haruki Toda ,&nbsp;Takeshi Imura ,&nbsp;Hiroyuki Tamura","doi":"10.1016/j.aggp.2025.100174","DOIUrl":"10.1016/j.aggp.2025.100174","url":null,"abstract":"<div><h3>Background</h3><div>Gait in older adults frequently entails augmented forward trunk tilt (FTT) and diminished hip extension, resulting in diminished stride length. However, the relationship between these factors remains unclear. The objective of this study was to verify the hypothesis that an augmented FTT angle impedes hip extension angles during gait, consequently diminishing stride length and walking speed.</div></div><div><h3>Methods</h3><div>A secondary analysis was conducted using data from previous studies. The Microsoft Kinect V2 sensor was utilized to track the coordinates of the lower extremities and trunk during gait. Spatiotemporal variables, including walking speed and stride length, were calculated alongside peak FTT and hip extension angles.</div></div><div><h3>Results</h3><div>The optimal model, as indicated by the highest values for goodness-of-fit indices (goodness-of-fit index = 0.98, adjusted goodness-of-fit index = 0.91, comparative fit index = 0.98, root mean square error of approximation = 0.11), demonstrated that an augmented peak FTT angle results in a diminished peak hip extension angle during gait, consequently leading to a reduction in stride length and walking speed.</div></div><div><h3>Conclusion</h3><div>In older adults, reduced walking speed is associated with shorter stride length, primarily due to decreased hip extension angle. The increased peak FTT angle contributes to this reduction in hip extension. To prevent decreases in walking speed, it is recommended that older adults engage in exercises that focus on trunk stabilization and hip extension.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100174"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271632","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":"Unravelling the occupational factor and hypertension puzzle among Indian older adults","authors":"Priya Maurya ,&nbsp;Aparajita Chattopadhyay ,&nbsp;Palak Sharma","doi":"10.1016/j.aggp.2025.100172","DOIUrl":"10.1016/j.aggp.2025.100172","url":null,"abstract":"<div><h3>Background</h3><div>Poor health significantly impacts productive years of life. This study examines hypertension onset and survival probabilities for hypertension among adults aged 60 years and above, focusing on variations by working status and occupational profile.</div></div><div><h3>Data and methods</h3><div>The study utilized data from the first wave of the Longitudinal Ageing Study in India (2017–2018), comprising a sample of 31,782 individuals aged 60 years and above (15,293 males and 16,489 females). The primary outcome variable was the onset of hypertension, which was self-reported but confirmed by a health professional. The year of diagnosis was recorded as the onset year of hypertension. To achieve the study objectives, descriptive statistical analyses and Cox proportional hazards models were applied.</div></div><div><h3>Results</h3><div>The study revealed that approximately 41.01% of males and 33.62% of females were expected to remain free from hypertension beyond the age of 80. The onset of hypertension showed a marked acceleration after the age of 40, with an inverse relationship between increasing age and hypertension-free survival. Additionally, working older adults were found to have a 21% lower likelihood of developing hypertension compared to those who had previously worked but were currently not working.</div></div><div><h3>Conclusion</h3><div>The findings indicate that continued economic activity in later life is associated with improved survival rates and a delayed onset of hypertension among older adults. These results underscore the importance of promoting active and healthy aging through policies.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100172"},"PeriodicalIF":0.0,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144211925","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":"The scope of frailty assessment tools in the middle east: unraveling gaps and trends","authors":"Sulaiman Alshakhs M.D.,&nbsp;Sara Mohamed,&nbsp;Ibtihal Kamal,&nbsp;Sa'ad Laws,&nbsp;Mai A. Mahmoud MBBS, MEHP","doi":"10.1016/j.aggp.2025.100168","DOIUrl":"10.1016/j.aggp.2025.100168","url":null,"abstract":"<div><h3>Background</h3><div>Frailty is a multidimensional syndrome associated with increased risk of adverse health outcomes in older adults. As Middle Eastern populations age, validated frailty assessment tools (FATs) are essential to inform care planning. However, regional uptake and validation remain unclear.</div></div><div><h3>Objective</h3><div>This scoping review aimed to map the use and validation of FATs among adults aged 55 and above in the Middle East, identify research gaps, and explore cross-country trends.</div></div><div><h3>Methods</h3><div>Following PRISMA-ScR guidelines, a comprehensive literature search was conducted in May 2022 and updated in December 2024 across PubMed, Embase, Web of Science, and Scopus. Search terms targeted “frailty,” “geriatric,” and 17 Middle Eastern countries. Inclusion criteria comprised primary studies using or discussing FATs among adults aged 55+, conducted in or including a Middle Eastern country. Non-English/Arabic texts, non-primary literature, and studies lacking frailty definitions or tools were excluded. In total, 103 studies were included.</div></div><div><h3>Results</h3><div>The Clinical Frailty Scale (CFS) and Fried Frailty Phenotype (FFP) were the most commonly used tools, appearing in 36 and 32 studies respectively. However, only 12 studies reported tool validation, and just 7 conducted cultural adaptation. Research output was highest in Turkey (28 studies), Iran (17), and Saudi Arabia (14), while 6 countries had no studies. Most studies used FATs in hospital settings.</div></div><div><h3>Conclusion</h3><div>Frailty research is growing in the Middle East but remains fragmented and under-validated. Standardized tools adapted to local contexts are urgently needed. Strengthening clinical care and policy will require greater regional collaboration and investment in culturally relevant research</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100168"},"PeriodicalIF":0.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106363","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":"Optimizing one-leg standing test duration for screening functional decline in community-dwelling older adults","authors":"Akira Iwata ,&nbsp;Izumi Arihara ,&nbsp;Keita Sasada ,&nbsp;Atsuki Kanayama ,&nbsp;Kenichiro Tsubokura ,&nbsp;Gaito Kitada ,&nbsp;Ryoga Ueba ,&nbsp;Shuji Okuno ,&nbsp;Toshimitsu Ohmine ,&nbsp;Saki Yamamoto","doi":"10.1016/j.aggp.2025.100169","DOIUrl":"10.1016/j.aggp.2025.100169","url":null,"abstract":"<div><h3>Objective</h3><div>This cross-sectional study aimed to investigate whether the ability to maintain one-leg standing test for varying durations (10, 30, or 60 s) is associated with physical function and fall history.</div></div><div><h3>Methods</h3><div>158 community-dwelling older adults participated. They performed the one-leg standing test for a maximum of 60 s and were categorized into those who could or could not maintain the position at each time point. Physical function was assessed through mobility (gait speed and five times sit-to-stand test), balance (Timed Up and Go (TUG) test and two-step test), and knee extension strength. Fall history was self-reported.</div></div><div><h3>Results</h3><div>The proportions unable to maintain standing increased with test durations: 14.6 % for 10 s, 26.6 % for 30 s, and 41.1 % for 60 s. Independent <em>t</em>-tests showed that the maintained groups demonstrated significantly better mobility and balance performance than the non-maintained groups at each duration (all <em>p</em> &lt; 0.01), and that the maintained groups at 10 s and 30 s exhibited significantly greater knee extension strength (<em>p</em> &lt; 0.01). Multiple regression analyses confirmed that the one-leg standing was independently associated with physical function outcomes. Chi-square tests revealed no significant association between standing duration and fall history.</div></div><div><h3>Conclusions</h3><div>The one-leg standing test was consistently associated with physical function but showed limited ability to predict fall history. A shorter duration (10 s) effectively detected severe impairments, whereas a longer duration (60 s) was more sensitive for identifying early declines. The choice of test duration should be guided by the specific functional deficits being assessed.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100169"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106495","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":"Trends in chronic kidney disease-related mortality among older adults in the United States from 1999-2020","authors":"Hamza Ehtesham ,&nbsp;Ahmed Kamal Siddiqi ,&nbsp;Marium Omair Mirza ,&nbsp;Mushtaq Ahmad ,&nbsp;Rija Shakil","doi":"10.1016/j.aggp.2025.100161","DOIUrl":"10.1016/j.aggp.2025.100161","url":null,"abstract":"<div><h3>Background</h3><div>With increasing age in the United States, the disease burden of chronic kidney disease (CKD) has increased. The CKD-related mortality trends have not been explored for individuals aged ≥ 65 years. The aim of the study was to identify and evaluate the trends in sex, race, and region among CKD-related mortality in older adults.</div></div><div><h3>Methods</h3><div>Death records sourced from the CDC WONDER (Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research) database were used to analyze mortality trends of CKD in individuals aged ≥65 years from 1999 to 2020. We computed age-adjusted mortality rates (AAMRs) per 100,000 population and annual percent changes (APC) using Joinpoint software. The analysis was structured according to year, sex, race/ethnicity, and geographical regions.</div></div><div><h3>Results</h3><div>From 1999 to 2020, there were 1,572,057 CKD-related deaths. The age-adjusted mortality rate (AAMR) rose from 1999 to 2005, declined until 2009, surged from 2009 to 2012, fell in 2015, and increased again in 2020. Men had a higher AAMR (225) than women (136.3). Non-Hispanic Black or African Americans experienced the highest AAMR (319.2), followed by NH American Indian or Alaska Native (229.5), Hispanic (178.5), NH white (154.5), and NH Asian or Pacific Islander (144.1). Regionally, AAMR was highest in the Midwest (184.6) and lower in non-metropolitan areas (133.3) compared to metropolitan areas (126.3).</div></div><div><h3>Conclusion</h3><div>CKD-related mortality is rising among U.S. adults ≥ 65, especially in non-Hispanic African American males in the Midwest and rural areas. Screening high-risk individuals can enable early detection and lower mortality rates.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100161"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090520","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":"Social factors and nutritional health in aging","authors":"Liang-Kung Chen MD, PhD","doi":"10.1016/j.aggp.2025.100167","DOIUrl":"10.1016/j.aggp.2025.100167","url":null,"abstract":"","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100167"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135086","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":"Global research trends on subtypes of Parkinson's disease: A visual bibliometric analysis","authors":"Yan Su ,&nbsp;Sheng Cai ,&nbsp;Yang Xu ,&nbsp;Xianwen Chen","doi":"10.1016/j.aggp.2025.100166","DOIUrl":"10.1016/j.aggp.2025.100166","url":null,"abstract":"<div><h3>Object</h3><div>Parkinson's disease (PD) is a neurodegenerative disease with different subtypes. More accurate subtype classification is significant for understanding the pathogenesis of PD, predicting disease progression, and selecting effective treatment methods. A bibliometric analysis of relevant research on PD subtypes is presented in this study.</div></div><div><h3>Methods</h3><div>Original research and review articles related to PD subtypes from January 1, 2015 to December 31, 2024 were retrieved from the Web of Science Core Collection (WOSCC) database. After screening, 2213 articles were obtained. Statistical analysis and visualization of country, institution, author, journal, and keyword information contained in the studies were performed using CiteSpace (v6.2. R4) and VOSviewer (v1.6.20.0) software to identify research hotspots and trends in the field.</div></div><div><h3>Result</h3><div>The 2213 articles used in this study were from 11740 authors from 3117 institutions in 93 countries and published in 481 journals. From the analysis, it was found that the number of annual publications in this field has been increasing year by year in the past 10 years. The United States contributed the most to this research direction, with the largest number of publications (604) and citations (31, 284), and the strongest connection with other countries. 'Motor disorder ' is the most frequently cited journal, and ' Parkinson 's disease-related disorder ' is the most frequently published journal. \"Parkinson's Disease\", \"Dementia\", \"Subtypes\", and \"Progress\" are frequently used keywords, while \"Rem sleep\", \"networs\", and \"machine learning\" are the focus of research in recent years.</div></div><div><h3>Conclusion</h3><div>The bibliometric analysis offers a comprehensive insight into present research focal points and evolving patterns associated with PD subtypes. High-frequency keywords pinpointed underscore dynamic research fields encompassing methodologies, mechanisms, and engaged populations. These findings can provide guidance for future research on PD subtypes.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 3","pages":"Article 100166"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144072473","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":"Delirium in the emergency department: Incidence and risk factors in a Ligurian hospital","authors":"Thomas Fraccalini ,&nbsp;Andrea Trogolo ,&nbsp;Monica Traversa ,&nbsp;Beatrice Tarozzo ,&nbsp;Luciano Cardinale ,&nbsp;Giuseppe Maina ,&nbsp;Salvatore Di Gioia ,&nbsp;Davide Minniti ,&nbsp;Ivana Finiguerra ,&nbsp;Roberta Vacchelli ,&nbsp;Martina Battaglia ,&nbsp;Angelica Ruggeri ,&nbsp;Valerio Ricci ,&nbsp;Alessandro Maraschi ,&nbsp;Thomas Roberts ,&nbsp;Giovanni Volpicelli ,&nbsp;Luca Tagliafico","doi":"10.1016/j.aggp.2025.100165","DOIUrl":"10.1016/j.aggp.2025.100165","url":null,"abstract":"<div><h3>Background</h3><div>Delirium, a severe neuropsychiatric syndrome characterised by acute deficits in attention and self-awareness, is common among elderly inpatients, with incidence increasing with age and prolonged hospitalisation. This study examines the characteristics of geriatric patients developing delirium in the Emergency Medicine Department, focusing on the relationship between frailty at admission and delirium onset, and how these factors influence hospitalisation decisions and prognosis.</div></div><div><h3>Methods</h3><div>A prospective, observational study was conducted on patients aged 65+ admitted to the Emergency Department for over 24 hours. Comorbidities (e.g., dementia, cardiovascular diseases, diabetes, COPD, depression, Parkinson’s) and pharmacological therapies (e.g., antipsychotics, antidepressants) were recorded. Frailty was assessed using the Clinical Frailty Scale (CFS).</div></div><div><h3>Results</h3><div>Among 89 patients (mean age 83.94; 48 women, 41 men), 66.29 % developed delirium, 76.40 % required hospitalisation, and 31.46 % died during their stay. Significant associations were found between delirium and age (<em>p</em> = 0.0025), antipsychotic use (<em>p</em> &lt; 0.0001), CFS score (<em>p</em> = 0.014), and number of medications at admission (<em>p</em> = 0.009). Delirium was also significantly linked to Alzheimer’s disease (<em>p</em> = 0.0033), other dementias (<em>p</em> = 0.0021), anxiety-depressive disorders (<em>p</em> = 0.004), behavioural and psychological symptoms of dementia (BPSD) (<em>p</em> &lt; 0.0001), and mortality (<em>p</em> &lt; 0.0001).</div></div><div><h3>Conclusion</h3><div>Frailty and delirium are critical factors influencing hospitalisation and prognosis in elderly patients. The study highlights the importance of early frailty assessment and medication review in the Emergency Department to mitigate delirium risk and improve outcomes.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100165"},"PeriodicalIF":0.0,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922960","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":"Advancing life expectancy in Saudi Arabia: insights from global best practices","authors":"Hala Alosaimi ,&nbsp;Haitham Alnouri ,&nbsp;Ibrahim Alasiri ,&nbsp;Saad Almushawah ,&nbsp;Mansour Mohammed ,&nbsp;Ameera Abdulrahman ,&nbsp;Rana A. Alotaibi ,&nbsp;Rasha Alfawaz ,&nbsp;Abdulaziz Abdulbaqi ,&nbsp;Weam Banjar ,&nbsp;Tareef Alaama ,&nbsp;Mariam M. AlEissa","doi":"10.1016/j.aggp.2025.100163","DOIUrl":"10.1016/j.aggp.2025.100163","url":null,"abstract":"<div><h3>Background</h3><div>Life expectancy is an important indicator of societal health and development. Social and economic determinants of health, political stability, and public policies frequently influence outcomes. Saudi Arabia has made significant strides in improving its population's life expectancy, and the overall trajectory is upwards and positive. Nevertheless, Saudi Arabia continues to face challenges related to controlling noncommunicable diseases. (NCDs), health disparities, and behavioral factors. This study aims to explore global best practices for improving life expectancy and establish recommendations for Saudi policy makers in the health industry and related stakeholders.</div></div><div><h3>Methodology</h3><div>A robust comparative analysis was used to evaluate the impact of global best practices with respect to the accessibility, efficiency and affordability of different national healthcare systems. It also addresses social determinants of health. Moreover, it looks at national health policies and preventative measures. The primary data sources used include peer-reviewed literature databases such as PubMed, the Lancet and Springer. The data were also derived from reports of global health organizations, such as the WHO, World Bank and OECD publications. The key indicators analysed included healthcare access, cultural/social awareness, education, nutrition, lifestyle, and socioeconomic factors. An online comprehensive questionnaire was sent to analyse data collected from people currently living in the Kingdom of Saudi Arabia.</div></div><div><h3>Results</h3><div>We introduce several recommendations after looking into countries with high longevity rates. <strong>We highlight</strong> the need to adopt evidence-based practices to increase life expectancy in Saudi Arabia. New strategies promoting healthy lifestyles through education, regulating unhealthy products, promoting regular physical activity, integrating mental health into primary health, encouraging plant-based diets and improving preventive healthcare are needed. To achieve a healthier and longer-living population aligning with the Kingdom's vision, cultural and socioeconomic barriers should be further addressed by incorporating stress management practices.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100163"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106909","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}