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Cognitive impairment and domain-specific life satisfaction among older adults: Findings from the Korean National Longitudinal Study on Aging
IF 2.4 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2025-01-06 DOI: 10.1111/ggi.15053
Inmyung Song, Dong-Sook Kim

Background

Overall life satisfaction among older adults is associated with cognitive impairment. However, little is known regarding its influence on satisfaction with specific domains of life, such as health, income status, and marital relationship. This study aims to analyze the relationship between cognitive impairment and satisfaction with specific domains of life in older Koreans.

Methods

This study used data from the Korean National Longitudinal Study on Aging from 2014 to 2020. Cognitive function was measured with the Mini-Mental State Examination. Four different models are used to assess the effect of cognitive impairment on four different measures of life satisfaction. The dependent variable in each model was overall life satisfaction, satisfaction with health status, satisfaction with economic status, and satisfaction with marital relationship, respectively. A generalized estimating equation modeling approach was used to take advantage of panel data.

Results

In the weighted sample, 54.1% of the participants were women. The mean (± standard error) age of all participants was 68.9 (±0.1) years old. A total of 1671 participants (24.8%) had cognitive impairment. After adjustment of other variables, individuals without cognitive impairment were more satisfied with overall life (B = 2.75, P < 0.001), health status (B = 4.31, P < 0.001), economic status (B = 2.83, P < 0.001) and marital relationship (B = 3.36, P < 0.001) than impaired individuals.

Conclusion

Cognitive impairment in old age is significantly associated with overall life satisfaction as well as satisfaction with several domains of life, such as health, income status, and marital relationship. Cognitive impairment is more strongly associated with satisfaction with health status and marital relationship than on satisfaction with economic status. Geriatr Gerontol Int 2025; 25: 182–189.

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引用次数: 0
Efficacy of eribulin monotherapy for bone marrow carcinomatosis of breast cancer in a patient with Werner syndrome
IF 2.4 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2025-01-06 DOI: 10.1111/ggi.15070
Akihito Fujimi, Yasuhiro Nagamachi, Naofumi Yamauchi, Riku Hasebe, Naoki Onoyama, Naotaka Hayasaka, Teppei Matsuno, Kazuhiko Koike, Yoshiro Gotoh, Kohji Ihara, Junji Kato, Takuji Nishisato, Kazuyuki Murase, Goro Kutomi, Tokimasa Hida, Hisashi Uhara, Kohichi Takada

Various complications and potential risks of serious adverse events lessens the intensity of chemotherapy in patients with Werner syndrome. Bone marrow carcinomatosis of breast cancer was developed in a patient with Werner syndrome. Eribulin proved well tolerated and effective in improving severe thrombocytopenia, leading to platelet transfusion-free status.

各种并发症和潜在的严重不良事件风险降低了韦纳综合征患者的化疗强度。一名韦纳综合征患者出现了乳腺癌骨髓癌变。事实证明,艾瑞布林的耐受性良好,并能有效改善严重血小板减少症,从而达到无血小板输注状态。
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引用次数: 0
Investigation of the factors contributing to symptoms worsening in elderly care-facility residents with dementia: Difficulties encountered in dealing with COVID-19 clusters
IF 2.4 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2025-01-06 DOI: 10.1111/ggi.15057
Junpei Tanabe, Hungu Jung, Yuji Iwamoto, Shinya Ishii
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引用次数: 0
Screening for dysphagia in older people: A validation study of the psychometric properties of the Danish 4 Question Test (4QT-DK)
IF 2.4 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2025-01-06 DOI: 10.1111/ggi.15050
Sabina Mette Staal, Karl Bang Christensen, David Smithard, Albert Westergren, Dorte Melgaard

Aim

The four-item questionnaire test (4QT) is a simple screening measure of dysphagia for older people. A positive answer to any item indicates the need for further assessment. The 4QT is fast, simple to apply and requires no training beforehand. However, it is not translated to Danish, and the psychometric properties in an older Danish population are unknown. The aim was to translate the 4QT to Danish, determine criterion validity according to the existing measures, the Minimal Eating Observation Form-II (MEOF-II) and Volume-Viscosity Swallow Test (V-VST), and determine construct and structural validity and reliability by exploring whether 4QT fits the assumptions of the Rasch model.

Methods

The 4QT was translated and back-translated. A total of 73 participants aged ≥65 years were included and screened with the 4QT-DK, and assessed using the V-VST and MEOF-II. Criterion validity was assessed compared with the V-VST and MEOF-II according to sensitivity, specificity and predictive values. Construct and structural validity were examined using confirmatory factor analysis and Rasch model analysis investigating item and person fit, differential item functioning for sex, age, primary disease and local dependency. Reliability was assessed using Cronbach's coefficient alpha.

Results

For criterion validity, the 4QT-DK showed high sensitivity (84% and 90% with the V-VST and MEOF-II, respectively). As expected, specificity was lower (36%, and 42%). Analyses confirmed the psychometric validity of the 4QT-DK. Reliability was low (Cronbach's alpha = 0.58) due to the number of items.

Conclusion

The 4QT-DK is a valid and sensitive measure for screening older people for dysphagia. Further studies are required to assess the psychometric properties and confirm findings in a larger Danish sample. Geriatr Gerontol Int 2025; 25: 294–299.

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引用次数: 0
Investigation of brain volume changes associated with aging: Results from the fourth research on osteoarthritis/osteoporosis against disability survey 衰老相关脑容量变化的研究:骨关节炎/骨质疏松症与残疾调查第四次研究结果。
IF 2.4 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2025-01-05 DOI: 10.1111/ggi.15033
Koji Nakajima, Akitoshi Ogawa, Hiroyasu Kodama, Tomohiko Shirokoshi, Takahiro Osada, Seiki Konishi, Chiaki Horii, Yasushi Oshima, Toshiko Iidaka, Shigeyuki Muraki, Hiroyuki Oka, Hiroshi Kawaguchi, Toru Akune, Hiroshi Hashizume, Hiroshi Yamada, Munehito Yoshida, Kozo Nakamura, Masaaki Shojima, Sakae Tanaka, Noriko Yoshimura

Aim

This study aims to investigate the impact of aging on brain volume among community residents in Japan, focusing on trends over time and specific brain structures.

Methods

We analyzed data from the fourth survey (2015–2016) of the Research on Osteoarthritis/Osteoporosis Against Disability project, encompassing 2146 community residents from Japan's mountainous and coastal regions. A total of 1755 participants (81.8% of the baseline population) underwent extensive data collection including lifestyle and health questionnaires, anthropometric measurements and brain magnetic resonance imaging. The imaging data were processed to examine correlations between total brain volume, gray matter volume (GMV), white matter volume (WMV), cerebrospinal fluid volume and participant age.

Results

Analysis showed significant sex differences in total brain volume, with GMV demonstrating a strong negative correlation with age – more pronounced than the moderate negative correlation seen in WMV. Cerebrospinal fluid volume exhibited a strong positive correlation with age. Notably, specific brain regions such as the bilateral amygdala, hippocampus, thalamus and primary motor cortex showed significant age-related volume reductions.

Conclusion

This study confirms that GMV and WMV are smaller in older individuals in the Japanese population, with more pronounced differences in GMV. The amygdala, hippocampus, thalamus and primary motor cortex were particularly affected. Geriatr Gerontol Int 2025; 25: 279–286.

目的:本研究旨在探讨老龄化对日本社区居民脑容量的影响,重点关注随时间变化的趋势和特定的脑结构。方法:我们分析了骨关节炎/骨质疏松症预防残疾研究项目第四次调查(2015-2016)的数据,该调查涵盖了来自日本山区和沿海地区的2146名社区居民。共有1755名参与者(基线人群的81.8%)接受了广泛的数据收集,包括生活方式和健康问卷、人体测量和脑磁共振成像。对成像数据进行处理,检查脑总容量、灰质体积(GMV)、白质体积(WMV)、脑脊液体积与参与者年龄之间的相关性。结果:分析显示,在总脑容量上存在显著的性别差异,GMV与年龄表现出强烈的负相关——比WMV的中度负相关更为明显。脑脊液容量与年龄呈正相关。值得注意的是,特定的大脑区域,如双侧杏仁核、海马体、丘脑和初级运动皮层,显示出明显的与年龄相关的体积减少。结论:本研究证实,日本老年人GMV和WMV较小,GMV差异更明显。杏仁核、海马体、丘脑和初级运动皮层受到的影响尤为严重。Geriatr Gerontol 2025;••: ••-••.
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引用次数: 0
Effects of exercise on cognitive function and glycated hemoglobin A1c among patients with type 2 diabetes mellitus and cognitive impairment: A systematic review and meta-analysis 运动对2型糖尿病合并认知障碍患者认知功能和糖化血红蛋白A1c的影响:系统回顾和荟萃分析
IF 2.4 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2025-01-05 DOI: 10.1111/ggi.15061
Xiaoxue Li, Bin Chen, Xinyuan Liu, Jingya Ma

Aim

To evaluate the effects of exercise versus without-exercise group on global cognitive function, executive function, glycated hemoglobin A1c (HbA1c) and fasting plasma glucose in patients with type 2 diabetes mellitus and cognitive impairment.

Methods

A systematic search of Cqvip, SinoMed, Wanfang Data, CINAHL, Cochrane, Embase, Pubmed, Lippincott, Web of Science and Scopus was carried out. Randomized control trials were selected. The risk of bias was evaluated using the Cochrane Risk of Bias tool. The random-effects model was used to obtain the pooled estimates.

Results

Eight trials with 884 participants were included. Exercise could significantly improve global cognitive function (standardized mean difference 0.82, 95% CI 0.53–1.12), executive function measured by the Trail-Marking Test part B (mean difference −20.43, 95% CI −36.20, −4.66), glycated hemoglobin A1c (%; mean difference −0.58, 95% CI −0.88, −0.29) and fasting plasma glucose (mg/dL; mean difference −17.61, 95% CI −32.67, −2.54).

Conclusions

Exercise can improve cognitive function, glycated hemoglobin A1c and fasting plasma glucose among type 2 diabetes mellitus patients with cognitive impairment. Additional studies with higher methodological quality are expected to draw more definite conclusions. This finding could provide a reference for clinical decision-making and guide future research initiatives. Geriatr Gerontol Int 2025; 25: 148–159.

目的:评价运动组与不运动组对2型糖尿病合并认知功能障碍患者整体认知功能、执行功能、糖化血红蛋白(HbA1c)和空腹血糖的影响。方法:系统检索Cqvip、SinoMed、万方数据、CINAHL、Cochrane、Embase、Pubmed、Lippincott、Web of Science、Scopus。选择随机对照试验。使用Cochrane偏倚风险工具评估偏倚风险。随机效应模型用于获得汇总估计。结果:纳入8项试验,共884名受试者。运动可显著改善整体认知功能(标准化平均差值0.82,95% CI 0.53-1.12)、执行功能(平均差值-20.43,95% CI -36.20, -4.66)、糖化血红蛋白A1c (%;平均差-0.58,95% CI -0.88, -0.29)和空腹血糖(mg/dL;平均差异-17.61,95% CI -32.67, -2.54)。结论:运动可改善2型糖尿病认知功能障碍患者的认知功能、糖化血红蛋白A1c及空腹血糖。预计将进行更多具有更高方法学质量的研究,以得出更明确的结论。这一发现可为临床决策提供参考,并指导今后的研究工作。Geriatr Gerontol 2025;••: ••-••.
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引用次数: 0
Neural correlates of age-related hearing loss: An MRI and FDG-PET study 年龄相关性听力损失的神经相关性:MRI和FDG-PET研究。
IF 2.4 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2025-01-05 DOI: 10.1111/ggi.15052
Ryota Sakurai, Yuri Kim, Maki Nishinakagawa, Keigo Hinakura, Yoshinori Fujiwara, Kenji Ishii

Aim

Age-related hearing loss (ARHL) is a common problem among older adults and contributes to adverse health outcomes such as cognitive impairment. However, the neural mechanisms underlying ARHL remain unclear. We aimed to reveal the structural and metabolic (i.e., neural activity) correlates of ARHL using magnetic resonance imaging (MRI) and positron emission tomography with 18F-fluorodeoxyglucose (FDG-PET).

Methods

A total of 162 community-dwelling older adults without cerebral disorders or cognitive impairment (Mini-Mental State Examination score < 24) were included in this study. Auditory acuity was measured using a pure-tone average (PTA) of hearing thresholds for the better-hearing ear for 0.5–4-kHz tones. ARHL was defined as a PTA of >40 dB (i.e., greater than moderate hearing loss). The participants then underwent MRI and FDG-PET at rest to assess changes in brain structure and activity associated with ARHL.

Results

Among the 162 participants, 27 (16.6%) had ARHL. A region-of-interest analysis focusing on the bilateral superior temporal gyrus showed significantly lower glucose metabolism in this region, including in the auditory cortex (BA 41 and 42), in participants with ARHL than in those without ARHL. In contrast, no significant structural differences were observed between the groups.

Conclusions

These findings suggest that, prior to structural changes, the effects of ARHL may manifest in neural activity, which is strongly reflected in the regions involved in auditory processing. It is possible that ARHL first alters neural activity in auditory-related regions owing to reduced auditory stimulation. Geriatr Gerontol Int 2025; 25: 300–306.

目的:年龄相关性听力损失(ARHL)是老年人的常见问题,并会导致认知障碍等不良健康结果。然而,ARHL的神经机制尚不清楚。我们的目的是利用磁共振成像(MRI)和正电子发射断层扫描(FDG-PET)揭示ARHL的结构和代谢(即神经活动)相关性。方法:共162名社区居住老年人,无脑障碍或认知障碍(迷你精神状态检查评分40 dB(即大于中度听力损失))。然后,参与者在休息时接受MRI和FDG-PET检查,以评估与ARHL相关的大脑结构和活动的变化。结果:162例受试者中,27例(16.6%)发生ARHL。一项针对双侧颞上回的兴趣区分析显示,ARHL患者的该区域(包括听觉皮层(ba41和ba42))的糖代谢明显低于非ARHL患者。相比之下,两组之间没有明显的结构差异。结论:这些发现表明,在结构改变之前,ARHL的影响可能表现在神经活动中,这在听觉加工相关区域得到强烈反映。ARHL可能首先由于听觉刺激减少而改变了听觉相关区域的神经活动。Geriatr Gerontol 2025;••: ••-••.
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引用次数: 0
Regional disparities in home health care utilization for older adults and their associated factors at the secondary medical area level: A nationwide study in Japan” [Letter] 二级医疗区域老年人家庭保健利用的地区差异及其相关因素:一项日本全国范围的研究[Letter]。
IF 2.4 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2025-01-03 DOI: 10.1111/ggi.15069
Sari Luthfiyah, Wannarat Lawang, Fathimath Shifaza
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引用次数: 0
Recent advances in biomarkers for senescence: Bridging basic research to clinic 衰老生物标志物研究进展:衔接基础研究与临床研究。
IF 2.4 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2025-01-03 DOI: 10.1111/ggi.15054
Takeshi Fukumoto, Tatsuo Shimosawa, Mitsutaka Yakabe, Shota Yoshida, Yohko Yoshida

In this review, we review the current status of biomarkers for aging and possible perspectives on anti-aging or rejuvenation from the standpoint of biomarkers. Aging is observed in all cells and organs, and we focused on research into senescence in the skin, musculoskeletal system, immune system, and cardiovascular system. Commonly used biomarkers include SA-βgal, cell-cycle markers, senescence-associated secretory phenotype (SASP) factors, damage-associated molecular patterns (DAMPs), and DNA-damage-related markers. In addition, each organ or cell has its specific markers. Generally speaking, a combination of biomarkers is required to define age-related changes. When considering the translation of basic research, biomarkers that are highly sensitive, highly specific, with validation and reliability as well as being non-invasive are optimal; however, currently reported markers do not fulfill the prerequisite for biomarkers. In addition, rodent models of aging do not necessarily represent human aging, and markers in rodent or cell models are not applicable in clinical settings. The prerequisite of clinically applicable biomarkers is that they provide useful information for clinical decision-making, such as predicting disease risk, diagnosing disease, monitoring disease progression, or guiding treatment decisions. Therefore, the development of non-invasive robust, reliable, and useful biomarkers in humans is necessary to develop anti-aging therapy for humans. Geriatr Gerontol Int 2025; 25: 139–147.

本文从生物标志物的角度,综述了抗衰老生物标志物的研究现状以及抗衰老和返老还童的可能前景。衰老存在于所有细胞和器官中,我们重点研究了皮肤、肌肉骨骼系统、免疫系统和心血管系统的衰老。常用的生物标志物包括SA-βgal、细胞周期标志物、衰老相关分泌表型(SASP)因子、损伤相关分子模式(DAMPs)和dna损伤相关标志物。此外,每个器官或细胞都有其特定的标记物。一般来说,需要结合生物标志物来定义与年龄相关的变化。在考虑基础研究的转化时,高度敏感、高度特异性、具有验证性和可靠性以及非侵入性的生物标志物是最佳选择;然而,目前报道的标记物不满足生物标记物的先决条件。此外,啮齿动物衰老模型并不一定代表人类衰老,啮齿动物或细胞模型中的标记物并不适用于临床环境。临床应用生物标志物的前提是为临床决策提供有用的信息,如预测疾病风险、诊断疾病、监测疾病进展或指导治疗决策。因此,开发无创、健壮、可靠、有用的人类生物标志物是开发人类抗衰老疗法的必要条件。Geriatr Gerontol 2025;••: ••-••.
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引用次数: 0
Commentary on “Frailty as a predictor of mortality in the oldest old: A systematic review and meta-analysis” 对“衰弱作为老年人死亡率的预测因素:系统回顾和荟萃分析”的评论。
IF 2.4 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2025-01-03 DOI: 10.1111/ggi.15065
Shubham Kumar, Ahmad Neyazi, Rachana Mehta, Ranjana Sah
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引用次数: 0
期刊
Geriatrics & Gerontology International
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