Australasian Journal on Ageing最新文献

{"title":"Global, Regional and National Burden of Osteoarthritis, 1990–2021: A Decomposition and Age–Period–Cohort Analysis","authors":"Yi Li,&nbsp;Wenhui Li,&nbsp;Baozhu Xu,&nbsp;Huangli Zhang,&nbsp;Yuping Huang,&nbsp;Lizhang Xu","doi":"10.1111/ajag.70108","DOIUrl":"10.1111/ajag.70108","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Osteoarthritis (OA) is a leading cause of disability worldwide, driven by ageing populations and lifestyle factors, such as obesity and sedentary behaviours. Understanding the global, regional and national trends in OA prevalence is crucial for public health planning and resource allocation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed data from the Global Burden of Disease (GBD) 2021 database to examine the prevalence of OA from 1990 to 2021. Age-standardised prevalence rates (ASPR) and decomposition analysis were conducted to identify key drivers, including age structure shift, population growth and epidemiological change. An age–period–cohort (APC) model was applied to assess the influence of demographic shifts on OA prevalence. Stratified analyses were conducted by socio-demographic index (SDI) regions to assess disparities in OA burden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The global number of OA cases rose from 256 million (95% CI: 227–283 million) in 1990 to 607 million (95% CI: 538–671 million) in 2021, with an ASPR of 6967.29 (95% CI: 6180.70–7686.06) per 100,000 individuals. Population growth contributed 74% of this increase, whereas age structure shift accounted for 16%. High SDI regions reported the highest ASPR, with 7897.27 (95% CI: 7067.13–8689.88) per 100,000, compared with 5605.58 (95% CI: 4967.54–6230.60) in low SDI regions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The global burden of OA has escalated during the last 30 years, particularly in ageing populations. Although population growth and demographic shifts are major drivers, regional disparities highlight the need for targeted prevention strategies and improved healthcare access in lower SDI regions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Forum Theatre on Nursing Students' Ageist Attitudes Towards Older Adults","authors":"Hümeyra Hançer Tok,&nbsp;Makbule Tokur Kesgin,&nbsp;Lütfiye Nur Uzun","doi":"10.1111/ajag.70107","DOIUrl":"10.1111/ajag.70107","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Ageism is a significant issue among nurses and nursing students and has a negative impact on the care provided to older adults. Education programmes are an effective way of combating ageism among nurses by raising awareness. This study aimed to determine the effectiveness of forum theatre training in improving nursing students' attitudes towards ageism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed a quasi-experimental single-group pre-/post-test design, supported by qualitative data obtained from open-ended questions. Nursing students and ageing awareness training were implemented through forum theatre. The intervention comprised three weekly sessions, each lasting approximately 4 h, with a warm-up, play and forum phase led by a facilitator (‘Joker’), held once per week over 3 weeks. Each session involved enacting a different scenario depicting ageism in everyday contexts. Data were collected using a Personal Information Form, a Forum Theatre Feedback Form and the Fraboni Scale of Ageism, which was administered both pre- and post-test. Quantitative data were analysed using the Wilcoxon signed-rank test, whereas qualitative data were analysed using content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forum theatre training increased nursing students' awareness of ageism (<i>p</i> &lt; 0.05). In addition, nursing students stated that taking part in forum theatre training had increased their knowledge and empathy skills regarding ageism, as well as their social awareness. Participants also reported greater confidence in caring for older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This small-scale study produced promising results. Further research with larger, more diverse samples, using a randomised controlled trial design, is recommended to confirm these findings and support their broader integration into nursing education programmes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital Admissions due to Medication-Related Harm in the Last 5 Years of Life: A Cohort Study","authors":"Judy R. Mullan,&nbsp;Stephen Moules,&nbsp;Andrew Bonney","doi":"10.1111/ajag.70104","DOIUrl":"10.1111/ajag.70104","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The World Health Organization (WHO) launched the third Global Patient Safety Challenge: Medication without Harm in 2017, aiming to reduce avoidable medication-related harm. Recognising that medication-related harm (MRH) accounts for the highest proportion of preventable harm, this initiative remains active and evolving. This study investigates the demographic and clinical factors associated with medication-related hospital admissions among a cohort of decedents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective cohort study was conducted using routinely collected non-identifiable linked data from an Australian Local Health District (LHD). The study population comprised residents aged 65 years and over who died in one of the LHD hospitals between 2017 and 2019. Logistic regression models were used to estimate unadjusted and fully adjusted odds ratios for medication-related hospital admissions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the 4353 decedents, 31%–40% experienced at least one hospital admission due to MRH in the last 5 years of life, accounting for 5% of total admissions. Higher rates of medication-related admissions were observed among individuals aged below 70 years, those residing in metropolitan areas and residential aged care facility residents. Comorbidities such as renal failure, heart failure, transient ischaemic attack, hypertension, diabetes and chronic obstructive pulmonary disease (COPD) were significant predictors of medication-related admissions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In our cohort of decedents, one-third had at least one hospitalisation due to MRH in their final 5 years. Higher risk was associated with being under 70 years of age, living in metropolitan or aged care settings and having multiple or specific chronic conditions. These results highlight the need for targeted interventions for high-risk individuals nearing the end of life.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Long-Term Impact of Delirium: An Integrative Review of Patient Experiences","authors":"Jenni Steffen,&nbsp;Christina Aggar,&nbsp;Claire Hutchinson","doi":"10.1111/ajag.70103","DOIUrl":"10.1111/ajag.70103","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This integrative review explores patients' recall of delirium post-discharge and synthesises existing research on the long-term impact of delirium from the patients' perspective. The findings will inform post-discharge strategies, offering healthcare professionals valuable insights to support patient recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An integrative review of the literature was utilised following the Whittemore and Knafl methodology. Six electronic databases were searched to identify relevant studies. Studies that met inclusion criteria were appraised using the Mixed Methods Appraisal Tool (MMAT) and then analysed using thematic analysis to identify key themes across all articles. The PRISMA checklist was used to evaluate the current research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen studies were included in the review. Following thematic analysis, two primary themes emerged: (1) Emotional and psychological burden, including anxiety, flashbacks, vivid hallucinations, and chronic sleep disturbances, and (2) Memories of care and connection, emphasising the role of healthcare professionals and social support in recovery. Patients reported feelings of shame, guilt and embarrassment related to delirium-associated memories, particularly their interactions with staff and loved ones. The attitudes and communication styles of healthcare professionals significantly influenced participants' outcomes, with supportive and empathetic care alleviating distress. Family, friends and fellow patients played a crucial role in reassuring participants and reducing feelings of isolation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Effective post-discharge strategies are essential to support patients' long-term recovery and minimise the lasting impact of delirium. Future research should focus on developing interventions to support patients during the post-discharge phase of their delirium.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical Function Prevails, but Is Cognition Underestimated? Methodological Concerns on the Use of MMSE","authors":"Marco Machado","doi":"10.1111/ajag.70105","DOIUrl":"10.1111/ajag.70105","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145338277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differentiating Cognitive Challenges During Menopause Transition From Dementia: Key Considerations","authors":"Aimee Spector,&nbsp;Caroline Gurvich","doi":"10.1111/ajag.70102","DOIUrl":"https://doi.org/10.1111/ajag.70102","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145272440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frailty in Older Patients With Atrial Fibrillation and Its Relationship With Anticoagulant Use: A Multi-Centred Observational Study in New South Wales","authors":"Tu N. Nguyen,&nbsp;Kenji Fujita,&nbsp;Sarah N. Hilmer","doi":"10.1111/ajag.70101","DOIUrl":"https://doi.org/10.1111/ajag.70101","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to examine the prevalence of frailty in hospitalised older patients with atrial fibrillation (AF) and its relationship with oral anticoagulant (OAC) prescription during admission. The secondary aim was to examine the association between frailty and rate-/rhythm-control medication prescriptions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective observational study included adults aged 65 years or older with AF admitted to six hospitals in Australia in 2022. Frailty was defined by a Frailty Index ≥ 0.25. Logistic regression models were applied to examine the association between frailty and the prescriptions of OAC, rate-control and rhythm-control drugs during hospitalisation. Results are presented as odds ratios (OR) and 95% confidence intervals (CI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 685 patients, with a mean age of 82.6 (SD 8.3), 50% female and 43% identified as frail. Overall, 76% were prescribed OAC (68% in the frail versus 81% in the non-frail, <i>p</i> &lt; 0.001), 38% received rate-control drugs (42% in the frail vs. 34% in the non-frail, <i>p</i> = 0.04), 27% received rhythm-control drugs (23% in the frail vs. 31% in the non-frail, <i>p</i> = 0.02). The adjusted ORs of frailty on prescriptions were 0.58 (95% CI 0.39–0.86) for OAC, 1.75 (95% CI 1.22–2.52) for rate-control drugs and 0.83 (95% CI 0.55–1.24) for rhythm-control drugs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study revealed a high prevalence of frailty in older inpatients with AF. Frailty was associated with reduced likelihood of prescription of OAC and increased likelihood of prescribing rate-control medications, with no independent impact on rhythm-control therapy. Further studies are needed to understand these prescribing patterns.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145272794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"24-h Movement Patterns: Sleep, Sedentary Behaviour and Physical Activity of Older Retired Olympic and Commonwealth Games Athletes—An Observational Study","authors":"Jennifer T. Gale,&nbsp;Meredith C. Peddie,&nbsp;David Gerrard,&nbsp;Hamish Osborne,&nbsp;Takiwai Russell-Camp,&nbsp;Debra L. Waters,&nbsp;Eduardo C. Costa,&nbsp;Xaviour J. Walker,&nbsp;Lara Vlietstra","doi":"10.1111/ajag.70097","DOIUrl":"https://doi.org/10.1111/ajag.70097","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Increasing age is associated with reduced physical activity and greater time spent sedentary. However, participation in competitive sport in early adulthood can promote physical activity in older age. To provide insight, this study aimed to objectively and contextually describe the 24-h movement patterns of retired elite New Zealand athletes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twenty-eight adults aged over 60 years (mean 74 ± 7 years) who represented New Zealand at an Olympic or Commonwealth Games provided data for this cross-sectional study. Participants completed data collection in their homes and then wore two accelerometers continuously for 7 days: an ActiGraph GT3X+ on the wrist and an ActivPAL on the thigh. Participants also completed three 24-h activity recalls. Periods of time spent sedentary, sleeping and physically active were determined by validated cut points and algorithms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants spent an average of 7 h 8 min (SD 58 min) per night asleep; 43% of participants were short sleepers (&lt; 7 h/night). Participants spent an average of 3 h 20 min (SD 40 min) engaged in light- and 2 h 22 min (SD 1 h 1 min) engaged in moderate-to-vigorous physical activity per day. On average, participants spent 46% of their day sedentary. Walking and outdoor work/gardening were the most reported types of activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This group of retired New Zealand elite athletes engaged in physical activity exceeding the amount recommended for extra health benefits by the World Health Organization. A significant number of participants were identified as having insufficient sleep and may benefit from an intervention to improve overall sleep duration.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145272222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hot Stuff: Exploring the Association Between Hot Days and Emergency Department Presentations Amongst Older Patients","authors":"Carol Lu Hunter,&nbsp;Nicholas Moore,&nbsp;Paul Middleton,&nbsp;Danielle Ni Chróinín","doi":"10.1111/ajag.70100","DOIUrl":"10.1111/ajag.70100","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Climate change has contributed to fluctuating temperature extremes over recent years. Higher temperatures increase mortality and morbidity in older patients. This study aimed to investigate temporal trends over the week and the association between hot temperatures and emergency department (ED) presentations amongst older patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a retrospective observational study using ED presentation data of persons aged 65 years or older from 2010 to 2021 attending at multi-centre secondary and tertiary referral institutions (<i>n</i> = 6) within South Western Sydney Health District, serving a population of ~820,000. The primary outcome was the rate of ED presentations amongst older patients on hot/very hot days/nights, compared to non-hot days/nights.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 693,620 ED presentations of people aged 65 years or older across study sites over the study period. During this time, there were 160 hot days and 331 hot nights. The seasonal Auto Regressive Integrated Moving Average (ARIMA) model (adjusted for weekends/public holidays/Mondays/Fridays) showed an inconsistent effect across the sites studied for hot days (estimate range −0.11 to 1.37) and hot nights (estimate range −0.81 to 1.17). There were also significantly decreased presentations on weekends/public holidays and increased presentations on Mondays (<i>p</i> = 0.003).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Although we did not observe an association between heat and presentations, this may reflect regional variation and thus the broader risks of climate change for older people remain undetermined. Factors that influence reduced weekend presentations and Monday surges, irrespective of temperature variations, should be further investigated to identify opportunities for intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of Handgrip Strength and Body Mass Index With All-Cause Mortality: A 14-Year Follow-Up of the Korea Longitudinal Study of Aging","authors":"Jaehyuck Lee,&nbsp;Duk-Hee Lee","doi":"10.1111/ajag.70098","DOIUrl":"10.1111/ajag.70098","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The associations of handgrip strength and body mass index (BMI) with mortality vary across age groups. This study aimed to investigate whether these associations differ between middle-aged and older adults in the Korean population. Additionally, we assessed whether handgrip strength had the potential to affect the relationship between obesity and mortality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 9311 individuals aged 45–84 years from the Korean Longitudinal Study on Aging were followed up for 14 years. Hazard ratios for all-cause mortality were estimated separately for the middle-aged (less than 65 years) and older (65 years or older) groups using age- and sex-specific tertiles of handgrip strength and Korean obesity criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The relationships between handgrip strength or BMI with mortality did not materially differ across age groups. Both age groups exhibited the highest mortality rates among the individuals with low handgrip strength or a BMI &lt; 18.5 kg/m². Conversely, the lowest mortality was found in those with high handgrip strength or a BMI from 23.0 to 29.9 kg/m². When stratified by handgrip strength, the BMI level associated with the lowest mortality risk shifted towards a higher BMI category in the low-strength group compared to the high-strength group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While the associations between handgrip strength, BMI and mortality were similar across age groups, the pattern of the BMI–mortality relationship was clearly modified by handgrip strength. This suggests that muscle strength should be considered when evaluating the health risks of obesity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}