Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.012
C. Ray Cheever B.S. , Rayad B. Shams B.S. , K. Reese Willingham M.D. , Hyoungjun Sim B.S. , Lauren M. Cook B.S. , Mohamed Y. Ahmidouch B.S. , Katherine E. Scholand M.D. , Lindsay A. Wilson M.D., M.P.H., M.M.E.
Constipation is common among older adults and significantly impacts their quality of life (QoL). Prior studies have extensively detailed constipation, but conceptualization of constipation as a geriatric syndrome is lacking. In this review, we provide an overview of constipation in the geriatric population and conceptualize constipation as a geriatric syndrome given its high prevalence, under-recognized status, and association with poor QoL and adverse outcomes among older adults. The conceptualization of constipation as a geriatric syndrome, as with frailty and delirium, highlights its importance and need for a multi-faceted approach. Future research is needed to 1) better define constipation, 2) explore the multifactorial nature of constipation in older adults and relationship with other geriatric syndromes, 3) include more older adults in pharmacological and non-pharmacological interventions for constipation, and 4) curate multidisciplinary care models. Appreciating constipation as a geriatric syndrome will yield tailored management strategies, ensure timely intervention, and avoid adverse outcomes.
{"title":"Understanding constipation as a geriatric syndrome","authors":"C. Ray Cheever B.S. , Rayad B. Shams B.S. , K. Reese Willingham M.D. , Hyoungjun Sim B.S. , Lauren M. Cook B.S. , Mohamed Y. Ahmidouch B.S. , Katherine E. Scholand M.D. , Lindsay A. Wilson M.D., M.P.H., M.M.E.","doi":"10.1016/j.gerinurse.2024.12.012","DOIUrl":"10.1016/j.gerinurse.2024.12.012","url":null,"abstract":"<div><div>Constipation is common among older adults and significantly impacts their quality of life (QoL). Prior studies have extensively detailed constipation, but conceptualization of constipation as a geriatric syndrome is lacking. In this review, we provide an overview of constipation in the geriatric population and conceptualize constipation as a geriatric syndrome given its high prevalence, under-recognized status, and association with poor QoL and adverse outcomes among older adults. The conceptualization of constipation as a geriatric syndrome, as with frailty and delirium, highlights its importance and need for a multi-faceted approach. Future research is needed to 1) better define constipation, 2) explore the multifactorial nature of constipation in older adults and relationship with other geriatric syndromes, 3) include more older adults in pharmacological and non-pharmacological interventions for constipation, and 4) curate multidisciplinary care models. Appreciating constipation as a geriatric syndrome will yield tailored management strategies, ensure timely intervention, and avoid adverse outcomes.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 440-448"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.11.017
Christine Noelle Flaherty PhD, RN, Joint Nursing Science Ph.D. Program , Jennifer R. Bail Ph.D., RN (Assistant Professor) , Vicki Winstead Ph.D. (Scientist I) , Patricia A. Carter Ph.D., RN (Professor) , Lenora Smith Ph.D., RN (Associate Professor) , Gwendolyn L. Hooper Ph.D., CRNP (Associate Professor) , Nancy Lerner DNP, RN (Associate Professor) , Rita A. Jablonski Ph.D., CRNP, FAAN, FGSA (Professor)
Advance Care Planning (ACP) is a process that supports decision-making about end-of-life goals. Dementia ACP is recommended during the early stages of the disease to empower the individual living with dementia to express wishes for quality of life before experiencing significant cognitive decline. ACP during early dementia is rare, and hesitancy to initiate difficult and emotional conversations may be a contributing factor to delaying ACP. Effective ACP includes input from the clinician, patient, and family; however, there is limited dementia ACP research that includes all three perspectives. This secondary qualitative data analysis, guided by Social Cognitive Theory, aims to better understand the convergent and divergent views of ACP among dementia clinicians, caregivers, and individuals living with pre-clinical dementia. Study findings support the need for early, frequent, compassionate, and patient-centered ACP conversations that are considerate of the interests, perspectives, and wishes of the individual with dementia and their caregiver.
{"title":"Dementia advance care planning perspectives within an Alabama community: A theory guided qualitative study","authors":"Christine Noelle Flaherty PhD, RN, Joint Nursing Science Ph.D. Program , Jennifer R. Bail Ph.D., RN (Assistant Professor) , Vicki Winstead Ph.D. (Scientist I) , Patricia A. Carter Ph.D., RN (Professor) , Lenora Smith Ph.D., RN (Associate Professor) , Gwendolyn L. Hooper Ph.D., CRNP (Associate Professor) , Nancy Lerner DNP, RN (Associate Professor) , Rita A. Jablonski Ph.D., CRNP, FAAN, FGSA (Professor)","doi":"10.1016/j.gerinurse.2024.11.017","DOIUrl":"10.1016/j.gerinurse.2024.11.017","url":null,"abstract":"<div><div>Advance Care Planning (ACP) is a process that supports decision-making about end-of-life goals. Dementia ACP is recommended during the early stages of the disease to empower the individual living with dementia to express wishes for quality of life before experiencing significant cognitive decline. ACP during early dementia is rare, and hesitancy to initiate difficult and emotional conversations may be a contributing factor to delaying ACP. Effective ACP includes input from the clinician, patient, and family; however, there is limited dementia ACP research that includes all three perspectives. This secondary qualitative data analysis, guided by Social Cognitive Theory, aims to better understand the convergent and divergent views of ACP among dementia clinicians, caregivers, and individuals living with pre-clinical dementia. Study findings support the need for early, frequent, compassionate, and patient-centered ACP conversations that are considerate of the interests, perspectives, and wishes of the individual with dementia and their caregiver.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 390-399"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.10.051
Jiashuang Xu , Qiqi Ji , Pengjuan Ji , Yian Chen , Miaojing Song , Jianing Ma , Lin Zhang , Leilei Guo
Objective
This study aimed to investigate the influence of sleep quality on the quality of life in middle-aged and older inpatients with chronic diseases (MAOICDs) while examining the mediating role of frailty and the moderating role of self-esteem.
Methods
This study utilized a cross-sectional design. Between October 2021 and February 2022, we administered questionnaires to 319 subjects at the Second Hospital of Zhejiang University School of Medicine, Zhejiang Province, China. The questionnaire consisted of the General Information Scale, the Cumulative Disease Rating Scale, the Sleep Quality Questionnaire, the Frailty Scale, the Self-Esteem Scale, and the Quality of Life Questionnaire. Data were analyzed using SPSS 25.0 software and PROCESS3.5 macros for descriptive statistics, correlation analysis, and tests for mediating and moderating effects.
Results
The results of this study suggest that sleep quality is negatively related to quality of life and mediated by frailty. Self-esteem plays a moderating role in the relationship between frailty and quality of life.
Conclusion
Frailty mediates the relationship between sleep quality and quality of life. Meanwhile, self-esteem plays a moderating role in the relationship between frailty and life quality. Specifically, the correlation between frailty and life quality becomes stronger at higher levels of self-esteem. Therefore, to improve the life quality of MAOICDs, interventions should focus not only on enhancing sleep quality and reducing frailty but also on helping patients maintain an appropriate level of self-esteem.
{"title":"The relationship between sleep quality and quality of life in middle-aged and older inpatients with chronic diseases: Mediating role of frailty and moderating role of self-esteem","authors":"Jiashuang Xu , Qiqi Ji , Pengjuan Ji , Yian Chen , Miaojing Song , Jianing Ma , Lin Zhang , Leilei Guo","doi":"10.1016/j.gerinurse.2024.10.051","DOIUrl":"10.1016/j.gerinurse.2024.10.051","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the influence of sleep quality on the quality of life in middle-aged and older inpatients with chronic diseases (MAOICDs) while examining the mediating role of frailty and the moderating role of self-esteem.</div></div><div><h3>Methods</h3><div>This study utilized a cross-sectional design. Between October 2021 and February 2022, we administered questionnaires to 319 subjects at the Second Hospital of Zhejiang University School of Medicine, Zhejiang Province, China. The questionnaire consisted of the General Information Scale, the Cumulative Disease Rating Scale, the Sleep Quality Questionnaire, the Frailty Scale, the Self-Esteem Scale, and the Quality of Life Questionnaire. Data were analyzed using SPSS 25.0 software and PROCESS3.5 macros for descriptive statistics, correlation analysis, and tests for mediating and moderating effects.</div></div><div><h3>Results</h3><div>The results of this study suggest that sleep quality is negatively related to quality of life and mediated by frailty. Self-esteem plays a moderating role in the relationship between frailty and quality of life.</div></div><div><h3>Conclusion</h3><div>Frailty mediates the relationship between sleep quality and quality of life. Meanwhile, self-esteem plays a moderating role in the relationship between frailty and life quality. Specifically, the correlation between frailty and life quality becomes stronger at higher levels of self-esteem. Therefore, to improve the life quality of MAOICDs, interventions should focus not only on enhancing sleep quality and reducing frailty but also on helping patients maintain an appropriate level of self-esteem.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 681-688"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.10.064
Yichao Yu , Xiaoxue Wu , Yifan Lu , Yating Li
This study aimed to develop and validate a nomogram combined with the indicators of the physical fitness test to predict frailty risk in Chinese older adults. We recruited 344 participants from a community in Hebei Province, China. Data were collected on 57 candidate factor variables from sociodemographic factors, lifestyle factors, clinical factors, body composition test, and physical fitness test. Ultimately 6 factor variables were included in this predictive model: age, nutritional risk, hypertension, multimorbidity, depression and 2-Minute step test. The area under the curve (AUC) value in the training set and validation set is 0.866 and 0.854, which indicates that the model has a good ability to discriminate. The results of the H-L test indicate that the model is well calibrated. The calibration curves also indicate a good model fit. The model provides older adults with risk indicators to identify and prevent the onset of frailty as early as possible.
{"title":"Development and validation of a nomogram to predict frailty risk in Chinese older adults combined with physical fitness test indicators","authors":"Yichao Yu , Xiaoxue Wu , Yifan Lu , Yating Li","doi":"10.1016/j.gerinurse.2024.10.064","DOIUrl":"10.1016/j.gerinurse.2024.10.064","url":null,"abstract":"<div><div>This study aimed to develop and validate a nomogram combined with the indicators of the physical fitness test to predict frailty risk in Chinese older adults. We recruited 344 participants from a community in Hebei Province, China. Data were collected on 57 candidate factor variables from sociodemographic factors, lifestyle factors, clinical factors, body composition test, and physical fitness test. Ultimately 6 factor variables were included in this predictive model: age, nutritional risk, hypertension, multimorbidity, depression and 2-Minute step test. The area under the curve (AUC) value in the training set and validation set is 0.866 and 0.854, which indicates that the model has a good ability to discriminate. The results of the H-L test indicate that the model is well calibrated. The calibration curves also indicate a good model fit. The model provides older adults with risk indicators to identify and prevent the onset of frailty as early as possible.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 689-698"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.024
Jialan Xu RN, MSN, Yi Xiong RN, MSN, Hong Yan RN, MSN, Zitong Zhou RN, MSN, Jun Wen RN, MSN, Siyu Wang RN, MSN
Objective
To systematically evaluate the prevalence and influencing factors of skin tears in older adults.
Methods
The Cochrane Library, Web of Science, Embase, PubMed, CNKI, VIP, WanFang Data, and CBM databases were searched to collect studies related to the prevalence and influencing factors of skin tears in older adults, and the search period was from inception to October 29, 2024. The examined literature was independently screened, data extracted, and evaluated for risk of bias, and the meta-analysis was performed using Stata17.0.
Results
A total of 23 studies with a sample size of 59,489 older adults were included. Meta-analysis showed that the prevalence of skin tears in older adults was 6.5 % (95 % CI: 4.7 %–8.4 %, P < 0.01). A history of skin tears (OR = 9.30, 95 % CI: 1.66-52.25, P = 0.012), purpura (OR = 3.26, 95 % CI: 2.14-4.98, P < 0.01), and a risk of having a pressure injury (OR = 2.60, 95 % CI: 1.10-6.13, P = 0.029) were associated with skin tears in older adults.
Conclusions
Current evidence suggests that older adults have a high prevalence of skin tears. Skin tears in older adults are influenced by a history of skin tears, purpura, and a risk of having a pressure injury. Early screening should be conducted on the influencing factors of skin tears, and targeted intervention measures should be developed to reduce the impact of adverse outcomes on older adults and optimize the management of skin tears.
{"title":"Prevalence and influencing factors of skin tears in older adults: A systematic review and meta-analysis","authors":"Jialan Xu RN, MSN, Yi Xiong RN, MSN, Hong Yan RN, MSN, Zitong Zhou RN, MSN, Jun Wen RN, MSN, Siyu Wang RN, MSN","doi":"10.1016/j.gerinurse.2024.12.024","DOIUrl":"10.1016/j.gerinurse.2024.12.024","url":null,"abstract":"<div><h3>Objective</h3><div>To systematically evaluate the prevalence and influencing factors of skin tears in older adults.</div></div><div><h3>Methods</h3><div>The Cochrane Library, Web of Science, Embase, PubMed, CNKI, VIP, WanFang Data, and CBM databases were searched to collect studies related to the prevalence and influencing factors of skin tears in older adults, and the search period was from inception to October 29, 2024. The examined literature was independently screened, data extracted, and evaluated for risk of bias, and the meta-analysis was performed using Stata17.0.</div></div><div><h3>Results</h3><div>A total of 23 studies with a sample size of 59,489 older adults were included. Meta-analysis showed that the prevalence of skin tears in older adults was 6.5 % (95 % <em>CI</em>: 4.7 %–8.4 %, <em>P</em> < 0.01). A history of skin tears (<em>OR</em> = 9.30, 95 % <em>CI</em>: 1.66-52.25, <em>P</em> = 0.012), purpura (<em>OR</em> = 3.26, 95 % <em>CI</em>: 2.14-4.98, <em>P</em> < 0.01), and a risk of having a pressure injury (<em>OR</em> = 2.60, 95 % <em>CI</em>: 1.10-6.13, <em>P</em> = 0.029) were associated with skin tears in older adults.</div></div><div><h3>Conclusions</h3><div>Current evidence suggests that older adults have a high prevalence of skin tears. Skin tears in older adults are influenced by a history of skin tears, purpura, and a risk of having a pressure injury. Early screening should be conducted on the influencing factors of skin tears, and targeted intervention measures should be developed to reduce the impact of adverse outcomes on older adults and optimize the management of skin tears.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 491-498"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.023
Yijiong Yang Ph.D. , Stacy A. Drake Ph.D., MPH, RN , Jing Wang Ph.D., MPH, RN, FAAN , Gordon C. Shen Ph.D., S.M. , Hongyu Miao Ph.D. , Robert O. Morgan Ph.D. , Xianglin L. Du Ph.D. , David R. Lairson Ph.D.
Objectives
To compare the total medical costs associated with operative versus non-operative medical procedures for femoral neck fractures in older adults with Alzheimer's disease (AD).
Methods
This retrospective cohort study examined 4,157 Optum beneficiaries diagnosed with AD who filed an initial claim for femoral neck fracture between January 1, 2012, and December 31, 2017. Generalized linear regression with Gamma log link function was performed to evaluate total medical costs between surgical treatment and non-operative care while controlling for covariates.
Results
The adjusted total medical costs per patient for arthroplasty and internal fixation were $207,392 and $170,210, exceeding the total medical costs for non-operative cases ($63,041). Comorbidities such as history of falls, sarcopenia/muscle weakness, abnormal weight loss, depression, and fatigue also had a significant impact on the overall medical costs.
Conclusions
Surgical intervention for femoral neck fractures incurs higher costs but offers better clinical outcomes than non-operative care.
{"title":"Comparing total medical costs of surgical treatment versus nonoperative care for femoral neck fractures among Alzheimer's disease patients: A retrospective cohort study","authors":"Yijiong Yang Ph.D. , Stacy A. Drake Ph.D., MPH, RN , Jing Wang Ph.D., MPH, RN, FAAN , Gordon C. Shen Ph.D., S.M. , Hongyu Miao Ph.D. , Robert O. Morgan Ph.D. , Xianglin L. Du Ph.D. , David R. Lairson Ph.D.","doi":"10.1016/j.gerinurse.2024.12.023","DOIUrl":"10.1016/j.gerinurse.2024.12.023","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare the total medical costs associated with operative versus non-operative medical procedures for femoral neck fractures in older adults with Alzheimer's disease (AD).</div></div><div><h3>Methods</h3><div>This retrospective cohort study examined 4,157 Optum beneficiaries diagnosed with AD who filed an initial claim for femoral neck fracture between January 1, 2012, and December 31, 2017. Generalized linear regression with Gamma log link function was performed to evaluate total medical costs between surgical treatment and non-operative care while controlling for covariates.</div></div><div><h3>Results</h3><div>The adjusted total medical costs per patient for arthroplasty and internal fixation were $207,392 and $170,210, exceeding the total medical costs for non-operative cases ($63,041). Comorbidities such as history of falls, sarcopenia/muscle weakness, abnormal weight loss, depression, and fatigue also had a significant impact on the overall medical costs.</div></div><div><h3>Conclusions</h3><div>Surgical intervention for femoral neck fractures incurs higher costs but offers better clinical outcomes than non-operative care.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 499-505"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.026
Ya-Cian Chan MS, RN , Cheng-Chen Chou PhD, RN , Chiu-Yueh Yang PhD, RN , Chieh-Yu Liu PhD , Shiow-Shya Chiou MS
This study used a cross-sectional design to investigate the mediating role of a health-promoting lifestyle on mobile health technology acceptance and cognitive function. A total of 219 older adults, age 65 years or older, with diagnosed chronic diseases, were recruited from a northern Taiwan community. Participants completed questionnaires including demographic characteristics, the Senior Technology Acceptance Scale, the Health Promoting Lifestyle Profile Scale, and the Montreal Cognitive Assessment. Mediation analysis was conducted using the PROCESS macro. After controlling for demographic factors, health-promoting lifestyle proved to be a full mediator of mobile health technology acceptance and cognitive function. The results indicate that interventions to maintain or improve cognitive function in older adults with chronic diseases who are living in the community should also encourage the acceptance of mobile health technology and adoption of health-promoting lifestyle.
{"title":"Health-promoting lifestyle mediates the relationship between mHealth technology acceptance and cognitive function in older adults with chronic diseases","authors":"Ya-Cian Chan MS, RN , Cheng-Chen Chou PhD, RN , Chiu-Yueh Yang PhD, RN , Chieh-Yu Liu PhD , Shiow-Shya Chiou MS","doi":"10.1016/j.gerinurse.2024.12.026","DOIUrl":"10.1016/j.gerinurse.2024.12.026","url":null,"abstract":"<div><div>This study used a cross-sectional design to investigate the mediating role of a health-promoting lifestyle on mobile health technology acceptance and cognitive function. A total of 219 older adults, age 65 years or older, with diagnosed chronic diseases, were recruited from a northern Taiwan community. Participants completed questionnaires including demographic characteristics, the Senior Technology Acceptance Scale, the Health Promoting Lifestyle Profile Scale, and the Montreal Cognitive Assessment. Mediation analysis was conducted using the PROCESS macro. After controlling for demographic factors, health-promoting lifestyle proved to be a full mediator of mobile health technology acceptance and cognitive function. The results indicate that interventions to maintain or improve cognitive function in older adults with chronic diseases who are living in the community should also encourage the acceptance of mobile health technology and adoption of health-promoting lifestyle.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 622-628"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.032
Jia Liu M.D , Heng Xue M.D , Yi-han Ma M.Med , Zheng Wang M.D.
Objective
To assess muscle loss via ultrasound in the elderly and its link to clinical outcomes and risk factors.
Methods
This retrospective cohort study assessed muscle loss in hospitalized elderly via ultrasound, comparing bilateral anterior thigh thickness (BATT) at admission and after seven days, exploring its relation to hospital-acquired complications (HACs).
Results
In 86 patients (mean age 83.6), a 4.2% BATT decline over a week was seen, with 39.5% losing more than 10%. BATT changes correlated with HACs, with a -10% change as a predictive threshold. Risk factors for severe muscle loss in elderly hospitalized patients include female gender, higher baseline nutrition risk screening 2002 (NRS2002) scores and higher level of coefficient of variation of red blood cell distribution width (RDW-CV).
Conclusions
Elderly hospitalized patients were at risk of acute muscle loss during their hospital stay. Severe BATT decline during hospitalization in elderly patients was independently associated with HACs.
{"title":"Acute muscle loss in elderly hospitalized patients: Risk factors and adverse clinical outcomes","authors":"Jia Liu M.D , Heng Xue M.D , Yi-han Ma M.Med , Zheng Wang M.D.","doi":"10.1016/j.gerinurse.2024.12.032","DOIUrl":"10.1016/j.gerinurse.2024.12.032","url":null,"abstract":"<div><h3>Objective</h3><div>To assess muscle loss via ultrasound in the elderly and its link to clinical outcomes and risk factors.</div></div><div><h3>Methods</h3><div>This retrospective cohort study assessed muscle loss in hospitalized elderly via ultrasound, comparing bilateral anterior thigh thickness (BATT) at admission and after seven days, exploring its relation to hospital-acquired complications (HACs).</div></div><div><h3>Results</h3><div>In 86 patients (mean age 83.6), a 4.2% BATT decline over a week was seen, with 39.5% losing more than 10%. BATT changes correlated with HACs, with a -10% change as a predictive threshold. Risk factors for severe muscle loss in elderly hospitalized patients include female gender, higher baseline nutrition risk screening 2002 (NRS2002) scores and higher level of coefficient of variation of red blood cell distribution width (RDW-CV).</div></div><div><h3>Conclusions</h3><div>Elderly hospitalized patients were at risk of acute muscle loss during their hospital stay<strong>.</strong> Severe BATT decline during hospitalization in elderly patients was independently associated with HACs.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 449-454"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.019
Mengyu Yang M.Sc. Candidate , Yifang Yang M.Sc. Candidate , Tong Wu M.Sc. , Jinhan Nan M.Sc. Candidate , Yidan Li M.Sc. Candidate , Xuedan Wang M.Sc. Candidate , Qiuxia Qian M.Sc. Candidate , Ailing Yang M.Sc. , Lin Han Ph.D. , Yuxia Ma Ph.D.
Objective
This study aimed to assess the influence of sarcopenia on mild cognitive impairment (MCI) through a nationally representative survey.
Method
Participants in this nested case-control study were from the China Health and Retirement Longitudinal Study (CHARLS) cohort. In 2015, 3222 participants were included, with 2304 participants were followed up in 2018. Propensity score matching (PSM) was utilized to equalize the distribution of covariates between the two groups.
Results
MCI was observed in 268 participants. After PSM, 263 participants with MCI were compared with 1052 participants without MCI. The study revealed that participants with sarcopenia had a 1.625 (p = 0.002) times higher risk of MCI.
Conclusion
The study determined a causal link between sarcopenia and the onset of MCI, with sarcopenia identified as an independent risk factor for MCI development. It is recommended that healthcare providers incorporate muscle training into the care and health education for individuals with MCI.
{"title":"A nested case-control study on the effect of sarcopenia on mild cognitive impairment using the CHARLS database","authors":"Mengyu Yang M.Sc. Candidate , Yifang Yang M.Sc. Candidate , Tong Wu M.Sc. , Jinhan Nan M.Sc. Candidate , Yidan Li M.Sc. Candidate , Xuedan Wang M.Sc. Candidate , Qiuxia Qian M.Sc. Candidate , Ailing Yang M.Sc. , Lin Han Ph.D. , Yuxia Ma Ph.D.","doi":"10.1016/j.gerinurse.2024.12.019","DOIUrl":"10.1016/j.gerinurse.2024.12.019","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to assess the influence of sarcopenia on mild cognitive impairment (MCI) through a nationally representative survey.</div></div><div><h3>Method</h3><div>Participants in this nested case-control study were from the China Health and Retirement Longitudinal Study (CHARLS) cohort. In 2015, 3222 participants were included, with 2304 participants were followed up in 2018. Propensity score matching (PSM) was utilized to equalize the distribution of covariates between the two groups.</div></div><div><h3>Results</h3><div>MCI was observed in 268 participants. After PSM, 263 participants with MCI were compared with 1052 participants without MCI. The study revealed that participants with sarcopenia had a 1.625 (<em>p</em> = 0.002) times higher risk of MCI.</div></div><div><h3>Conclusion</h3><div>The study determined a causal link between sarcopenia and the onset of MCI, with sarcopenia identified as an independent risk factor for MCI development. It is recommended that healthcare providers incorporate muscle training into the care and health education for individuals with MCI.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 568-573"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.018
Jorge Salse-Batán PhD , Daniel González-Devesa PhD , Iratxe Duñabeitia PhD , Iraia Bidaurrazaga-Letona , Carlos Ayán-Pérez PhD , Miguel Adriano Sanchez-Lastra PhD
This systematic review aimed to analyse the literature on the effects of stretching exercise as a strategy to improve walking performance and balance in older adults. A literature search was performed in five databases up to October 2023 for randomized clinical trials addressing the effects of stretching exercise programs in older adults. The methodological quality was evaluated through the PEDro scale. A total of 29 studies were included. Methodological quality was good in 16 publications and fair in 13 investigations. Improvements on balance and walking ability following stretching programs were reported in different studies. The meta-analysis pooling 139 participants from 6 studies showed that stretching interventions increased gait speed in comparison with control groups that were not assigned to any exercise programs (standardized mean difference=0.56; 95 % confidence interval: 0.21, 0.90; I-squared = 0 %, p=0.520). These findings indicate potential benefits of stretching exercises to enhance walking ability in older adult population.
{"title":"Effects of stretching exercise on walking performance and balance in older adults: A systematic review and meta-analysis","authors":"Jorge Salse-Batán PhD , Daniel González-Devesa PhD , Iratxe Duñabeitia PhD , Iraia Bidaurrazaga-Letona , Carlos Ayán-Pérez PhD , Miguel Adriano Sanchez-Lastra PhD","doi":"10.1016/j.gerinurse.2024.12.018","DOIUrl":"10.1016/j.gerinurse.2024.12.018","url":null,"abstract":"<div><div>This systematic review aimed to analyse the literature on the effects of stretching exercise as a strategy to improve walking performance and balance in older adults. A literature search was performed in five databases up to October 2023 for randomized clinical trials addressing the effects of stretching exercise programs in older adults. The methodological quality was evaluated through the PEDro scale. A total of 29 studies were included. Methodological quality was good in 16 publications and fair in 13 investigations. Improvements on balance and walking ability following stretching programs were reported in different studies. The meta-analysis pooling 139 participants from 6 studies showed that stretching interventions increased gait speed in comparison with control groups that were not assigned to any exercise programs (standardized mean difference=0.56; 95 % confidence interval: 0.21, 0.90; I-squared = 0 %, p=0.520). These findings indicate potential benefits of stretching exercises to enhance walking ability in older adult population.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 479-490"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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