Ecchymosis occurs when blood leaks into subcutaneous tissue or capillaries rupture. In older patients, adequate pressure after venipuncture may prevent it, but the optimal duration is unclear. This study evaluated the effect of applying 20 N of direct pressure for 1, 3, or 5 minutes after blood collection on ecchymosis at 24, 48, and 72 hours in older patients using oral or subcutaneous anticoagulants.
Methods
The study used a parallel-group, prospective, single-blind randomized controlled design. The study sample consisted of 164 patients hospitalized at the geriatric clinic of a city hospital. Ecchymosis development was assessed by making and recording observations at 24, 48 and 72 h after routine blood sampling. Opsite Flexigrid was used to measure the size of the ecchymosis.
Results
The mean age of the patients was 76.26±8.01 years, 50 % were women, and 56.1 % used subcutaneous anticoagulants. A statistically significant difference was found between the groups in terms of the frequency and size of ecchymoses at 24, 48, and 72 h after blood collection (24th hour: χ²=30.792, p < 0.001; 48th hour: χ²=28.698, p = 0.001; 72nd hour: χ²=26.429, p = 0.002). The incidence of ecchymoses ≥1 cm² in the control group was 14 % at all time points, and this rate was significantly higher than in all other groups (p < 0.05).
Conclusion
In geriatric patients receiving oral or subcutaneous anticoagulants but without coagulopathy, applying pressure to the venipuncture site for 5 min after blood collection reduced the development of ecchymosis.
{"title":"Effect of pressure duration applied after blood sample collection on ecchymosis in older patients using anticoagulants: A randomized controlled study","authors":"Ayla Demirtas PhD , Tulay Basak PhD , Damla Erdogan MSc","doi":"10.1016/j.gerinurse.2026.103918","DOIUrl":"10.1016/j.gerinurse.2026.103918","url":null,"abstract":"<div><h3>Aim</h3><div>Ecchymosis occurs when blood leaks into subcutaneous tissue or capillaries rupture. In older patients, adequate pressure after venipuncture may prevent it, but the optimal duration is unclear. This study evaluated the effect of applying 20 N of direct pressure for 1, 3, or 5 minutes after blood collection on ecchymosis at 24, 48, and 72 hours in older patients using oral or subcutaneous anticoagulants.</div></div><div><h3>Methods</h3><div>The study used a parallel-group, prospective, single-blind randomized controlled design. The study sample consisted of 164 patients hospitalized at the geriatric clinic of a city hospital. Ecchymosis development was assessed by making and recording observations at 24, 48 and 72 h after routine blood sampling. Opsite Flexigrid was used to measure the size of the ecchymosis.</div></div><div><h3>Results</h3><div>The mean age of the patients was 76.26±8.01 years, 50 % were women, and 56.1 % used subcutaneous anticoagulants. A statistically significant difference was found between the groups in terms of the frequency and size of ecchymoses at 24, 48, and 72 h after blood collection (24th hour: χ²=30.792, <em>p</em> < 0.001; 48th hour: χ²=28.698, <em>p</em> = 0.001; 72nd hour: χ²=26.429, <em>p</em> = 0.002). The incidence of ecchymoses ≥1 cm² in the control group was 14 % at all time points, and this rate was significantly higher than in all other groups (<em>p</em> < 0.05).</div></div><div><h3>Conclusion</h3><div>In geriatric patients receiving oral or subcutaneous anticoagulants but without coagulopathy, applying pressure to the venipuncture site for 5 min after blood collection reduced the development of ecchymosis.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103918"},"PeriodicalIF":2.4,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144861","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 : 2026-02-09DOI: 10.1016/j.gerinurse.2026.103917
Yulin Liang MS , Xiaotong Ding PhD , Mingyue Zhu DS , Jingya Ma PhD , Zheng Li PhD , Huan Zhang PhD
Objective
To compare the effects of VR exercise with traditional exercise on cognition and physical functions in older adults.
Methods
The Cochrane Library, PubMed, Embase, Web of Science, CNKI, and CBM were searched for relevant RCT from inception until 20 June 2024.
Results
Thirty-four studies were included. None of the studies reported VR intolerance in older adults. Significant differences in global cognition (SMD: 0.32, P = 0.01), attention (SMD: –0.57, P = 0.05), and walking capacity (MD: −0.62 s, P < 0.001) were observed between the VR training and traditional training groups. No significant differences were found in other subdomains of cognitive function (e.g. executive function, working memory), and the rest of physical functions (e.g. lower limb strength, gait speed, exercise tolerance and muscle strength) between the two groups.
Conclusions
VR exercise is effective and applicable in older adults, with more significant improvement in global cognition, attention and walking capacity compared with traditional exercise.
目的：比较虚拟现实运动与传统运动对老年人认知和身体功能的影响。方法：检索Cochrane Library、PubMed、Embase、Web of Science、中国知网（CNKI）和CBM数据库中自成立至2024年6月20日的相关RCT。结果：纳入34项研究。没有研究报告老年人有VR不耐受。在整体认知（SMD: 0.32, P = 0.01）、注意力（SMD: -0.57, P = 0.05）和步行能力（MD: -0.62 s, P < 0.001）方面，VR训练组与传统训练组存在显著差异。在认知功能的其他子域（如执行功能、工作记忆）和其他身体功能（如下肢力量、步态速度、运动耐受性和肌肉力量）方面，两组之间没有显著差异。结论：VR运动在老年人中是有效和适用的，在整体认知、注意力和行走能力方面比传统运动有更显著的改善。
{"title":"Effects of VR exercise interventions on cognitive function and physical function in older adults: A systematic review and meta-analysis","authors":"Yulin Liang MS , Xiaotong Ding PhD , Mingyue Zhu DS , Jingya Ma PhD , Zheng Li PhD , Huan Zhang PhD","doi":"10.1016/j.gerinurse.2026.103917","DOIUrl":"10.1016/j.gerinurse.2026.103917","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the effects of VR exercise with traditional exercise on cognition and physical functions in older adults.</div></div><div><h3>Methods</h3><div>The Cochrane Library, PubMed, Embase, Web of Science, CNKI, and CBM were searched for relevant RCT from inception until 20 June 2024.</div></div><div><h3>Results</h3><div>Thirty-four studies were included. None of the studies reported VR intolerance in older adults. Significant differences in global cognition (<em>SMD</em>: 0.32, <em>P</em> = 0.01), attention (<em>SMD</em>: –0.57, <em>P</em> = 0.05), and walking capacity (<em>MD</em>: −0.62 s, <em>P</em> < 0.001) were observed between the VR training and traditional training groups. No significant differences were found in other subdomains of cognitive function (e.g. executive function, working memory), and the rest of physical functions (e.g. lower limb strength, gait speed, exercise tolerance and muscle strength) between the two groups.</div></div><div><h3>Conclusions</h3><div>VR exercise is effective and applicable in older adults, with more significant improvement in global cognition, attention and walking capacity compared with traditional exercise.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103917"},"PeriodicalIF":2.4,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151567","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 : 2026-02-09DOI: 10.1016/j.gerinurse.2026.103904
Hyelim Lee MSc , Dawou Joung PhD , Chorong Song PhD , Kyeongbin Kim , Choyun Kim MSc , Jisol Jang MSc , Chia-min Lin MSc , Sang Ki Lee PhD , Yong Jin Kwon PhD, MD , Bum-Jin Park PhD
This study aimed to determine the effect of an intervention for sarcopenia prevention using urban forest resources on sarcopenia, depression, and quality of life in community-dwelling older adult women aged ≥65 years. Older adult women (n = 59) were randomly assigned to the experimental group (n = 30), who participated in a forest-based intervention for sarcopenia prevention for older adults conducted twice a week for 8 weeks (16 sessions in total) and the control group (n = 29), who maintained their daily routine. We examined the sarcopenia indicators and psychological changes between the groups according to the participation duration and found significant changes in the 5-time chair stand test (p = 0.046) and general health (p = 0.044) among the quality of life items in the short physical performance battery. Pre- and post-analyses in the experimental group showed a significant increase in appendicular skeletal muscle mass (z = −2.88, p < 0.001), right calf circumference (z = −3.59, p < 0.001), left calf circumference (t = −4.94, p < 0.001), and energy/fatigue (t = −3.25, p = 0.003) among the quality of life items. They also showed improved performance on the 5-time chair stand test (z = −4.33, p < 0.001) and significantly reduced geriatric depression (t = 3.13, p = 0.002). The forest-based intervention for sarcopenia prevention improved physical function and psychological well-being in older adult women.
本研究旨在确定利用城市森林资源预防肌肉减少症的干预措施对≥65岁社区老年妇女肌肉减少症、抑郁症和生活质量的影响。老年成年妇女（n = 59）被随机分为实验组（n = 30）和对照组（n = 29），实验组参加了以森林为基础的老年人肌肉减少症预防干预，每周进行两次，为期8周（共16次）。对照组（n = 29）维持日常生活。我们根据参与时间对两组间肌肉减少症指标和心理变化进行了检测，发现在短时间体力表现电池的生活质量项目中，5次椅站测试（p = 0.046）和一般健康状况（p = 0.044）发生了显著变化。实验组的前后分析显示，在生活质量项目中，阑尾骨骼肌质量（z = -2.88, p < 0.001）、右小腿围（z = -3.59, p < 0.001）、左小腿围（t = -4.94, p < 0.001）和能量/疲劳（t = -3.25, p = 0.003）显著增加。他们在5次椅子站立测试中的表现也有所改善（z = -4.33, p < 0.001），并显著减少了老年抑郁症（t = 3.13, p = 0.002）。以森林为基础的预防肌肉减少症的干预措施改善了老年成年妇女的身体功能和心理健康。
{"title":"Effects of urban forest-based intervention on sarcopenia prevention, depression, and quality of life in older adult women: A randomized controlled trial","authors":"Hyelim Lee MSc , Dawou Joung PhD , Chorong Song PhD , Kyeongbin Kim , Choyun Kim MSc , Jisol Jang MSc , Chia-min Lin MSc , Sang Ki Lee PhD , Yong Jin Kwon PhD, MD , Bum-Jin Park PhD","doi":"10.1016/j.gerinurse.2026.103904","DOIUrl":"10.1016/j.gerinurse.2026.103904","url":null,"abstract":"<div><div>This study aimed to determine the effect of an intervention for sarcopenia prevention using urban forest resources on sarcopenia, depression, and quality of life in community-dwelling older adult women aged ≥65 years. Older adult women (n = 59) were randomly assigned to the experimental group (n = 30), who participated in a forest-based intervention for sarcopenia prevention for older adults conducted twice a week for 8 weeks (16 sessions in total) and the control group (n = 29), who maintained their daily routine. We examined the sarcopenia indicators and psychological changes between the groups according to the participation duration and found significant changes in the 5-time chair stand test (<em>p</em> = 0.046) and general health (<em>p</em> = 0.044) among the quality of life items in the short physical performance battery. Pre- and post-analyses in the experimental group showed a significant increase in appendicular skeletal muscle mass (z = −2.88, <em>p</em> < 0.001), right calf circumference (z = −3.59, <em>p</em> < 0.001), left calf circumference (t = −4.94, <em>p</em> < 0.001), and energy/fatigue (t = −3.25, <em>p</em> = 0.003) among the quality of life items. They also showed improved performance on the 5-time chair stand test (z = −4.33, <em>p</em> < 0.001) and significantly reduced geriatric depression (t = 3.13, <em>p</em> = 0.002). The forest-based intervention for sarcopenia prevention improved physical function and psychological well-being in older adult women.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103904"},"PeriodicalIF":2.4,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159483","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 : 2026-02-06DOI: 10.1016/j.gerinurse.2026.103866
Jean Genzale DNP, ANP-C, CVNP-BC , Aaron Stigers DNP, APRN, AGNP-C , O. Danny Lee PhD, APRN-BC, CNE
Osteoporosis (OPR) screening has declined in the United States, highlighting the need for improved practices. This QI Study addresses the undertreatment of OPR in primary care. çwas used to collect data related to fractures and osteoporosis. Thirty-nine volunteers were evaluated for osteoporosis and fracture risk using chi-square and t-tests against a comparison control group.
The analysis revealed statistically significant differences (p<0.001) in the provider ordering of DEXA scans, diagnosis of osteoporosis, and vitamin supplementation compared to the control group. These findings suggest that implementing the FRAX tool as a standard screening practice can enhance osteoporosis treatment.
{"title":"Implementing Osteoporosis Screening in a Clinical Setting: A Quality Improvement Study","authors":"Jean Genzale DNP, ANP-C, CVNP-BC , Aaron Stigers DNP, APRN, AGNP-C , O. Danny Lee PhD, APRN-BC, CNE","doi":"10.1016/j.gerinurse.2026.103866","DOIUrl":"10.1016/j.gerinurse.2026.103866","url":null,"abstract":"<div><div>Osteoporosis (OPR) screening has declined in the United States, highlighting the need for improved practices. This QI Study addresses the undertreatment of OPR in primary care. çwas used to collect data related to fractures and osteoporosis. Thirty-nine volunteers were evaluated for osteoporosis and fracture risk using chi-square and t-tests against a comparison control group.</div><div>The analysis revealed statistically significant differences (p<0.001) in the provider ordering of DEXA scans, diagnosis of osteoporosis, and vitamin supplementation compared to the control group. These findings suggest that implementing the FRAX tool as a standard screening practice can enhance osteoporosis treatment.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103866"},"PeriodicalIF":2.4,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137994","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 : 2026-02-06DOI: 10.1016/j.gerinurse.2026.103919
Yaqi Wang PhD , Bowen Wan MD , Na Wei PhD , Qingyun Lv PhD , Xueying Xu MD , Jingwen Liu MD , Yuan He MD , Hairong Chang MD , Li Fu PhD , Mei Lin PhD , Yue Zhao PhD , Xiaonan Zhang PhD , Xiaoying Zang PhD
Objective
To investigate individual and joint associations of unhealthful Plant-based Diet Index (uPDI) and social isolation with multi-trajectories of frailty in surviving Chinese older adults over a 10-year follow-up.
Methods
We analyzed data of 2,440 surviving older adults from 2008 to 2018 in the Chinese Longitudinal Healthy Longevity Survey. Group-Based Multi-Trajectory Modeling (GBMTM) and Logistic regression analyses were conducted to analyses data.
Results
The GBMTM identified four distinct frailty trajectories: "No Frailty STable Group," "Mild Frailty Group," "Incident IADL-Dominant Deterioration Group," and "Global Frailty Deterioration Group." The analysis revealed that both higher uPDI and social isolation quartiles were associated with the higher risk of adverse frailty trajectories. Notably, the combined higher quartiles of uPDI and social isolation further increasing the risk.
Conclusion
uPDI and social isolation were both individually and jointly associated with multi-trajectories of frailty in surviving Chinese older adults over a 10-year follow-up.
{"title":"Association of unhealthful plant-based diet and social isolation with multi-trajectories of frailty in surviving chinese older adults over a 10-year follow-up","authors":"Yaqi Wang PhD , Bowen Wan MD , Na Wei PhD , Qingyun Lv PhD , Xueying Xu MD , Jingwen Liu MD , Yuan He MD , Hairong Chang MD , Li Fu PhD , Mei Lin PhD , Yue Zhao PhD , Xiaonan Zhang PhD , Xiaoying Zang PhD","doi":"10.1016/j.gerinurse.2026.103919","DOIUrl":"10.1016/j.gerinurse.2026.103919","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate individual and joint associations of unhealthful Plant-based Diet Index (uPDI) and social isolation with multi-trajectories of frailty in surviving Chinese older adults over a 10-year follow-up.</div></div><div><h3>Methods</h3><div>We analyzed data of 2,440 surviving older adults from 2008 to 2018 in the Chinese Longitudinal Healthy Longevity Survey. Group-Based Multi-Trajectory Modeling (GBMTM) and Logistic regression analyses were conducted to analyses data.</div></div><div><h3>Results</h3><div>The GBMTM identified four distinct frailty trajectories: \"No Frailty STable Group,\" \"Mild Frailty Group,\" \"Incident IADL-Dominant Deterioration Group,\" and \"Global Frailty Deterioration Group.\" The analysis revealed that both higher uPDI and social isolation quartiles were associated with the higher risk of adverse frailty trajectories. Notably, the combined higher quartiles of uPDI and social isolation further increasing the risk.</div></div><div><h3>Conclusion</h3><div>uPDI and social isolation were both individually and jointly associated with multi-trajectories of frailty in surviving Chinese older adults over a 10-year follow-up.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103919"},"PeriodicalIF":2.4,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137924","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}
We aimed to determine the effects of baseline (T0) satisfaction with work and leisure time activities on the onset of depressive symptoms at follow-up (T1). In this prospective study in Japan, we included 1841 older adults aged ≥ 60 years. Participants were categorized into both dissatisfied, work dissatisfied, leisure time dissatisfied, and both satisfied groups based on baseline assessement (T0). Compared with the both satisfied group, the leisure time dissatisfied, work dissatisfied, and both dissatisfied groups had higher odds ratios for the onset of depressive symptoms at follow-up (T1). In the subgroup analysis, the both dissatisfied group showed associations with depressive symptoms, regardless of sex. The work dissatisfied and leisure time dissatisfied groups showed associations with the onset of depressive symptoms in only men and women, respectively. The risk for the onset of depressive symptoms was the highest when dissatisfaction with work and leisure time activities coexisted.
{"title":"Work and leisure time dissatisfaction is a risk factor for depressive symptoms among Japanese older adults: A 2.5-year prospective cohort study","authors":"Kazuya Fujii PhD , Kenji Harada MSc , Satoshi Kurita PhD , Masanori Morikawa PhD , Chiharu Nishijima PhD , Daisuke Kakita MSc , Hiroyuki Shimada PhD","doi":"10.1016/j.gerinurse.2026.103922","DOIUrl":"10.1016/j.gerinurse.2026.103922","url":null,"abstract":"<div><div>We aimed to determine the effects of baseline (T0) satisfaction with work and leisure time activities on the onset of depressive symptoms at follow-up (T1). In this prospective study in Japan, we included 1841 older adults aged ≥ 60 years. Participants were categorized into both dissatisfied, work dissatisfied, leisure time dissatisfied, and both satisfied groups based on baseline assessement (T0). Compared with the both satisfied group, the leisure time dissatisfied, work dissatisfied, and both dissatisfied groups had higher odds ratios for the onset of depressive symptoms at follow-up (T1). In the subgroup analysis, the both dissatisfied group showed associations with depressive symptoms, regardless of sex. The work dissatisfied and leisure time dissatisfied groups showed associations with the onset of depressive symptoms in only men and women, respectively. The risk for the onset of depressive symptoms was the highest when dissatisfaction with work and leisure time activities coexisted.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103922"},"PeriodicalIF":2.4,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133547","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 : 2026-02-06DOI: 10.1016/j.gerinurse.2026.103916
Maomin Jiang PhD , Lin Liu MM , Xincheng Huang PhD , Yisong Yao MSc , Jialiang Feng MB , Zengming Ma PhD
<div><h3>Objective</h3><div>This study aims to understand the developmental trajectory of media exposure and depression in the older adults Chinese population and explore the associated influencing factors. This research seeks to establish a scientific basis for preventing and treating depression in older adults.</div></div><div><h3>Methods</h3><div>Data were sourced from the Chinese Longitudinal Aging Social Survey (CLASS) database. We selected survey data from 2016, 2018, and 2020, focusing on participants who fully completed the depression status panel and three interviews, totaling 5,496 older adults. First, demographic variables were analyzed for descriptive statistics using SPSS 27.0, and Pearson correlation analyses of media exposure, marital status, and depression were conducted at the three time points. Second, using unconditional least squares, we estimated parameters for potential change trajectories in media exposure, marital status, and depression status among older adults, excluding covariates. Finally, latent variable growth models were constructed using Mplus 8.0 to test the developmental trajectories of media exposure and depression status among older adults, and we reported cross-sectional and prospective cross-lag correlations and ran baseline-adjusted two-wave lagged regressions in both directions as sensitivity analyses.</div></div><div><h3>Results</h3><div>The unconditional least squares analysis revealed significant differences in initial media exposure (Ψ<sub>1</sub> = 3.655) and its growth rate (Ψ<sub>2</sub> = 1.504, <em>p</em> < 0.001), initial marital status (Ψ<sub>1</sub> = 0.123) and its growth rate (Ψ<sub>2</sub> = 0.009, <em>p</em> < 0.001), as well as in initial depression levels (Ψ<sub>1</sub> = 4.852) and their growth rate (Ψ<sub>2</sub> = 2.655, <em>p</em> < 0.001) among older adults. The latent variable growth model indicated a negative correlation between the intercept and slope of depression (<em>β</em> = -0.227, <em>p</em> < 0.001) and media exposure (<em>β</em> = -0.423, <em>p</em> < 0.001) in older adults. Regarding demographic characteristics, age, residence, and marital status significantly influenced the initial level of depression (<em>p</em> < 0.001), while gender, age, education, and residence significantly affected the slope of depression levels (<em>p</em> < 0.05). Additionally, the regression analysis showed that the intercept of media exposure significantly influenced the depression intercept in older adults (<em>β</em> = -0.373, <em>p</em> < 0.001), and the slope of media exposure significantly affected the slope of depression (<em>β</em> = -0.319, <em>p</em> < 0.001). Cross-lag zero-order correlations were small and mixed, baseline-adjusted two-wave lagged tests yielded similarly small effects in both directions, consistent with the parallel-process growth findings.</div></div><div><h3>Conclusions</h3><div>Over time, media exposure in the older adults gradually decre
目的：了解中国老年人媒体暴露与抑郁的发展轨迹，并探讨相关影响因素。本研究旨在为预防和治疗老年人抑郁症建立科学基础。方法：数据来源于中国纵向老龄化社会调查（CLASS）数据库。我们选择了2016年、2018年和2020年的调查数据，重点关注那些完全完成抑郁状态小组和三次访谈的参与者，共计5496名老年人。首先，采用SPSS 27.0对人口学变量进行描述性统计，并在三个时间点对媒体暴露、婚姻状况和抑郁进行Pearson相关分析。其次，使用无条件最小二乘法，我们估计了老年人媒体暴露、婚姻状况和抑郁状态的潜在变化轨迹参数，排除了协变量。最后，利用Mplus 8.0构建潜在变量增长模型，检验老年人媒介暴露与抑郁状态的发展轨迹，并报道了横断面和前瞻性交叉滞后相关性，并在两个方向上进行了基线调整的双波滞后回归作为敏感性分析。结果：无条件最小二乘分析显示，老年人初始媒体暴露（Ψ1 = 3.655）及其增长率（Ψ2 = 1.504, p < 0.001）、初始婚姻状况（Ψ1 = 0.123）及其增长率（Ψ2 = 0.009, p < 0.001）、初始抑郁水平（Ψ1 = 4.852）及其增长率（Ψ2 = 2.655, p < 0.001）差异均有统计学意义。潜在变量增长模型显示，老年人抑郁的截距和斜率（β = -0.227, p < 0.001）与媒介暴露（β = -0.423, p < 0.001）呈负相关。在人口统计学特征方面，年龄、居住地和婚姻状况显著影响抑郁初始水平（p < 0.001），性别、年龄、教育程度和居住地显著影响抑郁水平斜率（p < 0.05）。此外，回归分析显示，媒介暴露截距显著影响老年人抑郁截距（β = -0.373, p < 0.001），媒介暴露斜率显著影响抑郁斜率（β = -0.319, p < 0.001）。交叉滞后零阶相关性很小且混合，基线调整后的两波滞后测试在两个方向上都产生了类似的小影响，这与平行过程增长的结果一致。结论：随着时间的推移，老年人的媒体接触逐渐减少，而他们的抑郁水平逐渐增加。因此，社会监测老年人的媒体暴露和抑郁水平，利用各种媒体形式来预防和缓解老年人的抑郁是至关重要的。例如，创建新媒体平台可以提高老年人的媒体曝光率，并保持平衡的宣传，以确保他们在媒体参与过程中公平的获取和传播信息。此外，考虑到不同老年人群体的抑郁水平不同，干预措施应专门针对那些年龄较大、生活在农村地区、没有伴侣、受教育程度较低的老年人。实施这些措施对于改善老年人抑郁症和促进健康老龄化至关重要。
{"title":"Media exposure and the trajectory of depression in older adults: An analysis based on latent variable growth models","authors":"Maomin Jiang PhD , Lin Liu MM , Xincheng Huang PhD , Yisong Yao MSc , Jialiang Feng MB , Zengming Ma PhD","doi":"10.1016/j.gerinurse.2026.103916","DOIUrl":"10.1016/j.gerinurse.2026.103916","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to understand the developmental trajectory of media exposure and depression in the older adults Chinese population and explore the associated influencing factors. This research seeks to establish a scientific basis for preventing and treating depression in older adults.</div></div><div><h3>Methods</h3><div>Data were sourced from the Chinese Longitudinal Aging Social Survey (CLASS) database. We selected survey data from 2016, 2018, and 2020, focusing on participants who fully completed the depression status panel and three interviews, totaling 5,496 older adults. First, demographic variables were analyzed for descriptive statistics using SPSS 27.0, and Pearson correlation analyses of media exposure, marital status, and depression were conducted at the three time points. Second, using unconditional least squares, we estimated parameters for potential change trajectories in media exposure, marital status, and depression status among older adults, excluding covariates. Finally, latent variable growth models were constructed using Mplus 8.0 to test the developmental trajectories of media exposure and depression status among older adults, and we reported cross-sectional and prospective cross-lag correlations and ran baseline-adjusted two-wave lagged regressions in both directions as sensitivity analyses.</div></div><div><h3>Results</h3><div>The unconditional least squares analysis revealed significant differences in initial media exposure (Ψ<sub>1</sub> = 3.655) and its growth rate (Ψ<sub>2</sub> = 1.504, <em>p</em> < 0.001), initial marital status (Ψ<sub>1</sub> = 0.123) and its growth rate (Ψ<sub>2</sub> = 0.009, <em>p</em> < 0.001), as well as in initial depression levels (Ψ<sub>1</sub> = 4.852) and their growth rate (Ψ<sub>2</sub> = 2.655, <em>p</em> < 0.001) among older adults. The latent variable growth model indicated a negative correlation between the intercept and slope of depression (<em>β</em> = -0.227, <em>p</em> < 0.001) and media exposure (<em>β</em> = -0.423, <em>p</em> < 0.001) in older adults. Regarding demographic characteristics, age, residence, and marital status significantly influenced the initial level of depression (<em>p</em> < 0.001), while gender, age, education, and residence significantly affected the slope of depression levels (<em>p</em> < 0.05). Additionally, the regression analysis showed that the intercept of media exposure significantly influenced the depression intercept in older adults (<em>β</em> = -0.373, <em>p</em> < 0.001), and the slope of media exposure significantly affected the slope of depression (<em>β</em> = -0.319, <em>p</em> < 0.001). Cross-lag zero-order correlations were small and mixed, baseline-adjusted two-wave lagged tests yielded similarly small effects in both directions, consistent with the parallel-process growth findings.</div></div><div><h3>Conclusions</h3><div>Over time, media exposure in the older adults gradually decre","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103916"},"PeriodicalIF":2.4,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137962","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 : 2026-02-04DOI: 10.1016/j.gerinurse.2026.103878
Erika Aparecida Silveira PhD , Guilherme Vinícius Elias Souza MHSc , Luciana Pereira Rodrigues MHSc , Andréa Toledo de Oliveira Rezende PhD , Amanda Maria de Sousa Romeiro MHSc, PhD , Matias Noll PhD , Cesar de Oliveira PhD
Background
Osteosarcopenia is a geriatric syndrome characterized by the coexistence of sarcopenia and osteopenia/osteoporosis, which can lead to frailty and mortality. The effectiveness of physical exercise on osteosarcopenia, particularly on muscular and skeletal parameters, remains unclear. This systematic review aimed to analyze the impact of exercise interventions on osteosarcopenia in older adults and to describe the diagnostic methods used in different clinical trials.
Methods
Randomized clinical trials conducted in older adults (≥65 years) diagnosed with osteosarcopenia were included, sourced from PubMed, Embase, Cochrane, and Scopus databases without language or publication year restrictions, up to July 2024. Osteosarcopenia was defined as the coexistence of sarcopenia and osteopenia/osteoporosis based on dual-energy X-ray absorptiometry (DXA) criteria. Exercise interventions of at least four weeks were considered, with comparisons to non-exercise control groups. This systematic review followed the PRISMA guidelines and was registered in PROSPERO (CRD42016043310).
Results
A total of 250 articles were identified, but only four studies met the eligibility criteria, involving 195 participants. All included studies utilized resistance training (RT) as the exercise intervention. The most common diagnostic criteria for osteosarcopenia were based on the T-score of the lumbar spine and/or femur, measured via DXA, using World Health Organization cut-off points for bone mineral density (BMD) and the criteria from the European Working Group on Sarcopenia in Older People for sarcopenia. RT was found to be effective in increasing strength and muscle mass in older adults diagnosed with osteosarcopenia, though it did not significantly improve physical performance.
Conclusion
There are few studies on this topic, making it difficult to draw definitive conclusions regarding the effectiveness of physical exercise in older adults with osteosarcopenia. Resistance training showed positive results, particularly in improving strength and muscle mass.
{"title":"Effectiveness of physical exercise on osteosarcopenia in older adults: A systematic review","authors":"Erika Aparecida Silveira PhD , Guilherme Vinícius Elias Souza MHSc , Luciana Pereira Rodrigues MHSc , Andréa Toledo de Oliveira Rezende PhD , Amanda Maria de Sousa Romeiro MHSc, PhD , Matias Noll PhD , Cesar de Oliveira PhD","doi":"10.1016/j.gerinurse.2026.103878","DOIUrl":"10.1016/j.gerinurse.2026.103878","url":null,"abstract":"<div><h3>Background</h3><div>Osteosarcopenia is a geriatric syndrome characterized by the coexistence of sarcopenia and osteopenia/osteoporosis, which can lead to frailty and mortality. The effectiveness of physical exercise on osteosarcopenia, particularly on muscular and skeletal parameters, remains unclear. This systematic review aimed to analyze the impact of exercise interventions on osteosarcopenia in older adults and to describe the diagnostic methods used in different clinical trials.</div></div><div><h3>Methods</h3><div>Randomized clinical trials conducted in older adults (≥65 years) diagnosed with osteosarcopenia were included, sourced from PubMed, Embase, Cochrane, and Scopus databases without language or publication year restrictions, up to July 2024. Osteosarcopenia was defined as the coexistence of sarcopenia and osteopenia/osteoporosis based on dual-energy X-ray absorptiometry (DXA) criteria. Exercise interventions of at least four weeks were considered, with comparisons to non-exercise control groups. This systematic review followed the PRISMA guidelines and was registered in PROSPERO (CRD42016043310).</div></div><div><h3>Results</h3><div>A total of 250 articles were identified, but only four studies met the eligibility criteria, involving 195 participants. All included studies utilized resistance training (RT) as the exercise intervention. The most common diagnostic criteria for osteosarcopenia were based on the T-score of the lumbar spine and/or femur, measured via DXA, using World Health Organization cut-off points for bone mineral density (BMD) and the criteria from the European Working Group on Sarcopenia in Older People for sarcopenia. RT was found to be effective in increasing strength and muscle mass in older adults diagnosed with osteosarcopenia, though it did not significantly improve physical performance.</div></div><div><h3>Conclusion</h3><div>There are few studies on this topic, making it difficult to draw definitive conclusions regarding the effectiveness of physical exercise in older adults with osteosarcopenia. Resistance training showed positive results, particularly in improving strength and muscle mass.</div></div><div><h3>PROSPERO registration number</h3><div><span><span>https://www.crd.york.ac.uk/PROSPERO/view/CRD42020215659</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103878"},"PeriodicalIF":2.4,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120854","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 : 2026-02-04DOI: 10.1016/j.gerinurse.2026.103924
Liu Ankang MD , Xu Shanshan BS , Lv Huilan BS , Li Xiaodong PhD , Xiao Hua BS , Lai Yingling BS , Yuan Shuting BS , Zhou Kebing MD , Chen Juan BS , Han Biyuan BS
Purpose
This study aimed to explore the professional quality of life among nursing assistants and identify latent profiling, and examine their relationships with perceived organizational support and self-efficacy.
Design
A cross - sectional survey study was conducted.
Methods
Nursing assistants from two hospitals in Shenzhen, China, were recruited through convenience sampling. Demographic characteristics, perceived organizational support, self-efficacy, and professional quality of life were measured using validated scales. Latent profile analysis (LPA) identified subgroups of professional quality of life, and logistic regression examined the associations of demographic factors, organizational support, and self-efficacy with profile membership.
Results
A total of 354 nursing assistants were included in this study. The professional quality of life was classified into three profiles: "adaptive group", "stress group", and "high burden group" comprising 216, 102, and 36 nursing assistants, respectively. Statistical differences were observed among the three groups in terms of demographic characteristics such as gender, ethnicity, certification, and professional title (P < 0.05). Additionally, instrumental support, emotional support, and self - efficacy differed significantly among the groups (P < 0.05). Gender (female), licensure, professional title (primary and mid - level), emotional support, and self - efficacy were predictors of nursing assistants' professional quality of life.
Conclusion
These findings may facilitate the identification of different profiles of nursing assistants for targeted training programs aimed at improving their professional quality of life. Furthermore, intervention strategies emphasizing emotional support, and self - efficacy may offer valuable approaches for enhancing professional quality of life.
{"title":"Exploring the professional quality of life of nursing assistants and its influencing factors: a cross-sectional study based on latent profiling","authors":"Liu Ankang MD , Xu Shanshan BS , Lv Huilan BS , Li Xiaodong PhD , Xiao Hua BS , Lai Yingling BS , Yuan Shuting BS , Zhou Kebing MD , Chen Juan BS , Han Biyuan BS","doi":"10.1016/j.gerinurse.2026.103924","DOIUrl":"10.1016/j.gerinurse.2026.103924","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to explore the professional quality of life among nursing assistants and identify latent profiling, and examine their relationships with perceived organizational support and self-efficacy.</div></div><div><h3>Design</h3><div>A cross - sectional survey study was conducted.</div></div><div><h3>Methods</h3><div>Nursing assistants from two hospitals in Shenzhen, China, were recruited through convenience sampling. Demographic characteristics, perceived organizational support, self-efficacy, and professional quality of life were measured using validated scales. Latent profile analysis (LPA) identified subgroups of professional quality of life, and logistic regression examined the associations of demographic factors, organizational support, and self-efficacy with profile membership.</div></div><div><h3>Results</h3><div>A total of 354 nursing assistants were included in this study. The professional quality of life was classified into three profiles: \"adaptive group\", \"stress group\", and \"high burden group\" comprising 216, 102, and 36 nursing assistants, respectively. Statistical differences were observed among the three groups in terms of demographic characteristics such as gender, ethnicity, certification, and professional title (<em>P</em> < 0.05). Additionally, instrumental support, emotional support, and self - efficacy differed significantly among the groups (<em>P</em> < 0.05). Gender (female), licensure, professional title (primary and mid - level), emotional support, and self - efficacy were predictors of nursing assistants' professional quality of life.</div></div><div><h3>Conclusion</h3><div>These findings may facilitate the identification of different profiles of nursing assistants for targeted training programs aimed at improving their professional quality of life. Furthermore, intervention strategies emphasizing emotional support, and self - efficacy may offer valuable approaches for enhancing professional quality of life.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103924"},"PeriodicalIF":2.4,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127638","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 : 2026-02-04DOI: 10.1016/j.gerinurse.2026.103815
Nair Tavares Milhem Ygnatios PhD , Juliana Lustosa Torres PhD , Núbia Carelli Pereira de Avelar PhD , Luciana de Souza Braga PhD , Taciana Muniz Rodrigues BSc , Maria Fernanda Lima-Costa MD, PhD , Bruno de Souza Moreira PhD
We aimed to assess whether childhood hunger experiences are associated with adverse health outcomes in old age. A cross-sectional study was conducted using data from the second wave of the ELSI-Brazil (2019-2021). Childhood hunger was assessed by the following question: “From birth until you were 15 years old, have you ever had a lack of food in your home and ended up going to bed feeling hungry?”. Outcomes were obesity, multimorbidity, limitation in basic activities of daily living (BADLs), frailty, cognitive impairment, and depressive symptoms. Logistic regression was used in data analysis. The prevalence of childhood hunger experiences was 23.6%. After adjustments, having experienced hunger in childhood was significantly associated with higher odds of multimorbidity (OR=1.17; 95%CI=1.01-1.35), limitation in BADLs (OR=1.39; 95%CI=1.03-1.87), frailty (OR=1.35; 95%CI=1.03-1.77), and depressive symptoms (OR=1.42; 95%CI=1.15-1.76). These findings suggest the necessity for public policies to ensure adequate childhood nutrition to promote healthy aging in future generations.
{"title":"Childhood hunger experiences were associated with adverse health outcomes in older Brazilian adults: Evidence from the Brazilian Longitudinal Study of Aging (ELSI-Brazil)","authors":"Nair Tavares Milhem Ygnatios PhD , Juliana Lustosa Torres PhD , Núbia Carelli Pereira de Avelar PhD , Luciana de Souza Braga PhD , Taciana Muniz Rodrigues BSc , Maria Fernanda Lima-Costa MD, PhD , Bruno de Souza Moreira PhD","doi":"10.1016/j.gerinurse.2026.103815","DOIUrl":"10.1016/j.gerinurse.2026.103815","url":null,"abstract":"<div><div>We aimed to assess whether childhood hunger experiences are associated with adverse health outcomes in old age. A cross-sectional study was conducted using data from the second wave of the ELSI-Brazil (2019-2021). Childhood hunger was assessed by the following question: “From birth until you were 15 years old, have you ever had a lack of food in your home and ended up going to bed feeling hungry?”. Outcomes were obesity, multimorbidity, limitation in basic activities of daily living (BADLs), frailty, cognitive impairment, and depressive symptoms. Logistic regression was used in data analysis. The prevalence of childhood hunger experiences was 23.6%. After adjustments, having experienced hunger in childhood was significantly associated with higher odds of multimorbidity (OR=1.17; 95%CI=1.01-1.35), limitation in BADLs (OR=1.39; 95%CI=1.03-1.87), frailty (OR=1.35; 95%CI=1.03-1.77), and depressive symptoms (OR=1.42; 95%CI=1.15-1.76). These findings suggest the necessity for public policies to ensure adequate childhood nutrition to promote healthy aging in future generations.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103815"},"PeriodicalIF":2.4,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127475","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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