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}
Pub Date : 2026-02-04DOI: 10.1016/j.gerinurse.2026.103914
Mohamed Ali Abdraboh PhD , Eman Mohamed Ebrahim Abd-Elraziek PhD , Ateya Megahed Ibrahim PhD , Heba Abdelfatah Ahmed
Ageism has harmful effects on mental health of older people, leading to mental health problems, as anxiety, depression and cognitive impairment. This study aimed to investigate how ageism affects the mental health of older people living in nursing homes. A descriptive correlational study design was conducted with 60 older people from 3 geriatric homes affiliated to Damietta Governorate in Egypt. Validated tools, including the Ageism Survey, Geriatric Depression Scale, Geriatric Anxiety Inventory Scale and Mini-Mental State Examination Scale were used. Statistical analysis, including correlation and path analysis, was performed to identify direct and indirect relationships. Ageism was positively associated with older people depression (p = 0.003), anxiety (p = 0.017) and cognitive impairment (p = 0.007). Path analysis revealed that geriatric anxiety partially competitively mediated the relationship between Ageism and cognitive function status. The findings highlight the mental health challenges faced by older people study sample resident in older people homes, which are compounded by their experiences of ageism. Interventions should focus on promoting positive perceptions of aging and educating society about the challenges faced by the elderly.
{"title":"Echoes of discrimination: How ageism affects the mental health among older people living in nursing homes","authors":"Mohamed Ali Abdraboh PhD , Eman Mohamed Ebrahim Abd-Elraziek PhD , Ateya Megahed Ibrahim PhD , Heba Abdelfatah Ahmed","doi":"10.1016/j.gerinurse.2026.103914","DOIUrl":"10.1016/j.gerinurse.2026.103914","url":null,"abstract":"<div><div>Ageism has harmful effects on mental health of older people, leading to mental health problems, as anxiety, depression and cognitive impairment. This study aimed to investigate how ageism affects the mental health of older people living in nursing homes. A descriptive correlational study design was conducted with 60 older people from 3 geriatric homes affiliated to Damietta Governorate in Egypt. Validated tools, including the Ageism Survey, Geriatric Depression Scale, Geriatric Anxiety Inventory Scale and Mini-Mental State Examination Scale were used. Statistical analysis, including correlation and path analysis, was performed to identify direct and indirect relationships. Ageism was positively associated with older people depression (<em>p</em> = 0.003), anxiety (<em>p</em> = 0.017) and cognitive impairment (<em>p</em> = 0.007). Path analysis revealed that geriatric anxiety partially competitively mediated the relationship between Ageism and cognitive function status. The findings highlight the mental health challenges faced by older people study sample resident in older people homes, which are compounded by their experiences of ageism. Interventions should focus on promoting positive perceptions of aging and educating society about the challenges faced by the elderly.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103914"},"PeriodicalIF":2.4,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127614","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.2026.103858
Jeanne Marie Burnkrant DNP, MSHS, MS
Strategies to ensure appropriate prescribing of antipsychotics in behavioral and psychological symptoms of dementia (BPSD) are limited in the primary care setting. In a metropolitan primary care setting, antipsychotic medications were found to be inappropriately prescribed in 45 % of patients with BPSD as defined by American Psychiatric Association (APA) clinical guidelines. A quality improvement project (QIP) was implemented to educate providers on appropriate prescribing for BPSD using the Neuropsychiatric Inventory Questionnaire (NPI-Q) tool. Outcome measures were to reduce inappropriate prescribing from 45 % to 30 % and reduce adverse events from 9 % to 4 %. At the completion of the project, results exceeded the goal with a reduction of inappropriate prescribing to 19 % and, achieved a 3 % reduction of adverse events. This project demonstrates the benefit of using the NPI-Q tool as a guideline for other primary care providers to safely establish prescribing practices for patients with BPSD.
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Pub Date : 2026-02-03DOI: 10.1016/j.gerinurse.2026.103921
Asa B. Smith PhD , Anna K. Forster PhD , Katelyn E. Webster-Dekker PhD , Kelly L. Wierenga PhD
Aims
The aims of this study were to investigate if chronic pain presence is significantly increased in older adults with heart failure (HF) compared to those without HF, and if a combination of pain and HF reduced quality of life and physical function.
Methods
Retrospective cross-sectional survey and medical record data from 41,395 participants age ≥65 in the All of Us Research Program were analyzed using linear and logistic regression.
Results
Participants with HF had a higher prevalence of chronic pain than those without HF but was not statistically significant. Having pain only, HF only, and both pain and HF were associated with reduced quality of life and physical function when compared to having no HF or pain. However, these associations were the strongest in those with both chronic pain and HF.
Conclusions
A combination of HF and chronic pain markedly worsened outcomes, underscoring the need for improved pain management.
{"title":"Unique contributions of heart failure and chronic pain on physical function and quality of life in older adults","authors":"Asa B. Smith PhD , Anna K. Forster PhD , Katelyn E. Webster-Dekker PhD , Kelly L. Wierenga PhD","doi":"10.1016/j.gerinurse.2026.103921","DOIUrl":"10.1016/j.gerinurse.2026.103921","url":null,"abstract":"<div><h3>Aims</h3><div>The aims of this study were to investigate if chronic pain presence is significantly increased in older adults with heart failure (HF) compared to those without HF, and if a combination of pain and HF reduced quality of life and physical function.</div></div><div><h3>Methods</h3><div>Retrospective cross-sectional survey and medical record data from 41,395 participants age ≥65 in the All of Us Research Program were analyzed using linear and logistic regression.</div></div><div><h3>Results</h3><div>Participants with HF had a higher prevalence of chronic pain than those without HF but was not statistically significant. Having pain only, HF only, and both pain and HF were associated with reduced quality of life and physical function when compared to having no HF or pain. However, these associations were the strongest in those with both chronic pain and HF.</div></div><div><h3>Conclusions</h3><div>A combination of HF and chronic pain markedly worsened outcomes, underscoring the need for improved pain management.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103921"},"PeriodicalIF":2.4,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120928","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}
Despite high healthcare costs, people with dementia and their caregivers still struggle with care coordination and support. Centers for Medicare & Medicaid Services “Guiding an Improved Dementia Experience” initiative, presents an opportunity for innovative care models.
Methods
Authors piloted Geriatrics Cognitive Assessment and Resource Engagement (CARE) Day, an interdisciplinary clinic model for patients living with dementia. In a single visit, patients saw a geriatrician, social worker, occupational therapist, and Alzheimer’s Association care specialist.
Results
CARE Day streamlined four different appointments into one, enhancing coordination. Geriatricians conducted cognitive assessments and care planning. Social workers connected caregivers to support groups and education. Occupational therapists addressed daily function, safety, and cognitive rehab needs. Alzheimer's Association care specialists connected families to memory-friendly programs. Follow-ups showed high patient and caregiver satisfaction, improved coordination, and fewer missed appointments.
Conclusion
Interdisciplinary clinic approach improves dementia care by streamlining multiple appointments into a single visit, enhancing efficiency and support.
{"title":"Geriatrics cognitive assessment and resource engagement day: Piloting an interdisciplinary outpatient cognitive care model","authors":"Kanishk D. Sharma MD , Gaby Naranjo LMSW , Amy Harper OTD, OTR/L, CHT","doi":"10.1016/j.gerinurse.2026.103923","DOIUrl":"10.1016/j.gerinurse.2026.103923","url":null,"abstract":"<div><h3>Background</h3><div>Despite high healthcare costs, people with dementia and their caregivers still struggle with care coordination and support. Centers for Medicare & Medicaid Services “Guiding an Improved Dementia Experience” initiative, presents an opportunity for innovative care models.</div></div><div><h3>Methods</h3><div>Authors piloted Geriatrics Cognitive Assessment and Resource Engagement (CARE) Day, an interdisciplinary clinic model for patients living with dementia. In a single visit, patients saw a geriatrician, social worker, occupational therapist, and Alzheimer’s Association care specialist.</div></div><div><h3>Results</h3><div>CARE Day streamlined four different appointments into one, enhancing coordination. Geriatricians conducted cognitive assessments and care planning. Social workers connected caregivers to support groups and education. Occupational therapists addressed daily function, safety, and cognitive rehab needs. Alzheimer's Association care specialists connected families to memory-friendly programs. Follow-ups showed high patient and caregiver satisfaction, improved coordination, and fewer missed appointments.</div></div><div><h3>Conclusion</h3><div>Interdisciplinary clinic approach improves dementia care by streamlining multiple appointments into a single visit, enhancing efficiency and support.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103923"},"PeriodicalIF":2.4,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114866","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 : 2026-02-02DOI: 10.1016/j.gerinurse.2026.103876
Helton Layon Teixeira dos Santos MSc , Ana Raquel Mendes dos Santos PhD , Diógenes Candido Mendes Maranhão MSc , Juliana Daniele de Araújo Silva MSc , Diogo Barbosa de Albuquerque MSc , David Scott PhD , André Luiz Torres Pirauá PhD
This study examined barriers and facilitators reported by older adults and Physical Education professionals in a home-based exercise program with two types of supervision: video calls and text messages. A qualitative case study was conducted with 12 older adults and three professionals from a randomized controlled trial in Brazil. Interviews, which lasted between 12 and 35 min, were guided by the Theory of Planned Behavior and analyzed using thematic content analysis. Both groups identified well-being and supervision as facilitators. Barriers included scheduling conflicts and mobile device difficulties. Text message supervision led to insecurity in exercise performance, while video call supervision faced barriers like poor internet. Professionals noted older adults’ technological unfamiliarity. Video call supervision facilitated social interaction, while text messages offered reduced time commitment and better accessibility. The study concluded that video call supervision supports social interaction, while text message supervision may cause insecurity due to lack of real-time guidance.
{"title":"Barriers and facilitators reported by older adults and Physical Education professionals participating in a home-based physical exercise program with different remote supervision strategies: a qualitative analysis of a randomized controlled trial","authors":"Helton Layon Teixeira dos Santos MSc , Ana Raquel Mendes dos Santos PhD , Diógenes Candido Mendes Maranhão MSc , Juliana Daniele de Araújo Silva MSc , Diogo Barbosa de Albuquerque MSc , David Scott PhD , André Luiz Torres Pirauá PhD","doi":"10.1016/j.gerinurse.2026.103876","DOIUrl":"10.1016/j.gerinurse.2026.103876","url":null,"abstract":"<div><div>This study examined barriers and facilitators reported by older adults and Physical Education professionals in a home-based exercise program with two types of supervision: video calls and text messages. A qualitative case study was conducted with 12 older adults and three professionals from a randomized controlled trial in Brazil. Interviews, which lasted between 12 and 35 min, were guided by the Theory of Planned Behavior and analyzed using thematic content analysis. Both groups identified well-being and supervision as facilitators. Barriers included scheduling conflicts and mobile device difficulties. Text message supervision led to insecurity in exercise performance, while video call supervision faced barriers like poor internet. Professionals noted older adults’ technological unfamiliarity. Video call supervision facilitated social interaction, while text messages offered reduced time commitment and better accessibility. The study concluded that video call supervision supports social interaction, while text message supervision may cause insecurity due to lack of real-time guidance.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103876"},"PeriodicalIF":2.4,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114777","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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