Geriatric Nursing最新文献

{"title":"Association between social participation and health status trajectories in older adults: A 19-year yamanashi healthy life expectancy cohort study (Y-HALE)","authors":"Takeru Oka MS ,&nbsp;Tadao Ooka MD, PhD ,&nbsp;Hiroshi Yokomichi MD, PhD ,&nbsp;Zentaro Yamagata MD, PhD","doi":"10.1016/j.gerinurse.2026.103875","DOIUrl":"10.1016/j.gerinurse.2026.103875","url":null,"abstract":"<div><h3>Objective</h3><div>Population aging highlights the importance of understanding social factors that promote healthy aging. We aimed to identify health status trajectories among older adults in Japan and determine social participation associated with each trajectory cluster.</div></div><div><h3>Methods</h3><div>Data from 497 older adults from Yamanashi Prefecture, Japan, were used to identify their health status trajectories based on caregiving levels defined by the Japan’s national care insurance system. We determined social participants associated with each trajectory cluster.</div></div><div><h3>Results</h3><div>Men aged 65–74 who worked and participated in “Mujin” were more likely to belong to beneficial health clusters. For men aged ≥75, frequent interactions with friends and neighbors and participation in vertical community groups were positively associated with these clusters. Among women, active participation in horizontal groups was positively linked to beneficial health clusters across both age groups.</div></div><div><h3>Conclusion</h3><div>Tailored approaches to promoting social activity participation are needed, considering differences by sex and age group.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103875"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079932","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}

{"title":"A cross-sectional study of caregiving tasks and mental health outcomes among diverse family dementia caregivers","authors":"Florence Johnson PhD, MSN, MHA, CDP ,&nbsp;Philip Veliz PhD ,&nbsp;Namratha Boddakayala MA ,&nbsp;Hannah Ratliff PhD, RN ,&nbsp;Sheria Robinson-Lane PhD, MSN, MHA","doi":"10.1016/j.gerinurse.2026.103913","DOIUrl":"10.1016/j.gerinurse.2026.103913","url":null,"abstract":"<div><div>Black and Hispanic family caregivers (CGs) provide 83% of care for individuals with dementia in their communities, while often facing higher burdens and limited support. This study examined how specific caregiving tasks, such as activities of daily living (ADLs) and instrumental activities of daily living (iADLs), are associated with symptoms of anxiety and depression among Black and Hispanic CGs, using White CGs as the reference group.</div><div>This cross-sectional secondary data analysis of 947 CGs aged 18 and older from the 2015 National Study of Caregiving (NSOC) was linked with the National Health and Aging Trends study (NHATS) data. Multivariable logistic regression modeling was used to assess the association between caregiving tasks and mental health, stratified by each race.</div><div>The sample was predominantly female (65%), with a mean age of 57 (SD 20.05). Black CGs assisting with feeding (ADL) had significantly higher odds of anxiety (aOR = 2.02, 95% CI = [1.08, 3.75]) and depressive (aOR = 2.45, 95% CI = [1.25, 4.78]) symptoms compared to White CGs, anxiety (aOR = 1.45, 95% CI = [0.89, 2.35]) and depressive (aOR = 1.21, 95% CI = [0.78, 1.88]) symptoms. No significant associations between individual ADLs and iADLs and symptoms of anxiety or depression were observed in Hispanic CGs.</div><div>Feeding and bathing tasks are associated with poorer mental health in Black CGs. Though results highlight the need for culturally responsive CG support; causal relationships cannot be made. Longitudinal research is recommended to better understand these associations before interventions are developed.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103913"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079749","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}

{"title":"Promoting healthy aging: A systematic review of the transformative effects of nutritional interventions in elderly population","authors":"Parisa Gholambareshi MS ,&nbsp;Zahra Arabpour MS ,&nbsp;Esmaeel Gholizadeh PhD ,&nbsp;Mohammadreza Aliakbari MS ,&nbsp;Farzam Kamrani MS ,&nbsp;Mohammad Amin Senobari MS ,&nbsp;Alireza Saadati MD ,&nbsp;Maryam Razaghi PhD ,&nbsp;Maryam Khosravi PhD","doi":"10.1016/j.gerinurse.2026.103886","DOIUrl":"10.1016/j.gerinurse.2026.103886","url":null,"abstract":"<div><h3>Background</h3><div>The global aging population presents significant health challenges, including malnutrition, sarcopenia, and frailty, which reduce physical performance and quality of life while increasing healthcare costs. Nutritional interventions, such as oral nutritional supplements (ONS) and protein-enriched diets, have been proposed to address these issues, but evidence remains inconsistent. This review examines the effectiveness of dietary interventions including ONS and protein supplementation in improving health outcomes among older people.</div></div><div><h3>Methods</h3><div>A systematic search of PubMed, Scopus, Embase, and Web of Science (2000–2024) identified 11,711 studies of which 48 clinical trials met the inclusion criteria. This review was conducted and reported in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020 guideline. Key outcomes measured were body composition, muscle mass, physical performance, inflammatory markers and quality of life.</div></div><div><h3>Results</h3><div>ONS and protein supplements, particularly whey protein and leucine-enriched formulations improved muscle mass, strength and anthropometric measures including body weight (BW) and body mass index (BMI). Combined interventions with physical exercise yielded greater effects on gait speed and handgrip strength. ONS also reduced hospitalization days, inflammation and oxidative stress. However, effects on cognitive outcomes and fat mass reduction were variable and heterogeneity across studies limited direct comparisons.</div></div><div><h3>Conclusion</h3><div>Nutritional interventions, particularly when combined with exercise, significantly benefit older adults. Standardized, high-quality RCTs are needed to develop evidence-based dietary guidelines for promoting healthy aging across care settings.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103886"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079750","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}

{"title":"Impaired awareness in people with Alzheimer’s Disease, Huntington’s Disease and Korsakoff’s Syndrome: Experiences of professional caregivers","authors":"Esther de Groot MSc ,&nbsp;Hester Fidder MSc ,&nbsp;Marike E. de Boer PhD ,&nbsp;Ruth B. Veenhuizen PhD ,&nbsp;Martin Smalbrugge PhD ,&nbsp;Anouk M. van Loon PhD","doi":"10.1016/j.gerinurse.2026.103906","DOIUrl":"10.1016/j.gerinurse.2026.103906","url":null,"abstract":"<div><h3>Background &amp; Objectives</h3><div>Impaired awareness is common among people with Alzheimer's disease (AD) and the related disorders Huntington's disease (HD), and Korsakoff's syndrome (KS). Individuals with impaired awareness have an altered perception of their situation or functioning, which may pose challenges for care staff in nursing home settings. Yet, little is known about their experiences with impaired awareness.</div></div><div><h3>Methods</h3><div>We conducted five focus groups with professional caregivers (<em>N</em> = 28) of nursing home residents with AD, HD and KS about their experiences with impaired awareness (two AD, one HD, one KS and one mixed focus group). Participants were certified nursing assistants, vocationally trained nurses and social workers. Conversations were audio-taped and transcribed verbatim. Data were analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>We identified three main themes: (1) Manifestations of impaired awareness, including observed expressions of impaired awareness and impact on resident interactions. These manifestations were consistent across all three disease groups. (2) Reflections and emotions on these manifestations (characterized by compassion, astonishment and uncertainty). Impaired awareness increased the overall emotional burden for professional caregivers. Additionally, they sometimes felt uncertain about whether impaired awareness was intentional or disease-related. (3) Dealing with impaired awareness, by balancing between moving along and setting boundaries. Caregivers had difficulties determining the most effective approach to deal with impaired awareness.</div></div><div><h3>Conclusion</h3><div>Impaired awareness impacts the work of caregivers of residents with AD, HD and KS. Gaining a better understanding of how impaired awareness affects residents' emotions and behavior can contribute to the development of effective care approaches for caregivers.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103906"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079862","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}

{"title":"Unseen support: The needs of Alzheimer’s disease and related dementias' secondary family caregivers and a way forward","authors":"Abigail Gómez-Morales PhD, RN,&nbsp;Raheleh Bahrami MS, RN","doi":"10.1016/j.gerinurse.2026.103911","DOIUrl":"10.1016/j.gerinurse.2026.103911","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to better understand and identify the needs of secondary caregivers of individuals with memory challenges and explore their role in supporting primary caregivers to inform the development of a tailored intervention for secondary caregivers of people with Alzheimer's disease and related dementias.</div></div><div><h3>Methods</h3><div>A complementary, sequential mixed-methods approach was used to achieve the goal. Phase one included an online survey with primary caregivers (<em>N</em> = 10) exploring how secondary caregivers support them and training opportunities. Phase two involved virtual focus groups with secondary caregivers (<em>N</em> = 13) with a semi-immersive virtual reality experience where participants embodied a person with dementia, and discussed their caregiving roles, challenges, and needs.</div></div><div><h3>Results</h3><div>Primary caregivers identified secondary caregivers as helpful in reducing burden and stress. However, tensions existed due to unclear roles. Secondary caregivers reported emotional challenges and unclear role expectations. Virtual reality was valuable for increasing empathy. Both groups prioritized education in communication and managing challenging behaviors.</div></div><div><h3>Conclusions</h3><div>Semi-immersive virtual reality can help prepare secondary caregivers to support primary caregivers and their care recipients in key caregiving skills, while increasing dementia awareness and empathy.</div></div><div><h3>Clinical Implications</h3><div>Tailored interventions incorporating virtual reality may assist secondary caregivers in promoting positive health care outcomes and continuity of care for people with dementia and their primary caregivers.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103911"},"PeriodicalIF":2.4,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079864","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}

{"title":"An exploratory descriptive qualitative study examining the experiences and perceptions of family caregivers engaging in structured home-based reminiscence activities with persons with dementia","authors":"Esther Yin Hui Chew MN, BSocSci,&nbsp;Xin Min Lim BSc (Hons),&nbsp;George Frederick Glass Jr MSc, BN,&nbsp;Ee-Yuee Chan PhD, MSc, MN, BN","doi":"10.1016/j.gerinurse.2026.103888","DOIUrl":"10.1016/j.gerinurse.2026.103888","url":null,"abstract":"<div><h3>Background</h3><div>Reminiscence has been shown to augment quality of life, cognition and mood in persons with dementia. While its benefits are well-documented, less is known about how family caregivers can independently facilitate such activities (i.e., dyadic reminiscence) at home. This is particularly relevant for nurses, who prepare caregivers for home-based dementia care. This study examined the experiences and perceptions of family caregivers delivering structured home-based reminiscence to persons with dementia in Singapore.</div></div><div><h3>Methods</h3><div>An exploratory descriptive qualitative study was conducted with eight family caregivers of persons with dementia, discharged from a public tertiary hospital. Semi-structured individual interviews were conducted, and data were analyzed inductively using thematic content analysis.</div></div><div><h3>Results</h3><div>Caregivers reported ease in conducting dyadic reminiscence activities using the provided package. Three themes and six subthemes emerged. The themes were: 1) Unlocking the power of Caregiver-delivered Reminiscence: Exploring its Benefits; 2) Limited by Design: Challenges Encountered with Home Reminiscence and 3) Looking ahead: Practical Suggestions for Enhancing Caregiver-delivered Home Reminiscence. While dyadic reminiscence helped foster relational connection and engagement, personalization and cultural resonance of the materials are needed for it to be sustained.</div></div><div><h3>Conclusion</h3><div>Caregiver-delivered dyadic reminiscence demonstrates feasibility and potential as a low-cost, non-pharmacological therapeutic supplement in home-based dementia care. Active facilitation empowers caregivers as co-creators of meaningful engagement. Nurses play a pivotal role in equipping caregivers with practical skills, tailoring activities to cultural, personal contexts and embedding reminiscence into care planning. Further research is warranted to assess its broader applicability across Asian caregiving contexts.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103888"},"PeriodicalIF":2.4,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079863","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}

{"title":"Strategies for improving preoperative anxiety in older adult cataract patients: results of a study based on simulated nursing interventions in surgical scenarios","authors":"Guo-Qi Guan MM ,&nbsp;Xiao-Dan Lin MM ,&nbsp;Xiao-Zhou Zhou MM","doi":"10.1016/j.gerinurse.2026.103820","DOIUrl":"10.1016/j.gerinurse.2026.103820","url":null,"abstract":"<div><h3>Objective</h3><div>To determine whether simulating the actual scene of surgery before phacoemulsifcation surgery is a strategy to alleviate perioperative anxiety and discomfort in older adult cataract patients.</div></div><div><h3>Methods</h3><div>100 cases of older adult cataract patients admitted to our hospital in 2024 were enrolled and divided into the control group and the experimental group by the digital parity method (a method of assigning participants to groups based on whether their assigned study number is odd or even) (50 cases per group). The two groups were evaluated for the preoperative 2-hour and postoperative anxiety (SAS) scores, the discomfort score, the satisfaction of patients and doctors, the operation time, the patient's degree of adaptability and the adverse events and complications during the operation.</div></div><div><h3>Results</h3><div>There was no significant difference in the gender (p=0.398), age (p=0.481) and course of disease (p=0.476) of the two groups. There was a significant statistical difference (p&lt;0.05) in anxiety scores between the experimental group and the control group before and after surgery. The preoperative anxiety scores in the control group and experimental group were significantly higher than those in the postoperative anxiety scores (p&lt;0.05); The satisfaction scores of patients in the experimental group was higher than that in the control group (p&lt;0.05); The intraoperative comfort scores of the experimental group patients was higher than that of the control group (p&lt;0.05); The patient's degree of adaptability of the experimental group patients was higher than that of the control group (p&lt;0.05); There was no significant statistical difference in the doctor's satisfaction scores between the experimental group and the control group (p&gt;0.05); There was a significant statistical difference in the surgical duration between the experimental group of cataract patients and the control group (p&lt;0.05). The main adverse event during surgery in the experimental and control groups was mild pain, with five patients in the control group experiencing mild pain and three patients in the experimental group experiencing mild pain, there was no significant difference between the two groups (p&gt;0.05). None of the patients had intraoperative complications. All surgeries were completed.</div></div><div><h3>Conclusions</h3><div>The utilisation of nursing interventions adapted to simulated surgical scenarios can assist patients in becoming more familiar with the actual surgical environment and the procedures involved, thereby effectively reducing preoperative anxiety and fear. Furthermore, this approach can also result in enhanced intraoperative comfort, improved patient cooperation, and greater assurance of surgical safety. Additionally, it can lead to a reduction in postoperative anxiety and an increase in patient satisfaction.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103820"},"PeriodicalIF":2.4,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079748","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}

{"title":"Factors of survival on dialysis in SNF: Considerations for NPs","authors":"Daniel R. Mead DNP, MSCE ,&nbsp;Ian P. Rios DNP, MJ ,&nbsp;Tim Mallers MSN ,&nbsp;Melissa Zullo PhD, MPH ,&nbsp;Jianghu (James) Dong PhD","doi":"10.1016/j.gerinurse.2026.103902","DOIUrl":"10.1016/j.gerinurse.2026.103902","url":null,"abstract":"<div><div>The overall prevalence of End-Stage Kidney Disease (ESKD) has been increasing as are Nurse Practitioners (NPs) in skilled nursing facility settings (SNFs). Since optimal dialysis modality is unknown in these patients, a retrospective cohort study was conducted with a sample of 301 patients on various dialysis modalities in SNFs. Survival analytics were conducted on demographics and dialysis type to determine significant factors leading to mortality. Home/daily hemodialysis modalities, Black/African American patients, and individuals with less chronic disease burden demonstrated more favorable survival outcomes. NPs treating patients with advancing CKD should consider these factors when discussing survival on RRT.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103902"},"PeriodicalIF":2.4,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079867","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}

{"title":"Impact of a nurse-led in-hospital mobility intervention on older adult patient functional outcomes and perceptions","authors":"Barbara King PhD ,&nbsp;Mary Hook PhD ,&nbsp;Roger Brown PhD ,&nbsp;Jillian Bodden-Hoenisch DNP ,&nbsp;Elizabeth Ann Wall DNP ,&nbsp;Cynthia J. Brown MD, MPH ,&nbsp;Linsey M. Steege PhD","doi":"10.1016/j.gerinurse.2026.103897","DOIUrl":"10.1016/j.gerinurse.2026.103897","url":null,"abstract":"<div><div>Hospital-associated disabilities in older adults are common. Few studies have used a performance measure to evaluate the impact of ambulation on patient functional status during and after discharge or investigated older adult perceptions of ambulation during a hospitalization.</div><div>The purpose of this study was to evaluate the implementation of MOVIN (Mobilizing Older adults Via a systems-based INtervention) on older adult functional performance outcomes and to understand patients perceptions of mobility during their hospital stay.</div><div>A non-randomized observational study using a quasi-experimental design was conducted. Multiple methods using quantitative and qualitative approaches were used. Functional measures included gait speed and self-report on the Katz Activities of Daily Living scale and the University of Alabama at Birmingham (UAB) Life Space Mobility Index. In-person interviews were used to collect qualitative data.</div><div>The study was conducted on a 23-bed adult medical unit at an academic medical center. Older adults (<em>N</em> = 40) were recruited for data collection during their hospital stay and post-discharge. General linear mixed random-effects modeling was used to analyze functional outcomes. Inductive content analysis was used to analyze qualitative data.</div><div>The intervention group had a significant increase in gait speed at discharge compared to admission (<em>p</em> = 0.022) and at 3 months (<em>p</em> = 0.006) compared to discharge and a significant increase in UAB score between admission to 3 months post-discharge (<em>p</em> = 0.049). Qualitative results identified four categories Maintaining Health, Being Connected, Filling Time and Ready to Go Home, which describe the patient perception.</div><div>This study provides evidence that an in-hospital mobility intervention can have significant impacts on older adults functional performance and psycho-social outcomes.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103897"},"PeriodicalIF":2.4,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079865","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}

{"title":"Characterizing symptom burden among community-dwelling older adults","authors":"Michelle A. McKay PhD ,&nbsp;Paul Bernhardt PhD ,&nbsp;Melissa O’Connor PhD ,&nbsp;Suzanne Leveille PhD","doi":"10.1016/j.gerinurse.2026.103899","DOIUrl":"10.1016/j.gerinurse.2026.103899","url":null,"abstract":"<div><h3>Background</h3><div>Older adults experience multiple co-occurring symptoms that contribute to increased healthcare utilization, decreased physical performance, and poorer quality of life.</div></div><div><h3>Methods</h3><div>This study aimed to characterize symptom burden in a population-based cohort of community-dwelling adults aged 70 years and older enrolled in the MOBILIZE Boston study (n=765). Descriptive statistics and chi-square tests were used to categorize symptom prevalence and associations with demographic factors for nine symptoms: pain, balance impairment, weakness, limited endurance, sleep difficulty, depression, anxiety, and hearing and vision impairments. Latent class analysis was used to identify distinct classes of symptom burden.</div></div><div><h3>Results</h3><div>Pain was the most prevalent symptom (81.3 %), with 43.1 % of individuals indicating severe pain. Symptoms related to vision, hearing, sleep, and endurance were also reported by over 40 % of individuals. Except for vision, reported symptoms were found to be positively correlated. Four symptom burden groups were identified via latent class analysis: mild (30.1 %), moderate (51.3 %), moderate-severe (10.2 %) and severe (8.4 %). Those in the severe symptom burden group experienced worse levels of all symptoms compared to other groups. Pain and vision symptoms were similar across all symptom burden classes. Balance, endurance, weakness, anxiety and sleep symptoms were comparatively more common and severe for the 18.6 % of individuals in the moderate-severe and severe groups.</div></div><div><h3>Conclusion</h3><div>Understanding overall symptom burden, both in terms of numbers and severity of symptoms, is the first step in determining the impact of symptom burden as a possible new clinical indicator for fall risk and other detrimental health outcomes.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103899"},"PeriodicalIF":2.4,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079931","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}