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Pain and sleep disturbance were negatively associated with function and community mobility after hospitalization 住院后疼痛和睡眠障碍与功能和社区活动能力呈负相关
IF 2 Pub Date : 2025-12-23 DOI: 10.1016/j.ahr.2025.100268
Susan N. Hastings , Karen M. Stechuchak , Kasey Decosimo , Caitlin B. Kappler , Daniel Guidot , Kelli D. Allen , Amy Webster , Ashley Choate , Courtney H. Van Houtven , Cassie Meyer , Jaime Hughes , Cynthia J. Coffman

Background

The inconsistent nature of functional recovery after hospitalization points to gaps in our understanding of its determinants. The goal of this study was to examine associations between post-discharge pain interference and sleep disturbance on function and community mobility following hospitalization for medical illness.

Methods

We conducted a cross-sectional analysis of data collected as part of a larger study evaluating a hospital-based mobility program. Participants were aged ≥60 and within one month of discharge from one of eight Veterans Affairs (VA) hospitals between September 2017 and August 2019. Data were collected through telephone surveys. Primary predictors of pain interference and sleep disturbance were measured by PROMIS-4 short forms. Outcomes were function measured by Late-Life Function and Disability Instruments (LLFDI overall function and advanced lower extremity function scores) and community mobility measured by Life Space. For each outcome, separate multiple linear regression models were fit including the key explanatory variables of interest and selected covariates.

Results

Participants (n = 618) were mean age 70.6 years, 95% male, 25% Black, and 34% lived alone; overall eight percent reported being discharged to a nursing home, and 15% being readmitted to the hospital. Overall, 39.9% of participants reported moderate/severe pain interference; of these, approximately half also reported at least some degree of sleep disturbance. Moderate/severe sleep disturbance was endorsed by 19%; of these, more than 75% also experienced some degree of pain interference. In adjusted models, pain interference and sleep disturbance were negatively associated with total function, lower extremity function, and community mobility (P-values <0.01).

Conclusions

In this sample of recently hospitalized older adults, pain interference and sleep disturbance were independently associated with functional limitations and reduced community mobility. Primary care providers should consider assessing for pain and sleep problems during post-hospitalization visits to support optimal functional recovery.
住院后功能恢复的不一致性质表明我们对其决定因素的理解存在差距。本研究的目的是探讨出院后疼痛干扰和睡眠障碍对内科疾病住院患者的功能和社区活动能力的影响。方法:我们对收集的数据进行了横断面分析,这些数据是评估基于医院的流动性计划的大型研究的一部分。参与者年龄≥60岁,在2017年9月至2019年8月期间从八家退伍军人事务(VA)医院之一出院后一个月内。数据是通过电话调查收集的。疼痛干扰和睡眠障碍的主要预测因子采用promise -4短表测量。结果是用晚年功能和残疾仪器(LLFDI总体功能和高级下肢功能评分)测量功能,用Life Space测量社区流动性。对于每个结果,分别拟合多元线性回归模型,包括感兴趣的关键解释变量和选定的协变量。结果参与者(n = 618)平均年龄70.6岁,95%为男性,25%为黑人,34%为独居;总体而言,8%的人报告出院到养老院,15%的人再次入院。总体而言,39.9%的参与者报告了中度/重度疼痛干扰;在这些人中,大约一半的人至少有某种程度的睡眠障碍。19%的人赞同中度/重度睡眠障碍;其中,超过75%的人也经历了某种程度的疼痛干扰。在调整后的模型中,疼痛干扰和睡眠障碍与总功能、下肢功能和社区活动能力呈负相关(p值<;0.01)。结论在近期住院的老年人样本中,疼痛干扰和睡眠障碍与功能限制和社区活动能力降低独立相关。初级保健提供者应考虑在住院后就诊时评估疼痛和睡眠问题,以支持最佳的功能恢复。
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引用次数: 0
Enhanced cognitive assessment for dementia in Sub-Saharan Africa: Cultural adaptations and validity 撒哈拉以南非洲加强痴呆症认知评估:文化适应和有效性
IF 2 Pub Date : 2025-12-22 DOI: 10.1016/j.ahr.2025.100269
Tsimona Dinku Bonger , Zemichael Getu Alemayehu
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引用次数: 0
A double-edged sword: Exploring the neuroprotective/damaging mechanisms of complement activation in Alzheimer's disease 双刃剑:探索补体激活在阿尔茨海默病中的神经保护/损伤机制
IF 2 Pub Date : 2025-12-01 DOI: 10.1016/j.ahr.2025.100267
Jie Wang , Jie Wu , Xiaoxi Ma , Yuhan Wu , Zhenxu Xiao , Xiaowen Zhou , Ding Ding , Qian-hua Zhao

Background

Alzheimer's disease (AD), the most widespread neurodegenerative disorder afflicting older adults, is characterized by a progressive decline in cognitive function, behavior, and social skills. The complement system, a cornerstone of the innate immune system, plays a crucial role in rapidly recognizing and clearing foreign pathogens, damaged cells, and cellular debris. Recently, there has been growing interest in understanding the intricate roles of complement components in both normal brain development and neurodegenerative processes.

Methods

We reviewed the activation and role of the complement system in AD, specifically highlighting its stage-dependent functional duality, including both protective and detrimental roles. Furthermore, we assessed current and promising therapeutic strategies targeting complement components in AD.

Results

The early stage, defined by pre-plaque pathology, was dominated by protective clearance mechanisms, while the progressive phase, characterized by widespread amyloid and tau pathology, exhibited detrimental neuroinflammation and synaptic loss.

Conclusions

Understanding the dual roles of the complement system in AD is crucial for developing targeted therapies.
背景:阿尔茨海默病(AD)是困扰老年人的最普遍的神经退行性疾病,其特征是认知功能、行为和社交技能的进行性下降。补体系统是先天免疫系统的基石,在快速识别和清除外来病原体、受损细胞和细胞碎片方面起着至关重要的作用。最近,人们对补体成分在正常大脑发育和神经退行性过程中的复杂作用越来越感兴趣。我们回顾了补体系统在AD中的激活和作用,特别强调了它的阶段依赖性功能,包括保护和有害作用。此外,我们评估了针对补体成分治疗AD的当前和有希望的治疗策略。结果斑块前病理定义的早期以保护性清除机制为主,而以广泛的淀粉样蛋白和tau病理为特征的进展期表现出有害的神经炎症和突触丧失。结论了解补体系统在AD中的双重作用对开发靶向治疗具有重要意义。
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引用次数: 0
Errata regarding missing Editor Disclosure statements in previously published articles 关于先前发表的文章中缺少编辑披露声明的勘误表
IF 2 Pub Date : 2025-12-01 DOI: 10.1016/j.ahr.2025.100260
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引用次数: 0
Exploring Alzheimer’s disease perceptions among Korean Americans through an online community: A text mining approach 通过在线社区探索韩裔美国人对阿尔茨海默病的认知:一种文本挖掘方法
IF 2 Pub Date : 2025-11-16 DOI: 10.1016/j.ahr.2025.100266
Grace E. Yi , Michin Hong

Background

Alzheimer’s disease and related dementia (ADRD) have a profound impact on older adults and their families. Research indicates that racial/ethnic minority groups, including Korean Americans (KAs), encounter disparities in disease prevalence, diagnosis delays, and access to social and healthcare resources. KAs, mostly first-generation immigrants, face unique challenges due to limited English proficiency and cultural differences that impede healthcare access. This study aims to explore discussions about ADRD among KAs to gain insights into their perceptions and experiences.

Methods

We analyzed 882 posts from MissyUSA, one of the largest online KAs communities, collected between 2015 and 2023. A text-mining thematic analysis was employed.

Results

Four themes emerged: (1) transnational caregiving, (2) the need for culturally and linguistically appropriate care services, (3) the need for caregiving assistance from the public sector, and (4) preventative measures for ADRD.

Conclusions

The findings highlight the complex needs of KAs in global contexts. Many participants struggled with finding reliable care information and facilities for parents in the U.S. and Korea, reflecting the challenges of caregiving as immigrants. Locating and accessing culturally and linguistically compatible healthcare services and public support in the U.S. intensified KA caregiving families. Culturally and linguistically tailored public health education to correct misinformation about ADRD and caregiving within this community is needed. Implications for practice and policy are discussed.
阿尔茨海默病及相关痴呆(ADRD)对老年人及其家庭有着深远的影响。研究表明,包括韩裔美国人(KAs)在内的种族/少数民族群体在疾病患病率、诊断延误以及获得社会和医疗资源方面存在差异。ka主要是第一代移民,由于英语水平有限和文化差异阻碍了医疗保健的获取,他们面临着独特的挑战。本研究旨在探讨ka之间关于ADRD的讨论,以了解他们的看法和经验。方法我们分析了2015年至2023年间从最大的在线ka社区之一MissyUSA收集的882篇帖子。采用文本挖掘主题分析。结果出现了四个主题:(1)跨国护理;(2)需要文化和语言上合适的护理服务;(3)需要公共部门的护理援助;(4)ADRD的预防措施。结论研究结果突出了全球背景下ka的复杂需求。在美国和韩国,许多参与者都很难为父母找到可靠的护理信息和设施,这反映了移民照顾孩子的挑战。在美国寻找和获得文化和语言兼容的医疗保健服务和公共支持加强了KA护理家庭。需要在文化和语言上量身定制公共卫生教育,以纠正该社区内关于ADRD和护理的错误信息。对实践和政策的启示进行了讨论。
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引用次数: 0
Does body mass index predict changes in body composition and metabolic markers in response to testosterone therapy? 体重指数能预测睾酮治疗后身体成分和代谢指标的变化吗?
IF 2 Pub Date : 2025-10-11 DOI: 10.1016/j.ahr.2025.100265
Maryam Tetlay , Marcos Villarreal , Lina Aguirre , Georgia Colleluori , FNU Deepika , Rui Chen , Dennis T. Villareal , Clifford Qualls , Reina Armamento-Villareal

Background

Despite reported improvements in body composition, metabolic profile, skeletal outcomes and symptoms from testosterone (T) therapy in men with hypogonadism, it remains unclear whether baseline body mass index (BMI) affects response. The objective of this study is to determine if baseline BMI influences response to T therapy.

Methods

This is a secondary analysis of data from a clinical trial on pharmacogenetics of response to T therapy in men with average morning T < 300 ng/dl, given intramuscular T cypionate 200 mg every 2 weeks for 18 months. Participants were divided into BMI categories: BMI 1 (< 30 kg/m2), BMI 2 (30–34.99 kg/m2), and BMI 3 (≥35 kg/m2). T, estradiol, adipokines, metabolic markers, body composition, bone mineral density, bone turnover markers and total symptom score were assessed at baseline, 6, 12 and 18 months.

Results

All 3 groups had improvement in body composition, though BMI 1 and 2 had greater increases in truncal fat-free and truncal lean mass than BMI 3. Appendicular fat mass declined the most in BMI 1 and the least in BMI 3.. Leptin declined in all 3 groups with the most in BMI 1, while adiponectin significantly decreased only BMI 2. All groups showed increase in lumbar spine BMD. BMI 1 and 2 had improvement in symptoms but not BMI 3.

Conclusion

Our study shows that men with a BMI <35 derived the greatest benefit from T therapy in terms of changes in body composition and symptoms, while those with higher BMI benefited the least.
尽管有报道称睾酮(T)治疗可改善性腺功能减退男性的身体组成、代谢特征、骨骼结局和症状,但基线体重指数(BMI)是否会影响反应尚不清楚。本研究的目的是确定基线BMI是否影响对T疗法的反应。方法:这是对一项临床试验数据的二次分析,该临床试验的数据是关于男性对T治疗反应的药物遗传学研究,这些患者平均每天早上接受300 ng/dl的T治疗,每2周肌肉注射200 mg的cypionate,持续18个月。参与者被分为BMI 1 (< 30 kg/m2), BMI 2 (30 - 34.99 kg/m2)和BMI 3(≥35 kg/m2)。分别于基线、6、12、18个月评估T、雌二醇、脂肪因子、代谢指标、体成分、骨密度、骨转换指标和总症状评分。结果3组患者的体成分均有改善,但BMI 1和2组患者的躯干无脂质量和躯干瘦质量比BMI 3组增加更多。阑尾脂肪量在BMI 1时减少最多,在BMI 3时减少最少。瘦素在所有3组中均有所下降,BMI 1下降最多,而脂联素仅显著降低BMI 2。所有组腰椎骨密度均增加。BMI 1和2的症状有所改善,但BMI 3没有。结论:我们的研究表明,在身体成分和症状的改变方面,BMI为35的男性从T疗法中获益最大,而BMI较高的男性获益最少。
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引用次数: 0
Health perceptions and behaviors among aging same-gender Kazakh ethnic minority siblings in rural and urban Xinjiang, China: The impact of migration 中国新疆城乡哈萨克族同性兄弟姐妹的老年健康认知和行为:移民的影响
IF 2 Pub Date : 2025-10-09 DOI: 10.1016/j.ahr.2025.100264
Jing Wang , Tianjun Zhou , Yinan Zhang , Olivia Black , Xiaolin Wang , Ruolin Ren , Morgan Shapiro , Bei Wu

Background

This study investigates health perceptions and behaviors among Kazakh-Chinese same-sex siblings in rural and urban Xinjiang, China. It explores how environmental context and migration experiences shape differences in health-related outcomes.

Methods

We conducted semi-structured interviews with 24 participants (12 same-gender sibling dyads), with one sibling residing in an urban setting and the other in a rural area. A convergent mixed-methods approach was used, combining qualitative interview data with demographic and health screening information to examine health behaviors and perceptions across environments.

Results

Urban siblings demonstrated greater access to healthcare and health literacy but reported challenges including environmental pollution, stress, and diminished traditional social engagement. In contrast, rural siblings maintained traditional dietary habits and robust social rituals but faced limited healthcare access, irregular eating patterns, and more physical labor. Both groups expressed concern about food safety and environmental degradation. Religious and spiritual beliefs were found to influence participants' health behaviors and understanding of well-being.

Conclusions

Health outcomes among Kazakh-Chinese older adults are shaped by a complex interplay of cultural tradition, religious belief, and environmental exposure. These findings underscore the need for culturally sensitive, place-based public health strategies to support healthy aging among ethnic minorities undergoing rural–urban transitions.
本研究调查了新疆农村和城市哈萨克族华裔同性兄弟姐妹的健康认知和行为。它探讨了环境背景和移民经历如何影响健康相关结果的差异。方法我们对24名参与者(12名同性兄弟姐妹)进行了半结构化访谈,其中一名居住在城市,另一名居住在农村。采用融合混合方法,将定性访谈数据与人口统计和健康筛查信息相结合,以检查各种环境下的健康行为和观念。结果城市的兄弟姐妹表现出更多的医疗保健和健康素养,但报告的挑战包括环境污染、压力和传统社会参与减少。相比之下,农村的兄弟姐妹保持着传统的饮食习惯和强大的社会仪式,但面临着有限的医疗保健机会、不规律的饮食模式和更多的体力劳动。这两个组织都表达了对食品安全和环境恶化的担忧。宗教和精神信仰影响了参与者的健康行为和对幸福的理解。结论哈萨克族华人老年人的健康状况受文化传统、宗教信仰和环境暴露的复杂相互作用的影响。这些发现强调需要制定文化敏感的、基于地方的公共卫生战略,以支持正在经历城乡转型的少数民族的健康老龄化。
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引用次数: 0
Community nurses’ views on information provision at dementia diagnosis: A cross-sectional survey 社区护士对痴呆诊断信息提供的看法:一项横断面调查
IF 2 Pub Date : 2025-10-03 DOI: 10.1016/j.ahr.2025.100263
Elise Mansfield , Alison Zucca , Claudia Meyer , Jamie Bryant , Amy Waller

Background

Receiving a diagnosis of dementia can be overwhelming. Information provided to people with dementia and their support persons following diagnosis is suboptimal. Community nurses have a significant role in providing care to people with dementia.

Method

This study examined community nurses’ views on the information that should be provided to people with dementia at diagnosis, and how it should be delivered. Participants completed an online survey including nine items about the type of information that should be delivered at diagnosis, and three items about strategies for information delivery.

Results

Most participants (n = 92; 96.7–100 %) agreed with providing information about topics including future dementia symptoms, lifestyle modifications, and Advance Care Directives. Fewer participants (66.3 %) agreed with providing information about probable life expectancy. There was strong support (98.9 %) for offering a follow-up consultation within two weeks of the diagnosis.

Conclusions

These findings represent a first exploration of community nurses’ views on optimal dementia care.
接受痴呆症的诊断可能是压倒性的。诊断后向痴呆症患者及其支持人员提供的信息不够理想。社区护士在为痴呆症患者提供护理方面发挥着重要作用。方法本研究调查了社区护士对痴呆患者诊断时应提供的信息以及如何提供的看法。参与者完成了一份在线调查,其中包括九项关于诊断时应提供的信息类型,三项关于信息传递策略。结果大多数参与者(n = 92; 96.7% - 100%)同意提供包括未来痴呆症状、生活方式改变和预先护理指示等主题的信息。较少的参与者(66.3%)同意提供有关预期寿命的信息。98.9%的人强烈支持在诊断后两周内进行随访咨询。结论首次探讨了社区护士对老年痴呆症最佳护理的看法。
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引用次数: 0
Corrigendum to “Short-term consequences after COVID-19 in older people with epilepsy” [Aging and Health Research Vol 4 Issue 2 (June 2024) 100184] “COVID-19对老年癫痫患者的短期后果”的更正[老龄化与健康研究第4卷第2期(2024年6月)100184]
IF 2 Pub Date : 2025-09-01 DOI: 10.1016/j.ahr.2025.100254
Yiling Chen , Zhenxu Xiao , Xiaowen Zhou , Luxin Jiang , Jianhong Wang , Ding Ding , Guoxing Zhu
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引用次数: 0
Corrigendum to “Synergistic effect of smoking and education on incident dementia among older adults: The Shanghai aging study” [Aging and Health Research Vol 5 Issue 1 (March 2025) 100212] “吸烟和教育对老年人痴呆发病率的协同效应:上海老龄化研究”的更正[老龄化与健康研究第5卷第1期(2025年3月)100212]
IF 2 Pub Date : 2025-09-01 DOI: 10.1016/j.ahr.2025.100253
Chengyin Xu , Zhenxu Xiao , Xiaowen Zhou , Xiaoniu Liang , Qianhua Zhao , Ding Ding , Wei Deng
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引用次数: 0
期刊
Aging and health research
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