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"I've been doing this for years": the COVID-19 pandemic and family caregiver isolation and loneliness. "我已经这样做了很多年":COVID-19 大流行与家庭照顾者的孤立和孤独。
Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI: 10.3389/fragi.2024.1376103
Caitlin Sullivan, Judith B Vick, Kasey Decosimo, Janet Grubber, Cynthia J Coffman, Rebecca Bruening, Nina Sperber, Matthew Tucker, Joshua Dadolf, Nathan Boucher, Virginia Wang, Kelli D Allen, S Nicole Hastings, Courtney H Van Houtven, Megan Shepherd-Banigan

Background: Family caregivers are family members or friends of care recipients who assist with activities of daily living, medication management, transportation, and help with finances among other activities. As a result of their caregiving, family caregivers are often considered a population at risk of experiencing increased stress, isolation, and loneliness. During the COVID-19 pandemic in the US, social isolation and decrease in social activities were a top concern among older adults and their family caregivers. Using secondary analysis of survey data as part of a multi-site implementation trial of a caregiver skills training program, we describe differences in caregiver experiences of loneliness before and during the COVID-19 pandemic.

Methods: Health and wellbeing surveys of family caregivers were collected on 422 family caregivers of veterans before and during COVID-19. Logistic regression modeling examined whether the loneliness differed between caregiver groups pre vs during COVID-19, using the UCLA 3-item loneliness measure. Rapid directed qualitative content analysis of open-ended survey questions was used to explore the context of how survey responses were affected by the COVID-19 pandemic.

Results: There were no significant differences in loneliness between caregivers pre vs during COVID-19. In open-ended responses regarding effects of COVID-19, caregivers described experiencing loneliness and social isolation; why they were unaffected by the pandemic; and how caregiving equipped them with coping strategies to manage negative pandemic-related effects.

Conclusion: Loneliness did not differ significantly between pre vs during COVID-19 caregivers. Future research could assess what specific characteristics are associated with caregivers who have resiliency, and identify caregivers who are more susceptible to experiencing loneliness. Understanding caregiver loneliness could assist other healthcare systems in developing and implementing caregiver support interventions.

背景:家庭照护者是受照护者的家人或朋友,他们协助受照护者进行日常生活活动、药物管理、交通和财务帮助等活动。由于需要照顾他人,家庭照顾者通常被认为是有可能承受更多压力、孤独和寂寞的人群。在美国 COVID-19 大流行期间,社会隔离和社交活动减少是老年人及其家庭照顾者最关心的问题。方法:在 COVID-19 大流行之前和期间,我们对 422 名退伍军人的家庭照顾者进行了健康和福利调查。使用加州大学洛杉矶分校(UCLA)的三项目孤独感测量法,通过逻辑回归模型研究了护理人员群体在 COVID-19 之前和期间的孤独感是否存在差异。对开放式调查问题进行了快速定向定性内容分析,以探讨 COVID-19 大流行对调查回答的影响:结果:COVID-19 流行前与流行期间,护理人员的孤独感没有明显差异。在有关 COVID-19 影响的开放式回答中,护理人员描述了他们所经历的孤独感和社会隔离;为什么他们没有受到大流行病的影响;以及护理工作如何使他们具备了应对策略来处理与大流行病相关的负面影响:结论:COVID-19 前与 COVID-19 期间的护理人员在孤独感方面没有明显差异。未来的研究可以评估具有适应能力的护理人员的具体特征,并确定哪些护理人员更容易体验到孤独感。了解护理人员的孤独感有助于其他医疗系统制定和实施护理人员支持干预措施。
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引用次数: 0
Confronting polypharmacy and social isolation in elderly care: a general practitioner's perspective on holistic primary care. 面对老年人护理中的多药治疗和社会隔离问题:全科医生对整体初级护理的看法。
Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI: 10.3389/fragi.2024.1384835
Waseem Jerjes, Daniel Harding
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引用次数: 0
Editorial: Stem cell exhaustion in aging. 社论:衰老中的干细胞衰竭
Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI: 10.3389/fragi.2024.1433702
Sarallah Rezazadeh, Georgina May Ellison-Hughes
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引用次数: 0
Naïve T-cell decline is a significant contributor to expression changes in ageing blood. 新生 T 细胞的减少是导致老化血液中表达变化的一个重要因素。
Pub Date : 2024-05-30 eCollection Date: 2024-01-01 DOI: 10.3389/fragi.2024.1389789
Cameron Fraser, Brady M Owen

No clear consensus has emerged from the literature on the gene expression changes that occur in human whole blood with age. In this study we compared whole blood ageing genes from the published literature with data on gene specificity for leukocyte subtypes. Surprisingly we found that highly ranked ageing genes were predominantly expressed by naïve T cells, with limited expression from more common cell types. Highly ranked ageing genes were also more likely to have decreased expression with age. Taken together, it is plausible that much of the observed gene expression changes in whole blood is reflecting the decline in abundance of naïve T cells known to occur with age, rather than changes in transcription rates in common cell types. Correct attribution of the gene expression changes that occur with age is essential for understanding the underlying mechanisms.

关于人类全血中的基因表达随着年龄的增长而发生的变化,目前还没有明确的共识。在这项研究中,我们将已发表文献中的全血老化基因与白细胞亚型的基因特异性数据进行了比较。令人惊讶的是,我们发现排名靠前的老化基因主要由幼稚 T 细胞表达,而更常见的细胞类型表达量有限。排名靠前的老化基因也更有可能随着年龄的增长而减少表达。综上所述,在全血中观察到的基因表达变化有可能反映了随着年龄增长而出现的幼稚 T 细胞数量下降,而不是普通细胞类型转录率的变化。正确归因随年龄增长而发生的基因表达变化对于了解其潜在机制至关重要。
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引用次数: 0
Impact of a digital employer-based weight loss program on individuals age 65 or older 基于雇主的数字化减肥计划对 65 岁及以上老年人的影响
Pub Date : 2024-05-22 DOI: 10.3389/fragi.2024.1337418
R. Rogers, Michael Doherty, David Jones, J. Jakicic, Timothy S. Church
Older adults are not protected from obesity, which has been linked to frailty, cognitive impairment, and other aging-related factors. Intensive lifestyle interventions have been shown to be effective for weight loss in older adults; however, these have typically been highly intensive and less feasible for dissemination. This analysis describes weight loss in a large-scale, commercially available, digital intervention in a subset of older adults.Older adults (N = 20,443, males = 6,238; females = 14,205) between 65 and 85 years of age with overweight (43.3%) or obesity (46.7%) participated in an online, self-directed weight loss program. Behavioral-based content was delivered through weekly video lessons within an online platform that included weight and physical activity tracking, an online community, a reference library, and access to coaching support. Self-reported measures taken at the time of entry into the program were used for this analysis (demographics, height, body weight, and health status). Weight was reported across weeks of engagement in the curriculum.The average weight loss was −3.15 kg (95% CI: [−3.20, −3.11]) at 15.5 weeks. Weight loss was significantly greater in male individuals (−3.79 kg [95% CI: −3.89, −3.71]) versus female individuals (−2.87 kg [95% CI: −2.94, −2.82]) (p < 0.001), with a similar engagement in curriculum weeks. Percent weight loss was statistically significant for all age categories (p < 0.05) and self-reported health conditions (p < 0.05).Short-term weight loss was observed in older adults exposed to a low-touch, self-guided, and digital behavioral-based weight loss program. Weight loss was also observed even in the presence of various chronic health conditions.
肥胖与虚弱、认知障碍和其他与衰老相关的因素有关。密集型生活方式干预已被证明能有效减轻老年人的体重;然而,这些干预通常都是高度密集型的,不太适合推广。本分析报告描述了一项大规模、商业化、数字化干预措施在老年人群体中的减肥效果。年龄在 65 岁至 85 岁之间、超重(43.3%)或肥胖(46.7%)的老年人(人数=20443,男性=6238;女性=14205)参加了一项在线自主减肥计划。该项目通过在线平台每周提供一次视频课程,内容以行为为基础,包括体重和体育锻炼跟踪、在线社区、参考资料库以及教练支持。本分析采用的是参加该计划时的自我报告指标(人口统计学、身高、体重和健康状况)。在参与课程的 15.5 周内,体重平均下降了-3.15 千克(95% CI:[-3.20, -3.11])。男性(-3.79 千克 [95% CI:-3.89, -3.71])与女性(-2.87 千克 [95% CI:-2.94, -2.82])相比,体重下降幅度明显更大(p < 0.001),参与课程周数相似。在所有年龄组(p < 0.05)和自我报告的健康状况(p < 0.05)中,体重减轻百分比都具有统计学意义。即使存在各种慢性疾病,体重也会减轻。
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引用次数: 0
Corrigendum: A conceptual view of cognitive intervention in older adults with and without cognitive decline-a systemic review. 更正:对认知能力下降和未认知能力下降的老年人进行认知干预的概念性观点--系统性综述。
Pub Date : 2024-05-14 eCollection Date: 2024-01-01 DOI: 10.3389/fragi.2024.1422949
Liliana Mendes, Joana Oliveira, Fernando Barbosa, Miguel Castelo-Branco

[This corrects the article DOI: 10.3389/fragi.2022.844725.].

[此处更正了文章 DOI:10.3389/fragi.2022.844725]。
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引用次数: 0
Amelioration of age-related cognitive decline and anxiety in mice by Centella asiatica extract varies by sex, dose and mode of administration. 积雪草提取物对小鼠与年龄相关的认知能力下降和焦虑的改善作用因性别、剂量和给药方式而异。
Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.3389/fragi.2024.1357922
Nora E Gray, Wyatt Hack, Mikah S Brandes, Jonathan A Zweig, Liping Yang, Luke Marney, Jaewoo Choi, Armando Alcazar Magana, Natasha Cerruti, Janis McFerrin, Seiji Koike, Thuan Nguyen, Jacob Raber, Joseph F Quinn, Claudia S Maier, Amala Soumyanath

Background: A water extract (CAW) of the Ayurvedic plant Centella asiatica administered in drinking water has been shown to improve cognitive deficits in mouse models of aging and neurodegenerative diseases. Here the effects of CAW administered in drinking water or the diet on cognition, measures of anxiety and depression-like behavior in healthy aged mice are compared. Methods: Three- and eighteen-month-old male and female C57BL6 mice were administered rodent AIN-93M diet containing CAW (0, 0.2, 0.5 or 1% w/w) to provide 0, 200 mg/kg/d, 500 mg/kg/d or 1,000 mg/kg/d CAW for a total of 5 weeks. An additional group of eighteen-month-old mice were treated with CAW (10 mg/mL) in their drinking water CAW for a total of 5 weeks to deliver the same exposure of CAW as the highest dietary dose (1,000 mg/kg/d). CAW doses delivered were calculated based on food and water consumption measured in previous experiments. In the fourth and fifth weeks, mice underwent behavioral testing of cognition, anxiety and depression (n = 12 of each sex per treatment group in each test). Results: Aged mice of both sexes showed cognitive deficits relative to young mice while only female aged mice showed increased anxiety compared to the young female mice and no differences in depression were observed between the different ages. CAW (1,000 mg/kg/d) in the drinking water improved deficits in aged mice in learning, executive function and recognition memory in both sexes and attenuated the increased measures of anxiety observed in the aged female mice. However, CAW in the diet only improved executive function in aged mice at the highest dose (1,000 mg/kg/d) in both sexes and did so less robustly than when given in the water. There were no effects of CAW on depression-like behavior in aged animals regardless of whether it was administered in the diet or the water. Conclusions: These results suggest that CAW can ameliorate age-related changes in measures of anxiety and cognition and that the mode of administration is important for the effects of CAW on resilience to these age-related changes.

背景:在饮用水中添加阿育吠陀植物积雪草的水提取物(CAW)已被证明可改善衰老和神经退行性疾病小鼠模型的认知缺陷。本文比较了在饮用水或饮食中添加积雪草提取物对健康老年小鼠的认知能力、焦虑测量和抑郁样行为的影响。研究方法给3个月和18个月大的雌雄C57BL6小鼠喂食含有CAW(0、0.2、0.5或1% w/w)的啮齿动物AIN-93M食物,以提供0、200 mg/kg/d、500 mg/kg/d或1,000 mg/kg/d的CAW,共喂食5周。另外一组 18 个月大的小鼠在其饮用水中添加 10 毫克/毫升的 CAW,共持续 5 周,以达到与最高饮食剂量(1,000 毫克/千克/天)相同的 CAW 暴露量。CAW剂量是根据之前实验中测得的食物和水消耗量计算得出的。在第四和第五周,对小鼠进行认知、焦虑和抑郁行为测试(每个测试中每个处理组的雌雄小鼠数量各为12只)。结果与年轻小鼠相比,雌雄老年小鼠都表现出认知缺陷,而与年轻雌性小鼠相比,只有雌性老年小鼠表现出焦虑增加,不同年龄的小鼠在抑郁方面没有差异。饮用水中的 CAW(1,000 毫克/千克/天)改善了老年雌雄小鼠在学习、执行功能和识别记忆方面的缺陷,并减轻了老年雌性小鼠焦虑程度的增加。然而,饮食中的 CAW 只在最高剂量(1,000 毫克/千克/天)时对老年雌雄小鼠的执行功能有改善作用,而且改善作用不如饮水中的 CAW 强。不管是在食物中还是在水中给药,CAW对老年动物的抑郁样行为都没有影响。结论这些结果表明,CAW可改善焦虑和认知方面与年龄有关的变化,而给药方式对于CAW对这些与年龄有关的变化的恢复能力的影响非常重要。
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引用次数: 0
Hyperbaric oxygen therapy: future prospects in regenerative therapy and anti-aging. 高压氧疗法:再生疗法和抗衰老的未来前景。
Pub Date : 2024-05-02 eCollection Date: 2024-01-01 DOI: 10.3389/fragi.2024.1368982
Manoj Gupta, Jaishriram Rathored

Hyperbaric Oxygen Therapy (HBOT) utilizes 100% oxygen at high atmospheric pressure for clinical applications. HBOT has proven to be an effective supplementary treatment for a variety of clinical and pathological disorders. HBOT's therapeutic results are based on the physiological effects of increased tissue oxygenation, or improved oxygen bioavailability. HBOT's current indications in illnesses like as wound healing, thermal or radiation burns, and tissue necrosis point to its function in facilitating the regeneration process. Various research has revealed that HBOT plays a function in vascularization, angiogenesis, and collagen production augmentation. Individual regeneration capacity is influenced by both environmental and genetic factors. Furthermore, the regenerating ability of different types of tissues varies, and this ability declines with age. HBOT affects physiological processes at the genetic level by altering gene expression, delaying cell senescence, and assisting in telomere length enhancement. The positive results in a variety of indications, ranging from tissue regeneration to better cognitive function, indicate that it has enormous potential in regenerative and anti-aging therapy.

高压氧疗法(HBOT)在临床应用中使用高气压下的 100% 氧气。事实证明,高压氧疗法是治疗各种临床和病理疾病的有效辅助疗法。HBOT 的治疗效果基于增加组织氧合或改善氧气生物利用率的生理效应。HBOT 目前在伤口愈合、热烧伤或辐射烧伤以及组织坏死等疾病中的适应症表明,它具有促进再生过程的功能。多项研究表明,HBOT 在血管形成、血管生成和胶原蛋白增生方面发挥着作用。个人的再生能力受环境和遗传因素的影响。此外,不同类型组织的再生能力也各不相同,而且这种能力会随着年龄的增长而下降。HBOT 通过改变基因表达、延缓细胞衰老和增加端粒长度来影响基因水平的生理过程。从组织再生到改善认知功能等各种适应症的积极结果表明,它在再生和抗衰老治疗方面具有巨大的潜力。
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引用次数: 0
Amino acid restriction, aging, and longevity: an update. 氨基酸限制、衰老和长寿:最新进展。
Pub Date : 2024-05-02 eCollection Date: 2024-01-01 DOI: 10.3389/fragi.2024.1393216
S N Austad, J R Smith, J M Hoffman

Various so-called dietary restriction paradigms have shown promise for extending health and life. All such paradigms rely on ad libitum (hereafter ad lib) feeding, something virtually never employed in animals whose long-term health we value, either as a control or, except for food restriction itself, for both control and treatment arms of the experiment. Even though the mechanism(s) remain only vaguely understood, compared to ad lib-fed animals a host of dietary manipulations, including calorie restriction, low protein, methionine, branched-chain amino acids, and even low isoleucine have demonstrable health benefits in laboratory species in a standard laboratory environment. The remaining challenge is to determine whether these health benefits remain in more realistic environments and how they interact with other health enhancing treatments such as exercise or emerging geroprotective drugs. Here we review the current state of the field of amino acid restriction on longevity of animal models and evaluate its translational potential.

各种所谓的饮食限制范例都显示出延长健康和生命的希望。所有这些范例都依赖于自由采食(以下简称 "自由采食"),而我们对动物的长期健康非常重视,因此几乎从未在动物身上使用过自由采食,无论是作为对照组,还是在实验的对照组和治疗组(食物限制本身除外)。尽管对其机理的认识还很模糊,但与自由采食的动物相比,在标准的实验室环境中,对实验动物进行一系列饮食控制,包括限制热量、低蛋白、蛋氨酸、支链氨基酸,甚至低异亮氨酸,都对健康有明显的益处。剩下的挑战是确定这些健康益处在更现实的环境中是否依然存在,以及它们如何与运动或新出现的老年保护药物等其他增进健康的治疗方法相互作用。在此,我们回顾了氨基酸限制对动物模型长寿的研究现状,并评估了其转化潜力。
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引用次数: 0
Sleep status of older adults with sleep apnoea syndrome may vary by body mass index. 患有睡眠呼吸暂停综合症的老年人的睡眠状况可能因体重指数而异。
Pub Date : 2024-05-01 eCollection Date: 2024-01-01 DOI: 10.3389/fragi.2024.1331448
Yuji Tanaka, Naana Baba-Mori, Takaaki Yonaga, Kazuki Mochizuki, Satoshi Igarashi, Takashi Ando, Takashi Kohda, Yasumi Ito, Kenzo Soejima, Daiju Sakurai

Obesity and ageing are the most important risk factors for sleep apnoea syndrome (SAS); however, the role of body mass index (BMI) on sleep status in healthy older adults is unclear. To explore sleep parameters according to BMI among active older adults, we cross-sectionally examined the relationship between sleep-related parameters and BMI in 32 Japanese adults aged from 83 to 95 years without long-term care who were unaware of having SAS. Correlation and linear regression analyses were performed. Moderate or severe SAS prevalence was high in both those with low (68.8%) and high (68.8%) BMI. A higher increase in apnoea-hypopnoea index (AHI) was negatively correlated with sleep depth in the high-BMI group. In the low-BMI group, the number of awakenings and age were positively correlated with AHI. Older adults may have SAS regardless of their BMI, and the sleep status of patients with SAS may vary by BMI.

肥胖和老龄化是睡眠呼吸暂停综合征(SAS)最重要的风险因素;然而,体重指数(BMI)对健康老年人睡眠状况的影响尚不清楚。为了根据体重指数探究活跃老年人的睡眠参数,我们对 32 名年龄在 83 岁至 95 岁之间、未接受长期护理且不知道是否患有 SAS 的日本成年人的睡眠相关参数与体重指数之间的关系进行了横截面研究。我们进行了相关分析和线性回归分析。低体重指数(68.8%)和高体重指数(68.8%)人群的中度或重度 SAS 患病率都很高。在高体重指数组中,呼吸暂停-低通气指数(AHI)的升高与睡眠深度呈负相关。在低体重指数组中,觉醒次数和年龄与 AHI 呈正相关。无论体重指数如何,老年人都可能患有 SAS,而 SAS 患者的睡眠状况也可能因体重指数而异。
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引用次数: 0
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