Pub Date : 2026-02-09DOI: 10.1186/s12877-026-07024-6
Hannah Commins, Grace E Vincent, Madeline Sprajcer, Rosemary Gibson, Kate Vincent, Spencer S H Roberts, Alexandra E Shriane, Patrick J Owen
{"title":"How do night-time awakenings, assistive technologies, and help-seeking behaviors impact the sleep of Australian carers? A cross-sectional study.","authors":"Hannah Commins, Grace E Vincent, Madeline Sprajcer, Rosemary Gibson, Kate Vincent, Spencer S H Roberts, Alexandra E Shriane, Patrick J Owen","doi":"10.1186/s12877-026-07024-6","DOIUrl":"https://doi.org/10.1186/s12877-026-07024-6","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146148812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and validation of a risk prediction model for oral frailty among Chinese older adults with type 2 diabetes mellitus.","authors":"Wenjuan Yang, Kangqin Cai, Cheng Zhang, Peimin Zhuang, Qin Pan, Qingfang Lin, Liping Yang, Juan He, Xia Zhang, Junna Wang, Daiying Jing, Meng Fang, Jiquan Zhang","doi":"10.1186/s12877-026-07039-z","DOIUrl":"https://doi.org/10.1186/s12877-026-07039-z","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146141090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-09DOI: 10.1186/s12877-026-07010-y
Jackie Hoi Man Chan, Ken Hok Man Ho, Helen Yue Lai Chan
{"title":"A videoconferencing group-based psychoeducation for family caregivers of people living with dementia: a feasibility study.","authors":"Jackie Hoi Man Chan, Ken Hok Man Ho, Helen Yue Lai Chan","doi":"10.1186/s12877-026-07010-y","DOIUrl":"https://doi.org/10.1186/s12877-026-07010-y","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146148805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<p><strong>Background: </strong>Frailty in older adults is a common aging-related syndrome that can lead to adverse health outcomes. Although physical exercise and nutritional interventions have been widely recognized as beneficial for managing frailty, the comparative effectiveness of various intervention approaches remains uncertain.</p><p><strong>Objective: </strong>We systematically evaluated the effects of multicomponent exercise, nutritional supplementation, and combined interventions on frailty status and functional outcomes in older adults using network meta-analysis.</p><p><strong>Methods: </strong>Randomized controlled trials (RCTs) published between 2006 and 2025 were searched to include studies assessing the effects of multicomponent exercise, nutritional supplements (including amino acids and proteins, etc.), combined interventions, or standard care on frailty status in older adults aged ≥ 60 years. Changes in frailty scores constituted the primary outcome. Secondary outcomes comprised gait speed, the Short Physical Performance Battery (SPPB), and the Timed Up-and-Go test (TUG). Effect sizes were calculated using Standardized Mean Difference (SMD) and 95% Confidence Interval (CI), and ranked using network meta-analysis.</p><p><strong>Results: </strong>Ultimately, 22 RCTs involving 2,055 participants were included, with comparable baseline characteristics among participants. Regarding the improvement in frailty scores, combined interventions demonstrated the greatest improvement (SMD = -0.92, 95% CI: -1.43 to -0.40), followed by multicomponent exercise (SMD = -0.78, 95% CI: -1.15 to -0.43), while nutritional supplementation showed a trend toward improvement that did not reach statistical significance (SMD = -0.69, 95% CI: -1.67 to 0.27). For gait speed, nutritional supplementation (SMD = + 0.37, 95% CI: +0.06 to + 0.68) yielded the greatest improvement, while multicomponent exercise (SMD = + 0.09, 95% CI: -0.04 to + 0.22) showed minimal benefit. Significant improvement in SPPB scores was observed only after multicomponent exercise (SMD = + 1.85, 95% CI: +0.33 to + 3.50). In the TUG test, combined interventions (SMD = -4.61, 95% CI: -9.36 to + 0.25) tended to reduce completion time (non-significant); conversely, multicomponent exercise alone significantly increased time (SMD = + 3.96 s, 95% CI: +0.91 to + 7.07). Low heterogeneity was observed across outcomes with no evidence of publication bias.</p><p><strong>Conclusion: </strong>The impacts of different interventions on frailty in older adults exhibited outcome-specific variations. Combined interventions were most effective in improving frailty scores, demonstrating potential synergistic effects between physical exercise and nutrition, while nutritional supplementation showed the most significant benefit for gait speed. Multicomponent exercise alone also produced significant improvements in frailty scores and physical performance. These findings suggest that clinicians should consider
{"title":"Effect of multicomponent exercise and nutrition intervention on frailty status in older adults: a network meta-analysis.","authors":"HongXia Yang, BiQing Wang, Qian Wang, JunNan Zhao, FeiFei Liu, XiaoLei Xie, FengQin Xu, Ping Zhang","doi":"10.1186/s12877-026-07111-8","DOIUrl":"https://doi.org/10.1186/s12877-026-07111-8","url":null,"abstract":"<p><strong>Background: </strong>Frailty in older adults is a common aging-related syndrome that can lead to adverse health outcomes. Although physical exercise and nutritional interventions have been widely recognized as beneficial for managing frailty, the comparative effectiveness of various intervention approaches remains uncertain.</p><p><strong>Objective: </strong>We systematically evaluated the effects of multicomponent exercise, nutritional supplementation, and combined interventions on frailty status and functional outcomes in older adults using network meta-analysis.</p><p><strong>Methods: </strong>Randomized controlled trials (RCTs) published between 2006 and 2025 were searched to include studies assessing the effects of multicomponent exercise, nutritional supplements (including amino acids and proteins, etc.), combined interventions, or standard care on frailty status in older adults aged ≥ 60 years. Changes in frailty scores constituted the primary outcome. Secondary outcomes comprised gait speed, the Short Physical Performance Battery (SPPB), and the Timed Up-and-Go test (TUG). Effect sizes were calculated using Standardized Mean Difference (SMD) and 95% Confidence Interval (CI), and ranked using network meta-analysis.</p><p><strong>Results: </strong>Ultimately, 22 RCTs involving 2,055 participants were included, with comparable baseline characteristics among participants. Regarding the improvement in frailty scores, combined interventions demonstrated the greatest improvement (SMD = -0.92, 95% CI: -1.43 to -0.40), followed by multicomponent exercise (SMD = -0.78, 95% CI: -1.15 to -0.43), while nutritional supplementation showed a trend toward improvement that did not reach statistical significance (SMD = -0.69, 95% CI: -1.67 to 0.27). For gait speed, nutritional supplementation (SMD = + 0.37, 95% CI: +0.06 to + 0.68) yielded the greatest improvement, while multicomponent exercise (SMD = + 0.09, 95% CI: -0.04 to + 0.22) showed minimal benefit. Significant improvement in SPPB scores was observed only after multicomponent exercise (SMD = + 1.85, 95% CI: +0.33 to + 3.50). In the TUG test, combined interventions (SMD = -4.61, 95% CI: -9.36 to + 0.25) tended to reduce completion time (non-significant); conversely, multicomponent exercise alone significantly increased time (SMD = + 3.96 s, 95% CI: +0.91 to + 7.07). Low heterogeneity was observed across outcomes with no evidence of publication bias.</p><p><strong>Conclusion: </strong>The impacts of different interventions on frailty in older adults exhibited outcome-specific variations. Combined interventions were most effective in improving frailty scores, demonstrating potential synergistic effects between physical exercise and nutrition, while nutritional supplementation showed the most significant benefit for gait speed. Multicomponent exercise alone also produced significant improvements in frailty scores and physical performance. These findings suggest that clinicians should consider","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146148829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-07DOI: 10.1186/s12877-025-06720-z
Izzet Camcıoglu, Sönmez Sağlam, Mücahid Osman Yücel
{"title":"The effect of the preferred anesthesia method on early postoperative outcomes in elderly patients with hip fractures; a retrospective three-way comparative study.","authors":"Izzet Camcıoglu, Sönmez Sağlam, Mücahid Osman Yücel","doi":"10.1186/s12877-025-06720-z","DOIUrl":"https://doi.org/10.1186/s12877-025-06720-z","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-07DOI: 10.1186/s12877-026-06997-8
Bolin Fan, Roujia Lin, Vivian W Q Lou, Janet Hui-Wen Hsiao, Jacqueline K Yuen, Hector Wing Hong Tsang, Jennifer Yee Man Tang
{"title":"Ambivalence in decision making for outdoor mobility among adult child carers of people with dementia: a study protocol for a randomized vignette study with message framing and eye-tracking.","authors":"Bolin Fan, Roujia Lin, Vivian W Q Lou, Janet Hui-Wen Hsiao, Jacqueline K Yuen, Hector Wing Hong Tsang, Jennifer Yee Man Tang","doi":"10.1186/s12877-026-06997-8","DOIUrl":"https://doi.org/10.1186/s12877-026-06997-8","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146130697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-07DOI: 10.1186/s12877-026-07135-0
Yijie Wang, Jinyi Lang, Yikunxiao Meng, Weiheng Sun, Yutian Wei, Jialiang Liu, Qiong Wu, Bin Hu
{"title":"The impact of community participation on depression among empty nesters in China.","authors":"Yijie Wang, Jinyi Lang, Yikunxiao Meng, Weiheng Sun, Yutian Wei, Jialiang Liu, Qiong Wu, Bin Hu","doi":"10.1186/s12877-026-07135-0","DOIUrl":"https://doi.org/10.1186/s12877-026-07135-0","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-07DOI: 10.1186/s12877-026-07007-7
Luyi Xu, Tingting Lin, Zheng Wang, Siyi Su, Jufang Li, Ping Li
{"title":"Latent profiles of attitudes toward ageing during the nursing home \"early transition period\" and its correlation with quality of life.","authors":"Luyi Xu, Tingting Lin, Zheng Wang, Siyi Su, Jufang Li, Ping Li","doi":"10.1186/s12877-026-07007-7","DOIUrl":"https://doi.org/10.1186/s12877-026-07007-7","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-07DOI: 10.1186/s12877-026-06983-0
Jana Hummel, Cecilia Weisbrod, Leila Boesch, Katharina Himpler, Ilona Dutzi, Benito Baldauf, Peter Oster, Daniel Kopf
Objectives: Comorbid depression is highly prevalent in very old adults hospitalized for acute medical illness. We have previously shown that immediate intervention with cognitive behavioral therapy (CBT) effectively reduces symptoms of depression and anxiety. The present study examines the long-term course and the effect of delayed intervention.
Design: Randomized, controlled cross-over trial of group CBT.
Setting and participants: We recruited in-patients of a geriatric university department ≥ 65 years with depression (Hospital Anxiety and Depression Scale HADS ≥ 7). Intervention took place after hospital discharge in a day care setting.
Methods: Patients were randomized to an immediate active intervention group (II) or a waiting list control group with delayed intervention (DI). II patients were invited immediately after discharge to 10 to 15 weekly behavioral group therapy sessions. After 4 months (T1), DI patients switched to active intervention, while II were followed under control conditions. Final evaluation took place after 12 months (T2). Primary endpoint was improvement in HADS.
Results: 56 patients (82.0 ± 6.2 years, HADS 18.8 ± 7.0) were randomized to II, 99 patients (81.9 ± 5.9 years, HADS 18.1 ± 8.3) to DI. II patients improved significantly at T1 (HADS 10.4 ± 5.2). Improvement was sustained under control conditions at T2 (11.9 ± 7.8). DI patients did not improve on waiting list (T1 22.9 ± 8.3), but after initiation of active treatment (T2 16.0 ± 8.5) (ANOVA: F = 3.75, p = 0.026). Concomitantly, functional parameters such as Barthel Index and Timed-Up-and-Go differed significantly between groups with better courses in DI patients. Among II patients, 4 (7.1%) deceased and 2 (3.6%) were newly admitted to a nursing home, among DI, 15 (15.2%) and 10 (10.1%) respectively.
Conclusions and implications: Cognitive behavioral group therapy yields sustained improvement of depressive symptoms in very old geriatric patients, if administered in a multimodal approach immediately following hospitalization for acute medical illness. Concomitant with improvement of depressive symptoms, patients benefit in terms of functional status and medical outcome.
Trial registration: www.germanctr.de; DRKS 00004728; February 12, 2013.
目的：共病性抑郁症在因急性内科疾病住院的高龄成年人中非常普遍。我们之前已经表明，立即干预认知行为疗法（CBT）可以有效地减轻抑郁和焦虑的症状。本研究考察了延迟干预的长期过程和效果。设计：分组CBT的随机、对照交叉试验。环境和参与者：我们招募了年龄≥65岁的老年大学院系住院抑郁症患者（医院焦虑和抑郁量表HADS≥7）。干预是在出院后在日托环境中进行的。方法：将患者随机分为立即积极干预组（II）和等待名单对照组（DI）。II例患者出院后立即被邀请参加10至15周的行为团体治疗。4个月（T1）后，DI患者转为积极干预，而II患者在对照组下进行随访。12个月（T2）后进行最终评估。主要终点是HADS的改善。结果：56例患者（82.0±6.2岁，HADS 18.8±7.0）随机分为II组，99例患者（81.9±5.9岁，HADS 18.1±8.3）随机分为DI组。II型患者T1时改善明显（HADS 10.4±5.2）。在T2（11.9±7.8）对照条件下，改善持续。DI患者在等待名单上没有改善（T1为22.9±8.3），但在开始积极治疗后（T2为16.0±8.5）（方差分析：F = 3.75, p = 0.026）。同时，功能参数如Barthel指数和time - up -and- go在病程较好的DI患者组之间存在显著差异。II患者中死亡4例（7.1%），新入住养老院2例（3.6%）；DI患者中死亡15例（15.2%），新入住养老院10例（10.1%）。结论和意义：认知行为团体治疗可以持续改善老年患者的抑郁症状，如果在急性内科疾病住院后立即采用多模式治疗。伴随抑郁症状的改善，患者在功能状态和医疗结果方面受益。试验注册：www.germanctr.de；井架00004728;2013年2月12日。
{"title":"AIDE<sub>long</sub>-acute illness and depression in elderly: sustained improvement after group psychotherapy in geriatric patients, a follow-up of longterm effects in a randomized controlled trial.","authors":"Jana Hummel, Cecilia Weisbrod, Leila Boesch, Katharina Himpler, Ilona Dutzi, Benito Baldauf, Peter Oster, Daniel Kopf","doi":"10.1186/s12877-026-06983-0","DOIUrl":"https://doi.org/10.1186/s12877-026-06983-0","url":null,"abstract":"<p><strong>Objectives: </strong>Comorbid depression is highly prevalent in very old adults hospitalized for acute medical illness. We have previously shown that immediate intervention with cognitive behavioral therapy (CBT) effectively reduces symptoms of depression and anxiety. The present study examines the long-term course and the effect of delayed intervention.</p><p><strong>Design: </strong>Randomized, controlled cross-over trial of group CBT.</p><p><strong>Setting and participants: </strong>We recruited in-patients of a geriatric university department ≥ 65 years with depression (Hospital Anxiety and Depression Scale HADS ≥ 7). Intervention took place after hospital discharge in a day care setting.</p><p><strong>Methods: </strong>Patients were randomized to an immediate active intervention group (II) or a waiting list control group with delayed intervention (DI). II patients were invited immediately after discharge to 10 to 15 weekly behavioral group therapy sessions. After 4 months (T1), DI patients switched to active intervention, while II were followed under control conditions. Final evaluation took place after 12 months (T2). Primary endpoint was improvement in HADS.</p><p><strong>Results: </strong>56 patients (82.0 ± 6.2 years, HADS 18.8 ± 7.0) were randomized to II, 99 patients (81.9 ± 5.9 years, HADS 18.1 ± 8.3) to DI. II patients improved significantly at T1 (HADS 10.4 ± 5.2). Improvement was sustained under control conditions at T2 (11.9 ± 7.8). DI patients did not improve on waiting list (T1 22.9 ± 8.3), but after initiation of active treatment (T2 16.0 ± 8.5) (ANOVA: F = 3.75, p = 0.026). Concomitantly, functional parameters such as Barthel Index and Timed-Up-and-Go differed significantly between groups with better courses in DI patients. Among II patients, 4 (7.1%) deceased and 2 (3.6%) were newly admitted to a nursing home, among DI, 15 (15.2%) and 10 (10.1%) respectively.</p><p><strong>Conclusions and implications: </strong>Cognitive behavioral group therapy yields sustained improvement of depressive symptoms in very old geriatric patients, if administered in a multimodal approach immediately following hospitalization for acute medical illness. Concomitant with improvement of depressive symptoms, patients benefit in terms of functional status and medical outcome.</p><p><strong>Trial registration: </strong>www.germanctr.de; DRKS 00004728; February 12, 2013.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146130668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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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