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Experimental Aging Research[JOURNAL]

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The Role of Autobiographical Resilience Memories in Emotion Regulation: An Account of Age Differences in Mnemonic and Positive Reappraisal.

Orlovsky I, Ready RE, Gutchess A … +2 more , Heideman K, Martins-Klein B

Exp Aging Res · 2024 · PMID 37690029 · Full text

A lifetime of resilience through emotionally challenging experiences may benefit older adults, lending to emotion regulation mastery with time. Yet the influence of autobiographical experiences on momentary reappraisal,... A lifetime of resilience through emotionally challenging experiences may benefit older adults, lending to emotion regulation mastery with time. Yet the influence of autobiographical experiences on momentary reappraisal, the reinterpretation of negative stimuli as more positive, has never been empirically tested. This online study examined the extent to which associating life memories of resilience with novel negative scenarios enhanced reappraisal efficacy and reduced difficulty to reappraise. Younger and older adults reappraised negative images by associating reappraisals to freely selected autobiographical resilience memories, cued autobiographical resilience memories, or by finding situational silver linings without mnemonic association (control). Changes in image emotional intensity ratings revealed no difference across reappraisal conditions for younger adults, while older adults most effectively down-regulated emotional intensity using the control reappraisal strategy. Older adults found autobiographical memories more helpful for mood regulation and less difficult to implement, and identified greater similarities between novel negative scenarios and their memories than younger adults. Surprisingly, greater similarity between resilience memories and negative images was associated with lower reappraisal efficacy for both age groups. Findings demonstrate the age-equivalent benefits of utilizing reappraisals associated with past narratives of resilience and suggest a sacrifice of immediate hedonic benefit for disproportionately greater subjective benefits with age.

How Distracting Events Influence Young and Older adults' Arithmetic Performance?

Lemaire P

Exp Aging Res · 2024 · PMID 37675793 · Publisher ↗

In this study, I investigated the role of distraction on arithmetic performance and whether this role changes with aging during adulthood. Young and older adults were asked to verify one-digit addition problems (Expt. 1)... In this study, I investigated the role of distraction on arithmetic performance and whether this role changes with aging during adulthood. Young and older adults were asked to verify one-digit addition problems (Expt. 1) or to estimate the results of two-digit multiplication problems (Expt. 2). In both experiments, true and false simple problems (Expt. 1) or easier and harder complex problems (Expt. 2) were displayed superimposed or not on irrelevant, emotionally neutral pictures (e.g. mushrooms). In both simple and complex arithmetic, young and older adults obtained poorer arithmetic performance under distraction relative to no-distraction conditions. Most interesting, deleterious effects of irrelevant stimuli on arithmetic performance were larger in older than in young adults. Moreover, magnitude of distraction effects increased with longer solution latencies in young (but not in older) adults while solving complex arithmetic problems. These findings have important implications for furthering our understanding of the role of distraction on cognitive performance in general, and arithmetic performance in particular, as well as age-related differences in this role.

Role of Emotion Reactivity to Predict Facial Emotion Recognition Changes with Aging.

Hamlin N, Myers K, Taylor BK … +1 more , Doucet GE

Exp Aging Res · 2024 · PMID 37660356 · Full text

Emotional intelligence includes an assortment of factors related to emotion function. Such factors involve emotion recognition (in this case via facial expression), emotion trait, reactivity, and regulation. We aimed to... Emotional intelligence includes an assortment of factors related to emotion function. Such factors involve emotion recognition (in this case via facial expression), emotion trait, reactivity, and regulation. We aimed to investigate how the subjective appraisals of emotional intelligence (i.e. trait, reactivity, and regulation) are associated with objective emotion recognition accuracy, and how these associations differ between young and older adults. Data were extracted from the CamCAN dataset (189 adults: 57 young/118 older) from assessments measuring these emotion constructs. Using linear regression models, we found that greater negative reactivity was associated with better emotion recognition accuracy among older adults, though the pattern was opposite for young adults with the greatest difference in disgust and surprise recognition. Positive reactivity and depression level predicted surprise recognition, with the associations significantly differing between the age groups. The present findings suggest the level to which older and young adults react to emotional stimuli differentially predicts their ability to correctly identify facial emotion expressions. Older adults with higher negative reactivity may be able to integrate their negative emotions effectively in order to recognize other's negative emotions more accurately. Alternatively, young adults may experience interference from negative reactivity, lowering their ability to recognize other's negative emotions.

Therapeutic Effects Of Combined and Chronic Treatment of Tat-GluA23y and D-Serine on Cognitive Dysfunction in Postmenopausal Rats.

Babaei P, Javer S, Abedinzade M

Exp Aging Res · 2024 · PMID 37660354 · Publisher ↗

BACKGROUND: The incidence of Alzheimer's disease (AD) in female gender compared with male has been addressed as a health concern, particularly in menopausal age. We here hypothesized that co-administration of NMDARs agon... BACKGROUND: The incidence of Alzheimer's disease (AD) in female gender compared with male has been addressed as a health concern, particularly in menopausal age. We here hypothesized that co-administration of NMDARs agonist (D-serine) and AMPARs endocytosis inhibitor (Tat-GluA23y) might be a potential target for alleviating memory impairment in sporadic Alzheimer model of rats. METHODS: Forty-eight female Wistar rats weighing 200-220 randomly divided into six groups. One month later, ovariectomized rats underwent stereotaxic surgery and were cannulated into the brain lateral ventricles. Streptozotocin was injected (3 mg/kg), then animals received the related treatments until the day 51, which experienced acquisition of spatial memory in Morris Water Maze test. Finally, the level of phosphorylated cAMP response element binding protein (CREB) in the hippocampus was measured by Western blotting. RESULTS: Co-administration of D-serine and GluA23y significantly enhanced the acquisition and retrieval of impaired spatial memory in ovariectomized rats with AD ( < .001). Compared to Glu-A 23, D-serine caused more improvement in the mentioned parameters above, however, these values for both groups were still significantly different from the control group ( < .05). CONCLUSION: Simultaneous treatment with D-serine and GluA23y synergistically improved STZ induced spatial memory impairment in OVX rat, probably partly via increase in phosphorylated CREB protein.

Evaluation of Affective Touch: A Comparison Between Two Groups of Younger and Older Females.

Schlintl C, Schienle A

Exp Aging Res · 2024 · PMID 37639257 · Publisher ↗

BACKGROUND: Caress-like touch activates C-tactile (CT) afferents present in the skin of humans. It is generally assumed that this type of touch provides beneficial effects throughout the lifespan. However, little is know... BACKGROUND: Caress-like touch activates C-tactile (CT) afferents present in the skin of humans. It is generally assumed that this type of touch provides beneficial effects throughout the lifespan. However, little is known about its processing in later adulthood. Moreover, emotional responses to interpersonal vs. self-touch have not been investigated in older adults. METHOD: A total of 132 females from two age groups (older: 60-96 years; younger: 18-30) participated in a well-validated method of tactile stimulation, in which CT-optimal vs. nonoptimal soft brushing (3 cm/s vs. 30 cm/s) was administered on the forearms of the participants, once by a female experimenter and once by the participant themselves. All participants rated their affective state in each of the conditions and tactile acuity was assessed. RESULTS: Relative to the younger group, older participants rated touch as more pleasant, independent of type (CT-optimal, non-optimal) and origin (experimenter, self). In the older group, the emotional differentiation of CT-optimal vs. non-optimal touch was reduced, which was associated with reduced tactile acuity. CONCLUSION: This study revealed an age-dependent enhancement of the perceived pleasantness of (self)touch. Interventions with auditory-guided CT-optimal self-touch could be easily implemented as part of training programs for older adults.

Behavioral and Neurological Effects of Edaravone and Noscapine in Albino Wistar Rats.

Hafizur Rehman MR, Godad AP, Doshi GM

Exp Aging Res · 2024 · PMID 37615086 · Publisher ↗

OBJECTIVE: The purpose of the study was to explore Edaravone and Noscapine in anAlCl3-induced Alzheimer's disease (AD) model. METHODS: Morris Water Maze (MWM), Novel Object Recognition (NOR), andY-maze tests with TNF-α,... OBJECTIVE: The purpose of the study was to explore Edaravone and Noscapine in anAlCl3-induced Alzheimer's disease (AD) model. METHODS: Morris Water Maze (MWM), Novel Object Recognition (NOR), andY-maze tests with TNF-α, IL-1, IL-6, amyloid-β, CAT, SOD and MDAlevels were performed, followed by brain histology. RESULTS: On the probe trial, the MWM demonstrated a decrease in escape latencyfollowed by an increase in the target quadrant. The NOR showeddiscrimination and recognition index scores and Y-maze, revealed arise in spontaneous alterations. TNF-α, IL-1, IL-6, amyloid-β, CATand MDA levels increased, while SOD levels dropped. The results werefound to be significant for combination full and half doses (*** <0.001, ** < 0.01). The treated group's histology ofbrain revealed mild neurodegeneration with hippocampal pyknoticnuclei. CONCLUSIONS: Thus, Edaravone and Noscapine can be used for thetreatment of AD.    .

Validity and Reliability of Work Ability Index in Turkish Context: Inter-Level, Direct, and Indirect Relations with Job Satisfaction and Task Performance.

Develi A, Çavuş MF

Exp Aging Res · 2024 · PMID 37609901 · Publisher ↗

Descriptive research on work ability is well advanced. However, literature is still far from explaining its consequences. Besides, Turkish literature has been quite limited in terms of considering the work ability concep... Descriptive research on work ability is well advanced. However, literature is still far from explaining its consequences. Besides, Turkish literature has been quite limited in terms of considering the work ability concept. In the research, the work ability index, and task performance scale were adapted to Turkish. The research was patterned with quantitative method. According to findings, the improvement of work ability levels and increase in job satisfaction and task performance are related in the same direction. Moreover, work ability positively contributes to directly predicting job satisfaction and task performance. Furthermore, work ability positively contributes to indirectly predicting task performance through job satisfaction. This mediation effect, determined for the first time, is an important research finding regarding its contribution to literature. Apart from these, there are significant differences in work ability among age groups, and certain age group categories have a moderating effect on the relationship between work ability and task performance. This study demonstrated that work ability index is a valid and reliable tool for the Turkish sample. Besides, the study provides holistic findings thanks to work ability levels and direct and indirect effect analysis. The theoretical and practical implications were discussed, and directions were made to further research.

Age-Related Differences in Decision-Making: Evidence Accumulation is More Gradual in Older Age.

Wieschen EM, Makani A, Radev ST … +2 more , Voss A, Spaniol J

Exp Aging Res · 2024 · PMID 37515752 · Publisher ↗

Older adults tend to exhibit longer response times than younger adults in choice tasks across cognitive domains, such as perception, attention, and memory. The diffusion model has emerged as a standard model for analyzin... Older adults tend to exhibit longer response times than younger adults in choice tasks across cognitive domains, such as perception, attention, and memory. The diffusion model has emerged as a standard model for analyzing age differences in choice behavior. Applications of the diffusion model to choice data from younger and older adults indicate that age-related slowing is driven by a more cautious response style and slower non-decisional processes, rather than by age differences in the rate of information accumulation. The Lévy flight model, a new evidence accumulation model that extends the diffusion model, was recently developed to account for differences in response times for correct and error responses. In the Lévy flight model, larger jumps in evidence accumulation can be accommodated compared to the diffusion model. It is currently unknown whether younger and older adults differ with respect to the jumpiness of evidence accumulation. In the current study, younger and older adults ( = 40 per age group) completed a letter-number-discrimination task. Results indicate that older adults show a more gradual (less "jumpy") pattern of evidence accumulation compared to younger adults. Implications for research on cognitive aging are discussed.

Secular Changes in Masters Swimming Performances: A 40-Year Follow Up.

Hartley AA, Hartley JT

Exp Aging Res · 2024 · PMID 37409889 · Publisher ↗

Archival records of US Masters Swimming performances were examined for changes between 1981 and 2021. Both national records and top 10 swimmers were used. Substantial secular changes were found averaging 0.52%/yr, with w... Archival records of US Masters Swimming performances were examined for changes between 1981 and 2021. Both national records and top 10 swimmers were used. Substantial secular changes were found averaging 0.52%/yr, with women improving more than men and with improvements in national records greater than in the top 10. Performances by women in 2021 were at parity (national records) or near parity (top 10) with men in 1981. The results indicate that secular effects must be considered along with longitudinal age-related changes and cross-sectional cohort effects in interpreting age differences in physiological function.

Age-Related Differences in Framing Selective Memory in Terms of Gains and Losses.

Murphy DH, Castel AD, Knowlton BJ

Exp Aging Res · 2024 · PMID 37409470 · Full text

We examined whether framing younger and older adults learning goals in terms of maximizing gains or minimizing losses impacts their ability to selectively remember high-value information. Specifically, we presented young... We examined whether framing younger and older adults learning goals in terms of maximizing gains or minimizing losses impacts their ability to selectively remember high-value information. Specifically, we presented younger and older adults with lists of words paired with point values and participants were either told that they would receive the value associated with each word if they recalled it on a test or that they would lose the points associated with each word if they failed to recall it on the test. We also asked participants to predict the likelihood of recalling each word to determine if younger and older adults were metacognitively aware of any potential framing effects. Results revealed that older adults expected to be more selective when their goals were framed in terms of losses, but younger adults expected to be more selective when their goals were framed in terms of gains. However, this was not the case as both younger and older adults were more selective for high-value information when their goals were framed in terms of maximizing gains compared with minimizing losses. Thus, the framing of learning goals can impact metacognitive decisions and subsequent memory in both younger and older adults.

Emotional State of Older Adults During the COVID-19 Pandemic: Insights from the Cognitive and Social Well-Being (CoSoWELL) Corpus.

Kyröläinen AJ, Kuperman V

Exp Aging Res · 2024 · PMID 37270799 · Publisher ↗

OBJECTIVES: In view of the fallout of the COVID-19 pandemic, psychologists face a challenge to document the pandemic-related change in emotional well-being of individuals and groups and evaluate the emotional response to... OBJECTIVES: In view of the fallout of the COVID-19 pandemic, psychologists face a challenge to document the pandemic-related change in emotional well-being of individuals and groups and evaluate the emotional response to this fallout over time. METHODSP: We contribute to this goal by analyzing the new CoSoWELL corpus (version 2.0), an 1.8 million-word collection of narratives written by over 1,300 older adults (55+ y.o.) in eight sessions before, during and after the global lockdown. In the narratives, we examined a range of linguistic variables traditionally associated with emotional well-being and observed signs of distress, i.e., lower positivity and heightened levels of fear, anger, and disgust. RESULTS: In most variables, we observed a characteristic timeline of change, i.e., a delayed (by 4 months) and abrupt drop in optimism and increase in negative emotions that reached its peak about 7 months after the lockdown and returned to pre-pandemic levels one year after. Our examination of risk factors showed that higher levels of self-reported loneliness came with elevated levels of negative emotions but did not change the timeline of emotional response to the pandemic. CONCLUSIONS: We discuss implications of the findings for theories of emotion regulation.

Exploring Effects of Age on Conflict Processing in the Light of Practice in a Large-Scale Dataset.

Reiber F, Ulrich R

Exp Aging Res · 2024 · PMID 37258228 · Publisher ↗

INTRODUCTION: The possible decline of cognitive functions with age has been in the focus of cognitive research in the last decades. The present study investigated effects of aging on conflict processing in a big dataset... INTRODUCTION: The possible decline of cognitive functions with age has been in the focus of cognitive research in the last decades. The present study investigated effects of aging on conflict processing in a big dataset of a Stroop-inspired online training task. METHODS: We focused on the temporal dynamics of conflict processing in the light of task practice by means of inspecting delta plots and Lorenz-interference curves to gain insights on a process level. RESULTS: The results indicate a relatively constant increase of cognitive conflict over the course of adulthood and a decrease with practice. Furthermore, the latency of the automatic processing of conflicting information relative to the controlled processing of task-relevant information decreases relatively constantly with age. This effect is moderated by practice, that is, the relative latency of the automatic processing decreases less with age at high practice levels. CONCLUSION: As such, practice seems to be able to partially counteract age-related differences in conflict processing, on a process level.

Absent Relations of Religious Coping to Telomere Length in African American and White Women and Men.

Ashe JJ, Evans MK, Zonderman AB … +1 more , Waldstein SR

Exp Aging Res · 2024 · PMID 37258109 · Full text

OBJECTIVES: This study investigated whether race and sex moderated the relations of religious coping to telomere length (TL), a biomarker of cellular aging implicated in race-related health disparities. METHODS: Particip... OBJECTIVES: This study investigated whether race and sex moderated the relations of religious coping to telomere length (TL), a biomarker of cellular aging implicated in race-related health disparities. METHODS: Participant data were drawn from the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study, which included 252 socioeconomically diverse African American and White men and women aged (30-64 years old). Cross-sectional multivariable regression analyses examined interactive associations of religious coping, race, and sex to TL, adjusting for other sociodemographic characteristics. RESULTS: Religious coping was unrelated to TL in this sample (p's > .05). There were no notable race or sex differences. Post hoc exploratory analyses similarly found that neither secular social support coping use nor substance use coping was associated with TL. CONCLUSION: There was no evidence to support that religious coping use provided protective effects to TL in this sample of African American and White women and men. Nevertheless, future studies should use more comprehensive assessments of religious coping and intersectional identities to provide an in-depth examination of religiosity/spirituality as a potential culturally salient protective factor in cellular aging among African Americans in the context of specific chronic stressors such as discrimination.

Effects of L. Extract on Hippocampal Oxidative Stress, Inflammation, and BDNF Expression in Amnesic Aged Rats.

Beheshti F, Vakilian A, Navari M … +3 more , Zare Moghaddam M, Dinpanah H, Ahmadi-Soleimani SM

Exp Aging Res · 2024 · PMID 37154241 · Publisher ↗

The present study was conducted to investigate the effects of L. (OB) extract on learning and memory impairment in aged rats. Male rats were divided into the following experimental groups: Group 1 (control): including 2... The present study was conducted to investigate the effects of L. (OB) extract on learning and memory impairment in aged rats. Male rats were divided into the following experimental groups: Group 1 (control): including 2 months old rats, Group 2 (aged) including 2 years old rats, Groups 3-5 (aged-OB): including 2 years old rats received 50, 100, and 150 mg/kg OB for 8 weeks by oral gavage. Aging increased the delay to find the platform but, however, decreased the time spent in the target quadrant when tested by Morris water maze (MWM). Aging also reduced the latency to enter the dark chamber in the passive avoidance (PA) test compared to the control group. Moreover, interleukin-6 (IL-6) and malondialdehyde (MDA) levels were raised in the hippocampus and cortex of aged rats. In contrast, thiol levels and enzymatic activity of superoxide dismutase (SOD) and catalase (CAT) significantly reduced. In addition, aging significantly reduced BDNF expression. Finally, OB administration reversed the mentioned effects. The current research showed that OB administration improves learning/memory impairment induced by aging. It also found that this plant extract protects the brain tissues from oxidative damage and neuroinflammation.

Semantic Priming from Uncued Distractors in Alzheimer's Disease.

Higgins JA, Milberg W, McGlinchey R

Exp Aging Res · 2024 · PMID 37087755 · Publisher ↗

RESEARCH QUESTION: Are semantic impairments in Alzheimer's disease (AD) partially due to deficits in spatial attention? METHODS AND RESULTS: In a target detection task, both older adults (OAs) and AD individuals were fac... RESEARCH QUESTION: Are semantic impairments in Alzheimer's disease (AD) partially due to deficits in spatial attention? METHODS AND RESULTS: In a target detection task, both older adults (OAs) and AD individuals were facilitated by valid spatial cues, but only OAs were impaired by invalid cues compared to neutral. In a reading task, spatial cues validly or invalidly cued the location of pictures, which were related or unrelated to subsequent, centrally presented, words. OAs showed semantic priming only after valid cues, whereas AD individuals showed priming after valid and invalid cues. DISCUSSION: Failure to inhibit uncued locations results in processing of potentially distracting semantic information in AD.

The body of evidence of late-life depression: the complex relationship between depressive symptoms, movement, dyspnea and cognition.

Belvederi Murri M, Triolo F, Coni A … +21 more , Nerozzi E, Maietta Latessa P, Fantozzi S, Padula N, Escelsior A, Assirelli B, Ermini G, Bagnoli L, Zocchi D, Cabassi A, Tedeschi S, Toni G, Chattat R, Tripi F, Neviani F, Bertolotti M, Cremonini A, Bertakis KD, Amore M, Chiari L, Zanetidou S

Exp Aging Res · 2024 · PMID 37035934 · Publisher ↗

BACKGROUND: Physical symptoms play an important role in late-life depression and may contribute to residual symptomatology after antidepressant treatment. In this exploratory study, we examined the role of specific bodil... BACKGROUND: Physical symptoms play an important role in late-life depression and may contribute to residual symptomatology after antidepressant treatment. In this exploratory study, we examined the role of specific bodily dimensions including movement, respiratory functions, fear of falling, cognition, and physical weakness in older people with depression. METHODS: Clinically stable older patients with major depression within a Psychiatric Consultation-Liaison program for Primary Care underwent comprehensive assessment of depressive symptoms, instrumental movement analysis, dyspnea, weakness, activity limitations, cognitive function, and fear of falling. Network analysis was performed to explore the unique adjusted associations between clinical dimensions. RESULTS: Sadness was associated with worse turning and walking ability and movement transitions from walking to sitting, as well as with worse general cognitive abilities. Sadness was also connected with dyspnea, while neurovegetative depressive burden was connected with activity limitations. DISCUSSION: Limitations of motor and cognitive function, dyspnea, and weakness may contribute to the persistence of residual symptoms of late-life depression.

Individual and Age Differences in Item and Context Memory.

Featherston KG, Hale S, Myerson J

Exp Aging Res · 2024 · PMID 37009776 · Publisher ↗

We investigated whether individuals who are good at recognizing previously presented items are also good at recognizing the context in which items were presented. We focused specifically on whether the relation between i... We investigated whether individuals who are good at recognizing previously presented items are also good at recognizing the context in which items were presented. We focused specifically on whether the relation between item recognition and context recognition abilities differs in younger and older adults. It has been hypothesized that context memory declines more rapidly in older adults due to an age-related deficit in associative binding or recollection. To test this hypothesis, younger and older adults were asked to remember lists of names and objects, as well as the context (i.e. their size, location, and color) that accompanied those items. Following presentation of each list, recognition tests for items and context were administered. Confirmatory factor analysis (CFA) models analyzing both item and context scores together provided no evidence of separate factors for item and context memory. Instead, the best-fitting model separated performance by item-type, regardless of context, and no differences were found in the structure of these abilities in younger and older adults. These findings are consistent with the limited previous latent variable research on context memory in aging suggesting that there is no context recognition memory ability separable from item memory in younger nor older adults. Instead, individual differences in recognition memory abilities may be specific to the domain of the studied stimulus.

Depressive Symptoms are Associated with Decline Over Time in Verbal Fluency Performance in Female but Not Male Community-Dwelling Older Adults.

Wasserman JS, Holtzer R

Exp Aging Res · 2024 · PMID 36989442 · Full text

OBJECTIVE: The current study was designed to examine associations between depressive symptoms and longitudinal declines in category and letter fluency performance in a gender-stratified sample of older adults. METHOD: Pa... OBJECTIVE: The current study was designed to examine associations between depressive symptoms and longitudinal declines in category and letter fluency performance in a gender-stratified sample of older adults. METHOD: Participants were community-residing older adults (females:  = 289; males:  = 233) followed annually (2011-2018) as part of a cohort study conducted at Albert Einstein College of Medicine in New York. Depressive symptoms were assessed using the Geriatric Depression Scale (GDS). Standard forms assessed category and letter fluency performance. Participants were dementia-free during study enrollment. RESULTS: The presence of baseline depressive symptoms suggestive of subclinical depression was associated with a worse longitudinal decline in category fluency performance in female but not male participants. These associations remained significant when excluding participants with prevalent and incident mild cognitive impairment and incident dementia. Irrespective of gender, letter fluency performance did not decline over time and was not influenced by the presence of depressive symptoms. DISCUSSION: The present study's results can aid in identification of older adults who may be at greater risk for cognitive decline, and add to the limited literature examining the influence of gender on longitudinal associations between depressive symptoms and verbal fluency performance.

Factors Related to Recurrent Falls Among Older Adults Attending Primary Health Care: A Biopsychosocial Perspective.

Aparecida Damasceno D, Ferreira Aleixo G, Barbosa Luciano J … +2 more , Nogueira CM, Pinto JM

Exp Aging Res · 2024 · PMID 36974688 · Publisher ↗

The objective of this study was to investigate factors related to recurrent falls among older adults attending primary health care, considering the biopsychosocial perspective. A representative sample of 201 older adults... The objective of this study was to investigate factors related to recurrent falls among older adults attending primary health care, considering the biopsychosocial perspective. A representative sample of 201 older adults were interviewed in three Primary Health Care units randomly selected in a city in southeastern Brazil. Outcome included self-report of two or more falls in the past 12 months. Exposures included personal and environmental aspects, according to domains of International Classification of Functioning of the World Health Organization (ICF-WHO). Recurrent falls were reported by 24.4% of the participants. Associations with depressive symptoms ( = .003), having osteoporosis ( = .031), chronic musculoskeletal pain ( = .020), frailty ( = .013), sleep satisfaction ( < .001), and functional status ( < .001) were found. In logistic regression models, cognitive status, musculoskeletal pain, and functional status were predictors of recurrent falls; however, only sleep satisfaction remained significant in the final model. Strategies aimed at preventing recurrent falls in primary health care should consider assessments and interventions targeting sleep aspects among older adults.

Social frailty among older adults in India: Findings from the Longitudinal Ageing Study in India (LASI) - Wave 1.

Irshad C, Govil D, Sahoo H

Exp Aging Res · 2024 · PMID 36974668 · Publisher ↗

BACKGROUND: From an individual's perspective, social frailty may act as a key determinant of social capital, which is essential for meeting social needs and improvement of overall wellbeing. The present study aimed to un... BACKGROUND: From an individual's perspective, social frailty may act as a key determinant of social capital, which is essential for meeting social needs and improvement of overall wellbeing. The present study aimed to understand the social frailty and its determining factors among Indian older adults. METHODS: Data from the Longitudinal Ageing Study in India (LASI)-wave 1 was used. For the assessment of social frailty the study proposed a multidimensional Social Frailty Index (SFI) score ranging between 0 and 100 using 17 indicators. Bivariate analysis and quantile regression models were applied. RESULTS: The study results indicated that on average female older adults (mean SFI = 63.7) are relatively more socially frail than male older adults (mean SFI = 59.0). Further, the quantile regression analysis revealed that at the 10, 25, 50, and 75 percentiles, female older adults were significantly more likely to be socially frail than male older adults (β = 3.80,  < .01; β = 2.82,  < .01; β = 1.72,  < .01; and β = 2.62,  < .01, respectively). Educational attainment and better economic condition showed a protective effect against social frailty. CONCLUSIONS: Investment to improve geriatric health status and socioeconomic conditions shall be a key focus to reduce social frailty prevalence among the older adults. A specific consideration is needed for addressing social frailty among female older adults.
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