Gerontology

Article Geriatrics & Gerontology

Don't Talk to Them About Goals of Care: Understanding Disparities in Advance Care Planning

Deepshikha Charan Ashana, Noah D'Arcangelo, Priscilla K. Gazarian, Avni Gupta, Stephen Perez, Amanda J. Reich, Jennifer Tjia, Scott D. Halpern, Joel S. Weissman, Keren Ladin

Summary: This study examines the barriers and facilitators to advance care planning (ACP) among clinicians. The findings show that most clinicians avoid discussing ACP with certain racial/ethnic groups, those with limited English fluency, and individuals with specific religious beliefs. The study suggests the need for interventions at the clinician and institutional levels to reduce disparities in ACP.

JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES (2022)

Article Geriatrics & Gerontology

Resilience and coping strategies of older adults in Hong Kong during COVID-19 pandemic: a mixed methods study

Siu-Ming Chan, Gary Ka-Ki Chung, Yat-Hang Chan, Roger Yat-Nork Chung, Hung Wong, Eng Kiong Yeoh, Jean Woo

Summary: This mixed methods study examined the psychosocial vulnerability of older adults during the COVID-19 pandemic compared to younger adults. The study found that older adults showed better psychosocial well-being, were less worried about infection and economic activity, and had less impact on their social capital and social interaction. Additionally, positive coping strategies, technological assistance, and targeted government and community support played a significant role in protecting older adults from distress during the pandemic.

BMC GERIATRICS (2022)

Article Geriatrics & Gerontology

The association between loneliness, social isolation and all-cause mortality in a nationally representative sample of older women and men

Carin Lennartsson, Johan Rehnberg, Lena Dahlberg

Summary: Loneliness and social isolation are associated with increased mortality risk in older women and men. Social isolation has a stronger impact on mortality than loneliness, and this association remains even when health factors are controlled for. The combined effects of loneliness and social isolation do not exceed their independent effects.

AGING & MENTAL HEALTH (2022)

Article Geriatrics & Gerontology

Reframing aging during COVID-19: Familial role-based framing of older adults linked to decreased ageism

Reuben Ng, Nicole Indran

Summary: This study examined the impact of age-based and role-based framings on stereotype of older adults during COVID-19, finding that age-based framing led to more negative stereotyping in the media compared to role-based framing. The study suggests a need for society to recognize and value the role contributions of older adults.

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY (2022)

Review Gerontology

Online Social Networking and Mental Health among Older Adults: A Scoping Review

Erica Chen, Devin Wood, Renate Ysseldyk

Summary: With the exponential growth of the older adult population, issues of loneliness, social isolation, and depression have become significant public health concerns. Alternative methods for addressing mental health problems in older adults, such as online social networking, offer potential benefits to improve well-being and reduce depressive symptoms.

CANADIAN JOURNAL ON AGING-REVUE CANADIENNE DU VIEILLISSEMENT (2022)

Article Geriatrics & Gerontology

Mental Health Needs of Aging Veterans: Recent Evidence and Clinical Recommendations

Michele J. Karel, Laura O. Wray, Geri Adler, Alisa O'Riley Hannum, Katherine Luci, Laura A. Brady, Marsden H. McGuire

Summary: The mental health needs of older Veterans are complex and deserve attention. While most older Veterans are resilient, a significant minority experience mental health concerns, including a higher risk of suicide. Older Veterans are less likely to utilize mental health services compared to younger Veterans, but can benefit from treatment once engaged.

CLINICAL GERONTOLOGIST (2022)

Article Geriatrics & Gerontology

Social isolation, social support, and loneliness and their relationship with cognitive health and dementia

Johanna Joyce, Joanne Ryan, Alice Owen, Jessie Hu, Joanna McHugh Power, Raj Shah, Robyn Woods, Elsdon Storey, Carlene Britt, Rosanne Freak-Poli

Summary: The study found that poor social health is associated with worse cognitive function in women, but not with incident dementia. There was no clear association found in men, and social health did not accurately predict cognitive decline or dementia. The study also lacked power to stratify dementia analyses by gender.

INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY (2022)

Article Geriatrics & Gerontology

A cognitively enhanced online Tai Ji Quan training intervention for community-dwelling older adults with mild cognitive impairment: A feasibility trial

Fuzhong Li, Peter Harmer, Kathleen Fitzgerald, Kerri Winters-Stone

Summary: This study examined the feasibility, acceptability, and safety of a cognitive-enhancing Tai Ji Quan training intervention delivered remotely via videoconferencing for older adults with mild cognitive impairment (MCI). The results showed that the intervention was feasible, acceptable, and safe, with high retention rates and positive trends in cognitive outcomes. The findings suggest that remote Tai Ji Quan training could be a viable option for older adults with MCI.

BMC GERIATRICS (2022)

Article Geriatrics & Gerontology

Supplementing Glycine and N-Acetylcysteine (GlyNAC) in Older Adults Improves Glutathione Deficiency, Oxidative Stress, Mitochondrial Dysfunction, Inflammation, Physical Function, and Aging Hallmarks: A Randomized Clinical Trial

Premranjan Kumar, Chun Liu, James Suliburk, Jean W. Hsu, Raja Muthupillai, Farook Jahoor, Charles G. Minard, George E. Taffet, Rajagopal Sekhar

Summary: The study suggests that using GlyNAC in older adults can improve GSH deficiency, oxidative stress, mitochondrial dysfunction, insulin resistance, inflammation, and aging hallmarks. This nutritional supplement has a safe and effective role in promoting health in aging individuals.

JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES (2023)

Article Psychology, Clinical

The association between purpose/meaning in life and verbal fluency and episodic memory: a meta-analysis of >140,000 participants from up to 32 countries

Angelina R. Sutin, Martina Luchetti, Yannick Stephan, Jason E. Strickhouser, Antonio Terracciano

Summary: The study found a strong association between having a sense of purpose and meaning in life with better verbal fluency and episodic memory performance, with consistent results across different demographic groups and cultural contexts. Purpose and meaning may be effective targets for interventions aimed at promoting healthier cognitive aging.

INTERNATIONAL PSYCHOGERIATRICS (2022)

Article Geriatrics & Gerontology

Impact of Media-Based Negative and Positive Age Stereotypes on Older Individuals' Mental Health

Becca R. Levy, E-Shien Chang, Sarah R. Lowe, Natalia Provolo, Martin D. Slade

Summary: This study examines the impact of stigmatization on the mental health of older individuals during the COVID-19 pandemic. The findings reveal that exposure to negative age-stereotype messaging leads to worse mental health, while exposure to positive age-stereotype messaging improves mental health. These results highlight the importance of empowering older individuals through media messaging.

JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES (2022)

Article Geriatrics & Gerontology

When I'm 64: Age-Related Variability in Over 40,000 Online Cognitive Test Takers

Annalise A. LaPlume, Nicole D. Anderson, Larissa McKetton, Brian Levine, Angela K. Troyer

Summary: The study found that cognitive performance gradually declines in adulthood, with a shift to rapid decline around the age of 60. Variability between individuals and within tasks also increases gradually until around age 60, then rapidly increases. Some individuals show less cognitive decline than others, and some cognitive abilities have less within-person decline than others.

JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES (2022)

Article Geriatrics & Gerontology

Family Matters: Cross-Cultural Differences in Familism and Caregiving Outcomes

Francesca Falzarano, Jerad Moxley, Karl Pillemer, Sara J. Czaja

Summary: This study examines the cross-cultural relationships among familism, social support, self-efficacy, and caregiving outcomes. The findings suggest that higher levels of familism and social support may have a protective influence against adverse psychosocial caregiving outcomes.

JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES (2022)

Review Gerontology

Dementia-Friendly Neighborhood and the Built Environment: A Scoping Review

Daniel R. Y. Gan, Habib Chaudhury, Jim Mann, Andrew Wister

Summary: The review focuses on the research of dementia-friendly neighborhoods, particularly in the built environment and sociobehavioral aspects. It highlights the importance of expanding literature into planning and design fields to optimize environmental stimuli for people living with dementia. More research is needed to assess interactions between dementia risk factors and neighborhood environments for primary and secondary prevention.

GERONTOLOGIST (2022)

Article Gerontology

Economic vulnerability and unmet healthcare needs among the population aged 50+years during the COVID-19 pandemic in Europe

Louis Arnault, Florence Jusot, Thomas Renaud

Summary: This study examined the impact of economic vulnerability on unmet needs during the first wave of COVID-19 epidemic in Europe among adults aged 50 years and older. The results showed significant differences in accessing healthcare during the pandemic based on economic vulnerability, with a stronger impact on those in poor health before the outbreak. Additionally, cross-country comparison revealed heterogeneous effects of economic vulnerability on forgoing care and having care postponed among countries.

EUROPEAN JOURNAL OF AGEING (2022)

Article Geriatrics & Gerontology

Using smartphone technology to improve prospective memory functioning: A randomized controlled trial

Michael K. Scullin, Winston E. Jones, Richard Phenis, Samantha Beevers, Sabra Rosen, Kara Dinh, Andrew Kiselica, Francis J. Keefe, Jared F. Benge

Summary: This study found that older adults with cognitive disorders can benefit from smartphone-based memory strategies, leading to improvements in prospective memory functioning and independence. Participants who used the digital recorder or reminder app more frequently showed better prospective memory performance and greater improvements in daily living activities.

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY (2022)

Article Geriatrics & Gerontology

Validation of Claims Algorithms to Identify Alzheimer's Disease and Related Dementias

Ellen P. McCarthy, Chiang-Hua Chang, Nicholas Tilton, Mohammed U. Kabeto, Kenneth M. Langa, Julie P. W. Bynum

Summary: Using billing data from healthcare delivery to identify individuals with dementia is important for research. This study tested the validity of different Medicare claims-based algorithms and found that revised algorithms using Medicare administrative data have reasonable accuracy for research purposes. However, there are tradeoffs between accuracy and sensitivity among these algorithms, and researchers should be aware of these tradeoffs when considering different approaches.

JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES (2022)

Review Geriatrics & Gerontology

Defining brain health: A concept analysis

Yaohua Chen, Naiara Demnitz, Stacey Yamamoto, Kristine Yaffe, Brian Lawlor, Iracema Leroi

Summary: The study analyzed the concept of brain health through a hybrid concept analysis method, identifying attributes and determinants. The working definition of brain health was established as a life-long, multidimensional, dynamic state influenced by various factors.

INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY (2022)

Article Gerontology

Establishing a Framework for Gathering Structural and Social Determinants of Health in Alzheimer's Disease Research Centers

Shana D. Stites, Sharnita Midgett, Dawn Mechanic-Hamilton, Megan Zuelsdorff, Crystal M. Glover, David X. Marquez, Joyce E. Balls-Berry, Marissa L. Streitz, Ganesh Babulal, Jean-Francois Trani, J. Neil Henderson, Lisa L. Barnes, Jason Karlawish, Dave A. Wolk

Summary: Structural and social determinants of health (SSDoH) have a significant impact on individual health outcomes, particularly in Alzheimer's disease and related dementias research. However, there is a lack of data collection on SSDoH in existing research institutions. This study proposes a feasible framework for gathering and modeling SSDoH data across different research institutions.

GERONTOLOGIST (2022)

Article Geriatrics & Gerontology

Association of Markers of Inflammation, the Kynurenine Pathway and B Vitamins with Age and Mortality, and a Signature of Inflammaging

Pierre-Antoine Dugue, Allison M. Hodge, Arve Ulvik, Per M. Ueland, Oivind Midttun, Sabina Rinaldi, Robert J. Macinnis, Sherly X. Li, Klaus Meyer, Anne-Sophie Navionis, Leon Flicker, Gianluca Severi, Dallas R. English, Paolo Vineis, Grethe S. Tell, Melissa C. Southey, Roger L. Milne, Graham G. Giles

Summary: Inflammation is a key feature of aging, and this study investigated the association of 34 blood markers with inflammatory processes, age, and mortality. The research developed a signature of inflammaging based on 10 markers, which was strongly associated with mortality, demonstrating its predictive power.

JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES (2022)