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24 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
14.08.2026journal-article

npj Dementia

Psychometric properties of the Rowland Universal Dementia Assessment Scale – Peruvian Version among Indigenous Amazonian communities

Alicia Boluarte Carbajal, Arantxa N. Sanchez Boluarte, Marleny Nolasco, Monica M. Diaz

Abstract Cognitive screening tools are rarely validated for Indigenous populations of Latin America, a barrier to early dementia detection. We culturally adapted and evaluated the psychometric performance of the Peruvian version of the Rowland Universal Dementia Assessment Scale (RUDAS-PE) for Shawi Indigenous Amazonian communities. We included 434 adults aged ≥50 years who completed the RUDAS-PE. Cognitive interviews and community feedback revealed cultural mismatches, particularly in visuoconstruction tasks, requ …

14.08.2026journal-article

Journal of Modern Education and Culture

Developing Trends of Sports Rehabilitation Programs in New Zealand Higher Education Institutions in the Context of Population Aging

Xu Dai, Shan Jiang

As the world's population is ageing, so too has New Zealand's problem of an aging society. As the proportion of older people in society has been increasing, so too has the demand for health and medical services for older adults. As a scientific way to help people, exercise rehabilitation can boost the physical strength, bone density and other functions of older adults to slow down age-related decline and improve their quality of life. Research on the role of sports rehabilitation programs in New Zealand's universit …

14.08.2026journal-article

Journal of Alzheimer’s Disease

Cerebrospinal fluid glial cell line-derived neurotrophic factor levels interact with APOE ε4 genotype to influence cognitive decline in older adults without dementia

Shao Wang, Shengzhen Zou, Alzheimer's Disease Neuroimaging Initiative

Background Although both apolipoprotein E ( APOE ) ε4 and glial cell line-derived neurotrophic factor (GDNF) are implicated in the pathogenesis of Alzheimer's disease (AD), it remains unclear whether they interact to affect cognitive decline among older adults without dementia. Objective This study aimed to examine the interactive effects of APOE ε4 and GDNF on longitudinal cognitive decline. Methods A total of 543 individuals (mean age 73 [±7] years; 43% female) with cognitively unimpaired (CU) or mild cognitive i …

14.08.2026journal-article

Viruses

Weight Gain Is Associated with Short-Term FIB-4 Increase and Concurrent Metabolic Change in People with HIV and Metabolic Dysfunction-Associated Steatotic Liver Disease

Wei Xu, Li Liu, Meiyan Sun, Renfang Zhang, Jun Chen, Yinzhong Shen

Background: Short-term variation in the Fibrosis-4 index (FIB-4) may identify people who warrant further liver assessment. We evaluated longitudinal FIB-4 changes and associated metabolic factors in people with HIV (PWH) and metabolic dysfunction-associated steatotic liver disease (MASLD). Methods: This retrospective cohort included 683 PWH with ultrasound-defined MASLD who underwent routine clinical and laboratory assessments approximately every three months. A prespecified FIB-4 increase required both a ≥20% rise …

14.08.2026journal-article

International Journal Semiarid

ANÁLISE SOCIOCULTURAL DO POVO NGUNI DO PLANALTO DE ANGÓNIA

Lucas Armindo Curalinho

This study examines the historical, socio-cultural and political trajectory of the Nguni people settled on the Angónia Plateau in Tete Province. This ethnic group settled in the region in the 19th century, in the context of the regional migratory movement known as the Mfecane, a process that contributed to the demographic and socio-political reorganisation of Southern Africa. The study focuses on understanding the origins of the Nguni, the circumstances of their settlement, as well as their socio-political structur …

14.08.2026journal-article

Scientific Reports

Latent space structure of retinal age: an artificial intelligence–based analysis of aging in fundus images

Akira Machida, Kiichi Maeda, Sugao Miyagi, Eriko Machida, Ryuya Murakami, Fumito Akiyama, Akio Oishi

Abstract This study investigated whether age-related variation is organized as a geometric structure in latent space and how fine-tuning reshapes this representation. Fundus photographs from fellow eyes of patients who underwent macular surgery were retrospectively analyzed. After quality control, 4,602 images (885 eyes) were split into training and test sets by age. A retinal age prediction model trained on the Japan Ocular Imaging Registry was fine-tuned. Latent-space geometry was evaluated using principal compon …

14.08.2026journal-article

Current Psychiatry Reports

Eating Disorder Focused Family Therapy with Autistic Children and Young People: A Narrative Review of Recent Developments

Amelia Austin, Rachel Loomes, Fiona Duffy

Abstract Purpose of review This review aims to report the recent advances for eating disorder focused family therapy (FT-ED) for Autistic children and young people, including outcomes, experiences, and suggested adaptations. Recent findings Quantitative studies suggest that Autistic children and young people (and those with high autistic traits) receiving outpatient FT-ED are more likely to require escalation to more intensive levels of care compared to non-autistic peers. Qualitative research shows that Autistic y …

14.08.2026journal-article

Frontiers in Aging

From obesity to healthy longevity: a consensus-based clinical framework for diagnosis, staging, and treatment

Silvija Canecki-Varžić, Ines Bilić-Ćurčić, Maja Bakula, Tomislav Bulum, Maja Čavlović, Diana Delić-Brkljačić, Tamara Turk Wensveen, Daniela Fabris-Vitković, Dubravka Jurišić-Eržen, Sanja Klobučar, Kristina Kljajić, Mladen Krnić, Blaženka Miškić, Nataša Moser, Božidar Novoselović, Ivan Pećin, Tina Tičinović-Kurir, Jelena Vučak-Lončar, Marina Gradišer, Maja Cigrovski Berković, Gorana Mirošević, Kristina Selthofer-Relatić, Miro Bakula

Background Obesity is a chronic, progressive, relapsing disease characterized by excess or dysfunctional adiposity that impairs health and contributes to multimorbidity, disability, and reduced life expectancy. Contemporary international frameworks recommend moving beyond BMI-only definitions toward disease-based diagnostic models that integrate adiposity, complications, and functional status. Croatia faces a high prevalence of obesity alongside constrained healthcare resources and limited reimbursement for modern …

14.08.2026journal-article

PLOS One

The impact of digital health on loneliness and social isolation for older adults: A scoping review protocol

Chandler Tyrrell, Sinéad Keogh, Brídín Carroll

As populations age and healthcare systems increasingly adopt digital health technologies and alternative models of service delivery, understanding their broader social impact is becoming increasingly important. Digital health technologies are transforming how older adults access and manage healthcare services and may help alleviate pressure on healthcare systems. However, there is limited research examining whether digital health technologies mitigate or exacerbate experiences of loneliness and social isolation amo …

14.08.2026journal-article

Jurnal Keperawatan Profesional

The Effectiveness of Brisk Walking Exercise on Blood Pressure Changes in Older Adults with Hypertension

Laili Ulfiyani, Abi Muhlisin

Hypertension is a common chronic disease in the elderly population and can increase the risk of cardiovascular disorders if not optimally managed and controlled. In addition to pharmacological therapy, non-pharmacological interventions in the form of physical activity are recommended as part of hypertension management. Brisk walking exercise, also known as brisk walking, is a form of physical activity that is practical and easy for the elderly to perform. The purpose of this case study was to examine changes in blo …

14.08.2026journal-article

Journal of Organizational Effectiveness: People and Performance

When green becomes demanding: work-related stress and required versus voluntary employee green behavior

Lea Wolf, Caroline Ruiner

Purpose Driven by increasing regulatory pressures and the imperative for sustainable transformation, many organizations seek to improve environmental sustainability. In this context, employee green behavior (EGB) represents a key mechanism by which sustainability goals are enacted at the individual level. EGB can take the form of voluntary, self-initiated behavior or be required by an organization. This transformation is designed to enhance greenness but introduces green job demands and thereby potentially increase …

14.08.2026journal-article

Sustainability

Vitality Measurement and Smart Governance Strategies for Marginal Communities in Suzhou: A Study Based on the Vision of an International and Modern People-Oriented City

Zhihong Liu, Chuanyou Mao

Accelerating the construction of an international, modern, and people-oriented city, Suzhou often faces bottlenecks in its peripheral communities. These open spaces suffer from rapid vitality decline, extensive governance, and weak resilience, which directly hinder residents’ daily interactions and community integration. Moving beyond subjective qualitative approaches, this study selects typical peripheral communities in Suzhou and employs a comprehensive methodology combining field surveys, space syntax analysis, …

14.08.2026journal-article

JMIR Serious Games

User-Centered Design and Evaluation of a “Lehuo Pingpang” Exergame for Older Adults With Mild Cognitive Impairment: Cross-Sectional Convergent Mixed Methods Study

Xi Chen, Hongting Ning, Lin Peng, Chi Zhang, Jiaji Zhang, Dian Jiang, Xiaoyang Li, Xiao Wan, Jundan Huang, Qi Xie, Weiping Huang, Juanfang Jiang, Hui Feng

Abstract Background Physical activity is one of the preferred interventions for mild cognitive impairment (MCI); however, the physical activity levels and adherence of older adults with MCI are particularly limited. Exergames are expected to be a key strategy to address these issues. However, existing exergames lack usability among the older adult population. Objective We aimed to design and develop an MCI-centered exergame for older adults and test its usability. Methods We used a cross-sectional, convergent mixed …

14.08.2026journal-article

British Journal of Clinical Psychology

Exploring the relationship between external shame and perceived social rank in people who hear voices

Amy Lewins, Charlotte Thomas‐Carmichael, Emmeline Goodby, Craig Steel

Abstract Objectives People who hear voices commonly experience high levels of shame. This study builds on evolutionary theories by investigating how feelings of shame are associated with the nature of the voice–person relationship. Researchers aim to understand whether increased feelings of external shame are associated with voice‐hearers adopting a subordinating relationship to the voice(s), assigning the voice a higher social rank. The research also explored whether voice content, operationalized as the ways in w …

14.08.2026journal-article

Nutrition Today

The Next Frontier

Anna Picard, Johanna T. Dwyer, Mary B. Arensberg, Judy Simon, Shirley Chao, Laura Borth

Malnutrition is a serious condition impacting the health, functionality, and quality of life of older adults living in the community. This article provides the history, context, and suggestions for better addressing it in the United States. It briefly reviews the prevalence of malnutrition associated with undernutrition in the American older adult population and why it is of concern. Malnutrition screening and assessment tools are then described. Next, it turns to how Older Americans Act (OAA) nutrition programs ar …

14.08.2026journal-article

American Journal of Hospice and Palliative Medicine®

Perspectives of Simulated Patients Who Portray People Living With Serious Illness, a Qualitative Study

Laura T. Director, Christine Mallar, Martha S. Barbour, Mary H. Becker, Rachael Burgess, Leah Mallory, Rebecca N. Hutchinson

Background Many clinicians lack the skills and training necessary to have goals of care conversations. Training to develop these skills often uses simulated patients (SPs) who are asked to portray patients living with serious illness. The psychological impact of portraying a patient with serious illness has not been well studied. Objective The aim of this study was to explore the perspectives, motivations, and experiences of SPs portraying patients living with serious illness. Methods In this single center qualitat …

14.08.2026journal-article

Frontiers in Public Health

Technology anxiety and digital health literacy as structural determinants of mHealth engagement among older adults: a SEM study in Saudi Arabia

Haitham Alzghaibi

Background Digital health services hold real promise for older adults managing chronic conditions, yet this population consistently struggles to engage with them meaningfully. In Saudi Arabia, the national Sehhaty mHealth platform has been deployed at scale under Vision 2030, but there is limited evidence on why older users do or do not engage, and what structural factors drive those patterns. Aim This study examined the structural determinants of digital health service engagement among Saudi adults aged 55 and abo …

14.08.2026journal-article

Journal of Clinical Medicine

Management of Syncope in Geriatric Patients: Are 2018 European Society of Cardiology Guidelines Still Relevant?

Barbara Antonazzo, Anna Sirignano, Martina Salvini, Francesca Flavia Rossi, Stefano Ronzoni, Agnese Dorizzi, Kenneth Ellenbogen, Giuseppe Biondi-Zoccai, Simone Calcagno

Syncope in older adults is common, heterogeneous, and frequently misclassified as an unexplained fall, leading to injury, fear of recurrence, and costly, low-yield testing and hospitalization. The 2018 European Society of Cardiology (ESC) Guidelines emphasize structured initial evaluation (history with witnesses, orthostatic blood pressure, and 12-lead ECG), risk-feature-guided disposition, and targeted second-line investigations rather than routine neuroimaging or carotid duplex ultrasound. We performed a structur …

14.08.2026journal-article

Pilot and Feasibility Studies

Protocol for a feasibility study of a self-help resource based on the principles of cognitive behavioural therapy to reduce needle fear in young people aged 11- to 16 years

Fiona Sotir, David White, Gemma Wheeler, Helen Rodd, Zoe Marshman

Abstract Background Needle fear affects up to half of all young people, with the potential to impede their accessing and acceptance of healthcare interventions. There is presently a lack of accessible self-help resources available to support young people in managing needle-based procedures. This feasibility study aims to create a trial protocol for future definitive assessment of a self-help tool co-designed with young people, to manage their fear of needles. Methods This article presents the protocol for a study t …

14.08.2026journal-article

Journal of the American Geriatrics Society

VA Choose Home Program: An Intensive Geriatric Home‐Based Model of Care

Caroline Madrigal, Meghan Makela, Alexandra Nothern, Wendy Abrams, Rebecca Howe, Daniel Harris, Malisa Barber, Christopher Halladay, VA Boston Choose Home Team, James L. Rudolph, Jane A. Driver

ABSTRACT Background The population of Veterans aged 85+ eligible for VA‐financed long‐term care will increase 500% over the next decade. Our team recognized a gap in care for older Veterans at risk of institutionalization between our acute and longitudinal home and community‐based programs. This paper describes Choose Home, an innovative interprofessional home‐based model of care developed to prevent avoidable acute care and long‐term institutionalization. Methods Multicomplex Veterans aged ≥ 65 at imminent risk of …

14.08.2026journal-article

Frontiers in Public Health

Unmet needs for proactive health services among older adults with functional impairment in Chinese long-term care facilities (LTCFs): a qualitative study

Yixin Wang, Lanyue Luo, Liyu Chen, Hong Zhang, Xue Xiong, Dan Huo, Yuan Jia, Jun Shen

Objective Proactive health, as an important strategy for addressing population aging in China, has not yet developed into a systematic service model for the care of older adults with functional impairment in LTCFs. This study aimed to systematically explore the unmet needs of proactive health services among older adults with functional impairment in LTCFs through a qualitative approach, and to provide a theoretical basis for the construction of a capability-based care system. Methods A combination of purposive and …

14.08.2026journal-article

Frontiers in Nutrition

Sex-specific associations between dietary nutrient intake and cardiometabolic biomarkers in older adults with diet-related chronic diseases

Svetlana Plyassovskaya, Olzhas Zhamantayev, Gulmira Zhanalina, Bakhyt Kosherova, Nurbek Yerdessov

Background Older adults presenting with concurrent type 2 diabetes mellitus (T2DM), arterial hypertension (AH), and obesity face a considerable cardiometabolic challenge. There were no recent studies examining the association between their habitual nutrient consumption and circulating biomarkers in Central Asian populations. We aimed to examine sex-stratified associations between daily nutrient consumption and cardiometabolic biomarkers in community-dwelling older adults aged 60–90 years with concurrent T2DM, AH, a …

14.08.2026journal-article

American Journal of Health Studies

Exploring the Health Beliefs of Older African Americans in a Faith-Based Health Education Program

Maria Brown, Luvenia Cowart

Medical mistrust among African Americans is rooted in a history of abuse by unethical researcher and personal and community experiences of discrimination in healthcare. This study explored the relationship between spirituality and health, and health care attitudes of older African Americans in a faith-based health education program in the northeastern United States. The Health Beliefs survey includes combined items from the Spiritual Locus of Control Scale and the Group-Based Medical Mistrust Scale. We collected da …

14.08.2026journal-article

Frontiers in Endocrinology

Sedentary behavior and type 2 diabetes in community-dwelling middle-aged and older adults: indirect cross-sectional correlation of sarcopenic obesity

Wenwen Zhao, Mingjie Meng, Yiheng Geng, Ruyue Qi, Jinjia Zhang, Min Zhang, Meijing Song, Rongying Wang

Background Type 2 diabetes mellitus (T2DM) represents a major public health challenge among middle-aged and older populations worldwide. The underlying mechanisms linking sedentary behavior to T2DM remain incompletely understood. Sarcopenic obesity (SO), a phenotype defined by concurrent low muscle mass and excess adiposity, may represent a key intermediate correlate linking sedentary behavior with T2DM in cross-sectional observations. This study aimed to explore the indirect cross-sectional correlation of SO in th …