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Geriatrics, Volume 10, Issue 6 (December 2025) – 4 articles

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10 pages, 216 KB  
Article
Associations Between Decision-Making Biases and Swallowing and Physical Functions in Community-Dwelling Older Adults: A Cross-Sectional Study
by Ayane Horike, Kohei Yamaguchi, Kanako Toda Shibahara, Jun Aida, Rieko Moritoyo, Kanako Yoshimi, Kazuharu Nakagawa and Haruka Tohara
Geriatrics 2025, 10(6), 138; https://doi.org/10.3390/geriatrics10060138 (registering DOI) - 24 Oct 2025
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Abstract
Background/Objective: In the context of global aging, maintaining daily habits such as adequate nutrition and regular exercise are essential to achieve healthy aging. Therefore, the preservation of swallowing and physical functions is fundamental. Jaw-opening force, an important swallowing function, is linked to physical [...] Read more.
Background/Objective: In the context of global aging, maintaining daily habits such as adequate nutrition and regular exercise are essential to achieve healthy aging. Therefore, the preservation of swallowing and physical functions is fundamental. Jaw-opening force, an important swallowing function, is linked to physical function. Daily health behaviors are shaped by decision-making biases, which influence decision-making. Individuals with high procrastination tendencies may be less likely to engage in health-promoting behaviors, potentially leading to functional decline. While such tendencies are associated with general health behaviors, little is known about their associations with swallowing and physical functions among older adults. The objective of this study was to examine the associations between decision-making biases and swallowing and physical functions in community-dwelling older adults. Methods: A questionnaire survey was conducted to collect basic information and assess decision-making biases. The jaw-opening force (swallowing function) and grip strength (physical function) were measured. Associations of decision-making biases with jaw-opening force and grip strength were examined using multivariable linear regression analysis. We further conducted sex-stratified sensitivity analyses. Results: This cross-sectional study targeted 107 community-dwelling older adults. There was a significant negative association between procrastination tendency and jaw-opening force (B = −0.715, p = 0.005), and grip strength (B = −1.552, p = 0.003), indicating that individuals with a propensity for procrastination had lower jaw-opening force and grip strength. Conclusions: Procrastination tendency may be used as an indicator to detect swallowing and physical functions. Moreover, incorporating this modifiable factor to promote behavior change may prevent functional decline. The study results highlight the significance of considering individuals’ decision-making biases—particularly procrastination tendency—in clinical settings. Full article
(This article belongs to the Section Dysphagia)
11 pages, 982 KB  
Article
Evaluating the Anticholinergic Burden in Older Patients: Comprehensive Insights from a Nationwide Survey Among Emergency Medicine Specialists in the UK
by Piyawat Dilokthornsakul, Carrie Stewart, Phil Moss, Roy L. Soiza, Fraser Birse, Selvarani Subbarayan, Athagran Nakham, Nantawarn Kitikannakorn and Phyo K. Myint
Geriatrics 2025, 10(6), 137; https://doi.org/10.3390/geriatrics10060137 (registering DOI) - 24 Oct 2025
Abstract
Introduction: Older patients are often exposed to medications with anticholinergic activity. Anticholinergic burden (ACB) from medicines is linked to adverse health outcomes. However, healthcare professionals’ familiarity with ACB remains poor, and there is a lack of research on knowledge, attitudes, or practices [...] Read more.
Introduction: Older patients are often exposed to medications with anticholinergic activity. Anticholinergic burden (ACB) from medicines is linked to adverse health outcomes. However, healthcare professionals’ familiarity with ACB remains poor, and there is a lack of research on knowledge, attitudes, or practices (KAPs) of ACB among Emergency department (ED) clinicians. Methods: A nationwide survey of ACB based on a pilot survey was developed using the KAP framework and assessed for face and content validity by ACB experts. It was distributed to ED physicians across the UK using REDCap through social media and professional networks. Results: Among the 108 ED physicians who responded, 54.6% (n = 59) were aware of the term ACB, but 54.2% (n = 32/59) of them were unable to describe it. Their mean scores for quantifying the ACB score and identifying side effects in older patients were 2.9 and 4.1 out of 10, respectively. 88.9% (n = 96) believed that ACB is an important consideration in older patients. 67.6% (n = 73) agreed that awareness of the consequences of prescribing anticholinergic medications to older patients is important. 50% (n = 54) emphasized the importance of being able to assess and quantify the ACB score. Of the 75 physicians who prescribed these medications, 40% (n = 30/75) were unaware of ACB. 38.7% (n = 29/75) rarely considered ACB, 30.7% (n = 23/75) never considered it, and only 1.3% (n = 1/75) always considered it. The majority of respondents (88.9%, n = 96) agreed that more education on ACB is needed in the ED. Conclusions: ED physicians in the UK have limited knowledge and awareness of ACB management and prescribing practices for older patients. However, they show positive attitudes towards their role in ACB management and a willingness to receive further education. The low response rate suggests that findings may reflect a motivated subset of clinicians. These results highlight the need for targeted education and further investigation into curricular coverage of prescribing safety and anticholinergic burden. Full article
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13 pages, 434 KB  
Article
Effect of Eight-Week Strength Training on Body Composition, Muscle Strength and Perceived Stress in Community-Dwelling Older Women
by Laura Žlibinaitė, Laura Amšiejūtė, Daiva Baltaduonienė, Milda Gintilienė, Karolina Matukynienė and Ligita Mažeikė
Geriatrics 2025, 10(6), 136; https://doi.org/10.3390/geriatrics10060136 - 23 Oct 2025
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Abstract
Background: Sarcopenia, characterized by loss of muscle mass, strength, and function, reduces independence and quality of life in older adults. Strength exercise (STR) mitigates these age-related declines, but evidence of short-term effectiveness remains limited. This study aimed to evaluate the effects of [...] Read more.
Background: Sarcopenia, characterized by loss of muscle mass, strength, and function, reduces independence and quality of life in older adults. Strength exercise (STR) mitigates these age-related declines, but evidence of short-term effectiveness remains limited. This study aimed to evaluate the effects of eight weeks of STR on body composition, muscle strength, and psycho-emotional state in community-dwelling elderly women. Methods: A prospective, controlled, non-randomized study included 44 women assigned to an STR (n = 20) or control (CON, n = 22) group. The STR group performed supervised exercise twice weekly for eight weeks. The outcomes were body composition, handgrip strength (HGS), quadriceps (Q) and hamstrings (H) strength, and perceived stress (PSS-10), assessed at baseline and after intervention. Within-group changes were analyzed using paired t-tests, and between-group differences were evaluated using analysis of covariance (ANCOVA) adjusted for baseline values. Results: After baseline adjustment, body mass (p = 0.041, partial η2 = 0.103), BMI (body mass index, p = 0.030, partial η2 = 0.115), and body fat percentage (p = 0.047, partial η2 = 0.098) were significantly reduced in the STR group. Significant improvements were observed for H strength in both legs (p < 0.05, partial η2 = 0.128–0.131), right HGS (p = 0.025, partial η2 = 0.122), right HGS:BMI ratio (p = 0.013, partial η2 = 0.150), and H:Q ratios on both sides (p < 0.05, partial η2 = 0.109–0.118). No significant differences were observed for left-hand grip strength, knee extensor strength, or other body composition variables (p > 0.05). The perceived stress scores were significantly lower in the STR group post-intervention (p = 0.036, partial η2 = 0.108). Conclusions: An eight-week supervised strength exercise program was associated with favorable changes in muscle strength, body composition, and psycho-emotional state in elderly women. Full article
(This article belongs to the Section Healthy Aging)
21 pages, 1277 KB  
Article
Central Adiposity Assessed with Body Roundness Index and Mortality: The Seguimiento Universidad de Navarra Prospective Cohort
by Ligia J. Dominguez, Carmen Sayon-Orea, Estefania Toledo, Maira Bes-Rastrollo, Carolina Donat-Vargas, Mario Barbagallo and Miguel A. Martínez-González
Geriatrics 2025, 10(6), 135; https://doi.org/10.3390/geriatrics10060135 - 23 Oct 2025
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Abstract
Background/Objectives: Obesity is currently a global pandemic and a major risk factor for the development of chronic disease and increased mortality. Common methods used to define obesity, such as body mass index (BMI), do not accurately reflect body fat content or distribution. Methods: [...] Read more.
Background/Objectives: Obesity is currently a global pandemic and a major risk factor for the development of chronic disease and increased mortality. Common methods used to define obesity, such as body mass index (BMI), do not accurately reflect body fat content or distribution. Methods: We investigated the prognostic significance of the body roundness index (BRI) on incident death in 12,642 participants (60.2% women, mean age: 39, standard deviation (SD): 12 years) from the “Seguimiento Universidad de Navarra” prospective cohort and compared it to waist-to-height ratio (WtHR) and waist circumference (WC). Participants were monitored through biennial questionnaires. The mean of the baseline BRI was 3.6 (SD: 1.4) units. Multivariable-adjusted Cox models were used to estimate hazard ratios (HR) and confidence intervals (CI) of death. Results: Over a median follow-up period of 11.5 years, 380 participants died (absolute mortality rate 1.74 × 10−3). In multivariable-adjusted models, higher quartiles of BRI were significantly associated with all-cause death, specifically in those ≥ 60 years (Quartile 4 vs. Quartile 1: HR 1.64; 95% CI: 1.00, 2.70). Considering the whole group (all ages), each 2-unit increase in BRI was linked to a 21% higher all-cause mortality risk in both men and women. This association was even stronger for participants aged over 60 years (multivariate adjusted HR for 2-unit BRI increase: 1.31; CI: 1.00, 1.72), while it was not significant when considering only those under 60 years. The associations of z-WtHR and z-WC with incident mortality for all participants were also significant in the fully adjusted model (HRs: 1.14; CI: 1.01, 1.27, and HRs: 1.16; CI: 1.04, 1.30, respectively). Mortality associations assessed using the BRI, WtHR, and WC were superior to associations based on the BMI. Conclusions: BRI shows a linear link with all-cause mortality in healthy adults ≥ 60, while WtHR and WC were also mortality predictors. Thus, lower central fat may help reduce early death risk. Full article
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