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Editor’s View
Nathalie van der Velde
doi : 10.1093/ageing/afac236
Age and Ageing, Volume 51, Issue 10, October 2022, afac236
Healthcare for older adults in North America: challenges, successes and opportunities
Milta O Little, John E Morley
doi : 10.1093/ageing/afac216
Age and Ageing, Volume 51, Issue 10, October 2022, afac216
Older adults in North America face similar challenges to successful ageing as other adults around the world, including an increased risk of geriatric syndromes and functional decline, limited access to healthcare professionals specialising in geriatrics and constraints on healthcare spending for Long-Term Services and Supports.
Sarcopenia definition, diagnosis and treatment: consensus is growing
Avan Aihie Sayer, Alfonso Cruz-Jentoft
doi : 10.1093/ageing/afac220
Age and Ageing, Volume 51, Issue 10, October 2022, afac220
Sarcopenia is a skeletal muscle disorder that commonly occurs with advancing age as well as with a number of long-term conditions. Recognition in clinical practice is relatively recent but important because of the association between sarcopenia and a range of adverse effects on health including impaired mobility, increased morbidity and mortality.
Editorial: the World Falls Guideline
Rowan H Harwood
doi : 10.1093/ageing/afac229
Age and Ageing, Volume 51, Issue 10, October 2022, afac229
COP27 Climate Change Conference: urgent action needed for Africa and the world: Wealthy nations must step up support for Africa and vulnerable countries in addressing past, present and future impacts of climate change
Laurie Laybourn-Langton, Joy Muhia, Maha El-Adawy, Siaka Sidibé, Chris Zielinski
doi : 10.1093/ageing/afac235
Age and Ageing, Volume 51, Issue 10, October 2022, afac235
The role of sodium-glucose co-transporter-2 inhibitors in frail older adults with or without type 2 diabetes mellitus
Marc Evans, Angharad R Morgan, Sarah Davies, Hannah Beba, William David Strain
doi : 10.1093/ageing/afac201
Age and Ageing, Volume 51, Issue 10, October 2022, afac201
Sodium-glucose co-transporter-2 (SGLT2) inhibitors offer significant outcome benefits beyond glucose lowering, including reduced risk of cardiovascular death, all-cause mortality, major adverse cardiovascular events, hospitalisations for heart failure and progression of renal disease.
Factors associated with unmet need for support to maintain independence in later life: a systematic review of quantitative and qualitative evidence
Gemma Frances Spiers, Tafadzwa Patience Kunonga, Daniel Stow, Alex Hall, Andrew Kingston, Oleta Williams, Fiona Beyer, Peter Bower, Dawn Craig, Chris Todd, Barbara Hanratty
doi : 10.1093/ageing/afac228
Age and Ageing, Volume 51, Issue 10, October 2022, afac228
populations are considered to have an ‘unmet need’ when they could benefit from, but do not get, the necessary support. Policy efforts to achieve equitable access to long-term care require an understanding of patterns of unmet need. A systematic review was conducted to identify factors associated with unmet need for support to maintain independence in later life.
A systematic review and meta-analysis of reablement interventions for people in permanent residential aged care homes
Miia Rahja, Kate Laver, Craig Whitehead, Ann Pietsch, Eliza Oliver, Maria Crotty
doi : 10.1093/ageing/afac208
Age and Ageing, Volume 51, Issue 10, October 2022, afac208
Most evidence for reablement comes from community-based interventions.
The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging
Maria Angel, Louise Bechard, Yong Hao Pua, Shamala Thilarajah, Courteney Newton, Amelia Sorensen, Ross Clark
doi : 10.1093/ageing/afac225
Age and Ageing, Volume 51, Issue 10, October 2022, afac225
Difficulty opening medication packaging can have serious consequences that can lead to patient harm via medication mismanagement or poor adherence. However, the quality of literature pertaining to these issues has yet to be collated and critiqued. This systematic review examined cross-sectional studies that objectively examined the ability of participants to open different medication packaging.
Proactive Health Support: a randomised controlled trial of telephone-based self-management support for persons at risk of hospital admission
Kirstine Skov Benthien, Knud Rasmussen, Camilla Palmhøj Nielsen, Kristian Kidholm, Mette Grønkjær, Ulla Toft
doi : 10.1093/ageing/afac212
Age and Ageing, Volume 51, Issue 10, October 2022, afac212
Persons with frequent hospital admissions have a disease burden that may exceed their self-management skills. The evidence base of telephone-based interventions to support self-management is poor with mixed results. The aim of this study is to evaluate the effect of Proactive Health Support (PaHS): telephone-based self-management support for persons with risk of hospitalizations.
Peer-supported exercise intervention for persons with mild cognitive impairment: a waitlist randomised controlled trial (the BRAin Vitality Enhancement trial)
Polly W C Li, Doris S F Yu, Parco M Siu, Schwinger C K Wong, Bernice S Chan
doi : 10.1093/ageing/afac213
Age and Ageing, Volume 51, Issue 10, October 2022, afac213
motivating older people with cognitive impairment to remain physically active is challenging.
The clinical heterogeneity of subjective cognitive decline: a data-driven approach on a population-based sample
Federica Ribaldi, Elena Rolandi, Roberta Vaccaro, Mauro Colombo, Giovanni Battista Frisoni, Antonio Guaita
doi : 10.1093/ageing/afac209
Age and Ageing, Volume 51, Issue 10, October 2022, afac209
subjective cognitive decline (SCD) refers to the subjective experience of cognitive decline in the absence of detectable cognitive impairment. SCD has been largely studied as a risk condition for cognitive decline. Empirical observations suggest that persons with SCD are heterogeneous, including individuals with early Alzheimer’s disease and others with psychological vulnerabilities and/or physical comorbidity. The semiology of SCD is still in its infancy, and the features predicting cognitive decline are poorly defined. The present study aims to identify subgroups of SCD using a data-driven approach and study their clinical evolution across 8 years.
Feasibility and acceptability of an education and training e-resource to support the sexuality, intimacy and relationship needs of older care home residents: a mixed methods study
Maria Horne, Jane Youell, Laura Brown, Christine Brown-Wilson, Tommy Dickinson, Paul Simpson
doi : 10.1093/ageing/afac221
Age and Ageing, Volume 51, Issue 10, October 2022, afac221
sexuality, intimacy and relationship needs are often a neglected aspect of the care of older adults in residential care facilities. Improving awareness, knowledge and improving attitudes about these needs among care staff could enhance quality of care and lead to better outcomes for residents.
Does polypharmacy shape dependency transitions in the very old? Findings from the Newcastle 85+ Study
Laurie E Davies, Adam Todd, Louise Robinson, Andrew Kingston
doi : 10.1093/ageing/afac227
Age and Ageing, Volume 51, Issue 10, October 2022, afac227
helping older people to maintain their independence, and identifying risk factors that compromise this, is of high importance. Polypharmacy is common in the very old (aged ≥ 85) but whether it can shape transitions in dependency in this fastest growing subpopulation is unclear.
Association between changes in diet quality from mid-life to late-life and healthy ageing: the Singapore Chinese Health Study
Yan-Feng Zhou, Jun S Lai, Mary Foong-Fong Chong, Eunice Huiying Tong, Nithya Neelakantan, An Pan, Woon-Puay Koh
doi : 10.1093/ageing/afac232
Age and Ageing, Volume 51, Issue 10, October 2022, afac232
Few studies have evaluated the association between changes in diet quality from mid-life to late-life and healthy ageing.
Post-operative electrical muscle stimulation attenuates loss of muscle mass and function following major abdominal surgery in older adults: a split body randomised control trial
Edward J Hardy, Jacob Hatt, Brett Doleman, Thomas F Smart, Matthew Piasecki, Jonathan N Lund, Bethan E Phillips
doi : 10.1093/ageing/afac234
Age and Ageing, Volume 51, Issue 10, October 2022, afac234
Significant losses of muscle mass and function occur after major abdominal surgery. Neuromuscular electrical stimulation (NMES) has been shown to reduce muscle atrophy in some patient groups, but evidence in post-operative patients is limited. This study assesses the efficacy of NMES for attenuating muscle atrophy and functional declines following major abdominal surgery in older adults.
Complexity of implementing a nationwide advance care planning program: results from a qualitative evaluation
Chetna Malhotra, Chandrika Ramakrishnan
doi : 10.1093/ageing/afac224
Age and Ageing, Volume 51, Issue 10, October 2022, afac224
We evaluated Singapore’s national advance care planning (ACP) program to understand challenges to its implementation within multiple clinical settings.
Using the recommended summary plan for emergency care and treatment (ReSPECT) in care homes: a qualitative interview study
Joanna May Kesten, Sabi Redwood, Anne Pullyblank, Alison Tavare, Lucy Pocock, Heather Brant, Elizabeth M Hill, Mary Tutaev, Rui Zhi Shum, Jon Banks
doi : 10.1093/ageing/afac226
Age and Ageing, Volume 51, Issue 10, October 2022, afac226
The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) is an advance care planning process designed to facilitate discussion and documentation of preferences for care in a medical emergency. Advance care planning is important in residential and nursing homes.
‘It’s just incredible the difference it has made’: family carers’ experiences of a specialist Lewy body dementia Admiral Nurse service
Laura J E Brown, Zena Aldridge, Amy Pepper, Iracema Leroi, Karen Harrison Dening
doi : 10.1093/ageing/afac207
Age and Ageing, Volume 51, Issue 10, October 2022, afac207
Lewy body dementia (LBD) is characterised by a complex array of symptoms. Being a family carer of someone with LBD can be challenging, and is associated with high levels of stress, depression and anxiety. Admiral Nursing services support family carers of people with dementia in the UK by providing tailored information, advice and therapeutic support. Recently, the Admiral Nurse model has been adapted to the needs of more specific populations, including the introduction of a new, specialist LBD Admiral Nurse.
Impostomous gout
Matteo Colina, Stefano Pretolani, Gabriele Campana
doi : 10.1093/ageing/afac184
Age and Ageing, Volume 51, Issue 10, October 2022, afac184
Correction to: 1039 Receiving Assistance from Domestic Robots: What are Elders' Preferences?
doi : 10.1093/ageing/afac198
Age and Ageing, Volume 51, Issue 10, October 2022, afac198
