The Role of Frailty and Myosteatosis in Predicting All-Cause Mortality in Older Adults with Cancer DOI Creative Commons
Efthymios Papadopoulos, Andy Kin On Wong,

Sharon Hiu Ching Law

et al.

Current Oncology, Journal Year: 2024, Volume and Issue: 31(12), P. 7852 - 7862

Published: Dec. 6, 2024

Frailty and myosteatosis are each prognostic of all-cause mortality (ACM) in patients with cancer. However, it is unclear whether adds value to frailty for predicting ACM. We assessed improves the predictive ability ACM older adults undergoing chemotherapy. This was a retrospective study (≥65 years) initiating chemotherapy between June 2015 2022. using 24-item index (FI). Myosteatosis evaluated via computed tomography scans at third lumbar vertebra (L3).. Multivariable Cox regression Uno’s c-statistic determined performance FI myosteatosis. In total, 115 participants (mean age: 77.1 were included. alone (adjusted hazards ratio (aHR) = 1.68, 95% confidence intervals (CIs) 1.03–2.72, p 0.037) (aHR 2.14, 95%CI 1.07–4.30, 0.032) exhibited similar (c-statistic 0.66) multivariable analyses adjusted age, sex, body mass index, treatment intent. highest observed after inclusion both model 0.70). Prospective studies assess effect exercise on warranted.

Language: Английский

Delirium and frailty in older adults: Clinical overlap and biological underpinnings DOI Creative Commons
Giuseppe Bellelli, Federico Triolo, María Cristina Ferrara

et al.

Journal of Internal Medicine, Journal Year: 2024, Volume and Issue: 296(5), P. 382 - 398

Published: Oct. 1, 2024

Frailty and delirium are two common geriatric syndromes sharing several clinical characteristics, risk factors, negative outcomes. Understanding their interdependency is crucial to identify shared mechanisms implement initiatives reduce the associated burden. This literature review summarizes scientific evidence on complex interplay between frailty delirium; clinical, epidemiological, pathophysiological commonalities; current knowledge gaps. We conducted a PubMed systematic search in June 2023, which yielded 118 eligible articles out of 991. The synthesis results-carried by content experts-highlights overlapping phenotypes, outcomes explores influence one syndrome onset other. Common identified include inflammation, neurodegeneration, metabolic insufficiency, vascular suggests that factor for delirium, with some support accelerated frailty. proposed unifying framework supports integration measurement both constructs research practice, identifying geroscience approach as potential avenue develop strategies conditions. In conclusion, we suggest might be alternative-sometimes coexisting-manifestations biological aging. Clinically, concepts addressed this can help older adults either or from different perspective. From standpoint, longitudinal studies needed explore hypothesis specific pathways within biology aging may underlie manifestations delirium. Such will pave way future understanding other well.

Language: Английский

Citations

9

The Prevalence of Metabolic Syndrome and Hypertriglyceridemic Waist Based on Sociodemographic Variables and Healthy Habits in Healthcare Workers: A Retrospective Study DOI Creative Commons

Pedro Javier Tárraga Marcos,

Ángel Arturo López‐González, Emilio Martínez-Almoyna Rifá

et al.

Life, Journal Year: 2025, Volume and Issue: 15(1), P. 81 - 81

Published: Jan. 10, 2025

Introduction: Metabolic syndrome (MetS) and hypertriglyceridemic waist (HTW) are two multifactorial pathological conditions that have been increasing in prevalence worldwide. The objective of this study was to evaluate how various sociodemographic variables healthy habits associated with the presence or absence MetS HTW. Methodology: This employed a mixed-methods approach, consisting retrospective longitudinal cross-sectional descriptive study, analyzing 44,939 healthcare workers MS HTW across four professional categories relationship between age, sex, smoking, physical activity, adherence Mediterranean diet using three diagnostic criteria. Descriptive analysis included categorical quantitative variables, which were assessed through frequencies, Student's t-test, chi-square, binary logistic regression models. Logistic Cohen's kappa used associations concordances. Age, lack activity showed strongest (OR: 2.65-2.84). results highlight importance other factors metabolic prevention. Results: most strongly evaluated odds ratios revealed significant values: age (9.07-13.71 for 13.42 HTW), sex (2.82-3.31 3.72 (2.65-2.84 2.40 HTW). Conclusions: risk developing among personnel is influenced by lifestyle habits, highest ORs observed nursing assistants orderlies. Future research delves deeper into causal severity will improve understanding facilitate development preventive activities reduce their incidence.

Language: Английский

Citations

0

Risk of Insulin Resistance in 44,939 Spanish Healthcare Workers: Association with Sociodemographic Variables and Healthy Habits DOI Creative Commons

Pedro Javier Tárraga Marcos,

Ángel Arturo López‐González, Emilio Martínez-Almoyna Rifá

et al.

Diseases, Journal Year: 2025, Volume and Issue: 13(2), P. 33 - 33

Published: Jan. 27, 2025

Introduction: Insulin resistance (IR) is a highly prevalent pathophysiological entity implicated in the development of wide variety metabolic, cardiovascular, and endocrine disorders. The aim this study to assess association between sociodemographic variables healthy habits with IR risk scales. Methodology: This dual study, incorporating both longitudinal-retrospective cross-sectional designs, analyzed healthcare workers across four professional categories (physicians, nurses, technicians, auxiliary personnel). It examined age, sex, category, smoking status, physical activity, adherence Mediterranean diet elevated scores on insulin Results: All were associated presence values scales, activity showing strongest (reflected odds ratio values). Conclusions: profile an individual higher presenting scales would be elderly male health worker who smoker physically inactive, low diet.

Language: Английский

Citations

0

Suicide in later life: the role of frailty and depression DOI
Brian Draper, Anne Wand

Current Opinion in Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: April 2, 2025

Purpose of review Depression and physical illnesses have long been recognized as risk factors for suicidal behaviour in late life. Qualitative studies previously identified frailty being an issue life behaviour, but quantitative lacking. Establishing the role plays has implications suicide prevention. Recent findings are closely linked life, with genetic social suggesting bidirectional causality. Frailty is associated increased ideation attempts that likely enhanced by chronicity, depression, factors, such living eating alone. In contrast, lower levels frailty. Summary Suicide rates peak depression a consistently factor along numerous diverse include health issues. investigating relationship between neglected until recently. Interventions reduce or prevent training nutritional management interventions, might preventing behaviour. Further research required to elucidate different associations reported ideation/attempts suicide.

Language: Английский

Citations

0

Metabolomics biomarkers of frailty: a longitudinal study of aging female and male mice DOI Creative Commons
Dantong Zhu, Judy Wu, Patrick R. Griffin

et al.

bioRxiv (Cold Spring Harbor Laboratory), Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 22, 2025

Frailty is an age-related geriatric syndrome, for which the mechanisms remain largely unknown. We performed a longitudinal study of aging female (n = 40) and male 47) C57BL/6NIA mice, measured frailty index derived metabolomics data from plasma samples. identify differentially abundant metabolites related to aging, determine via machine learning approach, generate union set features, both in whole cohort sex-stratified subgroups. Using we perform association build metabolomics-based clock. find that are enriched amino acid metabolism cofactors vitamins, include ergothioneine, tryptophan, alpha-ketoglutarate, present sex dimorphism. B vitamin flavin adenine dinucleotide pyridoxate as female-specific biomarkers, lipid sphingomyelins, glycerophosphoethanolamine glycerophosphocholine male-specific biomarkers. These associations confirmed validation cohort, with ergothioneine perfluorooctanesulfonate identified robust In summary, our results sex-specific metabolite biomarkers shed light on potential involved frailty.

Language: Английский

Citations

0

Influence of Posture and Sleep Duration on Heart Rate Variability in Older Subjects DOI Creative Commons
Emi Yuda,

Yutaka Yoshida

Applied Sciences, Journal Year: 2025, Volume and Issue: 15(5), P. 2504 - 2504

Published: Feb. 26, 2025

Japan is facing challenges associated with its super-aging society, including increased social security burdens and a rise in the elderly workforce due to declining younger labor force. Extending healthy life expectancy one countermeasure, necessitating lifestyle improvements such as frailty prevention ensuring adequate sleep duration. This study investigated relationship between heart rate variability (HRV) duration among older adults (aged ≥ 65) using electrocardiogram (ECG) three-axis accelerometer data from Allostatic State Mapping by Ambulatory ECG Repository (ALLSTAR) database, recorded January 2019 March 2021. Inclusion criteria required sinus rhythm recording durations ≥80%. Continuous 24 h were analyzed for 55,154 participants (mean age 76 ± 6). The results consistently showed significant differences HRV metrics, MRRI, SDRR, ULF, LF, HF, LF/HF, across groups (G1–G4). Short-sleep (G4) exhibited decreased MRRI SDRR suggesting active lifestyles but reduced HRV. Conversely, long-sleep (G1) LF/HF age-related declines ULF. These findings indicate that both insufficient excessive may contribute reduction adults. provides critical insights improving through tailored interventions exercise management.

Language: Английский

Citations

0

Quantification of healthspan in aging mice: introducing FAMY and GRAIL DOI
Dudley W. Lamming

GeroScience, Journal Year: 2024, Volume and Issue: 46(5), P. 4203 - 4215

Published: May 17, 2024

Language: Английский

Citations

3

Shared genetic architecture of type 2 diabetes with muscle mass and function and frailty reveals comorbidity etiology and pleiotropic druggable targets DOI
Chun Dou, Dong Liu, Lijie Kong

et al.

Metabolism, Journal Year: 2024, Volume and Issue: unknown, P. 156112 - 156112

Published: Dec. 1, 2024

Language: Английский

Citations

1

Can Functional Motor Capacity Influence Mortality in Advanced Chronic Kidney Disease Patients? DOI Open Access

Ángel Nogueira-Pérez,

Paloma Ruiz-López-Alvarado, Guillermina Barril

et al.

Nutrients, Journal Year: 2024, Volume and Issue: 16(16), P. 2689 - 2689

Published: Aug. 13, 2024

Alterations in the body’s nutritional status or composition may be observed as kidney disease advances, which could influence kidney’s functional capacity and, consequently, increase risk of mortality. The aim study is to determine on mortality assessed by different tests patients with advanced chronic (ACKD). A prospective observational was designed, included 225 followed for 8 years a CKD clinic. using range tests, Short Physical Performance Battery, 6 minutes walking gait test, timed up and go, four versions sit-to-stand test. Additionally, body conditions were considered, taking into consideration various biochemical indicators such albumin, prealbumin, c-reactive protein (CRP), lymphocytes, transferrin, muscle strength, comorbidity, frailty. relationship between functionality all-cause investigated Cox proportional hazard model. total fifty died during duration study. Patients who performed worse function strength showed status, exhibited reduced life expectancy. Inflammation (CRP) associated an increased (model 1: ratio (HR) = 1.246; 95% confidence interval (95% CI 1.014–1.531; model 2: HR 1.333; 1.104–1.610). Good determined SPPB test decreased 0.764; 0.683–0.855; 2 0.778; 0.695–0.872). Cut-off points maximum sensitivity specificity obtained tests. demonstrated that influences ACKD, being higher those impaired regardless used, although allows larger number assessed. Therefore, it essential incorporate assessment comprehensive care CKD.

Language: Английский

Citations

0

The Association between Dietary Flavonoid Intake and Frailty Risk among Middle-Aged and Elderly US Adults: A Nationally Representative Study DOI
Lin Wang,

Shuli Zong,

Sutong Wang

et al.

Food Bioscience, Journal Year: 2024, Volume and Issue: unknown, P. 105315 - 105315

Published: Oct. 1, 2024

Language: Английский

Citations

0