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Geriatrics, Gerontology and Aging
ISSN 2447-2123 · Brazilian Society of Geriatrics and Gerontology · 768 artikel di indeks
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Artificial intelligence and digital biomarkers in the early detection of Alzheimer’s Disease: a systematic review
Alzheimer’s disease (AD) is the leading cause of dementia worldwide, and early diagnosis remains an important clinical challenge, mainly due to the sensitivity, cost, and availability limitations of conventional diagnostic methods. In this context, artificial intelligence (AI)-based digital…
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Acute kidney injury and 30-day survival in older patients with sepsis: a retrospective cohort study, Joinville (SC), Brazil
Objective: To compare the characteristics and survival rates of older patients with sepsis with and without acute kidney injury (AKI). Methods: This retrospective cohort study included older patients (aged ≥ 60 years) admitted to the intensive care unit of a private hospital in Joinville, SC…
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Multidimensional assessment in mild to moderate dementia: a 1-year longitudinal study
Objective: To investigate changes in cognitive, neuropsychological, physical, and functional aspects, and quality of life in older adults with mild to moderate dementia over 1 year. Methods: This longitudinal study, approved by an Ethics Committee, included community-dwelling individuals aged ≥ 65…
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Recording of Multidimensional Assessment of the Older Adult findings in Brazilian municipalities after a care quality improvement intervention
Objective: To compare records of the Multidimensional Assessment of the Older Adult (AMPI) intervention between Brazilian municipalities that participated and did not participate in in-person care quality improvement workshops and analyze the association between volume of AMPI records, frequency of…
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Understanding stress vulnerability in aging: a cross-sectional study of older adults in a community-based program in Brazil
Objective: To determine the prevalence of perceived stress and to identify sociodemographic, nutritional, behavioral, and sleep-related factors associated with perceived stress among older adults enrolled in a community-based health program in Brazil. Methods: Analytical cross-sectional study of…
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Effects of a balanced cannabinoid extract on agitation and cognition in older adults with moderate Alzheimer's disease dementia: a randomized clinical trial protocol
Objectives: Alzheimer’s disease (AD) is often associated with agitation, which negatively impacts patients’ quality of life and increases the burden on caregivers. This protocol aims to investigate the effects of a balanced extract of Cannabis sativa, containing cannabidiol (CBD) and…
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Short-term, nudge-based strategies to promote physical activity in community-dwelling older adults: a pilot randomized crossover trial
Objective: Physical activity is essential for healthy aging. This pilot study preliminarily examined whether a short-term nudge-based behavioral intervention could influence objectively measured physical activity patterns and ensure psychological safety in community-dwelling older adults. Methods…
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The 10-minute Targeted Geriatric Assessment for institutionalized older adults: adaptation, content validation, and applicability
Objectives: To adapt the "social support" domain of the 10-minute Targeted Geriatric Assessment (TaGA), validate the content of the adaptation through expert consensus, and evaluate the applicability of the adapted instrument for older adults residing in long-term care facilities (LTCFs). Methods…
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Cultural participation among older adults: a mixed-methods study using the RADIANCE framework
Objective: To understand how older adults experience and ascribe meaning to cultural participation in an urban context, drawing on the RADIANCE model as an analytical framework. Methods: This qualitatively driven mixed-methods study combined semi-structured qualitative interviews with complementary…
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Barriers and facilitators to deprescribing in primary care in Brazil: a qualitative study of pharmacists' perspectives mapped to the Theoretical Domains Framework
Objective: To identify the main barriers and facilitators to deprescribing from the perspective of primary care pharmacists in Brazil. Methods: In this qualitative secondary analysis, we analyzed responses collected during a training session on medication deprescribing. Data were elicited through a…
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Prescription of multicomponent exercise in a population aged 80 and over in a Latin American city: randomized clinical trial
Objective: To assess the effects of a structured multicomponent exercise program (VIVIFRAIL) on physical function, autonomy, and health-related quality of life in older adults aged 80 years and over. Methods: A randomized controlled trial was conducted with 158 participants (79 per group), with a…
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Strategies to enhance exercise adherence among older adults with chronic pain: a narrative review
Exercise adherence has been considered a key determinant of clinical improvement in individuals with chronic pain. However, adherence rates are limited among older adults. This narrative review aimed to describe definitions of exercise adherence, explore associated barriers and facilitators, and…
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Association between self-perceived health, physical activity, and sedentary behavior in Brazilian older people: cross-sectional study with data from the VIGITEL survey, 2019
Objective: To investigate the association between self-perceived health (SPH), physical activity, and sedentary behavior among older Brazilians. Methods: Cross-sectional study using secondary data from the Surveillance System for Risk and Protective Factors for Chronic Diseases by Telephone Survey…
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Multicomponent exercise (ViviFrail®) for cognition and depressive symptoms in older adults: a protocol for a randomized controlled trial in socially vulnerable populations
Background: As global populations age, evidence-based exercise programs are increasingly important for promoting healthy aging. However, data on their effectiveness among socially vulnerable older adults in Latin America remain limited. Objectives: This study presents the protocol for a…
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ViviFrail® by videoconference: a multi-component exercise program for the oldest old during COVID-19
Objective: This pilot study, performed during the COVID-19 pandemic, assessed the efficacy of a home-based, videoconference-delivered multicomponent exercise program (ViviFrail®) for mitigating functional decline among the oldest old (≥ 80 years) affected by social isolation. Methods: This…
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Portraits of Brazil: a current overview of graduate programs in Geriatrics and Gerontology
Population aging places significant demands on the training of professionals specialized in geriatrics and gerontology. This article presents an updated overview of graduate degree and nondegree programs in these fields in Brazil, highlighting advances, challenges, and future perspectives. The…
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Brain health initiative: protocol for a longitudinal study with a multifaceted intervention
Objectives: This protocol aims to explore the relationship between lifestyle and brain health biomarkers, assess the effects of a multifaceted intervention, and identify factors linked to brain resilience in middle-aged adults. Methods: Adults aged 40–59 years from Porto Alegre, RS, Brazil without…
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Mania as the first presentation of vascular cognitive disorder: case report
Background and objective: Vascular cognitive disorder, a major cause of dementia and disability, arises from cerebrovascular pathology and often presents with a broad spectrum of cognitive and neuropsychiatric symptoms. Neuropsychiatric manifestations, such as mood disturbances, psychosis, and…
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Long-term care: moving towards the establishment of a national care system in Brazil
Rapid population aging has intensified the demand for long-term care, particularly in Brazil and Latin America. Long-term care facilities for older adults have become a strategic pillar of this debate, moving beyond historical stigma to assume a role as socio-healthcare facilities of fundamental…
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Amazonian dance for Parkinson’s disease: a new community-based exercise approach to improve balance and functional performance
Objective: This exploratory/pilot study analyzed the effects of a 12-week program of Amazonian dance on balance and functional performance in community-dwelling people with Parkinson’s disease. Methods: The Amazonian dance program consisted of 2 60-minute sessions per week for 12 weeks. Balance was…