Search Results (79)

Background: As societies worldwide experience rapid aging, maintaining psychological well-being in later life is increasingly important. In Japan, where spirituality often takes noninstitutional forms, the concept of spiritual health remains underexplored. Purpose in Life (PIL), a core component of spiritual health, has been shown to predict well-being and healthy aging, yet its correlates remain unexplored in rural Japanese populations. This study aimed to assess PIL levels and examine its sociodemographic, social and health-related correlates among older adults living in Shimane Prefecture, a super-aged region in Japan. Methods: A cross-sectional survey (May–August 2024) included 308 adults aged ≥65 years. The 20-item PIL scale categorized respondents into low, moderate, and high PIL. Group differences were examined with chi-square/Fisher tests; unadjusted associations were used with ordered logistic regression. Multivariable analyses used a generalized (partial) proportional-odds model, adjusted for age and sex, with results reported as odds ratios and 95% CIs. Results: 42.9% of participants were classified as high PIL and 18.8% as low. Volunteering showed threshold-specific effects: it was unrelated to moderate PIL levels but was associated with approximately 2.4-times higher odds of high PIL (95% CI 1.32–4.38, p = 0.004). University education showed a trend-level association with higher PIL after controlling for false discovery rate (aOR 3.16, 95% CI 1.28–7.82, p = 0.013). The worse self-rated health was associated with lower PIL after adjustment. Conclusions: Subjective health and psychosocial engagement are key correlates of PIL in rural older adults. Culturally sensitive interventions may help promote purpose and well-being in aging populations. Full article

Background: As South Korea transitions into a super-aged society, promoting sport participation among older adults is increasingly vital for physical health, emotional well-being, and social inclusion. Objective: This study examines how the interplay between gender and social stratification influence sport participation and health among South Koreans aged 60 and above. Methods: Using data from the 2024 Korea National Sports Participation Survey (n = 1779), this study employed Multiple Correspondence Analysis (MCA), cross-tabulation, and one-way ANOVA with Scheffé’s post hoc tests to examine differences in sport participation and health by gender and social stratification such as income, education, and occupation. Results: The analysis revealed significant differences in sport participation and subjective health outcomes by gender and social stratification. Among older men, sport participation varied strongly by socioeconomic status: higher-status men participated in golf, cycling, and bodybuilding, whereas those from lower strata mainly engaged in walking and gateball. In contrast, older women’s participation types were less stratified and more influenced by gender norms, with consistent involvement in walking, aerobics, yoga, and stretching. One-way ANOVA showed statistically significant differences (p < 0.001) in subjective health status and physical fitness by all socioeconomic variables for both genders. Conclusions: Older adults’ sport participation and health in South Korea are constrained by both socioeconomic inequality and entrenched gender norms. Promoting equitable active aging requires policies that both reduce socioeconomic barriers and challenge restrictive gender norms. Full article

Background/Objectives: This study examined the prevalence of depression among older adults in Busan—the first metropolitan city in South Korea to become a super-aged society—and identified the social environmental factors associated with depression. Methods: Using data from the 2023 Korea Community Health Survey (KCHS), 5143 individuals aged 65 and older residing in Busan were analyzed. Depressive symptoms were measured using the PHQ-9, and social environmental factors—including unmet medical needs, satisfaction with the community environment, participation in social activities, and frequency of social contact—were derived from KCHS items. Descriptive statistics and logistic regression were performed using SPSS, version 29.0. Results: Participants’ mean age was 73.50 ± 0.11 years, and 54.4% were female. The average depression score was 2.85 ± 0.06, with 3.7% having moderate, 1.2% moderately severe, and 0.4% severe depression. Logistic regression revealed that low healthcare accessibility was significantly associated with higher odds of moderate-to-severe depression (OR = 2.54, 95% CI = 1.78–3.62). Conversely, higher satisfaction with community environment (OR = 0.80, 95% CI = 0.73–0.87) and greater participation in social activities (OR = 0.68, 95% CI = 0.53–0.87) were associated with lower odds of depression. Conclusions: Depression in older adults is a multidimensional phenomenon shaped by the complex interplay of individual, health-related, and socio-environmental factors. Region-specific, community-based programs that enhance living environments, expand social participation, improve healthcare access, and promote positive health perceptions are essential. These findings can inform integrated nursing and policy interventions that support healthy aging and enhance older adults’ well-being. Full article

As the Buddhist monastic community in Korea has entered an era marked by aging demographics, the issues surrounding the welfare of the order’s monastics in their retirement years have become increasingly pressing. In response, in 2011, the Jogye Order enacted the Monastic Welfare Act and established the Monastic Welfare Society with the aim of enabling monks to fully devote themselves to their religious duties by assuming institutional responsibility for their healthcare, pension, residential welfare, and end-of-life needs. Over a decade since the system’s implementation, the Jogye Order has achieved notable progress towards achieving the Monastic Welfare Act’s aims. However, while the order has stabilized medical coverage for its clergy, there remain considerable gaps in its provisions for income and housing for elderly monastics. This article surveys the Jogye Order’s efforts to establish systemic care for its elderly monastics, with a particular focus on the Jogye Order’s 2011 Monastic Welfare Act and subsequent activities of the Monastic Welfare Society. It then critically examines the current state of eldercare within the order, along with its strengths and weakness, before engaging in a comparative discussion regarding the clerical eldercare and welfare systems provided by both the Korean Catholic Church and the Thai Buddhist community. Full article

Background/Objectives: As population aging garners attention worldwide, there is great significance in communicating information on such measures to countries outside of Japan, which is considered unique in its position as a “super-aging society.” This study objectives to investigate public health measures linked to daily life by clarifying how the role transitions of local residents in their 60s, such as seeking re-employment, looking after grandchildren, and caring for family, affect their health status. Methods: We conducted focus group interviews with 26 residents and analyzed them qualitatively and inductively. Result: The findings suggested that, in predicted role transitions voluntarily chosen by participants, they tended to experience positive changes in health through the transition, although temporary feelings of fatigue were also described in relation to re-employment and grandchild care. Even in anticipated role changes, some participants expressed reluctance to engage in health-promoting activities within the local community. In cases of unavoidable role transition to family caregiving, participants described difficulties in maintaining self-care and feelings of caregiving fatigue that were challenging to manage through personal effort alone. These findings suggest that health support during role transitions in one’s 60s may benefit from including information about community activities and opportunities to build connections with local residents. In addition, support for those transitioning into caregiving roles could focus on facilitating access to social resources and tailoring assistance to individual needs. Conclusions: This study confirmed to specifically target health support for people in their 60s based on the results of this study, the focus on the transition needs to include not only role transition to re-employment but also unavoidable transition to caregiving. Full article

Background/Objectives: South Korea is rapidly transitioning into a super-aged society, increasing the importance of care services to ensure the health and quality of life of older adults. Although the number of professional caregivers has steadily grown, these workers face a high risk of depression due to the emotional labor inherent to their roles. This study aimed to analyze factors influencing depression among female professional caregivers by employment type (full-time and part-time) and to explore policy and practical intervention strategies to promote their mental health. Methods: Using data from the Korea Occupational Safety and Health Agency, we selected 223 professional caregivers with at least 1 year of work experience. After excluding insincere responses and male participants, 217 participants were included in the final analysis: 121 full-time and 96 part-time professional caregivers. Results: We found that full-time workers experienced higher levels of depression when they lacked access to health and safety education and could not use paid leave. Part-time workers experienced high levels of depression when engaging in physical activity <3 days per week and when exposed to violence. Conclusions: Based on these findings, the study recommends regular and systematic health and safety education, the establishment of substitute worker support to facilitate paid leave use, promotion of physical activity through education and community programs, regular violence prevention education, and comprehensive support systems for victims. This study is significant in empirically identifying depression risk factors by employment type among female professional caregivers. Future research should include male professional caregivers and employ more advanced measurement tools and longitudinal designs. Full article

As Thailand transitions into a super-aged society, falls are a rising public health issue. However, limited research focuses specifically on independent older adults in rural areas. This study examined intrinsic and extrinsic factors associated with falls among independent older adults in a rural district of southern Thailand, contributing to localized fall prevention strategies. A cross-sectional study was conducted using multi-stage probabilistic sampling with 325 older adults aged 60–79 years residing in Nakhon Si Thammarat. Data were collected through structured interviews, and multivariate logistic regression was used to identify fall predictors. A fall was defined as an unintended fall to a lower level within the previous 12 months. The fall prevalence was 29.8%, with the majority resulting in minor injuries. Multivariate analysis revealed protective factors, including sociodemographic factors such as higher monthly income (adjusted OR = 0.47; 95% CI: 0.30–0.74) and agricultural employment (adjusted OR = 0.50; 95% CI: 0.27–0.95), as well as the extrinsic factor of pet ownership (adjusted OR = 0.53; 95% CI: 0.35–0.81), were significantly associated with reduced fall risk. The study highlights context-specific protective factors that could inform community-based interventions. Future research should assess causality and intervention effectiveness in broader populations. Full article

Background: While Asia contributes 44.3% of traumatic brain injuries (TBI) worldwide, data regarding Asian TBI inpatient rehabilitation length of stay (RLOS) is scarce. A retrospective cohort study was conducted to determine correlates of inpatient RLOS (days) and prolonged RLOS >30 days (PRLOS > 30). (2) Methods: Data extraction of discharged inpatient records was performed from 2018 to 2024. Dependent variables included RLOS (days) and PRLOS > 30. Independent variables included demographic characteristics, TBI severity (emergency-room Glasgow Coma Scale-GCS), admission/discharge Functional Independence Measure (FIM), intra-rehabilitation complications, post-traumatic amnesia (PTA) duration, and discharge placement. (3) Results: Altogether, 289 data sets were analysed, median (IQR) age, 64 (28) years, 78.9% (228/289) males, and 79.6% (230/289) Chinese. Median (IQR) RLOS was 28 (21) days, with PRLOS >30 at 39.8% (115/289); RLOS of 44 (19.5) days. PRLOS > 30 was significantly associated with PTA duration >28 days (OR 4.01, 95% CI 1.90–8.45, p < 0.001), admission FIM ≤ 40/126 (OR 4.71, 95% CI 2.32–9.59, p < 0.001), delayed neurosurgical complications (OR 4.74, 95% CI 1.28–17.6, p = 0.02) and discharge to non-home destination (OR 2.75. 95% CI 1.12–6.76, p = 0.03). (4) Conclusion: PRLOS >30 was significantly associated with longer PTA > 4 weeks, lower admission FIM score, delayed neurosurgical complications, and discharge to a nursing home. Full article

Background: In rapidly aging societies like Japan, socioeconomic status (SES) plays a critical role in shaping older adults’ health behaviors. Disparities in SES influence access to healthcare, engagement in health-promoting activities, and the adoption of digital health technologies. This narrative review synthesizes current evidence on how SES affects health behaviors among older adults and highlights challenges in promoting equitable and sustainable healthcare in aging populations. Methods: A PubMed search was conducted for English-language articles published up to May 2025 using the keywords “socioeconomic status”, “older adults”, and terms related to health behaviors. Studies were included if they focused on individuals aged 65 or older and examined associations between SES and healthcare use, digital health, complementary and alternative medicine (CAM), supplements, or lifestyle behaviors. Results: A total of 24 articles were identified. Higher SES—typically measured by income, education, and occupation—was consistently associated with an increased use of preventive services, digital health tools, CAM, and healthier lifestyle behaviors such as diet, physical activity, and sleep. In contrast, lower SES was linked to healthcare underuse or overuse, digital exclusion, and less healthy behaviors. Structural and regional disparities often reinforce individual-level SES effects. Comorbidity burden and shifting health perceptions with age may also modify these associations. Conclusions: SES is a key determinant of health behavior in older adults. Policies should focus on redistributive support, digital inclusion, and SES-sensitive health system strategies to reduce disparities and promote healthy aging in super-aged societies. Full article

Japan’s shift to a super-aged society is reshaping household carbon footprint (HCF) in ways that vary by age, income, and region. Drawing on a two-tier national–prefectural framework, we quantify the influence of demographic shifts on HCF and evaluate inequalities, and project prefectural HCF to 2050 under fixed 2005 technology and consumption baselines. Nationally, emissions follow an inverted-U age curve, peaking at the 50–54 s (2.16 tCO₂) and dropping at both the younger and older ends. Carbon inequality—the gap between high- and low-income households—displays the opposite U shape, being the widest below 30 and above 85. Regional HCF patterns add a further layer: while the inverted U persists, its peak shifts to the 60–64 s in high-income prefectures such as Tokyo—where senior emissions rise by 44% by 2050—and to the 45–49 s in low-income prefectures such as Akita, where younger age groups cut emissions by 58%. Although spatial carbon inequality narrows through midlife, it widens again in old age as eldercare and home energy needs grow. These findings suggest that a uniform mitigation trajectory overlooks key cohorts and regions. To meet the 2050 net-zero target, Japan should integrate age-, income-, and region-specific interventions—for example, targeted carbon pricing, green finance for middle-aged consumers, and less-urban low-carbon eldercare—into its decarbonization roadmap. Full article

Background: This study examines how social and geographical factors shape life satisfaction among older adults in South Korea, which became a super-aged society in 2024. As Korea moves toward implementing a nationwide integrated eldercare system by 2026, understanding the contextual determinants of wellbeing among older populations is critical for effective policy design. Methods: We use nationally representative survey data and apply a two-stage instrumental variable regression approach to address potential endogeneity in estimating the effects of key predictors on life satisfaction. Results: Subjective health and social connectedness are positively associated with life satisfaction. Physical activity shows context-specific effects, with notable differences between urban and rural areas. Surprisingly, greater accessibility to government services is linked to lower levels of physical activity, indicating a possible unintended consequence of well-intentioned policy measures. Gender differences are also evident: in urban areas, women report higher life satisfaction than men, whereas in rural areas, men report higher satisfaction than women. Conclusions: These findings highlight the need for aging policies that are context-sensitive and socially inclusive. Policymakers should consider regional and gender-specific dynamics when designing programs to improve life satisfaction among older adults in a rapidly aging society. Full article

Ageing in place is the ability to remain in one’s community, where living conditions foster a sense of attachment that enhances holistic well-being. To facilitate this, both the built and social environments within which the home is nested must be conducive to successful ageing. This paper deconstructs the merits of ageing in place, specifically how attachment to the lived environment contributes to holistic well-being. We analysed data from 6020 participants in the Singapore Life Panel^® using path models, where we examined three dimensions of ageing in place: place identity, continuity, and social inclusion. Five path analyses show that two dimensions of ageing in place mediated the relationship between well-being and factors such as social isolation, number of close neighbours, social support, and satisfaction with amenities, but not living arrangements. Social inclusion consistently showed no significant relationship with well-being across all models. These findings suggest that the quality of social connections, rather than physical living arrangements, is important for well-being, and that social inclusion needs to be more appropriately contextualised. Our study contributes to policy discussions on how supporting older adults to age in place can enhance their overall well-being. Full article

This study empirically analyzed whether any differences exist in older adults’ motivations to use senior citizen centers based on the type of eldercare system, focusing on senior citizen centers in Yeongdo-gu, Busan, South Korea. First, the main factors influencing older adults’ use of senior citizen centers were identified through previous studies. Subsequently, data were collected through a survey. Data groups were categorized according to the type of eldercare system, and multiple regression analysis was conducted to assess the association between the main variables for each type of eldercare system. It was found that the primary age group of older adults using senior citizen centers was 65–69 years, with home- and community-based care being their primary choices. Furthermore, community-based and institutional care facilitated connections within the community, encouraged social interaction among older adults, and fostered intergenerational interaction and social contribution. Home-based care was strongly motivated by emotional stability and the desire to maintain independent living. Finally, participation in cultural activities was common and significant across all eldercare system types, confirming that senior citizen centers play a crucial role in providing cultural experiences and opportunities for older people, as opposed to simply serving as recreational spaces. Full article

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

Chronic constipation is more common in the elderly and associated with numerous diseases. For the diagnosis of chronic constipation in the elderly, it is essential to exclude constipation secondary to colorectal cancer or other causes. Chronic constipation in the elderly also often requires lifestyle modifications, as well as drug treatments because of the involvement of pathologies such as reduced colonic transport capacity and rectal hyposensitivity. Therefore, it is extremely important to evaluate the pathophysiology of both the colon and the rectum. Transabdominal ultrasonography (TUS) is a key technique for providing comprehensive medical care and allows simultaneous functional assessment and exclusion of organic diseases related to constipation such as colorectal cancer. Although several studies have reported the clinical utility of TUS for chronic constipation, which includes its simplicity, noninvasiveness, and low cost, the majority were in children. Thus, there are limited studies in adults. Herein, we review the utility of TUS for indirect assessment of colonic transit time using several TUS parameters that can be applied clinically, as well as treatment options for chronic constipation. The constipation index (i.e., mean transverse diameter of the colon), assessed by TUS, is a useful indirect indicator of colonic transit time. If the constipation index is <21.2, increased fiber or treatment with osmotic agents should be used. If the constipation index is ≥21.2, then the ratio of the left to the right lateral colonic diameters should be evaluated. If this value is ≥0.5, a secretagogue or bile acid transporter inhibitor should be administered. It is noteworthy that nursing care is becoming increasingly important in Japan’s super-aging society. A significant proportion of nursing care is provided to patients with chronic constipation, a cohort that is predicted to grow in the future. In these patients, fecal masses often remain in the rectum, which may require an enema or stool extraction. Therefore, it is important to assess both the presence of feces in the rectum and the consistency of the feces. Recently, portable ultrasound (US) devices equipped with artificial intelligence have been developed and used clinically for treatment of patients with chronic constipation in nursing care. Rectal findings using portable US devices can aid in selecting appropriate constipation treatments. Thus, portable US will likely become increasingly important as a next-generation examination device in nursing care. TUS (including portable US) is noninvasive, simple, and repeatable and will become a fundamental modality in the management of chronic constipation. Full article