Associated factors of successful aging among community-dwelling older adults in a rural area of Indonesia: a cross-sectional study

[2026-08-19] Factors Associated With Locomotive Syndrome Severity Among Community-Dwelling Older Adults With Type 2 Diabetes: A Cross-Sectional Analytical Study

Background: Locomotive syndrome (LS) threatens mobility and functional independence among older adults with type 2 diabetes mellitus (T2DM). Evidence remains limited regarding multilevel factors associated with LS severity in community-based primary care settings. Objective: To examine social ecological model aligned factors associated with LS severity among community-dwelling older adults with T2DM. Methods: A cross-sectional analytical study was conducted in primary care units and community health centers in Suphan Buri province, Thailand. Multistage sampling recruited 253 adults aged 60 years or older with physician-diagnosed T2DM. LS severity was assessed using the 25-item Geriatric Locomotive Function Scale. Predictors included demographic and clinical characteristics, nutritional status, health literacy, family and social support, patient-provider communication (PPC), and access to healthcare services. Pearson correlation and hierarchical multiple linear regression were used. Results: Participants had a mean (SD) age of 68.5 (6.2) years, and 64.8% were female. Mean (SD) GLFS-25 score was 32.5 (14.8). In bivariate analyses, LS severity was positively correlated with neuropathy risk, age, and polypharmacy and negatively correlated with nutritional status, health literacy, access, PPC, and family and social support. The final hierarchical model was statistically significant (R = 0.568; R² = 0.323; adjusted R² = 0.300; F[8,244] = 14.55; P < .001). Greater LS severity was associated with neuropathy risk (B = 6.47; β = 0.22; P < .001), older age (B = 0.41; β = 0.17; P = .002), and polypharmacy (B = 0.66; β = 0.14; P = .010). Better nutritional status was associated with lower LS severity (B = -1.41; β = -0.20; P < .001). Conclusions: LS severity was associated mainly with clinical burden and nutritional status. Causal and temporal relationships cannot be inferred from these cross-sectional data.

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 205 adults aged ≥ 60 years participating in a university-based community health and physical activity program in Goiás, Brazil. Perceived stress was assessed using the 10-item Perceived Stress Scale (PSS-10). Independent variables included sociodemographic characteristics, nutritional status, lifestyle behaviors, and sleep quality. Binary logistic regression was used to identify factors independently associated with perceived stress. Results: The prevalence of higher perceived stress levels among participants was 61%. Women had substantially higher odds of perceived stress compared with men (OR 5.32; 95%CI 2.39 – 11.83). Single or widowed participants also showed higher odds (OR 4.41; 95%CI 1.68 – 11.58). Low intake of fruits and vegetables was associated with nearly fourfold higher odds of perceived stress (OR 4.06; 95%CI 1.53 – 10.76). Participants in middle and upper economic classes also showed higher odds (OR 5.47 and 6.72, respectively). Poor sleep quality was strongly associated with perceived stress (OR 4.29; 95%CI 1.57 – 11.73). Conclusion: Perceived stress was highly prevalent among older adults participating in this community-based program and was associated with sociodemographic characteristics, dietary patterns, and sleep quality. These findings highlight the importance of integrated public health strategies addressing lifestyle behaviors, social support, and sleep health in similar community-based contexts.

Factors Associated With Locomotive Syndrome Severity Among Community -Dwelling Older Adults With Type 2 Diabetes: A Cross-Sectional Analytical Study

Rethinking successful aging concepts: Insights from a culturally grounded model among older adults in Odisha, India

Despite the widespread use of the biomedical model of successful aging, it overlooks the cultural and lived experiences of older adults in low- and middle-income countries, such as India. Therefore, this cross-sectional study aims to empirically test a culturally grounded model of successful aging in India. Using a multistage stratified sampling with a structured interview schedule, this study used 600 older adults aged 60 years and above from Odisha, India. We used a dichotomous measure of successful aging, which includes 1) being free from disability, 2) having high cognitive function, 3) being engaged in physical activity, 4) experiencing social engagement, and 5) having a positive attitude towards physical health. Descriptive statistics and correlation analysis were carried out to present the initial results. An association between successful aging and explanatory variables was carried out by multivariable logistic regression. One in five older adults fulfilled the requirements for successful aging with rural disadvantage. Being highly educated (AOR: 8.47; 95% CI: 2.89-24.82), having higher wealth (AOR: 4.86; 95% CI: 1.14-20.68), and living with a spouse only (AOR: 8.51; 95% CI: 1.91-37.98) had higher odds of successful aging. Positive psychology towards physical health had a strong positive correlation with successful aging (r = 0.68, p<0.001), whereas disability was found to have a significant negative correlation (r = -0.61, p<0.001). These findings highlight the inadequacy of universalist, biomedical definitions in capturing the lived experiences of Indian older adults, where education, familial roles, and wealth status were integral for successful aging. Policies should support family- and community-centered aging policies, including incentives for intergenerational co-residence and caregiving, which can foster stronger social support networks and improve overall well-being in later life. Additionally, there is a need for further qualitative studies to understand how older adults in rural Odisha define and perceive successful aging.

A Study on the Depressive Symptoms and Life Satisfaction Among Middle-Aged and Older Adults in China Based on CHARLS 2020 Data

Sleep deprivation, as well as different types of social engagement, physical activity, physical activity, and digital behavior, exhibit distinct associations with depressive symptoms in middle-aged and older adults in China.

FAMILY ROLE AND MENTAL HEALTH AMONG COMMUNITY-DWELLING OLDER ADULTS: A CORRELATIONAL STUDY IN INDONESIA

Background: Population ageing has become a major public health concern, particularly in low- and middle-income countries where older adults are at increased risk of mental health problems. Family plays a central role in providing emotional, social, and practical support that may contribute to maintaining psychological well-being among older adults. However, evidence regarding the relationship between family role and mental health among community-dwelling older adults in Indonesia remains limited. Objectives: This study aimed to examine the relationship between family role and mental health among community-dwelling older adults in Indonesia. Methods: A community-based correlational study with a cross-sectional design was conducted among older adults residing in Indonesia. Participants were selected using a probability sampling technique and met the predefined inclusion criteria. Data on family role and mental health status were collected using validated structured questionnaires. Descriptive statistics were used to summarize participant characteristics, while the relationship between family role and mental health was analyzed using Spearman's rank correlation test. Statistical significance was determined at p < 0.05. Results: The findings demonstrated that participants who perceived stronger family roles tended to have better mental health status. Statistical analysis revealed a significant positive correlation between family role and mental health among community-dwelling older adults (p < 0.05). Older adults who received adequate emotional support, effective communication, and active family involvement exhibited better psychological well-being and fewer symptoms of emotional distress than those with limited family support. Conclusion: Family role is significantly associated with mental health among community-dwelling older adults. Strengthening family involvement through supportive communication, emotional care, and active participation in daily living may contribute to improved mental well-being in older adults. Family-centered interventions should be incorporated into community health programs to promote healthy ageing and prevent mental health problems among older populations.