bluuebunny/crossref_metadata_2025_split huggingface dataset:
Kuakini HHP Center for Translational Research on Aging: An Introduction
Authors: Willcox Bradley , Masaki Kamal , Donlon Tim , Willcox Donald , Morris Brian , Allsopp Richard 
Published: December 2021

Abstract
Kuakini Medical Center (Kuakini) is establishing an interdisciplinary Hawai’i-based Center of Biomedical Research Excellence (COBRE) for clinical and translational research on aging. - Specific Aim 1: Create a world class, innovative, interdisciplinary Center for Translational Research on Aging by building on the existing rare and valuable Kuakini Honolulu Heart Program (Kuakini HHP) and its related studies and research infrastructure. - Specific Aim 2: Advance the genomic, biological and clinical science of aging, and enhance the world class character of our Center, by enlisting accomplished senior scientists to mentor promising Hawaii-based new investigators in interdisciplinary aging research and career development. - Specific Aim 3: Elevate the capacity of our Center by: i) creating a state-of-the-art Clinical and Translational Core, and ii) collaborating with other Centers of Biomedical Research Excellence. This presentation will briefly introduce the Center and discuss its aims, research strategy, and future plans.
Maintaining Energy: A Potential Transformative Power to Adapt to the Challenges of Older Age?
Authors: Ehrenkranz Rebecca 
Published: December 2021

Abstract
Reduced energy is a hallmark feature of aging. Maintaining higher energy late in life may be a key adaptive strategy to the challenges that accompany older age and ultimately promote resilience. Perceived lack of energy is often construed as synonymous with fatigue, and energy and fatigue are frequently considered opposite aspects of the same phenomenon. However, evidence suggests that energy and fatigue have distinct underlying neurobiology. Further exploration of the energy/fatigue dichotomy is needed in community-dwelling older adults free of neuropathologies and clinically overt conditions. This symposium will first present clinical and epidemiologic justifications for operationalizing energy as a separate construct from fatigue and then will provide evidence on the underlying neurobiological correlates. Taken together, our results suggest perceived energy: a) overlaps with but is distinct from lower fatigability (Katz); b) may signal resilience against age-related declining mood and gait speed despite self-reported tiredness (Ehrenkranz); c) appear negatively influenced by Alzheimer’s neuropathology (Dougherty); and d) may reflect a distinct spatial distribution of brain functional connectivity (Hengenius). Thus, this symposium will explore energy as a mechanism related to yet distinct from fatigue and its implications for both healthy aging and neuropathological processes.
Reinventing Housing Care: Environmental Negotiations Made in Congregate Settings During COVID-19
Authors: Johnson Ian , Lewinson Terri 
Published: December 2021

Abstract
The COVID-19 pandemic prompted an urgent reconsideration of space and place within congregate housing. Research has only underscored the need for health-promoting physical alterations to residential environments (Peters & Halleran, 2020), but also generated lasting questions about the relationships between congregate environments and their residents, visitors, and workforce —among them, what ways can environments be negotiated to reduce risk (Dosa et al., 2020)? How can environments enact care for formal caregivers (Chen & Chavalier, 2021)? Who might be challenged by this care which may question the dangers associated with proximity (Lynn, 2020)? This symposium focuses on the ways stakeholders within congregate housing observed, related to, and negotiated changes to space and place during the pandemic. Paper 1 presents an organizational case study investigating provider perspectives of how housing and healthcare responses to COVID have shaped palliative care with unhoused patients during the pandemic. Paper 2 highlights the collaborative work of a multi-sector coalition working to address timely needs of residents in low-income senior buildings. Paper 3 reflects on the formation of a cross-national senior housing network and the interdisciplinary exchange of best practices and policy recommendations that emerged. The collective findings of these papers challenge previous notions of care in congregate environments, illuminate how provider networks respond to crises and share emergent knowledge, and consider how institutional decisions about the pandemic have re-placed and re-spaced provider and patient experiences. This symposium offers observations and strategies that may assist in envisioning successful congregate care during COVID-19 and beyond.
The Enactment of Care: Lessons Learned From a Multisector Coalition Advocating for Those Living in Senior Housing
Authors: Perry Tam , Sanford Claudia , Archambault Dennis , Waktins Michele , Kilgore Zach , Appel Michael 
Published: December 2021

Abstract
This presentation explores how a coalition, Senior Housing Preservation-Detroit, considered and planned for “care” in senior buildings in Detroit, Michigan. Detroit was one of the American cities affected in the early days of the pandemic; the coalition pivoted its work in creative, collaborative ways which included understanding the rapidly changing context for those living in low-income senior buildings. Older minority adults have been shown to be disproportionally affected by COVID-19; the coalition successfully advocated for testing to be brought to senior buildings (and now vaccine distribution) and addressed mask distribution and food insecurity in several senior buildings (see Archambault, Sanford and Perry, 2020). Without the long-established partnerships, “care” could not have been as coordinated, multi-sector and trusted. The presentation will discuss lessons learned that can be applied to future challenges in supporting the well-being of residents as they negotiate their residential spaces.
Day and Night, Night and Day: Associations of Sleep and Activity Variability and Mortality
Authors: Benson Jade , Jauregui Elena , Lauderdale Diane 
Published: December 2021

Abstract
Self-reported sleep duration has been repeatedly found to predict mortality. Actigraphy has recently been added to population-based studies to provide more accurate sleep measures. Actigraphy sleep duration has not consistently predicted mortality, but actigraphy measures of sleep disruption measures are generally found to be predictive of mortality for older adults. A few studies have more fully used actigraphy data and constructed variables to summarize 24-hour activity patterns, which have also predicted mortality. In this study, we use a nationally representative study of Americans aged 61 – 91 to examine the associations between mortality and actigraphy-derived measures of variability, for both sleep and 24-hour activity patterns. We use 72-hour wrist actigraphy data from a substudy of the 2010/11 round of the National Social Life, Health and Aging Project (NSHAP) linked to the National Death Index (NDI) to establish 5-year mortality. Sleep variability was represented by sleep fragmentation and the standard deviation of wake and bed times. Intraday variability and between day (interday) variability described the 24-hour activity patterns. Cox proportional hazards models were adjusted for sociodemographic confounders and average daytime activity. In general, more variability was associated with increased death hazard for all measures. Fragmentation (HR: 1.04, 95% CI: [1.01, 1.07], p = 0.01), standard deviation of bedtimes (HR: 1.16, 95% CI: [1.02, 1.31], p = 0.02), and intraday variability (HR: 1.19, 95% CI: [0.98, 1.43], p = 0.07) showed the strongest associations. This study suggests that both consistent sleep and 24-hour activity patterns are associated with better prospective health.
Experience Design Studio for Social Connection of Older Adults
Authors: Der Ananian Cheryl , Mejía G Mauricio , Doebbeling Brad 
Published: December 2021

Abstract
Social isolation and loneliness are pressing health concerns in older adults, likely exacerbated by social distancing guidelines enacted during COVID-19. Creating effective interventions to address health issues is challenging. Design is an alternative approach to create innovative interventions and to test their preliminary potential. In the present case study, we describe the processes and outcomes of a four-week project in a graduate design studio. Students were asked to develop a prototype for an intervention using digital technologies to increase social connectedness among older adults. This was an interdisciplinary process guided by faculty with expertise in design (Mejía), healthcare redesign (Doebbeling), and gerontology (Der Ananian). In the first week, the faculty helped the students understand the design goals, the implications of social isolation and loneliness, and technology use in older adults. In the second week, students conducted user interviews. In the third week, students set the problem by defining a specific potential audience and context. They also prototyped two preliminary concepts using storyboards and received feedback from the faculty. In the last week, students presented refined prototypes with storyboards, user flows, and interface mockups. Student design ideas included an audio story-sharing app that facilitates conversations and new friendships, an assistance digital service for immigrant older adults that need support with language or cultural challenges, and an art and crafts subscription service with a sharing platform to connect older adults with similar interests. The students' design projects provided innovative technological approaches for improving social connections and could be used in future R&D.
The Experience of Health Care Workers Caring for Older Adults During the COVID-19 Pandemic
Authors: Washington Tiffany , Lewinson Terri , Morgan Jennifer Craft 
Published: December 2021

Abstract
Older adults are at increased risk for COVID-19 illness, hospitalization, and mortality. Essential health care workers became the backbone of their care during the pandemic, and their experiences are worthy of discussion. This symposium will highlight the emotional impact of COVID-19 on health care workers, and their scope of practice in various health settings. Using data from a cross-sectional survey, presenter one will describe concerns and coping strategies among nursing home social workers during COVID-19. Next, presenter two will present findings on the emotional health and wellbeing of home care workers. Then, presenter three will describe the experience of the VA’s strike teams sent into 82 Florida nursing homes most impacted by COVID. Presenter four will describe findings from a qualitative study on emotional distress experienced by hospital-based medical directors, nurse practitioners, and other health care workers. Finally, presenter five will describe findings from a scope of practice among health care social workers study, with an emphasis on how policies in their respective settings impacted their work. Taken together, the presenters’ findings in this symposium have implications for practice and policy recommendations to improve the experience of health care workers during pandemics.
Late Working Life Patterns in Sweden
Authors: Öylü Gülin , Kelfve Susanne , Motel-Klingebiel Andreas 
Published: December 2021

Abstract
Late working life patterns differ across different social groups and birth cohorts. The mechanisms of these participation differences and role of working life policies can be understood better by using additional working life indicators and historical perspective. This paper investigates how late working life patterns of different age, gender, education groups and birth cohorts are structured in Sweden using participation, employment type, employment break and exit trajectories of different groups. Using Swedish National Registry Data, employment trajectories of the age groups of 60-68 of the birth cohorts 1930, 1935, 1940, 1945 and 1950 are followed. Results show that for all birth cohorts, participation is higher for younger age groups, men and higher educated; leaving the working life before 61 is more common among primary educated; changing employment type in late working life is observed more among higher educated men and usage of sickness compensation is higher among primary educated and women. However, the peak age that individuals exit, and experience employment breaks differs over the years. In addition, although higher educated individuals have lower shares in usage of unemployment and sickness compensation for all birth cohorts, the structure of benefits usage of the other education and gender groups change over the years. Overall, results give important insights how changes in working life policies affect working life patterns of different groups over the years.
Geriatrics Perspectives From Japan
Authors: Akishita Masahiro , Mochizuki Satoru 
Published: December 2021

Abstract
In 2025, Japan’s baby boomers will cross the threshold of 75 years of age; a phenomenon that has been referred to as “the 2025 crisis”, resulting in a significant burden on the healthcare system. To address this issue, the Japanese government is establishing the Integrated Community Care System, to provide comprehensive medical and long-term care services in each community. In cooperation with government and affiliated organizations, the Japan Geriatrics Society (JGS) has been working to develop the Integrated Community Care System. As a result of this effort, geriatric medicine is being integrated into the health care system through incentives for practitioners. For instance, medical facilities can be reimbursed if they perform comprehensive geriatric assessments (CGA) and CGA-based management/care. Additionally, home care medicine and polypharmacy are emerging issues of interest to the government. In this symposium, I will discuss how JGS has been trying to achieve “Aging in Place” in Japan.
Japan’s New Framework on Dementia Care
Authors: Toba Kenji 
Published: December 2021

Abstract
The number of people with dementia in Japan is ever-increasing. In 2020, 6 million people lived with dementia. The number is expected to increase to 9 million in 2040. This means that a person with dementia will be supported by three working people. To prepare for the big wave of dementia, Japan released the New Orange Plan in January 2015. In 2019, the Framework for Promoting Dementia Care was issued by the Japanese cabinet in which prevention and the opportunity for persons with dementia to age in place were set as the main goals. This framework requires all ministries to promote people’s awareness about individuals with cognitive impairment. The educational targets include taxi drivers, retail shop clerks, bankers, police, and people working in the criminal justice system. I will discuss the New Framework which has potential to assist the country in supporting people living with dementia.
Political Context and Political Participation Across the Lifespan in Africa
Authors: Dim Eugene , Schafer Markus 
Published: December 2021

Abstract
Gerontologists have long documented how age is associated with political participation. However, few studies have considered how macrocontextual factors shape participation across the life span. Moreover, very few studies have dealt with political engagement and aging in emerging democracies, including those in Africa. This study addresses those gaps, integrating the most recent three waves of Afrobarometer survey data (2011–2018) with country-level data from the freedom house (i.e. freedom index). Findings reveal that, at the individual level, an age gap widens for engagement in protests and shrinks for electoral and non-electoral political participation. When the political context is considered, however, we find that political freedom softens the drop-off of protest behavior at later ages. For electoral and non-electoral political participation, we find that freer countries lessen the expected growth in engagement across the life span. The study implies that political oppression shapes the links between age and political behaviour, but the processes seem different depending on whether they are engaging in risky (where the age gap widens) or non-risky (where the age gap shrinks) political forms of engagement.
Terrie Fox Wetle Award (2020): The Role of Home-Delivered Meals Programs in Improving Health and Promoting Community Independence for Older Adults
Authors: Thomas Kali 
Published: December 2021

Abstract
Dr. Terrie “Fox” Wetle is internationally recognized as a leader who conducts and advocates for multi-disciplinary and multi-method investigations centered on aging, public health and health care with direct implications for shaping policy and practice. This award lecture, given in Dr. Wetle’s name, will be presented by the 2020 award recipient, Kali Thomas, PhD. Dr. Thomas will present a line of multi-disciplinary and multi-method research focused on the impact of home-delivered meals as it relates to the health outcomes of homebound, food insecure older adults. Findings will include results from observational and intervention studies conducted at both the local and national levels. Examples of how this evidence has influenced policy and practice, including greater integration with healthcare, will be provided. The lecture will conclude with discussion about future opportunities for collaboration with community partners to measure and understand the impact of these vital social services on the lives of older adults.
Vincent Cristofalo “Rising Star”Award: DNA Methylation Landscapes in Aging
Authors: Levine Morgan 
Published: December 2021

Abstract
The epigenetic code can be thought of as the operating system of the cell. It controls the most basic and critical cellular processes including differentiation, replication, metabolism, and signaling. Yet, with age, the epigenetic landscape is remodeled, bringing about widespread consequences for cellular and tissue identity, integrity, and functioning. But, what if like computer programmers, we could discover how to recode or restore the original program? The revolutionary discoveries by Yamanaka and Takahashi suggests this may be possible. While early experiments showed that Yamanaka factors could be used to convert somatic cells into induced pluripotent stem cells, more recent work by us and others have shown that signatures of epigenetic aging are also wiped clean during this process. What’s more, epigenetic age reversal appears to take place early in the process and thus can be achieved without the cell _needing to dedifferentiate. Building off of this discovery, our lab is combining novel experiments and advanced bioinformatic techniques to decipher the epigenetic code and determine how it is remodeled during aging, development, and reprogramming. In our recent work, we have made advancements in mapping the epigenetic alterations observed in aging and linking them to both cellular processes and disease etiology. We have identified specific age changes in mouse and human cells that reflect mitotic history, cellular senescence, oxidative damage, and mitochondrial dysfunction. We have also demonstrated that these changes inform differences in organismal lifespan and/or disease etiology at the tissue level. Overall, this work has sweeping implications for our basic understanding of epigenetic aging and reprogramming, and will help provide the foundation for potent therapeutics that extend healthspan and lifespan.
Scholars for Life! Building Faculty and Community Connections on an Age-Friendly University Campus
Authors: June Andrea , Andreoletti Carrie 
Published: December 2021

Abstract
Central Connecticut State University’s Scholars for Life! supports the engagement of older learners in the community through faculty guest lectures. During the COVID-19 pandemic, participation in the virtual format frequently swelled to over 100 attendees, which is five times the number participating pre-pandemic. Moreover, faculty engagement increased. This presentation will share results of a study that used an Age-Friendly University (AFU) lens to explore this expanded connection to community members with the intention to build on its successful faculty-community engagement. 132 participants responded to the survey (M age = 69), mostly identifying as local retired alumni and community members. Participants reported high satisfaction with the lectures, connection to the university, interest in joining future travel abroad experiences, and utilizing campus resources when safe. Indeed, 84% are now aware of CCSU’s AFU status and 61% expressed interest in the 62+ course tuition waiver. Implications and future directions will be addressed.
Supporting Educational Needs of Older Adult Learners: Strategies for Virtual Transitioning and Student Engagement
Authors: Terhune Katherina , Conwell Sara , Danzo Amy , Graf Allyson , Kim Suk-Hee 
Published: December 2021

Abstract
The pandemic has revealed a multitude of challenges disproportionately impacting older adults, including older adult learners. Institutions of higher education are uniquely positioned to respond to various challenges using the guiding framework of the Age-Friendly University global initiative. This presentation highlights how preexisting university student support practices and services were adapted to provide older adult learners with guidance for navigating their educational needs during the pandemic. Specifically, it expands on strategies utilized by Adult Learner Programs and Services to effectively pivot to virtual services to support the advising and programming needs of older adult learners. Survey data identifying areas of interest for virtual programming for older adult students will be explored. Recommendations will be discussed for promoting effective transitioning to virtual support systems, preserving student engagement and intergenerational learning, and advocating for aging to remain central to university diversity and inclusion initiatives.
Challenges to Engage Low-Skilled Adults in Education and Training: An International Perspective
Authors: Shadovitz Sydney , Helsinger Abigail , Cummins Phyllis 
Published: December 2021

Abstract
The demand for adult education and training (AET) opportunities throughout the life course is substantial as labor markets often require workers to obtain advanced skills. AET opportunities are more often pursued by high-income and high-skilled workers than low-skilled or low-income workers. With the increased prominence of job automation and technological advances in the workforce, low-skilled workers are at risk for fewer opportunities within the labor market. These factors emphasize the importance of providing learning opportunities throughout the life course. In this mixed-methods study, we analyzed 2012/2014 data from the Program for the International Assessment of Adult Competencies (PIAAC) for the U.S., Canada, the Netherlands, Norway, and Sweden to compare participation rates in non-formal education (NFE) by high and low-skilled adults. Countries were selected based on qualitative findings that inform best practices. Additionally, to gain insights of policies and programs that promote NFE, international key informant interviews (n = 33) were conducted. AET policies and programs, along with barriers such as cost, motivation, and time, were explored with key informants. Findings include (1) aging and skills are negatively correlated in all nations of interest; (2) low-skilled adults are less likely to participate in NFE than their high-skilled counterparts; (3) low-skilled workers in Norway and the Netherlands are more likely to participate in NFE than their U.S. counterparts; and (4) NFE is often more acceptable to low-skilled adults due to previous negative experiences with formal education. Using these findings, we discuss successful AET programs in Nordic countries for overcoming barriers.