bluuebunny/crossref_metadata_2025_split huggingface dataset:
CONTINUED OPIOID USE REDUCES PERCEIVED CHANCE OF LIVING TO AGE 75 AMONG YOUNG-OLD INDIVIDUALS WITH CHRONIC PAIN
Authors: Fennell Gillian 
Published: December 2022

Abstract
Pain limits older adults’ predictions of their own life expectancies. Due to their analgesic properties and simultaneous linkages to depression, poor subjective health, and functional disability, it is uncertain if the use of opioids augments or contributes to limitations in subjective life expectancy (SLE). This study uses 2016 and 2018 data from the Health and Retirement study to assess the predictive value of prescription opioid use transitions on perceived chances of living to age 75 (SLE). Our sample includes 50 to 62 year-olds who reported pain in both waves (N=1,977). The OLS model controls for pain intensity and activity interference, socio-demographic factors, six chronic conditions, depression, and the 2016 baseline outcome measure. Relative to non-opioid users, respondents who transitioned off of opioids after 2016 reported significantly higher SLEs in 2018 (b=5.56, p=.05). Respondents who used opioids in both waves reported significantly lower SLEs relative to non-opioid users (b=-4.17, p=.02). Individuals who began using opioids following the 2016 wave were no different on SLE than non-opioid users (p=.11). Higher 2016 SLE predictions and being female were associated with higher SLEs. Being never married and ever having diabetes were negatively associated with SLE. Continued opioid use among individuals with chronic pain reduced anticipated chances of living to 75 whereas transitioning off of such medications had the opposite effect. Despite their analgesic properties, prescribed opioid use has negative effects on future outlook independent of pain, health status, and depression. As a consequence, continued opioid users may poor health and/or financial planning decisions.
PREVENTING FALLS WITH PERTURBATION-BASED BALANCE TRAINING: HOW LARGE ARE THE HIP JOINT CONTACT LOADS, AND ARE THEY SAFE?
Authors: Graham David , Whitten Justin , Oleary Bryant , Barrett Rod , Tarabochia Dawn 
Published: December 2022

Abstract
Perturbation-based training (PBT) is a balance training method presenting a high-challenge to balance which is extremely effective when compared to conventional training approaches. Common PBT methods use rapid treadmill belt translations with varying numbers of perturbations (20-1400 perturbations over 1-8wks). Importantly, the joint loads experienced during a stumble may be high enough to feasibly fracture bone (up to 12.7 Body Weights). However, the contact loads experienced during PBT are unknown. Because of increasing the prevalence of PBT it is necessary to specifically evaluate the range of joint loads experienced during PBT. Twelve participants completed a single PBT session of 24 perturbations. During both training and testing, participants movements were measured using a motion capture system which tracks body movements and records the forces under the feet. Hip joint contact loads were determined using Computational Musculoskeletal Modelling utilizing open-source software OpenSim. These techniques estimate the magnitude and pattern of force development of individual muscles and subsequently estimate the internal loads experienced by the hip joint.Hip joint contact loads were 4.90 ± 1.27 BW which is substantially lower that those previously reported by Graham et al. (2016) and Bergman et al. (2004) and is lower than the 5.5BW spontaneous fracture load boundary estimated by Schileo et al. (2014). Comparing the initial perturbation to the final perturbation revealed a 22% reduction in contact loads. We conclude that PBT performed using rapid translations on a treadmill are likely safe but suggest caution for individuals with poor bone mineral density or reduced neuromuscular function.
USING COLLABORATIVE ACTION RESEARCH TO PILOT TELEPRESENCE ROBOTS IN LONG-TERM CARE
Authors: Hung Lillian 
Published: December 2022

Abstract
The COVID-19 pandemic has exposed the fragile state of patient involvement in research and presented new opportunities. The telepresence robot project aims to tackle social isolation and loneliness in older people with dementia in Long-Term Care (LTC) homes. My team took a Collaborative Action Research (CAR) approach to work with stakeholders, emphasising meaningful involvement of patient partners (people with dementia), family partners, frontline healthcare workers throughout all phases of the research process. In this paper presentation, I will discuss how we apply the core principles of CAR to engage stakeholders to carry out the study during the COVID-19 pandemic – a challenging time. It is precisely at times like this that we need to work with patient partners and frontline workers to uncover lessons learned for meaningful solutions to address the most pressing social problems. I will share stories about challenges and creative strategies used. Finally, practical lessons learned will be discussed.
PERCEIVED AND PERFORMANCE FATIGABILITY: NOVEL FINDINGS ON CORRELATES, CONSEQUENCES, AND CANDIDATE GENES
Authors: Glynn Nancy W , Schrack Jennifer , Simonsick Eleanor 
Published: December 2022

Abstract
Characterizing fatigability enables quantification of an individual’s susceptibility to fatigue in the context of standardized physical task(s). This approach eliminates self-pacing, and is a less-biased, more sensitive approach to assess the presence and severity of fatigue, a critical prodromal symptom of chronic and acute health conditions. Collectively, we have established the Pittsburgh Fatigability Scale (PFS) and Borg Rating of Perceived Exertion at the end of a standardized 5-minute treadmill walk (RPE Fatigability) as prognostic indicators of aging-related outcomes. Recently, we extended our methodological work in developing a novel accelerometry-based performance fatigability measure of slowing down during in-lab walking (Pittsburgh Performance Fatigability Index, PPFI). This symposium presents findings from the Study of Muscle, Mobility, and Aging (SOMMA), Long Life Family Study (LLFS), and Baltimore Longitudinal Study of Aging (BLSA). Specifically, using SOMMA, Ms. Qiao will share development and validation of the PPFI using a usual-paced 400m walk, Ms. Moffit will report the association of fitness (i.e., VO2peak) with PFS physical and mental fatigability, and extending the SOMMA findings, Dr. Moored will detail the dual roles of fitness and fatigability on life-space mobility. Using LLFS data, Ms. Gay will report associations of variants (SNPs) in 272 candidate autosomal genes involved in energy metabolism (previously associated with mitochondrial dysfunction disease) with PFS physical fatigability. Lastly, using BLSA data, Dr. Wanigatunga will compare the discriminatory power of RPE Fatigability versus general fatigue symptoms for predicting mortality. Our Discussant, Dr. Simonsick, will provide critical review in the context of new directions for fatigability research.
PROS AND CONS OF PERFORMING RESEARCH AT AN INTERSECTION OF MULTIPLE DISCIPLINES
Authors: Engeland Christopher 
Published: December 2022

Abstract
In the last few decades, team science has become increasingly common and the need for interdisciplinary researchers has likewise increased. There is a stronger need than ever for individuals who can speak across disciplines, serving as a hub (and sometimes a translator) to unite researchers in different fields. Researchers with diverse methods (from those using animal models and bench-side science to biobehavioral observations and clinical approaches) all have a strong need for understanding each other’s work and to express it clearly to others. The ability to function and communicate at multiple intersections is needed to optimize the interpretation and understanding of scientific findings, along with their translation to clinical practice, implementation to intervention, and dissemination to the public. Performing research at these complex intersections of fields and roles is both challenging and rewarding. The pros and cons of a research career situated at these intersections will be discussed.
APPLYING NEW METHODS TO EXISTING DATASETS TO TEST STRESS EFFECTS ON BIOLOGICAL AGING
Authors: Zavala Daisy , Dzikowski Natalie , Gopalan Shyamie , Reid Kerry , Graham-Engeland Jennifer , Engeland Christopher , Veeramah Krishna , Scott Stacey 
Published: December 2022

Abstract
Novel opportunities to examine how life experiences connect to health and mortality through biological aging have increased due to the affordability of genomic analysis. Although epidemiological studies suggest associations between stress and accelerated biological aging, most if not all measures in the past have been global, data cross-sectional, and from primarily white samples. As part of a completed measurement study, a diverse sample (n=140, 25-65 years, Mage=47, 65% Female) provided detailed stress measures, including EMA and lifetime stress assessments, and consented to future analysis of their blood samples. We successfully used decade-old blood samples to estimate methylation-based epigenetic clocks and examined them within the context of various stress measures as a preliminary phase of a future longitudinal study. Additional whole genome sequencing will also allow for future work that incorporate continuous measures of genomic ancestry when examining lifetime discrimination-related stress, rather than simply testing for demographic group differences.
CHANGES IN PERSONALITY TRAITS AND SOCIAL SUPPORT BEFORE AND AFTER RETIREMENT
Authors: Pfund Gabrielle , Hill Patrick , Allemand Mathias , Kivi Marie , Berg Anne Ingeborg , Thorvaldsson Valgeier , Hansson Isabelle 
Published: December 2022

Abstract
Aging is tied to transitions in occupational, social, and personal contexts, which can have implications for changes in who one is and how connected they feel to others. The current study uses data from 5,844 older adults (Ages: 60-66) with six annual reports on the Big Five personality traits and three distinct social support types (family, friends, relationships) to investigate how personality and social support change together, and the role retirement plays in these changes. Random intercept-cross lagged panel models were conducted to evaluate the associated changes in each trait and social support type while accounting for the time-varying covariate of retirement status. Higher social support across all relationship types was associated with higher agreeableness, extraversion, and conscientiousness and lower neuroticism both between- and within-person. Furthermore, entering retirement predicted an increase in social support with friends and relationship partners, but no consistent change in any of the personality traits.
FACTORS ASSOCIATED WITH ELECTRONIC WEARABLE DEVICE USE AMONG US OLDER ADULTS
Authors: Li Mengchi , Li Qiwei , Budhathoki Chakra , Szanton Sarah , Li Junxin 
Published: December 2022

Abstract
Electronic wearable devices(EWD) have been increasingly used in the adult population. Although health benefits of using EWDs may be appealing through health self-monitoring(e.g., physical activity, heart rate, and sleep), safety alerts(e.g., fall risk detection), or stress reduction(breathing technique), there is a lack of understanding in EWD use among older adults. This cross-sectional study used self-reported data of 3370 older adults aged 65 to 104 years from the Health Information National Trends Survey 2019 and 2020. We examined the prevalence of EWD use and used Logistic Regression Models to identify social factors (gender, race/ethnicity, education, and income) associated with the use of EWDs in older Americans. We found that EWD users increased from 13.3% in 2019 to 17.4% in 2020 in older Americans. After adjusting for age, insurance, smoking, marital-status, chronic conditions, region, and all other social factors of interest, we found that older men(Odds Ratio[OR]= 0.58, 95%Confidence Interval[CI]:0.45, 0.73), Black/African American older adults(OR=1.50, 95%CI: 0.41, 0.68), older adults who did not attend college(OR=0.62, 95%CI: 0.46, 0.83), and those with household income lower than $35,000(OR=0.32, 95%CI: 0.24, 0.46) were less likely to use EWDs. Interestingly, before adjustment, EWD use in Black/African American older adults(OR: 1.02, 95%CI:0.74, 1.34) did not differ from that in White/Caucasian older adults. Our findings suggest inequality of EWDs use in older Americans: those with lower education and income had less access to EWDs and fewer potential health benefits from EWDs. This study highlights the needs of equal access to EWDs and addressing social inequalities among older Americans.
PATIENT PERCEPTIONS OF USING VOICE-BASED DIETARY ASSESSMENT TOOLS AMONG OLDER ADULTS
Authors: Driesse Tiffany , Liang Xiaohui , Fowler Michael , Yuan Jing , Spangler Hillary , Lynch David , Batsis John 
Published: December 2022

Abstract
Poor diet among older adults is a risk factor for developing multiple chronic diseases. Dietary recall comprises an important component in intervention research and clinical care. Commonly used tools include the web-based automated self-administered 24-hour assessment (ASA-24). Yet voice assistant (VAS) systems (i.e., Amazon Alexa) have not been developed for this purpose. Hence, we evaluated patient perceptions on performing a VAS-based dietary assessment among older adults. Community-dwelling adults (age 65+ years) participated in two virtual sessions who reported their past 24-hour intake, first using ASA-24, and then using a VAS. All completed a Likert questionnaire (binary, % strongly agree/strongly disagree reported) regarding the simplicity of using both systems, completion time, and user satisfaction. Semi-structured interviews allowed us to ask about technology use. Of the 40 participants (100% enrolled), mean age was 69±1.0 years (85% female, 100% white, 5% Latinx). Only 40% owned a VAS; 60% reported having VAS experience prior to the study. After completing both sessions, 80% preferred a VAS over the ASA-24. Participants reported that web-based recalls were unnecessarily complex (60%), time-consuming (50%), and 60% did not wish to use them. Comparatively, VAS recalls were intuitive (75%), easily reportable (85%), and there was willingness to report food while preparing meals (85%). In 16 participants, we evaluated themes of VAS use including easier navigation, less time, and ability to have a natural conversation. A VAS provides a more convenient, conversational, and computerless interaction to report meals over web-based solutions suggesting they hold promise for dietary recall in older adults.
EMBRACING COMMUNITY: ADVANCE CARE PLANNING FOR AFRICAN AMERICAN OLDER ADULTS LIVING WITH DEMENTIA
Authors: Moss Karen , Wright Kathy , Miller Emika , Lawson Kimberly , Rose Karen , Monroe Todd , Wills Celia 
Published: December 2022

Abstract
Lower socioeconomic status African American older adults living with dementia and their family caregivers face unique advance care planning challenges, including achieving appropriate preference-consistent healthcare near the end of life. The purpose of this project within a larger multi-stakeholder study is to assess community stakeholder perspectives on the needs of African American older adults living with dementia and their family caregivers. Diverse community-based organization leaders (n=9) were interviewed and identified the following thematic needs: Reframing of Advance Care Planning, Clarification of Misinformation, and Expansion of Available Resources. Community leaders expressed strong desires to assist families with advance care planning. The use of creative, culturally-tailored, non-traditional approaches to this process offers innovative ways to promote advance care planning through community engagement. This will change the narrative on advance care planning from a cultural perspective while embracing diversity, enriching discovery, and reimaging aging in the community
VITAL INVOLVEMENT IN LATE LIFE: HELEN KIVNICK'S VITAL CONCEPT FOR GERONTOLOGY+
Authors: Adams-Price Carolyn 
Published: December 2022

Abstract
Carolyn Adams-Price will lead off the symposium with a discussion of Kivnick’s impact on gerontology and the arts. Her various arts interests will be discussed, including her interests in choral and African music. Much of the talk will focus on the concept of vital involvement, why it was revolutionary, and how it connects to current research on positive gerontology, creativity, and adaptation in late life. Adams-Price will address in detail the benefits that participation in creative activities can impart to older adults, based on her own research on creative benefits, and will provide a framework for studying those benefits in the future.
ASSOCIATIONS BETWEEN CUMULATIVE STRESS AND COGNITIVE FUNCTION IN HRS AND ELSA
Authors: Chen Ruijia , Lee Harold , Okuzono Sakurako , Kubzansky Laura 
Published: December 2022

Abstract
Despite growing research linking stressors with poorer cognition, less research explicitly considers stress from several sources, which often co-occurs and accumulate to influence health. We used the Global Gateway Harmonized data (HRS: n=8,888; mean age: 74 years; ELSA: n=6,715; mean age: 65 years) to examine whether higher cumulative stress is associated with lower levels of and faster decline in cognitive function. We fit linear mixed effect models to assess the stress-cognition associations. After adjusting for all covariates, baseline cumulative stress was associated with lower baseline cognitive function in both HRS (β=-0.02, 95%CI -0.04, -0.01) and ELSA (β=-0.03, 95%CI -0.05, -0.01). Unexpectedly, higher baseline cumulative stress was associated with slower cognitive decline in HRS (βtime*stress=0.001, 95%CI 0.002,0.01) but not in ELSA. The stress-cognition associations may differ among adults in the US and the UK. Future research should investigate how cumulative stress may operate differently to influence cognitive function across different populations.
UNPARTNERED AND CHILDLESS OLDER ADULTS' RISK OF LONELINESS DURING COVID-19 BY COUNTRY CONTEXT
Authors: Mair Christine , Arpino Bruno , Quashie Nekehia , Antczak Radoslaw 
Published: December 2022

Abstract
Older adults with non-traditional family structures (unpartnered and childless) may be at higher risk for loneliness. Yet, experiences of loneliness during COVID-19 can vary depending on a country’s context (e.g., culture, demography, COVID-19 mitigation policies, severity of the pandemic). We explore associations between older Europeans’ family structure and loneliness to assess risks for those with non-traditional family structures (e.g., unpartnered vs partnered, childless vs parents) during the pandemic across a variety of country contexts. We analyze data from the Survey of Health, Ageing and Retirement in Europe (SHARE) collected before (2019/2020) and twice during (2020, 2021) the pandemic to examine if unpartnered and childless older adults are at higher risk of loneliness, and compare results by multiple indicators of country context (fertility and partnership rates, stringency of COVID mitigation policies, population age composition, and COVID fatality rates). Results of this study can potentially inform current and future pandemic mitigation strategies.
PUBLIC HEALTH POLICY IN AN AGING POPULATION
Authors: Flores Eileen , Llaneza Danielle , Skoblow Hanamori , Azer Lilian , D’Antonio Patricia 
Published: December 2022

Abstract
In the U.S., cancer and its related issues have an impact on public health, such as increased death rates and economic burdens due to lost productivity and associated treatment costs. Along the cancer control continuum, there are ample opportunities to enact policies that can improve cancer prevention, detection, and survivorship. As the US population ages, health policies that address barriers to cancer prevention and optimal survivorship care for older adults will be key. The intersection of policy and public health has gained momentum in the last decade. Changes resulting from the Affordable Care Act and President Biden’s recently set goals (i.e. reduce age-adjusted death rates from cancer by at least 50% and improving the experience of people and their families living with and surviving cancer) for the Cancer Moonshot program have ignited the role of public health policy and its implications among the US population. As a policy intern, I had the opportunity to advocate on behalf of GSA, the nation’s largest aging organization, for research initiatives (e.g. ARPA-H) that amplify opportunities to address policies in public health. Advocating for initiatives that accelerate the government’s biomedical and health research to embrace a geroscience approach will continue to spearhead much needed opportunities to directly impact policies surrounding aging and cancer.
DEVELOPMENT OF SOCIAL CONVOYS: TRAJECTORIES OF CONVOY STRUCTURE AND COMPOSITION FROM CHILDHOOD THROUGH ADULTHOOD
Authors: Manalel Jasmine , Cleary Jennifer , Antonucci Toni 
Published: December 2022

Abstract
This study examines stability and change in social convoys from childhood to adulthood and variation in trajectories of convoy characteristics by gender and race. Multilevel models for convoy structure and composition were estimated using longitudinal data spanning 23 years. Respondents included a sample of 193 children aged 8 to 12 in Wave 1 (1992) who were surveyed again in their 20s (Wave 2) and 30s (Wave 3). Changes in composition, proximity, and contact frequency were observed at each wave. Between Waves 1 and 2, changes reflected age-normative trends toward network diversification typical of the transition to adulthood. Between Waves 2 and 3, changes were consistent with those expected as young adults settle into stable roles. We also identified convoy characteristics that differed between men and women and between Black and White individuals, emphasizing the importance of personal characteristics to fully understand form and function of social relations across the lifespan.
URBAN ENGAGEMENT STRATEGIES FOR ALASKA NATIVE ELDER PARTICIPATION IN RESEARCH
Authors: Kim Steffi 
Published: December 2022

Abstract
Given the current threats to health for older Indigenous people, it is important to understand the health needs and perceptions of older Indigenous people who play a pivotal role in the health and wellbeing of their communities. The underrepresentation of Indigenous voices has led to research, health promotion efforts, and community engagement that has largely been unsuccessful in facilitating culturally grounded and effective health promotion. Engaging Indigenous Elders in research has often been a challenge for researchers – Indigenous and non-Indigenous. Reaching Indigenous Elders within the urban environment can even be more challenging at times based on dispersed communities due to challenging historical contexts, experiences of racism, and mistrust. This presentation is based on the employed engagement strategies of urban-based Alaska Native Elders. Developing policies and programs to promote healthy aging in Indigenous communities requires the voices of those living within their communities.