PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Permanent URI for this collectionhttps://hdl.handle.net/20.500.11779/1928
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Article Longitudinal Norms of Frailty Measured by the Frailty Index: A Cross-National Comparison Using Data from the Survey of Health, Aging, and Retirement in Europe (SHARE)(Elsevier, 2026-06-01) Gutierrez, Angela; Supiyev, Adil; Muniz-Terrera, Graciela; Sevi, Baris; Massa, Fernando; Marroig, AlejandraBackground: Frailty, a geriatric syndrome commonly used to identify vulnerable older adults, is a public health priority. However, the lack of cross-national comparisons of frailty trajectories and their distribution constrains current understanding of normative changes in frailty for residents across different countries. Objective: To derive longitudinal percentiles of frailty using a consistent cross-country approach. Design: Observational study using longitudinal data from the Survey of Health, Ageing and Retirement in Europe (SHARE) between 2004 and 2020. Setting: We fit the distribution of the FI by Generalized Additive Models for Location, Scale, and Shape (GAMLSS), assessed the role of sex (male/female), education (in years), and migration status (migrant/non-migrant), and estimated the longitudinal percentiles of frailty using a consistent cross-country approach for 16 countries. Participants: Individuals aged >= 65 years (N = 42,951) at study entry. Measurements: Frailty index (FI) based on the accumulation of deficits in 40 items. Results: The results show that education is protective against frailty in all countries (a decrease of 1.1 pp. in Switzerland to 5.7 pp. in Slovenia, all p < 0.001). In most countries, women are frailer than men and migrant individuals have higher levels of frailty than non-migrants. FI trajectories showed heterogeneity across countries. The quantiles for women and migrants suggest frailer trajectories than men and non-migrants respectively. Conclusions: Findings from this cross-national comparison provide a framework within which the longitudinal norms of frailty trajectories from different countries can be interpreted.Article Big-5 Personality Traits as Predictors of Allostatic Load in Latino Americans: A Longitudinal Study(Oxford Univ Press Inc, 2025-10-22) Sevi, Baris; Supiyev, Adil; Gutierrez, Angela; Graham, Eileen K.; Mroczek, Daniel K.; Muniz-Terrera, GracielaObjectives Allostatic load (AL) refers to the measure of cumulative wear and tear resulting from chronic stress and life events. AL presents adverse consequences for a diverse range of health conditions, and Latino populations show a high risk for elevated AL. This study aimed to test the Big-5 personality traits as possible predictors of AL in Latinos.Methods Using data from the Health and Retirement Study, we examined the Big-5 and AL connection through three time points in 8 years (Time 1 = 2006/2008; Time 2 = 2010/2012; Time 3 = 2014/2016). Only self-identified Latinos were included in the analysis sample (N = 319). Big-5 and demographics were obtained at baseline, and AL scores were computed for each time point.Results First, separate longitudinal linear mixed-effect models examined the effects of each Big-5 personality trait on AL change over time, then a fully adjusted longitudinal linear mixed-effect model was tested entering the Big-5 personality traits simultaneously. All models controlled for sociodemographic factors. Conscientiousness emerged as the only consistent significant predictor, for the separate and the simultaneous models. In baseline associations, higher conscientiousness was associated with lower AL. For predicting change in AL over time, none of the personality traits had significant associations in any of the models.Discussion The findings bolster prior evidence that conscientious can be a protective factor against elevated AL. Conscientiousness is a possible protective factor and improving related traits can be a path to achieve better health in Latino Americans.Article Underlining Neighbourhood Perception: a Possible Risk Factor for Dementia That Deserves More Attention(Oxford Univ Press, 2024) Gutierrez, Angela; Sevi, Barış; Muniz-Terrera, GracielaThis essay highlights the interplay between the neighbourhood structural environment and neighbourhood perceptions on dementia by articulating how an individual's perception of neighbourhood, with respect to their individual differences, may provide key insights to understand the link between the neighbourhood and dementia.