Perceptions About Aging and Aesthetics: A Global Study of Adults Aged 50 to 80 Years

Background: As global populations age, addressing societal attitudes towards older adults becomes increasingly crucial. Ageism negatively impacts both older and younger individuals. Aging simulation has been proposed as a means to challenge ageist attitudes and promote intergenerational solidarity. This study examines the effectiveness of a brief aging simulation in altering adolescents’ perceptions of aging and older adults. Methods: A prospective interventional study was conducted with 63 high school students aged 15–18. Participants completed the Fraboni Scale of Ageism (FSA) before and after intervention. A subset of 20 students was randomly selected to wear an aging simulation suit. Results: Post-intervention FSA scores significantly decreased from 63.50 to 51.00, indicating a reduction in ageist attitudes. Participants showed significant changes in beliefs related to cognitive decline, the prevalence of Alzheimer’s disease, and the perception that older adults are homogeneous. Additionally, 80% of participants reported a positive shift in their attitude toward aging. The simulation experience was rated highly (average score: 9/10). Conclusions: The findings support the effectiveness of aging simulation in reducing ageist attitudes among adolescents. Given the role of adolescence in shaping long-term perceptions, incorporating aging simulations into educational curricula could be a valuable strategy for promoting intergenerational understanding.

Research examining associations between social media use behaviors and psychosocial well-being among older adults are limited. To explore associations between older adults' social media (social networking services and instant messaging applications) use behaviors and psychosocial well-being. This was a secondary data analysis. All data were retrieved from the Taiwan Communication Survey database, an annual survey that examines trends in Taiwanese residents' communication behaviors and social media use. The original investigation was conducted in Taiwan from September to December 2019. Data from 647 older adults aged over 60 years were extracted for the analyses. Social media use behaviors (users/non-users and time spent using), positive psychosocial outcomes (life satisfaction, self-determination, subjective well-being, and happiness), negative psychosocial outcomes (loneliness, depression, and anxiety), and demographic variables were included. Social media users had significantly higher levels of subjective well-being and lower levels of depression, anxiety, and loneliness compared with non-users. Time spent on social networking services was significantly and positively correlated with negative psychosocial outcomes (β = 0.103, p = 0.044, f2 = 0.011), and it was significantly and inversely correlated with positive psychosocial outcomes (β = -0.063, p = 0.049, f2 = 0.004). Time spent using an instant messaging application was significantly positively associated with positive psychosocial outcomes (β = 0.068, p = 0.031, f2 = 0.005). The proposed path model had an acceptable model fit. Study results indicated that older adults' social media use behaviors were associated with their psychosocial well-being. Older adults are recommended to use social media for appropriate time periods as an important way to promote social engagement for their psychosocial well-being.

Introduction and purpose The field of aesthetic medicine has experienced rapid advancement in recent years. It serves primarily aesthetic purposes while also supporting various medical treatments. The range of available aesthetic medicine procedures continues to expand, with numerous studies confirming their therapeutic efficacy in treating certain diseases or conditions. Conversely, a substantial list of contraindications exists, particularly in autoimmune diseases, necessitating caution and precluding the performance of certain aesthetic treatments. Autoimmune diseases entail the body's immune system attacking its tissues, a process whose complete development and maintenance in specific diseases remains incompletely understood. Injection treatments like hyaluronic acid and mesotherapy have demonstrated considerable promise in aiding individuals with autoimmune connective tissue diseases to lead everyday lives. This study discusses to what extent selective aesthetic medical procedures could be safely performed in patients with the most common autoimmune diseases. Material and methods A literature review was conducted through an extensive bibliographic search, primarily focusing on original research articles from reputable databases such as PubMed, BioMed Central, Polish Medical Platform, and Google Scholar. The search was specifically targeted towards articles discussing particular autoimmune diseases and specific aesthetic procedures. Conclusion Established relationships between autoimmune diseases and specific aesthetic medicine treatments have been identified, highlighting their ineffectiveness or inadvisability. In such instances, the physician's extensive knowledge and the necessity for a comprehensive, individually tailored assessment before the procedure often dictate a patient's exclusion from specific therapies.

Background and Objectives: Many older adults face health challenges, such as physical and functional decline, which increase the risk of hospitalization and dependence. As the global population ages, it is necessary to consider the health of older adults to avoid additional health burdens while improving their quality of life. This study aimed to explore body mass index (BMI) as a factor associated with health in older adults in South Korea. Accordingly, this study investigated the associations between the BMI of older Korean adults and exercise frequency (days per week), fall experience, and the presence of chronic diseases. Materials and Methods: Data from 10,014 older adults who participated in the 2023 Korean National Survey on Older Adults conducted by the Ministry of Health and Welfare were analyzed. Analyses included statistical frequency, chi-square tests, and multivariate logistic regression. Results: Underweight older adults had a higher likelihood of falling. Among those who were underweight, the odds ratio (OR) for falls was 2.052 (95% confidence interval [CI]: 1.349–3.121; p = 0.001). Underweight individuals were also less likely to engage in regular exercise. In contrast, both normal-weight and overweight individuals were more likely to participate in frequent exercise. Among those who were underweight, the ORs for exercising for 3–4 and ≥5 days were 0.612 (95% CI: 0.388–0.966; p = 0.035) and 0.721 (95% CI: 0.527–0.987; p = 0.041), respectively. Among those who were normal weight, the ORs for exercising for 1–2, 3–4, and ≥5 days were 1.286 (95% CI: 1.020–1.621; p = 0.033), 1.226 (95% CI: 1.055–1.424; p = 0.008), and 1.307 (95% CI: 1.167–1.464; p < 0.001), respectively. Among overweight individuals, the ORs for exercising for 1–2, 3–4, and ≥5 days were 1.275 (95% CI: 1.008–1.613; p = 0.043), 1.297 (95% CI: 1.114–1.509; p = 0.001), and 1.172 (95% CI: 1.042–1.318; p = 0.008), respectively. Older adults with obesity had a higher likelihood of having chronic diseases. Among those who were underweight, the ORs for one, two, three, and four diseases were 0.420 (95% CI: 0.268–0.658; p < 0.001), 0.335 (95% CI: 0.220–0.509; p < 0.001), 0.266 (95% CI: 0.167–0.422; p < 0.001), and 0.392 (95% CI: 0.254–0.606; p < 0.001), respectively. Among those with normal weight, the ORs for two, three, and four diseases were 0.686 (95% CI: 0.579–0.813; p < 0.001), 0.606 (95% CI: 0.505–0.727; p < 0.001), and 0.609 (95% CI: 0.505–0.735; p < 0.001), respectively, compared to those with obesity. Among those who were overweight, the ORs for two, three, and four diseases were 0.800 (95% CI: 0.671–0.953; p = 0.013), 0.781 (95% CI: 0.649–0.941; p = 0.009), and 0.686 (95% CI: 0.564–0.835; p < 0.001), respectively, compared to those with obesity. Conclusions: Weight is a key factor in promoting healthy aging in older adults. It is necessary to reduce the risk of falls in underweight individuals and prevent chronic diseases in those who are obese. Regular physical activity supports interventions that address these risks. Older adults should be supported and engage in consistent exercise tailored to their physical abilities and individual characteristics to maintain or improve their health and well-being later in life.

PurposePerceptions of ageing towards the self and towards others can positively and negatively impact an older adult’s mental wellbeing. This paper aims to consolidate literature examining the relationship between perceptions of ageing and depression in older adults to inform both practice and policy for older adult mental health services.Design/methodology/approachQuantitative research articles examining perceptions of ageing and depression in older adults were identified through searches on three electronical databases, alongside forward and backwards citation searches. A total of 14 articles involving 31,211 participants were identified.FindingsGreater negative attitudes towards ageing were associated with higher levels of depressive symptoms and greater positive attitudes towards ageing were associated with lower levels of depressive symptoms or higher levels of happiness. However, the causal direction of this relationship could not be determined. Studies demonstrated that perceptions of ageing also act as a moderator in the relationship between depression and health status, hopelessness and personality traits. Future research should attempt to examine the relationship between perceptions of ageing and depression in older adults to attempt to identify the causal direction of this relationship.Originality/valueThis is the only systematic review the authors are aware of consolidating literature which explores the relationship between older adults’ perceptions of ageing and depression. It is hoped that these findings will be able to inform both policy and practice to improve older adults’ care and support for depression.

Psychosocial and Socioeconomic Issues Facing the Living Kidney Donor

Social isolation and loneliness are prevalent in older adults and are detrimental to physical and mental health. Social media use has been shown to be effective in maintaining social connections and improving older adults' psychosocial outcomes. This study aimed to systematically review and synthesize current research on this topic. Searches were conducted in November 2021 (and updated in October 2023) in PsycINFO, PubMed, and CINAHL. Inclusion criteria: (1) participants ≥ 65 years (mean, median, or minimum age) and (2) reported impact of social media use on psychosocial outcomes (including loneliness, depression, anxiety, social connectedness, wellbeing, life satisfaction, and quality of life). Quality appraisal tools were utilized, and results were synthesized using narrative synthesis. Sixty-four papers met inclusion criteria, including cross-sectional (n = 38), observational longitudinal (n = 6), interventional (n = 9), mixed-methods (n = 4), and qualitative (n = 7) studies. Participant numbers ranged from 6 to 16,925. While associations between social media use and positive psychosocial outcomes were generally reported in cross-sectional studies, the impact of social media use over time from longitudinal studies was mixed and inconclusive. While social media use is associated with positive psychosocial outcomes, casual conclusions cannot be drawn. Few longitudinal and randomized controlled trial studies existed, and these reported mixed findings. Large variations in study methodology including participants, measurement of social media use, and outcome measures contributed to the inconsistencies of findings. Addressing this heterogeneity through standardized approaches and more rigorous research may enhance understanding.

Review question/objective The overall objective of this research is to undertake a systematic review of the effects of spending time outdoors in daylight on the psychosocial wellbeing of older adults and family carers. The specific objectives to be addressed are: Which aspects of psychosocial wellbeing are affected by spending time outdoors in daylight in older adults and family carers? To what extent is spending time outdoors in the daylight effective for improving aspects of psychosocial wellbeing in older adults and family carers? Inclusion criteria Types of participants This review will consider studies that include all older adults aged 55 years or more, including those living in a community setting or a residential aged care facility. In addition, this review will consider family carers, who are defined as unpaid relatives or friends of an older person, who help that individual with their activities of daily living. No further inclusion criteria will be applied. Types of intervention(s)/phenomena of interest The intervention or phenomenon of interest is spending time outdoors in daylight. ‘Outdoors in daylight’ is a broad term that encompasses all outdoor environments where participants are exposed, directly or indirectly, to daylight in a natural setting while participating in any type of outdoor activity. For our review, the definition of outdoor activity is simply ‘being outdoors’ in order to capture all types of engagement with outdoor environments. Studies will be excluded if they utilise artificial ‘bright’ light sources or modify the indoor environment to improve light exposure. An absence of activity or indoors activity with no exposure to daylight will be used as a comparator. Types of outcomes This review will consider studies that include objective and/ or subjective measures of the following outcomes: Older adults: • psychosocial well-being: o behavioural disturbances; o cognition; o mood levels; o quality of life; o satisfaction with service provision; and o social interaction. Family carer health: o carer satisfaction; and o carer stress.

Narrative reviews indicate psychological and social benefits of sport participation for the ageing population. However, no quantitative synthesis of quantitative studies on this topic has been conducted yet. We evaluated the magnitude and heterogeneity of the effects of sport participation on psychosocial outcomes for middle-aged and older adults (>35 years). Ten databases were searched in July 2020. Quantitative studies (k = 25) of middle-aged and older adults, measuring at least one psychosocial outcome of sport participation were included. Multilevel meta-analysis showed that the association between sport participation and psychosocial outcomes was small, yet significant. Moderation analyses revealed that the pooled effect differed according to outcome type; small to moderate associations were observed for social, positive psychological, perceived physical, and cognitive outcomes, but not for negative psychological outcomes. Risk of bias, assessed using the QualSyst tool, indicated low quality of evidence. Our findings suggest that sport participation is associated with multiple psychosocial benefits for middle-aged and older adults that appear invariant across participant-related and sport-related characteristics. We found no evidence of publication bias, but studies were underpowered and rated as low quality. Our review provides quantitative evidence for the psychosocial benefits of sport participation for adults, complementing existing qualitative research on this topic.

Many older people perceive ageing negatively, describing it in terms of poor or declining health and functioning. These perceptions may be related to older adults’ health. The aim of this review was to synthesise existing research on the relationship between older adults’ perceptions of ageing and their health and functioning. A systematic search was conducted of five electronic databases (ASSIA, CINAHL, IBSS, MEDLINE and PsycINFO). Citations within identified reports were also searched. Observational studies were included if they included perceptions of ageing and health-related measures involving participants aged 60 years and older. Study selection, data extraction and quality appraisal were conducted using predefined criteria. Twenty-eight reports met the criteria for inclusion. Older adults’ perceptions of ageing were assessed with a variety of measures. Perceptions were related to health and functioning across seven health domains: memory and cognitive performance, physical and physiological performance, medical conditions and outcomes, disability, care-seeking, self-rated health, quality of life and death. How ageing is perceived by older adults is related to their health and functioning in multiple domains. However, higher quality and longitudinal studies are needed to further investigate this relationship.

This study examines the relationship between perceptions and attitudes towards the COVID-19 pandemic and perceptions of aging and old age among academicians aged 65 and above. The sample consists of academics aged 65 and over from all universities in Turkey (208 universities). The study was completed with feedback from 187 participating academics.Data were collected through an online survey using a Google Form. The survey included a demographic questionnaire and scales to assess perceptions of COVID-19 and attitudes towards aging and old age. Ethical approvals and informed consent were obtained from participants. Data analysis involved descriptive statistics and Pearson correlation using SPSS 25.0 software. The findings reveal that approximately half of the senior academics had chronic illnesses, and about one-third had contracted COVID-19. More than half of the participants reported negative impacts of pandemic restrictions, disruptions in academic activities, and discomfort with the association of chronological age with old age. Statistical analysis demonstrates a significant positive relationship between perceptions and attitudes towards COVID-19 and perceptions of aging among elderly academics (p&lt;0.05). This study highlights the interconnectedness of resistance to aging, avoidance behaviors, and positive attitudes towards COVID-19 among elderly academicians. These results suggest that perceptions of aging and attitudes towards the pandemic are intertwined in this population.

Exosomes are cell-derived nanovesicles that transport proteins, nucleic acids, and lipids and play a significant role in almost every physiological process in the human body. They have generated great interest, especially in the field of tissue regeneration. Studies in the last decade support their great regenerating and rejuvenating potential. However, the lack of standardized procedures, limited knowledge regarding their action mechanism, and little clinical evidence impair their implementation and approval in the medical setting. This review aimed to identify published studies and clinical trials using exosomes in human patients for clinical treatments in aesthetic medicine. A systematic search was conducted in the PubMed database using the search term "exosomes" and 25 terms related to aesthetic medicine treatments in human patients. Additionally, a search was conducted in the ClinicalTrials.gov database for interventional clinical trials using exosomes for aesthetic treatments in adults 18 to ≥ 65 years of age. Nine articles were selected after debugging the initial list of published articles in which exosomes were related to Aesthetic Medicine (633 articles). Nine studies were identified from the initial search on ClinicalTrial.gov (104 trials with exosomes). There is no doubt about the scientific basis of exosome regenerative potential and the growing interest in exosomes in Aesthetic Medicine. However, companies must spend more on research to develop standardized and reliable procedures to obtain exosomes for their approval and application in clinical practice. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 . This review highlights the large amount of published research on exosomes related to aesthetic medicine and, at the same time, the lack of products approved by regulatory agencies. Several issues have been suggested to elucidate a response, such as the need for standardized protocols and more knowledge to ensure safe treatments. It also highlights the few clinical trials conducted to evaluate exosome properties in aesthetic medicine treatments.

Advancements in oncology have significantly improved survival rates, shifting the focus toward enhancing the quality of life (QoL) of cancer survivors. Aesthetic medicine, encompassing procedures such as botulinum toxin injections, dermal fillers, chemical peels, and laser therapy, offers potential benefits in addressing the physical and psychological sequelae of cancer and its treatments. To systematically review the literature on the indications, contraindications, pharmacological interactions, and psychological impacts of aesthetic treatments in cancer patients. A comprehensive search of PubMed was conducted for studies published between January 2018 and June 2025. Inclusion criteria encompassed clinical trials, observational studies, and reviews focusing on the use of botulinum toxin, hyaluronic acid and calcium hydroxylapatite fillers, chemical peels, and laser therapy in oncology patients. Data on pharmacological interactions and psychological outcomes were also extracted. Forty-two studies met the inclusion criteria. Botulinum toxin was found to be effective in managing post-treatment deformities and improving QoL in breast cancer patients. Hyaluronic acid and calcium hydroxylapatite fillers were effective in correcting post-surgical scars, with minimal adverse effects. Chemical peels demonstrated efficacy in treating actinic keratoses and precancerous lesions. Laser therapy showed promise in reducing radiation-induced dermatitis and improving skin appearance. However, certain chemotherapeutic agents posed contraindications due to potential interactions and compromised healing. Psychological benefits included improved self-esteem and body image, contributing to better overall QoL. Aesthetic treatments can be safely and effectively integrated into the care of cancer patients, with careful consideration of individual treatment regimens and potential contraindications. Further research is warranted to establish standardized guidelines. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

As the global population ages, there is a growing need for tools to assess lifestyle factors that impact the health and quality of life of older adults. The Yonsei Lifestyle Profile (YLP), originally developed in SouthKorea, is a comprehensive tool for evaluating key lifestyle domains. However, cultural and linguistic differences between countries necessitate the adaptation of such tools for use in diverse populations. This study addresses the gap by developing an English version of the YLP (YLP-E) for older adults in the United States. As the global population continues to age, maintaining and improving the health and quality of life of older adults has become increasingly important. This study aimed to develop a YLP-E, a cross-cultural adaptation of the Korean version of the YLP, that can be used for older American adults. The Delphi method was used to consult expert panels regarding the cultural and linguistic appropriateness of the translation. The translation process involved a two-way translation-back-translation procedure and iterative revisions based on expert feedback. The final YLP-E tool, which incorporated feedback on linguistic and cultural adequacy, consisted of 3 lifestyle domains (physical activity, activity participation and nutrition) with 62 items. The second round improved the content validity, with the linguistic content validity ratio (CVR) and cultural CVR reaching 0.86 and 0.94, respectively. The YLP-E is a valuable tool for comprehensively assessing and monitoring the lifestyle of older American adults and holds promise for further refinement and validation across diverse demographic settings. Future research needs to focus on utilizing the YLP-E to develop personalized interventions aimed at improving the health and quality of life of older adults and evaluating the tool's efficacy in promoting healthy aging.

A Path to Resume Aesthetic Care: Executive Summary of Project AesCert Guidance Supplement-Practical Considerations for Aesthetic Medicine Professionals Supporting Clinic Preparedness in Response to the SARS-CoV-2 Outbreak.