{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T10:12:39Z","timestamp":1756462359347,"version":"3.41.2"},"reference-count":51,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T00:00:00Z","timestamp":1726790400000},"content-version":"vor","delay-in-days":263,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004040","name":"KU Leuven","doi-asserted-by":"publisher","award":["C24M-20-063"],"award-info":[{"award-number":["C24M-20-063"]}],"id":[{"id":"10.13039\/501100004040","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003130","name":"Research Foundation Flanders","doi-asserted-by":"publisher","award":["TBM T003220N"],"award-info":[{"award-number":["TBM T003220N"]}],"id":[{"id":"10.13039\/501100003130","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background and Objectives<\/jats:title>\n                  <jats:p>Oral health of older adults in nursing homes is poor, which can negatively affect general health and well-being. Most oral health problems are preventable with good oral hygiene and regular dental check-ups. Caregivers can help improve residents\u2019 oral health through regular oral health assessments. The interRAI instrument used in Long-Term Care Facilities to evaluate older adults\u2019 health and well-being, has the potential to integrate oral care into general care planning. The recently optimized Oral Health Section for inclusion in the interRAI instruments (OHS-interRAI) enables nondental caregivers to identify residents requiring help with oral hygiene and\/or a dental referral. This study reports the first data obtained using the OHS-interRAI, describing the oral health situation of older adults in Flemish and Dutch nursing homes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Research Design and Methods<\/jats:title>\n                  <jats:p>In this cross-sectional study, interRAI Long-Term Care Facilities data, including OHS-interRAI data, were collected from October 2020 to January 2023 and analyzed from 417 and 795 persons aged 65 years or older in Flemish and Dutch nursing homes, respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Most common oral health problems were poor oral hygiene and compromised teeth. Differences in oral health were found between Flemish and Dutch residents. Flemish residents had significantly more problems with chewing, dry mouth, oral and denture hygiene, and tongue condition than their Dutch counterparts. They also had a higher need for help with oral hygiene (19.4% vs 14.0%), and a dental referral (36.8% vs 20.9%). Older adults in Flemish nursing homes (20.3%) had significantly fewer dental check-ups than those in Dutch nursing homes (73.5%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion and Implications<\/jats:title>\n                  <jats:p>The use of the OHS-interRAI by nondental caregivers identified at least one-third of the residents requiring help with oral hygiene and\/or a dental referral. By means of trigger algorithms (Collaborative Action Points), the OHS-interRAI enables the integration of oral care into general care planning.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/geroni\/igae090","type":"journal-article","created":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T17:44:54Z","timestamp":1726854294000},"source":"Crossref","is-referenced-by-count":3,"title":["Oral Health Problems Among Flemish and Dutch Nursing Home Residents Assessed by Nondental Caregivers Using the Novel Oral Health Section for Inclusion in interRAI"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7797-567X","authenticated-orcid":false,"given":"Emilie","family":"Schoebrechts","sequence":"first","affiliation":[{"name":"Department of Oral Health Sciences, Population Studies in Oral Health, KU Leuven , Leuven ,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1262-318X","authenticated-orcid":false,"given":"Johanna","family":"de Almeida Mello","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences, Population Studies in Oral Health, KU Leuven , Leuven ,","place":["Belgium"]},{"name":"LUCAS, Center for Care Research and Consultancy, KU Leuven , Leuven ,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia A I","family":"Vandenbulcke","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences, Population Studies in Oral Health, KU Leuven , Leuven ,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen E","family":"Palmers","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences, Population Studies in Oral Health, KU Leuven , Leuven ,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hein P J","family":"van Hout","sequence":"additional","affiliation":[{"name":"Departments of General Practice and Medicine for Older People, Amsterdam UMC, Vrije Universiteit Amsterdam , Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Public Health Research Institute -\u00a0Aging & Later Life Program , Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"De Lepeleire","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, Academic Center for General Practice, KU Leuven , Leuven ,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anja","family":"Declercq","sequence":"additional","affiliation":[{"name":"LUCAS, Center for Care Research and Consultancy, KU Leuven , Leuven ,","place":["Belgium"]},{"name":"CESO, Center for Sociological Research, Faculty of Social Sciences,\u00a0KU Leuven , Leuven ,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominique","family":"Declerck","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences, Population Studies in Oral Health, KU Leuven , Leuven ,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joke","family":"Duyck","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences, Population Studies in Oral Health, KU Leuven , Leuven ,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,9,20]]},"reference":[{"issue":"4","key":"2024102606312468000_CIT0001","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1111\/ger.12368","article-title":"Oral health and dental care of older persons\u2014a systematic map of systematic reviews","volume":"35","author":"\u00c1stvaldsd\u00f3ttir","year":"2018","journal-title":"Gerodontology"},{"issue":"2","key":"2024102606312468000_CIT0002","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1111\/ger.12022","article-title":"The oral health of ageing baby boomers: a comparison of adults aged 45\u201364 and those 65 years and older","volume":"31","author":"McNally","year":"2014","journal-title":"Gerodontology"},{"key":"2024102606312468000_CIT0003","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.ijnurstu.2017.05.003","article-title":"Barriers and facilitators in providing oral care to nursing home residents, from the perspective of care aides: a systematic review and meta-analysis","volume":"73","author":"Hoben","year":"2017","journal-title":"Int J Nurs Stud."},{"issue":"8","key":"2024102606312468000_CIT0004","doi-asserted-by":"crossref","first-page":"e521","DOI":"10.1016\/S2666-7568(21)00142-2","article-title":"Oral health for healthy ageing","volume":"2","author":"Patel","year":"2021","journal-title":"Lancet Healthy Longev"},{"issue":"8","key":"2024102606312468000_CIT0005","doi-asserted-by":"crossref","first-page":"1903","DOI":"10.1007\/s00784-015-1652-8","article-title":"An oral health survey of vulnerable older people in Belgium","volume":"20","author":"De Visschere","year":"2016","journal-title":"Clin Oral Investig."},{"issue":"8","key":"2024102606312468000_CIT0006","doi-asserted-by":"crossref","first-page":"396","DOI":"10.12968\/bjcn.2020.25.8.396","article-title":"Oral health in older adults","volume":"25","author":"Hazara","year":"2020","journal-title":"Br J Community Nurs."},{"issue":"1","key":"2024102606312468000_CIT0007","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/s00784-016-1934-9","article-title":"Oral health and orofacial pain in older people with dementia: a systematic review with focus on dental hard tissues","volume":"21","author":"Delwel","year":"2017","journal-title":"Clin Oral Investig."},{"key":"2024102606312468000_CIT0008","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1111\/idj.12329","article-title":"Oral health for an ageing population: the importance of a natural dentition in older adults","volume":"67","author":"M\u00fcller","year":"2017","journal-title":"Int Dent J."},{"issue":"1","key":"2024102606312468000_CIT0009","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1186\/1472-6831-13-61","article-title":"The impact of frailty on oral care behavior of older people: a qualitative study","volume":"13","author":"Niesten","year":"2013","journal-title":"BMC Oral Health"},{"issue":"4","key":"2024102606312468000_CIT0010","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1016\/j.cden.2014.07.001","article-title":"Cognitive impairment in older adults and oral health considerations: treatment and management","volume":"58","author":"Brennan","year":"2014","journal-title":"Dent Clin North Am."},{"issue":"1","key":"2024102606312468000_CIT0011","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1111\/prd.12454","article-title":"Periodontitis and peri-implantitis in elderly people experiencing institutional and hospital confinement","volume":"90","author":"M\u00fcller","year":"2022","journal-title":"Periodontol 2000"},{"issue":"1","key":"2024102606312468000_CIT0012","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.oooo.2011.11.014","article-title":"Xerostomia and salivary hypofunction in vulnerable elders: prevalence and etiology","volume":"114","author":"Liu","year":"2012","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol"},{"issue":"1","key":"2024102606312468000_CIT0013","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1111\/ger.12443","article-title":"Influence of oral health literacy on dissatisfaction with oral health among older people","volume":"37","author":"Tenani","year":"2020","journal-title":"Gerodontology"},{"issue":"1","key":"2024102606312468000_CIT0014","doi-asserted-by":"crossref","first-page":"7614","DOI":"10.1038\/s41467-022-35337-8","article-title":"An umbrella review of the evidence linking oral health and systemic noncommunicable diseases","volume":"13","author":"Botelho","year":"2022","journal-title":"Nat Commun."},{"year":"2022","author":"World Health Organization","key":"2024102606312468000_CIT0015"},{"issue":"8","key":"2024102606312468000_CIT0016","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1111\/joor.13493","article-title":"Masticatory dysfunction in older adults: a scoping review","volume":"50","author":"Lahoud","year":"2023","journal-title":"J Oral Rehabil."},{"issue":"4","key":"2024102606312468000_CIT0017","first-page":"ZC05","article-title":"Impact of dental disorders and its influence on self esteem levels among adolescents","volume":"11","author":"Kaur","year":"2017","journal-title":"J Clin Diagn Res"},{"issue":"3","key":"2024102606312468000_CIT0018","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1002\/nop2.743","article-title":"Oral health among older adults in nursing homes: a survey in a national quality register, the Senior Alert","volume":"8","author":"Bellander","year":"2021","journal-title":"Nurs Open"},{"issue":"1","key":"2024102606312468000_CIT0019","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/s12877-019-1349-y","article-title":"Measurement properties of oral health assessments for non-dental healthcare professionals in older people: a systematic review","volume":"20","author":"Everaars","year":"2020","journal-title":"BMC Geriatr."},{"issue":"2","key":"2024102606312468000_CIT0020","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1111\/ger.12648","article-title":"A systematic review of measurement instruments for oral health assessment of older adults in long-term care facilities by nondental professionals","volume":"40","author":"Rodrigues","year":"2023","journal-title":"Gerodontology"},{"year":"2013","author":"Carpenter","key":"2024102606312468000_CIT0021"},{"issue":"1","key":"2024102606312468000_CIT0022","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s12963-016-0108-y","article-title":"Oral\/dental items in the resident assessment instrument\u2014minimum Data Set 2.0 lack validity: results of a retrospective, longitudinal validation study","volume":"14","author":"Hoben","year":"2016","journal-title":"Popul Health Metr"},{"issue":"12","key":"2024102606312468000_CIT0023","doi-asserted-by":"crossref","first-page":"e0146065","DOI":"10.1371\/journal.pone.0146065","article-title":"Missing oral health-related data in the interRAI-HC\u2014associations with selected variables of general health and the effect of multiple imputation on the relationship between oral and general health","volume":"10","author":"Krausch-Hofmann","year":"2015","journal-title":"PLoS One."},{"issue":"6","key":"2024102606312468000_CIT0024","doi-asserted-by":"crossref","first-page":"3475","DOI":"10.1007\/s00784-020-03669-8","article-title":"Assessment of oral health in older adults by non-dental professional caregivers-development and validation of a photograph-supported oral health-related section for the interRAI suite of instruments","volume":"25","author":"Krausch-Hofmann","year":"2021","journal-title":"Clin Oral Investig."},{"issue":"8","key":"2024102606312468000_CIT0025","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1177\/00220345231156162","article-title":"International Delphi study to optimize the oral health section in interRAI","volume":"102","author":"Schoebrechts","year":"2023","journal-title":"J Dent Res."},{"issue":"1","key":"2024102606312468000_CIT0026","doi-asserted-by":"crossref","first-page":"e12351","DOI":"10.1111\/opn.12351","article-title":"Development of practice guidelines for daily oral care in care-dependent older adults to complement the InterRAI suite of instruments using a modified Delphi approach","volume":"16","author":"Krausch-Hofmann","year":"2021","journal-title":"Int J Older People Nurs"},{"volume-title":"Pyxicare: van BelRAI tot kwaliteitslabel | Belgium","key":"2024102606312468000_CIT0027"},{"issue":"4","key":"2024102606312468000_CIT0028","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1111\/j.1741-2358.2005.00087.x","article-title":"Impact of dry mouth conditions on oral health-related quality of life in older people","volume":"22","author":"Gerdin","year":"2005","journal-title":"Gerodontology"},{"issue":"2","key":"2024102606312468000_CIT0029","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1111\/ger.12433","article-title":"Measuring the symptomatic, physical, emotional and social impacts of dry mouth: a qualitative study","volume":"37","author":"Gibson","year":"2020","journal-title":"Gerodontology"},{"issue":"4","key":"2024102606312468000_CIT0030","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1111\/ger.12497","article-title":"Prevalence of hyposalivation in older people: a systematic review and meta-analysis","volume":"37","author":"Pina","year":"2020","journal-title":"Gerodontology"},{"issue":"3","key":"2024102606312468000_CIT0031","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1111\/ger.12339","article-title":"Psychometric evaluation of the Orofacial Pain Scale for Non-Verbal Individuals as a screening tool for orofacial pain in people with dementia","volume":"35","author":"Delwel","year":"2018","journal-title":"Gerodontology"},{"issue":"1","key":"2024102606312468000_CIT0032","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1111\/joor.12724","article-title":"Orofacial pain and its potential oral causes in older people with mild cognitive impairment or dementia","volume":"46","author":"Delwel","year":"2019","journal-title":"J Oral Rehabil."},{"key":"2024102606312468000_CIT0033","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.jdent.2016.11.002","article-title":"The relationship between oral health and oral health related quality of life among elderly people in United Kingdom","volume":"56","author":"Masood","year":"2017","journal-title":"J Dent."},{"issue":"5","key":"2024102606312468000_CIT0034","doi-asserted-by":"crossref","first-page":"e378","DOI":"10.1093\/geront\/gnz105","article-title":"The influence of oral health factors on the quality of life in older people: a systematic review","volume":"60","author":"van de Rijt","year":"2020","journal-title":"Gerontologist"},{"issue":"1","key":"2024102606312468000_CIT0035","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1186\/s12903-023-03305-3","article-title":"Association between oral hypofunction and general health: a systematic review","volume":"23","author":"Limpuangthip","year":"2023","journal-title":"BMC Oral Health"},{"issue":"1","key":"2024102606312468000_CIT0036","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1111\/ger.12617","article-title":"Prevalence of chewing difficulty in older people in long-term care: a systematic review and meta-analysis","volume":"40","author":"Abreu","year":"2023","journal-title":"Gerodontology"},{"issue":"3","key":"2024102606312468000_CIT0037","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1111\/ggi.12006","article-title":"Evaluation of chewing ability and its relationship with activities of daily living, depression, cognitive status and food intake in the community-dwelling elderly","volume":"13","author":"Kimura","year":"2013","journal-title":"Geriatr Gerontol Int."},{"issue":"1","key":"2024102606312468000_CIT0038","doi-asserted-by":"crossref","first-page":"9","DOI":"10.26650\/eor.20200048","article-title":"The association between denture care and oral hygiene habits, oral hygiene knowledge and periodontal status of geriatric patients wearing removable partial dentures","volume":"54","author":"Cankaya","year":"2020","journal-title":"Eur Oral Res"},{"issue":"2","key":"2024102606312468000_CIT0039","doi-asserted-by":"crossref","first-page":"e220","DOI":"10.1111\/j.1741-2358.2010.00448.x","article-title":"Oral hygiene and periodontal disease in Victorian nursing homes","volume":"29","author":"Hopcraft","year":"2012","journal-title":"Gerodontology"},{"issue":"21","key":"2024102606312468000_CIT0040","doi-asserted-by":"crossref","first-page":"4132","DOI":"10.3390\/ijerph16214132","article-title":"Oral health and its associated factors among older institutionalized residents\u2014a systematic review","volume":"16","author":"Wong","year":"2019","journal-title":"Int J Environ Res Public Health."},{"issue":"12","key":"2024102606312468000_CIT0041","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1016\/j.jamda.2018.09.036","article-title":"Improving nursing home residents\u2019 oral hygiene: results of a cluster randomized intervention trial","volume":"19","author":"Weintraub","year":"2018","journal-title":"J Am Med Dir Assoc."},{"key":"2024102606312468000_CIT0042","doi-asserted-by":"crossref","first-page":"2146160","DOI":"10.1155\/2020\/2146160","article-title":"Global prevalence of periodontal disease and lack of its surveillance","volume":"2020","author":"Nazir","year":"2020","journal-title":"Sci World J"},{"issue":"1","key":"2024102606312468000_CIT0043","doi-asserted-by":"crossref","first-page":"11","DOI":"10.5770\/cgj.18.123","article-title":"Prevalence and distribution of oral mucosal lesions in a geriatric Indian population","volume":"18","author":"Patil","year":"2015","journal-title":"Can Geriatr J"},{"issue":"3","key":"2024102606312468000_CIT0044","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.3390\/jcm12031071","article-title":"Evolution of the incidence of oral cavity cancers in the elderly from 1990 to 2018","volume":"12","author":"Renou","year":"2023","journal-title":"J Clin Med"},{"issue":"20","key":"2024102606312468000_CIT0045","doi-asserted-by":"crossref","first-page":"10662","DOI":"10.3390\/ijerph182010662","article-title":"A systematic review on caries status of older adults","volume":"18","author":"Chan","year":"2021","journal-title":"Int J Environ Res Public Health."},{"issue":"4","key":"2024102606312468000_CIT0046","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.gerinurse.2016.11.008","article-title":"Dental care practices and oral health training for professional caregivers in long-term care facilities: an interdisciplinary approach to address oral health disparities","volume":"38","author":"Kohli","year":"2017","journal-title":"Geriatr Nurs."},{"issue":"4","key":"2024102606312468000_CIT0047","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1111\/ger.12421","article-title":"The oral health-related section of the interRAI: evaluation of test content validity by expert rating and assessment of potential reasons for inaccurate assessments based on focus group discussions with caregivers","volume":"36","author":"Krausch-Hofmann","year":"2019","journal-title":"Gerodontology"},{"issue":"5","key":"2024102606312468000_CIT0048","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1111\/j.1754-4505.2002.tb00268.x","article-title":"lnter-rater reliability of an oral assessment guide for elderly patients residing in a rehabilitation ward","volume":"22","author":"Andersson","year":"2002","journal-title":"Spec Care Dentist."},{"article-title":"Development & Validation of a Revised Nursing Home Assessment Tool: MDS 3.0","year":"2008","author":"Saliba","key":"2024102606312468000_CIT0049"},{"year":"2017","author":"Long-Term Care Facility Resident Assessment Instrument 3.0 User\u2019s Manual","key":"2024102606312468000_CIT0050"},{"author":"Regelhulp","key":"2024102606312468000_CIT0051"}],"container-title":["Innovation in Aging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/innovateage\/advance-article-pdf\/doi\/10.1093\/geroni\/igae090\/59214517\/igae090.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/innovateage\/article-pdf\/8\/10\/igae090\/60105386\/igae090.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/innovateage\/article-pdf\/8\/10\/igae090\/60105386\/igae090.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,26]],"date-time":"2024-10-26T06:31:43Z","timestamp":1729924303000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/innovateage\/article\/doi\/10.1093\/geroni\/igae090\/7762836"}},"subtitle":[],"editor":[{"given":"Howard B","family":"Degenholtz","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":51,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10,3]]}},"URL":"https:\/\/doi.org\/10.1093\/geroni\/igae090","relation":{},"ISSN":["2399-5300"],"issn-type":[{"type":"electronic","value":"2399-5300"}],"subject":[],"published-other":{"date-parts":[[2024]]},"published":{"date-parts":[[2024]]},"article-number":"igae090"}}