論文

査読有り 国際誌
2020年6月

Healthy lifestyle behaviors and transitions in frailty status among independent community-dwelling older adults: The Yabu cohort study.

Maturitas
  • Abe T, Nofuji Y, Seino S, Murayama H, Yoshida Y, Tanigaki T, Yokoyama Y, Narita M, Nishi M, Kitamura A, Shinkai S

136
開始ページ
54
終了ページ
59
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.maturitas.2020.04.007

Frailty is a dynamic condition that can worsen or improve. Although previous studies have identified demographic and intrinsic factors associated with transitions in frailty status, less evidence is available regarding associations with daily activities. This longitudinal study examined associations of behavioral factors with incident frailty, adverse events (e.g. residence in a nursing home, hospitalization, and death), and frailty improvement among older adults. The analysis included data from 3,769 independent older adults aged 65 years or more (mean age, 76.3 ± 7.2years; proportion of frail participants, 30.1%) from the Yabu cohort study (baseline, 2012; follow-up, 2017). The Kaigo-Yobo Checklist, a standardized questionnaire, was used to assess frailty status (non-frail or frail) and seven behavioral factors: farming, shopping, exercise, eating habit, intellectual activity, social participation, and smoking. At the 5-year follow-up survey, the proportions of participants transitioning from non-frail to frail, from non-frail to incident adverse events, from frail to non-frail, and from frail to incident adverse events were 16.8%, 13.9%, 15.2%, and 50.1%, respectively. In the analysis of non-frail participants, farming, exercise, intellectual activity, and social participation were associated with lower odds of becoming frail and experiencing adverse events. In the analysis for frail participants, farming, intellectual activity, and social participation were significantly associated with improvement in frailty status, and farming, shopping, and social participation were associated with lower odds of incident adverse events. These findings suggest that farming, healthy daily activities, and social participation help improve and prevent frailty/adverse events.

リンク情報
DOI
https://doi.org/10.1016/j.maturitas.2020.04.007
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32386667
ID情報
  • DOI : 10.1016/j.maturitas.2020.04.007
  • PubMed ID : 32386667

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