Life-Space Mobility and Frailty in Older Japanese Adults: A Cross-Sectional Study

被引:0
|
作者
Tanide, Atsuko [1 ,2 ,3 ]
Watanabe, Daiki [1 ,4 ,5 ]
Yoshida, Tsukasa [1 ,5 ,6 ]
Yamada, Yosuke [1 ,5 ]
Watanabe, Yuya [1 ,5 ,7 ]
Yamada, Minoru [8 ]
Fujita, Hiroyuki [5 ]
Nakaya, Tomoki [9 ,10 ]
Miyachi, Motohiko [1 ,4 ]
Watanabe, Masaru [3 ]
Fujiwara, Yoshinori [2 ]
Arai, Hidenori
Kimura, Misaka [5 ,6 ]
机构
[1] Natl Inst Biomed Innovat Hlth & Nutr, Natl Inst Hlth & Nutr, Settsu City, Osaka, Japan
[2] Tokyo Metropolitan Inst Geriatr & Gerontol, Tokyo, Japan
[3] Tokyo Metropolitan Univ, Grad Sch Human Hlth Sci, Dept Frontier Hlth Sci, Tokyo, Japan
[4] Waseda Univ, Fac Sport Sci, 2-579-15 Mikajima, Tokorozawa, Saitama 3591192, Japan
[5] Kyoto Univ Adv Sci, Inst Interdisciplinary Res, Inst Act Hlth, Kyoto, Japan
[6] Kameoka City Govt, Sr Citizens Welf Sect, Kameoka City, Kyoto, Japan
[7] Biwako Seikei Sports Coll, Fac Sport Study, Otsu, Shiga, Japan
[8] Univ Tsukuba, Fac Human Sci, Tokyo, Japan
[9] Tohoku Univ, Grad Sch Environm Studies, Dept Frontier Sci Adv Environm, Sendai, Miyagi, Japan
[10] Tohoku Univ, Grad Sch Sci, Dept Earth Sci, Sendai, Miyagi, Japan
关键词
Frailty; frailty screening index; Japanese; Kihon Checklist; life-space assessment; PHYSICAL-ACTIVITY; SOCIAL SUPPORT; HEALTH; CONSTRICTION; INSTRUMENTS; LONELINESS; PREVALENCE;
D O I
10.1016/j.jamda.2024.105232
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objectives: Some studies reported a relationship between life-space mobility (LSM) and frailty assessed by physical aspects; however, a more comprehensive discussion of frailty is underdeveloped. In addition, previous studies have focused only on older Euro-American people. Therefore, we aimed to examine LSM-frailty relationships in community-dwelling older Japanese persons using physical and comprehensive frailty indices. Design: A cross-sectional study. Setting and Participants: We used the data of 8898 older adults from a baseline survey of the Kyoto-Kameoka Study in Japan. Methods: The validated life-space assessment (LSA) was used to evaluate LSM and categorized it into quartiles. Two validated indices were used to evaluate frailty: the Kihon Checklist (KCL) and the simple Frailty Screening Index (FSI). Multivariable logistic regression was used to determine the relationships between LSM scores and frailty. Results: The mean age (SD) of the participants was 73.4 (6.3) years, and 53.3% were women. The mean LSM score of the study participants was 53.0. The prevalence of frailty by KCL and FSI was 40.7% and 16.8%, respectively. Significant differences between LSM score and frailty prevalence were observed [KCL: Q1, reference; Q2, odds ratio (OR) 0.53, 95% CI 0.45-0.62; Q3, OR 0.30, 95% CI 0.25-0.35; Q4: OR 0.22, 95% CI 0.18-0.26, P for trend <.001; FSI: Q1, reference; Q2, OR 0.57, 95% CI 0.48-0.68; Q3: OR 0.38, 95% CI 0.31-0.46; Q4: OR 0.35, 95% CI 0.28-0.42, P for trend <.001]. Similar results were observed when LSM scores were examined at 10-point intervals, with LSM and frailty exhibiting an L-shaped relationship. The LSM score dose-response curve at which the OR for frailty plateaued among older individuals was approximately 81-90 score. Conclusions and Implications: LSM score and frailty prevalence exhibited L-shaped relationships in community-dwelling older persons. This study's findings provide useful data for setting LSM targets for preventing frailty in community-dwelling older persons.
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页数:9
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