The Influence of the COVID-19 Pandemic on Physical Activity and New Incidence of Frailty among Initially Non-Frail Older Adults in Japan: A Follow-Up Online Survey.
The Influence of the COVID-19 Pandemic on Physical Activity and New Incidence of Frailty among Initially Non-Frail Older Adults in Japan: A Follow-Up Online Survey.
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DOI：
10.1007/s12603-021-1634-2
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Arai H
中科院分区：
文献类型：
--
作者：
Yamada M;Kimura Y;Ishiyama D;Otobe Y;Suzuki M;Koyama S;Kikuchi T;Kusumi H;Arai H
本研究的目的是调查2019冠状病毒病大流行对日本原本身体不虚弱的老年人身体活动（PA）和虚弱发生率的影响。一项后续在线调查。在1600名基线在线调查参与者中，388名成年人已经虚弱，275名老年人没有回应后续调查。因此，本研究的最终受试者人数为937人（随访率77.3%）。我们根据日本的COVID-19浪潮在四个时间点评估了总PA时间：2020年1月（大流行之前），2020年4月（第一波），2020年8月（第二波）和2021年1月（第三波）。然后，我们在一年的随访期间（大流行期间）调查了虚弱的发生率。第一、第二和第三波大流行期间的总PA时间分别比大流行前的PA时间减少了33.3%、28.3%和40.0%。特别是，独居和不参加社交活动的老年人的总PA时间显着减少：分别比大流行前减少42.9%（第一波），50.0%（第二波）和61.9%（第三波）。此外，与非独居者和社交活跃者相比，他们发生虚弱的风险明显更高（校正优势比：2.04[95%置信区间：1.01-4.10]）。我们的研究结果表明，独居和不参加社交活动的老年人更有可能因大流行期间PA下降而出现意外的虚弱/残疾。了解这一机制可能对维持老年人的健康状况至关重要。
The objective of this study was to investigate the influence of the COVID-19 pandemic on physical activity (PA) and the incidence of frailty among initially non-frail older adults in Japan. A follow-up online survey. Among the 1,600 baseline online survey participants, 388 adults were already frail, and 275 older adults did not respond to the follow-up survey. Thus, the final number of participants in this study was 937 (follow-up rate: 77.3%). We assessed the total PA time at four time points according to the COVID-19 waves in Japan: January 2020 (before the pandemic), April 2020 (during the first wave), August 2020 (during the second wave), and January 2021 (during the third wave). We then investigated the incidence of frailty during a one-year follow-up period (during the pandemic). The total PA time during the first, second, and third waves of the pandemic decreased from the pre-pandemic PA time by 33.3%, 28.3%, and 40.0%, respectively. In particular, the total PA time of older adults who were living alone and socially inactive decreased significantly: 42.9% (first wave), 50.0% (second wave), and 61.9% (third wave) less than before the pandemic, respectively. Additionally, they were at a significantly higher risk of incident frailty than those who were not living alone and were socially active (adjusted odds ratio: 2.04 [95% confidence interval: 1.01–4.10]). Our findings suggest that older adults who live alone and are socially inactive are more likely to experience incident frailty/disability due to decreased PA during the pandemic. Understanding this mechanism may be crucial for maintaining the health status of older adults.
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影响因子：
3.9
作者：
Browne RAV;Macêdo GAD;Cabral LLP;Oliveira GTA;Vivas A;Fontes EB;Elsangedy HM;Costa EC
通讯作者：
Costa EC
DOI：
10.1016/j.jamda.2009.11.008
发表时间：
2010-06-01
影响因子：
7.6
作者：
Gobbens, Robbert J. J.;van Assen, Marcel A. L. M.;Schols, Jos M. G. A.
通讯作者：
Schols, Jos M. G. A.
影响因子：
1.5
作者：
Yasunaga, Akitomo;Togo, Fumiharu;Aoyagi, Yukitoshi
通讯作者：
Aoyagi, Yukitoshi
致编辑的信：自第一波 COVID-19 大流行以来日本老年人体力活动的恢复。
DOI：
10.1007/s12603-020-1516-z
发表时间：
2020
期刊：
The journal of nutrition, health & aging
影响因子：
--
作者：
Yamada M;Kimura Y;Ishiyama D;Otobe Y;Suzuki M;Koyama S;Kikuchi T;Kusumi H;Arai H
通讯作者：
Arai H
COVID-19 疫情对日本社区老年人身体活动的影响：一项横断面在线调查。
DOI：
10.1007/s12603-020-1501-6
发表时间：
2020
期刊：
The journal of nutrition, health & aging
影响因子：
--
作者：
Yamada M;Kimura Y;Ishiyama D;Otobe Y;Suzuki M;Koyama S;Kikuchi T;Kusumi H;Arai H
通讯作者：
Arai H