Association between activity diversity and frailty among community-dwelling older Japanese: A cross-sectional study
Association between activity diversity and frailty among community-dwelling older Japanese: A cross-sectional study
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DOI：
10.1016/j.archger.2021.104377
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发表时间：
2021-02-24
影响因子：
4
通讯作者：
Obuchi, Shuichi
中科院分区：
文献类型：
--
作者：
Takahashi, Junta;Kawai, Hisashi;Obuchi, Shuichi
目的：日常活动的恶化增加了虚弱的风险。之前的大多数研究都研究了虚弱与特定活动之间的联系;尽管如此，日常活动的多样性也很重要。尽管日常活动的类型、频率和均匀度被认为是活动多样性的指标，但这些指标与虚弱之间的关联仍不清楚。本研究以2018年参加综合健康检查的658名年龄≥ 65岁的社区老年人为研究对象，对社区老年人的活动多样性与身体虚弱之间的关系进行了研究。虚弱的定义采用日本版的心血管健康研究标准。三个指标，类型，频率和日常活动的均匀性，被用来评估一周内的活动多样性。以虚弱程度为因变量，以三个活动多样性指标为自变量，进行多元Logistic回归分析。社会人口统计学，身体和精神功能因素进行了调整为covariates.Results：658名参与者（中位年龄：72岁;年龄范围：65-91岁; 60.5%的女性），27（4.1%）符合虚弱的标准。虚弱组在日常活动的类型、频率和均匀度以及简易精神状态检查评分方面的得分显著较低（均为p < 0.01）。我们发现显着的独立协会在所有活动多样性指标与脆弱性，在多个logistic models.Conclusion：活动多样性是独立相关的脆弱性在社区居住的老年人。
Purpose: Deterioration of daily activities increases frailty risk. Most of the previous research has examined the association between frailty and specific activities; nevertheless, the diversity of daily activities is also important. Although the type, frequency, and evenness of daily activities have been proposed as indicators of activity diversity, the association between these indicators and frailty remains unclear. In this study, we examined the association between activity diversity and frailty in community-dwelling older adults.Materials and Methods: This cross-sectional study comprised 658 community-dwelling older adults aged >= 65 years who participated in comprehensive health check-ups in 2018. Frailty was defined using the Japanese version of the Cardiovascular Health Study criteria. Three indicators, type, frequency, and evenness of daily activities, were used to assess activity diversity across one week. Multiple logistic regression analyses were performed, with frailty as the dependent variable and the three activity diversity indicators as independent variables. Socio-demographic, physical, and mental functioning factors were adjusted as covariates.Results: Of the 658 participants (median age: 72 years; age range: 65-91 years; 60.5% women), 27 (4.1%) met the criteria for frailty. The frail group had significantly lower scores for type, frequency, and evenness of daily activities, as well as Mini-Mental State Examination scores (all at p < 0.01). We found significant independent associations in all activity diversity indicators with frailty, in multiple logistic models.Conclusion: Activity diversity is independently associated with frailty in community-dwelling older adults.