Social participation and physical prefrailty in older Japanese adults: The Shimane CoHRE study.
Social participation and physical prefrailty in older Japanese adults: The Shimane CoHRE study.
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日本年长的成年人的社会参与和身体培训：Shimane Cohre研究。
DOI：
10.1371/journal.pone.0243548
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发表时间：
2020
期刊：
影响因子：
3.7
通讯作者：
Miyazaki R
中科院分区：
文献类型：
--
作者：
Abe T;Okuyama K;Kamada M;Yano S;Toyama Y;Isomura M;Nabika T;Sakane N;Ando H;Miyazaki R
由于老年人在虚弱的早期阶段（prefrailty）可能会恢复到健康状态，因此有必要研究预防prefrailty。在这种情况下，与社区居住的老年人身体虚弱相关的社会参与活动的数量和类型仍然相对未被探索。这项横断面研究通过分析2019年居住在日本农村地区岛根县冲之岛的616名参与者来调查这一问题。使用5项虚弱表型（无意体重减轻、自我报告的疲惫、虚弱、步行速度慢和体力活动少）评估虚弱。社会参与数据是根据参与者对志愿者团体、体育俱乐部/团体、邻里协会、宗教组织/团体和社区老年沙龙的参与程度通过问卷获得的;如果他们回答“每年几次或更多次”，则他们的回答被归类为“是”，如果他们回答“从不”，则归类为“否”。采用二项logistic回归分析，通过社会参与活动的数量或类型，调整性别、年龄、体重指数、吸烟、服药、教育程度、工作状况和生活安排，估计易感性的比值比（OR）和95%置信区间（CI）。在616名参与者中，分别有273名（44.3%）和28名（4.5%）有前虚弱和虚弱。分析表明，社会参与活动的数量与较低的患病几率显著相关（OR = 0.83; 95%CI，0.74-0.94）。关于社会参与的类型，体育俱乐部/团体与较低的易感性相关（OR = 0.47; 95%CI，0.31-0.73）。参与邻里协会与易感/脆弱相关（OR = 0.57; 95%CI，0.37-0.86）。这些结果表明，增加社会参与活动或参与体育俱乐部/团体和邻里协会的数量可能是重要的，以防止身体prefrailty在老年人口。
As older adults in an early stage (prefrailty) of frailty may return to a healthy state, it is necessary to examine the prevention of prefrailty. In this context, the number and types of social participation activities associated with physical prefrailty in community-dwelling older adults have remained relatively unexplored. This cross-sectional study investigates this issue by analyzing 616 participants living in Okinoshima, Shimane, a rural area of Japan, in 2019. Frailty was assessed using the 5-item frailty phenotype (unintentional weight loss, self-reported exhaustion, weakness, slow walking speed, and low physical activity). Data on social participation were obtained using a questionnaire based on participants’ level of involvement with volunteer groups, sports clubs/groups, neighborhood associations, religious organizations/groups, and community elderly salons; their answers were categorized as “yes” if they answered “several times per year or more” and “no” if they answered “never.” Binominal logistic regression was used to estimate odds ratios (OR) and 95% confidence intervals (CI) of prefrailty by the number or types of social participation activities, adjusted for gender, age, body mass index, smoking, medication-taking, educational attainment, working status, and living arrangement. Of the 616 participants, 273 (44.3%) and 28 (4.5%) had prefrailty and frailty, respectively. The analysis showed that the number of social participation activities was significantly associated with lower odds of prefrailty (OR = 0.83; 95% CI, 0.74–0.94). Regarding the types of social participation, sports clubs/groups were associated with lower odds of prefrailty (OR = 0.47; 95% CI, 0.31–0.73). Participation in neighborhood associations was associated with prefrailty/frailty (OR = 0.57; 95% CI, 0.37–0.86). These results suggest that increasing the number of social participation activities or involvement in sports clubs/groups and neighborhood associations may be important to prevent physical prefrailty in the older population.
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影响因子：
3.7
作者：
Hamano T;Fujisawa Y;Ishida Y;Subramanian SV;Kawachi I;Shiwaku K
通讯作者：
Shiwaku K
DOI：
10.1111/j.1532-5415.2012.04054.x
发表时间：
2012-08-01
影响因子：
6.3
作者：
Collard, Rose M.;Boter, Han;Voshaar, Richard C. Oude
通讯作者：
Voshaar, Richard C. Oude
DOI：
10.1093/gerona/glq231
发表时间：
2011-04-01
影响因子：
5.1
作者：
James, Bryan D.;Boyle, Patricia A.;Bennett, David A.
通讯作者：
Bennett, David A.
影响因子：
5.8
作者：
Hajek, Andr;Brettschneider, C.;Konig, H. -H.
通讯作者：
Konig, H. -H.
影响因子：
3.7
作者：
Kanamori S;Kai Y;Aida J;Kondo K;Kawachi I;Hirai H;Shirai K;Ishikawa Y;Suzuki K;JAGES Group
通讯作者：
JAGES Group