Association of social participation (including inconsistent participation) with the progression of frailty among older adults: Community-based cohort study in Japan
Association of social participation (including inconsistent participation) with the progression of frailty among older adults: Community-based cohort study in Japan
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社会参与（包括不一致的参与）与老年人虚弱进展的关联：日本基于社区的队列研究
DOI：
10.1111/ggi.14510
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发表时间：
2023
影响因子：
3.3
通讯作者：
Takashi Arao
中科院分区：
文献类型：
--
作者：
Takuya Yamada;Yoshiharu Fukuda;Satoru Kanamori;Shinichiro Sato;Mutsumi Nakamura;Yuta Nemoto;Kazushi Maruo;Noriko Takeda;Yoshinori Kitabatake;Takashi Arao
AimThis study examined the relationship between continuity of social participation and progression of frailty among community‐dwelling elderly adults，by baseline frailty level.MethodsThis study was part of a 3-year community‐based cohort study among adults aged ≥65 years，living independently in a rural municipality in Japan. 2016年、2018年和2019年进行了邮件调查。这项研究涉及2799名参与者，他们在每次调查中都回答了关于社会参与的问题。采用Kihon量表总分评价虚弱程度。社会参与分为持续不参与、中断的近期不参与、中断的近期参与和持续参与。我们使用一般线性回归分析评估了社会参与和脆弱分数变化之间的关系，将参与者按基线时的脆弱程度分组。（β −0.61，95% CI −0.99至−0.22）和虚弱前期组（β −0.73，95% CI −1.18至−0.27）。近期中断的参与显示虚弱前期组中存在显著抑制（β −0.96，95%CI −1.60至−0.32）。社会参与有没有明确的影响，在体弱group. ConclusionsConsistentsSocial参与的进展可能会减少强大的和prefractile人的脆弱性的进展。不一致的参与也可能有助于减少虚弱前老年人的进展。对于体弱前的老年人来说，重要的是要恢复他们的社会活动，并尽可能长时间地继续参与，即使他们过去的参与是间歇性的。Geriatr Gerontol Int 2023; 23：25-31。
AimThis study examined the relationship between continuity of social participation and progression of frailty among community‐dwelling older adults, by baseline frailty level.MethodsThis study was part of a 3‐year community‐based cohort study among adults aged ≥65 years, living independently in a rural municipality in Japan. Mail surveys were carried out in 2016, 2018 and 2019. This study involved 2799 participants who responded to the question about social participation in every survey. Frailty was evaluated by Kihon Checklist total scores. Social participation was categorized into consistent non‐participation, interrupted recent non‐participation, interrupted recent participation and consistent participation. We assessed the relationship between social participation and change in frailty scores using general linear regression analysis, stratifying the participants into groups by their frailty level at baseline.ResultsThere was a smaller frailty score increase in the robust (β −0.61, 95% CI −0.99 to −0.22) and prefrail groups (β −0.73, 95% CI −1.18 to −0.27) for consistent participation than consistent non‐participation. Interrupted recent participation showed significant suppression in the prefrail group (β −0.96, 95% CI −1.60 to −0.32). Social participation had no clear effect on progression in the frail group.ConclusionsConsistent social participation might reduce the progression of frailty in robust and prefrail people. Inconsistent participation might also help to reduce progression in prefrail older adults. It is important for prefrail older adults to return to their social activities and continue to engage as long as possible, even if their participation was intermittent in the past.Geriatr Gerontol Int 2023; 23: 25–31.