Social participation and the prevention of functional disability in older Japanese: the JAGES cohort study.
Social participation and the prevention of functional disability in older Japanese: the JAGES cohort study.
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DOI：
10.1371/journal.pone.0099638
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
JAGES Group
中科院分区：
文献类型：
--
作者：
Kanamori S;Kai Y;Aida J;Kondo K;Kawachi I;Hirai H;Shirai K;Ishikawa Y;Suzuki K;JAGES Group
我们通过前瞻性队列研究，从参与组织类型数量和社会参与类型的角度探讨了事件功能障碍与社会参与之间的关系。该研究基于爱知老年学评估研究（AGES）队列研究数据。我们对 13,310 名 65 岁或以上的人进行了 4 年的跟踪调查。对 12,951 名受试者进行了分析，排除了 359 名年龄或性别信息缺失的人。社会参与分为8类。与未参加任何组织的人相比，参加一种组织的风险比（HR）为0.83（95％CI：0.73-0.95），参加两种组织的风险比（HR）为0.72（0.61-0.85），参加三种或更多不同类型组织的风险比（HR）为0.57（0.46-0.70）。在多变量调整模型中，参与以下类型的组织对意外残疾具有保护作用：当地社区组织（HR = 0.85，95% CI：0.76–0.96）、业余爱好组织（HR = 0.75，95% CI：0.64–0.87）和体育组织（HR = 0.64，95% CI： 0.54–0.81）。社会参与可能会降低日本老年人发生功能障碍的风险。这种效果可以通过参与各种不同类型的组织来加强。参加当地社区、爱好或体育团体或组织可能对降低残疾风险特别有效。
We examined the relationship between incident functional disability and social participation from the perspective of number of types of organizations participated in and type of social participation in a prospective cohort study. The study was based on the Aichi Gerontological Evaluation Study (AGES) Cohort Study data. We followed 13,310 individuals aged 65 years or older for 4 years. Analysis was carried out on 12,951 subjects, excluding 359 people whose information on age or sex was missing. Social participation was categorized into 8 types. Compared to those that did not participate in any organizations, the hazard ratio (HR) was 0.83 (95% CI: 0.73–0.95) for participation in one, 0.72 (0.61–0.85) for participation in two, and 0.57 (0.46–0.70) for participation in three or more different types of organizations. In multivariable adjusted models, participation in the following types of organization was protective for incident disability: local community organizations (HR = 0.85, 95% CI: 0.76–0.96), hobby organizations (HR = 0.75, 95% CI: 0.64–0.87), and sports organizations (HR = 0.64, 95% CI: 0.54–0.81). Social participation may decrease the risk of incident functional disability in older people in Japan. This effect may be strengthened by participation in a variety of different types of organizations. Participating in a local community, hobby, or sports group or organization may be especially effective for decreasing the risk of disability.
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DOI：
10.1017/s1355617711000531
发表时间：
2011-11
影响因子：
2.6
作者：
James, Bryan D.;Wilson, Robert S.;Barnes, Lisa L.;Bennett, David A.
通讯作者：
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影响因子：
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影响因子：
4.2
作者：
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通讯作者：
Thoresen, C
影响因子：
7.6
作者：
ROOK, KS
通讯作者：
ROOK, KS
影响因子：
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作者：
Glass, TA;de Leon, CM;Berkman, LF
通讯作者：
Berkman, LF