Characteristics of meaningful activities in community-dwelling Japanese older adults with pre-frailty and frailty

The aim of this cross-sectional study was to investigate relationships between individuals’ ratings of satisfaction and performance of activities that they found meaningful and depressive symptoms. Data was obtained from 806 older adults (mean age 74.9 ± 6.3 years, women = 63.0%) who participated in a community-based health check survey (Tarumizu Study 2018). Participants selected meaningful activities from 95 activities using the Aid for Decision-Making in Occupation Choice and evaluated their satisfaction and performance. Depressive symptoms were assessed using the 15-item Geriatric Depression Scale (GDS-15) and defined by a GDS-15 score of ≥5. Non-linear logistic regression analyses were used separately by gender to examine the association between satisfaction and performance of meaningful activities and depressive symptoms. The prevalence of depressive symptoms was 15.8%. We found no significant difference between meaningful activity choice between older adults with depressive symptoms and those without, in both men and women. After adjusting for potential covariates, satisfaction was associated with depressive symptoms in both men (OR 0.52, 95% CI 0.35–0.77) and women (OR 0.67, 95% CI 0.49–0.91), but performance was limited in women (OR 0.87, 95% CI 0.77–0.99). Our findings suggest that depressive symptoms are associated with satisfaction in meaningful activities regardless of activity categories.

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End-of-Life Activities Among Community-Dwelling Older Adults in Japan

OMEGA - Journal of Death and Dying ◽

10.1177/0030222819854926 ◽

2019 ◽

pp. 003022281985492 ◽

Cited By ~ 3

Author(s):

Miho Tanaka ◽

Masami Takahashi ◽

Daisuke Kawashima

Keyword(s):

Mental Health ◽

Older Adults ◽

Cluster Analysis ◽

End Of Life ◽

Community Dwelling ◽

Fear Of Death ◽

Attitudes Toward Death ◽

Japanese Older Adults ◽

Eol Care ◽

Community Dwelling Older Adults

This study explored end-of-life (EOL) activities among community-dwelling Japanese older adults and the relationships between EOL activities and related variables. One hundred twenty-three older adults (38 men, 87 women; mean age = 72.54 years) who attended EOL seminars were surveyed regarding EOL activities, attitudes toward death, and mental health status. Cluster analysis of EOL activities revealed three clusters: Planning (e.g., had planned own funeral arrangements), Preference (e.g., had talked about EOL care with their family), and Preparation (e.g., already written their will). The number of EOL-related events attended was positively correlated with Preparation, while fear of death was negatively associated with Preference. Older adults with bereavement experience had higher Planning and Preparation scores than those without such experience.

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Association Between Estimated Glomerular Filtration Rate Based on Cystatin C and Grip Strength in Community-Dwelling Japanese Older Adults

The Journals of Gerontology Series A ◽

10.1093/gerona/glaa240 ◽

2020 ◽

Author(s):

Keiko Kabasawa ◽

Kazutoshi Nakamura ◽

Yumi Ito ◽

Junta Tanaka ◽

Ichiei Narita

Keyword(s):

Older Adults ◽

Glomerular Filtration Rate ◽

Grip Strength ◽

Kidney Function ◽

Cystatin C ◽

Filtration Rate ◽

Estimated Glomerular Filtration Rate ◽

Handgrip Strength ◽

Community Dwelling ◽

Japanese Older Adults

Abstract Background Kidney dysfunction is associated with sarcopenia. Estimated glomerular filtration rate based on cystatin C (eGFRcys), an alternative to creatinine-based measures of kidney function eGFR, is not affected by muscle mass. Given that the association of eGFRcys with muscle weakness would be limited, we examined the association in older adults with normal or compromised kidney function. Methods This cross-sectional study involved 594 community-dwelling Japanese adults aged ≥40 years living in Yuzawa, Japan. Serum creatinine, cystatin C, and handgrip strength were concurrently measured at a health-check examination in 2015. eGFR was calculated according to the equation developed for the Japanese population using creatinine and cystatin C. Associations of eGFRcys and eGFRcreat with low grip strength (men, <26 kg and women, <18 kg) were analyzed using logistic regression models adjusted to control for potential confounders. Results Participants (mean age, 74.9 years) included 319 women and 109 individuals with low grip strength. Mean eGFRcys was 75.2 (SD 18.6) mL/min/1.73 m2. Pearson’s correlation coefficients of handgrip strength for eGFRcys and eGFRcreat were 0.19 (p < .001) and −0.04 (p = .281), respectively. Multivariate logistic regression analysis showed the adjusted odds ratio (OR) of low grip strength for the highest versus lowest quartile of eGFRcys value was 2.46 (95% confidence interval, 1.03–5.86; p-trend = .026); whereas the comparative adjusted OR for eGFRcreat was 0.67 (95% confidence interval, 0.34–1.32). Conclusions Low kidney function as assessed by eGFRcys was associated with muscle weakness in community-dwelling Japanese older adults.

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Meaningful Activities and Psychosomatic Functions in Japanese Older Adults after Driving Cessation

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182413270 ◽

2021 ◽

Vol 18 (24) ◽

pp. 13270

Author(s):

Atsushi Nakamura ◽

Michio Maruta ◽

Hyuma Makizako ◽

Masaaki Miyata ◽

Hironori Miyata ◽

...

Keyword(s):

Older Adults ◽

Grip Strength ◽

Cross Sectional Study ◽

Community Dwelling ◽

Driving Frequency ◽

Driving Cessation ◽

Cross Sectional ◽

Meaningful Activity ◽

Weak Muscle ◽

Japanese Older Adults

The purpose of this cross-sectional study was to analyse the differences in meaningful activities and psychosomatic function depending on the driving status of community-dwelling older adults. Data from 594 older adults were obtained, including activities meaningful to individuals and psychosomatic functions, such as grip strength, depression, cognitive function, and ability of activity. Participants were divided into active driving (n = 549) and after driving cessation (n = 45) groups. In addition, the active driving group was operationally divided into three groups: high-frequency group (n = 387), medium group (n = 119), and infrequent group (n = 42). In the after driving cessation group, grip strength, and Japan Science and Technology Agency Index of Competence scores were significantly lower. Furthermore, the proportion of apathy and physical and social frailty was significantly higher in the after driving cessation group. Regarding meaningful activity, domestic life scores in the after driving cessation group were significantly higher than those of the active driving group. Decreased driving frequency in the active driving group was associated with weak muscle strength, lack of interest, and low activity. This study demonstrated that meaningful activity differed based on the driving status. Hence, we should support the activities of older adults who are considering driving cessation.

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Impact of Sedentary Time on Chronic Kidney Disease and Disability Incidence in Community-Dwelling Japanese Older Adults: A 4-Year Prospective Cohort Study

Journal of Aging and Physical Activity ◽

10.1123/japa.2017-0326 ◽

2019 ◽

Vol 27 (2) ◽

pp. 184-190

Author(s):

Sungchul Lee ◽

Sangyoon Lee ◽

Seongryu Bae ◽

Kazuhiro Harada ◽

Songee Jung ◽

...

Keyword(s):

Older Adults ◽

Chronic Kidney Disease ◽

Cohort Study ◽

Kidney Disease ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Sedentary Time ◽

Community Dwelling ◽

Japanese Older Adults

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The Effect of Chronic Medical Conditions on Functional Capacity Changes in Japanese Community-Dwelling Older Adults

Journal of Aging and Physical Activity ◽

10.1123/japa.8.2.148 ◽

2000 ◽

Vol 8 (2) ◽

pp. 148-161 ◽

Cited By ~ 9

Author(s):

Yoshinori Fujiwara ◽

Shoji Shinkai ◽

Shuichiro Watanabe ◽

Shu Kumagai ◽

Takao Suzuki ◽

...

Keyword(s):

Diabetes Mellitus ◽

Older Adults ◽

Functional Capacity ◽

Community Dwelling ◽

Chronic Obstructive ◽

Chronic Medical Conditions ◽

Medical Conditions ◽

Obstructive Pulmonary Disease ◽

Japanese Older Adults ◽

Community Dwelling Older Adults

This study investigated the effect of chronic medical conditions on changes in functional capacity in Japanese older adults. Participants comprised 1,518 people aged 65-84 living in an urban and a rural community. They were interviewed to determine the presence of chronic medical conditions and assessed for functional capacity using the Tokyo Metropolitan Institute of Gerontology (TMIG) Index of Competence. Follow-up occurred 4 years later. Statistical analysis revealed that self-reported medical conditions at baseline contributed to declines in the TMIG Index over the 4 years, even after participants’ age, sex, educational attainment, and baseline TMIG level were controlled for. In the urban area, chronic obstructive pulmonary disease, diabetes mellitus, and musculoskeletal disease significantly predicted decline in the index, whereas in the rural area, hypertension and diabetes mellitus were significant predictors. These results indicate the importance of controlling chronic medical conditions in order to prevent further declines in functional capacity in older adults.

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