Self-rated health is associated with subsequent functional decline among older adults in Japan

ABSTRACTBackground:Previous studies have reported that self-rated health (SRH) predicts subsequent mortality. However, less is known about the association between SRH and functional ability. The aim of this study was to examine whether SRH predicts decline in basic activities of daily living (ADL), even after adjustment for depression, among community-dwelling older adults in Japan.Methods:A three-year prospective cohort study was conducted among 654 residents aged 65 years and older without disability in performing basic ADL at baseline. SRH was assessed using a visual analogue scale (range; 0–100), and dichotomized into low and high groups. Information on functional ability, sociodemographic factors, depressive symptoms, and medical conditions were obtained using a self-administered questionnaire. Logistic regression analysis was used to examine the association between baseline SRH and functional decline three years later.Results:One hundred and eight (16.5%) participants reported a decline in basic ADL at the three-year follow-up. Multiple logistic regression analysis showed that the low SRH group had a higher risk for functional decline compared to the high SRH group, even after controlling for potential confounding factors (odds ratio (OR) = 2.4; 95% confidence interval (CI) = 1.3–4.4). Furthermore, a 10-point difference in SRH score was associated with subsequent functional decline (OR = 1.37; 95% CI = 1.16–1.61).Conclusions:SRH was an independent predictor of functional decline. SRH could be a simple assessment tool for predicting the loss or maintenance of functional ability in community-dwelling older adults. Positive self-evaluation might be useful to maintain an active lifestyle and stay healthy.

Download Full-text

Relationships between cystatin C- and creatinine-based eGFR in Japanese rural community- dwelling older adults with sarcopenia

Clinical and Experimental Nephrology ◽

10.1007/s10157-020-01981-x ◽

2020 ◽

Author(s):

Hiroshi Kusunoki ◽

Shotaro Tsuji ◽

Tomoyuki Kusukawa ◽

Yosuke Wada ◽

Kayoko Tamaki ◽

...

Keyword(s):

Older Adults ◽

Logistic Regression ◽

Regression Analysis ◽

Cystatin C ◽

Logistic Regression Analysis ◽

Gait Speed ◽

Multivariate Logistic Regression Analysis ◽

Community Dwelling ◽

Community Dwelling Older Adults ◽

Grip Power

Abstract Background Sarcopenia is prevalent in patients with chronic kidney disease (CKD). The indices of physical function, such as grip power and gait speed, decreased according to the decline in the estimated glomerular filtration rate (eGFR). Methods We examined the relationships between cystatin C-based GFR (eGFRcys), creatinine-based GFR (eGFRcre), their ratio (eGFRcys/eGFRcre) and sarcopenia in community-dwelling older adults in Japan. This cross-sectional study included 302 men aged 73.9 ± 6.2 years and 647 women aged 72.9 ± 5.8 years from a rural area in Hyogo Prefecture, Japan. eGFRcys and eGFRcre were simultaneously measured, and sarcopenia based on the Asia Working Group for Sarcopenia (AWGS) 2019 criteria was evaluated. Results eGFRcys and the eGFRcys/eGFRcre ratio were significantly correlated with grip power and gait speed (p < 0.001). The eGFRcys/eGFRcre ratio was also correlated with skeletal muscle mass index (SMI) (p < 0.01). Univariate logistic regression analysis showed eGFRcys and eGFRcys/eGFRcre ratio but not eGFRcre were associated with sarcopenia (p < 0.01). The presence of low eGFRcys (CKDcys) and low eGFRcys/eGFRcre ratio (< 1.0) but not that of low eGFRcre (CKDcre) were associated with sarcopenia (p < 0.01). In the multivariate logistic regression analysis, when the eGFRcys/eGFRcre ratio was added as a covariate to the basic model, it was significantly associated with sarcopenia in women (p < 0.05). Moreover, low eGFRcys/eGFRcre ratio (< 1.0) was associated with a higher risk of sarcopenia in men (p < 0.01). Conclusion In conclusion, CKDcys but not CKDcre is associated with sarcopenia. A lower eGFRcys/eGFRcre ratio may be a practical screening marker of sarcopenia in community-dwelling older adults.

Download Full-text

Gender, self-rated health and functional decline among community-dwelling older adults

Archives of Gerontology and Geriatrics ◽

10.1016/j.archger.2018.05.010 ◽

2018 ◽

Vol 77 ◽

pp. 174-183 ◽

Cited By ~ 19

Author(s):

Razak M. Gyasi ◽

David R. Phillips

Keyword(s):

Older Adults ◽

Functional Decline ◽

Community Dwelling ◽

Self Rated Health ◽

Community Dwelling Older Adults

Download Full-text

Factors associated with and prevalence of depressive features amongst older adults in an urban city in eastern China

South African Journal of Psychiatry ◽

10.4102/sajpsychiatry.v23i0.1064 ◽

2017 ◽

Vol 23 ◽

Cited By ~ 2

Author(s):

Ping Shao ◽

Yong Xu ◽

Chen-Wei Pan

Keyword(s):

Older Adults ◽

Logistic Regression ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Associated Factors ◽

Mental Health Problems ◽

Eastern China ◽

Multiple Logistic Regression Analysis ◽

Community Based ◽

Urban City

Background: Mental health problems have become serious for older Chinese adults who have lived through the process of urbanisation. This current research aimed to determine the prevalence of and associated factors for depressive features in a community-based sample of older adults in China.Methods: A community-based survey of 4077 adults aged 60 or older was conducted in Suzhou, China. Information including demographic characteristics, health behaviours, social support, disease histories and physical function was collected using a pre-designed questionnaire. Depressive features were assessed using the self-rating depression scale. Multivariate logistic regression analysis was performed to identify associated factors for depression.Results: The overall prevalence of depressive features in the surveyed population was 47.4% (45.9% in men and 48.5% in women). In a multiple logistic regression analysis, the significant variables of depressive features were no fixed occupation (odds ratio [OR] = 0.28; 95% confidence interval [CI]: 0.21–0.37), doing non-technical and service work (OR = 0.23; 95% CI: 0.19–0.28) or being a manager and technical personnel (OR = 0.25; 95% CI: 0.19–0.32), physical activities (OR = 0.71; 95% CI: 0.61–0.82), never taking dietary supplements (OR = 0.73; 95% CI: 0.58–0.91), not having hobbies (OR = 1.34; 95% CI: 1.15–1.56), never interacting with neighbours (OR = 1.79; 95% CI: 1.28–2.50), cold relationship with a spouse (OR = 3.34; 95% CI: 1.18–9.45) and limited activities of daily living (OR = 2.27; 95% CI: 1.91–2.69).Conclusion: There is an urgent need for public policy interventions to address depression in elderly people located in Suzhou in China.

Download Full-text

Relationship of Decrease in Frequency of Socialization to Daily Life, Social Life and Physical Function in Community-Dwelling Adults Aged 60 and over after the COVID-19 Pandemic

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18052573 ◽

2021 ◽

Vol 18 (5) ◽

pp. 2573

Author(s):

Suguru Shimokihara ◽

Michio Maruta ◽

Yuma Hidaka ◽

Yoshihiko Akasaki ◽

Keiichiro Tokuda ◽

...

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Physical Function ◽

Logistic Regression Analysis ◽

Social Life ◽

Daily Life ◽

Multiple Logistic Regression Analysis ◽

Community Dwelling ◽

Multiple Logistic Regression ◽

Relationship Of

The study is cross-sectional in nature and aims to investigate the relationship of the frequency of socialization (FOS) to the daily life, social life, and physical function of community-dwelling adults aged 60 and over after the COVID-19 outbreak. A self-reported questionnaire survey was conducted on 3000 members of CO-OP Kagoshima, out of which 342 responses were received. Bivariate statistics was conducted followed by multiple logistic regression analysis. Questions with significant differences were set as independent variables, whereas the FOS was set as the dependent variable. Results indicate significant group differences between the decreased and increased/unchanged groups. After adjusting for potential covariates, multiple logistic regression analysis revealed decreases in the frequencies of cooking (OR: 0.07; 95% CI: 0.01–0.69; p = 0.02), shopping (OR: 18.76; 95% CI: 7.12–49.41; p < 0.01), and eating out (OR: 3.47; 95% CI: 1.21–9.97; p = 0.02), which were significantly associated with decreased FOS. The finding may inform policy making in identifying priorities for support in daily life for community-dwelling adults over the age of 60 undergoing social distancing.

Download Full-text

Relationship between Oral Hypofunction and Sarcopenia in Community-Dwelling Older Adults: The Otassha Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18126666 ◽

2021 ◽

Vol 18 (12) ◽

pp. 6666

Author(s):

Yoshihiro Kugimiya ◽

Masanori Iwasaki ◽

Yuki Ohara ◽

Keiko Motokawa ◽

Ayako Edahiro ◽

...

Keyword(s):

Older Adults ◽

Logistic Regression ◽

Cross Sectional Study ◽

Albumin Level ◽

Community Dwelling ◽

Tongue Pressure ◽

Swallowing Function ◽

Cross Sectional ◽

Community Dwelling Older Adults ◽

The Relationship

Oral hypofunction, resulting from a combined decrease in multiple oral functions, may affect systemic-condition deterioration; however, few studies have examined the association between oral hypofunction and general health among older adults. In this cross-sectional study, we examined the relationship between oral hypofunction and sarcopenia in community-dwelling older adults. We included 878 adults (268 men and 610 women, mean age 76.5 ± 8.3 years). Tongue coating index, oral moisture, occlusal force, oral diadochokinesis (/pa/,/ta/,/ka/), tongue pressure, mas-ticatory function, and swallowing function were evaluated as indicators of oral hypofunction. Grip strength, gait speed, and skeletal muscle mass index were measured as diagnostic sarcopenia parameters. The association between oral hypofunction and sarcopenia was examined via logistic regression using sarcopenia as the dependent variable. Oral hypofunction prevalence was 50.5% overall, 40.3% in men, and 54.9% in women. The prevalence of sarcopenia was 18.6% overall, 9.7% in men, and 22.5% in women. A logistic regression showed oral hypofunction, age, body mass index, higher-level functional capacity, and serum albumin level were significantly associated with sarcopenia. Sarcopenia occurred at an increased frequency in patients diagnosed with oral hypofunction (odds ratio: 1.59, 95% confidence interval: 1.02–2.47); accordingly, oral hypofunction appears to be significantly associated with sarcopenia.

Download Full-text

Annual Disease Experience by Type and Correlations with Unmet Healthcare Needs among ROK Military Personnel

Military Medicine ◽

10.1093/milmed/usz458 ◽

2020 ◽

Vol 185 (7-8) ◽

pp. e944-e951

Author(s):

Hwi Jun Kim ◽

Sarah So Yeon Oh ◽

Dong Woo Choi ◽

Sun Yeong Won ◽

Hae Jung Kim ◽

...

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Military Personnel ◽

Private Insurance ◽

Multiple Logistic Regression Analysis ◽

Healthcare Needs ◽

Unmet Healthcare Needs ◽

Number Of Patients ◽

Disease Experience

Abstract Introduction The National Statistical Yearbook of Defense 2018 issued by the Republic of Korea (ROK) Ministry of National Defense reported that the number of patients using military hospitals steadily increased from 2008 to 2017. However, in the outpatient clinic statistics for years 2015–2017 from the ROK Armed Forces Medical Command, the amount of medical care received from some medical departments, such as the infection medicine, surgery, and anesthesiology departments, decreased. Therefore, the purpose of this study was to observe the differences in incidence of military personnel’s unmet healthcare needs according to number of diseases by type. Materials and Methods The study used data from the Military Health Survey, which was conducted from 2014 to 2015 and included 5162 responses from ROK military personnel. The number of diseases by type and unmet healthcare needs were self-reported. A multiple logistic regression analysis was used to examine the validity of the annual disease experience by type and correlations with unmet healthcare needs. Results Of the 5162 military personnel, 25.2% experienced unmet healthcare needs, and the more people with the number of disease by type, the more likely they were to experience unmet healthcare needs (1: 13.4%, 2: 22.9%, 3: 29.2%, 4: 34.5%, 5: 41.4%). The logistic regression analysis also revealed significant differences (1 = REF, 2 odds ratio (OR) = 1.83, 95% confidence interval (CI): 1.50–2.24; 3 OR = 2.53, 95% CI: 2.05–3.11, 4 OR = 3.10, 95% CI = 2.49–3.85; ≥5 OR = 3.85, 95% CI = 3.08–4.81). In addition, subgroup analysis showed that female military personnel are more likely to experience unmet healthcare needs than are male military personnel. We have also confirmed that working areas and private insurance can affect unmet healthcare needs. Conclusion This study suggests that unmet healthcare needs are influenced by the number of disease by the type of ROK military personnel. It is therefore necessary to strive to reduce the number of military personnel who experience unmet healthcare needs through this data.

Download Full-text