scholarly journals Disuse syndrome in Japanese older adults due to instructions to stay at home during the COVID-19 pandemic

2021 ◽  
Vol 9 (2) ◽  
pp. 60-67
Author(s):  
Yoshiaki Endo ◽  
◽  
Tamaki Hirose ◽  
Masahiro Ishizaka ◽  
Yohei Sawaya ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Function ◽  
Response Rate ◽  
Effective Response ◽  
Term Care ◽  
Healthy Older Adults ◽  
Large Cities ◽  
Japanese Older Adults ◽  
And Gender

This study aimed to reveal the extent of the adverse effects caused by the restrictions on going out due to the COVID-19 pandemic on physical function. The participants were 129 healthy older adults, aged 65 years and older, who lived independently without the need for long-term care. The presence or absence of disuse syndrome was investigated using a partially modified “Disuse Syndrome Inventory.” The address, age, and gender of the participants were also surveyed in a factor analysis of disuse syndrome. The effective response rate was 90.6% (n = 117). Disuse syndrome was observed in 38.5% (n = 45) of the participants, which was significantly higher in women compared to men, and in medium-sized to depopulated cities compared to large cities. It has become clear that a large number of older adults have disuse syndrome because of the travel and commute restrictions due to the COVID-19 pandemic. To return to normal life sooner, it is necessary to consider countermeasures as soon as possible. Keywords: Coronavirus disease 2019, infection, physical function, restrictions on going out.

scholarly journals Malnutrition is associated with depression in Japanese older adults requiring long-term care or support

2021 ◽  
Vol 33 (8) ◽  
pp. 585-590
Author(s):  
Ryo Sato ◽  
Yohei Sawaya ◽  
Takahiro Shiba ◽  
Tamaki Hirose ◽  
Minami Sato ◽  
...  
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Term Care ◽  
Japanese Older Adults

Long-term care preference among Japanese older adults: differences by age, period and cohort

2019 ◽  
Vol 40 (6) ◽  
pp. 1309-1333 ◽  
Author(s):  
Hidehiro Sugisawa ◽  
Yoko Sugihara ◽  
Yomei Nakatani
Keyword(s):  
Older Adults ◽  
Informal Care ◽  
Long Term Care ◽  
Random Effect ◽  
Random Effect Model ◽  
Period Effect ◽  
Cross Sectional ◽  
Term Care ◽  
Japanese Older Adults

AbstractThis study examined the differences in the preference for long-term care (LTC) by age, period and cohort (A-P-C) in Japanese older adults through repeated cross-sectional surveys from 1998 – before the establishment of LTC insurance – to 2016, in a suburban city of metropolitan Tokyo. We analysed the direct effects of A-P-C on the preference for LTC, as well as the interaction effects of A-P-C on preference by gender, family structure and activities of daily living. Data were obtained at six time-points using repeated cross-sectional surveys for people aged 65 and older; surveys were conducted in 1998, 2002, 2004, 2010, 2013 and 2016. The preference for LTC was composed of three categories: informal care, community LTC services (CLTCS) and institutional LTC services (ILTCS). The cross-classified random-effect model was used to specify A-P-C effects. Informal care, CLITCS, ILTCS and other/no answer composed 35, 23, 33 and 9 per cent of preferences, respectively. In terms of the period effect, while there was an increase in levels of preference for CLTC between 1998 and 2010 as compared to informal care, the levels of preference were almost identical after 2010. In terms of the age effect, younger participants were more likely to prefer CLTCS and ILTCS over informal care. Moreover, the age influence was stronger in females and respondents who lived alone. We did not observe a cohort effect for preference. This study suggests that there are gaps by period and age between the preference for LTC services and the actual LTC use in Japanese older adults, and as a result, the use of actual LTC services cannot fully reflect the intentions and preference for LTC in them.

scholarly journals Factors Impacting the Physical Function of Older Adults in Korean Long-Term Care Hospitals

2011 ◽  
Vol 41 (6) ◽  
pp. 780 ◽  
Author(s):  
Ji-Yun Lee ◽  
Eun-Young Kim ◽  
Eunhee Cho
Keyword(s):  
Older Adults ◽  
Physical Function ◽  
Long Term Care ◽  
Term Care

scholarly journals LONG-TERM CARE CONCERNS AMONG TRANSGENDER AND GENDER NON-CONFORMING OLDER ADULTS WITH HIV

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 343-343
Author(s):  
M G Ing ◽  
R Erenrich ◽  
L Seidel ◽  
S E Karpiak
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Term Care ◽  
And Gender

scholarly journals PALLIATIVE AND END-OF-LIFE CARE TO THE LGBT COMMUNITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S623-S623
Author(s):  
Gary L Stein ◽  
Cathy Berkman
Keyword(s):  
Older Adults ◽  
Health Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Care Providers ◽  
Term Care ◽  
The Us ◽  
Lgbt Community ◽  
And Gender

Abstract The lesbian, gay, bisexual, and transgender (LGBT) community experiences discrimination and stigma in accessing health care and social services – including palliative, hospice, and long-term care – across cultures and countries. Health care providers may fail to recognize, acknowledge or address disparities in care. Providers and institutions may be uncomfortable with gender and sexuality issues, and often fail to inquire about sexual orientation and gender identity. It is estimated that there are approximately 2.7 million LGBT adults in the U.S. age 50 and older and approximately 1.1 million age 65 and older. In the UK, an estimated 5-7% of the population identify as LGBT; there are between 600,000 and 840,000 LGBT adults aged 65+. With the projected increased number of older adults and improved treatments that extend the life of seriously ill individuals, even greater numbers of LGBT older adults, and their families, will require palliative and end-of-life in the coming years. Researchers in the US and UK have found that LGBT older adults living in the community and in long-term care facilities experience inadequate, disrespectful, and abusive care due to their sexual orientation and gender identity status. They fear being open about their identities, not receiving equal or safe treatment, and having their family of choice and designated surrogates disrespected or ignored by health care staff. This symposium will describe the experiences of LGBT individuals and their family members, and compare commonalities and differences faced by LGBT communities in the US and UK in accessing palliative and end-of-life care.

scholarly journals Changes in Physical and Oral Function after a Long-Term Care Prevention Program in Community-Dwelling Japanese Older Adults: A 12-Month Follow-Up Study

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 719
Author(s):  
Yoshimi Iwao-Kawamura ◽  
Hideo Shigeishi ◽  
Shino Uchida ◽  
Shirou Kawano ◽  
Tomoko Maehara ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Function ◽  
Health Program ◽  
Handgrip Strength ◽  
Community Dwelling ◽  
Timed Up And Go ◽  
Term Care ◽  
Oral Function ◽  
Nutritional Guidance ◽  
Japanese Older Adults

Background: The aim of this prospective cohort study was to clarify changes in physical and oral function in older adults after completing a 3-month health program combining physical and oral exercise, oral health instruction, and nutritional guidance. Methods: Subjects were 34 women aged at least 70 years (mean age 79.2 years) in Bungotakada City, Oita Prefecture, Japan. Physical and oral function was investigated on the first day (baseline), at the end of the program, and 6 and 12 months after completing the health program. Physical function was measured using handgrip strength test, timed up and go (TUG) test and one-leg standing time test. Oral diadochokinesis test and repetitive saliva swallowing test (RSST) were employed to assess oral function. Results: TUG scores were significantly lower at 6 and 12 months than at baseline in participants aged ≥70 and <80 years. The repetition rate of the monosyllables /pa/, /ta/, and /ka/ was improved at the end of program in participants aged ≥70 and <80 years and increased to more than 6 times/second at 12 months. Conclusions: Our 3-month health program maintained improvements in oral and physical function in older women 1 year after completing the program.

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