scholarly journals Physical Activity and Sarcopenia in Community-Dwelling Older Adults with Long-Term Care Insurance

2021 ◽  
Vol 11 (4) ◽  
pp. 1610-1618
Author(s):  
Masahiro Kitamura ◽  
Kazuhiro P. Izawa ◽  
Kodai Ishihara ◽  
Hiroaki Matsuda ◽  
Soichiro Okamura ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Roc Curve ◽  
Long Term Care ◽  
Community Dwelling ◽  
Analysis Of Covariance ◽  
Term Care ◽  
Long Term Care Insurance ◽  
Community Dwelling Older Adults

The present study aimed to clarify the difference in physical activity (PA) due to sarcopenia in community-dwelling older adults with long-term care insurance (LTCI). This was a cross-sectional study that investigated data of 97 consecutive community-dwelling older Japanese adults with LTCI who underwent rehabilitation at one day care center in Japan from November 2018 to May 2019. Sarcopenia was determined according to criteria of the Asian Working Group for Sarcopenia. Unpaired t-test, Mann-Whitney U test, chi-square test and analysis of covariance were used to compare participant characteristics and clinical parameters between the older adults with and without sarcopenia. A receiver operating characteristic (ROC) curve was constructed to determine the cut-off value of PA for sarcopenia. The sarcopenia group (n = 20) had significantly lower body mass index (BMI), skeletal muscle mass index, gait speed, and PA than those in the no sarcopenia group (n = 28) (p < 0.05). After adjustment for BMI and sex, the sarcopenia group showed significantly lower PA than the no sarcopenia group. Findings showed that the cut-off value of PA indicating sarcopenia by ROC curve analysis was 1494.4 steps/day (p < 0.05); this value may aid in identifying sarcopenia in older adults with LTCI.

scholarly journals Characteristics of patients discontinuing outpatient services under long-term care insurance and its effect on frailty during COVID-19

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11160
Author(s):  
Tamaki Hirose ◽  
Yohei Sawaya ◽  
Takahiro Shiba ◽  
Masahiro Ishizaka ◽  
Ko Onoda ◽  
...  
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Walking Speed ◽  
Community Dwelling ◽  
Outpatient Rehabilitation ◽  
Rehabilitation Services ◽  
Term Care ◽  
Long Term Care Insurance ◽  
Community Dwelling Older Adults

Background Among community-dwelling older adults who require long-term care and use outpatient rehabilitation services, we aimed to examine the characteristics of patients who discontinued using outpatient rehabilitation services to prevent exposure to COVID-19 and the effects of this discontinuation on patient frailty. Methods Participants were 119 older adults (69 males, 50 females; average age 77.3 ± 8.3 years) requiring long-term care who used outpatient rehabilitation services. Our outpatient rehabilitation service involved day care for older adults undergoing rehabilitation including pick-up and drop-off services under the long-term care insurance system. They were divided into two groups: participants who discontinued using outpatient rehabilitation services and participants who continued their use. To find the factors associated with this discontinuation, binomial logistic regression analysis was performed, in which the following independent variables were used: gender, age, height, weight, long-term care level, grip strength, and normal walking speed. Frailty status was investigated in April 2020 and again in September 2020 through interviews and telephone surveys utilizing the Frailty Screening Index. Results Women and normal walking speed were independent factors associated with the discontinuation of outpatient rehabilitation due to COVID-19. According to the results of the Frailty Screening Index, similar tendencies were exhibited in both April and September. The discontinued group indicated that they were getting less exercise and having stronger feelings of fatigue than the continuing group. Conclusions The findings are in accordance with other studies indicating that women are more likely to employ prevention measures against COVID-19, as seen among the community-dwelling older adults requiring long-term care who used outpatient rehabilitation services. People with higher levels of physical function were also likely to refrain from using outpatient rehabilitation services. Results further suggested that the discontinued group had more frailty-related factors (i.e., low physical activity and strong exhaustion) than the continuing group.

Determinants of long-term care insurance applications in South Korea

2020 ◽  
Author(s):  
Sunhee Park ◽  
Heejung Kim ◽  
Chang Gi Park
Keyword(s):  
Older Adults ◽  
South Korea ◽  
Long Term Care ◽  
Community Dwelling ◽  
Care Needs ◽  
Term Care ◽  
Factors Affecting ◽  
Long Term Care Insurance ◽  
The Government

Abstract Background South Korea established universal long-term care insurance (LTCI) in 2008. However, actual requests for LTCI remain lower than government estimates because some eligible candidates never apply despite their strong care needs. This study aimed to examine factors affecting LTCI applications for older, community-dwelling Koreans. Methods Both individual- and community-level data were obtained from a national dataset from the Korea Health Panel Survey and the Korea National Statistical Office (N = 523). Data were analyzed using multilevel modeling. Results Only 16.4% of older adults in need of care applied for LTCI. Those who applied were more likely to be older, report poor self-rated health, receive care from non-family caregivers, and have caregivers experiencing high levels of caregiving burden. Regional differences in LTCI applications existed concerning the financial condition of one’s community. Conclusions Our study findings emphasize that Korean LTCI should implement both individual and community strategies to better assist older adults in properly acquiring LTCI. The government should make comprehensive efforts to increase access to LTCI in terms of availability, quality, cost, and information by collaborating with local centers.

scholarly journals Behavioral Health, Social Engagement, and Long-Term Care Services Use Among Community Older Adults: USA vs. Taiwan

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 348-349
Author(s):  
Su-I Hou ◽  
Chien-Ching Li ◽  
Darren Liu
Keyword(s):  
Older Adults ◽  
Behavioral Health ◽  
Social Engagement ◽  
Long Term Care ◽  
Community Dwelling ◽  
Community Based ◽  
Term Care ◽  
Aging In Community ◽  
Community Dwelling Older Adults

Abstract As healthcare advances, older adults are living longer. While 90% of older adults prefer aging in their own homes and communities, it is important to examine key factors influencing healthy aging-in-community and community-based long-term care (LTC) services available in different countries. This symposium examines behavioral health, social engagement, and LTC services utilization among community-dwelling older adults in the USA and Taiwan. Lessons learned from older adults across countries will provide insights for tailored community-based LTC services and program development. Dr. Hou from The University of Central Florida (UCF) will highlight similarities and differences in behavioral health profiles and the topics that most interest community-dwelling older Americans participating in three aging-in-community programs in Central Florida. Dr. Wang from Case Western Reserve University will examine the impact of neighborhood social cohesion on mobility among community-dwelling older Americans aged 65 and older from the national Health and Retirement Study. Dr. Liu from National Cheng-Kung University in Taiwan will share results of healthy lifestyle on quality of life among community-dwelling older adults in southern Taiwan. Dr. Young from State University of New York at Albany will compare long-term care use among community-dwelling older adults with and without dementia in Central Taiwan. Finally, Drs. Cao and Hou from UCF will analyze home and community-based services in the USA versus Taiwan. This symposium will further discuss similarities and differences of key factors related to healthy aging-in-community, along with practical recommendations and lessons learned across countries and cultural environments to improve community-based long-term care services and programs.

scholarly journals Impact of urine and mixed incontinence on long-term care preference: a vignette-survey study of community-dwelling older adults

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Nicolas Carvalho ◽  
Sarah Fustinoni ◽  
Nazanin Abolhassani ◽  
Juan Manuel Blanco ◽  
Lionel Meylan ◽  
...  
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Community Dwelling ◽  
Survey Study ◽  
Term Care ◽  
Mixed Incontinence ◽  
Community Dwelling Older Adults

scholarly journals Participation in Social Activities and Relationship between Walking Habits and Disability Incidence

2021 ◽  
Vol 10 (9) ◽  
pp. 1895
Author(s):  
Osamu Katayama ◽  
Sangyoon Lee ◽  
Seongryu Bae ◽  
Keitaro Makino ◽  
Ippei Chiba ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Activity ◽  
Community Dwelling ◽  
Social Activities ◽  
Term Care ◽  
Long Term Care Insurance ◽  
Community Dwelling Older Adults ◽  
The Relationship

Identifying the relationship between physical and social activity and disability among community-dwelling older adults may provide important information for implementing tailored interventions to prevent disability progression. The aim of this study was to determine the effect of the number of social activities on the relationship between walking habits and disability incidence in older adults. We included 2873 older adults (mean age, 73.1 years; SD, ±5.9 years) from the National Center for Geriatrics and Gerontology—Study of Geriatric Syndromes. Baseline measurements, including frequencies of physical and social activities, health conditions, physical function, cognitive function, metabolic parameters, and other potential disability risk factors (for example, the number of years of education); monthly assessment for disability was monitored through long-term care insurance certification for at least 2 years from baseline. During a mean follow-up of 35.1 months (SD, 6.4 months), 133 participants developed disability. The disability incidence was 19.0 and 27.9 per 1000 person-years for participants who walked more (≥3 times per week) and less (≤3 times per week) frequently, respectively. The potential confounding factor-adjusted disability hazard ratio was 0.67 (95% confidence interval, 0.46 to 0.96; p = 0.030). The relationship between habitual walking and the number of social activities was statistically significant (p = 0.004). The reduction of disability risk by walking was greater among participants with fewer social activities. Habitual walking was associated with disability incidence, with a more pronounced effect among older adults who were less likely to engage in social activities.

scholarly journals A Comparison of Long-Term Care Use by Community-Dwelling Older Adults With and Without Dementia

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 349-349
Author(s):  
Ya-Mei Chen ◽  
Kuo-Piao Chung ◽  
Hsiu-Hsi Chen ◽  
Yen-Po Yeh ◽  
Yuchi Young
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Community Dwelling ◽  
Term Care ◽  
Related Services ◽  
People With Dementia ◽  
Centered Care ◽  
Health Related ◽  
Community Dwelling Older Adults

Abstract Introduction. This study compares long-term care (LTC) use among community-dwelling older adults with and without dementia. Methods. Participants (n=14,483) were aged 65+ residents of Changhua County, Taiwan who qualified for LTC services. Data were collected (4/1/2017-10/26/2018) through health assessments. Multivariate logistic regression quantifies the study aim. Results. Preliminary results show that on average participants with dementia are older than people without dementia (81.1 vs. 80.5; p&lt;.001), more females (13.4% vs. 8.0%; p&lt;.001), higher mean ADL (12,4 vs. 9.8; p&lt; .001) and IADL (21.4 vs. 17.8; p&lt;.001), and lower mean comorbidity (2.5 vs. 2.8; p&lt;.001). Multivariate regression results indicate people with dementia use twice the health-related LTC services than their counterpart (OR= 2.0; 95% CI 1.90–2.14). Discussion. People with dementia use more health-related LTC services. Future dementia studies should examine the pattern of non-health-related LTC services concomitant with health-related services, so that person-centered care can be tailored to foster aging-in-community.

scholarly journals Frailty and Sarcopenia as a Geriatric Syndrome in Community-Dwelling Older Adults

2019 ◽  
Vol 16 (20) ◽  
pp. 4013
Author(s):  
Hyuma Makizako
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Community Dwelling ◽  
Geriatric Syndrome ◽  
Term Care ◽  
Factors Associated ◽  
Community Dwelling Older Adults

Geriatric syndrome refers to a series of symptoms and observations caused by a variety of factors associated with aging, where the older adults show the treatment consciously or otherwise, and long-term care becomes important at the same time [...]

scholarly journals Seasonal pattern of single falls and recurrent falls amongst community-dwelling older adults first applying for long-term care services in Hong Kong

2019 ◽  
Vol 49 (1) ◽  
pp. 125-129
Author(s):  
Xing Xing Qian ◽  
Pui Hing Chau ◽  
Chi Wai Kwan ◽  
Vivian Wq Lou ◽  
Angela Y M Leung ◽  
...  
Keyword(s):  
Older Adults ◽  
Hong Kong ◽  
Long Term Care ◽  
Seasonal Pattern ◽  
Community Dwelling ◽  
Term Care ◽  
Logistic Regression Models ◽  
Recurrent Falls ◽  
Community Dwelling Older Adults

Abstract Background few studies had investigated seasonal pattern of recurrent falls. Objective to examine seasonal pattern of both single and recurrent falls amongst community-dwelling older adults first applying for long-term care (LTC) services. Methods a cohort of 89,100 community-dwelling Hong Kong older adults aged 65 and over first applying for LTC services from 2005 to 2014 was obtained. Logistic regression models were used to examine seasonal pattern in single and recurrent falls, whilst controlling for gender, age and year. Results amongst 89,100 older adults, about 32% fell in past 90 days. Amongst the fallers, 34% fell recurrently. In 2014, the incidences of all fall, single fall and recurrent fall were 1.95, 0.80 and 1.15 per person-years, respectively. For single falls, the 90-day fall risk was highest during November to February with an odds ratio (OR) of 1.29 (95% confidence interval [CI] 1.19–1.41), compared with the lowest one during July to October. For recurrent falls, the highest OR for 90-day risk was highest during November to February (1.46, 95% CI 1.31–1.64) as well. Conclusions single and recurrent falls both peaked during winter months. Interventions, such as implementing educational publicity and sending reminder to older adults in fall season, may be considered.

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