Taiso practice and risk of functional disability and dementia among older adults in Japan: The JAGES cohort study

被引:0
作者
Kanamori, Satoru [1 ,2 ]
Kawaguchi, Kenjiro [3 ]
Tsuji, Taishi [4 ]
Ide, Kazushige [3 ]
Kikuchi, Hiroyuki
Shirai, Kokoro [5 ]
Yamakita, Mitsuya [6 ]
Kai, Yuko [7 ]
Kawachi, Ichiro [8 ]
Kondo, Katsunori [3 ,9 ]
机构
[1] Teikyo Univ, Grad Sch Publ Hlth, Tokyo, Japan
[2] Tokyo Med Univ, Dept Prevent Med & Publ Hlth, Tokyo, Japan
[3] Chiba Univ, Ctr Prevent Med Sci, Chiba, Japan
[4] Univ Tsukuba, Inst Hlth & Sport Sci, Tokyo, Japan
[5] Osaka Univ, Grad Sch Med, Dept Social Med, Suita, Japan
[6] Yamanashi Prefectural Univ, Fac Nursing, Yamanashi, Japan
[7] Meiji Yasuda Life Fdn Hlth & Welf, Phys Fitness Res Inst, Tokyo, Japan
[8] Harvard TH Chan Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA USA
[9] Assoc Hlth Econ Res & Social Insurance & Welf, Inst Hlth Econ & Policy, Tokyo, Japan
基金
日本学术振兴会;
关键词
Taiso; Physical activity; Social interaction; Long-term care; Cognitive impairment; Older adults; INCIDENT DEMENTIA; CARE; POPULATION;
D O I
10.1016/j.ssmph.2024.101731
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Taiso is a Japanese term encompassing meanings akin to calisthenics. Taiso is a widely used exercise program in Japan but whether it prevents functional disability and dementia remains unclear. This study aimed to elucidate the association between practicing Taiso, especially focusing on the well-known Radio-Taiso, and functional disability and dementia in older adults in Japan. Methods: This population-based prospective cohort study used data from the Japan Gerontological Evaluation Study (JAGES). The participants were 18,016 people aged 65 years or older who resided in 19 municipalities in Japan and were not certified as needing long-term care at the start of follow-up. The outcomes were all functional disability, moderate-to-severe functional disability, and dementia, during an average of 5.3 years of follow-up. Four groups were created based on type of Taiso practice (None, Radio-Taiso only, Other Taiso only, or Both). The Cox proportional hazards model adjusted for age, sex, equivalized income, educational attainment, household composition, employment status, diseases requiring treatment, activities of daily living, depression, cognitive impairment, and walking duration. Results: The analysis included data from 11,219 individuals. The mean age of respondents was 74.2 years and 46.3% were men. Compared with the no-practice group, the Other Taiso only group showed a notably decreased risk of all functional disability (hazard ratio [95% CI] 0.87 [0.78-0.96]). The Other Taiso only group was associated with a significant reduction in the hazard ratio for moderate-to-severe functional disability (0.81 [0.70-0.93]). Decreases in the hazard ratio for dementia were also observed in the Radio-Taiso only (0.82 [0.68-0.9998]) and Other Taiso only groups (0.81 [0.70-0.93]). Conclusions: Practicing Taiso, including Radio-Taiso, may reduce the risk of dementia in older adults, while practicing other types of Taiso may reduce the risk of functional disability.
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页数:6
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