Social participation and incident disability and mortality among frail older adults: A JAGES longitudinal study

被引：23

作者：

Abe, Noriyuki ^{[1
,2
]}

Ide, Kazushige ^{[1
,3
]}

Watanabe, Ryota ^{[1
,4
,5
]}

Hayashi, Takahiro ^{[6
]}

Iizuka, Genmei ^{[1
,2
,7
]}

Kondo, Katsunori ^{[1
,8
]}

机构：

[1] Chiba Univ, Ctr Prevent Med Sci, Dept Social Prevent Med Sci, Chiba, Japan

[2] Chiba Univ, Grad Sch Med, Dept Publ Hlth, Chiba, Japan

[3] Hasegawa Hosp, Dept Community Gen Support, Chiba, Japan

[4] Nihon Fukushi Univ, Ctr Well Being & Soc, Nagoya, Aichi, Japan

[5] Natl Ctr Geriatr & Gerontol, Res Inst, Ctr Gerontol & Social Sci, Dept Frailty Res, Obu, Aichi, Japan

[6] Seijoh Univ, Dept Rehabil & Care, Tokai, Aichi, Japan

[7] Seibo Int Catholic Hosp Family Med Residency, Tokyo, Japan

[8] Natl Ctr Geriatr & Gerontol, Res Inst, Ctr Gerontol & Social Sci, Dept Geriatr Evaluat, Obu, Aichi, Japan

来源：

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY | 2023年 / 71卷 / 06期

基金：

日本学术振兴会;

关键词：

frailty; long-term care; mortality; social participation; FUNCTIONAL DISABILITY; KIHON CHECKLIST; HEALTH; COMMUNITY; JAPANESE;

D O I：

10.1111/jgs.18269

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Background: Frailty is the highest risk factor for incident disability and mortality. Social participation is a modifiable factor for reducing adverse outcomes among independent older adults. However, the association between social participation and incident disability and mortality among frail older adults remains unclear. Therefore, we examined the association between various social activities and incident disability and mortality.Methods: This nationwide prospective cohort study (The Japan Gerontological Evaluation Study) recruited older adults with frailty, aged 65 years and older (N = 9090) who were followed up for 6 years (2010-2016). We examined incident disability and all-cause mortality at the end of the follow-up period. Frailty was assessed using the Kihon Checklist. The independent variable was social participation in 2010, grouped into the following seven categories: hobby groups, sports groups or clubs, volunteer groups, senior citizens' clubs, industries, neighborhood communities, and paid work.Results: The incidence of disability among participants was 19.5% (1770) and that of mortality was 19.2% (1753). Belonging to sports groups or clubs (Hazard Ratios [HR] = 0.74; 95% Confidence Interval [CI] = 0.57, 0.98) or hobby groups (HR = 0.77; 95% CI = 0.60, 0.98) was significantly associated with a lower risk of incident disability. Meanwhile, hobby groups (HR = 0.68; 95% CI = 0.56, 0.83), sports groups or clubs (HR = 0.71; 95% CI = 0.57, 0.88), volunteer groups (HR = 0.69; 95% CI = 0.54, 0.88), and senior citizens' club (HR = 0.75; 95% CI = 0.61, 0.90) were associated with lower risk of incident mortality.Conclusions: Social participation was associated with a lower risk of incident disability and mortality, not only in healthy older adults but also in frail older adults who are at higher risk of incident disability and mortality. This suggests that frail older adults should be encouraged to participate in all the seven types of social participation examined in this study, as this may lower the risk of subsequent disability and mortality.

引用

页码：1881 / 1890

页数：10

共 41 条

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