Are satisfaction and performance of meaningful activities associated with frailty in older adults?

Akaida, Shoma; Tabira, Takayuki; Nakai, Yuki; Maruta, Michio; Taniguchi, Yoshiaki; Tomioka, Kazutoshi; Sato, Nana; Wada, Ayumi; Makizako, Hyuma

doi:10.1016/j.archger.2022.104845

Cited by 6 publications

(1 citation statement)

References 45 publications

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“…Normal walking speed was measured using an infrared sensor (YW; YAGAMI Inc., Aichi, Japan). Acceleration and deceleration paths were set up 2 m before and after the 10 m measurement section and the normal walking speed (m/s) was calculated [21]. The Japanese version of the Cardiovascular Health Study criteria was used as a reference, and those with maximum grip strength less than 28 kg in men and less than 18 kg in women were defined as having low muscle strength, and those with normal walking speed less than 1.0 m/s were defined as having low walking speed.…”

Section: Measurementsmentioning

confidence: 99%

Independent Association between Cognitive Frailty and Cardio-Ankle Vascular Index in Community-Dwelling Older Adults

Akaida,

Taniguchi,

Nakai

et al. 2024

Gerontology

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Introduction Although arterial stiffness has been suggested to be associated with poor physical function and mild cognitive impairment (MCI), its association with cognitive frailty (CF), a comorbidity of both, is unclear. This study aims to examine the association between CF and arterial stiffness in community-dwelling older adults. Methods A cross-sectional analysis of 511 community-dwelling older adults aged 65 years or older (mean age 73.6 ± 6.2 years, 63.6% women), who participated in a community cohort study (Tarumizu Study, 2019), was conducted. Poor physical function was defined as either slowness (walking speed < 1.0 m/sec), or weakness (grip strength < 28 kg for men and < 18 kg for women). MCI was defined by the National Center for Geriatrics and Gerontology Functional Assessment Tool as a decline of at least 1.5 standard deviation from age- and education-adjusted baseline values in any one of the four cognitive domains (memory, attention, executive, and information processing). CF was defined as the combination of poor physical function and MCI. Arterial stiffness was measured using the Cardio-Ankle Vascular Index (CAVI), and the average of the left and right sides (mean CAVI) was used. Results Multinomial logistic regression analysis adjusted for covariates was performed with the four groups of robust, poor physical function, MCI, and CF as dependent variables and mean CAVI as an independent variable. Using the robust group as reference, the poor physical function and MCI groups showed no significant relationship with the mean CAVI. The mean CAVI was significantly higher in the CF group (odds ratio 1.62, 95% confidence interval 1.14–2.29). Conclusion A significant association was found between CF and the higher CAVI (progression of arterial stiffness). Careful observation and control of CAVI, which is also an indicator of arterial stiffness, may be a potential target for preventive interventions for CF.

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Section: Measurementsmentioning

confidence: 99%

Independent Association between Cognitive Frailty and Cardio-Ankle Vascular Index in Community-Dwelling Older Adults

Akaida,

Taniguchi,

Nakai

et al. 2024

Gerontology

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Associations between information and communication technology use and frailty in community-dwelling old-old adults: results from the ILSA-J

Shiratsuchi,

Makizako,

Akaida

et al. 2024

Eur Geriatr Med

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Objectives Frailty is a significant cause of adverse health events including long-term care and hospitalization. Although information and communication technology (ICT) has become an integral part of modern life, it remains unclear whether ICT use is associated with frailty. Design A cross-sectional study (Integrated Longitudinal Studies on Aging in Japan, ILSA-J). Setting and participants Aged 75 and older data from the ILSA-J in 2017 (n = 2893). Methods ICT use was measured using the technology usage sub-items of the Japan Science and Technology Agency Index of Competence. Specifically, the use of mobile phones, ATMs, DVD players, and sending e-mails were rated as “yes” (able to do) or “no” (unable to do), with the first quintile (≤1 point) defined as ICT non-users. Frailty was assessed using the Japanese version of the Cardiovascular Health Study criteria based on the phenotype model (e.g., weight loss, slowness, weakness, exhaustion, and low activity). Further, multivariate logistic regression analysis analyzed its association with ICT use. Subgroup analyses were stratified according to gender, years of education, and living arrangements. Results Higher ICT use was not associated with frailty after adjusting for covariates (odds ratio [OR]: 0.53; 95%CI 0.39–0.73). Similar associations were found in the sub-groups of women (OR 0.45, 95%CI 0.30–0.66), <13 years of education (OR 0.48, 95%CI 0.34–0.67), living alone (OR 0.46, 95%CI 0.27–0.79), and living together (OR 0.57, 95%CI 0.38–0.85). No association existed between using ICT and frailty in the sub-groups of men and ≥13 years of education. Conclusions and implications Higher ICT use is associated with the absence of frailty in individuals 75 years and older. Such benefits may be particularly pronounced in women, those with lower levels of education, and older adults living alone or with others.

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Averting older adults' memory function decline via meaningful activities: a follow-up longitudinal study

Akaida,

Tabira,

Tateishi

et al. 2024

Eur Geriatr Med

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Purpose The purpose of the study was to investigate the effects of satisfaction with meaningful activities and their performance on the memory function among community-dwelling older adults 3 years later. Methods A longitudinal analysis was conducted on 288 community-dwelling older adults aged 65 years and more who had completed the survey in 2019 and 2022 as participants in the Tarumizu Study. Meaningful activities were assessed in 2019 using the Aid for Decision-Making in Occupation Choice for activities. Satisfaction with and performance of meaningful activities were assessed, and the bottom 25% were classified into two groups: low satisfaction and low performance. Memory function was assessed using the National Center for Geriatrics and Gerontology-Functional Assessment Tool in 2019 and 2022. Changes in memory function over 3 years were analyzed by satisfaction and performance of meaningful activities. Results Two-way analysis of variance with group (satisfaction with and performance of meaningful activities) and time (2019 and 2022) as factors showed no statistically significant group-time interaction for memory in the satisfaction with meaningful activities group (F = 1.4, p = 0.24). Meanwhile, a statistically significant group-time interaction was observed for memory in the meaningful activity performance group, indicating that high performance of meaningful activities may play a protective role against memory decline (F = 7.4, p = 0.007). Conclusion Higher performance of meaningful activities may protect against age-related changes in memory. A careful assessment of meaningful activities, and engagement that enhances performance may be useful in designing health support against memory decline.

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Are satisfaction and performance of meaningful activities associated with frailty in older adults?

Cited by 6 publications

References 45 publications

Independent Association between Cognitive Frailty and Cardio-Ankle Vascular Index in Community-Dwelling Older Adults

Independent Association between Cognitive Frailty and Cardio-Ankle Vascular Index in Community-Dwelling Older Adults

Associations between information and communication technology use and frailty in community-dwelling old-old adults: results from the ILSA-J

Averting older adults' memory function decline via meaningful activities: a follow-up longitudinal study

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