The relationship between the houseboundedness and frailty of community-dwelling elderly persons

Katsura, Takeshi; Abe, Narumi; Komata, Michiko; Ogura, Mai; Ishikawa, Nobuhito; Hoshino, Akiko; Shizawa, Miho; Usui, Kanae; Yokoyama, Eri; Hara, Mayumi

doi:10.2185/jrm.2972

Cited by 7 publications

(2 citation statements)

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“…Falls in older adults lead to fractures of the vertebrae, hip joints, and even death [ 26 ]. Furthermore, house boundedness and depressed mood were also key independent factors [ 27 , 28 ]. In this study, being unable to turn to one’s family or friends for advice and feelings of helplessness in the last two weeks, including depressed mood, were found to be risk factors for the transition from robustness directly to frailty.…”

Section: Discussionmentioning

confidence: 99%

Determining factors that maintain physical function or increase frailty using the Kihon checklist among community-dwelling older adults: a six-year longitudinal study in Agano, Japan

et al. 2023

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Background A significant increase in the older adult population in Japan will significantly increase healthcare costs. This study aimed to examine the risk factors contributing to robustness transitioning to frailty in older residents. Methods Participants were aged 70 in 2016 and 76 in 2022. Participants were evaluated using the Kihon Checklist (KCL). Results Participants for this longitudinal study included 444 older persons who completed the KCL surveys in 2016 and 2022. The follow-up rate was 80.6%; therefore, 358 participants were included in the analysis. The median KCL score increased significantly from 2 to 2016 to 3 in 2022 (p < 0.001). The prevalence of robustness significantly decreased from 60.9 to 48.6% (p = 0.042). In a stepwise logistic regression analysis, robustness was independently associated with regular continuous walks for 15 min and a body mass index of above 18.5%. The following variables were associated with the transition to prefrailty: experiencing a fall in the past year and not going out at least once a week. For the transition to frailty, the variables were turned to family or friends for advice, experienced a fall in the past year, and felt helpless in the last two weeks. The independent factor for the transition from prefrailty to frailty was having a BMI of less than 18.5. In contrast, the independent factor for improving from frailty to robustness or prefrailty was going out at least once a week. Conclusions We recommend maintaining continuous walking for more than 15 min, maintaining a BMI of at least 18.5, and going out more than once a week to improve being house-bounded and depressive mood, not only to prevent the transition to prefrailty or frailty but also to improve frailty.

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Section: Discussionmentioning

confidence: 99%

Determining factors that maintain physical function or increase frailty using the Kihon checklist among community-dwelling older adults: a six-year longitudinal study in Agano, Japan

et al. 2023

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“…Although there is no consensus for definition of frailty, the two most common measurements of frailty are Fried’s Frailty Phenotype [ 19 ] and the Frailty Index (FI) [ 20 ]. The concept of houseboundedness is not considered an aspect of the frailty framework by Gobbens et al [ 21 ]; however, for a long time, it was included in the frailty checklist adopted by the nursing care prevention system in Japan [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Assessing timewise changes over 15 months in life-space mobility among community-dwelling elderly persons

2020

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Background The purpose of this study was to examine the differences of timewise changes in life-space mobility between elderly people living alone and those living with others among community-dwelling elderly people from a day care facility with a rehabilitation service for seniors. Methods The present study used a longitudinal design with repeated measures every 3 months. In conformity with our inclusion criteria, this study included 233 community-dwelling elderly users of a day care facility with rehabilitation services for seniors in Japan. We analyzed the life-space assessment (LSA) scores collected at five time points (baseline, 3 months, 6 months, 9 months, and 12 months) using mixed-effects models with random intercepts and slopes over time. In the present study, the explanatory variables of interest were time, and living situation (living alone or with others). As possible confounders, we considered the following: (a) age, (b) sex, (c) social frailty, (d) physical frailty, (e) mild cognitive impairment (MCI), (f) depression, and (g) economic satisfaction. Results The mean age of participants was 78.9 years (SD = 7.7), their mean LSA score was 60.1 points (SD = 25.7), and 42.9% of the participants were men. After adjusting for age, gender, frailty, depression, MCI, and economic satisfaction, the mean LSA score of older adults who lived with others was significantly lower (7.42 points, 95%CI = − 18.30 to − 0.15, p = 0.048) than that older adults who lived alone. Discussion Community-dwelling older adults who used a day care center with rehabilitation services and lived with others had a smaller life-space at baseline than those who lived alone. This suggests that there is a need to pay more attention to social frailty among both older adults who live alone and those who live with others. Conclusions According to a multilevel analysis growth model, elderly persons who lived with others had significantly lower life-space mobility than those who lived alone.

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Podiatric Management of the Elderly

Curran¹

2020

Neale's Disorders of the Foot and Ankle

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The relationship between the houseboundedness and frailty of community-dwelling elderly persons

Cited by 7 publications

References 22 publications

Determining factors that maintain physical function or increase frailty using the Kihon checklist among community-dwelling older adults: a six-year longitudinal study in Agano, Japan

Determining factors that maintain physical function or increase frailty using the Kihon checklist among community-dwelling older adults: a six-year longitudinal study in Agano, Japan

Assessing timewise changes over 15 months in life-space mobility among community-dwelling elderly persons

Podiatric Management of the Elderly

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