Association between physical function and long-term care in community-dwelling older and oldest people: the SONIC study
Abstract Background Preventing the need for long-term care (LTC) by identifying physical function risk factors are important to decrease the LTC burden. The objective of this study was to investigate whether grip strength and/or walking speed, which are components of the frailty definition, are asso...
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doaj-73a2d73efa7249a498f91b95b5343a2e2020-11-25T01:56:48ZengBMCEnvironmental Health and Preventive Medicine1342-078X1347-47152020-09-012511810.1186/s12199-020-00884-3Association between physical function and long-term care in community-dwelling older and oldest people: the SONIC studyWerayuth Srithumsuk0Mai Kabayama1Kayo Godai2Nonglak Klinpudtan3Ken Sugimoto4Hiroshi Akasaka5Yoichi Takami6Yasushi Takeya7Koichi Yamamoto8Saori Yasumoto9Yasuyuki Gondo10Yasumichi Arai11Yukie Masui12Tatsuro Ishizaki13Hiroshi Shimokata14Hiromi Rakugi15Kei Kamide16Department of Health Promotion System Sciences, Division of Health Sciences, Graduate School of Medicine, Osaka UniversityDepartment of Health Promotion System Sciences, Division of Health Sciences, Graduate School of Medicine, Osaka UniversityDepartment of Health Promotion System Sciences, Division of Health Sciences, Graduate School of Medicine, Osaka UniversityDepartment of Health Promotion System Sciences, Division of Health Sciences, Graduate School of Medicine, Osaka UniversityDepartment of Geriatric and General Medicine, Graduate School of Medicine, Osaka UniversityDepartment of Geriatric and General Medicine, Graduate School of Medicine, Osaka UniversityDepartment of Geriatric and General Medicine, Graduate School of Medicine, Osaka UniversityDepartment of Geriatric and General Medicine, Graduate School of Medicine, Osaka UniversityDepartment of Geriatric and General Medicine, Graduate School of Medicine, Osaka UniversityDepartment of Clinical Thanatology and Geriatric Behavioral Science, Graduate School of Human Sciences, Osaka UniversityDepartment of Clinical Thanatology and Geriatric Behavioral Science, Graduate School of Human Sciences, Osaka UniversityCenter for Supercentenarian Medical Research, Keio University School of MedicineTokyo Metropolitan Geriatric Hospital and Institute of GerontologyTokyo Metropolitan Geriatric Hospital and Institute of GerontologyGraduate School of Nutritional Sciences, Nagoya University of Arts and SciencesDepartment of Geriatric and General Medicine, Graduate School of Medicine, Osaka UniversityDepartment of Health Promotion System Sciences, Division of Health Sciences, Graduate School of Medicine, Osaka UniversityAbstract Background Preventing the need for long-term care (LTC) by identifying physical function risk factors are important to decrease the LTC burden. The objective of this study was to investigate whether grip strength and/or walking speed, which are components of the frailty definition, are associated with LTC in community-dwelling older and oldest people. Methods The participants were 1098 community-dwelling older and oldest people who had not received LTC at the baseline. The endpoint was receiving LTC after the baseline survey. The independent variables were grip strength and walking speed, and participants were divided into two groups based on these variables. The confounding factors were age, sex, the Japanese version of the Montreal Cognitive Assessment (MoCA-J), hypertension, diabetes mellitus, stroke, joint diseases, living alone, body mass index, and serum albumin. We calculated the hazard ratio of receiving LTC using the Cox proportional hazard model. Results Among the 1098 participants, 107 (9.7%) newly received LTC during the follow-up. Regarding the physical function, only slow walking speed was significantly correlated with LTC after adjusting for all confounding factors except the MoCA-J score (HR = 1.74, 95% CI = 1.10–2.75, P = .018). However, slow walking speed was still a risk factor for LTC after adjusting for the MoCA-J score and other confounding factors (HR = 1.64, 95% CI = 1.03–2.60, P = .037). Conclusions The findings from this study may contribute to a better understanding of slow walking speed as a factor related to LTC, which might be a criterion for disability prevention and could serve as an outcome measure for physical function in older people.http://link.springer.com/article/10.1186/s12199-020-00884-3FrailtyGrip strengthLong-term careOlder peopleWalking speed |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Werayuth Srithumsuk Mai Kabayama Kayo Godai Nonglak Klinpudtan Ken Sugimoto Hiroshi Akasaka Yoichi Takami Yasushi Takeya Koichi Yamamoto Saori Yasumoto Yasuyuki Gondo Yasumichi Arai Yukie Masui Tatsuro Ishizaki Hiroshi Shimokata Hiromi Rakugi Kei Kamide |
spellingShingle |
Werayuth Srithumsuk Mai Kabayama Kayo Godai Nonglak Klinpudtan Ken Sugimoto Hiroshi Akasaka Yoichi Takami Yasushi Takeya Koichi Yamamoto Saori Yasumoto Yasuyuki Gondo Yasumichi Arai Yukie Masui Tatsuro Ishizaki Hiroshi Shimokata Hiromi Rakugi Kei Kamide Association between physical function and long-term care in community-dwelling older and oldest people: the SONIC study Environmental Health and Preventive Medicine Frailty Grip strength Long-term care Older people Walking speed |
author_facet |
Werayuth Srithumsuk Mai Kabayama Kayo Godai Nonglak Klinpudtan Ken Sugimoto Hiroshi Akasaka Yoichi Takami Yasushi Takeya Koichi Yamamoto Saori Yasumoto Yasuyuki Gondo Yasumichi Arai Yukie Masui Tatsuro Ishizaki Hiroshi Shimokata Hiromi Rakugi Kei Kamide |
author_sort |
Werayuth Srithumsuk |
title |
Association between physical function and long-term care in community-dwelling older and oldest people: the SONIC study |
title_short |
Association between physical function and long-term care in community-dwelling older and oldest people: the SONIC study |
title_full |
Association between physical function and long-term care in community-dwelling older and oldest people: the SONIC study |
title_fullStr |
Association between physical function and long-term care in community-dwelling older and oldest people: the SONIC study |
title_full_unstemmed |
Association between physical function and long-term care in community-dwelling older and oldest people: the SONIC study |
title_sort |
association between physical function and long-term care in community-dwelling older and oldest people: the sonic study |
publisher |
BMC |
series |
Environmental Health and Preventive Medicine |
issn |
1342-078X 1347-4715 |
publishDate |
2020-09-01 |
description |
Abstract Background Preventing the need for long-term care (LTC) by identifying physical function risk factors are important to decrease the LTC burden. The objective of this study was to investigate whether grip strength and/or walking speed, which are components of the frailty definition, are associated with LTC in community-dwelling older and oldest people. Methods The participants were 1098 community-dwelling older and oldest people who had not received LTC at the baseline. The endpoint was receiving LTC after the baseline survey. The independent variables were grip strength and walking speed, and participants were divided into two groups based on these variables. The confounding factors were age, sex, the Japanese version of the Montreal Cognitive Assessment (MoCA-J), hypertension, diabetes mellitus, stroke, joint diseases, living alone, body mass index, and serum albumin. We calculated the hazard ratio of receiving LTC using the Cox proportional hazard model. Results Among the 1098 participants, 107 (9.7%) newly received LTC during the follow-up. Regarding the physical function, only slow walking speed was significantly correlated with LTC after adjusting for all confounding factors except the MoCA-J score (HR = 1.74, 95% CI = 1.10–2.75, P = .018). However, slow walking speed was still a risk factor for LTC after adjusting for the MoCA-J score and other confounding factors (HR = 1.64, 95% CI = 1.03–2.60, P = .037). Conclusions The findings from this study may contribute to a better understanding of slow walking speed as a factor related to LTC, which might be a criterion for disability prevention and could serve as an outcome measure for physical function in older people. |
topic |
Frailty Grip strength Long-term care Older people Walking speed |
url |
http://link.springer.com/article/10.1186/s12199-020-00884-3 |
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