Self-Management Group Exercise Extends Healthy Life Expectancy in Frail Community-Dwelling Older Adults
Preventing frailty and its adverse health outcomes is crucial in countries with a large elderly population, such as Japan. Since the long-term care insurance (LTCI) system was launched, the number of certified older adults with LTCI service requirement has continued to increase. This is a serious pr...
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doaj-e4878e761251404494055ca8b97bd93d2020-11-24T23:07:08ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012017-05-0114553110.3390/ijerph14050531ijerph14050531Self-Management Group Exercise Extends Healthy Life Expectancy in Frail Community-Dwelling Older AdultsMinoru Yamada0Hidenori Arai1Graduate School of Comprehensive Human Sciences, University of Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo 112-0012, JapanNational Center for Geriatrics and Gerontology, 7-430, Morioka-cho, Obu, Aichi 474-8511, JapanPreventing frailty and its adverse health outcomes is crucial in countries with a large elderly population, such as Japan. Since the long-term care insurance (LTCI) system was launched, the number of certified older adults with LTCI service requirement has continued to increase. This is a serious problem, because the LTCI service requirement certification is equivalent to disability. The aim of this study was to evaluate the effect of a self-management group intervention on new LTCI service requirement certifications in community-dwelling older adults in Japan. We analyzed the cohort data from a prospective study. In this study, we recruited community-dwelling adults aged 65 years and older who were independent in a city in Kyoto prefecture in 2012. The subjects in the participation group (n = 1620) attended 60-min group training sessions once or twice every two weeks from December 2012 to December 2016. The exercise sessions consisted of mild-intensity aerobic exercise, mild strength training, flexibility and balance exercises, and cool-down activities. These exercise classes were facilitated by well-trained volunteer staff. The outcome measure was the number of new LTCI requirement certifications during a four-year follow-up period. During the four-year follow-up period, 247 subjects (15.2%) in the participation group and 334 (20.6%) in the control group were newly certified for LTCI service requirements. The hazard ratio for new LTCI service requirements in the participation group compared with the control group was 0.73 (95% CI = 0.62–0.86) in the four-year follow-up period. These results indicate the usefulness of self-management group exercise to reduce the incidence of disability in older adults. Thus, increasing self-management group activities in each community should be encouraged.http://www.mdpi.com/1660-4601/14/5/531self-management grouplong-term care insurancedisability |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Minoru Yamada Hidenori Arai |
spellingShingle |
Minoru Yamada Hidenori Arai Self-Management Group Exercise Extends Healthy Life Expectancy in Frail Community-Dwelling Older Adults International Journal of Environmental Research and Public Health self-management group long-term care insurance disability |
author_facet |
Minoru Yamada Hidenori Arai |
author_sort |
Minoru Yamada |
title |
Self-Management Group Exercise Extends Healthy Life Expectancy in Frail Community-Dwelling Older Adults |
title_short |
Self-Management Group Exercise Extends Healthy Life Expectancy in Frail Community-Dwelling Older Adults |
title_full |
Self-Management Group Exercise Extends Healthy Life Expectancy in Frail Community-Dwelling Older Adults |
title_fullStr |
Self-Management Group Exercise Extends Healthy Life Expectancy in Frail Community-Dwelling Older Adults |
title_full_unstemmed |
Self-Management Group Exercise Extends Healthy Life Expectancy in Frail Community-Dwelling Older Adults |
title_sort |
self-management group exercise extends healthy life expectancy in frail community-dwelling older adults |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2017-05-01 |
description |
Preventing frailty and its adverse health outcomes is crucial in countries with a large elderly population, such as Japan. Since the long-term care insurance (LTCI) system was launched, the number of certified older adults with LTCI service requirement has continued to increase. This is a serious problem, because the LTCI service requirement certification is equivalent to disability. The aim of this study was to evaluate the effect of a self-management group intervention on new LTCI service requirement certifications in community-dwelling older adults in Japan. We analyzed the cohort data from a prospective study. In this study, we recruited community-dwelling adults aged 65 years and older who were independent in a city in Kyoto prefecture in 2012. The subjects in the participation group (n = 1620) attended 60-min group training sessions once or twice every two weeks from December 2012 to December 2016. The exercise sessions consisted of mild-intensity aerobic exercise, mild strength training, flexibility and balance exercises, and cool-down activities. These exercise classes were facilitated by well-trained volunteer staff. The outcome measure was the number of new LTCI requirement certifications during a four-year follow-up period. During the four-year follow-up period, 247 subjects (15.2%) in the participation group and 334 (20.6%) in the control group were newly certified for LTCI service requirements. The hazard ratio for new LTCI service requirements in the participation group compared with the control group was 0.73 (95% CI = 0.62–0.86) in the four-year follow-up period. These results indicate the usefulness of self-management group exercise to reduce the incidence of disability in older adults. Thus, increasing self-management group activities in each community should be encouraged. |
topic |
self-management group long-term care insurance disability |
url |
http://www.mdpi.com/1660-4601/14/5/531 |
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