Social participation and physical prefrailty in older Japanese adults : The Shimane CoHRE study

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Abe, TakafumiShimane University (author)

Social participation and physical prefrailty in older Japanese adults : The Shimane CoHRE study

Article/chapterEnglish2020

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2020-12-16
Public Library of Science (PLoS),2020

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LIBRIS-ID:oai:lup.lub.lu.se:0f0294be-149a-4102-ab34-d08f5fdb1112
https://lup.lub.lu.se/record/0f0294be-149a-4102-ab34-d08f5fdb1112URI
https://doi.org/10.1371/journal.pone.0243548DOI

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Language:English
Summary in:English

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As older adults in an early stage (prefrailty) of frailty may return to a healthy state, it is necessary to examine the prevention of prefrailty. In this context, the number and types of social participation activities associated with physical prefrailty in community-dwelling older adults have remained relatively unexplored. This cross-sectional study investigates this issue by analyzing 616 participants living in Okinoshima, Shimane, a rural area of Japan, in 2019. Frailty was assessed using the 5-item frailty phenotype (unintentional weight loss, selfreported exhaustion, weakness, slow walking speed, and low physical activity). Data on social participation were obtained using a questionnaire based on participants' level of involvement with volunteer groups, sports clubs/groups, neighborhood associations, religious organizations/groups, and community elderly salons; their answers were categorized as "yes"if they answered "several times per year or more"and "no"if they answered "never."Binominal logistic regression was used to estimate odds ratios (OR) and 95% confidence intervals (CI) of prefrailty by the number or types of social participation activities, adjusted for gender, age, body mass index, smoking, medication-taking, educational attainment, working status, and living arrangement. Of the 616 participants, 273 (44.3%) and 28 (4.5%) had prefrailty and frailty, respectively. The analysis showed that the number of social participation activities was significantly associated with lower odds of prefrailty (OR = 0.83; 95% CI, 0.74-0.94). Regarding the types of social participation, sports clubs/groups were associated with lower odds of prefrailty (OR = 0.47; 95% CI, 0.31-0.73). Participation in neighborhood associations was associated with prefrailty/frailty (OR = 0.57; 95% CI, 0.37-0.86). These results suggest that increasing the number of social participation activities or involvement in sports clubs/groups and neighborhood associations may be important to prevent physical prefrailty in the older population.

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Okuyama, KentaLund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups,Shimane University(Swepub:lu)ke5744ok (author)
Kamada, MasamitsuUniversity of Tokyo (author)
Yano, ShozoShimane University (author)
Toyama, YutaShimane University (author)
Isomura, MinoruShimane University (author)
Nabika, ToruShimane University (author)
Sakane, NaokiKyoto Medical Center,National Hospital Organization, Japan (author)
Ando, HitoshiKanazawa University (author)
Miyazaki, RyoShimane University (author)
Shimane UniversityAllmänmedicin och klinisk epidemiologi (creator_code:org_t)

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In:PLoS ONE: Public Library of Science (PLoS)15:12 December1932-6203

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By the author/editor: Abe, Takafumi; Okuyama, Kenta; Kamada, Masamits ...; Yano, Shozo; Toyama, Yuta; Isomura, Minoru; show more...; Nabika, Toru; Sakane, Naoki; Ando, Hitoshi; Miyazaki, Ryo; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Other Medical an ...; and Gerontology spec ...

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