1.COVID-19とフレイルの実際 DOI Open Access

環 広瀬,

Yang Gu,

友彦 浦野

et al.

Nippon Ronen Igakkai Zasshi Japanese Journal of Geriatrics, Journal Year: 2023, Volume and Issue: 60(2), P. 113 - 118

Published: April 25, 2023

新型コロナウイルス感染症の拡大によるライフスタイルの変化はフレイルに影響を及ぼすと言われている.しかし,実際に地域在住高齢者へ目を向けてみると"withコロナ"における反応は一方向ではないことがわかってきた.それは,フレイル化を早めるという負の変化とは反対に,新しいライフスタイルに「適応する」という変化も起きていることである.栃木県北部のコホートスタディから得られた知見をもとに,"ポストコロナ"で注目すべきポイントをまとめて紹介する.

Fall Risk Prediction for Community-Dwelling Older Adults: Analysis of Assessment Scale and Evaluation Items without Actual Measurement DOI Open Access
Akihiko Murayama, Daisuke Higuchi,

Kosuke Saida

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2024, Volume and Issue: 21(2), P. 224 - 224

Published: Feb. 14, 2024

The frequency of falls increases with age. In Japan, the population is aging rapidly, and fall prevention measures are an urgent issue. However, assessing risk during coronavirus disease pandemic was complicated by social distancing implemented to prevent disease, while traditional assessments that involve actual measurements complicated. This prospective cohort study predicted in community-dwelling older adults using assessment method does not require measurements. A survey conducted among 434 obtain data regarding baseline attributes (age, sex, living family, use long-term care insurance, multimorbidity), Frailty Screening Index (FSI) score, Questionnaire for Medical Checkup Old-Old (QMCOO) score. participants were categorized into (n = 78) non-fall 356) groups. binomial logistic regression analysis showed it better focus on QMCOO sub-item which focuses multiple factors. items significantly associated Q5 (odds ratio [OR] 1.95), Q8 (OR 2.33), Q10 3.68). Our results similar common factors normal times. During pandemic, being able gauge without actually measuring them important.

Language: Английский

Citations

6

Impact of social engagement on the development of sarcopenia among community‐dwelling older adults: A Kashiwa cohort study DOI
Tomoki Tanaka, Bo‐Kyung Son,

Weida Lyu

et al.

Geriatrics and gerontology international/Geriatrics & gerontology international, Journal Year: 2022, Volume and Issue: 22(5), P. 384 - 391

Published: March 23, 2022

How older adults develop sarcopenia in the community setting is unclear. Focusing on social engagement, we aimed to validate our hypothesized model of development with various contributing factors, such as physical activity, oral function, psychological status and nutritional status. We also clarified direct indirect effects status, function new-onset sarcopenia.We analyzed 1483 participants' (72.6 ± 5.4 years) longitudinal data from Kashiwa study. Sarcopenia was assessed all surveys Measures regarding were at baseline. Structural equation modeling used analyze efficiency model, calculate factors affecting sarcopenia.Over follow-up period (median 6 years [interquartile range 4-6 years]), 12% individuals developed sarcopenia. Our structural hypothesis starting engagement suitable (root mean square error approximation = 0.031, goodness-of-fit index 0.967, adjusted 0.954, comparative fix 0.911, parsimonious fit 0.755; paths significant), showing activity through status.The present results showed that could potentially decrease risks by influencing multidimensional To prevent sarcopenia, it might be essential promote populational approaches. Geriatr Gerontol Int 2022; 22: 384-391.

Language: Английский

Citations

21

Reconstruction of a resilient and secure community and medical care system in the coronavirus era – English translation of the Japanese opinion released from the Science Council of Japan DOI Creative Commons
Katsuya Iijima, Masahiro Akishita, Tamao Endo

et al.

Geriatrics and gerontology international/Geriatrics & gerontology international, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 19, 2025

Background Over 3 years have passed since the outbreak of novel coronavirus disease 2019 (COVID‐19), a associated with high risk severe illness and death among older individuals. This period has brought to light regional social issues, including issues in overall healthcare, that existed before epidemic. “COVID‐19‐related frailty” is defined as secondary damage health caused by inactivity disconnection from human interaction owing prolonged isolation Now its fourth year, COVID‐19 cannot be taken lightly, even though it now Category 5 infectious disease. Looking at perspective Corona (COVID‐19)/post‐Corona (COVID‐19) era society, necessary reconstruct communities which active residents can resume their activities, resilient society multiple perspectives, medical care system give public sense security, all will lead development local communities. Current situation problems Weak healthcare systems emergencies such emerging diseases disasters The pandemic posed challenges management individuals Japan. These are common those encountered other disasters; however, emphasized vulnerability adults. End‐of‐life advance planning do not function during contingency had significant effect on end‐of‐life (EOL) adults, lack implementation dysfunction (ACP) identified biggest factors. made difficult for this population share values, intentions, life goals families providers. Inadequate use information communication technology latest technologies Disparity digital field (digital divide) more pronounced Consequently, benefits new technologies, digitalization robotics, fully reached individuals, leading frailty population. Various outcomes emerged result influence misinformation disinformation following accelerated outcomes, excessive become prolonged. inability screen source major concern. Furthermore, adults generally vulnerable often face difficulty accessing correct information. Lack resources promotion vaccine development, therapeutic drug measures prevent serious illnesses remain challenges, especially pandemic. Information gathering analysis normal times also important health, care, nursing sectors. A shortage purpose evident. Content opinion led compilation vision future aging Japanese viewpoint individual well broader community, environment. views reflected policies (including cross‐ministerial flow) academic associations Japan Geriatrics Society; Ministry Health, Labor Welfare; Education, Culture, Sports, Science Technology; Economy, Trade Industry; Land, Infrastructure, Transport Tourism; Cabinet Office; various professional organizations. Healthcare respond promptly diseases, disasters, contingencies should reconstructed As an issue commonly arise contingencies, designed population, most segment must developed. EOL ACP respected implemented early stage, so parties involved family members personnel they care. enable live desire until EOL. Use promoted actively build Disparities eliminated create environment enables everyone benefit digitalization. systems, wherein mobility support key, created isolation. disaster prevented through multifaceted approach Utmost attention paid preventing occurrence includes raising awareness regarding maintenance providing appropriate related maintenance. Research strengthen resource area, focus analyzing long‐term ordinary Continuous provided facilitate basic research clinical applications. Researchers universities organizations, particular, strive promote these activities. In addition, government (local national governments data supports development) commit playing role Geriatr Gerontol Int 2025; ••: ••–•• .

Language: Английский

Citations

0

Frailty after COVID‐19: The wave after? DOI Creative Commons
Maximilian König, Maik Gollasch,

Yulia Komleva

et al.

Aging Medicine, Journal Year: 2023, Volume and Issue: 6(3), P. 307 - 316

Published: June 28, 2023

The COVID-19 pandemic poses an ongoing public health challenge, with a focus on older adults. Given the large number of persons who have recovered from and reports long-lasting sequelae, there is reasonable concern that may lead to long-term deterioration in adults, i.e., potential "wave frailty." Therefore, it critical better understand circumstances surrounding development frailty as result COVID-19, well underlying mechanisms factors contributing this development. We conducted narrative review most relevant articles published association between through January 2023. Although few studies date addressed effects onset progression frailty, available data suggest indeed increase elderly COVID-19. Regarding mechanisms, multicausal genesis can be assumed, involving both direct viral indirect effects, particularly imposed lockdowns devastating consequences for elderly: decreased physical activity, altered diet, sarcopenia, fatigue, social isolation, neurological problems, inflammation, cardiovascular morbidity are among possible mediators. Since leading elderly, urgent need raise awareness still little-known problem potentially great importance find appropriate prevention treatment measures.

Language: Английский

Citations

10

Multinode Electrical Impedance Tomography (mnEIT) Throughout Whole-Body Electrical Muscle Stimulation (wbEMS) DOI
Prima Asmara Sejati, Bo Sun, Panji Nursetia Darma

et al.

IEEE Transactions on Instrumentation and Measurement, Journal Year: 2023, Volume and Issue: 72, P. 1 - 14

Published: Jan. 1, 2023

Multi-node electrical impedance tomography ( mn EIT) throughout whole-body muscle stimulation xmlns:xlink="http://www.w3.org/1999/xlink">wb EMS) has been proposed for the simultaneous imaging of compartments response. EIT two characteristics which are 1) network hardware synchronized measurement in multi-node simultaneously and 2) nodal fast Fourier transform (FFT) cancelling time-varying noise. By EIT, response upper arm thigh eight healthy subjects imaged EMS under four voltage intensity levels. According to reconstructed images conductivity distribution σ prior training EMS, trend boosted along with rise intensity. As error evaluation, normalized spatial-mean ε f is relatively higher increase frequency while average 〈ε〉 7. 521% respectively. Here our best result at <〈ε〉 occurred xmlns:xlink="http://www.w3.org/1999/xlink">f ≤ 2500 Hz that covers selection xmlns:xlink="http://www.w3.org/1999/xlink">1 = 500 xmlns:xlink="http://www.w3.org/1999/xlink">2 1000 obtain visualization σ. Meanwhile, based on Pearson correlation as statistical a high accuracy value xmlns:xlink="http://www.w3.org/1999/xlink">r xmlns:xlink="http://www.w3.org/1999/xlink">arm =0.9391 xmlns:xlink="http://www.w3.org/1999/xlink">thigh =0.894.

Language: Английский

Citations

9

Prevalence and factors associated with changes in frailty among community‐dwelling older adults in Japan during the COVID‐19 pandemic: A prospective cohort study from 2020 to 2022 DOI
Tamaki Hirose, Yohei Sawaya, Masahiro Ishizaka

et al.

Geriatrics and gerontology international/Geriatrics & gerontology international, Journal Year: 2023, Volume and Issue: 24(1), P. 40 - 47

Published: Nov. 27, 2023

Aim This study aimed to ascertain the prevalence of frailty during pandemic and determine factors associated with changes in status. Methods In May–June 2020–2022, we assessed 549 participants using Kihon Checklist. Furthermore, classified participant residences as urban, suburban, rural investigated participants’ engagement hobbies community activities 2020 2022. Cochran's Q test was used analyze proportions Subsequently, conducted a binomial logistic regression analysis improvement/deterioration status from 2022 dependent variable, independent variables. Results Significant were observed among urban areas, where an increase pre‐frailty decrease robust individuals 2021 noted. Focusing on item no. 17 (going out), decreasing frequency had recovered by group all groups. Continued only or activities, continued both remained robust/frailty‐status improvement. Moreover, not engaging either frail/frailty‐status deterioration. Conclusions During early stages, COVID‐19 impacted older adults densely populated areas. The results also suggest attenuation decline adult activity Continuous crucial for improving preventing deterioration pandemic. Geriatr Gerontol Int 2024; 24: 40–47 .

Language: Английский

Citations

8

Development of a tool measuring various aspects of social detachment: The social detachment questionnaire for older population DOI Creative Commons
Wei‐Lieh Huang, Chi‐Shin Wu, Chia-Ming Yen

et al.

Journal of the Formosan Medical Association, Journal Year: 2024, Volume and Issue: 123(12), P. 1303 - 1310

Published: July 14, 2024

Social detachment includes the subjective aspect "loneliness" and objective "social isolation," but tools to assess both dimensions are limited. This study aims develop a questionnaire, Detachment Questionnaire for Older Population (SDQO), that considers multiple of social simultaneously. The collected 600 valid samples from individuals aged 55 above examine psychometric properties developed SDQO. Item analysis was conducted performance each item, exploratory factor (EFA) employed analyze its initial structure eliminate less ideal items. Subsequently, confirmatory (CFA) used model fit suggested by EFA, using different subsamples. Internal consistency, concurrent validity, other analyses were also performed. original 27-item SDQO reduced 17 items after removing 4 questions in item 6 EFA. Cronbach's alpha 17-item version 0.80. Both EFA CFA supported 6-factor structure, with factors identified as community activities, loneliness, personal resources, leisure friendship, family resources. demonstrated expected validity. exhibited good reliability measuring various aspects behavior, feelings, It holds value future research applications.

Language: Английский

Citations

2

Sex differences in reduction of trunk muscle mass related to falls and cognitive function during the COVID‐19 pandemic in older adults DOI Creative Commons

Masahiro Nagano,

Mai Kabayama, Yuka Ohata

et al.

Geriatrics and gerontology international/Geriatrics & gerontology international, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 30, 2024

Aim This study aimed to examine the influence of COVID‐19 pandemic on physical components and activity, its relationship performance in older adults. Methods Sixty‐seven participants aged 75 (81 ± 2 years, female: 66%), who underwent medical checkups continuously from 2018 2022 one clinic, were enrolled. Muscle mass was assessed by biometrical impedance analysis method, which adjusted height squared. Physical, oral, cognitive data obtained Japanese standard questionnaires at checkups. Values 2019 defined as pre‐pandemic, those 2021 during pandemic. Results Body weight, grip strength, skeletal index did not change 2022, but trunk muscle decreased significantly. A difference (TMI) observed between 2018/2019 men; however, a significant found women. Compared with pre‐pandemic period, TMI only men. The period (ΔTMI) significantly low activity poor oral before pandemic, falls function Conclusion Reduction related male These suggest that response men women necessitates different types support for Geriatr Gerontol Int 2024; ••: ••–•• .

Language: Английский

Citations

2

Association between Prevention from Going Out and Incidence of Falls among Community-Dwelling Older Adults during COVID-19 Pandemic DOI Open Access
Saori Anezaki, Mariko Sakka, Noriko Yamamoto‐Mitani

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(3), P. 2650 - 2650

Published: Feb. 1, 2023

To prevent falls, community-dwelling older adults must maintain regular physical activities. This study aimed to explore the association between prevention from going out and incidence of falls among during COVID-19 pandemic. We conducted a prospective cohort that consisted 381 individuals aged 65 years or older, living in local community Japan, ranging being independent physically cognitively frail. The finding revealed those who had been five more times weekly pre-pandemic, at time first state emergency (SOE) (AOR = 6.84; 95%CI 1.51–31.02), having history 7.35; 1.81–29.84), participating group gatherings 6.09; 1.48–25.12), with spouses 0.08; 0.02–0.40), other than spouse 0.15; 0.03–0.73) were associated falls. highlights importance providing opportunities go order

Language: Английский

Citations

4

The Co-Design/Co-Development and Evaluation of an Online Frailty Check Application for Older Adults: Participatory Action Research with Older Adults DOI Open Access
Bo‐Kyung Son, Takahiro Miura,

Ken-ichiro Yabu

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(12), P. 6101 - 6101

Published: June 10, 2023

Frailty is an age-related condition characterized by a decline in physical capacity with increased vulnerability to stressors. During the COVID-19 pandemic, there was considerable progression frailty older adults. Therefore, online check (FC) required for continuous screening, especially acceptable We aimed co-design/co-develop FC application supporters who were facilitators pre-existing onsite program community. It consisted of self-assessment sarcopenia and 11-item questionnaire assessing dietary, physical, social behaviors. Opinions obtained from (median 74.0 years) categorized implemented. The usability assessed using system scale (SUS). For both participants (n = 43), mean score 70.2 ± 10.3 points, which implied "marginally high" acceptability "good" adjective range. Multiple regression analysis showed that SUS significantly correlated onsite-online reliability, even after adjusting age, sex, education level, ICT proficiency (b 0.400, 95% CI: 0.243-1.951, p 0.013). also validated score, significant association between scores (R 0.670, 0.001). In conclusion, reliable tool community-dwelling

Language: Английский

Citations

4