Social participation and physical prefrailty in older Japanese adults : The Shimane CoHRE study
(2020) In PLoS ONE 15(12 December).- Abstract
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... (More)
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.
(Less)
- author
- Abe, Takafumi ; Okuyama, Kenta LU ; Kamada, Masamitsu ; Yano, Shozo ; Toyama, Yuta ; Isomura, Minoru ; Nabika, Toru ; Sakane, Naoki ; Ando, Hitoshi and Miyazaki, Ryo
- organization
- publishing date
- 2020
- type
- Contribution to journal
- publication status
- published
- subject
- in
- PLoS ONE
- volume
- 15
- issue
- 12 December
- article number
- e0243548
- publisher
- Public Library of Science (PLoS)
- external identifiers
-
- scopus:85098290556
- pmid:33326452
- ISSN
- 1932-6203
- DOI
- 10.1371/journal.pone.0243548
- language
- English
- LU publication?
- yes
- id
- 0f0294be-149a-4102-ab34-d08f5fdb1112
- date added to LUP
- 2021-01-07 14:26:00
- date last changed
- 2025-11-01 03:33:54
@article{0f0294be-149a-4102-ab34-d08f5fdb1112,
abstract = {{<p>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.</p>}},
author = {{Abe, Takafumi and Okuyama, Kenta and Kamada, Masamitsu and Yano, Shozo and Toyama, Yuta and Isomura, Minoru and Nabika, Toru and Sakane, Naoki and Ando, Hitoshi and Miyazaki, Ryo}},
issn = {{1932-6203}},
language = {{eng}},
number = {{12 December}},
publisher = {{Public Library of Science (PLoS)}},
series = {{PLoS ONE}},
title = {{Social participation and physical prefrailty in older Japanese adults : The Shimane CoHRE study}},
url = {{http://dx.doi.org/10.1371/journal.pone.0243548}},
doi = {{10.1371/journal.pone.0243548}},
volume = {{15}},
year = {{2020}},
}