Association between Productive Roles and Frailty Factors among Community-Dwelling Older Adults: A Cross-Sectional Analysis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Assessment of Exposure and Outcomes
2.2.1. Demographics
2.2.2. Productive Roles
2.2.3. Physical Frailty
2.2.4. Cognitive and Psychological Frailty
2.2.5. Social Frailty
2.3. Data Analysis
2.4. Ethical Considerations
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variable | Non-PR (n = 93) | PR (n = 42) | p Value | |
---|---|---|---|---|
Demographics | Age, years | 74.2 ± 5.3 | 74.4 ± 5.9 | 0.827 |
Sex, women | 54 (58.1%) | 25 (59.5%) | 0.873 | |
Education, years | 13.2 ± 2.1 | 13.3 ± 2.6 | 0.784 | |
Living alone status | 20 (21.5%) | 9 (22.0%) | 0.992 | |
Subjective economic status | ||||
Enough and not worried | 7 (7.5%) | 7 (16.7%) | 0.025 * | |
Not enough, but not worried | 79 (84.9%) | 27 (46.3%) | ||
Not enough and worried | 7 (7.5%) | 8 (19.0%) | ||
Physical domains | Usual gait speed, m/min | 80.4 ± 12.2 | 86.7 ±13.2 | 0.007 ** |
Grip strength, kg | 26.3 ± 9.8 | 26.9 ± 9.1 | 0.738 | |
Cognitive and psychological domains | MMSE (0–30) | 27.9 ± 2.1 | 28.0 ± 2.2 | 0.840 |
GDS-15 (0–15) | 2.8 ± 2.2 | 1.9 ± 2.0 | 0.020 * | |
Social domains | Social role (0–4) | 0.8 ± 0.9 | 0.6 ± 0.7 | 0.407 |
Group activity | ||||
No participation/Once a year or less | 21 (22.6%) | 4 (9.5%) | 0.080 | |
Several times a year/Once a month or more | 72 (77.4%) | 38 (90.5%) |
Physical Domains | Usual Gait Speed | Grip Strength | ||
Non–PR | PR | Non–PR | PR | |
OR 1 (95% CI) | 1 | 1.04 (1.01–1.08) * | 1 | 1.01 (0.97–1.05) |
OR 2 (95% CI) | 1 | 1.05 (1.01–1.08) * | 1 | 1.02 (0.97–1.08) |
OR 3 (95% CI) | 1 | 1.05 (1.01–1.08) * | 1 | 1.02 (0.97–1.08) |
Cognitive and Psychological Domains | MMSE | GDS–15 | ||
Non–PR | PR | Non–PR | PR | |
OR 1 (95% CI) | 1 | 1.02 (0.86–1.21) | 1 | 0.79 (0.64–0.97) * |
OR 2 (95% CI) | 1 | 1.03 (0.86–1.23) | 1 | 0.79 (0.64–0.97) * |
OR 3 (95% CI) | 1 | 1.03 (0.85–1.23) | 1 | 0.79 (0.64–0.97) * |
Social Domains | Social Role | Group Activity | ||
Non–PR | PR | Non–PR | PR | |
OR 1 (95% CI) | 1 | 0.83 (0.53–1.29) | 1 | 2.77 (0.89–8.66) |
OR 2 (95% CI) | 1 | 0.83 (0.52–1.31) | 1 | 2.76 (0.88–8.63) |
OR 3 (95% CI) | 1 | 0.82 (0.51–1.30) | 1 | 2.87 (0.91–9.10) |
Young-old adults (n = 80) | Physical domains | Usual gait speed | Grip strength | ||
Non-PR | PR | Non-PR | PR | ||
OR 1 (95% CI) | 1 | 1.06 (1.01–1.12) * | 1 | 1.00 (0.95–1.04) | |
OR 2 (95% CI) | 1 | 1.06 (1.01–1.11) * | 1 | 1.06 (0.98–1.16) | |
OR 3 (95% CI) | 1 | 1.06 (1.01–1.12) * | 1 | 1.08 (0.98–1.18) | |
Cognitive and psychological domains | MMSE | GDS–15 | |||
Non–PR | PR | Non–PR | PR | ||
OR 1 (95% CI) | 1 | 1.13 (0.85–1.49) | 1 | 0.71 (0.53–0.95) * | |
OR 2 (95% CI) | 1 | 1.10 (0.82–1.46) | 1 | 0.69 (0.51–0.94) * | |
OR 3 (95% CI) | 1 | 1.10 (0.78–1.55) | 1 | 0.70 (0.51–0.95) * | |
Social domains | Social role | Group activity | |||
Non–PR | PR | Non–PR | PR | ||
OR 1 (95% CI) | 1 | 0.70 (0.38–1.28) | 1 | 1.71 (0.43–6.79) | |
OR 2 (95% CI) | 1 | 0.79 (0.43–1.47) | 1 | 1.86 (0.39–1.86) | |
OR 3 (95% CI) | 1 | 0.79 (0.41–1.52) | 1 | 1.96 (0.45–8.58) | |
Old–old adults (n = 55) | Physical domains | Usual gait speed | Grip strength | ||
Non–PR | PR | Non–PR | PR | ||
OR 1 (95% CI) | 1 | 1.03 (0.99–1.07) | 1 | 1.04 (0.97–1.12) | |
OR 2 (95% CI) | 1 | 1.04 (0.99–1.09) | 1 | 1.01 (0.92–1.11) | |
OR 3 (95% CI) | 1 | 1.03 (0.98–1.09) | 1 | 1.03 (0.93–1.15) | |
Cognitive and psychological domains | MMSE | GDS–15 | |||
Non–PR | PR | Non–PR | PR | ||
OR 1 (95% CI) | 1 | 0.96 (0.75–1.22) | 1 | 0.88 (0.68–1.16) | |
OR 2 (95% CI) | 1 | 0.99 (0.77–1.28) | 1 | 0.83 (0.63–1.09) | |
OR 3 (95% CI) | 1 | 1.00 (0.76–1.33) | 1 | 0.84 (0.62–1.15) | |
Social domains | Social role | Group activity | |||
Non–PR | PR | Non–PR | PR | ||
OR 1 (95% CI) | 1 | 1.07 (0.54–2.10) | 1 | 6.30 (0.74–53.69) | |
OR 2 (95% CI) | 1 | 0.94 (0.46–1.90) | 1 | 11.08 (1.13–108.91) * | |
OR 3 (95% CI) | 1 | 1.03 (0.48–2.24) | 1 | 13.61 (1.10–169.19) * |
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Yokoyama, K.; Ihira, H.; Matsuzaki-Kihara, Y.; Mizumoto, A.; Miyajima, R.; Sasaki, T.; Kozuka, N.; Ikeda, N. Association between Productive Roles and Frailty Factors among Community-Dwelling Older Adults: A Cross-Sectional Analysis. Int. J. Environ. Res. Public Health 2022, 19, 10838. https://doi.org/10.3390/ijerph191710838
Yokoyama K, Ihira H, Matsuzaki-Kihara Y, Mizumoto A, Miyajima R, Sasaki T, Kozuka N, Ikeda N. Association between Productive Roles and Frailty Factors among Community-Dwelling Older Adults: A Cross-Sectional Analysis. International Journal of Environmental Research and Public Health. 2022; 19(17):10838. https://doi.org/10.3390/ijerph191710838
Chicago/Turabian StyleYokoyama, Kazuki, Hikaru Ihira, Yuriko Matsuzaki-Kihara, Atsushi Mizumoto, Ryo Miyajima, Takeshi Sasaki, Naoki Kozuka, and Nozomu Ikeda. 2022. "Association between Productive Roles and Frailty Factors among Community-Dwelling Older Adults: A Cross-Sectional Analysis" International Journal of Environmental Research and Public Health 19, no. 17: 10838. https://doi.org/10.3390/ijerph191710838