スギモト　ケン   Ken Sugimoto   杉本　研    所属   川崎医科大学  医学部 臨床医学　総合老年医学    職種   教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Association between physical function and long-term care in community-dwelling older and oldest people: the SONIC study.
掲載誌名	正式名：Environmental health and preventive medicine 略　 称：Environ Health Prev Med ISSNコード：13474715/1342078X
掲載区分	国外
巻・号・頁	25(1),pp.46
著者・共著者	Srithumsuk Werayuth, Kabayama Mai, Godai Kayo, Klinpudtan Nonglak, Sugimoto Ken, Akasaka Hiroshi, Takami Yoichi, Takeya Yasushi, Yamamoto Koichi, Yasumoto Saori, Gondo Yasuyuki, Arai Yasumichi, Masui Yukie, Ishizaki Tatsuro, Shimokata Hiroshi, Rakugi Hiromi, Kamide Kei
発行年月	2020/09/01
概要	BACKGROUND:Preventing the need for long-term care (LTC) by identifying physical function risk factors are important to decrease the LTC burden. The objective of this study was to investigate whether grip strength and/or walking speed, which are components of the frailty definition, are associated with LTC in community-dwelling older and oldest people.METHODS:The participants were 1098 community-dwelling older and oldest people who had not received LTC at the baseline. The endpoint was receiving LTC after the baseline survey. The independent variables were grip strength and walking speed, and participants were divided into two groups based on these variables. The confounding factors were age, sex, the Japanese version of the Montreal Cognitive Assessment (MoCA-J), hypertension, diabetes mellitus, stroke, joint diseases, living alone, body mass index, and serum albumin. We calculated the hazard ratio of receiving LTC using the Cox proportional hazard model.RESULTS:Among the 1098 participants, 107 (9.7%) newly received LTC during the follow-up. Regarding the physical function, only slow walking speed was significantly correlated with LTC after adjusting for all confounding factors except the MoCA-J score (HR = 1.74, 95% CI = 1.10-2.75, P = .018). However, slow walking speed was still a risk factor for LTC after adjusting for the MoCA-J score and other confounding factors (HR = 1.64, 95% CI = 1.03-2.60, P = .037).CONCLUSIONS:The findings from this study may contribute to a better understanding of slow walking speed as a factor related to LTC, which might be a criterion for disability prevention and could serve as an outcome measure for physical function in older people.
DOI	10.1186/s12199-020-00884-3
PMID	32873231