Frequency of Going Outdoors as a Good Predictors for Incident Disability of Physical Function as well as Disability Recovery in Community-Dwelling Older Adults in Rural Japan

スポンサーリンク

概要

• 論文の詳細を見る

• BACKGROUND: The clinico-epidemiologic relevance of the reduction in the frequency of going outdoors in older adults has not been well characterized. This study examined whether the frequency of going outdoors has predictive values for incident physical disability and recovery among community-dwelling elderly.METHODS: One thousand, two hundred and sixty-seven persons aged 65+ years who lived in a rural community in Niigata, Japan, and participated in the baseline survey were assessed again 2 years later in terms of mobility, and instrumental and basic activities of daily living (IADL and BADL). We compared the incident disability and recovery at follow-up among three subgroups classified by the baseline frequency of going outdoors: once a day or more often, once per 2-3 days, and once a week or less often. Multivariate analyses tested associations between the frequency of going outdoors and functional transition, independent of potential confounders.RESULTS: A lower frequency of going outdoors at baseline was associated with a greater incident disability, and a lower recovery at the two-year follow-up. Even after adjustment, the effects of going outdoors remained significant. Adjusted risks of incident mobility and IADL disabilities were significantly higher (odds ratio[OR]=4.02, 95% confidence interval [CI]: 1.77-9.14 and OR=2.65, 95% CI: 1.06-6.58), respectively, and recovery from mobility disability was significantly lower (OR=0.29, 95% CI: 0.08-0.99) for "once a week or less often" subgroup compared with "once a day or more often" subgroup.CONCLUSION: The frequency of going outdoors is a good predictor for incident physical disability and recovery among community-living elderly. Public health nurses and clinicians should pay more attention how often their senior clients usually go outdoors.J Epidemiol 2006; 16: 261-270.

• 2006-11-01

著者

• Shinkai Shoji

  Research Team For Social Participation And Health Promotion Tokyo Metropolitan Institute Of Gerontol

• Shinkai Shoji

  Research Team For Social Participation And Community Health Tokyo Metropolitan Institute Of Gerontol

• Fujiwara Yoshinori

  Research Team For Social Participation And Community Health Tokyo Metropolitan Institute Of Gerontol

• Fujiwara Yoshinori

  Research Team For Social Participation And Health Promotion Tokyo Metropolitan Institute Of Gerontol

• Fujita Koji

  Research Team For Social Participation And Health Promotion Tokyo Metropolitan Institute Of Gerontol

• Motohashi Yutaka

  Department Of Hygiene Faculty Of Medicine Tokyo Medical And Dental University

• CHAVES Paulo

  Center on Aging and Health, Departments of Medicine and Epidemiology, Johns Hopkins University

• Chaves Paulo

  Center On Aging And Health Departments Of Medicine And Epidemiology Johns Hopkins University

関連論文

• Association Between Perceived Stress and Plasma B-Type Natriuretic Peptide Concentrations
• Relationship between Individual Difference in Melatonin Suppression by Light and Habitual Bedtime
• The Effects of Vibration-assisted Music on Biosocial Rhythms of Daily Living of Elderly People
• 1-2 Relationship between Polymorphism of Iris Color and Melatonin Suppression by Light
• Lower Extremity Function in Terms of Shock Absorption when Landing with Unsynchronized Feet
• The Effects of VDT Work and Luminance of Display on Nocturnal Variation in Physiological Indicators
• PI-6 The Effects of Night Exposure to Bright Light on EEG while Performing Mental Tasks(Proceedings of the 45th Meeting of Japan Society of Physiological Anthropology)
• I-1 Effects of Lighting conditions on Sustained-wakefulness on sleep EEG
• Quantitative EEG Data and Comprehensive ADL (Activities of Daily Living) Evaluation of Stroke Survivors Residing in the Community
• Reliability and Validity of the Questionnaire to Determine the Biosocial Rhythms of Daily Living in the Disabled Elderly
• Time-of-day Effects of Ethanol Consumption on EEG Topography and Cognitive Event-related Potential in Adult Males
• I-2 Effects of illuminance level and color temperature on EEG and performance during sleep deprivation at night(Proceedings of the 43rd Meeting of Japan Society of Physiological Anthropology)
• M-17 Effects of time-of-day on decrease in arousal level during repetitive mental tasks (Proceedings of the 42nd Meeting of Japan Society of Physiological Anthropology)
• 5 The study on the circadian variation in P300, subjective sleepiness and attention (Proceedings of the 41st Meeting of Japan Society of Physiological Anthropology)
• B-P9 Study on the Sleep Rhythm and Heart Rate of the Elderly (Proceedings of the 40th Meeting of Japan Society of Physiological Anthropology)
• B-P7 Effects of landing with unsynchronized feet on activity of support leg (Proceedings of the 40th Meeting of Japan Society of Physiological Anthropology)
• Sleep-Wake Rhythm and Physical Fitness in Relation to Activities of Daily Living in Stroke Survivors Residing At Home
• Men's Time, Women's Time : Sex Differences in Biological Time Structure
• Usefulness of Computer-Assisted Portable EEG Recorder for Field Work in Applied Human Science
• The Effects of Plant Proteins and their Hydolysates on EEG while Listening to Music(60th Anniversary Memorial Hall in Musashino Women's University)
• Association of menstrual and reproductive factors with pancreatic cancer risk in women : findings of the Japan Collaborative Cohort Study for Evaluation of Cancer Risk
• Overview of the Epidemiology of Pancreatic Cancer Focusing on the JACC Study
• Overview of Epidemiology of Bile Duct and Gallbladder Cancer Focusing on the JACC Study
• The Effects of Plant Proteins and Their Hydolysates on EEG
• Survival Advantage of Using Autologous Blood Transfusion During Surgery for Esophageal Cancer
• 1-1 Effects of Brightness Contrast of Computer Display on Nocturnal Salivary Melatonin Concentration(Proceedings of the 50th Meeting of Japan Society of Physiological Anthropology)
• The Effects of Using a Personal Computer with a Bright Display during the Night on Sleep(60th Anniversary Memorial Hall in Musashino Women's University)
• Effect of Having a Sense of Purpose in Life on the Risk of Death from Cardiovascular Diseases
• Male Gender and Low Education with Poor Mental Health Literacy : A Population-based Study
• Community-Based Suicide Prevention Program in Japan Using a Health Promotion Approach
• The French Health Care System and its Reform(Abustracts from JAPANESE JOURNAL OF HYGIENE (NIHON EISEIGAKU ZASSHI)Vol.53 No.3)
• Frequency of Going Outdoors as a Good Predictors for Incident Disability of Physical Function as well as Disability Recovery in Community-Dwelling Older Adults in Rural Japan
• Brief screening tool for mild cognitive impairment in older Japanese : Validation of the Japanese version of the Montreal Cognitive Assessment
• Atmospheric Mercury Concentrations in the Basin of the Amazon, Brazil
• History of blood transfusion before 1990 is associated with increased risk for cancer mortality independently of liver disease : a prospective long-term follow-up study
• The Effects of Simulating Ambient Temperature and Color of Health Resort on EEG and Psychological Indicators
• P-9 Effects of Ingestion of Soy Bean-derived Peptides in the Evening on EEG and Subjective Fatigue(Proceedings of the 51st Meeting of Japan Society of Physiological Anthropology)
• 2-6 Seasonal Variation and Environmental Adaptation in Melatonin Suppression by Light(Proceedings of the 53rd Meeting of Japan Society of Physiological Anthropology)
• 1-1 Possibility of Physiological Polymorphism on Melatonin Suppression by Light and Habitual Bedtime
• EFFECT OF ETHANOL ON UPTAKE OF TRICHLOROETHYLENE IN ISOLATED PERFUSED RAT LIVER
• Comparative Study on Objective-Setting Public Health Policy : Historical Background and Path Dependence :
• S-3 Health and well-being of the elderly in the 21^ century(Proceedings of the 43rd Meeting of Japan Society of Physiological Anthropology)
• Evaluation of Health by the Rhythmometric Procedures
• FACTORS AFFECTING PSYCHOLOGICAL MALADJUSTMENT IN JAPANESE COLLEGE STUDENTS STUDYING IN ENGLISH ENVIRONMENTS
• Social Capital and Health : A Review of Prospective Multilevel Studies
• Interactions of household composition and required care level with functional and cognitive status among disabled Japanese elderly living in a suburban apartment complex
• The Hatoyama Cohort Study : Design and Profile of Participants at Baseline
• 高齢者と小児の世代間交流に関する公衆衛生学的研究
• The Yabu Cohort Study: Design and Profile of Participants at Baseline

もっと見る 閉じる

スポンサーリンク