Knee Pain and Future Self-Reliance in Older Adults : Evidence From a Community-Based 3-Year Cohort Study in Japan
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概要
- 論文の詳細を見る
Background: Although knee pain is common in older persons and can cause ambulatory limitation, its impact on self-reliance has rarely been examined in Japan, particularly in a community setting. The aim of this 3-year cohort study was to investigate the association of knee pain with dependence in activities of daily living (ADL) and mortality in community-dwelling older Japanese adults.Methods: In 2005, presence of knee pain was assessed by a home visit survey of 1391 older adults aged 65 years or older (participation proportion = 97.3%). A total of 1265 participants who were ADL-independent at baseline were followed for 3 years, and information on outcomes, namely death and dependence in ADL, was collected.Results: Participants who always had knee pain were more likely to become dependent in ADL than those who reported no knee pain (multivariate-adjusted OR, 1.98; 95% CI, 1.03–3.83); however, always having knee pain was not associated with mortality or a composite outcome of ADL dependence and death. Further analyses of each component of ADL dependence revealed that knee pain was associated with a need for assistance at home (long-term care eligibility, bathing, dressing, and transferring), but not with institutionalization.Conclusions: The participants were highly representative of the target population and the rate of follow-up was almost perfect (99.4%). The results suggest that knee pain is associated with future dependence in ADL, particularly a need for assistance at home.
- 日本疫学会の論文
- 2011-05-01
著者
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Takebayashi T
Department Of Preventive Medicine And Public Health School Of Medicine Keio University
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Takezaki T
Department Of International Island And Community Medicine Graduate School Of Medical And Dental Scie
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Takahashi Ken
Department Of Preventive Medicine And Public Health School Of Medicine Keio University
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Takamiya Tomoko
Department Of Epidemiology Graduate School Of Public Health. University Of Pittsburgh
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Takebayashi Toru
Department Of Preventive Medicine And Public Health Keio University School Of Medicine
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Takahashi Ken
Japan Industrial Safety And Health Association
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Nishiwaki Yuji
Department Of Preventive Medicine And Public Health School Of Medicine Keio University
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Nishiwaki Yuji
Department Of Preventive Medicine And Public Health Keio University
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Tanaka Taichiro
Department Of Health Sciences School Of Medicine University Of Yamanashi
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Michikawa Takehiro
Department Of Preventive Medicine And Public Health School Of Medicine Keio University
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YAMADA Mutsuko
Department of Preventive Medicine and Public Health, School of Medicine, Keio University
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ETO Norihito
Department of Preventive Medicine and Public Health, School of Medicine, Keio University
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Eto Norihito
Department Of Preventive Medicine And Public Health School Of Medicine Keio University
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Yamada Mutsuko
Department Of Preventive Medicine And Public Health School Of Medicine Keio University
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NISHIWAKI Yuji
Department of Environmental and Occupational Health, Faculty of Medicine, Toho University
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Nishiwaki Yuji
Department of Environmental and Occupational Health, School of Medicine, Toho University
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Takebayashi Toru
Department of Health Sciences, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi
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