Domains of the Kihon Checklist Associated with Prefrailty among Community-Dwelling Older Adults.

Depressive mood Frailty Kihon Checklist Older adults Physical function

Journal

Annals of geriatric medicine and research
ISSN: 2508-4909
Titre abrégé: Ann Geriatr Med Res
Pays: Korea (South)
ID NLM: 101701105

Informations de publication

Date de publication:
Jun 2023
Historique:
received: 16 02 2023
accepted: 19 04 2023
medline: 2 5 2023
pubmed: 2 5 2023
entrez: 1 5 2023
Statut: ppublish

Résumé

Various functions are involved in prefrailty. However, no studies have examined more relevant functions. Therefore, this study examined the domains of the Kihon Checklist (KCL) associated with prefrailty by comparing them to robustness measures, using the KCL to comprehensively assess life-related functions in community-dwelling older adults. The 194 (mean age, 75±6 years) participants were community-dwelling older adults. Their robustness and preferences were assessed using the Japanese Cardiovascular Health Study criteria. Comprehensive life-related functions were assessed using the KCL, and each physical function was measured. The main KCL characteristics associated with robustness and prefrailty were physical function (odds ratio [OR]=1.83; 95% confidence interval [CI], 1.17-2.88), nutritional status (OR=8.16; 95% CI, 2.96-22.48), and depressed mood (OR=3.46; 95% CI, 1.76-6.79). In particular, older adults had difficulty moving, including climbing stairs and getting up from a chair, which suggested a strong fear of falling. The participants also reported psychological characteristics such as low life fulfillment, a low sense of self-usefulness, and a strong sense of boredom. Prefrail individuals were characterized by poor physical function and nutritional status, as well as depressive mood. Prefrailty may be prevented or improved by approaches to improve physical function and fear of falling in addition to psychological interventions that encourage activity and a sense of self-usefulness.

Sections du résumé

BACKGROUND BACKGROUND
Various functions are involved in prefrailty. However, no studies have examined more relevant functions. Therefore, this study examined the domains of the Kihon Checklist (KCL) associated with prefrailty by comparing them to robustness measures, using the KCL to comprehensively assess life-related functions in community-dwelling older adults.
METHODS METHODS
The 194 (mean age, 75±6 years) participants were community-dwelling older adults. Their robustness and preferences were assessed using the Japanese Cardiovascular Health Study criteria. Comprehensive life-related functions were assessed using the KCL, and each physical function was measured.
RESULTS RESULTS
The main KCL characteristics associated with robustness and prefrailty were physical function (odds ratio [OR]=1.83; 95% confidence interval [CI], 1.17-2.88), nutritional status (OR=8.16; 95% CI, 2.96-22.48), and depressed mood (OR=3.46; 95% CI, 1.76-6.79). In particular, older adults had difficulty moving, including climbing stairs and getting up from a chair, which suggested a strong fear of falling. The participants also reported psychological characteristics such as low life fulfillment, a low sense of self-usefulness, and a strong sense of boredom.
CONCLUSIONS CONCLUSIONS
Prefrail individuals were characterized by poor physical function and nutritional status, as well as depressive mood. Prefrailty may be prevented or improved by approaches to improve physical function and fear of falling in addition to psychological interventions that encourage activity and a sense of self-usefulness.

Identifiants

pubmed: 37127533
pii: agmr.23.0019
doi: 10.4235/agmr.23.0019
pmc: PMC10326401
doi:

Types de publication

Journal Article

Langues

eng

Pagination

106-115

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Auteurs

Taishiro Kamasaki (T)

Department of Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Japan.
Doctoral Program of Clinical Neuropsychiatry, Graduate School of Health Sciences, Kagoshima University, Kagoshima, Japan.

Hiroshi Otao (H)

Department of Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Japan.

Mizuki Hachiya (M)

Department of Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Japan.

Atsuko Kubo (A)

Department of Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Japan.

Hiroyuki Okawa (H)

Department of Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Japan.

Kazuhiko Fujiwara (K)

Department of Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Japan.

Asuka Sakamoto (A)

Department of Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Japan.

Suguru Shimokihara (S)

Doctoral Program of Clinical Neuropsychiatry, Graduate School of Health Sciences, Kagoshima University, Kagoshima, Japan.

Michio Maruta (M)

Department of Occupational Therapy, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan.
Faculty of Medicine, Kagoshima University, Kagoshima, Japan.

Gwanghee Han (G)

Faculty of Medicine, Kagoshima University, Kagoshima, Japan.
Department of Occupational Therapy, School of Health Sciences at Fukuoka, International University of Health and Welfare, Otawara, Japan.

Takayuki Tabira (T)

Graduate School of Health Sciences, Kagoshima University, Kagoshima, Japan.

Classifications MeSH