Factors Predicting Decline to “Frail” Status among the Urban Community-dwelling Elderly

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  • KERA Takeshi
    Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (Tokyo Metropolitan Institute of Gerontology) Department of Rehabilitation, Fuke Hospital
  • KAWAI Hisashi
    Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (Tokyo Metropolitan Institute of Gerontology)
  • YOSHIDA Hideyo
    Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (Tokyo Metropolitan Institute of Gerontology)
  • HIRANO Hirohiko
    Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (Tokyo Metropolitan Institute of Gerontology)
  • KOJIMA Motonaga
    Department of Physical Therapy, Faculty of Medical Health Sciences, University of Tokyo Health Sciences
  • FUJIWARA Yoshinori
    Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (Tokyo Metropolitan Institute of Gerontology)
  • IHARA Kazushige
    Department of Public Health, Toho University School of Medicine
  • OBUCHI Shuichi
    Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (Tokyo Metropolitan Institute of Gerontology)

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Other Title
  • 都市在住高齢者における1年後のフレイル進展の心身機能的要因の検討
  • トシ ザイジュウ コウレイシャ ニ オケル 1ネンゴ ノ フレイル シンテン ノ シンシン キノウテキ ヨウイン ノ ケントウ

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Abstract

[Purpose] To investigate the factors contributing to decline to mentally and physically “frail” status after one year among the urban community-dwelling elderly. [Subjects] The subjects were 384 urban community-dwelling elderly in a sample of 913, from which 121 subjects who were already “frail” were excluded, who could be followed for one year. [Methods] Based on the results of mental and physical examinations, multiple logistic regression analysis using the forced entry method was performed with “frail” status after one-year as the dependent variable, and each of the baseline mental and physical examination items as independent variables, with age and gender as covariates. [Results] After one-year, 42 subjects (11%) newly presented as “frail.” Gender, grip strength, the fall-risk index score, and gonalgia at baseline were identified as the independent factors predicting “frail” status. [Conclusion] The results suggest that, in addition to muscle strength, the fall-risk index score and gonalgia are important predictors of decline to “frail” status. <br>

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 30 (4), 549-555, 2015

    The Society of Physical Therapy Science

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