{"title":"Factors associated with decline in activities of daily living in home-based medical care.","authors":"Masaaki Nagae, Hiroyuki Umegaki, Hitoshi Komiya, Kazuhisa Watanabe, Yosuke Yamada","doi":"10.18999/nagjms.87.1.173","DOIUrl":null,"url":null,"abstract":"<p><p>We sought to explore factors associated with changes in activities of daily living (ADL) in home-based medical care (HBMC). We used data from the Observational Study of Nagoya Elderly with Home Medical Care 2, in which HBMC was provided for physical and/or mental disability. ADL were assessed using the Barthel Index and its mobility and self-care categories. Of 40 eligible participants, half were classified into an ADL decline group. The percentage with a decreased Mini-Nutritional Assessment-Short Form (MNA-SF) score was significantly higher in the ADL decline group. Worsening of MNA-SF was significantly associated with a decline in the mobility category but not in the self-care category. ADL decline was frequently observed and was associated with worsening of nutritional status in HBMC.</p>","PeriodicalId":49014,"journal":{"name":"Nagoya Journal of Medical Science","volume":"87 1","pages":"173-177"},"PeriodicalIF":0.9000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003990/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nagoya Journal of Medical Science","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.18999/nagjms.87.1.173","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
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Abstract
We sought to explore factors associated with changes in activities of daily living (ADL) in home-based medical care (HBMC). We used data from the Observational Study of Nagoya Elderly with Home Medical Care 2, in which HBMC was provided for physical and/or mental disability. ADL were assessed using the Barthel Index and its mobility and self-care categories. Of 40 eligible participants, half were classified into an ADL decline group. The percentage with a decreased Mini-Nutritional Assessment-Short Form (MNA-SF) score was significantly higher in the ADL decline group. Worsening of MNA-SF was significantly associated with a decline in the mobility category but not in the self-care category. ADL decline was frequently observed and was associated with worsening of nutritional status in HBMC.
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