Japanese Journal of Geriatrics最新文献

[Achieving healthy longevity with well-being through community engagement - Insights from the nationwide frailty prevention program by senior residents]. [通过社区参与实现健康长寿——来自全国老年居民预防虚弱项目的见解]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.21

引用次数: 0

[Somnolence and falls during bathing in older people]. [老年人洗澡时的嗜睡和跌倒]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.63

Tomoaki Suzuki, Shuichiro Watanabe

引用次数: 0

[[Overview] Current status and challenges of ACP for older adults]. [概述]老年人ACP的现状和挑战]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.99

引用次数: 0

[Erratum]. (错误)。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.168

引用次数: 0

[The factors influencing the progression of locomotive syndrome in community-dwelling older adults: focusing on a decline in muscular endurance]. [影响社区老年人运动综合征进展的因素：以肌肉耐力下降为重点]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.147

Yoshinobu Kobayashi

{"title":"[The factors influencing the progression of locomotive syndrome in community-dwelling older adults: focusing on a decline in muscular endurance].","authors":"Yoshinobu Kobayashi","doi":"10.3143/geriatrics.63.147","DOIUrl":"https://doi.org/10.3143/geriatrics.63.147","url":null,"abstract":"Purpose: This study aimed to investigate the relationship between 2-year changes in physical function and the progression of locomotive syndrome (LS) in community-dwelling older adults, focusing on the utility of the 30-second chair stand test (CS-30) as an indicator of muscular endurance.Methods: Among those who participated in the 2021 preventive care classes, 58 older adults who completed follow-up assessments after 2 years were included. The LS stage was assessed using the 25-question Geriatric Locomotive Function Scale (GLFS-25) and a two-step test, and participants were classified into either progression or non-progression (maintenance/improvement) groups. Changes in eight physical function indicators, including grip strength, sit-and-reach test, and the CS-30 score, were calculated. Group comparisons and receiver operating characteristic (ROC) analyses were also performed. A logistic regression analysis was conducted with LS progression as the dependent variable and age as a covariate to evaluate the independent association of the CS-30 changes. The minimal detectable change (MDC) and minimal clinically important difference (MCID) for the CS-30 score were also calculated.Results: Sixteen participants (27.6%) experienced LS progression. Significant group differences were observed in age, grip strength, sit-and-reach test results, and CS-30 change (p < 0.05). CS-30 showed a moderate predictive ability (AUC = 0.705), with a cutoff of+1 repetitions (sensitivity, 81.2%, specificity, 61.9%). Logistic regression revealed a significant association between the CS-30 change and LS maintenance/improvement (OR 1.24, p = 0.04) after adjusting for age. CS-30 MDC and MCID were 5.64 and 4.00, respectively.Conclusion: Even a minimal increase in the CS-30 score was associated with LS maintenance and improvement. The CS-30 score may therefore serve as an early predictor of LS progression, independent of age.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 2","pages":"147-153"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Japan-multimodal intervention trial for prevention of dementia (J-MINT) and its societal implementation: Concepts, challenges, and future directions]. [日本预防痴呆多模式干预试验（J-MINT）及其社会实施：概念、挑战和未来方向]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.86

Takashi Sakurai

{"title":"[Japan-multimodal intervention trial for prevention of dementia (J-MINT) and its societal implementation: Concepts, challenges, and future directions].","authors":"Takashi Sakurai","doi":"10.3143/geriatrics.63.86","DOIUrl":"https://doi.org/10.3143/geriatrics.63.86","url":null,"abstract":"The prevalence of dementia and mild cognitive impairment (MCI) is projected to increase further in Japan, underscoring the urgent need for effective non-pharmacological prevention strategies. Multidomain interventions targeting multiple risk factors simultaneously have gained increasing attention. In Japan, the J-MINT study evaluated the efficacy of a lifestyle-tailored multidomain intervention.J-MINT was an 18-month randomized controlled trial in older adults with MCI, combining exercise, nutrition, cognitive training, and management of lifestyle-related diseases. Although no significant difference was observed in the primary outcome (composite cognitive score) between intervention and control groups, participants with high adherence to exercise showed significant cognitive improvement. Subgroup analyses further demonstrated greater benefits among APOE ε4 carriers, individuals with elevated GFAP levels, and those with untreated or poorly controlled vascular risk factors, suggesting that intervention effects depend on target populations. Cost-effectiveness analysis indicated that J-MINT simultaneously reduced healthcare and long-term care costs while improving quality-adjusted life years.However, challenges for real-world implementation include the lack of evidence-based programs, shortage of trained personnel, difficulties in recruitment and retention, and the absence of sustainable business models. To address these issues, a 6-month community-based J-MINT Brain Health program, instructor certification systems, and a business framework have been developed. A cluster randomized trial across 20 municipalities is currently underway. Future efforts should focus on optimizing target populations, leveraging blood biomarkers, refining delivery methods, and elucidating mechanisms, with an emphasis on early detection and intervention.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 2","pages":"86-96"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Prognosis of dementia patients requiring hemodialysis in a psychiatric/dementia treatment ward]. [精神科/痴呆治疗病房中需要血液透析的痴呆患者的预后]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.60

引用次数: 0

[Frontlines in geriatrics: Polypharmacy, the key revisions of the 2025 guidelines for medical treatment and its safety in the elderly]. [老年病学的前沿：综合用药，2025年老年人医疗指南的关键修订及其安全性]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.79

引用次数: 0

[Relationship between the frequency of participation in a preventive care exercise program and physical and mental health among older residents in the community]. [社区老年居民参加预防性保健锻炼计划的频率与身心健康的关系]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.126

Yuka Yokoyama, Kayo Godai, Michiko Kido, Yuya Akagi, Hiromi Hatanaka, Chisato Morokuma, Sakino Mukai, Arisa Wada, Makiko Higashi, Takeshi Kikuchi, Mai Kabayama, Kei Kamide

{"title":"[Relationship between the frequency of participation in a preventive care exercise program and physical and mental health among older residents in the community].","authors":"Yuka Yokoyama, Kayo Godai, Michiko Kido, Yuya Akagi, Hiromi Hatanaka, Chisato Morokuma, Sakino Mukai, Arisa Wada, Makiko Higashi, Takeshi Kikuchi, Mai Kabayama, Kei Kamide","doi":"10.3143/geriatrics.63.126","DOIUrl":"https://doi.org/10.3143/geriatrics.63.126","url":null,"abstract":"Aim: To examine the relationship between the frequency of participation in a preventive care exercise program and the physical and mental health of community-dwelling older adults.Methods: This study targeted participants of the \"Ikiiki Hyakusai Taiso\" program in Nose Town, Osaka.•Analysis (1): The physical fitness measures of 530 participants in 2018 were compared according to their participation frequency.•Analysis (2): For the 391 individuals who continued in 2019, year-over-year changes in fitness were similarly analyzed.The participants were divided into high- and low-frequency groups based on quartiles. Physical assessments and questionnaire data were compared between the groups.Results: In Analysis (1), no significant differences were found among the men (average session: 27.5). In contrast, among women (average sessions: 28.2), the high-participation group had significantly faster 5-meter walking speeds, greater muscle strength, more social interactions, higher engagement in hobbies, and fewer depressive tendencies (p < 0.05). Older women (75+) also showed better Timed Up and Go (TUG) scores.In Analysis (2), similar trends were observed: no significant differences were found among men, whereas women in the high-participation group showed improved mobility, more social interaction, and lower rates of motor decline (p < 0.05).Conclusions: No significant associations were found in men, possibly because of external activities or exercise intensity. In contrast, among frail women, higher participation was linked to physical improvement, thereby supporting the promotion of continued involvement in such programs.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 2","pages":"126-137"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Advance care planning for people with dementia]. [提前为痴呆症患者制定护理计划]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.110

引用次数: 0