Japanese Journal of Geriatrics最新文献

{"title":"[Achieving healthy longevity with well-being through community engagement - Insights from the nationwide frailty prevention program by senior residents].","authors":"","doi":"10.3143/geriatrics.63.21","DOIUrl":"https://doi.org/10.3143/geriatrics.63.21","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 1","pages":"21-26"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575684","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}

{"title":"[Somnolence and falls during bathing in older people].","authors":"Tomoaki Suzuki, Shuichiro Watanabe","doi":"10.3143/geriatrics.63.63","DOIUrl":"https://doi.org/10.3143/geriatrics.63.63","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 1","pages":"63-65"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575715","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}

{"title":"[[Overview] Current status and challenges of ACP for older adults].","authors":"","doi":"10.3143/geriatrics.63.99","DOIUrl":"https://doi.org/10.3143/geriatrics.63.99","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 2","pages":"99-103"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346629","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}

{"title":"[Erratum].","authors":"","doi":"10.3143/geriatrics.63.168","DOIUrl":"https://doi.org/10.3143/geriatrics.63.168","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 2","pages":"168"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346650","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}

{"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":"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><p>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.</p>","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}

{"title":"","authors":"","doi":"10.3143/geriatrics.63.250","DOIUrl":"https://doi.org/10.3143/geriatrics.63.250","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 3","pages":"250-253"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983969","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}

{"title":"[The significance of iPSC research in geriatric medicine].","authors":"","doi":"10.3143/geriatrics.63.169","DOIUrl":"https://doi.org/10.3143/geriatrics.63.169","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 3","pages":"169-174"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983910","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}

{"title":"[Development of a Japanese version of the Outcome Prioritization Tool (OPT) for clarifying the treatment goal priorities in older adults with multimorbidity].","authors":"Takuma Kimura, Saki Munakata, Hiroshi Nin, Satoshi Hirahara, Satoshi Fukuhara, Mari Fukuhara, Suguru Mabuchi, Masayoshi Hashimoto, Terri R Fried","doi":"10.3143/geriatrics.63.228","DOIUrl":"10.3143/geriatrics.63.228","url":null,"abstract":"<p><strong>Objectives: </strong>In older adults with multimorbidity, clarifying the treatment goals is essential. The Outcome Prioritization Tool (OPT) is an internationally used four-item questionnaire (Independence, Staying alive, Pain relief, and Symptom relief). This study aimed to create a linguistically valid Japanese version of the OPT and to assess its content validity.</p><p><strong>Methods: </strong>With permission from the original author, the OPT was translated using cross-cultural adaptation. Two native Japanese speakers produced forward translations that were reconciled into a single draft. A native English speaker generated a back-translation, and thrn the draft was reviewed by the original author and three geriatric specialists. Semi-structured cognitive interviews were conducted with nine adults aged 65 years of age or older with multimorbidity (three each from community clinics, a university hospital, and home medical care). Content validity, including cognitive validity, face validity, and clarity of wording, was thereafter evaluated.</p><p><strong>Results: </strong>Participants (median age, 82 years) generally rated face validity and clarity favorably (median score, 4). However, cognitive validity for the Japanese translation of \"Symptom relief\" was lower (median 2) than that for the other items (median: 4). Participants' comments indicated uncertainty about whether psychological distress was included, leading to the revision of the introductory explanation. After final approval from the original author, the Japanese OPT was finalized with four items: \"Jiritsu shita seikatsu,\" \"Nagaiki suru koto,\" \"Itami o yawarageru,\" and \"Itami igai no tsurasa o raku ni suru.\"</p><p><strong>Conclusions: </strong>A Japanese version of the OPT with confirmed linguistic and content validity was developed for this study. This tool may support patient-centered prioritization of the treatment goals in older adults with multimorbidity in clinical settings.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 3","pages":"228-236"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983913","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}

{"title":"[Prognosis of dementia patients requiring hemodialysis in a psychiatric/dementia treatment ward].","authors":"","doi":"10.3143/geriatrics.63.60","DOIUrl":"https://doi.org/10.3143/geriatrics.63.60","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 1","pages":"60-62"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575679","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}