{"title":"[The usefulness of risk stratification for surgical treatment using the comprehensive geriatric assessment in older patients].","authors":"","doi":"10.3143/geriatrics.62.28","DOIUrl":"https://doi.org/10.3143/geriatrics.62.28","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"28-31"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754896","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":"[Relationship between the type and number of social participation and higher life functioning in older diabetic patients].","authors":"Satoshi Ida, Kanako Imataka, Keitaro Katsuki, Kazuya Murata","doi":"10.3143/geriatrics.62.50","DOIUrl":"10.3143/geriatrics.62.50","url":null,"abstract":"<p><strong>Objective: </strong>To examine the relationship between the type, number, and frequency of social participation and higher life functions in elderly patients with diabetes.</p><p><strong>Methods: </strong>The subjects were outpatients with diabetes ≥60 years old at Ise Red Cross Hospital. The Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC), a self-administered questionnaire, was used to assess the higher life function. The frequency and number of the six types of social participation activities were investigated. Standardized regression coefficients (β) for the higher life functions of social participation were calculated using a multiple regression analysis, with TMIG-IC scores as the dependent variable, social participation as the explanatory variable, and adjustment variables.</p><p><strong>Results: </strong>A total of 447 patients were included in the analysis. Volunteer activities, sports/exercise clubs, and hobbies were significantly related to higher life functioning among men who participated in these activities several times a year, at least once a month, or at least once a week. For men, study circles (several times a year, β=0.184; p=0.003), activities to share skills and experiences (at least once a week, β=0.178; p=0.004), and work (at least once a month, β=0.144; p=0.022) were also significantly associated with higher life functioning. For women, only volunteer activities (at least once a week, β=0.164; p=0.017), sports/exercise clubs (at least once a week, β=0.149; p=0.032), and hobbies (at least once a week, β=0.147; p=0.036) were significantly related to higher life functions. Social participation was significantly associated with better life functioning. Social participation was significantly related to higher life functions.</p><p><strong>Conclusion: </strong>The types and frequency of social participation related to higher life functions were clarified in elderly patients with diabetes.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"50-58"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754836","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}
Masanari Tanaka, Misato Kondo, Mai Okatani, Katsuyoshi Mizukami
{"title":"[Effects of providing information on oral function and dietary intake to members of senior citizens clubs].","authors":"Masanari Tanaka, Misato Kondo, Mai Okatani, Katsuyoshi Mizukami","doi":"10.3143/geriatrics.62.220","DOIUrl":"https://doi.org/10.3143/geriatrics.62.220","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the impact of the regular provision of information on the oral function and nutrition to members of senior citizens clubs, with the goal of promoting voluntary health behaviors and examining their effects on the oral function and dietary intake status.</p><p><strong>Subjects and methods: </strong>Information on the oral function and nutrition was provided biannually to members of senior citizens clubs. The study included 60 participants who attended the measurement events in March 2022 and February 2024. Pre- and post-comparisons were conducted for awareness of oral frailty (OF), risk of OF, implementation of oral exercises, and tongue pressure. Participants were categorized into groups based on whether their oral function was maintained or improved or whether it deteriorated, and factors associated with the risk of OF were analyzed. The dietary intake status was assessed using a food frequency questionnaire comparing intake across 17 food groups and 23 nutrients before and after the intervention. A two-sided significance level of < 5% was set for all the analyses.</p><p><strong>Results: </strong>The participants included 36 men and 24 women, with a mean age of 78.0±4.2 years and a mean BMI of 23.8±2.7 kg/m<sup>2</sup>. No significant differences were observed between the sexes. While no significant differences were observed in the risk classification of OF before and after the intervention (p=0.359), significant increases were noted in awareness of OF (40% to 98%, p<0.001), the proportion of participants performing oral exercises (13% to 40%, p=0.002), and tongue pressure (31.6±7.2 kPa to 33.1±7.3 kPa, p=0.020). Age category and number of event participants were associated with the risk of OF. Conversely, significant increases or decreases were observed in 16 food groups and nutrients, but no clear improvements in dietary intake status were detected.</p><p><strong>Conclusions: </strong>Providing information to a relatively health-conscious group of senior citizens club members improved their oral function. However, no improvement in dietary intake was observed. These findings suggest that while voluntary health behaviors can be promoted by providing information, the modification of daily dietary habits may be more challenging than incorporating oral exercises into daily routines.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 2","pages":"220-232"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530016","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":"[New perspectives on the management of elderly patients with CKD].","authors":"","doi":"10.3143/geriatrics.62.126","DOIUrl":"https://doi.org/10.3143/geriatrics.62.126","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 2","pages":"126-127"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530020","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":"[Physical characteristics of elderly individuals who require walking aids: A two-year longitudinal study].","authors":"Yuya Sakano, Shin Murata, Hideki Nakano","doi":"10.3143/geriatrics.62.233","DOIUrl":"https://doi.org/10.3143/geriatrics.62.233","url":null,"abstract":"<p><p>This study aimed to identify the characteristics of elderly individuals in need of nursing care who would require a walking aid after two years and to examine the factors that make it challenging for them to walk alone. This study involved 179 elderly individuals in need of care, whose grip strength, balance, lower limb muscle strength, and walking ability were assessed. Participants were divided into two groups based on whether they were using walking aids after two years, and their physical function was compared.A logistic regression analysis was conducted with the use of a walking aid as the dependent variable and the items showing significant differences between the two groups as independent variables. Knee extension muscle strength was a significant factor. Furthermore, the incidence curves of walking aid use were compared between the two groups based on the presence or absence of knee extensor muscle weakness.The findings indicated that individuals who required a walking aid after two years had reduced knee extensor muscle strength, highlighting the importance of using a walking aid at an earlier stage.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 2","pages":"233-240"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530021","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":"[Preface to the special issue \"comprehensive geriatric assessment (CGA)-based healthcare guidelines 2024\"].","authors":"","doi":"10.3143/geriatrics.62.16","DOIUrl":"https://doi.org/10.3143/geriatrics.62.16","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754889","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":"[An investigation on expressions of toilet signs using toilet bowls that are easily understood by people with Alzheimer's disease: visual verification using a bubble chart].","authors":"","doi":"10.3143/geriatrics.62.100","DOIUrl":"https://doi.org/10.3143/geriatrics.62.100","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"100-103"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754870","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":"[Pneumonia in the elderly from the perspective of adult pneumonia practice guideline 2024 in Japan].","authors":"","doi":"10.3143/geriatrics.62.1","DOIUrl":"https://doi.org/10.3143/geriatrics.62.1","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754886","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":"[Barriers to social participation are associated with risk of undernutrition in older males with diabetes].","authors":"Satoshi Ida, Kanako Imataka, Keitaro Katsuki, Kazuya Murata","doi":"10.3143/geriatrics.62.78","DOIUrl":"10.3143/geriatrics.62.78","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association between barriers to social participation and the risk of undernutrition in older adults with diabetes.</p><p><strong>Methods: </strong>The subjects were outpatients with diabetes ≥60 years old at Ise Red Cross Hospital. The risk of undernutrition was measured using the Mini Nutritional Assessment Short Form, and a total score of ≤11 was defined as being at risk. The Social Participation Barriers in Patients with Diabetes (SPBD) questionnaire, which consists of 10 items, was used to measure social participation barriers. A logistic regression analysis was performed using the respective SPBD score quartiles (Q1-Q3) for men and women, with the risk of undernutrition as the dependent variable and SPBD score (based on the Q1 group) as the explanatory variable.</p><p><strong>Results: </strong>In total, 310 patients (187 men and 123 women) were included in the analysis. In men, the adjusted odds ratios for the risk of undernutrition in Q2 and Q3 based on Q1 were 1.56 (95% confidence interval [CI], 0.63-3.83; p=0.328) and 4.52 (95% CI, 1.78-11.46; p=0.001), respectively. In women, the adjusted odds ratios for the risk of undernutrition of Q2 and Q3 based on Q1 were 2.87 (95% CI, 0.85-9.61; p=0.087) and 3.73 (95% CI, 0.88-15.82; p=0.073), respectively.</p><p><strong>Conclusion: </strong>The results of this study in older people with diabetes showed that barriers to social participation were associated with a risk of undernutrition in men. In particular, hyperglycemia, diabetes treatment, and value-based barriers to social participation were associated with the risk of undernutrition. It is important to raise awareness of the barriers to social participation from the viewpoint of nutrition in older people with diabetes.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"78-87"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754872","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}