{"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":"https://doi.org/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}
{"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":"[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":"[A case of hyponatremia induced by the thiazide-like diuretic indapamide in an elderly woman].","authors":"Nobuya Nakaguki, Kei Sasaki, Yasuhiro Endo, Katsunori Ikewaki","doi":"10.3143/geriatrics.62.88","DOIUrl":"https://doi.org/10.3143/geriatrics.62.88","url":null,"abstract":"<p><p>A 72-year-old woman with a history of hypertension who had already been taking calcium channel blockers and angiotensin II receptor blockers was prescribed additional indapamide (1 mg/day) due to inadequate blood pressure control. Two weeks later, she experienced loss of appetite and fatigue. Seeking medical attention, she was diagnosed with significant hyponatremia with a serum sodium level of 110 mEq/L at a local clinic, leading to her referral and subsequent admission to our department. Although her consciousness remained clear, laboratory findings revealed a serum sodium level of 116 mEq/L, blood urea nitrogen of 7 mg/dL, blood glucose of 96 mg/dL, and plasma osmolarity of 239.8 mOsm/kg·H<sub>2</sub>O, consistent with hypotonic hyponatremia induced by indapamide. Indapamide was discontinued and normal saline was administered. By the 6th day of hospitalization, her serum sodium level had improved to 130 mEq/L, and her symptoms had resolved.Thiazide-like diuretics can induce hyponatremia as a side effect with diverse symptoms and variable onset. However, in this case, hyponatremia was promptly detected shortly after the initiation of indapamide therapy, and no gastrointestinal symptoms other than anorexia were observed. When initiating thiazide-like diuretics, it is essential to be vigilant for hyponatremia and to provide appropriate medication guidance to patients in addition to monitoring their serum sodium levels.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"88-92"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754868","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":"[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":"https://doi.org/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}
{"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":"[Effect of antihypertensive medication on systolic blood pressure variability during bathing in elderly people].","authors":"Tomoaki Suzuki, Shuichiro Watanabe","doi":"10.3143/geriatrics.62.42","DOIUrl":"https://doi.org/10.3143/geriatrics.62.42","url":null,"abstract":"<p><strong>Aim: </strong>The present study clarified the relationship between the temperature of bath water, the presence of systolic hypertension, the presence of antihypertensive medication, and the pulse rate during bathing, focusing on the variation of systolic blood pressure.</p><p><strong>Methods: </strong>Twenty community-dwelling men 61 to 87 years old were included in the study. The subjects were randomly divided into 2 groups, based on bath temperature 39°C and 41°C. They were then given a full-body bath for 10 minutes.</p><p><strong>Results: </strong>The variables significantly related to the change in systolic blood pressure from 2 to 8 minutes after bathing were the presence or absence of antihypertensive medication, and the interaction between the presence of antihypertensive medication and the change in pulse rate from 2 to 8 minutes after bathing.</p><p><strong>Conclusions: </strong>Antihypertensive medication had a favorable effect on the reduction of systolic blood pressure during bathing.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"42-49"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754879","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}