{"title":"[Mild cognitive impairment and interest in health among community-dwelling older adults: A cross-sectional analysis of the Wako Cohort Study].","authors":"Hiroshi Murayama, Yuri Yokoyama, Yu Nofuji, Shina Chiaki, Takumi Abe, Takayuki Ueno, Susumu Ogawa, Hiroyuki Suzuki, Kumiko Nonaka","doi":"10.3143/geriatrics.63.154","DOIUrl":"https://doi.org/10.3143/geriatrics.63.154","url":null,"abstract":"<p><strong>Objective: </strong>Approaching the \"population that is indifferent to health\" is important for reducing health disparities. This also applies to individuals with mild cognitive impairment (MCI). Raising health awareness is essential for preventing further cognitive decline and the onset of various diseases, including dementia. This study examined the association between MCI and interest in health among community-dwelling older adults.</p><p><strong>Methods: </strong>We performed a cross-sectional analysis using baseline data from the Wako Cohort Study conducted in Wako City, Saitama Prefecture. A community survey was conducted in September-October 2023, and 1,004 individuals aged 65 years or older participated. Among them, 1,000 participants who completed the cognitive assessments were included in the analysis. The cognitive function of the participants was assessed using the Japanese version of the Montreal Cognitive Assessment, with scores ≤25 classified as MCI. Interest in health was measured using the 12-item Interest in Health Scale (score range: 12-48). The covariates included sex, age, marital status, household composition, work status, years of education, economic status, self-rated health, number of chronic diseases, and depressive symptoms. We analyzed the data of the total sample and subsamples stratified by sex and age. Moreover, we also conducted the analyses by setting three subscales (\"health consciousness,\" \"health motivation,\" and \"health value\") as the outcomes.</p><p><strong>Results: </strong>Of the participants, 48.2% were men, and the mean age was 75.3±6.4 years. The prevalence of MCI was 65.0%. The mean scores of the Interest in Health Scale were 38.4±4.6 in the non-MCI group and 38.1±4.9 in the MCI group. A multiple regression analysis with adjustment for covariates indicated that MCI was significantly associated with a lower interest in health (b=-0.67, 95% confidence interval: -1.31, -0.04). Stratified analyses showed that this association was evident among men and those aged 75 years or older. In subscale analyses, a significant difference between groups was observed only in \"health value\" (b=-0.45, 95% confidence interval: -0.75, -0.15).</p><p><strong>Conclusions: </strong>Older adults with MCI showed a lower interest in health than their cognitively normal peers, and this tendency was more pronounced among men and those aged 75 years or older. Moreover, a significant difference was found only in the \"health value\" subscale, suggesting that a diminished valuation of health may be a characteristic of MCI. Strategies to enhance health interests in this population are therefore needed to support preventive behaviors.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 2","pages":"154-163"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346617","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":"[Well-being in later life from the perspective of the third age: Social engagement, ikigai, and experiences in health care Settings].","authors":"","doi":"10.3143/geriatrics.63.33","DOIUrl":"https://doi.org/10.3143/geriatrics.63.33","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 1","pages":"33-38"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575710","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":"[Association between tongue pressure and nutritional status assessed by multiple indicators in community-dwelling older adults: A cross-sectional study].","authors":"Kyoko Kanemaru, Ryo Katayose, Mika Okura, Takehiro Watanabe, Hidenori Arai, Mihoko Ogita","doi":"10.3143/geriatrics.63.138","DOIUrl":"10.3143/geriatrics.63.138","url":null,"abstract":"<p><strong>Aim: </strong>The tongue function is a key factor associated with the nutritional status. However, in which specific stages of malnutrition the tongue function becomes significantly involved remains unclear. This study examined the association between tongue pressure and indicators of nutritional status among community-dwelling older adults.</p><p><strong>Methods: </strong>A total of 109 participants ≥65 years old were included in the analysis. The maximum tongue pressure was measured, and values below 30 kPa were defined as a decreased tongue pressure. Being at risk of malnutrition was evaluated using the Mini Nutritional Assessment Short-Form (MNA-SF). A low body mass index (BMI; <20) was considered to indicate a trend toward malnutrition, and the appendicular skeletal muscle mass (ASM) adjusted for the BMI (ASM<sub>BMI</sub>) was used to assess a low skeletal muscle mass, defined as <0.789 kg/BMI for men and <0.512 kg/BMI for women.</p><p><strong>Results: </strong>The mean age of participants was 78.1±6.9 years old, and 79.8% were female. The prevalence of being at risk of malnutrition was 16.4% in the normal tongue pressure group and 33.3% in the low tongue pressure group. The prevalence of a low BMI was 13.1% and 25.0%, and that of low ASM<sub>BMI</sub> was 11.5% and 35.4% in the normal and low tongue pressure groups, respectively. The adjusted odds ratios (95% confidence intervals [CIs]) were 2.88 (95% CI: 1.06-7.87) for at risk of malnutrition, 3.03 (95% CI: 1.01-9.08) for a low BMI, and 1.93 (95% CI: 0.62-5.99) for a low ASM<sub>BMI</sub>.</p><p><strong>Conclusion: </strong>Decreased tongue pressure was associated with nutritional risk and a low BMI, whereas no significant association was found with a low ASM<sub>BMI</sub>.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 2","pages":"138-146"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346697","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":"[Is the period between awareness of dementia and diagnosis, or between diagnosis and the start of long-term care, known as the \"gap period,\" shortening?]","authors":"","doi":"10.3143/geriatrics.63.66","DOIUrl":"https://doi.org/10.3143/geriatrics.63.66","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 1","pages":"66-68"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575697","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":"[Diagnosis and treatment of dementia related disorders in the era of anti-Amyloid antibody therapies].","authors":"","doi":"10.3143/geriatrics.63.7","DOIUrl":"https://doi.org/10.3143/geriatrics.63.7","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 1","pages":"7-13"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575702","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":"[Artificial intelligence in geriatric medicine: From musculoskeletal imaging and risk prediction to generative and multimodal clinical support].","authors":"","doi":"10.3143/geriatrics.63.175","DOIUrl":"https://doi.org/10.3143/geriatrics.63.175","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 3","pages":"175-184"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983903","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":"[Implementing the Geriatric 5(4)Ms in age-friendly hospitals: Its role in medical-long-term care collaboration and community-based integrated care].","authors":"","doi":"10.3143/geriatrics.63.205","DOIUrl":"https://doi.org/10.3143/geriatrics.63.205","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 3","pages":"205-210"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983922","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":"[Summary and implications of the Asian Working Group for Sarcopenia 2025 Consensus: Paradigm shift from sarcopenia diagnosis to the promotion of muscle health].","authors":"","doi":"10.3143/geriatrics.63.1","DOIUrl":"https://doi.org/10.3143/geriatrics.63.1","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575759","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}