Japanese Journal of Geriatrics最新文献

{"title":"[Roles of wearable devices in geriatric medicine: recent trends and perspectives].","authors":"","doi":"10.3143/geriatrics.62.348","DOIUrl":"https://doi.org/10.3143/geriatrics.62.348","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 4","pages":"348-355"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918545","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.62.441","DOIUrl":"https://doi.org/10.3143/geriatrics.62.441","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 4","pages":"441"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918008","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":"[Investigation of the influence of living area on maintenance of cognitive functioning in community-dwelling older people].","authors":"Riko Kinjo, Kayo Godai, Mai Kabayama, Michiko Kido, Yuya Akagi, Hiroshi Akasaka, Koichi Yamamoto, Kazunori Ikebe, Yasumichi Arai, Saori Yasumoto, Madoka Ogawa, Yukie Masui, Takumi Hirata, Yasuyuki Gondo, Kei Kamide","doi":"10.3143/geriatrics.62.399","DOIUrl":"10.3143/geriatrics.62.399","url":null,"abstract":"<p><strong>Aim: </strong>In recent years, the impact of walkability, a measure of the residential environment, on public health has gained importance. However, few studies have examined the relationship between walkability and the cognitive function in older people. This study examined the cross-sectional and longitudinal associations between neighborhood walkability and the cognitive function among community-dwelling older adults, stratified by age group and gender.</p><p><strong>Methods: </strong>This study analyzed data from the SONIC study, involving 1,675 participants 70±1 and 80±1 years old. A cross-sectional analysis assessed the relationship between walkability and cognitive impairment, while a longitudinal analysis focused on 268 participants with a normal cognitive function at baseline. Cognitive decline was defined as a MoCA-J score of <25. Walkability was evaluated using the Walk Score^®, categorized into three groups: Car-dependent (0-49), Walkable (50-89), and Walker's Paradise (90-100).</p><p><strong>Results: </strong>In the cross-sectional analysis, the adjusted odds ratio for cognitive decline was significantly lower in the Walkable group than in the Car-dependent group for both sexes and those in their 70s. In the longitudinal analysis, the odds ratio for new-onset cognitive decline was significantly lower in men in the Walker's Paradise group than the Car-dependent group, at 0.146 (95% confidence interval: 0.025-0.855).</p><p><strong>Conclusions: </strong>Higher neighborhood walkability is associated with a lower prevalence of cognitive decline and a lower incidence of new-onset cognitive decline in men in community-dwelling older adults. Creating walkable environments may be effective in the primary prevention of cognitive decline.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 4","pages":"399-408"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918605","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":"[Feasibility and reliability of quality indicators for long-term care hospitals: The VENUS study].","authors":"Ayumi Igarashi, Manami Takaoka, Yumiko Saito, Yuka Sumikawa, Hanako Numata, Noriko Yamamoto-Mitani","doi":"10.3143/geriatrics.62.429","DOIUrl":"10.3143/geriatrics.62.429","url":null,"abstract":"<p><strong>Aim: </strong>We have developed a quality indicator for long-term care (LTC) that can be applied across various care settings, advancing the \"Visualizing Effectiveness of Nursing & Long-term Care (VENUS) indicators.\" This study assessed the feasibility and reliability of the VENUS indicators in LTC hospitals and revised the evaluation forms and guides based on these findings.</p><p><strong>Methods: </strong>This study included 24 nurses and 12 care workers employed in two LTC hospitals in the Tokyo metropolitan area. Each group, consisting of two nurses and one care worker, was asked to evaluate VENUS indicators for the same patient. The missing data rate and inter-rater reliability between the two nurses and between the nurses and care workers were calculated. Interviews were conducted to gather feedback on the use of VENUS indicators, followed by revisions to the evaluation forms and guides. The revised forms were re-evaluated, and opinions on re-evaluation were collected.</p><p><strong>Results: </strong>The average missing data rate for evaluations was 20.0%, with particularly high missing rates for the following indicators: \"Poor family wellbeing,\" \"Neglecting the client's desired way of life,\" \"Lack of social interaction,\" and \"Social isolation.\" On the other hand, the inter-rater reliability was high, with an average of 89.4% between nurses and 92.0% between nurses and care workers. After the revision of the evaluation forms and guides, it was reported that the criteria for evaluating patients with communication difficulties and their families were clarified, making it easier for them to evaluate.</p><p><strong>Conclusions: </strong>In LTC hospitals, the VENUS indicators showed high overall feasibility and reliability, although there were challenges in the feasibility of some items. The revision of the evaluation forms and guides allowed for clearer criteria based on which patients' conditions could be assessed. This research has the potential to contribute to maintaining consistency in quality evaluation across various LTC settings and to improve the quality of LTC.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 4","pages":"429-436"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918586","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":"[Promoting awareness of age-related hearing loss and advancing the development of hearing screening applications].","authors":"","doi":"10.3143/geriatrics.62.290","DOIUrl":"https://doi.org/10.3143/geriatrics.62.290","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 3","pages":"290-297"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186925","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":"[Home-based care for older adults with cancer in Japan: current realities and emerging challenge].","authors":"","doi":"10.3143/geriatrics.62.259","DOIUrl":"https://doi.org/10.3143/geriatrics.62.259","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 3","pages":"259-266"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186937","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":"[Preoperative frailty in patients undergoing total knee or hip arthroplasty affects FIM scores at one week postoperatively].","authors":"Ikki Yoshida, Yohei Sawaya, Yukinobu Hiiragi, Shunsuke Kikuchi, Tomohiko Urano","doi":"10.3143/geriatrics.62.178","DOIUrl":"https://doi.org/10.3143/geriatrics.62.178","url":null,"abstract":"<p><strong>Aim: </strong>Very few reports have investigated the association between frailty and postoperative outcomes in total knee arthroplasty (TKA) and total hip arthroplasty (THA), making the accumulation of evidence an urgent task. This study aimed to clarify the effect of preoperative frailty on short-term postoperative outcomes in patients undergoing TKA/THA.</p><p><strong>Methods: </strong>This prospective cohort study, conducted from December 2023 to September 2024, included 19 patients (mean age±standard deviation, 73.8±7.2 years) scheduled for TKA/THA. Frailty was assessed preoperatively using the Questionnaire for Medical Checkup of Old-Old (QMCOO) and the Japanese version of the Cardiovascular Health Study (J-CHS) criteria, along with the Functional Independence Measure (FIM). FIM scores were also evaluated one week postoperatively. Postoperative FIM scores were compared based on frailty status.</p><p><strong>Results: </strong>Of the 19 patients, 6 (31.6%) were classified as having frailty based on the QMCOO (score≥5) and 7 (36.8%) met the frailty criteria according to the J-CHS. With regard to the preoperative to postoperative FIM score change, the QMCOO≥5 group showed a significantly larger decline (-23.2±10.1 points, [median, -19.5]) in comparison to the QMCOO<5 group (-13.8±4.7 points, [median, -15.0]) (p=0.029). Similarly, patients classified as having frailty according to the J-CHS (-23.1±8.8 points, [median, -20.0]) experienced a greater FIM decline than the non-frailty (-13.1±4.4 points, [median, -13.5]) (p=0.004). Moreover, patients classified as frail according to J-CHS had lower FIM scores at one week postoperatively (p<0.001), with a significantly higher proportion of patients scoring < 110 points (p=0.017).</p><p><strong>Conclusions: </strong>Preoperative frailty may negatively affect short-term postoperative outcomes after TKA/THA.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 2","pages":"178-186"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530022","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}