居住在社区的日本老年人高级功能能力分量表的衰老轨迹:Otassha 研究。

IF 3.4 3区 医学 Q2 GERIATRICS & GERONTOLOGY
Hisashi Kawai, Keigo Imamura, Manami Ejiri, Yoshinori Fujiwara, Kazushige Ihara, Hirohiko Hirano, Hiroyuki Sasai, Shuichi Obuchi
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引用次数: 0

摘要

背景:保持较高水平的功能能力对于老年人的独立生活非常重要。东京都老年学研究所能力指数(TMIG-IC)的老化轨迹有三种模式,但其分量表模式尚不清楚:研究对象是参加 2012-2022 年 Otassha 研究邮寄调查的 3169 名社区居住的日本老年人。通过基于群体的轨迹建模,确定了 65-90 岁人群的 TMIG-IC 总分和分量表的老龄化轨迹模式。此外,还确定了分量表轨迹模式的组合频率:结果:确定了三种模式:早发递减模式、晚发递减模式和高稳定模式:讨论:日常生活工具性活动(IADL)的轨迹一直保持到 80 岁左右;然而,慢性疾病在早发递减模式中占主导地位。智力活动(IA)的早发递减模式在 25% 的参与者中出现,从 65 岁起智力活动就开始受损。社会角色(SR)的晚发递减模式在 30% 的参与者中出现,与其他分量表相比,显示出急剧下降的趋势。对许多人来说,SR 和 IA 的下降模式是重叠的:为了保持较高水平的功能能力,应实施包括疾病管理和预防 IADL 下降的干预措施,提高人们对整个老年期所提供的社会支持的认识,并对 IA 下降较早的人群进行干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Aging trajectories of subscales in higher-level functional capacity among community-dwelling older Japanese adults: the Otassha study.

Aging trajectories of subscales in higher-level functional capacity among community-dwelling older Japanese adults: the Otassha study.

Background: Maintaining higher-level functional capacity is important for independent living in older age. The aging trajectory of the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC) has three patterns; however, the subscale patterns are unclear.

Aims: This study aimed to clarify the aging trajectory patterns of the TMIG-IC subscales among community-dwelling older Japanese.

Methods: Participants were 3,169 community-dwelling older Japanese who participated in the 2012-2022 mail survey of the Otassha study. The aging trajectory patterns of the TMIG-IC total and subscale scores for those aged 65-90 years were identified using group-based trajectory modeling. Further, the combination frequency of the subscale trajectory patterns was determined.

Results: Three patterns were identified: early-onset decreasing, late-onset decreasing, and high-stable.

Discussion: The instrumental activities of daily living (IADL) trajectory was maintained until approximately 80 years of age; however, chronic disease prevailed the most in the early-onset decreasing pattern. The early-onset decreasing pattern of intellectual activity (IA) was present in 25% of participants, showing impaired IA from 65 years of age. The late-onset decreasing pattern of social roles (SR) was present in 30% of participants, showing a sharp decline compared to other subscales. For many people, the patterns of decrease in SR and IA overlapped.

Conclusions: To maintain higher-level functional capacity, interventions that include disease management and prevention of decline in IADL and increase the awareness of the social support provided throughout old age and interventions for people with an early decline in IA should be implemented.

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来源期刊
CiteScore
7.90
自引率
5.00%
发文量
283
审稿时长
1 months
期刊介绍: Aging clinical and experimental research offers a multidisciplinary forum on the progressing field of gerontology and geriatrics. The areas covered by the journal include: biogerontology, neurosciences, epidemiology, clinical gerontology and geriatric assessment, social, economical and behavioral gerontology. “Aging clinical and experimental research” appears bimonthly and publishes review articles, original papers and case reports.
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