社区居住老年人6年以上日常生活残疾的发生率和活动过程：按虚弱、年龄和性别分层的检查

IF 1.1 Q4 GERONTOLOGY

Ageing International Pub Date : 2025-10-16 DOI:10.1007/s12126-025-09624-w

Tomomi Furukawa, Hitoshi Mutai, Kazuki Kitazawa, Kenji Tsuchiya, Masami Akai, Tsutomu Iwaya

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引用次数: 0

摘要

我们调查了4,985名日本≥65岁社区老年人的日常生活活动（ADL）残疾发生率的特征和差异，并根据性别、年龄和虚弱状况进行了调查。ADL残疾在长期护理保险中护理水平≥2。比较6年累积护理发生率。在6年期间，654名老年人表现出ADL残疾。年龄效应与ADL残疾发生的关系最密切，其次是虚弱状态。在75 - 84岁体弱多病和健壮组中观察到性别差异。男性的ADL残疾发生率较高，认知功能低下和抑郁风险较高；男性在75-84岁时出现ADL残疾，比女性早。因此，在检查长期护理和虚弱的风险时，必须考虑75 - 84岁年龄组的老年人的性别差异。

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Incidence and Course of Activities of Daily Living Disability Over 6 Years in Community-Dwelling Older Adults: Examination Stratified by Frailty, Age, and Gender

We investigated characteristics and differences in activities of daily living (ADL) disability incidence according to gender, age, and frailty status in 4,985 community-dwelling older adults aged ≥ 65 years living in Japan. ADL disability is care level ≥ 2 in long-term care insurance. The cumulative care incidence over 6 years was compared. In the 6-year period, 654 older adults exhibited ADL disability. Age effect was most strongly related to ADL disability occurrence, followed by frailty status. Gender differences were observed in the 75–84-year-old pre-frail and robust groups. ADL disability incidence was higher in men, with a higher prevalence of low cognitive function and depression risk; at 75–84 years of age, men became ADL disabled, which was earlier than women. Therefore, gender differences must be considered for older adults in the 75–84-year age group when examining risk of long-term care and frailty as an outcome.

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来源期刊

Ageing International GERONTOLOGY-

CiteScore

2.70

自引率

6.70%

发文量

期刊介绍： As a quarterly peer-reviewed journal that has existed for over three decades, Ageing International serves all professionals who deal with complex ageing issues. The journal is dedicated to improving the life of ageing populations worldwide through providing an intellectual forum for communicating common concerns, exchanging analyses and discoveries in scientific research, crystallizing significant issues, and offering recommendations in ageing-related service delivery and policy making. Besides encouraging the submission of high-quality research and review papers, Ageing International seeks to bring together researchers, policy analysts, and service program administrators who are committed to reducing the ''implementation gap'' between good science and effective service, between evidence-based protocol and culturally suitable programs, and between unique innovative solutions and generalizable policies. For significant issues that are common across countries, Ageing International will organize special forums for scholars and investigators from different disciplines to present their regional perspectives as well as to provide more comprehensive analysis. The editors strongly believe that such discourse has the potential to foster a wide range of coordinated efforts that will lead to improvements in the quality of life of older persons worldwide. Abstracted and Indexed in: ABI/INFORM, Academic OneFile, Academic Search, CSA/Proquest, Current Abstracts, EBSCO, Ergonomics Abstracts, Expanded Academic, Gale, Google Scholar, Health Reference Center Academic, OCLC, PsychINFO, PsyARTICLES, SCOPUS, Social Science Abstracts, and Summon by Serial Solutions.