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A better understanding of the aspects associated with social frailty and strategies for its prevention could, be useful for psychological health in older adults. The purpose of this study was to examine the association between social frailty and depressive symptoms in community-dwelling older adults. METHOD: Data from 812 community-dwelling older adults (aged ≥ 65 years, mean age 74.8 years, 62.6% female), who had participated in a community-based health check survey (Tarumizu Study 2018) were analyzed. Older adults who were requiring long-term care and having a history of dementia and depression were excluded. Social frailty was defined using responses to five questions (going out less frequently, rarely visiting friends, feeling unhelpful to friends or family, living alone and not talking with someone every day). If two or more items out of the five were defined as social frailty. Depressive symptoms were assessed using the 15-item Geriatric Depression Scale (GDS15), and a total score of 5 or more were considered as depressive symptoms. RESULTS: The prevalence of social frailty was 13.8%. Participants with social frailty showed a higher prevalence of depressive symptoms than those without (33.0% versus 12.9%, p \u003c 0.01). Four items (going out less frequently, rarely visiting friends, feeling unhelpful to friends or family and not talking with someone every day) were associated with a high percentage of depressive symptoms (p \u003c 0.01). Based on the results of logistic regression analysis, social frailty was significantly associated with depressive symptoms (odds ratio 3.04, 95% confidence interval 1.88–4.92), after adjusting for sex, age, education, grip strength, walking speed and Mini-Cog total score. CONCLUSION: The results of this study suggested that social frailty was associated with depressive symptoms. 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地域在住高齢者における社会的フレイルとうつ傾向との関連
http://hdl.handle.net/10232/00031668
http://hdl.handle.net/10232/00031668820241b1-6345-4780-967a-6b7c36d90209
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2021-03-31 | |||||
タイトル | ||||||
タイトル | 地域在住高齢者における社会的フレイルとうつ傾向との関連 | |||||
タイトル | ||||||
タイトル言語 | en | |||||
タイトル | The Association between Social Frailty and Depressive Symptoms in Community-dwelling Older Adults | |||||
タイトルよみ | ||||||
タイトルよみ | チイキ ザイジュウ コウレイシャ ニオケル シャカイテキ フレイル ト ウツ ケイコウ トノ カンレン | |||||
著者 |
和田, あゆみ
× 和田, あゆみ× 牧迫, 飛雄馬× 中井, 雄貴× 富岡, 一俊× 谷口, 善昭× 佐藤, 菜々× 木山, 良二× 田平, 隆行× 窪薗, 琢郎× 竹中, 俊宏× 大石, 充 |
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著者よみ | ||||||
姓名 | ワダ, アユミ | |||||
著者よみ | ||||||
姓名 | マキザコ, ヒュウマ | |||||
著者よみ | ||||||
姓名 | ナカイ, ユウキ | |||||
著者よみ | ||||||
姓名 | トミオカ, カズトシ | |||||
著者よみ | ||||||
姓名 | タニグチ, ヨシアキ | |||||
著者よみ | ||||||
姓名 | サトウ, ナナ | |||||
著者よみ | ||||||
姓名 | キヤマ, リョウジ | |||||
著者よみ | ||||||
姓名 | タビラ, タカユキ | |||||
著者よみ | ||||||
姓名 | クボゾノ, タクロウ | |||||
著者よみ | ||||||
姓名 | タケナカ, トシヒロ | |||||
著者よみ | ||||||
姓名 | オオイシ, ミツル | |||||
別言語の著者 | ||||||
姓名 | WADA, Ayumi | |||||
別言語の著者 | ||||||
姓名 | MAKIZAKO, Hyuma | |||||
別言語の著者 | ||||||
姓名 | NAKAI, Yuki | |||||
別言語の著者 | ||||||
姓名 | TOMIOKA, Kazutoshi | |||||
別言語の著者 | ||||||
姓名 | TANIGUCHI, Yoshiaki | |||||
別言語の著者 | ||||||
姓名 | SATO, Nana | |||||
別言語の著者 | ||||||
姓名 | KIYAMA, Ryoji | |||||
別言語の著者 | ||||||
姓名 | TABIRA, Takayuki | |||||
別言語の著者 | ||||||
姓名 | KUBOZONO, Takuro | |||||
別言語の著者 | ||||||
姓名 | TAKENAKA, Toshihiro | |||||
別言語の著者 | ||||||
姓名 | OHISHI, Mitsuru | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 心理的健康 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 社会的交流 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 外出 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 社会的役割 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 健康寿命 | |||||
キーワード | ||||||
主題言語 | en | |||||
主題Scheme | Other | |||||
主題 | psychological health | |||||
キーワード | ||||||
主題言語 | en | |||||
主題Scheme | Other | |||||
主題 | social interaction | |||||
キーワード | ||||||
主題言語 | en | |||||
主題Scheme | Other | |||||
主題 | going out | |||||
キーワード | ||||||
主題言語 | en | |||||
主題Scheme | Other | |||||
主題 | social role | |||||
キーワード | ||||||
主題言語 | en | |||||
主題Scheme | Other | |||||
主題 | healthy life-span | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
要約(Abstract) | ||||||
内容記述タイプ | Other | |||||
内容記述 | 地域在住高齢者における社会的フレイルとうつ傾向との関連性を検討することを目的とした。 地域での健康チェック(垂水研究 2018)に参加した高齢者812名(平均74.8歳、女性62.6%)を解析対象とした。 社会的フレイルに関する5項目のうち2項目以上に該当した場合を社会的フレイルありとし、高齢者用うつ尺度短縮版が5点以上でうつ傾向ありとした。 社会的フレイルの該当者は全体の13.8% であった。社会的フレイルの該当者のうちの33.0% でうつ傾向を有しており、社会的フレイルに該当しない者の12.9% に比べて有意に高かった(p < 0.01)。ロジスティック回帰分析の結果、社会的フレイルの該当者は社会的フレイルに該当しない者に比べて、うつ傾向を呈するオッズ比は3.04であった(共変量:性別、年齢、教育年数、握力、歩行速度、Mini-Cog 合計点)。 高齢期における社会的フレイルはうつ傾向と関連しており、フレイルの社会的な側面は心理的健康に負の影響を及ぼす可能性が示唆された。 |
|||||
要約(Abstract) | ||||||
内容記述タイプ | Other | |||||
内容記述 | PURPOSE: Social and psychological problems can have a negative impact on older adults’ healthy life expectancy. A better understanding of the aspects associated with social frailty and strategies for its prevention could, be useful for psychological health in older adults. The purpose of this study was to examine the association between social frailty and depressive symptoms in community-dwelling older adults. METHOD: Data from 812 community-dwelling older adults (aged ≥ 65 years, mean age 74.8 years, 62.6% female), who had participated in a community-based health check survey (Tarumizu Study 2018) were analyzed. Older adults who were requiring long-term care and having a history of dementia and depression were excluded. Social frailty was defined using responses to five questions (going out less frequently, rarely visiting friends, feeling unhelpful to friends or family, living alone and not talking with someone every day). If two or more items out of the five were defined as social frailty. Depressive symptoms were assessed using the 15-item Geriatric Depression Scale (GDS15), and a total score of 5 or more were considered as depressive symptoms. RESULTS: The prevalence of social frailty was 13.8%. Participants with social frailty showed a higher prevalence of depressive symptoms than those without (33.0% versus 12.9%, p < 0.01). Four items (going out less frequently, rarely visiting friends, feeling unhelpful to friends or family and not talking with someone every day) were associated with a high percentage of depressive symptoms (p < 0.01). Based on the results of logistic regression analysis, social frailty was significantly associated with depressive symptoms (odds ratio 3.04, 95% confidence interval 1.88–4.92), after adjusting for sex, age, education, grip strength, walking speed and Mini-Cog total score. CONCLUSION: The results of this study suggested that social frailty was associated with depressive symptoms. Moreover, the social aspects of frailty could have a negative impact on psychological health. Further longitudinal studies will be needed to examine the causal relationship between social frailty and depression and the effect of interventions on social aspects. | |||||
収録雑誌名 |
鹿児島大学医学部保健学科紀要 en : Bulletin of the School of Health Sciences, Faculty of Medicine, Kagoshima University 巻 31, 号 1, p. 11-18, 発行日 2021-03-31 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
ISSN | 13462180 | |||||
NII書誌ID(雑誌) | ||||||
収録物識別子タイプ | NCID | |||||
NC ID | AA11358555 | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
NDC | ||||||
主題Scheme | NDC | |||||
主題 | 490 | |||||
公開者・出版者 | ||||||
出版者 | 鹿児島大学 | |||||
公開者よみ | ||||||
公開者よみ | カゴシマ ダイガク | |||||
公開者別名 | ||||||
公開者別名 | Kagoshima University |