@article{oai:ir.kagoshima-u.ac.jp:00015780,
 author = {和田, あゆみ and WADA, Ayumi and 牧迫, 飛雄馬 and MAKIZAKO, Hyuma and 中井, 雄貴 and NAKAI, Yuki and 富岡, 一俊 and TOMIOKA, Kazutoshi and 谷口, 善昭 and TANIGUCHI, Yoshiaki and 佐藤, 菜々 and SATO, Nana and 木山, 良二 and KIYAMA, Ryoji and 田平, 隆行 and TABIRA, Takayuki and 窪薗, 琢郎 and KUBOZONO, Takuro and 竹中, 俊宏 and TAKENAKA, Toshihiro and 大石, 充 and OHISHI, Mitsuru},
 issue = {1},
 journal = {鹿児島大学医学部保健学科紀要, Bulletin of the School of Health Sciences, Faculty of Medicine, Kagoshima University},
 month = {Mar},
 note = {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。, 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.},
 pages = {11--18},
 title = {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},
 volume = {31},
 year = {2021}
}