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Association Between Social Participation and Instrumental Activities of Daily Living Among Community-Dwelling Older Adults

BACKGROUND: Population-based data examining the relationship between social participation (SP) and instrumental activities of daily living (IADL) are scarce. This study examined the cross-sectional relationship between SP and IADL in community-dwelling elderly persons. METHODS: Self-administered que...

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Autores principales: Tomioka, Kimiko, Kurumatani, Norio, Hosoi, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japan Epidemiological Association 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5037253/
https://www.ncbi.nlm.nih.gov/pubmed/27180933
http://dx.doi.org/10.2188/jea.JE20150253
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author Tomioka, Kimiko
Kurumatani, Norio
Hosoi, Hiroshi
author_facet Tomioka, Kimiko
Kurumatani, Norio
Hosoi, Hiroshi
author_sort Tomioka, Kimiko
collection PubMed
description BACKGROUND: Population-based data examining the relationship between social participation (SP) and instrumental activities of daily living (IADL) are scarce. This study examined the cross-sectional relationship between SP and IADL in community-dwelling elderly persons. METHODS: Self-administered questionnaires were mailed to 23 710 residents aged ≥65 years in Nara, Japan (response rate: 74.2%). Data from 14 956 respondents (6935 males and 8021 females) without dependency in basic activities of daily living (ADL) were analyzed. The number, type, and frequency of participation in social groups (SGs) were used to measure SP. SGs included volunteer groups, sports groups, hobby groups, senior citizens’ clubs, neighborhood community associations, and cultural groups. IADL was evaluated using the Tokyo Metropolitan Institute of Gerontology Index of Competence. Logistic regression models stratified by gender were used. RESULTS: After adjustment for putative confounding factors, including demographics, health status, life-style habits, ADL, depression, cognitive function, social networks, social support, and social roles, participation in various SGs among both genders was inversely associated with poor IADL, showing a significant dose-response relationship between an increasing number of SGs and a lower proportion of those with poor IADL (P for trend <0.001). A significant inverse association between frequent participation and poor IADL was observed for all types of SGs among females, whereas the association was limited to sports groups and senior citizens’ clubs among males. CONCLUSIONS: Our results show that participation in a variety of SGs is associated with independent IADL among the community-dwelling elderly, regardless of gender. However, the beneficial effects of frequent participation on IADL may be stronger for females than for males.
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spelling pubmed-50372532016-10-05 Association Between Social Participation and Instrumental Activities of Daily Living Among Community-Dwelling Older Adults Tomioka, Kimiko Kurumatani, Norio Hosoi, Hiroshi J Epidemiol Original Article BACKGROUND: Population-based data examining the relationship between social participation (SP) and instrumental activities of daily living (IADL) are scarce. This study examined the cross-sectional relationship between SP and IADL in community-dwelling elderly persons. METHODS: Self-administered questionnaires were mailed to 23 710 residents aged ≥65 years in Nara, Japan (response rate: 74.2%). Data from 14 956 respondents (6935 males and 8021 females) without dependency in basic activities of daily living (ADL) were analyzed. The number, type, and frequency of participation in social groups (SGs) were used to measure SP. SGs included volunteer groups, sports groups, hobby groups, senior citizens’ clubs, neighborhood community associations, and cultural groups. IADL was evaluated using the Tokyo Metropolitan Institute of Gerontology Index of Competence. Logistic regression models stratified by gender were used. RESULTS: After adjustment for putative confounding factors, including demographics, health status, life-style habits, ADL, depression, cognitive function, social networks, social support, and social roles, participation in various SGs among both genders was inversely associated with poor IADL, showing a significant dose-response relationship between an increasing number of SGs and a lower proportion of those with poor IADL (P for trend <0.001). A significant inverse association between frequent participation and poor IADL was observed for all types of SGs among females, whereas the association was limited to sports groups and senior citizens’ clubs among males. CONCLUSIONS: Our results show that participation in a variety of SGs is associated with independent IADL among the community-dwelling elderly, regardless of gender. However, the beneficial effects of frequent participation on IADL may be stronger for females than for males. Japan Epidemiological Association 2016-10-05 /pmc/articles/PMC5037253/ /pubmed/27180933 http://dx.doi.org/10.2188/jea.JE20150253 Text en © 2016 Kimiko Tomioka et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Original Article
Tomioka, Kimiko
Kurumatani, Norio
Hosoi, Hiroshi
Association Between Social Participation and Instrumental Activities of Daily Living Among Community-Dwelling Older Adults
title Association Between Social Participation and Instrumental Activities of Daily Living Among Community-Dwelling Older Adults
title_full Association Between Social Participation and Instrumental Activities of Daily Living Among Community-Dwelling Older Adults
title_fullStr Association Between Social Participation and Instrumental Activities of Daily Living Among Community-Dwelling Older Adults
title_full_unstemmed Association Between Social Participation and Instrumental Activities of Daily Living Among Community-Dwelling Older Adults
title_short Association Between Social Participation and Instrumental Activities of Daily Living Among Community-Dwelling Older Adults
title_sort association between social participation and instrumental activities of daily living among community-dwelling older adults
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5037253/
https://www.ncbi.nlm.nih.gov/pubmed/27180933
http://dx.doi.org/10.2188/jea.JE20150253
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