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Differences in the Prevalence of and Factors Associated with Frailty in Five Japanese Residential Areas

This study aimed to examine area differences in the prevalence of and factors associated with frailty. This cross-sectional study included metropolitan (eastern and western areas), suburban (districts A and B), and rural areas of Japan (n = 9182, woman 50.9%). Frailty was defined by using a standard...

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Autores principales: Abe, Takumi, Kitamura, Akihiko, Seino, Satoshi, Yokoyama, Yuri, Amano, Hidenori, Taniguchi, Yu, Nishi, Mariko, Narita, Miki, Ikeuchi, Tomoko, Tomine, Yui, Fujiwara, Yoshinori, Shinkai, Shoji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6843904/
https://www.ncbi.nlm.nih.gov/pubmed/31635223
http://dx.doi.org/10.3390/ijerph16203974
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author Abe, Takumi
Kitamura, Akihiko
Seino, Satoshi
Yokoyama, Yuri
Amano, Hidenori
Taniguchi, Yu
Nishi, Mariko
Narita, Miki
Ikeuchi, Tomoko
Tomine, Yui
Fujiwara, Yoshinori
Shinkai, Shoji
author_facet Abe, Takumi
Kitamura, Akihiko
Seino, Satoshi
Yokoyama, Yuri
Amano, Hidenori
Taniguchi, Yu
Nishi, Mariko
Narita, Miki
Ikeuchi, Tomoko
Tomine, Yui
Fujiwara, Yoshinori
Shinkai, Shoji
author_sort Abe, Takumi
collection PubMed
description This study aimed to examine area differences in the prevalence of and factors associated with frailty. This cross-sectional study included metropolitan (eastern and western areas), suburban (districts A and B), and rural areas of Japan (n = 9182, woman 50.9%). Frailty was defined by using a standardized questionnaire comprising three subcategories (fall, nutritional status, and social activities). The prevalence of frailty in the five areas was 14.2% to 30.6% for men and 11.5% to 21.4% for women. The areas with a high frailty prevalence had a significantly lower nutritional status or social activity, or both. Compared to the western metropolitan area, among men, the multivariable-adjusted prevalence ratio (APR) of frailty was significantly higher in the eastern metropolitan area and lower in suburban district A, and among women, the eastern metropolitan and rural areas had significantly higher APRs. Area-stratified multiple Poisson regression analysis showed that age, bone and joint disease, and a subjective economic status were associated with frailty in most areas and that some factors were area-specific, i.e., living alone (for men living in metropolitan areas) and underweight (for women living in suburban areas). The frailty prevalence differed by area, even after multivariable adjustment. Area-specific characteristics and factors associated with frailty may result in area differences.
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spelling pubmed-68439042019-11-25 Differences in the Prevalence of and Factors Associated with Frailty in Five Japanese Residential Areas Abe, Takumi Kitamura, Akihiko Seino, Satoshi Yokoyama, Yuri Amano, Hidenori Taniguchi, Yu Nishi, Mariko Narita, Miki Ikeuchi, Tomoko Tomine, Yui Fujiwara, Yoshinori Shinkai, Shoji Int J Environ Res Public Health Article This study aimed to examine area differences in the prevalence of and factors associated with frailty. This cross-sectional study included metropolitan (eastern and western areas), suburban (districts A and B), and rural areas of Japan (n = 9182, woman 50.9%). Frailty was defined by using a standardized questionnaire comprising three subcategories (fall, nutritional status, and social activities). The prevalence of frailty in the five areas was 14.2% to 30.6% for men and 11.5% to 21.4% for women. The areas with a high frailty prevalence had a significantly lower nutritional status or social activity, or both. Compared to the western metropolitan area, among men, the multivariable-adjusted prevalence ratio (APR) of frailty was significantly higher in the eastern metropolitan area and lower in suburban district A, and among women, the eastern metropolitan and rural areas had significantly higher APRs. Area-stratified multiple Poisson regression analysis showed that age, bone and joint disease, and a subjective economic status were associated with frailty in most areas and that some factors were area-specific, i.e., living alone (for men living in metropolitan areas) and underweight (for women living in suburban areas). The frailty prevalence differed by area, even after multivariable adjustment. Area-specific characteristics and factors associated with frailty may result in area differences. MDPI 2019-10-18 2019-10 /pmc/articles/PMC6843904/ /pubmed/31635223 http://dx.doi.org/10.3390/ijerph16203974 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Abe, Takumi
Kitamura, Akihiko
Seino, Satoshi
Yokoyama, Yuri
Amano, Hidenori
Taniguchi, Yu
Nishi, Mariko
Narita, Miki
Ikeuchi, Tomoko
Tomine, Yui
Fujiwara, Yoshinori
Shinkai, Shoji
Differences in the Prevalence of and Factors Associated with Frailty in Five Japanese Residential Areas
title Differences in the Prevalence of and Factors Associated with Frailty in Five Japanese Residential Areas
title_full Differences in the Prevalence of and Factors Associated with Frailty in Five Japanese Residential Areas
title_fullStr Differences in the Prevalence of and Factors Associated with Frailty in Five Japanese Residential Areas
title_full_unstemmed Differences in the Prevalence of and Factors Associated with Frailty in Five Japanese Residential Areas
title_short Differences in the Prevalence of and Factors Associated with Frailty in Five Japanese Residential Areas
title_sort differences in the prevalence of and factors associated with frailty in five japanese residential areas
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6843904/
https://www.ncbi.nlm.nih.gov/pubmed/31635223
http://dx.doi.org/10.3390/ijerph16203974
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