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Risk factors for disability progression among Japanese long‐term care service users: A 3‐year prospective cohort study
Author(s) -
Kamiya Kuniyasu,
Adachi Takuji,
Sasou Kenji,
Suzuki Tadashi,
Yamada Sumio
Publication year - 2017
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.12756
Subject(s) - medicine , grip strength , hazard ratio , proportional hazards model , gerontology , cohort , prospective cohort study , cohort study , risk factor , physical therapy , activities of daily living , long term care , psychiatry , confidence interval
Aim To examine the predictive ability of memory deterioration and grip strength for disability progression among those who utilized the home‐help service. Methods We prospectively followed a cohort of community‐dwelling older people who were aged 65 years or older, certified support level 1–2 or care level 1–2 and home‐help service users provided by Consumers' Cooperatives in Aichi and Kanagawa prefecture. Memory capability, grip strength, chronic conditions and other indices were surveyed at baseline. Disability progression was defined as being certified care level 3 or higher, or institutionalization during 3‐year follow up. Results We assessed 417 older adults, of which 386 were included (7.4% excluded). In multivariate Cox regression analyses, a higher eligibility level and memory deterioration were independently associated with a higher hazard ratio. When chronic conditions were entered in the model, cancer and low grip strength were additionally associated. Conclusions The findings of the present study show that memory deterioration is a risk factor for disability progression. Also, grip strength might be a risk factor with consideration of chronic conditions. The cause–effect relationship of those factors and disability progression would be a future challenging issue. Geriatr Gerontol Int 2017; 17: 568–574.