Kota Tsutsumimoto1, Takehiko Doi2, Hiroyuki Shimada2, Hyuma Makizako2, Ryo Hotta2, Sho Nakakubo2, Takao Suzuki3. 1. Department of Functioning Activation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Japan. Electronic address: k-tsutsu@ncgg.go.jp. 2. Department of Functioning Activation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Japan. 3. Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan.
Abstract
OBJECTIVES: To elucidate whether a combination of slow gait speed and depressive symptoms result in higher risk of incident disability in older adults than either symptom individually. DESIGN: Prospective cohort study. SETTING: Obu City, Aichi Prefecture, Japan. PARTICIPANTS: Participants were 4038 older adults (48.7% male, mean age = 71 years) who met the study inclusion criteria. MEASUREMENTS: Longitudinal data on incident disability were collected up to 33 months [median 31 months (interquartile range 29-32 months)] after baseline. We monitored monthly incident disability, defined as Japanese long-term care insurance certification for personal support or care. Baseline measurements included covariates for incident disability, gait speed, and the Geriatric Depression Scale for assessing depressive symptoms. The associations between slow gait, depressive symptoms, or their co-occurrence, and incident disability were examined. RESULTS: Control participants were the reference in an adjusted Cox proportional hazard regression model. Participants with co-occurring slow gait and depressive symptoms showed a greater risk of incident disability [hazard ratio (HR) 3.08, confidence interval (CI) 95% 2.00-4.75]. Greater risk was also found for participants with slow gait speed alone (HR 2.44, CI 95% 1.71-3.47) and depressive symptoms alone (HR 1.60, CI 95% 1.01-2.53). CONCLUSIONS: Older adults with both risk factors may require early detection and physical and psychological intervention.
OBJECTIVES: To elucidate whether a combination of slow gait speed and depressive symptoms result in higher risk of incident disability in older adults than either symptom individually. DESIGN: Prospective cohort study. SETTING: Obu City, Aichi Prefecture, Japan. PARTICIPANTS: Participants were 4038 older adults (48.7% male, mean age = 71 years) who met the study inclusion criteria. MEASUREMENTS: Longitudinal data on incident disability were collected up to 33 months [median 31 months (interquartile range 29-32 months)] after baseline. We monitored monthly incident disability, defined as Japanese long-term care insurance certification for personal support or care. Baseline measurements included covariates for incident disability, gait speed, and the Geriatric Depression Scale for assessing depressive symptoms. The associations between slow gait, depressive symptoms, or their co-occurrence, and incident disability were examined. RESULTS: Control participants were the reference in an adjusted Cox proportional hazard regression model. Participants with co-occurring slow gait and depressive symptoms showed a greater risk of incident disability [hazard ratio (HR) 3.08, confidence interval (CI) 95% 2.00-4.75]. Greater risk was also found for participants with slow gait speed alone (HR 2.44, CI 95% 1.71-3.47) and depressive symptoms alone (HR 1.60, CI 95% 1.01-2.53). CONCLUSIONS: Older adults with both risk factors may require early detection and physical and psychological intervention.
Authors: Gianluca Ciuffreda; Sara Cabanillas-Barea; Andoni Carrasco-Uribarren; María Isabel Albarova-Corral; María Irache Argüello-Espinosa; Yolanda Marcén-Román Journal: Int J Environ Res Public Health Date: 2021-11-12 Impact factor: 3.390