Michio Maruta1, Hyuma Makizako2, Yuriko Ikeda3, Gwanghee Han4, Suguru Shimokihara5, Hironori Miyata6, Atsushi Nakamura7, Keiichiro Tokuda8, Takuro Kubozono9, Mitsuru Ohishi10, Kounosuke Tomori11, Shoma Akaida12, Takayuki Tabira13. 1. Department of Rehabilitation, Medical Corporation, Sanshukai, Okatsu Hospital, 3-95, Masagohonmachi, Kagoshima, 890-0067, Japan; Visiting Researcher, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8544, Japan. Electronic address: m.maru0111@gmail.com. 2. Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8544, Japan. Electronic address: makizako@health.nop.kagoshima-u.ac.jp. 3. Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8544, Japan. Electronic address: yuriko@health.nop.kagoshima-u.ac.jp. 4. Visiting Researcher, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8544, Japan; Department of Neuropsychiatry, Kumamoto University Hospital, Kumamoto, Japan, 1-1-1 Honjo Chuo-ku, Kumamoto 860-8556, Japan. 5. Graduate School of Health Sciences, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8544, Japan. Electronic address: k5848730@kadai.jp. 6. Graduate School of Health Sciences, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8544, Japan. Electronic address: miyata.h01@kumamoto-hsu.ac.jp. 7. Graduate School of Health Sciences, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8544, Japan. Electronic address: atsuatsu0323@yahoo.co.jp. 8. Department of Rehabilitation, Medical Corporation, Gyokushoukai, Kirameki Terrace Healthcare Hospital, Kagoshima, 892-0824, Japan. Electronic address: gomyway.k.t@icloud.com. 9. Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-0075, Japan. Electronic address: kubozono@m.kufm.kagoshima-u.ac.jp. 10. Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-0075, Japan. Electronic address: ohishi@m2.kufm.kagoshima-u.ac.jp. 11. Department of Occupational Therapy, School of Health Science, Tokyo University of Technology, 5-23-22, Nishikamata, Ota-Ku, Tokyo, 144-8535, Japan. Electronic address: tomoriks@stf.teu.ac.jp. 12. Graduate School of Health Sciences, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8544, Japan. Electronic address: koropitusan@gmail.com. 13. Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8544, Japan. Electronic address: tabitaka@health.nop.kagoshima-u.ac.jp.
Abstract
OBJECTIVES: This cross-sectional study aimed to clarify the association between physical and social frailty, cognitive impairment, and meaningful activity in older adults. METHODS: Data were obtained from 747 older adults (mean age, 74.7 ± 6.2 years; women, 63.9%) who participated in a community-based health check survey (Tarumizu Study 2018). Physical frailty, cognitive impairment, and social frailty were evaluated using the Fried phenotype model (exhibiting one or more of the criteria, including having a pre-frailty status); computerized cognitive test including memory, attention, executive functions, and processing speed (having a score below an age-education adjusted reference threshold in one or more domains); and Makizako's 5 items (exhibiting one or more of the criteria, including having a pre-frailty status), respectively. Participants selected meaningful activities from the 95 activities included in the Aid for Decision-Making in Occupation Choice, after which their satisfaction and performance were evaluated. Meaningful activities were categorized into physical activity, cognitive activity, social activity, and other daily activity. RESULTS: The physical frailty group was significantly less likely to choose physical activity over other activities (p < 0.05). The cognitive impairment group was significantly less likely to choose cognitive activity over other activities (p < 0.01). The multi-domain frailty group (including cognitive impairment) was significantly less likely to choose social activity over other activities (p < 0.05). No significant differences in satisfaction and performance were observed according to frailty status. CONCLUSIONS: Our findings indicated that physical and social frailty and cognitive impairment may affect participation in meaningful activities corresponding to these domains.
OBJECTIVES: This cross-sectional study aimed to clarify the association between physical and social frailty, cognitive impairment, and meaningful activity in older adults. METHODS: Data were obtained from 747 older adults (mean age, 74.7 ± 6.2 years; women, 63.9%) who participated in a community-based health check survey (Tarumizu Study 2018). Physical frailty, cognitive impairment, and social frailty were evaluated using the Fried phenotype model (exhibiting one or more of the criteria, including having a pre-frailty status); computerized cognitive test including memory, attention, executive functions, and processing speed (having a score below an age-education adjusted reference threshold in one or more domains); and Makizako's 5 items (exhibiting one or more of the criteria, including having a pre-frailty status), respectively. Participants selected meaningful activities from the 95 activities included in the Aid for Decision-Making in Occupation Choice, after which their satisfaction and performance were evaluated. Meaningful activities were categorized into physical activity, cognitive activity, social activity, and other daily activity. RESULTS: The physical frailty group was significantly less likely to choose physical activity over other activities (p < 0.05). The cognitive impairment group was significantly less likely to choose cognitive activity over other activities (p < 0.01). The multi-domain frailty group (including cognitive impairment) was significantly less likely to choose social activity over other activities (p < 0.05). No significant differences in satisfaction and performance were observed according to frailty status. CONCLUSIONS: Our findings indicated that physical and social frailty and cognitive impairment may affect participation in meaningful activities corresponding to these domains.
Authors: Debbie Rand; Shelley A Sternberg; Reut Gasner Winograd; Zvi Buckman; Netta Bentur Journal: Int J Environ Res Public Health Date: 2022-01-30 Impact factor: 3.390