Association between Social Relationship and Glycemic Control among Older Japanese: JAGES Cross-Sectional Study

Yokobayashi, Kenichi; Kawachi, Ichiro; Kondo, Katsunori; Kondo, Naoki; Nagamine, Yuiko; Tani, Yasuhiro; Shirai, Kokoro; Tazuma, Susumu

doi:10.1371/journal.pone.0169904

Cited by 18 publications

(11 citation statements)

References 26 publications

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“…In general, greater amounts of social relationships contributed to higher SRH, especially good relationships with friends. This is consistent with previous studies that demonstrated better social relationships had protective effects against early death and physical disability 14 ) , and occasionally meeting with friends was associated with better glycemic control in older Japanese subjects 15 ) . Social support, not only from family members but also from neighbors and friends, was reported to be related to a low prevalence rate of depression in older Japanese people 16 ) .…”

Section: Discussionsupporting

confidence: 93%

Contribution of social relationships to self-rated health among Japanese community-dwelling elderly

2018

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Objective: Participation in social activities is associated with physical and psychological health in the community-dwelling elderly population. We examined the two factors of social relations and community health resources, associated with higher self-rated health levels in the community-dwelling elderly.Methods: A total of 145 community-dwelling elderly people ≥ 65 years old from two neighborhood associations in Nagasaki City were recruited for this study, representing 85% of the officially registered ≥ 65-year-old population in the target area. Face-to-face interviews using a structured questionnaire were conducted by trained interviewers in August 2009, with questions related to sociodemographic characteristics, social relationships, and self-rated health (SRH). Community health resources (type and walking distance from home) were evaluated by one of the authors as a community assessment.Results: Seventy-eight community-dwelling elderly people (25 men and 53 women) participated in the study. Elderly people who reported going out every day were more likely to show higher SRH scores (excellent/good) than those going out less often (OR: 3.7; 95% confidence interval [CI]: 1.0, 14.2; P = 0.056). The numbers of interactions with friends in higher and lower SRH groups were 6.5 ± 8.4 (mean ± standard deviation) and 2.4 ± 1.1 (P = 0.01, Mann-Whitney U test), respectively. The numbers of relatives talking on the phone in higher and lower SRH groups were 2.9 ± 1.3 and 2.2 ± 1.2 (P = 0.031, Mann-Whitney U test), respectively. Meeting scores with friends in higher and lower SRH groups were 7.8 ± 5.8 and 4.5 ± 3.6 (P = 0.068), respectively. The scores of community health resources among higher and lower SRH groups were 21.2 ± 1.5 and 20.9 ± 1.4 (P = 0.547), respectively. The scores of community association/activities in higher and lower SRH groups were 3.9 ± 1.0 and 3.6 ± 0.9 (P = 0.227), respectively.Conclusion: This study indicated the importance of interaction with friends and relatives for maintaining higher SRH among community-dwelling elderly people.

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Section: Discussionsupporting

confidence: 93%

Contribution of social relationships to self-rated health among Japanese community-dwelling elderly

2018

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“…The pathways underlying the association between social networks and ACP discussions among Japanese older adults have not, to the best of our knowledge, been clarified. Social engagement might be one functional pathway that mediates between social networks and ACP discussions; evidence of this is found in several recent studies regarding the effect of social engagement on other health-promoting behaviors among Japanese older adults, such as dental hygiene or better glycemic control [ 35 , 36 ]. Social support is another, according to the aforementioned studies conducted in the U.S. [ 13 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

Association between social networks and discussions regarding advance care planning among Japanese older adults

Miyashita¹,

Yamamoto²,

Shimizu³

et al. 2019

PLoS ONE

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BackgroundOlder adults’ discussions with family, or with physicians, or with both, about advance care planning (ACP) are increasingly regarded as important for the management of end-of-life care, and yet the factors that induce older adults to engage in ACP discussions are poorly understood. For example, in older adults, is stronger connectedness with family and friends (stronger “networks”) associated with ACP discussions? By facilitating, or by impeding ACP discussions? We sought to evaluate the associations between ACP discussions and social networks in Japanese older adults.MethodsIn July 2016 we conducted a cross-sectional survey on 355 community-dwelling patients aged ≥65 years visiting community hospital clinics in Fukushima, Japan. We used the Lubben Social Network Scale (LSNS-6, the shortest available LSNS scale) to assess social networks and recorded two components of social network structure, marital status (dichotomized as “married” vs. “single / other”) and living status (“living with others” vs. “living alone”). One item asked if patients had had ACP discussions. We analyzed the LSNS-6 social network and marital and living status data in relation to the occurrence of ACP discussions using multiple logistic regression models with adjustments for possible confounding factors.ResultsRespondents’ social network was “limited” in 16% of cases; 61% had had ACP discussions. Respondents with a limited social network had a significantly lower tendency to have had ACP discussions than respondents with an “adequate” social network (adjusted odds ratio [AOR]: 0.35; 95% confidence interval [CI]: 0.18–0.66; P < 0.001). Marital status and living status were not significantly associated with ACP discussion.ConclusionsAmong Japanese older adults, weaker social networks may be associated with a lower tendency to discuss ACP. Our findings may help practitioners to quickly screen populations at risk for inadequate ACP discussion by using the LSNS-6.

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“…Possible answers were ≥4 d·wk −1 , 2–3 d·wk −1 , 1 d·wk −1 , 1–3 d·month −1 , a few times a year, or zero. We defined participating 1 d·month −1 or more often as “participation” in a sports group ( 18 , 25 ) and aggregated individual-level sports group participation by community area as a community-level independent variable. Previous research ( 18 ) indicates that the correlation of the proportion of older individuals with depressive symptoms (GDS ≥ 5) in areas with community-level sports group participation 1 d·month −1 or more often ( r = −0.355) tended to be strong compared with that with community-level sports group participation 1 d·wk −1 or more often ( r = −0.314).…”

Section: Methodsmentioning

confidence: 99%

Community-level Sports Group Participation and Older Individuals’ Depressive Symptoms

Tsuji

Miyaguni

Kanamori

et al. 2018

Medicine &Amp; Science in Sports &Amp; Exercise

Self Cite

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PurposeCommunity-level group participation is a structural aspect of social capital that may have a contextual influence on an individual’s health. Herein, we sought to investigate a contextual relationship between community-level prevalence of sports group participation and depressive symptoms in older individuals.MethodsWe used data from the 2010 Japan Gerontological Evaluation Study, a population-based, cross-sectional study of individuals 65 yr or older without long-term care needs in Japan. Overall, 74,681 participants in 516 communities were analyzed. Depressive symptoms were diagnosed as a 15-item Geriatric Depression Scale score of ≥5. Participation in a sports group 1 d·month−1 or more often was defined as “participation.” For this study, we applied two-level multilevel Poisson regression analysis stratified by sex, calculated prevalence ratios (PR), and 95% confidence intervals (CI).ResultsOverall, 17,420 individuals (23.3%) had depressive symptoms, and 16,915 (22.6%) participated in a sports group. Higher prevalence of community-level sports group participation had a statistically significant relationship with a lower likelihood of depressive symptoms (male: PR, 0.89 (95% CI, 0.85–0.92); female: PR, 0.96 (95% CI, 0.92–0.99), estimated by 10% of participation proportion) after adjusting for individual-level sports group participation, age, diseases, family form, alcohol, smoking, education, equivalent income, and population density. We found statistically significant cross-level interaction terms in male participants only (PR, 0.86; 95% CI, 0.77–0.95).ConclusionsWe found a contextual preventive relationship between community-level sports group participation and depressive symptoms in older individuals. Therefore, promoting sports groups in a community may be effective as a population-based strategy for the prevention of depression in older individuals. Furthermore, the benefit may favor male sports group participants.

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Association between Social Relationship and Glycemic Control among Older Japanese: JAGES Cross-Sectional Study

Cited by 18 publications

References 26 publications

Contribution of social relationships to self-rated health among Japanese community-dwelling elderly

Contribution of social relationships to self-rated health among Japanese community-dwelling elderly

Association between social networks and discussions regarding advance care planning among Japanese older adults

Community-level Sports Group Participation and Older Individuals’ Depressive Symptoms

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