Interactions of household composition and required care level with functional and cognitive status among disabled Japanese elderly living in a suburban apartment complex

Murayama, Hiroshi; Nishinaga, Masanori; Sugawara, Ikuko; Goto, Jun; Hirose, Yoshio; Senuma, Tomohiro; Shinkai, Shoji; Akiyama, Hiroko; Tsuji, Tetsuo; Kamata, Minoru

doi:10.1111/j.1447-0594.2011.00785.x

Cited by 7 publications

(6 citation statements)

References 18 publications

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“…They also suggested that unmarried elderly people living only with their children had significantly greater disability than those in other living arrangements. Murayama et al [6] reported that functional and cognitive conditions were associated with household composition, especially among elderly people living alone. The present study did not analyze in detail the family members’ characteristics and living conditions for elderly subjects who lived with family.…”

Section: Discussionmentioning

confidence: 99%

“…For example, the number of elderly people living alone and those living only with a spouse has significantly increased, and several risks have been identified for this age-group [5,10,11]. Household composition is an important factor when assessing needs and providing health-care services for elderly people, and it includes the physical, mental, and social functional conditions of such people as well as their caregivers [6,12]. However, few reports have examined the relationship between these diverse household factors related to the elderly and their functional disability.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors of functional disability among community-dwelling elderly people by household in Japan: a prospective cohort study

et al. 2014

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BackgroundAlthough the number of elderly people needing care is increasing rapidly in the home setting in Japan, family size and ability to provide such support are declining. The purpose of this study was to identify the risk factors of functional disability by household composition among community-dwelling elderly people.MethodsA total of 1347 elderly people aged 70 years and over participated in a baseline geriatric health examination for this prospective cohort study. In the health examination, we conducted an interview survey using a questionnaire in July 2004 and July 2005. Questionnaire items covered the following: age, sex, household, medical history, instrumental activities of daily living, intellectual activity, social role, Motor Fitness Scale, falls experienced during the past year, Dietary Variety Score, frequency of going outdoors, cognitive impairment, and depressive status. We defined the occurrence of functional disability as certification for long-term care needs of the subjects. The certification process started with a home visit for an initial assessment to evaluate nursing care needs using a questionnaire on current physical and mental status. The onset of functional disability was followed from July 2004 to March 2011. Cox proportional hazard regression analysis was used to estimate the risk factors related to the onset of functional disability, adjusted for age and sex.ResultsOf the 1084 participants, 433 were male (39.9%), and the average age was 77.8 (standard deviation, 5.4). Up to March 2011, functional disabilities occurred in 226 participants (20.9%). Elderly people living only with their children demonstrated a significantly higher risk for functional disability than the three-generation household group (hazard ratio, 1.61; 95% confidence interval, 1.08–2.40). The risk factors for functional disability varied according to household group.ConclusionsIn Japan, the number of vulnerable households with elderly people in need of care has increased steadily over the years. Appropriately identifying the risks related to functional disability requires a means of assessment that takes the household composition into consideration.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk factors of functional disability among community-dwelling elderly people by household in Japan: a prospective cohort study

et al. 2014

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“…Severe cognitive impairment is clinically diagnosed as dementia ( Hugo and Ganguli, 2014 ). At the same time, with the accelerated aging of the population, there are increasingly more empty nesters and those living alone ( Murayama et al, 2012 ). While traditional family care functions are gradually weakening ( Ng et al, 2002 ), an increasing number of the elderly tend to choose the mode of community home-based care.…”

Section: Introductionmentioning

confidence: 99%

Community support and promoting cognitive function for the elderly

Zhang

Tang²,

Wang³

et al. 2022

Front. Psychol.

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Proper cognitive functions are critical to the life of the elderly. With the rapid aging of the population, community support plays an important role in cognitive functioning. This study examines the association between community support and the level of cognitive functioning in the elderly, and the mediating effect of social participation in the relationship. Based on the panel data of China Longitudinal Healthy Longevity Survey (CLHLS) in 2005, 2008, 2011, 2014, and 2018, people aged 65 and over are selected as the research object (N = 35,479). The panel Logit model is used to analyze the influence of community support on their cognitive functioning. In addition, the stepwise regression and KHB decomposition methods are used to test the influence mechanism of community support on their cognitive function. The benchmark regression results show that there is a significant correlation between community support and cognitive function in the elderly (OR: 1.64, 95% CI: 1.41–1.91, p < 0.01). Daily care (OR: 1.75, 95% CI: 1.33–2.29, p < 0.01) has the strongest impact on the cognitive function of the elderly, followed by health care (OR: 1.70, 95% CI: 1.43–2.01, p < 0.01) and legal support (OR: 1.64, 95% CI: 1.37–1.95, p < 0.01), while psychological care (OR: 1.62, 95% CI: 1.31–2.01, p < 0.01) has the weakest impact on the cognitive function of the elderly. The results of the mediation effect test show that social participation plays a significant intermediary role in the impact of community support on the cognitive function of the elderly (mediation percentage: 16.89%), demonstrating that community support can improve the cognitive function of the elderly by promoting the social participation of the elderly. In classified community support, social participation plays a significant intermediary role in the impact of psychological care on cognition (mediation percentage: 46.10%).

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“…The number of elderly persons in the population is increasing, especially in developed countries 1) . In 2015, the proportion of individuals aged 65 and above was 8.5% of the global population; however, this percentage is expected to increase to 17% by 2050.…”

Section: Introductionmentioning

confidence: 99%

Use of cellulose nanofibers as a denture immersing solution

et al. 2020

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The purpose of this study was to investigate the influence of cellulose nanofibers (CNF) solution on the mechanical and biological properties of denture base resins (DBR). Two types of CNFs obtained from bamboo (BB) and needle-leaved (NB) trees were used in this study. We prepared 18 different CNF solutions based on their fibrillation (A-low, B-middle, and C-high) and concentration (0.05, 0.10, and 0.20 wt%). A heat-polymerized acrylic resin was used as DBR. The contact angles for each specimen were measured after immersion. The flexural properties of the immersed specimens, and the biological properties of the CNF solutions were examined. Specimens immersed in CNF-NB-C-0.05 wt% solution presented with the lowest contact angles. Specimens in CNF-NB-C and CNF-BB-A groups showed higher flexural modulus values. No cytotoxic or antimicrobial effects were observed for the CNF solutions. This study suggest that CNF solution may improve the surface wettability of the DBR without affecting its flexural property.

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Interactions of household composition and required care level with functional and cognitive status among disabled Japanese elderly living in a suburban apartment complex

Abstract: It is important for health-care providers to assess in detail the status of the disabled elderly considering both their household composition and care level in planning and providing assistance for them.

Cited by 7 publications

References 18 publications

Risk factors of functional disability among community-dwelling elderly people by household in Japan: a prospective cohort study

Risk factors of functional disability among community-dwelling elderly people by household in Japan: a prospective cohort study

Community support and promoting cognitive function for the elderly

Use of cellulose nanofibers as a denture immersing solution

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