Prevention Strategy for Frailty

Kim, Hunkyung; Ishizaki, Tatsuro

doi:10.1007/978-981-13-1762-0_4

Cited by 2 publications

(3 citation statements)

References 35 publications

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“…Frailty is a critical health issue in an aging society. 1 Older adults with frailty are reported to be at a higher risk of cognitive decline, 2 dementia, 2,3 and death, 4,5 and are more likely to use public long-term care insurance services. 5,6 In 2015, the Japanese government indicated that public health services for people aged ≥75 years (old-old adults) should aim to prevent frailty and provide individualized health guidance to high-risk individuals.…”

Section: Introductionmentioning

confidence: 99%

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Criterion validity of the health assessment questionnaire for the national screening program for older adults in Japan: The SONIC study

Hori

Ishizaki

Masui

et al. 2023

Geriatrics Gerontology Int

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Aim In our previous study, we proposed that the total score of the 12 frailty‐related items in the health assessment questionnaire for the national screening program for older adults could be used as an indicator of frailty. We aim to examine the criterion validity of the 12 frailty‐related items for frailty. Methods The data used in this study were from older Japanese individuals aged 78–81 years (n = 461) who participated in the in‐venue (2019) and mailed questionnaire (2020) surveys of the Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians study. A receiver operator characteristic (ROC) curve analysis was used to evaluate the criterion validity of the 12 frailty‐related items for frailty defined based on the Japanese version of the Cardiovascular Health Study criteria. A multivariable logistic regression model was used to examine the independent association of the 12 frailty‐related items with frailty. Results The area under the ROC curve of the scores of the 12 frailty‐related items for frailty was 0.79 (95% confidence interval [CI] = 0.73–0.85, P < 0.001). The cut‐off value for frailty was 3 and 4 points, and the sensitivity and specificity were 55.9% and 85.8%, respectively. The multivariable logistic regression model showed that four or more scores of the 12 frailty‐related items were significantly associated with frailty (adjusted odds ratio = 7.75, 95% CI = 4.10–14.65, P < 0.001). Conclusions The results of this study suggest that the 12 frailty‐related items in the health assessment questionnaire for older adults may be useful for assessing frailty in community‐dwelling older adults in a simplified manner. Geriatr Gerontol Int 2023; 23: 437–443.

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Section: Introductionmentioning

confidence: 99%

“…Frailty is a critical health issue in an aging society 1 . Older adults with frailty are reported to be at a higher risk of cognitive decline, 2 dementia, 2,3 and death, 4,5 and are more likely to use public long‐term care insurance services 5,6 .…”

Section: Introductionmentioning

confidence: 99%

Criterion validity of the health assessment questionnaire for the national screening program for older adults in Japan: The SONIC study

Hori

Ishizaki

Masui

et al. 2023

Geriatrics Gerontology Int

Self Cite

View full text Add to dashboard Cite

show abstract

“…In April 2016, the Japanese government amended the health policy for old-old adults to implement a new screening program that promotes measures to avoid the worsening of lifestyle-related diseases and frailty in each municipality [ 5 ]. Frailty is a state in which the standby capacity of the body decreases because of aging; older adults with frailty are vulnerable to various stresses, and their degree of independence in functioning is reduced [ 6 ]. As advanced frailty interferes with independence in performing the activities of daily living and increases the risk of disability, it is necessary for older adults to assess their health conditions comprehensively, to avoid frailty and worsening chronic diseases.…”

Section: Introductionmentioning

confidence: 99%

Construct Validity of a New Health Assessment Questionnaire for the National Screening Program of Older Adults in Japan: The SONIC Study

Ishizaki

Masui

Nakagawa

et al. 2022

IJERPH

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The Japanese government has implemented a new screening program to promote measures to avoid worsening lifestyle-related diseases and frailty among the older population. In this effort, the government formulated a new health assessment questionnaire for the screening program of old-old adults aged ≥75 years. The questionnaire comprises 15 items, of which 12 address frailty, two address general health status, and one addresses smoking habits. This study examined the construct validity of this questionnaire, using the explanatory factor analysis (EFA) and confirmatory factor analysis (CFA). The data used in this study were drawn from a mail-in survey conducted in 2020 as part of the Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians study. A total of 1576 respondents (range, 78–99 years of age) were included in the study. Although the EFA did not show an interpretable factor structure of the questionnaire with 15 items, the CFA using only 12 frailty-related items showed the goodness of fit for a higher-order factor “frailty”, and the five frailty-related sub-factors model was acceptable. These results suggest that the total score of the 12 frailty-related items in the questionnaire can be used as an indicator of the degree of “frailty”.

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Prevention Strategy for Frailty

Cited by 2 publications

References 35 publications

Criterion validity of the health assessment questionnaire for the national screening program for older adults in Japan: The SONIC study

Criterion validity of the health assessment questionnaire for the national screening program for older adults in Japan: The SONIC study

Construct Validity of a New Health Assessment Questionnaire for the National Screening Program of Older Adults in Japan: The SONIC Study

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