IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i20p3974-d277829.html
   My bibliography  Save this article

Differences in the Prevalence of and Factors Associated with Frailty in Five Japanese Residential Areas

Author

Listed:
  • Takumi Abe

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan
    Japan Society for the Promotion of Science, Tokyo 102-0083, Japan)

  • Akihiko Kitamura

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Satoshi Seino

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Yuri Yokoyama

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Hidenori Amano

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Yu Taniguchi

    (Center for Health and Environmental Risk Research, National Institute for Environmental Studies, Tsukuba 305-0053, Japan)

  • Mariko Nishi

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Miki Narita

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Tomoko Ikeuchi

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Yui Tomine

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Yoshinori Fujiwara

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Shoji Shinkai

    (Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

Abstract

This study aimed to examine area differences in the prevalence of and factors associated with frailty. This cross-sectional study included metropolitan (eastern and western areas), suburban (districts A and B), and rural areas of Japan ( n = 9182, woman 50.9%). Frailty was defined by using a standardized questionnaire comprising three subcategories (fall, nutritional status, and social activities). The prevalence of frailty in the five areas was 14.2% to 30.6% for men and 11.5% to 21.4% for women. The areas with a high frailty prevalence had a significantly lower nutritional status or social activity, or both. Compared to the western metropolitan area, among men, the multivariable-adjusted prevalence ratio (APR) of frailty was significantly higher in the eastern metropolitan area and lower in suburban district A, and among women, the eastern metropolitan and rural areas had significantly higher APRs. Area-stratified multiple Poisson regression analysis showed that age, bone and joint disease, and a subjective economic status were associated with frailty in most areas and that some factors were area-specific, i.e., living alone (for men living in metropolitan areas) and underweight (for women living in suburban areas). The frailty prevalence differed by area, even after multivariable adjustment. Area-specific characteristics and factors associated with frailty may result in area differences.

Suggested Citation

  • Takumi Abe & Akihiko Kitamura & Satoshi Seino & Yuri Yokoyama & Hidenori Amano & Yu Taniguchi & Mariko Nishi & Miki Narita & Tomoko Ikeuchi & Yui Tomine & Yoshinori Fujiwara & Shoji Shinkai, 2019. "Differences in the Prevalence of and Factors Associated with Frailty in Five Japanese Residential Areas," IJERPH, MDPI, vol. 16(20), pages 1-9, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:20:p:3974-:d:277829
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/20/3974/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/20/3974/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. S. Bunt & N. Steverink & J. Olthof & C. P. Schans & J. S. M. Hobbelen, 2017. "Social frailty in older adults: a scoping review," European Journal of Ageing, Springer, vol. 14(3), pages 323-334, September.
    2. Ruby Yu & Wan-Chi Wu & Jason Leung & Susan C. Hu & Jean Woo, 2017. "Frailty and Its Contributory Factors in Older Adults: A Comparison of Two Asian Regions (Hong Kong and Taiwan)," IJERPH, MDPI, vol. 14(10), pages 1-16, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Takumi Abe & Akihiko Kitamura & Satoshi Seino & Yuri Yokoyama & Hidenori Amano & Yu Taniguchi & Mariko Nishi & Yu Nofuji & Tomoko Ikeuchi & Takemi Sugiyama & Shoji Shinkai, 2020. "Frailty Status and Transport Disadvantage: Comparison of Older Adults’ Travel Behaviours between Metropolitan, Suburban, and Rural Areas of Japan," IJERPH, MDPI, vol. 17(17), pages 1-8, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. André Hajek & Benedikt Kretzler & Hans-Helmut König, 2020. "Multimorbidity, Loneliness, and Social Isolation. A Systematic Review," IJERPH, MDPI, vol. 17(22), pages 1-12, November.
    2. Thomas Hansen & Morten Blekesaune, 2022. "The age and well-being “paradox”: a longitudinal and multidimensional reconsideration," European Journal of Ageing, Springer, vol. 19(4), pages 1277-1286, December.
    3. Ayuto Kodama & Yu Kume & Sangyoon Lee & Hyuma Makizako & Hiroyuki Shimada & Tomoko Takahashi & Tsuyoshi Ono & Hidetaka Ota, 2022. "Impact of COVID-19 Pandemic Exacerbation of Depressive Symptoms for Social Frailty from the ORANGE Registry," IJERPH, MDPI, vol. 19(2), pages 1-11, January.
    4. Ana da Conceição Alves Faria & Maria Manuela F. P. S. Martins & Olga Maria Pimenta Lopes Ribeiro & João Miguel Almeida Ventura-Silva & Esmeralda Faria Fonseca & Luciano José Moreira Ferreira & Paulo J, 2022. "Multidimensional Frailty and Lifestyles of Community-Dwelling Older Portuguese Adults," IJERPH, MDPI, vol. 19(22), pages 1-14, November.
    5. Hana Ko & SuJung Jung, 2021. "Association of Social Frailty with Physical Health, Cognitive Function, Psychological Health, and Life Satisfaction in Community-Dwelling Older Koreans," IJERPH, MDPI, vol. 18(2), pages 1-9, January.
    6. Jean Woo, 2017. "How Can We Achieve Healthy Aging?," IJERPH, MDPI, vol. 14(12), pages 1-2, December.
    7. Anna Torné & Emma Puigoriol & Edurne Zabaleta-del-Olmo & Juan-José Zamora-Sánchez & Sebastià Santaeugènia & Jordi Amblàs-Novellas, 2021. "Reliability, Validity, and Feasibility of the Frail-VIG Index," IJERPH, MDPI, vol. 18(10), pages 1-14, May.
    8. Seunghye Choi & Hana Ko, 2022. "Social Frailty among Community-Dwelling Older Adults during the COVID-19 Pandemic in Korea: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(19), pages 1-10, September.
    9. Martine J. Sealy & Fons van der Lucht & Barbara C. van Munster & Wim P. Krijnen & Hans Hobbelen & Hans A. Barf & Evelyn J. Finnema & Harriët Jager-Wittenaar, 2022. "Frailty among Older People during the First Wave of the COVID-19 Pandemic in The Netherlands," IJERPH, MDPI, vol. 19(6), pages 1-15, March.
    10. Yeun-Soon Choi & Mi-Ji Kim & Gyeong-Ye Lee & Young-Mi Seo & Ae-Rim Seo & Bokyoung Kim & Jun-Il Yoo & Ki Soo Park, 2019. "The Association between Frailty and Disability among the Elderly in Rural Areas of Korea," IJERPH, MDPI, vol. 16(14), pages 1-10, July.
    11. Maria Gabriella Melchiorre & Sabrina Quattrini & Giovanni Lamura & Marco Socci, 2021. "A Mixed-Methods Analysis of Care Arrangements of Older People with Limited Physical Abilities Living Alone in Italy," IJERPH, MDPI, vol. 18(24), pages 1-35, December.
    12. Ewa Kupcewicz & Anna Szypulska & Anna Doboszyńska, 2019. "Positive Orientation as a Predictor of Health Behavior during Chronic Diseases," IJERPH, MDPI, vol. 16(18), pages 1-14, September.
    13. André Hajek & Benedikt Kretzler & Hans-Helmut König, 2021. "Informal Caregiving, Loneliness and Social Isolation: A Systematic Review," IJERPH, MDPI, vol. 18(22), pages 1-12, November.
    14. Ah Ram Jang & Ju Young Yoon, 2021. "Multilevel Factors Associated with Frailty among the Rural Elderly in Korea Based on the Ecological Model," IJERPH, MDPI, vol. 18(8), pages 1-14, April.
    15. Hyungchul Park & Il-Young Jang & Hea yon Lee & Hee-Won Jung & Eunju Lee & Dae Hyun Kim, 2019. "Screening Value of Social Frailty and Its Association with Physical Frailty and Disability in Community-Dwelling Older Koreans: Aging Study of PyeongChang Rural Area," IJERPH, MDPI, vol. 16(16), pages 1-11, August.
    16. Young Ko & Kyounga Lee, 2022. "Social Frailty and Health-Related Quality of Life in Community-Dwelling Older Adults," IJERPH, MDPI, vol. 19(9), pages 1-11, May.
    17. Xiaojing Qi & Jie Li, 2022. "The Relationship between Social Frailty and Depressive Symptoms in the Elderly: A Scoping Review," IJERPH, MDPI, vol. 19(24), pages 1-12, December.
    18. Kalene Pek & Justin Chew & Jun Pei Lim & Suzanne Yew & Cai Ning Tan & Audrey Yeo & Yew Yoong Ding & Wee Shiong Lim, 2020. "Social Frailty Is Independently Associated with Mood, Nutrition, Physical Performance, and Physical Activity: Insights from a Theory-Guided Approach," IJERPH, MDPI, vol. 17(12), pages 1-15, June.
    19. Giulia Cavrini & Marina Marino & Agostino Stavolo, 2023. "The narrative of the social frailty of the older population in the Italian press," RIEDS - Rivista Italiana di Economia, Demografia e Statistica - The Italian Journal of Economic, Demographic and Statistical Studies, SIEDS Societa' Italiana di Economia Demografia e Statistica, vol. 77(3), pages 104-115, July-Sept.
    20. Steven Bunt & Nardi Steverink & Melissa K. Andrew & Cees P. van der Schans & Hans Hobbelen, 2017. "Cross-Cultural Adaptation of the Social Vulnerability Index for Use in the Dutch Context," IJERPH, MDPI, vol. 14(11), pages 1-13, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:20:p:3974-:d:277829. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.