ArticleBMC geriatrics2014
Risk factors of functional disability among community-dwelling elderly people by household in Japan: a prospective cohort study.
Article in BMC geriatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Functional disability in basic and instrumental activities of daily living among older adults globally: a systematic review and meta-analysis.BMC geriatrics · 2025Pooled it
- Risk Factor for Incident Functional Disability and the Effect of a Preventive Exercise Program: A 4-Year Prospective Cohort Study of Older Survivors from the Great East Japan Earthquake and Nuclear Disaster.International journal of environmental research and public health · 2018Trial
- Association Between Cancer Screening Patterns and Carer Literacy in Individuals With Cognitive Decline: An Observational Study.Cancer medicine · 2024Observational
- Developing a Theory of Community Caring for Public Health Nursing.Healthcare (Basel, Switzerland) · 2023Article
- The role of catastrophizing and basic psychological needs satisfaction on health-related quality of life and pain in patients with lumbar disc herniation.Frontiers in psychology · 2023Article
- Increased care-need in older long-term care insurance users after the 2018 Japan Floods: a retrospective cohort study based on the Japanese long-term care insurance claims.Environmental health and preventive medicine · 2023Article
- Understanding older adults' functioning and health-seeking behaviour during the COVID-19 pandemic in Ghana: A descriptive qualitative study.Health & social care in the community · 2022Article
- Risk Factors of Long-Term Care Insurance Certification in Japan: A Scoping Review.International journal of environmental research and public health · 2022Article
- Article
- Prevalence of Behavioral and Psychological Symptoms in Patients With Cognitive Decline Before and During the COVID-19 Pandemic.Frontiers in psychiatry · 2022Article
- Incidence Rates of Disability and Its Associated Factors among Korean Community-Dwelling Older Adults.Iranian journal of public health · 2020Article
- The influence of the combination of visiting frequency of family caregivers and pre-admission frailty status on dependency after discharge among hospitalized older patients: a clinically-based prospective study.European geriatric medicine · 2020Article
- Relationship of living arrangement with the decline in functional capacity in elderly people by gender: a longitudinal observational study.Environmental health and preventive medicine · 2020Observational
- Bathing Frequency and Onset of Functional Disability Among Japanese Older Adults: A Prospective 3-Year Cohort Study From the JAGES.Journal of epidemiology · 2019Article
- Comparison of health-related quality of life between the Han and Yi ethnicity elderly in the Yi autonomous areas of Yunnan Province.BMC geriatrics · 2019Article
- Cohort study on living arrangements of older men and women and risk for basic activities of daily living disability: findings from the AGES project.BMC geriatrics · 2017Article
- Living arrangements of the elderly and the sociodemographic and health determinants: a longitudinal study.Revista latino-americana de enfermagem · 2016Article
- Area-Level and Individual-Level Factors for Teenage Motherhood: A Multilevel Analysis in Japan.PloS one · 2016Article
- Article
Corrections and comments
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Authors and funding
5 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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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