Evidence map›Paper›PMID 29986471›Full record

Trial reportInternational journal of environmental research and public health2018

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.

Yujiro Kuroda, Hajime Iwasa, Masatsugu Orui, Nobuaki Moriyama, Claudia Kimie Suemoto, Chikako Yashiro, Kumiko Matsuda, Seiji Yasumura

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06390618 (Investigation of the Biopsychosocial Effectiveness of Different Exercise Trainings in Earthquake Survivors With Post-Traumatic Stress Disorder), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06390618 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Investigation of the Biopsychosocial Effectiveness of Different Exercise Trainings in Earthquake Survivors With Post-Traumatic Stress Disorder

TypeinterventionalSponsorErkin Oğuz SARIRan2024 to 2025Enrolled45ConditionsPost-Traumatic Stress DisorderArmsAerobic Exercise (AE) Group, Combined Exercise (CE) Group
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Public Health Preparedness for and Response to Nuclear Disasters: An Editorial.International journal of environmental research and public health · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yujiro KurodaDepartment of Public Health, Fukushima Medical University, Fukushima, Fukushima Prefecture 960-1295, Japan. kuroday@fmu.ac.jp.
Hajime IwasaDepartment of Public Health, Fukushima Medical University, Fukushima, Fukushima Prefecture 960-1295, Japan. hajimei@fmu.ac.jp.
Masatsugu OruiDepartment of Public Health, Fukushima Medical University, Fukushima, Fukushima Prefecture 960-1295, Japan. oruima@fmu.ac.jp.ORCID 0000-0002-4871-8455
Nobuaki MoriyamaDepartment of Public Health, Fukushima Medical University, Fukushima, Fukushima Prefecture 960-1295, Japan. moriyama@fmu.ac.jp.
Claudia Kimie SuemotoDiscipline of Geriatrics, University of São Paulo Medical School, São Paulo SP 01246-903, Brazil. cksuemoto@usp.br.
Chikako YashiroDepartment of Public Health, Iitate Village, Fukushima Prefecture 960-1803, Japan. c-yashiro@vill.iitate.fukushima.jp.
Kumiko MatsudaDepartment of Public Health, Iitate Village, Fukushima Prefecture 960-1803, Japan. k-matsuda@vill.iitate.fukushima.jp.
Seiji YasumuraDepartment of Public Health, Fukushima Medical University, Fukushima, Fukushima Prefecture 960-1295, Japan. yasumura@fmu.ac.jp.ORCID 0000-0002-4715-2840

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study is to assess the risk factors for incident functional disability among long-term evacuees of Iitate village after Great East Japan Earthquake and nuclear disaster (GEJE). We also investigated the effectiveness of exercise classes as an intervention measure in this situation.

methods1159 subjects (75.2 ± 5.8 years, 57.5% female) were included at baseline, and followed-up for four years. Cox proportional hazard regression analysis was used to estimate the hazard ratio (HR) of incident functional disability according to the presence of risk factors evaluated by the municipality’s self-assessment Basic Checklist (BCL). Evacuees from Iitate who participated in the exercise classes and those who did not were matched using the propensity scores, which were then used to obtain the HR of incident functional disability.

resultsNew functional disability occurred in 280 (24.2%) participants during the follow-up. Participants who scored negative for the “Physical function” domain in the BCL had a HR of 2.04 (95% CI: 1.54⁻2.69) for incident functional disability when compared to those who scored positive for this domain. Similarly, the HR for “Cognitive function” was 1.37 (CI: 1.06⁻1.77), and 1.60 (CI: 1.24⁻2.08) for “Depression”. Using a Cox proportional hazard regression model, both the group with low-participation in the exercise program and the group with high-participation in the exercise program had a significantly lower rate of incident functional disability compared to those who did not participate at all (HR = 0.27, CI: 0.16⁻0.46; HR = 0.30, CI: 0.12⁻0.74, respectively).

conclusionsPre-disaster BCL domains were useful to identify individuals at risk of functional disability after a major socio-technical disaster. Therefore, this instrument can be used to identify at-risk older adults who would benefit from early exercise programs to prevent incident functional disability.

Indexed as

DisastersEarthquakesRadioactive Hazard ReleaseSurvivorsAgedAged, 80 and overCognition DisordersDepressionExercise TherapyFemaleFollow-Up StudiesHumansIncidenceJapanMalePersons with Disabilitiesbasic checklistcohort studyexercise interventionfunctional disabilityGreat East Japan earthquake

Identifiers

PMID29986471
PMCPMC6068567

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.