ArticleInternational journal of environmental research and public health2021
Physical Activity and Cumulative Long-Term Care Cost among Older Japanese Adults: A Prospective Study in JAGES.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Impact of Longitudinal Changes in Dynamic Lower-Limb Function on Care-Needs Certification: A 4-Year Prospective Study of Older Women Attending Community Gathering Places (Healthcare (Basel, Switzerland) · 2026Article
- Associations of Exercising With Others With BMI and Subjective Health in Japan: Understanding the Underlying Mechanisms.International journal of behavioral medicine · 2026Article
- Association Between Function-focused Training and Physical Function Among Community-dwelling Oldest-old Individuals: A Retrospective Study.Juntendo medical journal · 2026Article
- Promote older adults active travel on neighborhood streets: an observation study in Daokou ancient town in China.BMC geriatrics · 2025Observational
- Association between the frequency of going outdoors by life space and incident disability among older adults.The Journal of frailty & aging · 2025Article
- Using women-only fitness club and functional disability: a cross-sectional study using propensity score matching.Archives of public health = Archives belges de sante publique · 2025Article
- The association of agricultural and non-agricultural work on the healthy ageing of older adults in Japan: A 6-year longitudinal study from the Japan Gerontological evaluation study.Preventive medicine reports · 2025Article
- Effects of Changes in Frequency of Going Out during the COVID-19 Pandemic on ikigai (Sense of Purpose in Life) and Mental Health in Middle-Aged and Older Adults in Japan.Journal of cross-cultural gerontology · 2024Article
- Article
- The value of walking: a systematic review on mobility and healthcare costs.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2022Review
- The Relationship of Neighborhood Walking Behavior to Duration of Aging in Place-A Retrospective Cohort Study.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aimed to determine the impact of physical activity on the cumulative cost of long-term care insurance (LTCI) services in a cohort of community-dwelling people (65 years and older) in Japan. Using cohort data from the Japan Gerontological Evaluation Study (JAGES) on those who were functionally independent as of 2010/11, we examined differences in the cumulative cost of LTCI services by physical activity. We followed 38,875 participants with LTCI service costs for 59 months. Physical activity was assessed by the frequency of going out and time spent walking. We adopted a generalized linear model with gamma distribution and log-link function, and a classical linear regression with multiple imputation. The cumulative LTCI costs significantly decreased with the frequency of going out and the time spent walking after adjustment for baseline covariates. LTCI's cumulative cost for those who went out once a week or less was USD 600 higher than those who went out almost daily. Furthermore, costs for those who walked for less than 30 min were USD 900 higher than those who walked for more than 60 min. Physical activity among older individuals can reduce LTCI costs, which could provide a rationale for expenditure intervention programs that promote physical activity.
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Registered trials
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