ArticleArchives of gerontology and geriatrics
Physical, social, and dietary behavioral changes during the COVID-19 crisis and their effects on functional capacity in older adults.
Article in Archives of gerontology and geriatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Loneliness and Functional Decline in Aging: A Systematic Review.Research in gerontological nursingPooled it
- Social interaction and functional status among community-dwelling older adults in Japan: a longitudinal study during the coronavirus disease 2019 pandemic.Frontiers in public health · 2025Article
- Article
- Social isolation, regardless of living alone, is associated with mortality: the Otassha study.Frontiers in public health · 2024Article
- Impact of COVID-19 on the Surrounding Environment of Nursing Home Residents and Attitudes towards Infection Control and Oral Health Care among Nursing Home Staff in Japan.Journal of clinical medicine · 2023Article
- Association between sarcopenia and oral functions in community-dwelling older adults: A cross-sectional study.Journal of cachexia, sarcopenia and muscle · 2023Article
- Does Smartphone Use Make Older Adults Feel Younger? A Cross-Sectional Online Survey during the COVID-19 Pandemic.International journal of environmental research and public health · 2023Article
- Impact of the COVID-19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry-based study.Acute medicine & surgeryArticle
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis two-year follow-up study aimed to identify factors associated with unhealthy behaviors during the COVID-19 pandemic and examine their impact on functional capacity in older adults.
methodsAltogether, 536 adults aged ≥65 years participated in this study. The frequency of going out, exercise habits, face-to-face and non-face-to-face interactions, social participation, and eating habits were examined as behavioral factors before and after the first declaration of a state of emergency in Japan. Functional capacity was assessed using the Tokyo Metropolitan Institute of Gerontology Index of Competence.
resultsUsing latent class analysis considering changes in the six behaviors, the participants were divided into healthy (n = 289) and unhealthy (n = 247) behavior groups. The male sex was associated with 2.36 times higher odds, diabetes with 2.19 times higher odds, depressive mood with 1.83 times higher odds, poor subjective economic status with 2.62 times higher odds, and living alone with 44% lower odds of being unhealthy. The unhealthy behavior group showed significantly decreased functional capacity (B =-1.56 [-1.98, -1.14]) than the healthy behavior group. For each behavior, negative changes in going out (B =-0.99 [-1.60, -0.37]), face-to-face interaction (B =-0.65 [-1.16, -0.13]), and non-face-to-face interactions (B =-0.80 [-1.36, -0.25]) were associated with a decline in functional capacity.
conclusionOur results showed four factors associated with engaging in unhealthy lifestyle behaviors and how behavioral changes affect functional capacity decline during the COVID-19 pandemic, which will help to develop public health approaches.
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