Evidence map›Paper›PMID 40425272›Full record

ArticleJournal of epidemiology and community health2025

Estimating the risk reduction in disability incidence by adhering to recommendation-based physical activity in older adults: a cohort study.

Masasnori Morikawa, Kenji Harada, Satoshi Kurita, Chiharu Nishijima, Kazuya Fujii, Daisuke Kakita, Yukari Yamashiro, Naoto Takayanagi, Motoki Sudo, Hiroyuki Shimada

Abstract read
In one paragraph

Article in Journal of epidemiology and community health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Masasnori MorikawaDepartment of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan morikawa@ncgg.go.jp.ORCID 0000-0001-5762-5552
Kenji HaradaDepartment of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Satoshi KuritaDepartment of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Chiharu NishijimaDepartment of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Kazuya FujiiDepartment of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Daisuke KakitaDepartment of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Yukari YamashiroKao Corporation, Chuo-ku, Japan.
Naoto TakayanagiKao Corporation, Chuo-ku, Japan.
Motoki SudoKao Corporation, Chuo-ku, Japan.
Hiroyuki ShimadaDepartment of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.ORCID 0000-0001-8111-6440

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe WHO recommends ≥150 min/week of moderate-to-vigorous physical activity (MVPA) for older adults, while the Japanese Ministry of Health, Labour and Welfare suggests ≥6000 steps/day. However, the potential of meeting these recommendations to reduce the incidence of disability remains unclear.

methodsThis study included 4079 community-dwelling older people from the National Center for Geriatrics and Gerontology-Study of Geriatric Syndromes. Physical activity was measured using triaxial accelerometers over 1 month, with 12-month data used in sensitivity analyses. Disability incidence was defined as new certification by the Japanese Long-Term Care Insurance system for 58 months. To compare the cumulative incidence of disability between adherent and non-adherent groups, we applied the parametric g-formula accounting for sociodemographic, physical and medical covariates.

resultsFor MVPA adherence, disability incidence was reduced by -2.17% (95% CI -4.50% to 0.16%). Continuous MVPA adherence over 12 months significantly reduced disability incidence by -3.15% (95% CI -6.08% to -0.22%). A significant reduction in severe disability incidence was observed with MVPA adherence (-1.18%, 95% CI -3.59% to -0.17%). Subgroup analyses indicated greater reductions in disability incidence among individuals aged <75 years (-2.56%, 95% CI -4.81% to -0.31%). For daily step adherence, the largest risk reduction was observed in the subgroup of older adults aged ≥75 years (-4.40%, 95% CI -10.12% to 1.33%), although the CI was wide.

conclusionsAdherence to recommendation-based physical activity may effectively prevent disability in community-dwelling Japanese older adults.

Indexed as

ExercisePersons with DisabilitiesRisk Reduction BehaviorAccelerometryAgedAged, 80 and overCohort StudiesFemaleGeriatric AssessmentHumansIncidenceIndependent LivingJapanMaleEXERCISEGERONTOLOGYPREVENTIONPRIMARY HEALTH CAREPUBLIC HEALTH

Identifiers

PMID40425272
PMCPMC12505038

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.