Differences in Improvement of Physical Function in Older Adults with Long-Term Care Insurance with and without Falls: A Retrospective Cohort Study
(1) Background: This study examined the differences in changes in physical function with and without falls after daycare use among frail older adults with long-term care insurance (LTCI). (2) Methods: In this retrospective cohort study, 82 of 96 consecutive daycare center users met the inclusion cri...
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| Format: | Article |
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MDPI AG
2023-09-01
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| Online Access: | https://www.mdpi.com/2227-9032/11/18/2558 |
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| author | Masahiro Kitamura Junichi Umeo Kyohei Kurihara Takuji Yamato Takayuki Nagasaki Katsuhiko Mizota Haruki Kogo Shinichi Tanaka Takashi Yoshizawa |
| author_facet | Masahiro Kitamura Junichi Umeo Kyohei Kurihara Takuji Yamato Takayuki Nagasaki Katsuhiko Mizota Haruki Kogo Shinichi Tanaka Takashi Yoshizawa |
| author_sort | Masahiro Kitamura |
| collection | DOAJ |
| description | (1) Background: This study examined the differences in changes in physical function with and without falls after daycare use among frail older adults with long-term care insurance (LTCI). (2) Methods: In this retrospective cohort study, 82 of 96 consecutive daycare center users met the inclusion criteria. The participants were divided into two groups based on the presence or absence of falls 6–12 months after use. Participant characteristics in the fall and non-fall groups and physical function at baseline and six months in each group were compared. Using analysis of covariance, we analyzed physical function and its changes between the two groups, and cut-off values were calculated using receiver operating characteristic curves. (3) Results: Gait speed, timed up-and-go test, and 30 s chair stand test (CS30) improved significantly over six months in the no-fall group (<i>n</i> = 70) and all participants (<i>n</i> = 82) (<i>p</i> < 0.01). Gait speed in the fall group (<i>n</i> = 12) improved significantly over six months (<i>p</i> = 0.04). The fall group had significantly lower adjusted ΔCS30 scores than the no-fall group (<i>p</i> = 0.03), with a cutoff value of 2 (<i>p</i> = 0.024). (4) Conclusions: In older adults with LTCI, physical function with and without falls after daycare use differed by ΔCS30, with a cutoff value of 2. |
| first_indexed | 2024-03-10T22:42:11Z |
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| id | doaj.art-547c3b2756bd4934b57779c5f7a115ad |
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| language | English |
| last_indexed | 2024-03-10T22:42:11Z |
| publishDate | 2023-09-01 |
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| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-547c3b2756bd4934b57779c5f7a115ad2023-11-19T10:56:37ZengMDPI AGHealthcare2227-90322023-09-011118255810.3390/healthcare11182558Differences in Improvement of Physical Function in Older Adults with Long-Term Care Insurance with and without Falls: A Retrospective Cohort StudyMasahiro Kitamura0Junichi Umeo1Kyohei Kurihara2Takuji Yamato3Takayuki Nagasaki4Katsuhiko Mizota5Haruki Kogo6Shinichi Tanaka7Takashi Yoshizawa8School of Physical Therapy, Faculty of Rehabilitation, Reiwa Health Sciences University, 2-1-12 Wajirooka, Higashi-ku, Fukuoka 811-0213, JapanKizuna Daycare Center, 1399-1 Imai, Yukuhashi 824-0018, JapanKizuna Daycare Center, 1399-1 Imai, Yukuhashi 824-0018, JapanKizuna Daycare Center, 1399-1 Imai, Yukuhashi 824-0018, JapanSchool of Physical Therapy, Faculty of Rehabilitation, Reiwa Health Sciences University, 2-1-12 Wajirooka, Higashi-ku, Fukuoka 811-0213, JapanSchool of Physical Therapy, Faculty of Rehabilitation, Reiwa Health Sciences University, 2-1-12 Wajirooka, Higashi-ku, Fukuoka 811-0213, JapanSchool of Physical Therapy, Faculty of Rehabilitation, Reiwa Health Sciences University, 2-1-12 Wajirooka, Higashi-ku, Fukuoka 811-0213, JapanSchool of Physical Therapy, Faculty of Rehabilitation, Reiwa Health Sciences University, 2-1-12 Wajirooka, Higashi-ku, Fukuoka 811-0213, JapanSchool of Physical Therapy, Faculty of Rehabilitation, Reiwa Health Sciences University, 2-1-12 Wajirooka, Higashi-ku, Fukuoka 811-0213, Japan(1) Background: This study examined the differences in changes in physical function with and without falls after daycare use among frail older adults with long-term care insurance (LTCI). (2) Methods: In this retrospective cohort study, 82 of 96 consecutive daycare center users met the inclusion criteria. The participants were divided into two groups based on the presence or absence of falls 6–12 months after use. Participant characteristics in the fall and non-fall groups and physical function at baseline and six months in each group were compared. Using analysis of covariance, we analyzed physical function and its changes between the two groups, and cut-off values were calculated using receiver operating characteristic curves. (3) Results: Gait speed, timed up-and-go test, and 30 s chair stand test (CS30) improved significantly over six months in the no-fall group (<i>n</i> = 70) and all participants (<i>n</i> = 82) (<i>p</i> < 0.01). Gait speed in the fall group (<i>n</i> = 12) improved significantly over six months (<i>p</i> = 0.04). The fall group had significantly lower adjusted ΔCS30 scores than the no-fall group (<i>p</i> = 0.03), with a cutoff value of 2 (<i>p</i> = 0.024). (4) Conclusions: In older adults with LTCI, physical function with and without falls after daycare use differed by ΔCS30, with a cutoff value of 2.https://www.mdpi.com/2227-9032/11/18/2558physical functionfallolder adultslong-term care insurance |
| spellingShingle | Masahiro Kitamura Junichi Umeo Kyohei Kurihara Takuji Yamato Takayuki Nagasaki Katsuhiko Mizota Haruki Kogo Shinichi Tanaka Takashi Yoshizawa Differences in Improvement of Physical Function in Older Adults with Long-Term Care Insurance with and without Falls: A Retrospective Cohort Study Healthcare physical function fall older adults long-term care insurance |
| title | Differences in Improvement of Physical Function in Older Adults with Long-Term Care Insurance with and without Falls: A Retrospective Cohort Study |
| title_full | Differences in Improvement of Physical Function in Older Adults with Long-Term Care Insurance with and without Falls: A Retrospective Cohort Study |
| title_fullStr | Differences in Improvement of Physical Function in Older Adults with Long-Term Care Insurance with and without Falls: A Retrospective Cohort Study |
| title_full_unstemmed | Differences in Improvement of Physical Function in Older Adults with Long-Term Care Insurance with and without Falls: A Retrospective Cohort Study |
| title_short | Differences in Improvement of Physical Function in Older Adults with Long-Term Care Insurance with and without Falls: A Retrospective Cohort Study |
| title_sort | differences in improvement of physical function in older adults with long term care insurance with and without falls a retrospective cohort study |
| topic | physical function fall older adults long-term care insurance |
| url | https://www.mdpi.com/2227-9032/11/18/2558 |
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