Domains of the Kihon Checklist Associated with Prefrailty among Community-Dwelling Older Adults

Background Various functions are involved in prefrailty. However, no studies have examined more relevant functions. Therefore, this study examined the domains of the Kihon Checklist (KCL) associated with prefrailty by comparing them to robustness measures, using the KCL to comprehensively assess lif...

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Main Authors: Taishiro Kamasaki, Hiroshi Otao, Mizuki Hachiya, Atsuko Kubo, Hiroyuki Okawa, Kazuhiko Fujiwara, Asuka Sakamoto, Suguru Shimokihara, Michio Maruta, Gwanghee Han, Takayuki Tabira
Format: Article
Language:English
Published: Korea Geriatrics Society 2023-06-01
Series:Annals of Geriatric Medicine and Research
Subjects:
Online Access:http://www.e-agmr.org/upload/pdf/agmr-23-0019.pdf
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author Taishiro Kamasaki
Hiroshi Otao
Mizuki Hachiya
Atsuko Kubo
Hiroyuki Okawa
Kazuhiko Fujiwara
Asuka Sakamoto
Suguru Shimokihara
Michio Maruta
Gwanghee Han
Takayuki Tabira
author_facet Taishiro Kamasaki
Hiroshi Otao
Mizuki Hachiya
Atsuko Kubo
Hiroyuki Okawa
Kazuhiko Fujiwara
Asuka Sakamoto
Suguru Shimokihara
Michio Maruta
Gwanghee Han
Takayuki Tabira
author_sort Taishiro Kamasaki
collection DOAJ
description Background Various functions are involved in prefrailty. However, no studies have examined more relevant functions. Therefore, this study examined the domains of the Kihon Checklist (KCL) associated with prefrailty by comparing them to robustness measures, using the KCL to comprehensively assess life-related functions in community-dwelling older adults. Methods The 194 (mean age, 75±6 years) participants were community-dwelling older adults. Their robustness and preferences were assessed using the Japanese Cardiovascular Health Study criteria. Comprehensive life-related functions were assessed using the KCL, and each physical function was measured. Results The main KCL characteristics associated with robustness and prefrailty were physical function (odds ratio [OR]=1.83; 95% confidence interval [CI], 1.17–2.88), nutritional status (OR=8.16; 95% CI, 2.96–22.48), and depressed mood (OR=3.46; 95% CI, 1.76–6.79). In particular, older adults had difficulty moving, including climbing stairs and getting up from a chair, which suggested a strong fear of falling. The participants also reported psychological characteristics such as low life fulfillment, a low sense of self-usefulness, and a strong sense of boredom. Conclusions Prefrail individuals were characterized by poor physical function and nutritional status, as well as depressive mood. Prefrailty may be prevented or improved by approaches to improve physical function and fear of falling in addition to psychological interventions that encourage activity and a sense of self-usefulness.
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spelling doaj.art-ad58471cf80a4c66b043b4cf63a8f9322023-06-30T07:45:07ZengKorea Geriatrics SocietyAnnals of Geriatric Medicine and Research2508-47982508-49092023-06-0127210611510.4235/agmr.23.00191066Domains of the Kihon Checklist Associated with Prefrailty among Community-Dwelling Older AdultsTaishiro Kamasaki0Hiroshi Otao1Mizuki Hachiya2Atsuko Kubo3Hiroyuki Okawa4Kazuhiko Fujiwara5Asuka Sakamoto6Suguru Shimokihara7Michio Maruta8Gwanghee Han9Takayuki Tabira10 Department of Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Japan Department of Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Japan Department of Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Japan Department of Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Japan Department of Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Japan Department of Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Japan Department of Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Japan Doctoral Program of Clinical Neuropsychiatry, Graduate School of Health Sciences, Kagoshima University, Kagoshima, Japan Department of Occupational Therapy, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan Faculty of Medicine, Kagoshima University, Kagoshima, Japan Graduate School of Health Sciences, Kagoshima University, Kagoshima, JapanBackground Various functions are involved in prefrailty. However, no studies have examined more relevant functions. Therefore, this study examined the domains of the Kihon Checklist (KCL) associated with prefrailty by comparing them to robustness measures, using the KCL to comprehensively assess life-related functions in community-dwelling older adults. Methods The 194 (mean age, 75±6 years) participants were community-dwelling older adults. Their robustness and preferences were assessed using the Japanese Cardiovascular Health Study criteria. Comprehensive life-related functions were assessed using the KCL, and each physical function was measured. Results The main KCL characteristics associated with robustness and prefrailty were physical function (odds ratio [OR]=1.83; 95% confidence interval [CI], 1.17–2.88), nutritional status (OR=8.16; 95% CI, 2.96–22.48), and depressed mood (OR=3.46; 95% CI, 1.76–6.79). In particular, older adults had difficulty moving, including climbing stairs and getting up from a chair, which suggested a strong fear of falling. The participants also reported psychological characteristics such as low life fulfillment, a low sense of self-usefulness, and a strong sense of boredom. Conclusions Prefrail individuals were characterized by poor physical function and nutritional status, as well as depressive mood. Prefrailty may be prevented or improved by approaches to improve physical function and fear of falling in addition to psychological interventions that encourage activity and a sense of self-usefulness.http://www.e-agmr.org/upload/pdf/agmr-23-0019.pdfolder adultsdepressive moodkihon checklistphysical functionfrailty
spellingShingle Taishiro Kamasaki
Hiroshi Otao
Mizuki Hachiya
Atsuko Kubo
Hiroyuki Okawa
Kazuhiko Fujiwara
Asuka Sakamoto
Suguru Shimokihara
Michio Maruta
Gwanghee Han
Takayuki Tabira
Domains of the Kihon Checklist Associated with Prefrailty among Community-Dwelling Older Adults
Annals of Geriatric Medicine and Research
older adults
depressive mood
kihon checklist
physical function
frailty
title Domains of the Kihon Checklist Associated with Prefrailty among Community-Dwelling Older Adults
title_full Domains of the Kihon Checklist Associated with Prefrailty among Community-Dwelling Older Adults
title_fullStr Domains of the Kihon Checklist Associated with Prefrailty among Community-Dwelling Older Adults
title_full_unstemmed Domains of the Kihon Checklist Associated with Prefrailty among Community-Dwelling Older Adults
title_short Domains of the Kihon Checklist Associated with Prefrailty among Community-Dwelling Older Adults
title_sort domains of the kihon checklist associated with prefrailty among community dwelling older adults
topic older adults
depressive mood
kihon checklist
physical function
frailty
url http://www.e-agmr.org/upload/pdf/agmr-23-0019.pdf
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