Social Participation and the Prevention of Functional Disability in Older Japanese: The JAGES Cohort Study
We examined the relationship between incident functional disability and social participation from the perspective of number of types of organizations participated in and type of social participation in a prospective cohort study. The study was based on the Aichi Gerontological Evaluation Study (AGES...
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Published in | PloS one Vol. 9; no. 6; p. e99638 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Public Library of Science
12.06.2014
Public Library of Science (PLoS) |
Subjects | |
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Abstract | We examined the relationship between incident functional disability and social participation from the perspective of number of types of organizations participated in and type of social participation in a prospective cohort study.
The study was based on the Aichi Gerontological Evaluation Study (AGES) Cohort Study data. We followed 13,310 individuals aged 65 years or older for 4 years. Analysis was carried out on 12,951 subjects, excluding 359 people whose information on age or sex was missing. Social participation was categorized into 8 types.
Compared to those that did not participate in any organizations, the hazard ratio (HR) was 0.83 (95% CI: 0.73-0.95) for participation in one, 0.72 (0.61-0.85) for participation in two, and 0.57 (0.46-0.70) for participation in three or more different types of organizations. In multivariable adjusted models, participation in the following types of organization was protective for incident disability: local community organizations (HR = 0.85, 95% CI: 0.76-0.96), hobby organizations (HR = 0.75, 95% CI: 0.64-0.87), and sports organizations (HR = 0.64, 95% CI: 0.54-0.81).
Social participation may decrease the risk of incident functional disability in older people in Japan. This effect may be strengthened by participation in a variety of different types of organizations. Participating in a local community, hobby, or sports group or organization may be especially effective for decreasing the risk of disability. |
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AbstractList | We examined the relationship between incident functional disability and social participation from the perspective of number of types of organizations participated in and type of social participation in a prospective cohort study. The study was based on the Aichi Gerontological Evaluation Study (AGES) Cohort Study data. We followed 13,310 individuals aged 65 years or older for 4 years. Analysis was carried out on 12,951 subjects, excluding 359 people whose information on age or sex was missing. Social participation was categorized into 8 types. Compared to those that did not participate in any organizations, the hazard ratio (HR) was 0.83 (95% CI: 0.73-0.95) for participation in one, 0.72 (0.61-0.85) for participation in two, and 0.57 (0.46-0.70) for participation in three or more different types of organizations. In multivariable adjusted models, participation in the following types of organization was protective for incident disability: local community organizations (HR = 0.85, 95% CI: 0.76-0.96), hobby organizations (HR = 0.75, 95% CI: 0.64-0.87), and sports organizations (HR = 0.64, 95% CI: 0.54-0.81). Social participation may decrease the risk of incident functional disability in older people in Japan. This effect may be strengthened by participation in a variety of different types of organizations. Participating in a local community, hobby, or sports group or organization may be especially effective for decreasing the risk of disability. Background We examined the relationship between incident functional disability and social participation from the perspective of number of types of organizations participated in and type of social participation in a prospective cohort study. Method The study was based on the Aichi Gerontological Evaluation Study (AGES) Cohort Study data. We followed 13,310 individuals aged 65 years or older for 4 years. Analysis was carried out on 12,951 subjects, excluding 359 people whose information on age or sex was missing. Social participation was categorized into 8 types. Results Compared to those that did not participate in any organizations, the hazard ratio (HR) was 0.83 (95% CI: 0.73–0.95) for participation in one, 0.72 (0.61–0.85) for participation in two, and 0.57 (0.46–0.70) for participation in three or more different types of organizations. In multivariable adjusted models, participation in the following types of organization was protective for incident disability: local community organizations (HR = 0.85, 95% CI: 0.76–0.96), hobby organizations (HR = 0.75, 95% CI: 0.64–0.87), and sports organizations (HR = 0.64, 95% CI: 0.54–0.81). Conclusion Social participation may decrease the risk of incident functional disability in older people in Japan. This effect may be strengthened by participation in a variety of different types of organizations. Participating in a local community, hobby, or sports group or organization may be especially effective for decreasing the risk of disability. We examined the relationship between incident functional disability and social participation from the perspective of number of types of organizations participated in and type of social participation in a prospective cohort study. The study was based on the Aichi Gerontological Evaluation Study (AGES) Cohort Study data. We followed 13,310 individuals aged 65 years or older for 4 years. Analysis was carried out on 12,951 subjects, excluding 359 people whose information on age or sex was missing. Social participation was categorized into 8 types. Compared to those that did not participate in any organizations, the hazard ratio (HR) was 0.83 (95% CI: 0.73-0.95) for participation in one, 0.72 (0.61-0.85) for participation in two, and 0.57 (0.46-0.70) for participation in three or more different types of organizations. In multivariable adjusted models, participation in the following types of organization was protective for incident disability: local community organizations (HR = 0.85, 95% CI: 0.76-0.96), hobby organizations (HR = 0.75, 95% CI: 0.64-0.87), and sports organizations (HR = 0.64, 95% CI: 0.54-0.81). Social participation may decrease the risk of incident functional disability in older people in Japan. This effect may be strengthened by participation in a variety of different types of organizations. Participating in a local community, hobby, or sports group or organization may be especially effective for decreasing the risk of disability. Background We examined the relationship between incident functional disability and social participation from the perspective of number of types of organizations participated in and type of social participation in a prospective cohort study. Method The study was based on the Aichi Gerontological Evaluation Study (AGES) Cohort Study data. We followed 13,310 individuals aged 65 years or older for 4 years. Analysis was carried out on 12,951 subjects, excluding 359 people whose information on age or sex was missing. Social participation was categorized into 8 types. Results Compared to those that did not participate in any organizations, the hazard ratio (HR) was 0.83 (95% CI: 0.73–0.95) for participation in one, 0.72 (0.61–0.85) for participation in two, and 0.57 (0.46–0.70) for participation in three or more different types of organizations. In multivariable adjusted models, participation in the following types of organization was protective for incident disability: local community organizations (HR = 0.85, 95% CI: 0.76–0.96), hobby organizations (HR = 0.75, 95% CI: 0.64–0.87), and sports organizations (HR = 0.64, 95% CI: 0.54–0.81). Conclusion Social participation may decrease the risk of incident functional disability in older people in Japan. This effect may be strengthened by participation in a variety of different types of organizations. Participating in a local community, hobby, or sports group or organization may be especially effective for decreasing the risk of disability. We examined the relationship between incident functional disability and social participation from the perspective of number of types of organizations participated in and type of social participation in a prospective cohort study.BACKGROUNDWe examined the relationship between incident functional disability and social participation from the perspective of number of types of organizations participated in and type of social participation in a prospective cohort study.The study was based on the Aichi Gerontological Evaluation Study (AGES) Cohort Study data. We followed 13,310 individuals aged 65 years or older for 4 years. Analysis was carried out on 12,951 subjects, excluding 359 people whose information on age or sex was missing. Social participation was categorized into 8 types.METHODThe study was based on the Aichi Gerontological Evaluation Study (AGES) Cohort Study data. We followed 13,310 individuals aged 65 years or older for 4 years. Analysis was carried out on 12,951 subjects, excluding 359 people whose information on age or sex was missing. Social participation was categorized into 8 types.Compared to those that did not participate in any organizations, the hazard ratio (HR) was 0.83 (95% CI: 0.73-0.95) for participation in one, 0.72 (0.61-0.85) for participation in two, and 0.57 (0.46-0.70) for participation in three or more different types of organizations. In multivariable adjusted models, participation in the following types of organization was protective for incident disability: local community organizations (HR = 0.85, 95% CI: 0.76-0.96), hobby organizations (HR = 0.75, 95% CI: 0.64-0.87), and sports organizations (HR = 0.64, 95% CI: 0.54-0.81).RESULTSCompared to those that did not participate in any organizations, the hazard ratio (HR) was 0.83 (95% CI: 0.73-0.95) for participation in one, 0.72 (0.61-0.85) for participation in two, and 0.57 (0.46-0.70) for participation in three or more different types of organizations. In multivariable adjusted models, participation in the following types of organization was protective for incident disability: local community organizations (HR = 0.85, 95% CI: 0.76-0.96), hobby organizations (HR = 0.75, 95% CI: 0.64-0.87), and sports organizations (HR = 0.64, 95% CI: 0.54-0.81).Social participation may decrease the risk of incident functional disability in older people in Japan. This effect may be strengthened by participation in a variety of different types of organizations. Participating in a local community, hobby, or sports group or organization may be especially effective for decreasing the risk of disability.CONCLUSIONSocial participation may decrease the risk of incident functional disability in older people in Japan. This effect may be strengthened by participation in a variety of different types of organizations. Participating in a local community, hobby, or sports group or organization may be especially effective for decreasing the risk of disability. |
Audience | Academic |
Author | Kawachi, Ichiro Aida, Jun Ishikawa, Yoshiki Suzuki, Kayo Kai, Yuko Hirai, Hiroshi Kanamori, Satoru Shirai, Kokoro Kondo, Katsunori |
AuthorAffiliation | 1 Tokyo Medical University, Department of Preventive Medicine and Public Health, Tokyo, Japan 2 Human Resource Management Department, ITOCHU Techno-Solutions Corporation, Tokyo, Japan 10 Department of Health and Social Behavior, School of Public Health, The University of Tokyo, Tokyo, Japan Federal University of Rio de Janeiro, Brazil 9 Department of Human Sciences, School of Law and Letters, University of the Ryukyus, Okinawa, Japan 5 Center for Preventive Medical Science, Chiba University, Chiba, Japan 6 Center for Well-being and Society, Nihon Fukushi University, Aichi, Japan 11 Department of Social Policies, Aichi Gakuin University, Aichi, Japan 3 Physical Fitness Research Institute, Meiji Yasuda Life Foundation of Health and Welfare, Tokyo, Japan 4 Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Miyagi, Japan 7 Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, Massachusetts, United States of America 8 |
AuthorAffiliation_xml | – name: 2 Human Resource Management Department, ITOCHU Techno-Solutions Corporation, Tokyo, Japan – name: 8 Faculty of Engineering, Department of Civil and Environmental Engineering, Iwate University, Iwate, Japan – name: 11 Department of Social Policies, Aichi Gakuin University, Aichi, Japan – name: 1 Tokyo Medical University, Department of Preventive Medicine and Public Health, Tokyo, Japan – name: 3 Physical Fitness Research Institute, Meiji Yasuda Life Foundation of Health and Welfare, Tokyo, Japan – name: 7 Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, Massachusetts, United States of America – name: 9 Department of Human Sciences, School of Law and Letters, University of the Ryukyus, Okinawa, Japan – name: 4 Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Miyagi, Japan – name: Federal University of Rio de Janeiro, Brazil – name: 10 Department of Health and Social Behavior, School of Public Health, The University of Tokyo, Tokyo, Japan – name: 6 Center for Well-being and Society, Nihon Fukushi University, Aichi, Japan – name: 5 Center for Preventive Medical Science, Chiba University, Chiba, Japan |
Author_xml | – sequence: 1 givenname: Satoru surname: Kanamori fullname: Kanamori, Satoru – sequence: 2 givenname: Yuko surname: Kai fullname: Kai, Yuko – sequence: 3 givenname: Jun surname: Aida fullname: Aida, Jun – sequence: 4 givenname: Katsunori surname: Kondo fullname: Kondo, Katsunori – sequence: 5 givenname: Ichiro surname: Kawachi fullname: Kawachi, Ichiro – sequence: 6 givenname: Hiroshi surname: Hirai fullname: Hirai, Hiroshi – sequence: 7 givenname: Kokoro surname: Shirai fullname: Shirai, Kokoro – sequence: 8 givenname: Yoshiki surname: Ishikawa fullname: Ishikawa, Yoshiki – sequence: 9 givenname: Kayo surname: Suzuki fullname: Suzuki, Kayo |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24923270$$D View this record in MEDLINE/PubMed |
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ContentType | Journal Article |
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Copyright | COPYRIGHT 2014 Public Library of Science 2014 Kanamori et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2014 Kanamori et al 2014 Kanamori et al |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Competing Interests: Satoru Kanamori is employed by ITOCHU Techno-Solutions Corporation. There are no patents, products in development or marketed products to declare. This does not alter the authors' adherence to all the PLOS ONE policies on sharing data and materials, as detailed online in the guide for authors. Membership of The JAGES Group is provided in the Acknowledgments. Conceived and designed the experiments: SK YK JA KK HH The JAGES Group. Analyzed the data: SK YK JA KK YI. Wrote the paper: SK YK KK IK. Reviewing of manuscript: SK YK JA KK IK HH K. Shirai YI K. Suzuki The JAGES Group. Acquisition of data: KK HH K. Suzuki The JAGES Group. |
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Snippet | We examined the relationship between incident functional disability and social participation from the perspective of number of types of organizations... Background We examined the relationship between incident functional disability and social participation from the perspective of number of types of... Background We examined the relationship between incident functional disability and social participation from the perspective of number of types of... |
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SubjectTerms | Aged Aged, 80 and over Aging Analysis Asian People - psychology Asian People - statistics & numerical data Behavior Biology and Life Sciences Cohort analysis Cohort Studies Community Community involvement Community organizations Community participation Dementia Disabled Persons - statistics & numerical data Epidemiology Female Geriatric Assessment Gerontology Health risk assessment Health Services for the Aged - organization & administration Hobbies - psychology Hobbies - statistics & numerical data Humans Incidence Japan - epidemiology Long term health care Male Medicine and Health Sciences Mortality Older people Oral hygiene Organizations Participation Population Prevention Preventive medicine Primary Prevention - methods Primary Prevention - organization & administration Public health Research and Analysis Methods Residence Characteristics - statistics & numerical data Risk reduction Science Social Participation - psychology Social Sciences Society Sports - physiology Sports - psychology Sports associations Studies Systematic review |
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Title | Social Participation and the Prevention of Functional Disability in Older Japanese: The JAGES Cohort Study |
URI | https://www.ncbi.nlm.nih.gov/pubmed/24923270 https://www.proquest.com/docview/1535246526 https://www.proquest.com/docview/1535625026 https://pubmed.ncbi.nlm.nih.gov/PMC4055714 https://doaj.org/article/50ae35415ee34c4ab1021da1f335b9f0 http://dx.doi.org/10.1371/journal.pone.0099638 |
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