Classification of frailty using the Kihon checklist: A cluster analysis of older adults in urban areas

Geriatrics and Gerontology International - Tập 17 Số 1 - Trang 69-77 - 2017
Takeshi Kera1, Hisashi Kawai1, Hideyo Yoshida1, Hirohiko Hirano1, Motonaga Kojima2, Yoshinori Fujiwara1, Kazushige Ihara3, Shuichi Obuchi1
1Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
2University of Tokyo Health Sciences, Tokyo, Japan
3Toho University, Tokyo, Japan

Tóm tắt

AimFrailty is an important predictor of the need for long‐term care and hospitalization. Our aim was to categorize frailty in community‐dwelling older adults.MethodsThe present study was carried out in 2011–2013, and consisted of 1380 individuals over 65 years of age. Participants completed the Kihon checklist, which is widely used to assess frailty in Japan, and their physical, cognitive and social function was evaluated. Non‐hierarchical cluster analysis was used to statistically categorize frailty. The optimum number of clusters was determined as the point at which the external reference values (instrumental activity of daily living score, grip power, 10‐m walk time, body mass index, portable fall risk index, occlusal force and Mini‐Mental State Examination score) differed.ResultsAccording to the Kihon checklist, 369 (26.7%) of the 1380 study participants were considered frail. When the cluster number was increased from two to six, the scores in each subdomain of the Kihon checklist significantly differed. The estimated minimum number of clusters was five, and each of the five cluster groups had distinct characteristics. The numbers of participants in cluster groups 1–5 were 105, 78, 62, 71 and 53, respectively.ConclusionsWe identified five types of frailty in community‐dwelling older adults in Japan: “experience of falling,” “pre‐frailty,” “oral frailty,” “housebound” and “severe frailty.” Geriatr Gerontol Int 2017; 17: 69–77.

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Tài liệu tham khảo

National Institute of Population and Social Security Research.Population Projections for Japan.2012. [Cited 08 Nov 2015.] Available from URL:http://www.ipss.go.jp/site‐ad/index_english/esuikei/h1_1.html

U.N.2015 Revision of World Population Prospects. [Cited 08 Nov 2015.] Available from URL:http://esa.un.org/unpd/popdev/Profilesofageing2015/index.html.

10.1093/gerona/56.3.M146

10.1093/ageing/afs047

10.1016/j.jamda.2013.03.022

10.3143/geriatrics.48.545

Japan Ministry of Health Labor and welfare.Results of survey on the implementation status of preventive long‐term care project and preventive long‐term care total daily living support project (community support project)in2013. [Cited 08 Nov 2015.] Available from URL:http://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000075280.html

10.1265/jjh.68.11

Japan Ministry of Health Labor and welfare.Manual of services of care prevention benefits.2014. [Cited 08 Nov 2015.] Available from URL:http://www.mhlw.go.jp/topics/2009/05/tp0501‐1.html

10.3143/geriatrics.48.545

10.1016/j.jns.2010.03.021

10.1111/ggi.12399

10.1016/0167-4943(91)90053-S

SuzukiH HujiwaraY NasreddineZ.MoCA (Montreal cognitive assessment) Japanese version. [Cited 13 May 2015.] Available from URL:http://www.mocatest.org/paper‐tests/moca‐test‐full/

10.3143/geriatrics.42.346

Japan Ministry of Health Labor and welfare.Long‐Term Care Health and Welfare Services for the Elderly.2013. [Cited 08 Nov 2015.] Available from URL:http://www.mhlw.go.jp/english/policy/care‐welfare/care‐welfare‐elderly/index.html

Tomata Y, 2011, Validation of the Kihon Checklist for predicting the risk of 1‐year incident long‐term care insurance certification: the Ohsaki Cohort 2006 Study, Nihon Koshu Eisei Zasshi, 58, 3

10.1503/cmaj.050051

10.1093/ageing/afl041

10.1007/s11136-014-0672-1

10.1093/gerona/54.3.B124

10.1093/oxfordjournals.aje.a009796

10.1093/gerona/gls204

10.1177/0003489414528669

10.3143/geriatrics.49.344

10.1159/000353859

10.1159/000058355

10.1136/pgmj.2006.052399

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Geriatrics and Gerontology International

Tập 17 Số 1

69-77

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