TY - JOUR
T1 - Prevalence of Frailty Assessed by Fried and Kihon Checklist Indexes in a Prospective Cohort Study
T2 - Design and Demographics of the Kyoto-Kameoka Longitudinal Study
AU - Yamada, Yosuke
AU - Nanri, Hinako
AU - Watanabe, Yuya
AU - Yoshida, Tsukasa
AU - Yokoyama, Keiichi
AU - Itoi, Aya
AU - Date, Heiwa
AU - Yamaguchi, Miwa
AU - Miyake, Motoko
AU - Yamagata, Emi
AU - Tamiya, Hajime
AU - Nishimura, Miho
AU - Fujibayashi, Mami
AU - Ebine, Naoyuki
AU - Yoshida, Mitsuyoshi
AU - Kikutani, Takeshi
AU - Yoshimura, Eiichi
AU - Ishikawa-Takata, Kazuko
AU - Yamada, Minoru
AU - Nakaya, Tomoki
AU - Yoshinaka, Yasuko
AU - Fujiwara, Yoshinori
AU - Arai, Hidenori
AU - Kimura, Misaka
N1 - Publisher Copyright:
© 2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine
PY - 2017/8/1
Y1 - 2017/8/1
N2 - Objective The Kyoto-Kameoka Study was launched in 2011–2012 to identify the associations among food intake, nutritional status, physical activity, oral function, quality of life or social capital, the use of long-term care insurance (LTCI) system, and healthy lifespan in community-dwelling older people as a part of the World Health Organization Safe Community program. Design A prospective cohort study, reporting baseline demographics (cross-sectional data). Setting and participants We conducted 2 mailed self-administered questionnaire surveys; one is a complete population survey with a comprehensive survey of needs in the sphere of daily life (NSDL) that included 2 different frailty indexes, the Kihon Checklist (KCL) and the Fried phenotype, socioeconomic status, general and psychological health, and social relationships; followed by the more detailed Health and Nutrition Survey. A slightly modified NSDL survey was conducted again in 2013. Survival time, LTCI certification, and medical and long-term care costs after the baseline survey will be followed. Results Of 18,231 NSDL questionnaires distributed, 13,294 people responded (response rate: 72.92%; mean age 73.7 ± 6.4 and 75.1 ± 7.2 years for men and women, respectively; 12,054 people without and 1240 with LTCI certification). In people without LTCI, the proportion of robust, prefrail, and frail were 30.3%, 59.8%, and 9.9% in men and 25.3%, 64.7%, and 10.0% in women, according to the Fried index. The proportion of frail people as defined by KCL ≥7 was 30.8% in men and 33.3% in women. Conclusions The study is the first to document frailty prevalence using both Fried and KCL measures with a complete city population survey among older Japanese in the community as a part of World Health Organization Safe Community program. The study is expected to provide valuable evidence of the effects of lifestyle habits on long-term care prevention and healthy life span.
AB - Objective The Kyoto-Kameoka Study was launched in 2011–2012 to identify the associations among food intake, nutritional status, physical activity, oral function, quality of life or social capital, the use of long-term care insurance (LTCI) system, and healthy lifespan in community-dwelling older people as a part of the World Health Organization Safe Community program. Design A prospective cohort study, reporting baseline demographics (cross-sectional data). Setting and participants We conducted 2 mailed self-administered questionnaire surveys; one is a complete population survey with a comprehensive survey of needs in the sphere of daily life (NSDL) that included 2 different frailty indexes, the Kihon Checklist (KCL) and the Fried phenotype, socioeconomic status, general and psychological health, and social relationships; followed by the more detailed Health and Nutrition Survey. A slightly modified NSDL survey was conducted again in 2013. Survival time, LTCI certification, and medical and long-term care costs after the baseline survey will be followed. Results Of 18,231 NSDL questionnaires distributed, 13,294 people responded (response rate: 72.92%; mean age 73.7 ± 6.4 and 75.1 ± 7.2 years for men and women, respectively; 12,054 people without and 1240 with LTCI certification). In people without LTCI, the proportion of robust, prefrail, and frail were 30.3%, 59.8%, and 9.9% in men and 25.3%, 64.7%, and 10.0% in women, according to the Fried index. The proportion of frail people as defined by KCL ≥7 was 30.8% in men and 33.3% in women. Conclusions The study is the first to document frailty prevalence using both Fried and KCL measures with a complete city population survey among older Japanese in the community as a part of World Health Organization Safe Community program. The study is expected to provide valuable evidence of the effects of lifestyle habits on long-term care prevention and healthy life span.
KW - Kihon Checklist
KW - Long-term care insurance
KW - frailty
KW - prevalence
KW - prospective cohort
KW - study design
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U2 - 10.1016/j.jamda.2017.02.022
DO - 10.1016/j.jamda.2017.02.022
M3 - Article
C2 - 28501417
AN - SCOPUS:85025467544
SN - 1525-8610
VL - 18
SP - 733.e7-733.e15
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
IS - 8
ER -
