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Cognitive function, daily function and physical and mental health in older adults: A comparison of venue and home-visit community surveys in Metropolitan Tokyo.
Sakuma, Naoko; Inagaki, Hiroki; Ogawa, Madoka; Edahiro, Ayako; Ura, Chiaki; Sugiyama, Mika; Miyamae, Fumiko; Suzuki, Hiroyuki; Watanabe, Yutaka; Shinkai, Shoji; Okamura, Tsuyoshi; Awata, Shuichi.
Affiliation
  • Sakuma N; Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan. Electronic address: sakuma@tmig.or.jp.
  • Inagaki H; Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan. Electronic address: inagaki@tmig.or.jp.
  • Ogawa M; Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan. Electronic address: madokao@tmig.or.jp.
  • Edahiro A; Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan. Electronic address: aedahiro@tmig.or.jp.
  • Ura C; Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan. Electronic address: ura@tmig.or.jp.
  • Sugiyama M; Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan. Electronic address: sugiyama@tmig.or.jp.
  • Miyamae F; Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan. Electronic address: fmiyamae@tmig.or.jp.
  • Suzuki H; Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan. Electronic address: suzukihy@tmig.or.jp.
  • Watanabe Y; Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan; Gerodontology, Department of Oral Health Science, Faculty of Dental Medicine, Hokkaido University, Sapporo 060-8586, Japan. Electronic address: ywata@den.hokudai.ac.jp.
  • Shinkai S; Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan; Graduate School of Nutrition Sciences, Kagawa Nutrition University, Saitama 350-0288, Japan. Electronic address: shinkai.shoji@eiyo.ac.jp.
  • Okamura T; Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan. Electronic address: tokamura@tmig.or.jp.
  • Awata S; Social and Human Sciences, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan; Integrated Research Initiative for Living Well with Dementia, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan. Electronic address: awata@tmig.or.jp.
Arch Gerontol Geriatr ; 100: 104617, 2022.
Article in En | MEDLINE | ID: mdl-35074699
ABSTRACT

PURPOSE:

We conducted surveys in older people at a venue and in home-visits, and compared cognitive and health status between the two groups to assess their cognitive and everyday functioning.

METHODS:

Among 7,614 persons aged 70 years and older living in an urban area, 5,430 responded to a mail survey for sociodemographic characteristics and self-rated questionnaires including the Geriatric Depression Scale-short form (GDS-15). Of these, 1,360 agreed to attend a venue survey, and 693 agreed to take a home-visit survey. Trained nurses examined participants' blood pressure, medical history, and daily functions using the dementia assessment sheet for community-based integrated care system (DASC-21), and tested their cognitive function using the Mini-Mental State Examination (MMSE).

RESULTS:

Of 2,053 participants, 2,020 (venue 1,352; home-visit 668) completed the MMSE. Median MMSE scores for the venue and home-visit groups were 28 and 26 points, respectively, with 130/1,352 (9.6%) and 205/668 (30.7%) participants below the traditional 23/24 cutoff score. The home-visit group had lower mobility, lower frequency of going out, poorer mental health, and lower independence in instrumental daily activities. Notably, 39.9% and 43.7% of the venue and home-visit groups lived alone, respectively.

CONCLUSIONS:

In this sample of urban older people, the rate of cognitive decline detected using the MMSE was three times higher in the home-visit group than in the venue group. Home-visit participants were more likely to have difficulty in physical, cognitive, and everyday functioning, suggesting they have a greater need for daily living support to continue living in the community.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Activities of Daily Living / Geriatric Assessment Aspects: Patient_preference Limits: Aged / Aged80 / Humans Country/Region as subject: Asia Language: En Journal: Arch Gerontol Geriatr Year: 2022 Document type: Article
Fulltext
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Activities of Daily Living / Geriatric Assessment Aspects: Patient_preference Limits: Aged / Aged80 / Humans Country/Region as subject: Asia Language: En Journal: Arch Gerontol Geriatr Year: 2022 Document type: Article