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Large-scale epidemiologic studies on social participation and its association with health outcomes in people with early-stage dementia

Research Project

Project/Area Number 19H03915
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 58030:Hygiene and public health-related: excluding laboratory approach
Research InstitutionNational Center for Geriatrics and Gerontology

Principal Investigator

Saito Tami  国立研究開発法人国立長寿医療研究センター, 老年学・社会科学研究センター, 部長 (80323608)

Co-Investigator(Kenkyū-buntansha) 近藤 克則  国立研究開発法人国立長寿医療研究センター, 老年学・社会科学研究センター, 部長 (20298558)
村田 千代栄  東海学園大学, 健康栄養学部, 教授 (40402250)
櫻井 孝  国立研究開発法人国立長寿医療研究センター, 病院, 副院長 (50335444)
小野 玲  神戸大学, 保健学研究科, 准教授 (50346243)
石原 眞澄  国立研究開発法人国立長寿医療研究センター, 老年学・社会科学研究センター, 研究員 (70759597)
中川 威  国立研究開発法人国立長寿医療研究センター, 老年学・社会科学研究センター, 主任研究員 (60636942)
Project Period (FY) 2019-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥16,250,000 (Direct Cost: ¥12,500,000、Indirect Cost: ¥3,750,000)
Fiscal Year 2021: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2020: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2019: ¥8,190,000 (Direct Cost: ¥6,300,000、Indirect Cost: ¥1,890,000)
Keywords認知症 / 社会参加 / 大規模データ / 予後
Outline of Research at the Start

軽度認知症者は抑うつ度や生活の質が不良といわれ孤立傾向の可能性があるが、彼らの社会参加状況や予後への影響はほとんど明らかではない。本研究では主に2つの大規模疫学データから、1)軽度認知症者や軽度認知障害者における社会活動参加と死亡や要介護認定との関連を検証、2)一般高齢者、認知症ハイリスク者、認知症者の3群比較から、参加継続しやすい活動内容やその関連要因を検証、3)一般住民の認知症者との関わり意識とその関連要因を検証、4)以上に基づく認知症者の社会参加継続のための教育プログラムを開発、予備的に実施、評価する。

Outline of Final Research Achievements

This quantitative study examined the association between social participation and mortality risk in people with dementia (PWD). It further examined social participation and its correlates in community-dwelling older adults with or without dementia as well as the community residents’ perception of social participation among PWD and its correlates. Our findings indicate the following: 1) Social participation may contribute to improved prognosis in PWD. 2) Difficulties in social participation may depend on its domains. 3) Effective measures are required to maintain social participation among PWD, regardless of their familial care availability. 4) Residents’ perception of social participation by PWD was not positive. However, this unfavorable perception may be alleviated by increasing social contact among community residents, including contact with PWD.

Academic Significance and Societal Importance of the Research Achievements

認知症を対象とする知見の多くは医学的側面から検討されている。本研究では認知症者の社会参加に着目し、複数のデータを用いて、社会参加促進の根拠および社会参加促進の手がかりとなる知見を検討した。これらは国内外において高い学術的新規性を有するとともに、今後認知症者の社会参加促進を行うための、政策、公的支援、地域づくりのそれぞれの場において根拠となる資料として役立てられるものと期待される。

Report

(4 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Annual Research Report
  • 2019 Annual Research Report
  • Research Products

    (50 results)

All 2022 2021 2020 2019 Other

All Int'l Joint Research (2 results) Journal Article (19 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 17 results,  Open Access: 9 results) Presentation (29 results) (of which Int'l Joint Research: 4 results,  Invited: 3 results)

  • [Int'l Joint Research] University College London(英国)

    • Related Report
      2019 Annual Research Report
  • [Int'l Joint Research] Turku University(フィンランド)

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Association between intra-individual changes in social network diversity and global cognition in older adults: Does closeness to network members make a difference?2022

    • Author(s)
      Saito T, Nishita Y, Tange C, Nakagawa T, Tomida M, Otsuka R, Fujiko Ando F, Hiroshi Shimokata H, Hidenori Arai H
    • Journal Title

      J Psychosomatic Research

      Volume: - Pages: 110658-110658

    • DOI

      10.1016/j.jpsychores.2021.110658

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Social functions and adverse outcome onset in older adults with mild long-term care needs: A two-year longitudinal study2022

    • Author(s)
      Noguchi T, Nakagawa T, Komatsu A, Ishihara M, Shindo Y, Otani , Saito T
    • Journal Title

      Archives of Gerontology and Geriatrics

      Volume: - Pages: 104631-104631

    • DOI

      10.1016/j.archger.2022.104631

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Art and cultural activity engagement and depressive symptom onset among older adults: A longitudinal study from the Japanese Gerontological Evaluation Study2022

    • Author(s)
      Taiji Noguchi, Masumi Ishihara, Chiyoe Murata, Takeshi Nakagawa, Ayane Komatsu, Katsunori Kondo, Tami Saito
    • Journal Title

      International Journal of Geriatric Psychiatry

      Volume: 37(3) Issue: 3 Pages: 104631-104631

    • DOI

      10.1002/gps.5685

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Aging-in-place preferences and institutionalization among Japanese older adults: a 7-year longitudinal study2022

    • Author(s)
      Nakagawa T, Noguchi T, Komatsu K, Ishihara M, Saito T
    • Journal Title

      BMC Geriatrics

      Volume: 22(1) Issue: 1 Pages: 66-66

    • DOI

      10.1186/s12877-022-02766-5

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Association between community-level social capital and frailty onset among older adults: a multilevel longitudinal study from the Japan Gerontological Evaluation Study (JAGES)2022

    • Author(s)
      Noguchi T, Murata C, Hayashi T, Watanabe R, Saito M, Kojima M, Kondo K, Saito T
    • Journal Title

      Journal of Epidemiology & Community Health

      Volume: 76(2) Issue: 2 Pages: 182-189

    • DOI

      10.1136/jech-2021-217211

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Sustained mood improvement by the positive photo appreciation program in older adults2021

    • Author(s)
      Masumi Ishihara, Tami Saito, Takashi Sakurai, Hidenori Arai
    • Journal Title

      International Journal of Geriatric Psychiatry

      Volume: 36(6) Issue: 6 Pages: 970-971

    • DOI

      10.1002/gps.5493

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 都市部の中高年就労者における地域活動への参加:仕事特性および主観的ウェルビーイングとの関連2021

    • Author(s)
      小林江理香, 原田謙, 斎藤民
    • Journal Title

      老年社会科学

      Volume: 43(1) Pages: 36-48

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Community-level educational attainment and dementia: a 6-year longitudinal multilevel study in Japan.2021

    • Author(s)
      Takasugi T, Tsuji T, Hanazato M, Miyaguni Y, Ojima T, Kondo K
    • Journal Title

      BMC Geriatr

      Volume: 21(1) Issue: 1 Pages: 661-661

    • DOI

      10.1186/s12877-021-02615-x

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Community social support and onset of dementia in older Japanese individuals: a multilevel analysis using the JAGES cohort data2021

    • Author(s)
      Yasuhiro Miyaguni, Takahiro Tabuchi, Jun Aida, Masashige Saito, Taishi Tsuji, Yuri Sasaki, Katsunori Kondo
    • Journal Title

      BMJ Open

      Volume: 11 Issue: 6 Pages: e044631-e044631

    • DOI

      10.1136/bmjopen-2020-044631

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Functional Decline and Body Composition Change in Older Adults With Alzheimer Disease: A Retrospective Cohort Study at a Japanese Memory Clinic2021

    • Author(s)
      Murata S, Ono R, Sugimoto T, Toba K, Sakurai T
    • Journal Title

      Alzheimer Dis Assoc Disord

      Volume: 35(1) Issue: 1 Pages: 36-43

    • DOI

      10.1097/wad.0000000000000426

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 地域在住高齢者における社会参加割合変化: JAGES6年間の繰り返し横断研究2021

    • Author(s)
      渡邉良太、辻大士、井手一茂、林尊弘、斎藤民、尾島俊之、近藤克則
    • Journal Title

      厚生の指標

      Volume: 68(3) Pages: 2-9

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 高齢者の豊かな社会関係づくりを通じた介護予防2020

    • Author(s)
      斎藤民
    • Journal Title

      生きがい研究

      Volume: 26 Pages: 23-33

    • Related Report
      2020 Annual Research Report
  • [Journal Article] 日本の高齢者における生物・心理・社会的な認知症関連リスク要因に関するシステマティックレビュー2020

    • Author(s)
      高杉友, 近藤 克則
    • Journal Title

      老年社会科学

      Volume: 42(3) Pages: 173-187

    • NAID

      130008107860

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 高齢者の趣味の種類および数と認知症発症 JAGES6年縦断研究2020

    • Author(s)
      Ling Ling, 辻大士, 長嶺由衣子, 宮國康弘, 近藤克則
    • Journal Title

      日本公衆衛生雑誌

      Volume: 67(11) Pages: 800-810

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Impact of frailty on activities of daily living, cognitive function, and conversion to dementia in older adults with mild cognitive impairment2020

    • Author(s)
      Sugimoto T, Ono R, Kimura A, Sakai T, ,Saji N, Niida S, Toba K, Sakurai T
    • Journal Title

      J Alzheimers Dis

      Volume: 76(3) Issue: 3 Pages: 895-903

    • DOI

      10.3233/jad-191135

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Combined effect of marriage and education on mortality: A cross-national study of older Japanese and Finnish men and women2020

    • Author(s)
      Saito T, Oksanen T, Shirai K, Fujiwara T, Pentti J, and Vahtera J
    • Journal Title

      Journal of Epidemiology

      Volume: -

    • NAID

      130007922541

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Validation study on a Japanese version of 3-item UCLA loneliness scale among community-dwelling older adults2019

    • Author(s)
      Saito Tami, Cable Noriko, Aida Jun, Shirai Kokoro, Saito Masashige, Kondo Katsunori
    • Journal Title

      Geriatrics and Gerontology International

      Volume: 19(10) Issue: 10 Pages: 1068-1069

    • DOI

      10.1111/ggi.13758

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Development of the Positive Photo Appreciation for Dementia program for people with mild cognitive impairment and early‐stage Alzheimer's disease: A feasibility study2019

    • Author(s)
      Masumi Ishihara, Tami Saito, Takashi Sakurai, Aiko Osawa, Ikue Ueda, Masaki Kamiya, Hidenori Arai
    • Journal Title

      Geriatrics & Gerontology International(GGI)

      Volume: 19 Issue: 10 Pages: 1064-1066

    • DOI

      10.1111/ggi.13739

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 高齢化する大規模団地での保健活動 そのチャンスと課題2019

    • Author(s)
      斎藤民, 近藤尚己
    • Journal Title

      保健師ジャーナル

      Volume: 75(10) Pages: 816-821

    • Related Report
      2019 Annual Research Report
  • [Presentation] 家族の介護負担感と認知症者の死亡リスク:もの忘れ外来患者コホート(NCGG-STORIES)2022

    • Author(s)
      斎藤 民, 杉本大貴, 小野 玲, 中川 威, 野口泰司, 小松亜弥音, 内田一彰, 黒田佑次郎, 荒井秀典, 櫻井 孝
    • Organizer
      第32回日本疫学会学術総会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 高齢者・認知症にやさしいまち指標と健康・幸福の関連:JAGES横断研究2022

    • Author(s)
      野口泰司,藤原聡子,鄭丞媛,井手一茂,斎藤民,近藤克則,尾島俊之
    • Organizer
      第32回日本疫学会学術総会
    • Related Report
      2021 Annual Research Report
  • [Presentation] Involvement in Decision-Making for Daily Care and Cognitive Decline among Older Adults Who Need Care in Japan2021

    • Author(s)
      Komatsu A, Nakagawa T, Noguchi T, Saito T
    • Organizer
      Gerontological Society of America 2021 Annual Scientific Meeting
    • Related Report
      2021 Annual Research Report
  • [Presentation] Trajectories of Functional Health Following Stroke: The Role of Social Resources2021

    • Author(s)
      Nakagawa T, Noguchi T, Komatsu A, Ishihara M, Saito T
    • Organizer
      Gerontological Society of America 2021 Annual Scientific Meeting
    • Related Report
      2021 Annual Research Report
  • [Presentation] Prejudice and discrimination against people with dementia2021

    • Author(s)
      Nakagawa T, Noguchi T, Saito T
    • Organizer
      The 15th International Congress of the Asian Society Against Dementia
    • Related Report
      2021 Annual Research Report
  • [Presentation] 認知症者の社会参加と死亡リスク:もの忘れ外来患者コホート(NCGG-STORIES)2021

    • Author(s)
      斎藤民、中川威、野口泰司、小松亜弥音、石原眞澄、小野玲
    • Organizer
      第80回日本公衆衛生学会総会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 独居高齢者の健康と生活像: 社会老年学における知見から2021

    • Author(s)
      斎藤民
    • Organizer
      第32回日本老年学会総会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 認知症者における行動心理症状と予後の関連:NCGG-STORIES2021

    • Author(s)
      野口泰司,小野玲,中川威,石原眞澄,小松亜弥音,斎藤民
    • Organizer
      第80回日本公衆衛生学会総会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 病型別にみたもの忘れ外来受診者の生命予後と死亡原因2021

    • Author(s)
      小野玲, 櫻井孝, 杉本大貴, 内田一彰, 小松亜弥音, 野口泰司, 中川威, 荒井秀典, 斎藤民
    • Organizer
      第40回日本認知症学会
    • Related Report
      2021 Annual Research Report
  • [Presentation] MCIまたは認知症を有する人と家族介護者への心理社会的教育支援プログラムのRCT-Pilot study-2021

    • Author(s)
      清家 理, 竹内さやか, 萩原淳子, 猪口里永子, 伊藤眞奈美, 天白宗和, 溝神文博, 鈴木宏和, 堀部賢太郎, 斎藤 民, 武田章敬, 櫻井 孝, 荒井秀典
    • Organizer
      第40回日本認知症学会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 認知症患者の希望する死亡場所と実際に関する実態調査2021

    • Author(s)
      杉本大貴, 櫻井孝, 小松亜弥音, 野口泰司, 中川威, 木村藍, 小野玲, 斎藤民
    • Organizer
      第10回日本認知症予防学会学術集会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 地域在住高齢者における地域包括支援センター等の相談機関への援助要請と抑うつの関連:地域生活課題の重篤化予防の観点から:JAGES横断研究2021

    • Author(s)
      伊藤大介、斎藤民、近藤克則
    • Organizer
      日本老年社会科学会第63回大会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 高齢者の被対面交流と精神的健康との関連:JAGES2019横断研究2021

    • Author(s)
      福定正城、斉藤雅茂、近藤克則、斎藤民
    • Organizer
      日本老年社会科学会第63回大会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 心疾患罹患に伴う人生満足度の変化2021

    • Author(s)
      中川威, 野口泰司, 小松亜弥音, 石原眞澄, 斎藤民
    • Organizer
      日本老年社会科学会第63回大会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 在宅要介護高齢者における介護への意思決定関与に関連する要因の検討2021

    • Author(s)
      小松亜弥音, 中川威, 野口泰司, 石原眞澄, 斎藤民
    • Organizer
      日本老年社会科学会第63回大会
    • Related Report
      2021 Annual Research Report
  • [Presentation] もの忘れ外来受診者における生命予後の予測モデルの作成2021

    • Author(s)
      杉本大貴, 櫻井孝, 野口泰司, 小松亜弥音, 中川威, 植田郁恵, 大沢愛子, 李相侖, 小野玲, 斎藤民
    • Organizer
      第63回日本老年医学会学術集会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 趣味をグループで行う人は、一人で行う人より認知症発症リスクは低いのか? JAGES2010-2016 6年間の縦断研究2021

    • Author(s)
      Ling Ling, 辻 大士, 井手 一茂, 王 鶴群, 近藤 克則
    • Organizer
      日本老年社会科学会第63回大会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 芸術・文化的活動と抑うつ発生との関連:JAGES 縦断研究2021

    • Author(s)
      野口泰司, 石原眞澄, 村田千代栄, 近藤克則, 斎藤民
    • Organizer
      第32回日本疫学会学術総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 大都市中高齢者における住居形態と座位時間との関連2020

    • Author(s)
      斎藤民, 原田謙, 小林江里香
    • Organizer
      第62回日本老年社会科学会大会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 仕事の特性と地域活動への参加: 大都市の中高年就労者の分析から2020

    • Author(s)
      小林江理香, 原田謙, 斎藤民
    • Organizer
      第62回日本老年社会科学会大会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 在宅要介護者における閉じこもり・社会的孤立発生状況とその関連要因2020

    • Author(s)
      斎藤民, 近藤克則, 尾島俊之, 金子惇
    • Organizer
      第79回日本公衆衛生学会大会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 高齢者の社会的ネットワークと認知症リスクとの関連 JAGES6年間縦断研究2020

    • Author(s)
      藤原 聡子, 宮國 康弘, 辻 大士, 近藤 克則
    • Organizer
      第79回日本公衆衛生学会大会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 高齢者の地域組織参加の種類別頻度と認知症発症の関連 JAGES2010-2016縦断研究2020

    • Author(s)
      井手 一茂, 辻 大士, 金森 悟, 渡邉 良太, 飯塚 玄明, 近藤 克則
    • Organizer
      第79回日本公衆衛生学会大会
    • Related Report
      2020 Annual Research Report
  • [Presentation] Studies on social relationship factors of incident dementia using the Japan Gerontological Evaluation Study (JAGES) data2019

    • Author(s)
      Tami Saito
    • Organizer
      ESRC Workshop: Cognitive ageing and dementia: Perspectives from the UK and Japan
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Availability of informal and formal supports and their correlates among Japanese older men and women2019

    • Author(s)
      Tami Saito, Chiyoe Murata, Masashige Saito, Katsunori Kondo
    • Organizer
      The 11th IAGG Asia/Oceania Regional Congress
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] A pilot intervention to promote psychological well-being among older persons in Japan2019

    • Author(s)
      Murata C, Nakamura H, Saito T
    • Organizer
      The 11th IAGG Asia/Oceania Regional Congress
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 認知症等による高齢者の行方不明の動向2019

    • Author(s)
      斎藤民
    • Organizer
      第9回日本認知症予防学会学術集会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] Assessment of the Feasibility of a Positive Art Program for Dyads of People with Dementia and their Caregivers2019

    • Author(s)
      Ishihara M, Saito T, Sakurai T, Osawa A, Ueda I, Kamiya M, Arai H
    • Organizer
      The 6th World Congress on Positive Psychology(WCPP)
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 高齢者の受援力とその関連要因:困りごと相談相手に基づく類型化とその特徴2019

    • Author(s)
      斎藤民, 村田千代栄, 斉藤雅茂, 近藤克則
    • Organizer
      第61回日本老年社会科学会
    • Related Report
      2019 Annual Research Report

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Published: 2019-04-18   Modified: 2023-01-30  

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