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Prevalence of frailty and its relation with psychosocial and economical inequity in a national sample of Japanese older adults

Research Project

Project/Area Number 17H01555
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field Epidemiology and preventive medicine
Research InstitutionTokyo Metropolitan Geriatric Hospital and Institute of Gerontology

Principal Investigator

SHINKAI Shoji  地方独立行政法人東京都健康長寿医療センター(東京都健康長寿医療センター研究所), 東京都健康長寿医療センター研究所, 副所長 (60171063)

Co-Investigator(Kenkyū-buntansha) 秋山 弘子  東京大学, 高齢社会総合研究機構, 教授 (10292731)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥43,550,000 (Direct Cost: ¥33,500,000、Indirect Cost: ¥10,050,000)
Fiscal Year 2019: ¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2018: ¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000)
Fiscal Year 2017: ¥33,800,000 (Direct Cost: ¥26,000,000、Indirect Cost: ¥7,800,000)
Keywordsフレイル / 全国高齢者代表標本 / 縦断研究 / 格差 / 予防医学
Outline of Final Research Achievements

Prevalence of frailty based on Fried and colleagues’ criteria was shown using home-visit interview data for a nationwide probability sample of older Japanese aged 65 and over: 8.7% “frail”, 40.8% “prefrail”, and 50.5% “robust”. Women, people with older age, and those with lower socioeconomic status had higher proportion of frailty than their counterparts. Compared to being robust, being frail and prefrail showed a higher risk for all adverse health outcomes five years later, which suggests the validity of the frailty criteria used. Moreover, analyses on the five-year transition in frailty status showed that participation in social activities and positive attitudes toward one’s life could prevent older people from worsening frailty status, although effective types of activities and their frequency may vary by gender.

Academic Significance and Societal Importance of the Research Achievements

本研究は、全国代表標本データを用い、日本人高齢者のフレイルの分布と5年間の変化の実態を初めて明らかにした点で意義が大きい。本研究の知見が、今後の我が国のフレイル対策の基礎資料として活用されることが期待できる。また、日本では、握力や歩行などのパフォーマンスに基づく身体機能の測定は、これまで会場招聘型の調査において把握されてきたが、訪問面接調査による本研究の手法は、自力で会場に来るのが困難な高齢者などより幅広い高齢者を対象としたフレイルの実態把握に役立つことが期待される。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Annual Research Report
  • 2017 Annual Research Report
  • Research Products

    (35 results)

All 2020 2019 2018 2017 Other

All Int'l Joint Research (2 results) Journal Article (11 results) (of which Int'l Joint Research: 4 results,  Peer Reviewed: 10 results,  Open Access: 10 results) Presentation (17 results) (of which Int'l Joint Research: 7 results,  Invited: 4 results) Book (3 results) Remarks (2 results)

  • [Int'l Joint Research] ミシガン大学(米国)

    • Related Report
      2018 Annual Research Report
  • [Int'l Joint Research] ミシガン大学(米国)

    • Related Report
      2017 Annual Research Report
  • [Journal Article] Socioeconomic differences in trajectories of functional capacity among older Japanese: A 25-year longitudinal study.2020

    • Author(s)
      Murayama H, Liang J, Shaw BA, Botoseneanu A, Kobayashi E, Fukaya T, Shinkai S
    • Journal Title

      Journal of the American Medical Directors Association

      Volume: 印刷中 Issue: 6 Pages: 734-739.e1

    • DOI

      10.1016/j.jamda.2020.02.012

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Association of physical performance and self-rated health with multimorbidity among older adults: Results from a nationwide survey in Japan.2019

    • Author(s)
      Ishizaki T, Kobayashi E, Fukaya T, Takahashi Y, Shinkai S, Liang J
    • Journal Title

      Archives of Gerontology and Geriatrics

      Volume: 84 Pages: 103904-103904

    • DOI

      10.1016/j.archger.2019.103904

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Age and gender differences in the association between body mass index and all-cause mortality among older Japanese2018

    • Author(s)
      Hiroshi Murayama, Jersey Liang, Benjamin A. Shaw, Anda Botoseneanu, Erika Kobayashi, Taro Fukaya & Shoji Shinkai
    • Journal Title

      Ethnicity & Health

      Volume: - Issue: 6 Pages: 874-887

    • DOI

      10.1080/13557858.2018.1469737

    • Related Report
      2018 Annual Research Report 2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] The Influence of life course financial strains on the later-life health of the Japanese as assessed by four models based on different health indicators2018

    • Author(s)
      Sugisawa H, Sugihara Y, Kobayashi E, Fukaya T, Liang J
    • Journal Title

      Ageing & Society

      Volume: - Issue: 12 Pages: 1-22

    • DOI

      10.1017/s0144686x18000673

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Association of Trajectories of Higher-Level Functional Capacity with Mortality and Medical and Long-Term Care Costs Among Community-Dwelling Older Japanese2018

    • Author(s)
      Taniguchi Yu、Kitamura Akihiko、Nofuji Yu、Ishizaki Tatsuro、Seino Satoshi、Yokoyama Yuri、Shinozaki Tomohiro、Murayama Hiroshi、Mitsutake Seigo、Amano Hidenori、Nishi Mariko、Matsuyama Yutaka、Fujiwara Yoshinori、Shinkai Shoji
    • Journal Title

      The Journals of Gerontology: Series A

      Volume: 印刷中 Issue: 2 Pages: 211-218

    • DOI

      10.1093/gerona/gly024

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effects of Low-Dose Dairy Protein Plus Micronutrient Supplementation during Resistance Exercise on Muscle Mass and Physical Performance in Older Adults: A Randomized, Controlled Trial2018

    • Author(s)
      Seino Satoshi、Sumi K.、Narita M.、Yokoyama Y.、Ashida K.、Kitamura A.、Shinkai S.
    • Journal Title

      The journal of nutrition, health & aging

      Volume: 22 Issue: 1 Pages: 59-67

    • DOI

      10.1007/s12603-017-0904-5

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 「長寿社会における中高年者の暮らし方の調査」-全国高齢者の健康と生活に関する長期縦断研究の裏側から-2017

    • Author(s)
      小林江里香
    • Journal Title

      日本世論調査協会報「よろん」

      Volume: 120号 Pages: 46-51

    • Related Report
      2017 Annual Research Report
    • Open Access
  • [Journal Article] Impact of frailty and metabolic syndrome on the incidence of loss of independence in community-dwelling older Japanese: the Kusatsu-town study2017

    • Author(s)
      北村 明彦、新開 省二、谷口 優、天野 秀紀、清野 諭、横山 友里、西 真理子、藤原 佳典
    • Journal Title

      Nihon Koshu Eisei Zasshi(JAPANESE JOURNAL OF PUBLIC HEALTH)

      Volume: 64 Issue: 10 Pages: 593-606

    • DOI

      10.11236/jph.64.10_593

    • NAID

      130006195440

    • ISSN
      0546-1766, 2187-8986
    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effects of a multifactorial intervention comprising resistance exercise, nutritional and psychosocial programs on frailty and functional health in community-dwelling older adults: A randomized, controlled, cross-over trial2017

    • Author(s)
      Seino Satoshi、Nishi Mariko、Murayama Hiroshi、Narita Miki、Yokoyama Yuri、Nofuji Yu、Taniguchi Yu、Amano Hidenori、Kitamura Akihiko、Shinkai Shoji
    • Journal Title

      Geriatrics & Gerontology International

      Volume: 17 Issue: 11 Pages: 2034-2045

    • DOI

      10.1111/ggi.13016

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Mini-Mental State Examination Score Trajectories and Incident Disabling Dementia Among Community-Dwelling Older Japanese2017

    • Author(s)
      Taniguchi Y, Kitamura A, Murayama H, Amano H, Shinozaki T, Yokota I, Seino S, Nofuji Y, Nishi M, Yokoyama Y, Matsuyama Y, Fujiwara Y, Shinkai S
    • Journal Title

      Geriatr Gerontol Int

      Volume: 印刷中 Issue: 11 Pages: 1928-1935

    • DOI

      10.1111/ggi.12996

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Gait performance trajectories and incidence of dementia2017

    • Author(s)
      Taniguchi Y, Kitamura A, Seino S, Murayama H, Amano H, Nofuji Y, Nishi M, Yokoyama Y, Shinozaki T, Yokota I, Matsuyama Y, Fujiwara Y, Shinkai S
    • Journal Title

      J Am Med Dir Assoc

      Volume: 印刷中 Issue: 2 Pages: 192.e13-192.e20

    • DOI

      10.1016/j.jamda.2016.10.015

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 全国高齢者代表サンプルを用いた日本人高齢者のFrailtyの分布推計と健康アウトカムとの関連2019

    • Author(s)
      村山洋史, 小林江里香, 深谷太郎, 岡本翔平, 石崎達郎, Jersey Liang, 新開省二
    • Organizer
      第61回日本老年医学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 全国高齢者代表サンプルにおけるFrailtyの5年間の変化と社会・心理的要因2019

    • Author(s)
      小林江里香, 村山洋史, 深谷太郎, 岡本翔平, 石崎達郎, Jersey Liang, 新開省二
    • Organizer
      第61回日本老年医学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 高齢期の就労が健康行動に与える影響-疑似実験的アプローチによる分析-2019

    • Author(s)
      岡本翔平,小林江里香,深谷太郎,村山洋史,菅原育子,新開省二
    • Organizer
      日本老年社会科学会第61回大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 中高年者の認知機能低下における男女差の要因分解.2019

    • Author(s)
      岡本翔平, 小林江里香, 深谷太郎, 村山洋史, 新開省二
    • Organizer
      第78回日本公衆衛生学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Trajectories of body mass index and their associations with mortality among older Japanese: Do they differ from those of Western populations?2019

    • Author(s)
      Murayama,H
    • Organizer
      The 1st International Conference on Aging in Times of The New Old: The Aging Panorama in Taiwan, Japan & Singapore
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] National prevalence of frailty in older Japanese population: From a representative national longitudinal survey2018

    • Author(s)
      Murayama H, Kobayashi E, Fukaya T, Ishizaki T, Liang J, Shinkai S
    • Organizer
      The Gerontological Society of America (GSA) 2018 Annual Scientific Meeting
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 男女の健康格差:Male-female health survival paradox2018

    • Author(s)
      岡本翔平, 小林江里香, 深谷太郎, 村山洋史, 新開省二
    • Organizer
      第77回日本公衆衛生学会総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 居住地規模による死亡と要介護の発生率の比較―全国サンプルによる縦断調査JAHEADから2018

    • Author(s)
      深谷太郎, 杉澤秀博, 村山洋史, 石崎達郎, 新開省二, 小林江里香
    • Organizer
      第77回日本公衆衛生学会総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 全国高齢者パネル調査データを分析してみませんか―SSJDA公開データを用いた二次分析への招待―2018

    • Author(s)
      小林江里香, 菅原育子, 村山洋史, 杉澤秀博
    • Organizer
      日本老年社会科学会第60回大会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Bridging the Gap between Evidence and Practice - Community Intervention and Action Research -2018

    • Author(s)
      Shinkai S, Satoshi S, Nofuji Y
    • Organizer
      AMED-RESTEX Aging Symposium
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 社会経済状態と高齢期の生活機能の軌跡パターン2018

    • Author(s)
      村山洋史, Liang J, Shaw BA, Botoseneanu A, 小林江里香, 深谷太郎, 新開省二
    • Organizer
      第28回日本疫学会学術総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Nutritional Status and Active Life Expectancy in a General Population of Older Japanese2017

    • Author(s)
      Shinkai S, Yokoyama Y, Narita M, Taniguchi Y, Seino A, Amano H, Murayama H, Kitamura A
    • Organizer
      The 21st International Association of Gerontology and Geriatrics World Congress
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Trajectory Pattern of Mini-Mental Statue Examination Score and Dementia in KLSAH2017

    • Author(s)
      Shinkai S, Taniguchi Y, amano H, Murayama H, Seino S, Nishi M, Yokoyama Y, Kitamura A
    • Organizer
      The 21st International Association of Gerontology and Geriatrics World Congress
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Trajectories of Body Mass Index and Their Association with Mortality among Older Japanese2017

    • Author(s)
      Murayama H, Liang J, Bennett JM, Shaw BA, Botoseneanu A, Kobayashi E, Fukaya T, Shinkai S
    • Organizer
      The 21st International Association of Gerontology and Geriatrics World Congress
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Social Isolation among Older Japanese: Do Regional Attributes Matter?2017

    • Author(s)
      Kobayashi E, Harada K, Murayama H, Fukaya T, Liang J
    • Organizer
      The 21st International Association of Gerontology and Geriatrics World Congress
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Kusatsu Longitudinal Study on Aging and Health2017

    • Author(s)
      Shinkai S, Taniguchi Y, Seino S, Nishi M, Yokoyama Y, Amano H, Fujiwara Y, Kitamura A
    • Organizer
      The 3rd Asian Conference for Frailty and Sacropenia
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Dietary Variety and Changes in Lean Mass and Physical Peerformance in Community-Dwelling Older Japanese2017

    • Author(s)
      Shinkai S, Yokoyama Y, Narita M, Nishi M, Taniguchi Y, Seino S, amano H, Fujiwara Y, Kitamura A
    • Organizer
      The 3rd Asian Conference for Frailty and Sacropenia
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research / Invited
  • [Book] 死ぬまで介護いらずで人生を楽しむ食べ方2017

    • Author(s)
      新開省二
    • Total Pages
      206
    • Publisher
      草思社
    • Related Report
      2017 Annual Research Report
  • [Book] ジェロントロジー(老年学)における健康長寿に関する研究の動向と今後の展望2017

    • Author(s)
      新開省二、健康長寿新ガイドライン策定委員会
    • Total Pages
      46
    • Publisher
      公益財団法人ライフサイエンス振興財団
    • Related Report
      2017 Annual Research Report
  • [Book] 健康長寿新ガイドラインエビデンスブック2017

    • Author(s)
      新開省二、健康長寿新ガイドライン策定委員会
    • Total Pages
      129
    • Publisher
      社会保険出版社
    • Related Report
      2017 Annual Research Report
  • [Remarks] JAHEAD長寿社会における中高年者の暮らし方の調査

    • URL

      http://www2.tmig.or.jp/jahead/

    • Related Report
      2018 Annual Research Report
  • [Remarks] 調査のホームページ

    • URL

      http://www2.tmig.or.jp/jahead/

    • Related Report
      2017 Annual Research Report

URL: 

Published: 2017-04-28   Modified: 2022-02-28  

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