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The association between living alone and frailty in a rural Japanese population: the Nagasaki Islands study


Yamanashi, H and Shimizu, Y and Nelson, M and Koyamatsu, J and Nagayoshi, M and Kadota, K and Tamai, M and Ariyoshi, K and Maeda, T, The association between living alone and frailty in a rural Japanese population: the Nagasaki Islands study, Journal of Primary Health Care, 7, (4) pp. 269-73. ISSN 1172-6164 (2015) [Refereed Article]


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Copyright 2015 CSIRO. Licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)

DOI: doi:10.1071/HC15269


Introduction: Demographic changes in Japan have resulted in an increased number of elderly living alone.

Aim: The aim of this study was to identify if there is an association between frailty and living alone.

Methods: We conducted a cross-sectional study of 1602 Japanese men and women living in isolated islands. Information obtained included height, body weight, handgrip strength, and family structure; antihypertensive, hypoglycaemic, and lipid-lowering medication use; history of stroke or ischaemic heart disease, smoking history, alcohol intake, joint pain or swelling. Relevant laboratory test results were obtained from recent health check-ups. The Frailty Index for Japanese elderly, a 15-item self-report questionnaire was completed by participants and the Kessler Psychological Distress Scale (K6) was administered.

Results: After individuals aged below 60 years old or those with missing data were excluded, data from 1224 participants were analysed. Living alone (single household family structure) was significantly associated with frailty in men (odds ratio [OR] 3.85; 95% confidence interval [CI] 1.94-7.65), but not in women (OR 1.08; 95% CI 0.72-1.63). This association in men remained statistically significant after adjustment for known risk factors for frailty.

Discussion: In the elderly population in rural Nagasaki, men living alone have a high risk of frailty. Screening and intervention to prevent frailty in this population is urgently needed.

Item Details

Item Type:Refereed Article
Keywords:frail elderly, independent living, Japan, living arrangement, risk factors, rural population
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Aged health care
Objective Division:Health
Objective Group:Specific population health (excl. Indigenous health)
Objective Field:Health related to ageing
UTAS Author:Nelson, M (Professor Mark Nelson)
ID Code:106019
Year Published:2015
Web of Science® Times Cited:17
Deposited By:Medicine
Deposited On:2016-01-25
Last Modified:2018-03-29
Downloads:167 View Download Statistics

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