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Yamada, Yosuke; Nanri, Hinako; Watanabe, Yuya; Yoshida, Tsukasa; Yokoyama, Keiichi; Itoi, Aya; Date, Heiwa; Yamaguchi, Miwa; Miyake, Motoko; Yamagata, Emi; Tamiya, Hajime; Nishimura, Miho; Fujibayashi, Mami; Ebine, Naoyuki; Yoshida, Mitsuyoshi; Kikutani, Takeshi; Yoshimura, Eiichi; Ishikawa-Takata, Kazuko; Yamada, Minoru; Nakaya, Tomoki; Yoshinaka, Yasuko; Fujiwara, Yoshinori; Arai, Hidenori; Kimura, Misaka
Journal of the American Medical Directors Association, 08/2017, Volume: 18, Issue: 8Journal Article
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. A prospective cohort study, reporting baseline demographics (cross-sectional data). 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. 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. 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.
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