TY - JOUR
T1 - Social participation and the prevention of functional disability in older Japanese
T2 - The JAGES cohort study
AU - Kanamori, Satoru
AU - Kai, Yuko
AU - Aida, Jun
AU - Kondo, Katsunori
AU - Kawachi, Ichiro
AU - Hirai, Hiroshi
AU - Shirai, Kokoro
AU - Ishikawa, Yoshiki
AU - Suzuki, Kayo
AU - Kondo, K.
AU - Hanazato, M.
AU - Hikichi, H.
AU - Miyaguni, Y.
AU - Sasaki, Y.
AU - Nagamine, Y.
AU - Ashida, T.
AU - Kondo, N.
AU - Takagi, D.
AU - Tani, Y.
AU - Osaka, K.
AU - Tsuboya, T.
AU - Jeong, S.
AU - Murata, C.
AU - Saito, T.
AU - Ojima, T.
AU - Okada, E.
AU - Todoriki, H.
AU - Saito, M.
AU - Misawa, J.
AU - Ichida, Y.
AU - Takeda, T.
AU - Yamamoto, T.
AU - Nakade, M.
AU - Cable, N.
AU - Tamakoshi, A.
AU - Fujino, Y.
AU - Shobugawa, Y.
AU - Hayashi, T.
PY - 2014/6/12
Y1 - 2014/6/12
N2 - Background: We examined the relationship between incident functional disability and social participation from the perspective of number of types of organizations participated in and type of social participation in a prospective cohort study. Method: The study was based on the Aichi Gerontological Evaluation Study (AGES) Cohort Study data. We followed 13,310 individuals aged 65 years or older for 4 years. Analysis was carried out on 12,951 subjects, excluding 359 people whose information on age or sex was missing. Social participation was categorized into 8 types. Results: Compared to those that did not participate in any organizations, the hazard ratio (HR) was 0.83 (95% CI: 0.73-0.95) for participation in one, 0.72 (0.61-0.85) for participation in two, and 0.57 (0.46-0.70) for participation in three or more different types of organizations. In multivariable adjusted models, participation in the following types of organization was protective for incident disability: local community organizations (HR = 0.85, 95% CI: 0.76-0.96), hobby organizations (HR = 0.75, 95% CI: 0.64-0.87), and sports organizations (HR = 0.64, 95% CI: 0.54-0.81). Conclusion: Social participation may decrease the risk of incident functional disability in older people in Japan. This effect may be strengthened by participation in a variety of different types of organizations. Participating in a local community, hobby, or sports group or organization may be especially effective for decreasing the risk of disability.
AB - Background: We examined the relationship between incident functional disability and social participation from the perspective of number of types of organizations participated in and type of social participation in a prospective cohort study. Method: The study was based on the Aichi Gerontological Evaluation Study (AGES) Cohort Study data. We followed 13,310 individuals aged 65 years or older for 4 years. Analysis was carried out on 12,951 subjects, excluding 359 people whose information on age or sex was missing. Social participation was categorized into 8 types. Results: Compared to those that did not participate in any organizations, the hazard ratio (HR) was 0.83 (95% CI: 0.73-0.95) for participation in one, 0.72 (0.61-0.85) for participation in two, and 0.57 (0.46-0.70) for participation in three or more different types of organizations. In multivariable adjusted models, participation in the following types of organization was protective for incident disability: local community organizations (HR = 0.85, 95% CI: 0.76-0.96), hobby organizations (HR = 0.75, 95% CI: 0.64-0.87), and sports organizations (HR = 0.64, 95% CI: 0.54-0.81). Conclusion: Social participation may decrease the risk of incident functional disability in older people in Japan. This effect may be strengthened by participation in a variety of different types of organizations. Participating in a local community, hobby, or sports group or organization may be especially effective for decreasing the risk of disability.
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U2 - 10.1371/journal.pone.0099638
DO - 10.1371/journal.pone.0099638
M3 - Article
C2 - 24923270
AN - SCOPUS:84903384913
VL - 9
JO - PLoS One
JF - PLoS One
SN - 1932-6203
IS - 6
M1 - e99638
ER -