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Self-Management Group Exercise Extends Healthy Life Expectancy in Frail Community-Dwelling Older Adults

Author

Listed:
  • Minoru Yamada

    (Graduate School of Comprehensive Human Sciences, University of Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo 112-0012, Japan)

  • Hidenori Arai

    (National Center for Geriatrics and Gerontology, 7-430, Morioka-cho, Obu, Aichi 474-8511, Japan)

Abstract

Preventing frailty and its adverse health outcomes is crucial in countries with a large elderly population, such as Japan. Since the long-term care insurance (LTCI) system was launched, the number of certified older adults with LTCI service requirement has continued to increase. This is a serious problem, because the LTCI service requirement certification is equivalent to disability. The aim of this study was to evaluate the effect of a self-management group intervention on new LTCI service requirement certifications in community-dwelling older adults in Japan. We analyzed the cohort data from a prospective study. In this study, we recruited community-dwelling adults aged 65 years and older who were independent in a city in Kyoto prefecture in 2012. The subjects in the participation group (n = 1620) attended 60-min group training sessions once or twice every two weeks from December 2012 to December 2016. The exercise sessions consisted of mild-intensity aerobic exercise, mild strength training, flexibility and balance exercises, and cool-down activities. These exercise classes were facilitated by well-trained volunteer staff. The outcome measure was the number of new LTCI requirement certifications during a four-year follow-up period. During the four-year follow-up period, 247 subjects (15.2%) in the participation group and 334 (20.6%) in the control group were newly certified for LTCI service requirements. The hazard ratio for new LTCI service requirements in the participation group compared with the control group was 0.73 (95% CI = 0.62–0.86) in the four-year follow-up period. These results indicate the usefulness of self-management group exercise to reduce the incidence of disability in older adults. Thus, increasing self-management group activities in each community should be encouraged.

Suggested Citation

  • Minoru Yamada & Hidenori Arai, 2017. "Self-Management Group Exercise Extends Healthy Life Expectancy in Frail Community-Dwelling Older Adults," IJERPH, MDPI, vol. 14(5), pages 1-8, May.
  • Handle: RePEc:gam:jijerp:v:14:y:2017:i:5:p:531-:d:98699
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    Citations

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    Cited by:

    1. Komei Iwai & Tetsuji Azuma & Takatoshi Yonenaga & Taketsugu Nomura & Iwane Sugiura & Yujo Inagawa & Yusuke Matsumoto & Seiji Nakashima & Yoshikazu Abe & Takaaki Tomofuji, 2022. "Relationship between Oral Function and Support/Care-Need Certification in Japanese Older People Aged ≥ 75 Years: A Three-Year Cohort Study," IJERPH, MDPI, vol. 19(24), pages 1-9, December.
    2. Motoaki Takamura & Toshimasa Sone & Takayuki Kawamura & Reiko Suzuki & Nobuaki Moriyama & Seiji Yasumura, 2021. "A Cross-Sectional Study on the Characteristics of Physical Activity in Pre-Frail Older Adults," IJERPH, MDPI, vol. 18(23), pages 1-11, November.
    3. Daisuke Matsumoto & Katsuhiko Takatori, 2021. "Regional Differences in Disability Incidence among Japanese Adults Aged 75 Years and Older: A 4-Year Prospective Cohort Study," IJERPH, MDPI, vol. 18(13), pages 1-10, June.
    4. Jean Woo, 2017. "How Can We Achieve Healthy Aging?," IJERPH, MDPI, vol. 14(12), pages 1-2, December.

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