Differential effects of lifestyle activities on disability incidence based on neighborhood amenities

Autor: Osamu Katayama, Sangyoon Lee, Seongryu Bae, Keitaro Makino, Ippei Chiba, Kenji Harada, Yohei Shinkai, Hiroyuki Shimada
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMC Geriatrics, Vol 23, Iss 1, Pp 1-10 (2023)
Druh dokumentu: article
ISSN: 1471-2318
DOI: 10.1186/s12877-023-04170-z
Popis: Abstract Background This study examined the effect of neighborhood amenities on disability risk among community-dwelling older adults in Japan, based on lifestyle activities. Method This was an observational prospective cohort study. Participants comprised 13,258 older adults from the National Center for Geriatrics and Gerontology–Study of Geriatric Syndromes. We calculated participants’ Walk Score using their home addresses and divided them into three groups: “car-dependent,” “somewhat walkable,” and “very walkable.” We then calculated the average value of lifestyle activities. We divided the neighborhood amenity groups into two groups, “fewer lifestyle activities” and “more lifestyle activities,” for a total of six groups. After identifying interactions between neighborhood amenities and lifestyle activities, Cox proportional hazard models to calculate hazard ratios for incident disability risk, based on neighborhood amenities and lifestyle activities. Results An interaction occurred between neighborhood amenities and lifestyle activities (p
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