Predictors for Increasing Eligibility Level Among Home Help Service Users in the Japanese Long-term Care Insurance System

Overview

Journal Biomed Res Int

Publisher Wiley

Specialties Biomedical Engineering
Biotechnology
General Medicine

Date 2013 Oct 4

PMID 24089675

Citations 3

Authors

Kuniyasu Kamiya

Kenji Sasou

Makoto Fujita

Sumio Yamada

Affiliations

Soon will be listed here.

Abstract

Objectives: This cross-sectional study described the prevalence of possible risk factors for increasing eligibility level of long-term care insurance in home help service users who were certified as support level 1-2 or care level 1-2 in Japan.

Methods: Data were collected from October 2011 to November 2011. Variables included eligibility level, grip strength, calf circumference (CC), functional limitations, body mass index, memory impairment, depression, social support, and nutrition status.

Results: A total of 417 subjects (109 males and 308 females, mean age 83 years) were examined. There were 109 subjects with memory impairment. When divided by cut-off values, care level 2 was found to have higher prevalence of low grip strength, low CC, and depression.

Conclusions: Some potentially modifiable factors such as muscle strength could be the risk factors for increasing eligibility level.

Citing Articles

Mobility performance among healthy older adults eligible for long-term care in Japan: a prospective observational study.

Otsuka H, Kobayashi H, Suzuki K, Hayashi Y, Ikeda J, Kushimoto M Aging Clin Exp Res. 2019; 32(10):1931-1937.

PMID: 31722093 DOI: 10.1007/s40520-019-01404-2.

Survival analysis of increases in care needs associated with dementia and living alone among older long-term care service users in Japan.

Lin H, Otsubo T, Imanaka Y BMC Geriatr. 2017; 17(1):182.

PMID: 28814271 PMC: 5559793. DOI: 10.1186/s12877-017-0555-8.

Calf circumference predicts mobility disability: A secondary analysis of the Mexican health and ageing study.

Perez-Zepeda M, Gutierrez-Robledo L Eur Geriatr Med. 2016; 7(3):262-266.

PMID: 27656259 PMC: 5028111. DOI: 10.1016/j.eurger.2016.01.004.

References

Banerjee A, Kumar S, Kulhara P, Gupta A . Prevalence of depression and its effect on disability in patients with age-related macular degeneration. Indian J Ophthalmol. 2008; 56(6):469-74. PMC: 2612975. DOI: 10.4103/0301-4738.42643. View

Guigoz Y . The Mini Nutritional Assessment (MNA) review of the literature--What does it tell us?. J Nutr Health Aging. 2006; 10(6):466-85. View

Vellas B, Villars H, Abellan G, Soto M, Rolland Y, Guigoz Y . Overview of the MNA--Its history and challenges. J Nutr Health Aging. 2006; 10(6):456-63. View

Shimizu Y, Yamada S, Miyake F, Izumi T . The effects of depression on the course of functional limitations in patients with chronic heart failure. J Card Fail. 2011; 17(6):503-10. DOI: 10.1016/j.cardfail.2011.01.005. View

Fielding R, Vellas B, Evans W, Bhasin S, Morley J, Newman A . Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia. J Am Med Dir Assoc. 2011; 12(4):249-56. PMC: 3377163. DOI: 10.1016/j.jamda.2011.01.003. View

Shinkai S, Watanabe S, Kumagai S, Fujiwara Y, Amano H, Yoshida H . Walking speed as a good predictor for the onset of functional dependence in a Japanese rural community population. Age Ageing. 2000; 29(5):441-6. DOI: 10.1093/ageing/29.5.441. View

Andrews G, Titov N . Depression is very disabling. Lancet. 2007; 370(9590):808-9. DOI: 10.1016/S0140-6736(07)61393-2. View

Shechtman O, Gestewitz L, Kimble C . Reliability and validity of the DynEx dynamometer. J Hand Ther. 2005; 18(3):339-47. DOI: 10.1197/j.jht.2005.04.002. View

Moussavi S, Chatterji S, Verdes E, Tandon A, Patel V, Ustun B . Depression, chronic diseases, and decrements in health: results from the World Health Surveys. Lancet. 2007; 370(9590):851-8. DOI: 10.1016/S0140-6736(07)61415-9. View

10.

Bonnefoy M, Jauffret M, Kostka T, Jusot J . Usefulness of calf circumference measurement in assessing the nutritional state of hospitalized elderly people. Gerontology. 2002; 48(3):162-9. DOI: 10.1159/000052836. View

11.

Yamanaka G, Otsuka K, Hotta N, Murakami S, Kubo Y, Matsuoka O . Depressive mood is independently related to stroke and cardiovascular events in a community. Biomed Pharmacother. 2005; 59 Suppl 1:S31-9. PMC: 2821202. DOI: 10.1016/s0753-3322(05)80007-1. View

12.

Ishibashi T, Ikegami N . Should the provision of home help services be contained?: validation of the new preventive care policy in Japan. BMC Health Serv Res. 2010; 10:224. PMC: 2928214. DOI: 10.1186/1472-6963-10-224. View

13.

Fried L, Tangen C, Walston J, Newman A, Hirsch C, Gottdiener J . Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001; 56(3):M146-56. DOI: 10.1093/gerona/56.3.m146. View

14.

Nishiwaki T, Nakamura K, Ueno K, Fujino K, Yamamoto M . Health characteristics of elderly Japanese requiring care at home. Tohoku J Exp Med. 2005; 205(3):231-9. DOI: 10.1620/tjem.205.231. View

15.

Taekema D, Gussekloo J, Maier A, Westendorp R, de Craen A . Handgrip strength as a predictor of functional, psychological and social health. A prospective population-based study among the oldest old. Age Ageing. 2010; 39(3):331-7. DOI: 10.1093/ageing/afq022. View

16.

Rolland Y, Lauwers-Cances V, Cournot M, Nourhashemi F, Reynish W, Riviere D . Sarcopenia, calf circumference, and physical function of elderly women: a cross-sectional study. J Am Geriatr Soc. 2003; 51(8):1120-4. DOI: 10.1046/j.1532-5415.2003.51362.x. View

17.

Sasaki H, Kasagi F, Yamada M, Fujita S . Grip strength predicts cause-specific mortality in middle-aged and elderly persons. Am J Med. 2007; 120(4):337-42. DOI: 10.1016/j.amjmed.2006.04.018. View

18.

Lee L, Tsai A . Mini-Nutritional Assessment predicts functional decline of elderly Taiwanese: result of a population-representative sample. Br J Nutr. 2011; 107(11):1707-13. DOI: 10.1017/S0007114511004880. View

19.

Rinaldi P, Mecocci P, Benedetti C, Ercolani S, Bregnocchi M, Menculini G . Validation of the five-item geriatric depression scale in elderly subjects in three different settings. J Am Geriatr Soc. 2003; 51(5):694-8. DOI: 10.1034/j.1600-0579.2003.00216.x. View

20.

Suzuki M, Yamada S, Shimizu Y, Kono Y, Hirashiki A, Izawa H . Development of the participation scale for patients with congestive heart failure. Am J Phys Med Rehabil. 2012; 91(6):501-10. DOI: 10.1097/PHM.0b013e31824ad653. View