School of Science for Open and Environmental Systems, Graduate School of Science and Technology, Keio University, Hiyoshi 3 14 1, Kohoku, Yokohama, Kanagawa 2238522, Japan.
Japan Society for the Promotion of Science, Koujimachi 5 3 1, Chiyoda, Tokyo 1020083, Japan.
Int J Environ Res Public Health. 2019 Feb 20;16(4):613. doi: 10.3390/ijerph16040613.
This study investigated the relationship between perceived indoor temperature in winter and frailty among community-dwelling older people. This cross-sectional study included 342 people 65 years and older in Japan. Participants answered questions about demographics, frailty, housing, and perceived indoor temperature in winter. Participants were grouped based on perceived indoor temperature (Cold or Warm) and economic satisfaction (Unsatisfied or Satisfied). Differences in the frailty index between perceived indoor temperature groups and economic satisfaction groups were tested by using ANCOVA and MANCOVA. An interaction effect showed that people in the Cold Group and unsatisfied with their economic status had significantly higher frailty index scores ((1, 336) = 5.95, = 0.015). Furthermore, the frailty index subscale of fall risk was the specific indicator of frailty that accounted for this significant relationship. While previous research has shown the risks related to cold indoor temperature in homes, interestingly among those who reported cold homes, only those who were not satisfied with their economic situation reported being at increased risk for frailty. This highlights the potential importance of preventing fuel poverty to prevent frailty.
本研究调查了冬季室内感知温度与社区居住老年人虚弱之间的关系。这项横断面研究包括日本 342 名 65 岁及以上的老年人。参与者回答了有关人口统计学、虚弱、住房和冬季室内感知温度的问题。参与者根据感知室内温度(寒冷或温暖)和经济满意度(不满意或满意)进行分组。通过使用协方差分析和多元协方差分析检验感知室内温度组和经济满意度组之间的虚弱指数差异。交互效应表明,在寒冷组且对经济状况不满意的人群中,虚弱指数得分显著更高((1, 336) = 5.95, = 0.015)。此外,跌倒风险虚弱指数子量表是解释这种显著关系的具体指标。虽然之前的研究已经表明家庭中寒冷的室内温度存在相关风险,但有趣的是,在那些报告家中寒冷的人群中,只有那些对经济状况不满意的人报告说他们的虚弱风险增加。这突出了预防燃料贫困以预防虚弱的重要性。
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