Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Otawara, Japan.
Senior Services Division of Otawara, Otawara, Japan.
Geriatr Gerontol Int. 2022 Sep;22(9):745-752. doi: 10.1111/ggi.14447. Epub 2022 Aug 4.
The Kihon Checklist (KCL) is used to assess frailty in daily life. We aimed to identify KCL items associated with the development of frailty and recovery to robust status during the COVID-19 pandemic.
We conducted a 1-year prospective cohort study of community-dwelling adults aged 70 and 75 years in Otawara City, Tochigi Prefecture, Japan. Information regarding age, sex, presence of disease and KCL items was collected in May 2020 (baseline) and June 2021 (follow-up) using a mailed questionnaire. Changes in frailty status as determined by the KCL at baseline and follow-up were evaluated. To clarify factors related to changes in the frailty status, we conducted two sets of binomial logistic regression analyses with the presence/absence of development of frailty and presence/absence of recovery to robust status at follow-up as the dependent variables and the KCL items as the independent variables.
The analysis included 716 participants who provided complete responses to both questionnaires. The KCL Items 6, 10, 20, 23 and 24 were related to the development of frailty, and the KCL Items 6, 15, 21 and 23 were associated with the recovery to robust status.
The baseline KCL items regarding physical function and associated mental aspects were related to both development of frailty and recovery to robust status during the COVID-19 pandemic. Cognitive and depressive declines were associated with the development of frailty, while good oral environment and sense of fulfillment in life were associated with the recovery to robust status. Geriatr Gerontol Int 2022; 22: 745-752.
Kihon Checklist（KCL）用于评估日常生活中的虚弱程度。我们旨在确定与 COVID-19 大流行期间虚弱的发展和恢复到健壮状态相关的 KCL 项目。
我们对日本栃木县小山市的 70 岁和 75 岁的社区居住成年人进行了为期 1 年的前瞻性队列研究。使用邮寄问卷于 2020 年 5 月（基线）和 2021 年 6 月（随访）收集有关年龄、性别、疾病存在情况和 KCL 项目的信息。使用 KCL 在基线和随访时评估虚弱状态的变化。为了阐明与虚弱状态变化相关的因素，我们进行了两组二项逻辑回归分析，将随访时虚弱的发展和恢复到健壮状态的存在/不存在作为因变量，将 KCL 项目作为自变量。
分析包括 716 名参与者，他们对两份问卷都提供了完整的答复。KCL 项目 6、10、20、23 和 24 与虚弱的发展有关，而 KCL 项目 6、15、21 和 23 与恢复到健壮状态有关。
基线 KCL 项目涉及身体功能和相关的心理方面，与 COVID-19 大流行期间虚弱的发展和恢复到健壮状态有关。认知和抑郁下降与虚弱的发展有关，而良好的口腔环境和生活满足感与恢复到健壮状态有关。老年医学与老年病学国际 2022；22：745-752。
