Tsujimura Shuzo, Michikawa Takehiro, Tsuzuki Akira, Kuroiwa Takashi, Kawabata Soya, Kawano Yusuke, Morita Mitsuhiro, Hayakawa Kazue, Kaneko Shinjiro, Takechi Hajime, Fujita Nobuyuki
Department of Orthopaedic Surgery, School of Medicine, Fujita Health University, Aichi, Japan.
Department of Environmental and Occupational Health, School of Medicine, Toho University, Tokyo, Japan.
BMC Geriatr. 2025 Apr 10;25(1):243. doi: 10.1186/s12877-025-05876-y.
Fractures are a significant health concern for older adults, affecting their activities of daily living (ADL), physical function, and mental well-being, and contributing to the need for long-term care. However, the factors associated with fractures among independent older adults remain unclear. This study aimed to examine the association between fractures and the health status of independent older adults in a representative suburban city in Japan using data from a survey of community-dwelling residents and to identify factors associated with fractures.
A total of 15,853 survey questionnaires were mailed, and 11,346 valid responses were received, resulting in a response rate of 71.6%. The survey included questions on ADL, physical function, mental health, memory, medical conditions, and subjective complaints. For fractures, participants were asked the following question: "How many times have you experienced fractures since the age of 65?". Data were analyzed using Poisson regression models adjusted for age, sex, body mass index, family structure, and smoking history.
Among the respondents, 15% reported fractures after age of 65 years. A decline in ADL, physical function, mental health, and memory were significantly associated with increased fracture frequency. Under medical conditions, the prevalence of depression (p for trend = 0.042), respiratory diseases (p for trend = 0.001), and ophthalmologic conditions (p for trend = 0.002) increased significantly with fracture number. Most subjective complaints were significantly associated with fracture number, with dysphagia demonstrating the strongest association.
This study utilized a relatively large and highly representative sample of community-dwelling residents to identify factors associated with fractures in independent older adults. Even in independent older adults who were not certified as requiring long-term care, fractures were significantly associated with a decline in multiple health domains. These findings provide valuable insights that can inform efforts to promote healthy aging and reduce care dependency.
Not applicable.
骨折是老年人健康的重大问题，影响他们的日常生活活动（ADL）、身体功能和心理健康，并导致长期护理需求增加。然而，独立生活的老年人骨折相关因素仍不明确。本研究旨在利用社区居民调查数据，探讨日本一个典型郊区城市中独立生活的老年人骨折与健康状况之间的关联，并确定骨折相关因素。
共邮寄15853份调查问卷，收到11346份有效回复，回复率为71.6%。调查包括关于ADL、身体功能、心理健康、记忆力、医疗状况和主观症状的问题。对于骨折，参与者被问到以下问题：“65岁以后你经历过几次骨折？”。数据采用泊松回归模型进行分析，并对年龄、性别、体重指数、家庭结构和吸烟史进行了调整。
在受访者中，15%报告65岁以后发生过骨折。ADL、身体功能、心理健康和记忆力下降与骨折频率增加显著相关。在医疗状况方面，抑郁症（趋势p值=0.042）、呼吸系统疾病（趋势p值=0.001）和眼科疾病（趋势p值=0.002）的患病率随骨折次数显著增加。大多数主观症状与骨折次数显著相关，吞咽困难的相关性最强。
本研究利用了相对较大且具有高度代表性的社区居民样本，以确定独立生活的老年人骨折相关因素。即使在未被认证为需要长期护理的独立生活老年人中，骨折也与多个健康领域的下降显著相关。这些发现提供了有价值的见解，可为促进健康老龄化和减少护理依赖的努力提供参考。
不适用。
