Nasu Takashi, Kubota Keisuke, Furusawa Hiroo, Abe Takaya, Hamaguchi Toyohiro, Kanemura Naohiko, Kitabatake Yoshinori, Yoshida Toshiyuki, Nakamura Takahito, Matsumura Yuji
Rehabilitation, Koshigaya Seiwa Hospital, Koshigaya, JPN.
Health Sciences, Hirosaki University Graduate School, Hirosaki, JPN.
Cureus. 2025 May 3;17(5):e83394. doi: 10.7759/cureus.83394. eCollection 2025 May.
This study aimed to predict frailty in older adults participating in community-based gatherings in a local city over a six-month period. Methods: In total, 257 older community members participated in this study. The Kihon Checklist (KCL) was used to assess life function. The KCL consists of 25 items, each scored as 0 or 1 point, resulting in a total score ranging from 0 to 25. Higher scores indicate a greater risk of requiring long-term care. The items cover six domains: physical function, nutritional status, oral function, social engagement, cognitive function, and depressive mood. For motor function assessment, the Timed Up and Go (TUG), one-leg standing, and 30-second chair-stand (CS-30) tests were used.
Multiple regression analysis was used to investigate the effects of age, gender, and motor function on the KCL after six months. The regression formula was set as: KCL after six months (points) = first TUG (seconds) * 0.29 + first KCL (points) * 0.67 - 0.99. The model demonstrated moderate to strong predictive accuracy (adjusted R² = 0.53, root mean squared error (RMSE) = 1.74, mean absolute error (MAE) = 1.34).
Our results showed that TUG could serve as an indicator for older adults participating in community-based gatherings in a local city, implementing our program, and improving the KCL.
本研究旨在预测当地城市参加社区活动的老年人在六个月内的衰弱情况。方法:共有257名老年社区成员参与了本研究。使用基洪检查表(KCL)评估生活功能。KCL由25个项目组成,每个项目评分为0或1分,总分范围为0至25分。分数越高表明需要长期护理的风险越大。这些项目涵盖六个领域:身体功能、营养状况、口腔功能、社交参与、认知功能和抑郁情绪。对于运动功能评估,使用了计时起立行走测试(TUG)、单腿站立测试和30秒椅子站立测试(CS - 30)。结果:采用多元回归分析来研究年龄、性别和运动功能在六个月后对KCL的影响。回归公式设定为:六个月后的KCL(分数)=首次TUG(秒)*0.29 +首次KCL(分数)*0.67 - 0.99。该模型显示出中等至较强的预测准确性(调整后R² = 0.53,均方根误差(RMSE)= 1.74,平均绝对误差(MAE)= 1.34)。结论:我们的结果表明,TUG可以作为当地城市参加社区活动的老年人的一个指标,实施我们的项目并改善KCL。