Faculty Profiles - MAKIZAKO Hyuma

Papers - MAKIZAKO Hyuma

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Yu Kume, Ayuto Kodama, Tomoko Takahashi, Sangyoon Lee, Hyuma Makizako, Tsuyosi Ono, Hiroyuki Shimada, Hidetaka Ota . Social frailty is independently associated with geriatric depression among older adults living in northern Japan: A cross-sectional study of ORANGE registry. . Geriatrics & gerontology international22 ( 2 ) 145 - 151 2022.2

Language：Japanese Publishing type：Research paper (scientific journal)

AIM: To clarify prevalence of social frailty among older adults living in a rural Japanese community, and factors associated with social frailty status. METHODS: In total, 322 adults aged ≥65 years living in a Japanese rural community took part in the study from 2018 to 2020. Social frailty was defined as deficiencies of: (i) living alone; (ii) talking with someone every day; (iii) feeling helpful to friends or family; (iv) going out less frequently compared with last year; and (v) visiting friends sometimes. Social frail status was categorized as robust (0), social prefrail (1), and social frail (≥2), according to the summated score of Makizako's criteria. Multiple logistic regression analysis was applied to clarify factors associated with social frailty status. RESULTS: Final samples were classified into 68 persons with social frailty, 98 persons with social prefrailty and 147 persons as robust. We observed the prevalence of social frailty (21.7%) and social prefrailty (31.3%) and the GDS-15 had significantly high scores in the social frail groups. Social frailty was significantly associated with the GDS-15 score (odds ratio, 1.33; 95% CI, 1.19-1.49) and TMT-A (odds ratio, 1.04; 95% CI, 1.01-1.08) and GDS-15 (odds ratio, 1.13; 95% CI, 1.03-1.26) were extracted as independent variables of social prefrail status, with adjustment for demographics, polypharmacy and lifestyle-related diseases. CONCLUSIONS: Our results suggest that social frailty tends to be increasing gradually in a Japanese rural area, and social prefrailty might be potentially associated with attentional function, as well as the GDS-15 score. Geriatr Gerontol Int 2022; 22: 145-151.

DOI： 10.1111/ggi.14330

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Kume Yu, Kodama Ayuto, Takahashi Tomoko, Lee Sangyoon, Makizako Hyuma, Ono Tsuyosi, Shimada Hiroyuki, Ota Hidetaka . Social frailty is independently associated with geriatric depression among older adults living in northern Japan: A cross-sectional study of ORANGE registry(和訳中) . Geriatrics & Gerontology International22 ( 2 ) 145 - 151 2022.2

Language：English Publisher：John Wiley & Sons Australia, Ltd

2018～2020年に秋田県在住の65歳以上高齢者313名を対象とした横断研究(ORANGE研究)を実施し、社会的フレイルの割合および社会的フレイル状態に関連する因子について検討した。社会的フレイルの評価には牧迫の社会的フレイル基準(独居、毎日誰かと話す、友人や家族の役に立っていると感じる、昨年と比べて外出の頻度が減った、時々友人宅を訪問する)を使用した。参加者を健常群147名(0点;平均74.6±5.7歳、女性64.6%)、社会的プレフレイル98名(1点;平均75.7±5.9歳、女性71.4%)、社会的フレイル68名(2～5点;平均74.8±5.9歳、女性70.6%)に分けて検討した。評価項目は人口統計学的特徴、各種認知機能検査(word list memory、TMT-A、TMT-B、Symbol Digit Substitution Task)、GDS-15などとした。人口統計学特徴、ポリファーマシー、生活習慣病を調整後の多変量ロジスティック回帰分析の結果、社会的フレイルではGDS-15スコア、社会的プレフレイルではTMT-AおよびGDS-15が予測因子であることが示された(オッズ比1.33、1.04、1.13)。以上から、社会的プレフレイルは、GDS-15スコアのみならず、注意機能と関連する可能性があることを示唆された。

牧迫飛雄馬 . 【地域包括ケアにおけるリーダーシップ】疫学的分析に基づく地域包括ケア . 老年科5 ( 2 ) 95 - 100 2022.2

Ayuto Kodama, Yu Kume, Sangyoon Lee, Hyuma Makizako, Hiroyuki Shimada, Tomoko Takahashi, Tsuyoshi Ono, Hidetaka Ota . Impact of COVID-19 Pandemic Exacerbation of Depressive Symptoms for Social Frailty from the ORANGE Registry . International Journal of Environmental Research and Public Health19 ( 2 ) 2022.1International journal

Language：Japanese Publishing type：Research paper (scientific journal)

Background: Recent longitudinal studies have reported proportion of frailty transition in older individuals during the COVID-19 pandemic. Our study aimed at clarifying the impact of social frailty in community-dwelling older adults during the COVID-19 pandemic and at identifying factors that can predict transition to social frailty. Methods: We performed this study from 2019 (before declaration of the state of emergency over the rising number of COVID-19 cases) to 2020 (after declaration of the emergency). We applied Makizako’s social frail index to our study subjects at the baseline and classified into robust, social prefrailty, and social frailty groups. Multiple logistic regression analysis was performed using robust, social prefrailty, or social frailty status as dependent variable. Results: Analysis by the Kruskal–Wallis test revealed significant differences in the score on the GDS-15 among the robust, social prefrailty, and social frailty groups (p < 0.05). Furthermore, multiple regression analysis identified a significant association between the social frailty status and the score on GDS-15 (odds ratio, 1.57; 95% confidence interval (95% CI), 1.15–2.13; p = 0.001). Conclusion: The increase in the rate of transition of elderly individuals to the social frailty group could have been related to the implementation of the stay-at-home order as part of the countermeasures for COVID-19. Furthermore, the increased prevalence of depressive symptoms associated with the stay-at-home order could also have influenced the increase in the prevalence of social frailty during the COVID-19 pandemic.

DOI： 10.3390/ijerph19020986

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Mika Kimura, Ai Moriyasu, Hyuma Makizako . Positive Association between High Protein Food Intake Frequency and Physical Performance and Higher-Level Functional Capacity in Daily Life. . Nutrients14 ( 1 ) 2022.1International journal

Language：Japanese Publishing type：Research paper (scientific journal)

Nutritional factors, including low protein intake and poor dietary variety, affect age-associated impairment in physical performance resulting in physical frailty. This cross-sectional study investigated the association between intake frequency of major high protein foods and both physical performance and higher-level functional capacity using the food frequency score (FFS) and high protein food frequency score (PFFS) among community-dwelling older adults. The data of 1185 older adults categorized into quartiles based on FFS and PFFS were analyzed. After adjusting for covariates, FFS and PFFS were significantly associated with physical performance [FFS, usual gait speed (p for trend = 0.007); PFFS, usual gait speed (p for trend < 0.001), maximum gait speed (p for trend = 0.002), timed up and go (p for trend = 0.025)], and higher-level functional capacity [FFS (p for trend < 0.001); PFFS (p for trend < 0.001)]. After excluding PFFS data, the participants' scores were associated with only higher-level functional capacity. Multi-regression analysis with higher-level functional capacity as the covariate showed that FFS and PFFS were significantly correlated with physical performance. Hence, improving food intake frequency, particularly that of high protein foods, and dietary variety may help maintain higher-level functional capacity and physical performance in community-dwelling older adults.

DOI： 10.3390/nu14010072

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生野佐紀, 赤井田将真, 椎葉竜平, 白土大成, 谷口善昭, 木内悠人, 立石麻奈, 中井雄貴, 牧迫飛雄馬 . COVID-19の流行に伴う緊急事態宣言中の生活習慣の変化と主観的幸福感との関係 . Journal of Epidemiology32 ( Suppl.1 ) 114 - 114 2022.1

Yuki Nakai, Hyuma Makizako, Daijo Shiratsuchi, Yoshiaki Taniguchi, Shoma Akaida, Mana Tateishi, Tomomi Akanuma, Kaori Yokoyama . Association of Sleep Quality Status With Worsening Low Back or Knee Pain During The COVID-19 State of Emergency Among Old-Old Adults. . Pain management nursing : official journal of the American Society of Pain Management Nurses23 ( 4 ) 473 - 477 2022International journal

Language：Japanese Publishing type：Research paper (scientific journal)

BACKGROUND: Poor sleep quality has a negative effect on pain among older adults. During the coronavirus disease 2019 (COVID-19) state of emergency, lifestyle changes can cause psychologic stressors and lead to poor sleep quality. AIM: This study examined whether sleep quality status was associated with low back or knee pain changes during the COVID-19 state of emergency among community-dwelling Japanese old-old adults. DESIGN: Cross-sectional investigation. METHODS: In July 2020, during the COVID-19 epidemic, we conducted a postal survey for old-old adults aged ≥77 years and collected data on 597 participants. For those who had low back or knee pain at the time of the survey (in July), characteristics such as low back pain, knee pain, changes in pain status, and sleep quality status during the COVID-19 state of emergency (in March) were assessed. RESULTS: Data from 597 participants showed the prevalence of low back pain (50.6%) and knee pain (40.7%) in July. Of those with low back or knee pain, 374 had pain changes during the state of emergency, with 12.3% worsening. Of these, 23.9% had poor sleep quality in March compared to non-change (p = .008). In a multivariate logistic regression model adjusted for potential confounders, poor sleep quality was significantly associated with pain worsening (odds ratio 2.80, 95% confidence interval 1.26-6.22). CONCLUSIONS: During the COVID-19 state of emergency, poor sleep quality was associated with worsening low back or knee pain. This may indicate the need to pay attention to poor sleep quality to prevent the exacerbation of pain among old-old adults.

DOI： 10.1016/j.pmn.2022.01.001

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TANIGUCHI Yoshiaki, MAKIZAKO Hyuma, NAKAI Yuki, TOMIOKA Kazutoshi, KUBOZONO Takuro, TAKENAKA Toshihiro, OHISHI Mitsuru . Associations between Low Bone Mass, Low Muscle Mass, and Physical Activity in Community-dwelling Older Adults . Physical Therapy Japan49 ( 2 ) 131 - 138 2022Reviewed

Language：Japanese Publisher：Japanese Society of Physical Therapy

Objective: The purpose of this study was to examine the relationship between low bone mass, low muscle mass, and physical activity in community-dwelling older adults.Methods: Data obtained from 173 older adults who participated in a community-based health-check survey (Tarumizu Study 2018) were analyzed. Bone mass was measured using the speed of sound (SOS) of the calcaneal bone and was considered low when the percentage of the %YAM of the SOS was ≤70%. Muscle mass was assessed based on the criteria for sarcopenia by the AWGS. Physical activity was measured using an accelerometer to determine whether there was an increase in sedentary activity time, a decrease in MVPA time, and a decrease in step count Classified. The groups were classified into healthy (normal bone and muscle masses), low bone mass (only bone mass decreased), low muscle mass (only muscle mass decreased), and low bone/muscle mass groups (both bone and muscle masses decreased).Results: As a result of logistic regression analysis, MVPA time was significantly decreased in the bone loss and muscle loss groups compared with the normal group (odds ratio, 3.29; p<0.05; covariates: age [5 years], sex, depression tendency, and decreased walking speed).Conclusion: This study indicated that MVPA levels were lower in the older adults who had lower bone and muscle masses.

DOI： 10.15063/rigaku.12150

CiNii Research

J-GLOBAL

Other Link： https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-19H03978/

Masumitsu Tomomi, Kubozono Takuro, Miyata Masaaki, Makizako Hyuma, Tabira Takayuki, Takenaka Toshihiro, Kawasoe Shin, Tokushige Akihiro, Niwa Sayoko, Ohishi Mitsuru . Association of Sleep Duration and Cardio-Ankle Vascular Index in Community-Dwelling Older Adults . Journal of Atherosclerosis and Thrombosisadvpub ( 0 ) 1864 - 1871 2022

Language：English Publishing type：Research paper (scientific journal) Publisher：Japan Atherosclerosis Society

Aim: This study aims to investigate the association of the Cardio-Ankle Vascular Index (CAVI) with self-reported sleep duration and sleep quality in community-dwelling older adults aged ≥ 65 years. Methods: The Tarumizu Study was a cohort of community-based health checkups conducted in the Tarumizu City, Japan, in 2018 and 2019. In total, 997 participants aged ≥ 65 years (median age, 74 years) were examined. We obtained the average sleep duration and sleep quality using self-reported questionnaires and classified them into three separate groups according to sleep duration (＜6 h, 6–8 h, and ≥ 8 h) and sleep quality (good, medium, and poor). The arterial stiffness was measured using the CAVI. Results: As per our findings, the CAVI was significantly higher in the ≥ 8 h sleep group (CAVI=9.6±1.3) than in the ＜6 h (CAVI=9.1±1.1) or 6–8 h (CAVI=9.1±1.2) groups (p＜0.001). After adjustment for age, sex, systolic blood pressure, current smoking status, body mass index, frequency of exercise, educational background, frailty, sleep medication, sleep quality, and nap duration, multivariable regression analysis demonstrated that the CAVI was significantly higher in the ≥ 8 h group than in the 6–8 h group (p=0.016). In contrast, multivariable regression analysis showed that there was no significant association between sleep quality and CAVI. Conclusions: A significant association was noted between long sleep duration (≥ 8 h) and elevated CAVI in community-dwelling older adults aged ≥ 65 years. We, therefore, suggest that long sleep duration, not sleep quality, is correlated with arterial stiffness in older adults.

DOI： 10.5551/jat.63594

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CiNii Research

Daijo Shiratsuchi, Hyuma Makizako, Yuki Nakai, Seongryu Bae, Sangyoon Lee, Hunkyung Kim, Yuriko Matsuzaki-Kihara, Ichiro Miyano, Hidetaka Ota, Hiroyuki Shimada . Associations of fall history and fear of falling with multidimensional cognitive function in independent community-dwelling older adults: findings from ORANGE study. . Aging clinical and experimental research34 ( 12 ) 2985 - 2992 2022International journal

Language：Japanese Publishing type：Research paper (scientific journal)

BACKGROUND: Falls and fear of falling (FoF) inhibit healthy longevity and have been suggested to be associated with cognitive function. However, the domains of cognitive function that are associated with them remain controversial. It is speculated that clarifying this will help in the assessment of health status and interventions in the community. AIM: To analyse the associations between fall history and FoF and multidimensional cognitive function in independent community-dwelling older adults. METHODS: The data from 9759 (73.3 ± 5.4 years, 59.9% women) older individuals enrolled in the cross-sectional ORANGE study were analysed. Simple questions were used to assess fall history in the past year and current FoF. Assessments of multidimensional cognitive function were performed using the National Center for Geriatrics and Gerontology-Functional Assessment Tool (NCGG-FAT) to evaluate memory, attention, executive function, and processing speed. The independent associations of fall history and FoF with multidimensional cognitive function were assessed using multivariate linear regressions adjusted for potential confounding variables. RESULTS: A total of 18.3% and 35.4% of participants presented with fall history and FoF, respectively. Fall history (p = 0.008) and FoF (p = 0.002) were significantly associated with memory. FoF, but not fall history was associated with attention (p = 0.004), executive function (p < 0.01), and processing speed (p < 0.01). CONCLUSION: In independent community-dwelling older adults, fall history was associated only with the memory domain; in contrast, fear of falling was associated with multidimensional cognitive function. This study provides weak evidence suggesting the need to assess falls and FoF in all situations involving independent community-dwelling older adults.

DOI： 10.1007/s40520-022-02235-4

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Keitaro Nishi, Hiroaki Kanouchi, Akihiko Tanaka, Maya Nakamura, Tomofumi Hamada, Yumiko Mishima, Yuichi Goto, Kenichi Kume, Mahiro Beppu, Hiroshi Hijioka, Hiroaki Tabata, Kazuki Mori, Yoshinori Uchino, Kouta Yamashiro, Yoshiaki Matsumura, Yutaro Higashi, Hyuma Makizako, Takuro Kubozono, Toshihiro Takenaka, Mitsuru Ohishi, Tsuyoshi Sugiura . Relationship between Oral Hypofunction, and Protein Intake: A Cross-Sectional Study in Local Community-Dwelling Adults. . Nutrients13 ( 12 ) 2021.12International journal

Language：Japanese Publishing type：Research paper (scientific journal)

Few studies have investigated the relationship between nutritional status and comprehensive assessment of oral hypofunction, especially protein intake-related sarcopenia. Thus, we explored these relationships in a large-scale cross-sectional cohort study using the seven-item evaluation for oral hypofunction and Diet History Questionnaire for nutritional assessment. We used the data from 1004 individuals who participated in the 2019 health survey of the residents of Tarumizu City, Kagoshima Prefecture, Japan for analysis. We found that individuals with oral hypofunction were significantly older with a lower skeletal muscle index. Although there were few foods that had a significant difference between the groups with and without oral hypofunction, the consumption of beans and meats was significantly lower in women and men in the oral hypofunction group, respectively. According to the lower limit of the tentative dietary goal defined in Japan, comprehensive evaluation of oral hypofunction was significantly and independently associated with protein intake in both men and women (odds ratio, 1.70; 95% confidence interval, 1.21-2.35). In conclusion, we found that oral hypofunction was associated with targeted protein intake for sarcopenia and frailty prevention in middle-aged and older community-dwelling adults. Comprehensive evaluation of oral function with intervention in cases of hypofunction could inform clinicians to better prevent sarcopenia.

DOI： 10.3390/nu13124377

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Atsushi Nakamura, Michio Maruta, Hyuma Makizako, Masaaki Miyata, Hironori Miyata, Gwanghee Han, Yuriko Ikeda, Suguru Shimokihara, Keiichiro Tokuda, Takuro Kubozono, Mitsuru Ohishi, Takayuki Tabira . Meaningful Activities and Psychosomatic Functions in Japanese Older Adults after Driving Cessation. . International journal of environmental research and public health18 ( 24 ) 2021.12Reviewed International journal

Language：Japanese Publishing type：Research paper (scientific journal)

The purpose of this cross-sectional study was to analyse the differences in meaningful activities and psychosomatic function depending on the driving status of community-dwelling older adults. Data from 594 older adults were obtained, including activities meaningful to individuals and psychosomatic functions, such as grip strength, depression, cognitive function, and ability of activity. Participants were divided into active driving (n = 549) and after driving cessation (n = 45) groups. In addition, the active driving group was operationally divided into three groups: high-frequency group (n = 387), medium group (n = 119), and infrequent group (n = 42). In the after driving cessation group, grip strength, and Japan Science and Technology Agency Index of Competence scores were significantly lower. Furthermore, the proportion of apathy and physical and social frailty was significantly higher in the after driving cessation group. Regarding meaningful activity, domestic life scores in the after driving cessation group were significantly higher than those of the active driving group. Decreased driving frequency in the active driving group was associated with weak muscle strength, lack of interest, and low activity. This study demonstrated that meaningful activity differed based on the driving status. Hence, we should support the activities of older adults who are considering driving cessation.

DOI： 10.3390/ijerph182413270

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Ayumi Wada, Hyuma Makizako, Yuki Nakai, Kazutoshi Tomioka, Yoshiaki Taniguchi, Nana Sato, Yuto Kiuchi, Ryoji Kiyama, Takuro Kubozono, Toshihiro Takenaka, Mitsuru Ohishi . Association between cognitive frailty and higher-level competence among community-dwelling older adults. . Archives of gerontology and geriatrics99 104589 - 104589 2021.11International journal

Language：English Publishing type：Research paper (scientific journal)

OBJECTIVES: The purpose of this cross-sectional study was to examine the association between cognitive frailty (CF) and higher-level competence among community-dwelling older adults. METHODS: Data from 871 older adults (aged ≥ 65 years, mean age 74.3 years, 61.5% women) who had participated in a community-based health check survey (Tarumizu Study 2018-2019) were analyzed. CF was defined as comorbid physical frailty and mild cognitive impairment (MCI). We defined physical frailty as either slow walking speed or poor grip strength. MCI was defined as values below the age- and education-adjusted reference threshold in several tests. Participants were categorized into four groups: robust, physical frailty, MCI, and CF. Higher-level competence was assessed using the Japan Science and Technology Agency Index of Competence (JST-IC). The JST-IC consists of 16 items and four subscales (technology usage, information practice, life management and social engagement). The bottom 20-30% score of the JST-IC and each subscale corresponded to poor higher-level competence. RESULTS: The prevalence of CF was 14.4%. Multivariate logistic regression analysis showed that, CF was significantly associated with poor higher-level competence (odds ratio 1.92, 95% confidence interval 1.18-3.13) after adjusting for covariates. Using a similar analysis to assess the JST-IC subscales, CF was associated with limitations on technology usage (odds ratio 2.29, 95% confidence interval 1.36-3.85) and low social engagement (odds ratio 1.62, 95% confidence interval 1.00-2.61). CONCLUSIONS: This study suggests that CF is associated with poor higher-level competence, especially limitations on technology usage and low social engagement.

DOI： 10.1016/j.archger.2021.104589

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Takasuke Miyazaki, Ryoji Kiyama, Yuki Nakai, Masayuki Kawada, Yasufumi Takeshita, Sota Araki, Hiroyuki Hayashi, Naoto Higashi, Hyuma Makizako . The Relationship between Leg Extension Angle at Late Stance and Knee Flexion Angle at Swing Phase during Gait in Community-Dwelling Older Adults. . International journal of environmental research and public health18 ( 22 ) 2021.11International journal

Language：Japanese Publishing type：Research paper (scientific journal)

This study aimed to clarify the relationship between leg extension angle and knee flexion angle during gait in older adults. The subjects of this cross-sectional study were 588 community-dwelling older adults (74.6 ± 6.1 y). Segment angles and acceleration were measured using five inertial measurement units during comfortable gait, and bilateral knee and hip joint angles, and leg extension angle, reflecting whole lower limb extension at late stance, were calculated. Propulsion force was estimated using the increase in velocity calculated from anterior acceleration of the sacrum during late stance. Correlation analysis showed that leg extension angle was associated with knee flexion angle at swing phase and hip extension angle and increase in velocity at late stance (r = 0.444-508, p < 0.001). Multiple regression analysis showed that knee flexion angle at mid-swing was more affected by leg extension angle (β = 0.296, p < 0.001) than by gait speed (β = 0.219, p < 0.001) and maximum hip extension angle (β = -0.150, p < 0.001). These findings indicate that leg extension angle may be a meaningful parameter for improving gait function in older adults due to the association with knee kinematics during swing as well as propulsion force at late stance.

DOI： 10.3390/ijerph182211925

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Takasuke Miyazaki, Ryoji Kiyama, Yuki Nakai, Masayuki Kawada, Yasufumi Takeshita, Sota Araki, Hyuma Makizako . Relationships between Gait Regularity and Cognitive Function, including Cognitive Domains and Mild Cognitive Impairment, in Community-Dwelling Older People. . Healthcare (Basel, Switzerland)9 ( 11 ) 2021.11International journal

Language：Japanese Publishing type：Research paper (scientific journal)

The aim of this cross-sectional study was to examine the correlations between gait regularity, cognitive functions including cognitive domains, and the mild cognitive impairment (MCI) in community-dwelling older people. This study included 463 older adults (63.4% women, mean age: 74.1), and their step and stride regularity along the three-axis components was estimated from trunk acceleration, which was measured by inertial measurement units during a comfortable gait. Four aspects of cognitive function were assessed using a tablet computer: attention, executive function, processing speed, and memory, and participants were classified into those with or without MCI. The vertical component of stride and step regularity was associated with attention and executive function (r = -0.176--0.109, p ≤ 0.019), and processing speed (r = 0.152, p < 0.001), after it was adjusted for age and gait speed. The low vertical component of step regularity was related to the MCI after it was adjusted for covariates (OR 0.019; p = 0.016). The results revealed that cognitive function could affect gait regularity, and the vertical component of gait regularity, as measured by a wearable sensor, could play an important role in investigating cognitive decline in older people.

DOI： 10.3390/healthcare9111571

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白土大成, 椎葉竜平, 牧迫飛雄馬 . 【疾患別にみたサルコペニアに対する理学療法の考え方と実際】運動器疾患患者のサルコペニアに対する理学療法の考え方と実際 . 理学療法38 ( 11 ) 988 - 995 2021.11

Language：Japanese Publisher：(株)メディカルプレス

1.運動器疾患を有する患者ではサルコペニアの併存が懸念され、運動器疾患に起因もしくは併存する骨格筋量の減少および筋力の低下に対するアプローチを検討することが求められる。2.運動器疾患患者では、骨量減少を伴うオステオサルコペニアによる脆弱性骨折のリスク増大に対する対策を考慮する必要がある。3.高齢の運動器疾患患者の身体機能評価においては、疾患そのものに関する評価のみならずサルコペニアに関する評価を実施し、サルコペニアの予防・改善を含めた活動や社会参加のための包括的な介入方針を検討することが求められる。(著者抄録)

Tatsuya Hirase, Minoru Okita, Yuki Nakai, Shoma Akaida, Saki Shono, Hyuma Makizako . Pain and physical activity changes during the COVID-19 state of emergency among Japanese adults aged 40 years or older . Medicine100 ( 41 ) e27533 - e27533 2021.10Reviewed International journal

Language：English Publishing type：Research paper (scientific journal) Publisher：Ovid Technologies (Wolters Kluwer Health)

ABSTRACT: Understanding the relationship between pain and physical activity (PA) levels is beneficial for maintaining good health status. However, the impact of pain on changes in PA during the coronavirus disease 2019 (COVID-19) pandemic is unknown. The purpose of this study was to examine whether PA levels pre-, during, and post-COVID-19 state of emergency differ between Japanese adults who had pain after the COVID-19 state of emergency and those who did not.Data were collected from a cross-sectional online survey conducted between October 19 and 28, 2020. The analytic sample consisted of 1967 Japanese adults aged ≥40 years who completed the online survey. Participants completed questionnaires on the presence of pain and duration of PA, defined as the total PA time per week based on activity frequency and time. Participants were asked to report their PA at 3 time points: October 2019 (before the COVID-19 pandemic), April 2020 (during the COVID-19 state of emergency), and October 2020 (after the COVID-19 state of emergency).Among participants aged ≥60 years who reported pain in October 2020, the total PA time was significantly lower than participants who did not report having pain. Furthermore, the total PA time in April 2020 was significantly lower than that in October 2019; however, no significant difference in total PA time was observed between April and October 2020. Among participants aged 40 to 59 years, no significant differences were observed in total PA times at the 3 time points between those with and without pain. In addition, the total PA time in October 2020 significantly increased compared to that in April 2020, although it significantly decreased in April 2020 compared to October 2019.This study suggests that older adults with pain have lower PA levels after the COVID-19 state of emergency.

DOI： 10.1097/MD.0000000000027533

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赤井田将真, 牧迫飛雄馬, 中井雄貴, 富岡一俊, 谷口善昭, 立石麻奈, 田平隆行, 竹中俊宏, 窪薗琢郎, 大石充 . 地域在住高齢者における自動車事故歴と転倒歴との関連 . 日本老年医学会雑誌58 ( 4 ) 663 - 663 2021.10

立石麻奈, 牧迫飛雄馬, 中井雄貴, 富岡一俊, 谷口善昭, 赤井田将真, 和田あゆみ, 佐藤菜々, 窪薗琢郎, 大石充 . 転倒歴を有さない地域在住高齢女性における転倒恐怖感と身体活動量との関連 . 日本老年医学会雑誌58 ( 4 ) 663 - 663 2021.10

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Papers - MAKIZAKO Hyuma