Faculty Profiles - MAKIZAKO Hyuma

Papers - MAKIZAKO Hyuma

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Hyuma Makizako, Kota Tsutsumimoto, Takehiko Doi, Keitaro Makino, Sho Nakakubo, Teresa Liu-Ambrose, Hiroyuki Shimada . Exercise and Horticultural Programs for Older Adults with Depressive Symptoms and Memory Problems: A Randomized Controlled Trial. . Journal of clinical medicine9 ( 1 ) 2019.12Reviewed International journal

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

Depressive symptoms and memory problems are risk factors for dementia. Exercise can reduce these in older people, and horticultural activity can benefit people with dementia. This study assessed the efficacy of exercise and horticultural interventions for community-dwelling older adults with depressive symptoms and mild memory decline. In this randomized controlled trial, older adults (n = 89) were assigned to exercise, horticultural, or control groups. Exercise and horticultural programs included 20 weekly 90-minute sessions. The control group attended two 90-minute classes. Outcomes were assessed at baseline, and then 6- and 12-months post-intervention. Primary outcome measures were the Geriatric Depression Scale-15 (GDS-15) and Wechsler Memory Scale-Revised. Walking speed, two-minute walking test scores, social network, life space, and subjective daily physical activity were secondary outcome measures. Compared with the control group, the exercise group obtained higher immediate and delayed recall logical memory scores, and the increase in immediate recall scores remained 12-months post-intervention. Two-minute walking performance improved in the exercise group, but not after 12 months. GDS-15 scores showed no significant improvements. The horticultural and control groups showed no differences. Exercise may improve memory, while horticultural activity may not. The effects of exercise and horticultural interventions on depressive symptoms remain unclear.

DOI： 10.3390/jcm9010099

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Makizako H, Nakai Y, Tomioka K, Taniguchi Y . Prevalence of sarcopenia defined using the Asia Working Group for Sarcopenia criteria in Japanese community-dwelling older adults. A systematic review and meta-analysis. . Phys Ther Res22 ( 2 ) 53 - 57 2019.11Invited Reviewed

Hirase T, Makizako H, Okubo Y, Lord SR, Inokuchi S, Okita M. . Chronic pain is independently associated with social frailty in community-dwelling older adults. . Geriatr Gerontol Int19 ( 11 ) 1153 - 1156 2019.11Reviewed

Kume Y, Takahashi T, Itakura Y, Lee S, Makizako H, Ono T, Shimada H, Ota H . Characteristics of Mild Cognitive Impairment in Northern Japanese Community-Dwellers from the ORANGE Registry. . J Clin Med8 ( 11 ) 2019.11Reviewed

Yu Kume, Tomoko Takahashi, Yuki Itakura, Sangyoon Lee, Hyuma Makizako, Tsuyosi Ono, Hiroyuki Shimada, Hidetaka Ota . Characteristics of Mild Cognitive Impairment in Northern Japanese Community-Dwellers from the ORANGE Registry. . Journal of clinical medicine8 ( 11 ) 2019.11Reviewed International journal

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

A gradually increasing prevalence of mild cognitive impairment (MCI) is recognized in the super-aging society that Japan faces, and early detection and intervention in community-dwellers with MCI are critical issues to prevent dementia. Although many previous studies have revealed MCI/non-MCI differences in older individuals, information on the prevalence and characteristics of MCI in rural older adults is limited. The aim of this study was to investigate differential characteristics between older adults with and without MCI. The investigation was conducted over one year from 2018 to 2019. Participants were recruited from Akita in northern Japan. Neuropsychological assessments were applied to classify MCI, including the National Center for Geriatrics and Gerontology Functional Assessment Tool (NCGG-FAT) and the Touch panel-type Dementia Assessment Scale (TDAS) based on the Alzheimer's disease assessment scale. Our samples consisted of 103 older adults divided into 54 non-MCI and 49 MCI. The MCI group had lower scores of all cognitive items. Our results showed that individuals with MCI had significantly slower walking speed (WS) and worse geriatric depression scale (GDS) compared to non-MCI. In addition, WS was significantly associated with some cognitive items in non-MCI, but not in MCI. Finally, we showed that predictive variables of MCI were WS and GDS. Our study provides important information about MCI in rural community-dwellers. We suggest that older adults living in a super-aging society should receive lower limb training, and avoiding depression in older adults through interaction of community-dwellers may contribute to preventing the onset of MCI.

DOI： 10.3390/jcm8111937

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Hirase T, Makizako H, Okubo Y, Lord SR, Inokuchi S, Okita M . Chronic pain is independently associated with social frailty in community-dwelling older adults. . Geriatrics & gerontology international19 ( 11 ) 1153 - 1156 2019.11Reviewed

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

AIM: The present study aimed to determine whether measures of chronic pain are associated with social frailty in community-dwelling older adults. METHODS: Participants comprised 248 older adults who enrolled for community-based exercise classes. Chronic pain was defined as the presence of significant pain-related symptoms within the past month that had continued for at least 6 months. Social frailty was defined as positive responses to two of the following five questions (going out less frequently, rarely visiting friends, feeling unhelpful to friends or family, living alone and not talking with someone every day). Physical function was assessed using the Chair Stand and Timed Up and Go tests. RESULTS: A total of 55 participants (22.2%) met the criteria for social frailty. A total of 28 socially frail participants (50.9%) and 56 of the socially integrated participants (29.0%) reported chronic pain. The presence of chronic pain was significantly associated with social frailty after adjusting for age, sex and physical function measures (odds ratio 2.13, 95% confidence interval 1.01-4.48). Chronic pain was also significantly associated with three social frailty items: going out less frequently, rarely visiting friends and feeling unhelpful to friends or family. CONCLUSIONS: Chronic pain was independently associated with social frailty in community-dwelling older adults. Simple assessments of chronic pain and subsequent pain management interventions might be beneficial for older people with social frailty. Geriatr Gerontol Int 2019; 19: 1153-1156.

DOI： 10.1111/ggi.13785

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Makizako H . Frailty and Sarcopenia as a Geriatric Syndrome in Community-Dwelling Older Adults. . Int J Environ Res Public Health16 ( 20 ) 2019.10Invited Reviewed

Sho Nakakubo, Takehiko Doi, Hyuma Makizako, Kota Tsutsumimoto, Satoshi Kurita, Minji Kim, Hideaki Ishii, Takao Suzuki, Hiroyuki Shimada . Association of sleep condition and social frailty in community-dwelling older people. . Geriatrics & gerontology international19 ( 9 ) 885 - 889 2019.9Reviewed

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

AIM: This cross-sectional study examined whether sleep duration and excessive daytime sleepiness (EDS) were associated with social frailty in community-dwelling older people. METHODS: A total of 4427 community-dwelling older people (51.4% women, mean age 71.9 years) who met the entry criteria were included in this study. Social frailty was assessed by five questions, relating to going out less frequently than last year, not visiting friends sometimes, not feeling helpful to friends or family, living alone and not talking with someone every day. Participants with two or more components were defined as having social frailty. Sleep duration and EDS were assessed by self-reported questionnaire. Logistic regression analysis estimated odds ratios and 95% confidence intervals of social frailty according to EDS or the three categories of sleep duration (short ≤6.0 h, medium 6.1-8.9 h, long ≥9.0 h), and we used medium-duration sleepers as the reference group. RESULTS: Among all participants, the prevalence of social frailty in each sleep duration group was as follows: long 18.3%, short 9.9% and medium 9.7% (P < 0.001). The prevalence of social frailty in participants with EDS was 17.1% (no EDS 10.2%, P < 0.001). Long sleep duration (odds ratio 1.46, 95% confidence interval 1.14-1.84) and presence of EDS (hazard ratio 1.32, 95% confidence interval 1.02-1.71) were associated with higher rates of social frailty after adjustments for several covariates. CONCLUSIONS: Long sleep duration and EDS were associated with social frailty; thus, older people with both sleep patterns would have a higher risk of progression of social frailty. Geriatr Gerontol Int 2019; 19: 885-889.

DOI： 10.1111/ggi.13734

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Nakakubo S, Doi T, Makizako H, Tsutsumimoto K, Kurita S, Kim M, Ishii H,Suzuki T, Shimada H. . Association of sleep condition and social frailty in community-dwelling older people. . Geriatr Gerontol Int19 ( 9 ) 885 - 889 2019.9Reviewed

Nakakubo S, Doi T, Makizako H, Tsutsumimoto K, Hotta R, Kurita S, Kim M,Suzuki T, Shimada H. . Sleep condition and cognitive decline in Japanese community-dwelling older　people: Data from a 4-year longitudinal study . J Sleep Res28 ( 4 ) e12803 2019.8Reviewed

Sho Nakakubo, Takehiko Doi, Hyuma Makizako, Kota Tsutsumimoto, Ryo Hotta, Satoshi Kurita, Minji Kim, Takao Suzuki, Hiroyuki Shimada . Sleep condition and cognitive decline in Japanese community-dwelling older people: Data from a 4-year longitudinal study. . Journal of sleep research28 ( 4 ) e12803 2019.8Reviewed International journal

Language：English

This study examined whether sleep duration and excessive daytime sleepiness (EDS) are related to cognitive decline among community-dwelling older adults with intact cognition at baseline, using 4-year longitudinal data. A total of 3,151 community-dwelling older individuals aged ≥65 years were studied. They were assessed for cognitive function, including memory, attention, executive function and processing speed. Cognitive impairment was defined based on a score >1.5 standard deviations below the age- and education-specific mean. Cognitive decline was defined in one or more cognitive tests at follow-up. Self-reported sleep duration (short, ≤6.0 hr; medium, 6.1-8.9 hr; long, ≥9.0 hr) and EDS at first-wave examination were assessed and logistic regression analyses were used to examine the associations of sleep duration and EDS with cognitive status at second-wave examination. The incidence of cognitive decline differed significantly among the sleep-duration groups (short, 15.9%; medium, 11.9%; long, 20.1%; p = 0.001). The prevalence of having EDS was 13.1%, which was associated with a higher rate of cognitive decline than having no EDS (18.9% vs. 12.5%, p = 0.004). Long sleep duration compared with medium sleep duration (OR, 1.50; 95% CI, 1.05-2.13) and EDS (1.43; 1.01-2.03) independently impacted the incidence of cognitive decline. The results were similar after multiple imputations (long, 1.68, 1.12-2.52; EDS, 1.55, 1.05-2.29). In conclusion, our study revealed that both long sleep duration and EDS were independent risk factors associated with cognitive decline after 4 years among older adults.

DOI： 10.1111/jsr.12803

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桑波田聡, 立志公史郎, 毛利翔悟, 手塚綾乃, 安部智, 竹中俊宏, 牧迫飛雄馬, 叶内宏明, 窪薗琢郎, 大石充 . エネルギー摂取過多高齢者の生活機能・生活習慣の特徴垂水研究からの報告 . 日本老年医学会雑誌56 ( Suppl. ) 115 - 116 2019.5

赤崎雄一, 杉浦剛, 牧迫飛雄馬, 田平隆行, 桑波田聡, 大石充 . 未治療高血圧の要因分析垂水研究からの考察 . 日本高血圧学会臨床高血圧フォーラムプログラム・抄録集8回 199 - 199 2019.5

宮崎宣丞, 木山良二, 牧迫飛雄馬, 川田将之, 竹下康文, 林浩之, 米和徳, 窪薗琢郎, 竹中俊宏, 大石充 . 地域在住高齢者におけるサルコペニアと歩行パラメーターの関連 . 日本老年医学会雑誌56 ( Suppl. ) 120 - 120 2019.5Reviewed

赤崎雄一, 杉浦剛, 牧迫飛雄馬, 田平隆行, 桑波田聡, 大石充 . コントロール不良高血圧の要因分析垂水研究からの考察 . 日本高血圧学会臨床高血圧フォーラムプログラム・抄録集8回 175 - 175 2019.5

Nakai Y, Makizako H, Kiyama R, Tomioka K, Taniguchi Y, Kubozono T, Takenaka T, Ohishi M. . Association between chronic pain and physical frailty in community-dwelling older adults. . Int J Environ Res Public Health16 ( 8 ) 2019.4Reviewed

Maruta M, Tabira T, Makizako H, Sagari A, Miyata H, Yoshimitsu K, Han G, Yoshiura K, Kawagoe M. . Impact of outpatient rehabilitation service in preventing the deterioration of the care-needs level among Japanese older adults availing long-term care insurance. A Propensity Score Matched Retrospective Study. . Int J Environ Res Public Health 16 ( 7 ) 2019.4Reviewed

Taniguchi Y, Makizako H, Kiyama R, Tomioka K, Nakai Y, Kubozono T, Takenaka T, Ohishi M. . The Association between osteoporosis and grip strength and skeletal muscle mass in community-dwelling older women. . Int J Environ Res Public Health16 ( 7 ) 2019.4Reviewed

Yuki Nakai, Hyuma Makizako, Ryoji Kiyama, Kazutoshi Tomioka, Yoshiaki Taniguchi, Takuro Kubozono, Toshihiro Takenaka, Mitsuru Ohishi . Association between Chronic Pain and Physical Frailty in Community-Dwelling Older Adults. . International journal of environmental research and public health16 ( 8 ) 2019.4Reviewed International journal

Language：English

This cross-sectional study investigated the association between chronic pain and physical frailty in community-dwelling older adults. We analyzed data obtained from 323 older adults (women: 74.6%) who participated in a community-based health check survey (the Tarumizu Study, 2017). Physical frailty was defined in terms of five parameters (exhaustion, slowness, weakness, low physical activity, and weight loss). We assessed the prevalence of chronic low back and knee pain using questionnaires. Participants whose pain had lasted ≥two months were considered to have chronic pain. Among all participants, 138 (42.7%) had chronic pain, and 171 (53.0%) were categorized as having physical frailty or pre-frailty. Logistic regression analysis showed that chronic pain was significantly associated with the group combining frailty and pre-frailty (odds ratio 1.68, 95% confidence interval 1.03-2.76, p = 0.040) after adjustment for age, sex, body mass index, score on the 15-item Geriatric Depression Scale, and medications. Comparing the proportions of chronic pain among participants who responded to the sub-items, exhaustion (yes: 65.9%, no: 39.4%) demonstrated a significant association (p < 0.001). Chronic pain could be associated with the group combining frailty and pre-frailty and is particularly associated with exhaustion in community-dwelling older adults. Therefore, there is a need for early intervention and consideration of the role of exhaustion when devising interventions for physical frailty in older individuals with chronic pain.

DOI： 10.3390/ijerph16081330

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Michio Maruta, Takayuki Tabira, Hyuma Makizako, Akira Sagari, Hironori Miyata, Koji Yoshimitsu, Gwanghee Han, Kazuhiro Yoshiura, Masahiro Kawagoe . Impact of Outpatient Rehabilitation Service in Preventing the Deterioration of the Care-Needs Level Among Japanese Older Adults Availing Long-Term Care Insurance: A Propensity Score Matched Retrospective Study. . International journal of environmental research and public health16 ( 7 ) 2019.4International journal

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

Outpatient rehabilitation (OR) and outpatient day long-term care (ODLC) services are frequently used by older adult patients in Japan. However, there is a need to clarify that OR service, which has more rehabilitation professionals than ODLC, has the role of providing rehabilitation. This retrospective study examined the impact of OR services by comparing the two services based on City A data from the care-needs certification survey conducted between 2015 to 2017. We performed a propensity score matched analysis to compare the changes in the care level and function of OR and ODLC users after two years. The results showed that OR users showed a lower deterioration in care levels and less decline in the activities of daily living (ADL) in dementia and adaptation to social life. In the analysis of older adults requiring support, OR users had a lower deterioration in care levels and less decline in the ADL in dementia and behavioral and psychological symptoms than ODLC users did. There was no difference between the two services with respect to older adults requiring long-term care. The OR service has had an increasingly preventive effect on the deterioration of care levels compared to the ODLC service, which was particularly evident in older adults requiring support.

DOI： 10.3390/ijerph16071292

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Papers - MAKIZAKO Hyuma