Association between Productive Roles and Frailty Factors among Community-Dwelling Older Adults: A Cross-Sectional Analysis

Kazuki Yokoyama (), Hikaru Ihira, Yuriko Matsuzaki-Kihara, Atsushi Mizumoto, Ryo Miyajima, Takeshi Sasaki, Naoki Kozuka and Nozomu Ikeda
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Kazuki Yokoyama: Department of Occupational Therapy, School of Health Sciences, Sapporo Medical University, Sapporo 060-8556, Japan
Hikaru Ihira: Department of Physical Therapy, School of Health Sciences, Sapporo Medical University, Sapporo 060-8556, Japan
Yuriko Matsuzaki-Kihara: Department of Rehabilitation, Japan Health Care University, Sapporo 062-0053, Japan
Atsushi Mizumoto: Department of Physical Therapy, Faculty of Human Science, Hokkaido Bunkyo University, Eniwa 061-1449, Japan
Ryo Miyajima: Ebetsu City Hospital, Ebetsu 067-8585, Japan
Takeshi Sasaki: Department of Physical Therapy, School of Health Sciences, Sapporo Medical University, Sapporo 060-8556, Japan
Naoki Kozuka: Department of Physical Therapy, School of Health Sciences, Sapporo Medical University, Sapporo 060-8556, Japan
Nozomu Ikeda: Department of Occupational Therapy, School of Health Sciences, Sapporo Medical University, Sapporo 060-8556, Japan

IJERPH, 2022, vol. 19, issue 17, 1-9

Abstract: The employment rate of older people in Japan is expected to increase in the future owing to the increase in the retirement age. Preventing frailty is imperative to maintaining productive roles of older adults. Therefore, this study aimed to examine the association between productive roles and frailty factors among community-dwelling older adults. A total of 135 older adults, enrolled in 2017, participated in the study. Productive roles and domains related to frailty were measured. We measured usual gait speed and grip strength for the physical domain; Mini-Mental State Examination (MMSE) and Geriatric Depression Scale (GDS-15) scores for the cognitive and mental domains; and social role and group activity for the social domain. Multivariate-adjusted logistic regression models revealed that having productive roles was associated with faster usual gait speed (odds ratios [OR] = 1.05; 95% confidence interval [CI], 1.01–1.08; p = 0.005) and lower GDS-15 score (OR = 0.79; 95% CI, 0.64–0.97; p = 0.023). These results suggest that health promotion to maintain gait speed and prevent depressive symptoms may contribute to maintaining productivity in community-dwelling older adults.

Keywords: older adults; productive roles; work; employment; frailty (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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