Relationship between changes in activities to prevent disability due to the COVID-19 pandemic and mental status or life-related functions among community-dwelling older adults

Background: Disability prevention is important for older adults and the society at large. Despite its relevance, factors associated with changes in disability prevention activities due to the COVID-19 pandemic remain unclear. This study aimed to investigate the extent to which the implementation of...

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Main Authors: Keita Nakagawa, Hungu Jung, Hitoshi Okamura, Tomoyuki Ishii, Shinya Ishii
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Archives of Gerontology and Geriatrics Plus
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Online Access:http://www.sciencedirect.com/science/article/pii/S2950307825000256
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author Keita Nakagawa
Hungu Jung
Hitoshi Okamura
Tomoyuki Ishii
Shinya Ishii
author_facet Keita Nakagawa
Hungu Jung
Hitoshi Okamura
Tomoyuki Ishii
Shinya Ishii
author_sort Keita Nakagawa
collection DOAJ
description Background: Disability prevention is important for older adults and the society at large. Despite its relevance, factors associated with changes in disability prevention activities due to the COVID-19 pandemic remain unclear. This study aimed to investigate the extent to which the implementation of disability prevention activities has changed due to the COVID-19 pandemic among community-dwelling older adults, and to examine the relationship between these changes and mental status or life-related functions. Methods: This cross-sectional study used self-report questionnaires with a random sample of older adults in 10 locations. The mailing area was determined based on the regional characteristics and demographic changes. Participants were categorized into two groups: those who maintained their disability prevention activities and those who decreased such activities before and after the COVID-19 pandemic. Mental status and life-related functions were investigated using the Kihon Checklist. Results: Of the 263 participants included in the analysis, 89 (33.8 %) decreased their disability prevention activities before and after the COVID-19 pandemic. Factors associated with a decrease in disability prevention activities were identified as those with a higher number of depressive items on the Kihon Checklist (aOR = 0.788, 95 % CI: 0.637–0.947, p = 0.027) and those with a higher total number of disability prevention activities before the COVID-19 pandemic (aOR = 0.653, 95 % CI: 0.476–0.896, p = 0.008). Conclusion: These findings suggest the characteristics of older adults that require special attention when taking steps to support the continuation of disability prevention activities in future events such as the COVID-19 pandemic.
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spelling doaj-art-7c5ca6ae3dac40a088ed054a5a56ee132025-08-20T01:57:12ZengElsevierArchives of Gerontology and Geriatrics Plus2950-30782025-06-012210014310.1016/j.aggp.2025.100143Relationship between changes in activities to prevent disability due to the COVID-19 pandemic and mental status or life-related functions among community-dwelling older adultsKeita Nakagawa0Hungu Jung1Hitoshi Okamura2Tomoyuki Ishii3Shinya Ishii4Department of Rehabilitation, Faculty of Health Sciences, Hiroshima Cosmopolitan University, Hiroshima, JapanDepartment of Medicine for Integrated Approach to Social Inclusion, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, JapanDepartment of Psychosocial Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, JapanMaple Hill Hospital, Medical Corporation Tijinkai, Otake, JapanDepartment of Medicine for Integrated Approach to Social Inclusion, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan; Corresponding author.Background: Disability prevention is important for older adults and the society at large. Despite its relevance, factors associated with changes in disability prevention activities due to the COVID-19 pandemic remain unclear. This study aimed to investigate the extent to which the implementation of disability prevention activities has changed due to the COVID-19 pandemic among community-dwelling older adults, and to examine the relationship between these changes and mental status or life-related functions. Methods: This cross-sectional study used self-report questionnaires with a random sample of older adults in 10 locations. The mailing area was determined based on the regional characteristics and demographic changes. Participants were categorized into two groups: those who maintained their disability prevention activities and those who decreased such activities before and after the COVID-19 pandemic. Mental status and life-related functions were investigated using the Kihon Checklist. Results: Of the 263 participants included in the analysis, 89 (33.8 %) decreased their disability prevention activities before and after the COVID-19 pandemic. Factors associated with a decrease in disability prevention activities were identified as those with a higher number of depressive items on the Kihon Checklist (aOR = 0.788, 95 % CI: 0.637–0.947, p = 0.027) and those with a higher total number of disability prevention activities before the COVID-19 pandemic (aOR = 0.653, 95 % CI: 0.476–0.896, p = 0.008). Conclusion: These findings suggest the characteristics of older adults that require special attention when taking steps to support the continuation of disability prevention activities in future events such as the COVID-19 pandemic.http://www.sciencedirect.com/science/article/pii/S2950307825000256Community-dwelling older adultsCOVID-19Disability preventionDepressionLife-related functions
spellingShingle Keita Nakagawa
Hungu Jung
Hitoshi Okamura
Tomoyuki Ishii
Shinya Ishii
Relationship between changes in activities to prevent disability due to the COVID-19 pandemic and mental status or life-related functions among community-dwelling older adults
Archives of Gerontology and Geriatrics Plus
Community-dwelling older adults
COVID-19
Disability prevention
Depression
Life-related functions
title Relationship between changes in activities to prevent disability due to the COVID-19 pandemic and mental status or life-related functions among community-dwelling older adults
title_full Relationship between changes in activities to prevent disability due to the COVID-19 pandemic and mental status or life-related functions among community-dwelling older adults
title_fullStr Relationship between changes in activities to prevent disability due to the COVID-19 pandemic and mental status or life-related functions among community-dwelling older adults
title_full_unstemmed Relationship between changes in activities to prevent disability due to the COVID-19 pandemic and mental status or life-related functions among community-dwelling older adults
title_short Relationship between changes in activities to prevent disability due to the COVID-19 pandemic and mental status or life-related functions among community-dwelling older adults
title_sort relationship between changes in activities to prevent disability due to the covid 19 pandemic and mental status or life related functions among community dwelling older adults
topic Community-dwelling older adults
COVID-19
Disability prevention
Depression
Life-related functions
url http://www.sciencedirect.com/science/article/pii/S2950307825000256
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