| Linear association between frailty as assessed by the Kihon Checklist and quality of life in community-dwelling older adults: A cross-sectional population-based study |
Suguru Shimokihara1,2,3 
, Kazuki Yokoyama1, Hikaru Ihira4, Yuriko Matsuzaki-Kihara5, Atsushi Mizumoto6, Hideyuki Tashiro4, Hidekazu Saito1, Keitaro Makino7, Kiyotaka Shimada8, Kosuke Yama9, Ryo Miyajima10, Takeshi Sasaki4, Nozomu Ikeda1 |
1Department of Occupational Therapy, School of Health Sciences, Sapporo Medical University, Sapporo, 060-8556, Japan
2Research Fellowship for Young Scientists, Japan Society for the Promotion of Science, 5-3-1, Kojimachi, Chiyoda-ku, Tokyo, 102-0083, Japan
3Visiting Researcher, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8544, Japan
4Department of Physical Therapy, School of Health Sciences, Sapporo Medical University, Sapporo, 060-8556, Japan
5Department of Rehabilitation, Japan Health Care University, Sapporo 062-0053, Japan
6Department of Physical Therapy, Faculty of Human Science, Hokkaido Bunkyo University, Eniwa, 061-1449, Japan
7Center for Environmental and Health Sciences, Hokkaido University, Sapporo, 060-0812, Japan
8Department of Neuropsychiatry, School of Medicine, Sapporo Medical University, Sapporo, 060-8543, Japan
9N Field Home-Visit Nursing Station Dune Sapporo, Sapporo, 003-0808, Japan
10Ebetsu City Hospital, Ebetsu, 067-8585, Japan |
Correspondence:
Suguru Shimokihara,
Email: shimokihara@sapmed.ac.jp
|
|
Received: 13 July 2024 • Revised: 9 October 2024 • Accepted: 11 October 2024 |
| Abstract |
Background
The need for support focused on frailty and quality of life (QoL) in older adults is increasing. The Kihon Checklist (KCL) is a comprehensive and easy-to-use tool to assess frailty in older adults. Previous studies have shown associations between frailty and QoL; however, few studies have investigated the association between frailty using the KCL and QoL. In this study, the quantitative relationship between the KCL and QoL in community-dwelling older adults was investigated.
Methods
This cross-sectional study included from participants in the 2017-2019 baseline survey of a cohort study of community-dwelling older adults in Sapporo, Japan. The World Health Organization-five well-being index (WHO-5) was used to assess QoL. The KCL was used to assess frailty, and the relationship between frailty and QoL was examined using binomial logistic regression analysis and restricted cubic spline models.
Results
Four-hundred participants were included in the analysis. Of the participants, 22.5% had a lower QoL and they were more likely to have frailty than healthy participants (p < .001). The KCL scores were significantly associated with a lower QoL (p < .001). Furthermore, the association between the KCL score and QoL was linear, and subscales of activities of daily living, and depressive mood were significantly associated with a lower QoL.
Conclusion
The KCL, a comprehensive frailty questionnaire, was associated with a lower QoL in older adults. To maintain QoL in community-dwelling older adults, it is necessary to provide them with appropriate support from the stage before they are identified as frail by the KCL. |
| Key Words:
aged, quality of life, frailty, cross-sectional study, community medicine |
|
PDF Links
Full text via DOI
Download Citation
