In:
Gerontology & Geriatrics: Research, Austin Publishing Group, Vol. 7, No. 2 ( 2021-05-05)
Abstract:
Background: A light-burden and indoor physical exercise program called Net-Step Exercise (NSE) has been developed in Hokkaido, Japan. Conducting the two-year repeated survey with the Kihon Checklist (KCL) for the same older subjects living in a rural area of Hokkaido where a relatively large proportion of the older persons have participated in NSE activity, we assessed the effectiveness of NSE activity. Methods: The whole of 3,155 community-dwelling persons aged from 75 years to 79 years in 8 towns were the candidates of the study subjects, and 2,183 subjects (69.2%) responded to the first survey (2018 Survey), answering the questions about both frequency of participation in NSE and each item in KCL. The same survey (2019 Survey) was conducted one year later, and completed by 1,956 subjects (93.3%), excluding 25 dead persons or 60 persons who had moved away from the community during the year. In the 2018 Survey as well as the 2019 Survey, Adjusted Odds Ratio (AOR) and its 95% confidence interval (95%CI) of each sub-category of KCL for NSE Participants compared with NSE Non-participants was calculated with unconditional logistic regression by sex, adjusting for age, smoking status, and other potentially confounding variables. Repeated-measures Analysis of Variance (ANOVA) was also applied by sex. Results: Significantly reduced risk (AOR with 95% CI) was observed in NSE participants in difficulty in activities of daily living in the male subjects in the 2018 Survey (0.64, 0.42-0.98) and in the 2019 Survey (0.50, 0.32-0.79), as well as in the female subjects in the 2018 Survey (0.52, 0.38-0.70) and in the 2019 Survey (0.46, 0.33-0.65), houseboundness in the female subjects in the 2018 Survey (0.42, 0.29-0.60) and in the 2019 Survey (0.70, 0.51-0.96), impaired cognitive function in the male subjects in the 2018 Survey (0.58, 0.36-0.92), and depressive status in the female subjects in the 2018 Survey (0.66, 0.49-0.88). Significant findings were also shown in most of the above four sub-categories by analysis with repeated-measures ANOVA. Conclusion: Either performance of NSE itself or participation in the program, or both, may promote healthy status in the older persons.
Type of Medium:
Online Resource
ISSN:
2573-3621
DOI:
10.26420/GerontolGeriatrRes.2021.1052
Language:
Unknown
Publisher:
Austin Publishing Group
Publication Date:
2021
