+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Underweight/overweight and the risk of long-term care: follow-up study using data of the Japanese long-term care insurance system



Underweight/overweight and the risk of long-term care: follow-up study using data of the Japanese long-term care insurance system



Geriatrics and Gerontology International 14(2): 328-335



Both being underweight and overweight can lead to reduced activity of daily living, which subsequently can require long-term care. The aim of the present study was to clarify the association between underweight/overweight and the subsequent risk of long-term care introduction. We tracked the data of long-term care insurance for 1580 men and women aged ≥65 years who had participated in the official population-based health check-up program in 2001 in Tsunan town and Sekikawa village, Japan. The health check-up data and medical expenditure data for the fiscal year 2001 were used as baseline data. Participants were classified into underweight (body mass index (BMI) <18.5 kg/m(2) ), normal range (BMI = 18.5 to <25.0 kg/m(2) ) and overweight (BMI ≥25.0 kg/m(2) ); the normal range was used as a reference category in Cox proportional hazards models. During the average 5.8 years of follow up, 156 participants were identified to start using long-term care services. Among the young-old elderly (65-74 years-of-age), underweight was significantly associated with the risk of long-term care introduction (multivariable-adjusted HR 4.26, 95% CI 1.69-10.72), whereas overweight was not (multivariable-adjusted HR 1.45, 95% CI 0.69-3.06). Neither underweight nor overweight were significantly associated with long-term care introduction among the old-old elderly (≥75 years-of-age). Underweight could be a good predictor of long-term care introduction in the young-old elderly. We should pay attention to underweight in the elderly, as it might be a manifestation of some physical or mental problems related to future long-term care introduction.

(PDF emailed within 0-6 h: $19.90)

Accession: 036929577

Download citation: RISBibTeXText

PMID: 23750806

DOI: 10.1111/ggi.12102


Related references

A three-year-follow-up study on the change in physical and mental functions of the aged by the level ofADL. Evaluation of data from the Japanese elderly care insurance certification of long-term care need. Japan-Hospitals 2009(26): 41-52, 2009

Incidence of certified need of care in the long-term care insurance system and its risk factors in the elderly of Japanese population-based cohorts: the ROAD study. Geriatrics and Gerontology International 14(3): 695-701, 2015

Difficulties experienced by care managers who are care workers managing elder abuse cases in the Japanese long-term care insurance system. Health and Social Care in the Community 15(6): 569-576, 2007

Public health nurses' activities after the initiation of long-term care insurance (Part 1). Focus on operations for long-term care insurance. Japanese Journal of Public Health 50(8): 713-723, 2003

Case management in long-term care--the task of individual related and family-oriented support for people in need of care and its realization through the reform of long-term care insurance. Zeitschrift für Gerontologie und Geriatrie 41(2): 92-105, 2008

Assuring the quality of long-term care insurance benefits through care management: the California partnership for long-term care. Journal of Aging and Social Policy 17(3): 39-59, 2005

Japanese public long-term care insured: preferences for future long-term care facilities, including relocation, waiting times, and individualized care. Journal of the American Medical Directors Association 16(4): 350.E9-20, 2015

Overview of the Japanese long-term care insurance system current and future. Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 41(2): 193-194, 2004

The effect of public long-term care insurance plan on care management and care planning in Japanese geriatric hospitals. Archives of Gerontology & Geriatrics 32(2): 167-177, March-April, 2001

Utilization of long-term care services under the public long-term care insurance program in Korea: Implications of a subsidy policy. Health Policy 111(2): 166-174, 2014

Equity of access under Korean national long-term care insurance: implications for long-term care reform. International Journal for Equity in Health 14: 82, 2016

Special: long term care insurance. High cost of long-term care squeezes state budgets. Caring 4(3): 28-31, 1985

Group long-term care insurance: decision-making factors and implications for financing long-term care. Journal of Aging and Social Policy 20(2): 165-181, 2008

Financing reform for long-term care: strategies for public and private long-term care insurance. Journal of Aging and Social Policy 7(3-4): 109-127, 1995

Security blanket. Long-term care insurance is catching on--and could shape the future of long-term care. Contemporary Longterm Care 22(6): 30-34, 1999