| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2022-08-26 |
| タイトル |
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|
タイトル |
Low educational level increases functional disability risk subsequent to heart failure in Japan : On behalf of the Iwate KENCO study group |
| 言語 |
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言語 |
eng |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 著者 |
TAKAHASHI, Shuko
TANNO, Kozo
YONEKURA, Yuki
OHSAWA, Masaki
KURIBAYASHI, Toru
ISHIBASHI, Yasuhiro
OMAMA, Shinichi
TANAKA, Fumitaka
ONODA, Toshiyuki
SAKATA, Kiyomi
KOSHIYAMA, Makoto
ITAI, Kazuyoshi
OKAYAMA, Akira
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| 著者(機関) |
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|
値 |
Division of Medical Education, Iwate Medical University , Takemi Program in International Health, Harvard T.H. Chan School of Public Health , Department of Health and Welfare, Iwate Prefectural Government |
| 著者(機関) |
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|
値 |
Department of Hygiene and Preventive Medicine, School of Medicine, Iwate Medical University |
| 著者(機関) |
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|
値 |
St. Luke's International University |
| 著者(機関) |
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値 |
Morioka Tsunagi Onsen Hospital, Morioka |
| 著者(機関) |
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値 |
Faculty of Humanities and Social Sciences, Iwate University |
| 著者(機関) |
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値 |
Department of Neurology and Gerontology, Iwate Medical University |
| 著者(機関) |
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値 |
Department of Neurosurgery, Iwate Medical University |
| 著者(機関) |
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値 |
Division of Nephrology and Hypertension, School of Medicine, Iwate Medical University |
| 著者(機関) |
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値 |
Health Service Center, Iwate University |
| 著者(機関) |
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値 |
Department of Hygiene and Preventive Medicine, School of Medicine, Iwate Medical University |
| 著者(機関) |
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値 |
Iwate Health Service Association |
| 著者(機関) |
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値 |
Department of Nutritional Sciences |
| 著者(機関) |
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|
値 |
Research Institute of Strategy for Prevention |
| 登録日 |
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|
日付 |
2022-08-26 |
| 書誌情報 |
PLoS ONE
巻 16,
号 6,
p. e0253017,
発行日 2021-06-08
|
| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
19326203 |
| 抄録 |
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内容記述タイプ |
Abstract |
|
内容記述 |
Objectives
The risk factors that contribute to future functional disability after heart failure (HF) are poorly understood. The aim of this study was to determine potential risk factors to future functional disability after HF in the general older adult population in Japan.
Methods
The subjects who were community-dwelling older adults aged 65 or older without a history of cardiovascular diseases and functional disability were followed in this prospective study for 11 years. Two case groups were determined from the 4,644 subjects: no long-term care insurance (LTCI) after HF (n = 52) and LTCI after HF (n = 44). We selected the controls by randomly matching each case of HF with three of the remaining 4,548 subjects who were event-free during the period: those with no LTCI and no HF with age +/-1 years and of the same sex, control for the no LTCI after HF group (n = 156), and control for the LTCI after HF group (n = 132). HF was diagnosed according to the Framingham diagnostic criteria. Individuals with a functional disability were those who had been newly certified by the LTCI during the observation period. Objective data including blood samples and several socioeconomic items in the baseline survey were assessed using a self-reported questionnaire.
Results
Significantly associated risk factors were lower educational levels (odds ratio (OR) [95% confidence interval (CI)]: 3.72 [1.63–8.48]) in the LTCI after HF group and hypertension (2.20 [1.10–4.43]) in no LTCI after HF group. Regular alcohol consumption and unmarried status were marginally significantly associated with LTCI after HF (OR [95% CI]; drinker = 2.69 [0.95–7.66]; P = 0.063; unmarried status = 2.54 [0.91–7.15]; P = 0.076).
Conclusion
Preventive measures must be taken to protect older adults with unfavorable social factors from disability after HF via a multidisciplinary approach. |
| 抄録（URL） |
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|
表示名 |
Low educational level increases functional disability risk subsequent to heart failure in Japan : On behalf of the Iwate KENCO study group |
|
URL |
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0253017 |
| 出版者 |
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出版者 |
Public Library of Science |
| 権利 |
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|
権利情報 |
© 2021 Takahashi et al. |
| 権利URI |
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権利情報 |
https://creativecommons.org/licenses/by/4.0/ |
| DOI |
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関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
info:doi/10.1371/journal.pone.0253017 |
| 著者版フラグ |
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|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
ploso-v16n6p0253017 (638.4 kB)
