Publications by authors named "Masashige Saito"

Many previous studies have found that social participation improves the health and functional maintenance of older people. However, to determine whether promoting social participation can prevent functional decline in the elderly, it is necessary not only to compare the prognosis of those who participate in social activities to those who do not but also to demonstrate that the intervention was effective in promoting social participation. Although the effect of social participation in preventing caregiving has been demonstrated, the key question is whether preventing functional decline through social participation can reduce care costs.

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Objectives The Ministry of Land, Infrastructure, Transport and Tourism is promoting the introduction of green slow mobility (GSM) vehicles (can drive up to 20 km/h on public roads) for mobility assistance and potential long-term care prevention. We identified four key factors to pinpoint the challenges and enhance opportunities for introducing GSM; GSM's operational achievements, a comparison of the characteristics of GSM users and non-users, purpose for using GSM, and observation of GSM's contribution to long-term care prevention among older adults.Methods A pilot GSM study was conducted in Ikeda City, Osaka Prefecture, from October to December 2022.

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Background: Long-term care (LTC) costs create burdens on aging societies. Maintaining oral health through dental visits may result in shorter LTC periods, thereby decreasing LTC costs; however, this remains unverified. We examined whether dental visits in the past 6 months were associated with cumulative LTC insurance (LTCI) costs.

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Importance: There are limited data on whether the vulnerabilities and impacts of social isolation vary across populations.

Objective: To explore the association between social isolation and mortality due to all causes, cardiovascular diseases (CVD), and malignant neoplasms focusing on heterogeneity by sociodemographic factors.

Design, Setting, And Participants: This cohort study used a moderator-wide approach to examine the heterogeneity in the association of social isolation with all-cause, CVD, and malignant neoplasm mortality using baseline data from the Japan Gerontological Evaluation Study in 2010 and 2011.

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Article Synopsis
  • The study examined how different types of Internet use among older adults affect face-to-face communication (FFC) over a three-year period.
  • A total of 8,734 seniors aged 65 and older participated, with their Internet use in 2016 being analyzed to see its impact on FFC in 2019.
  • Results showed that Internet use for communication significantly increased FFC, especially for those who had low levels of FFC initially, suggesting that online interactions can help reduce social isolation among older adults.
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  • - The study explored how participation in community-level group sports can influence health outcomes, specifically mortality rates from all causes, cardiovascular diseases, and cancer in older adults.
  • - Data from a large cohort of over 43,000 older adults in Japan revealed that community sports participation is linked to a reduced risk of all-cause and cancer-related deaths, with a significant decrease for every 10% increase in participation rates.
  • - The findings highlight the potential of community sports programs to enhance health and longevity among older individuals, suggesting that encouraging these activities could be beneficial for public health strategies.
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Housing tenure is an important aspect to determine health. However, even though renters tend to have more socioeconomic disadvantages than homeowners, mortality risk between private and public renters compared with homeowners remains unclear. Japanese public rented housing, such as the Urban Renaissance Agency, has been developed for supplying an adequate living environment since 1950s.

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  • - Older adults who participate in group sports and exercises experience more significant health benefits compared to those who exercise alone, with the study aiming to assess these benefits and changes in frailty levels over time.
  • - Analyzed data from 33,746 men and 36,799 women aged 65 and older showed that, over three years, frailty scores increased, indicating worsening health.
  • - Key activities that helped prevent frailty increases included hiking, walking, tennis, ground golf, and weight exercises, highlighting the importance of specific group sports for seniors' well-being in Japan.
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  • Japan's aging population led to JPY 11 trillion in annual long-term care (LTC) costs in 2021, highlighting the need to understand factors affecting these costs.
  • A study from 2010 to 2019, involving 34,982 older adults across seven municipalities, explored how neighborhood environments impact LTC costs.
  • Findings revealed that nearby fresh food stores and unsafe walking areas were linked to lower monthly LTC costs, while easily accessible facilities correlated with higher costs, suggesting urban design can influence healthy aging and LTC expenses.
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Background: Functional disability has various patterns from onset until death. Although social participation is a known protective factor against functional disability among older individuals, it is unclear whether social participation is associated with the trajectory patterns of functional disability prior to death. This study assessed the association between social participation, specifically in horizontal and vertical groups, and the trajectories of functional disability prior to death.

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Article Synopsis
  • - The study examined the incidence of functional disability in older adults in Japan, utilizing data from the Japan Gerontological Evaluation Study with two cohorts: one from 2010-2013 and another from 2016-2019.
  • - Findings showed a decrease in functional disability rates among participants aged 65-74 years and those aged 75 and older between the two cohorts, although the significance diminished after factoring in social participation and other variables.
  • - The research suggests that increased social participation may play a crucial role in reducing functional disability among older adults, indicating a potential area for intervention and support.
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Background: The United Nations Decade of Healthy Ageing 2021-2030 suggests nations should monitor functional ability as an indicator of healthy ageing progress. Functional ability is the attribute of people to do something they value and consists of five domains. We examined its validity in terms of a construct, cross-validation across multiple waves' data, and predictivity for subsequent well-being.

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Purpose: Laughter is expected to have health-protective effects, but the potential link between tooth loss and laughter remains unclear. Therefore, this study aimed to examine the association between tooth loss and a low frequency of laughter among older adults in Japan, to elucidate whether this association could be mitigated by dental prostheses, and to evaluate the magnitude of the association mediated by poor oral function.

Methods: We used cross-sectional data from 157,708 functionally independent participants aged ≥65 years (46.

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Background: Per the biopsychosocial model, pain, especially chronic low back pain, which often presents with nonspecific pain, requires a comprehensive approach involving social factors. However, the association of social factors, including social isolation and loneliness, with this condition remains unclear. This study examined the cross-sectional association of social isolation and loneliness with chronic low back pain among older adults.

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Background: Social isolation has become a serious public health issue. However, most previous studies examine the relationship between social isolation and a single outcome. We aimed to conduct holistic assessments to understand the multidimensional impacts of social isolation on health and well-being.

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Article Synopsis
  • Loneliness and social isolation are prevalent issues among older adults in Japan, with this study seeking to uncover their associated factors and the characteristics of those experiencing them differently.
  • Analyzing data from over 13,000 adults aged 65 and older, the research found that factors like age, gender, socioeconomic status, and mental health significantly impacted experiences of social isolation and loneliness.
  • The findings suggest that addressing the needs of socioeconomically disadvantaged and unhealthy older adults is crucial in reducing loneliness and social isolation within this population.
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Objectives: This study evaluated the relationship between status of oral function and related long-term care service costs.

Design: This was a prospective 6-year follow-up study of previous survey data.

Setting: The data were obtained from the Japan Gerontological Evaluation Study conducted between 2010 and 2011.

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Background: this study aimed to identify distinct subgroups of trajectories of disability over time before 3 years of death and examine the factors associated with trajectory group membership probabilities among community-dwelling Japanese older adults aged 65 years and above.

Methods: participants included 4,875 decedents from among community-dwelling Japanese older adults, aged ≥ 65 years at baseline (men: 3,020; women: 1,855). The certified long-term care levels of the national long-term care insurance (LTCI) system were used as an index of functional disability.

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Purpose: This study aimed to identify the association between a specific sports type and exercise group participation and longitudinal changes in sociopsychological health among community-dwelling older adults.

Methods: Three years of data from the Japan Gerontological Evaluation Study were used, comprising a total of 33,746 men and 36,799 women age ≥65 yr. To determine the relationship between 20 types of sports and exercise group participation in 2016 (baseline) and changes in depressive symptoms (Geriatric Depression Scale (GDS-15)), self-rated health (4-point scale), subjective well-being (11-point scale), and frequency of laughter (days per month) from 2016 to 2019, we performed linear regression analyses with conducting a multivariate adjustment for potential confounders using an inverse probability weighting method.

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While laughter is evoked mainly in social contexts, the potential link between laughter in daily life and health benefits is unclear. This study aimed to examine the association between laughter in daily life and the onset of functional disability among older adults in Japan. Data were obtained from a 6-year follow-up cohort of 12,571 participants (46.

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Article Synopsis
  • Public assistance in Japan helps financially empower individuals but can lead to social stigma, impacting their relationships based on their assistance status.
  • A study using data from the Japan Gerontological Evaluation Study analyzed changes in the social relationships of older adults who started or stopped receiving public assistance between 2013 and 2016.
  • It was found that individuals who stopped receiving assistance improved their social connections, engaging more with friends and clubs, while those who started receiving assistance did not experience changes in their existing relationships.
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Objectives This study aims to evaluate the differences in the cumulative benefit costs of public long-term care [LTC] insurance services, using a risk assessment scale score, which predicts incident functional disability among older people.Methods A baseline survey was conducted in 2010 involving individuals aged 65 and above from 12 municipalities in Japan who were not eligible for public LTC insurance benefits (response rate: 64.7%).

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Background: Little is known about the prospective association between community-level social capital and individual-level frailty onset. Therefore, this study aimed to examine the impact of community-level social capital on frailty onset among older adults using 3-year longitudinal data.

Methods: This prospective cohort study recruited non-institutionalised older adults from the Japan Gerontological Evaluation Study, established in 2013 and robust older adults were followed up for 3 years.

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