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. 2020 Aug 21:15:1439-1447.
doi: 10.2147/CIA.S244529. eCollection 2020.

Frequency of Social Isolation and Homeboundness and Their Relationships with High-Level Functional Capacity in Elderly Diabetic Patients

Satoshi Ida  1 , Ryutaro Kaneko  1 , Kanako Imataka  1 , Kaoru Okubo  1 , Yoshitaka Shirakura  1 , Kentaro Azuma  1 , Ryoko Fujiwara  1 , Hiroka Takahashi  1 , Kazuya Murata  1
Affiliations

Frequency of Social Isolation and Homeboundness and Their Relationships with High-Level Functional Capacity in Elderly Diabetic Patients

Satoshi Ida et al. Clin Interv Aging. .

Abstract

Purpose: To determine the frequency of social isolation (hereinafter, isolation) and homeboundness in elderly diabetic patients and to investigate their relationships with high-level functional capacity.

Patients and methods: Subjects were diabetic outpatients aged 65 years and older who were visiting the Japanese Red Cross Ise Hospital. Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC) was used to evaluate high-level functional capacity. Isolation was defined as having less than one interaction per week with someone other than co-habiting family members. Homeboundness was defined as leaving the house less than once a day. Multiple regression analysis was performed with the TMIG-IC score as the dependent variable and isolation and homeboundness as independent variables.

Results: Four hundred fifty-one patients were included in the analysis. The frequency of isolation and homeboundness affected 37% and 13.3% of men and 28.9% and 20.6% of women, respectively. The adjusted partial regression coefficient of the TMIG-IC scores of isolated, homebound, and isolated+homebound men was -0.94 [95% confidence interval (CI), -1.68 to -0.21; P = 0.012], -0.27 (95% CI, -1.93 to 1.39; P = 0.746), and -4.03 (95% CI, -5.37 to -2.68; P < 0.001) in relation to that of the non-isolated and non-homebound group as reference. In women, the respective coefficients to the reference were -1.33 (95% CI, -2.93 to 0.25; P = 0.099), -0.65 (95% CI, -2.56 to 1.26; P = 0.501), and -3.01 (95% CI, -4.92 to -1.1; P = 0.002), respectively.

Conclusion: The frequency of isolation was high in both female and male elderly diabetic patients. In men, there was a significant relationship between isolation and decline in high-level functional capacity. In both men and women, there was a significant relationship between isolation+homeboundness and decline in high-level functional capacity.

Keywords: TMIG-IC; Tokyo Metropolitan Institute of Gerontology Index of Competence; activities of daily living; community-dwelling elderly; diabetes in the elderly.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

References

    1. Laan W, Bleijenberg N, Drubbel I, Numans ME, de Wit NJ, Schuurmans MJ. Factors associated with increasing functional decline in multimorbid independently living older people. Maturitas. 2013;75(3):276–281. doi: 10.1016/j.maturitas.2013.04.005 - DOI - PubMed
    1. Louie GH, Ward MM. Sex disparities in self-reported physical functioning: true differences, reporting bias, or incomplete adjustment for confounding? J Am Geriatr Soc. 2010;58(6):1117–1122. doi: 10.1111/j.1532-5415.2010.02858.x - DOI - PMC - PubMed
    1. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9(3):179–186. doi: 10.1093/geront/9.3_Part_1.179 - DOI - PubMed
    1. Kameyama K, Tsutou A, Fujino H. The relationship between health-related quality of life and higher-level functional capacity in elderly women with mild cognitive impairment. J Phys Ther Sci. 2016;28(4):1312–1317. doi: 10.1589/jpts.28.1312 - DOI - PMC - PubMed
    1. Murakami K, Tsubota-Utsugi M, Satoh M, et al. Impaired higher-level functional capacity as a predictor of stroke in community-dwelling older adults: the Ohasama study. Stroke. 2016;47(2):323–328. doi: 10.1161/STROKEAHA.115.011131 - DOI - PubMed