{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T12:51:03Z","timestamp":1787230263083,"version":"build-2736575974"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T00:00:00Z","timestamp":1722297600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Grant-in-Aid for Scienti\ufb01c Research","award":["23300205"],"award-info":[{"award-number":["23300205"]}]},{"name":"Japanese Ministry of Health, Labor, and Welfare","award":["H23-tyoujyu-ippan-001"],"award-info":[{"award-number":["H23-tyoujyu-ippan-001"]}]},{"name":"Japanese Ministry of Health, Labor, and Welfare","award":["22-16"],"award-info":[{"award-number":["22-16"]}]},{"DOI":"10.13039\/501100007312","name":"National Center for Geriatrics and Gerontology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007312","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>This study aimed to investigate the association between falls and social frailty and its components among older Japanese adults.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This is a cross-sectional study. Participants were categorized into 3 groups based on the number of falls in the past year: no fall (none), a single fall (occasional), and more than one fall (recurrent). The participants who met 2 or more of the following criteria were defined as socially frail: living alone, going out less frequently compared with the previous year, rarely visiting friends, feeling unhelpful to friends or family, and not talking with someone daily.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 4,495 older Japanese adults living in a community analyzed in this study (51.0% women). Of the participants in this study, 3,851 (85.7%) were categorized as none, 443 (9.9%) as occasional, and 201 (4.5%) as recurrent. The proportion of participants considered socially frail was 11.5% in this study. Recurrent falls were associated with social frailty, even after adjusting for covariates (odds ratio [OR]: 1.49; 95% confidence interval [CI]: 1.01\u20132.19). The experience of recurrent falls was associated with the following components: \u201cfeeling unhelpful to friends and family\u201d (OR: 1.62; 95% CI: 1.14\u20132.31) and \u201cgoing outside less frequently compared with last year\u201d (OR: 1.57; 95% CI: 1.06\u20132.31).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Among older Japanese adults, recurrent falls were associated with social frailty and with 2 of its components in particular: social roles and social participation. Future longitudinal studies should be conducted to gain insight into any causal relationships between these variables.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/geronb\/gbae127","type":"journal-article","created":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T19:36:21Z","timestamp":1722368181000},"source":"Crossref","is-referenced-by-count":7,"title":["Association Between Falls and Social Frailty in Community-Dwelling Older Japanese Adults"],"prefix":"10.1093","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4624-767X","authenticated-orcid":false,"given":"Ryuichi","family":"Sawa","sequence":"first","affiliation":[{"name":"Faculty of Health Science, Department of Physical Therapy, Juntendo University , Bunkyo-ku, Tokyo , Japan"},{"name":"Department of Preventive Gerontology, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology , Obu, Aichi , 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