{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T13:47:36Z","timestamp":1770817656573,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,7,12]],"date-time":"2016-07-12T00:00:00Z","timestamp":1468281600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The purposes of the present study were to investigate risk factors for incident disability in activities of daily living (ADL) among middle\u2010aged and older women, and to determine whether there are differences in risk factors according to age groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The participants were 264 Japanese women aged 40\u2009years and older. A self\u2010administered questionnaire was used to survey participants about difficulty in carrying out selected basic and instrumental ADL at baseline and at follow up. ADL disability was defined as difficulty carrying out three or more ADL. Information on knee joint or back pain and comorbidities (heart disease, lung disease, stroke or diabetes mellitus) was obtained using a self\u2010administered questionnaire at baseline. Physical performance measurements (grip strength, chair stand time, rapid walking speed and functional reach) were also carried out at baseline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of incident ADL disability was 44 (27.5%) in women aged 40\u201364\u2009years, and 57 (54.8%) in women aged \u226565\u2009years (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Multiple logistic regression analysis showed that decreased grip strength and having pain were significantly associated with a higher risk for incident ADL disability among women aged 40\u201364\u2009years. For women aged \u226565\u2009years, decreased rapid walking speed, having a comorbidity and having pain were associated with incident ADL disability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present study showed that a different set of risk factors was associated with incident ADL disability among women aged 40\u201364\u2009years and women aged \u226565\u2009years. Age\u2010specific screening and intervention strategies are necessary for effective prevention of incident ADL disability. <jats:bold>Geriatr Gerontol Int 2017; 17: 1096\u20131101<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.12834","type":"journal-article","created":{"date-parts":[[2016,7,12]],"date-time":"2016-07-12T07:27:23Z","timestamp":1468308443000},"page":"1096-1101","source":"Crossref","is-referenced-by-count":18,"title":["Age\u2010specific risk factors for incident disability in activities of daily living among middle\u2010aged and elderly community\u2010dwelling Japanese women during an 8\u20139\u2010year follow up: The Hizen\u2010Oshima study"],"prefix":"10.1111","volume":"17","author":[{"given":"Takuhiro","family":"Okabe","sequence":"first","affiliation":[{"name":"Departments of Public Health  Nagasaki Japan"},{"name":"Department of Rehabilitation, Nishi\u2010Isahaya Hospital  Isahaya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuyo","family":"Abe","sequence":"additional","affiliation":[{"name":"Departments of Public Health  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihito","family":"Tomita","sequence":"additional","affiliation":[{"name":"Departments of Public Health  Nagasaki Japan"},{"name":"Department of Rehabilitation, Nishi\u2010Isahaya Hospital  Isahaya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Mizukami","sequence":"additional","affiliation":[{"name":"Departments of Public Health  Nagasaki Japan"},{"name":"Department of Rehabilitation, Nishi\u2010Isahaya Hospital  Isahaya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsuo","family":"Kanagae","sequence":"additional","affiliation":[{"name":"Departments of Public Health  Nagasaki Japan"},{"name":"Department of Rehabilitation, Nishi\u2010Isahaya Hospital  Isahaya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiko","family":"Arima","sequence":"additional","affiliation":[{"name":"Departments of Public Health  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takayuki","family":"Nishimura","sequence":"additional","affiliation":[{"name":"Departments of Public Health  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ritsu","family":"Tsujimoto","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery Nagasaki University Graduate School of Biomedical Sciences  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natsumi","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery Nagasaki University Graduate School of Biomedical Sciences  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisashi","family":"Goto","sequence":"additional","affiliation":[{"name":"Goto Health Care Office  Goto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Itsuko","family":"Horiguchi","sequence":"additional","affiliation":[{"name":"Center for Public Relations Strategy Nagasaki University  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiyoshi","family":"Aoyagi","sequence":"additional","affiliation":[{"name":"Departments of Public Health  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,7,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.00572.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1444-0594.2003.00094.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1444-0594.2003.00090.x"},{"key":"e_1_2_7_5_1","unstructured":"United Nations Department of Economic and Social Affairs Population Division.World Population Prospects: The 2015 Revision Key Findings and Advance Tables. 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