{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T15:02:53Z","timestamp":1784818973617,"version":"3.55.0"},"reference-count":36,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["23K10362"],"award-info":[{"award-number":["23K10362"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Aging"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to examine the factors associated with social isolation among community-dwelling older adults requiring long-term care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional analysis of 70 day service attendees requiring long-term care who were independently ambulatory and had sufficient cognitive function to participate. Social isolation was defined as a score of &lt;12 on the Six-item Lubben Social Network Scale. Life-space mobility was assessed using the Life Space Assessment, sleep quality using the Pittsburgh Sleep Quality Index, physical function using the Timed Up-and-Go test, and grip strength and fear of falling using the Falls Efficacy Scale. Separate multivariable-adjusted logistic regression models were constructed by adjusting for age, sex, and care need level. Variables that were significant in the separate models were simultaneously entered into a multivariable model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In separate multivariable-adjusted models, lower life-space mobility, poorer sleep quality, and a greater fear of falling were significantly associated with social isolation, whereas physical function was not. However, none of these associations remained significant when considered simultaneously.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Lower life-space mobility, poorer sleep quality, and greater fear of falling were associated with social isolation only in separate multivariable-adjusted models. These exploratory findings should be interpreted cautiously and require confirmation in larger studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/30495334261464798","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T11:05:12Z","timestamp":1784631912000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of Social Isolation With Life-Space Mobility, Sleep Quality, Physical Function, and Fear of Falling Among Community-Dwelling Older Adults Requiring Long-Term Care"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-6656-8924","authenticated-orcid":false,"given":"Toshiki","family":"Mizuno","sequence":"first","affiliation":[{"name":"Osaka Yukioka College of Health Science"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0390-3400","authenticated-orcid":false,"given":"Masaaki","family":"Isaka","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Science, Osaka Health Science University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayaka","family":"Sato","sequence":"additional","affiliation":[{"name":"Day Service Kutsuroginosato"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuko","family":"Higuchi","sequence":"additional","affiliation":[{"name":"Rehabili Space Konoka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Kamide","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, The University of Osaka"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41105-022-00380-x"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2003.51512.x"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-018-05377-0"},{"key":"e_1_3_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsaa140"},{"key":"e_1_3_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"e_1_3_8_7_1","volume-title":"Annual report on the ageing society","author":"Cabinet Office, Government of Japan","unstructured":"Cabinet Office, Government of Japan. 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