Diagnostics (Dec 2024)

Association Between Gastrointestinal-Related Quality of Life and Frailty Using Baseline Data of the Prospective Cohort Study (JUSTICE-TOKYO Study)

  • Daisuke Asaoka,
  • Osamu Nomura,
  • Koji Sugano,
  • Kei Matsuno,
  • Hiroyuki Inoshita,
  • Nobuto Shibata,
  • Hideki Sugiyama,
  • Noemi Endo,
  • Yoshiyuki Iwase,
  • Miyuki Tajima,
  • Naoko Sakuma,
  • Megumi Inoue,
  • Mariko Nagata,
  • Taeko Mizutani,
  • Mizuki Ishii,
  • Sachi Iida,
  • Yoshiko Miura,
  • Yuji Nishizaki,
  • Naotake Yanagisawa,
  • Tsutomu Takeda,
  • Akihito Nagahara,
  • Katsumi Miyauchi

DOI
https://doi.org/10.3390/diagnostics15010015
Journal volume & issue
Vol. 15, no. 1
p. 15

Abstract

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Objective: To determine the prevalence of frailty and examine its association with gastrointestinal-related quality of life (QOL) among older outpatients in a geriatric hospital. Methods: This cross-sectional study involved 1042 outpatients (age: ≥65 years) diagnosed using the revised Japanese version of the cardiovascular health study criteria. Data collection was performed by a multidisciplinary team. Results: Of the 1039 eligible subjects (male: n = 460 [44.3%]; mean age: 78.2 ± 6.1 years), 172 (16.6%) had frailty (male: n = 77 [44.8%]; mean age: 80.9 ± 6.2 years). The multivariate analysis revealed that age (odds ratio [OR]: 1.070, p p = 0.009), a history of falls (OR: 1.702, p = 0.029), sarcopenia (OR: 4.708, p p = 0.001), analgesic drug use (OR: 2.056, p = 0.014), Mini Mental State Examination (OR: 0.915, p = 0.011), Geriatric Depression Scale 15 (OR: 1.101, p = 0.008), fullness-related QOL score (OR: 1.119, p = 0.010), chronic obstructive pulmonary disease assessment test (OR: 1.048, p = 0.007), and 10-item Eating Assessment Tool (OR: 1.071, p = 0.009) were related to frailty. Conclusions: The prevalence rate of frailty in older outpatients at a university hospital specializing in geriatric medicine was higher than that previously reported in community-dwelling individuals. Our study clarified that the fullness-related QOL score was related to frailty.

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