Impairments in Activities of Daily Living in Older Japanese Men in Hawaii and Japan
Introduction. Hypertension and cigarette smoking are dominant risk factors for cardiovascular disease in Japan while in westernized countries, broader effects encompass obesity, diabetes, and hypercholesterolemia. This paper examines whether different associations also appear important in the manif...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Journal of Aging Research |
| Online Access: | http://dx.doi.org/10.4061/2011/324592 |
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| author | Robert D. Abbott Aya Kadota Katsuyuki Miura Takehito Hayakawa Takashi Kadowaki Tomonori Okamura Akira Okayama Kamal H. Masaki Hirotsugu Ueshima |
| author_facet | Robert D. Abbott Aya Kadota Katsuyuki Miura Takehito Hayakawa Takashi Kadowaki Tomonori Okamura Akira Okayama Kamal H. Masaki Hirotsugu Ueshima |
| author_sort | Robert D. Abbott |
| collection | DOAJ |
| description | Introduction. Hypertension and cigarette smoking are dominant risk factors for cardiovascular disease in Japan while in westernized countries, broader effects encompass obesity, diabetes, and hypercholesterolemia. This paper examines whether different associations also appear important in the manifestation of activities of daily living (ADL) in older Japanese men in Hawaii and Japan. Methods. Measures of ADL (feeding, toileting, dressing, bathing, and walking around the house) were assessed from 1995 to 1999 in 1,893 men in Hawaii and 543 men in Japan. Concomitant risk factors were measured from 1990 to 1993. Results. In Hawaii, diabetes increased the odds of ≥1 ADL impairment nearly 1.5-fold (P=.020). A similar association was absent in Japan. In contrast, the odds of an ADL impairment in Japan was increased more than 5-fold in the presence of stroke (P<.001). The association in Hawaii was significantly weaker (P=.007). In both cohorts, past alcohol use was associated with a greater likelihood of ADL impairment. Conclusion. In this comparison of genetically similar samples, findings suggest that different strengths in risk factor associations with cardiovascular disease in Japan and westernized countries may also include different strengths in associations with impaired ADL. |
| format | Article |
| id | doaj-art-81944cfc193b4ee0aa0fa5613f91c8bc |
| institution | Kabale University |
| issn | 2090-2212 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Aging Research |
| spelling | doaj-art-81944cfc193b4ee0aa0fa5613f91c8bc2025-02-03T00:59:20ZengWileyJournal of Aging Research2090-22122011-01-01201110.4061/2011/324592324592Impairments in Activities of Daily Living in Older Japanese Men in Hawaii and JapanRobert D. Abbott0Aya Kadota1Katsuyuki Miura2Takehito Hayakawa3Takashi Kadowaki4Tomonori Okamura5Akira Okayama6Kamal H. Masaki7Hirotsugu Ueshima8Department of Statistics, Radiation Effects Research Foundation, 5-2 Hijiyama-koen, Minami-ku, Hiroshima 732-0815, JapanDepartment of Health Science, Shiga University of Medical Science, Otsu 520-2192, JapanDepartment of Health Science, Shiga University of Medical Science, Otsu 520-2192, JapanDepartment of Hygiene and Preventive Medicine, Fukushima Medical University, Fukushima 960-1295, JapanDepartment of Health Science, Shiga University of Medical Science, Otsu 520-2192, JapanDepartment of Preventive Medicine and Public Health, Keio University, Tokyo 160-8582, JapanThe First Institute of Health Service, Japan Anti-Tuberculosis Association, Tokyo 101-0061, JapanDepartment of Geriatric Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96817, USADepartment of Health Science, Shiga University of Medical Science, Otsu 520-2192, JapanIntroduction. Hypertension and cigarette smoking are dominant risk factors for cardiovascular disease in Japan while in westernized countries, broader effects encompass obesity, diabetes, and hypercholesterolemia. This paper examines whether different associations also appear important in the manifestation of activities of daily living (ADL) in older Japanese men in Hawaii and Japan. Methods. Measures of ADL (feeding, toileting, dressing, bathing, and walking around the house) were assessed from 1995 to 1999 in 1,893 men in Hawaii and 543 men in Japan. Concomitant risk factors were measured from 1990 to 1993. Results. In Hawaii, diabetes increased the odds of ≥1 ADL impairment nearly 1.5-fold (P=.020). A similar association was absent in Japan. In contrast, the odds of an ADL impairment in Japan was increased more than 5-fold in the presence of stroke (P<.001). The association in Hawaii was significantly weaker (P=.007). In both cohorts, past alcohol use was associated with a greater likelihood of ADL impairment. Conclusion. In this comparison of genetically similar samples, findings suggest that different strengths in risk factor associations with cardiovascular disease in Japan and westernized countries may also include different strengths in associations with impaired ADL.http://dx.doi.org/10.4061/2011/324592 |
| spellingShingle | Robert D. Abbott Aya Kadota Katsuyuki Miura Takehito Hayakawa Takashi Kadowaki Tomonori Okamura Akira Okayama Kamal H. Masaki Hirotsugu Ueshima Impairments in Activities of Daily Living in Older Japanese Men in Hawaii and Japan Journal of Aging Research |
| title | Impairments in Activities of Daily Living in Older Japanese Men in Hawaii and Japan |
| title_full | Impairments in Activities of Daily Living in Older Japanese Men in Hawaii and Japan |
| title_fullStr | Impairments in Activities of Daily Living in Older Japanese Men in Hawaii and Japan |
| title_full_unstemmed | Impairments in Activities of Daily Living in Older Japanese Men in Hawaii and Japan |
| title_short | Impairments in Activities of Daily Living in Older Japanese Men in Hawaii and Japan |
| title_sort | impairments in activities of daily living in older japanese men in hawaii and japan |
| url | http://dx.doi.org/10.4061/2011/324592 |
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