Abstract：
This cross-sectional study investigates the associations among satisfaction with meaningful activities, and social frailty in community-dwelling Japanese older adults.
We analyzed data from 596 older adults (mean age 74.2 ± 6.4 years, female 63.6%) who participated in the Tarumizu Study 2019, a community-based health survey. Participants selected meaningful activities from 95 activities using the Aid for Decision-Making in Occupation Choice (ADOC) tool. Satisfaction was evaluated from 1 to 5, and those who were assigned a rating of 4 or 5 were operationally classified as the high satisfaction group (n = 487), with others occupying the low satisfaction group (n = 109). Both groups were evaluated based on the ADOC, social frailty (Makizako\'s five items), physical function, depressive symptoms, cognitive function, and higher-level competence.
Of the 596 participants, 18.7% showed prevalence of social frailty. The low satisfaction group had a significantly higher prevalence of social frailty (low satisfaction 28.4% vs. high satisfaction 16.4%, P = 0.004) and depressive symptoms (low satisfaction 30.3% vs. high satisfaction 17.9%, P<0.01), and poor higher-level competence (P = 0.026) than the high satisfaction group. Logistic regression analysis showed that social frailty (Odds Ratio 1.78, 95% Confidence Interval 1.068-2.990, P = 0.027) was significantly associated with satisfaction with meaningful activity after adjusting for covariates. We found no significant differences in categories of meaningful activities between the low and high satisfaction groups (P = 0.549).
This study suggested that social frailty was associated with satisfaction with meaningful activities, regardless of the degree or category of satisfaction.
We analyzed data from 596 older adults (mean age 74.2 ± 6.4 years, female 63.6%) who participated in the Tarumizu Study 2019, a community-based health survey. Participants selected meaningful activities from 95 activities using the Aid for Decision-Making in Occupation Choice (ADOC) tool. Satisfaction was evaluated from 1 to 5, and those who were assigned a rating of 4 or 5 were operationally classified as the high satisfaction group (n = 487), with others occupying the low satisfaction group (n = 109). Both groups were evaluated based on the ADOC, social frailty (Makizako\'s five items), physical function, depressive symptoms, cognitive function, and higher-level competence.
Of the 596 participants, 18.7% showed prevalence of social frailty. The low satisfaction group had a significantly higher prevalence of social frailty (low satisfaction 28.4% vs. high satisfaction 16.4%, P = 0.004) and depressive symptoms (low satisfaction 30.3% vs. high satisfaction 17.9%, P<0.01), and poor higher-level competence (P = 0.026) than the high satisfaction group. Logistic regression analysis showed that social frailty (Odds Ratio 1.78, 95% Confidence Interval 1.068-2.990, P = 0.027) was significantly associated with satisfaction with meaningful activity after adjusting for covariates. We found no significant differences in categories of meaningful activities between the low and high satisfaction groups (P = 0.549).
This study suggested that social frailty was associated with satisfaction with meaningful activities, regardless of the degree or category of satisfaction.
摘要：
这项横断面研究调查了对有意义的活动的满意度之间的关联，以及居住在社区的日本老年人的社交脆弱。
我们分析了596名老年人的数据（平均年龄74.2±6.4岁，63.6%的女性）参加了2019年Tarumizu研究，这是一项基于社区的健康调查。参与者使用职业选择决策辅助（ADOC）工具从95项活动中选择了有意义的活动。满意度从1到5进行评估，那些被分配到4或5的人在操作上被归类为高满意度组（n=487）。其他人占据低满意度组(n=109)。两组均基于ADOC进行评价,社会脆弱(牧居子的五个项目)，物理功能，抑郁症状,认知功能,和更高层次的能力。
在596名参与者中,18.7％的人表现出社会脆弱的患病率。低满意度组的社会脆弱患病率明显较高(低满意度28.4%vs.满意度高16.4%,P=0.004）和抑郁症状（低满意度30.3%与满意度高17.9%,P<0.01),较高满意度组的能力较差(P=0.026)。Logistic回归分析显示，调整协变量后，社会脆弱（比率1.78，95％置信区间1.068-2.990，P=0.027）与对有意义活动的满意度显着相关。我们发现低满意度和高满意度组之间有意义的活动类别没有显着差异（P=0.549）。
这项研究表明，社会脆弱与对有意义的活动的满意度有关，不管满意的程度或类别。
我们分析了596名老年人的数据（平均年龄74.2±6.4岁，63.6%的女性）参加了2019年Tarumizu研究，这是一项基于社区的健康调查。参与者使用职业选择决策辅助（ADOC）工具从95项活动中选择了有意义的活动。满意度从1到5进行评估，那些被分配到4或5的人在操作上被归类为高满意度组（n=487）。其他人占据低满意度组(n=109)。两组均基于ADOC进行评价,社会脆弱(牧居子的五个项目)，物理功能，抑郁症状,认知功能,和更高层次的能力。
在596名参与者中,18.7％的人表现出社会脆弱的患病率。低满意度组的社会脆弱患病率明显较高(低满意度28.4%vs.满意度高16.4%,P=0.004）和抑郁症状（低满意度30.3%与满意度高17.9%,P<0.01),较高满意度组的能力较差(P=0.026)。Logistic回归分析显示，调整协变量后，社会脆弱（比率1.78，95％置信区间1.068-2.990，P=0.027）与对有意义活动的满意度显着相关。我们发现低满意度和高满意度组之间有意义的活动类别没有显着差异（P=0.549）。
这项研究表明，社会脆弱与对有意义的活动的满意度有关，不管满意的程度或类别。
