Association Between Social Participation and 3‐Year Change in Instrumental Activities of Daily Living in Community‐Dwelling Elderly Adults
Abstract
Objectives: To investigate whether social participation ( SP ) in older adults is associated with ability to perform instrumental activities of daily living ( IADL s). Design: Prospective cohort study. Setting: Two local municipalities of Nara, Japan. Participants: Individuals aged 65 to 96 (n = 2,774 male, n = 3,586 female) free of IADL disability at baseline. Measurements: SP and IADL s were assessed using self‐administered questionnaires. SP was categorized into five types and assessed using the number and type of social activities. IADL s were evaluated using the Tokyo Metropolitan Institute of Gerontology Index of Competence. Logistic regression analysis stratified according to sex was used to examine change in IADL s according to SP , with nonparticipation as a reference. Results: During the 3‐year follow‐up, 13.6% of men and 9.0% of women reported IADL decline. After adjusting for age, family structure, body mass index, pension, occupation, medical treatment, self‐rated health, drinking, smoking, depression, cognitive function, and activities of daily living, participation in various social activities was inversely associated with change in IADL s in women but not men. Participation in the following types of social activities had significant inverse associations with IADL disability: hobby clubs (odds ratio ( OR ) = 0.68, 95% confidence interval ( CI ) = 0.49–0.94) for men and local events ( OR = 0.68, 95% CI = 0.48–0.95), hobby clubs ( OR = 0.53, 95% CI = 0.36–0.79), senior citizen clubs ( OR = 0.74, 95% CI = 0.56–0.97), and volunteer groups ( OR = 0.56, 95% CI = 0.32–0.99) for women. Conclusion: Participation in a variety of different types of social activities was associated with change in IADL s over the 3 years of this study in women, and participation in hobby clubs was associated with change in IADL s in men and women. Recommending that community‐dwelling elderly adults participate in social activities appropriate for their sex may promote successful aging.
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Older adults enrolled in social activities presented better dynamic balance and muscle strength, healthy lung function, and lower disabilities and chronic inflammation compared to those without social participation.
“Studies have reported that older adults who were enrolled into social activities presented better dynamic balance and muscle strength, healthy lung function and lower disabilities and chronic inflammation compared to those without social participation (14, 72).”
From Impact of Social Isolation Due to COVID-19 on Health in Older People: Mental and Physical Effects and Recommendations (2020) · cites this paper as [72]
Social participation has several positive effects on physical health in elderly people.
“Social participation has several positive effects on physical health in elderly people (72).”
From Impact of Social Isolation Due to COVID-19 on Health in Older People: Mental and Physical Effects and Recommendations (2020) · cites this paper as [72]
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Sepúlveda-Loyola, W., Rodríguez-Sánchez, I., Pérez-Rodríguez, P., Ganz, F., Torralba, R., Oliveira, D. V., & Rodríguez-Mañas, L. (2020) · The Journal of nutrition, health and aging · doi:10.1007/s12603-020-1500-7 · Cited by 736 · see citing works
- Authors
- Tomioka, K., Kurumatani, N., & Hosoi, H.
- Affiliations
- Nara Medical University (JP)
- Corresponding author
- Tomioka, Kimiko
- ORCID
- Tomioka, Kimiko
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 2016-09-27
- Volume
- 65
- Issue
- 1
- Pages
- 107-113
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- OpenAlex
- W2525097491
- Cited by
- 128
- References
- 6
- Citations by year
- 2026: 6 · 2025: 18 · 2024: 20 · 2023: 7 · 2022: 17 · 2021: 17 · 2020: 18 · 2019: 8 · 2018: 12 · 2017: 5
- FWCI
- 8.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Geriatrics Society (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Nara Medical University
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- social participation (health and rehabilitation), instrumental activities of daily living, community-dwelling older adults, hobby clubs, senior clubs, volunteer groups, sex differences, successful aging, social activity, functional decline
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Aging, Disability Evaluation, Female, Follow-Up Studies, Persons with Disabilities, Disabled Persons, Humans, Japan, Male, Sex Factors, Cohort Studies, Social Participation
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