Table 1. Characteristics of Study Participants.

From: Association of Long-Term Care Risk with Nonresponse to the Annual Frailty Screening Program in Older Adults in Japan: A Retrospective Cohort Study

Variable Total (n = 35,425) Nonrespondents (n = 9,456) Respondents (n = 25,969) p Value
n (%) n (%) n (%)
Sex 0.009
 Male 17,004 (48.0) 4,431 (46.9) 12,573 (48.4)
 Female 18,421 (52.0) 5,025 (53.1) 13,396 (51.6)
Age (years) <0.001
 Average (SD)a 80.0 (3.9) 80.2 (4.1) 79.9 (3.9) <0.001
 Median (IQR) 79 (77-82) 79 (77-83) 79 (77-82) <0.001
Household income <0.001
 Higher than standards 16,138 (45.6) 3,947 (41.7) 12,191 (46.9)
 Standards or lower 19,287 (54.4) 5,509 (58.3) 13,778 (53.1)
Chronic diseases
 Heart disease 4,246 (12.0) 1,098 (11.6) 3,148 (12.1) 0.191
 Diabetes 4,690 (13.2) 1,305 (13.8) 3,385 (13.0) 0.060
 Hypertension 16,017 (45.2) 4,218 (44.6) 11,799 (45.4) 0.166
 Joint pain 3,556 (10.0) 931 (9.8) 2,625 (10.1) 0.467
 Fracture 631 (1.8) 204 (2.2) 427 (1.6) 0.001
 Renal failure 696 (2.0) 167 (1.8) 529 (2.0) 0.104
 Respiratory disease 1,877 (5.3) 562 (5.9) 1,315 (5.1) 0.001
 Cerebrovascular disease 1,251 (3.5) 342 (3.6) 909 (3.5) 0.599
Living areas <0.001
 A 1,212 (3.4) 288 (3.0) 924 (3.6)
 B 860 (2.4) 232 (2.5) 628 (2.4)
 C 837 (2.4) 239 (2.5) 598 (2.3)
 D 1,049 (3.0) 277 (2.9) 772 (3.0)
 E 1,485 (4.2) 364 (3.8) 1,121 (4.3)
 F 1,949 (5.5) 518 (5.5) 1,431 (5.5)
 G 1,795 (5.1) 500 (5.3) 1,295 (5.0)
 H 970 (2.7) 265 (2.8) 705 (2.7)
 I 1,810 (5.1) 488 (5.2) 1,322 (5.1)
 J 1,981 (5.6) 556 (5.9) 1,425 (5.5)
 K 1,648 (4.7) 492 (5.2) 1,156 (4.5)
 L 1,961 (5.5) 512 (5.4) 1,449 (5.6)
 M 1,202 (3.4) 350 (3.7) 852 (3.3)
 N 2,128 (6.0) 593 (6.3) 1,535 (5.9)
 O 1,827 (5.2) 539 (5.7) 1,288 (5.0)
 P 2,147 (6.1) 544 (5.8) 1,603 (6.2)
 Q 2,260 (6.4) 555 (5.9) 1,705 (6.6)
 R 3,110 (8.8) 794 (8.4) 2,316 (8.9)
 S 1,654 (4.7) 413 (4.4) 1,241 (4.8)
 T 2,156 (6.1) 580 (6.1) 1,576 (6.1)
 U 1,384 (3.9) 357 (3.8) 1,027 (4.0)
KCL domains
 ADL limitation 3,160 (8.9) 1,183 (12.5) 1,977 (7.6) <0.001
 Low physical strength 5,406 (15.3) 1,777 (18.8) 3,629 (14.0) <0.001
 Malnutrition 528 (1.5) 174 (1.8) 354 (1.4) 0.001
 Oral dysfunction 7,280 (20.6) 2,148 (22.7) 5,132 (19.8) <0.001
 Isolation 3,163 (8.9) 1,154 (12.2) 2,009 (7.7) <0.001
 Memory decline 11,558 (32.6) 3,587 (37.9) 7,971 (30.7) <0.001
 Depressive mood 11,790 (33.3) 3,507 (37.1) 8,283 (31.9) <0.001
Frailty status
 Robust (≤3 points) 13,031 (36.8) 2,956 (31.3) 10,075 (38.8)
 Prefrailty (4-7 points) 13,095 (37.0) 3,427 (36.2) 9,668 (37.2)
 Frailty (≥8 points) 9,299 (26.2) 3,073 (32.5) 6,226 (24.0)
Table 2. Associations of the KCL Domains and Frailty Status at Baseline (FY 2020 Survey) with Nonresponse to the Subsequent FY 2021 Survey.

From: Association of Long-Term Care Risk with Nonresponse to the Annual Frailty Screening Program in Older Adults in Japan: A Retrospective Cohort Study

KCL domain applicable Unadjusted Adjusted
OR (95% CI) p Value aOR (95% CI) p Value
KCL domainsa
 ADL limitation 1.74 (1.61-1.87) <0.001 1.38 (1.27-1.50) <0.001
 Low physical strength 1.42 (1.34-1.52) <0.001 1.17 (1.10-1.26) <0.001
 Malnutrition 1.36 (1.13-1.63) 0.001 1.15 (0.95-1.38) 0.152
 Oral dysfunction 1.19 (1.13-1.26) <0.001 1.04 (0.98-1.10) 0.226
 Isolation 1.66 (1.54-1.79) <0.001 1.32 (1.22-1.44) <0.001
 Memory decline 1.38 (1.31-1.45) <0.001 1.23 (1.17-1.30) <0.001
 Depressive mood 1.26 (1.20-1.32) <0.001 1.10 (1.04-1.16) 0.001
Frailty status
 Robust (≤3 points) ref ref
 Pre-frailty (4-7 points) 1.21 (1.14-1.28) <0.001 1.19 (1.12-1.26) <0.001
 Frailty (≥8 points) 1.68 (1.58-1.79) <0.001 1.63 (1.53-1.73) <0.001
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