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Association of changes in behavioral activities on mental and physical health among age-specific Japanese older adults: a cohort study

SHAN, Yifan 北海道大学

2023.03.23

概要

People worldwide are living longer. By 2030, one in six people worldwide will be
aged 60 or over. The proportion of people aged 60 and over will increase from 1
billion (12.8% of total population) in 2020 to 1.4 billion (16.5% of total population) in
2030. By 2050, the number of people aged 60 years and above will double (2.1 billion,
21.6%) (World Health Organization, 2022b). Japan has one of the highest levels of
ageing rate in the world. In 2021, the population aged 65 and over in Japan reached
36.21 million, accounting for 28.8% of the total population. The ageing rate was
expected to increase to 37.7 in 2050 (National Institute of Population and Social
Security Research, 2022).
Ageing populations are vulnerable to develop common conditions, such as hearing
loss, cataracts and refractive errors, back and neck pain and osteoarthritis, chronic
obstructive pulmonary disease, diabetes, depression, dementia and disability (World
Health Organization, 2022a).
Over 100 million older adults aged 65-89 with mental disorders globally, and 3
million in Japan. Among the major mental disorders, depressive disorders had the
highest prevalence, about 39.0% globally and 31.0% in Japan (Institute for Health
Metrics and Evaluation, 2019a). In addition, over 16% of community-dwelling older
adults may experience an episode of clinically relevant depressive symptoms
(Fernandez-Rodrigues et al., 2022). Moreover, depressive symptoms in older adults
are associated with various health problems, such as decreased physical, social, and
cognitive function, increased risk of morbidity and suicide (Penninx, 2017; Buigues
et al., 2015; Demakakos et al., 2010; Blazer, 2003), and a high financial burden (Vyas
and Okereke, 2020). In Japan, the prevalence of depressive symptoms in older adults
increases with age (Institute for Health Metrics and Evaluation, 2019c). ...

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