Back to Journals » Clinical Interventions in Aging » Volume 15

Frequency of Social Isolation and Homeboundness and Their Relationships with High-Level Functional Capacity in Elderly Diabetic Patients

Authors Ida S, Kaneko R, Imataka K, Okubo K, Shirakura Y, Azuma K, Fujiwara R, Takahashi H, Murata K

Received 2 January 2020

Accepted for publication 22 July 2020

Published 21 August 2020 Volume 2020:15 Pages 1439—1447

DOI https://doi.org/10.2147/CIA.S244529

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Richard Walker


Satoshi Ida, Ryutaro Kaneko, Kanako Imataka, Kaoru Okubo, Yoshitaka Shirakura, Kentaro Azuma, Ryoko Fujiwara, Hiroka Takahashi, Kazuya Murata

Department of Diabetes and Metabolism, Ise Red Cross Hospital, Ise-shi, Mie 516-8512, Japan

Correspondence: Satoshi Ida
Department of Diabetes and Metabolism, Ise Red Cross Hospital, 1-471-2, Funae, 1-Chome, Ise-shi, Mie 516-8512, Japan
Tel +81 596-28-2171
Fax +81 596-28-2965
Email bboy98762006@yahoo.co.jp

Purpose: To determine the frequency of social isolation (hereinafter, isolation) and homeboundness in elderly diabetic patients and to investigate their relationships with high-level functional capacity.
Patients and Methods: Subjects were diabetic outpatients aged 65 years and older who were visiting the Japanese Red Cross Ise Hospital. Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC) was used to evaluate high-level functional capacity. Isolation was defined as having less than one interaction per week with someone other than co-habiting family members. Homeboundness was defined as leaving the house less than once a day. Multiple regression analysis was performed with the TMIG-IC score as the dependent variable and isolation and homeboundness as independent variables.
Results: Four hundred fifty-one patients were included in the analysis. The frequency of isolation and homeboundness affected 37% and 13.3% of men and 28.9% and 20.6% of women, respectively. The adjusted partial regression coefficient of the TMIG-IC scores of isolated, homebound, and isolated+homebound men was − 0.94 [95% confidence interval (CI), − 1.68 to − 0.21; P = 0.012], − 0.27 (95% CI, − 1.93 to 1.39; P = 0.746), and − 4.03 (95% CI, − 5.37 to − 2.68; P < 0.001) in relation to that of the non-isolated and non-homebound group as reference. In women, the respective coefficients to the reference were − 1.33 (95% CI, − 2.93 to 0.25; P = 0.099), − 0.65 (95% CI, − 2.56 to 1.26; P = 0.501), and − 3.01 (95% CI, − 4.92 to − 1.1; P = 0.002), respectively.
Conclusion: The frequency of isolation was high in both female and male elderly diabetic patients. In men, there was a significant relationship between isolation and decline in high-level functional capacity. In both men and women, there was a significant relationship between isolation+homeboundness and decline in high-level functional capacity.

Keywords: community-dwelling elderly, Tokyo Metropolitan Institute of Gerontology Index of Competence, TMIG-IC, diabetes in the elderly, activities of daily living

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]