Journal of Rural Medicine
Online ISSN : 1880-4888
Print ISSN : 1880-487X
ISSN-L : 1880-487X
Original article
Polypharmacy and associated factors in older adults living in communities: a comparative study using the Social Frailty Score and Kihon Checklist
Kohji IwaiTakeshi YamazakiYuta Kubo
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JOURNAL OPEN ACCESS

2025 Volume 20 Issue 3 Pages 189-194

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Abstract

Objective: In this study, we investigated the status of polypharmacy among community-dwelling older adults and comprehensively examined background factors, including social frailty and Kihon Checklist (KCL) scores, based on the presence or absence of polypharmacy.

Materials and Methods: We conducted a survey using self-administered questionnaires distributed via mail to 319 participants. Information on demographics, comorbidities, highest educational attainment, medication status, social frailty, and KCL scores was collected.

Results: Using propensity score matching, 75 and 71 patients with and without polypharmacy, respectively, were selected for analysis. A comparison between the two groups indicated no differences in social frailty; however, significant differences were observed in the total KCL scores (P=0.002), motor dysfunction (P=0.045), oral hypofunction (P=0.023), social withdrawal (P=0.032), and depression (P=0.034).

Conclusion: Among community-dwelling older adults with polypharmacy, attention should be paid to the potential for decreased motor and oral functions, social withdrawal, and depression.

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© 2025 by THE JAPANESE ASSOCIATION OF RURAL MEDICINE

この記事はクリエイティブ・コモンズ [表示 - 非営利 - 改変禁止 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
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