より多くの健康情報を入手することがフレイル予防の糸口に~75歳以上1,000人超の調査結果から~

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2025-09-9 国立長寿医療研究センター(2025-09-16更新)

国立長寿医療研究センターは、全国の75歳以上の高齢者1,032人を対象に、フレイルとヘルスリテラシー(健康情報の理解・活用能力)の関連を調査しました。その結果、フレイルと判定された人(30.8%)は、そうでない人よりもヘルスリテラシーの点数が有意に低く、特に「医療専門家への相談情報」「予防接種や検診の情報」「運動や栄養などの健康生活情報」の3点が入手しにくい傾向にありました。これらの情報へのアクセス困難は、フレイルリスクの一因と考えられ、地域住民への健康情報提供支援がフレイル予防に重要であることが示されました。なお、因果関係の解明にはさらなる研究が必要とされています。

より多くの健康情報を入手することがフレイル予防の糸口に~75歳以上1,000人超の調査結果から~

<関連情報>

地域在住高齢者の健康情報処理能力と虚弱との関連性:横断的ウェブベース研究 Association between health information-processing ability and frailty among community-dwelling older adults: A cross-sectional web-based study

Noriko Hori, Jiaqi Li, Yosuke Osuka
Geriatrics & Gerontology International  Published: 12 August 2025
DOI:https://doi.org/10.1111/ggi.70135

Abstract
Aim

Health literacy refers to the ability to understand and use health-related information, which underpins improvements in healthcare, disease prevention and health promotion. Although it is crucial for frailty prevention, the specific information-processing abilities associated with frailty remain unclear. This study aimed to clarify the association between information-processing ability and frailty in community-dwelling older adults.

Methods

This cross-sectional, web-based survey study was conducted on June 12–13, 2024, targeting 1032 independent adults aged ≥75 years. Frailty was assessed using the Questionnaire for Medical Checkup of Old-Old (score ≥4 indicating frailty). Health literacy was evaluated via the Health Literacy Survey European Questionnaire-47, dichotomized into “easy” or “difficult.” Multivariable logistic regression analysis was performed to examine associations.

Results

In total, 1032 participants (50.2% male) were analyzed, with frailty in 30.8%. Multivariable logistic regression, adjusted for age, sex, income, education and living situation, revealed significant associations between frailty and difficulties in “obtaining health information” across all domains. In the healthcare, disease prevention and health promotion domains, difficulty with “find where to get professional help when you are ill” (odds ratio [OR] = 1.42, 95% confidence interval [CI] = 1.01–1.99), “find information about vaccinations and health screenings that you should have” (OR = 1.89, 95% CI = 1.16–3.09) and “find information on healthy activities such as exercise, healthy food and nutrition” (OR = 1.77, 95% CI = 1.16–2.70), respectively, showed a high frailty risk.

Conclusions

This study identified specific health information-processing abilities related to frailty. These findings provide valuable insights into the development of frailty prevention strategies.

医療・健康
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