タナカ　マサヒロ   TANAKA, Masahiro   田中　将裕 健康科学部 リハビリテーション学科 助教
発表年月日	2024/11
発表テーマ	COVID-19 pandemic-induced occupational disruption and its association with health outcomes for Japanese community-dwelling older adults.
発表学会名	The 8th Asia Pacific Occupational Therapy Congress, 2024
主催者	Asia Pacific Occupational Therapy Regional Group
学会区分	国際学会
発表形式	口頭（一般）
単独共同区分	共同
国名	日本
開催地名	北海道札幌市
開催期間	2024/11/06～2024/11/09
発表者・共同発表者	◎Jun-ichi Uemura,,Kohei Uno, Aiko Hoshino,,Tatsuhiko Sano, Miki Tanikaga, Masahiro Tanaka, Junpei Mizuno
概要	Introduction: The COVID-19 pandemic rapidly changed the daily lives of communitydwelling older adults, leading to occupational disruption. These changes increased the risk of multiple adverse health outcomes, including depression and frailty. A feature of this disaster is the quantifiable occupational disruption, encompassing a reduction in activities and subsequent health issues. Despite its significance, there is limited quantitative research on occupational disruption in older adults in occupational therapy research. Objectives: This study aimed to quantify the impact of the COVID-19 pandemic on the daily activities of Japanese community-dwelling older adults and investigate its association with health-related QOL, depression, and frailty. Methods: This cross-sectional study was conducted among 163 older adults. Activity retention rates compared with the pre-pandemic period was assessed using the Activity Card Sort-Japan, covering IADL, low and high physical demand leisure, and social-cultural activities. Health-related QOL was measured with the SF-8, frailty with the Frailty Screening Index, and depression with the GDS-15. We examined the association between health/QOL and activity retention rates using a generalized linear mixed model. This study was approved by the Ethics Committee (approval number: 2021-0109-2). Results: More than 25% of activities were restricted compared to the pre-pandemic period. Retention in IADL and social-cultural activities independently predicted QOL and depression (p<0.05). Conclusion: This study highlights the reduction in daily activities and its impact on health outcomes. It provides occupational therapy practitioners working with community-dwelling older adults with a perspective to assess occupational disruption due to the pandemic and identify activities for targeted interventions.