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Open AccessArticle

Association between Food Store Availability and the Incidence of Functional Disability among Community-Dwelling Older Adults: Results from the Japanese Gerontological Evaluation Cohort Study

Department of Rehabilitation Medicine, Teikyo University School of Medicine University Hospital, Mizonokuchi, Kanagawa 213-8507, Japan
Department of Rehabilitation Medicine, Yokohama City University Medical Center, Kanagawa 240-8555, Japan
Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Aichi 441-8108, Japan
Department of Neurosurgery, Minamisoma Municipal General Hospital, Fukushima 975-0033, Japan
Department of Clinical Nutrition and Food Service, Nagasaki Rehabilitation Hospital, Nagasaki 850-0854, Japan
Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine, Shizuoka 431-3125, Japan
Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo 113-8510, Japan
Center for Preventive Medical Sciences, Chiba University, Chiba 260-0856, Japan
Department of Gerontological Evaluation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Aichi 474-8511, Japan
Author to whom correspondence should be addressed.
Nutrients 2019, 11(10), 2369;
Received: 9 July 2019 / Revised: 24 September 2019 / Accepted: 26 September 2019 / Published: 4 October 2019
(This article belongs to the Special Issue Diet, Lifestyle and Healthy Ageing)
This study sought to clarify the association between food store availability and the incidence of disability in older adults. This study utilized a population-based cohort study of independent Japanese adults aged ≥65 years, which was a 6 year follow-up of participants in the Japan Gerontological Evaluation Study. A total of 31,273 respondents were extracted. Food store availability was evaluated based on the existence of food stores within 500/1000 m of the home. We utilized participant-reported subjective measurement as well as geographic information system-based objective measurement for the evaluation. The incidence of disability was determined using municipal data on eligibility for long-term care insurance benefits. There were 7643 (24.4%) community-dwelling participants with low subjective food store availability and 5673 (18.1%) with low objective food store availability. During the follow-up period of 6 years, the cumulative incidence of disability was 20.9%, with a significant association between low subjective food store availability and increased disability. Participants who reported low subjective food store availability had a significantly higher likelihood of developing disability (hazard ratio = 1.18, 95% confidence interval: 1.11–1.25) than those who reported high subjective food store availability after adjusting for age, sex, sociodemographic status, environmental status, walking and going out, dietary food intake, body mass index, and comorbidities. Low subjective food store availability was associated with early onset of disability. Accessibility of food stores might contribute to maintaining a disability-free life. View Full-Text
Keywords: food environment; food stores; functional disability food environment; food stores; functional disability
MDPI and ACS Style

Momosaki, R.; Wakabayashi, H.; Maeda, K.; Shamoto, H.; Nishioka, S.; Kojima, K.; Tani, Y.; Suzuki, N.; Hanazato, M.; Kondo, K. Association between Food Store Availability and the Incidence of Functional Disability among Community-Dwelling Older Adults: Results from the Japanese Gerontological Evaluation Cohort Study. Nutrients 2019, 11, 2369.

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