@article{ref1,
title="Physical parameters and physical function in older drivers with driving-related anxiety: the Nakagawa Study",
journal="Nippon Ronen Igakkai Zasshi",
year="2020",
author="Kose, Yujiro and Ikenaga, Masahiro and Yamada, Yosuke and Takeda, Noriko and Morimura, Kazuhiro and Kimura, Misaka and Kiyonaga, Akira and Higaki, Yasuki",
volume="57",
number="4",
pages="475-483",
abstract="AIM: This study investigated whether driving-related anxiety was independently  associated with physical parameters and physical function in community-dwelling  older people. <br><br>METHODS: Participants were 523 community-dwelling older drivers (353  men and 170 women). Participants self-reported driving-related anxiety when driving  in familiar environments, and completed physical assessments: visual impairment,  auditory impairment, cerebrovascular disease (CVD), hand grip strength, knee  extension strength, timed up and go (TUG), chair stand, one leg standing with open  eyes, functional reach, vertical jump, preferred gait speed and maximal gait speed. Participants were divided into a driving-related anxiety group (72.8±5.1 years; 21  men, seven women) and a no-anxiety (non-anxiety) group (70.7±4.7 years; 325 men, 163  women). We examined physical performance differences between the anxiety and  non-anxiety groups using analysis of covariance, and investigated the relationship  between anxiety, physical function and performance using logistic regression  analysis (forward stepwise selection). <br><br>RESULTS: The driving-related anxiety group  was significantly older, with higher rates of visual impairment, auditory  impairment, and CVD than the non-anxiety group. The anxiety group exhibited  independently poorer TUG and maximal gait speed (P<0.05 for both). Logistic  regression analysis revealed significant relationships between anxiety and visual  impairment (odds ratio [OR]: 5.6, 95% confidence interval [CI]: 2.5-12.6), auditory  impairment (OR: 3.0, 95% CI: 1.3-7.0), TUG (OR: 1.46, 95% CI: 1.1-1.9) and CVD (OR:  3.1, 95% CI: 1.0-9.4) (P<0.05 for all). <br><br>CONCLUSIONS: Driving-related anxiety was  significantly associated with worse physical performance, visual impairment,  auditory impairment, and CVD in community-dwelling older drivers.<p /> <p>Language: ja</p>",
language="ja",
issn="0300-9173",
doi="10.3143/geriatrics.57.475",
url="http://dx.doi.org/10.3143/geriatrics.57.475"
}