Abstract/References
Association between participation in sports club activities and decision-making preferences in end-of-life treatment among Japanese elderly people:a cross-sectional study
Hideaki Kasuga, Shota Endo, Yusuke Masuishi, Tomoo Hidaka, Takeyasu Kakamu, Keiko Saito, Koichi Abe, Tetsuhito Fukushima
Author information
- Hideaki Kasuga
Department of Hygiene and Preventive Medicine, Fukushima Medical University - Shota Endo
Department of Hygiene and Preventive Medicine, Fukushima Medical University - Yusuke Masuishi
Department of Hygiene and Preventive Medicine, Fukushima Medical University - Tomoo Hidaka
Department of Hygiene and Preventive Medicine, Fukushima Medical University - Takeyasu Kakamu
Department of Hygiene and Preventive Medicine, Fukushima Medical University - Keiko Saito
Koriyama City Public Health Center - Koichi Abe
Koriyama City Public Health Center - Tetsuhito Fukushima
Department of Hygiene and Preventive Medicine, Fukushima Medical University
Abstract
Introduction: Decision-making regarding treatment at the end-of-life stage is an important issue for the elderly and their families. Such decision-making may be influenced by activities that promote communication and physical health. The purpose of this study was to examine the association between participation in sports club activities and decision-making regarding life-prolonging treatment among the general community-dwelling Japanese elderly.
Methods: In this cross-sectional study, which used stratified random sampling, 1,603 elderly people aged 65 years or older as of January 2016, living in Fukushima prefecture, Japan were enrolled. Data was collected by a self-completed questionnaire (effective response rate: 53.4%). The association of sports club activity participation with a preference for accepting or declining life-prolonging treatment was analyzed by multinomial logistic regression analysis.
Results: Of those participating in sports club activities, the results revealed an odds ratios of 1.812 for participants declining life-prolonging treatment (95% CI=1.325 to 2.477) and 1.948 for those who preferred life-prolonging treatment (95% CI=1.160 to 3.271).
Conclusions: The present study suggests that participation in sports club activities is associated with articulating decisions about life-prolonging treatment in end-of-life care. Consideration of patient involvement in daily activities in non-medical settings may enhance decision-making for end-of-life care planning.
References
- Norwegian Directorate of Health. Decision-making processes in the limitation of life-prolonging treatment, https://helsedirektoratet.no/Lists/Publikasjoner/Attachments/67/IS-2091-Beslutningsprosesser-ved-begrensning-av-livsforlengende-behandling.pdf. [Accessed 11 July 2021].
- van der Heide A, Deliens L, Faisst K, et al. End-of-life decision-making in six European countries: descriptive study. Lancet, 362:345-350, 2003.
- Martins Pereira S, Fradique E, Hernández-Marrero P. End-of-Life Decision Making in Palliative Care and Recommendations of the Council of Europe: Qualitative Secondary Analysis of Interviews and Observation Field Notes. J Palliat Med, 21:604-605, 2018.
- Nilsson ME, Maciejewski PK, Zhang B, et al. Mental health, treatment preferences, advance care planning, location, and quality of death in advanced cancer patients with dependent children. Cancer, 115:399-409, 2009.
- Hidaka T, Endo S, Kasuga H, et al. Disparity in pre-emptive end-of-life conversation experience caused by subjective economic status among general Japanese elderly people: a cross-sectional study with stratified random sampling. BMJ Open, 9(10): e031681, 2019.
- Winter L, Parker B. Current health and preferences for life-prolonging treatments: An application of prospect theory to end-of-life decision making. Soc Sci Med, 65:1695-1707, 2007.
- Schmidt A, Jung J, Ernstmann N, et al. The association between active participation in a sports club, physical activity and social network on the development of lung cancer in smokers: a case-control study. BMC Res Notes, 5:2, 2012.
- Ministry of Economy, Trade and Industry of Japan. Analysis of All Industrial Activities:The Fourth Quarter of 2014 (Review of the year 2014), (in Japanese) https://www.meti.go.jp/statistics/toppage/report/bunseki/pdf/h26/h4a1502j.pdf. [Accessed July 11 2021].
- Silveira MJ, Kim SYH, Langa KM. Advance directives and outcomes of surrogate decision making before death. N Engl J Med, 362:1211-1218, 2010.
- Phillips RS, Wenger NS, Teno J, et al. Choices of seriously ill patients about cardiopulmonary resuscitation: correlates and outcomes. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments. Am J Med, 100:128-137, 1996.
- Seale C, Ziebland S, Charteris-Black J. Gender, cancer experience and internet use:A comparative keyword analysis of interviews and online cancer support groups. Soc Sci Med, 62:2577-2590, 2006.
- Arbera S, Vandrevalab T, Daly T, Hampson S. Understanding gender differences in older people’s attitudes towards life-prolonging medical technologies. J Aging Stud, 22:366-375, 2008.
- Spinhoven P, Elzinga BM, Giltay E, Penninx BWJH. Anxious or depressed and still happy? PLoS One, 10:e0139912, 2015.