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BioMed Research International
Volume 2013, Article ID 374130, 6 pages
Research Article

Predictors for Increasing Eligibility Level among Home Help Service Users in the Japanese Long-Term Care Insurance System

1Program in Physical and Occupational Therapy, Nagoya University Graduate School of Medicine, Nagoya 461-8673, Japan
2Welfare Department, CO-OP AICHI Consumer Cooperative Society, Toyokawa 442-0838, Japan
3Welfare Department, CO-OP KANAGAWA Consumer Cooperative Society, Makoto, Yokohama 225-0014, Japan
4Department of Rehabilitation Science, Nagoya University Graduate School of Medicine, 1-1-20 Daiko-Minami, Nagoya 461-8673, Japan

Received 30 April 2013; Revised 18 July 2013; Accepted 5 August 2013

Academic Editor: Xinqi Dong

Copyright © 2013 Kuniyasu Kamiya et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objectives. This cross-sectional study described the prevalence of possible risk factors for increasing eligibility level of long-term care insurance in home help service users who were certified as support level 1-2 or care level 1-2 in Japan. Methods. Data were collected from October 2011 to November 2011. Variables included eligibility level, grip strength, calf circumference (CC), functional limitations, body mass index, memory impairment, depression, social support, and nutrition status. Results. A total of 417 subjects (109 males and 308 females, mean age 83 years) were examined. There were 109 subjects with memory impairment. When divided by cut-off values, care level 2 was found to have higher prevalence of low grip strength, low CC, and depression. Conclusions. Some potentially modifiable factors such as muscle strength could be the risk factors for increasing eligibility level.