Language：English   Publishing type：Research paper (scientific journal)  

DOI： doi: 10.3390/ijerph20043700

Authorship：Last author,　Corresponding author   Language：English   Publishing type：Research paper (scientific journal)  

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DOI： 10.3390/nu15071607

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Authorship：Last author,　Corresponding author   Language：English   Publishing type：Research paper (scientific journal)   Publisher：BMJ  

Objectives

We investigated the relationship between the number of chronic pain sites and the prevalence and severity of neuropathic-like symptoms in community-dwelling older Japanese adults with chronic pain.

Design

Cross-sectional study.

Setting

The data analysed are from a study conducted in the city of Itoshima, Japan in 2017.

Participants

The study population was 988 participants (age 65–75 years) not in need of long-term care who completed questionnaires assessing sociodemographic factors, psychological factors and chronic pain.

Primary outcome measures

The primary outcome was the participants’ neuropathic-like symptoms evaluated by the PainDETECT Questionnaire (PD-Q). We classified the participants into mild and moderate-to-severe pain groups according to the pain intensity on the PD-Q. The number of chronic pain sites was categorised into groups with 1, 2–3 and ≥4 sites.

Results

The age-adjusted and sex-adjusted prevalence of neuropathic-like symptoms was significantly higher among the participants with 2–3 or ≥4 sites compared with the single-site group. In the binomial logistic regression analyses, the multivariable-adjusted ORs and 95% CIs for neuropathic-like symptoms among the participants with 2–3 and ≥4 sites were 1.94 (1.13 to 3.33) and 3.90 (2.22 to 6.85), respectively compared with the participants with single-site pain. The ORs for moderate-to-severe neuropathic-like symptoms increased significantly with the increase in the number of chronic pain sites.

Conclusions

The number of chronic pain sites was positively associated with the presence and severity of neuropathic-like symptoms in community-dwelling older Japanese adults with chronic pain.

DOI： 10.1136/bmjopen-2022-066554

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Authorship：Last author,　Corresponding author   Language：English   Publishing type：Research paper (scientific journal)   Publisher：Sciencedomain International  

Aims: Multiple lifestyle behaviors have been linked with poor academic performance (AP) in undergraduate students. It is unknown whether a risk prediction model that incorporates a combination of different lifestyle behaviors would predict the risk of poor AP. Study design: a population-based prospective study Methods: A total of 2,282 eligible participants (men: 66%) aged 18 to 22 years were followed up for four years. Poor AP was defined as a grade point average (GPA) of less than 2.0. Cox proportional hazards models were used to identify lifestyle behaviors associated with the development of poor AP, and a score was created from predictors in the final model. Results: During a median follow-up period of four years, 440 (29.2%) men and 111 (14.3%) women developed poor AP. The final model for poor AP in men included low frequency of breakfast intake, dietary intake ups and downs, shorter weekday study time, longer weekday video game time, doing exercise almost every day, self-rated irregular lifestyle. In women, alcohol intake once or more per week, low frequency of breakfast intake, dietary intake ups and downs were included in the final model for poor AP. The risk prediction models showed good discriminatory abilities (C statistics: 0.73, 95% confidence interval [CI]: 0.67, 0.78 for women; and 0.70, 95% CI: 0.66, 0.74 for men). Conclusions: This risk prediction model incorporating multiple unhealthy lifestyle behaviors predicts poor AP with good discrimination ability.

DOI： 10.9734/ajmah/2023/v21i3800

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Other Link： https://journalajmah.com/index.php/AJMAH/article/download/800/1594

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DOI： 10.14283/jfa.2022.63

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DOI： 10.1002/mpr.1938

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DOI： 10.3390/healthcare10081396

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Wiley  

DOI： 10.1111/ggi.14435

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Other Link： https://onlinelibrary.wiley.com/doi/full-xml/10.1111/ggi.14435

Authorship：Last author,　Corresponding author   Language：Japanese   Publishing type：Research paper (scientific journal)  

Fried's Frail phenotype, which evaluates physical frailty, has five components: (1) Shrinking, (2) Weakness, (3) Exhaustion, (4) Slowness and (5) Low physical activity. One of the reasons for these components occurring is thought to be a decline in balance function. In this review, we first outline the methods for assessing balance function. Next, we summarize recent studies that have reported an association between balance function and physical frailty. CiNii Articles and Medline were used for the search. The keywords were set as ‘older adults’ or ‘older people’ or ‘elderly’ and ‘balance’ or ‘gravity movement’ or ‘gravity shift’ and ‘frailty’ or ‘frail’. As a result of the search, 24 articles were selected. Of these, only three articles classified the subjects into three groups: non-frail or robust, pre-frail, and frail, and mentioned the relationship with balance function. Further studies are needed, such as developing evaluation methods for balance function suitable for various fields such as medical care, nursing care and health promotion.

DOI： 10.15017/4773133

CiNii Research

Authorship：Last author,　Corresponding author   Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：Japan Society of Health Promotion  

<b>Background：</b>It is important to evaluate the balance function to prevent falls in order to extend healthy life expectancy in the older. However, the relationship between different balance function, in terms of static and dynamic balance, and fall risk are still unclear. <b>Objective：</b>We investigated the relationship between foot pressure balance function （FPB） （dynamic balance） and one-leg standing with eye-opening （OLS） （static balance） and a simple fall score in the community-dwelling older people. <b>Methods：</b>The subjects were 887 people aged 65 to 75 years who were not certified as requiring support or nursing care. FPB measured the center of gravity movement, the amplitude, the stability and the ratio of the movement refer to Cross test. A simple fall score was used as the evaluation of fall risk. Logistic regression analysis was calculated for each index of the FPB with risk of fall （fall risk score >6 points）. <b>Results：</b>There are significant positive or negative correlations between all indicators of FPB and OLS, but it was 0.315 or less. As a result of logistic regression analysis, significant association with a simple fall score was found the center of gravity movement: front-back （OR: 0.92, 95%CI: 0.86-0.98）, the stability: front-back （OR: 0.83, 95%CI: 0.72-0.96） and left-right （OR: 0.85, 95%CI: 0.73-0.996）, and the movement ratio: front, back and left. <b>Conclusion：</b>It is suggested that the FPB and the OLS are independently indicators related to the simple fall score in the community-dwelling older adults.

DOI： 10.57438/jshp.20210729_1

CiNii Research

Authorship：Last author,　Corresponding author   Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：日本健康支援学会  

65～75歳の地域住民887人(男性437人、女性450人)を対象に検討した。足圧バランス機能の評価には、福山らのCross testを参考に独自に開発した足圧バランス計を用いた。検討の結果、足圧バランス機能と開眼片足立ち保持時間との間に有意な相関が認められ、足圧バランス機能と簡易転倒スコア(Okochiらのスコア)との間にも有意な相関が認められた。

Language：English   Publishing type：Research paper (scientific journal)  

This study aimed to investigate the cross-sectional associations of objectively-measured sedentary time and patterns with cognitive function in Japanese older adults. A total of 1681 non-demented community-dwelling older adults (aged 73 ± 6, 62.1% women) were included. Total sedentary time, prolonged sedentary time (accumulated in ≥30 min bouts) and mean sedentary bout length were assessed using a tri-axial accelerometer. Global and domain-specific cognitive functions were measured using the Montreal Cognitive Assessment. The average of total sedentary time and prolonged sedentary time were 462 ± 125 and 186 ± 111 min/day, respectively. Greater prolonged sedentary time, but not total sedentary time, was significantly associated with poorer performance in the orientation domain even after controlling for moderate-to-vigorous physical activity (p for trend = 0.002). A significant inverse association was also observed between mean sedentary bout length and the orientation domain (p for trend = 0.009). No significant associations were observed for global cognitive function or other cognitive domains. Sedentary time accumulated in prolonged bouts, but not total sedentary time, was inversely associated with orientation ability among older adults. Our results encourage further researches to confirm the role of prolonged sedentary time in changes to cognitive domains over time among older adults.

DOI： 10.3390/ijerph19041999

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Authorship：Last author,　Corresponding author   Language：English   Publishing type：Research paper (scientific journal)  

CiNii Research

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DOI： 10.3390/ijerph19010369

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DOI： 10.1159/000518270

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DOI： 10.3390/ijerph18073577

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DOI： 10.1016/j.jamda.2019.07.015

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DOI： 10.1111/jdi.12968

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DOI： 10.7600/jspfsm.68.313

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DOI： 10.2188/jea.JE20170012

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DOI： 10.1007/s10654-016-0125-y

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DOI： 10.1186/1471-2458-14-1307

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DOI： 10.1136/jech-2013-203611

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DOI： 10.1016/j.metabol.2006.02.012

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DOI： 10.1089/met.2005.3.85

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BACKGROUND: To examine longitudinal changes in accelerometer-measured moderate to vigorous physical activity (MVPA) and associated factors of changes in MVPA among community-dwelling older Japanese men and women over 2 years of follow-up. METHODS: In total, 601 participants (72.2 [5.4] y, 40.6% men) were included. MVPA was assessed at baseline (2011) and follow-up (2013) using triaxial accelerometers. Sex-stratified multiple linear regression models were used to identify associated factors of changes in MVPA. RESULTS: On average, a significant decrease in MVPA over 2 years was observed only in women (P < .001). Higher baseline MVPA levels and older age were significantly associated with a decrease in MVPA over 2 years in both men and women. Men who were currently drinking (vs no) and had faster maximum gait speed showed statistically significant increases in MVPA. Women who had very poor/poor economic status (vs fair/good) and were socially isolated (vs no) showed statistically significant increases in MVPA over 2 years, while those who had fear of falling (vs no) and poor/fair self-rated health (vs good/very good) showed statistically significant decreases in MVPA over 2 years. CONCLUSIONS: Our findings showed different associated factors of changes in MVPA by sex, suggesting the importance of accounting for sex differences in terms of developing specific intervention strategies for promoting MVPA among older men and women.

DOI： 10.1123/jpah.2022-0411

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Authorship：Last author   Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：(一社)日本足の外科学会  

足関節外側靱帯損傷患者を対象に,急性期(初診から2週聞)の身体活動量と,3～10週目までの回復期および社会復帰時期の身体活動量との関連を検討した.2020年6月から2022年2月に当院で足関節外側靱帯損傷と診断された患者10名を対象に,初診から10週間の身体活動を身体活動量計を用いて測定した.測定項目は,総身体活動時間,歩行活動時間,歩行以外活動時間であった.また,調査期間中は足部足関節評価質問票(SAFE-Q)を1週経過ごとに評価した.その結果,急性期と回復期,社会復帰時期の総身体活動時間に有意な正の相関(相関係数0.87～0.97,p<0.001)を認め,歩行時間(相関係数0.57～0.67,回復期p=0.01,社会復帰時期p<0.01),歩行以外活動時間も同様の結果を認めた(相関係数0.88～0.98,すべてp<0.001).急性期の身体活動量が多いほど,回復期・社会復帰時期の身体活動量は多いことが明らかとなり,足関節外側靱帝損傷の回復過程において一律した安静を確保できていないことが示された.(著者抄録)

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DOI： 10.1186/s12966-023-01490-6

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Authorship：Last author,　Corresponding author   Language：Japanese   Publishing type：Research paper (scientific journal)  

WHO guidelines recommend that all adults with chronic diseases engage in regular physical activity. Furthermore, the effects of physical activity on decreasing earlier death with any causes or cardiovascular disease incidence have been reported, and guidelines for physical activity are provided for each age group. In this review article, we describe a survey of the relationship between physical activity and physical function in patients with cardiovascular disease, particularly 6-minute walking distance. Literature was searched using CiNii Articles and Medical Journal web for Japanese, and PubMed and Google scholar for English. The keywords were “cardiovascular disease,” “physical activity,” and “gait test.” Nine English-language articles were extracted and were classified as being in the phase of the ambulatory. In these studies, those who increased their physical activity improved their 6-minute walking distance, and those who were more physically active showed less decline in physical function.

DOI： 10.15017/6776440

CiNii Research

Language：English   Publishing type：Research paper (scientific journal)   Publisher：MDPI AG  

Many older people have restricted activities or movements because of the coronavirus disease 2019 (COVID-19) pandemic, which causes concerns about secondary health problems. This study aimed to investigate how frailty-prevention activities implemented by local governments have changed the health of community-dwelling older people during the COVID-19 pandemic. In this observational study, the participants were 23 older Japanese people who took part in keyboard harmonica or exercise classes in 2021. Oral function examination and physical function tests were conducted at baseline and after 10 months of follow-up. In each class, the participants met 15 times and worked on assignments at home. The results showed that oral diadochokinesis/pa/, which represents lip dexterity, improved during 10 months (from 6.6 to 6.8 times/s, p &lt; 0.046); however, grip strength (p &lt; 0.005) and total skeletal muscle mass (p &lt; 0.017) decreased in the keyboard harmonica group. In the exercise group, a statistically significant difference was found only in grip strength, which decreased (p &lt; 0.003). The oral and physical functions of older people who participated in frailty-prevention activities implemented by local governments characteristically changed. Moreover, activity restrictions during the COVID-19 pandemic may have caused decreased grip strength.

DOI： 10.3390/ijerph20043700

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Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：(一財)厚生労働統計協会  

目的 高齢者が早期の介護予防の一環として将来の要介護化リスクを自己評価する際には,長期にわたって簡便かつ正確に要介護化リスクを予測できる尺度が求められる。そこで,本予備的研究では現存する要介護化リスク評価尺度の一つである基本チェックリスト(以下,KCL)を用いて追跡8年間における要介護化リスクを簡便に予測するリスクスコア(以下,RS)を試作し,その予測能(予測モデルのイベント発生リスクに対する予測能力)を検証した。方法 2011年のベースライン調査に参加した福岡県糟屋郡篠栗町在住の要支援・要介護認定を受けていない高齢者2,629名のうち,データが得られた2,209名を解析対象とした。KCL25項目,年齢階級(65-69歳,70-74歳,75-79歳,80-84歳,85歳以上),性のうち,要支援・要介護認定と関連する因子を多変量Cox比例ハザード分析に同時投入し,変数減少法(p<0.1)で因子を抽出した。非標準化偏回帰係数(以下,B)の最小値を1.0に補正した際の補正率を全項目のBに乗じ,四捨五入した整数値を各項目の点数,その合計をRSとした。要支援・要介護認定の危険因子を調整した多変量Cox比例ハザード分析により,RSの1点上昇ごとの要支援・要介護認定ハザード比(以下,HR)とその95%信頼区間(95%CI)を算出した。また,RSの要介護化リスクに対する予測能を検証する目的でC統計量とその95%CIを算出した。結果 RSは年齢階級とKCL9項目(運動機能3項目,栄養状態1項目,認知機能3項目,抑うつ2項目)の10因子で構成され,合計得点の範囲は0-26点であった。また,RSは危険因子とは独立して要介護化リスクと関連し(HR:1.21,95%CI:1.19-1.23),要介護化リスクに対するC統計量は0.78(95%CI:0.76-0.80)であった。結論 8年間の要介護化リスクを簡便に予測するRSを試作した結果,要介護化リスクの有意な予測因子であるKCL9項目と年齢階級の10項目で構成される簡便なRSが作成された。今後,将来の要介護化リスクを長期的に予測する最適な尺度を確立するには,既に短期間で外的妥当性が確認されている他の要介護化リスク評価尺度において長期の追跡期間で妥当性を検証することとあわせて,本研究で作成されたRSでも長期の追跡期間で外的妥当性を検証する必要がある。(著者抄録)

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Language：Japanese   Publisher：The Japanese Society of Physical Fitness and Sports Medicine  

DOI： 10.7600/jspfsm.72.43

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Language：English   Publisher：Geriatrics and Gerontology International  

DOI： 10.1111/ggi.14493

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Language：Japanese   Publishing type：Research paper (scientific journal)  

Language：English   Publishing type：Research paper (scientific journal)  

BACKGROUND: Few studies have examined the relationship between oral functions and the physical pre-frailty status, classified using physical function tests. This cross-sectional study aimed to clarify this association among community-dwelling older people from the Itoshima Frail Study in Itoshima Fukuoka Prefecture. METHODS: Of the 1,555 individuals invited to join the study, 381 (188 males and 193 females) enrolled. Their physical pre-frailty was assessed with a classification system consisting of two physical indicators (fatigue and unintentional weight loss, determined with a questionnaire), two functional components (declined walking speed and muscle weakness, determined using a body function measuring instrument), and declined physical activity (examined using a triaxial accelerometer). Subsequently, the individuals were classified into three groups: robust, pre-frailty, and frailty. Along with the number of teeth remaining, oral functions, such as masticatory performance, tongue pressure strength, and oral diadochokinesis (ODK), were examined. Data regarding social activity and exercise habits were collected, and the individuals' body compositions were measured. Odds ratios (ORs) and 95% confidence intervals (CIs) for the physical pre-frailty were calculated using logistic regression models. RESULTS: In this study, 126 (33%) participants presented with physical pre-frailty. The participants in the robust group were younger, had stronger maximum handgrip strength, and walked faster than those in the physical pre-frailty group (p < 0.001). The robust group presented with better oral functions (masticatory performance, p = 0.015; oral ODK /ta/, p = 0.004). The physical pre-frailty status was significantly associated with age (OR, 1.111; 95% CI, 1.048-1.178; p < 0.001), masticatory performance (OR, 0.819; 95% CI, 0.680-0.986; p = 0.035), low ODK/ta/ (OR, 1.864; 95% CI, 1.069-3.250; p = 0.028), and low social activity (OR, 2.273; 95% CI, 1.308-3.951; p = 0.004). CONCLUSION: This study indicated that older people with higher age, lower anterior tongue movement, lower masticatory performance, and lower social activity are positively associated with physical pre-frailty.

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：John Wiley & Sons Australia, Ltd  

基本チェックリスト(KCL)総スコアと機能障害との関連を検討した。65歳以上の地域在住高齢者を対象とした前向き研究を実施した。ベースライン時に機能障害を有さなかった2209名を8年間追跡した。調査項目はベースライン時KCL総スコア、機能障害(要支援要介護認定)などとした。その結果、追跡期間中に557名が機能障害を発症した。Cox比例ハザードモデルにより、KCL総スコアの1点上昇に伴う機能障害の調整ハザード比は1.08(95%CI 1.06～1.10)であった。基本モデル(性別、年齢、学歴、家計、飲酒、喫煙、multimorbidityを共変量)にKCL総スコアを追加した場合、機能障害に対するC統計量が有意に上昇した。Category-free net reclassification improvementは0.187(95%CI 0.095～0.287)、integrated discrimination improvementは0.020(95%CI 0.012～0.027) であった。以上、KCL総スコアと機能障害には独立した正の関連が認められた。基本モデルにKCL総スコアを加えることで、機能障害発生の予測能が向上することが示された。

Authorship：Last author   Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：(一社)日本足の外科学会  

足関節外側靱帯損傷患者の急性期における身体活動と疼痛および腫脹の変化の関係を調査した。2020年6～12月、足関節外側靱帯損傷と診断された患者6名を対象に、初診から14日間の身体活動を身体活動量計を用いて計測した。測定項目は、歩数、3METs以上の歩行活動時間、1回最長連続歩行時間、生活活動時間とした。疼痛は数値的評価尺度、腫脹は内外果周径にて評価した。初診から2週間を通して、歩数および3METs以上の歩行活動時間は4～7日目と11～14日目に増加し、生活活動時間に明らかな変化は観察されなかった。1回最長連続歩行時間は6～7日目に最も長かった(最大17分)。疼痛と腫脹は減少傾向を示したが、歩行活動が増加する時期に疼痛は一時的に増大した。急性期の歩行活動は二峰性の特徴を示し、1回の歩行時間が長いほど疼痛は増大する。一方、生活活動は疼痛や腫脹の程度に関係なく一定以上の活動時間を有する。(著者抄録)

Authorship：Last author,　Corresponding author   Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：日本介護予防・健康づくり学会  

地域に住む要支援・要介護認定を受けていない65～75歳の847人を対象に,動的な足圧バランス機能と身体的フレイルとの関連を横断的に検討した.身体的フレイルは体重減少,筋力低下,疲労感,歩行速度低下,活動量低下について,3項目以上に該当する状態を身体的フレイル,1～2項目は身体的プレフレイルと定義した.動的な足圧バランス機能は足圧バランス計を用いて評価した.その結果,前後と左右の重心移動量,左右の重心揺れ幅,前・後・左・右の各重心移動比率は,身体的フレイルまたは身体的プレフレイルの独立した関連因子である.(著者抄録)

Language：Japanese   Publishing type：Research paper (other academic)   Publisher：Japanese Association of Exercise Epidemiology  

DOI： 10.24804/ree.2136

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Authorship：Last author,　Corresponding author   Language：Japanese   Publishing type：Research paper (scientific journal)  

In recent years, it has been reported that physical frailty syndrome, which is one of the risks of requiring long-term care, has "reversibility" of returning to a healthy state by appropriate intervention and is attracting attention as a target of intervention. Its physical frailty is generally determined using five phenotypes: weight loss, muscle weakness, fatigue, slow walking, and decreased physical activity, and it has been reported that females are more prevalent than males. However, with inconsistent evaluation methods, more female participants than males in the study, and differences in survey methods, the prevalence of physical frailty is inherently gender specific. There may be no such thing. This review aims to investigate gender differences in physical frailty. This survey was conducted to systematically search publications in the database of articles in PubMed and CiNii articles. The following keywords were used in the summary and title sections. (frailty) AND ("sex difference") AND (("older adults") OR (elder) AND ("community-dwelling"). This review found that physical frailty has a gender prevalence of high prevalence in females. It was also revealed that there are gender differences in physical frailty components due to differences in the number of men and women in countries and the evaluation method of physical frailty. In the future, we believe that further research is needed to investigate gender differences in factors related to physical frailty.

DOI： 10.15017/4773134

CiNii Research

Language：English   Publishing type：Research paper (scientific journal)   Publisher：九州大学健康科学編集委員会  

COVID-19流行時の日本人の男女大学生におけるエネルギーバランスの状態を調べるため、18～24歳の457名の大学生から自己報告の食事と活動記録を収集した。エネルギー摂取変数にはカロリー摂取、食事の回数、食事あたりのカロリーが含まれていた。エネルギー消費は、静止エネルギー消費と活動エネルギー消費の合計として算出した。大学での状況と生活状態の情報を収集した。その結果、男女とも不十分なエネルギー摂取による負のエネルギーバランスを示した。高度の身体活動が負のエネルギーバランスを悪化させた。特に高い身体活動の若者では、健康で適切な食事パターンに改善するように努力する必要があった。一人暮らしでは総エネルギー摂取と総エネルギー消費が有意に低かったが、エネルギーバランスに有意差はなかった。

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DOI： 10.1186/s12877-021-02415-3

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DOI： 10.1111/jdi.13550

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DOI： 10.2188/jea.JE20190289

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DOI： 10.1123/jpah.2017-0701

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DOI： 10.1111/jgs.15446

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DOI： 10.1161/JAHA.117.006693

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Event date： 2023.10

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Venue：福岡県福岡市   Country：Japan  

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Venue：オンライン   Country：Japan  

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Venue：オンライン   Country：Japan  

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Venue：オンライン・ポスター発表   Country：Japan  

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Venue：沖縄県那覇市（学会ホームページ掲載）   Country：Japan  

Event date： 2019.11 - 2020.11

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Venue：新潟県新潟市   Country：Japan  

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Venue：大阪府   Country：Japan  

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Venue：福岡県福岡市   Country：Japan  

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Venue：愛媛県愛媛市   Country：Japan  

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Venue：京都府京都市   Country：Japan  

Event date： 2016.11

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Venue：福岡市東区   Country：Japan  

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Venue：大阪府大阪市   Country：Japan  

Event date： 2016.5

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Venue：東京都千代田区   Country：Japan  

Event date： 2015.6

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Venue：神奈川県横浜市   Country：Japan  

Event date： 2015.6

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Venue：神奈川県横浜市   Country：Japan  

Language：Japanese   Presentation type：Oral presentation (general)  

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Language：Japanese   Presentation type：Symposium, workshop panel (nominated)  

DOI： 10.7600/jspfsm.73.30_1

CiNii Research

Language：Japanese   Presentation type：Oral presentation (invited, special)  

DOI： 10.7600/jspfsm.73.32

CiNii Research

Language：Japanese   Publishing type：Internal/External technical report, pre-print, etc.  

Language：Japanese   Publishing type：Internal/External technical report, pre-print, etc.  

Language：English   Publishing type：Article, review, commentary, editorial, etc. (scientific journal)  

DOI： 10.21820/23987073.2021.8.36

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Language：Japanese   Publishing type：Article, review, commentary, editorial, etc. (scientific journal)  

Repository Public URL： http://hdl.handle.net/2324/4372012

Language：Japanese   Publishing type：Article, review, commentary, editorial, etc. (scientific journal)  

Repository Public URL： http://hdl.handle.net/2324/4372013

Language：Japanese   Publishing type：Article, review, commentary, editorial, etc. (scientific journal)  

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Language：Japanese   Publishing type：Article, review, commentary, editorial, etc. (scientific journal)  

Language：Japanese   Publishing type：Article, review, commentary, editorial, etc. (scientific journal)  

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Language：Japanese   Publishing type：Internal/External technical report, pre-print, etc.  

Language：Japanese   Publishing type：Research paper, summary (national, other academic conference)   Publisher：The Japanese Society of Physical Fitness and Sports Medicine  

DOI： 10.7600/jspfsm.72.40

CiNii Research

Authorship：Last author,　Corresponding author   Language：Japanese   Publishing type：Rapid communication, short report, research note, etc. (scientific journal)   Publisher：Japanese Association of Exercise Epidemiology  

DOI： 10.24804/ree.2140

CiNii Research

Language：Japanese   Publishing type：Rapid communication, short report, research note, etc. (scientific journal)   Publisher：日本運動疫学会  

Language：Japanese   Publishing type：Rapid communication, short report, research note, etc. (bulletin of university, research institution)   Publisher：日本運動疫学会  

Language：English   Publisher：John Wiley & Sons Australia, Ltd  

Authorship：Last author,　Corresponding author   Language：Japanese   Publishing type：Rapid communication, short report, research note, etc. (scientific journal)   Publisher：Japanese Association of Exercise Epidemiology  

DOI： 10.24804/ree.2108

CiNii Research

Authorship：Last author,　Corresponding author   Language：Japanese   Publishing type：Rapid communication, short report, research note, etc. (scientific journal)   Publisher：Japanese Association of Exercise Epidemiology  

DOI： 10.24804/ree.2109

CiNii Research

Authorship：Lead author,　Last author,　Corresponding author   Language：Japanese   Publishing type：Lecture material (seminar, tutorial, course, lecture, etc.)   Publisher：(公社)福岡県理学療法士会  

Authorship：Lead author,　Last author,　Corresponding author   Language：Japanese  

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Language：Japanese   Publishing type：Research paper, summary (national, other academic conference)   Publisher：公益社団法人 日本理学療法士協会 九州ブロック会  

<p>【目的】</p><p>近年、高齢者の主観的幸福感やQOL 等の関連要因を明らかにする研究が行われている。要因の一つである生きがい感は、様々な概念を包括しており、定義化についてこれまでの科学的根拠を整理した研究はほとんどない。研究対象である糸島市は、令和3 年度における高齢化率は29.8% と全国平均より高い水準で推移している。高齢者の人口構造では、住民基本台帳人口でみると前期高齢者は団塊の世代が移行した影響を受け急激に増加しており、総人口に占める割合で平成25 年の前期高齢者は12.7% で、平成29年では15.2% と前期高齢者の伸びが顕著である。本研究では九州大学と共同研究を行い、地域在住高齢者の性差と前期高齢者・後期高齢者の世代間による生きがい感の現状を分析し、高齢者自身の生きがい感が健康増進活動における効果的な支援施策を選定するために有効な手段となり得るかを検討した。</p><p>【方法】</p><p>糸島市在住の65 歳以上高齢者で、令和2 年度に福岡県糸島市と九州大学が共同で実施した疫学調査の結果報告会に参加した197 名( 男性96 名、女性101 名) に実施した。生きがい感評価は高齢者向け生きがい感スケールにて、24 点をカットオフ値とした。「大変高い」「高い」と評価したA 群についてMann-WhitneyU 検定にて得点の有意差を比較した。分析対象者の基本属性について、t 検定及びカイ2 乗検定にて有意差を比較した。統計解析は、Windows 版Free JSTAT を使用し、有意水準は5% とした。</p><p>【結果】</p><p>分析対象者の基本的属性の比較について、性別は前期・後期高齢者女性は同群男性と比べて生きがい感の得点が有意に高かった（p=0.01）。配偶者は後期高齢者で女性は同群男性に比べ死別者が多くを認め、後期高齢者女性に死別者が含まれる理由に有意差を認めた（p=0.01）。健康は前期高齢者男性で同群女性と比較し、男性は健康意識が高かった（p=0.04）。身体活動量減少は前期及び後期高齢者とも女性は同群男性に比べ有意に身体活動量は減少していた（p=0.01）。活動内容は前期及び後期高齢者とも女性は他者との関わりを主体とし、男性は個人での活動を行う傾向にあり活動内容に有意差を認めた（p=0.01）。</p><p>生きがい感の男女群における性差について、存在感因子においてA 群前期高齢者で男性に比べ女性は点数が有意に高かった（p=0.048）。</p><p>【考察】</p><p>高い生きがい感や低下させない要因について検討することは、高齢者の特性を理解する上で重要であると考えた。本研究において、前期及び後期高齢者分類で共通して、女性は男性と比較しコミュニテーを確立しやすい傾向が示唆され、高齢期における地域活動は人間関係を形成する上で重要な役割を担っているのではないかと考える。A 群において高い生きがい感の獲得は、自立した生活を営むために健康を意識し、趣味やボランティアなどの社会参加を通して人との関わりや協調性を維持または獲得することが可能であると考える。生きがい感の項目に着目することは高齢者特有の活動低下因子を運動機能以外からも検討することが可能であると示唆している。本研究の集団特性から得られた結果について、高齢者は家庭や地域社会において自己の存在意識を見出し、生きがい感における存在感因子に着目することは高齢期における他者とのつながりの一要因として有効な手段になり得るのではないかと考える。</p><p>【結論】</p><p>生きがい感評価における存在感因子の獲得や維持が家庭や地域社会とのつながりの一要因になり得るのではないかと考える。</p><p>【倫理的配慮、説明と同意】</p><p>本研究は所属施設と共同研究施設の倫理審査委員会の承認（20-Ifh-606）（IfD-208）後、対象者に書面及び口頭にて十分な説明を行い、同意を得た上で実施した。本研究における開示すべき利益相反はない。</p>

DOI： 10.32298/kyushupt.2022.0_94

CiNii Research

Language：Japanese   Publishing type：Internal/External technical report, pre-print, etc.  

Language：Japanese   Publishing type：Internal/External technical report, pre-print, etc.  

Language：Japanese   Publishing type：Internal/External technical report, pre-print, etc.  

Language：Japanese   Publishing type：Internal/External technical report, pre-print, etc.  

Language：Japanese   Publishing type：Internal/External technical report, pre-print, etc.  

Language：Japanese   Publishing type：Article, review, commentary, editorial, etc. (scientific journal)  

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Number of participants：160

Type：Peer review 

Number of peer-reviewed articles in foreign language journals：9

Number of peer-reviewed articles in Japanese journals：2

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Type：Peer review 

Number of peer-reviewed articles in foreign language journals：6

Number of peer-reviewed articles in Japanese journals：2

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Type：Competition, symposium, etc. 

Type：Peer review 

Number of peer-reviewed articles in foreign language journals：8

Number of peer-reviewed articles in Japanese journals：3

Type：Peer review 

Number of peer-reviewed articles in foreign language journals：3

Number of peer-reviewed articles in Japanese journals：5

Type：Competition, symposium, etc. 

Type：Competition, symposium, etc. 

Type：Competition, symposium, etc. 

Type：Competition, symposium, etc. 

Type：Peer review 

Number of peer-reviewed articles in foreign language journals：4

Number of peer-reviewed articles in Japanese journals：4

Type：Competition, symposium, etc. 

Type：Competition, symposium, etc. 

Type：Competition, symposium, etc. 

Type：Peer review 

Number of peer-reviewed articles in foreign language journals：3

Number of peer-reviewed articles in Japanese journals：4

Type：Competition, symposium, etc. 

Type：Peer review 

Number of peer-reviewed articles in foreign language journals：2

Number of peer-reviewed articles in Japanese journals：2

Type：Competition, symposium, etc. 

Type：Competition, symposium, etc. 

researchmap

Type：Competition, symposium, etc. 

Number of participants：200

Type：Competition, symposium, etc. 

Type：Competition, symposium, etc. 

researchmap

Type：Competition, symposium, etc. 

Type：Competition, symposium, etc. 

Number of participants：200

Type：Competition, symposium, etc. 

researchmap

Type：Competition, symposium, etc. 

researchmap

Type：Competition, symposium, etc. 

Type：Competition, symposium, etc. 

Number of participants：200

Type：Competition, symposium, etc. 

researchmap

Type：Competition, symposium, etc. 

researchmap

Type：Competition, symposium, etc. 

Type：Competition, symposium, etc. 

Number of participants：200

Type：Competition, symposium, etc. 

researchmap

Type：Competition, symposium, etc. 

researchmap

Type：Competition, symposium, etc. 

Type：Competition, symposium, etc. 

researchmap