鹿児島県離島における高齢者の運動器の機能向上プログラムの実践  [in Japanese] Functional Improvement Program of Musculoskeletal System of the Elderly in an Isolated Island of Kagoshima Prefecture  [in Japanese]

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Author(s)

    • 矢野 純子 YANO Junko
    • 産業医科大学 医学部 公衆衛生学講座 Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health
    • 居林 晴久 IBAYASHI Haruhisa
    • 産業医科大学 医学部 公衆衛生学講座 Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health
    • 西山 知宏 [他] NISHIYAMA Tomohiro
    • 産業医科大学 医学部 公衆衛生学講座 Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health
    • 田中 政幸 TANAKA Masayuki
    • 産業医科大学 医学部 公衆衛生学講座 Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health
    • 佐藤 茂夫 SATO Shigeo
    • 折尾愛真短期大学 保健体育教師 Health Physical Education Lecturer, Orio Aishin Junior College
    • 松田 晋哉 MATSUDA Shinya
    • 産業医科大学 医学部 公衆衛生学講座 Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health
    • 小林 篤 KOBAYASHI Atsushi
    • 産業医科大学 医学部 公衆衛生学講座|損保ジャパン 総合研究所 Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health|Sonpo Japan Research Institute Inc.
    • 矢倉 尚典 YAKURA Naonori
    • 産業医科大学 医学部 公衆衛生学講座|損保ジャパン 総合研究所 Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health|Sonpo Japan Research Institute Inc.

Abstract

2006年4月から実施された介護保険新予防給付に先立ち, 鹿児島県離島において筋力向上器械を使用した高齢者の運動器の機能向上プログラムを3ヵ月間実施した. その前後に行った体力測定, 生活習慣・日常生活動作(Activities of Daily Living: ADL)・手段的日常生活動作(Instrumental Activities of Daily Living: IADL)調査, 改訂版Frenchay Activities Index自己評価法の結果, 体力測定の内, 筋力, 歩行能力, 全身協調性は有意に向上し, その他の指標, ADL, IADLには有意差は見られなかった. この理由としては例数が少なく筋力の向上が生活全体の活動量の増加に繋がっていないことが示唆された.

Under the coming amendment of long term care insurance (LTCI), the preventive activities will be more strengthened in order to ameliorate the quality of life (QOL) levels of the slightly frail elderly and then to rationalize the LTCI expenditures. The functional training of the musculoskeletal system is regarded as especially important. In order to validate its effectiveness and availability in a rural setting, we organized a physical fitness program for the slightly frail elderly in an isolated island of Kagoshima prefecture. According to the results of our preliminary study, statistically significant improvement was observed for some items of the physical fitness level, but not for life style, activities of daily living (ADL), instrumental activities of daily living (IADL) levels or Frenchay Activities Index. In addition to the relatively small number of participants, it is thought that physical fitness training alone cannot increase the elderly activity volume. Further studies are necessary to clarify the usefulness of physical training on the ADL/IADL level of the elderly.

Journal

  • Journal of UOEH

    Journal of UOEH 28(2), 229-237, 2006

    The University of Occupational and Environmental Health, Japan

Cited by:  2

Codes

  • NII Article ID (NAID)
    110004729690
  • NII NACSIS-CAT ID (NCID)
    AN0009832X
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    0387-821X
  • NDL Article ID
    7986258
  • NDL Source Classification
    ZS7(科学技術--医学)
  • NDL Call No.
    Z19-1000
  • Data Source
    CJPref  NDL  NII-ELS  J-STAGE 
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