研究者詳細 - 田平　隆行

論文 - 田平　隆行

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Suguru Shimokihara , Michio Maruta , Yasuaki Akasaki , Yuriko Ikeda , Gwanghee Han , Taishiro Kamasaki , Keiichiro Tokuda , Yuma Hidaka , Yoshihiko Akasaki , Takayuki Tabira . Association between Frequency of Going Out and Psychological Condition among Community-Dwelling Older Adults after the COVID-19 Pandemic in Japan . Healthcare10 ( 3 ) 2022年2月査読

Nakamura A., Maruta M., Makizako H., Miyata M., Miyata H., Han G., Ikeda Y., Shimokihara S., Tokuda K., Kubozono T., Ohishi M., Tabira T. . Meaningful activities and psychosomatic functions in japanese older adults after driving cessation . International Journal of Environmental Research and Public Health18 ( 24 ) 2021年12月国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：International Journal of Environmental Research and Public Health

The purpose of this cross-sectional study was to analyse the differences in meaningful activities and psychosomatic function depending on the driving status of community-dwelling older adults. Data from 594 older adults were obtained, including activities meaningful to individuals and psychosomatic functions, such as grip strength, depression, cognitive function, and ability of activity. Participants were divided into active driving (n = 549) and after driving cessation (n = 45) groups. In addition, the active driving group was operationally divided into three groups: high-frequency group (n = 387), medium group (n = 119), and infrequent group (n = 42). In the after driving cessation group, grip strength, and Japan Science and Technology Agency Index of Competence scores were significantly lower. Furthermore, the proportion of apathy and physical and social frailty was significantly higher in the after driving cessation group. Regarding meaningful activity, domestic life scores in the after driving cessation group were significantly higher than those of the active driving group. Decreased driving frequency in the active driving group was associated with weak muscle strength, lack of interest, and low activity. This study demonstrated that meaningful activity differed based on the driving status. Hence, we should support the activities of older adults who are considering driving cessation.

DOI： 10.3390/ijerph182413270

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田平隆行, 池田由里子 . 【認知症最前線】認知症に対する作業療法の最前線　認知機能低下に伴う生活行為の変化と介入 . 作業療法ジャーナル55 ( 13 ) 1471 - 1477 2021年12月

記述言語：日本語出版者・発行元：(株)三輪書店

＜文献概要＞近年,認知症のリハに関連する研究報告は急増しており,特に予防的観点のエビデンスの増加は著しい.一方,身体障害領域の急性期や精神科,介護保険施設等では身体拘束の見直しや低減に向けての働きかけが普及し,ケアも方法論のみならず本質的な考え方をあらためて学び直そうという動きが増えてきている.われわれOTが,認知症高齢者に対して支援すべき領域は多岐にわたる.認知機能,行動心理症状,環境,生活史・文脈,生活行為,生活の質などの支援すべき対象は,出会った場所(病院,施設,在宅),時期,重症度,年齢,居住形態,地域文化によって当然ながら異なってくる.したがって,OTは,エビデンスがあるプログラムにおいても適応と限界を理解し,個人因子や環境因子を考慮したテーラーメイドの支援をする必要がある.決してプログラム先行型になってはならない.特に,新オレンジプランで重要視されているADLを中心としたリハについては,本人の生活習慣,生活環境,生活様式に配慮し,有する認知機能や生活能力を最大限に活かすことを推進しており,個々人の残存能力(できる)を活かした介入が重要となる.しかし,背景因子はさまざまであるが,生活行為を詳細に観察することにより共通点も多くみられる.一般に背景因子は,BADL,IADL,高次生活機能,余暇・社会活動のように生活拡大に伴い選択肢が増え,その影響が強くなる.逆にいうとBADL/IADLは,重症度や疾患の特性を見いだしやすい.本稿では,最前線といえる内容であるかは不明であるが,2019～2020年度(平成31～令和2年度)に実施した厚生労働科学研究「アルツハイマー病患者に対する生活行為工程分析を用いたリハビリテーション介入の標準化に関する研究」を中心に,地域におけるBADL/IADLの特徴と作業療法介入について概説したい.

Hasegawa T., Nishi K., Nakashima A., Moriuchi T., Iso N., Koseki H., Tabira T., Higashi T. . Effects of attentional bias modification on chronic low back pain in older outpatients: A randomized crossover trial (pilot study) . Medicine (United States)100 ( 45 ) e27738 2021年11月国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Medicine (United States)

Objectives: In the present study, the effect of attentional bias modification (ABM) on older outpatients, with chronic low back pain, was examined. Design: This was a single-center, randomized, single-blinded, crossover trial and patients were randomly divided in a 1:1 allocation ratio into two groups: an ABM Leading group and an ABM Trailing group. Participants: Forty-three outpatients with chronic low back pain participated. Interventions: Patients were evaluated four times and the treatments were ABM + Normal intervention or Normal intervention only. Outcomes: Outcome measures included pain intensity on the Numerical Rating Scale, the Pain Catastrophizing Scale, Fear-Avoidance Beliefs Questionnaire, Hospital Anxiety and Depression Scale, Somatic Symptom Scale-8, and EuroQol 5 Dimension-3 levels questionnaire. In addition, we performed the 30-second Chair-Stand test and the Timed Up & Go test for physical function evaluations. Results: There was no change in pain intensity due to ABM. However, the total Pain Catastrophizing Scale score was significantly decreased, and the EuroQol 5 Dimension-3 levels questionnaire and 30-second chair-stand test were significantly improved (P <.05)

DOI： 10.1097/MD.0000000000027738

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Makizako H., Kiyama R., Nishimoto D., Nishio I., Masumitsu T., Ikeda Y., Hisamatsu M., Shimizu S., Mizuno M., Wakamatsu M., Inoue N., Tabira T., Ohshige T., Yamashita A., Nagano S. . Article association between regular exercise and self-rated health and sleep quality among adults in japan during the covid-19 pandemic . International Journal of Environmental Research and Public Health18 ( 19 ) 2021年10月国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：International Journal of Environmental Research and Public Health

Regular exercise may be associated with better self-rated health and sleep status. However, this correlation among various age groups, such as young, middle-aged, and older people, as well as during the COVID-19 pandemic, has not been examined. This study examined the correlation between regular exercise and self-rated health and sleep quality among adults in Japan during the COVID-19 pandemic. Data were collected using an online survey conducted between February 26 and 27, 2021. A total of 1410 adults in Japan (age range, 20–86 years) completed the online survey. Regular exercise was divided into: (1) more than 30 min of moderate exercise a day, (2) more than 2 days per week, and (3) continuous for 1 year or longer. Self-rated health and sleep quality were assessed using the Likert scale. After adjusting for multiple confounders, regular exercise was correlated with decreased poor self-rated health and poor sleep quality in middle-aged adults; however, no significant correlation was observed among young and older adults. The promotion of regular exercise among middle-aged people during the COVID-19 pandemic may contribute to better self-rated health and sleep quality status.

DOI： 10.3390/ijerph181910515

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PubMed

赤井田将真, 牧迫飛雄馬, 中井雄貴, 富岡一俊, 谷口善昭, 立石麻奈, 田平隆行, 竹中俊宏, 窪薗琢郎, 大石充 . 地域在住高齢者における自動車事故歴と転倒歴との関連 . 日本老年医学会雑誌58 ( 4 ) 663 - 663 2021年10月

Okabe T, Suzuki M, Iso N, Tanaka K, Sagari A, Miyata H, Maruta M, Han G, Tabira T, Kawagoe M . Long-Term Changes in Older Adults’ Independence Levels for Performing Activities of Daily Living in Care Settings: A Nine-Year Follow-Up Study . 18 ( 18 ) 2021年9月査読

Sagari A, Tabira T, Maruta M, Miyata H, Hasegawa T, Kawagoe M . Effect of Daily Living Activities on the Need for Long-Term Care in Older Adults . Asian Journal of Occupational Therapy17 ( 1 ) 2021年9月査読

Ikeda Y., Maruta M., Shimokihara S., Nakamura A., Han G., Tabira T. . Difficulties in the Use of Everyday Technology among Older Adults with Subjective Memory Complaint and Cognitive Decline . Gerontology68 ( 6 ) 1 - 9 2021年9月査読国際誌

担当区分：最終著者記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Gerontology

Introduction: The ability to use everyday technology (ET) is becoming increasingly necessary for maintaining domestic and social lives. For older adults, difficulties with using ETs can begin at the mild cognitive impairment (MCI) state and may indicate increasing cognitive decline. The aim of this study was to conduct a detailed investigation into the ability to use ETs among Japanese older community-dwelling adults at 3 stages of cognitive function and the ability to carry out daily activities. Method: We analyzed family members' responses to questions about older adults with cognitive decline in their families. A total of 168 older adults with subjective memory complaints (SMC) or cognitive decline and inconvenience in daily life were analyzed. A questionnaire was used to assess the characteristics, ability to use ETs, and ability to manage refrigerator contents, all of which can be early signs of dementia. Participants were divided 3 groups by the type of dementia: SMC (n = 77), MCI (n = 36), and Alzheimer's disease (AD) (n = 55) for comparison. Result: The observation list of early signs of dementia (OLD) total score indicated a significant positive correlation with the number of ET errors (r = 0.37, p < 0.001) and number of difficulties with refrigerator management (r = 0.18, p = 0.031). Regarding number of ET errors, there was a significant main effect for the 3 groups, and the SMC group made significantly fewer errors than the AD group (p = 0.02). In 7 of the 11 ET categories, errors with using ETs were associated with all 3 groups, with the SMC group making fewer errors, and the AD group making more. Regarding difficulties with refrigerator management, 2 out of 9 problems were associated with the 3 groups, with the SMC group having fewer difficulties and the AD group having more. Discussion/Conclusion: The results indicated that the ability to use ETs and to manage refrigerator contents begins to decline at the SMC stage. Further evaluation of the ability to use ETs is needed for older adults with SMC so that adequate support in the context of the individual can be provided.

DOI： 10.1159/000518390

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PubMed

田平隆行，上野恵理 . 脳血管性認知症と作業療法 . OTジャーナル55 ( 8 ) 859 - 863 2021年8月招待

田平隆行, 上野恵理 . 【脳卒中の作業療法最前線】(第3章)支援技術　急性期から回復期の個別性を重視した介入(事例報告)　脳血管性認知症と作業療法 . 作業療法ジャーナル55 ( 8 ) 859 - 863 2021年7月

記述言語：日本語出版者・発行元：(株)三輪書店

＜文献概要＞脳血管性認知症(vascular dementia:VaD)は,かつては「まだら認知症」と称され,認知機能の正常と低下のばらつきが大きいと指摘されていた.近年,診断技術の進展により,VaDのタイプ分類も整理されてきている.作業療法では,アルツハイマー型認知症(Alzheimaer's disease:AD)やレビー小体型認知症(dementia with Lewy bodies:DLB),前頭側頭型認知症(fronto temporal dementia:FTD)についての文献は多いものの,VaDは個々の症状の違いが大きいためか,系列的な紹介をしているものが散見される程度である.本稿では,最近のVaDの診断と症状,作業療法の留意点を概説した後,訪問リハにおけるVaDの介入事例を紹介する.

韓こう煕, 丸田道雄, 高橋弘樹, 中村篤, 宮田浩紀, 松尾崇史, 田平隆行 . 脳卒中患者の心の理論についての研究　認知機能評価の成績と前頭葉損傷有無の観点からの検討 . 日本作業療法研究学会雑誌24 ( 1 ) 19 - 25 2021年5月

記述言語：日本語出版者・発行元：日本作業療法研究学会

脳卒中患者は社会参加が困難になりやすく、心の理論(ToM)の障害が一因の可能性と指摘されている。日本の脳卒中患者のToMの研究は開拓段階でToMの視点は不十分である。そのため本研究は、脳卒中患者のToMについて調べ、その特徴を認知機能の成績や前頭葉損傷の有無の観点から検討した。脳卒中患者45名にToM課題として一次的信念課題、二次的信念課題、状況把握力課題のWhite Lie Taskと、Mini Mental State Examination(MMSE)や前頭葉機能検査(FAB)を実施した。結果、ToM課題はMMSEとFABの成績低下に伴い正解率が低下し、特にWhite Lie TaskはMMSEとFABのカットオフ以下から顕著に低下した。二次的信念課題はMMSEやFABが高得点でも低下した。脳卒中患者のToMはMMSEやFABと関連があり、カットオフ以下から相手の考えを認識し、状況を理解し適切な発言を行う能力が低下する可能性が示唆された。また、相手とその相手が他人に対して思う事を認識する二次的信念は、軽度認知障害レベルから低下する可能性が示唆された。(著者抄録)

Tanaka Hiroyuki, Umeda Ren, Shoumura Yuko, Kurogi Tatsunari, Nagata Yuma, Ishimaru Daiki, Yoshimitsu Koji, Tabira Takayuki, Ishii Ryouhei, Nishikawa Takashi . 中等度から重度の認知症患者の活動への取り組み方に対する評価尺度の開発(Development of an assessment scale for engagement in activities for patients with moderate to severe dementia) . Psychogeriatrics21 ( 3 ) 368 - 377 2021年5月

記述言語：英語出版者・発行元：John Wiley & Sons Australia, Ltd

活動の取り組み方に対する評価尺度(ASEA)を開発し、その臨床的有用性について検討した。認知症対策の経験を有する作業療法士9名および精神科医1名がCOSMINチェックリストに準拠してASEAを開発した。ASEAは4ドメイン10項目(活動の参加、活動の開始、活動の継続、活動の正確さ、覚醒度、他者との交流、集団への交流、スタッフからの関わり、ポジティブな感情表出、ネガティブな感情表出)から構成された。精神科急性期病院の中等度から重度の認知症入院患者を対象としてASEA、東大式観察評価尺度(TORS)、ミニメンタルステート検査(MMSE)を実施した。その結果、ASEAのCronbachのα係数は0.889であった。全体の評価者間信頼性は0.937(スピアマン順位相関P<0.001)、各項目のICCは0.490-0.965(P<0.018-0.001)であった。全体の再検査信頼性は0.778(スピアマンの順位相関P<0.001)であり、各項目のICCは0.498-0.863(P<0.023-0.001)であった。再検査信頼性は「他者との交流」(P=0.051)を除きほぼ全ての項目で有意であった。TORSとMMSEを用いて検討した併存的妥当性は、それぞれ0.920、0.304であった(スピアマン順位相関P<0.001-0.006)。以上から、ASEAは中等度から重度の認知症患者の活動への取り組み方を評価することができ、臨床的に有用であることが示された。

Maruta M., Makizako H., Ikeda Y., Miyata H., Nakamura A., Han G., Shimokihara S., Tokuda K., Kubozono T., Ohishi M., Tabira T. . Association between apathy and satisfaction with meaningful activities in older adults with mild cognitive impairment: A population-based cross-sectional study . International Journal of Geriatric Psychiatry36 ( 7 ) 1065 - 1074 2021年4月査読国際誌

担当区分：最終著者記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：International Journal of Geriatric Psychiatry

Objectives: This cross-sectional study aimed to clarify the relationship between apathy, meaningful activities, and satisfaction with such activities of older adults with mild cognitive impairment (MCI). Methods: We analyzed 235 older adults with MCI (≥65 years, mean age: 76.9 ± 6.4 years, women: 63.4%) who participated in a community-based health check survey (Tarumizu Study 2018). MCI was defined as at least 1.5 SD below the reference threshold (age- and education-adjusted score) on one or more of the computerized cognitive test including memory, attention, executive functions, and processing speed. Apathy symptoms were assessed using three of the 15 items of Geriatric Depression Scale. Participants selected meaningful activities from the 95 activities of the Aid for Decision-Making in Occupation Choice and evaluated their satisfaction and performance. Results: Apathy in MCI was prevalent by 23.8%. The categories of meaningful activities revealed no difference, with, or without apathy. Logistic regression analysis showed that activity satisfaction was significantly associated with apathy after adjusting for age, sex, education, instrumental activities of daily living, depressive symptoms, and MCI subtype (OR, 0.62; 95% CI, 0.44–0.88, p = 0.008). Conclusions: Satisfaction with the activities that are deemed meaningful is associated with apathy among community-dwelling older adults with MCI.

DOI： 10.1002/gps.5544

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Nakamura M, Hamada T, Tanaka A, Nishi K, Kume K, Goto Y, Beppu M, Hijioka H, Higashi Y, Tabata H, Mori K, Mishima Y, Uchino Y, Yamashiro K, Matsumura Y, Makizako H, Kubozono T, Tabira T, Takenaka T, Ohishi M, Sugiura T . Association of Oral Hypofunction with Frailty, Sarcopenia, and Mild Cognitive Impairment: A Cross-Sectional Study of Community-Dwelling Japanese Older Adult . 10 ( 8 ) 2021年4月査読

Saji N., Makizako H., Suzuki H., Nakai Y., Tabira T., Obuchi S., Kawai H., Murotani K., Katayama N., Toba K., Uchida Y., Nakashima T. . Hearing impairment is associated with cognitive function in community-dwelling older adults: A cross-sectional study :Hearing impairment and the clock drawing task . Archives of Gerontology and Geriatrics93 104302 2021年3月

記述言語：日本語出版者・発行元：Archives of Gerontology and Geriatrics

Background: Hearing impairment (HI) is associated with dementia. However, the cognitive screening tasks effective in older community dwellers presenting with HI are unclear. Methods: We retrospectively and cross-sectionally investigated the associations between HI and cognitive function assessed with screening tasks using data from two healthcare check-up programs for community dwellers ≥65 years old in 2018. We examined demographics, risk factors, cognitive function, hearing condition, lifestyles, and self-care levels. Cognitive function was assessed using the clock drawing task and the delayed three words recall task. Hearing condition was assessed using questionnaires on the use of hearing aids and HI during conversation situations. Multivariate analysis was used to identify independent associations between HI and cognitive assessment tasks. Results: We analyzed 1602 eligible participants (61.9% women; 74.3 ± 6.5 years old). Hearing aid users (n = 90) were older (80 vs. 73 years, respectively; p < 0.001) and less likely to draw the clock correctly (71.1% vs. 80.1% years, respectively; p = 0.044) than non-hearing aid users. Multivariate logistic regression analysis showed that HI was associated with inability to draw the clock correctly (odds ratio 1.60, 95% confidence interval 1.12–2.26; p = 0.011), independent of age, living alone, memory impairment, and impaired self-care levels. Conclusion: Hearing impairment is independently associated with cognitive decline assessed by the clock drawing task. The clock drawing task may be useful for identifying an increased risk of dementia in older subjects presenting with HI.

DOI： 10.1016/j.archger.2020.104302

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Maya Nakamura, Tomofumi Hamada, Akihiko Tanaka, Keitaro Nishi, Kenichi Kume, Yuichi Goto, Mahiro Beppu, Hiroshi Hijioka, Yutaro Higashi, Hiroaki Tabata, Kazuki Mori, Yumiko Mishima, Yoshinori Uchino, Kouta Yamashiro, Yoshiaki Matsumura, Hyuma Makizako, Takuro Kubozono, Takayuki Tabira, Toshihiro Takenaka, Mitsuru Ohishi, Tsuyoshi Sugiura . Association of Oral Hypofunction with Frailty, Sarcopenia, and Mild Cognitive Impairment: A Cross-Sectional Study of Community-Dwelling Japanese Older Adults . J Clin Med10 ( 8 ) 2021年3月招待査読

Shimokihara S, Maruta M, Hidaka Y, Akasaki Y, Tokuda K, Han G, Ikeda Y, Tabira T . Relationship of Decrease in Frequency of Socialization to Daily Life, Social Life and Physical Function in Community-Dwelling Adults Aged 60 and over after the COVID-19 Pandemic. . Int. J. Environ. Res 2021年3月査読

Sagari A., Tabira T., Maruta M., Miyata H., Han G., Kawagoe M. . Causes of changes in basic activities of daily living in older adults with long-term care needs . Australasian Journal on Ageing40 ( 1 ) e54-e61 - e61 2021年3月国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Australasian Journal on Ageing

Objective: To elucidate basic activities of daily living (BADL) changes, and the causes, in older adults with long-term care needs. Methods: This retrospective study utilised long-term care insurance (LTCI) certification survey data from 2010 to 2017 in City A. Results: In decreasing likelihood of requiring assistance, BADL items were grooming, bathing, getting dressed/undressed, mobility, toilet hygiene, functional mobility and self-feeding. Cox proportional hazard regression indicated that age correlated with need for assistance for all BADL items. Male sex corresponded to needing assistance with BADL items other than grooming and functional mobility. Shared living corresponded to needing assistance with BADL items other than grooming and bathing. Visual acuity corresponded to needing assistance with grooming. Conclusion: The most significant result was using survival curves to visualise the changes in BADL items of older adults with LTCI. These findings could help develop rehabilitation programs to prevent the need for BADL assistance in older adults.

DOI： 10.1111/ajag.12848

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PubMed

和田あゆみ, 牧迫飛雄馬, 中井雄貴, 富岡一俊, 谷口善昭, 佐藤菜々, 木山良二, 田平隆行, 窪薗琢郎, 竹中俊宏, 大石充 . 地域在住高齢者における社会的フレイルとうつ傾向との関連 . 鹿児島大学医学部保健学科紀要31 ( 1 ) 11 - 18 2021年3月

記述言語：日本語出版者・発行元：鹿児島大学医学部保健学科

地域コホート研究(垂水研究2018)のデータを用いて、地域在住高齢者における社会的フレイルとうつ傾向との関連について横断観察研究を行った。対象は研究に対する同意が得られた65歳以上の地域在住高齢者859名であった。最終的に社会的フレイルの有無および高齢者用うつ尺度短縮版(GDS15)、その他基本属性に欠損のない812名(男性304名、女性508名、平均年齢74.8歳)を有効回答とし分析対象とした。対象者のうち社会的フレイルを有する者は112名(13.8%)であった。社会的フレイルを有する者は社会的フレイルを有しない者と比較し、高齢で、GDS15の点数は高く、歩行速度、握力が低下していた。社会的フレイルを有する者でうつ傾向のある者は37名(33.0%)で、社会的フレイルを有さない者でうつ傾向のある者90名(12.9%)と比較して有意に高い割合であった。ロジスティック回帰分析の結果からも社会的フレイルはうつ傾向と関連していることが示された。

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