研究者詳細 - 牧迫　飛雄馬

論文 - 牧迫　飛雄馬

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Makizako H, Shimada H, Doi T, Tsutumimoto K, Yoshida D, Suzuki T . Effects of a community disability prevention program for frail older adults at 48-month follow up. . Geriatrics & gerontology international17 ( 12 ) 2347 - 2353 2017年12月査読

Shimada H, Makizako H, Park H, Doi T, Lee S . Validity of the National Center for Geriatrics and Gerontology-Functional Assessment Tool and Mini-Mental State Examination for detecting the incidence of dementia in older Japanese adults. . Geriatrics & gerontology international17 ( 12 ) 2383 - 2388 2017年12月査読

Makino K, Makizako H, Doi T, Tsutsumimoto K, Hotta R, Nakakubo S, Suzuki T, Shimada H . Fear of falling and gait parameters in older adults with and without fall history. . Geriatrics & gerontology international17 ( 12 ) 2455 - 2459 2017年12月査読

菱川法和, 牧迫飛雄馬, 森田秋子 . 回復期脳卒中患者に対する認知関連行動アセスメントの評価者間信頼性の検討 . 愛知県理学療法学会誌29 ( 2 ) 69 - 75 2017年12月

記述言語：日本語出版者・発行元：(NPO)愛知県理学療法学会

【目的】回復期脳卒中患者に対する認知関連行動アセスメント(以下、CBA)の評価者間信頼性を検討した。【方法】理学療法士6名と日常業務でCBAを用いた評価を実施しており十分な臨床経験を有する言語聴覚士を評価者とし、脳卒中患者21名のCBAにおける6領域の重症度を5段階で評価させた。評価者間信頼性の検討は、理学療法士6名の評価結果と理学療法士を臨床経験年数で分けた2群の評価結果を言語聴覚士の評価結果を外的基準に比較して、領域別得点は重み付きκ係数、合計点は級内相関係数(2,1)を算出した。さらに、合計点はBland-Altman分析により系統誤差を確認した後、標準誤差を算出した。【結果】評価者間信頼性は重み付きκ係数が0.62〜0.92、級内相関係数(2,1)が0.86〜0.91と高かった。系統誤差の存在はなく、標準誤差は2〜3点であった。【結論】CBAの評価者間信頼性は高く、今後は多様な職種や環境での連携においても臨床応用が期待できると考えた。(著者抄録)

Bae S, Shimada H, Park H, Lee S, Makizako H, Doi T, Yoshida D, Tsutsumimoto K, Anan Y, Suzuki T . Association between body composition parameters and risk of mild cognitive impairment in older Japanese adults. . Geriatrics & gerontology international17 ( 11 ) 2053 - 2059 2017年11月査読

Bae S, Shimada H, Lee S, Makizako H, Lee S, Harada K, Doi T, Tsutsumimoto K, Hotta R, Nakakubo S, Park P, Suzuki T . The relationships between components of metabolic syndrome and mild cognitive impairment subtypes: A cross-sectional of Japanese older adults . J Alzheimers Dis 2017年10月査読

Shimada H, Makizako H, Doi T, Lee S, Lee S . Conversion and reversion rates in Japanese older people with mild cognitive impairment . J Am Med Dir Assoc 2017年9月査読

Shimada H, Makizako H, Doi T, Lee S, Lee S . Conversion and Reversion Rates in Japanese Older People With Mild Cognitive Impairment. . Journal of the American Medical Directors Association18 ( 9 ) 808.e1 - 808.e6 2017年9月査読国際誌

Makizako H, Shimada H, Doi T, Tsutsumimoto K, Lee S, Lee S, Harada K, Hotta R, Nakakubo S, Bae S, Harada K, Yoshida D, Uemura K, Anan Y, Park H, Suzuki T . Age-dependent changes in physical performance and body composition in community-dwelling Japanese older adults . J Cachexia Sarcopenia Muscle 2017年8月査読

Makizako H, Shimada H, Doi T, Tsutsumimoto K, Lee S, Lee SC, Harada K, Hotta R, Nakakubo S, Bae S, Harada K, Yoshida D, Uemura K, Anan Y, Park H, Suzuki T . Age-dependent changes in physical performance and body composition in community-dwelling Japanese older adults. . Journal of cachexia, sarcopenia and muscle8 ( 4 ) 607 - 614 2017年8月査読国際誌

Doi T, Shimada H, Makizako H, Tsutsumimoto K, Verghese J, Suzuki T . Motoric Cognitive Risk Syndrome: Association with Incident Dementia and Disability . J Alzheimers Dis 2017年7月査読

Tsutsumimoto K, Doi T, Makizako H, Hotta R, Nakakubo S, Makino K, Suzuki T, Shimada H . Association of Social Frailty with Both Cognitive and Physical Deficits among Older People . J Am Med Dir Assoc 2017年7月査読

Tsutsumimoto K, Doi T, Makizako H, Hotta R, Nakakubo S, Makino K, Suzuki T, Shimada H . Association of Social Frailty With Both Cognitive and Physical Deficits Among Older People. . Journal of the American Medical Directors Association18 ( 7 ) 603 - 607 2017年7月査読国際誌

Shimada H, Ishii K, Makizako H, Ishiwata K, Oda K, Suzukawa M . Effects of exercise on brain activity during walking in older adults: a randomized controlled trial . J Neuroeng Rehabil 2017年5月査読

Shimada H. . Effects of exercise on brain activity during walking in older adults: a randomized controlled trial . Journal of NeuroEngineering and Rehabilitation14 ( 1 ) 50 2017年5月査読

Doi Takehiko, Verghese Joe, Makizako Hyuma, Tsutsumimoto Kota, Hotta Ryo, Nakakubo Sho, Suzuki Takao, Shimada Hiroyuki . Effects of Cognitive Leisure Activity on Cognition in Mild Cognitive Impairment: Results of a Randomized Controlled Trial. . J Am Med Dir Assoc18 ( 8 ) 686 - 691 2017年4月査読国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Journal of the American Medical Directors Association

OBJECTIVE: To test the hypothesis that a long-term, structured cognitive leisure activity program is more effective than a health education program at reducing the risk of further cognitive decline in older adults with mild cognitive impairment syndrome (MCI), a high risk for dementia. DESIGN: A 3-arm, single-blind randomized controlled trial. SETTING: Community. PARTICIPANTS: A total of 201 Japanese adults with MCI (mean age: 76.0 years, 52% women). INTERVENTIONS: Participants were randomized into 1 of 2 cognitive leisure activity programs (60 minutes weekly for 40 weeks): dance (n = 67) and playing musical instruments (n = 67), or a health education control group (n = 67). MEASUREMENTS: Primary outcomes were memory function changes at 40 weeks. Secondary outcomes included changes in Mini-Mental State Examination and nonmemory domain (Trail Making Tests A and B) scores. RESULTS: At 40 weeks, the dance group showed improved memory recall scores compared with controls [mean change (SD): dance group 0.73 (1.9) vs controls 0.01 (1.9); P = .011], whereas the music group did not show an improvement compared with controls (P = .123). Both dance [mean change (SD): 0.29 (2.6); P = .026] and music groups [mean change (SD): 0.46 (2.1); P = .008] showed improved Mini-Mental State Examination scores compared with controls [mean change (SD): -0.36 (2.3)]. No difference in the nonmemory cognitive tests was observed. CONCLUSIONS: Long-term cognitive leisure activity programs involving dance or playing musical instruments resulted in improvements in memory and general cognitive function compared with a health education program in older adults with MCI. TRIAL REGISTRATION: UMIN-CTR UMIN000014261.

DOI： 10.1016/j.jamda.2017.02.013

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PubMed

吉松竜貴, 橋本祥行, 照屋康治, 八塩ゆり子, 加辺憲人, 澤龍一, 牧迫飛雄馬 . 入院時に起居動作が自立していない回復期脳卒中患者の退院時歩行自立を予測する要因について . 理学療法学44 ( Suppl.2 ) O - 5 2017年4月査読

Makizako Hyuma, Shimada Hiroyuki, Doi Takehiko, Tsutsumimoto Kota, Nakakubo Sho, Hotta Ryo, Suzuki Takao . Predictive Cutoff Values of the Five-Times Sit-to-Stand Test and the Timed "Up & Go" Test for Disability Incidence in Older People Dwelling in the Community. . Phys Ther97 ( 4 ) 417 - 424 2017年3月査読

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

Background: Lower extremity functioning is important for maintaining activity in elderly people. Optimal cutoff points for standard measurements of lower extremity functioning would help identify elderly people who are not disabled but have a high risk of developing disability. Objective: The purposes of this study were: (1) to determine the optimal cutoff points of the Five-Times Sit-to-Stand Test and the Timed "Up & Go" Test for predicting the development of disability and (2) to examine the impact of poor performance on both tests on the prediction of the risk of disability in elderly people dwelling in the community. Design: This was a prospective cohort study. Methods: A population of 4,335 elderly people dwelling in the community (mean age = 71.7 years; 51.6% women) participated in baseline assessments. Participants were monitored for 2 years for the development of disability. Results: During the 2-year follow-up period, 161 participants (3.7%) developed disability. The optimal cutoff points of the Five-Times Sit-to-Stand Test and the Timed "Up & Go" Test for predicting the development of disability were greater than or equal to 10 seconds and greater than or equal to 9 seconds, respectively. Participants with poor performance on the Five-Times Sit-to-Stand Test (hazard ratio = 1.88; 95% CI = 1.11, 3.20), the Timed "Up & Go" Test (hazard ratio = 2.24; 95% CI = 1.42, 3.53), or both tests (hazard ratio = 2.78; 95% CI = 1.78, 4.33) at the baseline assessment had a significantly higher risk of developing disability than participants who had better lower extremity functioning. Limitations: All participants had good initial functioning and participated in assessments on their own. Causes of disability were not assessed. Conclusions: Assessments of lower extremity functioning with the Five-Times Sit-to-Stand Test and the Timed "Up & Go" Test, especially poor performance on both tests, were good predictors of future disability in elderly people dwelling in the community.

DOI： 10.2522/ptj.20150665

Web of Science

Scopus

PubMed

Tsutsumimoto Kota, Doi Takehiko, Makizako Hyuma, Hotta Ryo, Nakakubo Sho, Makino Keitaro, Suzuki Takao, Shimada Hiroyuki . The association between anorexia of aging and physical frailty: Results from the national center for geriatrics and gerontology's study of geriatric syndromes. . Maturitas97 32 - 37 2017年3月査読国際誌

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

OBJECTIVES: The present study examined the association between anorexia of aging and physical frailty among older people. STUDY DESIGN: An observational, cross-sectional cohort design was used with a sample of 4417 elderly Japanese citizens living in a community setting. MAIN OUTCOME MEASURES: Frailty was operationalized as the following frailty components: slowness, weakness, exhaustion, low level of physical activity, and weight loss. Participants were grouped as non-frail, pre-frail, and frail, and categorized as anorexic or not using questionnaire cutoff scores. Measured covariates were as follows: sociodemographic variables, medical history, life style, body mass index, blood nutrition data, self-rated health, depressive symptoms, and cognitive function. RESULTS: The prevalence of anorexia of aging in each group was as follows: non-frail, 7.9%; pre-frail, 14.8%; frail, 21.2% (P for trend<0.001). After adjusting for all covariates, independent associations were identified between anorexia of aging and slowness (OR 1.42, 95% CI: 1.14-1.75, P=0.002), exhaustion (OR 1.39, 95% CI: 1.11-1.74, P=0.004) and weight loss (OR 1.37, 95% CI: 1.05-1.79, P=0.019), but not weakness or low level of physical activity. CONCLUSIONS: Anorexia of aging is importantly associated with frailty and the following frailty components: slowness, exhaustion, and weight loss. Future research should prospectively examine frailty's causal connection with anorexia of aging.

DOI： 10.1016/j.maturitas.2016.12.005

Web of Science

Scopus

PubMed

Nakakubo Sho, Makizako Hyuma, Doi Takehiko, Tsutsumimoto Kota, Lee Sangyoon, Lee Sungchul, Hotta Ryo, Bae Seongryu, Suzuki Takao, Shimada Hiroyuki . Impact of poor sleep quality and physical inactivity on cognitive function in community-dwelling older adults. . Geriatr Gerontol Int17 ( 11 ) 1823 - 1828 2017年2月査読

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Geriatrics and Gerontology International

AIM: The purpose of the present study was to examine whether the combination of subjective sleep quality and physical activity is associated with cognitive performance among community-dwelling older adults. METHODS: Cross-sectional data on 5381 older adults who participated in part of the National Center for Geriatrics and Gerontology - Study of Geriatric Syndromes were analyzed. We assessed general cognitive impairment using the Mini-Mental State Examination, and also assessed story memory, attention, executive function and processing speed using the National Center for Geriatrics and Gerontology Functional Assessment Tool. Physical activity was assessed using two questionnaires, and participants were categorized as active or inactive. Sleep quality was assessed using the Pittsburgh Sleep Quality Index, and participants were categorized as having poor (PS) or good sleep quality (GS). RESULTS: Participants in the inactive + PS group had worse performances than those in the active + GS group in all cognitive measures (Mini-Mental State Examination: P = 0.008, story memory: P = 0.007, other cognitive measures: P < 0.001), and also had worse performances than those in the inactive + GS and active + PS groups in the trail-making test, part B, and the symbol digit substitution test (P < 0.001, respectively). Additionally, participants in the inactive + GS group had worse performances than in the active + GS in the trail-making test, part B, and the symbol digit substitution test (P = 0.002 and P = 0.001, respectively). CONCLUSIONS: Inactivity and poor sleep quality were associated with poor cognitive performance among community-dwelling older adults. The combination of poor sleep quality and physical inactivity also worsened cognitive performance. Geriatr Gerontol Int 2017; **: **-**.

DOI： 10.1111/ggi.12973

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PubMed

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