研究者詳細 - 牧迫　飛雄馬

論文 - 牧迫　飛雄馬

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牧迫飛雄馬 . 特集によせて . 日本サルコペニア・フレイル学会誌9 ( 3 ) 351 - 351 2025年11月

牧迫飛雄馬 . 編集後記 . 日本サルコペニア・フレイル学会誌9 ( 3 ) 428 - 428 2025年11月

Shimokihara S., Tabira T., Maruta M., Makizako H., Han G., Kamasaki T., Akasaki Y., Hidaka Y., Kumura Y., Kukizaki W., Kubozono T., Ohishi M. . Associations Between the Diverse Aspects of Psychological Frailty and Health-Related Outcomes in Community-Dwelling Older Adults: A Cross-Sectional Study . Psychogeriatrics26 ( 1 ) e70115 2025年11月

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

Background: Psychological frailty (PsF), encompassing cognitive and emotional vulnerabilities, remains understudied despite its potential impact on health outcomes in older adults. This cross-sectional study aimed to explore the characteristics of diverse aspects of PsF, including cognitive frailty (CF), lower cognitive function, and affective frailty (AF), and to examine their associations with health-related outcomes in community-dwelling older adults. Methods: Data were analysed from 420 community-dwelling older adults participating in the Tarumizu Study in Japan, excluding those exhibiting physical or social frailty. Participants were categorised into Robust, Lower cognitive function, CF, AF, and Multi-domain PsF groups. AF was assessed using five items from the Geriatric Depression Scale, focusing on emotional vulnerability. Health outcomes included self-rated health, subjective memory complaints (SMC), and functional ability of daily living. Associations were analysed using adjusted multiple regression models controlling for covariates. Results: PsF was present in 39.5% of the cohort (lower cognitive function: 18.1%, CF: 7.6%, AF: 11.0%, Multi-domain PsF: 2.9%). In the adjusted models, only AF showed a significant positive association with SMC (adjusted risk ratio = 1.62, 95% CI: 1.06–2.42, p = 0.023). No significant associations were found between any PsF domain and subjective health or daily functional ability in the adjusted models. Conclusions: AF, characterised by emotional vulnerability, was uniquely associated with SMC, suggesting emotional factors may play a more central role than cognitive decline in shaping perceptions of memory problems. These findings highlight the heterogeneous nature of PsF and underscore the need for nuanced assessments to inform targeted prevention and intervention strategies.

DOI： 10.1111/psyg.70115

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PubMed

Shiratsuchi D., Miyake Y., Kuratsu R., Nishi H., Fukumori M., Atae S., Kiyama R., Kosakamoto R., Tanaka H., Makizako H. . Is psychological engagement more important than participation? Volunteer activity and subjective cognitive function in older adults . Aging Clinical and Experimental Research37 ( 1 ) 332 2025年11月

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Aging Clinical and Experimental Research

Background: While previous studies have shown inconsistent associations between volunteer participation and cognitive health in later life, less attention has been paid to qualitative aspects of engagement. This study examined whether psychological engagement in volunteer activities is associated with subjective cognitive function in community-dwelling older adults. Method: This cross-sectional study included 431 community-dwelling older adults (mean age: 78.2 ± 5.7 years; 90.0% female) from self-management exercise class. Volunteer activity status was assessed using a self-reported participation questionnaire. Psychological engagement (Volunteer Engagement; VE) was evaluated using a three-item version of the Utrecht Work Engagement Scale adapted for volunteer settings. Based on VE scores, the participants were categorized into three groups: non-volunteers, low-engagement volunteers, and high-engagement volunteers. Subjective cognitive function was assessed using three self-reported items addressing memory complaints and disorientation, derived from the Kihon Checklist. Logistic regression analyses were conducted to examine the associations between (1) volunteer activity status and (2) VE scores with low cognitive function, adjusting for relevant covariates. Results: Of 431 participants, 60.1% reported volunteering. There was no significant association between being a volunteer and low cognitive function. In contrast, high-engagement volunteers had significantly lower odds of low cognitive function than non-volunteers (OR = 0.51, 95% CI: 0.27–0.97). No significant differences were observed between low-engagement volunteers and non-volunteers. Conclusions: These findings suggest that psychological engagement in volunteer activities rather than mere participation may be more closely related to the subjective cognitive health of older adults. Highlighting this engagement may help inform policies and programs for promoting cognitive health.

DOI： 10.1007/s40520-025-03245-8

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PubMed

その他リンク： https://link.springer.com/article/10.1007/s40520-025-03245-8/fulltext.html

牧迫飛雄馬 . 特集医療関係者が知っておきたいロコモ･サルコペニア･フレイルフレイルの評価･判定法 . 関節外科　基礎と臨床44 ( 11 ) 1121 - 1129 2025年11月

牧迫飛雄馬 . 【医療関係者が知っておきたいロコモ・サルコペニア・フレイル】フレイルの評価・判定法 . 関節外科44 ( 11 ) 1121 - 1129 2025年11月

記述言語：日本語出版者・発行元：(株)メジカルビュー社

＜文献概要＞フレイルの評価および判定においては,表現型モデルと欠損累積モデルによるフレイルの捉え方を整理したうえで,具体的な評価指標を活用することが必要である。身体的なフレイルは,改訂日本語版CHS基準による評価・判定が浸透しつつある。フレイルには多様な要因が関連するため,多様な視点による評価やフレイルの包括的な評価が可能な指標の適用など,評価の目的や評価結果に基づく対策や支援を考慮した活用が望まれる。

Akasaki Y., Shimokihara S., Hidaka Y., Maruta M., Han G., Kamasaki T., Kumura Y., Kukizaki W., Nakahara R., Makizako H., Kubozono T., Ohishi M., Tabira T. . Changes in satisfaction with meaningful activities and subsequent subjective memory complaints: a two-wave longitudinal analysis of Japanese older adults . Aging and Mental Health30 ( 3 ) 1 - 12 2025年10月

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Aging and Mental Health

Objectives: This two-wave longitudinal study examined whether changes in satisfaction with meaningful activities (MA) were associated with subsequent subjective memory complaints (SMC) among community-dwelling older adults between 2019 and 2021. Method: Health surveys were conducted among local people at two time points: baseline (2019, before the COVID-19 pandemic) and follow-up (2021, during the pandemic). The participants were 275 community-dwelling older adults aged ≥65 years without cognitive decline at baseline. Satisfaction with MA was assessed using the Aid for Decision-Making in Occupation Choice and categorized as maintained/improved or decreased at follow-up. SMC was measured using four items developed by Tsutsumimoto and quantified according to the total number of complaints. Results: Older adults who maintained or improved satisfaction with MA showed no significant increase in SMC (p = 0.30), whereas those who demonstrated decreased satisfaction experienced a significant increase in SMC (p = 0.02). In the generalized linear mixed-effects model adjusted for covariates, a significant association was observed between decreased satisfaction with MA and increased SMC scores (β = 0.32, 95% CI = 0.09–0.55, p < 0.01). Conclusion: Maintaining and improving satisfaction with MA may be associated with a reduced risk of SMC increase in older adults.

DOI： 10.1080/13607863.2025.2570823

Scopus

PubMed

牧迫飛雄馬 . 特集“高齢者の心肺機能と運動負荷”に寄せて . 日本老年医学会雑誌62 ( 4 ) 363 - 363 2025年10月

Hidaka Y., Tabira T., Maruta M., Makizako H., Han G., Shimokihara S., Akasaki Y., Kamasaki T., Kukizaki W., Nakahara R., Kubozono T., Ohishi M. . Satisfaction with grave visitation and depressive symptoms among community-dwelling older Japanese adults . Mental Health Religion and Culture28 ( 1 ) 1 - 15 2025年10月

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Mental Health Religion and Culture

This cross-sectional observational study aimed to clarify the relationship between satisfaction with grave visitation and depressive symptoms among Japanese older adults. We analysed older adults who participated in a community health survey (n = 1025). Participants selected meaningful activities from the 95-item Aid for Decision-Making in Occupation Choice and rated their satisfaction on a five-point scale. Depression symptoms were assessed using the 15-item Geriatric Depression Scale. Grave visitation ranked fourth among all activities and was the most frequently chosen social activity. Higher satisfaction with grave visitation was associated with a significantly lower prevalence of depression, particularly in the hopelessness dimension. After adjusting for potential covariates in a Poisson regression analysis, satisfaction with grave visitation was significantly related to depression symptoms (prevalence ratio,.58; 95% confidence interval,.35–.96). Discussing beliefs about the deceased and ancestors and helping to increase satisfaction with grave visitation may help alleviate depressive symptoms.

DOI： 10.1080/13674676.2025.2516583

Scopus

牧迫飛雄馬 . 【リハビリテーション栄養のポピュレーションアプローチ】デジタルデバイスによるアプローチ . リハビリテーション栄養9 ( 2 ) 178 - 183 2025年10月

記述言語：日本語出版者・発行元：(一社)日本リハビリテーション栄養学会

デジタル技術は著しい速度で進歩しており,サルコペニアの評価指標となる身体機能や骨格筋量に対するデジタルデバイスを用いた運動介入によるランダム化比較対照試験の効果も報告されつつある.とりわけ,フレイルやサルコペニアに対する予防・改善の方策は,積極的な身体活動のほか,食生活の改善,社会活動の促進など多岐にわたり,多面的な支援におけるデジタルデバイス活用によるエビデンスの蓄積が望まれる.一方,個人情報の取り扱い,ユーザーとなる高齢者のデバイス利用スキルの習熟など,高齢者に対するデジタルデバイスによるアプローチでは検討すべき課題も少なくはない.効果的な健康寿命の延伸対策を促進するためには,デジタルデバイスを活用したアプローチのさらなる展開が期待される.(著者抄録)

Shiratsuchi D., Makizako H., Akaida S., Miyake Y., Kiyama R., Tabira T., Tateishi M., Otsuka R., Takenaka T., Kubozono T., Ohishi M. . Combinations of intrinsic capacity and frailty and their associations with self-rated health in community-dwelling older adults . Aging Clinical and Experimental Research37 ( 1 ) 275 2025年9月

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Aging Clinical and Experimental Research

Background: Intrinsic capacity (IC) and frailty are distinct but complementary frameworks for understanding the heterogeneity of aging. Although both have been linked to self-rated health, little is known about how their combined status relates to older adults’ health perceptions. This cross-sectional study investigated how combinations of IC and frailty status were associated with self-rated health among community-dwelling older adults. Method: Data from 593 participants (mean age: 73.9 years, female: 62.2%) in the 2019 Tarumizu Study were analyzed. IC was evaluated across five key screening domains (cognition, vitality, sensory, locomotion, and psychological) using a 10-point scale, with scores ≥ 9 classified as high IC. Frailty was assessed using the Japanese version of the Cardiovascular Health Study criteria and dichotomized into robustness and frailty (pre-frailty or frailty). Self-rated health was assessed with a four-point item and dichotomized into good or poor. Participants were classified into four groups: robust with high IC, frailty with high IC, robust with low IC, and frailty with low-IC. Results: Group proportions were: 30.0% (robust with high IC), 23.1% (frailty with high IC), 15.9% (robust with low IC), and 31.0% (frailty with low IC). Multivariable logistic regression showed that only the frailty with low-IC group had significantly greater odds of poor self-rated health compared to the robust with high-IC group (OR = 3.55, 95% CI: 1.34–9.36). Conclusions: Co-occurrence of low IC and frailty was significantly associated with poor self-rated health. These findings suggest that considering IC and frailty may enhance understanding of self-rated health in later life.

DOI： 10.1007/s40520-025-03189-z

Scopus

PubMed

その他リンク： https://link.springer.com/article/10.1007/s40520-025-03189-z/fulltext.html

吉村芳弘, 牧迫飛雄馬 . 第12回日本サルコペニア・フレイル学会大会長より . 日本サルコペニア・フレイル学会誌9 ( 1 ) 109 - 109 2025年8月

牧迫飛雄馬 . 特集認知症に対するリハビリテーション医療コグニサイズ . J. of Clinical Rehabilitation34 ( 9 ) 910 - 916 2025年8月

牧迫飛雄馬 . 【認知症に対するリハビリテーション医療】コグニサイズ . Journal of Clinical Rehabilitation34 ( 9 ) 910 - 916 2025年8月

記述言語：日本語出版者・発行元：医歯薬出版(株)

＜文献概要＞内容のポイントQ&A　Q1 コグニサイズとは何か?コグニサイズとは,cognition(=認知)とexercise(=運動)を掛け合わせた造語であり,国立長寿医療研究センターで開発された認知機能低下の抑制を目指した運動プログラムである.脳機能の賦活を目的とした運動と知的な刺激の伴う活動を組み合わせた方法の1つとして,コグニサイズが推奨される.Q2 コグニサイズの対象は?主観的に認知機能低下の自覚がある,もしくは軽度認知障害といった認知機能に軽度の問題を有する高齢者において,コグニサイズによる認知機能の維持・改善に効果が期待される.認知機能に問題のない健常高齢者においても認知機能低下の予防に推奨されるが,認知症の診断のある中等度以上の認知機能障害を有する場合は,混乱を招く恐れがあるため,注意を要する.Q3 コグニサイズの効果は?軽度認知障害を有する地域在住高齢者を対象として,コグニサイズを含めた多面的運動プログラムでの介入によって,全体的な認知機能や言語流暢性,記憶機能に対する改善もしくは維持の効果が確認されている.さらに,脳萎縮に対する進行抑制効果が認められている.また,集団で行うことで,コグニサイズをきっかけとした他者との交流機会を引き出す環境にも有用となる.Q4 地域で新たに行うためにはどうすればよいか?コグニサイズには,個人で実施できる内容と集団で実施する内容が想定されている.個人でできるコグニサイズは,パンフレットや動画サイト等を参考にして,自宅での家事の合間や普段行う運動の追加メニューとして行うことが取り入れやすいかもしれない.また,集団で行うコグニサイズは,地域での運動教室やサロン活動でレクリエーションの1つとして,参加者同士で楽しみながら始めてみることが推奨される.

中原伶奈, 田平隆行, 下木原俊, 赤﨑義彦, 日高雄磨, 久木崎航, 釜崎大志郎, 松永修歩, 久村悠祐, 丸田道雄, 韓侊熙, 牧迫飛雄馬, 菅原英輝, 寺薗英之, 窪薗琢郎, 大石充 . 主観的記憶障害を有する地域在住高齢者の服薬管理の特徴 . 日本老年療法学会誌4 ( 0 ) n/a 2025年7月

記述言語：日本語出版者・発行元：一般社団法人日本老年療法学会

<p>【目的】認知症の前臨床期である主観的記憶障害（SMC）段階からの複雑なIADL評価は重要であるが，SMC段階での服薬管理状況を詳しく調べた報告は希少である。本研究では，SMCを有する地域在住高齢者の服薬管理の具体的な特徴を明らかにすることを目的とした。【方法】本研究は，横断観察研究である。2019年度における地域コホート研究に参加した65歳以上の高齢者690名のうち，除外基準に該当する者を除外した573名を解析対象とした。対象者をSMCの有無で2群に分け，服薬状況調査項目との関連について2群間比較および共変量で調整した二項ロジスティック回帰分析を行った。【結果】対象者のうち，健常群が206名，SMC群が367名であり，共変量調整した二項ロジスティック回帰分析の結果，「残薬あり」（OR: 1.62, 95％ CI: 1.01–2.59, p＝0.04）と「抑うつ症状」（OR: 1.48, 95％ CI: 1.20–1.69, p＜0.001）はSMCと有意に関連した。【結論】地域在住高齢者において，SMCの段階から残薬の有無を把握し，服薬管理の早期支援を行うことは，認知機能低下が進行した際に服薬管理の介護負担を軽減し，残薬問題を解消する一助になる可能性がある。</p>

DOI： 10.57270/jgts.2024_013_oa

CiNii Research

Hidaka Y, Shimokihara S, Akasaki Y, Maruta M, Han G, Kamasaki T, Kumura Y, Kukizaki W, Nakahara R, Makizako H, Kubozono T, Ohishi M, Tabira T . Longitudinal Relationship Between Grave Visitation and Depressive Symptoms Among Community-Dwelling Older Adults. . Clinical gerontologist49 ( 2 ) 1 - 12 2025年7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：Clinical Gerontologist

Objectives: Participating in religious activities benefits older adults’ mental health; however, the effects of grave visitation, a significant religious practice in Japan, on older adults’ mental health remain unclear. Therefore, this study examined the relationship between grave visitation frequency and depressive symptoms. Methods: A prospective cohort study of 273 community-dwelling older adults in Japan was conducted with baseline (2018) and follow-up (2022) assessments. Participants were categorized by visitation frequency: more or less than once a week. Changes in visitation frequency were classified as continued high, decreased, continued low, or increased. Depressive symptoms were assessed using the Geriatric Depression Scale (GDS-15). Multivariable linear regressions were used to examine the association between visitation and depressive symptoms. Results: Lower visitation at baseline was associated with worse GDS-15 scores in the follow-up. Those with decreased or continued low visitation had significantly worse depressive symptoms. After adjusting for baseline GDS-15 scores and covariates, the decreased group had significantly worse depressive symptoms than the continued high group. Conclusions: The findings indicate that changes in grave visitation frequency are significantly associated with depressive symptoms. Clinical Implications: Supporting older adults’ access to grave visitation through transportation or community programs may help maintain their well-being and emotional health.

DOI： 10.1080/07317115.2025.2538105

Scopus

PubMed

Takaoka R, Nishi K, Nakamura M, Yoshinaga H, Noma Y, Hayashi Y, Yuda S, Mishima Y, Ishikawa M, Yanagita Y, Yamashiro K, Kume K, Matsuda Y, Kanno T, Makizako H, Takenaka T, Kubozono T, Ohishi M, Okui T . Association between malnutrition and low tongue pressure in community-dwelling older people: a population-based cohort study. . Scientific reports15 ( 1 ) 25420 - 25420 2025年7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：Scientific Reports

The aim of this study was to analyze the data from a cohort study of community-dwelling older people to clarify the impact of low tongue pressure on the onset of malnutrition. The analysis was divided into a baseline and a longitudinal analysis. The baseline analysis included 765 people (median age: 74 years; 276 men and 489 women), and the longitudinal analysis included 100 people (median age: 72 years; 33 men and 67 women). The baseline analysis showed that tongue pressure and the diagnosis of low tongue pressure using a cut-off of 30 kPa were associated with the risk of malnutrition (tongue pressure: odds ratio [OR] = 0.972, 95% confidence interval [95% CI] = 0.953–0.992, p = 0.006; the diagnosis of low tongue pressure: OR = 1.555, 95% CI = 1.050–2.302, p = 0.027). In the longitudinal analysis, tongue pressure and the diagnosis of low tongue pressure at baseline were associated with the onset of the risk of malnutrition after 4 years (tongue pressure: OR = 0.952, 95% CI = 0.907–0.998, p = 0.041; the diagnosis of low tongue pressure: OR = 2.698, 95% CI = 1.148–6.341; p = 0.023). In community-dwelling older people, low tongue pressure could increase the risk of future malnutrition.

DOI： 10.1038/s41598-025-11229-x

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PubMed

中原伶奈, 田平隆行, 下木原俊, 赤崎義彦, 日高雄磨, 久木崎航, 釜崎大志郎, 松永修歩, 久村悠祐, 丸田道雄, 韓こう煕, 牧迫飛雄馬, 菅原英輝, 寺薗英之, 窪薗琢郎, 大石充 . 主観的記憶障害を有する地域在住高齢者の服薬管理の特徴　高齢化率40%を超える地域における横断的研究 . 日本老年療法学会誌4 jgts.2024_013_OA - jgts.2024_013_OA 2025年7月

記述言語：日本語出版者・発行元：(一社)日本老年療法学会

【目的】認知症の前臨床期である主観的記憶障害(SMC)段階からの複雑なIADL評価は重要であるが,SMC段階での服薬管理状況を詳しく調べた報告は希少である。本研究では,SMCを有する地域在住高齢者の服薬管理の具体的な特徴を明らかにすることを目的とした。【方法】本研究は,横断観察研究である。2019年度における地域コホート研究に参加した65歳以上の高齢者690名のうち,除外基準に該当する者を除外した573名を解析対象とした。対象者をSMCの有無で2群に分け,服薬状況調査項目との関連について2群間比較および共変量で調整した二項ロジスティック回帰分析を行った。【結果】対象者のうち,健常群が206名,SMC群が367名であり,共変量調整した二項ロジスティック回帰分析の結果,「残薬あり」(OR:1.62,95%CI:1.01-2.59,p=0.04)と「抑うつ症状」(OR:1.48,95%CI:1.20-1.69,p<0.001)はSMCと有意に関連した。【結論】地域在住高齢者において,SMCの段階から残薬の有無を把握し,服薬管理の早期支援を行うことは,認知機能低下が進行した際に服薬管理の介護負担を軽減し,残薬問題を解消する一助になる可能性がある。(著者抄録)

牧迫飛雄馬, 白土大成, 三宅悠斗, 赤井田将真, 立石麻奈, 窪薗琢郎, 竹中俊宏, 大塚礼, 大石充 . 内在的能力は身体的フレイルの悪化および改善要因となり得るか? 5年間の前向き研究 . 日本老年医学会雑誌62 ( Suppl. ) 44 - 44 2025年5月

立石麻奈, 西田裕紀子, 久保田彩, 小坂井留美, 丹下智香子, 下方浩史, 安藤富士子, 牧迫飛雄馬, 大塚礼 . 地域住民における中学・高校での運動歴と中高年期の大腿骨頸部骨密度の縦断変化 . 日本老年医学会雑誌62 ( Suppl. ) 212 - 212 2025年5月

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