記述言語：日本語   出版者・発行元：(一社)日本循環器病予防学会  

【目的】地域在住高齢者を対象にメタボリックシンドローム(MetS;Metabolic Syndrome)および身体機能低下の併存と軽度認知機能障害(MCI;Mild Cognitive Impairment)の関連を検討することを目的とした。【方法】垂水研究2019に参加した65歳以上の地域在住高齢者554名(平均年齢73.7±6.2歳、女性63.4%)のデータを横断的に分析した。MetSは国際糖尿病連合の基準を用いて判定した。身体機能は握力(男性<28kg、女性<18kg)および通常歩行速度(<1.0m/秒)で評価し、いずれか、または両方がカットオフ値未満であれば、身体機能低下ありと判定した。MetSおよび身体機能低下の有無から,健常群、MetS単独群(Mets群)、身体機能低下単独群(身体機能低下群)、MetSおよび身体機能低下併存群(併存群)の4群に分類した。認知機能は、National Center for Geriatrics and Gerontology Functional Assessment Tool(NCGG-FAT)により記憶力、注意機能、遂行機能、情報処理速度を評価し、いずれかの領域で年齢と教育歴を考慮した参照値より1.5SD以上の低下を認めた者をMCIの該当と判定した。MCIの有無を従属変数、MetSおよび身体機能低下の有無で定義された4群を独立変数とし、年齢、性別、教育歴、服薬数を共変量としたロジスティック回帰分析を実施した。【結果】健常群が191名(34.5%)、MetS群が218名(39.4%)、身体機能低下群が62名(11.2%)、併存群が83名(15.0%)であった。ロジスティック回帰分析の結果、健常群と比較し、身体機能低下群(オッズ比:2.39、95%信頼区間:1.17-4.87)、併存群(オッズ比:2.41、95%信頼区間:1.21-4.79)のそれぞれがMCIと有意な関連を認めた。一方、MetS単独群では健常群と比較したMCIと有意な関連を認めなかった。【結論】地域在住高齢者において身体機能低下を有すること、およびMetSと身体機能低下が併存していることはMCIを有することと関連することが示唆された。(著者抄録)

記述言語：英語   出版者・発行元：European Geriatric Medicine  

Purpose The purpose of the study was to investigate the effects of satisfaction with meaningful activities and their performance on the memory function among community-dwelling older adults 3 years later. Methods A longitudinal analysis was conducted on 288 community-dwelling older adults aged 65 years and more who had completed the survey in 2019 and 2022 as participants in the Tarumizu Study. Meaningful activities were assessed in 2019 using the Aid for Decision-Making in Occupation Choice for activities. Satisfaction with and performance of meaningful activities were assessed, and the bottom 25% were classified into two groups: low satisfaction and low performance. Memory function was assessed using the National Center for Geriatrics and Gerontology-Functional Assessment Tool in 2019 and 2022. Changes in memory function over 3 years were analyzed by satisfaction and performance of meaningful activities. Results Two-way analysis of variance with group (satisfaction with and performance of meaningful activities) and time (2019 and 2022) as factors showed no statistically significant group-time interaction for memory in the satisfaction with meaningful activities group (F = 1.4, p = 0.24). Meanwhile, a statistically significant group-time interaction was observed for memory in the meaningful activity performance group, indicating that high performance of meaningful activities may play a protective role against memory decline (F = 7.4, p = 0.007). Conclusion Higher performance of meaningful activities may protect against age-related changes in memory. A careful assessment of meaningful activities, and engagement that enhances performance may be useful in designing health support against memory decline.

DOI： 10.1007/s41999-024-01044-4

Scopus

PubMed

記述言語：英語   出版者・発行元：European Geriatric Medicine  

Aim: To investigate the association between ACTN3 R577X polymorphism and appendicular skeletal muscle mass, walking speed, and muscle strength in older adults. Findings: RR homozygosity in the ACTN3 gene was associated with a lower likelihood of having low muscle mass. However, no significant association existed between ACTN3 polymorphism and walking speed or muscle strength. Message: ACTN3 R577X polymorphism may be associated with muscle mass but not physical function in terms of walking speed and muscle strength in older adults.

DOI： 10.1007/s41999-024-01080-0

Scopus

PubMed

記述言語：日本語   出版者・発行元：(一社)日本老年医学会  

目的:フレイルの予防・改善を目的とした運動介入において個別運動または集団運動といった運動の実施形態の違いは異なった効果をもたらすことが考えられる.本研究は地域在住のフレイルおよびプレフレイル高齢者を対象に運動介入形態の違い(個別または集団)が心身機能に及ぼす影響を明らかにすることを目的とした.方法:フレイルまたはプレフレイルを有する高齢者21名(平均77.1±3.3歳,女性90.5%)を個別群11名と集団群10名にランダムに割りつけ,週1回90分の運動を12週間実施した.個別群はトレーニングマシンを使用して行う筋力トレーニングを含むマルチコンポーネント運動プログラム,集団群は椅子座位中心,自重での筋力トレーニングを含むマルチコンポーネント運動プログラムを実施した.評価項目は身体組成,身体機能,認知機能とした.介入前後の比較および,群間における変化率の比較を行った.結果:介入前後の比較において個別群でBMI(p=0.03),体脂肪量(p<0.01)で有意な減少が認められ,5回立ち座り(p<0.01),歩行速度(p=0.02)が有意に改善した.集団群では,5回立ち座り(p<0.01),情報処理機能(p=0.03)で有意な改善が認められた.群間における変化率の比較では5回立ち座りにおいて個別群は集団群と比較して有意な改善が認められた(p=0.01).結論:運動の実施形態に関わらず,身体機能の改善が示され,個別群のみでBMI,体脂肪量の減少,集団群のみで認知機能の改善がみられた.フレイルおよびプレフレイル高齢者における運動介入において運動の実施形態による効果の特性を考慮することは,個人の背景に則した運動プログラム作成の一助になりうる.(著者抄録)

記述言語：英語   出版者・発行元：Journal of Applied Gerontology  

Older adults who cease driving are more likely to experience psychosomatic decline than those who continue driving. This mixed-methods study was intended to examine differences in psychosomatic functions depending on driving status and lifestyle activities, and factors affecting engagement in additional lifestyle activities after driving cessation. The quantitative analysis included individuals aged 60 and above. Driving status, lifestyle activities, and psychosomatic functions were assessed. For qualitative analysis, semi-structured interviews were conducted with the driving-cessation group to determine the factors affecting involvement in various lifestyle activities after driving cessation. Analysis of covariance was used for quantitative data, while text mining and qualitative inductive analysis were used for qualitative data. Older adults who engaged in more lifestyle activities walked faster than those who engaged in fewer lifestyle activities, even after driving cessation. Actively using local and personal resources may increase engagement in lifestyle activities after driving cessation.

DOI： 10.1177/07334648241277043

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PubMed

記述言語：英語   出版者・発行元：Annals of Geriatric Medicine and Research  

Background: Physical inactivity is a risk factor for locomotive syndromes and functional limitations in middle-aged and older adults. Therefore, strategies to promote physical activity should be considered. This study investigated whether users of physical activity monitors were more physically active and exhibited a lower risk of locomotive syndrome, compared with non-users. Methods: We analyzed data from 742 Japanese adults aged 60–79 years. The participants were surveyed for their use of physical activity monitors in their daily lives. We also assessed the prevalence of locomotive syndrome. Results: We observed significantly higher physical activity levels in users compared with non-users. Moreover, the use of a physical activity monitor was significantly associated with decreased odds of locomotive syndrome (adjusted odds ratio [aOR]=0.48). Significantly lower risk of locomotive syndrome were observed in individuals who had used a monitor for >2 years (aOR=0.42) or had set a personal step goal (aOR=0.32). Conclusion: Physical activity monitoring may increase engagement in physical activity-associated behavior. There-fore, monitoring could serve as a useful tool to promote physical health in middle-aged and older adults.

DOI： 10.4235/agmr.24.0040

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PubMed

記述言語：日本語   出版者・発行元：British Journal of Occupational Therapy  

Introduction: Meaningful activities have been suggested to contribute to life satisfaction. Investigating the association between the awareness of meaningful activities and life satisfaction will help us develop a population-based occupational therapy strategy. The purpose of this study was to investigate the proportion of people who were aware of meaningful activities among middle-aged adults, and the relationship between the awareness of meaningful activities and life satisfaction. Method: A cross-sectional analysis was conducted on 2698 middle-aged adults who participated in an online survey conducted in Japan by the Y-Cloud system. Participants responded to demographic questions, life satisfaction, and awareness of meaningful activities. We examined the association between the awareness of meaningful activities and life satisfaction using binomial logistic regression analysis. Results: Of the respondents, 77.4% were aware of meaningful activities. Binomial logistic regression analysis adjusted for covariates showed that the awareness of meaningful activities was significantly associated with higher life satisfaction (odds ratio, 2.97; 95% confidence interval: 2.45–3.61, p < 0.001). Conclusion: The results suggest the value of presenting that the awareness of meaningful activities should be considered in preventive population-based occupational therapy strategies for life satisfaction.

DOI： 10.1177/03080226241253110

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PubMed

記述言語：日本語   出版者・発行元：(一社)日本がん・リンパ浮腫理学療法学会  

【目的】本研究の目的は、胃癌または大腸癌を有する患者の術前のPossible Sarcopenia(PS)と握力の低下、5回椅子起立時間の延長と術後の合併症の発生および在院日数との関連を検討することとした。【方法】対象は、胃癌または大腸癌の術後に自宅退院した患者75例とした。Asian Working Group for Sarco-penia 2019に準じて術前のPS、握力の低下、5回椅子起立時間の延長を判定し、術後の合併症の発生と在院日数との関連を調査した。【結果】術前のPSは、術後の合併症の発生と在院日数の長期化との関連が認められた。握力の低下、5回椅子起立時間の延長は、術後の合併症の発生と在院日数の長期化との関連が認められなかった。【結論】術前のPSは、胃癌または大腸癌を有する患者の術後の合併症の発生と在院日数の長期化との関連が示唆された。(著者抄録)

記述言語：英語   出版者・発行元：(独)労働者健康安全機構労働安全衛生総合研究所  

島根県内の中小企業35社に勤務する労働者のうち、選択基準を満たした男女863例を対象に、様々な身体活動と職業性の心理的/身体的ストレス反応との関連について横断研究で検討した。ストレス反応には職業性ストレス簡易調査票を用い、仕事に関連する身体活動や自主的な運動および日常生活での身体活動についてはアンケート調査を行い、身体活動とストレス反応との関連を多重線形回帰で解析した。その結果、仕事関連の中高強度身体活動(MVPA)が1日に108分超の労働者は、MVPAが1日に0～42分の労働者に比べ、強い心理的ストレス反応と有意な関連性が認められた。また、柔軟運動やウォーキングを週5回以上もしくは筋肉強化運動を週1～3回行っている労働者では、運動をしない労働者に比べ心理的ストレス反応が有意に低く、柔軟運動を週5回以上行っている労働者では、運動しない労働者に比べ身体的ストレス反応が有意に低かった。以上より、仕事関連のMVPAは強い心理的ストレス反応と関連し、仕事外の運動をベースとした身体活動は、心理的/身体的ストレス反応低下と関連することが明らかにされた。

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】主観的な睡眠の質と身体機能との関連性には,精神・心理的機能と身体活動量が介在すると仮説を立て,これらの関連性を検討することを目的とした。【方法】健康チェック(垂水研究2019)に参加した65歳以上の地域在住高齢者573名(平均年齢74.1±6.4歳,女性61.8%)を対象として横断的に分析した。共分散構造分析を用いて,主観的な睡眠の質を起点とし,身体機能を最終アウトカムとした最適モデルを構築し,男女別でモデルの適合度を確認した。主観的な睡眠の質,身体機能,精神・心理的機能,身体活動を潜在変数とした仮説モデルを設定し,モデルの適合度指標には,CMIN/DF,GFI,AGFI,CFI,RMSEAを用いた。【結果】男性では,適合度が統計学的な水準を満たす良好なモデルが得られなかった。一方で,女性では主観的な睡眠の質が精神・心理的機能に関連し,身体活動量を介して身体機能に間接的に関連するモデル(CMIN/DF=1.592,GFI=0.964,AGFI=0.944,CFI=0.954,RMSEA=0.041)で高い適合度が得られた。【結論】地域在住高齢女性において,主観的な睡眠の質が不良であることが,精神・心理的機能の低下や身体活動量の低下を介して,身体機能の低下に関連することが示唆された。(著者抄録)

記述言語：日本語   出版者・発行元：一般社団法人 日本がん・リンパ浮腫理学療法学会  

<p>【目的】本研究の目的は、胃癌または大腸癌を有する患者の術前のPossible Sarcopenia（PS）と握力の低下、5回椅子起立時間の延長と術後の合併症の発生および在院日数との関連を検討することとした。<br> 【方法】対象は、胃癌または大腸癌の術後に自宅退院した患者75例とした。Asian Working Group for Sarco­penia 2019に準じて術前のPS、握力の低下、5回椅子起立時間の延長を判定し、術後の合併症の発生と在院日数との関連を調査した。<br> 【結果】術前のPSは、術後の合併症の発生と在院日数の長期化との関連が認められた。握力の低下、5回椅子起立時間の延長は、術後の合併症の発生と在院日数の長期化との関連が認められなかった。 <br>【結論】術前のPSは、胃癌または大腸癌を有する患者の術後の合併症の発生と在院日数の長期化との関連が示唆された。</p>

DOI： 10.60366/jjptol.jjptol-r5-a11

CiNii Research

記述言語：英語   出版者・発行元：Frontiers in Sports and Active Living  

Objective: The association between work-related moderate-to-vigorous physical activity (MVPA) and higher levels of stress response is recognized, but whether this association is moderated by regular exercise remains unclear. This cross-sectional study investigated whether exercise-based physical activity (PA) associates with lower levels of stress responses moderated by work-related MVPA. Methods: The study participants comprised 863 workers from 35 small and medium-sized enterprises in Shimane prefecture, Japan, collected through convenient sampling from April 2021 to August 2022. The Brief Job Stress Questionnaire was used to assess stress responses. Work-related MVPA and exercise-based PA were measured using questionnaires. Multiple linear regression was used to analyze the combined variables of work-related MVPA and exercise-based PA. The reference group had no weekly exercise-based PA and >60 min of work-related MVPA. Results: When work-related MVPA exceeded 60 min/day, flexibility activity or walking for ≥5 days/week (B = −3.53, 95% CI = −5.96, −1.11; B = −2.53, 95% CI = −4.90, −0.16) and muscle-strengthening activity 1–3 times/week (B = −3.52, 95% CI = −6.91, −0.12) were significantly associated with lower psychological stress response. Flexibility activity (B = −1.74, 95% CI = −3.01, −0.46) showed a similar link with physical stress response. When work-related MVPA was below 60 min/day, flexibility activity (B = −3.23, 95% CI = −6.01, −0.44; B = −3.29, 95% CI = −5.94, −0.63) or walking (B = −4.03, 95% CI = −6.62, −1.45; B = −3.10, 95% CI = −5.76, −0.44) practice 1–4 times/week and ≥5 times/week was significantly associated with lower psychological stress response. Conclusion: Exercise-based PA greatly and consistently associates with a lower level of stress responses moderated by work-related MVPA.

DOI： 10.3389/fspor.2024.1386775

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PubMed

記述言語：英語   出版者・発行元：Archives of Environmental and Occupational Health  

This study aimed to identify characteristics of workers experiencing health problems without a decline in labor productivity to address presenteeism. A cross-sectional analysis was conducted on 554 workers in Japan, with a median age of 43 years. Participants reported any health problems in the past month, along with job stressors, stress responses, social support, and job and life satisfaction using the Brief Job Stress Questionnaire. They were categorized into three groups: “no symptoms,” “pre-presenteeism” (health problems without work impact), and “presenteeism” (health problems with work impact). Results showed that 30.1% were in “prepresenteeism” and 52.0% in “presenteeism.” Stress responses and social support were linked to both “pre-presenteeism” and “presenteeism,” while job stressors and job and life satisfaction were only associated with “presenteeism.” These findings offer insights for preventing presenteeism.

DOI： 10.1080/19338244.2024.2359409

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PubMed

記述言語：日本語   出版者・発行元：(一社)日本老年医学会  

COVID-19の流行拡大によって,地域でのサロンや通いの場などの互助活動は多大な制約を受ける状況となった.フレイルの入口となり得る社会とのつながりが損なわれる事態が懸念される一方で,運動教室を通じて社会交流の活性や社会活動が促進される事例も経験される.感染症の拡大防止と並行して,社会面からのフレイル対策として新たなコミュニケーションツールの活用を含めた社会とのつながりや自助による健康増進も再考していく必要がある.(著者抄録)

記述言語：日本語   出版者・発行元：(一社)日本理学療法学会連合  

【目的】新型コロナウイルス感染症(以下,COVID-19)の流行前後における就労者の腰痛変化とプレゼンティーズムとの関連を検討し,さらに勤務形態の変化との関連性を明らかにする。【方法】WEB調査で回答のあった就労者1865名(平均年齢49.6±6.6歳)を横断的に解析した。COVID-19流行に伴う腰痛およびプレゼンティーズムの変化を調査し,腰痛悪化とプレゼンティーズムとの関連性を検討した。【結果】腰痛悪化は,流行前プレゼンティーズムなし群におけるプレゼンティーズム発生(オッズ比:4.26,p<0.01),流行前プレゼンティーズムあり群におけるプレゼンティーズム悪化(オッズ比:1.80,p=0.01)と有意に関連していた。【結論】COVID-19の流行に伴う腰痛悪化はプレゼンティーズムと関連することが示唆され,特にその関連性は継続してオフィスワークに従事している集団において強い傾向を認めた。(著者抄録)

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

社会活動が制限された新型コロナウイルス感染症による緊急事態宣言期間における地域在住超高齢者の社会的交流とその後の自己評価健康度(SRH)との関連について検討した。北海道美唄市に在住する超高齢者1112名を対象に自記式質問紙調査を実施した。質問紙では、人口動態変数、2020年3月時点(緊急事態中)の社会的交流の種類(対面、非対面)および頻度、調査時(2020年7月、緊急事態後)のSRHを尋ねた。解答を得た889名のうち、基準を満たした612名(平均83.0±4.3歳、女性51.8%)を解析した。男性では社会的交流とSRHとに有意な関連はみられなかったが、女性では緊急事態宣言中に週1回以上、対面および非対面での交流がいずれもあった者はなかった者よりもSRHが高かった(オッズ比:2.17、95%CI:1.07～4.41)。以上から、対面での交流が制限される状況でも、女性では少なくとも週に1回、対面および非対面での交流の機会を持つことがSRHに有益である可能性が示唆された。

記述言語：日本語   出版者・発行元：(一社)日本予防理学療法学会  

【目的】地域在住高齢者における運動器疾患,転倒歴および多剤併用とサルコペニアとの関連性を調べることを目的とした。【方法】地域コホート研究に参加した高齢者905名を対象とし,運動器疾患の有無,1日の服薬数,過去1年間での転倒歴を聴取した。サルコペニアはAWGS2019の基準で判定した。【結果】全対象者のうちの166名(18.3%)がサルコペニアに該当した。骨粗鬆症を有する者ではサルコペニアの該当者が有意に多かったが,脊椎疾患および変形性関節症とサルコペニアとの関連は認められなかった。ロジスティック回帰分析の結果,運動器疾患とサルコペニアの関連は確認されず,多剤併用(6剤以上)(オッズ比1.56)および転倒歴(オッズ比1.65)がサルコペニアと有意に関連していた。【結論】骨粗鬆症を有する高齢者ではサルコペニアに該当する者の割合が高かったものの,多変量解析においてはサルコペニアと運動器疾患との関連性は認められず,多剤併用および転倒歴がサルコペニアと関連する要因として抽出された。(著者抄録)

記述言語：日本語   出版者・発行元：(株)メディカルプレス  

1.運動器疾患を有する患者ではサルコペニアの併存が懸念され、運動器疾患に起因もしくは併存する骨格筋量の減少および筋力の低下に対するアプローチを検討することが求められる。2.運動器疾患患者では、骨量減少を伴うオステオサルコペニアによる脆弱性骨折のリスク増大に対する対策を考慮する必要がある。3.高齢の運動器疾患患者の身体機能評価においては、疾患そのものに関する評価のみならずサルコペニアに関する評価を実施し、サルコペニアの予防・改善を含めた活動や社会参加のための包括的な介入方針を検討することが求められる。(著者抄録)

記述言語：日本語   出版者・発行元：(一社)日本作業療法士協会  

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

2020年7月に北海道美唄市在住の地域在住後期高齢者1112名を対象として、COVID-19緊急事態宣言下での体力・認知機能低下の認識に関する質問紙調査を郵送法により実施した。調査項目は、年齢、性別、居住形態、病歴、ポリファーマシー、高齢者うつ尺度、体力低下や認知機能低下の認識の有無、緊急事態宣言前の運動教室への参加状況、緊急事態宣言下での運動習慣(週に2回以上、30分以上)や日常生活リズムの乱れの有無などとした。774名(女性433名、平均83.3±4.4歳)を解析対象とした。その結果、COVID-19緊急事態下で体力低下を認識していたのは339名(43.8%)、認知機能低下を認識していたのは259名(33.5%)であった。潜在的交絡因子を調整した多変量ロジスティック回帰モデルの結果、COVID-19緊急事態宣言下での運動習慣は体力低下の認識の低さと有意に関連していた。また、COVID-19緊急事態宣言下での日常生活リズムの乱れは、体力低下および認知機能低下の認識が高いことと有意に関連していた。

担当区分：筆頭著者   掲載種別：研究論文（学術雑誌）  

DOI： 10.1016/j.archger.2026.106153

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掲載種別：研究論文（学術雑誌）  

DOI： 10.3390/ejihpe16020017

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1097/PHM.0000000000002860

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担当区分：筆頭著者  

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

添付ファイル： Association of Use of GRADE, Protocol Registration, and Journal Impact Factor With Reporting and Methodological Quality of Systematic Reviews Published in Rehabilitation Journals.pdf

DOI： 10.7759/cureus.95695

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担当区分：筆頭著者  

添付ファイル： Combinations of intrinsic capacity and frailty and their associations with self-rated health in community-dwelling older adults.pdf

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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  

Objectives. The aim of this study was to investigate the reporting and methodological qualities in systematic reviews (SRs) of rehabilitation journals following updating to the use of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement. Methods. SRs with pairwise meta-analyses on the effects of health interventions were selected, which were published in rehabilitation journals in 2020, 2021, and 2022 using MEDLINE (PubMed). Exposure was defined as reporting use of the PRISMA 2020 statement. A comparison group consisted of SRs that did not use the PRISMA 2020 statement. The adherence of the PRISMA 2020 items, PRISMA 2020 for abstracts, and A MeaSurement Tool to Assess systematic Reviews (AMSTAR) 2 items were evaluated. Results. Thirteen thousand, three hundred eighty-one articles were identified after conducting a search on April 2, 2023. The study included 100 articles each that used and those that did not use the PRISMA 2020 statement. Of 41 items in the PRISMA 2020 statement, 48.8% (20/41) adhered to ≥80% of each item for those that used the PRISMA 2020 statement and 41.5% (17/41) in those that did not use the PRISMA 2020 statement. The PRISMA 2020 statement did not lead to any major improvement, and only a slight improvement of 9.8% (4/41) was observed when compared with those that did not use the PRISMA 2020 statement. Similarly, no item improved in the PRISMA 2020 for abstracts, and only 5.6% (1/18) improved in the AMSTAR 2 items. Conclusion. This study showed that reporting use of the PRISMA 2020 statement did not result in any major improvements; however, only a slight improvement was observed in the reporting and methodological qualities of SRs in rehabilitation journals. Researchers should adhere to each item in the PRISMA 2020 statement in SRs published in rehabilitation journals. Impact. The reporting and methodological quality of systematic reviews in rehabilitation journals is insufficient. It is important to improve the reporting and methodological quality of systematic reviews in rehabilitation journals. It is recommended that researchers not only declare their reporting use of the PRISMA 2020 statement, but also adhere to each item correctly.

添付ファイル： 035. Reporting and Methodological Qualities of Systematic Reviews in Rehabilitation Journals After 2020 A Cross-Sectional Meta-Epidemiological Study.pdf

DOI： 10.1093/ptj/pzaf032

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

Background: While the digital-based interventions targeting older adults to prevent age-related health problems such as sarcopenia have grown rapidly in recent years, there are no meta-analyses indicating synthesized pooled estimates. Objective: To examine the effects of digital-based interventions on sarcopenia-related measures, including physical performance and muscle mass, in healthy community-dwelling older adults. Methods: Systematic searches were performed on MEDLINE, Web of Science, and Cochrane Library for eligible studies published up to 31 March 2023. The mean difference with a 95 % confidence interval was calculated. Methodological quality was assessed using Cochrane RoB 2.0. The GRADE criteria were used to assess evidence certainty. Results: Thirteen randomized controlled trials with 742 participants were included in the meta-analysis. Handgrip strength, usual walking speed, five times sit-to-stand performance, and 30-second chair stand test showed significant enhancements with the digital-based interventions. However, there were no significant effects of digital-based interventions in appendicular muscle mass. The overall evidence certainty was low. Conclusions: Although digital-based interventions for healthy older adults are effective in improving physical functions, evidence certainty is low. Additional randomized controlled trials are thus required to further validate the findings.

添付ファイル： Effects of digital-based interventions on the outcomes of the eligibility criteria for sarcopenia in healthy older adults.pdf

DOI： 10.1016/j.arr.2025.102663

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担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Geriatrics and Gerontology International  

Aim: Alpha-actinin 3 (ACTN3) is associated with diminished physical function and muscle mass in older individuals. However, the effects of lifestyle on this relationship remain unclear. This study explored whether the association between ACTN3 polymorphisms and physical function and body composition varied based on exercise and dietary habits. Methods: A longitudinal analysis of 197 community-dwelling individuals aged 60 years and older (mean age 72.5 ± 5.9 years, 60.9% women) in the Tarumizu study provided data on ACTN3 gene polymorphisms, with surveys completed in 2019 and 2022 (mean follow-up 1156 ± 80.0 days). Physical performance (grip strength, walking speed) and body composition (body weight, appendicular skeletal muscle mass [ASMM], and fat mass) were assessed. Genetic polymorphisms were analyzed in oral mucosa samples and categorized into type R allele carriers and type XX alleles (homozygous for minor alleles). Median values determined exercise habits (≤4 days/week or ≥5 days/week) and dietary habits based on high-protein-food frequency scores. Results: The proportion of type XX genetic polymorphism was 26.4%. Two-way repeated-measures analysis of covariance showed a significant interaction between genetic polymorphism and time for ASMM (F = 10.552, P = 0.002) in the ≤4 days/week exercise habits group. Significant interactions were observed in grip strength (F = 7.013, P = 0.009) and ASMM (F = 5.347, P = 0.023) for the ≤11 score high-protein-intake group. Conclusions: This association may contribute to accelerated age-related changes in physical performance and body composition, particularly among individuals with type XX genetic polymorphism who have low exercise habits and a limited intake of high-protein foods. Geriatr Gerontol Int 2024; ••: ••–••.

添付ファイル： Influence of exercise and dietary habits on the association of.pdf

DOI： 10.1111/ggi.15042

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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：一般社団法人 日本老年医学会  

<p><b>目的：</b>フレイルの予防・改善を目的とした運動介入において個別運動または集団運動といった運動の実施形態の違いは異なった効果をもたらすことが考えられる．本研究は地域在住のフレイルおよびプレフレイル高齢者を対象に運動介入形態の違い（個別または集団）が心身機能に及ぼす影響を明らかにすることを目的とした．<b>方法：</b>フレイルまたはプレフレイルを有する高齢者21名（平均77.1±3.3歳，女性90.5％）を個別群11名と集団群10名にランダムに割りつけ，週1回90分の運動を12週間実施した．個別群はトレーニングマシンを使用して行う筋力トレーニングを含むマルチコンポーネント運動プログラム，集団群は椅子座位中心，自重での筋力トレーニングを含むマルチコンポーネント運動プログラムを実施した．評価項目は身体組成，身体機能，認知機能とした．介入前後の比較および，群間における変化率の比較を行った．<b>結果：</b>介入前後の比較において個別群でBMI（<i>p</i>＝0.03），体脂肪量（<i>p</i>＜0.01）で有意な減少が認められ，5回立ち座り（<i>p</i>＜0.01），歩行速度（<i>p</i>＝0.02）が有意に改善した．集団群では，5回立ち座り（<i>p</i>＜0.01），情報処理機能（<i>p</i>＝0.03）で有意な改善が認められた．群間における変化率の比較では5回立ち座りにおいて個別群は集団群と比較して有意な改善が認められた（<i>p</i>＝0.01）．<b>結論：</b>運動の実施形態に関わらず，身体機能の改善が示され，個別群のみでBMI，体脂肪量の減少，集団群のみで認知機能の改善がみられた．フレイルおよびプレフレイル高齢者における運動介入において運動の実施形態による効果の特性を考慮することは，個人の背景に則した運動プログラム作成の一助になりうる．</p>

添付ファイル： 024. フレイル高齢者に対する個別運動と集団運動による効果の相違の検証.pdf

DOI： 10.3143/geriatrics.61.447

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担当区分：筆頭著者  

担当区分：筆頭著者  

添付ファイル： Association of alpha-actinin-3 genotype with muscle mass and physical function.pdf

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

添付ファイル： A Three-Year Longitudinal Follow-Up Study.pdf

DOI： 10.7759/cureus.68605

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担当区分：筆頭著者   掲載種別：研究論文（学術雑誌）  

添付ファイル： 032. 高齢者におけるメタボリックシンドロームおよび身体機能低下と軽度認知障害との関連.pdf

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掲載種別：研究論文（学術雑誌）  

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掲載種別：研究論文（学術雑誌）  

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Annals of Geriatric Medicine and Research  

Background: The use of transport other than cars is a modifiable factor in the association between driving cessation and social frailty. Clarifying this relationship may serve as a new preventive measure against social frailty among current non-drivers. This study examined the potential association of driving status and transport use with social frailty, as well as between the frequency of transport use and social frailty, among current non-drivers. Methods: This study included 977 middle-aged and older adults (average age, 65.3±4.8 years). The participants were classified as transport users (more than a few times a week) and transport non-users (less than a few times a month). Based on driving status and transport use, the groups were further classified into current driver, current non-driver/transport user, and current non-driver/transport non-user groups. The relationships between driving status, transport use, and social frailty were examined using multiple logistic regression. Results: The current non-driver group and the transport non-user group were significant association with a higher social frailty. The current non-driver/transport user group showed no association with social frailty compared with the current driver group. The odds ratio for the social frailty rate for The current non-driver/transport non-user group was 2.14 (95% confidence interval, 1.25–3.73). Conclusions: Participants who neither drive nor take transport showed significant associations with increased social frailty. Compared with current driver/ transport use, current non-driver/transport non-use was associated with social frailty.

添付ファイル： Associations between Driving Status, Frequency of Transport use after Driving Cessation, and Social Frailty among Middle-Aged and Older Adults.pdf

DOI： 10.4235/agmr.24.0071

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その他リンク： http://e-agmr.org/journal/view.php?doi=10.4235/agmr.24.0071

添付ファイル： 027. 胃癌・大腸癌患者における術前のPossible Sarcopeniaと術後の合併症および在院日数との関連 ―後ろ向き観察研究―.pdf

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記述言語：英語  

DOI： 10.1007/s41999-024-00979-y

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担当区分：筆頭著者  

添付ファイル： Associations between information and communication technology use and frailty.pdf

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担当区分：筆頭著者  

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

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掲載種別：研究論文（学術雑誌）  

添付ファイル： 地域在住高齢者における睡眠の質と身体機能との関連性〜共分散構造分析による介在する要因の検討〜.pdf

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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: Although arterial stiffness has been sug- gested to be associated with poor physical function and mild cognitive impairment (MCI), its association with cognitive frailty (CF), a comorbidity of both, is unclear. This study aims to examine the association between CF and arterial stiffness in community-dwelling older adults. Methods: A cross-sectional analysis of 511 community- dwelling older adults aged 65 years or older (mean age 73.6 ± 6.2 years, 63.6% women), who participated in a community cohort study (Tarumizu Study, 2019), was conducted. Poor physical function was defined as either slowness (walking speed < 1.0 m/s) or weakness (grip strength < 28 kg for men and < 18 kg for women). MCI was defined by the National Center for Geriatrics and Ger- ontology Functional Assessment Tool as a decline of at least 1.5 standard deviation from age- and education adjusted baseline values in any one of the four cognitive domains (memory, attention, executive, and information processing). CF was defined as the combination of poor physical function and MCI. Arterial stiffness was mea- sured using the Cardio-Ankle Vascular Index (CAVI), and the average of the left and right sides (mean CAVI) was used. Results: Multinomial logistic regression anal- ysis adjusted for covariates was performed with the four groups of robust, poor physical function, MCI, and CF as dependent variables and mean CAVI as an independent variable. Using the robust group as reference, the poor physical function and MCI groups showed no significant relationship with the mean CAVI. The mean CAVI was significantly higher in the CF group (odds ratio 1.62, 95% confidence interval: 1.14–2.29). Conclusion: A significant association was found between CF and the higher CAVI (progression of arterial stiffness). Careful observation and control of CAVI, which is also an indicator of arterial stiffness, may be a potential target for preventive in- terventions for CF.

DOI： 10.1159/000536653

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：独立行政法人 労働者健康安全機構 労働安全衛生総合研究所  

添付ファイル： Association between different types of physical activity and occupational stress in Japanese workers a cross-sectional study.pdf

DOI： 10.2486/indhealth.2023-0092

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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 Clinical Medicine  

Systematic reviews (SRs) with complete reporting or rigorous methods can lead to less biased recommendations and decisions. A comprehensive analysis of the epidemiological and reporting characteristics of SRs in orthopedics is lacking. We evaluated 360 SRs, including 165 and 195 published in orthopedic journals in 2012 and 2022. According to the established reporting guidelines, we examined these SRs for key epidemiological characteristics, including focus areas, type of meta-analysis (MA), and reporting characteristics. Most SRs (71%) were therapy-related, with a significant proportion originating from authors in the USA, UK, and China. Pairwise MA was performed on half of the SRs. The proportion of protocol registrations improved by 2022 but remained low (33%). Despite a formal declaration of adherence to the reporting guidelines (68%), they were often not used and reported enough. Only 10% of the studies used full search strategies, including trial registries. Publication bias assessments, subgroup analyses, and sensitivity analyses were not even planned. The risk of bias assessment improved in 2022; however, the certainty of the evidence remained largely unassessed (8%). The use and reporting of standard methods in orthopedic SRs have remained suboptimal. Thus, authors, peer reviewers, journal editors, and readers should criticize the results more.

添付ファイル： Epidemiology and reporting characteristics of systematic re-views in orthopedic journals A meta-epidemiological study.pdf

DOI： 10.3390/jcm12227031

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記述言語：英語   出版者・発行元：Geriatrics and Gerontology International  

添付ファイル： Association between muscle weakness and cap-grasping patterns when opening plastic bottles in community-dwelling older adults..pdf

DOI： 10.1111/ggi.14655

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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：Journal of Telemedicine and Telecare  

Introduction: This study aimed to determine the efficacy of telerehabilitation for patients after hip fracture surgery through a systematic review and meta-analysis. Methods: Eight electronic databases were searched in August 2022. The primary outcomes were mobility outcomes, activities of daily living (ADL) outcomes, and all adverse events, whereas the secondary outcomes were pain, health-related quality of life, and fall efficacy scale score. Results: Seven randomized controlled trials were eligible for this study. The evidence regarding the effect of telerehabilitation on mobility outcomes (standardized mean difference (SMD): 0.05, 95% confidence interval (CI): −0.39 to 0.48) and all adverse events (risk ratio: 1.14, 95% CI: 0.62 to 2.21) was very uncertain. A clinically irrelevant but significant mean difference (MD) in ADL outcomes was found (MD: 4.82, 95% CI: 2.63 to 7.01). Telerehabilitation may result in a slight increase in fall efficacy scale score (SMD: 0.26, 95% CI: −0.02 to 0.54) and little to no difference in pain (MD: −1.0, 95% CI: −18.31 to 16.31). Conclusions: The efficacy of telerehabilitation for patients after hip fracture surgery was uncertain with respect to the mobility outcomes, all adverse events, and pain, with no clinically meaningful differences in ADL outcomes. Telerehabilitation may be necessary to be considered for patients after hip fracture surgery to improve their confidence in their ability to perform daily activities without falling. Therefore, medical staff may consider telerehabilitation for hip fractures.

添付ファイル： Efficacy of telerehabilitation for patients after hip fracture surgery A systematic review and meta-analysis.pdf

DOI： 10.1177/1357633X231181632

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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：Journal of Stroke and Cerebrovascular Diseases  

Objectives: We aimed to determine if achieving a 10-m walk target within the first week of stroke onset correlates with independent outdoor walking at discharge and discharge to home for patients with stroke. Materials and methods: This study included 226 patients transferred to the subacute rehabilitation hospital (SRH) between January 2018 and March 2021. Data obtained from hospital records included age, sex, stroke type, lesion side, body mass index, presence of acute treatment, length of days from onset to physical therapy intervention, National Institutes of Health Stroke Scale, length of hospital stay, Functional Independence Measure score, and the ability to complete the 10 m walk target within the first week of stroke onset. The primary outcomes were independent outdoor walking ability and discharge destination from the SRH. A logistic regression analysis was performed to determine if the 10 m walking ability correlated with the outdoor walking ability and discharge destination. Results: Compared with the inability to walk 10 m, walking 10 m independently walking within the first week of stroke onset correlated with the ability to walk independently outdoors at discharge (odds ratio [OR]: 4.38, p = 0.003) and being discharged home (OR: 4.52, p = 0.002), whereas, walking 10 m with assistance was associated with being discharged home (OR: 3.09, p = 0.043). Conclusions: The ability to walk 10 m within the first week of stroke onset may be a helpful marker for prognosis.

DOI： 10.1016/j.jstrokecerebrovasdis.2023.107145

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記述言語：日本語   出版者・発行元：保健医療学学会  

【目的】任天堂Wii(以下,Wii)は活用の用途が拡大しリハビリテーション(以下,リハ)に応用されるが,脳腫瘍患者を対象にした報告は限られている.今回,脳腫瘍患者に対するWiiリハの有効性を評価することを目的とした.【方法】PubMed,Cochrane Library,医学中央雑誌の各電子データベースとハンドサーチを用いたスコーピングレビューを行った.対象期間は2006年～2021年,言語は日本語と英語とした.【結果】検索された155件から3件が選択された.Wiiリハは脳腫瘍患者の身体機能やADL,身体活動への動機づけ,入院環境からの気晴らしについて有効であることが示唆された.【結論】Wiiリハは脳腫瘍患者の身体機能やADL,精神面を改善する可能性が示唆された一方,選択されたのは3件のみで,いずれも研究デザインの側面でWiiリハの有効性を明示するには不十分であった.さらに厳密なデザインの介入研究により効果を検証することが望ましい.(著者抄録)

記述言語：日本語   出版者・発行元：一般社団法人日本理学療法学会連合  

<p>【目的】新型コロナウイルス感染症（以下，COVID-19）の流行前後における就労者の腰痛変化とプレゼンティーズムとの関連を検討し，さらに勤務形態の変化との関連性を明らかにする。【方法】WEB調査で回答のあった就労者1865名（平均年齢49.6±6.6歳）を横断的に解析した。COVID-19流行に伴う腰痛およびプレゼンティーズムの変化を調査し，腰痛悪化とプレゼンティーズムとの関連性を検討した。【結果】腰痛悪化は，流行前プレゼンティーズムなし群におけるプレゼンティーズム発生（オッズ比：4.26, <i>p</i><0.01），流行前プレゼンティーズムあり群におけるプレゼンティーズム悪化（オッズ比：1.80, <i>p</i>=0.01）と有意に関連していた。【結論】COVID-19の流行に伴う腰痛悪化はプレゼンティーズムと関連することが示唆され，特にその関連性は継続してオフィスワークに従事している集団において強い傾向を認めた。</p>

DOI： 10.15063/rigaku.12259

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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: Falls and fear of falling (FoF) inhibit healthy longevity and have been suggested to be associated with cognitive function. However, the domains of cognitive function that are associated with them remain controversial. It is speculated that clarifying this will help in the assessment of health status and interventions in the community. Aim: To analyse the associations between fall history and FoF and multidimensional cognitive function in independent community-dwelling older adults. Methods: The data from 9759 (73.3 ± 5.4 years, 59.9% women) older individuals enrolled in the cross-sectional ORANGE study were analysed. Simple questions were used to assess fall history in the past year and current FoF. Assessments of multidimensional cognitive function were performed using the National Center for Geriatrics and Gerontology-Functional Assessment Tool (NCGG-FAT) to evaluate memory, attention, executive function, and processing speed. The independent associations of fall history and FoF with multidimensional cognitive function were assessed using multivariate linear regressions adjusted for potential confounding variables. Results: A total of 18.3% and 35.4% of participants presented with fall history and FoF, respectively. Fall history (p = 0.008) and FoF (p = 0.002) were significantly associated with memory. FoF, but not fall history was associated with attention (p = 0.004), executive function (p < 0.01), and processing speed (p < 0.01). Conclusion: In independent community-dwelling older adults, fall history was associated only with the memory domain; in contrast, fear of falling was associated with multidimensional cognitive function. This study provides weak evidence suggesting the need to assess falls and FoF in all situations involving independent community-dwelling older adults.

DOI： 10.1007/s40520-022-02235-4

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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：Pain Management Nursing  

Background: Poor sleep quality has a negative effect on pain among older adults. During the coronavirus disease 2019 (COVID-19) state of emergency, lifestyle changes can cause psychologic stressors and lead to poor sleep quality. Aim: This study examined whether sleep quality status was associated with low back or knee pain changes during the COVID-19 state of emergency among community-dwelling Japanese old-old adults. Design: Cross-sectional investigation. Methods: In July 2020, during the COVID-19 epidemic, we conducted a postal survey for old-old adults aged ≥77 years and collected data on 597 participants. For those who had low back or knee pain at the time of the survey (in July), characteristics such as low back pain, knee pain, changes in pain status, and sleep quality status during the COVID-19 state of emergency (in March) were assessed. Results: Data from 597 participants showed the prevalence of low back pain (50.6%) and knee pain (40.7%) in July. Of those with low back or knee pain, 374 had pain changes during the state of emergency, with 12.3% worsening. Of these, 23.9% had poor sleep quality in March compared to non-change (p = .008). In a multivariate logistic regression model adjusted for potential confounders, poor sleep quality was significantly associated with pain worsening (odds ratio 2.80, 95% confidence interval 1.26-6.22). Conclusions: During the COVID-19 state of emergency, poor sleep quality was associated with worsening low back or knee pain. This may indicate the need to pay attention to poor sleep quality to prevent the exacerbation of pain among old-old adults.

DOI： 10.1016/j.pmn.2022.01.001

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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：Geriatrics and Gerontology International  

Aim: To investigate whether the type and frequency of social interaction during the state of emergency due to coronavirus disease were associated with self-rated health (SRH) after the state of emergency. Methods: Data from a cross-sectional study were collected for 889 oldest-old adults in Bibai City, Hokkaido, Japan. In total, 612 participants (mean age: 83.0 ± 4.3 years; women: 51.8%) were included in the analysis, taking biological sex into account. The self-reported questionnaire included questions about demographic variables, SRH (July 2020, after the emergency), and the type and frequency of social interaction (March 2020, during the state of emergency). Results: There was no significant association between social interaction and SRH in men (P > 0.05). Women who had social interactions (both face-to-face and non-face-to-face) more than once a week during the state of emergency reported higher SRH after the emergency than those who did not (odds ratio 2.17, 95% confidence interval 1.07–4.41). Conclusions: Having both types of interaction more than once a week during the state of emergency was related to higher SRH after the emergency among oldest-old women. It is suggested that having opportunities for both types of interaction at least once a week would potentially be beneficial for high SRH in women, even in situations where the declaration of a state of emergency restricts face-to-face interaction. Geriatr Gerontol Int 2022; 22: 405–411.

DOI： 10.1111/ggi.14379

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記述言語：日本語   出版者・発行元：一般社団法人 日本予防理学療法学会  

<p>【目的】地域在住高齢者における運動器疾患，転倒歴および多剤併用とサルコペニアとの関連性を調べることを目的とした。【方法】地域コホート研究に参加した高齢者905 名を対象とし，運動器疾患の有無，1 日の服薬数，過去1 年間での転倒歴を聴取した。サルコペニアはAWGS2019 の基準で判定した。【結果】全対象者のうちの166 名（18.3 ％）がサルコペニアに該当した。骨粗鬆症を有する者ではサルコペニアの該当者が有意に多かったが，脊椎疾患および変形性関節症とサルコペニアとの関連は認められなかった。ロジスティック回帰分析の結果，運動器疾患とサルコペニアの関連は確認されず，多剤併用（6 剤以上）（オッズ比1.56）および転倒歴（オッズ比1.65）がサルコペニアと有意に関連していた。【結論】骨粗鬆症を有する高齢者ではサルコペニアに該当する者の割合が高かったものの，多変量解析においてはサルコペニアと運動器疾患との関連性は認められず，多剤併用および転倒歴がサルコペニアと関連する要因として抽出された。</p>

DOI： 10.57304/jptp.1.0_19

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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：Asia-Pacific Journal of Public Health  

DOI： 10.1177/10105395211053160

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記述言語：日本語   出版者・発行元：(一社)日本高次脳機能障害学会  

後方病変型の他人の手徴候を呈した1症例に対して実施した多角的な評価に基づき、他人の手徴候の出現に関与した要因について検討した。症例は右前頭葉、右中心後回を含む右頭頂葉、右側頭葉に脳梗塞を呈した60歳代、右利きの女性である。左半身の表在・深部感覚障害および運動失調、運動麻痺に加え、意図にそぐわない左手の行動がみられ、「他の人の手のように感じる」や「左手が勝手に動く」などの訴えを認めた。本症例に対し運動麻痺、感覚障害、運動失調の経過を観察した。その結果、本症例では運動麻痺の改善と「他人の手のように感じる」という訴えの消失が同時期に生じた。本症例のように他人の手徴候と同上肢に運動麻痺を合併する症例では、随意的な運動が困難であるため、自分の手に対する自己所有感が低下し、他人の手のように感じやすくなる可能性がある。(著者抄録)

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：International Journal of Environmental Research and Public Health  

The COVID-19 pandemic has caused an abrupt change in lifestyle for many people with restrictions, often leading to a decrease in physical activity (PA), and thus contributing to a negative perception of health status. The purpose of this study was to examine the effects of the COVID-19 epidemic on physical activity and perceived physical fitness in Japanese adults aged 40 to 69 years. Data were collected from an online survey conducted between October 19 and 28, 2020. The analytic sample consisted of 1989 Japanese adults (mean age, 50.1 ± 6.9 years; women, 38.9%) who were aged between 40 and 69 years and completed the online survey. Overall, the PA time per week decreased by 32.4% between October 2019 and April 2020. A decrease in PA time was recorded in October 2020; however, a decline of 15.5% was observed. Compared to individuals who did not perceive a decline in physical fitness, individuals who perceived declining physical fitness during the COVID-19 state of emergency demonstrated a greater decrease in PA time in April 2020 (–50.5%), and this trend continued into October 2020 (–25.0%). These findings may indicate that Japanese adults aged 40 to 69 years who perceived declining physical fitness experienced a greater decrease in physical activity.

DOI： 10.3390/ijerph18094832

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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：Geriatrics and Gerontology International  

Aim: Perceived health status, including physical and cognitive fitness, will be negatively associated with future health conditions among old-old adults. The coronavirus disease 2019 (COVID-19) pandemic has caused sudden changes in lifestyle. Thus, this study examined the associations of participation in an exercise class before the COVID-19 pandemic and the exercise habits and disruption to the rhythms of daily life during the COVID-19 state of emergency with perceived declining physical and cognitive fitness among community-dwelling old-old adults. Methods: In July 2020, we carried out a mail survey of community-dwelling old-old adults aged between 77 and 99 years in Bibai, Hokkaido, Japan, to determine their perceived declining physical and cognitive fitness during the COVID-19 state of emergency. Results: Of the 774 responders, 339 (43.8%) participants reported a decline in physical fitness, whereas 259 (33.5%) perceived declining cognitive fitness during the COVID-19 state of emergency. In a multivariate logistic regression model adjusted for potential confounders, exercise habits during the COVID-19 state of emergency were significantly associated with a lower perception of declining physical fitness. Disruption to the rhythms of daily life during the COVID-19 state of emergency was significantly associated with a higher perception of declining physical and cognitive fitness. Conclusions: Approximately half and more than one-third of community-dwelling old-old adults perceived declining physical and cognitive fitness, respectively, during the COVID-19 state of emergency. During this period, exercise habits were positively correlated with perceived health status among old-old adults, whereas disruption to the rhythms of daily life was negatively correlated. Geriatr Gerontol Int 2021; 21: 364–369.

DOI： 10.1111/ggi.14140

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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：International Journal of Environmental Research and Public Health  

Health literacy is important for promoting and maintaining good health in old-old adults. It may influence the implementation of exercise in the coronavirus disease epidemic. The present cross-sectional study investigated the association of each dimension of health literacy with the implementation of exercise during the declaration of a state of emergency due to coronavirus disease in community-dwelling old-old adults. We collected data from 483 community-dwelling old-old adults (52.8% women) aged between 77 and 99 years who participated in a mail survey. Participants were divided into exercise or nonexercise groups based on the implementation of exercise during the declaration of a state of emergency. Health literacy was assessed using a 14-item health literacy scale. There were 327 (67.7%) participants in the exercise group and 156 (32.3%) in the nonexercise group. A significantly higher score of health literacy was observed in the exercise group than in the nonexercise group (communicative health literacy score = 14.0 ± 3.6 vs. 12.7 ± 3.8, p = 0.001). In a multivariate logistic regression model adjusted for potential confounders, high communicative health literacy scores were significantly associated with the implementation of exercise during the declaration of a state of emergency (odds ratio = 1.88, 95% confidence interval = 1.20–2.93). Approximately two-thirds of community-dwelling old-old adults implement exercise during the declaration of a state of emergency. High communicative health literacy was associated with the implementation of exercise during this period.

DOI： 10.3390/ijerph18042100

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担当区分：筆頭著者   記述言語：日本語   掲載種別：研究論文（学術雑誌）  

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担当区分：筆頭著者  

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記述言語：日本語   出版者・発行元：(公社)日本産業衛生学会  

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記述言語：日本語   出版者・発行元：(公社)日本産業衛生学会  

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記述言語：日本語   出版者・発行元：(一社)日本老年医学会  

COVID-19の流行拡大によって,地域でのサロンや通いの場などの互助活動は多大な制約を受ける状況となった.フレイルの入口となり得る社会とのつながりが損なわれる事態が懸念される一方で,運動教室を通じて社会交流の活性や社会活動が促進される事例も経験される.感染症の拡大防止と並行して,社会面からのフレイル対策として新たなコミュニケーションツールの活用を含めた社会とのつながりや自助による健康増進も再考していく必要がある.(著者抄録)

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記述言語：日本語   出版者・発行元：Geriatrics and Gerontology International  

DOI： 10.1111/ggi.14655

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記述言語：日本語   出版者・発行元：(株)メディカルプレス  

1.運動器疾患を有する患者ではサルコペニアの併存が懸念され、運動器疾患に起因もしくは併存する骨格筋量の減少および筋力の低下に対するアプローチを検討することが求められる。2.運動器疾患患者では、骨量減少を伴うオステオサルコペニアによる脆弱性骨折のリスク増大に対する対策を考慮する必要がある。3.高齢の運動器疾患患者の身体機能評価においては、疾患そのものに関する評価のみならずサルコペニアに関する評価を実施し、サルコペニアの予防・改善を含めた活動や社会参加のための包括的な介入方針を検討することが求められる。(著者抄録)

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記述言語：日本語  

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開催年月日： 2023年9月

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開催年月日： 2023年6月

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会議種別：シンポジウム・ワークショップ パネル（指名）  

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記述言語：英語  

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種別：査読等 

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種別：査読等 

添付ファイル： Reviewers_08_2023.pdf

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