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【目的】二次予防事業の「運動器機能向上」「認知機能低下予防」の複合プログラムの効果を，基本チェックリストによる主観的評価と運動機能および認知機能測定値による客観的評価の両面から検証することを目的とした． 【方法】2014年4月から2015年 3月の1年間に二次予防事業に参加した佐世保市A地域在住の高齢者113人を対象とした．プログラムは3ヵ月間（12回）を1クールとし，週に1回2時間行われた．プログラム内容は筋力トレーニング，ストレッチ，脳トレーニングなどであった．この複合プログラム前後に，基本チェックリストの記入，主観的健康感の聴取，体力測定，認知機能測定を実施し，前後の比較を行った． 【結果】基本チェックリストの運動器の機能，認知症の症状，うつ症状および主観的健康感が有意に改善した．測定値では，5回椅子立ち上がりテスト，Timed Up and Go test，Mini-Mental State Examinationが有意に改善した． 【結論】「運動器機能向上」「認知機能低下予防」の複合プログラムを行うことで，運動機能，認知機能の向上が主観的評価値および客観的測定値によって認められた．, Locomotive syndrome and mild cognitive impairment are leading causes of the need for care, so early detection and treatments are central to care prevention for the frail elderly. The purpose of this study was to assess physical and cognitive function from the perspective of both subjective evaluation and objective measurements in a care-prevention program. Participants included 113 individuals (98 women, 15 men) ?65 years old living in Sasebo city, who were at high risk for needing care according to screened using a basic checklist. The intervention, which combined a program to improve physical function and a program to prevent declines in cognitive function, was conducted once a week for 12 weeks from April 2014 to March 2015. Assessments using the basic checklist, self-rated health, physical fitness tests, and cognitive examinations were made at baseline and after completing the intervention, and results were then compared. Our results revealed that status of motor function, status of dementia risk and status of depression risk in the basic checklist were significantly improved compared to baseline (p, 保健学研究, 28, pp.77-84; 2016

Masaki Nakagaichi,1 Yuya Anan,2 Yuto Hikiji,3 Sou Uratani4 1Sports and Life Sciences, National Institute of Fitness and Sports in KANOYA, Kanoya, Japan; 2Department of Nutritional Health, Kwassui Women’s University, Nagasaki, Japan; 3Department of Rehabilitation, Nagasaki Yuai Hospital, Kyoseikai Medical Corporation, Nagasaki, Japan; 4Nonprofit Organization Nagasaki Wellness Sports Research Center, Nagasaki, Japan Objectives: The purpose of this study was to identify a method for assessing physical fitness age that is easy to use with both frail and healthy elderly women and to examine its validity.Methods: Principal component analysis was used to develop a formula of physical fitness age from four motor function variables. The subjects comprised 688 (75.7±6.0 years) elderly women, in order to develop a physical fitness scale. The formula for calculating physical fitness age was expressed as physical fitness age =-0.419× grip strength -0.096×balancing on one leg with eyes open-0.737×30s chair stand +0.503×figure-of-8 walking test +0.47× chronological age +52.68.Results: Measures obtained from subjects in the frail elderly (n=11, 73.0±2.3 years) and exercise (n=10, 70.8±3.1 years) groups were used to examine the validity of the assessment. The mean physical fitness age of the frail elderly group (79.0±3.7 years) was significantly higher than its mean chronological age (73.0±2.3 years, p

本研究の目的は，特定高齢者における口腔機能向上プログラムの口腔機能向上の効果を評価することである。対象は，新潟県上越市の特定高齢者120名（平均年齢83.3±4.5）である。ベースライン時に舌苔の付着状況，口輪筋の引っ張り抵抗力（ボタンプル），および，オーラルディアドコキネシス「タ」および「カ」について４名の歯科衛生士が行った。口腔機能向上プログラムは，月１回の集団的口腔機能訓練と集団的口腔清掃指導，および，週１回の口腔体操である。追跡調査についてはベースライン（BL）調査と同じ方法を用いて，介入開始から３カ月後，６カ月後および９カ月後に行った。分析対象者は，３回の追跡調査を受けた51名（平均年齢 83.6±4.7）である。分析の結果，舌苔の付着量が少ない者の割合が経時的に増加していき，BLと比較し６カ月後と９カ月後に舌苔スコアの割合に有意差が認められた。ボタンプルにおいては平均値の経時的な増加が認められ，BLと６カ月後および９カ月後に有意差が認められた。同様にオーラルディアドコキネシスにおいても「タ」「カ」ともに平均値の経時的な増加が認められ，BLと３カ月後，６カ月後および９カ月後に有意差が認められた。したがって，口腔機能向上プログラムによって舌苔の付着量，口輪筋の引っ張り抵抗力，オーラルディアドコキネシス「タ」および「カ」のいずれにおいても改善が認められ，口腔清掃習慣の改善および口輪筋と舌機能の向上が示唆された。, The purpose of this study was to access the effectiveness of an oral health care program for improving oral functions in community-dwelling elderly with a risk of poor physical function (Tokutei-koureisya). The subjects were 120 persons (mean age; 83.3 ± 4.5) living in Joetsu city, Japan. Tongue coating score, lip strength against pulling of the strung button (button-pull) and oral diadochokinesis (DDK) [ta] [ka] were assessed by four dental hygienists at baseline investigation. The subjects took part in the oral health care program that was consisted of oral function training and oral hygiene instruction once a month by hygienists and short oral exercise once a week by caregivers. Follow-up investigations were carried out at 3-month, 6-month and 9-month. Fifty one persons (mean age; 83.6 ± 4.7) left in all follow-up investigations and to be analyzed in this study. The results were as follows: 1. The amount of tongue coating was significantly decreased at 6-month (p