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Community-Based Comprehensive Geriatric Assessment and Longitudibal Aging Study

Research Project

Project/Area Number 06670423
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Public health/Health science
Research InstitutionKochi Medical School

Principal Investigator

MATSUBAYASHI Kozo  Assistant Professor Kochi Medical School, 医学部, 講師 (70190494)

Co-Investigator(Kenkyū-buntansha) OKUMIYA Kiyohito  Research Associate Kochi Medical School, 医学部, 助手 (20253346)
Project Period (FY) 1994 – 1996
Project Status Completed (Fiscal Year 1996)
Budget Amount *help
¥1,900,000 (Direct Cost: ¥1,900,000)
Fiscal Year 1996: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 1995: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 1994: ¥700,000 (Direct Cost: ¥700,000)
KeywordsComprehensive Geriatric Assesment / ADL / Independency / non-institutionalized elderly / Age / Neurobehavioral / longitudinal study / 身体情報機能 / QOL / ライフスタイル / visual analogue scale
Research Abstract

From 1991 through 1996, we annually assessed the conprehebsive geriatric assessment (CGA) as well as activities of daily living (ADL) dependency of elderly subjects living in Kahoku, a Japanese rural town, in which individuals aged 65 years or over accounted for 30% of the population in 1991 and 33% in 1996. We assessed eight basic ADL items (walking, ascending and descending stairs, feeding, dressing, using toilet, bathing, grooming and taking medicine) regarding the help needed using the validated disability rating scalel. The numbers of subjects interviewed annually were 1488 (in '91), 1578 ('92), 1618 ('93), 1643 ('94), 1710 ('95), 1770 ('96) elderly individuals accounted for respectively 91%, 90%, 91%, 91%, 91% and 92% of the eligible population of the town.
The proportion of the elderly who were independent in each ADL item decreased with advancing age in each cross-sectional year. The eligible elderly population in Kahoku increased by 222 subjects during the five years of the study (from 1488 to 1770). Notably, the total proportion of the independent elderly significantly increased annually after 1993 (75%) compared with 1991 (71%), and comparison between 1991 and 1996 revealed a significant increase in not only the total proportion of the independent elderly (from 71% to 85%) but also the proportion of the independent subjects in each age group. Our year-serial cross-sectional data do suggest that the proportion of disability, at least, in the non-institutionalized elderly is not as great as conventional wisdom in the advanced aged population might suggest.

Report

(4 results)
  • 1996 Annual Research Report   Final Research Report Summary
  • 1995 Annual Research Report
  • 1994 Annual Research Report
  • Research Products

    (32 results)

All Other

All Publications (32 results)

  • [Publications] Matsubayashi K: "Cognitive and functional status of the Japanese oldest old" J Am Geriatr Soc. 47(in print). (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Wada T: "Lower serum cholesterol level and later decine in cognitive function in the older people in community,Japan." J Am Geriatr Soc. (in print). (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Wada T: "Serum cholesterol levels and cognitive function assessed by P300 latencies in an older population living in the community." J Am Geriatr Soc. 45. 122-123 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Okumiya K: "J-curve relation between blood pressure and decline in cognitive function in older people in community,Japan" J Am Geriatr Soc. 44(in print). (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Osaki Y: "Does surge in blood pressure precede or follow stroke?" Lancet. 347. 472-473 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Matsubayashi K: "Secular improvement in self-care independence of old people living in community in Kahoku,Japan." Lancet. 347. 60- (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Matsubayashi K et al: "Cognitive and functional status of the Japanese oldest old." J Am Geriatr Soc. (in print). (1977)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Wada T,Matsubayashi K,et al: "Lower serum cholesterol level and later decine in cognitive function in the older people in community, Japan." J Am Geriatr Soc. (in print). (1977)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Wada T,Matsubayashi K,et al: "Serum cholesterol levels and cognitive function assessed by P300 latencies in olde population living in the community." J Am Geriatr Soc. 45. 122-123 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Osaki Y,Matsubayashi K: "VKH syndrome" Neuology. 48. 545-6 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Okumiya K,Matsubayashi K et al: "J-curve relation between blood pressure and decline in cognitive function in older people in community, Japan" J Am Geriatr Soc. (in print). (1977)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Matsubayashi K et al: "Secular improvement in self-care independence of old people living in community in Kahoku, Japan." Lancet. 347. 60 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Osaki Y,Matsubayashi K: "Does surge in blood pressure precede or follow stroke?" Lancet. 347. 472-473 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Okumiya K,Matsubayashi K et al: "Effects of exercise on neurobehavioral function in community-dwelling older people more than 75 years of age." J Am Geriatr Soc. 44. 569-572 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Matsubayashi K: "Cognitive and functional status of the Japanese oldest old" J Am Geriatr Soc. 47(in print). (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] Wada T: "Lower serum cholesterol level and later decine in cognitive function in the older people in community,Japan." J Am Geriatr Soc. (in print). (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] Wada T: "Serum cholesterol levels and cognitive function assessed by P300 latencies in an older population living in the community." J Am Geriatr Soc. 45. 122-123 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Okumiya K: "J-curve relation between blood pressure and decline in cognitive function in older people in community,Japan" J Am Geriatr Soc. 44(in print). (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] Osaki Y: "Dose surge in blood pressure precede or follow stroke?" Lancet. 347. 472-473 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Matsubayashi K: "Secular improvement in self-care independence of old people living in community in Kahoku,Japan." Lancet. 347. 60 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Matsubayashi K: "Secular improvement in self-care independence of old people living in community in Kahoku, Japan" Lancet. 347. 60 (1996)

    • Related Report
      1995 Annual Research Report
  • [Publications] 松林公蔵: "無症候性脳梗塞と24時間血圧-地域在住老年者の5年間の縦断的研究-" Therapeutic Research. 16. 16-18 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 松林公蔵: "老年神経学に対する生態学的アプローチ" 臨床神経. 35. 1057 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 松林公蔵: "高齢者の日常生活と「ありふれた」-めまい-" 別冊総合ケア-. 91-101 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 松林公蔵: ""正常"な老化はあり得るか?" Geriatric International. 6. 93 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 松林公蔵: "地域在住高齢者の健康管理における総合評価" Gerontology New Horizon. 8. 145-152 (1996)

    • Related Report
      1995 Annual Research Report
  • [Publications] 松林公蔵: "地域在住老年者の自立度に関する経年的変化-香北町研究-" 日老医誌. 31. 752-758 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] 松林公蔵: "地域在住老年者の包括的健康度に関する地域比較研究-高知・屋久島I" 日老医誌. 31. 759-767 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] 奥宮清人: "地域在住老年者の包括的健康度に関する地域比較研究-高知・屋久島II" 日老医誌. 31. 768-775 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] 和田知子: "地域在住老年者の包括的健康度に関する地域比較研究-高知・屋久島III" 日老医誌. 31. 776-780 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] 松林公蔵: "地域在住老年者の包括的健康度に関する地域比較研究-高知・屋久島V" 日老医誌. 31. 790-798 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] 松林公蔵: "加齢とエコロジ" 学術月報. 47. 908-915 (1994)

    • Related Report
      1994 Annual Research Report

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Published: 1994-04-01   Modified: 2016-04-21  

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