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Comprehensive study on falls and fractures in the community elderly in Japan.

Research Project

Project/Area Number 07307007
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section総合
Research Field Public health/Health science
Research InstitutionTokyo Metropolitan Institute of Gerontology

Principal Investigator

SHIBATA Hiroshi  Vice-Director and Head Dept of Community Health., 副所長兼地域保険研究部長 (30154248)

Co-Investigator(Kenkyū-buntansha) SUZUKI Takao  Tokyo Metropolitan Institute of Gerontology, Dept of Epidemiology, Head Dept of, 疫学部門, 部長 (30154545)
NIINO Naoakira  Showa University School of Medicine, Dept of Hygiene and Preventive Medicine, Le, 医学部, 講師 (40201686)
KANO Katsumi  Tsukuba University School of Medicine, Professor., 社会医学系, 教授 (10101312)
HAGA Hiroshi  Health Sciences University of Hokkaido, Dept of Fundamental Health Sciences, Sch, 看護福祉学部, 教授 (00132902)
YASUMURA Seiji  Yamagata University School of Medicine, Dept of Public Health, Assistant Profess, 医学部, 助教授 (50220158)
Project Period (FY) 1995 – 1996
Project Status Completed (Fiscal Year 1996)
Budget Amount *help
¥10,700,000 (Direct Cost: ¥10,700,000)
Fiscal Year 1996: ¥5,300,000 (Direct Cost: ¥5,300,000)
Fiscal Year 1995: ¥5,400,000 (Direct Cost: ¥5,400,000)
KeywordsREGIONAL DIFFERENCE / SEX DIFFERENCE / RISK FACTORS / PREVENTABLE FACTORS / BONE DENSITY / FUNCTIONAL CAPACITY / OUTDOORS / STUMBLING / 転倒・骨折 / フィールド
Research Abstract

The purpose of the present study was to identify risk factors for falls and fractures in the community elderly in order to establish guidelines for preventing them. Representative samples in the community elderly were recruited from Okinawa, three prefectures of Honshu (mainland), and Hokkaido. Subjects underwent interview surveys regarding experience of falls and/or fractures, situations at falls, and the relevant factors. Bone mineral density was simultaneously investigated in the three samples of Honshu.
The results obtained based on cross-sectional and longitudinal observations were as follows :
1) Both falls and fractures were more common in women then in men in all five samples.
2) Falls and fractures were less common in the sample of Okinawa Prefecture than in the other four samples.
3) Experience of falls, impaired functional capacity, weak grip strength, visual impairment, hypertension, bad chewing ability, and low life satisfaction were significantly related to falls and the consequent fractures. Low bone density was also a significant risk factor for falls and fractures.
4) The habits of regular walking and eating meat were significantly negative risk factors.
5) Falls occurred more commonly outdoors than indoors. Falls were triggered most commonly by stumbling or slipping on a flat road.

Report

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

    (33 results)

All Other

All Publications (33 results)

  • [Publications] Shibata H.,et al: "Nutrient intakes in the elderly living in an urban community,Japan" Facts and Research in Gerontology 1995 (Supplement : Nutrition). 125-132 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Obuchi H.,Shibata H.,et al: "Association of subnormal walking ability with falls in the community dwelling clderly" Facts and Research in Gerontology 1995 (Supplement : Subnormal walking ability). 97-106 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Yasumura S.,Shibata H.,et al: "Risk factors for falls among elderly people living in an urban community in Japan : A longitudinal study" Facts and Research in Gerontology 1996 (Supplement : Falls). 107-115 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 芳賀博、他: "在宅要援助老人の転倒とその関連要因" 日本保健福祉学会誌. 3. 21-29 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 芳賀博、他: "在宅老人の転倒に関する調査法の検討" 日本公衆衛生雑誌. 43. 983-988 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 加納克己: "骨密度に運動が影響を及ぼす疫学調査研究-40歳以上を対象として-" 医学と生物学. 133. 163-168 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 加納克己、他: "中高年女性の骨粗鬆症に関する調査研究-骨粗鬆症検診受信者を対象として-" 民族衛生. 62. 186-196 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 加納克己、他: "中高年女性の骨密度と運動歴との関連についての疫学調査研究-5000人を対象にした骨粗鬆症検診データを用いて-" 厚生の指標. 43. 3-8 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 加納克己: "骨密度と運動歴との関連についての疫学調査研究-40歳以上の中高年の女性を対象として-" 民族衛生. 63. 43-53 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Yasumura S.,et al: "Risk factors for falls leading to severe injury among the elderly living in a rural community : A 3-year follow-up study" Facts and Research in Gerontology. (in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Suzuki T.,et al: "Osteoporotic fractures by falls among the elderly" Facts and Research in Gerontology. (in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 柴田博: "中高年の疾病と栄養" 建帛社, 344 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Shibata H., et al: "Nutrient intakes in the elderly living in an urban community, Japan" Facts and Research in Gerontology 1995. (Supplement : Nutrition). 125-132

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Obuchi H., Shibata H., et al: "Association of subnormal walking ability with falls in the community dwelling elderly" Facts and Research in Gerontology 1995 (Supplement : Subnormal walking ability). 97-106

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Yasumura S., et al: "Risk factors for falls among elderly people living in an urban community in Japan : A longitudinal study" Facts and Research in Gerontology 1996 (Supplement : Falls). 107-115

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Yasumura S., et al: "Risk factors for falls leading to severe injury among the elderly living in a rural community : A 3-year follow-up study" Facts and Research in Gerontology. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Suzuki T., et al: "Osteoporotic fractures by falls among the elderly" Facts and Research in Gerontology. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Shibata H.,et al: "Nutrient intakes in the elderly living in an urban community,Japan" Facts and Research in Gerontology 1995 (Supplement : Nutrition). 125-132 (1995)

    • Related Report
      1996 Annual Research Report
  • [Publications] Obuchi H.,Shibata H.,et al: "Association of subnormal walking ability with falls in the community dwelling elderly" Facts and Research in Gerontology 1995 (Supplement : Subnormal walking ability). 97-106 (1995)

    • Related Report
      1996 Annual Research Report
  • [Publications] Yasumura S.,Shibata H.,et al: "Risk facotrs for falls among elderly people living in an urban community in Japan : A longitudinal study" Facts and Research in Gerontology 1995 (Supplement : Falls). 107-115 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 志賀博、他: "在宅要援助老人の転倒とその関連要因" 日本保健福祉学会誌. 3. 21-29 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 志賀博、他: "在宅老人の転倒に関する調査法の検討" 日本公衆衛生雑誌. 43. 983-988 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 加納克己: "骨密度に運動が影響を及ぼす疫学調査研究-40歳以上を対象として-" 医学と生物学. 133. 163-168 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 加納克己、他: "中高年女性の骨粗鬆症に関する調査研究-骨粗鬆症検診受信者を対象として-" 民族衛生. 62. 186-196 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 加納克己、他: "中高年女性の骨密度と運動歴との関連についての疫学調査研究-5000人を対象にした骨粗鬆症検診データを用いて-" 厚生の指標. 43. 3-8 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 加納克己: "骨密度と運動歴との関連についての疫学調査研究-40歳以上の中高年の女性を対象として-" 民族衛生. 63. 43-53 (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] Yasumura S.,et al: "Risk factors for falls leading to severe injury among the elderly living in a rural community : A 3-year follow-up study" Facts and Research in Gerontology. (in press).

    • Related Report
      1996 Annual Research Report
  • [Publications] Suzuki T.,et al: "Osteoporotic fractures by falls among the elderly" Facts and Research in Gerontology. (in press).

    • Related Report
      1996 Annual Research Report
  • [Publications] 柴田博: "中高年の疾病と栄養" 建帛社, 344 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Shibata H., et al: "Relationship of Serum Lipids to 10-year Deaths from All Causes and Cancer in Japanese Urban Dwellers Aged 40 Years and Over" Journal of Epidemiology. 5. 87-94 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Haga H., et al: "Self-rated Health as a Predictor of Active Life in the Community Elderly" Journal of Epidemiology. 5. 11-15 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 鈴木隆雄、他: "地域高齢者を対象とした骨密度検診におけるDXA法の有用性と限界-腰椎X線所見との比較について-" 日本公衆衛生誌. 42. 385-396 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Niino N., et al: "Prevalence of depressive symptoms among the elderly living in a Japanese urban community" Facts and Research in Gerontology 1995 Mood and cognitive disorders. 131-136 (1995)

    • Related Report
      1995 Annual Research Report

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Published: 1995-04-01   Modified: 2016-04-21  

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