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Analysis of Factors Related with Comprehensive Geriatric Functions in Community-Dwelling Elderly : Kohoku Longitudinal Aging Study

Research Project

Project/Area Number 09670395
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  Kochi Medical School, Associate Professor, 医学部, 助教授 (70190494)

Co-Investigator(Kenkyū-buntansha) OKUMIYA Kiyohito  Kochi Medical School, Research Associate, 医学部, 助手 (20253346)
Project Period (FY) 1997 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥3,600,000 (Direct Cost: ¥3,600,000)
Fiscal Year 1999: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 1998: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 1997: ¥1,500,000 (Direct Cost: ¥1,500,000)
Keywordscommunity-dwelling elderly / ADL / Independence / quality of life / neurobehavioral functions / life style / longitudinal study / 高齢者の転倒 / 危険因子 / 老人医療費 / 家庭血圧測定
Research Abstract

We reported the secular improvement in self-care independence of old people linving in a Japanese rural community, Kahoku in which the annual community-based geriatric intervention was introduce since 1991. (Lancet, 1996). The community-based geriatric intervention includes ; 1) Geriatric examination of the elderly aged 75 years or older. 2) Monthly report of the health condition of elderly subjects. 3) Patrol visit by community nurses. 4) Health lecture meetings. 5) Exercise programs for the elderly. 6) Daytime-care services for the frail elderly.
Our results as follows ; (1) Independent rate of elderly in Kahoku improved from 71% to 87% during 8 years (Lancet, 1997). (2) Lower cholsterol group shows significanntly faster decline in MMSE than higher cholesterol group during 3 years (JAGS, 1997). (3) Neurobehavioral functions were maitained in day-care participants, while those of non-participants significantly declined after 1 year and quantitative Zarit's scale of care burden was also significantly decreased during 1 year in day-care participant group. (4) Lower grade ADL, namely disability itself in the elderly is the elderly is the risk of subsequent death independently from diseases themselves (Lancet, 1999). (5) Not only physical disabilities, but cognitive imairment measured by mini-mental State Examination is also a significant risk for subsequent death in older elderly subjects more than 75 years of age. (6) Community-based geriatric intervention may not only improve self-care independence in the elderly, but also may lower the increasing rage of medical expenses for communty-dwelling older people in Japan (JAGS, 1998).

Report

(4 results)
  • 1999 Annual Research Report   Final Research Report Summary
  • 1998 Annual Research Report
  • 1997 Annual Research Report
  • Research Products

    (35 results)

All Other

All Publications (35 results)

  • [Publications] Matsubayashi K: "Frailty in elderly Japanese"Lancet. 353. 1445-1445 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Okumiya K: "The timed "Up & Go"test and manual button score are useful predictors of functional decline in basic ADL and instumental ADL in community-dwelling older people"J Am Geriatr Soc. 47. 497-498 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Okumiya K: "A u-shaped association between home systolic blood pressure and four-year mortality in community-dwelling older men.S"J Am Geriatr Soc. 47. 1415-1421 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Matsubayashi K: "Improvement in self-care may lowere the increasing rate of medical expenses for community-dwelling older people in Jpan"J Am Geriatr Soc. 46. 1484-1485 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Osaki Y: "Post-stroke hypertension correlates with neurologic recovery in patients with acute ischemic stroke"Hypertens Res. 21. 169-173 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Okumiya K: "The timed "Up & Go"test is a useful predictor of falls in ommunity-dwelling older people"J Am Geriatr Soc. 46. 928-929 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Wada T., Matsubayashi K., Okumiya K., Kimura S., Osaki Y., Doi Y., Ozawa T.: "Serum cholesterol levels and congnitive function assessed by P300 latencies in an older 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
      1999 Final Research Report Summary
  • [Publications] Matsubayashi K., Okumiiya K., Wada T., Osaki Y., Doi Y., Ozawa T.: "Congnitive and functional status of the Japanese oldest old."J Am Geriatr Soc. 45. 385-386 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Matsubayashi K., Okumiya K., Wada T., Doi Y., Ozawa T.,: "Home-blood pressure control in Japanese hypertensive population"Lancet. 350. 290-291 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Matsubayashi K., Okumiya K., Nakamura T., Fujisawa M., Osaki Y.: "Global burden of disease"Lancet. 350. 144-144 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Matsubayashi K., Okumiya K., Wada T., Osaki Y., Fujisawa M., Doi Y., Ozawa T.: "Postural dysregulation in systolic blood pressure is associated with worsened scoring on neurobehavioral function tests and leukoaraiosis in the older elderly living in a community."Stroke. 28. 2169-2173 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Matsubayashi K., Okumiya K., Osaki Y., Fujisawa M. Doi Y.: "Quality of life of old people living in the community."Lncet. 350. 1521-1522 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Okumiya K., Matsubayashi, Wada T., Osaki Y. Doi Y., Ozawa T.: "J-curve relation between blood pressure and decline in cognitive function in older people ;living in community, Japan."J Am Geriatr Soc. 45. 1032-1033 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Matsubayashi K., Okumiya K., Wada T., Osaki Y., Fujisawa M., Doi Y., Ozawa T.: "Improvement in self-care independence may lower the increasing rate of medical expenses for community-dwelling older people in Japan."J Am Geriatr Soc. 46. 1484-1485 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Okumiya K., Matsubayashi K., Nakamura T., Fujisawa M., Osaki Y., Doi Y., Ozawa T.: "The timed "Up & Go" test is a useful predictor of falls in community-dwelling older people."J Am Geriatr Soc. 46. 928-929 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Matsubayashi K., Okumiya K., Osaki Y., Fujisawa M., Doi Y: "Frailty in elderly Japanese."Lancet. 353. 1445-1445 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Okumiya K., Matsubayashi K., Wada T., Osaki Y., Fujisawa M., Doi Y., Ozawa T.: "The timed "Up and Go" test and manual button score are useful predictors of functional decline in basic and instrumental ADL in community-dwelling older people."J Am Geriatr Soc. 47. 497-498 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Okumiya K. Matsubayashi K., Wada T., Fujisawa M., Osaki Y., Doi Y., Yasuda N., Ozawa T.: "A u-shaped association between home systolic blood pressure and four-year mortality in community-dwelling older men."J Am Geriatr Soc. 47. 1415-1421 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Matsubayashi K: "Frailty in elderly Japanese"Lancet. 353. 1445-1445 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Okumiya K: "The timed "Up & Go"test and manual button score are useful predictors of functional decline in basic ADL and instrumental ADL in comminity-dwelling older people."J Am Geriatr Soc. 47. 497-498 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Okumiya K: "A u-shaped association between home systolic blood pressure and four-year mortalituy in community-dwelling older men S"J Am Geriatr Soc. 47. 1415-1421 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Mtsubayashi K: "Improvement in self-care may lowere the increasing rate of midical expenses for comminity-dwelling older people in Japan/"J Am Geriatr Soc. 46. 1484-1485 (1998)

    • Related Report
      1999 Annual Research Report
  • [Publications] Osaki Y: "Post-stroke hypertension correlates with neurologic recevery in patients with acute ischemic stroke"Hyoertens Res. 21. 169-173 (1998)

    • Related Report
      1999 Annual Research Report
  • [Publications] Okumiya K: "The timed "Up & Go"test is a useful predictor of falls in comminity-dwelling older people."J Am Geriatr Soc. 46. 928-929 (1998)

    • Related Report
      1999 Annual Research Report
  • [Publications] Matsubayashi K: "Improvement in self-care may lowere the incresing rate of medical expenses for community-dwelling older people in Japan" J Am Geriatr Soc. 46. 1484-1485 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Okumiya K: "The timed "up&go" test is a useful predictor of falls in comminity-dwelling older people" J Am Geroatr Soc. 46. 928-929 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 松林公蔵: "地域在住老年者のADLとQOLに関する経年変化" Geriatr Med. 36. 590-591 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 松林公蔵: "老年者の包括的健康度-特に地域在住老年者を対象として-" BIO Clinica. 13. 772-775 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 松林公蔵: "地域在住老年者の包括的健康維持のためのシステム構築に関する研究" Geriatr Med. 36. 1797-1802 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Matsubayashi K: "Cognitive and functional status of the Japanese oldest old" J Am Geriatr Soc. 45. 385-386 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Okumiya K: "J-curve relation between blood pressure and congnitive function in older people living in community,Japan." J Am Geriatr Soc. 45. 1032-1033 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Matsubayashi K: "Home blood-pressure control in Japanese hypertensive population." Lancet. 350. 290-291 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Matsubayashi K: "Global burden of disease." Lancet. 350. 144-144 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Matsubayashi K: "Quality of life of old people living in the community." Lancet. 350. 1521-1522 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Matsubayashi K: "Postural dysregulation in systolic blood pressure is associated with worsened scoring on neurobehavioral function tests and leukoaraiosis in the older elderly living in a community" Stroke. 28. 2169-2173 (1997)

    • Related Report
      1997 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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