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A development of overall health promotion program for community-dwelling frail elderly in the Japanese long-term care insurance system

Research Project

Project/Area Number 14580075
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field 体育学
Research InstitutionTokyo Metropolitan Foundation for Research on Aging and Promotion of Human Welfare

Principal Investigator

KIM Hunkyung  Tokyo Metropolitan Foundation for Research on Aging and Promotion of Human Welfare, Epidemiology and Health Promotion, Research Scientist, 東京都老人総合研究所・疫学・福祉・政策研究グループ, 主任研究員 (20282345)

Co-Investigator(Kenkyū-buntansha) YUKAWA Harumi  Kokugakuin University, Associate Professor, 家政学科, 助教授 (00260307)
SUZUKI Takao  Tokyo Metropolitan Foundation for Research on Aging and Promotion of Human Welfare, Epidemiology and Health Promotion, Vice Director, 福祉振興財団・東京都老人総合研究所・疫学・福祉・政策研究グループ, 副所長 (30154545)
YOSHIDA Hideyo  Tokyo Metropolitan Foundation for Research on Aging and Promotion of Human Welfare, Epidemiology and Health Promotion, Research Scientist, 福祉振興財団・東京都老人総合研究所・疫学・福祉・政策研究グループ, 主任研究員 (00242735)
TAKESHIMA Nobuo  Nagoya City University, Associate Professor, 自然科学研究センター, 助教授 (00137126)
Project Period (FY) 2002 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥3,300,000 (Direct Cost: ¥3,300,000)
Fiscal Year 2003: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2002: ¥2,300,000 (Direct Cost: ¥2,300,000)
KeywordsLong-term care insurance / Frail elderly / Activities of daily living / Fear of falling / Activity curtailment / Dependence / 活動制限 / 要支援者
Research Abstract

The purpose of this study was to clarify the exercise habits, self-rated functional fitness, activities of daily living (ADL) and fear of falling in community-dwelling elderly who are classified as frail by eligibility decision process of the Japanese long-term care insurance system.
The subjects who aged were 75 years and older, classified into frail elderly group (n=126; ma1e=29,female=97) and healthy elderly group (n=262; male=114,female=148). We had carried out an interview survey using questionnaire asking about exercise habits, self-rated functional fitness, ADL, fear of falling and activity curtailment. The survey was carried out by door-to-door method and data were collected from November to December 2000.
Respondent who answered no practice exercise was higher in the frail group than in the healthy group. Among the self-rated functional fitness items, endurance, muscular strength and flexibility were comparatively low in the frail group. The rate of basic ADL dependence was higher in bathing (male=65.5%, female=84.5%) and walking (male=72.4%, female=79.4%), for both sexes of the frail group. Also, the rate of instrumental ADL dependence was much higher in the frail group than in the healthy group. The 93.1% in male and 93.8% in female among frail elderly had fear of falling. Of those who are afraid, 66.7% in male and 60.4% in female had curtailed from going out due to this fear.
Our findings suggest that an intervention programs is needed to improve bathing and walking ability as well as social support for the frail elderly. Self-rated fear of falling was significantly associated with activity curtailment in frail elderly.

Report

(3 results)
  • 2003 Annual Research Report   Final Research Report Summary
  • 2002 Annual Research Report
  • Research Products

    (30 results)

All Other

All Publications (30 results)

  • [Publications] 金憲経: "高齢者の転倒予防の最新知識"Community Care. 04. 26-31 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 金憲経, 吉田英世, 胡秀英, 鈴木隆雄: "地域高齢者の転倒予防を目指す介入プログラムとその成果"理学療法京都. 31. 26-32 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 金憲経: "高齢者の転倒予防"臨床スポーツ医学. 20. 1339-1341 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 金憲経, 鈴木隆雄: "運動指導-骨密度の維持・増加,転倒予防の観点から-"今月の治療. 11. 64-68 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 金憲経, 胡秀英, 吉田英世, 湯川晴美, 鈴木隆雄: "介護保険制度における後期高齢要支援者の生活機能の特徴"日本公衆衛生雑誌. 50. 446-455 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Hunkyung Kim, Takao Suzuki, Hajime Iwasa, Hideyo Yoshida: "A prospective study of the affects of regular sports practice on mortality among the elderly in a rural community in Japan : An 8-year follow-up study"Geriatrics Gerontology International. 3S. 815-820 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 共著(分担者:金憲経): "包括的なプラン作成のために介護予防完全マニュアル"東京都高齢者研究・福祉振興財団. 62-88 (2004)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Hunkyung Kim: "New information for fall prevention in elderly."Community Care. 04(7). 26-31 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Hunkyung Kim, Yoshida Hideyo, Xiuying Hu, Takao Suzuki: "Intervention trial for fall prevention in community-dwelling elderly."Physical Theraphy Kyoto. 31. 26-32 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Hunkyung Kim: "Prevention of falls in the elderly."The Journal of Clinical Sports Medicine. 20(11). 1339-1341 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Hunkyung Kim, Xiuying Hu, Hideyo Yoshida, Yukawa Harumi, Takao Suzuki: "Functional status of community-dwelling frail elderly in the Japanese long-term care insurance system."Japanese Journal of Public Health. 50(5). 446-455 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Takao Suzuki, Hideyo Yoshida, Hunkyung Kim, Harumi Yukawa, et al.: "Walking Speed as a good predictor for maintenance of I-ADL among the rural community elderly in Japan : A 5-year follow-up study from TMIG-LISA."Geriatrics Gerontology International. 3S. S6-S14 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Hunkyung Kim, Takao Suzuki, Hajime Iwasa, Hideyo Yoshida: "A prospective study of the effects of regular sports practice on mortality among the elderly in a rural community in Japan : An 8-year follow-up study."Geriatrics Gerontology International. 3S. S15-S20 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Hideyo Yoshida, Takao Suzuki, Hunkyung Kim, Harumi Yukawa, et al.: "Effects of osteoporotic fractures on quality of life-related variables in the community elderly in Japan : An 8-year follow-up study in TMIG-LISA."Geriatrics Gerontology International. 3S. S50-S54 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Yoshinori Fujiwara, Shoji Shinkai, Shu Kumagai, Hidenori Amano, Yuko Yoshida, Hideyo Yoshida, Hunkyung Kim, Takao Suzuki, et al.: "Changes in TMIG-index of competence by subscale in Japanese urban and rural community older populations : Six years prospective study."Geriatrics Gerontology International. 3S. S63-S68 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Fujiwara Y, Shinkai S, Kumagai S, Amano H, Yoshida Y, Yoshida H, Kim H, Suzuki T, Ishizaki T, Haga H, Watanabe S, Shibata H: "Longitudinal changes in higher-level functional capacity of older population living in a Japanese urban community."Archives Gerontology and Geriatrics. 36. 141-153 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Yoshinori Fujiwara, Shoji Shinkai, Shu Kumagai, Hidenori Amano, Yuko Yoshida, Hideyo Yoshida, Hunkyung Kim, Takao Suzuki, et al.: "Impact of history or onset of chronic medical conditions on higher-level functional capacity among older community-dwelling Japanese adults."Geriatrics Gerontology International. 3S. S69-S77 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 鈴木隆雄, 岩佐一, 吉田英世, 金憲経, ほか11名: "地域高齢者を対象とした要介護予防のための包括的(「お達者健診」)についての研究-受診者と非受診者の特性について-"日本公衆衛生雑誌. 50・1. 39-48 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 金憲経, 胡秀英, 吉田英世, 湯川晴美, 鈴木隆雄: "介護保険制度における後期高齢要支援者の生活機能の特徴"日本公衆衛生雑誌. 50・5. 446-455 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 金憲経: "高齢者の転倒予防"臨床スポーツ医学. 20・11. 1339-1341 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] T Suzuki, H Yoshida, H Kim, H Yukawa, et al.: "Walking Speed as a good predictor for maintenance of I-ADL among the rural community elderly in Japan : A 5-year follow-up study from TMIG-LISA"Geriatrics Gerontology International. 3S. S6-S14 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] H Yoshida, T Suzuki, H Kim, H Yukawa, et al.: "Effects of osteoporotic fractures on quality of life-related variables in the community elderly in Japan : An 8-year follow-up study in TMIG-LISA"Geriatrics Gerontology International. 3S. S50-S54 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Hunkyung Kim, Takao Suzuki, Hajime Iwasa, Hideyo Yoshida: "A prospective study of the effects of regular sports practice on mortality among the elderly in a rural community in Japan : An 8-year follow-up study"Geriatrics Gerontology International. 3S. S15-S20 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 金憲経(分担者)共著: "包括的なプラン作成のために介護予防完全マニュアル"東京都高齢者研究・福祉振興財団. 62-88 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 金 憲経: "高齢者の転倒予防の最新知識"Community Care. 4・7. 26-31 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 鈴木隆雄, 金憲経, 吉田英世: "高齢者の転倒予防の最新知識"Aging & Health. 11・3. 20-21 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 金憲経, 吉田英世, 胡秀英, 鈴木隆雄: "地域高齢者の転倒予防を目指す介入プログラムとその成果"理学療法京都. 31. 26-32 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 鈴木隆雄, 吉田英世, 金憲経, 他: "地域高齢者を対象とした要介護予防のための「お達者健診」についての研究"日本公衆衛生雑誌. 50・1. 39-48 (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] 田中由夫, 田中喜代次, 金憲経, 他: "減量に伴う四肢・体幹別にみた身体組成の変化"体育学研究. 48・1. 27-35 (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] 金憲経, 胡秀英, 吉田英世, 鈴木隆雄他: "介護保険制度における後期高齢要支援者の生活機能の特徴"日本公衆衛生雑誌. (印刷中).

    • Related Report
      2002 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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