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Development of physiological or biochemical predictors of cognitive decline among community - dwelling older adults

Research Project

Project/Area Number 17590568
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Public health/Health science
Research InstitutionTokyo Metropolitan Institute of Gerontology

Principal Investigator

FUJIWARA Yoshinori  Tokyo Metropolitan Institute of Gerontology, Tokyo Metropolitan Foundation for Research on Aging and Promotion of Human Welfare, Tokyo Metropoli, Sub-leader (50332367)

Co-Investigator(Kenkyū-buntansha) SHINKAI Shouji  Tokyo Metropolitan Foundation for Resaeach on Agings, and Promition of Human Welfare, Tokyo Metropolitan Institute of Gerontology, Leader (60171063)
AMANO Hidenori  Tokyo Metropolitan Foundation for Resaeach on Agings, and Promition of Human Welfare, Tokyo Metropolitan Institute of Gerontology, Research Assistant (90260306)
UCHIDA Hayato  University of Hyogo, School of Human Science and Environment, Associate Professor (50213442)
Project Period (FY) 2005 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥3,760,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥360,000)
Fiscal Year 2007: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2006: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 2005: ¥1,000,000 (Direct Cost: ¥1,000,000)
Keywordscognitive decline / screening / physiological marker / biochemical marker / prevention of disability
Research Abstract

Objective: To Develop physiological or biochemical predictors for cognitive decline among community-dwelling older adults
Methods: The study population included 382 community-dwelling Japanese person ages 70 years and older who participated in a comprehensive health examination June 2004. In addition to conventional medical examination such as blood pressure and routine blood analyses, cognitive function was tested using the Mini-Mental State Examinations (MMSE) and phonological and semantic verbal fluency tests. Also, we examined brachial-ankle pulse wave velocity (baPWV) which is an independent predictor of cardiovascular diseases and serum β_2-microglobulin (β_2-M) which is an independent predictor of total mortality. Results: Poor cognitive function (MMSE<24; phonological verbal fluency test<12 words) was independently associated with the middle tertile of baPWV (1750-2070 cm/sec) by cross-sectional analysis (odds ratio =9.66, 95% confidence interval = 1.15 to 80.93; odds ratio =1.73, 95% confidence interval = 1.10 to 2.74, respectively) but was not significant by 3-year follow-up. On the other hand, high concentration of β_2-M (≧1.5 mg/dL) was an independent predictor of poor phonological verbal fluency (odds ratio =2.09, 95% confidence interval = 1.04 to 4.21).
Conclusion: higher β_2-M might contribute to the subsequent poor phonological verbal fluency.

Report

(4 results)
  • 2007 Annual Research Report   Final Research Report Summary
  • 2006 Annual Research Report
  • 2005 Annual Research Report
  • Research Products

    (43 results)

All 2008 2007 2006 2005

All Journal Article (31 results) (of which Peer Reviewed: 12 results) Presentation (10 results) Book (2 results)

  • [Journal Article] Predictors of improvement or decline in instrumental activities of daily living among community-dwelling older Japanese.2008

    • Author(s)
      Fujiwara Y, Yoshida H, Amano H, et. al.
    • Journal Title

      Gerontology (掲載確定)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Intergenerational health promotion program for older adults "REPRINTS" : the experience and its 21 months effects2008

    • Author(s)
      Fujiwara Y, Sakuma N, Ohba H, et. al.
    • Journal Title

      Journal of Intergenerational Relationship (掲載確定)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Predictors of improvement or decline in instrumental activities of daily living among community-dwelling older japanese.2008

    • Author(s)
      Fujiwara Y, Yoshida H, Amano H, et. al.
    • Journal Title

      Gerontorlogy (in press)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Intergenerational health promotion program for older adults "REPRINTS": the experience and its 21 months effects2008

    • Author(s)
      fujiwara Y, Sakuma N, Ohba H, et. al.
    • Journal Title

      Journal of Intergenerational Relationship (in press)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 世代間交流がもたらすシニア世代の健康といきがい2008

    • Author(s)
      藤原 佳典
    • Journal Title

      生きがい研究 14

      Pages: 76-101

    • Related Report
      2007 Annual Research Report
  • [Journal Article] Intergenerational health promotion program for older adults"REPRINTS":the experience and its 21 months effects2008

    • Author(s)
      Fujiwara Y, Sakuma N, Ohba H, et. al.
    • Journal Title

      Journal of Intergenerational Relationship (掲載確定)

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Beta2-microglobulin for risk stratification of total mortality in the elderly.Comparison to cystatin C and C-reactive protein.2007

    • Author(s)
      Shinkai S, Chaves PHM, Fujiwara Y, et. al.
    • Journal Title

      Archives of Internal Medicine 168

      Pages: 200-206

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] 児童の高齢者イメージに影響を及ぼす要因."REPRINTS"ボランティアとの交流頻度の多寡による推移分析から2007

    • Author(s)
      藤原佳典, 西真理子, 渡辺直紀, 他
    • Journal Title

      日本公衆衛生雑誌 54

      Pages: 615-625

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Beta2-microglobulin for risk startification of total mortality in the elderly. Comparison to cystatin C and C-reactive protein.2007

    • Author(s)
      Shinkai S, Chaves PHM, Fujiwara Y, et. al.
    • Journal Title

      Archive of Internal Medicine 168

      Pages: 200-206

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Regulatory factors for images of the elderly among elementary school students assessed through secular trend analyses by frequency of inter-exchange with "REPRINTS" senior volunteers2007

    • Author(s)
      Fujiwara Y, Watanabe N, Nishi M, et. al.
    • Journal Title

      Nippon Koshu Eisei Zasshi. 54

      Pages: 615-25

    • NAID

      10019819998

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 児童の高齢者イメージに影響を及ぼす要因."REPRINTS"ボランティアとの交流頻度の多寡による推移分析から2007

    • Author(s)
      藤原 佳典, 西真 理子, 渡辺 直紀, 他
    • Journal Title

      日本公衆衛生雑誌 54

      Pages: 615-625

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 高齢者の世代間交流型ヘルスプロモーションプログラムーシニア読み聞かボランティア"REPRINTS"-の活動と効果2007

    • Author(s)
      藤原 佳典
    • Journal Title

      コミュニティケア 9

      Pages: 60-64

    • Related Report
      2007 Annual Research Report
  • [Journal Article] Beta2-microglobulin for risk stratification of total mortality in the elderly.Comparison to cystatin C and C-reactive protein.2007

    • Author(s)
      Shinkai S., Chases PHM, Fujiwara Y., et. al.
    • Journal Title

      Archives of Internal Medicine 168

      Pages: 200-206

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 団塊世代の退職による地域保健活動への影響-2007年、黒船来航か?-2007

    • Author(s)
      藤原佳典
    • Journal Title

      保健師ジャーナル 63・2

      Pages: 108-113

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 介護予防事業の経済的側面からの評価-介護予防事業参加群と非参加群の医療・介護費用の推移分析-2007

    • Author(s)
      吉田裕人, 藤原佳典, 天野秀紀他
    • Journal Title

      日本公衆衛生雑誌 54・3

      Pages: 156-167

    • NAID

      10019500528

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 都市部高齢者による世代間交流型ヘルスプロモーションプログラム-"REPRINTS"の1年間の歩みと短期的効果-2006

    • Author(s)
      藤原佳典, 西真理子, 渡辺直紀, 他
    • Journal Title

      日本公衆衛生雑誌 53

      Pages: 702-714

    • NAID

      10018297861

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] 縦断的データから見た介護予防健診受診・非受診の要因.2006

    • Author(s)
      菅万理, 吉田裕人, 藤原佳典, 他
    • Journal Title

      日本公衆衛生雑誌 53

      Pages: 688-701

    • NAID

      10018297842

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] 在宅自立高齢者が介護保険申請に至る身体・心理・社会的要因-3年4ケ月の追跡研究から-2006

    • Author(s)
      藤原佳典, 天野秀紀, 熊谷修, 他
    • Journal Title

      日本公衆衛生雑誌 53

      Pages: 77-91

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] 介護予防事業の経済的側面からの評価-介護予防事業参加群と非参加群の医療・介護費用の推移分析-.2006

    • Author(s)
      吉田裕人, 藤原佳典, 天野秀紀, 他
    • Journal Title

      日本公衆衛生雑誌 53

      Pages: 156-167

    • NAID

      10019500528

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Longitudinal analysis of factors associated with participation in community-based mass screening for the frail elderly2006

    • Author(s)
      Kan M, Yoshida H, Fujiwara Y
    • Journal Title

      Nippon Koshu Eisei Zasshi. 53

      Pages: 688-701

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 高齢者によるボランティア活動の意義と心身の健康におよぼす影響-productivityとしての理論から実践的課題へ-2006

    • Author(s)
      藤原佳典
    • Journal Title

      秋田県公衆衛生雑誌 4・1

      Pages: 12-20

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 都市部高齢者による世代間交流型ヘルスプロモーションプログラム-"REPRINTS"の1年間の歩みと短期的効果-2006

    • Author(s)
      藤原佳典
    • Journal Title

      日本公衆衛生雑誌 53・9

      Pages: 702-714

    • NAID

      10018297861

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 団塊・シニアボランティアのエビデンス-高齢者による学校支援ボランティア「りぷりんと」の現場から(1)2006

    • Author(s)
      藤原佳典
    • Journal Title

      公衆衛生情報 36・5

      Pages: 20-23

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 縦断的データから見た介護予防健診受診・非受診の要因2006

    • Author(s)
      菅万理, 吉田裕人, 藤原佳典他
    • Journal Title

      日本公衆衛生雑誌 53・9

      Pages: 688-701

    • NAID

      10018297842

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 在宅自立高齢者が介護保険申請に至る身体・心理・社会的要因 -3年4ヶ月の追跡研究から-2006

    • Author(s)
      藤原佳典, 天野秀紀, 熊谷修, 他
    • Journal Title

      日本公衆衛生雑誌 53・2

      Pages: 77-91

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Arterial pulse wave velocity as a marker of poor cognitive function in an elderly community-living population2005

    • Author(s)
      Fujiwara Y, Chaves P, Takahashi R, et. al.
    • Journal Title

      Journal of Gerontology 60A・5

      Pages: 607-612

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Arterial pulse wave velocity as a marker of poor cognitive function in an elderly community-living population2005

    • Author(s)
      Fujiwara Y, Chaves P, Takahashi R, et al.
    • Journal Title

      Journal of Gerontology 60A・5

      Pages: 607-612

    • Related Report
      2005 Annual Research Report
  • [Journal Article] ボランティア活動が高齢者の心身の健康に及ぼす影響 -地域保健福祉における高齢者ボランティアの意義-2005

    • Author(s)
      藤原佳典, 杉原陽子, 新開省二
    • Journal Title

      日本公衆衛生雑誌 52・4

      Pages: 293-307

    • NAID

      10015560504

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 地域高齢者におけるタイプ別閉じこもりの出現頻度とその特徴2005

    • Author(s)
      新開省二, 藤田幸司, 藤原佳典
    • Journal Title

      日本公衆衛生雑誌 52・6

      Pages: 443-455

    • NAID

      10016591995

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 地域高齢者におけるタイプ別閉じこもりの予後-2年間の追跡研究-2005

    • Author(s)
      新開省二, 藤田幸司, 藤原佳典
    • Journal Title

      日本公衆衛生雑誌 52・7

      Pages: 627-638

    • NAID

      10016684715

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 地域高齢者におけるタイプ別閉じこもり発生の予測因子-2年間の追跡研究から-2005

    • Author(s)
      新開省二, 藤田幸司, 藤原佳典
    • Journal Title

      日本公衆衛生雑誌 52・10

      Pages: 874-885

    • NAID

      10016834586

    • Related Report
      2005 Annual Research Report
  • [Presentation] 地域在宅高齢者における血清β2-ミクログロブリンと認知機能低下の関連2008

    • Author(s)
      藤原佳典, 吉田裕人, 天野秀紀, 他
    • Organizer
      第18回日本疫学会学術総会
    • Place of Presentation
      東京
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] 世代間交流型社会貢献プログラム"REPRINTS"3年目の報告(1);心理・社会変数への影響2007

    • Author(s)
      藤原 佳典, 李 相侖, 大場 宏美, 他
    • Organizer
      第49回日本老年社会科学会大会
    • Place of Presentation
      札幌
    • Year and Date
      2007-06-20
    • Related Report
      2007 Annual Research Report
  • [Presentation] 地域高齢者における知的能動性の変化は手段的自立の維持・改善の予知因子となるか2007

    • Author(s)
      藤原佳典, 吉田裕人, 天野秀紀, 他
    • Organizer
      第49回日本老年医学会学術集会
    • Place of Presentation
      札幌
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] Changes in image toward the elderly among elementary school students through an intergenerational health promotion program by senior volunteers"REPRINTS"2007

    • Author(s)
      Fujiwara Y, Watanabe N, Nishi M, et. al.
    • Organizer
      The Gerontological Society of America 60^<th> annual Scientific Meeting
    • Place of Presentation
      San Francisco
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] Changes in image toward the elderly among elementary school student through an intergenerational health promotion program by senior volunteers "REPRINTS.2007

    • Author(s)
      Fujiwara Y, Watanabe N, Nishi M, et. al.
    • Organizer
      The Gerontological Society of America 60th annual Scientific Meeting
    • Place of Presentation
      San Francisco
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 高齢者による世代間交流型ヘルスプロモーションプログラム"REPRINTS"の開発と評価2007

    • Author(s)
      藤原 佳典
    • Organizer
      第66回日本公衆衛生学会総会・奨励賞講演
    • Place of Presentation
      松山
    • Related Report
      2007 Annual Research Report
  • [Presentation] 世代間交流型ヘルスプロモーションプログラム"REPRINTS"1.活動継続者と辞退者の比較2007

    • Author(s)
      藤原 佳典, 大場 宏美, 小宇 佐陽子, 他
    • Organizer
      第66回日本公衆衛生学会総会
    • Place of Presentation
      松山
    • Related Report
      2007 Annual Research Report
  • [Presentation] An Intergenerational health promotion program involving older adults in urban areas "Research of Productivity by Intergenerational Sympathy (REPRINTS)" first-year experience and short-term effects.2006

    • Author(s)
      Fujiwara Y, Nishi M, Watanabe N, et. al.
    • Organizer
      The 59th Annual Scientific Meeting of the Gerontological Society of America
    • Place of Presentation
      Dallas
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Predictors for the onset of application for long-term care insurance among elderly in Japanese community.2005

    • Author(s)
      Fujiwara Y, Amano H, Kumagai S, et. al.
    • Organizer
      The 18th Congress of the International Association of Gerontology
    • Place of Presentation
      Rio de Janeiro,Brazil
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Predictors for the onset of application for long-term care insurance among elderly in Japanese community.2005

    • Author(s)
      Fujiwara Y, Amano H, Kumagai S, et. al.
    • Organizer
      The 18th Congress of the International Association of Gerontology
    • Place of Presentation
      Rio de Janeiro, Brazi
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Book] 世代間交流プロジェクト・りぷりんと・ネットワーク(編著)、藤原佳典(監修)「子どもとシニアが元気になる絵本の読み聞かせガイド」2008

    • Author(s)
      世代間交流プロジェクト・りぷりんと・ネットワーク(編著), 藤原佳典(監修)
    • Total Pages
      279
    • Publisher
      株式会社 ライフ出版
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Book] 世代間交流プロジェクト・りぷりんと・ネットワーク(編著)、藤原佳典(監修)「子どもとシニアが元気になる絵本の読み聞かせガイド」2008

    • Author(s)
      世代間交流プロジェクト・りぷりんと・ネットワーク(編著), 藤原 佳典(監修)
    • Total Pages
      279
    • Publisher
      株式会社ライフ出版
    • Related Report
      2007 Annual Research Report

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Published: 2005-04-01   Modified: 2016-04-21  

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