Risk factors of depression among the community-dwelling elderly and a longitudinal study of intervention effects by group work

• Project/Area Number: 21590689
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Public health/Health science
• Research Institution: Kyoto University
• Principal Investigator: WADA Taizo 京都大学, 東南アジア研究所, 研究員 (90378646)
• Co-Investigator(Kenkyū-buntansha): MATSUBAYASHI Kozo 京都大学, 東南アジア研究所, 教授 (70190494) ; OKUMIYA Kiyohito 総合地球環境学研究所, 准教授 (20253346) ; NISHINAGA Masanori 高知大学, 教育研究部医療学系, 准教授 (50265245)
• Project Period (FY): 2009 – 2011
• Project Status: Completed (Fiscal Year 2011)
• Budget Amount: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000); Fiscal Year 2011: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000); Fiscal Year 2010: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000); Fiscal Year 2009: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
• Keywords: 抑うつ / 地域在住高齢者 / 運動療法 / 総合機能評価 / GDS-15 / 日常生活動作 / 危険因子 / 独居 / 孤食 / GDS / ケア付きマンション / 生存分析 / 老研式活動能力指 / 主観的QOL / 生命予後 / Cox比例ハザード / 頻度

Research Abstract

We clarified that lower intellectual activity, poor ability of communication, historyof fall, poor exercise habits and eating alone are the risk factors of depression amongthe community-dwelling elderly. Further, 15-item geriatric depression scale predicts8-year mortality in older Japanese. Although intervention program for depression suchas reminiscence and exercise did not show statistically significant effect, theproportion of depressive elderly was slightly declined.

Research Products

• [Journal Article] Eating Alone among Community-Dwelling Japanese Elderly : Association with Depression and Food Diversity (2012)
  • Author(s): Kimura Y, Wada T, Okumiya K, Ishimoto Y, Fukutomi E, Kasahara Y, Chen WL, Sakamoto R, Fujisawa M, Otsuka K, Matsubayashi K.
  • Journal Title: J Nutrition, Health and Aging
• [Journal Article] Fall Risk Index predicts functional decline regardless of fall experiences among community-dwelling elderly. (2012)
  • Author(s): Ishimoto Y, Wada T, Kasahara Y, et al.
  • Journal Title: Geriatr Gerontol Int Volume: 12(4) Issue: 4 Pages: 659-66
  • DOI: 10.1111/j.1447-0594.2012.00837.x
  • Peer Reviewed
• [Journal Article] Association between Geriatric Function and Subjective Economy among Elderly Living in a Rural Community in Japan (2012)
  • Author(s): Chen WL, Wada T, Ishimoto Y, Kimura Y, Fukutomi E, Imai H, Sakamoto R, Okumiya K, Otsuka K, Fujisawa M, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: 60(4) Issue: 4 Pages: 802-803
  • DOI: 10.1111/j.1532-5415.2012.03875.x
  • Peer Reviewed
• [Journal Article] Fall Risk Index (FRI-21) predicts functional decline regardless of fall experiences among community-dwelling elderly (2012)
  • Author(s): Ishimoto Y, Wada T, Kasahara Y, et al
  • Journal Title: Geriatr Gerontol Int Volume: (In press)
  • Peer Reviewed
• [Journal Article] Association between Geriatric Function and Subjective Economy among Elderly Living in a Rural Community in Japan (2012)
  • Author(s): hen WL, Wada T, Ishimoto Y, et al
  • Journal Title: J Am Geriatr Soc Volume: (In press)
  • Peer Reviewed
• [Journal Article] Eating Alone among Community-Dwelling Japanese Elderly : Association with Depression and Food Diversity (2012)
  • Author(s): mura Y, Wada T, Okumiya K, et a
  • Journal Title: J Nutrition, Health and Aging Volume: (In press)
  • Peer Reviewed
• [Journal Article] Fifteen-item geriatric depression scale predicts 8-year mortality in older Japanese (2011)
  • Author(s): Wada T, Kasahara Y, Ishimoto Y, Fukutomi E, Kimura Y, Imai H, Chen WL, Sakamoto R, Ishine M, Fujisawa M, Okumiya K, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: 59(11) Pages: 2159-2160
• [Journal Article] Subjective quality of life in older community-dwelling adults in the kingdom of Bhutan and Japan (2011)
  • Author(s): Sakamoto R, Okumiya K, Dorji N, Dorji T, Lhadon K, Lhamo S, Rinchen S, Ishine M, Wada T, Fujisawa M, Otsuka K, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: 59(11) Issue: 11 Pages: 2157-2159
  • DOI: 10.1111/j.1532-5415.2011.03638.x
  • Peer Reviewed
• [Journal Article] Strong association between polycythemia and glucose intolerance in older adults living at high altitudes in the Andes (2011)
  • Author(s): Okumiya K, Matsubayashi K
  • Journal Title: J Am Geriatr Soc Volume: 59(10) Issue: 10 Pages: 1971-1973
  • DOI: 10.1111/j.1532-5415.2011.03610_8.x
  • Peer Reviewed
• [Journal Article] Self-rated happiness is associated with functional ability, mood, quality of life and income, but not with medical condition in community-dwelling elderly in Japan (2011)
  • Author(s): Hirosaki M, Ishimoto Y, Kasahara Y, Konno A, Kimura Y, Fukutomi E, Ling CW, Nakatsuka M, Fujisawa M, Sakamoto R, Ishine M, Okumiya K, Otsuka K, Wada T, Matsubayashi K.
  • Journal Title: Geriatr Gerontol Int Volume: 11(4) Issue: 4 Pages: 531-533
  • DOI: 10.1111/j.1447-0594.2011.00697.x
  • NAID: 10030468811
  • Peer Reviewed
• [Journal Article] Field Medicine for reconsidering "Optimal Ageing" (2011)
  • Author(s): Matsubayashi K, Okumiya K
  • Journal Title: J Am Geriatr Soc Volume: 59(8) Issue: 8 Pages: 1568-1570
  • DOI: 10.1111/j.1532-5415.2011.03528.x
  • Peer Reviewed
• [Journal Article] Fifteen-item geriatric depression scale predicts 8-year mortality in older Japanese (2011)
  • Author(s): Wada T, Kasahara Y, Ishimoto Y, et al
  • Journal Title: J Am Geriatr Soc Volume: 59(11) Issue: 11 Pages: 2159-60
  • DOI: 10.1111/j.1532-5415.2011.03635.x
  • Peer Reviewed
• [Journal Article] Strong association between polycythemia and glucose intolerance in elderly high-altitude dwellers in Asia (2010)
  • Author(s): Okumiya K, Sakamoto R, Kimura Y, Ishimoto Y, Wada T, Ishine M, Ishikawa M, Nakajima S, Hozo R, Ge RL, Norboo T, Otsuka K, Matsubayashi K.
  • Journal Title: Am Geriatr Soc Volume: 58(3) Pages: 609-611
• [Journal Article] Community-based geriatric assessment and preventive intervention lowered medical expenses for the elderly (2010)
  • Author(s): Matsubayashi K, Wada T, Ishine M, Sakamoto R, Okumiya K, Ishikawa M, Yamanaka G, Yamamoto N, Otsuka K, Nishinaga M, Doi Y, Murakami S, Fujisawa M, Yano S.
  • Journal Title: J Am Geriatr Soc Volume: 58(4) Pages: 791-793
• [Journal Article] Diabetes mellitus and hypertension in elderly highlanders in Asia (2010)
  • Author(s): Okumiya K, Sakamoto R, Kimura Y, Ishimoto Y, Wada T, Ishine M, Ishikawa M, Nakajima S, Hozo R, Ge RL, Norboo T, Otsuka K, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: 58(6) Pages: 1193-1195
• [Journal Article] Self-rated health and comprehensive geriatric functions in community-living elderly in Japan (2010)
  • Author(s): Hirosaki M, Ishimoto Y, Kasahara Y, Konno A, Kimura Y, Fukutomi E, Chen WL, Nakatsuka M, Fujisawa M, Ishine M, Okumiya K, Otsuka K, Wada T, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: 58(1) Pages: 207-209
• [Journal Article] Mood disorders in the community-dwelling elderly in Asia (2010)
  • Author(s): Matsubayashi K, Wada T, Ishine M, Sakamoto R, Okumiya K, Otsuka K
  • Journal Title: J Am Geriatr Soc Volume: 58(1) Pages: 213-214
• [Journal Article] Community-based geriatric assessment and preventive intervention lowered medical expenses for the elderly. (2010)
  • Author(s): Matsubayashi K, Wada T, et al.
  • Journal Title: J Am Geriatr Soc Volume: 58 Pages: 791-793
  • Peer Reviewed
• [Journal Article] Diabetes mellitus and hypertension in elderly highlanders in Asia. (2010)
  • Author(s): Okumiya K, Wada T., et al.
  • Journal Title: J Am Geriatr Soc Volume: 58 Pages: 1193-1195
  • Peer Reviewed
• [Journal Article] Mood disorders in the community-dwelling elderly in Asia (2010)
  • Author(s): Matsubayashi K, Wada T, et al.
  • Journal Title: J Am Geriatr Soc. 58 Pages: 213-214
  • Peer Reviewed
• [Journal Article] Self-rated health and comprehensive geriatric functions in community-living elderly in Japan (2010)
  • Author(s): Hirosaki M, Ishimoto Y, et al.
  • Journal Title: J Am Geriatr Soc. 58 Pages: 1132-1133
  • Peer Reviewed
• [Journal Article] Twenty-one-item Fall Risk Index Predicts Falls in Community-dwelling Japanese Elderly. (2010)
  • Author(s): Wada T, Ishimoto Y, et al.
  • Journal Title: J Am Geriatr Soc. 57 Pages: 2369-2371
  • Peer Reviewed
• [Journal Article] Twenty-one-item Fall Risk Index Predicts Falls in Community-dwelling Japanese Elderly (2009)
  • Author(s): Wada T, Ishimoto Y, Hirosaki M, Konno A, Kasahara Y, Kimura Y, Nakatsuka H, Sakamoto R, Ishine M, Okumiya K, Fujisawa M, Otsuka K, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: 57(12) Pages: 2369-2371
• [Journal Article] Community-dwelling elderly Japanese people with hobbies are healthier than those lacking hobbies (2009)
  • Author(s): Hirosaki M, Ishimoto Y, Kasahara Y, Kimura Y, Konno A, Sakamoto R, Nakatsuka M, Ishine M, Wada T, Okumiya K, Fujisawa M, Otsuka K, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: 57(6) Pages: 1132-1133
• [Journal Article] Health-related differences between participants and nonparticipants in community-based geriatric examinations (2009)
  • Author(s): Ishimoto Y, Wada T, Hirosaki M, Kasahara Y, Kimura Y, Konno A, Nakatsuka M, Ishine M, Okumiya K, Fujisawa M, Otsuka K, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: 57(2) Pages: 360-362
• [Journal Article] Age and sex significantly influence fall risk in community-dwelling elderly people in Japan (2009)
  • Author(s): Ishimoto Y, Wada T, Hirosaki M, Kasahara Y, Kimura Y, Konno A, Nakatsuka M, Sakamoto R, Ishine M, Okumiya K, Fujisawa M, Otsuka K, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: 57(5) Pages: 930-932
• [Journal Article] Community-dwelling elderly with chewing difficulties are more disabled, depressed and have lower quality of life scores (2009)
  • Author(s): Kimura Y, Wada T, Ishine M, Ishimoto Y, Kasahara Y, Hirosaki M, Konno A, Nakatsuka M, Sakamoto R, Okumiya K, Otsuka K, Matsubayashi K.
  • Journal Title: Geriatr Gerontol Int Volume: 9(1) Pages: 102-104
  • NAID: 10025226393
• [Journal Article] Food diversity is closely associated with activities of daily living, depression, and quality of life in community-dwelling elderly people (2009)
  • Author(s): Kimura Y, Wada T, Ishine M, Ishimoto Y, Kasahara Y, Konno A, Nakatsuka M, Sakamoto R, Okumiya K, Fujisawa M, Otsuka K, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: 57(5) Pages: 922-924
• [Journal Article] Health-related differences between participants and nonparticipants in community-based geriatric examintions. (2009)
  • Author(s): Ishimoto Y, Wada T, et al.
  • Journal Title: J Am Geriatr Soc. 57 Pages: 360-362
  • Peer Reviewed
• [Journal Article] Age and sex significantly influence fall risk in community-dwelling elderly people in Japan. (2009)
  • Author(s): Ishimoto Y, Wada T, et al.
  • Journal Title: J Am Geriatr Soc. 57 Pages: 930-932
  • Peer Reviewed
• [Journal Article] Community-dwelling elderly with chewing difficulties are more disabled, depressed and have lower quality of life scores. (2009)
  • Author(s): Kimura Y, Wada T, et al.
  • Journal Title: Geriatr Gerontol Int 9 Pages: 102-104
  • NAID: 10025226393
  • Peer Reviewed
• [Journal Article] Food diversity is closely associated with activities of daily living, depression, and quality of life in community-dwelling elderly people. (2009)
  • Author(s): Kimura Y, Wada T, et al.
  • Journal Title: J Am Geriatr Soc. 57 Pages: 922-924
  • Peer Reviewed
• [Journal Article] Community-dwelling elderly Japanese people with hobbies are healthier than those lacking hobbies. (2009)
  • Author(s): Hirosaki M, Ishimoto Y, et al.
  • Journal Title: J Am Geriatr Soc. 57 Pages: 1132-1133
  • Peer Reviewed
• [Journal Article] Community-dwelling elderly fallers in Japan are older, more disabled, and more depressed than non fallers (2008)
  • Author(s): Wada T, Ishine M, Ishimoto Y, Hirosaki M, Kimura Y, Kasahara Y, Okumiya K, Nishinaga M, Otsuka K, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: 56(8) Pages: 1570-1571
• [Journal Article] Lifestyle changes after oral glucose tolerance test improve glucose intolerance in community-dwelling elderly people after 1 year (2008)
  • Author(s): Okumiya K, Ishine M, Wada T, Fujisawa M, Otsuka K, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: 56(4) Pages: 767-769
• [Journal Article] Improvement in obesity and glucose tolerance in elderly people after lifestyle changes 1 year after an oral glucose tolerance test in a rural area in Lao People's Democratic Republic (2008)
  • Author(s): Okumiya K, Ishine M, Wada T, Fujisawa M, Pongvongsa T, Siengsounthone L, Xyavong X, Boupha B, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: 56(8) Pages: 1582-1583
• [Journal Article] Subjective sleep disturbances were closely associated with comprehensive geriatric functions in dose-responsive manner in the community-dwelling elderly people in Japan (2008)
  • Author(s): Ishine M, Okumiya K, Kimura Y, Kasahara Y, Wada T, Yamanaka G, Hotta N, Otsuka K, Murakami S, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: 56(8) Pages: 1571-1573
• [Journal Article] Lifestyle changes after OGTT improve glucose intolerance in community dwelling elderly people after one year (2008)
  • Author(s): Okumiya K, Ishine M, Wada T, Fujisawa M, Otsuka K, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: 56(4) Pages: 767-769
• [Presentation] Humanosphere index : Beyond the Hunan Development Index (2011)
  • Author(s): Wada T、Sato T
  • Organizer: The 5th international conference In search of Sustainable Humanosphere in Asia and Africa
  • Place of Presentation: 京都大学(京都)
  • Year and Date: 2011-12-06
• [Presentation] Human sphere Index-Beyond the Human Development Index-"Asian and African Perspectives of Sustainable Human sphere" (2011)
  • Author(s): Sato T, Wada T.
  • Organizer: The 5th G-COE International Conference
  • Place of Presentation: Kyoto
• [Presentation] 抑うつは生命予後と関連するか?-都市部ケア付きマンションにおける検討- (2010)
  • Author(s): 和田泰三, 他
  • Organizer: 日本老年医学会学術集会
  • Place of Presentation: 神戸市・神戸国際会議場
  • Year and Date: 2010-06-26
• [Presentation] 抑うつは生命予後と関連するか?-都市部ケア付きマンションにおける検討- (2010)
  • Author(s): 和田泰三, 他
  • Organizer: 日本老年医学会学術集会総会
  • Place of Presentation: 神戸
• [Presentation] How to assess the sustainability of our human sphere Towards the development of humanosphere index- (2009)
  • Author(s): Sato T, Wada T.
  • Organizer: The Second COE International Workshop
  • Place of Presentation: Kyoto
• [Presentation] 地域在住高齢者の転倒歴・転倒スコアとうつ傾向との関連 (2008)
  • Author(s): 和田泰三, 他
  • Organizer: 日本老年医学会学術集会総会
  • Place of Presentation: 千葉
• [Book] 生存基盤指数.人間開発指数を超えて (2012)
  • Author(s): 佐藤孝宏・和田泰三・杉原薫・峰陽一
  • Total Pages: 291
  • Publisher: 京都大学出版会
• [Book] 生存基盤指数:人間開発指数を超えて(講座生存基盤論第5巻) (2012)
  • Author(s): 佐藤孝宏・和田泰三, ら編
  • Total Pages: 291
  • Publisher: 京都大学出版会
• [Book] 高齢者の生活機能の総合的評価(鳥羽研二編) (2010)
  • Author(s): 和田泰三、松林公蔵
  • Publisher: 新興医学出版社