Diagnosis of Motor function and improvement methods of motor function of community living elderly people using artificial intelligence

2019 Fiscal Year Research-status Report

• Project/Area Number: 18K09048
• Research Institution: Kansai University of Welfare Sciences
• Principal Investigator: 長谷川 幸治 関西福祉科学大学, 保健医療学部, 教授 (50208500)
• Co-Investigator(Kenkyū-buntansha): 今釜 史郎 名古屋大学, 医学系研究科, 准教授 (40467288) ; 平岩 秀樹 名古屋大学, 医学部附属病院, 病院講師 (70566976) ; 八田 武志 関西福祉科学大学, 健康福祉学部, 教授 (80030469)
• Project Period (FY): 2018-04-01 – 2021-03-31
• Keywords: 人工知能 / 地域在住高齢者 / 運動機能 / 認知機能 / ロコモティブ症候群 / 運動介入 / 認知機能介入

Outline of Annual Research Achievements

2019年度は柏原検診と八雲検診をを行った。柏原検診は3年目となり広報誌に4月に運動教室開催を案内して検診への80名の参加募集した。八雲検診は八雲町保健福祉課や町民ドックボランティアとの協力のもとに8月30-9月1日に600名募集した。内科検診、運動器検診、高次脳機能検診を行う。柏原検診は運動介入と高次脳機能介入を行った。運動介入は、いきいき健康教室（膝腰教室）と芸術教室（陶芸）をおこなった。運動内容は①カピバラ健康体操（体幹運動、関節、脊椎の運動を組み合わせた運動の確定とビデオ作成）と大学周囲のウオーキングを行った。3か月の12月に運動器と高次脳機能評価を行った。8割以上参加できたのは30名だった。3か月の12月に運動器と高次脳機能評価を行った。最終評価を25名に対して行った。10m歩行速度とTUGは有意差はないが改善した。ロコモ検査も改善していた。芸術教室も運動器検診を行った。芸術群では運動機能の改善は見られなかった。
2017年から2019年までの3年間におこなった65歳以上のデータを検討した。全体で164名（男性33名、女性131名）で男女間には身長・体重・握力に差があった。検診項目ではロコモ25は有意に女性で高く、TUGや腰痛・下肢痛には差がなかった。ロコモ25、2ステップテスト、立ち上がりテストで一つ以上ロコモを満たしたロコモ群（137名）とロコモを満たす項目がない非ロコモ群（27名）で検討すると全体ではロコモ25．10m最大歩行時間、TUG、腰痛、下肢痛、右膝痛で有意にロコモ群が悪かった。男女差の検討では男性はロコモ群はTUG のみで非ロコモ群より悪かった。しかし女性群ではロコモ群はロコモ25、握力、最大10m歩行時間、腰痛で非ロコモ群より有意に悪かった。
2020年度も追加することでさらなる検討を行う。

Current Status of Research Progress

2: Research has progressed on the whole more than it was originally planned.

Reason

一年目は10名の地域在住高齢者に対してタブレット端末を利用した介入試験を行った。後期高齢者では端末の操作が困難であった。
Webを介した運動機能維持プログラムを計画している。2019度はカピバラ健康体操で体を動かす習慣と筋力維持を北海道八雲町100名、大阪府柏原市50名に対して3か月間指導した。約60％では半年後に運動を継続することが出来た。

Strategy for Future Research Activity

最終年度はWebを介した運動機能維持プログラムを計画している。今年度はカピバラ健康体操で体を動かす習慣と筋力維持を北海道八雲町100名、大阪府柏原市50名に対して3か月間指導した。約60％では半年後に運動を継続することが出来た。来年度はWebを使ったプログラムを作成してより多くの高齢者に対して運動介入を行う予定である。

Causes of Carryover

分担者が研究費を必要としなかったために余剰金を生じた。

Research Products

• [Journal Article] 85.Reduction in body cell mass as a predictor of osteoporosis: A cross-sectional study. (2020)
  • Author(s): Tanaka S, Ando K, Kobayashi K, Seki T, Hamada T, Machino M, Ota K, Morozumi M, Kanbara S, Ito S, Ishiguro N, Hasegawa Y, Imagama S.
  • Journal Title: Mod Rheumatol. 2020 Mar;30(2):391-396. Volume: 30（2） Pages: 391-396
  • DOI: 10.1080/14397595.2019.1589911. Epub 2019 Apr 1.
  • Peer Reviewed
• [Journal Article] Impact of pelvic incidence on lumbar osteophyte formation and disc degeneration in middle-aged and elderly people in a prospective cross-sectional cohort. (2020)
  • Author(s): Imagama S, Ando K, Kobayashi K, Machino M, Tanaka S, Morozumi M, Kanbara S, Ito S, Inoue T, Seki T, Ishizuka S, Nakashima H, Ishiguro N, Hasegawa Y
  • Journal Title: Eur Spine J. 2020 Mar 4. Volume: 35 Pages: 1-10
  • DOI: 10.1007/s00586-019-06204-w. [Epub ahead of print]
  • Peer Reviewed
• [Journal Article] 98.Differences of lumbopelvic sagittal parameters among community-dwelling middle-age and elderly individuals: Relations with locomotor physical function. (2020)
  • Author(s): Machino M, Ando K, Kobayashi K, Nakashima H, Morozumi M, Tanaka S, Kanbara S, Ito S, Seki T, Ishizuka S, Ishiguro N, Hasegawa Y, Imagama S.
  • Journal Title: J Clin Neurosci. 2020 Jan 16. pii: S0967-5868(19)32003-X Volume: 19 Pages: 33-38
  • DOI: 10.1016/j.jocn.2020.01.033. [Epub ahead of print]
  • Peer Reviewed
• [Journal Article] 113.Impact of comorbidity rates of lumbar spondylosis, knee osteoarthritis, and osteoporosis on physical QOL and risk factors for poor physical QOL in middle-aged and elderly people. (2020)
  • Author(s): Imagama S, Ando K, Kobayashi K, Seki T, Hamada T, Machino M, Ota K, Tanaka S, Morozumi M, Kanbara S, Ito S, Ishiguro N, Hasegawa Y
  • Journal Title: Mod Rheumatol. 2020 Mar;30(2):402-409. Volume: 30 Pages: 402-409
  • DOI: 10.1080/14397595.2019.1601839. Epub 2019 Apr 17.
  • Peer Reviewed
• [Journal Article] 86.Utility of the Serum Cystatin C Level for Diagnosis of Osteoporosis among Middle-Aged and Elderly People. (2019)
  • Author(s): Tanaka S, Ando K, Kobayashi K, Hida T, Ito K, Tsushima M, Morozumi M, Machino M, Ota K, Suzuki K, Seki T, Ishiguro N, Hasegawa Y, Imagama S.
  • Journal Title: Biomed Res Int. 2019 Jan 16;2019:5046852 Volume: 25 Pages: 1-10
  • DOI: 10.1155/2019/5046852. eCollection 2019.
  • Peer Reviewed
• [Journal Article] 87.Increasing postural sway in balance test is related to locomotive syndrome risk: A cross-sectional study. (2019)
  • Author(s): Tanaka S, Ando K, Kobayashi K, Hida T, Seki T, Hamada T, Ito K, Tsushima M, Morozumi M, Machino M, Ota K, Ishiguro N, Hasegawa Y, Imagama S
  • Journal Title: J Orthop Sci. 2019 Sep;24(5):912-917. Volume: 24 Pages: 912-917
  • DOI: 10.1016/j.jos.2019.01.011. Epub 2019 Feb 14.
  • Peer Reviewed
• [Journal Article] Relation between cognitive and cerebello-thalamo-cortical functions in healthy elderly people: Evidence from the Yakumo Study. (2019)
  • Author(s): Hatta T, Yukiharu H, Katoh K, Hotta C, Iwahara A, Hatta T, Hatta J, Fujiwara K, Ito E.
  • Journal Title: Appl Neuropsychol Adult. 2019 Jan 28:1-8. Volume: 25 Pages: 281-288
  • DOI: 10.1080/23279095.2018.1550410. [Epub ahead of print]
  • Peer Reviewed
• [Journal Article] 90.The decreasing phase angles of the entire body and trunk during bioelectrical impedance analysis are related to locomotive syndrome. (2019)
  • Author(s): Tanaka S, Ando K, Kobayashi K, Seki T, Hamada T, Machino M, Ota K, Morozumi M, Kanbara S, Ito S, Ishiguro N, Hasegawa Y, Imagama S.
  • Journal Title: J Orthop Sci. 2019 Jul;24(4):720-724. Volume: 24 Pages: 720-724
  • DOI: 10.1016/j.jos.2018.12.016. Epub 2019 Jan 7
  • Peer Reviewed
• [Journal Article] 91.Carotid artery plaque screening using abdominal aortic calcification on lumbar radiographs. (2019)
  • Author(s): Kobayashi K, Ando K, Seki T, Hamada T, Suzuki K, Ishiguro N, Hasegawa Y, Imagama S.
  • Journal Title: PLoS One. 2019 Jan 7;14(1):e0209175 Volume: 14 Pages: 1-10
  • DOI: 10.1371/journal.pone.0209175. eCollection 2019.
  • Peer Reviewed
• [Journal Article] 92.Predictors of presarcopenia in community-dwelling older adults: A 5-year longitudinal study. (2019)
  • Author(s): Kobayashi K, Ando K, Tsushima M, Machino M, Ota K, Morozumi M, Tanaka S, Kanbara S, Ishiguro N, Hasegawa Y, Imagama S.
  • Journal Title: Mod Rheumatol. 2019 Nov;29(6):1053-1058. Volume: 29 Pages: 1053-1058
  • DOI: 10.1080/14397595.2018.1551171. Epub 2019 Jan 3.
  • Peer Reviewed
• [Journal Article] 93.Human serum albumin redox state is associated with decreased renal function in a community-dwelling population. (2019)
  • Author(s): Fujii R, Ueyama J, Kanno T, Suzuki K, Hamajima N, Wakai K, Hasegawa Y, Kondo T.
  • Journal Title: Am J Physiol Renal Physiol. 2019 Jan 1;316(1):F214-F218 Volume: 316 Pages: 214-218
  • DOI: 10.1152/ajprenal.00138.2018. Epub 2018 Nov 14.
  • Peer Reviewed
• [Journal Article] 94.Predictors of locomotive syndrome in community-living people: A prospective five-year longitudinal study. (2019)
  • Author(s): Kobayashi K, Ando K, Tsushima M, Machino M, Ota K, Morozumi M, Tanaka S, Kanbara S, Ishiguro N, Hasegawa Y, Imagama S
  • Journal Title: Mod Rheumatol. 2019 Jul;29(4):669-675. Volume: 29 Pages: 66--675
  • DOI: 10.1080/14397595.2018.1514705. Epub 2018 Sep 20.
  • Peer Reviewed
• [Journal Article] The decrease in phase angle measured by bioelectrical impedance analysis reflects the increased locomotive syndrome risk in community-dwelling people: The Yakumo study. (2019)
  • Author(s): Tanaka S, Ando K, Kobayashi K, Hida T, Seki T, Hamada T, Ito K, Tsushima M, Morozumi M, Machino M, Ota K, Ishiguro N, Hasegawa Y, Imagama S
  • Journal Title: Mod Rheumatol. 2019 May;29(3):496-502. Volume: 29 Pages: 496-502
  • DOI: 10.1080/14397595.2018.1469582. Epub 2018 May 17.
  • Peer Reviewed
• [Journal Article] Relationship between locomotive syndrome and body composition among community-dwelling middle-age and elderly individuals in Japan: The Yakumo study. (2019)
  • Author(s): Tanaka S, Ando K, Kobayashi K, Hida T, Seki T, Suzuki K, Ito K, Tsushima M, Morozumi M, Machino M, Ota K, Ishiguro N, Hasegawa Y, Imagama S
  • Journal Title: Mod Rheumatol. 2019 May;29(3):491-495 Volume: 29 Pages: 491-495
  • DOI: 10.1080/14397595.2018.1465645. Epub 2018 May 3.
  • Peer Reviewed
• [Journal Article] 171.Musculoskeletal Factors and Geriatric Syndromes Related to the Absence of Musculoskeletal Degenerative Disease in Elderly People Aged over 70 Years. (2019)
  • Author(s): Imagama S, Ando K, Kobayashi K, Seki T, Ishizuka S, Machino M, Tanaka S, Morozumi M, Kanbara S, Ito S, Inoue T, Nakashima H, Ishiguro N, Hasegawa Y
  • Journal Title: Biomed Res Int. 2019 Nov 18;2019:7097652. Volume: 18 Pages: 1-10
  • DOI: 10.1155/2019/7097652. eCollection 2019.
  • Peer Reviewed
• [Journal Article] Relationship between lumbopelvic discordance and locomotive syndrome in a middle-aged community-living population: The Yakumo study. (2019)
  • Author(s): Morozumi M, Ando K, Kobayashi K, Seki T, Ishizuka S, Machino M, Tanaka S, Ito S, Kanbara S, Inoue T, Ishiguro N, Hasegawa Y, Imagama S.
  • Journal Title: J Orthop Sci. 2019 Nov 20. pii: S0949-2658(19)30291-X. Volume: 19 Pages: 11-16
  • DOI: 10.1016/j.jos.2019.09.016. [Epub ahead of print]
  • Peer Reviewed
• [Journal Article] Multivariate analysis of factors related to the absence of musculoskeletal degenerative disease in middle-aged and older people. (2019)
  • Author(s): Imagama S, Ando K, Kobayashi K, Machino M, Tanaka S, Morozumi M, Kanbara S, Ito S, Inoue T, Seki T, Ishizuka S, Nakashima H, Ishiguro N, Hasegawa Y.
  • Journal Title: Geriatr Gerontol Int. 2019 Nov;19(11):1141-1146 Volume: 19 Pages: 1141-1146
  • DOI: 10.1111/ggi.13786.
  • Peer Reviewed
• [Journal Article] Locomotive Syndrome Stage 1 Predicts Significant Worsening of Future Motor Performance: The Prospective Yakumo Study. (2019)
  • Author(s): Kobayashi K, Imagama S, Ando K, Machino M, Tanaka S, Morozumi M, Kanbara S, Ito S, Inoue T, Ishiguro N, Hasegawa Y
  • Journal Title: Biomed Res Int. 2019 Oct 3;2019:1970645 Volume: 19 Pages: 1-10
  • DOI: 10.1155/2019/1970645. eCollection 2019.
  • Peer Reviewed
• [Journal Article] Waist Circumference Measured by Bioelectrical Impedance Analysis Is Interchangeable with Manual Measurement: Increased Waist Circumference Is Associated with Locomotive Syndrome Risk. (2019)
  • Author(s): Tanaka S, Ando K, Kobayashi K, Seki T, Ishizuka S, Machino M, Morozumi M, Kanbara S, Ito S, Inoue T, Ishiguro N, Hasegawa Y, Imagama S.
  • Journal Title: Biomed Res Int. 2019 Sep 25;2019:5971030 Volume: 25 Pages: 1-10
  • DOI: 10.1155/2019/5971030. eCollection 2019.
  • Peer Reviewed
• [Journal Article] Increase in lumbar kyphosis and spinal inclination, declining back muscle strength, and sarcopenia are risk factors for onset of GERD: a 5-year prospective longitudinal cohort study. (2019)
  • Author(s): Imagama S, Ando K, Kobayashi K, Machino M, Tanaka S, Morozumi M, Kanbara S, Ito S, Seki T, Hamada T, Ishizuka S, Nakashima H, Ishiguro N, Hasegawa Y.
  • Journal Title: Eur Spine J. 2019 Nov;28(11):2619-2628. Volume: 28 Pages: 2619-2628
  • DOI: 10.1007/s00586-019-06139-2. Epub 2019 Sep 10.
  • Peer Reviewed
• [Journal Article] Differences of locomotive syndrome and frailty in community-dwelling middle-aged and elderly people: Pain, osteoarthritis, spinal alignment, body balance, and quality of life. (2019)
  • Author(s): Imagama S, Ando K, Kobayashi K, Machino M, Tanaka S, Morozumi M, Kanbara S, Ito S, Seki T, Ishizuka S, Nakashima H, Ishiguro N, Hasegawa Y.
  • Journal Title: Mod Rheumatol. 2019 Sep 19:1-9. Volume: 19 Pages: 191-199
  • DOI: 10.1080/14397595.2019.1665616. [Epub ahead of print]
  • Peer Reviewed
• [Journal Article] 106.Low Bioelectrical Impedance Phase Angle Is a Significant Risk Factor for Frailty. (2019)
  • Author(s): Tanaka S, Ando K, Kobayashi K, Seki T, Hamada T, Machino M, Ota K, Morozumi M, Kanbara S, Ito S, Ishiguro N, Hasegawa Y, Imagama S.
  • Journal Title: Biomed Res Int. 2019 Jun 10;2019:6283153 Volume: 10 Pages: 1-10
  • DOI: 10.1155/2019/6283153. eCollection 2019.
  • Peer Reviewed
• [Journal Article] 107.The Relationship Between Neuropathic Pain and Spinal Alignment: Independent Risk Factors for Low Quality of Life in Middle-Aged and Elderly People. (2019)
  • Author(s): Imagama S, Ando K, Kobayashi K, Seki T, Hamada T, Machino M, Ota K, Tanaka S, Morozumi M, Kanbara S, Ito S, Ishiguro N, Hasegawa Y.
  • Journal Title: Spine (Phila Pa 1976). 2019 Oct 1;44(19):E1130-E1135. Volume: 44 Pages: 1130-1135
  • DOI: 10.1097/BRS.0000000000003073.
  • Peer Reviewed
• [Journal Article] Declining neck circumference is an anthropometric marker related to frailty in middle-aged and elderly women. (2019)
  • Author(s): Tanaka S, Ando K, Kobayashi K, Seki T, Hamada T, Machino M, Ota K, Morozumi M, Kanbara S, Ito S, Ishiguro N, Hasegawa Y, Imagama S.
  • Journal Title: Mod Rheumatol. 2019 Jun 24:1-6. Volume: 24 Pages: 1-6
  • DOI: 10.1080/14397595.2019.1627023. [Epub ahead of print]
  • Peer Reviewed
• [Journal Article] Weakness of grip strength reflects future locomotive syndrome and progression of locomotive risk stage: A 10-year longitudinal cohort study. (2019)
  • Author(s): Kobayashi K, Imagama S, Ando K, Tsushima M, Machino M, Ota K, Tanaka S, Morozumi M, Kanbara S, Ishiguro N, Hasegawa Y.
  • Journal Title: Mod Rheumatol. 2019 Jun 24:1-7 Volume: 24 Pages: 1-7
  • DOI: 10.1080/14397595.2019.1626068. [Epub ahead of print]
  • Peer Reviewed
• [Journal Article] 110.Epidemiology and effect on physical function of osteosarcopenia in community-dwelling elderly people in Japan. (2019)
  • Author(s): Kobayashi K, Imagama S, Ando K, Machino M, Ota K, Tanaka S, Morozumi M, Kanbara S, Ito S, Ishiguro N, Hasegawa Y.
  • Journal Title: Mod Rheumatol. 2019 Jun 17:1-6. Volume: 30 Pages: 1-6
  • DOI: 10.1080/14397595.2019.1623455. [Epub ahead of print]
  • Peer Reviewed
• [Journal Article] 111.Shoulder pain has most impact on poor quality of life among various types of musculoskeletal pain in middle-aged and elderly people: Yakumo study. (2019)
  • Author(s): Imagama S, Ando K, Kobayashi K, Seki T, Hamada T, Machino M, Ota K, Tanaka S, Morozumi M, Kanbara S, Ito S, Ishiguro N, Hasegawa Y.
  • Journal Title: Mod Rheumatol. 2019 Jun 13:1-5. Volume: 13 Pages: 1-5
  • DOI: 10.1080/14397595.2019.1623364. [Epub ahead of print]
  • Peer Reviewed
• [Journal Article] 112.The progression of osteoarthritis of the hip increases degenerative lumbar spondylolisthesis and causes the change of spinopelvic alignment. (2019)
  • Author(s): Warashina H, Kato M, Kitamura S, Kusano T, Hasegawa Y.
  • Journal Title: J Orthop. 2019 Mar 23;16(4):275-279 Volume: 16 Pages: 275-279
  • DOI: 10.1016/j.jor.2019.03.006. eCollection 2019 Jul-Aug. No abstract available.
  • Peer Reviewed
• [Presentation] ロコモ検診の継続はロコモ25と10m歩行時間、返却規律能力に影響する (2019)
  • Author(s): 玄安季、長谷川幸治、今釜史郎、関泰輔
  • Organizer: 日本整形外科学会