2023 Fiscal Year Final Research Report

Developing community-based programs for frailty in elderly people: an action research on primary care interventions in Thailand and Japan

Research Project

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Project/Area Number	19H04352
Research Category	Grant-in-Aid for Scientific Research (B)
Allocation Type	Single-year Grants
Section	一般
Review Section	Basic Section 80010:Area studies-related
Research Institution	Osaka University
Principal Investigator	Kimura Yumi 大阪大学, 大学院人間科学研究科, 講師 (00637077)
Co-Investigator(Kenkyū-buntansha)	岩崎正則北海道大学, 歯学研究院, 教授 (80584614) 石本恭子川崎医療福祉大学, 医療技術学部, 准教授 (50634945) 渡辺長帝京科学大学, 医療科学部, 講師 (40742044) 坂本龍太京都大学, 東南アジア地域研究研究所, 准教授 (10510597) 速水洋子京都大学, 東南アジア地域研究研究所, 教授 (60283660) 河森正人大阪大学, 大学院人間科学研究科, 教授 (50324869)
Project Period (FY)	2019-04-01 – 2024-03-31
Keywords	介護予防 / フレイル / 食事摂取状況 / 口腔機能 / 地域在住高齢者 / タイ / 実践型地域研究
Outline of Final Research Achievements	This study aimed to explore “frailty” among older adults by the multi-disciplinal research approach and to develop a community-based model of Kaigo-yobo (prevention of being dependent and in need of long-term care) in Thailand and Japan. Although the research plan had to be modified from the original form due to the COVID-19 pandemic, we were able to conduct a survey focusing on the health status and preventive behaviors of the elderly during and after the pandemic, and succeeded to publish the academic results more than expected. On the other hand, the intervention study could not be fully implemented due to the difficulty of conducting interventions targeting a older population due to the infection control, thus individual exercise guidance and health counseling were conducted with local medical staffs in addition to on-site surveys.
Free Research Field	公衆衛生学
Academic Significance and Societal Importance of the Research Achievements	新型コロナウイルスの感染症拡大によって、感染に対し脆弱性をもつ高齢者の孤立や体力低下がより深刻な課題となるなかで、フレイルを多角的に再検討する意味においても、本研究（感染症拡大下での高齢者の健康行動の実態、経年的ADL低下の発生、社会的因子をふくめたフレイルの関連因子の状況、等）の分析・報告は意義のあるものであったと考える。今後は、現在解析中の結果もふまえ、介護予防の実践に重点をおいた研究を行いたい。