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The effects of participating in community program on prevention of social frailty, disability, and dementia.

参与社区计划对预防社会脆弱、残疾和痴呆症的影响。

基本信息

批准号：
20K19369
负责人：
ベ成琉
金额：
$ 2.66万
依托单位：
National Center for Geriatrics and Gerontology
依托单位国家：
日本
项目类别：
Grant-in-Aid for Early-Career Scientists
财政年份：
2020
资助国家：
日本
起止时间：
2020-04-01 至 2022-03-31
项目状态：
已结题

项目摘要

2021年度は通いの場への継続的な参加が社会的フレイルを抑制し、将来の要介護発生の抑制に有効となるかを検証した。通いの場における様々な活動を日常の身体的、認知的、社会的活動の実施に捉えこれらの活動の実施と社会的フレイルおよび要介護発生との関係を検討した。日常の活動は身体的、認知的、社会的活動の分野に構成された質問紙を用いて調査した。分野別に12項目の質問を用いて6件法で活動頻度を評定し、各分野の合計得点を算出した。社会的フレイルの判定は、誰かとの会話の低下、外出頻度の低下、友人訪問の低下、一人住まい、自分が役に立たないと思う気持ちがあるのうち、1項目に該当した場合を社会的プレフレイルとし、2項目以上に該当した場合を社会的フレイルと判定した。新規要介護認定の発生は5年間追跡した。4167名のうち、5年間で459名（11.9%）が新規に要介護認定を受けた。身体的、認知的、社会的活動の実施が社会的フレイル及び新規要介護発生に及ぼす影響を検討するためにまずROC曲線を用いて社会的フレイルを予測する活動得点のカットオフ値を求めた結果29点であった。29点以上を活動が多い群、29点未満を少ない群とした。活動が多い群に比べて、少ない群はフレイルになるリスクが有意に高かった（オッズ比4.3, 95%CI 3.6-5.2）。Cox比例ハザード回帰分析を行った結果、要介護発生のハザード比は、活動が多い群に比べて、少ない群は1.8倍（95%CI 1.5-2.2）高かった。本結果より通いの場等で行う日常の身体的、認知的、社会的活動の実施は社会的フレイル及び新規要介護発生を抑制することが明らかになった。

In the year 2021, those who participate in the suppression of the general public will participate in the suppression of the society. in the future, it is necessary to protect the inhibition of health care. It is necessary to protect the health, health and health care of the people who are engaged in daily activities, such as physical, informed and social activities. The daily activities that involve physical, intellectual and social activities are divided into two categories: the daily activities, the knowledge and the social activities. For each of the 12 items, the 6-piece method was used to determine the activity scale, and the total points of each field were calculated. The judgment of the society, the low level of social communication, the low degree of going out, the low level of friends, the ability to live alone, and the number of items to be considered. One item should be used as a measure of social welfare, and more than 2 items should be used to determine the health of a society. The new regulations provide for the protection of stable medical students over a period of five years. In the new regulations, 4167 people will be protected and 459 (11.9%) will be protected in five years. Physical, intellectual, and social activities apply social hygiene and new laws and regulations to protect health care and health care. The ROC curve is not affected by the use of social activities. The result is 29 points. There are many groups of activities above 29 o'clock, and there are few groups of people at 29 o'clock. The number of people living in more groups is higher than that in other groups, and the number of people in the group is lower than that in other groups (95%CI 4.3,3.65.2). The results of Cox proportional regression analysis showed that it was necessary to monitor the results of health test, population with more animals, and population with fewer animals (95%CI 1.5-2.2). The results show that the daily activities of health, knowledge, and social activities, such as the market, and the new rules and regulations of the society, are necessary to protect the health and health care workers, to inhibit the health care workers, and to make clear the rules and regulations of the society.