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Relationships of physical fitness, exercise ability, and muscle mass of frail elderly people with factors in their living

体弱老年人体质、运动能力、肌肉质量与生活因素的关系

基本信息

批准号：
16500450
负责人：
KIMURA Misaka
金额：
$ 2.37万
依托单位：
Kyoto Prefectural University of Medicine
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2004
资助国家：
日本
起止时间：
2004 至 2005
项目状态：
已结题

项目摘要

In June, 2005, an amendment to the Home Care Insurance Law passed the national Diet for the establishment of a sustainable care insurance system for home-cared elderly-people. One of the points in this amendment was the creation of a new preventive benefit for the prevention of decline in physical functions of mildly disabled people. For the prolongation of the healthy lifespan and control of the medical cost and care insurance premium, it is the most desirable that healthy people remain healthy forever. However, intervention for disability prevention, i.e., intervention in frail elderly people, particularly those to whom an insurance benefit is not applied and those at a low disability grade, is urgently needed. In the intervention for disability prevention in such elderly people, the most important consideration is to minimize the decline in physical fitness and exercise ability necessary for the daily living. In Japan, however, there have not been many studies on physical fitness an … More d exercise ability or its maintenance and recovery in frail elderly people. In these circumstances, we designed a 2-year study to clarify the relationships of the state of physical fitness and exercise ability of frail elderly people with factors in their living and to prepare an exercise program for the intervention for disability prevention that can be incorporated in their daily living.In the first year, we measured the physique, fitness (muscle strength, flexibility, balance, walking ability, etc.), and muscle mass in facility day-service users (70 people mostly at the need-of-support level or grade 1 need-of-care but some at grade 3 or 4 need-of-care) and clarified characteristics of these parameters in elderly people in need of care. This year, on the basis of the results obtained in the first year, we evaluated what support is necessary for the day-service staff to become able to provide an exercise session as part of the day-service program. We, then, helped the staff apply an exercise program to day-service users and measured changes in their fitness and pattern of daily living after 6 months. The results obtained this year suggest that the fitness level and muscle mass were maintained, that exacerbation of the need-of-care grade was small, that many day-service users looked forward to exercise sessions, and that they also wanted to exercise at home but actually did not. Less

2005年6月，国会通过了《家庭护理保险法》修正案，为家庭护理的老年人建立了可持续的护理保险制度。该修正案的要点之一是为防止轻度残疾人身体机能下降设立了一项新的预防性福利。为了延长健康寿命，控制医疗费用和护理保险费，最希望健康的人永远保持健康。然而，预防残疾的干预措施，即，迫切需要对体弱的老年人，特别是那些不享受保险福利的老年人和残疾程度较低的老年人进行干预。在对这些老年人进行残疾预防干预时，最重要的考虑因素是尽量减少日常生活所需的身体健康和运动能力的下降。然而，在日本，关于身体健康和健康的研究并不多， ...更多信息 d体弱老年人运动能力的维持和恢复。在这种情况下，我们设计了一项为期2年的研究，以澄清身体素质和运动能力的状态与他们的生活因素的关系，并准备一个运动计划，以预防残疾的干预，可以纳入他们的日常生活。在第一年，我们测量了体质，体质（肌肉力量，灵活性，平衡，步行能力等），和肌肉质量的设施日间服务用户（70人，大多数在需要的支持水平或1级护理需要，但一些在3级或4级护理需要），并澄清这些参数的特点，在老年人需要照顾。今年，我们在第一年取得的成果的基础上，评估了什么样的支持是必要的日间服务人员能够提供一个锻炼会议作为日间服务计划的一部分。然后，我们帮助工作人员将锻炼计划应用于日间服务用户，并在6个月后测量他们的健身和日常生活模式的变化。今年获得的结果表明，健身水平和肌肉质量得到了维持，护理需求等级的恶化很小，许多日间服务用户期待锻炼课程，他们也想在家锻炼，但实际上没有。少