A follow-up study on ADL and QOL for the elderly-the baseline study

老年人ADL和QOL的追踪研究——基线研究

• 批准号: 07670444
• 负责人: SHINKAI Shoji
• 金额: $ 1.34万
• 依托单位: Ehime University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1995
• 资助国家: 日本
• 起止时间: 1995 至 1996
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-07670444/
• 关键词: the elderly; ADL; QOL; follow-up study; baseline survey; 老人保健; アクティブライフ

We have commenced a follow-up study investigating how lifestyles and health levels contribute to an active and independent life for the elderly. The baseline survey covered so far a total of 1,957 elderly residents aged 60 to 84 years living at Shigenobu Town in Ehime Prefecture. They were interviewed at home about daily living and health status through questionnaires. 1) The response rate was 77.7% (1,521/1,957). 2) The activities of daily living (ADL) for the subjects were assessed by mobility and Tokyo Metropolitan Institute of Gerontology index of competence (TMIG index). The ADLs for the elderly decreased significantly after 75 years of age for males and 70 years of age for females, with females showing a less mobility in the same age groups. 3) The quality of life (QOL) was assessed by self-rated health, subjective physical symptoms, geriatric depression scale (GDS) and life satisfaction index-K (LSIK). Each index showed sex and age differences. The GDS score increased with age and females showed higher score compared to males in the same age groups. There was no significant change with age in the LSIK score for males, but for females the score decreased with age, resulting in an apparent gender difference after 70 years of age. Cross-sectional analysis is now on going to examine the relationship between the ADL and QOL for the elderly, and their health status, lifestyles, and health behaviors. This baseline survey which should cover a total of 4,304 elderly subjects is supposed to be completed by this summer.

我们已经开始了一项后续研究，调查生活方式和健康水平如何有助于老年人积极独立的生活。到目前为止，基线调查涵盖了爱媛县Shigenobu镇的1957名60至84岁的老年居民。通过问卷调查的方式对他们进行了日常生活和健康状况的访谈。1)应答率为77.7%（1521 / 1957）。2)采用流动性和东京都老年学能力指数（TMIG指数）评价受试者的日常生活活动能力（ADL）。老年人的adl在男性75岁和女性70岁之后显著下降，女性在同一年龄组中表现出较低的活动性。3)采用自评健康、主观躯体症状、老年抑郁量表（GDS）和生活满意度指数- k （LSIK）评价生活质量（QOL）。每个指标都显示了性别和年龄的差异。GDS评分随年龄增长而增加，同一年龄组中女性得分高于男性。男性的LSIK评分随年龄变化不显著，但女性的LSIK评分随年龄下降，70岁后存在明显的性别差异。现正进行横断面分析，探讨老年人ADL、QOL与健康状况、生活方式、健康行为之间的关系。这项基线调查将涵盖4,304名老年人，预计将于今年夏天完成。