A scale for assessing overall health status related to successful aging in older people

评估与老年人成功老龄化相关的整体健康状况的量表

• 批准号: 10680012
• 负责人: KIM Hunkyung
• 金额: $ 1.41万
• 依托单位: Tokyo Metropolitan Institute of Gerontology
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1998
• 资助国家: 日本
• 起止时间: 1998 至 1999
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10680012/
• 关键词: quality of life; successful aging; bone mineral density; age index; functional fitness; older people

This study was designed (1) to investigate the characteristics of bone mineral density (BMD), (2) to develop the best prediction equation for estimating bone mineral content (BMC) and bone-free lean tissue mass (LMT), (3) to examine the association of level of functional fitness to life satisfaction and lifestyle, and (4) to propose an age scale for assessing active fitness applicable to older people.(1) The rate of bone loss was greater at the spine than other regionals. A comparison of the total body and 7 regionals (head, arms, legs, trunk, ribs, pelvis and spine) BMD between the young-old and the old-old showed that the calculated rate of BMD loss at legs was greater than other regional BMD loss. Advancing age was significantly associated with total body and regional BMD, and in particular the BMD loss of legs was accelated from the young-old to the old-old.(2) Multiple regression equations developed in the present study for estimating LTM and BMC were: LTM = 0.401(Ht x Ht)RィイD2LOW … More ィエD2 - 4.897Sex + 0.164Wt + 17.586 (rm = 0.964, SEE = 2.05 kg) and BMC = 0.036Wt + 0.021Ht - 0.142Sex - 2.982 (rm = 0.887, SEE = 0.28 kg); where rm = multiple correlation coefficient, SEE = standard error of estimate (kg), Ht = height (cm), RィイD2LOWィエD2 = resistance at low frequency, and Wt = weight (kg). These equations may be applicable to a wide range of older Japanese persons with relatively high precision.(3) Higher fitness group was found to show significantly better economic status and self-perceived health status, as well as significantly higher exercise habit. Lower fitness group was characterized by poor economic status and self-perceived health status, and showed lower exercise activity level. These results suggest that the level of functional fitness was significantly associated with the economic status, perceived health status, and habitual exercise activities in older Korean men.(4) The equation developed for estimation of active fitness in older Japanese and Korean women was AFA = -4.92AFS + 72.98, AFS = -0.035XィイD21ィエD2 + 0.049XィイD22ィエD2 + 0.032XィイD23ィエD2 - 0.132XィイD24ィエD2 + 0.049XィイD25ィエD2 - 1.84; where AFA = active fitness age, AFS = active fitness score, XィイD21ィエD2 = walking around two chairs in a figure 8, XィイD22ィエD2 = manipulating pegs in a pegboard, XィイD23ィエD2 = functional reach, XィイD24ィエD2 = standing up from a supine position, XィイD25ィエD2 = grip strength. This index may help us to discriminate between individuals who share the same chronological age but differ in functional status of the older Japanese and Korean women. Less

本研究旨在(1)研究老年人的骨密度(BMD)特征，(2)建立骨矿含量(BMC)和无骨瘦组织质量(LMT)的最佳预测方程，(3)研究功能适能水平与生活满意度和生活方式的关系，(4)提出适用于老年人的活动适能的年龄标准。(1)脊柱骨丢失率高于其他地区。对青年和老年人全身和7个部位(头、臂、腿、躯干、肋骨、骨盆和脊柱)骨密度的比较表明，计算的腿部骨密度丢失率大于其他部位骨密度丢失率。增龄与全身和局部骨密度显著相关，特别是小腿骨密度的损失从青年到老年加速。(2)本研究建立的估算LTM和BMC的多元回归方程为：LTM=0.401(Ht×Ht)RィイD2LOW…MoreィエD2-4.897性别+0.164Wt+17.586(Rm=0.964，SEE=2.05Kg)和BMC=0.036Wt+0.021Ht-0.142Sex-2.982(Rm=0.887，SEE=0.28Kg)；其中Rm=多重相关系数，See=估计标准误差(Kg)，Ht=身高(Cm)，RィイD2LOWィエD2=低频阻力，Wt=体重(Kg)。这些方程适用于范围较广的日本老年人，具有较高的精确度。(3)健身程度越高的人群，经济状况和自我感觉健康状况越好，锻炼习惯也越高。低体能人群的经济状况和自我健康状况较差，运动活动水平较低。(4)日本和韩国老年女性的运动健康评价方程为：AFA=-4.92AFS+72.98，AFs=-0.035XィイD21ィエD2+0.049XィイD22ィエD2+0.032XィイD23ィエD2-0.132XィイD24ィエD2+0.049XィイD25ィエD2-1.84；如图8所示，XィイD21ィエD2=绕着两把椅子走动，XィイD22ィエD2=操纵钉板上的钉子，XィイD23ィエD2=功能伸展，XィイD24ィエD2=仰卧站立，XィイD25ィエD2=握力。这一指数可能有助于我们区分日本和韩国老年女性年龄相同但功能状态不同的个体。较少

项目成果

金憲経・田中喜代次・重松良祐: "後期高齢女性の日常生活に関わる活動体力の日韓比較" 教育医学. 44・2. 460-468 (1998)

Norikyo Kim、Kiyoji Tanaka、Ryosuke Shigematsu：“日本与韩国晚期老年女性日常生活相关身体素质的比较”教育医学44・2（1998）。

金憲経・田中喜代次: "日韓高齢女性の活動体力水準を評価する年齢尺度の提案" 民族衛生. 65・1. 24-35 (1999)

Norikyo Kim 和 Kiyoji Tanaka：“用于评估日本和韩国老年女性身体活动水平的年龄量表的提案”《民族卫生》65・1（1999 年）。

Takao Suzuki, Hunkyung Kim, et al.: "Association of physical performance and falls among the community elderly in Japan in a five year follow-up study."Japanese Journal of Geriatrics. 36(7). 472-478 (1999)

Takao Suzuki、Hunkyung Kim 等人：“一项为期五年的跟踪研究显示日本社区老年人的身体表现与跌倒之间的关系。”《日本老年病学杂志》。

金憲経、田中喜代次、重松良祐: "後期高齢女性の日常生活に関わる活動体力の日韓比較"教育医学. 44・2. 460-468 (1998)

Norikyo Kim、Kiyoji Tanaka、Ryosuke Shigematsu：“日本和韩国晚期老年女性与日常生活相关的身体素质的比较”教育医学44・2（1998）。

金憲経・田中喜代次・重松良祐: "後期高齢女性の日常生活に関わる活動体力の日韓比較"教育医学. 44・2. 460-468 (1998)

金典京（Norikyo Kim）、田中清二（Kiyoji Tanaka）、重松良介（Ryosuke Shigematsu）：“日本与韩国晚期老年女性日常生活相关的体力比较”教育医学44・2（1998）。