Effects of physical fitness and blood properties of the elderly on their life expectancy and ADL (Results of a follow-up after 10-12 years)

对310名参加健身和运动能力调查的老年人进行了身体素质和血液性状对预期寿命和日常生活能力的影响研究（包括血液生化测试），调查他们的身体健康状况及至今的生活情况和死亡情况（死亡原因、不活跃期等）研究时间为2年。1998年，对基线数据进行了审查，并通过问卷调查（通过邮件）询问了每位受试者从基线调查时至今的健康和生活状况的概况。1999年，通过直接或电话访问被调查者本人或其家属，对问卷获得的数据进行了补充，观察了老年人肥胖程度、血脂水平和血压基线数据的地区差异。肥胖及其并发症，如高脂血症和高血压，经常被观察到，特别是在那些生活在城市地区（京都县立医科大学公报，1998年）。另外，肥胖、高脂血症、高血压的发生率与就业率呈负相关，从事某种工作的人，这些疾病的发生率较低（论文正在准备中）。在随访时确认存活的患者（164例）中，身体健康的基线水平更好，血压和血脂水平异常的基线频率低于死亡患者（50例）或生死状态未知的患者，如研究失败的患者（93例）。

Effects of physical fitness and blood properties of the elderly on their subsequent life expectancy and ADL were studied in 310 elderly subjects who participated in the survey of fitness and exercise capacity (including blood biochemical tests) carried out between 1986 and 1988 by investigating the state of their physical fitness and living to the present day and the circumstances of death (causes of death, inactive period, etc.) in those who have died.The study period was 2 years. In 1998, the baseline data were reviewed, and an overview of the state of fitness and living of each subject from the time of the baseline investigation to the present day was inquired by a questionnaire (by mail). In 1999, the data obtained by the questionnaire were supplemented by interviewing the subjects themselves or their families directly or by telephone.Regional differences were observed in the baseline data concerning the degree of obesity, serum lipid levels, and blood pressure in the elderly subjects. Obesity and its complications such as hyperlipidemia and hypertension were observed frequently particularly in those living in urban areas (Bulletin of Kyoto Prefectural University of Medicine, 1998). Also, negative correlations were observed between the frequencies of obesity, hyperlipidemia, and hypertension and the employment rate, and the incidences of these conditions were lower in those engaged in some work (paper in preparation). The baseline level of physical fitness was better, and the baseline frequency of abnormal findings in the blood pressure and serum lipid levels was lower, in those confirmed to be alive at the follow-up (164 individuals) than in those who had died (50) or those whose life-or-death state was unknown such as those lost to the study (93).