AN INTERVENTION TRIAL TO POSTPON AGING FOR FUNCTIONALLY COMPETENT COMMUNITY-LIVING SENIOR CITIZENS.

一项针对功能健全的社区生活老年人推迟衰老的干预试验。

• 批准号: 12670382
• 负责人: KUMAGAI Shu
• 金额: $ 1.6万
• 依托单位: TOKYO METROPOLITAN INSTITUTE OF GERONTOROGY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2000
• 资助国家: 日本
• 起止时间: 2000 至 2002
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12670382/
• 关键词: AGING; INTERVENTION; ALBUMIN; MEAT COMSUPTION; NUTRITIONAL IMPROVEMENT; COMMUNITY ELDERLY

Objective : To evaluate the feasibility and effectiveness of a program to improve the dietary habits and nutritional status of functionally competent community-living senior citizens. Design : A 2-year community-based intervention. Setting and methods : The study population was a sample of functionally competent senior citizens aged >65 years(360men, 491 women, mean age : 71.3 y in men, 72.0 y in women) living in a rural area(Nangai village, Northern Japan). Formal services (lectures and practice sessions, focusing mainly on improvement of dietary habits and other aspects of lifestyle) were provided to the community over a 2-year period (2000-2002). Food frequency questionnaires assessed changes in consumption of the 10- main food groups for the region (meat, fish and shellfish, eggs, milk, dark-colored vegetables, soybean products, seaweed, potato, fruit, and fats and oils). Serum albumin concentrations were measured immediately before and after the intervention. The senior citizens w … More ere classified into a participator group (n=315) and no-participator group (n=536) in intervention programs. The intervention effects were evaluated by making a comparison between the changes in two groups. Results : On the senior citizens aged 75 years and over, The frequency of meat consumption significantly increased in men (unchanged in women) in the participator group, in contrast to the no-participator group, where the frequency of meat consumption unchanged in men (significantly decreased in women). The frequency of fat and oil consumption significantly decreased in the senior citizens aged 65 years and over in the participator and no-participator group in both sexes. The level of serum albumin unchanged in the senior citizens aged 65 years and over in men and women without regard to participation in intervention programs. Conclusions : The intervention provided as formal services was feasible in improving dietary habits of meat in functionally competent community-living senior citizens aged 75 years and over. Less

目的：评估一项计划的可行性和有效性，以改善功能胜任的社区生活老年人的饮食习惯和营养状况。设计：为期2年的社区干预。设置和方法：研究人群为居住在农村地区（日本北方南盖村）的65岁以上功能正常的老年人（男性360人，女性491人，平均年龄：男性71.3岁，女性72.0岁）。在两年内（2000 - 2002年）向社区提供了正式服务（讲座和实践课程，主要侧重于改善饮食习惯和生活方式的其他方面）。食物频率问卷评估了该地区10种主要食物类别（肉类、鱼类和贝类、蛋类、牛奶、深色蔬菜、大豆制品、海藻、土豆、水果、脂肪和油）的消费变化。在干预前后立即测量血清白蛋白浓度。老年人W ...更多信息 按干预方案分为干预组（n = 315）和非干预组（n = 536）。通过比较两组患者的变化来评价干预效果。结果如下：在75岁及以上的老年人中，与无减肥药组相比，减肥药组男性的肉类消费频率显著增加（女性不变），而无减肥药组男性的肉类消费频率不变（女性显著减少）。脂肪和油的消费频率显着下降，在65岁及以上的老年人，无论是男性还是女性的减肥者和非减肥者组。血清白蛋白水平在65岁及以上的老年人中没有改变，男性和女性不考虑参与干预计划。结论：作为正式服务提供的干预措施在改善75岁及以上功能胜任的社区生活老年人的肉类饮食习惯方面是可行的。少

项目成果

渡辺修一郎: "在宅虚弱高齢者に対する介入研究による健康状態の変化"中年からの老化予防に関する医学研究東京都老人総合研究所編. 報告書. 293-302 (2000)

渡边修一郎：“通过对在家中体弱的老年人进行干预研究来改变健康状况”，《预防中年衰老的医学研究》，东京老年学研究所报告293-302。

熊谷 修: "くらしの豆知識2003(分担執筆)"国民生活センター. 269 (2002)

熊谷修：《Life Tips 2003（合着）》日本国家消费者事务中心 269（2002）。

熊谷 修: "高齢期に求められる食生活 生活習慣病予防から老化予防へ"食の科学. 301. 20-28 (2003)

熊谷修：“老年所需的饮食习惯：从预防生活方式相关疾病到预防衰老”食品科学 301. 20-28 (2003)。

熊谷修: "地域在宅高齢者を対象とした住民サービス事業展開による介入プロセス"中年からの老化予防に関する医学的研究東京都老人総合研究所編. 報告書. 279-284 (2000)

熊谷修：“通过开发社区老年人的居民服务项目进行干预”，《预防中年衰老的医学研究》，东京老年学研究所报告279-284。

Shibata H, Kumagai S: "Nitrition and Longevity"Review in Clinical Gerontology. 12. 97-107 (2002)

Shibata H，Kumagai S：临床老年学的“营养与长寿”评论。