A development of overall health promotion exercise program for the prevention of dependence in community-dwelling frail elderly

制定全面的健康促进锻炼计划，以预防社区体弱老年人的依赖

• 批准号: 16300226
• 负责人: KIM Hunkyung
• 金额: $ 4.99万
• 依托单位: Tokyo Metropolitan Foundation for Research on Aging and Promotion of Human Welfare
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B)
• 财政年份: 2004
• 资助国家: 日本
• 起止时间: 2004 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-16300226/
• 关键词: Prevention of dependence; Geriatric syndrome; Falls; Urinary incontinence; Frail elderly; Intervention program; 転倒恐怖感; 腹圧性尿失禁; 切迫性尿失禁; 複数危険因子保持者; 生活機能低下; 追跡調査

Research I : The purpose of research I was to investigated the prevalence of urinary incontinence and the characteristics of urban community-dwelling elderly women with urinary incontinence. The subjects were 957 women aged 70 years and older. The prevalence of urinary incontinence was 43.5% (416/957). The group possessing urinary incontinence had poor self-rated health; had a high percentage of subjects currently taking three or more medications and had fear of falling; and had a significantly (p<0.05) higher rate of a history of heart disease and delivery. In addition, the group with urinary incontinence were older, and had significantly (p<0.05) poorer results in usual walking speed, maximum walking speed, and one leg standing time with eyes opened.Research II : The purpose of research II was to evaluate the effectiveness of a pelvic floor muscle (PFM) and functional fitness exercises in reducing urine leakage in community-dwelling Japanese elderly women with urinary incontinence. One hundred forty-seven community-dwelling women aged 70 and older who reported urine leakage with one or more times per month. After obtaining informed consent, 74 persons were randomized to intervention group and 73 to control group. The intervention group attended a Tokyo Metropolitan Institute of Gerontology (TMIG) exercise instructions aimed at enhancing PFM and functional fitness for 60 minutes per session, twice a week for 3-month. The intervention group showed greater and significant improvement in adductor muscle strength (F=6.364, p=0.013), and maximum walking speed (F=4.843, p=0.030) compared to control group. After the 3-month exercise, 43.1% of the intervention group and 14.1% of the control group reported to be continent (Z=3.817, p<0.001). These results demonstrated that a multidimensional exercise was effective in the improvement of functional fitness and treatment of stress UI in community-dwelling elderly women.

研究I：研究一的目的是调查尿失禁的患病率和城市社区老年妇女尿失禁的特点。研究对象为957名70岁及以上的女性。尿失禁的患病率为43.5%（416/957）。患有尿失禁的组自我评价健康状况较差;目前服用三种或三种以上药物的受试者比例较高，并且害怕跌倒;心脏病史和分娩史的比例显著较高（p<0.05）。此外，尿失禁组年龄较大，在平时步行速度、最大步行速度和睁眼单腿站立时间方面的结果明显较差（p<0.05）。研究II：研究II的目的是评价骨盆底肌肉（PFM）和功能性健身锻炼在减少社区居住的日本尿失禁老年妇女漏尿方面的有效性。147名70岁及以上的社区居住妇女报告每月有一次或多次尿漏。在获得知情同意后，74人被随机分配到干预组，73人被随机分配到对照组。干预组参加了东京都老年学研究所（TMENTO）的运动指导，旨在提高PFM和功能健身，每次60分钟，每周两次，为期3个月。与对照组相比，干预组在内收肌肌力（F=6.364，p=0.013）和最大步行速度（F=4.843，p=0.030）方面表现出更大和显著的改善。在3个月的运动后，43.1%的干预组和14.1%的对照组报告为控制（Z=3.817，p<0.001）。这些结果表明，一个多维的运动是有效的改善功能健身和治疗应激性尿失禁的社区居住的老年妇女。

项目成果

Effects of cognitive function on functional decline among community-dwelling non-disabled older Japanese

• DOI: 10.1016/j.archger.2005.06.001
• 发表时间: 2006-01-01
• 期刊: ARCHIVES OF GERONTOLOGY AND GERIATRICS
• 影响因子: 4
• 作者: Ishizaki, T;Yoshida, H;Imanaka, Y
• 通讯作者: Imanaka, Y