Follow-up Study on Life Style and Welfare and Medical Needs among the Elderly.

1982年，1454名65岁以上的高知县大泻镇居民完成了生活方式和健康状况调查问卷。在本研究中，在首次调查5年后的1987年2月确定了死亡率状况。对1982年的生活方式和健康状况进行了讨论，以澄清与过早死亡有关的因素。1987年2月对1982年调查幸存者的生活方式和健康状况进行调查，并将其与1982年的初始状态进行比较，以明确年龄和社会背景对1982年至1987年5年间其变化的影响。此外，基线生活方式与5年健康状况变化的关系，即日常生活活动（ADL）和自评身体健康。主要结果如下：1)调整年龄和性别后，ADL和自评身体健康与5年死亡率显著相关，部分生活方式如工作状况、婚姻状况、亲密朋友、群体活动也与5年死亡率显著相关。2) ADL随年龄增长而恶化，并与ADL、工作状态、亲密朋友、调整性别、年龄后的通行有关。(3) 1987年自评身体健康“良好”者增加，身体健康变化与日常生活、工作状态、亲密朋友和团体活动有关。

In 1982, 1454 residnts of Ohgata Town, Kochi Prefecture aged 65 or older completed questionnaire about life style and health status. In this study, mortality status was determined in Feb. 1987, 5 years after the initial survey. Life style and health status in 1982 were discussed in order to clarify factors associated with early death. Life style and health status of survivors who responded to the 1982 survey were also investigated in Feb. 1987 and were compared to their initial status in 1982 to clarify the effect of aging and social background on their change over the 5 years between 1982 and 1987 by standard cohort table method. Moreover, the association between life style at baseline and chage in health status over the 5 years , that is, activity of daily living (ADL) and self-rated physical thelth.Main results were as follows. 1)ADL and self-rated physical health were significantly associated with 5-year mortality after adjusting for age and sex, and some life style,such as job status, marital status, close friends, group activities were also associated. 2) Deterioration of ADL was observed with increasing age, and associated with ADL, job status, close friends, passage after adjusting sex, age. 3)Those whose self-rated physical health were "good" increased in 1987, and change in physical health was associated with ADL, job atatus, close friends and group activities in 1987.