A follow-up study on ADL and QOL for the elderly-the baseline study

我们已经开始了一项后续研究，调查生活方式和健康水平如何有助于老年人积极和独立的生活。到目前为止，基线调查涵盖了居住在爱美县申根部镇的1957名年龄在60岁至84岁之间的老年居民。通过问卷调查，在家中对他们的日常生活和健康状况进行访谈。1)有效率为77.7%(1,521/1,957)。2)用MOBILITY和东京都老年研究所能力指数(TMIG INDEX)评定受试者的日常生活活动能力(ADL)。老年ADL男性在75岁以后显著下降，女性在70岁以后显著下降，女性在相同年龄组中表现出较低的流动性。3)采用健康自评量表、主观躯体症状评定量表、老年抑郁量表(GDS)和生活满意度K量表(LSIK)评定生活质量。每项指标都显示出性别和年龄差异。GDS得分随年龄增长而增加，同年龄段女性得分高于男性。男性LSIK评分随着年龄的增长没有显著变化，但女性LSIK评分随着年龄的增长而下降，导致70岁以后性别差异明显。横断面分析旨在探讨老年人日常生活能力和生活质量与其健康状况、生活方式、健康行为之间的关系。这项应涵盖4304名老年人的基线调查预计将于今年夏天完成。

We have commenced a follow-up study investigating how lifestyles and health levels contribute to an active and independent life for the elderly. The baseline survey covered so far a total of 1,957 elderly residents aged 60 to 84 years living at Shigenobu Town in Ehime Prefecture. They were interviewed at home about daily living and health status through questionnaires. 1) The response rate was 77.7% (1,521/1,957). 2) The activities of daily living (ADL) for the subjects were assessed by mobility and Tokyo Metropolitan Institute of Gerontology index of competence (TMIG index). The ADLs for the elderly decreased significantly after 75 years of age for males and 70 years of age for females, with females showing a less mobility in the same age groups. 3) The quality of life (QOL) was assessed by self-rated health, subjective physical symptoms, geriatric depression scale (GDS) and life satisfaction index-K (LSIK). Each index showed sex and age differences. The GDS score increased with age and females showed higher score compared to males in the same age groups. There was no significant change with age in the LSIK score for males, but for females the score decreased with age, resulting in an apparent gender difference after 70 years of age. Cross-sectional analysis is now on going to examine the relationship between the ADL and QOL for the elderly, and their health status, lifestyles, and health behaviors. This baseline survey which should cover a total of 4,304 elderly subjects is supposed to be completed by this summer.