日本総合健診医学会第38回大会―シンポジウム1―高齢者の健康評価―
高齢者の健康評価をどのように行うか：HRV研究を中心にして

抄録

 In the era of old age, health maintenance and promotion of the elderly has become one of the most important political issues throughout the world. Although the comprehensive geriatric assessment has now been a common approach in the clinical situation, there must be another strategy in the practice of Health Evaluation and Promotion. The Health Research Volunteer study has initiated in 2002 as a single cohort observational study to elucidate the process of frailty among 408 voluntary members belonging to the Association of New Elder Citizens started as a movement aiming to achieve the new lifestyle based on good living concept of Socrates. Preliminary results of the study obtained from 318 people will be presented in the symposium. Dropout rate of the study was 8.8% and 18 deaths (6.2%) were observed. Frailty defined by the CSHA criteria was found in 30 subjects (10.3%) and its incidence was three times more in females than in males. Multiple logistic regression analysis revealed four significant predictors for frailty including non-fat mass, upper arm muscle area, walking speed and self-assessment of cognitive decline. Other objective parameters associated with aging during 5 years observations also identified. Based on these findings, essentially minimum items for detection of frailty were proposed in the practice of health evaluation and promotion for the elderly.