Physical and mental health level of 70 married couple, whose wives worked as volunteers of maternal and child health or diet improvement projects in a village of Gunma prefecture, was measured using a health questionnaire, the Todai Health Index (THI), consisting of 12 scales and 2 discriminant values. As controlled group, 68 men and 68 women randomly sampled from the neighboring village were set up. Mean values of scale scores of mental instability and depression of volunteer group were statistically smaller than those of control women, and that of aggressiveness of volunteer group was larger than that of control women. Scale scores of digestive organ and aggressiveness of husbands are higher than those of wives, and the reverse tendencies were found in the scores of mental instability and irregularity of life. Significant correlations were found between volunteers and their husbands in the scales: impulsiveness, lie scale, mental instability, depression, and irregularity of life, which were also found in the other married couples. These relation was not recognized in the control group. From these results, health level of wives who were volunteers of health promotion project of a village are mentally better or active compared with that of the control group, but there was little difference in the interaction of mental health between volunteer spouse and the other general one.
The authors studied on characteristics of heavy alcohol drinkers who were in and out-patients taking counsel twice with the nutritionist in the hospital of the faculty of Medicine, Tottori University during 12 years, from 1974 to 1986. Even though there were many patients visited with dietary counseling room, the subjects of this study were limited only 206 cases who had drunk alcohol more than 1000kg as the total consumption. In order to make clear basic situation of the heavy drinker, the relationship between medical examination data and dietary habits being got from questionnaire in the dietary counsel were investigated here. Total sum of alcohol in each cases in its life span was estimated approximately 1571 ± 155 kg in male and 1214 ± 523 kg in female. It was 2 .5 ± 0.9 g/day . kg body weight in average in male, and also 2.4 ±0.7 g/day . kg body weight in female . Drinking history has continued 31 ± 10 years in male and 29 ± 10 years in female . Their chief complains and clinical diagnoses were neuropathy, liver diseases, diabetes melitus and hypertension . In the inspection into relationship between clinical diagnosis and the amount of alcohol consumption, the alcohol intake was larger in order of neuropathy, liver diseases, D.M. and hypertension. Their nutritional situations were very miserable and exceedingly deficient in not only vitamin B1, but also vitamin B2, vitamin A, iron and calcium. As to complicated diseases, nutritional situation were worse in order of cases of neuropathy, hypertension, liver diseases and D.M.. It was very interesting that female heavy drinkers were worst in nutrients deficiency and larger than male in current alcohol drinking amount at the dietary counseling. The heavy alcohol drinkers preferred nice drinking than well nourished meals. It was very important that the amount of alcohol drinking in medical record is used to be only the half of that in dietary counseling record. Average intake of salt in their diet was 15.6 g/day. As above mentioned heavy alcohol drinkers have to suffer from double hazards of alcohol toxicity and malnutrition.
The purpose of this study was to determine whether moderate habitual physical exercise brings about the improvements of physical fitness, blood pressure and serum lipids in the training men. 481 volunteers in Iwafune town were asked to participate in the training program for six months from October 1990 to March 1991. They underwent a medical examination to check risk of heart attack before and just after the physical exercises. Optimum levels of walking exercise based on their own physical fitness were loaded on them once every day for six months. Amount of daily physical activities were measured for all the subjects of volunteers by using portable pedometers. The results were as follows: 1) The number of steps per day was over 7, 000 steps in 24.4% of the subjects, whereas lower than 3, 000 steps per day in 18.3% of them. A tendency of less daily steps was observed in the groups of 30s' years old . 2) After six months of health program practice, slight improvement of physical fitness were observed in both sexes, especially the required time of a fast walking was significantly shortened (p<0.01). 84.5% of the subjects showed pronounced improvements in endurance performance . 3) Remakable decreases of blood pressure were observed in the groups of hypertension and borderline hypertension before the program. Especially, the walking groups over 5, 000 steps per day brought about desiable improvement of blood pressure . 4) Habitual practice of daily physical activities led to significant increases of HDL and apo A-1, and significant decrease of TG and AI of both sexes. 5) No significant improvement was found in left ventricular function between pretraining and post-training. 6) Acording to the six months of health program practice, the improvement of daily physical or life style was obtained many volunteers, furthermore, a tendency of disappearance in unidentified clinical syndrome was observed. These findings suggested that regular physical activities for six months improve their physical fitness, blood pressure and serum lipids in the middle-aged and the old-aged, and daily physical exercises are very useful for prevention of cardiovascular diseases in a community health activity.
This study is based on five years follow-up study on the aged with dementia who are cared in own home. The purpose of this study is to estimate mortality during five years and to find physical, mental, and social factors which influence on death and diseases in demented people. In 1984, the authors carried out an investigation about the age-related dementia in 14, 984 residents, aged more than 65 years in Tokorozawa City, Tokyo metoropolitan area. In this study 306 persons with dementia and their family members who cared them were interviewed. In 1991, the authors followed up them. 201 cases of them died already during five years, and 81 cases survived and 24 cases were lost in the reasons of moving away and admission into either hospitals or institutions. As the results in Hasegawa's Report (1981), the storongest factors of mortality in the aged with dementia were higher age, severe dementia, low ADL levels such as bedridden status and incontinence. Besides, the authors found different patterns of mortality by age between population of 65-79 years old (at inital survey) and 80 years and over, and by length of time suffering from dementia between less and more than 5 years. There were no typical influences on mortality by differences of care conditions and caregivers.