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82 巻 , 5 号
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原著
  • Fumie OKADA, Satoshi TOYOKAWA, Takehiko KANEKO, Tadashi FURUHATA
    82 巻 (2016) 5 号 p. 171-181
    公開日: 2016/10/31
    ジャーナル フリー

    本研究では,ロコモティブシンドロームとソーシャルキャピタルへのアクセスや生活満足度,主観的健康感との負の関係性について検討した.

    この質問紙調査は,46道府県在宅高齢者15,200名を対象に実施した.

    有効回答数は8,301名,介護保険給付者は男女とも約11%,ロコモティブシンドローム治療は男性15.3%,女性26.8%であった.すべての項目でロコモティブシンドロームを有する者の状態は悪かった.社会参加,社会参加(喪失),生活満足感,主観的健康感を阻害する方向で有意差がみられた.全国高齢者のロコモティブシンドロームは,社会参加を低下させ,生活満足感や主観的健康感の低評価と有意に関連していることが示され,直接的に生活満足感に結びついていた.

    このことから,ソーシャルキャピタルへのアクセスとは独立して,ロコモティブシンドロームの予防を講じても良いと考えられた.また予防の遅れは,健康格差を拡大させる可能性があることから,社会経済的な差にかかわらず,予防の重要性を広める手段を講じる必要があると考えられた.

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  • 淀川 尚子, 徳永 淳也, 丸谷 美紀, 波多野 浩道
    82 巻 (2016) 5 号 p. 183-202
    公開日: 2016/10/31
    ジャーナル フリー

    This study aimed to characterize the effects on vegetable consumption caused by mother-child food neophobia and their dietary communication, both of which have a great influence on the child’s eating behavior. A self-administered questionnaire was conducted in elementary and junior high school students who had regular dental visits and their mothers, and 193 subjects were analyzed. Items included in the questionnaire were largely basic attributes and food neophobia of the mother and child, likes and dislikes, triggers of the child’s food aversion, eating habits, mother-child communication about eating habits, frequency of vegetable intake, and preference. Multiple regression analysis determined that food neophobia of the child, experience of forced feeding by the parents, and experience of forced feeding by teachers had a significant positive influence on the likes and dislikes of children, while joint eating behavior with the mother and conversation at table with friends, child age had a significant negative influence. As the factors influencing the number of vegetables the child cannot eat, likes and dislikes of the child, mother’s preference for new food, and the number of vegetables the mother cannot eat had a significant positive influence. In contrast, food neophobia of the child had a significant negative influence. Mother-child food neophobia can affect eating behavior, specifically holding the key to vegetable consumption or non-consumption. The study results suggest that when eating habit guidance is provided emphasis should be placed on joint eating behavior of the mother and child such as food-related conversation, shopping, cooking, and vegetable cultivation, which are considered to be effective in decreasing the likes and dislikes of children, and interventions to enhance dietary communication, for example conversation at table with friends.

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