日本健康学会誌
Online ISSN : 2432-6720
Print ISSN : 2432-6712
ISSN-L : 2432-6712
85 巻 , 6 号
選択された号の論文の4件中1~4を表示しています
巻頭言
原著
  • Noriko OKAMOTO, Hitomi MATSUDA, Toshifumi TAKAO
    原稿種別: 研究論文
    2019 年 85 巻 6 号 p. 199-205
    発行日: 2019/11/30
    公開日: 2019/12/20
    ジャーナル フリー

    本研究は,認知症のリスクのある高齢者の日常生活の特徴を明らかにすることを目的に,地域在住の高齢者を対象に質問紙調査を実施した.調査項目は属性,SF−8,GDS,PSQI,LSNS-6,GOHAI,基本チェックリストとした.調査参加者は65歳以上の高齢者164人,回収数154(93.9%),有効回答は93(56.7%)であった.基本チェックリストをもとに参加者を認知症予防・支援事業対象者(高リスク群)とその他(低リスク群)に分類した.高リスク群は19人,低リスク群は74人であった.低リスク群に比べ,高リスク群のGDS得点は有意に高く,LSNS-6の得点は有意に低く,昼寝頻度と日常的な活動の数も有意に低かった.ロジスティック回帰分析の結果,認知症のリスク要因としてGDS(OR 4.805;CI 1.298-17.777;P=0.019),frequency of naps(OR 0.191;CI 0.075-0.482;P<0.01)が示された.うつ傾向,昼寝頻度などの習慣,社会的な交流の低下(社会的孤立)に関心を向けることにより,認知症のリスクへの気づきや早期発見,ケアにつながることが期待される.今後は客観的指標による評価と認知症の診断をふまえた調査を課題とした.

資料
  • 山本 道代, 林 裕子, 大内 潤子
    原稿種別: 研究論文
    2019 年 85 巻 6 号 p. 207-215
    発行日: 2019/11/30
    公開日: 2019/12/20
    ジャーナル フリー

    Purpose: This research aimed to clarify the factors relevant to the awareness regarding skin dryness in community-dwelling elderly.

    Method: A self-administered survey was conducted in May 2017 and the stratum corneum hydration was measured. The survey items comprised basic attributes, whether the subjects used moisturizing agents, nutritional status, and awareness regarding skin dryness. Forearms and lower legs were observed, and their stratum corneum hydration was measured.

    Results: The research was conducted on 58 subjects; 32 were women with an average age of 72.9 years. Factors that influenced the awareness regarding skin dryness were female sex, lower age, and alcohol consumption, and the awareness prompted the use of skin moisturizers. However, stratum corneum hydration was not associated with the awareness of skin dryness. Some of the elderly subjects did not use skin moisturizers.

    Discussion: The women’s great concern for their skin could be the possible reason they are aware of skin dryness; the awareness of skin dryness in the younger elderly was thought to be the result of their maintenance of visual and tactile susceptibilities. Moreover, alcohol consumption was believed to be influenced by sex.

    Conclusion: The prevention of skin dryness should be greatly promoted to males and the late elderly.

事例報告
  • 木下 節子, 萱場 一則, 延原 弘章
    原稿種別: 症例報告
    2019 年 85 巻 6 号 p. 216-230
    発行日: 2019/11/30
    公開日: 2019/12/20
    ジャーナル フリー

    Objective: We aimed to evaluate the effectiveness of specific health guidance on the outcomes of health checkup in a three-year continuing screening program for a large population.

    Methods: Among the 422,389 examinees of the specific health checkup system, individuals undergoing a three-year continuing screening from 2008 to 2010 were divided into nine groups according to the existence or non-existence of health guidance practices. We compared the outcomes of the health checkups conducted in 2008 and those conducted in 2010 for 84,831 men and 132,449 women. More specifically, we analyzed the annual changes in the clinical measurements using the generalized linear model with the ages recorded in 2008 as covariates. Further, the annual changes in the prevalence of metabolic syndrome, obesity, dyslipidemia, hypertension, impaired glucose tolerance, and smoking were examined using the McNemar test.

    Results: The participants who received health guidance in 2008 and did not need guidance in 2009 revealed the greatest change rate in mean body mass index reduction, mean waist circumference re duction, mean triglyceride levels, and mean high-density lipoprotein levels compared with those who needed health guidance in 2008. The participants who received health guidance in both 2008 and 2009 revealed the greatest reduction in the prevalence of obesity for men and women [men, −12.1 percent points (pp), p<0.001; women, −14.9 pp, p<0.001].

    Discussion: Although the unrandomized controlled study, the statistical phenomenon of regression to the mean, and selection bias could be limitations, a positive effect of health guidance was observed on the outcomes of the health checkups for a large population.

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