九州大学学術情報リポジトリ Kyushu University Institutional Repository 地域在住高齢者の QOL : 太宰府研究畑山, 知子南山大学人文学部松尾, 恵理九州大学健康科学センター村上, 清英中九州短期大学長野, 真弓京都文教大学臨床心理学部他 htt

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1 九州大学学術情報リポジトリ Kyushu University Institutional Repository 地域在住高齢者の QOL : 太宰府研究畑山, 知子南山大学人文学部松尾, 恵理九州大学健康科学センター村上, 清英中九州短期大学長野, 真弓京都文教大学臨床心理学部他出版情報 : 健康科学. 34, pp.43-53, 九州大学健康科学センターバージョン : 権利関係 :

2 Vol.34, QOL 1), 2), 3) 4), 2), 2) Quality of life in community-dwelling elderly: Dazaifu Study Tomoko HATAYAMA 1), Eri MATSUO 2), Kiyohide MURAKAMI 3), Mayumi NAGANO 4), Yoshihiko MORIYAMA 2), and Shuzo KUMAGAI 2)* Abstract We conducted a comprehensive survey from 2009 to 2010, to develop a prevention of care state in the community-dwelling elderly subjects aged 65 or older: Dazaifu Study. The purpose of this cross-sectional study was to clarify the characteristics of study participants and the quality of life using WHO/QOL-26 items. Data was collected from 901 independent elderly people (426 males and 475 females, mean age was 72.9 yr) living in Dazaifu city. A questionnaire included the demographic and socioeconomic factor, life-style, chronic diseases, physical function, social relations, social support, mental health, and sense of coherence (SOC). In addition, physical fitness test, cognitive function and physical activities using accelerometer were measured. The mean QOL score was 3.52 and no difference showed in age, sex, marital status, living alone, cognitive function. Meanwhile, in the other factors, QOL scores were significant higher in the favorable group. This cross-sectional study showed the QOL score in community-dwelling elderly. Longitudinal studies need to clarify the factors that maintain and improve QOL. Key words: WHO/QOL-26 items, socioeconomic factor, community-dwelling elderly (Journal of Health Science, Kyushu University, 34: -, 2012) 1) Faculty of Humanity, Nanzan University 2) Institute of Health Science, Kyushu University Tel&Fax: Correspondence to: Institute of Health Science, Kyushu University 6-1 Kasuga-koen, Kasuga, Fukuoka , Japan Tel&Fax: shuzo@ihs.kyushu-u.ac.jp 3) Nakakyushu Junior College 4) Department of Clinical Psychology, Kyoto Bunkyo University

3 ) 4) 5) 90% Quality of life QOL QOL WHO/QOL-26 QOL 1. 69, % % ~ ,617 1,177 1,440 2, % ) 5 2) 1 20~30 2~

4 QOL , Pittsburgh Sleep Quality Index: PSQI 6) 7) ~3 PSQI 0~21 8) ) ) ) , , 2 6) Sense of Coherene SOC Center for epidemiological studies depression Scale 9) CES-D 16 CES-D CES-D 10) CES-D 16 SOC 3 11) SOC SOC 3 7) 12,13) 5

5 aging-associated cognitive decline; AACD 14) 12) 14 8) ~ ~ ~ ) ) HBF-361 Body Mass Index BMI BMI 25BMI<18.5 5m m 3m 8m11m 3m 8m 3 Active Style Pro JA350IT ) 8 // 3METs /3METs /Ex/ 10) Quality of life: QOL WHO/QOL-26 16) 4 24 QOL ± QOL t Tukey 1 SPSS Ver.19 4.

6 QOL 2 QOL WHO/QOL QOL ~5%CES-D 9.2% 18% QOL QOL 25.5% 12.1% QOL 10% QOL 100% 80% 60% 40% 20% 0% % % % % %QOL 42.1% QOL QOL

7 34 64~73 74 SOC % 4 12% 1% 13 QOL 194,454 /10,606 / 825,000 / 1 129,903 / 2 129, ,000 / 3 175, ,000 / 4 225, ,241 / 5 274,242 / QOL QOL 2 5 QOL QOL 2 3.7% QOL QOL 42.2% QOL 1 2 QOL %QOL 14% 6% 2% QOL QOL CES-D 12.2% QOL SOC QOL % QOL QOL

8 QOL QOL % % QOL QOL 25% 6% 5m QOL 727 / 6,092 4,157 4,764 2, QOL

9 34 QOL ) ) 16) QOL QOL 1 QOL 18) SOC SOC SOC SOC

10 QOL ±12.5 n=32,891 3) SOC well-being 19) 20) SOC QOL QOL QOL / 21) ) QOL QOL 2 QOL 22) QOL 23) 24) n=10,969 CES-D 25) % WHO QOL ) 3.22 QOL QOL QOL QOL 22 26) 70 4,890 3, % QOL 2 27) 28) QOL QOL QOL QOL QOL 23 A C

11 34 1) (2010) (8)57: ) (2011) (9) 58: ) (2007) 4) (2005) - (3) -, 69: ) (2011) 23 zenbun/23pdf_index.html ) Buysse DJ, Reynolds Cf 3rd, Monk TH, Berman SR, Kupfer DJ. (1989) The Pittsburgh Sleep Quality Index: A New Instrument for psychiatric practice and research, Psychiatry Res, 28: ) (1998) ) Doi Y, Minowa M, Uchiyama M, Okawa M, Kim K, Shibui K, Kamei Y (2000): Psychometric assessment of subjective sleep quality using the Japanese version of the Pittsburgh Sleep Quality Index(PSQI-J) in psychiatric disorderd and control subjects. Psychiatry Res, 97: ) Radloff LS (1977) The CES-D scale; a self-report depression scale for research in the general population. Appl Psychol Measur, 1: ) (1998) CES-D 11) (2001) ) (2010) 13) (2010) 21: ) Levy R (1994): Aging-associated cognitive decline. Int Psychogeriatr, 6: ) Ohkawara K, Oshima Y, Hikihara Y, Ishikawa-Takata K, Tabata I, Tanaka S (2011): Real-time estimation of daily physical activity intensity by a triaxial accelerometer and a gravity-removal classification algorithm. Br J Nutr, 105: ) (2007) WHO QOL26 17) (2007) WHO QOL26 13: ) (2004) 7: ) Eriksson M, Lindsrom B (2005): Validity of Antonovsky s sense of coherence scale: a systematic review. J Epidemiol Community Health, 59: ) [] (2008): 55: ) (2008) 20 pdf 22) Wyman JF, Harkins SW, Fantl JA(1990): Psychological impact of urinary incontinence in the community- dwelling population. JAm Geriatr Soc, 38: ) (2007) QOL 44: ) Kim H, Yoshida Y, Suzuki T (2011): The effects of multidimensional exercise treatment on communitydwelling elderly Japanese women with stress, urge, and mixed urinary incontinence: a randomized controlled trial. Int J Nurs Stud, 48: )

12 QOL (2011) 113: ) (2012) bb-att/2r c0o.pdf 27) (2007) QOL 28: ) Yasunaga A, Togo F, Watanabe E, Park H, Shephard RJ, Aoyagi Y (2006): Yearlong physical activity and health-related quality of life in older Japanese adults:the Nakanojo Study. Journal of Aging and physical activity, 14:

九州大学学術情報リポジトリ Kyushu University Institutional Repository 日中間の学生における精神的健康への計画行動理論の予測力橋本, 公雄九州大学健康科学センター胡, 嘉明中国貴州大学外国語学院藤永, 博和歌山大学経済学部 Refer, Lutz Ba

九州大学学術情報リポジトリ Kyushu University Institutional Repository 日中間の学生における精神的健康への計画行動理論の予測力橋本, 公雄九州大学健康科学センター胡, 嘉明中国貴州大学外国語学院藤永, 博和歌山大学経済学部 Refer, Lutz Baylor University 他 https://doi.org/10.15017/10779 出版情報