車いす利用による心的健康指標・血清生化学検査値・好中球機能の変化 韓国高齢者施設での調査結果から
「1. 緒言」2008年7月より韓国では老人長期療養保険制度が施行され（1）, 高齢者施設の在り方が見直されることとなった. その影響を調べるために, 2007年より韓国忠清南道洪城の高齢者施設である「J 園」と協力し, 入居中の高齢者を対象として2007年から2010年まで毎年7月に健康調査を実施した. この施設は生活困窮者や身寄りのない高齢者を対象とした施設であり, 全額国から運営費が支給されていた為, 車いすの導入費は計上されておらず, 2007年調査時には車いすの利用は個人が持ち込んだ電動車いすを利用していた1名のみであった. しかし, 老人長期療養保険制度の施行により車いす導入費が予...
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| Published in | 日本衛生学雑誌 Vol. 67; no. 1; pp. 67 - 75 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人日本衛生学会
01.01.2012
日本衛生学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5082 1882-6482 |
| DOI | 10.1265/jjh.67.67 |
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| Abstract | 「1. 緒言」2008年7月より韓国では老人長期療養保険制度が施行され（1）, 高齢者施設の在り方が見直されることとなった. その影響を調べるために, 2007年より韓国忠清南道洪城の高齢者施設である「J 園」と協力し, 入居中の高齢者を対象として2007年から2010年まで毎年7月に健康調査を実施した. この施設は生活困窮者や身寄りのない高齢者を対象とした施設であり, 全額国から運営費が支給されていた為, 車いすの導入費は計上されておらず, 2007年調査時には車いすの利用は個人が持ち込んだ電動車いすを利用していた1名のみであった. しかし, 老人長期療養保険制度の施行により車いす導入費が予算化された為, それまで自立歩行をしていた今回の研究対象者33名中13名が, 本人の希望により車いす（手動式）を常時使用するようになった. 車いすの利用は歩行量を低下させ日常の運動量を減少させると考えられる. |
|---|---|
| AbstractList | 「1. 緒言」2008年7月より韓国では老人長期療養保険制度が施行され（1）, 高齢者施設の在り方が見直されることとなった. その影響を調べるために, 2007年より韓国忠清南道洪城の高齢者施設である「J 園」と協力し, 入居中の高齢者を対象として2007年から2010年まで毎年7月に健康調査を実施した. この施設は生活困窮者や身寄りのない高齢者を対象とした施設であり, 全額国から運営費が支給されていた為, 車いすの導入費は計上されておらず, 2007年調査時には車いすの利用は個人が持ち込んだ電動車いすを利用していた1名のみであった. しかし, 老人長期療養保険制度の施行により車いす導入費が予算化された為, それまで自立歩行をしていた今回の研究対象者33名中13名が, 本人の希望により車いす（手動式）を常時使用するようになった. 車いすの利用は歩行量を低下させ日常の運動量を減少させると考えられる. |
| Author | 信太, 直己 郭, 正郁 黒田, 久美子 町田, 和彦 |
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| Copyright | 2012 日本衛生学会 |
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| DOI | 10.1265/jjh.67.67 |
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| References | (45) Ellard DR, Barlow JH, Mian R. Perceived stress, health status, and the activity of neutrophils in undergraduates over one academic year. Stress Health. 2005;21:245–253. (4) Nieman DC, Henson DA, Gusewitch G, Warren BJ, Dotson RC, Butterworth DE, Nehlsen-Cannerella SL. Physical activity and immune function in elderly women. Med Sci Sport Exerc. 1993;25:823–831. (13) Wijndaele K, Matton L, Duvigneaud N, Lefevre J, De Bourdeaudhuij I, Duquet W, Thomis M, Philippaerts RM. Association between leisure time physical activity and stress, social support and coping: A cluster-analytical approach. Psychol Sport Exerc. 2007;8:425–440. (16) Baumgartner RN, Koehler KM, Romero L, Garry PJ. Serum albumin is associated with skeletal muscle in elderly men and women. Am J Clin Nutr. 1996;64:552–558. (24) Schröder AK, Rink L. Neutrophil immunity of the elderly. Mech Ageing Dev. 2003;124:419–425. (27) 村上正人，松野俊夫，桂 戴作．健常人のストレス状態に関する研究．心身医療1989;1:78–82 (31) Klonoff-Cohen H, Barrett-Connor EL, Edelstein SL. Albumin levels as a predictor of mortality in the healthy elderly. J Clin Epidemiol. 1992;45:207–212. (37) Landi F, Russo A, Cesari M, Pahor M, Bernabei R, Onder G. HDL-cholesterol and physical performance: Results from the ageing and longevity study in the sirente geographic area (ilSIRENTE Study). Age Ageing. 2007;36:514–520. (21) Frazão P, Naveira M. Factors associated with low bone mineral density among white women. Revista de Saude Publica. 2007;41:740–748. (17) Johansen KL, Chertow GM, Kutner NG, Dalrymple LS, Grimes BA, Kaysen GA. Low level of self-reported physical activity in ambulatory patients new to dialysis. Kidney Int. 2010;78:1164–1170. (22) Miller RA. The aging immune system: primer and prospectus. Science. 1996;273:70–74. (5) Shinkai S, Kohno H, Kimura K, Komura T, Asai H, Inai R, Oka K, Kurakowa Y, Shephard RJ. Physical activity and immune senescence in men. Med Sci Sport Exerc. 1995;27:1516–1526. (18) Nieman DC, Warren BJ, O’Donnell KA, Dotson RG, Butterworth DE, Henson DA. Physical activity and serum lipids and lipoproteins in elderly women. J Am Geriatr Soc. 1993;41:1339–1344. (34) Agarwal N, Acevedo F, Leighton LS, Cayten CG, Pitchumoni CS. Predictive ability of various nutritional variables for mortality in elderly people. Am J Clin Nutr. 1988;48:1173–1178. (19) Kostka T, Lacour JR, Berthouze SE, Bonnefoy M. Relationship of physical activity and fitness to lipid and lipoprotein (a) in elderly subjects. Med Sci Sports Exerc. 1999;31:1183–1189. (11) De Moor MHM, Beem AL, Stubbe JH, Boomsma DI, De Geus EJC. Regular exercise, anxiety, depression and personality: A population-based study. Prev Med. 2006;42:273–279. (39) Solberg LA, Strong JP. Risk factors and atherosclerotic lesions—A review of autopsy studies—. Arteriosclerosis. 1983;3:187–198. (1) 林 春植，宣 賢奎，住居広士．韓国介護保険制度の創設と展開．京都：ミネルヴァ書房，2010 (41) Jorde R, Sundsfjord J, Bønaa KH. Determinants of serum calcium in men and women. The Tromsø study. Eur J Epidemiol. 2002;17:1117–1123. (44) Lucia M, Erika C, Maria V, Mariano M. The role of exercise on the innate immunity of the elderly. Eur Rev Aging Phys Act. 2005;5:43–49. (2) 三浦 研，川越雅弘，孔 相権．要介護度および施設種別からみた歩行・移動に関する実態とその環境整備に関する基礎的研究―同一地域におけるアンケート調査から―．生活科学研究誌2007;6:105–112 (30) 鈴木克彦，町田和彦，関根美枝，村山瑠美子．NBT還元試験による食細胞活性酸素産生能の分析・評価法及びその応用性．体力・栄養・免疫学雑誌1993;3:31–38 (28) Oritsu M, Murakami M, Katsura T, Nozaki S. The Reliability of the Stress Tolerance Check List. J Clin Epidemiol. 1996;36:489–496. (14) Shida N, Kawahara N, Ye X, Yamazaki K, Iwai H, Amamiya Y, Machida K. The relationship between stress, lifestyle and physical function in the elderly. Journal of Physical Fitness Nutrition and Immunology 2007;17:61–67. (43) Lee MS, Kang CW, Ryu H. Effect of qi training on neutrophil function in young and elderly males. J Altern Complement Med. 2004;10:681–683. (10) Stathi A, Fox KR, McKenna J. Physical activity and dimensions of subjective well-being in older adults. J Aging Phys Act. 2002;10:76–92. (12) Stubbe JH, De Moor MHM, Boomsma DI, De Geus EJC. The association between exercise participation and well-being: A co-twin study. Prev Med. 2007;44:148–152. (46) 塚本和正，有倉恵子，鈴木克彦，町田和彦．ストレスがラット生体諸機能に及ぼす影響―身体的ストレスと心理的ストレス―．体力・栄養・免疫学雑誌1993;6:157–168 (29) Lawton MP. The PGC morale scale; A revision. J Gerontol. 1975;30:85–89. (36) Bijnen FCH, Feskens EJM, Caspersen CJ, Giampaoli S, Nissinen AM, Menotti A, Mosterd WL, Kromhout D. Physical activity and cardiovascular risk factors among elderly men in Finland, Italy, and the Netherlands. Am J Epidemiol. 1996;143:553–561. (8) Nakamura H, Matsuzaki I, Sasahara S, Hatta K, Nagase H, Oshita Y, Ogawa Y, Nobukuni Y, Kambayashi Y, Ogino K. Enhancement of a sense of coherence and natural killer cell activity which occurred in subjects who improved their exercise habits through health education in the workplace. J Occupat Health. 2003;45:278–285. (23) Christoph W, Sanda P, Felix DCK, Robert K, Walter H. Effect of age on human neutrophil function. J Leukoc Biol. 2000;67:40–45. (33) Qureshi AR, Alvestrand A, Danielsson A, Divino-Filho JC, Gutierrez A, Lindholm B, Bergström J. Factors predicting malnutrition in hemodialysis patients: A cross-sectional study. Kidney Int. 1998;53:773–782. (40) Heilbronn LK, De Jonge L, Frisard MI, DeLany JP, Larson-Meyer DE, Rood J, Nguyen T, Martin CK, Volaufova J, Most MM, Greenway FL, Smith SR, Deutsch WA, Williamson DA. Effect of 6-month calorie restriction on biomarkers of longevity, metabolic adaptation, and oxidative stress in overweight individuals: A randomized controlled trial. J Am Med Assoc. 2006;295:1539–1548. (42) Nieman DC. Exercise immunology: Practical applications. Int J Sports Med. 1997;Suppl 1:S91–100. (32) Era S, Kuwata K, Imai H, Nakamura K, Hayashi T, Sogami M. Age-related change in redox state of human serum albumin. Biochim Biophys Acta. 1995;1247:12–16. (15) Parker SJ, Strath SJ, Swartz AM. Physical activity measurement in older adults: Relationships with mental health. J Aging Phys Act. 2008;16:369–380. (3) Crist DM, Mackinnon LT, Thompson RF, Atterbom HA, Egan PA. Physical exercise increases natural killer cellular-mediated tumor cytotoxicity in elderly women. Gerontology. 1989;35:66–71. (20) Miyabara Y, Onoe Y, Harada A, Kuroda T, Sasaki S, Ohta H. Effect of physical activity and nutrition on bone mineral density in young Japanese women. J Bone Miner Metab. 2007;25:414–418. (7) Akimoto T, Kumai Y, Akama T, Hayashi E, Murakami H, Soma R, Kuno S, Kono I. Effects of 12 months of exercise training on salivary secretory IgA levels in elderly subjects. Br J Sports Med. 2003;37:76–79. (6) Gueldner SH, Poon LW, La Via M, Virella G, Michel Y, Bramlett MH, Noble CA, Paulling E. Long term exercise patterns and immune function in healthy older women: a report of preliminary findings. Mech Ageing Dev. 1997;93:215–222. (35) Corti MC, Guralnik JM, Salive ME, Sorkin JD. Serum albumin level and physical disability as predictors of mortality in older persons. J Am Med Assoc. 1994;272:1036–1042. (25) Alonso-Fernandez P, Puerto M, Mate I, Ribera JM, De La Fuente M. Neutrophils of centenarians show function levels similar to those of young adults. J Am Geriatr Soc. 2008;56:2244–2251. (26) 鈴木克彦，町田和彦，刈谷美枝子．ラットの自発走運動モデルの基礎的検討および健康指標に及ぼす慢性的影響．日本衛生学雑誌1992;47:939–951 (9) McAuley E, Blissmer B, Marquez DX, Jerome GJ, Kramer AF, Katula J. Social relations, physical activity, and well-being in older adults. Prev Med. 2000;31:608–617. (38) Lee Y, Chien K, Lee B, Lin H, Hsu H, Chen M. High-density lipoprotein-cholesterol trajectory pattern, associated lifestyle and biochemical factors among Taiwanese. Circ J. 2009;73:1887–1892. |
| References_xml | – reference: (11) De Moor MHM, Beem AL, Stubbe JH, Boomsma DI, De Geus EJC. Regular exercise, anxiety, depression and personality: A population-based study. Prev Med. 2006;42:273–279. – reference: (25) Alonso-Fernandez P, Puerto M, Mate I, Ribera JM, De La Fuente M. Neutrophils of centenarians show function levels similar to those of young adults. J Am Geriatr Soc. 2008;56:2244–2251. – reference: (5) Shinkai S, Kohno H, Kimura K, Komura T, Asai H, Inai R, Oka K, Kurakowa Y, Shephard RJ. Physical activity and immune senescence in men. Med Sci Sport Exerc. 1995;27:1516–1526. – reference: (9) McAuley E, Blissmer B, Marquez DX, Jerome GJ, Kramer AF, Katula J. Social relations, physical activity, and well-being in older adults. Prev Med. 2000;31:608–617. – reference: (26) 鈴木克彦，町田和彦，刈谷美枝子．ラットの自発走運動モデルの基礎的検討および健康指標に及ぼす慢性的影響．日本衛生学雑誌1992;47:939–951． – reference: (37) Landi F, Russo A, Cesari M, Pahor M, Bernabei R, Onder G. HDL-cholesterol and physical performance: Results from the ageing and longevity study in the sirente geographic area (ilSIRENTE Study). Age Ageing. 2007;36:514–520. – reference: (45) Ellard DR, Barlow JH, Mian R. Perceived stress, health status, and the activity of neutrophils in undergraduates over one academic year. Stress Health. 2005;21:245–253. – reference: (36) Bijnen FCH, Feskens EJM, Caspersen CJ, Giampaoli S, Nissinen AM, Menotti A, Mosterd WL, Kromhout D. Physical activity and cardiovascular risk factors among elderly men in Finland, Italy, and the Netherlands. Am J Epidemiol. 1996;143:553–561. – reference: (15) Parker SJ, Strath SJ, Swartz AM. Physical activity measurement in older adults: Relationships with mental health. J Aging Phys Act. 2008;16:369–380. – reference: (21) Frazão P, Naveira M. Factors associated with low bone mineral density among white women. Revista de Saude Publica. 2007;41:740–748. – reference: (38) Lee Y, Chien K, Lee B, Lin H, Hsu H, Chen M. High-density lipoprotein-cholesterol trajectory pattern, associated lifestyle and biochemical factors among Taiwanese. Circ J. 2009;73:1887–1892. – reference: (22) Miller RA. The aging immune system: primer and prospectus. Science. 1996;273:70–74. – reference: (30) 鈴木克彦，町田和彦，関根美枝，村山瑠美子．NBT還元試験による食細胞活性酸素産生能の分析・評価法及びその応用性．体力・栄養・免疫学雑誌1993;3:31–38． – reference: (42) Nieman DC. Exercise immunology: Practical applications. Int J Sports Med. 1997;Suppl 1:S91–100. – reference: (46) 塚本和正，有倉恵子，鈴木克彦，町田和彦．ストレスがラット生体諸機能に及ぼす影響―身体的ストレスと心理的ストレス―．体力・栄養・免疫学雑誌1993;6:157–168． – reference: (4) Nieman DC, Henson DA, Gusewitch G, Warren BJ, Dotson RC, Butterworth DE, Nehlsen-Cannerella SL. Physical activity and immune function in elderly women. Med Sci Sport Exerc. 1993;25:823–831. – reference: (24) Schröder AK, Rink L. Neutrophil immunity of the elderly. Mech Ageing Dev. 2003;124:419–425. – reference: (33) Qureshi AR, Alvestrand A, Danielsson A, Divino-Filho JC, Gutierrez A, Lindholm B, Bergström J. Factors predicting malnutrition in hemodialysis patients: A cross-sectional study. Kidney Int. 1998;53:773–782. – reference: (10) Stathi A, Fox KR, McKenna J. Physical activity and dimensions of subjective well-being in older adults. J Aging Phys Act. 2002;10:76–92. – reference: (27) 村上正人，松野俊夫，桂 戴作．健常人のストレス状態に関する研究．心身医療1989;1:78–82． – reference: (12) Stubbe JH, De Moor MHM, Boomsma DI, De Geus EJC. The association between exercise participation and well-being: A co-twin study. Prev Med. 2007;44:148–152. – reference: (31) Klonoff-Cohen H, Barrett-Connor EL, Edelstein SL. Albumin levels as a predictor of mortality in the healthy elderly. J Clin Epidemiol. 1992;45:207–212. – reference: (2) 三浦 研，川越雅弘，孔 相権．要介護度および施設種別からみた歩行・移動に関する実態とその環境整備に関する基礎的研究―同一地域におけるアンケート調査から―．生活科学研究誌2007;6:105–112． – reference: (20) Miyabara Y, Onoe Y, Harada A, Kuroda T, Sasaki S, Ohta H. Effect of physical activity and nutrition on bone mineral density in young Japanese women. J Bone Miner Metab. 2007;25:414–418. – reference: (17) Johansen KL, Chertow GM, Kutner NG, Dalrymple LS, Grimes BA, Kaysen GA. Low level of self-reported physical activity in ambulatory patients new to dialysis. Kidney Int. 2010;78:1164–1170. – reference: (39) Solberg LA, Strong JP. Risk factors and atherosclerotic lesions—A review of autopsy studies—. Arteriosclerosis. 1983;3:187–198. – reference: (41) Jorde R, Sundsfjord J, Bønaa KH. Determinants of serum calcium in men and women. The Tromsø study. Eur J Epidemiol. 2002;17:1117–1123. – reference: (34) Agarwal N, Acevedo F, Leighton LS, Cayten CG, Pitchumoni CS. Predictive ability of various nutritional variables for mortality in elderly people. Am J Clin Nutr. 1988;48:1173–1178. – reference: (8) Nakamura H, Matsuzaki I, Sasahara S, Hatta K, Nagase H, Oshita Y, Ogawa Y, Nobukuni Y, Kambayashi Y, Ogino K. Enhancement of a sense of coherence and natural killer cell activity which occurred in subjects who improved their exercise habits through health education in the workplace. J Occupat Health. 2003;45:278–285. – reference: (23) Christoph W, Sanda P, Felix DCK, Robert K, Walter H. Effect of age on human neutrophil function. J Leukoc Biol. 2000;67:40–45. – reference: (43) Lee MS, Kang CW, Ryu H. Effect of qi training on neutrophil function in young and elderly males. J Altern Complement Med. 2004;10:681–683. – reference: (1) 林 春植，宣 賢奎，住居広士．韓国介護保険制度の創設と展開．京都：ミネルヴァ書房，2010． – reference: (29) Lawton MP. The PGC morale scale; A revision. J Gerontol. 1975;30:85–89. – reference: (14) Shida N, Kawahara N, Ye X, Yamazaki K, Iwai H, Amamiya Y, Machida K. The relationship between stress, lifestyle and physical function in the elderly. Journal of Physical Fitness Nutrition and Immunology 2007;17:61–67. – reference: (35) Corti MC, Guralnik JM, Salive ME, Sorkin JD. Serum albumin level and physical disability as predictors of mortality in older persons. J Am Med Assoc. 1994;272:1036–1042. – reference: (18) Nieman DC, Warren BJ, O’Donnell KA, Dotson RG, Butterworth DE, Henson DA. Physical activity and serum lipids and lipoproteins in elderly women. J Am Geriatr Soc. 1993;41:1339–1344. – reference: (19) Kostka T, Lacour JR, Berthouze SE, Bonnefoy M. Relationship of physical activity and fitness to lipid and lipoprotein (a) in elderly subjects. Med Sci Sports Exerc. 1999;31:1183–1189. – reference: (16) Baumgartner RN, Koehler KM, Romero L, Garry PJ. Serum albumin is associated with skeletal muscle in elderly men and women. Am J Clin Nutr. 1996;64:552–558. – reference: (28) Oritsu M, Murakami M, Katsura T, Nozaki S. The Reliability of the Stress Tolerance Check List. J Clin Epidemiol. 1996;36:489–496. – reference: (32) Era S, Kuwata K, Imai H, Nakamura K, Hayashi T, Sogami M. Age-related change in redox state of human serum albumin. 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| Snippet | 「1. 緒言」2008年7月より韓国では老人長期療養保険制度が施行され（1）, 高齢者施設の在り方が見直されることとなった. その影響を調べるために, 2007年より韓国忠清南道洪... |
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| SubjectTerms | ストレス耐性 主観的幸福感 好中球 血清HDLコレステロール 血清アルブミン 車いす |
| Subtitle | 韓国高齢者施設での調査結果から |
| Title | 車いす利用による心的健康指標・血清生化学検査値・好中球機能の変化 |
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