The interaction effect between physical and cultural leisure activities on the subsequent decline of instrumental ADL: the Fujiwara-kyo study.

• 資料種別: 博士論文
• タイトル: The interaction effect between physical and cultural leisure activities on the subsequent decline of instrumental ADL: the Fujiwara-kyo study.
• 著者・編者: Komatsu, Masayo; Obayashi, Kenji; Tomioka, Kimiko; Morikawa, Masayuki; Jojima, Noriko; Okamoto, Nozomi; Kurumatani, Norio; Saeki, Keigo
• 著者標目: Komatsu, Masayo; Obayashi, Kenji; Tomioka, Kimiko; Morikawa, Masayuki; Jojima, Noriko; Okamoto, Nozomi; Kurumatani, Norio; Saeki, Keigo
• 出版事項: Springer Nature / BioMed Central
• 出版年月日等: 2019-12-01
• 出版年（W3CDTF）: 2019-12-01
• 並列タイトル等: 高齢者の手段的ADL低下に対するスポーツと文化的趣味活動の交互作用－藤原京スタディー
• タイトル（掲載誌）: Environmental health and preventive medicine
• 巻号年月日等（掲載誌）: 24 1
• 掲載巻: 24
• 掲載号: 1
• 掲載ページ: Article No.71-
• ISSN（掲載誌）: ISSN : 1342-078X
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2020-03-16
• 報告番号: 乙第1456号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: IADL; Leisure physical activity; Cultural leisure activity; Interaction
• 対象利用者: 一般
• 一般注記: 出版タイプ： VoR; type:Thesis; Background: Maintenance of instrumental activities of daily living (IADL) and social role (SR) is crucial to keep independent life because the decline in SR and IADL was a significant predictor of dependence in basic ADL in later. The independent effect of physical and cultural leisure activities and their effect modification on the IADL remains unknown. Methods: We prospectively observed 3241 elderly with intact IADL at baseline for 5 years. Higher level functional capacity such as IADL and SR was assessed using the Tokyo Metropolitan Institute of Gerontology Index of competence (TMIG index). Results: The mean age of the participants was 72.3 years (standard deviation 5.1), and 46.9% were male, and 90.9% of them received a follow-up assessment. Of the participants, 10.4% developed an IADL decline. Engagement in leisure physical activity was associated with a significantly lower risk of IADL decline (adjusted risk ratio, 0.73; 95% confidence interval [CI], 0.60 to 0.89), and cultural leisure activity was also associated with lower risk of IADL decline (adjusted risk ratio, 0.77; 95% CI, 0.63 to 0.95) independent of potential confounders. We also found significant and positive interaction between physical and cultural leisure activities at risk for IADL decline (P = 0.024) and SR decline (P = 0.004). Conclusions: We found an independent association of physical and cultural leisure activities with a lower risk for functional decline in IADL and SR with positive interaction. Combined engagement in physical and cultural activities may effectively prevent from IADL decline and SR decline.; 博士（医学）・乙第1456号・令和2年3月16日; © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.; identifier:Environmental health and preventive medicine Vol.24 No.1 Article No.71 (2019 Dec); identifier:1342078X; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3746; identifier:Environmental health and preventive medicine, 24(1): Article No.71
• 一次資料へのリンクURL: fulltext; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3746/1/01%e4%b9%991456%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3746/2/02%e4%b9%991456%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3746/3/03%e4%b9%991456%e6%9c%ac%e6%96%87.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3746/4/04%e4%b9%991456Supplementary%20Table.pdf
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.1186/s12199-019-0826-4; https://doi.org/10.1186/s12199-019-0826-4
• 掲載誌（NCID）: AA1108348X; https://ci.nii.ac.jp/ncid/AA1108348X
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU