The interaction effect between physical and cultural leisure activities on the subsequent decline of instrumental ADL: the Fujiwara-kyo study. 1

• 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.
• 巻次・部編番号: 24 1
• 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; 24 1
• 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
• 掲載ページ: Article No.71-
• ISSN（掲載誌）: 1342078X
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2020-03-16
• 授与年月日（W3CDTF）: 2020-03-16
• 報告番号: 乙第1456号
• 学位: 博士（医学）
• 博論授与番号: 乙第1456号
• 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: 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 4.0International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, andreproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link tothe 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
• 国立国会図書館永続的識別子: info:ndljp/pid/11570077; https://dl.ndl.go.jp/pid/11570077
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2020-11-10T19:58:22+09:00
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 関連情報（URI）: https://doi.org/10.1186/s12199-019-0826-4
• 掲載誌（URI）: http://hdl.handle.net/10564/3746
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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