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The Association of Health Management with the Health of Elderly People

机译:健康管理与老年人健康协会

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To assess the effect of health management on the health of a community-based sample of people aged 65 years and over, a cross-sectional survey was carried out of 1491 people aged 65 years and over (22.3%) randomly drawn from the computerized age-sex register in Settsu City, Osaka. A total of 1473 people were contacted and complete responses were obtained from 1383 of these (a response rate of 93.9%). The proportion of the sample who had been receiving regular health checks or had been taking care of their health decreased with a decline in Activities of Daily Living (ADL). This trend was more pronounced among the younger subjects aged 65-74 years. For disability, those who had been receiving regular health checks had lower overall severity scores in both the 65-74 years and 75 years and over age groups. There were no significant differences in the severity scores for those practising health maintenance (watching diet and exercise) in both age groups, but those practising health maintenance tended to have less disability. The percentage of those who were socially active and thought life worth living also decreased with the decline in ADL for both age groups. These psycho-social factors were also associated with a lower overall severity score. A multiple linear regression analysis showed that health checks, social activity and the presence of aspects of life subjectively evaluated as making it worth living (Ikigai) were shown to have statistically significant negative associations with disability when other factors were controlled for.
机译:为了评估健康管理对基于社区的65岁及65岁以上人群样本健康的影响,我们从计算机年龄中随机抽取了1491位65岁及65岁以上人群(22.3%)进行了横断面调查在大阪市Settsu市进行性登记。总共联系了1473人,其中的1383人获得了完整的答复(答复率为93.9%)。随着日常生活活动量(ADL)的减少,接受定期健康检查或照顾自己的健康的样本比例下降。这种趋势在65-74岁的年轻受试者中更为明显。对于残疾,在65-74岁和75岁及以上年龄段中,接受定期健康检查的人的总体严重程度评分较低。在两个年龄段中,进行健康维持(观察饮食和运动)的人在严重程度评分上均无显着差异,但是进行健康维持的人的残疾程度往往较低。在两个年龄段中,随着ADL的下降,积极参加社会活动并认为值得过生活的人的百分比也下降了。这些心理社会因素也与较低的总体严重程度得分有关。多元线性回归分析表明,在控制其他因素的基础上,健康检查,社交活动和主观评价为值得生活的生活存在(Ikigai)与残疾具有统计上的显着负相关。

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