著者

王 紅兵 鏡森 定信

出版者

一般社団法人 日本温泉気候物理医学会

雑誌

日本温泉気候物理医学会雑誌 (ISSN:00290343)

巻号頁・発行日

vol.69, no.2, pp.81-102, 2006 (Released:2010-04-30)

参考文献数

68

被引用文献数

1

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The studies on spa's health promotion effects on healthy or slightly unhealthy persons published in past two decades in Japan have been reviewed. Multidimensional findings from these studies have suggested that the spa resort using may have the effects of increasing and retention of skin and body temperature, improving peripheral circulation function, lowering blood pressure, improving gastrointestinal hormones secretion and increasing gastric mucosal blood flow, bettering metabolism, regulating the function of immune system, regulating the balance of autonomous nervous and internal secretion systems, relieving stress and relaxing, improving the quality of life (QOL), relieving the symptoms of those who are slightly unhealthy, promoting physical strength and fitness, promoting the well-being of the aged, reducing medical expenses of individuals or the community, keeping skin in good shape and restraining the skin's aging.Of the 58 papers reviewed, the studies of hot spring bathing effects on increasing and retention of skin and body temperature, improving peripheral circulation function and lowering blood pressure were the most in numbers (12 papers, 20.7%), and then the studies of relieving the symptoms of those who were slightly unhealthy (10 papers, 17.2%). Case-control studies (26 papers, 44.8%) were the most used study designs, and then the clinical observation (20 papers, 34.5%). No findings from any one study reviewed in this paper showed that the spa resort using had definite evidence of health promotion effects. Probable effects were suggested from 32 studies (55.2%), but findings from the rest ones (26 papers, 44.8%) showed little evidence to support this consideration. Recently randomized controlled trials (RCT) had been used in studying the health effects of spa resort using in Japan and showed significantly better effects in the intervention group. However, the intervention methods used in the studies were comprehensive health education combing the instructions in appropriate ways of hot spring bathing and education on lifestyle and exercise. It was difficult, if not impossible, to separate the effect of hot spring bathing alone from the combination. The outcomes as effects used in the studies were blood profile, physique and other non-specific items. It may be also difficult to design and carry out a near perfect RCT study on the health promotion effects of spa resort using in field in the future. However, based on experience from past studies it is practicable and important to purse better epidemiological methods such as randomizing and crossover design. On the other side, as specific readers can be influenced marvelously by one book, the health conditions of users may be improved greatly and continuously by some spa. While evidence-based health care places emphasis on RCT, it is also extremely important to inspect the health promotion effects of spa using systematically and rapidly from the viewpoint of narrative-based health care.

著者

賈漢 沙比提 鏡森 定信 王 紅兵 胡 莉珍 新村 哲夫

出版者

The Japanese Society of Health and Human Ecology

雑誌

民族衛生 (ISSN:03689395)

巻号頁・発行日

vol.73, no.4, pp.153-162, 2007-07-31 (Released:2010-06-28)

参考文献数

28

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As the aging society is developing all over the world quickly, the problems related to health and longevity become important and persistent. The purpose of this study was to compare the demographical status between senior citizens in Xinjiang, China and in Okinawa and Nagano, Japan, where are well-known as longevity areas, and nature and culture are extremely different. We used Japanese national census for 1985-2000 and Chinese national census for 1982-2000. Chi-square test and life expectancy of survival analysis were performed to compare the proportion of 65 years or more and the centenarian people per 100, 000 and life expectancy between China (Xinjiang) and Japan (Okinawa, Nagano). The following results were obtained 1) The proportions of the centenarian people in Xinjiang in 1982 were more than those in Japan in 1985 for both men and women. In 2000, the proportions of centenarian people in Xinjiang were more in men, and less in women (except for the figure based on population aged 65years or more) compared to those in Japan. 2) In Xinjiang, 2000, the proportion of centenarian people became greater, and men were still dominant to women, but the life expectancy for each age group was shorter in men than those in women. In Japan, both proportion of centenarian people and life expectancy were more in women than those in men. 3) In 2000, the life expectancy of 0-79 years old men in Nagano was 0.1-7.7 years longer than that in Xinjiang for each year group, but the ? 80 years old men was 1.3-2.5 years shorter in Nagano than that in Xinjiang. The life expectancy of 0-89 years old women was 0.5-12.5 years longer in Okinawa than in Xinjiang for each year group, and that of ? 90 years old women was inversed with 0.8-1.2 years between the two.