著者

中野 聡子 奥野 純子 深作 貴子 堀田 和司 藪下 典子 根本 みゆき 田中 喜代次 柳 久子

出版者

日本理学療法士学会

雑誌

理学療法学 (ISSN:02893770)

巻号頁・発行日

vol.42, no.6, pp.511-518, 2015-10-20 (Released:2015-10-20)

参考文献数

36

被引用文献数

7

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【目的】介護予防教室参加者の運動継続にかかわる要因を明らかにし,効果的に支援する方法を示すこと。【方法】介護予防教室に参加した65 歳以上の高齢者309 名を対象とし,基本属性,身体機能,社会参加,心理的要因の質問紙調査と,5 m 歩行等の身体機能を測定した。統計学的検討は運動状況別に3 群に分類し比較した。さらに運動継続の有無を従属変数とした多重ロジスティック回帰分析を行った。【結果】運動状況による3 群間の比較では社会参加等で有意差が見られた。運動継続には運動の生活パターンへの組みこみ(OR: 10.04, 95% CI: 3.36–30.03),何回か休んでも再開する自信(以下,Re-SE)(OR: 2.36, 95% CI: 1.26–4.42)等が関連していた。【結論】介護予防教室参加者が運動を継続するためには,運動を生活パターンに組みこむような行動プランの提示と,Re-SE を高めることが重要であることが明らかとなった。

著者

重松 良祐 中垣内 真樹 岩井 浩一 藪下 典子 新村 由恵 田中 喜代次

出版者

一般社団法人 日本体育・スポーツ・健康学会

雑誌

体育学研究 (ISSN:04846710)

巻号頁・発行日

vol.52, no.2, pp.173-186, 2007-03-10 (Released:2007-06-21)

参考文献数

17

被引用文献数

15 6

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To encourage older adults to participate in exercise, it is important for self-governing bodies to divide them into subgroups according to exercise habit and to determine facts such as what they think about exercise and what type of programs would help them most. In Japan, however, few such schemes have been reported. This study aimed to clarify the process of ascertaining the characteristics of older adults and to establish a challenging means of encouraging continued exercise. The eligible study population was all residents aged 65-69 years living in Isobe town, Mie Prefecture, Japan (n = 675) , 460 (68.1%) responded to our questionnaire during a two-month period (November-December) in 2003. The respondents were divided into subgroups according to exercise frequency: those exercising twice a week or more (21.1%, Group A) , once a week (6.3%, Group B) , once or twice a month (7.6%, Group C) , and no exercise (65.0%, Group D) . Group A exercised because they believed they became healthier or achieved an improved fitness level. Group B undertook exercise as they regarded rapport as important, i.e. making friends at group exercise classes. To the question “Why don't you exercise?” Group C noted the lack of an exercise companion, and Group D noted low motivation. From the responses to “What type of approaches do you look for so that you might start exercise?” Group C suggested approaches such as an invitation to join an exercise class, or an introduction to an exercise instructor, and Group D suggested an exercise program that they could perform at home. Based on these results, a challenge for each group was established: to maintain the exercise frequency (Group A) , to increase awareness of the effects of exercise (Group B) , to participate more in group exercise sessions (Group C) , and to experience an easy-to-use home exercise program (Group D) . Future research is required to ascertain the effects of such challenges on exercise habit in older adults.

著者

大久保 善郎 清野 諭 藪下 典子 大須賀 洋祐 鄭 松伊 根本 みゆき 金 美芝 フィゲロア ラファエル 田中 喜代次

出版者

一般社団法人日本体力医学会

雑誌

体力科学 (ISSN:0039906X)

巻号頁・発行日

vol.63, no.4, pp.391-400, 2014-08-01 (Released:2014-07-26)

参考文献数

51

被引用文献数

1 2

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The purpose of this study was to retrospectively examine the association of habitual exercise with “single fall (= 1)”, “multiple falls (≥ 2)”, and “injurious falls (≥ 1)” among community-dwelling older adults. A total of 1,683 community-dwelling older adults, aged 60-97 years (72.6 +/- 6.6 yr, 512 men and 1,171 women) were included in this study. Habitual exercises continued one year or longer (6.4 +/- 9.5 yr) were classified into twelve types. Exercise components (time, quantity, period of continuity, and number of exercises) were divided with median or tertiles. To assess the association between habitual exercises and fall status, multivariable logistic regression analyses with stepwise selection method, were applied. The multivariable logistic regression analyses showed that dance (odds ratio (OR): 0.30, 95% confidence interval (CI): 0.09-0.96) was negatively associated with “single fall”. Bicycling (OR: 3.72, 95% CI: 1.32-10.77) was positively associated with “multiple falls”, and the period of continuity (OR: 0.74, 95% CI: 0.60-0.91) was negatively associated with “multiple falls”. None of the exercise components were selected with regard to “injurious falls”. Results indicate that dance may be an effective type of exercise for fall prevention among community-dwelling older adults. However, caution about falling is warranted toward bicycling as an exercise. Moreover, a longer period of continuity (≥ 4 years) appears to be a positive factor of habitual exercise for fall prevention.