<原著>女性高齢者における自覚的健康状態と体力及び日常生活状況の関係

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The purpose of this study was to investigate the relationship between the perceived health status, and physical fitness and daily living conditions in elderly women. The subjects were 288 females aged 60 to 87 years. To measure the perceived health status of the elderly, a self-rating questionnaire with 26 items assessing subjective symptoms was administered. To measure daily living conditions, a questionnaire consisting of 34 items was constructed. This questionnaire included items relating to daily life, exercise, hobbies, food habits and intake, and health conditions. Thirteen test items were selected according to validity, safety and convenience from 4 physical fitness domains: muscle function, join function (flexibility), neuromuscular function and lung function. Principal component analysis was applied to the correlation matrix, which was calculated from 26 subjective symptom variables. The first principal component could be interpreted as the perceived health factor, since it correlated significantly with all subjective symptom variables and constituted the greatest contribution (about 22%) to total variance. The subjects were classified into three groups based on the perceived health factor score: upper rank order 25% (HG), lower rank order 25% (LG) and the middle rank group (MG). Factor analysis was applied to correlation matrix consisting of 13 physical fitness variables, and 4 factors were extracted and interpreted as muscular strength, flexibility, agility and balance. Although body weight was found to be significantly larger in LG than HG, in height, BMI (body mass index), the 4 physical fitness factors and age, no significant differences between HG, MG and LG were found. There were no significant relationships between the perceived health factor, and physical fitness and age. However, significant relationships were found between the perceived health factor, and body weight and BMI. It was suggested that body weight gain and BMI gain have an influence on the decline of degree of perceived health. There were also significant relationships between the perceived health factor and 10 living conditions items ('sleeping hours', 'the intake of midnight meal', 'the extent of sleep', 'depression', 'irritation', 'going to hospital', 'inflamed joints', 'neuralgia', 'hospitalization in the last year', 'partial disabilitiy'). It was inferred that living conditions such as irritation by mental stress, going to hospital, inflamed joints, neuralgia and partial disability (knee, waist, shoulders, eyes or ears) have the greatest influence on the perceived health status.
福井大学の論文
2000-06-30

<原著>女性高齢者における自覚的健康状態と体力及び日常生活状況の関係

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