転倒予防プログラムが地域高齢者の体力自己評価に及ぼす影響

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Aiming for use as an introduction to an exercise program or part of a home-visit program, this study explored a quick and easy method for the self-efficacy of physical fitness in relation to actual measurements. The subjects were 70- to 84-year-old elderly people living in Y Town of T City (intervention group) or in O Town (control), both located in the northern part of Miyagi Prefecture, who had participated in both an interview and physical tests in 2003 and 2005 (n=1,240 in the intervention group and 742 in control). The interview involved a questionnaire for the self-efficacy of physical fitness (9 items, each with 4 options), Motor fitness scale, and TMIG Index of Competence, whereas the physical fitness test consisted of grip strength, sitting forward extension, standing up from a long sitting position, the timed up and go test, 5-meter walking, and standing on one leg with the eyes open. At the baseline, a number of significant partial correlations (corrected for age and gender) were observed between self-efficacy scores and physical fitness test. Among the elderly with increased self-efficacy scores, a significant interaction (F=6.33, p<0.05) was identified in two-way ANOVA of scores for sitting forward extension before and after intervention in the intervention group. The elderly with decreased self-efficacy scores, an analysis of scores for standing up from a long sitting position showed that the interaction before and after intervention were significant (F=31.95, p<0.01). These results suggested that the self-efficacy of physical fitness is expected to serve as a method to estimate the actual level of physical fitness. Further research should be conducted with a consideration of factors such as the frequency of participating in a fall prevention program.
2009-06-30

転倒予防プログラムが地域高齢者の体力自己評価に及ぼす影響

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