Japanese Journal of Geriatrics最新文献

{"title":"","authors":"","doi":"10.3143/geriatrics.62.115","DOIUrl":"https://doi.org/10.3143/geriatrics.62.115","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"115"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Decreased appetite is associated with a decreased higher life function in elderly patients with diabetes].","authors":"Satoshi Ida, Kanako Imataka, Keitaro Katsuki, Kazuya Murata","doi":"10.3143/geriatrics.62.159","DOIUrl":"https://doi.org/10.3143/geriatrics.62.159","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the relationship between decreased appetite and the higher life function in elderly patients with diabetes.</p><p><strong>Methods: </strong>The subjects were outpatients with diabetes of ≥ 60 years of age at Ise Red Cross Hospital. The Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC), a self-administered questionnaire, was used to assess the higher life function. The Japanese version of the Simplified Nutritional Appetite Questionnaire (SNAQ) was used to measure decreased appetite. A multiple regression analysis with TMIG-IC score as the dependent variable and decreased appetite and adjustment variables as explanatory variables was used to calculate the standardized regression coefficient (β) of decreased appetite for higher life functions.</p><p><strong>Results: </strong>A total of 492 patients were included in this study. Seventeen percent of the patients had decreased appetite, and the mean TMIG-IC score was 10.6. The adjusted beta for decreased appetite for the TMIG-IC score based on no decreased appetite was -0.141 (P=0.004).</p><p><strong>Conclusion: </strong>Decreased appetite in elderly patients with diabetes is associated with impaired higher life functions.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 2","pages":"159-165"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Different awareness about driving between older drivers and their family member].","authors":"Kumiko Nagai, Mami Tamada, Akiko Wachi, Yoshio Kobayashi, Koichi Kozaki","doi":"10.3143/geriatrics.62.241","DOIUrl":"https://doi.org/10.3143/geriatrics.62.241","url":null,"abstract":"<p><strong>Objective: </strong>This study examined how older drivers and their families differ in their awareness of driving and the consequences of the differences in driving.</p><p><strong>Methods: </strong>A questionnaire about the driving behavior of older drivers was administered to 96 pairs of older drivers and their family members. We then analyzed the differences between the two groups.</p><p><strong>Results: </strong>The percentage of responses was significantly different for the following questions between the older drivers and their family members: \"I have become slower at operating my car than before\" (21.5% for the older driver vs. 42.3% for the family member), \"I seem to be upset easily recently\" (17.2% vs. 33.3%), \"I have to look for my car key or driver's license\" (15.1% vs. 35.1%), \"I have forgotten to turn off the blinker\" (4.4% vs. 16.9%), \"I scrape my car more frequently recently\" (3.2% vs. 20.3%), and \"I think my driving is okay so far\" (95.7% vs. 63.3%). The number of items that differed significantly between older drivers and their family members was 6.1±4.1 per pair. The group that showed ≥7 different items showed a higher rate of accidents within the last 3 years than the group that showed ≤6 different items (25.8% vs. 4.3%, p<0.01).</p><p><strong>Conclusions: </strong>Perceptions regarding driving differed between older drivers and their family members. This was related to the frequency of accidents. It is important to share differences in awareness regarding driving and discuss it within the family.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 2","pages":"241-249"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Effects of five- months of interval walking on lower limb muscle strength in community-dwelling older people].","authors":"Kazuyuki Kanatani, Shingo Oda, Takefumi Hayashi, Takashi Kawabata","doi":"10.3143/geriatrics.62.206","DOIUrl":"https://doi.org/10.3143/geriatrics.62.206","url":null,"abstract":"<p><strong>Aim: </strong>This study examined the effect of five months of interval walking training (IWT) on knee extensor and flexor muscle strength and blood pressure in older people based on monthly changes over time.</p><p><strong>Methods: </strong>Forty-eight elderly subjects (14 men, 34 women; mean age, 70±5 years old) practiced IWT for 5 months. The peak oxygen intake (VO₂peak) was measured before and after the intervention, and knee extension, flexion muscle strength, and blood pressure were measured monthly from the start of the intervention.</p><p><strong>Results: </strong>A significant increase in the VO₂peak (pre: 20.0±3.2 ml/min/kg, post: 21.3±3.9 ml/min/kg) was observed after 5 months of IWT, along with significant increases in knee extensor (pre: 20.6±6.4 kgf, post: 27.2±9.3 kgf) and flexor (pre: 12.7±4.5 kgf, post: 14.7±5.2 kgf) muscle strength, with knee extensor strength increasing significantly until the third month and knee flexor strength until the second month, after which these values plateaued. Regarding resting blood pressure, a significant decrease in systolic blood pressure was observed after the second month of intervention and a significant decrease in diastolic blood pressure was observed after the fifth month of intervention.</p><p><strong>Conclusions: </strong>Five months of IWT resulted in an increase in physical fitness due to an increase in the VO₂peak, an increase in lower limb muscle strength, and an improvement in resting blood pressure. However, significant increases in knee extensor and flexor muscle strength plateaued after four months. These results suggest that VO₂peak should be measured every three months and adjusted to an appropriate exercise program to more effectively maintain and improve physical fitness.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 2","pages":"206-211"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Factors associated with the quality of life in people with dementia living in a nursing home].","authors":"Kiyotaka Fujiwara, Hikaru Nakamura, Masafumi Kirino","doi":"10.3143/geriatrics.62.187","DOIUrl":"https://doi.org/10.3143/geriatrics.62.187","url":null,"abstract":"<p><strong>Aim: </strong>To explore the factors associated with the quality of life among institutionalized elderly people with dementia.</p><p><strong>Methods: </strong>The subjects included 68 elderly patients with dementia who had lived in a nursing home for at least three consecutive months. The Japanese version of the Quality of Life in Late-stage Dementia (QUALID-J) scale was used to measure the quality of life (QOL). In addition, information on their backgrounds, as well as physical, psychological, and social data, were collected. Spearman's rank correlation coefficients between the QUALID-J scores and each data point were calculated. In addition, a multiple regression analysis was conducted using the QUALID-J score as the dependent variable, and variables identified as significant in the correlation analysis as independent variables.</p><p><strong>Results: </strong>The following factors were identified as being significantly correlated with the QUALID-J: the number of comorbidities, BMI, grip strength, calf circumference, eating pattern, Barthel Index (BI), Clinical Dementia Rating (CDR) scale, Neuropsychiatric Inventory-Nursing Home result, communication level on the Boston Diagnostic Aphasia Examination, Mini-Mental State Examination, the number of days in the facility, the frequency of visitors, the number of times in which the subject positively participated in leisure activities, and the total number of times the subject participated in leisure activities. BI, the total number of times the subject participated in leisure activities, grip strength, and CDR were included in the multiple regression analysis model as independent variables.</p><p><strong>Conclusion: </strong>Higher BI values (ADL), stronger grip strength (muscle force), greater participation in leisure activities, and lower CDR scores (severity of dementia) were associated with a higher QOL.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 2","pages":"187-195"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Treatment of osteoporosis for older adults].","authors":"","doi":"10.3143/geriatrics.62.117","DOIUrl":"https://doi.org/10.3143/geriatrics.62.117","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 2","pages":"117-125"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Erratum].","authors":"","doi":"10.3143/geriatrics.62.337","DOIUrl":"https://doi.org/10.3143/geriatrics.62.337","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 3","pages":"337"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Changes in the residence of elderly people after hospitalization in the Integrated Community Care Ward].","authors":"Takao Kondo, Kazuyo Kawashima, Junko Nakamichi, Emi Nakayama, Masae Kubota, Ikuko Maeda, Terumi Nakashima, Noriko Obata, Mayumi Fukushima, Rie Oka","doi":"10.3143/geriatrics.61.304","DOIUrl":"https://doi.org/10.3143/geriatrics.61.304","url":null,"abstract":"<p><strong>Aim: </strong>When elderly people return to their daily lives after inpatient treatment, they may be offered a chance to change the residence to which they are accustomed. The present study clarified the changes in the residence of elderly patients through an Integrated Community Care Ward (ICCW).</p><p><strong>Subjects and methods: </strong>Patients were admitted to and discharged from the ICCW (53 beds) of Hospital A, located in a city with a population of 30,000 and an aging rate of 37%, for 2 years from April 1, 2018, to March 31, 2020. Patients ≥65 years old were included in the study. We conducted a retrospective survey of information recorded in the electronic medical record system and collected information on activities of daily living, medical procedures at the time of discharge, residence before and after hospitalization, and intentions regarding discharge destination within seven days of hospitalization.</p><p><strong>Results: </strong>Of the 735 patients ≥65 years old who were admitted to the ICCW, 608 were included, excluding 127 patients admitted for scheduled surgeries. The average age was 82.9 years old, with 52% being over 85 years and 26% being over 90 years old. Of the 465 people hospitalized from home, 64% were discharged, 23% changed to a facility or hospital, and the remaining 13% died. More than 80% of the 143 discharged from facilities or hospitals returned to facilities, but 36 (25%) were discharged to a different facility from before admission. Of the 404 patients who were admitted from home and discharged alive, independence in eating, independence in movement, and having family members living with them were independently related factors for achieving discharge home. Regarding the intended discharge destination within 7 days after hospitalization, of the 246 hospitalized patients who wished to be discharged home, 56 said they wanted to be discharged to a facility or hospital, showing a discrepancy of 23%.</p><p><strong>Conclusions: </strong>Many elderly people changed their residences after admission to the ICCW. While coordinating disagreements within families as well as navigating medical and nursing care constraints, dialogue across multiple professions should be continued to help elderly patients live their own lives.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"61 3","pages":"304-311"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Clinical ethics supporting \"eating\" by assessing eating and swallowing function].","authors":"","doi":"10.3143/geriatrics.61.285","DOIUrl":"https://doi.org/10.3143/geriatrics.61.285","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"61 3","pages":"285-290"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Digital transformation for the prevention of delirium in older adults with dementia: Development of simulation intervention using virtual reality and augmented reality programs and its subjective effects].","authors":"Mizue Suzuki, Tomotaka Ito, Takuya Kanamori, Keigo Inagaki, Soichiro Mimuro, Miyae Yamakawa, Keigo Takiue, Keisuke Sawaki, Yusuke Komatsu, Masayo Uchiyama, Chieko Kawashima, Kaoru Yamazaki, Masako Satoh, Satoshi Isogai","doi":"10.3143/geriatrics.61.312","DOIUrl":"https://doi.org/10.3143/geriatrics.61.312","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to develop a simulation program for physicians and nurses involved in virtual reality (VR) and augmented reality (AR) treatment and care from the perspective of these professionals and older adults with dementia who developed delirium, and to test the effectiveness of the program.</p><p><strong>Methods: </strong>effectiveness of the program was analyzed through free-response statements from 67 nurses (84.8%) and 12 doctors (15.2%) who participated in the program between February 16 and April 18, 2023.</p><p><strong>Results: </strong>Regarding the experience of delirium from the perspective of older adults with dementia (personal experience), the following statements were extracted \"1. I do not understand where I am, the situation, and the treatment/care that is about to be given\"; \"2. I want the situation to be explained to me so that I can understand the reasons for my hospitalization and the treatment/care I am receiving\"; \"3. The eerie environment of the hospital and the high pressure of the staff made me feel anxious and fearful\"; \"4. Please respect my existence as I endure pain, anxiety, and loneliness\"; \"5. I feel relieved when doctors and nurses deal with me from my point of view\"; and \"6. I feel relieved when there is a familiar presence, such as a family member or the name I am calling on a daily basis\".</p><p><strong>Conclusion: </strong>Specific categories of self-oriented empathy were extracted from the experience of physical restraint at night using VR and the experience of delirium using AR. This suggests the possibility of objective effects on treatment and care in future practice.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"61 3","pages":"312-321"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}