第1107回千葉医学会例会・第8回環境生命医学研究会

<p>Prevalence of severe depressive symptoms with 95% confidence intervals by sarcopenia and obesity status in the Kashiwa study.</p

L'Écho : grand quotidien d'information du Centre Ouest

12 septembre 19141914/09/12 (A43).Appartient à l’ensemble documentaire : PoitouCh

The State of Health in Older Adults in Japan: Trends in Disability, Chronic Medical Conditions and Mortality

<div><p>Both life expectancy and healthy life expectancy in Japan have been increasing and are among the highest in the world, but the gap between them has also been widening. To examine the recent trends in old age disability, chronic medical conditions and mortality in Japan, we retrospectively analyzed three nationally representative datasets: Comprehensive Survey of Living Conditions (2001–2013), Patient Survey (1996–2011) and Vital Statistics (1995–2010). We obtained the sex- and age-stratified trends in disability rate, treatment rates of nine selected chronic medical conditions (cerebrovascular diseases, joint disorders, fractures, osteoporosis, ischemic heart disease, diabetes mellitus, hypertension, pneumonia and malignant neoplasms), total mortality rate and mortality rates from specific causes (cerebrovascular diseases, heart diseases, pneumonia and malignant neoplasms) in both sexes in four age strata (65–69, 70–74, 75–79, 80–84 years). Disability rates declined significantly in both sexes. Treatment rates of all selected medical conditions also decreased significantly, except for fractures in women and pneumonia. Both total mortality rate and cause-specific mortality rates decreased in both sexes. We concluded that the recent decline in disability rates, treatment rates of chronic medical conditions and mortality rates points toward overall improvement in health conditions in adults over the age of 65 years in Japan. Nonetheless, considering the increase in the number of older adults, the absolute number of older adults with disability or chronic medical conditions will continue to increase and challenge medical and long-term care systems.</p></div

Trends in treatment rates of nine selected medical conditions in men from 1996 to 2011.

<p>(a) cerebrovascular diseases (b) joint disorders (c) fractures (d) osteoporosis (e) ischemic heart disease (f) diabetes mellitus (g) hypertension (h) pneumonia (i) malignant neoplasms The treatment rate is calculated as the estimated number of patients divided by the estimated population x 100,000. The black line represents those aged 80–84 years, the blue line represents those aged 75–79 years, the green line represents those aged 70–74 years and the red line represents those aged 65–69 years. The p values signify statistical significance for the trends in each age stratum.</p

Trends in treatment rates of nine selected medical conditions in women from 1996 to 2011.

<p>(a) cerebrovascular diseases (b) joint disorders (c) fractures (d) osteoporosis (e) ischemic heart disease (f) diabetes mellitus (g) hypertension (h) pneumonia (i) malignant neoplasms The treatment rate is calculated as the estimated number of patients divided by the estimated population x 100,000. The black line represents those aged 80–84 years, the blue line represents those aged 75–79 years, the green line represents those aged 70–74 years and the red line represents those aged 65–69 years. The p values signify statistical significance for the trends in each age stratum.</p

Trends in disability rate in men and women from 2001 to 2013.

<p>(a) men. (b) women. The disability rate is the rate of persons certified for long-term care under the Long-Term Care Insurance System per 100,000 population. The black line represents those aged 80–84 years, the blue line represents those aged 75–79 years, the green line represents those aged 70–74 years and the red line represents those aged 65–69 years. The p values signify statistical significance for the trends in each age stratum.</p

Characteristics of older individuals among subgroups divided by behavioral psychological symptoms of dementia transition.

<p>Characteristics of older individuals among subgroups divided by behavioral psychological symptoms of dementia transition.</p

Transition of walking ability.

<p>*p<0.001 Chi-squared test among subgroups.</p

Effect of rehabilitation.

<p>Effect of rehabilitation.</p

FIM gain among cognitively intact and cognitive impaired groups divided by BPSD.

<p>FIM, functional independence measure; data is mean ± standard deviation. Group (-/-): BPSD (-) both at the beginning of and at the end of rehabilitation. Group (+/-): BPSD (+) at the beginning and BPSD (-) at the end of rehabilitation. Group (-/+): BPSD (-) at the beginning of rehabilitation and BPSD (+) at the end of it. Group (+/+): BPSD (+) both at the beginning of and at the end of rehabilitation. Analyzed by ANOVA and Bonferroni as a post-hoc test. (A) FIM gain. (B) motor FIM gain. (C) cognitive FIM gain. * vs. cognitively intact; ✝ vs. Group (+/-).</p