Examination of the Physical Activity of Frail Community-dwelling Elderly Using a Triaxial Accelerometer

[Purpose] The purpose of this study was to measure the physical activity of frail community-dwelling elderly using an accelerometer. [Participants and Methods] Thirty-two elderly persons (11 males and 21 females) who participated in a care prevention class were the subjects. The Mini Mental State Ex...

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Published inRigaku ryoho kagaku Vol. 35; no. 1; pp. 95 - 100
Main Authors YANAGI, Hisako, YABUSHITA, Noriko, WAKAYAMA, Shuichi, NAKANO, Satoko, FUJITA, Yoshihiko, HOTTA, Kazushi, MAKI, Naoki
Format Journal Article
LanguageJapanese
Published Tokyo The Society of Physical Therapy Science 2020
Japan Science and Technology Agency
Subjects
Online AccessGet full text
ISSN1341-1667
2434-2807
DOI10.1589/rika.35.95

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Abstract [Purpose] The purpose of this study was to measure the physical activity of frail community-dwelling elderly using an accelerometer. [Participants and Methods] Thirty-two elderly persons (11 males and 21 females) who participated in a care prevention class were the subjects. The Mini Mental State Examination (MMSE), Life-Space Assessment (LSA), physical function (grip strength, 5 chair stand-ups, Timed Up and Go test (TUG), eyes open one leg standing time, 5-m maximum walking speed, and standing time from the long sitting position) and physical activity (PA) were evaluated, and standing, sitting, supine, sedentary behavior (SB), low, medium, and high intensity exercise times, and moderate-to-vigorous physical activity (MVPA) were measured using an accelerometer. [Results] Females showed significantly higher values for all physical function assessments except grip strength, significantly shorter sitting and SB times, and significantly longer exercise times in all intensity categories, and a negative correlation coefficient was found between their mobility ability including TUG and PA. [Conclusion] The results suggest that continuation of daily activities at home is necessary for maintaining physical function.
AbstractList [Purpose] The purpose of this study was to measure the physical activity of frail community-dwelling elderly using an accelerometer. [Participants and Methods] Thirty-two elderly persons (11 males and 21 females) who participated in a care prevention class were the subjects. The Mini Mental State Examination (MMSE), Life-Space Assessment (LSA), physical function (grip strength, 5 chair stand-ups, Timed Up and Go test (TUG), eyes open one leg standing time, 5-m maximum walking speed, and standing time from the long sitting position) and physical activity (PA) were evaluated, and standing, sitting, supine, sedentary behavior (SB), low, medium, and high intensity exercise times, and moderate-to-vigorous physical activity (MVPA) were measured using an accelerometer. [Results] Females showed significantly higher values for all physical function assessments except grip strength, significantly shorter sitting and SB times, and significantly longer exercise times in all intensity categories, and a negative correlation coefficient was found between their mobility ability including TUG and PA. [Conclusion] The results suggest that continuation of daily activities at home is necessary for maintaining physical function.
Author WAKAYAMA, Shuichi
YABUSHITA, Noriko
NAKANO, Satoko
FUJITA, Yoshihiko
MAKI, Naoki
YANAGI, Hisako
HOTTA, Kazushi
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  fullname: WAKAYAMA, Shuichi
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  fullname: NAKANO, Satoko
  organization: Department of Physical Therapy, Faculty of Health Sciences, Tokoha University
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  fullname: FUJITA, Yoshihiko
  organization: Department of Occupational Therapy, School of Health Sciences, Ibaraki Prefectural University of Health Sciences
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  fullname: HOTTA, Kazushi
  organization: Department of Occupational Therapy, School of Health Sciences, Ibaraki Prefectural University of Health Sciences
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  fullname: MAKI, Naoki
  organization: Faculty of Medicine, University of Tsukuba
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Cites_doi 10.3390/ijerph10126645
10.1016/j.amepre.2012.05.010
10.1001/archinternmed.2009.430
10.1046/j.1532-5415.2003.51512.x
10.1001/archinternmed.2011.2174
10.1589/jpts.30.1315
10.1161/JAHA.114.000864
10.1097/00005768-199805000-00021
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2020. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
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References 8) van der Ploeg HP, Chey T, Korda RJ, et al.: Sitting time and all-cause mortality risk in 222497 Australian adults. Arch Intern Med, 2012, 172: 494-500.
10) 田中千晶,藤原佳典,安永正史・他:複合健康増進プログラムが地域在住高齢者の日常的な身体活動量へ与える影響─無作為化比較試験による検討─.日本老年医学学雑誌,2012, 49: 372-374.
13) 大須賀洋祐,藪下典子,金 美芝・他:高齢期における日常的な座位行動時間は中高強度身体活動時間から独立して下肢パフォーマンスと関連するか─1軸加速度計を用いた横断的検討─.体力科学,2014, 63: 169-176.
7) Basterra-Gortari FJ, Bes-Rastrollo M, Gea A, et al.: Television viewing, computer use, time driving and all-cause mortality: the SUN cohort. J Am Heart Assoc, 2014, 3: e000864.
9) 桜井良太,藤原佳典,深谷太郎・他:運動に対する充足感が高齢者および高齢者の運動介入効果に与える影響─運動充足感と身体活動量からの検討─.日本公衆衛生雑誌,2012, 59: 743-754.
15) 藤田好彦,高田 祐,久保田智洋・他:生活活動時計(A-MES)を用いた地域在住虚弱高齢者の生活活動度の検討.日本プライマリ・ケア連合学会誌,2014, 37: 212-218.
24) Takayanagi N, Kitamura K, Yamauchi T, et al.: Effects of promoting daily physical activity on physical and mental health in older individuals. J Phys Ther Sci, 2018, 30: 1315-1322.
14) 三ツ石泰大,角田憲治,甲斐裕子・他:地域在住女性高齢者の運動指導ボランティアとしての活動が身体機能と認知機能に与える影響.体力科学,2013, 62: 79-86.
11) 北湯口純,鎌田真光,井上 茂・他:地域在住高齢者の身体活動および座位行動と転倒発生との関連:1年間の前向きコホート研究.運動疫学研究,2016, 18: 1-14.
18) 岸本裕代,大島秀武,野藤 悠・他:日本人一般住民における身体活動量の実態─久山町研究.日本健康科学学会誌,2010, 32: 97-102.
16) 北村菜月,佐藤 拓,川越厚良・他:若年健常者の日常生活における身体活動量の評価─IPAQ日本語版の信頼性・妥当性の3軸加速度センサーを用いた検討─.理学療法科学,2010, 25: 767-771.
3) 岡浩一朗,杉山岳巳,井上 茂・他:座位行動の科学.日本健康教育学会誌,2013, 21: 142-153.
6) Evans RE, Fawole HO, Sheriff SA, et al.: Point-of-choice prompts to reduce sitting time at work: a randomized trial. Am J Prev Med, 2012, 43: 293-297.
4) 本田貴紀,楢崎兼司,陳 涛・他:地域在住高齢者における3軸加速度計で測定した座位時間と肥満との関連.運動疫学研究,2014, 16: 24-33.
5) Otten JJ, Jones KE, Littenberg B, et al.: Effects of television viewing reduction on energy intake and expenditure in overweight and obese adults: a randomized controlled trial. Arch Intern Med, 2009, 169: 2109-2115.
1) 厚生労働省:健康づくりのための運動指針2006.http://www.mhlw.go.jp/bunya/kenkou/undou01/pdf/data.pdf(閲覧日2019年8月30日)
19) 天笠志保,菊池宏幸,福島教照・他:地域在住高齢者における社会参加の類型と座位行動・身体活動パターンとの関連.運動疫学研究,2018, 20: 5-15.
17) Harvey JA, Chastin SF, Skelton DA: Prevalence of sedentary behavior in older adults: a systematic review. Int J Environ Res Public Health, 2013, 10: 6645-6661.
2) 後藤亮吉,佐々木ゆき,轟木孝浩・他:当院におけるロコモティブシンドローム予防教室の効果検証.日本農村医学会雑誌,2015, 64: 1-7.
25) 厚生労働省:生活不活発病予防ポスター.https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000122332.html(閲覧日2019年9月1日)
23) 町田征己,高宮朋子,天笠志保・他:地域在住高齢者における継続時間を考慮した中高強度身体活動の実態:加速度計を用いた記述疫学的研究.日本老年医学雑誌,2018, 55: 584-593.
22) Freedson PS, Melanson E, Sirard J: Calibration of the Computer Science and Applications, Inc. accelerometer. Med Sci Sports Exerc, 1998, 30: 777-781.
12) 角田憲治,辻 大士,尹 智暎・他:在宅高齢者の余暇活動,家庭内活動量,仕事関連活動量と身体機能との関連性.日本老年医学会雑誌,2010, 47: 592-600.
20) Baker PS, Bodner EV, Allman RM: Measuring life-space mobility in community-dwelling older adults. J Am Geriatr Soc, 2003, 51: 1610-1614.
21) 日本理学療法士協会:Life-Space Assessmentの測定について.http://jspt.japanpt.or.jp/esas/pdf/e-sas-s-lsa-sokutei.pdf (閲覧日2019年9月1日)
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2
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5
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References_xml – reference: 9) 桜井良太,藤原佳典,深谷太郎・他:運動に対する充足感が高齢者および高齢者の運動介入効果に与える影響─運動充足感と身体活動量からの検討─.日本公衆衛生雑誌,2012, 59: 743-754.
– reference: 4) 本田貴紀,楢崎兼司,陳 涛・他:地域在住高齢者における3軸加速度計で測定した座位時間と肥満との関連.運動疫学研究,2014, 16: 24-33.
– reference: 14) 三ツ石泰大,角田憲治,甲斐裕子・他:地域在住女性高齢者の運動指導ボランティアとしての活動が身体機能と認知機能に与える影響.体力科学,2013, 62: 79-86.
– reference: 10) 田中千晶,藤原佳典,安永正史・他:複合健康増進プログラムが地域在住高齢者の日常的な身体活動量へ与える影響─無作為化比較試験による検討─.日本老年医学学雑誌,2012, 49: 372-374.
– reference: 25) 厚生労働省:生活不活発病予防ポスター.https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000122332.html(閲覧日2019年9月1日).
– reference: 1) 厚生労働省:健康づくりのための運動指針2006.http://www.mhlw.go.jp/bunya/kenkou/undou01/pdf/data.pdf(閲覧日2019年8月30日).
– reference: 18) 岸本裕代,大島秀武,野藤 悠・他:日本人一般住民における身体活動量の実態─久山町研究.日本健康科学学会誌,2010, 32: 97-102.
– reference: 3) 岡浩一朗,杉山岳巳,井上 茂・他:座位行動の科学.日本健康教育学会誌,2013, 21: 142-153.
– reference: 22) Freedson PS, Melanson E, Sirard J: Calibration of the Computer Science and Applications, Inc. accelerometer. Med Sci Sports Exerc, 1998, 30: 777-781.
– reference: 5) Otten JJ, Jones KE, Littenberg B, et al.: Effects of television viewing reduction on energy intake and expenditure in overweight and obese adults: a randomized controlled trial. Arch Intern Med, 2009, 169: 2109-2115.
– reference: 17) Harvey JA, Chastin SF, Skelton DA: Prevalence of sedentary behavior in older adults: a systematic review. Int J Environ Res Public Health, 2013, 10: 6645-6661.
– reference: 6) Evans RE, Fawole HO, Sheriff SA, et al.: Point-of-choice prompts to reduce sitting time at work: a randomized trial. Am J Prev Med, 2012, 43: 293-297.
– reference: 13) 大須賀洋祐,藪下典子,金 美芝・他:高齢期における日常的な座位行動時間は中高強度身体活動時間から独立して下肢パフォーマンスと関連するか─1軸加速度計を用いた横断的検討─.体力科学,2014, 63: 169-176.
– reference: 11) 北湯口純,鎌田真光,井上 茂・他:地域在住高齢者の身体活動および座位行動と転倒発生との関連:1年間の前向きコホート研究.運動疫学研究,2016, 18: 1-14.
– reference: 24) Takayanagi N, Kitamura K, Yamauchi T, et al.: Effects of promoting daily physical activity on physical and mental health in older individuals. J Phys Ther Sci, 2018, 30: 1315-1322.
– reference: 20) Baker PS, Bodner EV, Allman RM: Measuring life-space mobility in community-dwelling older adults. J Am Geriatr Soc, 2003, 51: 1610-1614.
– reference: 16) 北村菜月,佐藤 拓,川越厚良・他:若年健常者の日常生活における身体活動量の評価─IPAQ日本語版の信頼性・妥当性の3軸加速度センサーを用いた検討─.理学療法科学,2010, 25: 767-771.
– reference: 7) Basterra-Gortari FJ, Bes-Rastrollo M, Gea A, et al.: Television viewing, computer use, time driving and all-cause mortality: the SUN cohort. J Am Heart Assoc, 2014, 3: e000864.
– reference: 15) 藤田好彦,高田 祐,久保田智洋・他:生活活動時計(A-MES)を用いた地域在住虚弱高齢者の生活活動度の検討.日本プライマリ・ケア連合学会誌,2014, 37: 212-218.
– reference: 23) 町田征己,高宮朋子,天笠志保・他:地域在住高齢者における継続時間を考慮した中高強度身体活動の実態:加速度計を用いた記述疫学的研究.日本老年医学雑誌,2018, 55: 584-593.
– reference: 2) 後藤亮吉,佐々木ゆき,轟木孝浩・他:当院におけるロコモティブシンドローム予防教室の効果検証.日本農村医学会雑誌,2015, 64: 1-7.
– reference: 12) 角田憲治,辻 大士,尹 智暎・他:在宅高齢者の余暇活動,家庭内活動量,仕事関連活動量と身体機能との関連性.日本老年医学会雑誌,2010, 47: 592-600.
– reference: 19) 天笠志保,菊池宏幸,福島教照・他:地域在住高齢者における社会参加の類型と座位行動・身体活動パターンとの関連.運動疫学研究,2018, 20: 5-15.
– reference: 21) 日本理学療法士協会:Life-Space Assessmentの測定について.http://jspt.japanpt.or.jp/esas/pdf/e-sas-s-lsa-sokutei.pdf (閲覧日2019年9月1日).
– reference: 8) van der Ploeg HP, Chey T, Korda RJ, et al.: Sitting time and all-cause mortality risk in 222497 Australian adults. Arch Intern Med, 2012, 172: 494-500.
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  doi: 10.1046/j.1532-5415.2003.51512.x
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  doi: 10.1001/archinternmed.2011.2174
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  doi: 10.1589/jpts.30.1315
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  doi: 10.1161/JAHA.114.000864
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SubjectTerms Accelerometers
Exercise
Frailty
Older people
physical activity
Physical fitness
sedentary behavior
triaxial acceleration sensor
Title Examination of the Physical Activity of Frail Community-dwelling Elderly Using a Triaxial Accelerometer
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