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【博士論文本文の要約】Sexual systems of the pedunculate barnacles of the genus Octolasmis
奈良女子大学博士(理学)doctoral thesi
【内容の要旨及び審査の結果の要旨】中国・内モンゴルの民族学校における学校と地域の連携に関する研究:子ども・保護者・教員・地域連携協力者の評価をもとに
奈良女子大学博士(学術)博士論文本文はやむを得ない事由により非公開。【博士論文本文の要約】http://hdl.handle.net/10935/6077doctoral thesi
地域在住高齢者の転倒不安と健康関連 QOL および身体機能との関係
Fall prevention is an important measure for healthy life expectancy in elderly people. The psychological factors about falls include fear of falling (FOF) and fall-related self-efficacy (FSE), which expresses confidence not to fall. There have been reports relating to physical functions that affect fall risk and quality of life (QOL). However, there have been few studies for community-dwelling elderly people who live independent lives. In this study, we investigated the influences of FOF on physical and mental functions in community-dwelling elderly people.
The 213 subjects, healthy elderly people living in N city, consisted of 73 males (73.0±5.8 years old) and 140 females (77.0±5.8 years old). Subjects were classified into two groups, "with FOF" or "without FOF", and physical function and QOL were compared between the groups. Meanwhile, multiple regression analysis was also conducted using FSE as the dependent variable and physical function and QOL as the independent variables.
The results of comparing physical function between the groups showed that the "with FOF" group were significantly slower in 5-m normal walking speed and timed up-and-go test and lower in grasping power than the "without FOF" group for both men and women. Also, center of gravity sway in the "with FOF" group were significantly larger than the "without FOF" group for only men. In QOL, both men and women showed significantly lower values in Physical component summary (PCS), and only men showed significantly lower values in Role and Social component summary (RCS). These results suggest that declining physical function have negative influences; FOF increasing and QOL decreasing.
The predictors of FSE were center of gravity sway in men and 5-m normal walking speed in women, and PCS and RCS in both men and women. These results indicate that lower limb muscle strength, balance, and QOL are predictors of confidence not to fall.departmental bulletin pape