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东日本大地震后居住临时住房对老年幸存者身体活动及生活质量的影响

Effect of Residence in Temporary Housing After the Great East Japan Earthquake on the Physical Activity and Quality of Life of Older Survivors.

作者信息

Moriyama Nobuaki, Urabe Yukio, Onoda Shuichi, Maeda Noriaki, Oikawa Tomoyoshi

机构信息

1Hiroshima University,Graduate School of Biomedical and Health Sciences,Sports Rehabilitation,Hiroshima,Japan.

2Minamisoma Municipal General Hospital,Minamisoma,Japan.

出版信息

Disaster Med Public Health Prep. 2017 Dec;11(6):701-710. doi: 10.1017/dmp.2017.19. Epub 2017 Jun 19.

Abstract

OBJECTIVE

This study aimed to compare the physical activity level and health-related quality of life (HRQOL) between older survivors residing in temporary housing after the Great East Japan Earthquake (GEJE; temporary housing group) and older individuals residing in their own homes (control group) and to clarify whether mobility function and muscle strength were correlated with physical activity among older temporary housing residents.

METHODS

Subjects were recruited to the temporary housing group (n=64, 19 men and 45 women) or control group (n=64, 33 men and 31 women) according to their residence. Physical activity was assessed by the number of walking steps determined by using a triaxial accelerometer, mobility function by the Timed Up and Go test, muscle strength by the grasping power test, and HRQOL by the Medical Outcome Study 36-Item Short Form Survey v2.

RESULTS

In the temporary housing group, reduced physical activity and correlation between physical activity and mobility function in men, and muscle strength in both men and women, were observed. There was no significant difference in HRQOL between groups except for bodily pain in women.

CONCLUSION

Support for older evacuees should focus on maintaining their physical activity level as well as on HRQOL to avoid deterioration of health in these survivors. (Disaster Med Public Health Preparedness. 2017;11:701-710).

摘要

目的

本研究旨在比较东日本大地震后居住在临时住房中的老年幸存者(临时住房组)和居住在自己家中的老年人(对照组)的身体活动水平和健康相关生活质量(HRQOL),并阐明行动功能和肌肉力量是否与临时住房中的老年居民的身体活动相关。

方法

根据居住情况将受试者招募到临时住房组(n = 64,男性19名,女性45名)或对照组(n = 64,男性33名,女性31名)。身体活动通过使用三轴加速度计测定的步行步数进行评估,行动功能通过计时起立行走测试进行评估,肌肉力量通过握力测试进行评估,HRQOL通过医学结局研究36项简表调查v2进行评估。

结果

在临时住房组中,观察到男性身体活动减少以及身体活动与行动功能之间的相关性,以及男性和女性的肌肉力量之间的相关性。除了女性的身体疼痛外,两组之间的HRQOL没有显著差异。

结论

对老年撤离者的支持应侧重于维持他们的身体活动水平以及HRQOL,以避免这些幸存者的健康恶化。(《灾难医学与公共卫生防范》。2017;11:701 - 710)

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