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Assessment of Functional Decline in Community Dwelling Elderly Subjects |
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Hiroshi Shimokata, M.D., Ph.D.
(Director, Department of Epidemiology, National Institute for Longevity Sciences);
Fujiko Ando, M.D., Ph.D. (Chief, Laboratory of Long-term Longitudinal Studies, Department of Epidemiology, National Institute for Longevity Sciences)
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Various functions decline with human aging, and these functional changes with aging are important factors for the ADLs and QOL in the elderly. The assessment of these processes is
essential in the study of longevity and geriatrics. Human aging is associated with many factors, including not only physical and physiological factors but also social and psychological factors.
Thus, assessment of human aging requires many kinds of examinations and specialists in various areas. In addition, human aging research requires long-term study in which the same
subjects are measured repeatedly to observe age-related changes. In 1995, a national research institute of aging in Japan, the National Institute for Longevity
Sciences (NILS) was established. And in 1997, a new comprehensive study of aging and geriatrics, the NILS-LSA (NILS - Longitudinal Study of Aging) started at the NILS. The main
purpose of the NILS-LSA is to describe the physiological and psychological process in aging. The NILS-LSA also aims to assess the effects of lifestyle, stress, and disease on aging, to detect
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early markers of disease and disability, to determine normal ranges of indices of aging, to separate disease from aging, and to determine biological aging.
Subjects were male and female residents aged 40 to 79 years who were randomly selected from the neighborhood area of the NILS. The examination started in November 1997 and the
first wave of the examination finished in April 2000. Examined participants were 2267. They will be examined every two years. From April 2000, the second wave of examinations started,
and it will end in April 2002. Observed variables were:(1)past and present history, and familial history of geriatric disease;(2)life-style and environment;(3)medical examinations of geriatric
diseases including head MRI, cardiovascular functions, bone mineral density, body fat, and body water;(4)nutritional assessments by food frequency questionnaire and dietary diary;
(5)physical activities and physical functions;(6) psychological assessments such as personality, cognition, emotion, social adaptation, and lifeevents. |
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