摘要
近年,随着"少子高龄"现象的产生,老年人医疗费利用率呈逐年上升的趋势。而体育锻炼是改善生理功能水平、提高运动能力、降低跌倒骨折意外发生率、减少医疗消耗、延缓衰老进程最有效手段。但运动能力水平对老年人医疗费影响的相关研究报道还很少。本研究以日本仙台鹤谷地区70岁以上的国民健康保险加入者904名为对象,针对老年人的运动能力进行了现场监测。并通过日本宫城县国民健康保险科的协助,对平均每人每月所消耗的医疗费,进行了37个月的前瞻性队列调查。结果显示,男性下肢肌肉力量和十米最大步行速度的优秀组老年人平均每人每月消耗的医疗费均明显低于其他三组;而女性下肢肌肉力量、十米最大步行速度和起立行走计时测试优秀组的老年人平均每人每月消耗的医疗费也明显低于其他各组;此外,无论男女,综合运动能力优秀组的老年人平均每人每月所使用的医疗费均显示出低消耗的倾向。提示,体育锻炼作为改善老年人生理机能水平,提高运动能力,降低跌倒骨折的发生率,抑制医疗费增长起到了重要的作用。
To investigate the association between physical performance level and medical care costs. A total of 904 community--dwelling Japanese elderly 70 and over living in residential area of Sendal City in northern Japan completed a self--administered questionnaire that included questions on physical activity. They also underwent physical performance measurement. We ascertained medical care costs through computerized linkage with claims lodged 37th from the Miyagi National Health Insurance Association. The level of physical performance（ leg power; 10m max walking）was associated with medical care costs. After multivariate adjustment for potential con- founder. Higher level of physical performance was associated with associated with lower medical care costs among Japanese elderly.
出处
《体育与科学》
CSSCI
北大核心
2009年第6期60-63,76,共5页
Sports & Science
基金
日本国厚生劳动科学研究基金项目(H16-痴呆.骨折-017)
关键词
运动能力
老年人
医疗费
physical performance
elderly
medical care costs
