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  • 1
    Digitale Medien
    Digitale Medien
    Associations between self-assessed masticatory disability and health of community-residing elderly people (1999)
    Oxford, UK : Blackwell Publishing Ltd
    Community dentistry and oral epidemiology 27 (1999), S. 0 
    Details
    ISSN: 1600-0528
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: Abstract– Objective: To examine the relationship between the self-assessed masticatory disability and the health of community-residing older people. Methods: Of 1473 randomly selected people aged 65 years and older living in Settsu, Osaka Prefecture, in October 1992, data on general health status, history of health management, psychosocial conditions, and dental conditions were obtained from 1405 people by interviews made during home visits. Follow-up for 54 months was completed for 1306 subjects (93.0%; 1072 living, 234 deceased). Results: Being over 75 years of age, having poor general health and poor dental status, not using dental health checks, not using general health checks, not participating in social activities, not feeling that life is worth living (no “ikigai”), and feeling anxious about the future were univariately and significantly associated with self-assessed masticatory disability. Logistic regression analyses indicated that being older than 75 years, having poor general health and poor dental status, not using dental health checks, and not participating in social activities were independently associated with self-assessed masticatory disability. The Cox proportional hazards model showed that being male, over 75 years of age, and in poor general health, as well as not using general health checks, and not participating in social activities were independently associated with mortality. Self-assessed masticatory disability was univariately and significantly related to mortality, but by itself was not a significant risk factor for mortality, because of the potential influence of other variables. Conclusions: Certain health and psychosocial factors are closely associated with self-assessed masticatory disability among older people. Further investigations are needed to determine whether masticatory disability is a significant risk factor for mortality.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1600-0528.1999.tb02033.x
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  • 2
    Digitale Medien
    Digitale Medien
    Coffee consumption and decreased serum γ-glutamyltransferase: a study of middle-aged Japanese men (2000)
    Springer
    European journal of epidemiology 16 (2000), S. 419-423 
    Details
    ISSN: 1573-7284
    Schlagwort(e): Age ; Alcohol intake ; Coffee ; γ-Glutamyltransferase ; Obesity ; Smoking
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The potential inverse association between coffee intake and serum γ-glutamyltransferase (GGT) was examined in a cross-sectional study involving 1353 Japanese male office workers aged 35–59 years in Osaka, Japan. Those who had serum aminotransferases exceeding the normal range and/or who had been administered medical care for, or had a past history of, liver disease were excluded. Multiple linear regression analysis and analysis of covariance were used to control for confounding variables (age, body mass index, alcohol use, and cigarette smoking) and to examine possible interactions. From the linear regression analysis, coffee intake was inversely related to serum GGT levels independently of age, body mass index, alcohol intake, and cigarette smoking. All of the latter variables were also independently and positively associated with serum GGT levels. When the interactions between coffee and each of four covariates on serum GGT were evaluated by adding each interaction term to the above regression model, significant negative interactions were observed for age and cigarette smoking. From the analysis of covariance, lower levels of serum GGT associated with coffee consumption were more evident in the older age group and at the higher levels of cigarette smoking. These findings suggest that coffee consumption is inversely related to serum GGT and that coffee may inhibit the inducing effects of aging and possibly of smoking on serum GGT in the liver.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1023/A:1007683626665
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  • 3
    Digitale Medien
    Digitale Medien
    Relationship between lifestyle and serum lipid and lipoprotein levels in middle-aged Japanese men (1999)
    Springer
    European journal of epidemiology 15 (1999), S. 341-348 
    Details
    ISSN: 1573-7284
    Schlagwort(e): Japanese men ; Lifestyle ; Lipids ; Lipoproteins ; Middle age
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Cross-sectional associations between lifestyle factors [cigarette smoking, alcohol intake, overall obesity indicated by body mass index (BMI), eating breakfast, snacking between meals, considering nutritional balance, coffee drinking, physical exercise, and hours of work and sleep] and serum lipid and lipoprotein levels were examined in 1580 middle-aged Japanese men in Osaka, Japan. From stepwise regression analyses, significant correlates with low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, and Log triglyceride levels were, in the order of relative importance: BMI, alcohol intake (negative), and age for LDL cholesterol level; BMI (negative), cigarette smoking (negative), alcohol intake, considering nutritional balance, and physical exercise for HDL cholesterol level; and BMI, cigarette smoking, working hours (negative), considering nutritional balance (negative), alcohol intake, and coffee drinking (negative) for Log triglyceride level. The cumulative percentages of variation for LDL cholesterol, HDL cholesterol and Log triglyceride levels were 4.2%, 15.4% and 14.7%, respectively. From stepwise regression analyses, excluding BMI as a factor in the model, snacking between meals emerged as a significant factor for LDL cholesterol level and HDL cholesterol level (negative). The cumulative percentage of variation for each serum lipid and lipoprotein level was decreased (1.5% for LDL cholesterol, 6.8% for HDL cholesterol, and 3.1% for Log triglyceride). These results suggest that BMI has the strongest association with serum lipid and lipoprotein levels and that good daily lifestyles may have an anti-atherogenic effect by altering serum lipid and lipoprotein levels in middle-aged Japanese men.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1023/A:1007527111946
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  • 4
    Digitale Medien
    Digitale Medien
    Relationship Between Social Relations and Mortality of Older Japanese People Living Alone (2000)
    Springer
    Journal of clinical geropsychology 6 (2000), S. 213-222 
    Details
    ISSN: 1573-3556
    Schlagwort(e): older Japanese people ; living alone ; social relationships ; mortality
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The association of social relations with mortality was studied over a 54-month period in 535 older Japanese people living alone. Sex-specific proportional hazard analyses indicated that finding it difficult to establish and maintain relationships with other people was significantly related to mortality, regardless of age, general health status, history of health management, psychological conditions, or economic status. The adjusted hazard ratio for finding relations with other people difficult was 4.61 [95% confidence interval (CI): 1.39–15.30] for men and 4.56 (95% CI: 2.19–9.48) for women. The adjusted hazard ratio for nonparticipation in social activities was 1.45 (95% CI: 0.42–4.97) for men and 1.72 (95% CI: 0.70–4.22) for women and did not reach statistical significance. On the other hand, there was a gender difference in the direction of the association between a low-level contact with children, siblings, or other relatives and mortality, for which the adjusted hazard ratio was 3.16 (95% CI: 0.94–10.62) for men and 0.51 (95% CI: 0.27–0.97) for women. These results suggest the need to create a different model for the relationship between social relations and mortality for men and for women living alone.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1023/A:1009593216851
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  • 5
    Digitale Medien
    Digitale Medien
    Correlates and Prognosis in Relation to Participation in Social Activities Among Older People Living in a Community in Osaka, Japan (2000)
    Springer
    Journal of clinical geropsychology 6 (2000), S. 299-307 
    Details
    ISSN: 1573-3556
    Schlagwort(e): older people ; social participation ; risk factors ; mortality
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract To examine the factors associated with social participation and to determine whether social participation is predictive of mortality, a cohort of 1405 randomly selected older people aged 65 years and over, living in Settsu, Osaka Prefecture, was followed up for 66 months. By multivariate analysis using logistic regression, female sex, older age, disability, medical treatment, no use of health checks, no daily preventive health practices, and no life worth living (no Ikigai) were independent risk factors for no participation in social activities. From the analysis using the Kaplan–Meier method, the cumulative survival rates were higher among those who took part in social activities than among those who did not in both age groups, 65–74 years and 75 years and older, for men and women. Application of the Cox proportional hazards model resulted in adjusted hazard ratio of no participation in social activities for mortality of 1.53 (95% confidence interval: 1.11–2.11), controlling for other potential factors. These results suggest that participation in social activities is closely associated with health and psychosocial conditions and may be an independent risk factor for mortality among community-residing older people.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1023/A:1009538913527
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