The Future Profile of Health Promotion and Disease Prevention in Japan

2005 ◽  
Vol 44 (02) ◽  
pp. 342-347 ◽  
Author(s):  
N. Doba ◽  
S. Hinohara

Summary Objectives: One of the serious challenges for Japanese healthcare is the aging population. Analysis of health evaluation data, especially of the elderly over 75 years, is considered very important. In view of this prolonged life expectancy in Japan, our government started the new campaign of Healthy Japan 21, of which details are described, and also we will demonstrate the general profile of our perspective cohort study program concerning the new elder citizens in Japan. Methods and Results: Our group has started a health evaluation program for those apparently healthy new elder citizens over the age of 75. A ten-year cohort study is in progress, which is designed to accumulate health check-up data annually. The study collects information on physical well being, as well as information on the individual’s lifestyle, and social, emotional and spiritual environment. Such health appraisal is of primary importance. Preliminary results will be demonstrated with their special implications in clinical and epidemiological significance. The degree of frailty of the individual was also carefully evaluated, so that we can learn about the QOL of the seniors in Japan. Conclusions: At the present stage, we can only report a part of our study including the mental and spiritual environments of the individual. This kind of outcome study will give us some insights concerning the natural progress of frailty in the apparently healthy elderly.

2018 ◽  
Vol 69 (8) ◽  
pp. 2306-2310
Author(s):  
Aureliana Caraiane ◽  
Razvan Leata ◽  
Veronica Toba ◽  
Doina Vesa ◽  
Luana Andreea Macovei ◽  
...  

The progress made in dentistry during the latest decades is due, conceptually, to the new, systemic vision of man, which has also taken place in this field of medicine. In this context, the link between organic and psychic is indestructible. Thus illness is understood as a drama in which the somatic process has a psychic value, and the mental one has a body value. It is known that the morphological and functional integrity of the dental system, health and vigorousness, gives the individual a state of well-being that affects his somatic and psychic health, as any disturbance at this level entails repercussions in psychological and social behavior. Such a disruption is the total edification that seriously alters not only the dental system but the whole organism, putting various biological and psychosocial problems to the practitioner. The total expression represents not only a physical disability but also a psychological one. A special importance in studying psychological changes at total edentulous presents the psychological aspects of senile involution. This is not only a theoretical but also a practical importance due to the increase in the number of elderly people. Through the researches of the present paper we intend to present the reality of the psychological manifestations in the total edentation, which is objectified on different methods of psychodiagnosis in the first part, in order for the second part to be addressed to problems of prosthetic psychotherapy.The study comprises a group of 43 patients, of whom 24 were men and 19 women with total uni or bimaxilar edentation. Total edentation can be and is responsible for somatopsychic alterations, along with other pathogens, general, local, social, which sometimes can take a dramatic form, converting, where the area is also favorable, a pure somatic disease, for those who are not in psychopathy or even psychosis, although these latter cases are extremely rare and especially in youngsters, which would disrupt not only the person�s behavior as an individual, but also their status, function and social integrity. The treatment of dental and psychological complex is mandatory for any patient, but especially for the elderly, where recovery is more difficult, with disease-specific disorders adding to those of senescence.


2021 ◽  
Vol 14 (1) ◽  
pp. 76-82
Author(s):  
Taufik Taufik ◽  
Ajeng N. Dumpratiwi ◽  
Nanik Prihartanti ◽  
Daliman Daliman

Aims: The aim of this study was to examine the effect of family support and participation in religious activities on the happiness of elderly muslims. Background: An increase in the number of older age people should be balanced with the increased quality of their life. The quality of life is influenced by internal factors such as self-quality, as well as external factors such as family support and religious activities. Objective: The objective of this research was to identify differences in the level of happiness of elderly muslims based on several factors: Work, health, salary, Islamic study, and marriage. Methods: Three hundred and ten elderly muslims (133 male, 177 female) participated in this study. Respondents were selected by simple random sampling of the elderly muslim population in seven districts in Central Java province, Indonesia. Results: The results showed 1) there was a correlation between family support and participation in religious activities and the happiness of elderly Muslims, 2) a healthy elderly person has a higher level of happiness than a sick elderly person; elderly who partake in Islamic studies one to two times a week have higher happiness than the elderly who do not; the retired elderly have the highest happiness compared to the elderly who still work and the elderly who do not (the lowest level of happiness), and there was no difference in the level of happiness in terms of salary and marriage. Conclusion: Family support and participation in religious activities are the main predictors of subjective well-being in the muslim elderly. In addition, there are other predictors such as health and participation in Islamic studies.


1999 ◽  
Vol 58 (1) ◽  
pp. 85-98 ◽  
Author(s):  
Bruno Lesourd

The present article reviews immune ageing and its relationship with nutritional ageing, with a particular insight into the influences of disease on both ageing processes. Immune ageing can be described primarily as the progressive appearance of immune dysregulations, mainly acquired immunity (mature: immature, naive: memory T lymphocyte subset decreases) leading to gradual increases in T-helper 2: T-helper 1 cells. This change is due initially to decreased thymic function, and later to accumulative antigen pressure over the lifespan. In contrast, innate immunity (macrophage functions) is preserved during the ageing process and in the elderly this leads to macrophage–lymphocyte dysequilibrium, which is particularly critical during on-going disease. Indeed, any disease induces long-lasting acute-phase reactions in aged patients and leads to body nutritional reserve (mainly protein) losses. Episodes of disease in the aged patient progressively deplete body nutritional reserves and lead to protein–energy malnutrition, undernutrition-associated immunodeficiency, and finally cachexia. Undernutrition is a common symptom in the elderly; protein-energy malnutrition is found in more than 50 % of hospitalized elderly patients and in most elderly diseased subjects. In addition, micronutrient deficit or low levels are common in home-living self-sufficient apparently-healthy elderly subjects. All these nutritional deficits induce decreased immune responses, and micronutrient deficits are now thought to be partly responsible for the decreased immune responses (immune ageing?) observed in the apparently-healthy elderly. Indeed, several studies have shown that micronutrient supplements induce increased immune responses in the healthy elderly. The progression of infectious diseases depends on immune responses and on nutritional status before the onset of illness in aged subjects. In addition, recovery depends on the intensity of acute-phase responses in the undernourished elderly. In fact, chronic acute-phase responses, commonly associated with diseases in aged patients, lead to progressive lowering of metabolic responses in the undernourished elderly. This can be quantified by increased production of free radicals during treatment and these increases may explain the difficulty in successfully treating aged patients. Nutritive therapy in order to improve metabolic processes and also to maintain body reserves should be considered as a necessary adjuvant therapy in the treatment of elderly patients.


2021 ◽  
Vol 1 (3) ◽  
pp. 104-111
Author(s):  
Maria Theresia Arie Lilyana ◽  
Made Indra Ayu Astarini

Background: Aging is the final phase in the human life cycle; elderly people are at risk to face the problem as an impact loss of their roles. Objective: This study aimed to know that spirituality has an impact on providing the ability to face and accept the changes that occur with age. Methods: This literature review aimed to find out the benefits of spirituality for healthy elderly lives. Data Sources: This study searched articles published between 2010 to 2020, full-text and free articles. The search keywords consisted of “function” and “spirituality” and “elderly”. Review Methods: This literature review was conducted using analysis of the selected articles based on the inclusion criteria such full-text articles that were discussed about the benefits of spirituality for the elderly, published in the last 10 years. Result: Spirituality has an impact on influencing the incidence of depression; the main source of support for physical and psychosocial health, increasing self-awareness that they are no longer young and death will surely come for them; source of life force; coping strategies that help overcome difficult times in the elderly’s life. Conclusion: Spirituality has a positive impact on the elderly in terms of physical and mental well-being.


Author(s):  
Barbara Collins ◽  
Andrée Tellier

ABSTRACTAge-related changes in the capacity for cognitive flexibility should be considered in social planning for the expanding elderly population and in the functional assessment of the individual geriatric patient. Current means for assessing conceptual flexibility are not particularly appropriate for use with the elderly. In the current study, a briefer and more tolerable measure of conceptual flexibility was derived from the Visual Verbal Test (VVT). This index correlated significantly with the number of perseverative errors but not the number of nonperseverative errors on the Wisconsin Card Sorting Test (WCST), attesting to its validity as a specific measure of the ability to shift mental set. A significant relationship between age and both this VVT measure of conceptual shift and the number of perseverative errors on the WCST was observed in a sample of 60 healthy elderly volunteers between the ages of 55 and 84, suggesting that cognitive flexibility is indeed negatively associated with age.


2019 ◽  
pp. 95-109
Author(s):  
Zárate Rivero Belén ◽  
Gas-Aixendri Montserrat

Methodological basis of the study includes approaches to intergenerational solidarity. The following issues were studied: stability of family values, processes of mutual assistance and solidarity between different generations, family impact on the individual well-being of its members, main conflicts arising in the family, family and friendly relations, attitude to other generations, gratitude and sense of equality, health, leisure, using ICT, availability of paid work, participation in social and political as well as volunteer activities, social capital, idea of oldness etc. The quota sampling (sample size - 629 interviews) was based on the distribution of elderly population aged 65 to 74 years in Spain (including the islands). The only distortion of the theoretical sampling was inability to build it on quotas that would accurately reflect the distribution of the selected age population with children, since official statistic data are unavailable to the public on the number of parents with children by age group. Locations of interviews were chosen randomly, taking into account the distribution of the elderly population aged 65 to 74 years across the country, divided into autonomous regions (17) and locations (5 types). Selection process was based on 85 indicators. Territorial areas and within them streets for interviews were also randomly selected according to each indicator within the selected locations. Numbers of buildings and floors were chosen randomlyto search for individuals matching the sampling (meeting the quota requirements), and then they were interviewed. The following conclusion was made: the value of individualism is growing in society, family solidarity helps older people to overcome many psychological and social problems.


Author(s):  
Manasa H P ◽  
Yogeesha Acharya ◽  
Sandesh Kumar

According to estimation, India currently has 6.7% over 65 years of age, which is expected to increase to 20% by the year 2050. As growing old is a part of the life cycle, the effect of time is bound to happen and is unavoidable. The Kalajajara is a Swabhavika vyadhi, wherein, it is clearly mentioned that Swabhava balapravritta vyadhis being Yapya, can be managed through Bhojana, Paana, and Rasayana. Vriddadaru Rasayana is one such Rasayana mentioned in Gadanigraha especially for the elderly to promote healthy ageing and helping to prevent old age problems. Aims and objectives: To assess the effect of Vriddadaru Rasayana in improving the general body health and quality of life in the apparently healthy elderly subjects. Methodology– A Randomized double blind clinical study where 20 healthy elderly subjects were administered with Vriddadaru Rasayana for a period of 12 weeks. Observations and Results- Vriddadaru rasayana showed improvement in Ayurvedic parameters like Twakparushata, Slataasti, Slata sandhi, Utasahahani and Parakramahani but when compared with regard to objective parameters Vriddadaru rasayana showed significant values in DHEAS levels and 6MWT. Conclusion: Vriddadaru does Vatashamana, balancing the Doshas, increasing the Utsaha and Parakrama and helps in improving the Agni thus helping in Dhatuposhana in the elderly.


2006 ◽  
Vol 62 (3) ◽  
Author(s):  
C. A. Gbiri ◽  
A. A. Fabunmi

This study was carried out to investigate gender influence on balance performance of apparently healthy elderly using the Sharpened Romberg Test (SRT) for static balance and the Functional Reach Test (FRT) for dynamic balance assessments. One hundred and three (103) apparently healthy male and 100  apparently healthy female elderly subjects of age ranging from 60 to 74 years participated in this study. They had no history of neurologicaldeficits, postural hypotension, orthopaedics conditions or injury to the back and / or upper and lower extremities within the past five years.Descriptive statistics of range, means and standard deviation were used to analyze the physical characteristics and each of the two tests. The independent t-test was used to compare the balance performances in elderly males and females. The results showed that males performed significantly higher than females in FRT: ( 31.46 ± 12.34) and (24.00 ± 10.73) respectively. Males performed significantly higher than females in SRT in eyes opened (58.51 ± 4.43)and (56.58 ± 6.03) and eyes closed: (46.98 ± 14.89) and (42.59 ± 14.70) performances respectively.It was concluded that males performed significantly better than females in both static and dynamic balance performances.


Author(s):  
Muhammad Ikhsan ◽  
Elman Boy

World Health Organization (WHO) defines health as a complete physical, mental, and social well-being and not merely the absence of disease or infirmity. Health is one of the important and valuable values among the elderly. Aging is a progress of life in each individual. Unlike pathological conditions, the aging process will occurs in each individual. Elderly tend to experience physical, mental, and spiritual deterioration. The health status of each individual can have an impact on changes in cardiovascular function in the elderly. After each individual reaches the age of 30, heart-lung fitness decreases by 1% for each age, which increases by one year. At the age of 60, heart-lung fitness will decrease until 35%. The aim of conducting this literature review is to provide an understanding of the cardiovascular changes among healthy elderly. The main effects aging on the cardiovascular system are a changes in vascular structure, a decrease in vascular function, myocytes and atrial pacemaker cells, an increase in cardiac fibrous tissue, a decrease in the function of the ventricular, myocardial contraction, and cardiac output which results in impaired cardiovascular fitness among elderly.


2019 ◽  
Vol 3 (3) ◽  
pp. 117-140
Author(s):  
Anna M. Kashcheeva

Mental health is determined as a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community (WHO 2014, 2017). By taking the example of the elderly population of Russia the article reveals the existence and nature of ties between individual socio-economic characteristics of the older age people and the level of their mental health. The article presents the author’s method of assessment of mental health of the elderly population, which is based on a brief scale of the Center for Epidemiologic Studies Depression Scale (CES-D). Individual data from the WHO International Study of Global Ageing and Adult Health (SAGE) conducted in the regions of Russia in 2002-2004 (wave 0) and in 2007-2010 (wave 1) are used as the empirical basis of the study.


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