高血圧と無血圧の高齢者の筋肉の強さと日常生活活動の能力の比較

Daisuke Takagi¹, Masatoshi Kageyama^2,3

¹Department of Shizuoka Physical Therapy, Faculty of Health Science, Tokoha University, Japan.

Journal of frailty, sarcopenia and falls

|September 3, 2025

まとめ

高血圧の治療を必要とする高齢者は,下肢筋強度 (LMS) と日常生活活動能力 (ADL) を有しています. この集団におけるLMSの維持は,ADLの容量の維持に役立ちます.

科学分野:

ゲロントロジー
心血管の健康
運動器官の健康

背景:

高血圧は,介護を必要とする高齢者に一般的です.
この集団における高血圧の筋肉量,強度,機能への影響に関する研究は限られている.

研究の目的:

高血圧と筋肉の量,筋肉の強さ,身体機能,およびケアを必要とする高齢者の日常生活能力 (ADL) の関連性を調査する.
この集団における高血圧が身体能力の低下と関連しているかどうかを判断する.

主な方法:

介護を必要とする65歳以上の163人の被験者を評価した.
尾筋の質量,手と足の筋肉の強さ (LMS),身体機能 (短い身体能力のバッテリー),ADL容量 (バルテル指数) を測定した.
参加者は高血圧 (HY) と非高血圧 (non- HY) に分類された.

主要な成果:

HYグループでは,HY以外のグループと比較して,足の筋肉の強さ (LMS) とADL容量は著しく低下した.
LMSとADLの容量は,混同因子を調整しても高血圧と有意に関連していました.
LMSは独立して,水浴と階段の交渉を含むADLの能力を予測しました.

結論:

高血圧は,ケアを必要とする高齢者の足の筋肉の強さとADLの能力の低下と関連しています.
治療を必要とする高血圧の高齢者において,足の筋肉の強さを維持または改善することは,ADLの容量の維持に不可欠である.

キーワード:

日常生活の活動高血圧足の筋肉の強さ長期のケアサルコペニア

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