日本の高齢者の食事の多様性に対するスーパーマーケットでの健康促進の介入の効果:クラスター非ランダム化並列群比較試験のプロトコル
Tatsunosuke Gomi1, Keiko Motokawa2, Maki Shirobe2
1Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute for Geriatrics and Gerontology, Itabashi-ku, Tokyo, Japan tatsunosuke.gomi@gmail.com.
BMJ open
|September 3, 2025
まとめ
この研究では,日本の高齢者の食事の多様性を改善するために,スーパーマーケットベースの健康促進を調査しました. この介入は,この集団の食事の多様性を高める可能性を示した.
科学分野:
- ゲロントロジー
- 公衆衛生
- 栄養学
背景:
- 衰弱を防ぐことは 公衆衛生の重要な問題です
- 食事の習慣,特に食事の多様性は,高齢者の弱さを防ぐための鍵です.
- 地域レベルでの健康促進には,食料へのアクセスが限られ,高齢者の行動の変化が困難であるなどの課題があります.
研究 の 目的:
- 日本の高齢者の食事の多様性に対するスーパーマーケットベースの健康促進の影響を評価する.
- スーパーマーケットを通じて提供される多要素の介入 (情報,教育,支援) の有効性を評価する.
- 高齢者の食事の変化をターゲットとした健康促進の介入の不明確な普及に対処する.
主な方法:
- 日本にある15のスーパーマーケットを対象としたクラスター非ランダム化並列グループ比較試験.
- 介入群は3つの要素からなる健康促進プログラムを受け,対照群は受けなかった.
- ベースラインと1,2,3年における食事の多様性スコア (DVS) 分析用一般的な線形混合モデル.
主要な成果:
- 試験は進行中であり,有効性の評価の主なエンドポイントは3年間のフォローアップです.
- 郵便や電子調査によるデータ収集
- 感度とサブグループ分析を計画した一般的な線形混合モデルを用いた統計分析.
結論:
- この発見は,高齢者の食事の多様性を改善するためのスーパーマーケットベースの介入の有効性を明らかにします.
- 結果は,高齢化人口のための将来のコミュニティレベルでの健康促進戦略を参考にするでしょう.
- カンファレンスやピアレビューによる出版物を通じて広めることが計画されています.
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