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関連する概念動画

Primary Healthcare Services01:30

Primary Healthcare Services

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
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Levels of Health Promotion and Illness Prevention01:26

Levels of Health Promotion and Illness Prevention

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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
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Preventive Healthcare Services01:30

Preventive Healthcare Services

1.8K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.8K
Principles of Disease Surveillance01:26

Principles of Disease Surveillance

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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
439
Healthcare Agencies II01:17

Healthcare Agencies II

1000
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
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公衆衛生

Xiuxiu Huang1, Chengfengyi Yang2, Shifang Zhang2

  • 1School of Nursing, Shanghai Jiao Tong University, Shanghai, Shanghai, China.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
PubMed
まとめ

認知症リスクのある高齢者において、身体活動量の増加のような日常の運動習慣の最適化は、認知機能の向上と関連している。座位行動や睡眠を身体活動に置き換えることで、認知機能に利益が見られる。

科学分野:

  • 老年医学
  • 神経科学
  • 公衆衛生

背景:

  • 認知機能の低下は、特に認知症のリスクがある人々において、高齢化する人口の間で増大している懸念事項である。
  • 認知機能の健康を維持するためには、日々の運動パターンなどの修正可能な生活習慣要因を理解することが不可欠である。
  • 24時間の運動行動（24HMB）は、睡眠、座位行動、身体活動を含み、すべて認知機能に影響を与える可能性がある。

研究 の 目的:

  • 24時間運動行動（24HMB）の時間再配分と認知機能との関連を調査する。
  • 認知症のリスクがある高齢者において、睡眠、座位行動、身体活動の構成の変化が認知機能にどのように影響するかを検討する。

主な方法:

  • 認知症のリスクがある地域在住の高齢者を募集し、横断研究デザインを採用した。
  • 世界認知症評価（MoCA）尺度を用いて全体的な認知機能を評価した。
  • 24HMBは、7日間連続でリストバンド型ActiGraphデバイスを使用して客観的に測定され、組成的回帰およびアイソトロープス置換モデルで分析された。

主要な成果:

  • 組成的回帰分析では、共変量を調整した後でも、中〜高強度の身体活動に費やす時間と全体的な認知機能との間に正の関連が示された。
  • アイソトロープス置換モデリングでは、座位行動または睡眠時間を10〜30分間、中〜高強度の身体活動に置き換えることが、認知機能の向上と関連していることが示された。
キーワード:
高齢者認知症身体活動座位行動睡眠認知機能

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  • 24HMBの時間構成と認知機能との間には、他の有意な関連は特定されなかった。

    • 結論:

    • 24時間の運動行動の構成、特に中〜高強度の身体活動への時間の配分は、認知症のリスクがある高齢者の認知機能と有意に関連している。
    • 座位行動や睡眠から中〜高強度の身体活動への時間の移行は、この集団の認知機能の向上に有益な戦略を提供する可能性がある。