研究者詳細 - 小熊　祐子

論文 - 小熊　祐子

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Association between physical activity and quality of life in Japanese adults aged 85 to 89 years: a cross-sectional study

Muramatsu Y., Oguma Y., Abe Y., Hara A., Urushihara H., Arai Y.

BMC Geriatrics 25 （ 1 ） 216 2025年12月

Background: Associations between physical activity (PA) and quality of life (QOL) have usually been studied in people in their 60s and 70s, however little is known about these associations in older age groups. We aimed to examine the association between PA and QOL in Japanese adults aged 85–89 years and investigate the types of exercises/sports in this population. Methods: This cross-sectional study (n = 914) used baseline data from the Kawasaki Aging and Well-being Project (KAWP), a longitudinal cohort study of older adults aged 85–89 years. Health-related QOL and psychological well-being were assessed using the EuroQoL 5D-5L (EQ-5D-5L) and the WHO Five Well-Being Index (WHO-5), respectively. PA was objectively and subjectively measured using a triaxial accelerometer and modified Zutphen Physical Activity Questionnaire, respectively. Associations were analyzed using multivariable regression analysis. Results: Higher PA was significantly associated with a higher EQ-5D-5L index score (coefficient, 0.004; 95%CI [0.001, 0.008], standardized coefficient, 0.142). In contrast, no association was observed between PA and the WHO-5 total score (coefficient, 0.103; 95%CI [-0.066, 0.271], standardized coefficient, 0.068). Calisthenics were the most commonly performed sports or exercises (27.4% of male and 47.6% of female participants). The subgroup of participants with > median PA had a longer walking duration than their counterparts, and the following sports/exercises were more frequently performed in addition to calisthenics; resistance training and others among male participants: stretching/yoga among female participants. Conclusions: Our findings suggest that PA is associated with a better health-related QOL. However, no association was observed between PA and psychological well-being in this population. We found that calisthenics were the most commonly performed and that more physically active older adults performed several types of exercises/sports in addition to calisthenics and walking for longer durations. Since few studies have investigated the types of exercises/sports in this age group, these findings would be helpful for interventions to maintain PA and QOL in this age group. Trial registration: UMIN000026053.

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Association between near functional visual acuity and physical function in community-dwelling older adults: a cross-sectional study: Keio university global research Institute baseline survey

Manabe T., Oguma Y., Tabira K., Sugimoto M., Negishi K., Yagasaki K.

BMC Geriatrics 25 （ 1 ） 405 2025年12月

Background: As the Japanese population continues to age, functional decline with aging will inevitably become more pronounced. Vision loss and decline in lifestyle and motor functions are the main causes of functional decline. To date, a few studies have examined the relationship between visual and overall physical function. Therefore, this study aimed to quantitatively investigate the relationship between loss of visual acuity and the decline of physical functionality. Methods: This cross-sectional study was based on the data of 86 community-dwelling older adults (average age ± standard deviation, 75.7 ± 5.5 years; 34 men) who participated in the October 2020–May 2022 baseline survey. Visual function was assessed based on the measurement of binocular near functional visual acuity (NFVA) using the Smart Vision Check application. Physical function tests were performed by measuring grip strength, 30-second chair stand (CS-30), Timed Up and Go (TUG), with eyes open, one-leg standing balance (OLSB), and two-step test. Multivariate regression analysis was performed to examine the association between NFVA and physical function, and partial regression coefficient (β) and 95% confidence interval (95%CI) were calculated. Results: After adjusting for all covariates, NFVA was significantly associated with grip strength (β: 3.54, 95%CI: 0.39, 6.70). Meanwhile, no association was noted between NFVA and CS-30 (β: -0.35, 95%CI: -2.68, 1.97), TUG (β: -0.23, 95%CI: -0.65, 0.19), OLSB (β: 6.13, 95%CI: -5.09, 17.35), and two-step test (β: 0.01, 95%CI: -0.05, 0.08). Conclusions: The study showed an association between quantitatively assessed visual and physical functions in community-dwelling older adults living in Japan. Thus, the findings indicate that maintaining and enhancing grip strength and visual function in older adults may be an important factor in leading a healthy and fulfilling life. Trial registration: Registration number, UMIN000041970.

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Association between cognitive function and smartphone ownership among Japanese very old adults: a cross-sectional and longitudinal study

Takahiro N., Oguma Y., Urushihara H., Hara A., Sasaki T., Abe Y., Shikimoto R., Arai Y.

BMC Geriatrics 25 （ 1 ） 866 2025年12月

Background: This research was conducted to investigate the association between cognitive function and smartphone ownership among very old adults, a rapidly growing age group. Additionally, we conducted a longitudinal investigation as a sub-analysis to determine whether owning a smartphone affects the level of long-term care certification as a proxy outcome for cognitive decline. Method: Data from a cross-sectional and longitudinal survey of the Kawasaki Aging and Wellbeing Project (KAWP) was used. Multivariate regression analysis was performed to examine the relationship between the Mini-Mental State Examination (MMSE) score and smartphone ownership. We also examined the association between smartphone ownership and the level of nursing care 1,278 days after the baseline. Results: Among 483 participants aged 85–90 years at baseline, 165 (46.9%) were male, and 131 (27.1%) owned a smartphone. In adjusted regression, smartphone ownership was associated with an MMSE score of ≥ 27 (odds ratio [OR]: 1.76, 95% confidence interval [CI]: 1.13–2.77), after controlling for potential confounders, including hypertension (OR: 1.65, 95% CI: 1.01–2.69). The results revealed no relationship between smartphone ownership and long-term care level. Discussion: Our results suggest that minimal cognitive decline in very old adults could make the ownership of a smartphone difficult.

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特集リハビリテーション医学・医療update 百寿時代の身体活動・運動・スポーツ

小熊祐子

整形・災害外科（金原出版） 68 （ 10 ） 1073 - 1079 2025年09月

ISSN 03874095

【リハビリテーション医学・医療update】百寿時代の身体活動・運動・スポーツ

小熊祐子

整形・災害外科（金原出版(株)） 68 （ 10 ） 1073 - 1079 2025年09月

ISSN 0387-4095

＜文献概要＞日本では平均寿命・健康寿命ともに延伸し,百寿時代を迎えているが,要介護の原因には認知症や運動器障害が多く,身体活動・運動の役割が重要である。高齢者における適切な身体活動は,死亡リスクや疾患発症リスクを低下させ,転倒・骨折・認知症予防にも効果がある。身体活動増加とともに,特に筋力トレーニングや多要素運動が有効であり,日常の座位行動を減らすことも推奨される。フレイル・サルコペニア・ロコモティブシンドロームといった加齢に伴う機能低下も,運動や栄養,社会参加によって予防・改善が可能である。地域介入の事例として「ふじさわプラス・テン」を紹介するとともに,安心・安全な運動支援体制の整備と普及が重要であること,科学的根拠に基づいた身体活動の推進が,健康長寿社会の実現に寄与することをまとめた。

【はじめてとりくむ身体活動支援(Ver.2)　健康寿命延伸のための栄養と運動】おさえておきたい理論編　疾患予防と改善のための身体活動のエビデンス　疾患をもつ人が運動するうえでの留意事項

小熊祐子

臨床栄養（医歯薬出版(株)）別冊（はじめてとりくむ身体活動支援 Ver.2-健康寿命延伸のための栄養と運動） 30 - 37 2025年08月

ISSN 0485-1412

全国の運動施設におけるリスク管理と主要心血管イベント発生の実態

黒瀬聖司, 平田昂大, 齋藤義信, 佐藤真治, 都竹茂樹, 小熊祐子

日本臨床運動療法学会誌（(NPO)日本臨床運動療法学会） 26 （ 2 ） 9 - 16 2025年07月

全国の運動施設における運動開始前の健康チェック、特に運動負荷試験の実施や利用者の健康リスクの層別化の実態を把握し、各施設での運動中における主要心血管イベント(MACE)発生の経験とその関連性について検討した。全国の運動を提供している団体等にアンケート調査を依頼し、有効回答494件を分析した。健康リスクの層別化をしている運動施設のMACE発生の経験は17/139施設(12.2%)、層別化をしていない運動施設では41/355施設(11.5%)であった。運動負荷試験の実施率は全体で7.3%であったが、医療母体の運動施設では29.6%と高かった。運動開始前の情報確認や健康チェック等のリスク管理を行っている施設はハイリスク者の利用が予想されるが、リスク層別化をしていない施設はMACE等の有害事象の促進因子になり、一方でリスク層別化をしている施設では、施設基準の取得が抑制因子になり得る可能性が示された。

地域在住高齢者の全身持久力と血圧との関連　健康増進施設における複合的トレーニング実践者を対象とした縦断研究

齋藤義信, 田中あゆみ, 平田昂大, 小熊祐子

日本臨床スポーツ医学会誌（(一社)日本臨床スポーツ医学会） 33 （ 2 ） 257 - 266 2025年04月

ISSN 1346-4159

(目的)健康増進施設で複合的トレーニングを実践する高齢者の全身持久力と血圧との関連を縦断的に検討すること.(方法)対象は,藤沢市保健医療センターで複合的トレーニングを実践する高齢者585人(男性244人:平均年齢71.0(標準偏差6.8)歳,女性341人:67.8(7.3)歳)であった.2017年から2021年の5時点のうち,2時点以上取得可能であったメディカルチェックデータを用いた.統計解析は線形混合効果モデルを用い,1時点あたりの血圧値の変化を推定した.収縮期血圧,拡張期血圧,脈圧を従属変数,全身持久力(最高酸素摂取量)を独立変数,年齢,肥満有無,喫煙有無を調整変数としたモデル1,モデル1に降圧剤服用有無を加えたモデル2による分析を性別に実施した.(結果)取得したメディカルチェックの回数は,2回が最も多かった(男性42.6%,女性51.6%).最高酸素摂取量の増加が収縮期血圧の低下に影響することが示された(モデル1:男女,モデル2:女性のみ),拡張期血圧では関連を認めなかった.脈圧では両モデルにおいて男女ともに有意な関連が認められ,モデル2においては,最高酸素摂取量が1mL/kg/min増加することによって男性0.27mmHg,女性0.45mmHgの脈圧低下が認められた.(結語)地域在住高齢者において,全身持久力の増加が収縮期血圧と脈圧の低下に影響することが示された.(著者抄録)

身体活動指針の提示が日本人成人の知識・信念・意図・行動の変容に及ぼす影響：無作為化比較試験

田島敬之, 原田和弘, 齋藤義信, 武田典子, 小熊祐子

日本予防理学療法学会学術大会プログラム・抄録集（日本予防理学療法学会） 3.Suppl.No.1 （ 0 ） 25 - 25 2025年03月

【背景】国民の身体活動実践を支援するツールとして，厚生労働省が2013年に策定した「健康づくりのための身体活動指針(アクティブガイド)」(現指針)があり，現在は新指針へ改訂作業中である．これらの指針の認知し，理解することは，身体活動の信念や行動意図を介して身体活動の促進に寄与できる可能性がある．ただしこの仮説は横断的検討に留まり，因果関係が明確でない．本研究では，指針の提示が知識，信念，行動意図，身体活動量に及ぼす影響を検証した．【方法】社会調査会社の登録モニターを無作為抽出し，適格基準(20歳～64歳の男女，現指針の認知がなく身体活動制限のない者)を満たす1333名を対象とした．介入前(T1)調査では，指針の知識，身体活動の信念，行動意図，身体活動量，ヘルスリテラシー，個人属性をオンライン上で調査した．その後，現指針提示群，新指針案提示群(厚労科研研究班案)，食事バランスガイド提示群(対照群)に無作為割付し，提示資料の熟読を求めた．介入直後(T2)と1週間後(T3)調査では，知識，信念，行動意図をオンライン上で再調査し，T3時点は身体活動量も調査した．統計解析は，知識，信念，行動意図，身体活動量をアウトカムとし，提示群，時点，提示群×時点の交互作用項，ならびに調整変数に個人属性を投入した線形混合モデルを実施した．さらに指針の提示が知識の変容を媒介して，信念，行動意図，身体活動量の変容に影響を及ぼすか共分散構造分析で検討した．【結果】現指針提示群は対照群よりT2時点の知識と行動意図， T3時点の知識と余暇身体活動時間が有意に高かった．加えて知識の変容は，信念，行動意図，身体活動の変容をもたらしたが，知識，信念の変容に及ぼす影響は，ヘルスリテラシーが低い群で顕著であった．一方，新指針案提示群は対照群よりT2時点の知識が有意に高かったが，知識の変容と信念，行動意図，身体活動の変容との関係は明確でなかった．【結論】現指針の提示は，知識，信念，行動意図の変容を介して身体活動の促進に寄与できる可能性がある．ただしヘルスリテラシーが知識，信念の変容に修飾作用を及ぼす可能性があり，指針を活用した身体活動介入ではこの点に留意が必要かもしれない．一方で新指針案の提示は，介入直後の知識の向上に寄与するに留まった．本研究で用いた新指針案は最終版ではないため，さらなる改良を経て行動変容の促進に寄与できる指針となることが期待される．【倫理的配慮】本研究は，神戸大学大学院人間発達環境学研究科倫理審査委員会の承認を得て実施した (承認番号：709)．インターネットによるアンケート調査の最初のページ (Web 画面)で，本研究の説明した画面を提示し，内容を十分理解した上で研究参加に同意が得られる場合のみ，次ページ以降のアンケート画面に進むよう教示した．

What policies do local governments use to promote physical activity? A comparative analysis of municipalities from 4 EU countries and Japan

S Messing, AN Racine, N Takeda, T Onatsu, K Tuunanen, A Papiu, ...

International journal of health policy and management 14 （ 1 ） 8594 2025年

査読有り

Background: As public policies have the potential to change the entire system of physical activity (PA) promotion and to create conducive environments, they are particularly relevant to address the persistently low levels of PA across the world. Furthermore, World Health Organization’s (WHO’s) Global Action Plan on Physical Activity highlights the relevance of local governments as important partners for policy action. However, our knowledge on how local PA promotion policy compares across countries remains limited. Methods: We conducted an exploratory study as part of the LoGoPAS project to compare the status quo of local PA policies across five municipalities in five different countries. Using purposive sampling, Jyväskylä (Finland), Nice (France), Erlangen (Germany), Fujisawa (Japan), and Cluj-Napoca (Romania) were selected. Data were collected and analysed via desk research and expert consultation using the CAPLA-Santé, a validated tool designed to assess relevant aspects of local PA promotion policies. Results: The analysis showed that the main responsibility for PA promotion varied between municipalities, resting either with the sport or the health sector. A total of 50 relevant PA policy documents were identified, focusing on multiple settings and target groups. Budgets for PA promotion differed across municipalities. Research on PA was reported to have informed policy development in some but not all cases. Across countries, political support was identified as a key driver of local PA promotion. Conclusion: LoGoPAS is the first study to apply the CAPLA-Santé outside of France and the first to use it for an international comparative analysis. Results highlight the ability of the tool to provide insights into local PA policy development, contents, and implementation worldwide. While this study provided a cross-sectional in-depth analysis of the status quo in select municipalities, future research could also aim to assess policies at a large scale, ie, for multiple municipalities and/or on a regular basis.

Assessment of adverse events and near-misses during voluntary sports by Japanese middle-aged and older adults: 14-month prospective study

A Hirata, Y Oguma, T Hashimoto

The Journal of Physical Fitness and Sports Medicine 14 (2), 33-41 （一般社団法人日本体力医学会） 14 （ 2 ） 33 - 41 2025年

ISSN 21868131

This study aimed to prospectively record the occurrence of adverse events and near-misses during sports in middle-aged and older adults who voluntarily engaged in sports in the community and to clarify the frequency and characteristics of such events. Participants were comprised of 14 groups (14 sports) of middle-aged and older adults who voluntarily played sports in Sakae Ward, Yokohama. The follow-up period was 14 months (November 1, 2022, to December 31, 2023). Representatives of the target groups reported once a month to Sakae Ward via postcards regarding the status of their activities and the occurrence of adverse events and near-misses. The survey items included the age of the main participants in each group, number of activities during the month, duration of each activity, number of participants per activity, adverse events, and near-misses during sports. During the 14-month observation, eight adverse events and two near-misses were reported in the 14 groups, mainly comprising middle-aged and older adults. Of the eight adverse events, four were falls, all occurring in those aged ≥70 years and triggered by environmental problems. In this study, there were only two near-misses compared to eight adverse events, suggesting that the participants may have been unaware of near-misses. Therefore, even for sports played by groups of residents, it is important to identify risks by assessing health conditions prior to exercise and to implement initiatives to foster safety awareness among participants, such as hazard prediction training.

老人クラブの持続的運営に関する研究－K会の15年の経験を通して

土井原奈津江, 小熊祐子

応用老年学（一般社団法人日本応用老年学会） 19 （ 1 ） 40 - 60 2025年

ISSN 18826245

本研究は，2015年を転換点として2023年までに会員数を2倍に増加させ，活性化と持続的運営を実現した神奈川県藤沢市の老人クラブ「K会」を対象に，2009年から2023年までの運営を分析し，持続的運営の課題と方策を明らかにすることを目的とした．調査は，会員へのインタビュー，ドキュメント整理，参与観察を通じて実施し，定性データを再帰的テーマティック分析，定量データを記述統計の手法で分析した．持続的運営の方策として，（1）適応型リーダーシップ，（2）次世代につなぐ運営，（3）適応型組織運営，（4）地域共創共感プラットフォームの4つが挙げられる．これらはそれぞれ独立した視点を持ちながらも相互に密接に関連し，組織全体の活性化と持続可能性に寄与している．また，これらの方策は，老人クラブの持続的運営を可能にすると同時に，高齢者の社会参加や地域の活性化にも大きく貢献する．

Safe engagement in physical activity through pre-exercise risk assessment: an observational study at a single facility over 16 years

Hirata A., Takao Y., Seto T., Kurose S., Saito Y., Sato S., Tsuzuku S., Oguma Y.

Frontiers in Public Health 13 1563385 2025年

Background: Regular and appropriate physical activity has health benefits; however, to ensure safety, a pre-exercise medical check based on health information is important. In this study, we aimed to clarify the relationship between risk classification by physicians at a health promotion facility in Japan and the occurrence of adverse events during facility use. Methods: We evaluated 3,571 individuals, excluding those with an unknown sex, age, medical assessment of exercise limitations, and facility usage status. Based on the results of the medical checkups conducted by a physician, the participants were divided into an exercise-prohibited group and an exercise-permitted group (exercise-permitted group, subdivided into non-restricted, orthopedic-restricted, internal medical-restricted, and combined-restricted groups). The risk of adverse events was examined. Results: The group in which exercise was prohibited comprised 72 participants, and that in which exercise was permitted comprised 1935, 612, 456, and 496 participants in the non-restricted, orthopedic-restricted, internal medical-restricted, and combined-restricted groups, respectively. Logistic regression analysis was performed on the four subgroups of the exercise-permitted group, and the odds ratios for adverse events adjusted for individual attributes were 1.04 [95% confidence interval (CI), 0.59–1.84; p = 0.89], 0.97 (95% CI, 0.53–1.78; p = 0.93), and 0.80 (95% CI, 0.42–1.54; p = 0.51) for the orthopedic-restricted, internal medical-restricted, and combined-restricted groups, respectively. A power analysis revealed that the study had a high level of power (0.99), based on a Cox–Snell R2 of 0.05 and a sample size of 3,499, indicating sufficient sensitivity to detect differences between groups. Conclusion: No significant difference in the odds of adverse events was found regardless of the presence or absence of exercise restrictions. Therefore, despite exercise-related risks, pre-exercise screening can help ensure that exercise is performed as safely as it is by individuals without such risks. However, further discussion is required regarding the necessity of screening for all exercise participants.

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Association between near functional visual acuity and physical function in community-dwelling older adults: a cross-sectional study: Keio university global research Institute …

T Manabe, Y Oguma, K Tabira, M Sugimoto, K Negishi, K Yagasaki

BMC geriatrics 25 (1), 405 2025年

A 12-Month Digital Peer-Supported App Intervention to Promote Physical Activity Among Community-Dwelling Older Adults: Follow-Up Study of a Nonrandomized Controlled Trial

Tabira K., Oguma Y., Yoshihara S., Shibuya M., Nakamura M., Doihara N., Hirata A., Manabe T., Yamashita T.

Jmir Aging 8 e66610 2025年

Background: Mobile apps and peer support are known to effectively promote physical activity in older adults, which, in turn, improves physical function. Previously, we investigated the feasibility and impact of using digital peer-supported apps (DPSAs) to increase physical activity among older adults over a 3-month period. However, the long-term feasibility and impact on sustainable behavior change remain unknown. Objective: This study aims to evaluate the 12-month feasibility of the DPSA and to obtain preliminary estimates of its effects on physical activity and physical function among older Japanese adults. Methods: This nonrandomized controlled trial recruited older adults aged 65 years or older from 2 physical activity programs. Participants chose either the intervention (app program + exercise instruction) group or the control (exercise instruction only) group. Only those participants who had completed the 3-month intervention and wished to continue in the 12-month follow-up intervention study were included. DPSA feasibility was assessed using retention and adherence rates. Physical activity was assessed using accelerometers, capturing daily step count, light-intensity activity, moderate to vigorous intensity activity, and sedentary behavior. Physical function was evaluated using grip strength and the 30-second chair stand test (CS-30). Accelerometer measurements were collected every 3 months over 12 months (5 time points, including baseline), whereas physical function was measured at baseline, 3 months, and 12 months. Results: The follow-up study included 44 of 66 participants from the 3-month intervention study, with 26 participants in the intervention group and 18 participants in the control group. The 12-month retention rate for participants in the DPSA intervention group was 73% (19/26), whereas the retention rate among all 41 participants, including those who chose not to participate in the follow-up study, was 46% (19/41). The adherence rate was 85.9%. The average number of steps per day (95% CI) in the intervention group changed before and after DPSA use (P=.048). We observed an increase of 1736 (β=1736, 95% CI 232-3241) steps per day compared with baseline. No significant change was observed in the control group. There were significant within-group differences in CS-30 scores for both intervention (P<.001) and control (P=.03) groups over the 12-month period. Specifically, there was a significant change in CS-30 scores (95% CI) between the baseline and 12-month assessments for the intervention (β=6.5, 95% CI 3.8-9.1; P<.001) and control (β=3.8, 95% CI 0.6-7.1; P=.02) groups. Conclusions: Participants with long-term DPSA use observed increases in average daily steps and CS-30 scores before and after DPSA use, although only a limited number of older adults had long-term access to the DPSA. Identifying ways to expand long-term DPSA use among older adults is necessary. Additionally, randomized controlled trials should be conducted to determine the long-term effects of DPSAs on physical activity and function in older adults.

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20 (2A) Unlocking asymptomatic subconcussive brain injury: blood biomarkers of oligodendrocyte-derived exosomes in athletes

M Mitsuhashi, A Hirata, Y Oguma, H Ishida, K Kawata

BMJ Open Sport & Exercise Medicine 11 (Suppl 3) 2025年

Association between changes in implementation of group exercise and incidence of frailty among Japanese non-frail older adults: 2018 and 2020 surveys including the COVID-19 pandemic

Tabira Kento, Saito Yoshinobu, Tajima Takayuki, Imamura Haruhiko, Manabe Tomoki, Oguma Yuko

The Journal of Physical Fitness and Sports Medicine （一般社団法人日本体力医学会） advpub （ 0 ） 2025年

ISSN 21868131

The coronavirus disease 2019 (COVID-19) pandemic has hampered group exercise. We aimed to determine the relationship between group-exercise implementation status in 2018 and 2020 and the incidence of frailty in 2020, including the COVID-19 pandemic among older adults in Japan. This longitudinal study included older adults belonging to senior clubs, divided into four groups based on the continuity of group-exercise participation. Frailty was assessed using the Kihon Checklist, in which total scores of ≥8 points indicated frailty status. The relationship between group-exercise implementation status and the incidence of frailty was evaluated using Poisson regression with robust variance. Exercise time at the individual level in each group was analyzed using Wilcoxon signed-rank tests. Overall, 1,241 participants were included, in which 249 individuals (20.1%) developed frailty. Compared to older adults who continued group exercise, those who discontinued group exercise (adjusted relative risk: 1.70, 95% confidence interval: 1.26–2.30) were more likely to become frail. Regarding the median exercise time (interquartile range), older adults who discontinued group exercise showed a significant decrease, from 25.7 (12.9–51.7) min/day to 17.1 (6.4–30.0) min/day; but those who started group exercise showed a significant increase from 19.3 (6.4–41.4) min/day to 20.0 (6.4–47.6) min/day. Group exercise implementation status in 2018 and 2020 was associated with incidence of frailty in 2020, including the COVID-19 pandemic. It was concluded that supporting group exercise is important for the prevention of frailty, even under social restrictions owing to infectious diseases.

Associations Between Socioeconomic Factors and Regular Exercise in Japanese Adults: A Cross-Sectional Analysis

T Manabe, T Yamashita, Y Saito, Y Oguma

Journal of Physical Activity and Health 1 (aop), 1-8 1 - 8 2025年

ISSN 1543-3080

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Safe engagement in physical

A Hirata, Y Takao, T Seto, S Kurose, Y Saito, S Sato, S Tsuzuku, Y Oguma

2025年

S08-3: Goals and realities in local governments' involvement in PA promotion for diverse populations subgroups-a comparative analysis of municipalities from 5 countrie (vol 34 …

P Sandu, P Gelius, S Messing, A Noel-Racine, Y Oguma, T Onatsu, ...

EUROPEAN JOURNAL OF PUBLIC HEALTH 35 (5), 1067-1067 2025年

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