研究者詳細 - 小熊　祐子

論文 - 小熊　祐子

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運動開始前の健康スクリーニング～誰が何をするのか～

小熊祐子

日本臨床運動療法学会誌 20 27 - 31 2019年

CiNii Research

健康長寿社会における身体活動と健康－「ふじさわプラス・テン」の取り組みを通して－

小熊祐子, 齋藤義信

予防医学 60 21 - 25 2019年

CiNii Research

脳心血管病予防に関する包括的リスク管理チャート2019年版について

小熊祐子, 井上茂, 永富良一

日内会誌 108 （ 5 ） 1024 - 1070 2019年

Prevalence of Metabolic Syndrome and Lifestyle Characteristics by Business Type among Japanese Workers in Small-and Medium-sized Enterprises

H Hozawa, A Takeuchi, Y Oguma

The Keio journal of medicine （Keio Journal of Medicine） 68 （ 3 ） 54 - 67 2018年12月

共著, ISSN 0022-9717

This cross-sectional study investigated the associations of business type with the prevalence of metabolic syndrome (MetS) and lifestyle characteristics among workers in small- and medium-sized enterprises. In total, data from 167,736 workers (114,746 men and 52,990 women) who participated in health checkups in 2013 were analyzed using multilevel logistic regression models. The odds ratios (ORs) of having MetS, defined based on the criteria of the joint interim statement, were significantly higher in employees of transportation businesses (reference OR =1) than in other business types among men (OR: 0.67-0.85) and similar result was observed among women (OR: 0.70-0.88). The prevalence of a smoking habit was significantly higher in transportation workers than in employees of other businesses for both men and women. Furthermore, male transportation workers were more likely to skip breakfast, engage in <1 h/day of walking, walk at a slower speed, and eat dinner just before going to bed. Female transportation workers were more likely to have gained 10 kg since the age of 20 years. In conclusion, the prevalence of MetS was higher in transportation workers than in workers from other busi

Elevated Creatine Kinase and Lactic Acid Dehydrogenase and Decreased Osteocalcin and Uncarboxylated Osteocalcin are Associated with Bone Stress Injuries in Young Female Athletes

Miyamoto T., Oguma Y., Sato Y., Kobayashi T., Ito E., Tani M., Miyamoto K., Nishiwaki Y., Ishida H., Otani T., Matsumoto H., Matsumoto M., Nakamura M.

Scientific Reports （Scientific Reports） 8 （ 1 ） 18019 - 18019 2018年12月

共著, ISSN 2045-2322

© 2018, The Author(s). Stress fractures are a limitation for athletes not only in sports performance but in activities of daily living. Thus, preventing them is crucial. In female athletes, a triad of symptoms including low energy availability, functional hypothalamic amenorrhea and osteoporosis are considered risk factors for stress injuries, but biomarkers predictive of these outcomes are not available. Here, we evaluated 56 female university athletes and found that 13 had a history of stress bone injuries. Logistic regression analysis demonstrated that dysmenorrhea including amenorrhea, but not reduced food intake or body weight loss, was significantly associated with stress injuries. When we subdivided subjects into stress fracture and non-fracture groups, we found that serum levels of creatine kinase (CK) and lactic acid dehydrogenase (LDH) were significantly higher in the fracture group, while osteocalcin and uncarboxylated osteocalcin (ucOC), which are bone forming parameters, significantly decreased. Low vitamin D levels are associated with stress fractures, but serum vitamin D levels were higher in fracture compared to non-fracture subjects. We followed up 32 subjects for one year, and three exhibited new stress injuries during that period. A history of stress fracture history is significantly associated with experiencing a new stress fracture. We also found that subjects with new fracture performed significantly greater exercise activity than did non-fracture subjects. Taken together, our data indicate that increased serum CK and LDH and decreased serum osteocalcin and ucOC are biomarkers of stress injuries, and evaluating these markers along with dysmenorrhea, stress fracture history or high sports activity could predict future stress fractures in female athletes.

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Relationship of objectively measured physical activity and physical function of community-dwelling very old in Kawasaki, Japan: baseline assessment of Kawasaki well-being prospective cohort study

Oguma Yuko, Tajima Takayuki, Saito Yoshinobu, Fukui Shogo, Kibayashi Yayoi, Yoshida Natsuko, Ishida Hiroyuki, Hirata Takumi, Abe Yukiko, Arai Yasumichi

JOURNAL OF PHYSICAL ACTIVITY & HEALTH 15 （ 10 ） S34 - S34 2018年10月

ISSN 1543-3080

Physical Activity Among Postoperative Esophageal Cancer Patients

Ichijo, Y., Takeda, Y., Oguma, Y., Kitagawa, Y., Takeuchi, H. and Doorenbos, A. Z.

Cancer Nurs （Cancer nursing） 42 （ 6 ） 501 - 508 2018年09月

共著, ISSN 0162-220X

BACKGROUND: Previous literature has reported that regular physical activity enhances health-related quality of life for cancer patients. However, there is a lack of studies that focus on physical activity among postoperative esophageal cancer patients. OBJECTIVE: The aims of this study were to (1) describe the prevalence of physical activity among postoperative esophageal cancer patients, (2) explore variables related to physical activity (demographics, nutrition, dysphagia, and health-related qualify of life), and (3) examine potential reasons for inactivity among participants who scored low using case studies. METHODS: In this cross-sectional design, physical activity was evaluated by the Japanese version of the International Physical Activity Questionnaire. Variables were analyzed using Spearman rank correlation coefficients, Mann-Whitney U tests, or Fisher exact tests. RESULTS: Fifty-eight patients participated in this study; 79% met the recommended physical activity guidelines. Present occupational status and past leisure-time physical activity behavior before the cancer diagnosis were related to current leisure-time physical activity and meeting the guidelines postoperatively. Participants who scored 0 (little or no activity) in the questionnaire also scored low in health-related quality of life. CONCLUSIONS: Participants performed especially well in physical activity related to leisure time and transportation. Positive reinforcement is needed for patients who perform adequate levels of physical activity, and reviewing the benefits of regular physical activity is encouraged for all. IMPLICATIONS FOR PRACTICE: Occupational status and past leisure-time physical activity before diagnosis can be indicators for promoting physical activity among postoperative esophageal cancer patients. Inactive participants should be supported to promote both physical activity and health-related qualify of life.

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高齢者地域コミュニティのグループ運動継続に関わる特徴

柴, 知里, 齋藤, 義信, 今村, 晴彦, 田中, あゆみ, 土村, 里佳 and 小熊, 祐子

日本健康教育学会誌（日本健康教育学会） 26 （ 2 ） 144 - 154 2018年05月

共著, ISSN 1340-2560

目的:高齢者地域コミュニティのグループ運動継続に関わる特徴を把握する。事業/活動内容:対象は藤沢市で実施中の身体活動促進のための地域介入研究に参加し、6ヵ月間グループ運動を継続している8グループ(120名)である。研究参加時、6ヵ月後時点で質問紙調査、体力測定、認知機能評価を行った。運動プログラムやモニタリングツールを提供し、定期的なフォローアップや交流会、グループワークを行った。事業/活動評価:(1)リーダーの特徴と協力者の有無および協力の主体性で8グループを4群に分類し、質問紙による身体活動量、精神的健康、地域とのつながり、個人要因を比較した。(2)グループ向け質問紙、交流会、グループワークの質的情報から、グループの特徴を比較した。結果を統合してコミュニティづくりに重要なルール(自生した規則や制度)、ロール(自発的な役割)、ツール(道具や資源)の観点からグループの特徴を把握した。活動基盤となるルールは、全グループ共通のルール、円滑なグループ活動を行うためのルール、運動実施・継続のためのルールの3つに分類できた。今後の課題:ルールが明確なグループには、ロールがあり、効果的にツールを活用できていることが示唆された。住民参加型の身体活動促進の取り組みを通して、グループ運動実施・継続のためのルール、ロール、ツールが把握できた。長期的観察と成果の活用に向けた取り組みが今後の課題である。(著者抄録)

Maintenance Of Physical Activity Level And Dissemination Of "Plus Ten" Message In Community-based Group Exercise

Saito Yoshinobu, Oguma Yuko, Tajima Takayuki, Tanaka Ayumi, Kibayashi Yayoi, Shiba Chisato, Miyachi Motohiko, Takebayashi Toru

MEDICINE AND SCIENCE IN SPORTS AND EXERCISE 50 （ 5 ） 62 - 63 2018年05月

共著, ISSN 0195-9131

地域在住高齢者における個人レベルのソーシャル・キャピタルと身体活動との関連　横断研究

齋藤, 義信, 小熊, 祐子, 田島, 敬之, 加藤, 梨里, 木林, 弥生, 宮地, 元彦 and 武林, 亨

体力科学（(一社)日本体力医学会） 67 （ 2 ） 177 - 185 2018年04月

共著, ISSN 0039-906X

「健康と生活に関するアンケート」に回答した高齢者534名(男性260名、女性274名、68〜78歳)を対象とした。男女の比較で有意差を認めた人口統計学的属性・社会経済的属性は、居住形態(女性の独居割合が高い)、BMI(男性が高い)、身体活動の制限(女性の医師または足腰の痛みによる制限がある割合が高い)、教育歴(男性の大学卒以上の割合が高い)、収入がある仕事(男性の仕事をもつ割合が高い)であった。ソーシャル・キャピタル(SC)では地域の人とのかかわりと他世代との交流において有意な男女差(女性のSCが高い)を認めた。SCが低いと想定される回答を基準とした解析で、男性では、地域の支え合い:支え合うと思う、地域の人とのかかわり:立ち話をする人がいる、相談しあえる人がいる、他世代との交流:まあまあある、とてもあるにおいて有意な正の関連を認めた。トレンド検定では、有意な量反応関係を認めた。女性では、地域の人とのかかわり:相談しあえる人がいる、地域組織活動への参加:1団体以上において有意な正の関連を認めた。トレンド検定では、「地域の人とのかかわり」において有意な量反応関係を認めた。

Awareness of physical activity promotion, physical activity, and sedentary behavior in elderly Japanese

T Tajima, Y Saito, R Kato, Y Kibayashi, M Miyachi, IM Lee, Y Oguma

The Journal of Physical Fitness and Sports Medicine 7 (2), 113-119 （一般社団法人日本体力医学会） 7 （ 2 ） 113 - 119 2018年03月

共著, ISSN 2186-8131

本研究の目的は、日本人高齢者を対象に「アクティガイド」や「プラス・テン」などの身体活動プロモーションの認知と身体活動時間、座位行動時間の関連について検討することである。我々は2013年より神奈川県藤沢市において身体活動促進のためのコミュニティワイドキャンペーンを実施している。この取り組みの成果評価及び2015年度以降に行う全市的な介入の事前評価の位置づけで、2015年6月に20歳以上の藤沢市民3,000名を無作為抽出して質問紙調査を実施した。本研究ではその質問紙調査を用い、65歳以上の高齢者874名を対象者とした。このうち550名から返答があり、データに欠損のない373名を解析に用いた。48%(179/373名)が「アクティブガイド」や「プラス・テン」などの身体活動プロモーションを認知していた。身体活動時間(運動を行っている時間と歩行またはそれと同等以上の強度の生活活動を行っている時間の総和)の中央値は100分/日、座位行動時間の中央値は300分/日であった

Association of high individual-level of social capital with increased physical activity among community-dwelling elderly men and women: A cross-sectional study

Saito Y., Oguma Y., Tajima T., Kato R., Kibayashi Y., Miyachi M., Takebayashi T.

Japanese Journal of Physical Fitness and Sports Medicine （Japanese Journal of Physical Fitness and Sports Medicine） 67 （ 2 ） 177 - 185 2018年

研究論文（学術雑誌）, 共著, ISSN 0039906X

We aimed to evaluate the associations of individual-level social capital (SC) and physical activity (PA) among Japanese elderly men and women. Individuals aged 65 or above were selected via population-based random sampling of 3000 adults, aged 20 years or above and living in Fujisawa city, who were asked to complete self-administered questionnaires. The sample consisted of 260 men [median (25-75% tile) age 73 (68-78) yrs] and 274 women [73 (68-78) yrs]. The daily duration of PA, SC [e.g., norms of reciprocity (mutual support in the community), social networks (relationship with community people, exchange with other generations), social participation (participation in community organization activities)], socio-economic status [educational attainment, work with income, perceived household economic status], and demographic characteristics [sex, age, living arrangements, BMI, physical limitations] were assessed. Multivariate logistic regression analyses were used to calculate odds ratios (OR) for associations of SC with PA, stratified by sex. High level of mutual support in the community, relationship with community people, and exchange with other generations were associated with longer PA time in men after adjusting for potential confounders in the final model (OR = 2.40 (95% CI: 1.24-4.67), 5.28 (1.42-19.66), and 4.24 (1.15-15.67), respectively). In women, relationship with community people and participation in community organization activities were associated with longer PA time (3.10 (1.32-7.26) and 2.50 (1.27-4.91), respectively). The association of individual-level SC and PA differed between men and women. Future studies can investigate whether similar results can be obtained in other areas or attempt to conduct a large-scale survey.

Relationship of objectively measured physical activity and physical function of community-dwelling very old in Kawasaki, Japan: baseline assessment of Kawasaki well-being …

Y Oguma, T Tajima, Y Saito, S Fukui, Y Kibayashi, N Yoshida, H Ishida, ...

JOURNAL OF PHYSICAL ACTIVITY & HEALTH 15 (10), S34-S34 15 （ 10 ） S34 - S34 2018年

共著, ISSN 1543-3080

RE-AIM evaluation of a community-wide physical activity intervention based on the Japanese guideline in adults: the Fujisawa+ 10 project

Y Saito, A Tanaka, T Tajima, Y Kibayashi, M Miyachi, Y Oguma

JOURNAL OF PHYSICAL ACTIVITY & HEALTH 15 (10), S155-S156 （International Society of Physical Activity and Health） 15 （ 10 ） S155 - S156 2018年

共著, ISSN 1543-3080

Effects of replacing sedentary behavior with different intensities of physical activity on physical function among community-dwelling elderly: A cross-sectional study

T Tajima, Y Saito, Y Kibayashi, Y Oguma

JOURNAL OF PHYSICAL ACTIVITY & HEALTH 15 (10), S233-S234 （International Society of Physical Activity and Health） 15 （ 10 ） S233 - S234 2018年

共著, ISSN 1543-3080

Maintenance Of Physical Activity Level And Dissemination Of “Plus Ten” Message In Community-based Group Exercise: 307 Board# 148 May 30 930 AM-1100 AM

Y Saito, Y Oguma, T Tajima, A Tanaka, Y Kibayashi, C Shiba, M Miyachi, ...

Medicine & Science in Sports & Exercise 50 (5S), 62-63 2018年

共著

Maintenance Of Physical Activity Level And Dissemination Of “Plus Ten” Message In Community-based Group Exercise: 307 Board# 148 May 30 9: 30 AM-11: 00 AM

Y Saito, Y Oguma, T Tajima, A Tanaka, Y Kibayashi, C Shiba, M Miyachi, ...

Medicine & Science in Sports & Exercise 50 (5S), 62-63 2018年

Community-wide physical activity intervention based on the Japanese physical activity guidelines for adults: A non-randomized controlled trial

Saito Y., Oguma Y., Tanaka A., Kamada M., Inoue S., Inaji J., Kobori Y., Tajima T., Kato R., Kibayashi Y., Narumi Y., Takeuchi A., Miyachi M., Lee I., Takebayashi T.

Preventive Medicine （Preventive Medicine） 107 61 - 68 2017年11月

研究論文（学術雑誌）, 共著, ISSN 0091-7435

© 2017 Elsevier Inc. Very few community intervention studies that promote physical activity (PA) using guidelines and its dissemination and implementation have been conducted. Consequently, we evaluated the effectiveness of a community-wide intervention (CWI) of PA with adults based on the Japanese guidelines for promoting PA. This was a non-randomized controlled trial, with four administrative districts in Fujisawa city assigned to the intervention group and nine to the control group. The CWI, conducted from 2013 to 2015, comprised information dissemination, education, and community support. The primary outcome was change in PA participation. Secondary outcomes were CWI awareness and PA guideline knowledge. Outcomes were assessed using questionnaires distributed to two independent, random samples of 3000 community-based adults (aged ≥ 20 years). Two separate samples—1230 adults at baseline and 1393 at the two-year follow-up—responded to the survey. The median time spent in PA did not differ between intervention and control groups after adjusting for potential confounders (adjusted difference between groups = − 0.02 min/day [95% confidence interval (CI): − 0.11, 0.10]). However, intervention group participants were more aware of the CWI (33.8%) than were control group participants (25.2%) at the two-year follow-up (odds ratio = 1.44 [95% CI: 1.06, 1.95]). A significant difference was also observed in participants’ PA guideline knowledge (adjusted difference between groups = 0.82% [95% CI: 0.33, 1.31]). Although significant differences in awareness and knowledge were observed between groups, this CWI did not change PA levels over two years. Future studies should investigate the long-term effects of CWIs beyond two years. Trial registration number: UMIN-CTR UMIN000018389.

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Regular group exercise contributes to balanced health in older adults in Japan: a qualitative study

Komatsu, H., Yagasaki, K., Saito, Y. and Oguma, Y.

BMC Geriatr （BIOMED CENTRAL LTD） 17 （ 1 ） 190 2017年08月

ISSN 1471-2318

BACKGROUND: While community-wide interventions to promote physical activity have been encouraged in older adults, evidence of their effectiveness remains limited. We conducted a qualitative study among older adults participating in regular group exercise to understand their perceptions of the physical, mental, and social changes they underwent as a result of the physical activity. METHODS: We conducted a qualitative study with purposeful sampling to explore the experiences of older adults who participated in regular group exercise as part of a community-wide physical activity intervention. Four focus group interviews were conducted between April and June of 2016 at community halls in Fujisawa City. The participants in the focus group interviews were 26 older adults with a mean age of 74.69 years (range: 66-86). The interviews were analysed using the constant comparative method in the grounded theory approach. We used qualitative research software NVivo10(R) to track the coding and manage the data. RESULTS: The finding 'regular group exercise contributes to balanced health in older adults' emerged as an overarching theme with seven categories (regular group exercise, functional health, active mind, enjoyment, social connectedness, mutual support, and expanding communities). Although the participants perceived that they were aging physically and cognitively, the regular group exercise helped them to improve or maintain their functional health and enjoy their lives. They felt socially connected and experienced a sense of security in the community through caring for others and supporting each other. As the older adults began to seek value beyond individuals, they gradually expanded their communities beyond geographical and generational boundaries. CONCLUSIONS: The participants achieved balanced health in the physical, mental, and social domains through regular group exercise as part of a community-wide physical activity intervention and contributed to expanding communities through social connectedness and mutual support. Health promotion through physical activity is being increasingly emphasized. The study results can help to develop effective physical activity programs for older adults in the community.

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Validation of Questionnaire-Assessed Physical Activity in Comparison With Objective Measures Using Accelerometers and Physical Performance Measures Among Community-Dwelling Adults Aged >/=85 Years in Tokyo, Japan

Oguma, Y., Osawa, Y., Takayama, M., Abe, Y., Tanaka, S., Lee, I. M. and Arai, Y.

J Phys Act Health （HUMAN KINETICS PUBL INC） 14 （ 4 ） 245 - 252 2017年04月

ISSN 1543-3080

BACKGROUND: To date, there is no physical activity (PA) questionnaire with convergent and construct validity for the oldest-old. The aim of the current study was to investigate the validity of questionnaire-assessed PA in comparison with objective measures determined by uniaxial and triaxial accelerometers and physical performance measures in the oldest-old. METHODS: Participants were 155 elderly (mean age 90 years) who were examined at the university and agreed to wear an accelerometer for 7 days in the 3-year-follow-up survey of the Tokyo Oldest-Old Survey of Total Health. Fifty-nine participants wore a uniaxial and triaxial accelerometer simultaneously. Self-rated walking, exercise, and household PA were measured using a modified Zutphen PA Questionnaire (PAQ). Several physical performance tests were done, and the associations among PAQ, accelerometer-assessed PA, and physical performances were compared by Spearman's correlation coefficients. RESULTS: Significant, low to moderate correlations between PA measures were seen on questionnaire and accelerometer assessments (rho = 0.19 to 0.34). Questionnaireassessed PA measure were correlated with a range of lower extremity performance (rho = 0.21 to 0.29). CONCLUSIONS: This PAQ demonstrated convergent and construct validity. Our findings suggest that the PAQ can reasonably be used in this oldest-old population to rank their PA level.

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小熊 祐子

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小熊　祐子

論文 - 小熊　祐子