Relationships between physical activity, ADL capability and fall risk in community-dwelling Japanese elderly population

<p><b>OBJECTIVE</b>The purpose of this study was to clarify the relationships among fall risk, physical activity habits, and ADL capability in a community-dwelling Japanese elderly population.</p><p><b>METHODS</b>The subjects were 1,407 Japanese aged 65 or older (604 males, 803 females). Fall risk was evaluated using the Falling Assessment Chart of Suzuki et al. (2003). Physical activity habits such as the frequency of leaving the house, the use of transportation, the frequency of physical exercise, and interests were evaluated. ADL capability was evaluated using the Tokyo Metropolitan Institute of Gerontology Index of Competence.</p><p><b>RESULTS</b>Approximately 25% of the subjects had a high fall risk (score of 5 or more). Fall risk increased with age and ADL capability decreased with age. The group with a low fall risk (score<5) had a significantly higher ADL capability than the group with a high fall risk (score≥5). From results of two-way ANCOVA (gender×physical activity habits) with age as the covariate, the fall risk of people who regularly go on leaving the house, exercise, and have interests tended to be low. Further more, the relationships between the scores and physical activity habits were examined by two-way ANCOVA with age and ADL capability as the covariates. There were significant differences in the frequency of leaving the house, and elderly persons who leaved regularly the house, had a low fall risk.</p><p><b>CONCLUSIONS</b>This study showed that fall risk is closely related to ADL capability, and that the frequency of leaving the house is very important for reducing fall risk.</p>

Relationships between Physical Activity, ADL Capability and Fall Risk in Community-Dwelling Japanese Elderly Population

Objective: The purpose of this study was to clarify the relationships among fall risk, physical activity habits, and ADL capability in a community-dwelling Japanese elderly population. Methods: The subjects were 1,407 Japanese aged 65 or older (604 males, 803 females). Fall risk was evaluated using the Falling Assessment Chart of Suzuki et al. (2003). Physical activity habits such as the frequency of leaving the house, the use of transportation, the frequency of physical exercise, and interests were evaluated. ADL capability was evaluated using the Tokyo Metropolitan Institute of Gerontology Index of Competence. Results: Approximately 25% of the subjects had a high fall risk (score of 5 or more). Fall risk increased with age and ADL capability decreased with age. The group with a low fall risk (score <5) had a significantly higher ADL capability than the group with a high fall risk (score ³5). From results of two-way ANCOVA (gender×physical activity habits) with age as the covariate, the fall risk of people who regularly go on leaving the house, exercise, and have interests tended to be low. Further more, the relationships between the scores and physical activity habits were examined by two-way ANCOVA with age and ADL capability as the covariates. There were significant differences in the frequency of leaving the house, and elderly persons who leaved regularly the house, had a low fall risk. Conclusions: This study showed that fall risk is closely related to ADL capability, and that the frequency of leaving the house is very important for reducing fall risk.

Agreement in depression determination among four self-rating depression scales applied to Japanese community-dwelling elderly

<p><b>OBJECTIVE</b>In this study, we examined the characteristics of depression determination using four representative self-rating depression scales (Geriatric Depression Scale, GDS; Self-rating Depression Scale, SDS; Center for Epidermiologic Studies Depression Scale, CES-D; and Carroll Rating Scale, CRS) applied to Japanese community-dwelling elderly.</p><p><b>METHODS</b>Subjects were 563 community-dwelling independent elderly living in twelve prefectures (330 males, 68,9±6.3 yr; 233 females, 68.1±5.8 yr).</p><p><b>RESULTS</b>Depression rates determined using SDS (45.8%) and CES-D (68.6%) were higher than those determined using GDS (5.7%) and CRS (14.7%). Although correlations of depression scale scores among the four scales were significant and comparable (r: 0.61 (GDS vs. SDS, p<0.01) to 0.78 (SDS vs. CES-D, p<0.01)), the agreement in depression determination varied among scales (kappa coefficients: 0.05 (GDS vs. CES-D, p>0.05) to 0.46 (SDS vs. CES-D, p<0.01)).</p><p><b>CONCLUSIONS</b>Similarities in depression determination were found between GDS and CRS, and between CES-D and SDS. Depression rates determined on the basis of cut-off point for each scale were higher for CES-D and SDS than for GDS and CRS. Depression determination using a four-point rating scale may overestimate a slightly depressive symptom, compared with that using a two-point scale.</p>

Agreement in Depression Determination among Four Self-Rating Depression Scales Applied to Japanese Community-Dwelling Elderly

Objective: In this study, we examined the characteristics of depression determination using four representative self-rating depression scales (Geriatric Depression Scale, GDS; Self-rating Depression Scale, SDS; Center for Epidemiologic Studies Depression Scale, CES-D; and Carroll Rating Scale, CRS) applied to Japanese community-dwelling elderly. Methods: Subjects were 563 community-dwelling independent elderly living in twelve prefectures (330 males, 68.9±6.3 yr; 233 females, 68.1±5.8 yr). Results: Depression rates determined using SDS (45.8%) and CES-D (68.6%) were higher than those determined using GDS (5.7%) and CRS (14.7%). Although correlations of depression scale scores among the four scales were significant and comparable (r: 0.61 (GDS vs. SDS, p<0.01) to 0.78 (SDS vs. CES-D, p<0.01)), the agreement in depression determination varied among scales (kappa coefficients: 0.05 (GDS vs. CES-D, p>0.05) to 0.46 (SDS vs. CES-D, p<0.01)). Conclusions: Similarities in depression determination were found between GDS and CRS, and between CES-D and SDS. Depression rates determined on the basis of cut-off point for each scale were higher for CES-D and SDS than for GDS and CRS. Depression determination using a four-point rating scale may overestimate a slightly depressive symptom, compared with that using a two-point scale.

Confirmation of Delayed Menarche Based on Regression Evaluation of Age at Menarche for Age at MPV of Height in Female Ball Game Players

A general delay in menarche in female athletes has been confirmed based on comparisons of mean ages between athletes and non-athletes; however, it has not been possible to judge such delays individually. If delayed menarche could be evaluated for an individual, the athlete could be advised as to necessary precautions. In this study, the age at maximum peak velocity (MPV) of height, adopted as an index of physical maturation, was identified by the wavelet interpolation method (WIM). The relationship between the age at menarche and age at MPV of height in female athletes and non-athletes was then examined. For the athlete group, health examination records of 90 female ball game players in the first year of university in the Tokai area, all of whom had participated in national level competitions, were reviewed for the period from the first grade of elementary school until the final year of high school (from 1985 to 1996). A similar examination was conducted for the control group, among whom a final group of 78 female non-athletes were selected. The age at menarche was determined by questionnaires, and the longitudinal data for height and weight were obtained from the health examination records. Based on a comparison of the difference between the age at MPV of height and age at menarche in ball game players and the control group, a tendency was seen for the difference between the two ages to narrow as the age at MPV of height rose. A corrected regression evaluation of age at menarche against age at MPV of height was derived in the control group, and the evaluation system was applied to ball game players. The delay in menarche in ball game players could be individually evaluated.

Activity groupings reflecting functional characteristics required in daily life in institutionalized dependent females in the old old elderly group

<p><b>OBJECTIVES</b>This study aimed to determine the activity groupings reflecting functional characteristics required in daily life for the institutionalized dependent females in the old-old elderly group, by examining the interrelationships of activities based on actual achievement characteristics.</p><p><b>METHODS</b>The participants were 697 dependent elderly living at welfare institutions in Japan and 344 old-old females were used for analysis. Factor analysis, based on Promax with the Kaiser Normalization method, was conducted using 74 activities of daily living (ADL) items to determine activity groups. Furthermore, whether each activity group could be classified into sub-groups was confirmed by applying factor analysis to the activities consisting of each activity group.</p><p><b>RESULTS</b>Four activity groups of lower extremity activities, manual activities, changing and holding posture activities, and upper extremity and dexterous manual activities were interpreted. Except for the manual activity group, these activity groups were classified into two sub-groups.</p><p><b>CONCLUSIONS</b>These activity groupings were characterized by similarities of the body parts used in achievement and the difficulty of activity. The activity groupings obtained in this study are considered to be useful in ADL assessment focusing on evaluating functional characteristics of the dependent elderly.</p>

Problems with the Japanese version of the Center for Epidemiologic Studies Depression (CES-D) scale when applied to Japanese independent community-dwelling elderly: an examination of the factor structure

<p><b>PURPOSE</b>The present study aimed to determine the problems of the Japanese version of the Center for Epidemiologic Studies Depression (CES-D) scale when applied to Japanese independent community-dwelling elderly focusing on its factor structure.</p><p><b>METHODS</b>The subjects were 1791 community-dwelling independent elderly aged 60 and over (848 males and 943 females). This study used the Japanese version of the CES-D scale to assess depression in the elderly.</p><p><b>RESULTS</b>From the results of an exploratory factor analysis, the four factors of somatic symptoms, depression affect, positive affect and relation with others were interpreted.These factors were the same as those in the previous study, but the items making up each subscale differed. Therefore, the construct validity of each subscale was not necessarily assured. In the confirmatory factor analysis, goodness-offit was high for both the first and second-order factor models. In examining the validity by Akaike's information criterion (AIC), the second-order factor model assuming depression as a higher-order factor among the four factors was a better fit than the first-order factor model. Although the reliability of each subscale was not sufficient, adequate reliability was assured in the total scale.</p><p><b>CONCLUSION</b>An assessment of depression using the Japanese version of the CES-D scale should be conducted using the total score, while a re-examination of items making up each subscale is needed.</p>

Gender difference of subjective symptoms of fatigue among Japanese adolescents

<p><b>OBJECTIVES</b>The purpose of this study was to quantitatively and qualitatively examine a gender difference of subjective symptoms of fatigue (SSF) in healthy students.</p><p><b>METHODS</b>The subjective fatigue scale for young adults (SFS-Y) consisted of the following 6 subscales: concentration thinking difficulty, languor, reduced activation, reduced motivation, drowsiness and feeling of physical disintegration. The SFS-Y was administered to 5,435 students aged 15 to 20 yr. Student's t test was used to examine quantitative gender differences for items and factor scores. The qualitative gender difference was examined by comparing factor structures obtained from confirmatory factor analysis. A similarity in the factor structure was evaluated from: 1) interpreted factor names, 2) factor loadings, 3) degree of fit, and 4) congruence coefficient.</p><p><b>RESULTS</b>A complaint of SSF shows gender differences, but the difference is not remarkable. The factor structure of SSF in males and females is suggested to be the same, because six factors with the same name were interpreted in both groups and the similarity of factor structure was very high.</p><p><b>CONCLUSION</b>There are some qualitative gender differences in SFS, but no qualitative gender differences in factor structure.</p>

Urban-rural differences in subjective symptoms of fatigue and their relations with lifestyle factors in young male Japanese students

<p><b>OBJECT</b>The purposes of this study were to investigate the actual status in subjective symptoms of fatigue (SSF) and lifestyles of young male students living in two different life spheres of the Tokyo metropolitan area and a rural area, and to find, regional differences in these characteristics and relations between SSF and lifestyles in school life.</p><p><b>METHODS</b>A questionnaire regarding SSF and lifestyle was administered to 412 healthy male students (16-18 yr) attending the two National Colleges of Technology located in the Tokyo metropolitan area (MA) and a local city (LC). Statistical techniques such as a chi-square test and Hayashi's Quantification Theory I analysis were used to examine relations between SSF and lifestyles.</p><p><b>RESULTS AND CONCLUSION</b>A significant difference was found only in "feeling of physical disintegration,", and the MA group was higher than the LC group. The MA students showed shorter sleeping hours and earlier awaken time compared with LC students. In the relations between SSF and lifestyles, sleeping habit was an important factor significantly relating to SSF in both groups. Paying attention to good sleeping habits is an important countermeasure for preventing SSF in the male students.</p>

Problems with the Japanese Version of the Center for Epidemiologic Studies Depression (CES-D) Scale when Applied to Japanese Independent Community-Dwelling Elderly: an Examination of the Factor Structure

Purpose: The present study aimed to determine the problems of the Japanese version of the Center for Epidemiologic Studies Depression (CES-D) scale when applied to Japanese independent community-dwelling elderly focusing on its factor structure. Methods: The subjects were 1791 community-dwelling independent elderly aged 60 and over (848 males and 943 females). This study used the Japanese version of the CES-D scale to assess depression in the elderly. Results: From the results of an exploratory factor analysis, the four factors of somatic symptoms, depression affect, positive affect and relation with others were interpreted. These factors were the same as those in the previous study, but the items making up each subscale differed. Therefore, the construct validity of each subscale was not necessarily assured. In the confirmatory factor analysis, goodness-of-fit was high for both the first and second-order factor models. In examining the validity by Akaike's information criterion (AIC), the second-order factor model assuming depression as a higher-order factor among the four factors was a better fit than the first-order factor model. Although the reliability of each subscale was not sufficient, adequate reliability was assured in the total scale. Conclusion: An assessment of depression using the Japanese version of the CES-D scale should be conducted using the total score, while a re-examination of items making up each subscale is needed.

Activity Groupings Reflecting Functional Characteristics Required in Daily Life in Institutionalized Dependent Females in the Old Old Elderly Group

Objectives: This study aimed to determine the activity groupings reflecting functional characteristics required in daily life for the institutionalized dependent females in the old-old elderly group, by examining the interrelationships of activities based on actual achievement characteristics. Methods: The participants were 697 dependent elderly living at welfare institutions in Japan and 344 old-old females were used for analysis. Factor analysis, based on Promax with the Kaiser Normalization method, was conducted using 74 activities of daily living (ADL) items to determine activity groups. Furthermore, whether each activity group could be classified into sub-groups was confirmed by applying factor analysis to the activities consisting of each activity group. Results: Four activity groups of lower extremity activities, manual activities, changing and holding posture activities, and upper extremity and dexterous manual activities were interpreted. Except for the manual activity group, these activity groups were classified into two sub-groups. Conclusions: These activity groupings were characterized by similarities of the body parts used in achievement and the difficulty of activity. The activity groupings obtained in this study are considered to be useful in ADL assessment focusing on evaluating functional characteristics of the dependent elderly.

Urban-Rural Differences in Subjective Symptoms of Fatigue and Their Relations with Lifestyle Factors in Young Male Japanese Students

Object: The purposes of this study were to investigate the actual status in subjective symptoms of fatigue (SSF) and lifestyles of young male students living in two different life spheres of the Tokyo metropolitan area and a rural area, and to find regional differences in these characteristics and relations between SSF and lifestyles in school life. Methods: A questionnaire regarding SSF and lifestyle was administered to 412 healthy male students (16-18 yr) attending the two National Colleges of Technology located in the Tokyo metropolitan area (MA) and a local city (LC). Statistical techniques such as a chi-square test and Hayashi’s Quantification Theory I analysis were used to examine relations between SSF and lifestyles. Results and conclusion: A significant difference was found only in “feeling of physical disintegration,” and the MA group was higher than the LC group. The MA students showed shorter sleeping hours and earlier awaken time compared with LC students. In the relations between SSF and lifestyles, sleeping habit was an important factor significantly relating to SSF in both groups. Paying attention to good sleeping habits is an important countermeasure for preventing SSF in the male students.

Gender Difference of Subjective Symptoms of Fatigue among Japanese Adolescents

Objectives: The purpose of this study was to quantitatively and qualitatively examine a gender difference of subjective symptoms of fatigue (SSF) in healthy students. Methods: The subjective fatigue scale for young adults (SFS-Y) consisted of the following 6 subscales: concentration thinking difficulty, languor, reduced activation, reduced motivation, drowsiness and feeling of physical disintegration. The SFS-Y was administered to 5,435 students aged 15 to 20 yr. Student's t test was used to examine quantitative gender differences for items and factor scores. The qualitative gender difference was examined by comparing factor structures obtained from confirmatory factor analysis. A similarity in the factor structure was evaluated from: 1) interpreted factor names, 2) factor loadings, 3) degree of fit, and 4) congruence coefficient. Results: A complaint of SSF shows gender differences, but the difference is not remarkable. The factor structure of SSF in males and females is suggested to be the same, because six factors with the same name were interpreted in both groups and the similarity of factor structure was very high. Conclusion: There are some qualitative gender differences in SFS, but no qualitative gender differences in factor structure.

RELATIONSHIPS BETWEEN PHYSICAL FITNESS ELEMENTS OF HEALTHY OLDER ADULTS : GENDER AND AGE DIFFERENCES / 体力科学

The aim of this study was to clarify the relationship between physical fitness elements in healthy older adults, considering the differences between gender and between age. Subjects were 1042 active and non-injured people aged from 60 years to under 90 years. The subjects were classified into two different age groups of under 75 years group and 75 years and over group. A total of 11 variables representing four physical fitness elements (muscular, joint, neural, and respiratory functions) were selected through examination of safety and validity. Two-way ANOVA was used to examine gender and age differences in each physical fitness element. Pearson's correlation coefficient and partial correlation coefficient excluding age factor were calculated for each gender and age group.<BR>As a result of examining the relationship among physical fitness elements, the correlation coefficients within variables consisting of the following each function, muscular function, joint function and agility of extremities, were significant in both age groups, and these tendencies were consistent in both gender groups. Similarly, significant correlation coefficients between standing-reach and muscular function variables, and between trunk twist and foot balance with eyes open and reaction time were found in the under 75 years group, but not in the over 75 years group. On the other hand, different tendencies between genders were found in the relationship between the muscular function variables and trunk twist and foot balance with eyes open, and between the reaction time and stepping and muscular function variables. As the relationships among physical fitness elements tended to decline in the over 75 years group, it is inferred that this tendency is influenced by the change with aging of physical fitness characteristics and environmental factors around the older adults.

Relationship Between Physical Fitness and Ability to Coordinate Exertion of Force with Reference to Sex Difference in Healthy Middle- and Old-Aged People / 体力科学

The purpose of this study was to examine the relationship between physical fitness and ability to coordinate exertion of force (ACEF) in 82 healthy middle and old-aged people aged 54 to 78 years (male 41, female 41), and to examine its sex differences. The ACEF test was conducted with the subject fitting the exertion value of grip strength to a changing demand value appearing on the display of a personal computer. The variable estimating ACEF was the total sum of the differences between the demand value and the produced strength value. The physical fitness items measured were : grip strength, shoulder arm strength (push and pull), vertical jump, vital capacity, foot balance with eyes open, trunk flexion, trunk rotation, whole body reaction time, finger tapping, and stepping. To clarify the relationship between the ACEF and physical fitness, multiple regression analysis was used after age-controlled partial correlations were computed. No sex difference was found in nervous function based on the exertion of maximal ability, but there was with the ACEF based on the exertion of sub-maximal strength. Also the relationship between the ACEF and age differed in men and women. The tests of nervous function and grip strength had little relation to the ACEF test. Each physical fitness factor and the fundamental physical fitness had low relation to the ACEF. It was inferred that ability measured by the ACEF test differs from that measured by general physical fitness tests based on the exertion of maximal ability. It is necessary to examine the relationship between the ACEF test and a similar test based on the exertion of sub-maximal strength.

ADL Ability Characteristics of Partially Dependent Older People: Gender and Age Differences in ADL Ability

Age and gender differences in ADL ability were investigated using 568 Japanese partially dependent older people (PD, Mean age=82.2 ±7.76 years) living in welfare institutions. The subjects were asked about 17 ADL items representing 7 ADL domains by the professional staff working at subjects’ institutions. Each item was assessed by a dichotomous scale of “possible” or “impossible”. Item proportions of “possible” response were calculated for gender and age groups (60s, 70s, 80s and 90s). Two-way analysis of variance (ANOVA) using the arcsine transformation method indicated no gender differences. Significant decreases in ADL ability with aging were found in 13 of the 17 items. The dependency of ADL in the PD significantly increases with aging, and there is no significant difference in this trend between men and women. The dependency of more difficult activities using lower limb increase from the 70s, and independency of low-difficult activities such as manual activities, feeding and changing posture while lying is maintained until the 80s and over.

Utility of an ADL Index for Institutionalized Elderly People: Examining Possible Applications for Independent Elderly People

The purpose of this study was to clarify the application range and utility of an ADL index for disabled elderly people (Demura et al., 2000), by examining the ADL characteristics of an elderly population when this index was applied to disabled and independent elderly people. Subjects of this study were 697 Japanese institutionalized disabled elderly people and 482 independent elderly people (ID) living at home. Disabled elderly people were classified into four groups based on conditions of use of assisting devices for movement; D1 did not use assisting devices; D2 used a stick or a walker; D3 used a wheelchair; D4 was immobile. From the findings of comparing achievement proportions, ADL score and the distribution of total score among elderly groups, it was suggested that this ADL index can assess gradually from disabled elderly people who cannot move to independent elderly people. Since this index classifies independent elderly people and disabled elderly people with high probability, it can evaluate if elderly people can maintain a functional level needed for independent living, and can recognize the symptoms of disability. Furthermore, this study proposed useful activities to discriminate the functional level for each elderly group. Although it is important to comprehensively assess ADL ability, further use of this ADL index to discriminate the functional level of an elderly population, by making use of these useful activities, is expected.

Relationship between strength exertion and subjective muscle-fatigue sensation in the relative sustained static hand gripping / 体力科学

The purpose of this study was to examine the individual differences in relative grip-strengthendurance (RGE) variables and relations between force, endurance time and level of subjective musclefatigue sensation (SMS) of RGE. Endurance time and SMS during grip-strength exertion using various relative demand values to the maximal grip-strength-value (MAX) were analyzed. Subjects were 23 healthy adults (male 10 and female 13) . Four demand values of 25, 35, 50 and 75% were selected as relative demand values to MAX. The grip-strength-exertion value was input into a personal computer using the system of grip-strength with a strain-gauge (Yagami : ED-D 100 R) . The results are summarized as follows:<BR>1) Muscle group related to grip-strength exertion recovered up to about 60% of initial within 10-15 sec after grip-strength exertion stopped regardless of the degree of relative demand values.<BR>2) The SMS in any relative demand values reached a peak after continuing relative demand values became impossible, and the tendency is stronger with a higher demand value.<BR>3) With about 25% relative demand values, physiological muscle fatigue and SMS advanced at almost the same time, and the grip-strength exertion was possible for a little while after the SMS reached a peak.<BR>4) With the lower relative demand values under 50%, the influence of SMS appeared stronger by extending the endurance time and the decline-delay of grip-strength-exertion.<BR>5) With relative demand values over 50%, continuing relative demand values became impossible within a short time, and the peak SMS appeared earlier than that of relative demand values. On the other hand, the continuing the lower relative demand values was possible to some extent, and individual differences in the continuance and peak arrival-times of SMS were large.

Effect of linear polarized near-infrared light irradiation on the recovery of isokinetic muscle exertion after strenuous exercise / 体力科学

This study aimed to examine the effect of linear polarized near-infrared light (PL) irradiation on the recovery of isokinetic muscle exertion and subjective fatigue sensation in muscles after strenuous exercise. Eighteen healthy college students participated in the experiment for all conditions of meridian point irradiation (MPI), femurs muscles irradiation (FMI), and no irradiation (NI) . They all took isokinetic knee extension and flexion tests (IK test) before and after strenuous exercise up to exhaustion. Each subject was irradiated at the meridian point or in femurs muscles after the second IK test. The third IK test was carried out after ten-minutes rest.<BR>The effects of PL irradiation were confirmed on the recovery rate of muscle fatigue in knee extension motion with high load intensity (PT 60 d/s and TW 60 d/s : MPI, FMI> NI, p<0.05 16.2%, 13.4%>8.5%, and 16.1%, 14.1%>8.3%, respectively) . Also, in flexion motion, significant differences in the recovery-degree for each condition were found, and the effect of PL irradiation was suggested. There was no difference between the effect of MPI and FMI. In addition, subjective fatigue sensation in muscles after rest decreased significantly in MPI as compared with NI (MPI: 52.1%>NI : 36.6%, p<0.05) . From the above, it was suggested that PL irradiation is effective on recovery in muscle fatigue after strenuous exercise regardless of irradiation conditions, MPI or FMI.

Development of ADL index for older community people / 体力科学

The purposes of this study were to examine reliability and validity of ADL index for older people at home, and relationships between ADL score and various factors (ex. self-assessment of health status and physical fitness level, and exercise frequency/week), and to examine the screening basis for execution of physical fitness test based on distribution of ADL score. A questionnaire consisting of 12 ADL items and a physical fitness test of Ministry of Education, Science and Clture were administered to 5, 715 subjects 65 years or more age (male: 2, 745; female: 2, 970) . As a result of examining test-retest reliability of the ADL index, significant high correlations were shown among 12 ADL items (0.674≤r≤0.886), and in overall score (r=0.943) . The ADL score was significantly related to age and physical fitness test scores, and tended to be higher in subjects with a higher self-assessment of health status and physical fitness level, and with more frequency. It was suggested that these results prove the utility of the present ADL index. Further, as the result of examining relationships between distribution of overall ADL score and physical fitness test scores, the following screening bases were considered to be valid for judgement whether the physical fitness tests could be executed. The three screening bases using overall ADL score were: 1) 12 or under; 2) over 13 to under 24; 3) 24 and over. The four bases using item score were: 1) a category 1 response for items 1, 5 and 6; 2) a category 2 or 3 response for items 1, 5 and 6, and a category 1 response for items 3 and 4; 3) a category 3 response for items 2 and 14; 4) a category 1 response for items 10 and 12.