ABSTRACT
BACKGROUND@#Age-related musculoskeletal diseases are becoming increasingly burdensome in terms of both individual quality of life and medical cost. We intended to establish a large population-based cohort study to determine environmental, lifestyle, and genetic risk factors of musculoskeletal and other age-related diseases, and to clarify the association between vitamin D status and such diseases.@*METHODS@#We targeted 34,802 residents aged 40-74 years living in areas of northern Niigata Prefecture, including Sekikawa Village, Awashimaura Village, and Murakami City (Murakami region). The baseline questionnaire survey, conducted between 2011 and 2013, queried respondents on their lifestyle and environmental factors (predictors), and self-reported outcomes. Plasma 25-hydroxyvitamin D (25[OH]D) concentration, an indicator of vitamin D status, was determined with the Liaison® 25OH Vitamin D Total Assay. The primary outcome of this study was osteoporotic fracture; other outcomes included age-related diseases including knee osteoarthritis, perception of chronic pain, dementia, and long-term care insurance use. Mean ages of men and women were 59.2 (SD = 9.3, N = 6907) and 59.0 (SD = 9.3, N = 7457) years, respectively. From the blood samples provided by 3710 men and 4787 women, mean 25(OH)D concentrations were 56.5 (SD = 18.4) nmol/L (22.6 ng/mL) and 45.4 (SD = 16.5) nmol/L (18.2 ng/mL), respectively.@*DISCUSSION@#Follow-up surveys are planned every 5 years for 15 years, and incident cases of our targeted diseases will be followed at hospitals and clinics in and nearby the cohort area. We anticipate that we will be able to clarify the association between vitamin D status and multiple disease outcomes in a Japanese population.
Subject(s)
Aged , Female , Humans , Male , Middle Aged , Aging , Cohort Studies , Epidemiologic Research Design , Incidence , Japan , Epidemiology , Musculoskeletal Diseases , Epidemiology , Predictive Value of Tests , Quality of Life , Risk Factors , Vitamin D , BloodABSTRACT
As situações vivenciadas durante o trabalho podem ser consideradas traumáticas e, consequentemente, impactam a saúde física e mental dos acidentados. Este trabalho teve por objetivo apreender aspectos das vivências das famílias, na perspectiva dos acidentados. Trata-se de um estudo descritivo, quantiqualitativo. Os dados foram coletados de março a agosto de 2013, em dois momentos. Foram analisadas 212 comunicações de acidente de trabalho registradas no Hospital Universitário de Maringá, em 2012. Posteriormente, foi aplicado um instrumento semiestruturado com 16 acidentados, afastados do emprego por 30 dias ou mais. Identificaram-se as dificuldades vivenciadas pelo grupo familiar na perspectiva do acidentado; as mudanças decorrentes do acidente; os sentimentos revelados diante do acidente de trabalho; e a manifestação da solidariedade humana. Conclui-se a importância do apoio familiar diante das alterações sofridas, em consequência desses acidentes, sendo necessária a reorganização diária relacionada às dificuldades, principalmente, financeiras.
Situations experienced at work may be traumatic and consequently affect the physical and mental health of those injured. This quantitative and qualitative descriptive study aimed to apprehend aspects of the families' experiences in the victims' views. Data were collected from March to August 2013 in two stages: first, 212 Workplace Accident Notifications filed at Maringá University Hospital in 2012 were examined; later, a semi-structured questionnaire was applied to 16 victims absent from work for 30 days or more. The study identified, from the victims' standpoint, the difficulties experienced by the family group; the changes arising from the accident; the feelings revealed with regard to the accident; and the expressions of human solidarity. It was concluded that family support is important, given the changes that result from the accident, requiring day-to-day reorganization to address the difficulties, which are primarily financial.
Las situaciones experimentadas durante el trabajo pueden considerarse traumático y consecuentemente afectan la salud física y mental de los heridos. Tenido objetivo de aprehender aspectos que caracterizan las experiencias de las familias antes del accidente de trabajo. Un estudio cuantitativo, cualitativo y descriptivo. Datos fueron recolectados de marzo a agosto de 2013, en dos etapas. Se analizaron 212 Comunicaciones Accidentes de Trabajo registrados en el Hospital Universitario de Maringá en 2012. Posteriormente se aplicó un instrumento semi-estructurado con 16 heridos, que fueran alejadas del empleo treinta días o más. Se identificaron las dificultades experimentadas por la familia debido a un accidente; los cambios que surgen como resultado del accidente; sentimientos revelados antes del accidente; y la manifestación de la solidaridad humana. Se concluyó la importancia de la familia en los cambios sufridos como consecuencia del accidente de trabajo, lo que requiere una reorganización diaria relacionada con las dificultades, principalmente financieros.
Subject(s)
Humans , Accidents, Occupational , Family , Occupational Health , Family Relations , Epidemiology, Descriptive , Qualitative ResearchABSTRACT
We made researches into various factors underling the loneliness of the elderly, based on interviews conducted in july 1995 with old people living alone in Hiroshima City. Loneliness was assessed by LSO, and as related factors, such items as period of living alone, self-assessment on solitude, lifestyle, self-rated health status, competence for daily work, social support network, morale, self-esteem, depression, and subjective symptoms of stress were examined.<BR>We made multiregression analysis using loneliness as a dependent variable and other factors as independent varibles. The results were as followed.<BR>The loneliness of old people living alone was significantly correlated with self-esteem and instrumental support.