Analyses of Various Factors Related to Ability to Perform ADLs in People of Advanced Age / 日本農村医学会雑誌

ABSTRACT

　　The subjects of this study were people 65 and older, who live in a mountainous region in the Province of Mikawa, Aichi Prefecture. To determine the factors pertaining to their ability to perform the basic activities of daily living, we used the TMIG index of competence for rating functional capacity and the geriatric depression scale for assessing mental health status, and carried out a logistic regression analysis to examine how the 37 items in the questionnaire survey on senile dementia were related to the functional capacity in the old people.　　To the index of competence, (To the ability to perform daily activities,?) answers to these questions -“Is there anything you have to do every day,” “Do you have farm work to do,” “Do you have any hobbies,%rdquo; “Are you willing to work hand in hand with others as a volunteer,” and “Do you have someone to talk to” - were closely related, with the odds ratio calculated at 2.0 or above (p‹0.001). Also in mental health status, the odds ratio came to 2.0 or over (p‹0.001) in similar items. These findings suggested that a sense of purpose, a role to play and involvement in community affairs could be the essentials of life for the senior citizens.　　In the not- too-distant future, it will become necessary to build a system based on the idea that healthy old people are supposed to take care of, and support, their contemporaries who are frail mentally and physically.