中国雲南省香格里投の高所地域在住高齢者に対する総合機能評価

Abstract

我々は, 中国雲南省香格里拉に住む高所住民である, 60歳以上の地域在住高齢者の総合機能評価を行なった. 中国雲南省香格里拉は, 標高3000mの高所地域に位置し, 人口約10万人を有する東チベットの玄関口である. 近年, 数多くの外国人旅行者が訪れており, 観光開発が進み, その姿は変貌を遂げつつある. その香格里拉近郊に位置する尼西村の60歳以上の地域在住高齢者166人に対して総合機能評価による手法を用いて評価したところ, 尼西村の高齢者の基本的ADLは, 東南アジア諸国と比して, ほぼ同様であったが, 東南アジアの高齢者と比べて, 毎日よく働き, よく運動している事がわかった. 次に高血圧, うつ傾向の頻度が高く, 酸素飽和度がとても低いことがわかった.

We aimed to the findings of comprehensive geriatric assessment (CGA) in community-dwelling elderly aged 60 years and older in Shangrilla, China. And we assessed them by cross-sectional, interview- and examination-based study. Shangrilla City in the Yunnan province is over 3000m in high altitude places, its population has about 100, 000 persons. Recently many foreigner's travelers come to visit for sightseeing, the city are changing for developing areas. The 166 community-dwelling elderly living in Nishi village around Shangrilla were assessed by (CGA). Our CGA findings in the elderly told that most of the elderly in basic ADL are good as the same as the other South Asian countries. And there were a high prevalence rates about tendency of depression and high both systolic and diastolic hypertension. And sores of SpO2 saturation was very low, the elderly lived in hypoxia state. This preliminary research of CGA for community-dwelling elderly may contribute to clarify a fragment of the actual situation of health of Chinese highlands elderly subjects. So, we need to do to advanced survey for highland community dwelling elderly furthermore.