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dc.contributor.author奥宮, 清人ja
dc.contributor.author坂本, 龍太ja
dc.contributor.author木村, 友美ja
dc.contributor.author小坂, 康之ja
dc.contributor.author石根, 昌幸ja
dc.contributor.author和田, 泰三ja
dc.contributor.authorWang, Hongxinja
dc.contributor.authorDai, Qingxiangja
dc.contributor.authorYang, Airongja
dc.contributor.authorQiao, Haishengja
dc.contributor.authorGao, Jidongja
dc.contributor.authorLi, Zhanquanja
dc.contributor.authorZhang, Yongshouja
dc.contributor.authorGe, Ri-Lija
dc.contributor.author松林, 公蔵ja
dc.contributor.alternativeOkumiya, Kiyohitoja
dc.contributor.alternativeSakamoto, Ryotaja
dc.contributor.alternativeKimura, Yumija
dc.contributor.alternativeKosaka, Yasuyukija
dc.contributor.alternativeIshine, Masayukja
dc.contributor.alternativeWada, Taizoja
dc.contributor.alternativeWang, Hongxinja
dc.contributor.alternativeDai, Qingxiangja
dc.contributor.alternativeYang, Airongja
dc.contributor.alternativeQiao, Haishengja
dc.contributor.alternativeGao, Jidongja
dc.contributor.alternativeLi, Zhanquanja
dc.contributor.alternativeZhang, Yongshouja
dc.contributor.alternativeGe, Ri-Lija
dc.contributor.alternativeMatsubayashi, Kozoja
dc.date.accessioned2014-04-25T07:13:03Z-
dc.date.available2014-04-25T07:13:03Z-
dc.date.issued2009-05-01ja
dc.identifier.issn0914-8620ja
dc.identifier.urihttp://hdl.handle.net/2433/186010-
dc.description.abstract青海省高地住民の漢人とチベット人を比較すると, 糖尿病, 高血圧を含めた生活習慣病と多血症を特徴とする慢性高山病の発症の違いがあるとともに, 生活習慣病と慢性高山病との関連の仕方においても違いを認めた. 進化的な低酸素適応の違いが, 生活習慣病の現れ方の違いに影響を与えている可能性がある. 高血圧の頻度において, 青海省では, 漢人よりチベット人で高血圧が少なかった一方, 観光地化されたシャングリラのチベット人で高血圧は多く, 近年の急激なライフスタイルの変化により, 高血圧の罹患においても, 高地住民は脆弱である可能性がある. シャングリラと同様に, 青海省のチベット人は, 生活機能障害や身体の障害において, 漢人や日本人より障害が大きいにもかかわらず, 主観的Quality of life(QOL)においては, 健康度を除いて, 家族関係, 友人関係, 経済状態, 幸福度において明らかに高く, その原因のひとつとして, スピリチュアルな要素が重要と思われた. 社会・経済的グローバリゼーションに伴うライフスタイルの変化が, 主観的なQOLと客観的なQOLにどう影響しているかを調べながら, チベット人の高いQOLを支える価値観や, それを支える高地の「老人智」を追求していく必要がある.ja
dc.description.abstractThere was the close association of polycythemia with life-style related diseases (high blood pressure and glucose intolerance) in high-altitude elderly people. Han people had higher hemoglobin concentration after adjustment of age, sex and life-style related diseases compared with Tibetan people. The difference of hemoglobin concentration may be due to Tibetans undergoing a much longer period of adaptation than Han people. The further and longitudinal study may be needed to disclose the association between the different ways of hypoxic adaptation with susceptibility to life-style related diseases. It should be also disclosed that how life-style related diseases would aggravate the risk of CMS. The prevention of life-style related diseases may be important for the prevention of CMS in highlanders. We have reported that subjective quality of life of elderly highlanders is higher in spite of having more disorders and they have characteristic sense of value compared with that of the elderly population in Japan. There may be characteristic" wisdom of the aged", i.e. wisdom for the sustainable livelihood, sense of value with high quality of life and community-networks for supporting and respecting elderly people in the harsh high-altitude environments. "Wisdom of the aged" will be studied further in various perspectives.ja
dc.format.mimetypeapplication/pdfja
dc.language.isojpnja
dc.publisher京都大学ヒマラヤ研究会・総合地球環境学研究所「高所プロジェクト」ja
dc.publisher.alternativeThe Association for the Studies of Himalaya, Kyoto University ; High Altitude Project in Research Institute for Humanities and Natureja
dc.subject糖尿病ja
dc.subject高血圧ja
dc.subject多血症ja
dc.subject慢性高山病ja
dc.subjectQOLja
dc.subject.ndc225.8ja
dc.title中国青海省海晏県の医学調査・高齢者包括機能評価と今後の課題ja
dc.title.alternativeComprehensive Geriatric Assessment of Elderly Highlanders in Qinghai in Chinaja
dc.type.niitypeDepartmental Bulletin Paperja
dc.identifier.ncidAN10392447ja
dc.identifier.jtitleヒマラヤ学誌 : Himalayan Study Monographsja
dc.identifier.volume10ja
dc.identifier.spage4ja
dc.identifier.epage9ja
dc.textversionpublisherja
dc.sortkey03ja
dc.address総合地球環境学研究所ja
dc.address総合地球環境学研究所ja
dc.address京都大学大学院医学研究科ja
dc.address総合地球環境学研究所ja
dc.address総合地球環境学研究所ja
dc.address京都大学東南アジア研究所ja
dc.addressAffiliated Hospital of Qinghai University, Chinaja
dc.addressAffiliated Hospital of Qinghai University, Chinaja
dc.addressAffiliated Hospital of Qinghai University, Chinaja
dc.addressQinghai Academy Animal and Veterinary Sciences, Chinaja
dc.addressAffiliated Hospital of Qinghai University, Chinaja
dc.addressPeople's Hospital of Haiyan Town, Chinaja
dc.addressAffiliated Hospital of Qinghai University, Chinaja
dc.addressResearch Center for High Altitude Medicine, Qinghai University, Chinaja
dc.address京都大学東南アジア研究所ja
dc.identifier.selfDOI10.14989/HSM.10.4ja
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