1.A study of cross-sectional data on the aging of physique and strength.
TAMOTSU YAGI ; HITOMI TAKEUCHI ; YU IMACHI ; MASANDO MAN'I
Japanese Journal of Physical Fitness and Sports Medicine 1989;38(5):186-196
Stature, body weight, grip strength, back strength and Sargent jump of city dwellers, covering an age range from children to elderly subjects, were measured in order to study the development and aging of physical fitness.
From these cross-sectional data, growth and aging curves were obtained.
Stature appeared to decrease gradually in adulthood but a secular increasing trend was included in the data, so that in fact hardly any change is notable except in late adulthood.
Body weight seemed to increase to some degree in middle adulthood after secular trends had been removed from the data.
The data for back strength showed more rapid decrease in adulthood, infering that the strength of back muscles decreases in adulthood, though there have been insufficient reports on secular trends of muscle strength. Leg power decreased gradually in a similar way after development during adolescence. Grip strength seemed to change little or increase only slightly in middle adulthood, and to decrease later.
Cross-sectional data contain more secular trends than age-related changes in physique during adulthood. The present data may show roughly some growth patterns at certain ages when the rate of growth and development is high and aging patterns at ages when the decrease in fitness is marked. However, details on personal growth and aging patterns should be studied by the longitudinal method.
2.Decadal trends in the structure and usage status of palliative care units in Japan and the association with length of stay
Kazuki Sato ; Yasuo Shima ; Hitomi Hagawa ; Natsuko Abe ; Maho Takeuchi ; Mitsunori Miyashita
Palliative Care Research 2013;8(2):264-272
Background: The aim of this study was to clarify the decadal trends in the structure and usage status of palliative care units in Japan and the association with length of stay. Methods: We conducted a secondary analysis of data from nationwide surveys of palliative care units conducted by Hospice Palliative Care Japan from 2002 to 2012. Length of stay was divided into three categories (within 30 days, 31 to 60 days, and 61 days or more). Results: Significant decadal trends in usage status were observed: the mean annual number of admitted patients (119±55 persons in 2001, 163.0±77.7 in 2011, p<0.001), and deaths (99±44, 136±58, p<0.001) increased and the mean length of stay in a palliative care unit (8±15 days, 39±15, p<0.001) decreased. Palliative care units with a shorter mean length of stay had significantly more admitted patients, and more discharged patients, and a significantly lower mean ratio of death to discharge, and a lower bed availability rate. In contrast, length of stay was not significantly associated with the structure of palliative care units, including the type of units, number of inpatient beds, percentage of private rooms, and number of staff. Conclusion: The features of decadal trends in the structure and usage status of palliative care units in Japan were a shortening of length of stay, and an increase in the number of patients. Palliative care units with a shorter mean length of stay cared for a larger number of terminally ill patients.