Theme Leader :
Hiroshi Murayama, R.N., P.H.N., M.P.H., Ph.D.
Vice-Chief Researcher :
Yukitoshi Aoyagi, Ph.D.
Researcher :
Satoshi Seino, Ph.D., Yu Nofuji, Ph.D., Mariko Nishi, Ph.D., Yuri Yokoyama, Ph.D., R.D., Mari Yamashita, Ph.D.
Associate Researcher :
Hidenori Amano, M.H.S.
Adjunct Researcher :
Miki Narita, Ph.D., R.D., Yui Tomine, Ph.D., Toshiki Hata, M.S., R.D., Sung-Jin Park, M.Sc., Sunyoung Cho, Ph.D.
Research Fellow :
Takumi Abe, Ph.D., OT.
Healthy aging, Frailty, Intrinsic capacity, Functional capacity, Community system, Social environment, Epidemiological study, Participatory action research
Healthy aging refers to living an autonomous life while maintaining physical, mental, and social functioning.
We are currently working on the proposal and social implementation of a frailty prevention system suited to the unique characteristics of the region with the ultimate goal of “promoting a healthy aging society in Tokyo, Japan.” To accomplish this purpose, we are: 1) conducting epidemiological research to identify regional challenges and frailty prevention strategies through a self-administered questionnaire survey and 2) developing a frailty prevention system through participatory action research aiming for problem resolution together with stakeholders in the region and verifying the results scientifically.
Furthermore, we are dedicating efforts into health communication including the development of a variety of frailty prevention programs and tools (e.g., text books, leaflets, and applications) in order to expand this frailty prevention model to other regions.
Specifically, research is underway in the following fields:
1) Ota Study (Ota City, Tokyo)
In 2016, we began working on the development of a metropolitan model intended to delay frailty and extend healthy lifespan in the region as a whole. The key concept of the metropolitan model is “Frailty Prevention in All Activities,” in which the numerous facilities of the region have collaborated in incorporating anti-frailty elements, such as muscle strengthening activities and dietary variety, into all settings regarding daily community activities and personal life. This project is extending frailty prevention efforts using texts and tools created in a three-year model program to incorporate anti-frailty elements into a variety of initiatives when possible.
2) Yabu Study (Yabu City, Hyogo)
In 2011, we signed a joint research agreement with Yabu City and evaluated long-term care prevention activities through a population approach. We organized a weekly class on frailty prevention in each district as a continuous initiative starting in 2014. The biggest advantage of this initiative was that a trained Silver Human Resources Center staff member visited each location and held the class for a certain period as part of their job. Beginning in 2012, every five years we have been administering a questionnaire survey to all individuals 65 years and older and collecting data including outcomes (i.e., death, transfer), need for long-term care certification, and medical/long-term care expenses in order to verify the effects of these initiatives. The “Yabu Model” has been expanded to the Saitama Prefecture (Silver Human Resources Center Association).
3) Kesennuma Study (Kesennuma City, Miyagi)
In November 2018, we entered into a “comprehensive collaboration agreement” with Kesennuma City and have been working together on community development for health and longevity. In 2019, our research team carried out a community diagnosis through a self-administered questionnaire survey of 10,000 older adults living in Kesennuma City. Based on the results of this survey, we will work with the local government and community residents to increase the places older adults regularly visit to improve their functioning. The results of these efforts will be verified later.
4) Nakanojo Study (Nakanojo City, Gunma)
We also continue working on the Nakanojo Study, in which we are conducting objective and long-term monitoring of daily activities and behaviors of older adults using an accelerometer in order to clarify the relationship between health promotion and disease prevention in this population. This study will also reveal patterns related to the optimal amount, quality, and timing of physical activities for health and longevity.
Five Long-term Longitudinal Studies: Tokyo-LSA
Healthy Aging Innovation Center
Integrated Research Initiative for Living Well with Dementia