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The data of blood pressure, cholesterol and ECG findings of 10,417 females and 6,352 males who lived in natural comunities of Okinawa Prefecture by Mimura et al were used as a control to compare. The results were as follows. 1. In the male series, the mean systolic blood pressure level was comparative to that of eighties and seventies, while the mean diastolic blood pressure level was lower than that of eighties and seventies, but the difference was insignificant. In the female series, the mean systolic and diastolic blood pressure leveles were significantly higher than those of younger aged groups. It could be postulated that hypertension of high aged peoples was benign and normal blood pressure was not necessarily indispensable as a contributing factor to their longevity. 2. The mean total cholesterol levels of the males and the females were very significantly lower than that of younger ages. Lipoprotein analysis of the high aged peoples revealed that their characteristic lipoprotein patterns were hypo $ \\beta $ -Iipoproteinemia and high $ \\alpha $ - lipoproteinemia. It has been noted that annular changes of lipoproteins levels in aged people are not great. Hence, these lipoprotein patterns were taken to contribute to the reduction of the occurrance of atherosclerotic diseases in these high aged peoples. 3. ECG changes such as Q/QS patterns (Minesota Code I-1,2), ST-T patterns(Minesota Code IV and V), Bundle Branch Block(Minesota Code VI-1,2) which have been known to have strict relationship to annular mortality and cardiovascular death among old people were more frequent in the high aged people over 90 years than younger people. It appeared that on the basis of ECG findings the heart diseases of the peoples over 90 years were not benign.", "subitem_description_type": "Other"}, {"subitem_description": "4. 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No one had glucosuria and few peoples showed elevated levels of fasting blood sugar. Glucose tolerance of these aged peoples seemed to be preserved very well. 7. About one- fifth of subjects showed mild renal failure and it seemed to be caused by renal sclerosis. There were several significant correlations between blood pressure, lipid fractions, lipoproteins and other clinical data. The point of interest of such correlations was that the relation of HDL-C to lipid fractions and other lipoproteins suggested the possibility that the role of HDL in cholesterol transport from tissue to liver became weak in the high aged people. 9. There were great differences in the mean values of cholesterol, triglyceride and fasting blood sugar in the both groops of higher and lower activity of daily living. 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[原著]超高齢者の循環器系に関する疫学的研究
http://hdl.handle.net/20.500.12000/0002016446
http://hdl.handle.net/20.500.12000/0002016446ab57b8c0-220f-4dcc-8613-66d5b8ca6c67
名前 / ファイル | ライセンス | アクション |
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v2p289.pdf
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Item type | デフォルトアイテムタイプ(フル)(1) | |||||||||
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公開日 | 2014-07-18 | |||||||||
タイトル | ||||||||||
タイトル | [原著]超高齢者の循環器系に関する疫学的研究 | |||||||||
言語 | ja | |||||||||
タイトル | ||||||||||
タイトル | Studies on the Characteristics and Clinical Significances of Blood Pressure, Lipid Fractions, Lipoproteins and ECG Findings among High Aged People over 90 Years | |||||||||
言語 | en | |||||||||
作成者 |
川根, 浩三
× 川根, 浩三
× Kawane, Kozo
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アクセス権 | ||||||||||
アクセス権 | open access | |||||||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||
権利情報 | ||||||||||
言語 | ja | |||||||||
権利情報 | 琉球医学会 | |||||||||
内容記述 | ||||||||||
内容記述タイプ | Other | |||||||||
内容記述 | The present study was done to clarify the characteristics and clinical significances of so called coronary risk factors and ECG findings among high aged peoples over 90 years (Male 32, Female 145) of natural comunities in Okinawa prefecture. The data of blood pressure, cholesterol and ECG findings of 10,417 females and 6,352 males who lived in natural comunities of Okinawa Prefecture by Mimura et al were used as a control to compare. The results were as follows. 1. In the male series, the mean systolic blood pressure level was comparative to that of eighties and seventies, while the mean diastolic blood pressure level was lower than that of eighties and seventies, but the difference was insignificant. In the female series, the mean systolic and diastolic blood pressure leveles were significantly higher than those of younger aged groups. It could be postulated that hypertension of high aged peoples was benign and normal blood pressure was not necessarily indispensable as a contributing factor to their longevity. 2. The mean total cholesterol levels of the males and the females were very significantly lower than that of younger ages. Lipoprotein analysis of the high aged peoples revealed that their characteristic lipoprotein patterns were hypo $ \beta $ -Iipoproteinemia and high $ \alpha $ - lipoproteinemia. It has been noted that annular changes of lipoproteins levels in aged people are not great. Hence, these lipoprotein patterns were taken to contribute to the reduction of the occurrance of atherosclerotic diseases in these high aged peoples. 3. ECG changes such as Q/QS patterns (Minesota Code I-1,2), ST-T patterns(Minesota Code IV and V), Bundle Branch Block(Minesota Code VI-1,2) which have been known to have strict relationship to annular mortality and cardiovascular death among old people were more frequent in the high aged people over 90 years than younger people. It appeared that on the basis of ECG findings the heart diseases of the peoples over 90 years were not benign. | |||||||||
内容記述 | ||||||||||
内容記述タイプ | Other | |||||||||
内容記述 | 4. There were significant correlations between ECG findings and sex, age, blood pressure, total cholesterol, smoking, activities of daily living, obstructive lung disease and mitral regurgitation among the high aged peoples over 90 years. 5. ECG findings such as Q/QS patterns (Minesota Code -1, 2) and major ST-T patterns (Minesota Code -1, 2 and, or Minesota Code -1, 2) were choiced as a criteria of coronary heart disease and blood pressures ,total cholesterol, triglyceride and hpoproteins were compared between the subjects with the above mentioned ECG findings and those without the ECG findings. All of the above mentioned clinical data except cholesterol in male seriese were comparative in both groops. Total cholesterol in male seriese was higher in the subjects with the ECG changes than the subjects without the ECG changes. The difference sujjested the possibility of total cholesterol to be coronary risk factor in the high aged male population. 6. No one had glucosuria and few peoples showed elevated levels of fasting blood sugar. Glucose tolerance of these aged peoples seemed to be preserved very well. 7. About one- fifth of subjects showed mild renal failure and it seemed to be caused by renal sclerosis. There were several significant correlations between blood pressure, lipid fractions, lipoproteins and other clinical data. The point of interest of such correlations was that the relation of HDL-C to lipid fractions and other lipoproteins suggested the possibility that the role of HDL in cholesterol transport from tissue to liver became weak in the high aged people. 9. There were great differences in the mean values of cholesterol, triglyceride and fasting blood sugar in the both groops of higher and lower activity of daily living. The peoples with lower activity of daily living were inclined to be malnutntional, and hence nutritional state may explain the differences. | |||||||||
内容記述 | ||||||||||
内容記述タイプ | Other | |||||||||
内容記述 | 論文 | |||||||||
出版者 | ||||||||||
言語 | ja | |||||||||
出版者 | 琉球大学保健学部 | |||||||||
出版者 | ||||||||||
言語 | en | |||||||||
出版者 | College of Health Sciences, University of the Ryukyus | |||||||||
言語 | ||||||||||
言語 | jpn | |||||||||
資源タイプ | ||||||||||
資源タイプ | journal article | |||||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||
出版タイプ | ||||||||||
出版タイプ | VoR | |||||||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||
収録物識別子 | ||||||||||
収録物識別子タイプ | ISSN | |||||||||
収録物識別子 | 0285-9270 | |||||||||
収録物識別子 | ||||||||||
収録物識別子タイプ | NCID | |||||||||
収録物識別子 | AN00250763 | |||||||||
収録物名 | ||||||||||
言語 | ja | |||||||||
収録物名 | 琉球大学保健学医学雑誌=Ryukyu University Journal of Health Sciences and Medicine | |||||||||
書誌情報 |
巻 2, 号 4, p. 289-318 |