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ID 28535
file
title alternative
The significance of a screening test for anemia in the elderly in the health check-up
creator
Sakurai, Reiko
Kato, Sayaka
Kusama, Tomoko
subject
基本健康診査
高齢者
貧血スクリーニング
health check-up
the elderly
screening level for anemia
NDC
Medical sciences
abstract
本研究は, 地域で生活する高齢者の健康診査での貧血検査の必要性と高齢者の貧血の判断基準について検討を行った. 対象は老人保健法に基づく基本健康診査を受診した40歳以上男性362名, 女性621名である. 貧血検査の結果より, 造血機能は男女とも70歳代以降から有意に低下し, また加齢にともない個人差が大きくなっていた.

貧血は高齢者の活動性を維持した社会生活を送るための指標として重要な項目である. 貧血症状を鑑別しにくい高齢者にとっては血液学的検査が有効であり, 健康診査で高齢者に貧血検査を実施することは, 二次性の貧血の早期発見に加え, 加齢による経年的変化をふまえ個々にあった生活指導に活用することができ, 意義が大きいと考える.

また, 地方の一地域で生活する住民を対象とした貧血検査から得られた結果ではあるが, 65歳以上の高齢者の貧血のスクリーニングの基準値の一例として, 性別のヘモグロビン濃度の(平均値-標準偏差)を正常範囲最小値とし, 男性13.1g/dl, 女性11.8g/dlを提案したい.
abstract
The purpose of this study is to grasp the actual conditions of anemia in the elderly who live in the community, to examine the criteria for anemia in the elderly as a screening level in the health check-up, and to discuss the necessity of anemia screening in the elderly. The research subjects were 362 men and 621 women over 40 years of age, who took the annual health check-up prescribed in the law for welfare of the elderly. As the criteria for anemia, it is proposed that the reference values for hemoglobin should be 13.1 g/dl for men and 11.8 g/dl for women, according to the average values of hemoglobin for persons over 65 years of age with their standard deviations (14.4 ± 1.27 g/dl for men, 13.1 ± 1.23 g/dl for women). The early detection of anemia in the elderly is crucial, because the main cause of secondary anemia in the elderly is the bleeding in the gastrointestinal organs. However, it is difficult for the elderly to detect their own anemic condition, by either subjective symptoms or inspection. Blood testing is an effective means of screening anemia, and it is recommended that an anemia inspection is carried out every year in the annual health check-up.
journal title
Journal of health sciences, Hiroshima University
volume
Volume 7
issue
Issue 1
start page
23
end page
29
date of issued
2007-12-15
publisher
広島大学保健学出版会
issn
1347-7323
ncid
SelfDOI
language
jpn
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
department
Graduate School of Health Science
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