Tokushima University and Medical Research, Nakashowa 1-61, Tokushima 770-0943, JapanJapan
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For the patients with diabetes, basal daily lifestyle would be considered in the light of meal, exercise, rest, alcohol intake, smoking and oral health. These six factors are from the concept as a basic direction of “Health Japan 21” for comprehensive implementation of national health promotion.1 Satisfactory control of lifestyle can lead to protection and treatment of diabetes and successful anti-aging. From this implication, to check up physical and mental condition would be important and helpful in clinical practice. Concerning Anti-Aging Medicine (AAM), Kahn and Rowe formerly initiated in 1980-90’s, proposing successful aging. After that, AAM has been developed in the world for decades until today.2,3 Currently, clinical importance of AAM includes not only to maintain healthy condition and to protect diseases, but also to promote activities of daily living (ADL) and quality of life (QoL), leading to long and significant lives.4 Furthermore, adequate judgement and development of AAM would be also considered in the light of medical, social, economical, and ethical aspects
OpenJournal PUBLISHERS Opinion More Significant Life for Diabetic Patients in the Perspectives of Anti-Aging * Hiroshi Bando, MD, PhD, FACP* Tokushima University and Medical Research, Nakashowa 1-61, Tokushima 770-0943, Japan * *Corresponding author Hiroshi Bando, MD, PhD, FACP Instructor, Tokushima University and Medical Research, Nakashowa 1-61, Tokushima 770-0943, Japan; Tel. +81-90-3187-2485; Fax: +81-88-603-1030; E-mail: pianomed@bronze.ocn.ne.jp Article information th th th Received: July 26 , 2018; Accepted: July 27 , 2018; Published: July 27 , 2018 Cite this article Bando H. More significant life for diabetic patients in the perspectives of anti-aging. Diabetes Res Open J. 2018; 4(1): 9-11. doi: 10.17140/DROJ-4-137 For the patients with diabetes, basal daily lifestyle would be con- today for years. One of the famous questionnaire would be short sidered in the light of meal, exercise, rest, alcohol intake, smoking form-36 (SF-36), including international version and also Japanese and oral health. These six factors are from the concept as a basic version.7 In addition, there were several questionnaire about QoL, direction of “Health Japan 21” for comprehensive implementa- including World health Organization (WHO)/QOL-26, WHO-5 tion of national health promotion.1 Satisfactory control of lifestyle Well-Being Index, cognitive function and five-level version of the 8-11 can lead to protection and treatment of diabetes and successful EuroQoL five-dimensional questionnaire.8-11 Indeed, these ques- anti-aging. From this implication, to check up physical and mental tionnaires have showed meaningful method and result, but rather condition would be important and helpful in clinical practice. complicated tendency were observed. Compared to these, Anti- Aging QoL Common Questionnaire (AAQoL) seems to be useful Concerning Anti-Aging Medicine (AAM), Kahn and for its convenience taking only about a few minutes. Rowe formerly initiated in 1980-90’s, proposing successful aging. After that, AAM has been developed in the world for decades until The AAQoL consists of more than 50 items of physical 2,3 today.2,3 Currently, clinical importance of AAM includes not only and mental symptoms, and six lifestyle items. For each question, to maintain healthy condition and to protect diseases, but also to subjects can answer in simple way by 5-point scale (1. None, 2. promote activities of daily living (ADL) and quality of life (QoL), Little, 3. Mild, 4. Moderate, 5. Severe).12 leading to long and significant lives.4 Furthermore, adequate judge- ment and development of AAM would be also considered in the Regarding the studies for AAQoL, authors have contin- light of medical, social, economical, and ethical aspects.5 ued various analyses for years. Formerly, each item in AAQoL was statistically calculated for investigation. Authors have proposed In order to obtain optimal daily life, the status of QoL new method for analysis. Its way is to categorize several items into and ADL have to be evaluated by adequate method. As for AAM, one group with totally several categorization.13 After some trials, several aspects would be necessary to evaluate, such as dietary and we proposed exam method for 8 categories with 7 physical and exercise habit, nutrition, physical activity, resting, alcohol, smoking mental items each.
and dental health. These factors are pointed out for national health promotion by the Ministry of Heath, Labour and Welfare of Ja- Taking this method into consideration, we investigated pan.6 It has been known as the “National Health Promotion Move- subjects and patients with various situations and diseases. They st ment in the 21st Century (Health Japan 21)” as the third health included patients with chronic renal failure and hemodialysis, sub- 14,15 promotion measure for citizens since 2000.
jects with masters athletes in ice-skating and athletics. A variety of questionnaires for QoL were proposed until There were several impressive data to mention from the cc Copyright 2018 by Bando H. This is an open-access article distributed under Creative Commons Attribution 4.0 International License (CC BY 4.0), which allows to copy, redistribute, remix, transform, and reproduce in any medium or format, even commercially, provided the original work is properly cited. Diabetes Res Open J. 2018; 4(1): 9-11. doi: 10.17140/DROJ-4-137 results concerning masters athletes. Their exercise habits seemed to AAQoL Questionnaire and some points recommended to modify. be stable, which was mostly 3-4 days a week constantly throughout Regarding the future direction, to select adequate items into focus the year. As to the lifestyle, too much eating is rare, the frequency and to compare with other QoL rating scales would be continued of drinking is rather high, but the amount of drinking is low, and for further investigation. Regarding to managing and handing the opportunity of communicate to others is frequent. When age and health status QoL scores, it would be necessary to collect much gender were matched and compared with the control group, mas- data from enough number of samples, and to develop fair and ters athletes showed significantly lower physical and psychological highly transparent discussion involving a large number of medical symptoms.
From these way of living and lifestyle, masters athletes In summary, clinical significance of AAQoL for AAM 14,15 suggested to have positive and happier life. Thus, application have been described in this article. It is convenient and useful for of AAQoL to various clinical research studies would be useful and clinical practice and research, as well as health and medical checkup expected to obtain the meaningful results of mutual relationship in in various situations.20 Moreover, AAQoL is beneficial for other the light of physical, mental, and social aspects. area, such as cosmetics, food and medicine, exercise and sports, and health industry. As AAM is developing in broader fields, Concerning the circumstances at the birth of AAQoL, AAQoL is expected to be applied to further extent in a variety of medical care situation was deeply affected at that time. It was just occasion, leading to successful aging. Furthermore, successful ag- when AAM was introduced to Japan from United States, when ing will provide more significant and meaningful life to the diabetic expectations and needs for AAM was recognized in medical field. patients.
Under such circumstances, debates on the influence of aging for various symptoms were accumulated.