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Affiliation |
Doctorial Course in Health Sciences Occupational Therapy |
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Date of Birth |
1982 |
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Mail Address |
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KODAMA Ayuto
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Research Interests 【 display / non-display 】
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elderly
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Dementia
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circadian rhythm
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Frailty
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elderly
Graduating School 【 display / non-display 】
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-2016.03
Akita University Faculty of Health Care Graduated
Graduate School 【 display / non-display 】
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2013.04-2016.03
Akita University Graduate School, Division of Medicine Doctor's Degree Program Completed
Campus Career 【 display / non-display 】
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2023.11-Now
Akita University Doctorial Course in Health Sciences Occupational Therapy Lecturer
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2022.04-2023.10
Akita University Doctorial Course in Health Sciences Occupational Therapy Assistant Professor
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2020.10-2022.03
Akita University Advanced Research Center for Geriatric Medicine Specially-appointed Assistant Professor
External Career 【 display / non-display 】
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2022.04
Akita University Doctorial Course in Health Sciences Occupational Therapy Assistant Professor
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2020.10-2022.03
Akita University Advanced Research Center for Geriatric Medicine Specially-appointed Assistant Professor
Research Achievements 【 display / non-display 】
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Effect of a multicomponent programme based on reality orientation therapy on the physical performance and cognitive function of elderly community-dwellers: a quasi-experimental study.
Yu Kume, Makiko Nagaoka, Sachiko Uemura, Akira Saito, Megumi Tsugaruya, Tomoe Fujita, Yoshino Terui, Ayuto Kodama, Akiko Sato, Hidetaka Ota, Hideaki Ando
Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society 23 ( 5 ) 847 - 855 2023.09
Research paper (journal)
BACKGROUND: Effects of a multicomponent exercise programme have an impact on the physical, cognitive, and psychological domains in elderly community-dwellers. However, some individuals aged 65 years or more have not shown positive effects after the intervention as reported in similar research. The objective of this quasi-experimental study was to clarify the effectiveness of a multicomponent programme based on reality orientation therapy (ROT) on the physical performance, cognitive ability, and psychological state in the elderly. METHOD: Participants were recruited from the general public in 20 areas of Akita Prefecture, Japan, and they took part in each exercise programme for 90 min a day, once every 2 weeks, for 3 months, according to the group classification using cluster randomization into 20 cohorts in Akita. Physical, cognitive, and geriatric depression assessments were performed at baseline and after the 3-month intervention in both the ROT-based intervention group and the control group. RESULT: The final samples for analysis consisted of 31 participants in the control group and 30 participants in the intervention group. The results of the statistical analysis comparing the two groups showed that the 5-repetition sit-to-stand test was performed significantly faster (P < 0.05) and that the results of the word list memory (WM) test and the Symbol Digit Substitution Task also had significantly improved (P < 0.05) after the intervention in both groups. The WM score did not show an interactive effect between the group and time factors, but it had a significant main effect on time in both groups (P < 0.05). CONCLUSION: The results of our quasi-experimental study indicated that the multicomponent programme based on the ROT would be as effective as the original multicomponent programme combined with aerobic exercise and cognitive tasks, as highlighted in the WM.
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Effectiveness of a Theater Program Intervention on the Cognitive, Physical, and Social Functions of Elderly People Living in the Community: A Pilot Survey
Kodama A, Kume Y, Watanabe N, Iino Y, Imamura S, Ota H
Clinical Case Reports International 7 ( 1 ) 1591 2023.08 [Refereed]
Research paper (journal)
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A multicomponent program improved cognitive and physical functions of older adults with lower GDS values
Kodama Ayuto, Kodama Miyuki, Kato Mitsuyo, Sugawara Kaoru, Ota Hidetaka
Annals of Alzheimer's and Dementia Care ( Peertechz Publications Private Limited ) 6 ( 1 ) 026 - 031 2022.11 [Refereed]
Research paper (journal)
Background: MCI is an intermediate stage between cognitive impairment status and persons with MCI are at high risk of developing AD. This study aimed to investigate the effects of a multicomponent program (aerobic, resistance exercises, cognitive training, music, myofascial release exercises, acupoint stimulation, and oral gymnastics) on the cognitive and physical functions of older adults in community dwellers and it is to clarify which measurement factors are predictive to reverse MCI to normal. Results: In this study, we measured cognitive functions, physical functions, and the diagnosis of MCI. We assessed factors before (pre-test), and after treatment of 12 training sessions (post-test). The participants were divided into two groups (Improve group and the Non-Improve group). The Mann-Whitney test was used to analyze the differences between pre-and post-test and revealed significant differences in the UWS (p < 0.05), WM (p < 0.01), SDST (p < 0.01), and MMSE (p < 0.01). Moreover, binomial logistic regression analysis revealed a significant association of the Improved group with the GDS-15 (Odds ratio, 0.587; 95% Confidence Interval [95% CI], 0.309-0.791; p = 0.003) and MMSE (Odds ratio, 0.494; 95 % CI, 0.360-0.957, p = 0.033). Conclusion: This study indicated that this program improved physical and cognitive functions in those who were not prone to depression before treatment and suggests that the GDS measurement might be able to predict the intervention effects of a multicomponent program.
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Tatsunori Shimizu, Ayuto Kodama, Kaoru Sugawara, Mariko Asano, Yuji Okuda, Hidetaka Ota
Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics ( The Japan Geriatrics Society ) 59 ( 4 ) 543 - 550 2022.10 [Refereed]
Research paper (journal)
<p><b>目的：</b>認知症地域支援推進員の効率的な事業展開に向けて必要なことを検討する．<b>方法：</b>当センターがある秋田県において，25市町村の認知症地域支援推進員を対象に活動の現状を把握し，事業を効率的に展開するためにはどういったことが必要かを検討するための簡易アンケート調査を行った．<b>結果：</b>第一に認知症支援推進員の存在を地域住民に認知されていないことが判明し，その存在や活動を周知するような機会が必要であることが明らかになった．また推進員同士の情報共有や認知症の支援体制を構築するための社会資源を把握するツールなどが不足していることも明らかになった．また連携の面では，初期集中支援チームや疾患医療センターとの連携はとれているものの，認知症サポーターとの連携が不十分であることが判明した．さらに推進員の大きな役割である認知症ケアパスの作成や活動にはあまり関与しない実態が見えてきた．<b>結論：</b>今回の結果より，事業を効率的に展開するためのポイントとして，1．地域住民に対する認知症地域推進員を周知するための情報発信，2．認知症サポーターや民生委員との連携づくり，3．社会資源マップの作成やその把握，認知症ケアパスの有効活用，4．地域支援推進員が兼務しなくてよい労働環境の整備，5．認知症施策全体を理解するための学習の場づくり，の以上5点を提案する．</p>
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A Pilot Survey: Oral Function as One of the Risk Factors for Physical Frailty
Kodama A.
International Journal of Environmental Research and Public Health ( International Journal of Environmental Research and Public Health ) 19 ( 10 ) 2022.05 [Refereed]
Research paper (journal)
Background: The aim of this study was to examine the association of the multiple facets of oral, motor, and social functions in community-dwelling older adults, to identify factors that might influence the risk of frailty. Methods: Of the 82 participants included in the study, 39 (5 males and 34 females) were young-old adults, with an average age of 70.5 ± 2.8 years, and 43 (14 males and 29 females) were old-old adults, with an average age of 78.7 ± 2.9 years. We assessed the risk factors for frailty among oral, motor, and social functions. Results: Statistical analysis showed a significant difference in the oral diadochokinesis between the groups (p = 0.006). According to the Spearman correlation analysis, a significant association was observed with age and oral diadochokinesis (rs = −0.262, p = 0.018), and social support (rs = −0.219, p = 0.049). Moreover, binomial logistic regression analysis revealed a significant association of frailty with the occlusal force (odds ratio, 0.031; 95% confidence interval (95% CI), 0.002–0.430; p = 0.010), General Oral Health Index (odds ratio, 0.930; 95% CI, 0.867–0.999, p = 0.046), and availability of social support (odds ratio, 0.803, 95% CI, 0.690–0.934, p = 0.004). Conclusions: To prevent frailty at an early stage, assessments of oral functions, and also that of the availability of social support, are important.
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Kodama Ayuto, Asano Mariko, Okuda Yuji, Ota Hidetaka
Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics ( The Japan Geriatrics Society ) 58 ( 2 ) 266 - 271 2021
<p>The purpose of this study was to clarify the trends in the activity of the initial-phase intensive support teams in Akita Prefecture and to, clarify the factors contributing to the more efficient promotion of future projects. A survey was conducted by questionnaire among 46 initial-phase intensive support team member for dementia. The results indicated that it is mostly maintained cooperation medical center for dementia and community support promoter for dementia. However, the question was insufficient cooperation with family doctor including visit the home. These findings suggest that it is important to disseminate information and improve awareness among the community as well as foster relationships of trust by families.</p>