| Since The World Health Organization has propose the concept of“health city”for the first time in 1984, there are about 4000 cities worldwide being in the health city construction; In 2005, The World Health Organization puts forward a project to create the second generation health Age-friendly cities. Currently, countries around the world are in the initial construction phase. Taiwan Hualien as a world health city are“the city of health city–the city people most want to live in after retirement–age–friendly city”is worth learing experiences from in the World Health Construction.Objective: To create the world’s health city through the empirical research of Taiwan’s Hualien city and Age-friendly cities , to provide a reference for the construction,, to promote the higher level of world health city construction.Methods: (1)By access to the research literature data and the results related to world health city, the Age-friendly city , compared Taiwan’s Hualien city to create the world’s health and effectiveness of elderly health promotion measures.(2) survey 200 65 to 80 years (124 female, 76 male) elderly health and health behavior in Hualien, Taiwan;(3) Health fitness test for the 200 survey questionnaires , index for: 30 seconds continuous sit chair stand test (30-s chair stand), 30 seconds flex arm test (arm curl), sit chair and the body reach (chair sit-and-reach), shoulder stretch test (back scratch), standing 8 feet away test (8-ft up-and-go), 2 minutes step test (2-min step). Data to SPSS for Windows17.0 version of the statistics of the software package as a tool, statistical analysis, significant level p <.05.Results: (1) Taiwan’s Hualien city has created a complete world health index system, and the elderly health promotion strategies to promote and improve the organizational structure and the process, creating a global Age-friendly cities in specific course of action; (2) Readme symptoms of chronic diseases and perceived health status of the number: elderly people on an average of 2.12 have chronic diseases, 29% are with two chronic diseases,21% suffer from three chronic diseases, 6% suffering from four kinds or more of chronic diseases.While the elderly suffer from musculoskeletal disorders 62%, among which skeletal muscle pain (36%) and degenerative arthritis (34%)account for the most; followed by cardiovascular disease (46%), of which high blood pressure (42%) account for the most.(3) the elderly activities of daily living (ADL) and instrumental activities of daily living (IADL): 14 points for the elderly ADL score, IADL scored an average of 13.43 (SD = 1.23). (4) physical activity status of the elderly: PASE average score of 89.84 points (SD = 43.18), in which women 97.64 points (SD = 44.19), man 7.10 points (SD = 38.74); Old people engaged in "mild activities" 9%, "moderate activities" 18%, "arduous activities" 11%, 62% inactive. (5) physical fitness status of the elderly: statistical analysis of the total number, male, female, and three groups consist of 65 to 69 years, 70 to 75 years old, and 76to 80 years old.the results showed that, 30-s chair stand, 30 seconds flex arm, 2 minutes stepping and chair sit-and-reach, are statistically significant level (p <.05);the level of stand 8 feet away and shoulder stretch not reach statistical significance (p >.05). (6) the elderly health status, physical activity and functional fitness relevance: Readme number of chronic diseases, symptoms and perceived health status (r = - .22, p <.05), physical activity (r = - .25 , p <.05), agility / dynamic balance (r = - .20, p <.05), shoulder flexibility (r = - .21, p <.05), lower limb flexibility (r = - .23, p <.05) were negatively correlated; perceived health status and IADL (r = .22, p <.05), lower limb muscle strength (r = .34, p <.01), upper limb muscle strength (r = .28, p <.01), aerobic capacity (r = .46, p <.01), agility / dynamic balance (r = .25, p <.05), lower limb flexibility (r = .26, p <.05 ) positive correlation; physical activity and aerobic capacity (r = .23, p <.05), agility / dynamic balance (r = .32, p <.01), shoulder flexibility (r = .30, p <. 01), lower extremity flexibility (r = .32, p <.01), IADL (r = .24, p <.05) positive correlation; lower limb muscle strength and aerobic capacity (r = .69, p <.01 ), upper limb muscle strength (r = .88, p <.01) are highly correlated. (7) health status of older people physical activity and functional fitness predictive power:①readme number of chronic diseases, the symptoms of physical activity overall explanatory power of regression R2 of .08, the test results of multiple regression equation (F (2, 97) = 3.96, p <.05), chronic disease symptoms has severalβcoefficients for-22, (t = 2.21, p <.05), perceived health status ofβcoefficient of .12, (t = 1.21, p = .23);②readme perceived health status and number of chronic diseases, symptoms of lower extremity muscle strength R2 is 0 .13, F (2,97), p <.05,βcoefficient readme chronic diseases - .09, (t = - .88, p = .38), perceived health status ofβcoefficient of .33, (t = 3.34, p <.05);③perceived health status and symptoms of several chronic diseases readme of the upper limb muscle strength number of the R2 of .08, F (2,97) = 4.31, p <.05,βreadme number of chronic disease symptoms coefficient - .03, (t = - .27, p = .79), perceived health status ofβcoefficient of .28, (t = 2.79, p <.05);④readme perceived health status and number of chronic diseases, the symptoms for the aerobic capacity of R2 0.22, F (2,97) = 13.70, p <.05,βreadme number of chronic disease symptoms coefficient - 0.09, (t = -1.01, p = .31), perceived health status ofβcoefficient of .44, (t = 4.79 , p <.05); erceived health status and symptoms of several chronic diseases of the readme agility / dynamic balance of R2 was .08, F (2,97) = 4.45, p <.05,βreadme number of chronic disease symptoms coefficient .16, (t = 1.59 , p = .12), perceived health status ofβcoefficient - .21, (t = -2.12, p <.05);⑥readme perceived health status and symptoms of several chronic diseases shoulder flexibility for the R2 is .05, F (2,97) = 2.72, p = .07,βreadme number of chronic disease symptoms coefficient - .19, (t = -1.91, p = .06), perceived health status ofβcoefficient of .09, (t =. 89, p = 34);⑦perceived health status and symptoms of several chronic diseases readme flexibility of the lower limbs of R2 is 0.10, F (2,97) = 5.16, p <.05,βreadme number of chronic disease symptoms coefficient - .18, (t = -1.82 , p = .07), perceived health status ofβcoefficient of .22, (t = 2.19, p <.05);⑧readme perceived health status and symptoms of chronic disease on the body mass index number of the R2 of .05, F (2 , 97) = 2.38, p = .10,βreadme number of chronic disease symptoms coefficient .17, (t = 1.66, p = .10), perceived health status ofβcoefficient - .10, (t = -1.03, p = .31).Conclusions: (1) The index system of Taiwan’s Hualien city has created the world’s healthy city and Age-friendly Cities,the health promotion goals and the promotion strategies; organizational structure and the promotion process;the elderly health promotion measures;experiences and lessons for the medium level economic development area and WHO Western Pacific Region. (2) Hualien, as a mountainous plain region with medium level economic development, people aged 65 to 80 health status and health behaviors showed obvious features, but the main form of physical exercise is walking (male 81.5%, female 69.3 %), only 38% doing other. (3)The old,with the growth of age,can do 30-second standing row seat, 30 seconds arm flexion and extension, 2 minutes footfall,sitting body stretch appeared declined obviously;8 feet away walking and shoulder stretch, show no significant differences; When making a comparision between male and female ,the result shows the elderly men,s lower extremity muscle strength, upper limb muscle strength, aerobic capacity are significantly better than older women, but lower extremity flexibility the better than older women, older men, agility / dynamic balance below the level of statistical significance. (4) functional health status (IADL) and perceived health status, physical activity, lower extremity muscle strength, upper limb muscle strength, aerobic capacity, agility / dynamic balance, shoulder flexibility is a positive correlation; physical activity and aerobic capacity, shoulder flexibility degrees, agility / dynamic balance, lower extremity flexibility was a positive correlation. (5) Readme symptoms of chronic disease is the number of predictors of physical activity, perceived health status is the functional fitness (lower limb muscle strength, upper limb muscle strength, aerobic capacity, agility / dynamic balance and lower limb flexibility) predictor. The above changes provides the theoretical basis for the elderly people,s health fitness construction measurement index system of international healthy city. |
PDF Full Text Request