The relationship between the results of health examinations and the levels of ADL (Activities of Daily Living) among persons over 60 years old were examined in farming (Sakurae-cho) and fishing (Chibu-mura) areas in Shimane Prefecture. The index of competence developed by the Tokyo Metropolitan Institute of Gerontology (the TMIG index of Competence) was used as the ADL score. The rates of top ADL scores (13 points) were 45.3% for males and 28.0% for females in the fishing area, and 38.2% for males and 38.4% for females in the farming area. The average ADL score decreased with age in both areas. The distribution of ADL scores was affected by the results of the health examinations, i.e., there was a tendency that the lowest rates of top ADL scores appeared in people diagnosed as needing medical treatment in both areas, and the decrease in the average ADL scores was significant in this group with the exception of males in Chibu-mura.