日本の高齢一般住民の 前駆期パーキンソン病における栄養特性
栄養はパーキンソン病（PD）の環境的危険因子としてよく知られている．本研究は栄養特性とPD前駆期との関係を明らかにすることを目的とした．高齢住民を対象とし，prodromal PD（PPD）の検出にprobability of PPD（PPP） およびmild parkinsoniansign（MPS）用いた．栄養は自記記入式食物摂取頻度調査票を用い，総エネルギー，三大栄養素（脂質，蛋白質，炭水化物），ビタミンB 群，水分，食物繊維摂取量を算出した．305 人の被験者のうちPPP ≧ 0.3 は4.1％，MPS 陽性率は21.0％であった．PPP ≧ 0.3 群は脂肪摂取量が有意に多く，炭水化...
Saved in:
| Published in | 岩手医学雑誌 Vol. 76; no. 3; pp. 75 - 85 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English Japanese |
| Published |
岩手医学会
01.08.2024
|
| Online Access | Get full text |
| ISSN | 0021-3284 2434-0855 |
| DOI | 10.24750/iwateishi.76.3_75 |
Cover
| Abstract | 栄養はパーキンソン病（PD）の環境的危険因子としてよく知られている．本研究は栄養特性とPD前駆期との関係を明らかにすることを目的とした．高齢住民を対象とし，prodromal PD（PPD）の検出にprobability of PPD（PPP） およびmild parkinsoniansign（MPS）用いた．栄養は自記記入式食物摂取頻度調査票を用い，総エネルギー，三大栄養素（脂質，蛋白質，炭水化物），ビタミンB 群，水分，食物繊維摂取量を算出した．305 人の被験者のうちPPP ≧ 0.3 は4.1％，MPS 陽性率は21.0％であった．PPP ≧ 0.3 群は脂肪摂取量が有意に多く，炭水化物摂取量が少なかった．MPS 陽性者は総エネルギー摂取量が少なかった．高齢者ではPPD の有無により栄養特性が異なっており，栄養特性の違いが高齢者におけるPPD リスクと関連している可能性が示唆された． |
|---|---|
| AbstractList | 栄養はパーキンソン病（PD）の環境的危険因子としてよく知られている．本研究は栄養特性とPD前駆期との関係を明らかにすることを目的とした．高齢住民を対象とし，prodromal PD（PPD）の検出にprobability of PPD（PPP） およびmild parkinsoniansign（MPS）用いた．栄養は自記記入式食物摂取頻度調査票を用い，総エネルギー，三大栄養素（脂質，蛋白質，炭水化物），ビタミンB 群，水分，食物繊維摂取量を算出した．305 人の被験者のうちPPP ≧ 0.3 は4.1％，MPS 陽性率は21.0％であった．PPP ≧ 0.3 群は脂肪摂取量が有意に多く，炭水化物摂取量が少なかった．MPS 陽性者は総エネルギー摂取量が少なかった．高齢者ではPPD の有無により栄養特性が異なっており，栄養特性の違いが高齢者におけるPPD リスクと関連している可能性が示唆された． |
| Author | 岩岡, 和博 佐藤, 裕里子 野崎, 亮太 赤坂, 博 石塚, 直樹 田口, 啓太 山口, 隆 高橋, 健太 寺内, 貴廣 前田, 哲也 |
| Author_xml | – sequence: 1 fullname: 高橋, 健太 organization: 岩手医科大学医学部，内科学講座脳神経内科・老年科分野 – sequence: 1 fullname: 寺内, 貴廣 organization: 岩手医科大学医学部，内科学講座脳神経内科・老年科分野 – sequence: 1 fullname: 野崎, 亮太 organization: 岩手医科大学医学部，内科学講座脳神経内科・老年科分野 – sequence: 1 fullname: 山口, 隆 organization: 岩手医科大学医学部，内科学講座脳神経内科・老年科分野 – sequence: 1 fullname: 佐藤, 裕里子 organization: 岩手医科大学医学部，内科学講座脳神経内科・老年科分野 – sequence: 1 fullname: 石塚, 直樹 organization: 岩手医科大学医学部，内科学講座脳神経内科・老年科分野 – sequence: 1 fullname: 田口, 啓太 organization: 岩手医科大学医学部，内科学講座脳神経内科・老年科分野 – sequence: 1 fullname: 岩岡, 和博 organization: 岩手医科大学医学部，内科学講座脳神経内科・老年科分野 – sequence: 1 fullname: 前田, 哲也 organization: 岩手医科大学医学部，内科学講座脳神経内科・老年科分野 – sequence: 1 fullname: 赤坂, 博 organization: 岩手医科大学医学部，内科学講座脳神経内科・老年科分野 |
| BookMark | eNo9kM1KAlEAhS9hkJkv0KoXGLu_c2eWJf2B0CbXw52ZOzliFjNCtHM0I40IV7YQiihcaBG0KcinuTY2b5FRuPkOnHM4i7MMUtXjqgRgFcEcppzBdf9U1KQflvwc13PE4mwBpDElVIMGYymQhhAjjWCDLoFsGPo2JKZhEgT1NCjGvae4P1LRSzK8TcYPk_f69-VoMr6JX7szc-2rfZ0MLuL-nWp2VfNTNZ5V8001xjNOey0VDVXUUVFXNa7i-_PksTNtf8T1wQpY9EQllNl_zYDi9tZBflcr7O_s5TcKWhkZWGguR7ZOucM4YsL2oIeYNBBm2LShTQ2XzgoukyakjGIHc90TuutgSWwhJYeYZMDm3245rIlDaZ0E_pEIziwR1HynIq35MRbXLfILzuahUxKBVRbkB2Nyf6I |
| ContentType | Journal Article |
| Copyright | 岩手医学会 |
| Copyright_xml | – notice: 岩手医学会 |
| DOI | 10.24750/iwateishi.76.3_75 |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| EISSN | 2434-0855 |
| EndPage | 85 |
| ExternalDocumentID | article_iwateishi_76_3_76_75_article_char_ja |
| ID | FETCH-LOGICAL-j182a-d71b647c5715abf0f15e812529b0b48d4d71d5e904542c276fa6dc2e3baee7023 |
| ISSN | 0021-3284 |
| IngestDate | Wed Sep 03 06:30:33 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | false |
| IsScholarly | true |
| Issue | 3 |
| Language | English Japanese |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-j182a-d71b647c5715abf0f15e812529b0b48d4d71d5e904542c276fa6dc2e3baee7023 |
| OpenAccessLink | https://www.jstage.jst.go.jp/article/iwateishi/76/3/76_75/_article/-char/ja |
| PageCount | 11 |
| ParticipantIDs | jstage_primary_article_iwateishi_76_3_76_75_article_char_ja |
| PublicationCentury | 2000 |
| PublicationDate | 2024/08/01 |
| PublicationDateYYYYMMDD | 2024-08-01 |
| PublicationDate_xml | – month: 08 year: 2024 text: 2024/08/01 day: 01 |
| PublicationDecade | 2020 |
| PublicationTitle | 岩手医学雑誌 |
| PublicationTitleAlternate | 岩手医誌 |
| PublicationYear | 2024 |
| Publisher | 岩手医学会 |
| Publisher_xml | – name: 岩手医学会 |
| References | Qu Y, Chen X, Xu MM, et al.: Relationship between high dietary fat intake and Parkinson's disease risk: a meta-analysis. Neural Regen Res 14 , 2156 - 2163 , 2019 . Knight E, Geetha T, Burnett D, et al.; The role of diet and dietary patterns in Parkinson's disease. Nutrients 14 , 4472 , 2022 . Takahashi K, Nishiwaki H, Ito M, et al.: Altered gut microbiota in Parkinson's disease patients with motor complications. Parkinsonism Relat Disord 95 , 11 - 17 , 2022 . Pagano G, Taylor KI, Anzures-Cabrera J, et al.: Trial of prasinezumab in early-stage Parkinson's disease. N Engl J Med 387 , 421 - 432 , 2022 . Maraki MI, Yannakoulia M, Xiromerisiou G, et al.: Mediterranean diet is associated with a lower probability of prodromal Parkinson's disease and risk for Parkinson's disease/dementia with Lewy bodies: a longitudinal study. Eur J Neurol 30 , 934 - 942 , 2023 . Uemura Y, Wada-Isoe K, Nakashita S, et al.: Mild parkinsonian signs in a community-dwelling elderly population sample in Japan. J Neurol Sci 304 , 61 - 66 , 2011 . Nishiwaki H, Ito M, Ishida T, et al.: Metaanalysis of gut dysbiosis in Parkinson's disease. Mov Disord 35 , 1626 - 1635 , 2020 . Zhang Y, Chen J, Qiu J, et al.: Intakes of fish and polyunsaturated fatty acids and mildto-severe cognitive impairment risks: a doseresponse meta-analysis of 21 cohort studies. Am J Clin Nutr 103 , 330 - 340 , 2016 . Keezer MR, Wolfson C and Postuma RB: Age, gender, comorbidity, and the MDSUPDRS: results from a population-based study. Neuroepidemiology 46 , 222 - 227 , 2016 . Buchanan SM, Richards M, Schott JM, et al.: Mild parkinsonian signs: a systematic review of clinical, imaging, and pathological associations. Mov Disord 36 , 2481 - 2493 , 2021 . Avenali M, Toffoli M, Mullin S, et al.: Evolution of prodromal parkinsonian features in a cohort of GBA mutation-positive individuals: a 6 -year longitudinal study. J Neurol Neurosurg Psychiatry 90 , 1091 - 1097 , 2019 . Villumsen M, Aznar S, Pakkenberg B, et al.: Inflammatory bowel disease increases the risk of Parkinson's disease: a Danish nationwide cohort study 1977 – 2014 . Gut 68 , 18 - 24 , 2019 . Svensson E, Horváth-Puhó E, Thomsen RW, et al.: Vagotomy and subsequent risk of Parkinson's disease. Ann Neurol 78 , 522 - 529 , 2015 . Postuma RB, Lang AE, Gagnon JF, et al.: How does parkinsonism start? Prodromal parkinsonism motor changes in idiopathic REM sleep behaviour disorder. Brain 135 , 1860 - 1870 , 2012 . Lang AE, Siderowf AD, Macklin EA, et al.: Trial of cinpanemab in early Parkinson's disease. N Engl J Med 387 , 408 - 420 , 2022 . Louis ED, Tang MX, Schupf N, et al.: Functional correlates and prevalence of mild parkinsonian signs in a community population of older people. Arch Neurol 62 , 297 - 302 , 2005 . Algotsson C, Rosso A, Elmståhl S, et al.: Prevalence and functional impact of parkinsonian signs in older adults from the Good Aging in Skåne study. Parkinsonism Relat Disord 111 , 105416 , 2023 . Ninomiya T, Nakaji S, Maeda T, et al.: Study design and baseline characteristics of a population-based prospective cohort study of dementia in Japan: the Japan prospective studies collaboration for aging and dementia (JPSC-AD). Environ Health Prev Med 25 , 1 - 12 , 2020 . Fearnley JM and Lees AJ: Ageing and Parkison's disease: substantia nigra regional selectivity. Brain 114 , 2283 - 2301 , 1991 . Heinzel S, Berg D, Gasser T, et al.: Update of the MDS research criteria for prodromal Parkinson's disease. Mov Disord 34 , 1464 - 1470 , 2019 . Ministry of education, culture, sports, science and technonogy. The standard tables of food composition in Japan - 2015 - (seventh revised version), 2015 . https://www.mext.go.jp/a_menu/shokuhinseibun/1365297.htm. Taguchi K, Iwaoka K, Nozaki R, et al.: Prodromes and probability in people living with Parkinson's disease: a retrospective study. J Mov Disord Disabil 31 , 1 - 11 , 2021 . Wang A, Lin Y, Wu Y, et al.: Macronutrients intake and risk of Parkinson's disease: a metaanalysis. Geriatr Gerontol Int 15 , 606 - 616 , 2015 . Taguchi K, Iwaoka K, Yamaguchi T, et al.: A cross-sectional study of Parkinson's disease and the prodromal phase in community-dwelling older adults in eastern Japan. Clin Park Relat Disord 7 , 100147 , 2022 . Wirdefeldt K, Adami HO, Cole P, et al.: Epidemiology and etiology of Parkinson's disease: a review of the evidence. Eur J Epidemiol 26 , 1 - 58 , 2011 . Postuma RB, Aarsland D, Barone P, et al.: Identifying prodromal Parkinson's disease: premotor disorders in Parkinson's disease. Mov Disord 27 , 617 - 626 , 2012 . de Lau LM, Bornebroek M, Witteman JC, et al.: Dietary fatty acids and the risk of Parkinson's disease. Neurology 64 , 2040 - 2045 , 2005 . Kamel F, Goldman SM, Umbach DM, et al.: Dietary fat intake, pesticide use, and Parkinson's disease. Parkinsonism Relat Disord 20 , 82 - 87 , 2014 . Boulos C, Yaghi N, El Hayeck R, et al.: Nutritional risk factors, microbiota and Parkinson's disease: what is the current evidence? Nutrients 11 , 1896 , 2019 . Dorsey ER and Bloem BR: The Parkinson pandemic – a call to action. JAMA Neurol 75 , 9 - 10 , 2018 . |
| References_xml | – reference: Taguchi K, Iwaoka K, Nozaki R, et al.: Prodromes and probability in people living with Parkinson's disease: a retrospective study. J Mov Disord Disabil 31 , 1 - 11 , 2021 . – reference: Qu Y, Chen X, Xu MM, et al.: Relationship between high dietary fat intake and Parkinson's disease risk: a meta-analysis. Neural Regen Res 14 , 2156 - 2163 , 2019 . – reference: Pagano G, Taylor KI, Anzures-Cabrera J, et al.: Trial of prasinezumab in early-stage Parkinson's disease. N Engl J Med 387 , 421 - 432 , 2022 . – reference: Algotsson C, Rosso A, Elmståhl S, et al.: Prevalence and functional impact of parkinsonian signs in older adults from the Good Aging in Skåne study. Parkinsonism Relat Disord 111 , 105416 , 2023 . – reference: Keezer MR, Wolfson C and Postuma RB: Age, gender, comorbidity, and the MDSUPDRS: results from a population-based study. Neuroepidemiology 46 , 222 - 227 , 2016 . – reference: Nishiwaki H, Ito M, Ishida T, et al.: Metaanalysis of gut dysbiosis in Parkinson's disease. Mov Disord 35 , 1626 - 1635 , 2020 . – reference: Buchanan SM, Richards M, Schott JM, et al.: Mild parkinsonian signs: a systematic review of clinical, imaging, and pathological associations. Mov Disord 36 , 2481 - 2493 , 2021 . – reference: Avenali M, Toffoli M, Mullin S, et al.: Evolution of prodromal parkinsonian features in a cohort of GBA mutation-positive individuals: a 6 -year longitudinal study. J Neurol Neurosurg Psychiatry 90 , 1091 - 1097 , 2019 . – reference: Ninomiya T, Nakaji S, Maeda T, et al.: Study design and baseline characteristics of a population-based prospective cohort study of dementia in Japan: the Japan prospective studies collaboration for aging and dementia (JPSC-AD). Environ Health Prev Med 25 , 1 - 12 , 2020 . – reference: Takahashi K, Nishiwaki H, Ito M, et al.: Altered gut microbiota in Parkinson's disease patients with motor complications. Parkinsonism Relat Disord 95 , 11 - 17 , 2022 . – reference: Heinzel S, Berg D, Gasser T, et al.: Update of the MDS research criteria for prodromal Parkinson's disease. Mov Disord 34 , 1464 - 1470 , 2019 . – reference: Wirdefeldt K, Adami HO, Cole P, et al.: Epidemiology and etiology of Parkinson's disease: a review of the evidence. Eur J Epidemiol 26 , 1 - 58 , 2011 . – reference: Villumsen M, Aznar S, Pakkenberg B, et al.: Inflammatory bowel disease increases the risk of Parkinson's disease: a Danish nationwide cohort study 1977 – 2014 . Gut 68 , 18 - 24 , 2019 . – reference: Kamel F, Goldman SM, Umbach DM, et al.: Dietary fat intake, pesticide use, and Parkinson's disease. Parkinsonism Relat Disord 20 , 82 - 87 , 2014 . – reference: Dorsey ER and Bloem BR: The Parkinson pandemic – a call to action. JAMA Neurol 75 , 9 - 10 , 2018 . – reference: Uemura Y, Wada-Isoe K, Nakashita S, et al.: Mild parkinsonian signs in a community-dwelling elderly population sample in Japan. J Neurol Sci 304 , 61 - 66 , 2011 . – reference: Boulos C, Yaghi N, El Hayeck R, et al.: Nutritional risk factors, microbiota and Parkinson's disease: what is the current evidence? Nutrients 11 , 1896 , 2019 . – reference: de Lau LM, Bornebroek M, Witteman JC, et al.: Dietary fatty acids and the risk of Parkinson's disease. Neurology 64 , 2040 - 2045 , 2005 . – reference: Louis ED, Tang MX, Schupf N, et al.: Functional correlates and prevalence of mild parkinsonian signs in a community population of older people. Arch Neurol 62 , 297 - 302 , 2005 . – reference: Zhang Y, Chen J, Qiu J, et al.: Intakes of fish and polyunsaturated fatty acids and mildto-severe cognitive impairment risks: a doseresponse meta-analysis of 21 cohort studies. Am J Clin Nutr 103 , 330 - 340 , 2016 . – reference: Postuma RB, Aarsland D, Barone P, et al.: Identifying prodromal Parkinson's disease: premotor disorders in Parkinson's disease. Mov Disord 27 , 617 - 626 , 2012 . – reference: Ministry of education, culture, sports, science and technonogy. The standard tables of food composition in Japan - 2015 - (seventh revised version), 2015 . https://www.mext.go.jp/a_menu/shokuhinseibun/1365297.htm. – reference: Fearnley JM and Lees AJ: Ageing and Parkison's disease: substantia nigra regional selectivity. Brain 114 , 2283 - 2301 , 1991 . – reference: Postuma RB, Lang AE, Gagnon JF, et al.: How does parkinsonism start? Prodromal parkinsonism motor changes in idiopathic REM sleep behaviour disorder. Brain 135 , 1860 - 1870 , 2012 . – reference: Knight E, Geetha T, Burnett D, et al.; The role of diet and dietary patterns in Parkinson's disease. Nutrients 14 , 4472 , 2022 . – reference: Lang AE, Siderowf AD, Macklin EA, et al.: Trial of cinpanemab in early Parkinson's disease. N Engl J Med 387 , 408 - 420 , 2022 . – reference: Taguchi K, Iwaoka K, Yamaguchi T, et al.: A cross-sectional study of Parkinson's disease and the prodromal phase in community-dwelling older adults in eastern Japan. Clin Park Relat Disord 7 , 100147 , 2022 . – reference: Svensson E, Horváth-Puhó E, Thomsen RW, et al.: Vagotomy and subsequent risk of Parkinson's disease. Ann Neurol 78 , 522 - 529 , 2015 . – reference: Maraki MI, Yannakoulia M, Xiromerisiou G, et al.: Mediterranean diet is associated with a lower probability of prodromal Parkinson's disease and risk for Parkinson's disease/dementia with Lewy bodies: a longitudinal study. Eur J Neurol 30 , 934 - 942 , 2023 . – reference: Wang A, Lin Y, Wu Y, et al.: Macronutrients intake and risk of Parkinson's disease: a metaanalysis. Geriatr Gerontol Int 15 , 606 - 616 , 2015 . |
| SSID | ssib039893106 ssib044742471 ssib051393357 ssib000954287 ssib058493047 |
| Score | 2.3944762 |
| Snippet | 栄養はパーキンソン病（PD）の環境的危険因子としてよく知られている．本研究は栄養特性とPD前駆期との関係を明らかにすることを目的とした．高齢住民を対... |
| SourceID | jstage |
| SourceType | Publisher |
| StartPage | 75 |
| Title | 日本の高齢一般住民の 前駆期パーキンソン病における栄養特性 |
| URI | https://www.jstage.jst.go.jp/article/iwateishi/76/3/76_75/_article/-char/ja |
| Volume | 76 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | 岩手医学雑誌, 2024/08/01, Vol.76(3), pp.75-85 |
| journalDatabaseRights | – providerCode: PRVHPJ databaseName: ROAD: Directory of Open Access Scholarly Resources customDbUrl: eissn: 2434-0855 dateEnd: 99991231 omitProxy: true ssIdentifier: ssib044742471 issn: 0021-3284 databaseCode: M~E dateStart: 20180101 isFulltext: true titleUrlDefault: https://road.issn.org providerName: ISSN International Centre |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3Na9RAFA-1XryIouI3PTgnybrJTOYDTzPbLEWopxZ6C8kmC_ZQRVoKHqTbqtiKSE_1UFBE6aFVBC8K9t_wH0jduv-F702SbcQeWoVlmH3z5s1v5s1k3kvmw3FuMJiEuzxLXZqBGljcjF2ZZL6bZKzLBIMRxXGj8ORdPjHN7swEMyMnftRWLS3MJ43Oo0P3lfyLVoEGesVdssfQ7FAoECAO-oUQNAzhkXRMQk6UIDqwkRbRLRJSsA2JDkmoiDZESYyYcaJ9EjJiJK5sCCGUlplhkmxjdtMkyhtmv0nCgEhF5LgVJIjkZRmqbZloxU2JKUr1iR6vKLSkmDpFIFYZVGWYMiJ1GSkF-kQaLEs3iWS2dGZ5BOIxCpOgDlrUzWpEawBAkaqsBMDfIsZGAJjmKEoZWwpUXkNq1dlqbcVRBuSGjmcleLZxA8Sg9QE_ENrEaMvCsU6WXyIGwywYQzSty5cAP7QpDCOWn6EIHR4q33j4Q_ltkFTwA36Azesvanw2XCZYDK2jtQRDpSldn7J8z6V-cY9eI7M0n1GUXpxvXE1jxTU65XCltTmpuJmmsm6Cw-ZNn4HhCL393iKAx3efDcEbNKpy_nEeednboyFvJHhEMRBBVCXilsFoFvyWk77gHG8WmXwc1s169NSr_1SB0Vz72s_gIQGIhvNOAF4KrR2bCDazwq_FxeqtonWK_XC2Hrf-qgVYl7Pga1XrNK3pOHXGOV36fGO6QH3WGcnmzjnT_Y0P_c2dvPdpsP16sPtu7-vSr-c7e7uv-p_XgTj2c_XlYOtZf_NNvrKer3zPlz_mK1_y5V0I9zee5r3tvLeW99bz5Rf9t08G79f2V7_1l7bOO9PtcKo14ZZ3nLiz4NnHbiq8hDPRCYQXxEm32fWCDGzuwFdJM2EyZcCQBpnCkzL9DjRmN-Zpx89oEmeZAIP7gjM6d38uu-iMJTIG96iTerILbhGlCTIpFscixeUTzUvO7aIVogfFQTbRcVR5-b9yX3FOHQyJq87o_MOF7BpY8_PJdds1fgNQVNAv |
| linkProvider | ISSN International Centre |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E6%97%A5%E6%9C%AC%E3%81%AE%E9%AB%98%E9%BD%A2%E4%B8%80%E8%88%AC%E4%BD%8F%E6%B0%91%E3%81%AE+%E5%89%8D%E9%A7%86%E6%9C%9F%E3%83%91%E3%83%BC%E3%82%AD%E3%83%B3%E3%82%BD%E3%83%B3%E7%97%85%E3%81%AB%E3%81%8A%E3%81%91%E3%82%8B%E6%A0%84%E9%A4%8A%E7%89%B9%E6%80%A7&rft.jtitle=%E5%B2%A9%E6%89%8B%E5%8C%BB%E5%AD%A6%E9%9B%91%E8%AA%8C&rft.au=%E9%AB%98%E6%A9%8B%2C+%E5%81%A5%E5%A4%AA&rft.au=%E5%AF%BA%E5%86%85%2C+%E8%B2%B4%E5%BB%A3&rft.au=%E9%87%8E%E5%B4%8E%2C+%E4%BA%AE%E5%A4%AA&rft.au=%E5%B1%B1%E5%8F%A3%2C+%E9%9A%86&rft.date=2024-08-01&rft.pub=%E5%B2%A9%E6%89%8B%E5%8C%BB%E5%AD%A6%E4%BC%9A&rft.issn=0021-3284&rft.eissn=2434-0855&rft.volume=76&rft.issue=3&rft.spage=75&rft.epage=85&rft_id=info:doi/10.24750%2Fiwateishi.76.3_75&rft.externalDocID=article_iwateishi_76_3_76_75_article_char_ja |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0021-3284&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0021-3284&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0021-3284&client=summon |