COPDにおけるエネルギー消費と栄養
埼玉医科大学病院外来通院中のchronic obstructive pulmonary disease（COPD）およびハイリスク患者（n＝36）において，二重標識水（doubly labeled water: DLW）法により総エネルギー消費量（total energy expenditure: TEE）を，間接熱量測定法により基礎代謝量（basal metabolic rate: BMR）を測定した．COPD患者でもBMRの増加はみられなかったが，Physical activity level（PAL＝TEE/BMR）は重症・最重症では低下傾向を認めた（1.67）．また，PALは軽強度およ...
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| Published in | 日本呼吸ケア・リハビリテーション学会誌 Vol. 32; no. 3; pp. 306 - 312 |
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| Main Authors | , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本呼吸ケア・リハビリテーション学会
30.08.2024
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1881-7319 2189-4760 |
| DOI | 10.15032/jsrcr.32.306 |
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| Abstract | 埼玉医科大学病院外来通院中のchronic obstructive pulmonary disease（COPD）およびハイリスク患者（n＝36）において，二重標識水（doubly labeled water: DLW）法により総エネルギー消費量（total energy expenditure: TEE）を，間接熱量測定法により基礎代謝量（basal metabolic rate: BMR）を測定した．COPD患者でもBMRの増加はみられなかったが，Physical activity level（PAL＝TEE/BMR）は重症・最重症では低下傾向を認めた（1.67）．また，PALは軽強度および中強度の歩行以外の活動時間（p＜0.01），6分間歩行距離および握力（p＜0.001）と良好な相関を認めた．さらに，運動以外の身体活動量（nonexercise activity thermogenesis: NEAT）の評価法としてNEAT質問票が，エネルギー摂取量の推定法としてbrief-type self-administered diet history questionnaire（BDHQ）質問票が有用な可能性が示唆された． |
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| AbstractList | 埼玉医科大学病院外来通院中のchronic obstructive pulmonary disease（COPD）およびハイリスク患者（n＝36）において，二重標識水（doubly labeled water: DLW）法により総エネルギー消費量（total energy expenditure: TEE）を，間接熱量測定法により基礎代謝量（basal metabolic rate: BMR）を測定した．COPD患者でもBMRの増加はみられなかったが，Physical activity level（PAL＝TEE/BMR）は重症・最重症では低下傾向を認めた（1.67）．また，PALは軽強度および中強度の歩行以外の活動時間（p＜0.01），6分間歩行距離および握力（p＜0.001）と良好な相関を認めた．さらに，運動以外の身体活動量（nonexercise activity thermogenesis: NEAT）の評価法としてNEAT質問票が，エネルギー摂取量の推定法としてbrief-type self-administered diet history questionnaire（BDHQ）質問票が有用な可能性が示唆された． |
| Author | 正木, 健司 仲村, 秀俊 |
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| References | 3) Farooqi N, Carlsson M, Håglin L, et al.: Energy expenditure in women and men with COPD. Clin Nutr ESPEN 28: 171-178, 2018. 12) Morikawa K, Tabira K, Takemura H, et al.: A prediction equation to assess resting energy expenditure in Japanese patients with COPD. J Clin Med 9: 3455, 2020. 5) Shirahata T, Nishida Y, Sato H,et al.: Impact of non-exercise activity thermogenesis on physical activity in patients with COPD. Sci Prog 105: 368504221117064, 2022. 6) Nishida Y, Nakamura H, Sasaki S, et al.: Evaluation of energy intake by brief- type self- administered diet history questionnaire among male patients with stable/at risk for chronic obstructive pulmonary disease. BMJ Open Respir Res 8: e000807, 2021. 10) Donahoe M, Rogers RM, Wilson DO, et al.: Oxygen consumption of the respiratory muscles in normal and in malnourished patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 140: 385-391, 1989. 4) Sato H, Nakamura H, Nishida Y, et al.: Energy expenditure and physical activity in COPD by doubly labelled water method and an accelerometer. ERJ Open Res 7: 00407-2020, 2021. 2) Hugli O, Schutz Y, Fitting JW: The daily energy expenditure in stable chronic obstructive pulmonary disease. Am J Respir Crit Care Med 153: 294-300, 1996. 15) Pitta F, Troosters T, Spruit MA, et al.: Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 171: 972-977, 2005. 20) Kobayashi S, Yuan X, Sasaki S, et al.: Relative validity of brief-type self-administered diet history questionnaire among very old Japanese aged 80 years or older. Public Health Nutr 22: 212-222, 2019. 23) Ohfuji S, Fukushima W, Watanabe K, et al.: Pre-illness isoflavone consumption and disease risk of ulcerative colitis: a multicenter case-control study in Japan. PLoS One 9: e110270, 2014. 7) 「日本人の食事摂取基準」策定検討会：日本人の食事摂取基準（2020年版），p. 74, 79．https://www.mhlw.go.jp/content/10904750/000586553.pdf. Accessed: 17 June 2024. 8) Doré MF, Laaban JP, Orvoën-Frija E, et al.: Role of the thermic effect of food in malnutrition of patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 155: 1535-1540, 1997. 1) Waschki B, Kirsten A, Holz O, et al.: Physical activity is the strongest predictor of all-cause mortality in patients with COPD: a prospective cohort study. Chest 140: 331-342, 2011. 17) Yamada Y, Hashii-Arishima Y, Yokoyama K, et al.: Validity of a triaxial accelerometer and simplified physical activity record in older adults aged 64-96 years: a doubly labeled water study. Eur J Appl Physiol 118: 2133-2146, 2018. 19) Hamasaki H, Yanai H, Mishima S, et al.: Correlations of non-exercise activity thermogenesis to metabolic parameters in Japanese patients with type 2 diabetes. Diabetol Metab Syndr 5: 26, 2013. 24) EBNJAPAN：佐々木式食習慣アセスメント（BDHQ/DHQ）支援のためのサイト．http://www.ebnjapan.org. Accessed: 17 June 2024. 13) Watz H, Waschki B, Boehme C, et al.: Extrapulmonary effects of chronic obstructive pulmonary disease on physical activity: a cross-sectional study. Am J Respir Crit Care Med 177: 743-751, 2008. 16) Minakata Y, Azuma Y, Sasaki S, et al.: Objective measurement of physical activity and sedentary behavior in patients with chronic obstructive pulmonary disease: points to keep in mind during evaluations. J Clin Med 12: 3254, 2023. 21) Oya J, Nakagami T, Sasaki S, et al.: Intake of n-3 polyunsaturated fatty acids and non-alcoholic fatty liver disease: a cross-sectional study in Japanese men and women. Eur J Clin Nutr 64: 1179-1185, 2010. 14) Watz H, Waschki B, Meyer T, et al.: Physical activity in patients with COPD. Eur Respir J 33: 262-272, 2009. 11) Sergia G, Coin A, Marin S, et al.: Body composition and resting energy expenditure in elderly male patients with chronic obstructive pulmonary disease. Respir Med 100: 1918-1924, 2006. 18) Hamasaki H, Yanai H, Kakei M, et al.: The validity of the non-exercise activity thermogenesis questionnaire evaluated by objectively measured daily physical activity by the triaxial accelerometer. BMC Sports Sci Med Rehabil 6: 27, 2014. 22) Fujii H, Iwase M, Ohkuma T, et al.: Impact of dietary fiber intake on glycemic control, cardiovascular risk factors and chronic kidney disease in Japanese patients with type 2 diabetes mellitus: the Fukuoka diabetes registry. Nutr J 12: 159, 2013. 9) 濱崎秀崇，栁内秀勝：肥満および代謝性疾患におけるNon exercise activity thermogenesis（NEAT）について．肥満研 21: 99-105, 2015. |
| References_xml | – reference: 5) Shirahata T, Nishida Y, Sato H,et al.: Impact of non-exercise activity thermogenesis on physical activity in patients with COPD. Sci Prog 105: 368504221117064, 2022. – reference: 12) Morikawa K, Tabira K, Takemura H, et al.: A prediction equation to assess resting energy expenditure in Japanese patients with COPD. J Clin Med 9: 3455, 2020. – reference: 20) Kobayashi S, Yuan X, Sasaki S, et al.: Relative validity of brief-type self-administered diet history questionnaire among very old Japanese aged 80 years or older. Public Health Nutr 22: 212-222, 2019. – reference: 11) Sergia G, Coin A, Marin S, et al.: Body composition and resting energy expenditure in elderly male patients with chronic obstructive pulmonary disease. Respir Med 100: 1918-1924, 2006. – reference: 10) Donahoe M, Rogers RM, Wilson DO, et al.: Oxygen consumption of the respiratory muscles in normal and in malnourished patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 140: 385-391, 1989. – reference: 14) Watz H, Waschki B, Meyer T, et al.: Physical activity in patients with COPD. Eur Respir J 33: 262-272, 2009. – reference: 7) 「日本人の食事摂取基準」策定検討会：日本人の食事摂取基準（2020年版），p. 74, 79．https://www.mhlw.go.jp/content/10904750/000586553.pdf. Accessed: 17 June 2024. – reference: 2) Hugli O, Schutz Y, Fitting JW: The daily energy expenditure in stable chronic obstructive pulmonary disease. Am J Respir Crit Care Med 153: 294-300, 1996. – reference: 19) Hamasaki H, Yanai H, Mishima S, et al.: Correlations of non-exercise activity thermogenesis to metabolic parameters in Japanese patients with type 2 diabetes. Diabetol Metab Syndr 5: 26, 2013. – reference: 13) Watz H, Waschki B, Boehme C, et al.: Extrapulmonary effects of chronic obstructive pulmonary disease on physical activity: a cross-sectional study. Am J Respir Crit Care Med 177: 743-751, 2008. – reference: 16) Minakata Y, Azuma Y, Sasaki S, et al.: Objective measurement of physical activity and sedentary behavior in patients with chronic obstructive pulmonary disease: points to keep in mind during evaluations. J Clin Med 12: 3254, 2023. – reference: 4) Sato H, Nakamura H, Nishida Y, et al.: Energy expenditure and physical activity in COPD by doubly labelled water method and an accelerometer. ERJ Open Res 7: 00407-2020, 2021. – reference: 21) Oya J, Nakagami T, Sasaki S, et al.: Intake of n-3 polyunsaturated fatty acids and non-alcoholic fatty liver disease: a cross-sectional study in Japanese men and women. Eur J Clin Nutr 64: 1179-1185, 2010. – reference: 17) Yamada Y, Hashii-Arishima Y, Yokoyama K, et al.: Validity of a triaxial accelerometer and simplified physical activity record in older adults aged 64-96 years: a doubly labeled water study. Eur J Appl Physiol 118: 2133-2146, 2018. – reference: 22) Fujii H, Iwase M, Ohkuma T, et al.: Impact of dietary fiber intake on glycemic control, cardiovascular risk factors and chronic kidney disease in Japanese patients with type 2 diabetes mellitus: the Fukuoka diabetes registry. Nutr J 12: 159, 2013. – reference: 15) Pitta F, Troosters T, Spruit MA, et al.: Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 171: 972-977, 2005. – reference: 23) Ohfuji S, Fukushima W, Watanabe K, et al.: Pre-illness isoflavone consumption and disease risk of ulcerative colitis: a multicenter case-control study in Japan. PLoS One 9: e110270, 2014. – reference: 24) EBNJAPAN：佐々木式食習慣アセスメント（BDHQ/DHQ）支援のためのサイト．http://www.ebnjapan.org. Accessed: 17 June 2024. – reference: 9) 濱崎秀崇，栁内秀勝：肥満および代謝性疾患におけるNon exercise activity thermogenesis（NEAT）について．肥満研 21: 99-105, 2015. – reference: 6) Nishida Y, Nakamura H, Sasaki S, et al.: Evaluation of energy intake by brief- type self- administered diet history questionnaire among male patients with stable/at risk for chronic obstructive pulmonary disease. BMJ Open Respir Res 8: e000807, 2021. – reference: 8) Doré MF, Laaban JP, Orvoën-Frija E, et al.: Role of the thermic effect of food in malnutrition of patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 155: 1535-1540, 1997. – reference: 1) Waschki B, Kirsten A, Holz O, et al.: Physical activity is the strongest predictor of all-cause mortality in patients with COPD: a prospective cohort study. Chest 140: 331-342, 2011. – reference: 18) Hamasaki H, Yanai H, Kakei M, et al.: The validity of the non-exercise activity thermogenesis questionnaire evaluated by objectively measured daily physical activity by the triaxial accelerometer. BMC Sports Sci Med Rehabil 6: 27, 2014. – reference: 3) Farooqi N, Carlsson M, Håglin L, et al.: Energy expenditure in women and men with COPD. Clin Nutr ESPEN 28: 171-178, 2018. |
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| Snippet | 埼玉医科大学病院外来通院中のchronic obstructive pulmonary disease（COPD）およびハイリスク患者（n＝36）において，二重標識水（doubly labeled water: DLW）法により... |
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| SubjectTerms | エネルギー消費 二重標識水法 基礎代謝量 慢性閉塞性肺疾患 栄養 身体活動量 運動以外の活動による熱産生 |
| Title | COPDにおけるエネルギー消費と栄養 |
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