通所リハビリテーション利用者におけるサルコペニアの有病率と危険因子
目的：通所リハビリテーション利用者のサルコペニアの有病率を明らかにする．また，サルコペニアとなりうる危険因子を明らかにする．対象：当事業所の利用者104名を対象（男性56名，女性48名，平均年齢78.6±7.7歳）とした．方法：サルコペニアの診断はAWGSの診断アルゴリズムを基準に分類した．サルコペニアの危険因子の調査では①脳血管疾患，②高血圧，③呼吸器疾患，④循環器疾患，⑤整形疾患，⑥骨折，⑦がん，⑧難病，⑨糖尿病，⑩過去1年間の転倒歴の10項目を調査した．結果：有病率はサルコペニア51.9%であった．サルコペニアの危険因子として「がん」「転倒歴」の項目に有意差が認められた．結語：要支援・要...
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| Published in | 日本老年医学会雑誌 Vol. 57; no. 2; pp. 149 - 154 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本老年医学会
25.04.2020
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0300-9173 |
| DOI | 10.3143/geriatrics.57.149 |
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| Abstract | 目的：通所リハビリテーション利用者のサルコペニアの有病率を明らかにする．また，サルコペニアとなりうる危険因子を明らかにする．対象：当事業所の利用者104名を対象（男性56名，女性48名，平均年齢78.6±7.7歳）とした．方法：サルコペニアの診断はAWGSの診断アルゴリズムを基準に分類した．サルコペニアの危険因子の調査では①脳血管疾患，②高血圧，③呼吸器疾患，④循環器疾患，⑤整形疾患，⑥骨折，⑦がん，⑧難病，⑨糖尿病，⑩過去1年間の転倒歴の10項目を調査した．結果：有病率はサルコペニア51.9%であった．サルコペニアの危険因子として「がん」「転倒歴」の項目に有意差が認められた．結語：要支援・要介護高齢者（特にがん，転倒歴を有する者）はサルコペニアのリスクが非常に高く，早期からの介入が望まれる． |
|---|---|
| AbstractList | 目的：通所リハビリテーション利用者のサルコペニアの有病率を明らかにする．また，サルコペニアとなりうる危険因子を明らかにする．対象：当事業所の利用者104名を対象（男性56名，女性48名，平均年齢78.6±7.7歳）とした．方法：サルコペニアの診断はAWGSの診断アルゴリズムを基準に分類した．サルコペニアの危険因子の調査では①脳血管疾患，②高血圧，③呼吸器疾患，④循環器疾患，⑤整形疾患，⑥骨折，⑦がん，⑧難病，⑨糖尿病，⑩過去1年間の転倒歴の10項目を調査した．結果：有病率はサルコペニア51.9%であった．サルコペニアの危険因子として「がん」「転倒歴」の項目に有意差が認められた．結語：要支援・要介護高齢者（特にがん，転倒歴を有する者）はサルコペニアのリスクが非常に高く，早期からの介入が望まれる． |
| Author | 浦野, 友彦 久保, 晃 石坂, 正大 広瀬, 環 沢谷, 洋平 柴, 隆広 |
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| References | 14) Cai D, Frantz JD, Tawa Ne Jr, Melendez PA, Lidov HGW, Hasselgren PO, et al.: IKKβ/NF-kB activation causes severe muscle wasting in mice. Cell 2004; 119: 285-298. 5) Baek SJ, Nam GE, Han KD, Choi SW: Sarcopenic obesity and their association with dyslipidemia in Korean elderly men. The 2008-2010 Korea National Health and Nutrition Examination Survey. J Endocrinol Invest 2014; 37: 246-260. 13) Lee JSW, Auyeung TW, Kwok T, Lau EMC: Associated factors and health impact of sarcopenia in older Chinese men and women. A cross-sectional study. Gerontology 2008; 53: 404-410. 11) Murphy KT, Lynch GS: Update on emergimg drugs for cancer cachexia. Expert Opin Emerg Drugs 2009; 14: 619-632. 17) Cesari M, Penninx BW, Pahor M, Lauretani F, Corsi A, Williams GR, et al.: Inflammatory makers and physical performance in older persons: The In CHIANTI study. J Gerontol A Biol Sci Med Sci 2009; 64: 455-461. 12) 丸山道生: 癌悪液質の病態と管理. 癌と臨床栄養, 日本医事新報社, 2010, p20-26. 18) Tina E, Brinkly TE, Leng X, Miller ME, Kitzman DW, Pahor M, et al.: Chronic inflammation is associated with low physical function is older adults across multiple comorbidities. J Gerontol A Biol Sci Med Sci 2009; 64: 455-461. 16) Schaap LA, Pluijim SM, Deeg DJ: Inflammatory markers and loss of muscle mass (sarcopenia) and strength. Am J Med 2006; 119: 526: 9-17. 10) 久保, 晃, 啓利英樹: 前腕長と下腿長を用いた高齢者の身長推定. 理学療法科学 2007; 22 (1): 115-118. 8) Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al.: Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing 2010; 39 (4): 412-423. 20) Landi F, Liperoti R, Russo A, Giovannini S, Tosato M, Capoluongo E, et al.: Sarcopenia as a risk factor for falls in elderly individuals: Results from the ilSIRENTE study. Clin Nutr 2012; 31 (5): 652-658. 21) 能村友紀, 二木淑子: 要介護高齢者の転倒恐怖感は身体活動量と健康関連QOLを低下させるのか？ PT-OT-ST Channel Online Journal 2013; 2 (4): A2. 3) Yu R, Leung J, Merley JE, Woo J: Sarcopenia Combined with FRAX Probabilities Improves Fracture Risk Prediction in Older Chinese Men. J AM Med Dir Assoc 2014; 15: 918-923. 4) Atkinns JL, Whincup PH, Morris RW, Lennon LT, Papacosta O, Wannamethee SG: Sarcopenic obsity and risk of cardiovascular disease and mortality. A population-based cohort study of older men. J Am Geriatr Soc 2014; 62: 253-260. 9) Chen LK, Liu LK, Woo J, Assantachai P, Auyeung TW, Bahyah KS, et al.: Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. J Am Med Dir Assoc 2014; 15 (2): 95-101. 15) Schaap LA, Sakita M, Pluijim SM, Deeg DJ, Harris TB, Kritchevsky SB, et al.: Higher inflammatory marker levels in older persons associations with 5-year change in muscle mass and muscle strength. J Gerontol A Biol Sci Med Sci 2009; 64: 1183-1189. 2) Spira D, Buchmann N, Nikolov J, Demuth I, Eckardt R, Norman K, et al.: Association of low lean mass with frailty and physical performance: A comparison between two operational definitions of sarcopenia-date from the Berlin Aging StudyII (BASE-II). J Gerontol A Biol Sci Med Sci 2015; 70: 779-784. 7) サルコペニア診療ガイドライン作成委員会: サルコペニア診療ガイドライン2017年版, ライフサイエンス出版, 東京, 2017. 19) Yamada M, Nishiguchi S, Fukutani N, Tanigawa T, Yakutake T, et al.: Prevalence of sarcopenia in community-dwelling Japanese older adults. J Am Med Dir Assoc 2013; 14 (12): 911-915. 1) Beaudart C, Reginster JY, Petermans J, Glliain S: Quality of life and physical components linked to sarcopenia. The SarcoPhAge syudy Exp Gerontol 2015; 69: 103-110. 6) Matsubara Y, Matsumoto T, Aoyagi Y, Shiniti T, Okadome J, Morisaki K, et al.: Sarcopenia is a prognostic factor for overall survival in patients with critical limb ischemia. J Vasc Surg 2015; 61: 945-950. |
| References_xml | – reference: 15) Schaap LA, Sakita M, Pluijim SM, Deeg DJ, Harris TB, Kritchevsky SB, et al.: Higher inflammatory marker levels in older persons associations with 5-year change in muscle mass and muscle strength. J Gerontol A Biol Sci Med Sci 2009; 64: 1183-1189. – reference: 12) 丸山道生: 癌悪液質の病態と管理. 癌と臨床栄養, 日本医事新報社, 2010, p20-26. – reference: 20) Landi F, Liperoti R, Russo A, Giovannini S, Tosato M, Capoluongo E, et al.: Sarcopenia as a risk factor for falls in elderly individuals: Results from the ilSIRENTE study. Clin Nutr 2012; 31 (5): 652-658. – reference: 13) Lee JSW, Auyeung TW, Kwok T, Lau EMC: Associated factors and health impact of sarcopenia in older Chinese men and women. A cross-sectional study. Gerontology 2008; 53: 404-410. – reference: 9) Chen LK, Liu LK, Woo J, Assantachai P, Auyeung TW, Bahyah KS, et al.: Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. J Am Med Dir Assoc 2014; 15 (2): 95-101. – reference: 19) Yamada M, Nishiguchi S, Fukutani N, Tanigawa T, Yakutake T, et al.: Prevalence of sarcopenia in community-dwelling Japanese older adults. J Am Med Dir Assoc 2013; 14 (12): 911-915. – reference: 7) サルコペニア診療ガイドライン作成委員会: サルコペニア診療ガイドライン2017年版, ライフサイエンス出版, 東京, 2017. – reference: 11) Murphy KT, Lynch GS: Update on emergimg drugs for cancer cachexia. Expert Opin Emerg Drugs 2009; 14: 619-632. – reference: 8) Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al.: Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing 2010; 39 (4): 412-423. – reference: 4) Atkinns JL, Whincup PH, Morris RW, Lennon LT, Papacosta O, Wannamethee SG: Sarcopenic obsity and risk of cardiovascular disease and mortality. A population-based cohort study of older men. J Am Geriatr Soc 2014; 62: 253-260. – reference: 21) 能村友紀, 二木淑子: 要介護高齢者の転倒恐怖感は身体活動量と健康関連QOLを低下させるのか？ PT-OT-ST Channel Online Journal 2013; 2 (4): A2. – reference: 3) Yu R, Leung J, Merley JE, Woo J: Sarcopenia Combined with FRAX Probabilities Improves Fracture Risk Prediction in Older Chinese Men. J AM Med Dir Assoc 2014; 15: 918-923. – reference: 2) Spira D, Buchmann N, Nikolov J, Demuth I, Eckardt R, Norman K, et al.: Association of low lean mass with frailty and physical performance: A comparison between two operational definitions of sarcopenia-date from the Berlin Aging StudyII (BASE-II). J Gerontol A Biol Sci Med Sci 2015; 70: 779-784. – reference: 5) Baek SJ, Nam GE, Han KD, Choi SW: Sarcopenic obesity and their association with dyslipidemia in Korean elderly men. The 2008-2010 Korea National Health and Nutrition Examination Survey. J Endocrinol Invest 2014; 37: 246-260. – reference: 10) 久保, 晃, 啓利英樹: 前腕長と下腿長を用いた高齢者の身長推定. 理学療法科学 2007; 22 (1): 115-118. – reference: 1) Beaudart C, Reginster JY, Petermans J, Glliain S: Quality of life and physical components linked to sarcopenia. The SarcoPhAge syudy Exp Gerontol 2015; 69: 103-110. – reference: 14) Cai D, Frantz JD, Tawa Ne Jr, Melendez PA, Lidov HGW, Hasselgren PO, et al.: IKKβ/NF-kB activation causes severe muscle wasting in mice. Cell 2004; 119: 285-298. – reference: 6) Matsubara Y, Matsumoto T, Aoyagi Y, Shiniti T, Okadome J, Morisaki K, et al.: Sarcopenia is a prognostic factor for overall survival in patients with critical limb ischemia. J Vasc Surg 2015; 61: 945-950. – reference: 17) Cesari M, Penninx BW, Pahor M, Lauretani F, Corsi A, Williams GR, et al.: Inflammatory makers and physical performance in older persons: The In CHIANTI study. J Gerontol A Biol Sci Med Sci 2009; 64: 455-461. – reference: 18) Tina E, Brinkly TE, Leng X, Miller ME, Kitzman DW, Pahor M, et al.: Chronic inflammation is associated with low physical function is older adults across multiple comorbidities. J Gerontol A Biol Sci Med Sci 2009; 64: 455-461. – reference: 16) Schaap LA, Pluijim SM, Deeg DJ: Inflammatory markers and loss of muscle mass (sarcopenia) and strength. Am J Med 2006; 119: 526: 9-17. |
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| Title | 通所リハビリテーション利用者におけるサルコペニアの有病率と危険因子 |
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