地域在住中高齢者における骨格筋量減少リスクのスクリーニングツールとしての簡易栄養チェックシートの有用性
「I. 緒言」超高齢社会を迎えたわが国では, 加齢に伴う生理的予備能の低下に起因する健康障害の増加が懸念されており, 健康寿命の延伸や介護予防の観点からその対策が課題となっている. サルコペニアは, 加齢による骨格筋量の減少を基盤とする症候群で, 筋萎縮による筋力低下から転倒, 骨折, 身体機能障害を起こす危険性が高くなる. 高齢者における骨格筋量の減少には, 加齢のみならず, 栄養状態の悪化, 活動性の低下, 内分泌因子の変化などの多様な要因が複合的に関与するとされている. そのなかでも栄養不良は, 骨格筋に質的・量的低下をもたらす重要な危険因子である. 低栄養状態で蛋白質やアミノ酸の供給が...
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| Published in | 日本衛生学雑誌 Vol. 77; pp. 22007 - 0 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人日本衛生学会
2022
日本衛生学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5082 1882-6482 |
| DOI | 10.1265/jjh.22007 |
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| Abstract | 「I. 緒言」超高齢社会を迎えたわが国では, 加齢に伴う生理的予備能の低下に起因する健康障害の増加が懸念されており, 健康寿命の延伸や介護予防の観点からその対策が課題となっている. サルコペニアは, 加齢による骨格筋量の減少を基盤とする症候群で, 筋萎縮による筋力低下から転倒, 骨折, 身体機能障害を起こす危険性が高くなる. 高齢者における骨格筋量の減少には, 加齢のみならず, 栄養状態の悪化, 活動性の低下, 内分泌因子の変化などの多様な要因が複合的に関与するとされている. そのなかでも栄養不良は, 骨格筋に質的・量的低下をもたらす重要な危険因子である. 低栄養状態で蛋白質やアミノ酸の供給が不足すると, 筋組織での蛋白合成が抑制される. また, 筋代謝を阻害する酸化ストレスや慢性炎症を抑制する働きを持つ抗酸化ビタミンなどの不足も骨格筋量の維持に悪影響を及ぼす. したがって, サルコペニアの発症を回避するためには栄養状態の維持・改善が不可欠になる. |
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| AbstractList | 「I. 緒言」超高齢社会を迎えたわが国では, 加齢に伴う生理的予備能の低下に起因する健康障害の増加が懸念されており, 健康寿命の延伸や介護予防の観点からその対策が課題となっている. サルコペニアは, 加齢による骨格筋量の減少を基盤とする症候群で, 筋萎縮による筋力低下から転倒, 骨折, 身体機能障害を起こす危険性が高くなる. 高齢者における骨格筋量の減少には, 加齢のみならず, 栄養状態の悪化, 活動性の低下, 内分泌因子の変化などの多様な要因が複合的に関与するとされている. そのなかでも栄養不良は, 骨格筋に質的・量的低下をもたらす重要な危険因子である. 低栄養状態で蛋白質やアミノ酸の供給が不足すると, 筋組織での蛋白合成が抑制される. また, 筋代謝を阻害する酸化ストレスや慢性炎症を抑制する働きを持つ抗酸化ビタミンなどの不足も骨格筋量の維持に悪影響を及ぼす. したがって, サルコペニアの発症を回避するためには栄養状態の維持・改善が不可欠になる. |
| Author | 有田, 幹雄 宮井, 信行 阿部, 香織 竹下, 達也 寺田, 和史 内海, みよ子 |
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(14) 村瀬訓生，勝村俊二，上田千穂子，井上 茂，下光輝一．身体活動量の国際標準化―IPAQ日本語版の信頼性，妥当性の評価―．厚生の指標2002;49:1–9 (11) 大西修平，宮井信行，内海みよ子，牟礼佳苗，竹下達也，志波 充，他．肝疾患の治療歴のない高齢者層の一般住民における肝の繊維化と骨格筋量の減少との関連．日本衛生学雑誌2019;74:1–10 (9) Welch AA, Jennings A, Kelaiditi E, Skinner J, Steves CJ. Cross-sectional associations between dietary antioxidant vitamins C, E and carotenoid intakes and sarcopenic indices in women aged 18–79 years. Tissue Int. 2020;106:331–342. (6) Detsky AS, McLaughlin JR, Baker JP, Johnston N, Whittaker S, Mendelson RA, et al. What is subjective global assessment of nutritional status? JPEN J Parenter Enteral Nutr 1987;11:8–13. (15) Van der Ploeg HP, Chey T, Korda RJ, Banks E, Bauman A. Sitting time and all-cause mortality risk in 22947 Australian adults. Arch Intern Med 2012;172:494–500. (18) Janssen I, Baumgartner RN, Ross R, Rosenberg IH, Roubenoff R. Skeletal muscle cutpoints associated with elevated physical disability risk in older men and women. Am J Epidemiol 2004;159:413–421 (19) Yonei Y, Miwa Y, Hibino S, Hibino S, Takahashi Y, Miyazaki R, et al. Japanese anthropometric reference data-Special emphasis on bioelectrical impedance analysis of muscle mass. Anti-Aging Medicine 2008;5:63–72. (35) Rom O, Kaisari S, Aizenbud D, Reznick AZ. Identification of possible cigarette smoke constituents responsible for muscle catabolism. J Muscle Res Cell Motil 2012;33:199–208. (7) Kaiser MJ, Bauer JM, Ramsch C, Uter W, Guigoz Y, Cederholm T, et al. Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status. J Nutr Health Aging 2009;13:782–788. (2) Yu R, Leung J, Woo J. Sarcopenia combined with FRAX probabilities improves fracture risk prediction in older Chinese men. J Am Med Dir Assoc 2014;15:918–923. (8) Huang RY, Yang KC, Chang HH, Lee LT, Lu CW, Huang KC. The Association between total protein and vegetable protein intake and low muscle mass among the community-dwelling elderly population in northern Taiwan. Nutrients 2016;8:373. (21) 日本糖尿病学会．糖尿病食事療法のための食品交換表第7版 2013．東京；日本糖尿病協会・文光堂 (22) Deutz NE, Bauer JM, Barazzoni R, Biolo G, Boirie Y, Westphal AB. Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group. Clin Nutr 2014;33:929–936. (23) Sahni S, Mangano KM, Hannan MT, Kiel DP, McLean RR. Higher protein intake is associated with higher lean mass and quadriceps muscle strength in adult men and women. J Nutr 2015;145:1569–1575. (1) Beaudart C, Reginster JY, Petermans J, Gillain S, Quabron A, Locquet M, et al. Quality of life and physical components linked to sarcopenia: The SarcoPhAge study. Exp Gerontol 2015;69:103–110. (24) Vliet AV, Burd NA, Loon LJCV. The skeletal muscle anabolic response to plant-versus animal-based protein consumption. J Nutr 2015;145:1981–1991. (36) Degens H, Gayan-Ramirez G, Hees HWV. Smoking-induced skeletal muscle dysfunction from evidence to mechanisms. Am J Respir Crit Care Med 2015;191:620–625. (13) Ryan H, Trosclair A, Gfroerer J. Adult current smoking: differences in definitions and prevalence estimates-NHIS and NSDUH, 2008.J Environ Public Health 2012;918368. (26) Yang A, Lv Q, Chen F, Wang Y, Liu Y, Shi W, et al. The effect of vitamin D on sarcopenia depends on the level of physical activity in older adults. J Cachexia Sarcopenia Muscle 2020;11:678–689. (10) Bulut EA, Soysal P, Aydin AE, Dokuzlar O, Kocyigit SE, Lsik AT. Vitamin B12 deficiency might be related to sarcopenia in older adults. Exp Gerontol 2017;95:136–140. (32) Shafiee G, Keshtkar A, Soltani A, Ahadi Z, Larijani B, Heshmat R. Prevalence of sarcopenia in the world: a systematic review and meta-analysis of general population studies. J Diabetes Metab Disord 2017;16:21. (37) Breen L, Stokes KA, Churchward-Venne TA, Moore DR, Baker SK, Smith K, et al. Two weeks of reduced activity decreases leg lean mass and induces “anabolic resistance” of myofibrillar protein synthesis in healthy elderly. J Clin Endocrinol Metab 2013;98:2604–2612. (38) Smith L, Tully M, Jacob L, Blackburn N, Adlakha D, Caserotti P, et al. The association between sedentary behavior and sarcopenia among adults aged ≥65 years in low- and middle-income countries. Int J Environ Res Public Health 2020;17:1708. |
| References_xml | – reference: (11) 大西修平，宮井信行，内海みよ子，牟礼佳苗，竹下達也，志波 充，他．肝疾患の治療歴のない高齢者層の一般住民における肝の繊維化と骨格筋量の減少との関連．日本衛生学雑誌2019;74:1–10． – reference: (18) Janssen I, Baumgartner RN, Ross R, Rosenberg IH, Roubenoff R. Skeletal muscle cutpoints associated with elevated physical disability risk in older men and women. Am J Epidemiol 2004;159:413–421 – reference: (25) Floyd RA, Hensley K. Oxidative stress in brain aging. Implications for therapeutics of neurodegenerative diseases. Neurobiol Aging 2002;23:795–807. – reference: (6) Detsky AS, McLaughlin JR, Baker JP, Johnston N, Whittaker S, Mendelson RA, et al. What is subjective global assessment of nutritional status? JPEN J Parenter Enteral Nutr 1987;11:8–13. – reference: (30) Yokoyama Y, Nishi M, Murayama H, Amano H, Taniguchi Y, Nofuji Y, et al. Dietary variety and decline in lean mass and physical performance in community-dwelling older Japanese: A 4-year follow-up study. J Nutr Health Aging 2017;21:11–16. – reference: (34) Chen LK, Woo J, Assantachai P, Auyeung TW, Chou MY, Iijima K, et al. Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. J Am Med Dir Assoc 2020;21:300–307. – reference: (35) Rom O, Kaisari S, Aizenbud D, Reznick AZ. Identification of possible cigarette smoke constituents responsible for muscle catabolism. J Muscle Res Cell Motil 2012;33:199–208. – reference: (19) Yonei Y, Miwa Y, Hibino S, Hibino S, Takahashi Y, Miyazaki R, et al. Japanese anthropometric reference data-Special emphasis on bioelectrical impedance analysis of muscle mass. Anti-Aging Medicine 2008;5:63–72. – reference: (20) 厚生労働省 食事バランスガイドについて．https://www.mhlw.go.jp/bunya/kenkou/eiyou-syokuji.html（2022.7.30） – reference: (9) Welch AA, Jennings A, Kelaiditi E, Skinner J, Steves CJ. Cross-sectional associations between dietary antioxidant vitamins C, E and carotenoid intakes and sarcopenic indices in women aged 18–79 years. Tissue Int. 2020;106:331–342. – reference: (16) Tanaka N, Miyatani M, Masuo Y, Fukunaga T, Kanehisa H. Applicability of a segmental bioelectrical impedance analysis for predicting the whole body skeletal muscle volume. J Appl Physiol 2007;103:1688–1695. – reference: (14) 村瀬訓生，勝村俊二，上田千穂子，井上 茂，下光輝一．身体活動量の国際標準化―IPAQ日本語版の信頼性，妥当性の評価―．厚生の指標2002;49:1–9． – reference: (37) Breen L, Stokes KA, Churchward-Venne TA, Moore DR, Baker SK, Smith K, et al. Two weeks of reduced activity decreases leg lean mass and induces “anabolic resistance” of myofibrillar protein synthesis in healthy elderly. J Clin Endocrinol Metab 2013;98:2604–2612. – reference: (29) Yokoyama Y, Nishi M, Murayama H, Amano H, Taniguchi Y, Nofuji Y, et al. Association of dietary variety with body composition and physical function in community-dwelling elderly Japanese. J Nutr Health Aging 2016;20:691–696. – reference: (17) Miyatani M, Kanehisa H, Masuo Y, Ito M, Fukunaga T. Validity of estimating limb muscle volume by bioelectrical impedance. J Appl Physiol 2001;91:386–394. – reference: (21) 日本糖尿病学会．糖尿病食事療法のための食品交換表第7版 2013．東京；日本糖尿病協会・文光堂． – reference: (32) Shafiee G, Keshtkar A, Soltani A, Ahadi Z, Larijani B, Heshmat R. Prevalence of sarcopenia in the world: a systematic review and meta-analysis of general population studies. J Diabetes Metab Disord 2017;16:21. – reference: (26) Yang A, Lv Q, Chen F, Wang Y, Liu Y, Shi W, et al. The effect of vitamin D on sarcopenia depends on the level of physical activity in older adults. J Cachexia Sarcopenia Muscle 2020;11:678–689. – reference: (31) Lardiés-Sánchez B, Sanz-Paris A, Boj-Carceller D, Cruz-Jentoft AJ. Systematic review: Prevalence of sarcopenia in ageing people using bioelectrical impedance analysis to assess muscle mass. Eur Ceriatr Med 2016;7:256–261. – reference: (8) Huang RY, Yang KC, Chang HH, Lee LT, Lu CW, Huang KC. The Association between total protein and vegetable protein intake and low muscle mass among the community-dwelling elderly population in northern Taiwan. Nutrients 2016;8:373. – reference: (10) Bulut EA, Soysal P, Aydin AE, Dokuzlar O, Kocyigit SE, Lsik AT. Vitamin B12 deficiency might be related to sarcopenia in older adults. Exp Gerontol 2017;95:136–140. – reference: (1) Beaudart C, Reginster JY, Petermans J, Gillain S, Quabron A, Locquet M, et al. Quality of life and physical components linked to sarcopenia: The SarcoPhAge study. Exp Gerontol 2015;69:103–110. – reference: (28) Jang BY, Bu YS. Total energy intake according to the level of skeletal muscle mass in Korean adults aged 30 years and older: an analysis of the Korean National Health and Nutrition Examination Surveys (KNHANES) 2008–2011. Nutr Res Pract 2018;12:222–232. – reference: (23) Sahni S, Mangano KM, Hannan MT, Kiel DP, McLean RR. Higher protein intake is associated with higher lean mass and quadriceps muscle strength in adult men and women. J Nutr 2015;145:1569–1575. – reference: (4) Ganapathy A, Nieves JW. Nutrition and Sarcopenia-What Do we know? Nutrients 2020;12:1755. – reference: (13) Ryan H, Trosclair A, Gfroerer J. Adult current smoking: differences in definitions and prevalence estimates-NHIS and NSDUH, 2008.J Environ Public Health 2012;918368. – reference: (22) Deutz NE, Bauer JM, Barazzoni R, Biolo G, Boirie Y, Westphal AB. Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group. Clin Nutr 2014;33:929–936. – reference: (5) Posner BM, Jette AM, Smith KW, Miller DR. Nutrition and health risks in the elderly: the nutrition screening initiative. Am J Public Health 1993;83:972–978. – reference: (7) Kaiser MJ, Bauer JM, Ramsch C, Uter W, Guigoz Y, Cederholm T, et al. Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status. J Nutr Health Aging 2009;13:782–788. – reference: (36) Degens H, Gayan-Ramirez G, Hees HWV. Smoking-induced skeletal muscle dysfunction from evidence to mechanisms. Am J Respir Crit Care Med 2015;191:620–625. – reference: (38) Smith L, Tully M, Jacob L, Blackburn N, Adlakha D, Caserotti P, et al. The association between sedentary behavior and sarcopenia among adults aged ≥65 years in low- and middle-income countries. Int J Environ Res Public Health 2020;17:1708. – reference: (12) 日本呼吸器学会COPDガイドライン第6版作成委員会．COPD（慢性閉塞性肺疾患）診断と治療のためのガイドライン2022．東京：メディカルレビュー社，2022． – reference: (27) Cameron JD, Sigal RJ, Kenny GP, Alberga AS, Prud’homme D, Phillips P, et al. Body composition and energy intake-skeletal muscle mass is the strongest predictor of food intake in obese adolescents: the HEARTY trial. 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| Snippet | 「I. 緒言」超高齢社会を迎えたわが国では, 加齢に伴う生理的予備能の低下に起因する健康障害の増加が懸念されており, 健康寿命の延伸や介護予防の観点からその対策が課... |
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| SubjectTerms | 一般集団 中高齢者 簡易栄養チェックシート 食物摂取量 骨格筋量 |
| Title | 地域在住中高齢者における骨格筋量減少リスクのスクリーニングツールとしての簡易栄養チェックシートの有用性 |
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