Preliminary study for improving nutritional status and anti-inflammatory effect of low-fat soymilk intake in elderly people
In this study, "low-fat soy milk (Fuji Oil Co., Ltd.)" was added to meals (miso soup) for two months for elderly people over 70 years old. We investigated the nutritional status improvement and anti-inflammatory effect of low-fat soy milk intake. This study was conducted from September to...
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| Published in | Journal of the Japan Dietetic Association Vol. 64; no. 3; pp. 149 - 158 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japan Dietetic Association
2021
公益社団法人 日本栄養士会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0013-6492 2185-6877 |
| DOI | 10.11379/jjda.64.149 |
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| Abstract | In this study, "low-fat soy milk (Fuji Oil Co., Ltd.)" was added to meals (miso soup) for two months for elderly people over 70 years old. We investigated the nutritional status improvement and anti-inflammatory effect of low-fat soy milk intake. This study was conducted from September to December 2014 with 17 elderly people living in carehouses as subjects. During the test meal intake period, 85 ml of low-fat soymilk (Fuji Oil Co., Ltd.) was added to miso soup for breakfast. The test items were body measurement, simple nutritional status assessment (MNA®-SF), food intake survey, and blood biochemistry test. Conducted with the approval of the Kyushu Women's University Ethics Review Committee. MNA®-SF showed significantly higher levels compared to the post-observation period than during the 8 week intake period, indicating maintaining nutritional status. Protein intake increased significantly during the intake period of 4 weeks and intake period of 8 weeks. The estimated glomerular filtration rate was not significantly different in the intake period 4 weeks and 8 weeks compared to the previous observation period. TNF-α was significantly lower in the intake period 8 weeks than in the previous and subsequent observation periods. Ingestion of low-fat soy milk enabled protein administration to elderly people over 70 years of age without burdening the kidney, and was thought to contribute to the maintaining nutritional status and the anti-inflammatory effect due to TNF-α lowering action. |
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| AbstractList | In this study, “low-fat soy milk (Fuji Oil Co., Ltd.) ” was added to meals (miso soup) for two months for elderly people over 70 years old. We investigated the nutritional status improvement and anti-inflammatory effect of low-fat soy milk intake. This study was conducted from September to December 2014 with 17 elderly people living in carehouses as subjects. During the test meal intake period, 85 ml of low-fat soymilk (Fuji Oil Co., Ltd.) was added to miso soup for breakfast. The test items were body measurement, simple nutritional status assessment (MNA ®-SF), food intake survey, and blood biochemistry test. Conducted with the approval of the Kyushu Women's University Ethics Review Committee. MNA ®-SF showed significantly higher levels compared to the post-observation period than during the 8 week intake period, indicating maintaining nutritional status. Protein intake increased significantly during the intake period of 4 weeks and intake period of 8 weeks. The estimated glomerular filtration rate was not significantly different in the intake period 4 weeks and 8 weeks compared to the previous observation period. TNF-α was significantly lower in the intake period 8 weeks than in the previous and subsequent observation periods. Ingestion of low-fat soy milk enabled protein administration to elderly people over 70 years of age without burdening the kidney, and was thought to contribute to the maintaining nutritional status and the anti-inflammatory effect due to TNF-α lowering action.
70歳以上の高齢者を対象とし、「低脂肪豆乳（不二製油株式会社）」を食事（みそ汁）に2カ月間添加し、低脂肪豆乳摂取による栄養状態改善および抗炎症作用を検討した。被験者は軽費老人ホームに入所中の高齢者17人とした。2014年9～12月に実施し、試験食摂取期間は低脂肪豆乳（不二製油株式会社）85 mLを朝食のみそ汁に添加した。評価項目は身体計測、簡易栄養状態評価表（MNA®- SF）、喫食量調査、血液検査であり、九州女子大学倫理審査委員会の承認を得て実施した。MNA®-SFの合計は摂取期8週が後観察期との差分において有意に高値を示し、栄養状態は維持していた。摂取期4週、摂取期8週にたんぱく質の摂取量が有意に増加し、カリウムは目標量、マグネシウムは推奨量に近似した。推定糸球体濾過量は前観察期と比較して摂取期4週、摂取期8週に有意な差は見られなかった。TNF-αは摂取期8週で前観察期、後観察期より有意に低下した。低脂肪豆乳の摂取は70歳以上の高齢者へのたんぱく質投与を腎機能に負担を掛けずに可能とし、栄養状態の維持やTNF-α低下作用による抗炎症作用に寄与すると考えられた。 In this study, "low-fat soy milk (Fuji Oil Co., Ltd.)" was added to meals (miso soup) for two months for elderly people over 70 years old. We investigated the nutritional status improvement and anti-inflammatory effect of low-fat soy milk intake. This study was conducted from September to December 2014 with 17 elderly people living in carehouses as subjects. During the test meal intake period, 85 ml of low-fat soymilk (Fuji Oil Co., Ltd.) was added to miso soup for breakfast. The test items were body measurement, simple nutritional status assessment (MNA®-SF), food intake survey, and blood biochemistry test. Conducted with the approval of the Kyushu Women's University Ethics Review Committee. MNA®-SF showed significantly higher levels compared to the post-observation period than during the 8 week intake period, indicating maintaining nutritional status. Protein intake increased significantly during the intake period of 4 weeks and intake period of 8 weeks. The estimated glomerular filtration rate was not significantly different in the intake period 4 weeks and 8 weeks compared to the previous observation period. TNF-α was significantly lower in the intake period 8 weeks than in the previous and subsequent observation periods. Ingestion of low-fat soy milk enabled protein administration to elderly people over 70 years of age without burdening the kidney, and was thought to contribute to the maintaining nutritional status and the anti-inflammatory effect due to TNF-α lowering action. |
| Author | Yamamoto, Ai Shintomi, Tamaki Kohno, Mitutaka Tomoe, Miki |
| Author_FL | 河野 光登 巴 美樹 新冨 瑞生 山本 亜衣 |
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| Author_xml | – sequence: 1 fullname: Kohno, Mitutaka organization: FUJI OIL HOLDINGS INC – sequence: 1 fullname: Yamamoto, Ai organization: Department of Nutrition, Faculty of Home Economics, Kyushu Women’s University – sequence: 1 fullname: Shintomi, Tamaki organization: Department of Nutrition, Faculty of Home Economics, Kyushu Women’s University – sequence: 1 fullname: Tomoe, Miki organization: Department of Nutrition, Faculty of Home Economics, Kyushu Women’s University |
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| DocumentTitle_FL | 軽費老人ホーム入所高齢者の低脂肪豆乳摂取による栄養状態改善および抗炎症作用検討のための予備試験 |
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| References | 16） 文部科学省科学技術・学術審議会資源調査分科会： 日本食品標準成分表 2015年版（七訂）, （2015 15） Kovacs-Nolan J, Zhang H, Ibuki M, et al.： The PepT1-transportable soy tripeptide VPY reduces intestinal inflammation, Biochim Biophys Acta, 1820, 1753-1763（2012 4） 厚生労働省： 平成29年国民健康・栄養調査結果の概要, https://www.mhlw.go.jp/content/10904750/000351576.pdf（2019年9月30日 24） 巴美樹, 井上由紀, 三瓶彰子, 他： 新規濃厚流動食「PEM-01（ペムベスト®）」による高齢PEM（protein energy malnutrition）患者の栄養改善効果, 栄養-評価と治療-, 21, 607-614（2004 2） 厚生労働省： 平成 29 年度医療給付実態調査報告, https://www.e-stat.go.jp/stat-search/files?page=1&layout=datalist&toukei=00450389&tstat=000001044924&cycle=0&tclass1=000001044945&tclass2=000001132104（2019年9月30日 22） 厚生労働省： 「日本人の食事摂取基準（2015年版）策定検討会」報告書, p.282（2014）第一出版, 東京 6） 真鍋一郎： 慢性炎症と加齢関連疾患, 日本老年医学会雑誌, 54, 105-113（2017 20） 濱嵜朋子, 酒井理恵, 出分菜々衣, 他： 通所利用在宅高齢者の栄養状態と口腔内因子の関連, 栄養学雑誌, 72, 156-165（2014 28） Young D, Ibuki M, Nakamori T, et al.： Soy-derived di- and tripeptides alleviate colon and ileum inflammation in pigs with dextran sodium sulfate-induced colitis, J. Nutr. 142, 363-368（2012 29） Huang Y, Cao S, Nagamani M, et al.： Decreased circulating levels of tumor necrosis factor-alpha in postmenopausal women during consumption of soy-containing isoflavones, The Journal of Clinical Endocrinology & Metabolism, 90, 3956-3962（2005 9） James WA： Beneficial effects of soy protein consumption for renal function, Asia Pac J Clin Nutr, 17, 324-328（2008 12） Anderson JW, Johnstone BM, Cook-Newell ME.： Meta-analysis of the effects of soy protein intake on serum lipids, N Engl J Med, 333, 276-282（1995 7） 葛谷雅文： 栄養, 日本老年医学会雑誌, 50, 46-48（2013 26） Teixeira SR, Tappenden KA, Erdman JW Jr： Altering dietary protein type and quantity reduces urinary albumin excretion without affecting plasma glucose concentrations in BKS.cg-m+Lepr db/+Lepr db（db/db） mice, J Nutr , 133, 673-678（2003 8） Pedersen AN, Kondrup J, Borsheim E.： Health effects of protein intakein healthy adults： a systematic literature review, Food Nutr Res, 57,1-29（2013 17） Nestle Nutrition Institute： MNA®Mini Nutritional Assessment, https://www.mna-elderly.com/mna_forms.html（2019年9月30日 27） 峯芳徳, Yu R： 大豆由来トリペプチドFLVの肥満性脂肪組織への抗炎症作用（第18回研究報告会記録）, 大豆たん白質研究, 18, 74-81（2016 25） Tovar AR, Murguía F, Cruz C, et al.： A soy protein diet alters hepatic lipid metabolism gene expression and reduces serum lipids and renal fibrogenic cytokines in rats with chronic nephrotic syndrome. J Nutr, 132, 2562-2569（2002 10） Ogborn MR, Nitschmann E, Bankovic-Calic N, et al.： Dietary soy protein benefit in experimental kidney disease is preserved after isoflavone depletion of diet, Exp Biol Med （Maywood）, 235, 1315-1320（2010 1） 内閣府： 平成29年版高齢社会白書（全体版）（PDF版）, https://www8.cao.go.jp/kourei/whitepaper/w-2017/zenbun/29pdf_index.html（2019年9月30日 23） Walrand S, Short KR., Bigelow ML., et al.： Functional impact of high protein intake on healthy elderly people, Am J physiol Endocrinol Metab, 295, 921-928（2008 14） Hashimoto R, Sakai A, Murayama M, et al.： Effects of dietary soy protein on skeletal muscle volume and strength in humans with various physical activities. J Med Invest. 62, 177-183（2015 19） Guigoz Y, Vellas B, Garry PJ.： Assessing the nutritional status of the elderly：The Mini Nutritional Assessment as part of the geriatric evaluation, Nutr Rev, 54, 59-65（1996 3） 社会保障審議会 介護保険部会： 都市部の高齢化対策に関する検討会報告書, https://www.mhlw.go.jp/file/05-Shingikai-12601000-Seisakutoukatsukan-Sanjikanshitsu_Shakaihoshoutantou/0000024976.pdf （2019年9月30日 5） 厚生労働省： 平成29年（2017）人口動態統計（確定数）の概況, https://www.mhlw.go.jp/toukei/saikin/hw/jinkou/kakutei17/index.html（2019年9月30日 13） Zhan S, Ho SC.： Meta-analysis of the effects of soy protein containing isoflavones on the lipid profile, Am J Clin Nutr, 81, 397-408（2005 18） 巴美樹, 岩切尚美, 酒井理恵, 他： 後期高齢入所者における高齢者用栄養素補充飲料による栄養状態の改善効果, 栄養学雑誌, 63, 89-95（2005 21） 森崎直子, 三浦宏子, 原修一： 在宅要介護高齢者の栄養状態と口腔機能の関連性, 日本老年医学会雑誌, 52, 233-242（2015 11） 菅野道廣, 高松清治： 大豆の生理活性成分とその効用, 日本醸造協会誌,99, 148-155（2004 |
| References_xml | – reference: 22） 厚生労働省： 「日本人の食事摂取基準（2015年版）策定検討会」報告書, p.282（2014）第一出版, 東京 – reference: 12） Anderson JW, Johnstone BM, Cook-Newell ME.： Meta-analysis of the effects of soy protein intake on serum lipids, N Engl J Med, 333, 276-282（1995） – reference: 11） 菅野道廣, 高松清治： 大豆の生理活性成分とその効用, 日本醸造協会誌,99, 148-155（2004） – reference: 23） Walrand S, Short KR., Bigelow ML., et al.： Functional impact of high protein intake on healthy elderly people, Am J physiol Endocrinol Metab, 295, 921-928（2008） – reference: 7） 葛谷雅文： 栄養, 日本老年医学会雑誌, 50, 46-48（2013） – reference: 27） 峯芳徳, Yu R： 大豆由来トリペプチドFLVの肥満性脂肪組織への抗炎症作用（第18回研究報告会記録）, 大豆たん白質研究, 18, 74-81（2016） – reference: 2） 厚生労働省： 平成 29 年度医療給付実態調査報告, https://www.e-stat.go.jp/stat-search/files?page=1&layout=datalist&toukei=00450389&tstat=000001044924&cycle=0&tclass1=000001044945&tclass2=000001132104（2019年9月30日） – reference: 10） Ogborn MR, Nitschmann E, Bankovic-Calic N, et al.： Dietary soy protein benefit in experimental kidney disease is preserved after isoflavone depletion of diet, Exp Biol Med （Maywood）, 235, 1315-1320（2010） – reference: 20） 濱嵜朋子, 酒井理恵, 出分菜々衣, 他： 通所利用在宅高齢者の栄養状態と口腔内因子の関連, 栄養学雑誌, 72, 156-165（2014） – reference: 19） Guigoz Y, Vellas B, Garry PJ.： Assessing the nutritional status of the elderly：The Mini Nutritional Assessment as part of the geriatric evaluation, Nutr Rev, 54, 59-65（1996） – reference: 24） 巴美樹, 井上由紀, 三瓶彰子, 他： 新規濃厚流動食「PEM-01（ペムベスト®）」による高齢PEM（protein energy malnutrition）患者の栄養改善効果, 栄養-評価と治療-, 21, 607-614（2004） – reference: 3） 社会保障審議会 介護保険部会： 都市部の高齢化対策に関する検討会報告書, https://www.mhlw.go.jp/file/05-Shingikai-12601000-Seisakutoukatsukan-Sanjikanshitsu_Shakaihoshoutantou/0000024976.pdf （2019年9月30日） – reference: 4） 厚生労働省： 平成29年国民健康・栄養調査結果の概要, https://www.mhlw.go.jp/content/10904750/000351576.pdf（2019年9月30日） – reference: 28） Young D, Ibuki M, Nakamori T, et al.： Soy-derived di- and tripeptides alleviate colon and ileum inflammation in pigs with dextran sodium sulfate-induced colitis, J. Nutr. 142, 363-368（2012） – reference: 16） 文部科学省科学技術・学術審議会資源調査分科会： 日本食品標準成分表 2015年版（七訂）, （2015） – reference: 9） James WA： Beneficial effects of soy protein consumption for renal function, Asia Pac J Clin Nutr, 17, 324-328（2008） – reference: 26） Teixeira SR, Tappenden KA, Erdman JW Jr： Altering dietary protein type and quantity reduces urinary albumin excretion without affecting plasma glucose concentrations in BKS.cg-m+Lepr db/+Lepr db（db/db） mice, J Nutr , 133, 673-678（2003） – reference: 29） Huang Y, Cao S, Nagamani M, et al.： Decreased circulating levels of tumor necrosis factor-alpha in postmenopausal women during consumption of soy-containing isoflavones, The Journal of Clinical Endocrinology & Metabolism, 90, 3956-3962（2005） – reference: 8） Pedersen AN, Kondrup J, Borsheim E.： Health effects of protein intakein healthy adults： a systematic literature review, Food Nutr Res, 57,1-29（2013） – reference: 18） 巴美樹, 岩切尚美, 酒井理恵, 他： 後期高齢入所者における高齢者用栄養素補充飲料による栄養状態の改善効果, 栄養学雑誌, 63, 89-95（2005） – reference: 6） 真鍋一郎： 慢性炎症と加齢関連疾患, 日本老年医学会雑誌, 54, 105-113（2017） – reference: 17） Nestle Nutrition Institute： MNA®Mini Nutritional Assessment, https://www.mna-elderly.com/mna_forms.html（2019年9月30日） – reference: 1） 内閣府： 平成29年版高齢社会白書（全体版）（PDF版）, https://www8.cao.go.jp/kourei/whitepaper/w-2017/zenbun/29pdf_index.html（2019年9月30日） – reference: 25） Tovar AR, Murguía F, Cruz C, et al.： A soy protein diet alters hepatic lipid metabolism gene expression and reduces serum lipids and renal fibrogenic cytokines in rats with chronic nephrotic syndrome. J Nutr, 132, 2562-2569（2002） – reference: 5） 厚生労働省： 平成29年（2017）人口動態統計（確定数）の概況, https://www.mhlw.go.jp/toukei/saikin/hw/jinkou/kakutei17/index.html（2019年9月30日） – reference: 21） 森崎直子, 三浦宏子, 原修一： 在宅要介護高齢者の栄養状態と口腔機能の関連性, 日本老年医学会雑誌, 52, 233-242（2015） – reference: 15） Kovacs-Nolan J, Zhang H, Ibuki M, et al.： The PepT1-transportable soy tripeptide VPY reduces intestinal inflammation, Biochim Biophys Acta, 1820, 1753-1763（2012） – reference: 13） Zhan S, Ho SC.： Meta-analysis of the effects of soy protein containing isoflavones on the lipid profile, Am J Clin Nutr, 81, 397-408（2005） – reference: 14） Hashimoto R, Sakai A, Murayama M, et al.： Effects of dietary soy protein on skeletal muscle volume and strength in humans with various physical activities. J Med Invest. 62, 177-183（2015） |
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| SubjectTerms | low-fat soymilk nutritional status renal function TNF-α 低脂肪豆乳 栄養状態 腎機能 |
| Title | Preliminary study for improving nutritional status and anti-inflammatory effect of low-fat soymilk intake in elderly people |
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