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慢性肺気腫患者の栄養状態と呼吸機能,ADLに関する研究


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Title: 慢性肺気腫患者の栄養状態と呼吸機能,ADLに関する研究
Other Titles: Study on relation of nutritional status, respiratory function and activities of daily living (ADL) in patients with chronic pulmonary emphysema
Authors: 浦田, 秀子 / 田代, 隆良 / 中尾, 理恵子 / 松本, 麻里 / 河辺, 千鶴子 / 勝野, 久美子 / 力富, 直人
Authors (alternative): Urata, Hideko / Tashiro, Takayoshi / Nakao, Rieko / Matsumoto, Mari / Kawabe, Thizuko / Katsuno, Kumiko / Rikitomi, Naoto
Issue Date: Jun-2002
Citation: 長崎大学医学部保健学科紀要 = Bulletin of Nagasaki University School of Health Sciences. 2002, 15(1), p.15-22
Abstract: 男性肺気腫患者78名について身体計測,身体組成,生化学的検査などの指標を用いて栄養評価を行い,呼吸機能およびADLとの関連を検討した.%標準体重,除脂肪体重とFEV1.0およびFEV1.0%との間に有意な相関が認められた.血清蛋白ではプレアルブミン,レチノール結合蛋白とFEV1.0およびFEV1.0%の間に有意な相関が認められた.やせ群と非やせ群を比較するとやせ群でVC,%VC,FEV1.0,FEV1.0%は有意に低かった.%標準体重,除脂肪体重はADLとも有意な相関を示し,やせ群でADL得点は有意に低かった.食事調査を行った36名では,同世代男性の摂取量と比較し,糖質は73.4%,蛋白質61.0%,脂質61.4%,総摂取カロリー65.1%とかなり不足していた. 以上より,肺気腫患者の肺機能を高め,ADLとQOLを改善するためには栄養状態の向上が必要であり,患者の食習慣を改善するためのきめ細かい継続的な栄養指導が重要と思われた. / The nutritional status, respiratory function and activities of daily living (ADL) were examined in 78 patients wih chronic pulmonary emphysema by anthropometric measures, body composition and biochemical examinations. %ideal body weight (%IBW), fat free mass (FFM) were significantly correlated with FEV1.0 and FEV1.0%. The value of blood serum proteins, prealbumin (PA), retinal-binding protein (RBP) were significantly correlated with FEV1.0 and FEV1.0%. The value of VC, %VC, FEV1.0 and FEV1.0% were significantly lower in the malnourished patients than in the normonoutrished patients. %IBW, FFM were significantly correlated with the value of ADL. The value of ADL were significantly lower in the malnourished patients than in the normonoutrished patients. In 36 patients, caloric intake was considerably low as compared with that of the same-age man. Carbohydrate were 73.4%, protein 61.0%, lipids 61.4% and total caloric intake 65.1%, respectively. These results suggested that it was necessary to improve the nutritional status for ameliorated respiratory function, ADL and QOL of the patients with chronic pulmonary emphysema.
Keywords: 慢性肺気腫 / 呼吸機能 / %標準体重 / 除脂肪体重 / ADL
URI: http://hdl.handle.net/10069/17968
ISSN: 09160841
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 15, No. 1

Citable URI : http://hdl.handle.net/10069/17968

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