Transcription of フレイルティ＆サルコペニアと ... - f.kpu-m.ac.jp
1 535 2 4 9 2 1 6 02 0857 121 1 0 5 35 5 47 2 012 SPD Frailty,Sarcopenia,andLong-termCarePreve ntionYosukeYamada ,EmiYamagata andMisakaKimura GraduateSchoolofNursingandHealthCareScie nce,MasterofNursingforHealthCareScience, KyotoPrefecturalUniversityofMedicineLabo ntoryofAppliedHealthSceince,Departmentof Nursing,KyotoprefecturalofMedicine ReseachFellow,JapanSocitetyforthePromoti onofScience GraduateSchoolofNursingandHealthCareScie nce,MasterofNursingforHealthCareScience, KyotoPrefecturalUniversityofMedicineDepa rtmentofNursing,GerontologicalNursing,Ky otoprefecturalUniversityofMedicine 80 frailty frailty sarcopenia frailty sarcopenia Frailty Sarcopenia AbstractAselderlypeoplegetolder,theirmen talandphysicalfunctionsgraduallydecline, thelevelsofactivityandindependenceindail ylivingdecrease,andnursingcarebecomesnec essary.
2 Debilitation isafrequentcauseoflong-termcareneedintho seagedover80years, ,thisis 1 frailty frailty disability geriatricsyndrome disability 1980 1978 FederalCouncilonAging 75 adversehealthoutcomes vulnerability subclinical frailty comorbidity frailty disability 1 frailty disability disability 75 90
3 Frailty disability Fried FrailtyWorkingGroup frailty disability Fried frailty nofrailty frailty disability 2 physicalfrailty psychologicalproblems socialproblems frailty physicalfrailty Freid theCardiovascularHealthStudy CHS 1 2 3 4 5 5 3 frailty 1 CHSindex 65 7 80 30 frailty CHSindex Ensrud theStudyofOsteoporoticFracture SOF 1 2 3 3 2 536 consideredtobeastatebasedon frailty , :Frailty,Sarcopenia,Long-termcareprevent ion. 537 1 2 A B @@@@@@@@ @@ @@ @@@ @@ @@ @ 1 CHSindex * frailty 2 SOFindex 3 CHSindex SOFindex 1 sarcopenia sarcopenia RosenbergIH sarco flesh penia loss 20 70 25 30 30 40 50 1 2 typeIIa dynapenia sarcopenia 2010 4 13 AgeandAging EuropeanUnionGeriatricMedicineSociety
4 EWGSOP 538 2 SOFindex 3 @@ activitiesofdailylife,ADL EWGSOP sarcopenia 4 presarcopenia sarcopenia 3 severesarcopenia 5 2 1 1960 Allen EWGSOP magneticresonanceimaging:MRI computedtomography:CT 2 X energyX-rayabsorptiometry:DXA bioimpedanceanalysis:BIA BIA 539 4 EWGSOP* 5 EWGSOP* @@@@ 12 BIA 2 3 MRI CT DXA CT MRI ECW ECW
5 S-BIS MRI CT 4 2 DXA kg m skeletalmuscleindex SMI kg/m2 Baumgartner 2 SMI SMI 40 266 263 DXA SMI Baumgartner SMI BIA SMI Janssen BIA sarcopenia 540 2 Yamadaetal. 22 sarcopenia 31cm ) 541 3 23 20 BI 4 Yamadaetal 28 mean SD ** P P SMI BMI BMI 3 400 300 650 50 ADL EWGSOP
6 30kg 20kg 4 EWGSOP frailty EWGSOP TimedUP&GOTest 3m 11 5 EWGSOP 5 1 542 6 Fried frailtycycle.
7 543 5 17-18 6 XueQL, 63 984-90 2 1 E D 3 30 40 2 frailty disability 7 sarcopenia frailty disability
8 544 7 sarcopenia 6 frailtycycle 1 Sarcopenia&Frailty 2009;46 2011;119 2011;119 FriedLP,FerrucciL,DarerJ,WilliamsonJD, ,frailty, ;59 FerrucciL,GuralnikJM,StudenskiS,FriedLP, CutlerGBJr, ,controlledtrialsaimedatpreventingordela yingfunctionaldecline and disability in frail, ;52 Bandeen-RocheK,XueQL,FerrucciL,WalstonJ, GuralnikJM,ChavesP,ZegerSL, :characterizationinthewomen' ;61 FriedLP,TangenCM,WalstonJ,NewmanAB,Hirsc hC,GottdienerJ,SeemanT,TracyR,KopWJ,Burk eG, ;56 EnsrudKE,EwingSK,TaylorBC,FinkHA,Cawthon PM,StoneKL,HillierTA,CauleyJA,HochbergMC ,RodondiN,TracyJK, ,disability,fractures, ;168 Rosenberg :originsand ;127 :causes,consequences, ;58 Iannuzzi-SucichM,PrestwoodKM, , ;57 RoubenoffR,RallLC,VeldhuisJD,KehayiasJJ, RosenC,NicolsonM,LundgrenN, ;83 FaulknerJA,LarkinLM,ClaflinDR, ;34 LexellJ,TaylorCC,Sj str ageing atrophy?
9 Totalnumber,size ;84 GoodpasterBH,ParkSW,HarrisTB,Kritchevsky SB,NevittM,SchwartzAV,SimonsickEM,Tylavs kyFA,VisserM, ,mass,andqualityinolderadults:thehealth, ;61 ClarkBC, ;63 Cruz-JentoftAJ,BaeyensJP,BauerJM,BoirieY ,CederholmT,LandiF,MartinFC,MichelJP,Rol landY,SchneiderSM,Topinkov E,VandewoudeM, : ;39 CooperC,DereW,EvansW,KanisJA,RizzoliR,Sa yerAA,SieberCC,KaufmanJM,AbellanvanKanG, BoonenS,AdachiJ,MitlakB,TsouderosY,Rolla ndY, :definitionsand 545 ;23 AllenTH,AndersonEC,LanghamWH. ;15 MiyataniM,KanehisaH,Azuma K,KunoS, Across-sectionalsurveyonthemusclethickne ssinJapanesemenaged20to79years. IntJSportHealthSci2003;1 TanakaNI,MiyataniM,MasuoY,FukunagaT, ;103 YamadaY,MasuoY,YokoyamaK,HashiiY,AndoS,O kayamaY,MorimotoT,KimuraM, in obese and lean elderly ;107 15 97 1006 2007;56 ;54 VolpatoS,RomagnoniF,SoattinL,Bl A,LeociV,BolliniC,FellinR, ,bodycellmass, ;52 LauretaniF,RussoCR,BandinelliS,BartaliB, CavazziniC,DiIorioA,CorsiAM,RantanenT,Gu ralnikJM, ;95 DelmonicoMJ,HarrisTB,VisserM,ParkSW,Conr oyMB,Velasquez-MieyerP,BoudreauR,ManiniT M,NevittM,NewmanAB, ,Aging,and ofmusclestrength,quality, ;90 YamadaY,SchoellerDA,NakamuraE,MorimotoT, KimuraM, ;65 BaumgartnerRN,KoehlerKM,GallagherD,Romer oL,HeymsfieldSB,RossRR,GarryPJ, ;147 2010;59 Chien MY,HuangTY,Wu ;56 ;54 Rolland Y, Lauwers-Cances V, Cournot M,Nourhash miF,ReynishW,Rivi reD,VellasB, ,calfcircumference.
10 51 NishiwakiT,NakamuraK,UenoK,FujinoK,Yamam oto M. Health characteristics ;205 2000;49 SasakiH,KasagiF,YamadaM, ;120 AhmadR, ;60 Sipil S,KoskinenSO,TaaffeDR,TakalaTE,ChengS,Ra ntanenT,ToivanenJ, ;52 546 1990;38 JapaneseJournalofSportsSciences1992;10 XueQL,Bandeen-RocheK,VaradhanR,ZhouJ, ' ;63 BartaliB,FrongilloEA,BandinelliS,Laureta niF,SembaRD,FriedLP, ;61 SembaRD,BartaliB,ZhouJ,BlaumC,KoCW, ;61 HoustonDK,NicklasBJ,DingJ,HarrisTB,Tylav skyFA,NewmanAB,LeeJS,SahyounNR,VisserM, ,community-dwellingadults:theHealth,Agin g,andBodyComposition HealthABC ;87 FiataroneMA,O'NeillEF,RyanND,ClementsKM, SolaresGR,NelsonME,RobertsSB,KehayiasJJ, LipsitzLA, ;330 BonnefoyM,CornuC,NormandS,BoutitieF,Bugn ardF,RahmaniA,LacourJR, ;89 NPO 2005;6:43-51. 547 YosukeYamada SPD 1999 2003 2003 2008 2008 2009 PD 2008 2008 UniversityofWisconsin-Madison,VisitingFe llow2009 2011 2011 2010 65 Awardfor65thAnniversaryCelebrationArticl einJournalofGerontology 2010 Facultyof2010 TheObesitySociety,Doublylabeledwaterwork shop,SanDiego,CA,USA 2010 2012
