研究者詳細 - 牧迫　飛雄馬

論文 - 牧迫　飛雄馬

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牧迫飛雄馬, 白土大成, 椎葉竜平, 谷口善昭, 窪薗琢郎, 大石充 . 地域在住高齢者における運動器疾患、転倒歴および多剤併用とサルコペニアとの関連 . 日本予防理学療法学会雑誌1 19 - 24 2022年3月

記述言語：日本語出版者・発行元：(一社)日本予防理学療法学会

【目的】地域在住高齢者における運動器疾患,転倒歴および多剤併用とサルコペニアとの関連性を調べることを目的とした。【方法】地域コホート研究に参加した高齢者905名を対象とし,運動器疾患の有無,1日の服薬数,過去1年間での転倒歴を聴取した。サルコペニアはAWGS2019の基準で判定した。【結果】全対象者のうちの166名(18.3%)がサルコペニアに該当した。骨粗鬆症を有する者ではサルコペニアの該当者が有意に多かったが,脊椎疾患および変形性関節症とサルコペニアとの関連は認められなかった。ロジスティック回帰分析の結果,運動器疾患とサルコペニアの関連は確認されず,多剤併用(6剤以上)(オッズ比1.56)および転倒歴(オッズ比1.65)がサルコペニアと有意に関連していた。【結論】骨粗鬆症を有する高齢者ではサルコペニアに該当する者の割合が高かったものの,多変量解析においてはサルコペニアと運動器疾患との関連性は認められず,多剤併用および転倒歴がサルコペニアと関連する要因として抽出された。(著者抄録)

谷口善昭, 中井雄貴, 富岡一俊, 窪園琢郎, 竹中俊宏, 大石充, 牧迫飛雄馬 . 地域在住高齢者における骨量低下と階段使用頻度との関連性 . 地域理学療法学1 18 - 23 2022年3月

記述言語：日本語出版者・発行元：(一社)日本地域理学療法学会

【目的】本研究は,地域在住高齢者における踵骨の骨量と階段使用頻度との関連性を調べることを目的とした.【方法】地域コホート研究(垂水研究2018)に参加した高齢者169名を横断的に分析した.骨量は%YAMが70%以下を骨量低下とした.階段使用頻度について,自宅内階段は1日0回と1回以上の2群,自宅外階段は週0〜2回・3〜7回・8回以上の3群に分類した.【結果】従属変数を骨量低下の有無,独立変数を階段使用頻度としたロジスティック回帰分析の結果,自宅内の階段使用頻度に有意な関連は認められなかったものの,自宅外の階段使用頻度0〜2回を参照とし,8回以上では有意に骨量低下が減少した(オッズ比0.32,95%信頼区間0.11-0.97,p=0.045,共変量:年齢,性別,ASMI,握力,歩行速度).【結論】自宅外での階段の使用頻度が多いと骨量低下の抑制に有用となり得る可能性が示唆された.自宅内の階段使用頻度は関連しておらず,外出を含めた階段の使用が骨量に影響を与えている可能性がある.(著者抄録)

Kume Y. . Social frailty is independently associated with geriatric depression among older adults living in northern Japan: A cross-sectional study of ORANGE registry . Geriatrics and Gerontology International22 ( 2 ) 145 - 151 2022年2月

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Geriatrics and Gerontology International

Aim: To clarify prevalence of social frailty among older adults living in a rural Japanese community, and factors associated with social frailty status. Methods: In total, 322 adults aged ≥65 years living in a Japanese rural community took part in the study from 2018 to 2020. Social frailty was defined as deficiencies of: (i) living alone; (ii) talking with someone every day; (iii) feeling helpful to friends or family; (iv) going out less frequently compared with last year; and (v) visiting friends sometimes. Social frail status was categorized as robust (0), social prefrail (1), and social frail (≥2), according to the summated score of Makizako's criteria. Multiple logistic regression analysis was applied to clarify factors associated with social frailty status. Results: Final samples were classified into 68 persons with social frailty, 98 persons with social prefrailty and 147 persons as robust. We observed the prevalence of social frailty (21.7%) and social prefrailty (31.3%) and the GDS-15 had significantly high scores in the social frail groups. Social frailty was significantly associated with the GDS-15 score (odds ratio, 1.33; 95% CI, 1.19–1.49) and TMT-A (odds ratio, 1.04; 95% CI, 1.01–1.08) and GDS-15 (odds ratio, 1.13; 95% CI, 1.03–1.26) were extracted as independent variables of social prefrail status, with adjustment for demographics, polypharmacy and lifestyle-related diseases. Conclusions: Our results suggest that social frailty tends to be increasing gradually in a Japanese rural area, and social prefrailty might be potentially associated with attentional function, as well as the GDS-15 score. Geriatr Gerontol Int 2022; 22: 145–151.

DOI： 10.1111/ggi.14330

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PubMed

Kume Yu, Kodama Ayuto, Takahashi Tomoko, Lee Sangyoon, Makizako Hyuma, Ono Tsuyosi, Shimada Hiroyuki, Ota Hidetaka . Social frailty is independently associated with geriatric depression among older adults living in northern Japan: A cross-sectional study of ORANGE registry(和訳中) . Geriatrics & Gerontology International22 ( 2 ) 145 - 151 2022年2月

記述言語：英語出版者・発行元：John Wiley & Sons Australia, Ltd

2018～2020年に秋田県在住の65歳以上高齢者313名を対象とした横断研究(ORANGE研究)を実施し、社会的フレイルの割合および社会的フレイル状態に関連する因子について検討した。社会的フレイルの評価には牧迫の社会的フレイル基準(独居、毎日誰かと話す、友人や家族の役に立っていると感じる、昨年と比べて外出の頻度が減った、時々友人宅を訪問する)を使用した。参加者を健常群147名(0点;平均74.6±5.7歳、女性64.6%)、社会的プレフレイル98名(1点;平均75.7±5.9歳、女性71.4%)、社会的フレイル68名(2～5点;平均74.8±5.9歳、女性70.6%)に分けて検討した。評価項目は人口統計学的特徴、各種認知機能検査(word list memory、TMT-A、TMT-B、Symbol Digit Substitution Task)、GDS-15などとした。人口統計学特徴、ポリファーマシー、生活習慣病を調整後の多変量ロジスティック回帰分析の結果、社会的フレイルではGDS-15スコア、社会的プレフレイルではTMT-AおよびGDS-15が予測因子であることが示された(オッズ比1.33、1.04、1.13)。以上から、社会的プレフレイルは、GDS-15スコアのみならず、注意機能と関連する可能性があることを示唆された。

牧迫飛雄馬 . 【地域包括ケアにおけるリーダーシップ】疫学的分析に基づく地域包括ケア . 老年科5 ( 2 ) 95 - 100 2022年2月

Kodama A. . Impact of COVID-19 Pandemic Exacerbation of Depressive Symptoms for Social Frailty from the ORANGE Registry . International Journal of Environmental Research and Public Health19 ( 2 ) 2022年1月国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：International Journal of Environmental Research and Public Health

Background: Recent longitudinal studies have reported proportion of frailty transition in older individuals during the COVID-19 pandemic. Our study aimed at clarifying the impact of social frailty in community-dwelling older adults during the COVID-19 pandemic and at identifying factors that can predict transition to social frailty. Methods: We performed this study from 2019 (before declaration of the state of emergency over the rising number of COVID-19 cases) to 2020 (after declaration of the emergency). We applied Makizako’s social frail index to our study subjects at the baseline and classified into robust, social prefrailty, and social frailty groups. Multiple logistic regression analysis was performed using robust, social prefrailty, or social frailty status as dependent variable. Results: Analysis by the Kruskal–Wallis test revealed significant differences in the score on the GDS-15 among the robust, social prefrailty, and social frailty groups (p < 0.05). Furthermore, multiple regression analysis identified a significant association between the social frailty status and the score on GDS-15 (odds ratio, 1.57; 95% confidence interval (95% CI), 1.15–2.13; p = 0.001). Conclusion: The increase in the rate of transition of elderly individuals to the social frailty group could have been related to the implementation of the stay-at-home order as part of the countermeasures for COVID-19. Furthermore, the increased prevalence of depressive symptoms associated with the stay-at-home order could also have influenced the increase in the prevalence of social frailty during the COVID-19 pandemic.

DOI： 10.3390/ijerph19020986

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Kimura M. . Positive association between high protein food intake frequency and physical performance and higher‐level functional capacity in daily life . Nutrients14 ( 1 ) 2022年1月国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Nutrients

Nutritional factors, including low protein intake and poor dietary variety, affect age‐associated impairment in physical performance resulting in physical frailty. This cross‐sectional study investigated the association between intake frequency of major high protein foods and both physical performance and higher‐level functional capacity using the food frequency score (FFS) and high protein food frequency score (PFFS) among community‐dwelling older adults. The data of 1185 older adults categorized into quartiles based on FFS and PFFS were analyzed. After adjusting for covariates, FFS and PFFS were significantly associated with physical performance [FFS, usual gait speed (p for trend = 0.007); PFFS, usual gait speed (p for trend < 0.001), maximum gait speed (p for trend = 0.002), timed up and go (p for trend = 0.025)], and higher‐level functional capacity [FFS (p for trend < 0.001); PFFS (p for trend < 0.001)]. After excluding PFFS data, the participants’ scores were associated with only higher‐level functional capacity. Multi‐regression analysis with higherlevel functional capacity as the covariate showed that FFS and PFFS were significantly correlated with physical performance. Hence, improving food intake frequency, particularly that of high protein foods, and dietary variety may help maintain higher‐level functional capacity and physical performance in community‐dwelling older adults.

DOI： 10.3390/nu14010072

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生野佐紀, 赤井田将真, 椎葉竜平, 白土大成, 谷口善昭, 木内悠人, 立石麻奈, 中井雄貴, 牧迫飛雄馬 . COVID-19の流行に伴う緊急事態宣言中の生活習慣の変化と主観的幸福感との関係 . Journal of Epidemiology32 ( Suppl.1 ) 114 - 114 2022年1月

Nakai Y. . Association of Sleep Quality Status With Worsening Low Back or Knee Pain During The COVID-19 State of Emergency Among Old-Old Adults . Pain Management Nursing23 ( 4 ) 473 - 477 2022年国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Pain Management Nursing

Background: Poor sleep quality has a negative effect on pain among older adults. During the coronavirus disease 2019 (COVID-19) state of emergency, lifestyle changes can cause psychologic stressors and lead to poor sleep quality. Aim: This study examined whether sleep quality status was associated with low back or knee pain changes during the COVID-19 state of emergency among community-dwelling Japanese old-old adults. Design: Cross-sectional investigation. Methods: In July 2020, during the COVID-19 epidemic, we conducted a postal survey for old-old adults aged ≥77 years and collected data on 597 participants. For those who had low back or knee pain at the time of the survey (in July), characteristics such as low back pain, knee pain, changes in pain status, and sleep quality status during the COVID-19 state of emergency (in March) were assessed. Results: Data from 597 participants showed the prevalence of low back pain (50.6%) and knee pain (40.7%) in July. Of those with low back or knee pain, 374 had pain changes during the state of emergency, with 12.3% worsening. Of these, 23.9% had poor sleep quality in March compared to non-change (p = .008). In a multivariate logistic regression model adjusted for potential confounders, poor sleep quality was significantly associated with pain worsening (odds ratio 2.80, 95% confidence interval 1.26-6.22). Conclusions: During the COVID-19 state of emergency, poor sleep quality was associated with worsening low back or knee pain. This may indicate the need to pay attention to poor sleep quality to prevent the exacerbation of pain among old-old adults.

DOI： 10.1016/j.pmn.2022.01.001

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谷口善昭, 牧迫飛雄馬, 中井雄貴, 富岡一俊, 窪薗琢郎, 竹中俊宏, 大石充 . 地域在住高齢者における骨量および筋量の低下と身体活動との関連性 . 理学療法学49 ( 2 ) 131 - 138 2022年査読

記述言語：日本語出版者・発行元：一般社団法人日本理学療法学会連合

<p>【目的】地域在住高齢者における骨量・筋量低下と身体活動との関連性を明らかにすることを目的とした。【方法】地域コホート研究（垂水研究2018）に参加した地域在住高齢者173 名を分析対象とした。骨量低下は％YAM が70% 以下とし，筋量低下は四肢骨格筋指数がサルコペニアの基準より低いものとした。身体活動量は3 軸加速度計を用いて，座位行動時間延長，中高強度身体活動時間低下，歩数低下の有無に分類した。骨量・筋量をもとに正常群，骨量低下群，筋量低下群，骨量・筋量低下群の4 群に分類し，基本情報および身体活動を比較した。【結果】骨量・筋量低下群は正常群と比べて中高強度身体活動時間が有意に減少していた（オッズ比3.29，p < 0.05，共変量：年齢（5 歳階級），性別，歩行速度低下，うつ傾向）。【結論】骨量・筋量低下を併存している高齢者は，中高強度身体活動時間が減少していることが示唆された。</p>

DOI： 10.15063/rigaku.12150

CiNii Research

J-GLOBAL

その他リンク： https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-19H03978/

Masumitsu T, Kubozono T, Miyata M, Makizako H, Tabira T, Takenaka T, Kawasoe S, Tokushige A, Niwa S, Ohishi M . Association of Sleep Duration and Cardio-Ankle Vascular Index in Community-Dwelling Older Adults. . Ｊｏｕｒｎａｌ　ｏｆ　Ａｔｈｅｒｏｓｃｌｅｒｏｓｉｓ　ａｎｄ　Ｔｈｒｏｍｂｏｓｉｓadvpub ( 0 ) 1864 - 1871 2022年

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：一般社団法人日本動脈硬化学会

Aim: This study aims to investigate the association of the Cardio-Ankle Vascular Index (CAVI) with self-reported sleep duration and sleep quality in community-dwelling older adults aged ≥ 65 years. Methods: The Tarumizu Study was a cohort of community-based health checkups conducted in the Tarumizu City, Japan, in 2018 and 2019. In total, 997 participants aged ≥ 65 years (median age, 74 years) were examined. We obtained the average sleep duration and sleep quality using self-reported questionnaires and classified them into three separate groups according to sleep duration (＜6 h, 6–8 h, and ≥ 8 h) and sleep quality (good, medium, and poor). The arterial stiffness was measured using the CAVI. Results: As per our findings, the CAVI was significantly higher in the ≥ 8 h sleep group (CAVI=9.6±1.3) than in the ＜6 h (CAVI=9.1±1.1) or 6–8 h (CAVI=9.1±1.2) groups (p＜0.001). After adjustment for age, sex, systolic blood pressure, current smoking status, body mass index, frequency of exercise, educational background, frailty, sleep medication, sleep quality, and nap duration, multivariable regression analysis demonstrated that the CAVI was significantly higher in the ≥ 8 h group than in the 6–8 h group (p=0.016). In contrast, multivariable regression analysis showed that there was no significant association between sleep quality and CAVI. Conclusions: A significant association was noted between long sleep duration (≥ 8 h) and elevated CAVI in community-dwelling older adults aged ≥ 65 years. We, therefore, suggest that long sleep duration, not sleep quality, is correlated with arterial stiffness in older adults.

DOI： 10.5551/jat.63594

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CiNii Research

Shiratsuchi D., Makizako H., Nakai Y., Bae S., Lee S., Kim H., Matsuzaki-Kihara Y., Miyano I., Ota H., Shimada H. . Associations of fall history and fear of falling with multidimensional cognitive function in independent community-dwelling older adults: findings from ORANGE study . Aging Clinical and Experimental Research34 ( 12 ) 2985 - 2992 2022年国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Aging Clinical and Experimental Research

Background: Falls and fear of falling (FoF) inhibit healthy longevity and have been suggested to be associated with cognitive function. However, the domains of cognitive function that are associated with them remain controversial. It is speculated that clarifying this will help in the assessment of health status and interventions in the community. Aim: To analyse the associations between fall history and FoF and multidimensional cognitive function in independent community-dwelling older adults. Methods: The data from 9759 (73.3 ± 5.4 years, 59.9% women) older individuals enrolled in the cross-sectional ORANGE study were analysed. Simple questions were used to assess fall history in the past year and current FoF. Assessments of multidimensional cognitive function were performed using the National Center for Geriatrics and Gerontology-Functional Assessment Tool (NCGG-FAT) to evaluate memory, attention, executive function, and processing speed. The independent associations of fall history and FoF with multidimensional cognitive function were assessed using multivariate linear regressions adjusted for potential confounding variables. Results: A total of 18.3% and 35.4% of participants presented with fall history and FoF, respectively. Fall history (p = 0.008) and FoF (p = 0.002) were significantly associated with memory. FoF, but not fall history was associated with attention (p = 0.004), executive function (p < 0.01), and processing speed (p < 0.01). Conclusion: In independent community-dwelling older adults, fall history was associated only with the memory domain; in contrast, fear of falling was associated with multidimensional cognitive function. This study provides weak evidence suggesting the need to assess falls and FoF in all situations involving independent community-dwelling older adults.

DOI： 10.1007/s40520-022-02235-4

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Nishi K. . Relationship between oral hypofunction, and protein intake: A cross-sectional study in local community-dwelling adults . Nutrients13 ( 12 ) 2021年12月国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Nutrients

Few studies have investigated the relationship between nutritional status and comprehensive assessment of oral hypofunction, especially protein intake-related sarcopenia. Thus, we explored these relationships in a large-scale cross-sectional cohort study using the seven-item evaluation for oral hypofunction and Diet History Questionnaire for nutritional assessment. We used the data from 1004 individuals who participated in the 2019 health survey of the residents of Tarumizu City, Kagoshima Prefecture, Japan for analysis. We found that individuals with oral hypofunction were significantly older with a lower skeletal muscle index. Although there were few foods that had a sig-nificant difference between the groups with and without oral hypofunction, the consumption of beans and meats was significantly lower in women and men in the oral hypofunction group, respectively. According to the lower limit of the tentative dietary goal defined in Japan, comprehensive evaluation of oral hypofunction was significantly and independently associated with protein intake in both men and women (odds ratio, 1.70; 95% confidence interval, 1.21–2.35). In conclusion, we found that oral hypofunction was associated with targeted protein intake for sarcopenia and frailty prevention in middle-aged and older community-dwelling adults. Comprehensive evaluation of oral function with intervention in cases of hypofunction could inform clinicians to better prevent sarcopenia.

DOI： 10.3390/nu13124377

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Nakamura A. . Meaningful activities and psychosomatic functions in japanese older adults after driving cessation . International Journal of Environmental Research and Public Health18 ( 24 ) 2021年12月査読国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：International Journal of Environmental Research and Public Health

The purpose of this cross-sectional study was to analyse the differences in meaningful activities and psychosomatic function depending on the driving status of community-dwelling older adults. Data from 594 older adults were obtained, including activities meaningful to individuals and psychosomatic functions, such as grip strength, depression, cognitive function, and ability of activity. Participants were divided into active driving (n = 549) and after driving cessation (n = 45) groups. In addition, the active driving group was operationally divided into three groups: high-frequency group (n = 387), medium group (n = 119), and infrequent group (n = 42). In the after driving cessation group, grip strength, and Japan Science and Technology Agency Index of Competence scores were significantly lower. Furthermore, the proportion of apathy and physical and social frailty was significantly higher in the after driving cessation group. Regarding meaningful activity, domestic life scores in the after driving cessation group were significantly higher than those of the active driving group. Decreased driving frequency in the active driving group was associated with weak muscle strength, lack of interest, and low activity. This study demonstrated that meaningful activity differed based on the driving status. Hence, we should support the activities of older adults who are considering driving cessation.

DOI： 10.3390/ijerph182413270

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Wada A, Makizako H, Nakai Y, Tomioka K, Taniguchi Y, Sato N, Kiuchi Y, Kiyama R, Kubozono T, Takenaka T, Ohishi M . Association between cognitive frailty and higher-level competence among community-dwelling older adults. . Archives of gerontology and geriatrics99 104589 - 104589 2021年11月国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Archives of Gerontology and Geriatrics

Objectives: The purpose of this cross-sectional study was to examine the association between cognitive frailty (CF) and higher-level competence among community-dwelling older adults. Methods: Data from 871 older adults (aged ≥ 65 years, mean age 74.3 years, 61.5% women) who had participated in a community-based health check survey (Tarumizu Study 2018-2019) were analyzed. CF was defined as comorbid physical frailty and mild cognitive impairment (MCI). We defined physical frailty as either slow walking speed or poor grip strength. MCI was defined as values below the age- and education-adjusted reference threshold in several tests. Participants were categorized into four groups: robust, physical frailty, MCI, and CF. Higher-level competence was assessed using the Japan Science and Technology Agency Index of Competence (JST-IC). The JST-IC consists of 16 items and four subscales (technology usage, information practice, life management and social engagement). The bottom 20–30% score of the JST-IC and each subscale corresponded to poor higher-level competence. Results: The prevalence of CF was 14.4%. Multivariate logistic regression analysis showed that, CF was significantly associated with poor higher-level competence (odds ratio 1.92, 95% confidence interval 1.18–3.13) after adjusting for covariates. Using a similar analysis to assess the JST-IC subscales, CF was associated with limitations on technology usage (odds ratio 2.29, 95% confidence interval 1.36–3.85) and low social engagement (odds ratio 1.62, 95% confidence interval 1.00–2.61). Conclusions: This study suggests that CF is associated with poor higher-level competence, especially limitations on technology usage and low social engagement.

DOI： 10.1016/j.archger.2021.104589

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Miyazaki T. . The relationship between leg extension angle at late stance and knee flexion angle at swing phase during gait in community-dwelling older adults . International Journal of Environmental Research and Public Health18 ( 22 ) 2021年11月国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：International Journal of Environmental Research and Public Health

e, s Abstract: This study aimed to clarify the relationship between leg extension angle and knee flexion angle during gait in older adults. The subjects of this cross-sectional study were 588 community-dwelling older adults (74.6 ± 6.1 y). Segment angles and acceleration were measured using five inertial measurement units during comfortable gait, and bilateral knee and hip joint angles, and leg extension angle, reflecting whole lower limb extension at late stance, were calculated. Propulsion force was estimated using the increase in velocity calculated from anterior acceleration of the sacrum during late stance. Correlation analysis showed that leg extension angle was associated with knee flexion angle at swing phase and hip extension angle and increase in velocity at late stance (r = 0.444–508, p < 0.001). Multiple regression analysis showed that knee flexion angle at mid-swing was more affected by leg extension angle (β = 0.296, p < 0.001) than by gait speed (β = 0.219, p < 0.001) and maximum hip extension angle (β = −0.150, p < 0.001). These findings indicate that leg extension angle may be a meaningful parameter for improving gait function in older adults due to the association with knee kinematics during swing as well as propulsion force at late stance.

DOI： 10.3390/ijerph182211925

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Miyazaki T. . Relationships between gait regularity and cognitive function, including cognitive domains and mild cognitive impairment, in community-dwelling older people . Healthcare (Switzerland)9 ( 11 ) 2021年11月国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Healthcare (Switzerland)

The aim of this cross-sectional study was to examine the correlations between gait regularity, cognitive functions including cognitive domains, and the mild cognitive impairment (MCI) in community-dwelling older people. This study included 463 older adults (63.4% women, mean age: 74.1), and their step and stride regularity along the three-axis components was estimated from trunk acceleration, which was measured by inertial measurement units during a comfortable gait. Four aspects of cognitive function were assessed using a tablet computer: attention, executive function, processing speed, and memory, and participants were classified into those with or without MCI. The vertical component of stride and step regularity was associated with attention and executive function (r = −0.176–−0.109, p ≤ 0.019), and processing speed (r = 0.152, p < 0.001), after it was adjusted for age and gait speed. The low vertical component of step regularity was related to the MCI after it was adjusted for covariates (OR 0.019; p = 0.016). The results revealed that cognitive function could affect gait regularity, and the vertical component of gait regularity, as measured by a wearable sensor, could play an important role in investigating cognitive decline in older people.

DOI： 10.3390/healthcare9111571

Scopus

PubMed

白土大成, 椎葉竜平, 牧迫飛雄馬 . 【疾患別にみたサルコペニアに対する理学療法の考え方と実際】運動器疾患患者のサルコペニアに対する理学療法の考え方と実際 . 理学療法38 ( 11 ) 988 - 995 2021年11月

記述言語：日本語出版者・発行元：(株)メディカルプレス

1.運動器疾患を有する患者ではサルコペニアの併存が懸念され、運動器疾患に起因もしくは併存する骨格筋量の減少および筋力の低下に対するアプローチを検討することが求められる。2.運動器疾患患者では、骨量減少を伴うオステオサルコペニアによる脆弱性骨折のリスク増大に対する対策を考慮する必要がある。3.高齢の運動器疾患患者の身体機能評価においては、疾患そのものに関する評価のみならずサルコペニアに関する評価を実施し、サルコペニアの予防・改善を含めた活動や社会参加のための包括的な介入方針を検討することが求められる。(著者抄録)

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