2022/06/08 更新

写真a

ウノ チハル
宇野 千晴
UNO Chiharu
所属
未来社会創造機構 ナノライフシステム研究所 マイクロ・ナノメカトロニクス研究部門 特任助教
大学院医学系研究科 特任助教
職名
特任助教

学位 2

  1. 栄養科学博士 ( 2022年3月   名古屋学芸大学 ) 

  2. 栄養科学修士 ( 2019年3月   名古屋学芸大学 ) 

研究分野 1

  1. ライフサイエンス / 栄養学、健康科学  / 臨床栄養学

学歴 2

  1. 名古屋学芸大学   栄養科学研究科博士後期課程

    - 2022年3月

  2. 名古屋学芸大学   栄養科学研究科博士前期課程

    - 2019年3月

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    国名: 日本国

所属学協会 6

  1. 日本リハビリテーション栄養学会   代議員

  2. 日本在宅栄養管理学会   評議員

  3. 日本老年医学会

  4. 日本サルコペニア・フレイル学会

  5. 日本臨床栄養学会

  6. 日本未病学会

▼全件表示

受賞 3

  1. 優秀論文賞

    2021年10月   日本臨床栄養学会  

  2. 最優秀演題賞

    2020年10月   第27回日本未病学会学術総会  

  3. 若手奨励賞

    2020年10月   第42回日本臨床栄養学会総会/第41回日本臨床栄養協会総会 第18回大連合大会  

 

論文 18

  1. Hospital Frailty Risk Score predicts adverse events in older patients with vertebral compression fractures: Analysis of data in a nationwide in-patient database in Japan 査読有り

    Shimizu Akio, Maeda Keisuke, Fujishima Ichiro, Kayashita Jun, Mori Naoharu, Okada Kiwako, Uno Chiharu, Shimizu Miho, Momosaki Ryo

    GERIATRICS & GERONTOLOGY INTERNATIONAL   22 巻 ( 3 ) 頁: 233 - 239   2022年3月

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

    Aims: This study investigated the usefulness of frailty for predicting adverse events in patients with vertebral compression fractures (VCFs) during hospitalization using data obtained from the Japanese health insurance system. Methods: This retrospective cohort study of patients with VCFs aged ≥65 years was conducted using a nationwide database in Japan. We examined the relationships between frailty risk, classified using the Hospital Frailty Risk Score (HFRS), in-hospital mortality, and complications such as pressure ulcers and pneumonia. Multivariate logistic regression analysis was used to estimate the association between the HFRS and the outcomes of patients with VCFs. Results: In this study, the data of 30 980 in-patients with VCFs were analyzed. Of these patients, 76.8%, 21.3%, and 1.9% had low, intermediate, and high risks of frailty, respectively. The higher the risk of frailty, the higher the rate of in-hospital mortality and the occurrence of all complications (P < 0.001 for trend). An intermediate risk of frailty was independently associated with in-hospital mortality (odds ratio [OR], 1.421; P < 0.001), whereas a high risk of frailty did not show statistical significance (OR, 1.385; P = 0.150). Each frailty risk was independently associated with the occurrence of all complications during hospitalization. Conclusions: The HFRS, which can assess the risk of frailty based on routinely collected medical records, was predictive of adverse events in older patients with VCFs based on a nationwide database in Japan. Future studies need to assess approaches to preventing adverse events in frail VCF patients. Geriatr Gerontol Int 2022; 22: 233–239.

    DOI: 10.1111/ggi.14356

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  2. Hospital Frailty Risk Score predicts adverse events in older patients with hip fractures after surgery: Analysis of a nationwide inpatient database in Japan 査読有り

    Shimizu Akio, Maeda Keisuke, Fujishima Ichiro, Kayashita Jun, Mori Naoharu, Okada Kiwako, Uno Chiharu, Shimizu Miho, Momosaki Ryo

    ARCHIVES OF GERONTOLOGY AND GERIATRICS   98 巻   頁: 104552 - 104552   2022年1月

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    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:Archives of Gerontology and Geriatrics  

    Background: Frailty may predict adverse events in patients with hip fractures. This study aimed to investigate the association between frailty and adverse events in patients with hip fractures after surgery using information from Japanese health insurance. Methods: This retrospective cohort study included patients with hip fractures aged ≥ 65 years using a nationwide database in Japan. We examined the relationship of the frailty risk, which was defined using the Hospital Frailty Risk Score (HFRS), with in-hospital mortality, complications such as delirium and pneumonia, and functional outcomes. We used descriptive analysis, logistic regression, and linear regression analysis to estimate the association between the HFRS and outcomes in patients with hip fracture. Results: We analysed data from 36,192 patients with hip fractures after surgery (mean age: 83.6 ± 6.7 years, female: 79.5%). The proportions of low, intermediate, and high risk of frailty were 68.4%, 28.1%, and 3.5%, respectively. The frailty risk was independently associated with in-hospital mortality (intermediate risk: odds ratio [OR] 1.385, P < 0.001; high risk: OR 1.572; P < 0.001) and the occurrence of complications. Furthermore, each frailty risk was negatively associated with the Barthel Index score at discharge (intermediate risk: coefficient –11.919, P < 0.001; high risk: coefficient –18.044; P < 0.001). Conclusions: The HFRS could predict adverse events, including in-hospital mortality, in Japanese older patients with hip fractures. This finding supports the validity of using the HFRS in clinical practice for patients with hip fractures.

    DOI: 10.1016/j.archger.2021.104552

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  3. Short- and long-term effects of different exercise programs on the gait performance of older adults with subjective cognitive decline: A randomized controlled trial 査読有り 国際誌

    Fujita Kosuke, Umegaki Hiroyuki, Makino Taeko, Uemura Kazuki, Hayashi Takahiro, Inoue Aiko, Uno Chiharu, Kitada Tomoharu, Huang Chi Hsien, Shimada Hiroyuki, Kuzuya Masafumi

    EXPERIMENTAL GERONTOLOGY   156 巻   頁: 111590 - 111590   2021年12月

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    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:Experimental Gerontology  

    Background: Older adults, especially those with cognitive decline, often have poor gait performance, which results in poor clinical outcomes due to falls or decreased daily physical activity. The effects of various exercises on gait performance have been studied, whereas the short-term and long-term effects of different exercise modalities remain unknown. Objective: To compare the short- and long-term effects of aerobic training (AT), resistance training (RT), and combined training (CT) on the gait performance of community-dwelling older adults with subjective cognitive decline (SCD). Design: A four-arm, randomized controlled trial. Setting and subjects: 388 community-dwelling older adults with SCD (mean age, 72.3 years). Methods: Participants attended an exercise or education class twice a week for 26 weeks. 10 gait performance parameters were examined at baseline, post-intervention (Week 26), and after 26 weeks of follow-up (Week 52) using an electronic walkway system. Results: The mean adherence of exercise sessions was 82.5 to 85.9%. All exercise intervention induced an improvement in gait speed, stride time, cadence, stride length, and double-support time at Week 26 (p < .05), without significant intergroup differences among exercise interventions. However, only RT showed a significant effect on some spatiotemporal gait parameters at Week 52. The analyses for the gait variability parameters showed mild effects of all exercise interventions. Conclusion: All of the exercise programs examined had a positive short-term effect on spatiotemporal gait parameters of older adults with SCD, despite no effect on gait variability parameters. RT are most recommended when long-lasting effects are the primary aim.

    DOI: 10.1016/j.exger.2021.111590

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  4. The association of social frailty with intrinsic capacity in community-dwelling older adults: a prospective cohort study 査読有り 国際誌

    Huang Chi Hsien, Okada Kiwako, Matsushita Eiji, Uno Chiharu, Satake Shosuke, Martins Beatriz Arakawa, Kuzuya Masafumi

    BMC GERIATRICS   21 巻 ( 1 ) 頁: 515 - 515   2021年9月

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    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:BMC Geriatrics  

    Background: Social frailty is associated with poor health outcomes; however, its effects on healthy aging indicators have not been adequately investigated. This study assessed the longitudinal association between social frailty and the intrinsic capacity of community-dwelling older adults. Methods: A total of 663 participants (56.7% women) aged ≥60 years from in Nagoya, Japan, were included in the study. The first measurement occurred in 2014, and annual follow-ups occurred until 2017. Social frailty was determined based on four items: financial difficulty, household status, social activity, and regular contact with others. A deficit score of 0 represented social robustness, 1 represented social prefrailty, and ≥ 2 represented social frailty. Intrinsic capacity was evaluated by the locomotion, cognition, psychological function, vitality, and sensory function domains. The longitudinal association was analyzed using generalized estimating equations. Results: The prevalence of social prefrailty and social frailty at baseline was 31.2 and 6.3%, respectively. The social prefrailty group (β = − 0.132, P < 0.001) and social frailty group (β = − 0.258, P < 0.001) were associated with a greater reduction in the composite intrinsic capacity scores than the social robustness group, especially in the cognition, psychological function, and vitality domains. Men with social prefrailty/social frailty demonstrated a greater decrease in the psychological function domain score (− 0.512 vs. − 0.278) than women. Additionally, the cognition domain score only decreased in men in the social prefrailty/social frailty group (β = − 0.122, P = 0.016). Conclusions: Social frailty was associated with intrinsic capacity and its subdomains longitudinally. Men with social frailty were more vulnerable than women to a decline in their psychological function and cognition domains. Therefore, the advanced management of social frailty is necessary to facilitate healthy aging.

    DOI: 10.1186/s12877-021-02466-6

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  5. Dietary patterns and intrinsic capacity among community-dwelling older adults: a 3-year prospective cohort study 査読有り 国際誌

    Huang Chi Hsien, Okada Kiwako, Matsushita Eiji, Uno Chiharu, Satake Shosuke, Martins Beatriz Arakawa, Kuzuya Masafumi

    EUROPEAN JOURNAL OF NUTRITION   60 巻 ( 6 ) 頁: 3303 - 3313   2021年9月

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    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:European Journal of Nutrition  

    Purpose: The WHO has proposed a novel model of healthy aging called intrinsic capacity (IC). However, the association between dietary patterns and IC is unclear. We aimed to investigate the prospective associations between dietary patterns and IC trajectories over a 3-year period in community-dwelling Japanese adults aged ≥ 60 years. Methods: A prospective cohort study which contained nutritional status, mental status, and physical function was used. A validated 34-item food frequency questionnaire was used to determine dietary intake and to derive five dietary patterns (“fruits and vegetables”, “sugar and fat”, “salt and pickles”, “noodle and alcohol”, and “protein-rich”) using principal component analysis. The composite IC score was calculated as the mean of the locomotion Z-score, cognition Z-score, psychological Z-score, vitality Z-score, and sensory regression score. A generalized estimating equation was applied for longitudinal analysis. Results: A total of 666 enrollees were included in the analysis. The mean baseline IC was 0.07 ± 0.47. The “fruits and vegetables” dietary pattern was positively associated with composite IC score changes after adjusting for confounders (Q4 vs. Q1: mean difference [0.069], P = 0.019). Similarly, a positive correlation was observed for the “protein-rich” dietary pattern with the composite IC score changes (Q4 vs. Q1: mean difference [0.092], Q3 vs. Q1: mean difference [0.101], Q2 vs. Q1: mean difference [0.083]; all P < 0.01). However, adherence to the “sugar and fat” dietary pattern was negatively associated with composite IC score changes (Q4 vs. Q1: mean difference [− 0.072], P = 0.026). Furthermore, the percentage of animal protein to total protein intake showed a significant incremental trend in the “protein-rich” dietary pattern (P for trend < 0.001). Conclusion: The “fruits and vegetables” and “protein-rich” (animal-based protein in particular) dietary patterns were positively associated with IC changes, whereas the “sugar and fat” dietary pattern was negatively associated with IC changes. Identification and promotion of healthy dietary patterns in older adults may inform future health policies and research.

    DOI: 10.1007/s00394-021-02505-3

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  6. Built Environment and Frailty: Neighborhood Perceptions and Associations With Frailty, Experience From the Nagoya Longitudinal Study 査読有り 国際誌

    Martins Beatriz A., Visvanathan Renuka, Barrie Helen R., Huang Chi Hsien, Matsushita Eiji, Okada Kiwako, Satake Shosuke, Edwards Suzanne, Uno Chiharu, Kuzuya Masafumi

    JOURNAL OF APPLIED GERONTOLOGY   40 巻 ( 6 ) 頁: 609 - 619   2021年6月

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    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:Journal of Applied Gerontology  

    Neighborhood physical characteristics have been consistently associated with the health of older adults. This article investigates links between frailty and perceptions of the neighborhood environment. Using a cross-sectional analysis of 370 community-dwelling older adults from Nagoya, Japan, neighborhood perceptions were assessed using the Neighborhood Environmental Walkability Scale (NEWS) in addition to frailty, using a frailty index. Frailty was associated with the NEWS composite index, land use mix diversity, land use mix access, street connectivity, walking infrastructure, aesthetics, and crime safety, after adjustment for covariates. Older adults with increasing frailty have poorer perceptions of their neighborhoods, which could lead to further constriction of the life-space, less social and physical engagement, and worsening of frailty status.

    DOI: 10.1177/0733464820912663

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  7. Friendship-related social isolation is a potential risk factor for the transition from robust to prefrailty among healthy older adults: a 1-year follow-up study 査読有り 国際誌

    Uno Chiharu, Okada Kiwako, Matsushita Eiji, Satake Shosuke, Kuzuya Masafumi

    EUROPEAN GERIATRIC MEDICINE   12 巻 ( 2 ) 頁: 285 - 293   2021年4月

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    担当区分:筆頭著者   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:European Geriatric Medicine  

    Purpose: Social factors are often overlooked when considering physical frailty. The purpose of this study was to determine whether social isolation is associated with new onset of physical frailty among healthy Japanese older adults. Methods: This was a 1-year prospective cohort study conducted in Japan from August 2014 to August 2015. The participants were 229 Japanese older people (106 men, 123 women, mean age = 69.3 ± 4.2 years) who did not have prefrailty or frailty at baseline and who were current students or graduates of a community college for older people in Japan. Social isolation was assessed using the Lubben Social Network Scale-6 in terms of overall social isolation, family-related social isolation, and friendship-related social isolation. Frailty was categorized using the Fried frailty criteria. The association between new onset of physical frailty and baseline characteristics, including social isolation, was investigated. Results: At 1-year follow-up, 180 (78.6%) of the participants remained robust, while 49 (21.4%) were identified as prefrail; no participants were identified as frail. Prefrailty was only associated with friendship-related social isolation (odds ratio: 4.58, 95% confidence interval 2.11–9.92, P < 0.001) at baseline. No significant associations were observed for any other baseline characteristics, including overall social isolation, family-related social isolation, comorbidities, body composition, and physical function. Conclusion: Older adults with friendship-related social isolation are four times more likely to develop prefrailty from robust during the 1-year follow-up. The results suggest that friendship-related social isolation increases the risk of healthy older adults transitioning from robust to prefrail.

    DOI: 10.1007/s41999-020-00422-y

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    その他リンク: http://link.springer.com/article/10.1007/s41999-020-00422-y/fulltext.html

  8. Nutritional Assessment in Adult Patients with Dysphagia: A Scoping Review 査読有り 国際誌

    Ueshima Junko, Momosaki Ryo, Shimizu Akio, Motokawa Keiko, Sonoi Mika, Shirai Yuka, Uno Chiharu, Kokura Yoji, Shimizu Midori, Nishiyama Ai, Moriyama Daisuke, Yamamoto Kaori, Sakai Kotomi

    NUTRIENTS   13 巻 ( 3 ) 頁: 1 - 15   2021年3月

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    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  

    Malnutrition negatively affects the quality of life of patients with dysphagia. Despite the need for nutritional status assessment in patients with dysphagia, standard, effective nutritional assessments are not yet available, and the identification of optimal nutritional assessment items for patients with dysphagia is inadequate. We conducted a scoping review of the use of nutritional assessment items in adult patients with oropharyngeal and esophageal dysphagia. The MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases were searched to identify articles published in English within the last 30 years. Twenty-two studies met the inclusion criteria. Seven nutritional assessment categories were identified: body mass index (BMI), nutritional screening tool, anthropometric measurements, body composition, dietary assessment, blood biomarkers, and other. BMI and albumin were more commonly assessed in adults. The Global Leadership Initiative on Malnutrition (GLIM), defining new diagnostic criteria for malnutrition, includes the categories of BMI, nutritional screening tool, anthropometric measurements, body composition, and dietary assessment as its required components, but not the blood biomarkers and the “other” categories. We recommend assessing nutritional status, including GLIM criteria, in adult patients with dysphagia. This would standardize nutritional assessments in patients with dysphagia and allow future global comparisons of the prevalence and outcomes of malnutrition, as well as of appropriate interventions.

    DOI: 10.3390/nu13030778

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  9. Mental Health Status of the Older Adults in Japan During the COVID-19 Pandemic 査読有り 国際誌

    Fujita Kosuke, Inoue Aiko, Kuzuya Masafumi, Uno Chiharu, Huang Chi Hsien, Umegaki Hiroyuki, Onishi Joji

    JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION   22 巻 ( 1 ) 頁: 220 - 221   2021年1月

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    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:Journal of the American Medical Directors Association  

    DOI: 10.1016/j.jamda.2020.11.023

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  10. Dietary Patterns and Muscle Mass, Muscle Strength, and Physical Performance in the Elderly: A 3-Year Cohort Study

    Huang C. H., Okada K., Matsushita E., Uno C., Satake S., Martins B. Arakawa, Kuzuya M.

    JOURNAL OF NUTRITION HEALTH & AGING   25 巻 ( 1 ) 頁: 108 - 115   2021年1月

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    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:Journal of Nutrition, Health and Aging  

    Objectives: Nutritional support effectively prevents and treats sarcopenia; however, the influence of overall dietary patterns on sarcopenia parameters is less investigated. This study aimed to determine the association between adherence to Mediterranean-style diet (MD), Dietary Approaches to Stop Hypertension (DASH), Japanese Food Guide Spinning Top (JFG-ST), and modified JFG-ST (mJFG-ST) and muscle mass, muscle strength, and physical performance in community-dwelling Japanese elderly. Design and settings: This prospective cohort study recruited individuals aged over 60 years from a community college in Nagoya, Japan. Participants and Measurements: A total of 666 participants were followed up annually from 2014 to 2017. Demographic data, anthropometric measurements, and sarcopenia parameters including walking speed (WS), hand grip strength in the dominant hand (HGS), and skeletal mass index (SMI) were recorded. Self-recall dietary intake was assessed using a validated food frequency questionnaire comprising 29 food groups. Adherence to MD, DASH, JFG-ST, and mJFG-ST was determined by tertiles. Results: At baseline, the mean age of all participants (56.5% women) was 69.4±4.4 years. WS, HGS, and SMI were 1.4±0.2 (m/s), 28.9±8.1 (kg), and 6.7±1.0 (kg/m2), respectively. In longitudinal analysis, participants with higher JFG-ST adherence scores were more likely to have higher SMI (Q3 vs. Q1: mean difference, 0.048; p=0.04) after adjustment, and its benefits were more evident in men (Q2 vs. Q1: mean difference, 0.098; p=0.047; Q3 vs. Q1: mean difference, 0.091; p=0.017) than in women. WS and HGS were not associated with any type of dietary pattern. Conclusions: Adherence to JFG-ST was positively associated with SMI in Japanese community-dwelling elderly adults aged over 60 years, specifically in men. The country-specific dietary recommendations are required to be developed for sarcopenia prevention.

    DOI: 10.1007/s12603-020-1437-x

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  11. A 3-year prospective cohort study of dietary patterns and frailty risk among community-dwelling older adults 査読有り 国際誌

    Huang Chi Hsien, Martins Beatriz Arakawa, Okada Kiwako, Matsushita Eiji, Uno Chiharu, Satake Shosuke, Kuzuya Masafumi

    CLINICAL NUTRITION   40 巻 ( 1 ) 頁: 229 - 236   2021年1月

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    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:Clinical Nutrition  

    Background & aims: The association between dietary patterns and frailty is less investigated in Asia. We aimed to investigate the prospective associations between dietary patterns and frailty index (FI) in community-dwelling Japanese older adults aged 60 years or older. Methods: A 3-year cohort collected the data on sociodemographic information, lifestyle behaviors, comorbidities, medication history, depression status, nutrition, and physical function from 2014 to 2017. Five dietary patterns including “Mediterranean-style,” “sugar and fat,” “salt and pickles,” “noodle and alcohol,” and “protein-rich” dietary patterns were identified using principal component analysis from 20 food groups obtained using a validated food frequency questionnaire. A 54-item FI was constructed on the basis of a deficit accumulation model. This project aimed to investigate the longitudinal association between dietary pattern and frailty trajectories with annual measurements over a 3-year period using a generalized estimating equation. Result: After excluding 108 participants with incomplete data at baseline, 666 participants (56.5% female, 69.4 ± 4.4 years) were included for longitudinal analysis. Our results demonstrated that adherence score to “sugar and fat” dietary pattern” (Q4 vs. Q1: mean difference [0.017], 95% CI [0.006 to 0.029]) and “salt and pickles” dietary pattern (Q3 vs. Q1: mean difference [0.010], 95% CI [0.001 to 0.020]; Q4 vs. Q1: mean difference [0.014], 95% CI [0.003 to 0.025]) were positively associated with change in FI. Adherence score to a “protein-rich” dietary pattern was negatively associated with change in FI (Q4 vs. Q1: mean difference [−0.013], 95% CI [−0.025 to −0.002]). Conclusions: “Salt and pickles” dietary pattern and “sugar and fat” dietary pattern were positively associated with frailty. In contrast, “protein-rich” dietary pattern was negatively associated with frailty.

    DOI: 10.1016/j.clnu.2020.05.013

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  12. Sex-Specific Association between Social Frailty and Diet Quality, Diet Quantity, and Nutrition in Community-Dwelling Elderly 査読有り 国際誌

    Huang Chi Hsien, Okada Kiwako, Matsushita Eiji, Uno Chiharu, Satake Shosuke, Martins Beatriz Arakawa, Kuzuya Masafumi

    NUTRIENTS   12 巻 ( 9 ) 頁: 1 - 13   2020年9月

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    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  

    The effects of social frailty on diet and nutrition are under-investigated. Our study aimed to assess the association between social frailty and diet quality, diet quantity, and nutrition over a 3-year period in community-dwelling older Japanese adults. This prospective cohort study recruited individuals aged ≥60 years from a community college and followed up 666 participants annually. Social frailty was determined using a 4-item questionnaire. Diet quantity (energy and macronutrient intake) and diet quality (dietary diversity score and Diet Quality Index-International) were assessed using a food frequency questionnaire. Nutrition was evaluated using the Mini-Nutritional Assessment (MNA). Out of the 666 participants (56.5% women), 250 (37.5%) were categorized as having social prefrailty or frailty. Regarding diet quantity, energy intake (β = −1.59kcal/kg/day, p < 0.01) and nutrient intake (protein intake, β = −0.08g/kg/day; fat intake, β = −0.06g/kg/day; carbohydrate intake, β = −0.18g/kg/day; fiber intake, β = −0.01g/kg/day; all p < 0.05) were lower in men with social prefrailty or frailty than in men with social robustness. Dietary diversity score (β = −0.25, p = 0.01) and MNA score (β = −0.32, p = 0.04) decreased in men with social prefrailty or frailty. However, these associations were not observed in women. Social frailty is associated with lower dietary intake, poor diet quality, and poor nutrition among community-dwelling older men. Future studies are required to determine the benefits of sex-specific interventions targeting social frailty on nutritional outcomes.

    DOI: 10.3390/nu12092845

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  13. Nutritional status change and activities of daily living in elderly pneumonia patients admitted to acute care hospital: A retrospective cohort study from the Japan Rehabilitation Nutrition Database 査読有り 国際誌

    Uno Chiharu, Maeda Keisuke, Wakabayashi Hidetaka, Nishioka Shinta, Ogawa Nami, Okamoto Takayuki, Hoyano Kengo, Momosaki Ryo

    NUTRITION   71 巻   頁: 110613 - 110613   2020年3月

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    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:Nutrition  

    Objective: The aim of this study was to examine the effect of improved nutritional status on activities of daily living (ADLs) and dysphagia in elderly patients with pneumonia who were admitted to acute care hospitals. Methods: A retrospective cohort study was conducted using registry data from the Japan Rehabilitation Nutrition Database of patients with pneumonia who were admitted to acute care hospitals. Patients were divided into two groups based on the Mini Nutritional Assessment Short-Form (MNA-SF) status at discharge: Patients with no status change or with decreased status were allocated to the unimproved nutritional status (UN) group and those with increased status were assigned to the improved nutritional status (IN) group. The primary outcome was ADLs as assessed by Barthel Index (BI) score at hospital discharge. Secondary outcomes included dysphagia as assessed by the Food Intake Level Scale (FILS) at discharge. Results: The study included 143 patients with a mean age of 84.7 ± 7.8 y. Based on the MNA-SF categories at discharge, 127 (88.8%) patients were assigned to the UN group and 16 (11.2%) to the IN group. Patients in the IN group had significantly higher BI and FILS scores than those in the UN group. Multiple regression analysis indicated that improvement in nutritional status was independently associated with BI gain (B = 9.916; β = 0.153; 95% confidence interval [CI], 1.929–11.761; P = 0.017) and FILS gain (B = 1.259; β = 0.167; 95% CI, 1.224–2.814; P = 0.044). Conclusions: Nutritional improvement is associated with improvements in ADL and dysphagia in patients with pneumonia and malnutrition.

    DOI: 10.1016/j.nut.2019.110613

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    PubMed

  14. Comment on Positive Effects of "Textured Lunches" Gatherings and Oral Exercises Combined with Physical Exercises on Oral and Physical Function in Older Individuals: A Cluster Randomized Controlled Trial 査読有り 国際誌

    Hashimoto Chihiro, Uno C., Wakabayashi H.

    JOURNAL OF NUTRITION HEALTH & AGING   24 巻 ( 1 ) 頁: 127 - 127   2020年1月

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    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:Journal of Nutrition, Health and Aging  

    DOI: 10.1007/s12603-019-1281-z

    Web of Science

    Scopus

    PubMed

  15. 血液透析患者における舌圧とサルコペニアおよび栄養指標との関連 招待有り 査読有り

    日本臨床栄養学会雑誌   42 巻   頁: 82 - 93   2020年

  16. Frailty prevalence using Frailty Index, associated factors and level of agreement among frailty tools in a cohort of Japanese older adults.

    Arakawa Martins B, Visvanathan R, Barrie H, Huang CH, Matsushita E, Okada K, Satake S, Uno C, Kuzuya M

    Archives of gerontology and geriatrics   84 巻   頁: 103908   2019年7月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1016/j.archger.2019.103908

    Scopus

    PubMed

  17. Built environment and frailty: neighborhood perceptions and associations with frailty, experience from the Nagoya Longitudinal study

    Martins B. A., Visvanathan R., Barrie H., Huang C. H., Matsushita E., Okada K., Satake S., Edwards S., Uno C., Kuzuya M.

    AUSTRALASIAN JOURNAL ON AGEING   38 巻   頁: 20-21   2019年5月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Web of Science

  18. Rehabilitation nutrition support for a hemodialysis patient with protein-energy wasting and sarcopenic dysphagia: a case report 査読有り

    Chiharu Uno, Hidetaka Wakabayashi, Keisuke Maeda, Shinta Nishioka

    Renal Replacement Therapy   4 巻 ( 18 ) 頁: 4 - 18   2018年4月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1186/s41100-018-0160-0

▼全件表示

書籍等出版物 4

  1. 「攻めの栄養療法」実践マニュアル

    若林秀隆, 前田圭介, 西岡心大( 担当: 分担執筆 ,  範囲: 運動,リハビリテーションとの併用(タイミング含め))

    株式会社中外医学社  2019年11月 

     詳細を見る

    記述言語:日本語

  2. リハビリテーション栄養ポケットマニュアル

    若林秀隆( 担当: 分担執筆 ,  範囲: 第14章 主な疾患・障害のリハビリテーション栄養 19 慢性腎臓病)

    医歯薬出版  2018年10月 

     詳細を見る

    記述言語:日本語

  3. 「臨床栄養」別冊めざせ!リハビリテーション栄養のNST48 CASE No.1~24 CAREガイドラインに基づく症例報告

    若林秀隆,西岡心大( 担当: 共著 ,  範囲: CASE No.14 降下性壊死性縦隔炎を発症した維持血液透析患者に対するリハビリテーション栄養アプローチ:症例報告)

    医歯薬出版  2017年11月 

     詳細を見る

    記述言語:日本語 著書種別:一般書・啓蒙書

  4. めざせ!リハビリテーション栄養のNST48 CASENo.1~24

    若林秀隆( 担当: 分担執筆 ,  範囲: CASE No.14 降下性壊死性縦隔炎を発症した維持血液透析患者に対するリハビリテーション栄養アプローチ:症例報告)

    医歯薬出版  2017年11月 

     詳細を見る

    記述言語:日本語

MISC 4

  1. 「臨床栄養」現場発! 管理栄養士のための臨床研究Tips(10) 招待有り

    宇野千晴  

    臨床栄養136 巻 ( 4 ) 頁: 502 - 508   2020年4月

     詳細を見る

    担当区分:筆頭著者  

  2. リハビリテーション栄養臨床研究のすすめ 臨床研究のアウトプット 論文の書き方(症例報告) 招待有り

    宇野千晴  

    リハビリテーション栄養3 巻 ( 1 ) 頁: 97-103   2019年4月

     詳細を見る

    担当区分:筆頭著者   記述言語:日本語  

  3. 糖尿病の新療法「食事×運動=リハ栄養」3 フレイル・サルコペニア対策についてのギモン 6 腎症がある患者でも,フレイル・サルコペニアを予防するためにはたんぱく質を摂取したほうがよいの? 招待有り

    宇野千晴  

    糖尿病ケア15 巻 ( 9 ) 頁: 818‐820   2018年9月

     詳細を見る

    記述言語:日本語  

    J-GLOBAL

  4. 降下性壊死性縦隔炎を発症した維持血液透析患者に対するリハビリテーション栄養アプローチ:症例報告 査読有り

    宇野千晴  

    臨床栄養128 巻 ( 5 ) 頁: 636-641   2016年5月

     詳細を見る

    担当区分:筆頭著者   記述言語:日本語