高齢者の栄養状態からの予後予測 叙述的総説
高齢者の栄養状態からの予後予測を叙述的に総説解析した。【方法】PubMedにより2013年6月までに、{“elderly” and “older”} and “nutrition” and “outcome” をMeSHキーワードとしてサーチした。方法1-臨床研究アウトカム論文の予後期間別検討、方法2-臨床研究アウトカム論文の予後予測指標と論文発表年度の検討、方法3-アウトカム論文の系統的総説の検討。【結果】方法1-アウトカム指標と予後期間は生存 (死亡) 率、バイオマーカーが1～3年、身体機能、身体計測値が3～6ケ月を予後期間として扱った臨床研究が多かった。またこれらの指標は栄養アセスメント...
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| Published in | 静脈経腸栄養 Vol. 28; no. 5; pp. 1033 - 1043 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本静脈経腸栄養学会
2013
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1344-4980 1881-3623 |
| DOI | 10.11244/jjspen.28.1033 |
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| Abstract | 高齢者の栄養状態からの予後予測を叙述的に総説解析した。【方法】PubMedにより2013年6月までに、{“elderly” and “older”} and “nutrition” and “outcome” をMeSHキーワードとしてサーチした。方法1-臨床研究アウトカム論文の予後期間別検討、方法2-臨床研究アウトカム論文の予後予測指標と論文発表年度の検討、方法3-アウトカム論文の系統的総説の検討。【結果】方法1-アウトカム指標と予後期間は生存 (死亡) 率、バイオマーカーが1～3年、身体機能、身体計測値が3～6ケ月を予後期間として扱った臨床研究が多かった。またこれらの指標は栄養アセスメント、栄養介入、病態別の3つの異なるカテゴリーに分類できた。方法2-方法1で得られた3つのカテゴリー別に、発表論文の時期を検討した結果、栄養アセスメント研究が2000年前後の5年間、栄養介入研究が2008年以降に集中していた。一方、病態別では脳卒中、褥瘡、Community-acquired pneumonia (CAP)、認知症などの臨床研究が見られたが論文の発表年度に一定の傾向は認めなかった。方法3-系統的総説は3本であった。これらの論文から栄養アセスメントによる栄養状態の悪化は身体計測値が身体機能の低下よりも先に現れ、栄養介入の効果も同様に身体計測値の効果が先に現れる傾向が認められた。 |
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| AbstractList | 高齢者の栄養状態からの予後予測を叙述的に総説解析した。【方法】PubMedにより2013年6月までに、{“elderly” and “older”} and “nutrition” and “outcome” をMeSHキーワードとしてサーチした。方法1-臨床研究アウトカム論文の予後期間別検討、方法2-臨床研究アウトカム論文の予後予測指標と論文発表年度の検討、方法3-アウトカム論文の系統的総説の検討。【結果】方法1-アウトカム指標と予後期間は生存 (死亡) 率、バイオマーカーが1～3年、身体機能、身体計測値が3～6ケ月を予後期間として扱った臨床研究が多かった。またこれらの指標は栄養アセスメント、栄養介入、病態別の3つの異なるカテゴリーに分類できた。方法2-方法1で得られた3つのカテゴリー別に、発表論文の時期を検討した結果、栄養アセスメント研究が2000年前後の5年間、栄養介入研究が2008年以降に集中していた。一方、病態別では脳卒中、褥瘡、Community-acquired pneumonia (CAP)、認知症などの臨床研究が見られたが論文の発表年度に一定の傾向は認めなかった。方法3-系統的総説は3本であった。これらの論文から栄養アセスメントによる栄養状態の悪化は身体計測値が身体機能の低下よりも先に現れ、栄養介入の効果も同様に身体計測値の効果が先に現れる傾向が認められた。 |
| Author | 一丸, 智美 林田, 美香子 雨海, 照祥 鉾立, 容子 脇田, 真季 大西, 泉澄 |
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| References | 9) Travison TG, Nguyen AH, Naganathan V, et al. Changes in reproductive hormone concentrations predict the prevalence and progression of the frailty syndrome in older men: the concord health and ageing in men project. J Clin Endocrinol Metab 96: 2464-74, 2011. doi: 10.1210/jc.2011-0143. Epub 2011 Jun 15. 14) Travison TG, Basaria S, Storer TW, et al. Clinical meaningfulness of the changes in muscle performance and physical function associated with testosterone administration in older men with mobility limitation. J Gerontol A Biol Sci Med Sci 66: 1090-9, 2011. doi: 10.1093/gerona/glr100. Epub 2011 Jun 22. 20) 雨海照祥, 大西泉澄. サルコペニアの栄養療法 たんぱく質・アミノ酸. 栄養・運動で予防するサルコペニア. 医歯薬出版, 東京, 2013, p96-108. 3) Henderson S, Moore N, Lee E, et al. Do the malnutrition universal screening tool (MUST) and Birmingham nutrition risk (BNR) score predict mortality in older hospitalised patients? BMC Geriatr 8: 26, 2008. doi: 10.1186/1471-2318-8-26. 17) FOOD Trial Collaboration. Poor nutritional status on admission predicts poor outcomes after stroke: observational data from the FOOD trial. Stroke34: 1450-6, . 2003. Epub 2003 May 15. 11) Huang HH, Hsu CW, Kang SP, et al. Association between illness severity and timing of initial enteral feeding in critically ill patients: a retrospective observational study. Nutr J 11: 30, 2012. doi: 10.1186/1475-2891-11-30. 6) Naik AD, Abraham NS, Roche VM, et al. Predicting which patients can resume oral nutrition after percutaneous endoscopic gastrostomy tube placement. Aliment Pharmacol Ther 21: 1155-61, 2005. 15) Nijs KA, de Graaf C, Kok FJ, et al. Effect of family style mealtimes on quality of life, physical performance, and body weight of nursing home residents: cluster randomised controlled trial. BMJ 332: 1180-4, 2006. Epub 2006 May 5. 18) Sullivan DH, Bopp MM, Roberson PK. Protein-energy undernutrition and life-threatening complications among the hospitalized elderly. J Gen Intern Med 17: 923-32, 2002. 13) Jensen GL, Friedmann JM, Coleman CD, et al. Screening for hospitalization and nutritional risks among community-dwelling older persons. Screening for hospitalization and nutritional risks among community-dwelling older persons. Am J Clin Nutr 74: 201-5, 2001. 12) Mallet M. Refeeding syndrome. Age Ageing 31: 65-6, 2002. 24) Beck AM, Beermann T, Kjær S, et al. Ability of different screening tools to predict positive effect on nutritional intervention among the elderly in primary health care. Nutrition 29: 993-9, 2013. doi: 10.1016/j.nut. 2013.01.016. Epub 2013 May 2. 2) Singh M, Rihal CS, Lennon RJ, et al. Influence of frailty and health status on outcomes in patients with coronary disease undergoing percutaneous revascularization. Circ Cardiovasc Qual Outcomes 4: 496-502, 2011. doi: 10.1161/CIRCOUTCOMES.111.961375. Epub 2011 Aug 30. 5) Varnier A, Iona L, Dominutti MC, et al. Percutaneous endoscopic gastrostomy: complications in the short and long-term follow-up and efficacy on nutritional status. Eura Medicophys 42: 23-6, 2006. 23) Anne Marie Beck a, Hanneke A.H. Wijnhoven, Karin Østergaard Lassen. A review of the effect of oral nutritional interventions on both weight change and functional outcomes in older nursing home residents. e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism 6, 2011, e101ee105. 1) Relly BM, Evans AT. Translating clinical research into clinical practice: impact of using prediction rules to make decision. Ann Intern Med 144: 201-209, 2006. 7) Van Nes MC, Herrmann FR, Gold G, et al. Does the mini nutritional assessment predict hospitalization outcomes in older people? Age Ageing 30: 221-6, 2001. 19) Gray-Donald K, Payette H, Boutier V. Randomized clinical trial of nutritional supplementation shows little effect on functional status among free-living frail elderly. J Nutr 125: 2965-71 1995. 22) Carol L Hodgson, Kate Hayes, Tori Everard, et al: Long-term quality of life in patients with acute respiratory distress syndrome requiring extracorporeal membrane oxygenation for refractory hypoxaemia. Crit Care 16: R202, 2012. doi: 10.1186/cc11811. 21) Laupacis A, Sekar N, Stiell IG. Clinical prediction rules. A review and suggested modifications of methodological standards. JAMA 277: 488-94, 1997. 10) Booth SL, Dallal G, Shea MK, et al. Effect of vitamin K supplementation on bone loss in elderly men and women. J Clin Endocrinol Metab 93: 1217-23, 2008. doi: 10.1210/jc.2007-2490. Epub 2008 Feb 5. 16) Davis JP, Wong AA, Schluter PJ, et al. Impact of premorbid undernutrition on outcome in stroke patients. Stroke 35: 1930-4, 2004. Epub 2004 Jun 24. 25) Campbell SE, Seymour DG, Primrose WR, et al. A systematic literature review of factors affecting outcome in older medical patients admitted to hospital. Age Ageing 33: 110-5, 2004. 4) Kagansky N, Berner Y, Koren-Morag N, et al. Poor nutritional habits are predictors of poor outcome in very old hospitalized patients. Am J Clin Nutr 82: 784-91, 2005. quiz 913-4. 8) Woods JL, Iuliano-Burns S, Walker KZ. Weight loss in elderly women in low-level care and its association with transfer to high-level care and mortality. Clin Interv Aging 6: 311-7, 2011. doi: 10.2147/CIA.S27334. Epub 2011 Dec 8. |
| References_xml | – reference: 12) Mallet M. Refeeding syndrome. Age Ageing 31: 65-6, 2002. – reference: 4) Kagansky N, Berner Y, Koren-Morag N, et al. Poor nutritional habits are predictors of poor outcome in very old hospitalized patients. Am J Clin Nutr 82: 784-91, 2005. quiz 913-4. – reference: 24) Beck AM, Beermann T, Kjær S, et al. Ability of different screening tools to predict positive effect on nutritional intervention among the elderly in primary health care. Nutrition 29: 993-9, 2013. doi: 10.1016/j.nut. 2013.01.016. Epub 2013 May 2. – reference: 6) Naik AD, Abraham NS, Roche VM, et al. Predicting which patients can resume oral nutrition after percutaneous endoscopic gastrostomy tube placement. Aliment Pharmacol Ther 21: 1155-61, 2005. – reference: 9) Travison TG, Nguyen AH, Naganathan V, et al. Changes in reproductive hormone concentrations predict the prevalence and progression of the frailty syndrome in older men: the concord health and ageing in men project. J Clin Endocrinol Metab 96: 2464-74, 2011. doi: 10.1210/jc.2011-0143. Epub 2011 Jun 15. – reference: 23) Anne Marie Beck a, Hanneke A.H. Wijnhoven, Karin Østergaard Lassen. A review of the effect of oral nutritional interventions on both weight change and functional outcomes in older nursing home residents. e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism 6, 2011, e101ee105. – reference: 21) Laupacis A, Sekar N, Stiell IG. Clinical prediction rules. A review and suggested modifications of methodological standards. JAMA 277: 488-94, 1997. – reference: 19) Gray-Donald K, Payette H, Boutier V. Randomized clinical trial of nutritional supplementation shows little effect on functional status among free-living frail elderly. J Nutr 125: 2965-71 1995. – reference: 20) 雨海照祥, 大西泉澄. サルコペニアの栄養療法 たんぱく質・アミノ酸. 栄養・運動で予防するサルコペニア. 医歯薬出版, 東京, 2013, p96-108. – reference: 14) Travison TG, Basaria S, Storer TW, et al. Clinical meaningfulness of the changes in muscle performance and physical function associated with testosterone administration in older men with mobility limitation. J Gerontol A Biol Sci Med Sci 66: 1090-9, 2011. doi: 10.1093/gerona/glr100. Epub 2011 Jun 22. – reference: 17) FOOD Trial Collaboration. Poor nutritional status on admission predicts poor outcomes after stroke: observational data from the FOOD trial. Stroke34: 1450-6, . 2003. Epub 2003 May 15. – reference: 18) Sullivan DH, Bopp MM, Roberson PK. Protein-energy undernutrition and life-threatening complications among the hospitalized elderly. J Gen Intern Med 17: 923-32, 2002. – reference: 7) Van Nes MC, Herrmann FR, Gold G, et al. Does the mini nutritional assessment predict hospitalization outcomes in older people? Age Ageing 30: 221-6, 2001. – reference: 3) Henderson S, Moore N, Lee E, et al. Do the malnutrition universal screening tool (MUST) and Birmingham nutrition risk (BNR) score predict mortality in older hospitalised patients? BMC Geriatr 8: 26, 2008. doi: 10.1186/1471-2318-8-26. – reference: 5) Varnier A, Iona L, Dominutti MC, et al. Percutaneous endoscopic gastrostomy: complications in the short and long-term follow-up and efficacy on nutritional status. Eura Medicophys 42: 23-6, 2006. – reference: 15) Nijs KA, de Graaf C, Kok FJ, et al. Effect of family style mealtimes on quality of life, physical performance, and body weight of nursing home residents: cluster randomised controlled trial. BMJ 332: 1180-4, 2006. Epub 2006 May 5. – reference: 25) Campbell SE, Seymour DG, Primrose WR, et al. A systematic literature review of factors affecting outcome in older medical patients admitted to hospital. Age Ageing 33: 110-5, 2004. – reference: 11) Huang HH, Hsu CW, Kang SP, et al. Association between illness severity and timing of initial enteral feeding in critically ill patients: a retrospective observational study. Nutr J 11: 30, 2012. doi: 10.1186/1475-2891-11-30. – reference: 13) Jensen GL, Friedmann JM, Coleman CD, et al. Screening for hospitalization and nutritional risks among community-dwelling older persons. Screening for hospitalization and nutritional risks among community-dwelling older persons. Am J Clin Nutr 74: 201-5, 2001. – reference: 10) Booth SL, Dallal G, Shea MK, et al. Effect of vitamin K supplementation on bone loss in elderly men and women. J Clin Endocrinol Metab 93: 1217-23, 2008. doi: 10.1210/jc.2007-2490. Epub 2008 Feb 5. – reference: 22) Carol L Hodgson, Kate Hayes, Tori Everard, et al: Long-term quality of life in patients with acute respiratory distress syndrome requiring extracorporeal membrane oxygenation for refractory hypoxaemia. Crit Care 16: R202, 2012. doi: 10.1186/cc11811. – reference: 1) Relly BM, Evans AT. Translating clinical research into clinical practice: impact of using prediction rules to make decision. Ann Intern Med 144: 201-209, 2006. – reference: 2) Singh M, Rihal CS, Lennon RJ, et al. Influence of frailty and health status on outcomes in patients with coronary disease undergoing percutaneous revascularization. Circ Cardiovasc Qual Outcomes 4: 496-502, 2011. doi: 10.1161/CIRCOUTCOMES.111.961375. Epub 2011 Aug 30. – reference: 16) Davis JP, Wong AA, Schluter PJ, et al. Impact of premorbid undernutrition on outcome in stroke patients. Stroke 35: 1930-4, 2004. Epub 2004 Jun 24. – reference: 8) Woods JL, Iuliano-Burns S, Walker KZ. Weight loss in elderly women in low-level care and its association with transfer to high-level care and mortality. Clin Interv Aging 6: 311-7, 2011. doi: 10.2147/CIA.S27334. Epub 2011 Dec 8. |
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| Snippet | 高齢者の栄養状態からの予後予測を叙述的に総説解析した。【方法】PubMedにより2013年6月までに、{“elderly” and “older”} and “nutrition” and “outcome”... |
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| Subtitle | 叙述的総説 |
| Title | 高齢者の栄養状態からの予後予測 |
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