The mini nutritional assessment-short form (MNA-SF) is maximal inspiratory pressure (MIP) in patients with chronic obstructive pulmonary disease
Introduction: Inspiratory muscle strength in patients with chronic obstructive pulmonary disease (COPD) has been reported to be related to nutritional status. Nutritional status should be evaluated from multiple perspectives. We assessed nutritional status with the clinically used mini nutritional a...
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| Published in | Japanese Journal of Health Promotion and Physical Therapy Vol. 14; no. 3; pp. 131 - 136 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan Society of Health Promotion and Physical Therapy
28.02.2025
日本ヘルスプロモーション理学療法学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2186-3741 2187-3305 |
| DOI | 10.9759/hppt.14.131 |
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| Abstract | Introduction: Inspiratory muscle strength in patients with chronic obstructive pulmonary disease (COPD) has been reported to be related to nutritional status. Nutritional status should be evaluated from multiple perspectives. We assessed nutritional status with the clinically used mini nutritional assessment-short form (MNASF) and investigated its relation to MIP in COPD patients. Subject: This study included 86 participants (mean age 75 ± 9 years, 84% male) Methods: MIP assessed inspiratory muscle strength with a spirometer attached respiratory muscle strength meter. MNA-SF assessed nutritional status. Multiple regression analysis was performed with MIP as the dependent variable and MNA-SF, mMRC, effort lung capacity, % Forced Expiratory Volume in one second, age, and sex as independent variables. Result: A relationship was found between MIP and MNA-SF [standardized coefficient β: 0．25, p=0．002 ]. Conclusion: MIP in COPD patients was found to be associated with MNA-SF. |
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| AbstractList | Introduction: Inspiratory muscle strength in patients with chronic obstructive pulmonary disease (COPD) has been reported to be related to nutritional status. Nutritional status should be evaluated from multiple perspectives. We assessed nutritional status with the clinically used mini nutritional assessment-short form (MNASF) and investigated its relation to MIP in COPD patients. Subject: This study included 86 participants (mean age 75 ± 9 years, 84% male) Methods: MIP assessed inspiratory muscle strength with a spirometer attached respiratory muscle strength meter. MNA-SF assessed nutritional status. Multiple regression analysis was performed with MIP as the dependent variable and MNA-SF, mMRC, effort lung capacity, % Forced Expiratory Volume in one second, age, and sex as independent variables. Result: A relationship was found between MIP and MNA-SF [standardized coefficient β: 0．25, p=0．002 ]. Conclusion: MIP in COPD patients was found to be associated with MNA-SF.
［目的］慢性閉塞性肺疾患（COPD）患者の吸気筋力は栄養状態との関係が報告されている。栄養状態は多角的に評価することが望ましい。臨床で使用されている簡易栄養状態評価（mini nutritional assessment-short form：MNA-SF） で栄養状態を評価しCOPD 患者の最大吸気口腔内圧（maximal inspiratory pressure：MIP）との関係を調査した。［対象］COPD 患者90名（平均年齢75± ９ 歳，男性84％）とした。［方法］吸気筋力はMIP を，栄養状態はMNA-SF を評価した。MIP を従属変数，MNA-SF，ｍ MRC，努力性肺活量，％ １ 秒量，年齢，性別を独立変数とした重回帰分析を行った。［結果］MIP とMNA-SF［β：0．25，p＝0．002 ］との間に関係がみられた。［結論］COPD 患者のMIP にはMNA-SF が関係することが明らかになった。 Introduction: Inspiratory muscle strength in patients with chronic obstructive pulmonary disease (COPD) has been reported to be related to nutritional status. Nutritional status should be evaluated from multiple perspectives. We assessed nutritional status with the clinically used mini nutritional assessment-short form (MNASF) and investigated its relation to MIP in COPD patients. Subject: This study included 86 participants (mean age 75 ± 9 years, 84% male) Methods: MIP assessed inspiratory muscle strength with a spirometer attached respiratory muscle strength meter. MNA-SF assessed nutritional status. Multiple regression analysis was performed with MIP as the dependent variable and MNA-SF, mMRC, effort lung capacity, % Forced Expiratory Volume in one second, age, and sex as independent variables. Result: A relationship was found between MIP and MNA-SF [standardized coefficient β: 0．25, p=0．002 ]. Conclusion: MIP in COPD patients was found to be associated with MNA-SF. |
| Author | Matsunaga, Narumi Otao, Hiroshi Kamasaki, Taishiro Matsumoto, Yuzi Miyazoe, Takashige Suenaga, Takuya |
| Author_FL | 釜﨑 大志郎 Matsumoto Yuzi 松永 成美 末永 拓也 宮副 孝茂 大田尾 浩 |
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| Author_xml | – sequence: 1 fullname: Kamasaki, Taishiro organization: Faculty of Rehabilitation Sciences, Department of Rehabilitation Sciences, Nishikyushu University – sequence: 1 fullname: Matsumoto, Yuzi organization: NPO Hagakure Respiratory Care Net – sequence: 1 fullname: Otao, Hiroshi organization: Faculty of Rehabilitation Sciences, Department of Rehabilitation Sciences, Nishikyushu University – sequence: 1 fullname: Matsunaga, Narumi organization: NPO Hagakure Respiratory Care Net – sequence: 1 fullname: Miyazoe, Takashige organization: NPO Hagakure Respiratory Care Net – sequence: 1 fullname: Suenaga, Takuya organization: NPO Hagakure Respiratory Care Net |
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| DocumentTitleAlternate | 慢性閉塞性肺疾患患者のmaximal inspiratory pressure（MIP）には簡易栄養状態評価表（mini nutritional assessment-short form：MNA-SF）が関係する |
| DocumentTitle_FL | 慢性閉塞性肺疾患患者のmaximal inspiratory pressure（MIP）には簡易栄養状態評価表（mini nutritional assessment-short form：MNA-SF）が関係する |
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| PublicationTitle_FL | ヘルスプロモーション理学療法研究 |
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| Publisher | Japan Society of Health Promotion and Physical Therapy 日本ヘルスプロモーション理学療法学会 |
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| References | 3) Donahoe M, Rogers RM, Wilson DO, et al.: Oxygen consumption of the respiratory muscles in normal and in malnourished patients with chronic obstructive pulmonary disease. Am Rev Respir Dis. 1 989, 1 40 (2): 385-391. 4) Yoneda T, Yoshikawa M, Fu A, et al. : Plasma levels of amino acids and hypermetabolism in patients with chronic obstructive pulmonary disease. Nutrition, 2001 , 1 7 (2): 95-99. 15) 平山優子，大津智香子，小松有紀子・他：高齢入院患者栄養評価におけるMini-Nutritional Assessment-Short Formの有用性．日大医誌，2011 ，70(４)：20 3-20 7 16) Kuzuya M, Kanda S, Koike T, et al, : Evaluation of Mini- Nutritional Assessment for Japanese frail elderly. Nutrition, 200 5, 21 (4): 498-50. 1) 解良武士：呼吸筋力と増強．理療科，200 3，18(１)：1-6 25) Heijdra YF, Dekhuijzen PN, van Herwaarden CL, et al. : Effects of body position, hyperinflation, and blood gas tensions on maximal respiratory pressures in patients with chronic obstructive pulmonary disease. Thorax, 1 994, 49 (5): 453-458. 23) M Khalil,K Wagih,O Mahmoud: Evaluation of maximum inspiratory and expiratory pressure in patients with chronic obstructive pulmonary disease. Egyptian Journal of Chest Diseases and Tuberculosis, 201 4, 63 (2): 329-335. 21) 阿波邦彦，堀江 淳，村田 伸・他：COPD 患者の歩行距離低下に与える影響因子の抽出と外出制限に関する研究．ヘルスプロモーション理療研，2012 ，２(３)：10 7-112 . 18) 阿波邦彦，堀江淳，白仁田秀一・他：慢性閉塞性肺疾患患者の抑うつに関わる因子の検討．ヘルスプロモーション理療研，201 3，３(２)：65-69 20) Mehmet H, Yang AWH, Robinson SR. : Measurement of hand grip strength in the elderly: A scoping review with recommendations. J Bodyw Mov Ther, 2020 , 2 4 (1): 2 35- 243. 26) 解良武士：呼吸筋力の特性．理療科，2001 ，16(４)：231- 238. 27) 米田尚弘，吉川雅則，塚口勝彦・他：慢性肺気腫の臨床評価―栄養障害と呼吸機能・呼吸筋力の密接な関連性―．日胸疾患会誌，1990，28(３)：465-472. 17) 江越正次朗，堀江淳，阿波邦彦・他：慢性閉塞性肺疾患患者の６ 分間歩行距離の違いにおける身体特性の比較．ヘルスプロモーション理療研，2012 ，２(３)：12 5-130 12) ネスレ栄養ネットホームページ. https://www.eiyounet.nestlehealthscience.jp/tools/screening/mna-sf (閲覧日202 4年７ 月15日 10) 日本呼吸ケア・リハビリテーション学会・他：呼吸リハビリテーションマニュアル－運動療法－第２ 版．照林社，千葉，2012 ，26-29，135-138 6) 北島麻美，白仁田秀一，宮副孝茂・他：COPD 患者に対するMNA で分けた差の検討.理学療法さが，201 6(２)：1-5 22) Pinto-Ramos J, Moreira T, Costa F, et al. : Handheld dynamometer reliability to measure knee extension strength in rehabilitation patients-A cross-sectional study. PLoS One, 2022 , 1 7 (5): e02 68254. 14) 加茂智彦，鈴木留美子，伊藤梢・他：地域在住要支援・要介護高齢者におけるサルコペニアに関連する要因の検討．理学療法学，201 3 40(６)：414-420 9) 前田圭介：高齢入院患者に対する栄養サポートの重要性．日内会誌，2021 ，110 (６)：11 84-11 92 28) 佐藤 晋，宮崎慎二郎，玉木 彰・他：呼吸サルコペニア４ 学会合同ポジションペーパー：二次出版.呼吸理学療法学，202 4，３(１)：1-20 . 2) 上杉雅之，堀江淳，阿波邦彦・他：PT・OT 入門イラストでわかる内部障害第１ 版．医歯薬出版株式会社，東京，2020 ，20 ，28，74 5) 古川雅則. 慢性閉塞性肺疾患における栄養障害の病態と対策. 日呼吸ケアリハ会誌，2012 ，22(３)：258-263 7) Ferreira IM, Brooks D, White J, et al. : Nutritional supplementation for stable chronic obstructive pulmonary disease. Cochrane Database Syst Rev, 2012 , 1: CD000 998. 8) Aldhahir AM, Rajeh AMA, Aldabayan YS, et al. : Nutritional supplementation during pulmonary rehabilitation in COPD: A systematic review. Chron Respir Dis, 2020 , 1479973120 904953. 24) Terzano C, Ceccarelli D, Conti V, et al. : Maximal respiratory static pressures in patients with different stages of COPD severity. Respir Res, 200 8, 9 (1): 8. 19) 文部科学省：新体力テスト実施要項(65～79歳対象)． https://www.mext.go.jp/component/a_menu/sports/detail/__icsFiles/afieldfile/2010 /07/30/12 95079_04.pdf (閲覧日202 3年11 月14日 11) 堀江淳，阿波邦彦，今泉裕次郎・他：男性慢性閉塞性肺疾患患者の病期におけるバランス能力の差異に関する検討．理療科，2011 ，26(２)：21 5-21 9 13) Rubenstein LZ, Harker JO, Salvà A, et al. : Screening for undernutrition in geriatric practice: developing the shortform mini-nutritional assessment (MNA-SF). J Gerontol A Biol Sci Med Sci, 2001 , 56 (6): 366-372. |
| References_xml | – reference: 6) 北島麻美，白仁田秀一，宮副孝茂・他：COPD 患者に対するMNA で分けた差の検討.理学療法さが，201 6(２)：1-5． – reference: 9) 前田圭介：高齢入院患者に対する栄養サポートの重要性．日内会誌，2021 ，110 (６)：11 84-11 92． – reference: 1) 解良武士：呼吸筋力と増強．理療科，200 3，18(１)：1-6． – reference: 2) 上杉雅之，堀江淳，阿波邦彦・他：PT・OT 入門イラストでわかる内部障害第１ 版．医歯薬出版株式会社，東京，2020 ，20 ，28，74． – reference: 14) 加茂智彦，鈴木留美子，伊藤梢・他：地域在住要支援・要介護高齢者におけるサルコペニアに関連する要因の検討．理学療法学，201 3 40(６)：414-420 ． – reference: 16) Kuzuya M, Kanda S, Koike T, et al, : Evaluation of Mini- Nutritional Assessment for Japanese frail elderly. Nutrition, 200 5, 21 (4): 498-50. – reference: 28) 佐藤 晋，宮崎慎二郎，玉木 彰・他：呼吸サルコペニア４ 学会合同ポジションペーパー：二次出版.呼吸理学療法学，202 4，３(１)：1-20 . – reference: 3) Donahoe M, Rogers RM, Wilson DO, et al.: Oxygen consumption of the respiratory muscles in normal and in malnourished patients with chronic obstructive pulmonary disease. Am Rev Respir Dis. 1 989, 1 40 (2): 385-391. – reference: 22) Pinto-Ramos J, Moreira T, Costa F, et al. : Handheld dynamometer reliability to measure knee extension strength in rehabilitation patients-A cross-sectional study. PLoS One, 2022 , 1 7 (5): e02 68254. – reference: 18) 阿波邦彦，堀江淳，白仁田秀一・他：慢性閉塞性肺疾患患者の抑うつに関わる因子の検討．ヘルスプロモーション理療研，201 3，３(２)：65-69． – reference: 26) 解良武士：呼吸筋力の特性．理療科，2001 ，16(４)：231- 238. – reference: 23) M Khalil,K Wagih,O Mahmoud: Evaluation of maximum inspiratory and expiratory pressure in patients with chronic obstructive pulmonary disease. Egyptian Journal of Chest Diseases and Tuberculosis, 201 4, 63 (2): 329-335. – reference: 10) 日本呼吸ケア・リハビリテーション学会・他：呼吸リハビリテーションマニュアル－運動療法－第２ 版．照林社，千葉，2012 ，26-29，135-138． – reference: 11) 堀江淳，阿波邦彦，今泉裕次郎・他：男性慢性閉塞性肺疾患患者の病期におけるバランス能力の差異に関する検討．理療科，2011 ，26(２)：21 5-21 9． – reference: 15) 平山優子，大津智香子，小松有紀子・他：高齢入院患者栄養評価におけるMini-Nutritional Assessment-Short Formの有用性．日大医誌，2011 ，70(４)：20 3-20 7． – reference: 20) Mehmet H, Yang AWH, Robinson SR. : Measurement of hand grip strength in the elderly: A scoping review with recommendations. J Bodyw Mov Ther, 2020 , 2 4 (1): 2 35- 243. – reference: 27) 米田尚弘，吉川雅則，塚口勝彦・他：慢性肺気腫の臨床評価―栄養障害と呼吸機能・呼吸筋力の密接な関連性―．日胸疾患会誌，1990，28(３)：465-472. – reference: 19) 文部科学省：新体力テスト実施要項(65～79歳対象)． https://www.mext.go.jp/component/a_menu/sports/detail/__icsFiles/afieldfile/2010 /07/30/12 95079_04.pdf (閲覧日202 3年11 月14日) – reference: 21) 阿波邦彦，堀江 淳，村田 伸・他：COPD 患者の歩行距離低下に与える影響因子の抽出と外出制限に関する研究．ヘルスプロモーション理療研，2012 ，２(３)：10 7-112 . – reference: 7) Ferreira IM, Brooks D, White J, et al. : Nutritional supplementation for stable chronic obstructive pulmonary disease. Cochrane Database Syst Rev, 2012 , 1: CD000 998. – reference: 8) Aldhahir AM, Rajeh AMA, Aldabayan YS, et al. : Nutritional supplementation during pulmonary rehabilitation in COPD: A systematic review. Chron Respir Dis, 2020 , 1479973120 904953. – reference: 13) Rubenstein LZ, Harker JO, Salvà A, et al. : Screening for undernutrition in geriatric practice: developing the shortform mini-nutritional assessment (MNA-SF). J Gerontol A Biol Sci Med Sci, 2001 , 56 (6): 366-372. – reference: 5) 古川雅則. 慢性閉塞性肺疾患における栄養障害の病態と対策. 日呼吸ケアリハ会誌，2012 ，22(３)：258-263． – reference: 17) 江越正次朗，堀江淳，阿波邦彦・他：慢性閉塞性肺疾患患者の６ 分間歩行距離の違いにおける身体特性の比較．ヘルスプロモーション理療研，2012 ，２(３)：12 5-130． – reference: 25) Heijdra YF, Dekhuijzen PN, van Herwaarden CL, et al. : Effects of body position, hyperinflation, and blood gas tensions on maximal respiratory pressures in patients with chronic obstructive pulmonary disease. Thorax, 1 994, 49 (5): 453-458. – reference: 12) ネスレ栄養ネットホームページ. https://www.eiyounet.nestlehealthscience.jp/tools/screening/mna-sf (閲覧日202 4年７ 月15日) – reference: 24) Terzano C, Ceccarelli D, Conti V, et al. : Maximal respiratory static pressures in patients with different stages of COPD severity. Respir Res, 200 8, 9 (1): 8. – reference: 4) Yoneda T, Yoshikawa M, Fu A, et al. : Plasma levels of amino acids and hypermetabolism in patients with chronic obstructive pulmonary disease. Nutrition, 2001 , 1 7 (2): 95-99. |
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| SubjectTerms | chronic obstructive pulmonary disease (COPD) maximal inspiratory pressure (MIP) state of nutrition 吸気筋力 慢性閉塞性肺疾患 栄養状態 |
| Title | The mini nutritional assessment-short form (MNA-SF) is maximal inspiratory pressure (MIP) in patients with chronic obstructive pulmonary disease |
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| ispartofPNX | Japanese Journal of Health Promotion and Physical Therapy, 2025/02/28, Vol.14(3), pp.131-136 |
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