Activities of Daily Living, Functional Capacity, and Life Satisfaction of Subacute Myelo-Optico-Neuropathy Patients in Japan
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概要
- 論文の詳細を見る
Background: Patients with subacute myelo-optico-neuropathy (SMON) suffer from a number of serious neurological symptoms that adversely affect their activities of daily living (ADL). However, the effects of these neurological symptoms on functional capacity and life satisfaction have not been reported.Methods: We analyzed data from 1,300 SMON patients aged 55–94 years that was obtained at medical check-ups carried out by the SMON Research Committee in 2004–2006 in Japan. The neurological symptoms investigated were visual impairment, dysbasia, symptoms of the lower extremities, and sensory symptoms. Neurological symptoms were classified by severity. The Barthel Index, the Tokyo Metropolitan Institute of Gerontology Index of Competence, and the participant’s response to the question “Are you satisfied with life?” were used to evaluate ADL, functional capacity, and life satisfaction, respectively. Data were analyzed using a proportional odds model with the scores for these items as ordinal dependent variables.Results: For most neurological symptoms, scores for ADL, functional capacity, and life satisfaction were significantly lower in participants with severe or moderate neurological symptoms than in those with nearly normal results upon examination. The odds ratio for life satisfaction due to superior functional capacity was significant after adjustment for sex, age, and ADL score.Conclusion: The presence of neurological symptoms in SMON patients was associated with low functional capacity, life satisfaction, and ADL. Our results suggest that the life satisfaction of SMON patients can be increased by improving their functional capacity.
- 2009-01-01
著者
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HASHIMOTO Shuji
Department of Physiologic Laboratory, National Cardiovascular Center
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橋本 周司
早稲田大学理工学術院 先進理工学研究科
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Hashimoto S
Department Of Hygiene Fujita Health University School Of Medicine
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Sasano Hironobu
東北大学 医学系研究科病理診断学
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KAWADO Miyuki
Department of Hygiene, Fujita Health University School of Medicine
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Hisamichi Shigeru
修紅短大
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Kamei Tetsuya
Department Of Hygiene Fujita Health University School Of Medicine
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Kamei Tetsuya
Department Of Medical Information Systems Course Fujita Health University College
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橋本 周司
早稲田大学理工学研究科応用物理科
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Hashimoto Shuji
Department Of Hygiene Fujita Health University School Of Medicine
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KONAGAYA Masaaki
Department of Neurology, Suzuka National Hospital
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Konagaya Masaaki
Department Of Neurology National Suzuka Hospital
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SEKO Rumi
Faculty of Nursing, Fujita Health University School of Health Sciences
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UJIHIRA Takatoshi
Health and Welfare Bureau, Nagoya City
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MATSUOKA Yukihiko
Department of Neurology, Higashinagoya National Hospital
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Kawado M
Department Of Hygiene Fujita Health University School Of Medicine
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Kawado Miyuki
Department Of Hygiene Fujita Health University School Of Medicine
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Kato M
Department Of Hygiene Fujita Health University School Of Medicine
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Kihara M
Department Of Preventive Medicine And Public Health Keio University School Of Medicine
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Seko Rumi
Faculty Of Nursing Fujita Health University School Of Health Sciences
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Kato Masahiro
Department Of Neurology Suzuka National Hospital
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Matsuoka Yukihiko
Department Of Neurology Higashinagoya National Hospital
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Hashimoto Shuji
Department Of Applied Biological Chemistry Faculty Of Agriculture Niigata University
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Ujihira Takatoshi
Health And Welfare Bureau Nagoya City
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Matsuoka Yukihiko
Department Of Medical Statistics Shiga University Of Medical Science
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橋本 周司
早稲田大学大学院理工学研究科物理学及応用物理学専攻
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Kawado Miyuki
Department Of Epidemiology And Environmental Health Juntendo University School Of Medicine
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