Low-Energy Diet in Atopic Dermatitis Patients : Clinical Findings and DNA Damage
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概要
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Undernutrition without malnutrition(low-energy diet)increases maximum longevity, reduces the incidence of several cancers and delays their onset, in animal studies. It has also been demonstrated by experimental study that caloric restriction provides a beneficial effect on various inflammatory diseases. In this study, we offered a low-energy diet to patients with atopic dermatitis(AD). Nineteen adult patients(5 males and 14 females aged 15 to 36 years)were enrolled in the study which lasted 8 weeks. The energy intake was 55% of nutritional requirements;protein was 75%, calcium 180%, iron 130%, vitamin A 105%, vitamin C 250% and vitamin E 110% of the daily requirement. No patient experienced adverse reaction, and none dropped out of the trial. Body weight, body mass index(BMI), and systolic blood pressure had decreased significantly by the end of study. The SCORAD(scoring atopic dermatitis)index, which combines objective(extent and intensity of lesions)and subjective(daytime pruritus and sleep loss)criteria, was reduced significantly. In 11 patients with severe AD, there was a significant reduction in oxidative DNA damage. The change in the inflammatory intensity score and the change in BMI coused by energy restriction showed a significant positive correlation. The change in oxidative DNA damage levels and the change in BMI showed a positive correlation. These results clarify the relationship between weight loss and the improvement of AD. It may be hypothesized that this low-energy diet which included several additional nutrients has a possibility to reduce inflammatory symptoms of patients with AD.
- 日本生理人類学会の論文
著者
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NAKAMURA Harunobu
Department of Public Health, Hamamatsu University School of Medicine
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Kouda Katsuyasu
Department of Hygiene, Kansai Medical University
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Aoki T
Department Of Biochemical Science And Technology Faculty Of Agriculture Kagoshima University
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TAKIGAWA Masahiro
Department of Dermatology, Hamamatsu University School of Medicine
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TAKEUCHI Hiroichi
Department of Public Health, Hamamatsu University School of Medicine
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Tanaka Toshiro
Third Department Of Internal Medicine School Of Medicine Osaka University
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Kouda Mitsuo
Kouda Clinic
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Takeuchi Akira
Research and Development Center, Sunstar Inc.
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Tanaka Toshio
Third Department of Internal Medicine, School of Medicine, Osaka University
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Kouda Mitsuo
Research Institute for Microbial Diseases, Osaka University
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Takahashi Masaaki
Department Of Orthopedic Surgery Hamamatsu University School Of Medicine
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Kouda Katsuyasu
Department Of Hygiene Kansai Medical University
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Takeuchi Hiroichi
Department Of Public Health Hamamatsu University School Of Medicine
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Takeuchi A
Department Of Biological Science Faculty Of Science Nara Women's University
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Nakamura Harunobu
Department Of Health Promotion And Education Graduate School Of Human Development And Environment
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Takigawa Masahiro
Department Of Dermatology Hamamatsu University School Of Medicine
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Kotani Mayumi
Kouda Clinic
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竹内 章
Tohoku Univ. Sendai Jpn
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