慢性維持血液透析患者の身体家測値の検討
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概要
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Anthropometry is importan for patients receiving hemodialysis to take suitable nutritional and physical assessments, which are influenced by several factors such as age, sex, primary disrase and the term of the disease. We previously reported that hte survival rate and nutritional status of patients receiving hemodialysis were signifcantly lower in the case of complication of diacetes than in the case of without that of the disease. Nutritional status is well reflected in the physical conditions. In the present study, we assessed anthropometry of patients receiving hemodialysis in the case of complication of diabetes to know their characteristically physical conditions for raising the therapeutic effect. 320 patients receiving hemodialysis over 1-year, aged 65.6±11.1 years old with the composition of 184 male and 136 female, were recruited from out-patient clinics in Ehime prefecture in Japan. Each patient in male and female was divided into two groups of non-diavetic(ND) and diabetic (DM), which were further classified by the term of hemodialysis into 1-4-year (ND1, DM1), 5-9-year (ND2, DM2) and over 10-year (ND3, DM3). Using a measure tape and calipers, two dietitians measured arm circumference (AC) and triceps skinfold thickeness (TSF) of the patients after dialysis to assess whole body fat mass, muscle mass and whole body fat. Arm muscle circumference (AMC) and arm muscle area (AMA) to assess whole body muscle mass and body protein mass were calculated as bellow. %AC, %AMC and %AMA were compared with the Japanese Anthropometric Reference Date. As a result, %AC, %AMC and %AMA were decreased in DM along with the term of hemodialysis, and were significantly lower in DM3 than in ND3. %AC, %AMC and %AMA in ND, but not in DM, were decreased along with the term of hemodialysis. The body compositions of AC, ANC and AMA in patients receiving hemodialysis were lower than the Japanese Anthropometric Reference Date. Complication of diabetes in male patients receiving hemodialysis decreased their body compositions along with the term of the disease. These suggest that anthropometry against patients receiving hemodialysis is useful for screening the risk of the disease, and that nutritional care to maintain and/or recover of the fine physical cinditions in the patients is primary for rausng the therapeutic effect in hospital.
- 広島女学院大学の論文
- 2010-12-21
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