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Shimizu A, Okada K, Tomata Y, Uno C, Kawase F, Momosaki R. Association between adherence of Japanese dietary pattern and mobility limitation and self-reported health in Japanese adults aged ≥50 years. Geriatr Gerontol Int 2024; 24:441-443. [PMID: 38400819 DOI: 10.1111/ggi.14845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2023] [Revised: 01/31/2024] [Accepted: 02/08/2024] [Indexed: 02/26/2024]
Affiliation(s)
- Akio Shimizu
- Department of Food and Health Science, Faculty of Health and Human Development, The University of Nagano, Nagano, Japan
- Institute of Health and Nutrition, Nagoya University of Arts and Sciences, Nisshin, Japan
| | - Kiwako Okada
- Institute of Health and Nutrition, Nagoya University of Arts and Sciences, Nisshin, Japan
| | - Yasutake Tomata
- School of Nutrition and Dietetics, Faculty of Health and Social Services, Kanagawa University of Human Services, Yokosuka, Japan
| | - Chiharu Uno
- Institute of Health and Nutrition, Nagoya University of Arts and Sciences, Nisshin, Japan
| | - Fumiya Kawase
- Graduate School of Nutritional Science, Nagoya University of Arts and Sciences, Nisshin, Japan
| | - Ryo Momosaki
- Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu, Japan
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Shimizu A, Okada K, Tomata Y, Uno C, Kawase F, Momosaki R. Association between Japanese Diet Adherence and Muscle Weakness in Japanese Adults Aged ≥50 Years: Findings from the JSTAR Cohort Study. Int J Environ Res Public Health 2023; 20:7065. [PMID: 37998296 PMCID: PMC10671671 DOI: 10.3390/ijerph20227065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 11/08/2023] [Accepted: 11/14/2023] [Indexed: 11/25/2023]
Abstract
Japanese diet adherence has been inversely correlated with muscle weakness. In this study, we aimed to validate that association. Longitudinal data from 1699 individuals aged ≥50 years (mean age 62.5 ± 6.9 years, 50.4% female) at two time points (2007 and 2011) were used. Participants without muscle weakness from several regions in Japan were included. The 12-component revised Japanese Diet Index (rJDI12) classified by tertiles assessed adherence to the Japanese dietary pattern. Muscle weakness was defined as a handgrip strength of ˂18 kg for females and ˂28 kg for males based on the Asian Working Group for Sarcopenia criteria 2019. A multivariate logistic approach was used to determine the relationship between rJDI12 tertile and the occurrence of muscle weakness by calculating the odds ratio (OR) and its 95% confidence interval (95% CI) throughout the observation period. Muscle weakness was negatively correlated with the highest rJDI12 tertile (OR [95% CI] 0.891 [0.814, 0.973] for T3). This association was consistent in sensitivity analyses with multiple imputations of missing values. Closely following the Japanese dietary pattern appears to reduce the occurrence of muscle weakness among the aging population in this study, suggesting it may prevent frailty and sarcopenia in the aging population.
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Affiliation(s)
- Akio Shimizu
- Department of Food and Health Science, Faculty of Health and Human Development, The University of Nagano, 8-49-7, Miwa, Nagano 380-8525, Japan
- Institute of Health and Nutrition, Nagoya University of Arts and Sciences, 57, Iwasaki-cho, Nisshin 470-0196, Japan; (K.O.); (C.U.)
| | - Kiwako Okada
- Institute of Health and Nutrition, Nagoya University of Arts and Sciences, 57, Iwasaki-cho, Nisshin 470-0196, Japan; (K.O.); (C.U.)
| | - Yasutake Tomata
- School of Nutrition and Dietetics, Faculty of Health and Social Services, Kanagawa University of Human Services, 1-10-1, Heisei-cho, Yokosuka 238-8522, Japan;
| | - Chiharu Uno
- Institute of Health and Nutrition, Nagoya University of Arts and Sciences, 57, Iwasaki-cho, Nisshin 470-0196, Japan; (K.O.); (C.U.)
| | - Fumiya Kawase
- Graduate School of Nutritional Science, Nagoya University of Arts and Sciences, 57, Iwasaki-cho, Nisshin 470-0196, Japan;
| | - Ryo Momosaki
- Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu 514-8507, Japan;
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Shimizu A, Okada K, Tomata Y, Uno C, Kawase F, Momosaki R. Association of Japanese and Mediterranean Dietary Patterns with Muscle Weakness in Japanese Community-Dwelling Middle-Aged and Older Adults: Post Hoc Cross-Sectional Analysis. Int J Environ Res Public Health 2022; 19:12636. [PMID: 36231936 PMCID: PMC9566278 DOI: 10.3390/ijerph191912636] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Revised: 09/26/2022] [Accepted: 09/29/2022] [Indexed: 06/16/2023]
Abstract
The association of Japanese and Mediterranean dietary patterns with muscle weakness in middle-aged and older Japanese individuals is unclear. This cross-sectional study investigated the association between Japanese and Mediterranean dietary patterns and muscle weakness in community-dwelling, middle-aged, and older Japanese individuals (enrolled from 2007 to 2011). Based on the dietary consumption information obtained from the brief self-administered diet history questionnaire, we assessed adherence to the Japanese (12-component revised Japanese diet index (rJDI12)) and Mediterranean (alternate Mediterranean diet (aMed) score) dietary patterns. Muscle weakness was defined as handgrip strength <28 and <18 kg for men and women, respectively. Logistic regression was used to ascertain the relationship between dietary pattern and muscle weakness. In our study, with 6031 participants, the Japanese, but not Mediterranean, dietary pattern was inversely associated with muscle weakness (p for trend = 0.031 and 0.242, respectively). In the model adjusted for confounders, including energy intake, the highest quartile of rJDI12 scores (9-12 points), and the rJDI12 scores, entered as continuous variables, showed an independent association (odds ratio (95% CI), 0.703 (0.507-0.974), and 0.933 (0.891-0.977), respectively). Our findings showed that adherence to the Japanese dietary pattern is associated with a low prevalence of muscle weakness.
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Affiliation(s)
- Akio Shimizu
- Department of Health Science, Faculty of Health and Human Development, The University of Nagano, 8-49-7, Miwa, Nagano 380-8525, Japan
- Institute of Health and Nutrition, Nagoya University of Arts and Sciences, 57, Iwasaki-cho, Nisshin 470-0131, Japan
| | - Kiwako Okada
- Institute of Health and Nutrition, Nagoya University of Arts and Sciences, 57, Iwasaki-cho, Nisshin 470-0131, Japan
- Graduate School of Nutritional Sciences, Nagoya University of Arts and Sciences, 57, Iwasaki-cho, Nisshin 470-0196, Japan
- Department of Nutrition, Nagoya University of Arts and Sciences, 57, Iwasaki-cho, Nisshin 470-0196, Japan
| | - Yasutake Tomata
- School of Nutrition and Dietetics, Faculty of Health and Social Services, Kanagawa University of Human Services, 1-10-1, Heisei-cho, Yokosuka 238-8522, Japan
| | - Chiharu Uno
- Institute of Health and Nutrition, Nagoya University of Arts and Sciences, 57, Iwasaki-cho, Nisshin 470-0131, Japan
| | - Fumiya Kawase
- Graduate School of Nutritional Sciences, Nagoya University of Arts and Sciences, 57, Iwasaki-cho, Nisshin 470-0196, Japan
| | - Ryo Momosaki
- Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu 514-8507, Japan
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Ueshima J, Shimizu A, Maeda K, Uno C, Shirai Y, Sonoi M, Motokawa K, Egashira F, Kayashita J, Kudo M, Kojo A, Momosaki R. Nutritional Management in Adult Patients With Dysphagia: Position Paper From Japanese Working Group on Integrated Nutrition for Dysphagic People. J Am Med Dir Assoc 2022; 23:1676-1682. [PMID: 35985419 DOI: 10.1016/j.jamda.2022.07.009] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Revised: 07/05/2022] [Accepted: 07/12/2022] [Indexed: 10/15/2022]
Abstract
This position paper prepared by the Japanese Working Group on Integrated Nutrition for Dysphagic People (JWIND) aims to summarize the need for nutritional management in adult patients with dysphagia, the issues that nutrition professionals should address, and the promising approaches as well as to propose a vision for the future of nutritional care for adult patients with dysphagia. JWIND is a joint certification system recognized by the Japan Dietetic Association and the Japanese Society of Dysphagia Rehabilitation; its members are mostly experts known as "Certified Specialist of Registered Dietitian for Dysphagia Rehabilitation." Malnutrition and dysphagia are associated with each other. Therefore, malnutrition detection and intervention are essential for patients with dysphagia. However, evidence on the usefulness nutritional assessment and intervention to ensure appropriate nutritional care remains insufficient. Here, we present current knowledge of the relationship between primary diseases causing dysphagia and malnutrition, the indicators used for nutritional assessment, and nutritional interventions such as texture-modified diet (TMD) quality improvement, oral nutritional supplementation, and comprehensive intervention. We also discuss the current status and issues in nutritional care for adult patients with dysphagia. Furthermore, we have proposed measures that nutrition professionals should consider based on 3 perspectives: nutritional assessment, TMD, and nutritional intervention. Individualized and specialized nutritional management by registered dietitians (RDs) through appropriate assessment of the nutritional status of adult patients with dysphagia is needed. To maintain and improve swallowing function and nutritional status, RDs should intervene from the state of risk or early dysphagia onset, providing individualized care per their expertise as part of a multidisciplinary team. However, systematic clinical practice and research regarding the association of nutrition with dysphagia are currently insufficient. Therefore, further clinical practice and evidence building, including the verification of the efficacy on nutritional support through intervention research, are needed.
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Affiliation(s)
- Junko Ueshima
- Department of Clinical Nutrition and Food Service, NTT Medical Center Tokyo, Shinagawa, Tokyo, Japan; Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Aichi, Japan
| | - Akio Shimizu
- Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Aichi, Japan; Department of Health Science, Faculty of Health and Human Development, The University of Nagano, Nagano, Nagano, Japan
| | - Keisuke Maeda
- Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Aichi, Japan; Department of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
| | - Chiharu Uno
- Institutes of innovation for Future Society, Nagoya University, Nagoya, Aichi, Japan
| | - Yuka Shirai
- Department of Clinical Nutrition Unit, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan
| | - Mika Sonoi
- Department of Foods and Human Nutrition, Faculty of Human Life Sciences, Notre Dame Seishin University, Okayama, Okayama, Japan
| | - Keiko Motokawa
- Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - Fumie Egashira
- PEACH Atsugi of Community Nutritional Care Center, Kanagawa, Japan
| | - Jun Kayashita
- Department of Health Sciences, Faculty of Human Culture and Science, Prefectural University of Hiroshima, Hiroshima, Japan
| | - Mika Kudo
- Department of Health and Nutrition Sciences, Komazawa Women's University, Tokyo, Japan
| | - Akiko Kojo
- Division of Medical Nutrition, Faculty of Healthcare, Tokyo Healthcare University, Tokyo, Japan
| | - Ryo Momosaki
- Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu Mie, Japan
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Shimizu A, Maeda K, Fujishima I, Kayashita J, Mori N, Okada K, Uno C, Shimizu M, Momosaki R. Hospital Frailty Risk Score predicts adverse events in older patients with vertebral compression fractures: Analysis of data in a nationwide in-patient database in Japan. Geriatr Gerontol Int 2022; 22:233-239. [PMID: 35100663 DOI: 10.1111/ggi.14356] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 12/13/2021] [Accepted: 01/18/2022] [Indexed: 01/26/2023]
Abstract
AIMS This study investigated the usefulness of frailty for predicting adverse events in patients with vertebral compression fractures (VCFs) during hospitalization using data obtained from the Japanese health insurance system. METHODS This retrospective cohort study of patients with VCFs aged ≥65 years was conducted using a nationwide database in Japan. We examined the relationships between frailty risk, classified using the Hospital Frailty Risk Score (HFRS), in-hospital mortality, and complications such as pressure ulcers and pneumonia. Multivariate logistic regression analysis was used to estimate the association between the HFRS and the outcomes of patients with VCFs. RESULTS In this study, the data of 30 980 in-patients with VCFs were analyzed. Of these patients, 76.8%, 21.3%, and 1.9% had low, intermediate, and high risks of frailty, respectively. The higher the risk of frailty, the higher the rate of in-hospital mortality and the occurrence of all complications (P < 0.001 for trend). An intermediate risk of frailty was independently associated with in-hospital mortality (odds ratio [OR], 1.421; P < 0.001), whereas a high risk of frailty did not show statistical significance (OR, 1.385; P = 0.150). Each frailty risk was independently associated with the occurrence of all complications during hospitalization. CONCLUSIONS The HFRS, which can assess the risk of frailty based on routinely collected medical records, was predictive of adverse events in older patients with VCFs based on a nationwide database in Japan. Future studies need to assess approaches to preventing adverse events in frail VCF patients. Geriatr Gerontol Int 2022; ••: ••-••.
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Affiliation(s)
- Akio Shimizu
- Department of Nutrition, Hamamatsu City Rehabilitation Hospital, Hamamatsu, Japan.,Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Japan.,Department of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, Obu, Japan.,Graduate School of Nutritional Sciences, Nagoya University of Arts and Sciences, Nisshin, Japan
| | - Keisuke Maeda
- Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Japan.,Department of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, Obu, Japan
| | - Ichiro Fujishima
- Department of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Hamamatsu, Japan
| | - Jun Kayashita
- Department of Health Sciences, Faculty of Human Culture and Science, Prefectural University of Hiroshima, Hiroshima, Japan
| | - Naoharu Mori
- Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Japan
| | - Kiwako Okada
- Graduate School of Nutritional Sciences, Nagoya University of Arts and Sciences, Nisshin, Japan
| | - Chiharu Uno
- Graduate School of Nutritional Sciences, Nagoya University of Arts and Sciences, Nisshin, Japan.,Department of Community Health and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Miho Shimizu
- Department of Health Sciences, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Ryo Momosaki
- Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu, Japan
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Fujita K, Umegaki H, Makino T, Uemura K, Hayashi T, Inoue A, Uno C, Kitada T, Huang CH, Shimada H, Kuzuya M. Short- and long-term effects of different exercise programs on the gait performance of older adults with subjective cognitive decline: A randomized controlled trial. Exp Gerontol 2021; 156:111590. [PMID: 34648847 DOI: 10.1016/j.exger.2021.111590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 09/08/2021] [Accepted: 10/07/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Older adults, especially those with cognitive decline, often have poor gait performance, which results in poor clinical outcomes due to falls or decreased daily physical activity. The effects of various exercises on gait performance have been studied, whereas the short-term and long-term effects of different exercise modalities remain unknown. OBJECTIVE To compare the short- and long-term effects of aerobic training (AT), resistance training (RT), and combined training (CT) on the gait performance of community-dwelling older adults with subjective cognitive decline (SCD). DESIGN A four-arm, randomized controlled trial. SETTING AND SUBJECTS 388 community-dwelling older adults with SCD (mean age, 72.3 years). METHODS Participants attended an exercise or education class twice a week for 26 weeks. 10 gait performance parameters were examined at baseline, post-intervention (Week 26), and after 26 weeks of follow-up (Week 52) using an electronic walkway system. RESULTS The mean adherence of exercise sessions was 82.5 to 85.9%. All exercise intervention induced an improvement in gait speed, stride time, cadence, stride length, and double-support time at Week 26 (p < .05), without significant intergroup differences among exercise interventions. However, only RT showed a significant effect on some spatiotemporal gait parameters at Week 52. The analyses for the gait variability parameters showed mild effects of all exercise interventions. CONCLUSION All of the exercise programs examined had a positive short-term effect on spatiotemporal gait parameters of older adults with SCD, despite no effect on gait variability parameters. RT are most recommended when long-lasting effects are the primary aim.
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Affiliation(s)
- Kosuke Fujita
- Institute of Innovation for Future Society, Nagoya University, Nagoya, Japan; Department of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Hiroyuki Umegaki
- Institute of Innovation for Future Society, Nagoya University, Nagoya, Japan; Department of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Taeko Makino
- Institute of Innovation for Future Society, Nagoya University, Nagoya, Japan
| | - Kazuki Uemura
- Institute of Innovation for Future Society, Nagoya University, Nagoya, Japan
| | - Takahiro Hayashi
- Institute of Innovation for Future Society, Nagoya University, Nagoya, Japan
| | - Aiko Inoue
- Institute of Innovation for Future Society, Nagoya University, Nagoya, Japan
| | - Chiharu Uno
- Institute of Innovation for Future Society, Nagoya University, Nagoya, Japan
| | - Tomoharu Kitada
- Institute of Innovation for Future Society, Nagoya University, Nagoya, Japan
| | - Chi Hsien Huang
- Department of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan; Department of Family Medicine, E-Da Hospital, Kaohsiung City, Taiwan, ROC
| | - Hiroyuki Shimada
- Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Japan
| | - Masafumi Kuzuya
- Institute of Innovation for Future Society, Nagoya University, Nagoya, Japan; Department of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
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Shimizu A, Maeda K, Fujishima I, Kayashita J, Mori N, Okada K, Uno C, Shimizu M, Momosaki R. Hospital Frailty Risk Score predicts adverse events in older patients with hip fractures after surgery: Analysis of a nationwide inpatient database in Japan. Arch Gerontol Geriatr 2021; 98:104552. [PMID: 34653923 DOI: 10.1016/j.archger.2021.104552] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 09/17/2021] [Accepted: 10/05/2021] [Indexed: 01/04/2023]
Abstract
BACKGROUND Frailty may predict adverse events in patients with hip fractures. This study aimed to investigate the association between frailty and adverse events in patients with hip fractures after surgery using information from Japanese health insurance. METHODS This retrospective cohort study included patients with hip fractures aged ≥ 65 years using a nationwide database in Japan. We examined the relationship of the frailty risk, which was defined using the Hospital Frailty Risk Score (HFRS), with in-hospital mortality, complications such as delirium and pneumonia, and functional outcomes. We used descriptive analysis, logistic regression, and linear regression analysis to estimate the association between the HFRS and outcomes in patients with hip fracture. RESULTS We analysed data from 36,192 patients with hip fractures after surgery (mean age: 83.6 ± 6.7 years, female: 79.5%). The proportions of low, intermediate, and high risk of frailty were 68.4%, 28.1%, and 3.5%, respectively. The frailty risk was independently associated with in-hospital mortality (intermediate risk: odds ratio [OR] 1.385, P < 0.001; high risk: OR 1.572; P < 0.001) and the occurrence of complications. Furthermore, each frailty risk was negatively associated with the Barthel Index score at discharge (intermediate risk: coefficient -11.919, P < 0.001; high risk: coefficient -18.044; P < 0.001). CONCLUSIONS The HFRS could predict adverse events, including in-hospital mortality, in Japanese older patients with hip fractures. This finding supports the validity of using the HFRS in clinical practice for patients with hip fractures.
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Affiliation(s)
- Akio Shimizu
- Department of Nutrition, Hamamatsu City Rehabilitation Hospital, Hamamatsu, 443-8127, Japan; Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, 480-1195, Japan; Department of Geriatric Medicine, National Center for Geriatrics and Gerontology, Obu, 474-8511, Japan; Institute of Health and Nutrition Nagoya University of Arts and Sciences, Nisshin, 470-0196, Japan.
| | - Keisuke Maeda
- Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, 480-1195, Japan; Department of Geriatric Medicine, National Center for Geriatrics and Gerontology, Obu, 474-8511, Japan
| | - Ichiro Fujishima
- Department of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Hamamatsu, 443-8127, Japan
| | - Jun Kayashita
- Department of Health Sciences, Faculty of Human Culture and Science, Prefectural University of Hiroshima, Hiroshima, 734-8558, Japan
| | - Naoharu Mori
- Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, 480-1195, Japan
| | - Kiwako Okada
- Institute of Health and Nutrition Nagoya University of Arts and Sciences, Nisshin, 470-0196, Japan
| | - Chiharu Uno
- Institute of Health and Nutrition Nagoya University of Arts and Sciences, Nisshin, 470-0196, Japan; Department of Community Health and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan
| | - Miho Shimizu
- Department of Health Sciences, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan
| | - Ryo Momosaki
- Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu, 514-8507, Japan
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Huang CH, Okada K, Matsushita E, Uno C, Satake S, Martins BA, Kuzuya M. The association of social frailty with intrinsic capacity in community-dwelling older adults: a prospective cohort study. BMC Geriatr 2021; 21:515. [PMID: 34579661 PMCID: PMC8475329 DOI: 10.1186/s12877-021-02466-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2021] [Accepted: 09/06/2021] [Indexed: 11/10/2022] Open
Abstract
Background Social frailty is associated with poor health outcomes; however, its effects on healthy aging indicators have not been adequately investigated. This study assessed the longitudinal association between social frailty and the intrinsic capacity of community-dwelling older adults. Methods A total of 663 participants (56.7% women) aged ≥60 years from in Nagoya, Japan, were included in the study. The first measurement occurred in 2014, and annual follow-ups occurred until 2017. Social frailty was determined based on four items: financial difficulty, household status, social activity, and regular contact with others. A deficit score of 0 represented social robustness, 1 represented social prefrailty, and ≥ 2 represented social frailty. Intrinsic capacity was evaluated by the locomotion, cognition, psychological function, vitality, and sensory function domains. The longitudinal association was analyzed using generalized estimating equations. Results The prevalence of social prefrailty and social frailty at baseline was 31.2 and 6.3%, respectively. The social prefrailty group (β = − 0.132, P < 0.001) and social frailty group (β = − 0.258, P < 0.001) were associated with a greater reduction in the composite intrinsic capacity scores than the social robustness group, especially in the cognition, psychological function, and vitality domains. Men with social prefrailty/social frailty demonstrated a greater decrease in the psychological function domain score (− 0.512 vs. − 0.278) than women. Additionally, the cognition domain score only decreased in men in the social prefrailty/social frailty group (β = − 0.122, P = 0.016). Conclusions Social frailty was associated with intrinsic capacity and its subdomains longitudinally. Men with social frailty were more vulnerable than women to a decline in their psychological function and cognition domains. Therefore, the advanced management of social frailty is necessary to facilitate healthy aging. Supplementary Information The online version contains supplementary material available at 10.1186/s12877-021-02466-6.
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Affiliation(s)
- Chi Hsien Huang
- Department of Community Health and Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya, Aichi Prefecture, Japan.,Department of Family Medicine, E-Da Hospital, No.1, Yida Road, Jiaosu Village, Yanchao District, Kaohsiung City, 82445, Taiwan, R.O.C.,School of Medicine for International Students, College of Medicine, I-Shou University, No.8, Yida Rd., Jiaosu Village, Yanchao District, Kaohsiung City, 82445, Taiwan, R.O.C
| | - Kiwako Okada
- Graduate School of Nutritional Sciences, Nagoya University of Arts and Sciences, Takenoyama-57, Iwasakicho, Nisshin, Aichi Prefecture, Japan
| | - Eiji Matsushita
- Graduate School of Nutritional Sciences, Nagoya University of Arts and Sciences, Takenoyama-57, Iwasakicho, Nisshin, Aichi Prefecture, Japan
| | - Chiharu Uno
- Graduate School of Nutritional Sciences, Nagoya University of Arts and Sciences, Takenoyama-57, Iwasakicho, Nisshin, Aichi Prefecture, Japan.,Institutes of Innovation for Future Society, Nagoya University, NIC, Chikusa Ward, Furocho, Nagoya, Aichi Prefecture, Japan
| | - Shosuke Satake
- Section of Frailty Prevention, Department of Frailty Research, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu City, Aichi Prefecture, Japan.,Department of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu City, Aichi Prefecture, Japan
| | - Beatriz Arakawa Martins
- Department of Community Health and Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya, Aichi Prefecture, Japan.,Adelaide Geriatrics Training and Research with Aged Care (G-TRAC Centre), Discipline of Medicine, Adelaide Medical School, University of Adelaide, 61 Silkes Rd, Paradise, Adelaide City, Sa, 5075, Australia.,National Health and Medical Research Council Centre of Research Excellence in Frailty and Healthy Ageing, University of Adelaide, The University of Adelaide, Adelaide City, Sa, 5005, Australia
| | - Masafumi Kuzuya
- Department of Community Health and Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya, Aichi Prefecture, Japan. .,Institutes of Innovation for Future Society, Nagoya University, NIC, Chikusa Ward, Furocho, Nagoya, Aichi Prefecture, Japan.
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Huang CH, Okada K, Matsushita E, Uno C, Satake S, Arakawa Martins B, Kuzuya M. Dietary Patterns and Muscle Mass, Muscle Strength, and Physical Performance in the Elderly: A 3-Year Cohort Study. J Nutr Health Aging 2021; 25:108-115. [PMID: 33367470 DOI: 10.1007/s12603-020-1437-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
OBJECTIVES Nutritional support effectively prevents and treats sarcopenia; however, the influence of overall dietary patterns on sarcopenia parameters is less investigated. This study aimed to determine the association between adherence to Mediterranean-style diet (MD), Dietary Approaches to Stop Hypertension (DASH), Japanese Food Guide Spinning Top (JFG-ST), and modified JFG-ST (mJFG-ST) and muscle mass, muscle strength, and physical performance in community-dwelling Japanese elderly. DESIGN AND SETTINGS This prospective cohort study recruited individuals aged over 60 years from a community college in Nagoya, Japan. PARTICIPANTS AND MEASUREMENTS A total of 666 participants were followed up annually from 2014 to 2017. Demographic data, anthropometric measurements, and sarcopenia parameters including walking speed (WS), hand grip strength in the dominant hand (HGS), and skeletal mass index (SMI) were recorded. Self-recall dietary intake was assessed using a validated food frequency questionnaire comprising 29 food groups. Adherence to MD, DASH, JFG-ST, and mJFG-ST was determined by tertiles. RESULTS At baseline, the mean age of all participants (56.5% women) was 69.4±4.4 years. WS, HGS, and SMI were 1.4±0.2 (m/s), 28.9±8.1 (kg), and 6.7±1.0 (kg/m2), respectively. In longitudinal analysis, participants with higher JFG-ST adherence scores were more likely to have higher SMI (Q3 vs. Q1: mean difference, 0.048; p=0.04) after adjustment, and its benefits were more evident in men (Q2 vs. Q1: mean difference, 0.098; p=0.047; Q3 vs. Q1: mean difference, 0.091; p=0.017) than in women. WS and HGS were not associated with any type of dietary pattern. CONCLUSIONS Adherence to JFG-ST was positively associated with SMI in Japanese community-dwelling elderly adults aged over 60 years, specifically in men. The country-specific dietary recommendations are required to be developed for sarcopenia prevention.
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Affiliation(s)
- C H Huang
- Masafumi Kuzuya, MD, PhD, Department of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Address: 65 Tsuruma-cho, Showa-ku, Nagoya, Aichi Prefecture, 466-8550, Japan, TEL: 052-744-2369, FAX: 052-744-2371, E-mail: ,
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Fujita K, Inoue A, Kuzuya M, Uno C, Huang CH, Umegaki H, Onishi J. Mental Health Status of the Older Adults in Japan During the COVID-19 Pandemic. J Am Med Dir Assoc 2020; 22:220-221. [PMID: 33321080 PMCID: PMC7685059 DOI: 10.1016/j.jamda.2020.11.023] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Revised: 10/28/2020] [Accepted: 11/01/2020] [Indexed: 12/15/2022]
Affiliation(s)
- Kosuke Fujita
- Institute of Innovation for Future Society Nagoya University Nagoya, Aichi, Japan; Department of Community Healthcare and Geriatrics Nagoya University Graduate School of Medicine Nagoya, Aichi, Japan
| | - Aiko Inoue
- Institute of Innovation for Future Society Nagoya University Nagoya, Aichi, Japan; Department of Community Healthcare and Geriatrics Nagoya University Graduate School of Medicine Nagoya, Aichi, Japan
| | - Masafumi Kuzuya
- Institute of Innovation for Future Society Nagoya University Nagoya, Aichi, Japan; Department of Community Healthcare and Geriatrics Nagoya University Graduate School of Medicine Nagoya, Aichi, Japan
| | - Chiharu Uno
- Institute of Innovation for Future Society Nagoya University Nagoya, Aichi, Japan.
| | - Chi Hsien Huang
- Department of Community Healthcare and Geriatrics Nagoya University Graduate School of Medicine Nagoya, Aichi, Japan
| | - Hiroyuki Umegaki
- Department of Community Healthcare and Geriatrics Nagoya University Graduate School of Medicine Nagoya, Aichi, Japan
| | - Joji Onishi
- Department of Community Healthcare and Geriatrics Nagoya University Graduate School of Medicine Nagoya, Aichi, Japan
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Huang CH, Okada K, Matsushita E, Uno C, Satake S, Arakawa Martins B, Kuzuya M. Sex-Specific Association between Social Frailty and Diet Quality, Diet Quantity, and Nutrition in Community-Dwelling Elderly. Nutrients 2020; 12:nu12092845. [PMID: 32957506 PMCID: PMC7551288 DOI: 10.3390/nu12092845] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 09/14/2020] [Accepted: 09/15/2020] [Indexed: 12/16/2022] Open
Abstract
The effects of social frailty on diet and nutrition are under-investigated. Our study aimed to assess the association between social frailty and diet quality, diet quantity, and nutrition over a 3-year period in community-dwelling older Japanese adults. This prospective cohort study recruited individuals aged ≥60 years from a community college and followed up 666 participants annually. Social frailty was determined using a 4-item questionnaire. Diet quantity (energy and macronutrient intake) and diet quality (dietary diversity score and Diet Quality Index-International) were assessed using a food frequency questionnaire. Nutrition was evaluated using the Mini-Nutritional Assessment (MNA). Out of the 666 participants (56.5% women), 250 (37.5%) were categorized as having social prefrailty or frailty. Regarding diet quantity, energy intake (β = −1.59kcal/kg/day, p < 0.01) and nutrient intake (protein intake, β = −0.08g/kg/day; fat intake, β = −0.06g/kg/day; carbohydrate intake, β = −0.18g/kg/day; fiber intake, β = −0.01g/kg/day; all p < 0.05) were lower in men with social prefrailty or frailty than in men with social robustness. Dietary diversity score (β = −0.25, p = 0.01) and MNA score (β = −0.32, p = 0.04) decreased in men with social prefrailty or frailty. However, these associations were not observed in women. Social frailty is associated with lower dietary intake, poor diet quality, and poor nutrition among community-dwelling older men. Future studies are required to determine the benefits of sex-specific interventions targeting social frailty on nutritional outcomes.
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Affiliation(s)
- Chi Hsien Huang
- Department of Community Health and Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya 4668550, Japan;
- Department of Family Medicine, E-Da Hospital, No.1, Yida Road, Jiaosu Village, Yanchao District, Kaohsiung City 82445, Taiwan
- School of Medicine for International Students, College of Medicine, I-Shou University, No.8, Yida Rd., Jiaosu Village, Yanchao District, Kaohsiung City 82445, Taiwan
- Institutes of Innovation for Future Society, Nagoya University, NIC, Chikusa Ward, Furocho, Nagoya 4648601, Japan;
- Correspondence: (C.H.H.); (M.K.); Tel.: +052-744-2369 (M.K.)
| | - Kiwako Okada
- Graduate School of Nutritional Sciences, Nagoya University of Arts and Sciences, Takenoyama–57, Iwasakicho, Nisshin 4700196, Japan; (K.O.); (E.M.)
| | - Eiji Matsushita
- Graduate School of Nutritional Sciences, Nagoya University of Arts and Sciences, Takenoyama–57, Iwasakicho, Nisshin 4700196, Japan; (K.O.); (E.M.)
| | - Chiharu Uno
- Institutes of Innovation for Future Society, Nagoya University, NIC, Chikusa Ward, Furocho, Nagoya 4648601, Japan;
- Graduate School of Nutritional Sciences, Nagoya University of Arts and Sciences, Takenoyama–57, Iwasakicho, Nisshin 4700196, Japan; (K.O.); (E.M.)
| | - Shosuke Satake
- Section of Frailty Prevention, Department of Frailty Research, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7–430 Morioka-cho, Obu City 4748511, Japan;
- Department of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, 7–430 Morioka-cho, Obu City 4748511, Japan
| | - Beatriz Arakawa Martins
- Department of Community Health and Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya 4668550, Japan;
- Adelaide Geriatrics Training and Research with Aged Care (G-TRAC Centre), Discipline of Medicine, Adelaide Medical School, University of Adelaide, 61 Silkes Rd, Paradise, Adelaide 5075, Australia
- National Health and Medical Research Council Centre of Research Excellence in Frailty and Healthy Ageing, University of Adelaide, Adelaide 5005, Australia
| | - Masafumi Kuzuya
- Department of Community Health and Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya 4668550, Japan;
- Institutes of Innovation for Future Society, Nagoya University, NIC, Chikusa Ward, Furocho, Nagoya 4648601, Japan;
- Correspondence: (C.H.H.); (M.K.); Tel.: +052-744-2369 (M.K.)
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Martins BA, Visvanathan R, Barrie HR, Huang CH, Matsushita E, Okada K, Satake S, Edwards S, Uno C, Kuzuya M. Built Environment and Frailty: Neighborhood Perceptions and Associations With Frailty, Experience From the Nagoya Longitudinal Study. J Appl Gerontol 2020; 40:609-619. [PMID: 32368955 DOI: 10.1177/0733464820912663] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Neighborhood physical characteristics have been consistently associated with the health of older adults. This article investigates links between frailty and perceptions of the neighborhood environment. Using a cross-sectional analysis of 370 community-dwelling older adults from Nagoya, Japan, neighborhood perceptions were assessed using the Neighborhood Environmental Walkability Scale (NEWS) in addition to frailty, using a frailty index. Frailty was associated with the NEWS composite index, land use mix diversity, land use mix access, street connectivity, walking infrastructure, aesthetics, and crime safety, after adjustment for covariates. Older adults with increasing frailty have poorer perceptions of their neighborhoods, which could lead to further constriction of the life-space, less social and physical engagement, and worsening of frailty status.
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Affiliation(s)
- Beatriz A Martins
- The University of Adelaide, Adelaide, Australia.,Nagoya University Graduate School of Medicine, Nagoya, Japan
| | | | | | - Chi Hsien Huang
- Nagoya University Graduate School of Medicine, Nagoya, Japan.,E-Da Hospital, Kaohsiung City, R.O.C.,I-Shou University, Kaohsiung City, R.O.C
| | | | - Kiwako Okada
- Nagoya University of Arts and Sciences, Nisshin, Japan
| | - Shosuke Satake
- National Center for Geriatrics and Gerontology, Obu, Japan
| | | | - Chiharu Uno
- Nagoya University of Arts and Sciences, Nisshin, Japan
| | - Masafumi Kuzuya
- Nagoya University Graduate School of Medicine, Nagoya, Japan
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Hashimoto C, Uno C, Wakabayashi H. Letter to the editor: Comment on Positive Effects of "Textured Lunches" Gatherings and Oral Exercises Combined with Physical Exercises on Oral and Physical Function in Older Individuals: A Cluster Randomized Controlled Trial. J Nutr Health Aging 2020; 24:127. [PMID: 31886820 DOI: 10.1007/s12603-019-1281-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- C Hashimoto
- Chihiro Hashimoto, Department of Nutrition, Nursing home Kagayanomori, 5-4-23 Kitakagaya, Suminoe Ward, Osaka city, Japan. Code; 559-0011, Tel: +81-6-6686-5301 Fax: +81-6-6686-5302, E-mail:
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Uno C, Maeda K, Wakabayashi H, Nishioka S, Ogawa N, Okamoto T, Hoyano K, Momosaki R. Nutritional status change and activities of daily living in elderly pneumonia patients admitted to acute care hospital: A retrospective cohort study from the Japan Rehabilitation Nutrition Database. Nutrition 2019; 71:110613. [PMID: 31837639 DOI: 10.1016/j.nut.2019.110613] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Revised: 10/07/2019] [Accepted: 10/09/2019] [Indexed: 12/21/2022]
Abstract
OBJECTIVE The aim of this study was to examine the effect of improved nutritional status on activities of daily living (ADLs) and dysphagia in elderly patients with pneumonia who were admitted to acute care hospitals. METHODS A retrospective cohort study was conducted using registry data from the Japan Rehabilitation Nutrition Database of patients with pneumonia who were admitted to acute care hospitals. Patients were divided into two groups based on the Mini Nutritional Assessment Short-Form (MNA-SF) status at discharge: Patients with no status change or with decreased status were allocated to the unimproved nutritional status (UN) group and those with increased status were assigned to the improved nutritional status (IN) group. The primary outcome was ADLs as assessed by Barthel Index (BI) score at hospital discharge. Secondary outcomes included dysphagia as assessed by the Food Intake Level Scale (FILS) at discharge. RESULTS The study included 143 patients with a mean age of 84.7 ± 7.8 y. Based on the MNA-SF categories at discharge, 127 (88.8%) patients were assigned to the UN group and 16 (11.2%) to the IN group. Patients in the IN group had significantly higher BI and FILS scores than those in the UN group. Multiple regression analysis indicated that improvement in nutritional status was independently associated with BI gain (B = 9.916; β = 0.153; 95% confidence interval [CI], 1.929-11.761; P = 0.017) and FILS gain (B = 1.259; β = 0.167; 95% CI, 1.224-2.814; P = 0.044). CONCLUSIONS Nutritional improvement is associated with improvements in ADL and dysphagia in patients with pneumonia and malnutrition.
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Affiliation(s)
- Chiharu Uno
- Institute of Innovation for Future Society, Nagoya University, Nagoya City, Aichi, Japan; Department of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya City, Aichi, Japan.
| | - Keisuke Maeda
- Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute City, Aichi, Japan
| | - Hidetaka Wakabayashi
- Department of Rehabilitation Medicine, Yokohama City University Medical Center. Yokohama City, Kanagawa, Japan
| | - Shinta Nishioka
- Department of Clinical Nutrition and Food Services, Nagasaki Rehabilitation Hospital, Nagasaki City, Nagasaki, Japan
| | - Nami Ogawa
- Department of Gerontology and Gerodontology, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - Takayuki Okamoto
- Department of Rehabilitation, Kurashiki Rehabilitation Hospital, Kurashiki City, Okayama, Japan
| | - Kengo Hoyano
- Fukui Health Science University, Faculty of Health Science Department of Rehabilitation Division of Speech-Language-Hearing Therapy, eiheiji-cho, Yoshida-gun, Fukui, Japan
| | - Ryo Momosaki
- Department of Rehabilitation Medicine, Teikyo University School of Medicine University Hospital, Mizonokuchi, Kawasaki city, Kanagawa, Japan
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Arakawa Martins B, Visvanathan R, Barrie H, Huang CH, Matsushita E, Okada K, Satake S, Uno C, Kuzuya M. Frailty prevalence using Frailty Index, associated factors and level of agreement among frailty tools in a cohort of Japanese older adults. Arch Gerontol Geriatr 2019; 84:103908. [PMID: 31319367 DOI: 10.1016/j.archger.2019.103908] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2019] [Revised: 06/17/2019] [Accepted: 07/05/2019] [Indexed: 01/02/2023]
Abstract
Frailty prevalence defined by the deficit accumulation model (Frailty Index) has limited exploration in a Japanese population. The objective of this paper is to investigate the prevalence of frailty by Frailty Index among a cohort of healthy Japanese older adults, define risk factors associated with pre-frailty and frailty status and evaluate Frailty Index's agreement with Frailty Phenotype and Kihon checklist. METHODS Data from 673 participants of the 2014 wave of the Nagoya Longitudinal Study - Healthy Elderly were used. Annual assessments include investigation of mood, memory, health status, nutrition, physical performance and oral health. The Frailty Index was compared to Frailty Phenotype and Kihon Checklist, and factors associated to Frailty Index were investigated through univariate and multivariate logistic regression. RESULTS Frailty prevalence was 13.5% (n = 91) by Frailty Index, 1.5% (n = 10) by Frailty Phenotype and 4% (n = 27) by Kihon Checklist. Although the correlations between the three scales were moderate to high, the agreement between the scales was poor. In terms of risk factors, age, polypharmacy and physical activity level were associated with being pre-frail and frail. Having a higher waist circumference was associated with being pre-frail, and lower handgrip strength and lower walking speed were associated with being frail. CONCLUSIONS The Frailty Index showed similar metrics and agreement comparable to findings of previous studies, and was able to identify a higher number of individuals who were pre-frail and frail. Age, polypharmacy, physical activity, waking speed and waist circumference were associated with pre-frailty and frailty by frailty index.
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Affiliation(s)
- Beatriz Arakawa Martins
- Adelaide Geriatrics Training and Research with Aged Care (G-TRAC Centre), Discipline of Medicine, Adelaide Medical School, University of Adelaide, 61 Silkes Rd., Paradise, South Australia, 5075, Australia; National Health and Medical Research Council Centre of Research Excellence Frailty and Healthy Ageing, University of Adelaide, South Australia, 5000, Australia; Department of Community Health and Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa Ward, Nagoya-shi, Aichi Prefecture, 466-8560, Japan.
| | - Renuka Visvanathan
- Adelaide Geriatrics Training and Research with Aged Care (G-TRAC Centre), Discipline of Medicine, Adelaide Medical School, University of Adelaide, 61 Silkes Rd., Paradise, South Australia, 5075, Australia; National Health and Medical Research Council Centre of Research Excellence Frailty and Healthy Ageing, University of Adelaide, South Australia, 5000, Australia
| | - Helen Barrie
- National Health and Medical Research Council Centre of Research Excellence Frailty and Healthy Ageing, University of Adelaide, South Australia, 5000, Australia
| | - Chi Hsien Huang
- Department of Community Health and Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa Ward, Nagoya-shi, Aichi Prefecture, 466-8560, Japan
| | - Eiji Matsushita
- Graduate School of Nutritional Sciences, Nagoya University of Arts and Sciences, Iwasaki-cho, Takenoyama-57, Nisshin, Aichi Prefecture, 470-0196, Japan
| | - Kiwako Okada
- Graduate School of Nutritional Sciences, Nagoya University of Arts and Sciences, Iwasaki-cho, Takenoyama-57, Nisshin, Aichi Prefecture, 470-0196, Japan
| | - Shosuke Satake
- Section of Frailty Prevention, Department of Frailty Research, National Center of Geriatrics and Gerontology, 7-430 Morioka-cho, Aichi Prefecture, 474-8511, Japan
| | - Chiharu Uno
- Graduate School of Nutritional Sciences, Nagoya University of Arts and Sciences, Iwasaki-cho, Takenoyama-57, Nisshin, Aichi Prefecture, 470-0196, Japan; Department of Community Health and Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa Ward, Nagoya-shi, Aichi Prefecture, 466-8560, Japan
| | - Masafumi Kuzuya
- Department of Community Health and Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa Ward, Nagoya-shi, Aichi Prefecture, 466-8560, Japan; Institutes of Innovation for Future Society, Nagoya University, Nagoya, Aichi Prefecture, 464-8601, Japan
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Yano S, Tobita H, Uno C, Ishibashi Y, Mishima S, Nagai A. Reactive hyperemia index is suitable for screening endothelial dysfunction especially in obese subjects with non-alcoholic hepatitis. Atherosclerosis 2018. [DOI: 10.1016/j.atherosclerosis.2018.06.586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Uno C, Wakabayashi H, Maeda K, Nishioka S. Rehabilitation nutrition support for a hemodialysis patient with protein-energy wasting and sarcopenic dysphagia: a case report. Ren Replace Ther 2018. [DOI: 10.1186/s41100-018-0160-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
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Hasegawa M, Momoki C, Nakatsukasa R, Mizuno T, Uno C, Ibaragi A, Mochizuki H, Fujitani A. PP151-SUN MODIFIED MNA-SF – CHANGED CUT-OFF POINTS – IN CC AND BMI. Clin Nutr 2013. [DOI: 10.1016/s0261-5614(13)60196-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Kuribayashi T, Kaise H, Uno C, Hara T, Hayakawa T, Joh T. Purification and characterization of lipoxygenase from Pleurotus ostreatus. J Agric Food Chem 2002; 50:1247-1253. [PMID: 11853512 DOI: 10.1021/jf0112217] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Lipoxygenase was purified homogeneously from cups of Pleurotus ostreatus by Sephacryl S-400 HR gel filtration, Dyematrex Green A affinity, and DEAE-Toyopearl 650M ion-exchange chromatographies. The molecular weight of the enzyme was estimated to be 67,000 by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and 66,000 by gel filtration; the isoelectric point was pH 5.1. The optimum pH and temperature of the enzymatic activity were 8.0 and 25 degrees C, respectively. The enzyme contained non-heme iron, and a thiol group seemed to be involved in its activity. The K(m), V(max), and k(cat) values of the enzyme for linoleic acid were 0.13 mM, 23.4 micromol.min(-1).mg(-1), and 25.7 s(-1), respectively. The enzyme showed high specificity toward linoleic acid. When linoleic acid was incubated with the enzyme, 13-hydroperoxy-9Z,11E-octadecadienoic acid was found to be the main oxidative product.
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Affiliation(s)
- Takashi Kuribayashi
- Graduate School of Science and Technology and Faculty of Agriculture, Niigata University, Ikarashi 2-8050 Niigata, Niigata 950-2181, Japan
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Takechi M, Matsunami S, Nishizawa J, Uno C, Tanaka Y. Haemolytic and antifungal activities of saponins or anti-ATPase and antiviral activities of cardiac glycosides. Planta Med 1999; 65:585-586. [PMID: 10483382 DOI: 10.1055/s-2006-960834] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Affiliation(s)
- M Takechi
- Faculty of Pharmaceutical Sciences, Kinki University, Higashiosaka, Japan.
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Uno C, Isogai E. A sequential procedure for estimating ratio of normal parameters. COMMUN STAT-THEOR M 1999. [DOI: 10.1080/03610929808832293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Takechi M, Uno C, Tanaka Y. Structure-activity relationships of saponins and cardiac glycosides. III. Beta-L-xylopyranosyl-(1-->6)-alpha- and -beta-D-glucopyranosides. Biol Pharm Bull 1998; 21:1234-5. [PMID: 9853422 DOI: 10.1248/bpb.21.1234] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Comparisons of the biological activities of diosgenyl, methyl glycyrrhetinate or digitoxigenyl 3-O-beta-L-xylopyranosyl-(1-->6)-beta-D-glucopyranoside with those of other previously tested glycosides confirmed our assumption that both the hemolytic and antifungal activities of steroid saponins are generally parallel to each other, while almost all hemolytic triterpenoid saponins and nonhemolytic ones have no antifungal activity, and that cardiac diglycosides having a (1-->4) sugar linkage have stronger activities than those with a (1-->6) or a (1-->2) linkage. On the other hand, the case of the diosgenyl 3-O-beta-L-xylopyranosyl-(1-->6)-alpha-D-glucopyranoside didn't conform to the above assumption, but those of methyl glycyrrhetinate and digitoxigenyl did.
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Affiliation(s)
- M Takechi
- Faculty of Pharmaceutical Sciences, Kinki University, Higashiosaka, Osaka, Japan
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Takechi M, Kousaka Y, Uno C, Tanaka Y. Biological activities of synthetic triterpenoid and steroid beta-D-glucopyranosyl-(1-->2)-alpha-D-glucopyranosides. Planta Med 1998; 64:179-180. [PMID: 9525112 DOI: 10.1055/s-2006-957400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Comparisons of the biological activities of diosgenyl, methyl glycyrrhetinate, or digitoxigenyl 3-O-beta-D-glucopyranosyl-(1-->2)-alpha-D-glucopyranoside with those of other previously tested glycosides confirmed our assumption that both haemolytic and antifungal activities of steroid saponins are generally parallel to each other, while almost all haemolytic triterpenoid saponins have no antifungal activity. The earlier supposition that cardiac diglycosides having a (1-->4) sugar linkage have stronger activities than those with a (1-->6) linkage has been extended by the demonstration of reduced activity also in those with a (1-->2) linkage.
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Takechi M, Uno C, Tanaka Y. Biological activities of synthetic triterpenoid and steroid beta-D-xylopyranosyl-(1-->6)-beta-D-glucopyranosides. Phytochemistry 1997; 44:299-303. [PMID: 9004543 DOI: 10.1016/s0031-9422(96)00547-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Comparisons of the activities of diosgenyl, methyl glycyrrhetinate or digitoxigenyl 3-O-beta-D-xylopyranosyl-(1-->6)-beta-D-glucopyranoside with those of our previous glycosides supported our assumptions that both haemolytic and antifungal activities of steroid saponins are generally parallel to each other, while almost all haemolytic triterpenoid saponins show no antifungal activity, and that both antiviral and anti-ATPase activities of cardiac glycosides having a (1-->6) sugar linkage are much lower than those of the others.
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Affiliation(s)
- M Takechi
- Faculty of Pharmaceutical Sciences, Kinki University, Higashiosaka, Japan
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25
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Abstract
The haemolytic and antifungal activities of synthetic diosgenyl, tigogenyl, hecogenyl, methyl oleanolate, methyl ursolate and methyl glycyrrhetinate glycosides were compared with each other. Both activities of the steroid glycosides were generally parallel to each other, while almost all haemolytic triterpenoid glycosides showed no antifungal activity.
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Affiliation(s)
- M Takechi
- Faculty of Pharmaceutical Sciences, Kinki University, Higashiosaka, Japan
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26
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Abstract
The antiviral, cytotoxic and anti-ATPase activities of 14 synthetic bufalyl glycosides were compared with each other. Among these glycosides, the activities of the gentiobioside and the melibioside were much weaker than those of the others. On the other hand, these three activities were found to be highly correlated with each other. These were parallel to the case of the digitoxigenyl glycosides in our previous paper.
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Affiliation(s)
- M Takechi
- Faculty of Pharmaceutical Sciences, Kinki University, Higashiosaka, Japan
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Tabata M, Tanaka S, Cho HJ, Uno C, Shimakura J, Ito M, Kamisako W, Honda C. Production of an anti-allergic triterpene bryonolic acid, by plant cell cultures. J Nat Prod 1993; 56:165-174. [PMID: 8463793 DOI: 10.1021/np50092a001] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Cell suspension cultures of Luffa cylindrica, Citrullus lanatus, and related cucurbitaceous plants accumulate large quantities of bryonolic acid (3 beta-hydroxy-D:C-friedoolean-8-en-29-oic acid) [1], an acidic, pentacyclic triterpene found exclusively in the roots of the intact plants. This compound could readily be isolated from cultured cells with CHCl3 and purified simply by recrystallization. Pharmacological tests using mice demonstrated that bryonolic acid or its derivative is active against at least three types of allergies and that its activity could be increased significantly by preparing synthetic derivatives, in particular a potassium salt of its succinate ester. The biosynthesis of bryonolic acid from mevalonic acid via isomultiflorenol has been elucidated by tracer and enzymological experiments using cultured cells of watermelon both in vitro and in vivo. Furthermore, cell fractionation and electron microscopic studies on subcellular structures of luffa cells suggested that minute vesicles originating from elongated, rough endoplasmic reticulum probably play an important role in the transport of bryonolic acid which largely accumulates in the cell wall of cultured cells. The results obtained from the present study indicate that plant cell culture would be useful not only as a biological system for elucidating biosynthetic mechanisms but also as a potential source of new pharmacologically active compounds.
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Affiliation(s)
- M Tabata
- Faculty of Pharmaceutical Sciences, Kyoto University, Japan
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28
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Yoshikawa N, Nishikawa M, Horimoto M, Uno C, Taniguchi N, Inada M. Activity of thyroid stimulating antibody and thyroid stimulation blocking antibody determined by radioiodine uptake into FRTL-5 cells. Endocrinol Jpn 1989; 36:55-63. [PMID: 2567231 DOI: 10.1507/endocrj1954.36.55] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
To investigate the pathophysiology of patients with autoimmune thyroid diseases, we measured serum thyroid stimulating antibody (TSAb) activity and thyroid stimulation blocking antibody (TSBAb) activity by determining the radioiodine (125I) uptake into FRTL-5 cells. FRTL-5 cells were pre-incubated for seven days with 5H medium and then incubated for 48 hours with patients' crude IgG prepared by polyethylene glycol precipitation. In order to measure TSBAb, 10 microU/ml TSH was also added. 125I was added one hour before the end of the 48 hour incubation period. After the incubation, the medium was aspirated, and the radioactivity in the cells was counted. In patients with untreated hyperthyroid Graves' disease, TSAb was detectable in 18 of 20 patients, the detectability being 90%, and activity showed a statistically significant positive correlation with TSAb activity determined by c-AMP accumulation. Out of 41 patients with hypothyroidism, TSBAb determined by 125I uptake was positive in six cases, the detectability being 14.6%. The inhibition of 125I uptake by one of these six IgGs was suggested to be at the TSH receptor level because it inhibited TSH induced c-AMP accumulation and showed positive thyrotropin binding inhibitor immunoglobulin (TBI I) activity, but did not inhibit the forskolin- and (Bu)2cAMP-induced 125I uptake. Inhibition of another IgG was suggested at the post-receptor level because it did not inhibit TSH induced cAMP accumulation and showed negative TBI I activity, but inhibited forskolin- and (Bu)2cAMP-induced 125I uptake.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- N Yoshikawa
- Second Department of Internal Medicine, Kansai Medical University, Osaka, Japan
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29
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Horimoto M, Nishikawa M, Uno C, Yoshikawa N, Taniguchi N, Inada M. Relationship among thyrotropin (TSH), thyroid stimulating immunoglobulins, and results of triiodothyronine (T3) suppression test in patients with Graves' disease. Endocrinol Jpn 1988; 35:841-8. [PMID: 2471633 DOI: 10.1507/endocrj1954.35.841] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
To investigate the relationship between TSH and abnormal thyroid stimulator(s) in patients with hyperthyroid Graves' disease in whom normal thyroid hormone levels in the serum were maintained by antithyroid drug therapy and in patients with euthyroid Graves' disease, determinations were made of the TSH concentration, action of thyroid stimulating immunoglobulins (TSAb and TBII), and T3 suppression. Out of thirty-three patients with hyperthyroid Graves' disease, twelve patients with subnormal TSH levels were all non-suppressible according to the T3 suppression test results and the detectability of TSAb and/or TBII was as high as 75%. In three out of five patients with euthyroid Graves' disease, the serum TSH level was subnormal. All three showed non-suppressibility in the T3 suppression test and positive action of either TSAb or TBII. One of them became clinically thyrotoxic when the TSAb activity was further increased and TBII became positive, and was therefore diagnosed as having hyperthyroid Graves' disease. The present findings suggest that there are still abnormal thyroid stimulator(s) in patients with hyperthyroid Graves' disease who have low TSH, even if their thyroid hormone concentrations remain normal. Moreover, it is likely that some of the patients with euthyroid Graves' disease are actually in a state of subclinical hyperthyroidism because of the presence of abnormal thyroid stimulator(s).
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Affiliation(s)
- M Horimoto
- Second Department of Internal Medicine, Kansai Medical University, Osaka, Japan
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30
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Uno C, Nishikawa M. [Clinical studies on abnormal thyroid stimulators in patients with Graves' disease. I. A sensitive assay for thyroid-stimulating antibodies using cultured porcine thyroid cells and polyethylene glycol precipitation of serum]. Nihon Naibunpi Gakkai Zasshi 1988; 64:193-205. [PMID: 2899523 DOI: 10.1507/endocrine1927.64.3_193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The activities of thyroid-stimulating antibody (TSAb) in serum from patients with Graves' disease were measured by a sensitive assay, using cultured porcine thyroid cells and the precipitation from serum with polyethylene glycol (PEG), and the activities were compared with those of thyrotropin binding inhibitor immunoglobulin (TBII), measured by the commercial assay kit. Porcine thyroid cells after digestion were cultured for 15-18 hours with TSH of 1-10,000 microU/ml or the precipitations of sera from normal subjects and patients with Graves' disease or Hashimoto's thyroiditis, and then the cAMP levels in the culture medium were determined by the commercial RIA assay kit (Yamasa). The precipitation was obtained by adding 0.5 ml of 30% PEG solution to 0.5 ml serum, and was resuspended with 0.6 ml of Hanks' medium without NaCl, containing 1.5% bovine serum albumin, 20mM Hepes and 0.5 mM 3-isobutyl-1-methylxanthine. The precipitation contained about 85% of immunoglobulin and 63% of albumin of the original amount of the serum, as well as substantial TSH, when the original serum contained TSH more than 40 microU/ml. When the PEG precipitations from 10 normal subjects were incubated with the thyroid cells of 4 X 10(5) cells, the cAMP releases into the medium ranged from 83 to 124%, when the mean value was calculated as 100%. Therefore, the cAMP release of more than 130% of the amount released into the culture medium incubated with normal IgG was judged as positive TSAb activity. The minimum detectable quantities were regarded as about 5 microU/ml TSH equivalent. TSAb and TBII activities were detected in 48 (92%) and 50 (96%) of 52 patients with untreated hyperthyroid Graves' disease, respectively, and either TSAb or TBII activities were detected in 16 (80%) of 20 patients with Graves' disease maintained in a clinically euthyroid state by treatment with antithyroid drugs. TBII was positive in 10(50%) of these patients. Some patients showed distinct discrepancies in these two activities, although there was a significant positive correlation between TSAb and TBII activities (r = 0.53, p less than 0.01) in patients with untreated Graves' disease. In these patients, TSAb activities showed a significant positive correlation with values for 99mTc thyroid uptake, determined 30 min after the injection. However, they did not show any significant correlation with serum T4 or T3 concentrations. Similarly, TBII showed significant correlations with goiter size and 99mTc thyroid uptake. To conclude, the present assay for TSAb is sensitive and reproducible.(ABSTRACT TRUNCATED AT 400 WORDS)
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Affiliation(s)
- C Uno
- Second Division of Internal Medicine, Kansai Medical University, Osaka, Japan
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31
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Uno C, Nishikawa M. [Clinical studies on abnormal thyroid stimulators in patients with Graves' disease. II. Clinical significance of measuring TSAb and TBII in patients with euthyroid Graves' disease and patients with hyperthyroid Graves' disease during antithyroid drug treatment]. Nihon Naibunpi Gakkai Zasshi 1988; 64:206-15. [PMID: 2456230 DOI: 10.1507/endocrine1927.64.3_206] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
To evaluate the clinical significance of TBII and TSAb activities in euthyroid and hyperthyroid Graves' disease, these two activities were measured in 8 patients with euthyroid Graves' disease and 29 patients with hyperthyroid Graves' disease during treatment with antithyroid drugs. In 8 patients with euthyroid Graves' disease, TBII activity was detectable only in one patient and TSAb activity detected in 3 patients, these detectabilities being much lower than those in hyperthyroid Graves' disease. However, 2 of 4 patients who had either TSAb or TBII came to have both activities, and one of them became overt hyperthyroid. In patients with hyperthyroid Graves' disease, detectabilities of these activities became lower as they became euthyroid with antithyroid drug treatment, but TSAb tended to be higher than TBII when they remained euthyroid for more than 4 months. Although the majority of the patients who had TSAb and/or TBII activities were T3 non-suppressible, patients with no TSAb and TBII activities did not necessarily show remission of the disease. The present results suggest that patients with euthyroid Graves' disease with both TBII and TSAb may be apt to become hyperthyroid, and that TSAb and TBII activities and T3 suppressibility may not be a definite criteria for the remission of Graves' disease.
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Affiliation(s)
- C Uno
- Second Division of Internal Medicine, Kansai Medical University, Osaka, Japan
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32
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Fujimoto K, Uno C, Yokoyama M, Kaneda T. Lipid composition of tissue and egg yolk from chickens fed yeast grown on N-paraffins. Poult Sci 1982; 61:1015-8. [PMID: 7100069 DOI: 10.3382/ps.0611015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
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33
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Ishizaki M, Aoyama K, Uno C, Kobayashi S, Asano H, Takahashi H, Momma H, Sekino H, Shishito S, Saito H. [Methylguanidine (MG) movement of serum and urine in chronic renal failure (author's transl)]. Nihon Jinzo Gakkai Shi 1979; 21:175-84. [PMID: 470228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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34
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Abiko T, Kumikawa M, Dazai S, Uno C, Ishizaki M, Takahashi H, Sekino H. Study on influence of synthetic glucagon fragment on lymphocyte transformation. I. Chem Pharm Bull (Tokyo) 1978; 26:3546-51. [PMID: 729127 DOI: 10.1248/cpb.26.3546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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35
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Nagai K, Isono Y, Uno C, Suzuki T. Pathological studies on malignant reticulosis. Nihon Ketsueki Gakkai Zasshi 1969; 32:417-30. [PMID: 5390667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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36
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Ono K, Takeda Y, Shirota J, Uno C. [Pathologic ossification of the scar tissue after abdominal surgery]. Shujutsu 1967; 21:500-3. [PMID: 4965382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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