ワカバヤシ　ヒデタカ   Wakabayashi Hidetaka   若林　秀隆    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Impact of Body Mass Index on Activities of Daily Living in Patients with Idiopathic Interstitial Pneumonias.
掲載誌名	正式名：Healthcare (Basel, Switzerland) 略　 称：Healthcare (Basel) ISSNコード：22279032/22279032
掲載区分	国外
巻・号・頁	8(4),pp.1-8
著者・共著者	Shirado Kengo, Wakabayashi Hidetaka, Maeda Keisuke, Momosaki Ryo
担当区分	2nd著者
発行年月	2020/10
概要	In patients with idiopathic interstitial pneumonias, undernutrition has a profound effect on prognosis. However, whether body mass index affects the ability to perform activities of daily living as measured by the Barthel index in patients with idiopathic interstitial pneumonias remains unknown. Therefore, we examined the impact of body mass index on the activities of daily living in inpatients with idiopathic interstitial pneumonia. We used a database constructed by the Japan Medical Data Center. Data were extracted from 2774 inpatients from participating hospitals with a diagnosis of idiopathic interstitial pneumonia. Multiple regression analysis adjusted for confounding factors was performed to determine whether body mass index classification would be independently related to change in Barthel index during hospitalization. Underweight, normal weight, overweight, and obesity numbered 473 (19%), 1037 (41), 795 (31%), and 235 (9%), respectively. Multivariable analysis showed that being underweight was independently associated with a change in Barthel index during hospitalization of 2.95 (95% confidence interval -4.82 to -1.07) points lower than being normal weight. Approximately 20% of the patients with idiopathic interstitial pneumonias were underweight. Those who were underweight had decreased independence in activities of daily living during hospitalization.
DOI	10.3390/healthcare8040385
PMID	33027957