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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 |
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| 論文種別 | 総説 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 招待の有無 | 招待あり |
| 表題 | Rehabilitation Nutrition and Exercise Therapy for Sarcopenia. |
| 掲載誌名 | 正式名：The world journal of men's health 略 称：World J Mens Health ISSNコード：22874208/22874208 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 40(1),pp.1-10 |
| 著者・共著者 | Kakehi Shingo, Wakabayashi Hidetaka, Inuma Hayato, Inose Tomomi, Shioya Moeka, Aoyama Yohei, Hara Taiki, Uchimura Kosuke, Tomita Kazusa, Okamoto Mizuki, Yoshida Masato, Yokota Shohei, Suzuki Hayato |
| 担当区分 | 2nd著者,責任著者 |
| 発行年月 | 2022/01 |
| 概要 | Sarcopenia is an age-related loss of skeletal muscle associated with adverse outcomes such as falls, fractures, disability, and increased mortality in older people and hospitalized patients. About half of older male nursing home residents have sarcopenia. The diagnostic criteria by the European Working Group on Sarcopenia in Older People (EWGSOP) and the Asian Working Group for Sarcopenia (AWGS) have led to increased interest in sarcopenia. Exercise and nutritional management are crucial for the prevention and treatment of sarcopenia. Nutritional therapy for sarcopenia that includes 20 g of whey protein and 800 IU of vitamin D twice a day improves lower limb strength. Exercise therapy for sarcopenia, such as resistance training and 6 months of home exercises, improves muscle strength and physical function. Combination therapy that includes both nutritional and exercise therapy improves gait speed and knee extension strength more than either exercise alone or nutrition therapy alone. Excessive bedrest and mismanagement of nutrition in medical facilities can lead to iatrogenic sarcopenia. Iatrogenic sarcopenia is sarcopenia caused by the activities of health care workers in health care facilities. Appropriate nutritional management and exercise programs through rehabilitation nutrition are important for prevention and treatment of iatrogenic sarcopenia. Nutritional and exercise therapy should be started very early after admission and adjusted to the level of inflammation and disease status. Repeated assessment, diagnosis, goal setting, interventions, and monitoring using the rehabilitation nutrition care process is important to maximize treatment effectiveness and improve patients' functional recovery and quality of life. |
| DOI | 10.5534/wjmh.200190 |
| PMID | 33831974 |