Japanese Journal of Geriatrics最新文献

{"title":"[Exercise program based on cardiopulmonary function in older adults].","authors":"","doi":"10.3143/geriatrics.62.382","DOIUrl":"https://doi.org/10.3143/geriatrics.62.382","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 4","pages":"382-389"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A case of nontuberculous mycobacterial disease and malignant lymphoma in an elderly patient].","authors":"Mari Asano, Hiroki Tatsuoka, Yumi Yasui, Takao Kashiwagi, Minoru Kishi, Masahide Iwai, Takamasa Ohnishi","doi":"10.3143/geriatrics.62.324","DOIUrl":"https://doi.org/10.3143/geriatrics.62.324","url":null,"abstract":"<p><p>An 88-year-old woman was referred to our hospital due to body weight loss (9 kg) over one year. Bronchoscopy revealed Mycobacterium avium, and antimicrobial treatment was initiated. Three months later, a chest CT scan revealed a mass shadow in the left lingular segment. After a second bronchoscopic examination, a pathological diagnosis of diffuse large B-cell lymphoma was made. After one course of chemotherapy, the mass in the left middle lobar significantly decreased in size. We report a case of malignant lymphoma with NTM in an elderly patient. Impaired immunity may have played a role in the development of both diseases. In an aging society, complications associated with both diseases may increase. Careful and detailed examination is essential.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 3","pages":"324-329"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Cardiopulmonary exercise testing in older patients].","authors":"","doi":"10.3143/geriatrics.62.375","DOIUrl":"https://doi.org/10.3143/geriatrics.62.375","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 4","pages":"375-381"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Cross-sectional association between social isolation and nutritional status among older urban adults: The Itabashi Longitudinal Study on Aging].","authors":"Lena Käläntär, Tatsunosuke Gomi, Keiko Motokawa, Misato Hayakawa, Yurie Mikami, Maki Shirobe, Masanori Iwasaki, Narumi Kojima, Yosuke Osuka, Hiroyuki Sasai, Hiroki Inagaki, Fumiko Miyamae, Ayako Edahiro, Tsuyoshi Okamura, Hirohiko Hirano, Shuichi Awata","doi":"10.3143/geriatrics.62.70","DOIUrl":"10.3143/geriatrics.62.70","url":null,"abstract":"<p><strong>Aim: </strong>The social isolation of older Japanese adults with infrequent contact with others diminishes appetite, reduces food intake, and worsens their nutritional status. However, there is insufficient evidence regarding the association between social isolation and nutritional status, with studies primarily confined to rural and suburban areas. This cross-sectional study aimed to investigate the association between social isolation and nutritional status among older adults residing in urban areas.</p><p><strong>Methods: </strong>This cross-sectional analysis included 1,052 adults (mean age, 78 years). Nutritional status was assessed using the Mini Nutritional Assessment^® Short Form, with a score of 11 or below indicating malnutrition. Applying the abbreviated Lubben Social Network Scale, a score < 12 was considered indicative of social isolation. Logistic regression was applied to the entire population, then the population was separated by sex, with social isolation as the independent variable and malnutrition as the dependent variable. The covariates included age, living alone, economic status, health, daily activities, smoking habits, drinking habits, and years of education.</p><p><strong>Results: </strong>Social isolation was observed in 41.7% (n = 439) of the total population, while malnutrition was observed in 27.4% (n = 288). Social isolation was significantly associated with malnutrition (odds ratio: 1.41, 95% confidence interval: 1.06-1.88). Sex subgroup analyses revealed that a significant association was retained only among female participants.</p><p><strong>Conclusions: </strong>Social isolation has been associated with malnutrition among older urban adults in Japan. Future longitudinal studies of the nutritional status of socially isolated individuals are essential.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"70-77"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Dietary therapy in elderly patients with CKD].","authors":"","doi":"10.3143/geriatrics.62.134","DOIUrl":"https://doi.org/10.3143/geriatrics.62.134","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 2","pages":"134-138"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Myocarditis following the third dose of a COVID-19 mRNA vaccination in an older woman].","authors":"Eiji Matsumoto, Tomoaki Hama, Yasuhiro Isami, Kenya Sakai","doi":"10.3143/geriatrics.62.250","DOIUrl":"https://doi.org/10.3143/geriatrics.62.250","url":null,"abstract":"<p><p>Myocarditis is a group of inflammatory diseases that primarily affect the myocardium. It includes various pathological conditions. In addition to viruses, which are the main etiological agents, other causal agents, including bacteria, toxic substances, autoimmunity, and drugs, including vaccines, can also induce the disease.In Japan, an outbreak of coronavirus disease 2019 (COVID-19) began in January 2020, and COVID-19 messenger RNA (mRNA) vaccinations have been widely used since February 2021.Myocarditis after vaccination is reported to be more common in young males, particularly after the second vaccination. We report the case of an 80-year-old woman with no history of cardiovascular disease who was hospitalized with acute pulmonary edema one week after receiving her third dose of mRNA vaccine. She had elevated myocardial markers, new complete left bundle branch block, and a decreased left ventricular ejection fraction relative to before the onset; however, there was no stenosis or coronary artery occlusion that could have caused the disease. Although a myocardial biopsy could not be performed, myocarditis after vaccination was diagnosed based on detailed clinical findings. With noninvasive positive pressure ventilation and diuretics without steroids, the patient improved and was discharged on the 11th day. However, 1.5 years later, she developed a complete atrioventricular block and a permanent pacemaker was implanted. This case suggests that even older women can develop myocarditis after the third vaccination dose. We should carefully consider whether vaccination should be administered, even in older patients.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 2","pages":"250-255"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Utilization of comprehensive geriatric assessment (CGA) in geriatric nursing].","authors":"","doi":"10.3143/geriatrics.62.37","DOIUrl":"https://doi.org/10.3143/geriatrics.62.37","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"37-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Preface to the special feature \"The elderly and hearing\"].","authors":"","doi":"10.3143/geriatrics.62.275","DOIUrl":"https://doi.org/10.3143/geriatrics.62.275","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 3","pages":"275"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Results of and issues with a nation-wide survey of an additional system for patients with suspected or diagnosed dementia during hospitalization for physical illness].","authors":"Hiroshi Yoshino, Takenori Okumura, Kyoko Mitamura, Yuka Saiki, Kensuke Suga, Shigeyo Kato, Hajime Takechi","doi":"10.3143/geriatrics.62.316","DOIUrl":"https://doi.org/10.3143/geriatrics.62.316","url":null,"abstract":"<p><strong>Aim: </strong>The dementia support team (DST) is an initiative established based on the knowledge that, when individuals with dementia or older people at risk for delirium are hospitalized because of physical illnesses, there are often cases in which their cognitive symptoms rapidly deteriorate. However, the activities of each hospital are unknown. Therefore, a nation-wide survey of DSTs was conducted.</p><p><strong>Methods: </strong>A questionnaire survey was conducted among 1,032 hospitals throughout Japan.</p><p><strong>Results: </strong>A total of 422 responses were obtained, of which 292 were valid. The main results were as follows: number of beds (200 to <500 beds, n=171), number of types of medical staff (≥4 types, n=248), number of patients for intervention/month (30 patients to <100 patients, n=164), number of team meetings/week (1/week, n=240), cognitive function assessment (Hasegawa Dementia Scale Revised [HDS-R], n=141), advice regarding medication (n=279), rehabilitation (n=243), reduction of physical restraint (n=274), nutrition (n=200) and discharge adjustment (n=233). Patients were divided into 2 groups for analyses: those requested by the other divisions (n=121; 41.4%) and those managed by DST (n=171; 58.6%). There was a higher rate of requested by the other divisions than the managed by the DST related advice for medications and rehabilitation. However, the differences were not statistically significant.</p><p><strong>Conclusions: </strong>The present study revealed that requests from other divisions involved a higher rate of advice on medication and rehabilitation than the managed by the DST. Further studies are required to confirm this hypothesis.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 3","pages":"316-323"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Preface to the special issue on \"Cardiopulmonary Function and Exercise Load\"].","authors":"","doi":"10.3143/geriatrics.62.363","DOIUrl":"https://doi.org/10.3143/geriatrics.62.363","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 4","pages":"363"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}