Japanese Journal of Geriatrics最新文献_第2页

[Pneumonia in the elderly from the perspective of adult pneumonia practice guideline 2024 in Japan]. [日本成人肺炎实践指南2024视角下的老年肺炎]。

Japanese Journal of Geriatrics Pub Date : 2025-01-01 DOI: 10.3143/geriatrics.62.1

引用次数: 0

[Barriers to social participation are associated with risk of undernutrition in older males with diabetes]. [社会参与的障碍与老年男性糖尿病患者营养不良的风险有关]。

Japanese Journal of Geriatrics Pub Date : 2025-01-01 DOI: 10.3143/geriatrics.62.78

Satoshi Ida, Kanako Imataka, Keitaro Katsuki, Kazuya Murata

{"title":"[Barriers to social participation are associated with risk of undernutrition in older males with diabetes].","authors":"Satoshi Ida, Kanako Imataka, Keitaro Katsuki, Kazuya Murata","doi":"10.3143/geriatrics.62.78","DOIUrl":"10.3143/geriatrics.62.78","url":null,"abstract":"Objective: To examine the association between barriers to social participation and the risk of undernutrition in older adults with diabetes.Methods: The subjects were outpatients with diabetes ≥60 years old at Ise Red Cross Hospital. The risk of undernutrition was measured using the Mini Nutritional Assessment Short Form, and a total score of ≤11 was defined as being at risk. The Social Participation Barriers in Patients with Diabetes (SPBD) questionnaire, which consists of 10 items, was used to measure social participation barriers. A logistic regression analysis was performed using the respective SPBD score quartiles (Q1-Q3) for men and women, with the risk of undernutrition as the dependent variable and SPBD score (based on the Q1 group) as the explanatory variable.Results: In total, 310 patients (187 men and 123 women) were included in the analysis. In men, the adjusted odds ratios for the risk of undernutrition in Q2 and Q3 based on Q1 were 1.56 (95% confidence interval [CI], 0.63-3.83; p=0.328) and 4.52 (95% CI, 1.78-11.46; p=0.001), respectively. In women, the adjusted odds ratios for the risk of undernutrition of Q2 and Q3 based on Q1 were 2.87 (95% CI, 0.85-9.61; p=0.087) and 3.73 (95% CI, 0.88-15.82; p=0.073), respectively.Conclusion: The results of this study in older people with diabetes showed that barriers to social participation were associated with a risk of undernutrition in men. In particular, hyperglycemia, diabetes treatment, and value-based barriers to social participation were associated with the risk of undernutrition. It is important to raise awareness of the barriers to social participation from the viewpoint of nutrition in older people with diabetes.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"78-87"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754872","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}

引用次数: 0

[A case of hyponatremia induced by the thiazide-like diuretic indapamide in an elderly woman]. 老年妇女噻嗪类利尿剂吲达帕胺致低钠血症1例。

Japanese Journal of Geriatrics Pub Date : 2025-01-01 DOI: 10.3143/geriatrics.62.88

Nobuya Nakaguki, Kei Sasaki, Yasuhiro Endo, Katsunori Ikewaki

{"title":"[A case of hyponatremia induced by the thiazide-like diuretic indapamide in an elderly woman].","authors":"Nobuya Nakaguki, Kei Sasaki, Yasuhiro Endo, Katsunori Ikewaki","doi":"10.3143/geriatrics.62.88","DOIUrl":"10.3143/geriatrics.62.88","url":null,"abstract":"A 72-year-old woman with a history of hypertension who had already been taking calcium channel blockers and angiotensin II receptor blockers was prescribed additional indapamide (1 mg/day) due to inadequate blood pressure control. Two weeks later, she experienced loss of appetite and fatigue. Seeking medical attention, she was diagnosed with significant hyponatremia with a serum sodium level of 110 mEq/L at a local clinic, leading to her referral and subsequent admission to our department. Although her consciousness remained clear, laboratory findings revealed a serum sodium level of 116 mEq/L, blood urea nitrogen of 7 mg/dL, blood glucose of 96 mg/dL, and plasma osmolarity of 239.8 mOsm/kg·H2O, consistent with hypotonic hyponatremia induced by indapamide. Indapamide was discontinued and normal saline was administered. By the 6th day of hospitalization, her serum sodium level had improved to 130 mEq/L, and her symptoms had resolved.Thiazide-like diuretics can induce hyponatremia as a side effect with diverse symptoms and variable onset. However, in this case, hyponatremia was promptly detected shortly after the initiation of indapamide therapy, and no gastrointestinal symptoms other than anorexia were observed. When initiating thiazide-like diuretics, it is essential to be vigilant for hyponatremia and to provide appropriate medication guidance to patients in addition to monitoring their serum sodium levels.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"88-92"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754868","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}

引用次数: 0

[Effect of antihypertensive medication on systolic blood pressure variability during bathing in elderly people]. [降压药对老年人沐浴时收缩压变异性的影响]。

Japanese Journal of Geriatrics Pub Date : 2025-01-01 DOI: 10.3143/geriatrics.62.42

Tomoaki Suzuki, Shuichiro Watanabe

引用次数: 0

[Preoperative frailty in patients undergoing total knee or hip arthroplasty affects FIM scores at one week postoperatively]. [全膝关节或髋关节置换术患者术前虚弱会影响术后一周的FIM评分]。

Japanese Journal of Geriatrics Pub Date : 2025-01-01 DOI: 10.3143/geriatrics.62.178

Ikki Yoshida, Yohei Sawaya, Yukinobu Hiiragi, Shunsuke Kikuchi, Tomohiko Urano

{"title":"[Preoperative frailty in patients undergoing total knee or hip arthroplasty affects FIM scores at one week postoperatively].","authors":"Ikki Yoshida, Yohei Sawaya, Yukinobu Hiiragi, Shunsuke Kikuchi, Tomohiko Urano","doi":"10.3143/geriatrics.62.178","DOIUrl":"https://doi.org/10.3143/geriatrics.62.178","url":null,"abstract":"Aim: Very few reports have investigated the association between frailty and postoperative outcomes in total knee arthroplasty (TKA) and total hip arthroplasty (THA), making the accumulation of evidence an urgent task. This study aimed to clarify the effect of preoperative frailty on short-term postoperative outcomes in patients undergoing TKA/THA.Methods: This prospective cohort study, conducted from December 2023 to September 2024, included 19 patients (mean age±standard deviation, 73.8±7.2 years) scheduled for TKA/THA. Frailty was assessed preoperatively using the Questionnaire for Medical Checkup of Old-Old (QMCOO) and the Japanese version of the Cardiovascular Health Study (J-CHS) criteria, along with the Functional Independence Measure (FIM). FIM scores were also evaluated one week postoperatively. Postoperative FIM scores were compared based on frailty status.Results: Of the 19 patients, 6 (31.6%) were classified as having frailty based on the QMCOO (score≥5) and 7 (36.8%) met the frailty criteria according to the J-CHS. With regard to the preoperative to postoperative FIM score change, the QMCOO≥5 group showed a significantly larger decline (-23.2±10.1 points, [median, -19.5]) in comparison to the QMCOO<5 group (-13.8±4.7 points, [median, -15.0]) (p=0.029). Similarly, patients classified as having frailty according to the J-CHS (-23.1±8.8 points, [median, -20.0]) experienced a greater FIM decline than the non-frailty (-13.1±4.4 points, [median, -13.5]) (p=0.004). Moreover, patients classified as frail according to J-CHS had lower FIM scores at one week postoperatively (p<0.001), with a significantly higher proportion of patients scoring < 110 points (p=0.017).Conclusions: Preoperative frailty may negatively affect short-term postoperative outcomes after TKA/THA.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 2","pages":"178-186"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530022","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}

引用次数: 0

[Rehabilitation for age-related diseases: Focusing on dementia]. [年龄相关疾病的康复：以痴呆为重点]。

Japanese Journal of Geriatrics Pub Date : 2025-01-01 DOI: 10.3143/geriatrics.62.267

Aiko Osawa, Shinichiro Maeshima

引用次数: 0

Japanese Journal of Geriatrics Pub Date : 2025-01-01 DOI: 10.3143/geriatrics.62.110

引用次数: 0

Japanese Journal of Geriatrics Pub Date : 2025-01-01 DOI: 10.3143/geriatrics.62.334

引用次数: 0

[CGA tools and its usefulness]. [CGA工具及其用途]。

Japanese Journal of Geriatrics Pub Date : 2025-01-01 DOI: 10.3143/geriatrics.62.17

引用次数: 0

[Association of frailty with osteosarcopenia in community -dwelling older people using the kihon checklist]. [使用kihon检查表的社区居住老年人虚弱与骨骼肌减少症的关系]。

Japanese Journal of Geriatrics Pub Date : 2025-01-01 DOI: 10.3143/geriatrics.62.307

Tsuyoshi Katsurasako, Hideki Nakano, Yuki Kikuchi, Akio Goda, Kohei Mori, Atsuko Kubo, Shin Murata

{"title":"[Association of frailty with osteosarcopenia in community -dwelling older people using the kihon checklist].","authors":"Tsuyoshi Katsurasako, Hideki Nakano, Yuki Kikuchi, Akio Goda, Kohei Mori, Atsuko Kubo, Shin Murata","doi":"10.3143/geriatrics.62.307","DOIUrl":"https://doi.org/10.3143/geriatrics.62.307","url":null,"abstract":"Aim: The combination of sarcopenia and osteoporosis is a risk factor for frailty and fractures, which are the main causes of conditions that require long-term care. The objective of this study was to clarify the association between frailty, as measured using the Kihon Checklist (KCL), sarcopenia, and low bone mass.Methods: A total of 521 community-dwelling older adults were recruited and frailty was assessed using the KCL. A binomial logistic regression analysis was performed to determine the association between frailty and the presence or absence of sarcopenia and low bone mass, with the presence or absence of frailty as the dependent variable. In addition, the sub-items of the KCL were compared to examine the characteristics of the four groups based on the presence or absence of sarcopenia and low bone mass.Results: Of the participants, 17.7% were frail. Only osteosarcopenia was associated with frailty (odds ratio 3.324, 95% confidence interval 1.308-8.448). Osteosarcopenia was also associated with a poor motor function, poor nutritional status, social isolation, and depressed mood.Conclusions: The results suggest that older people with a combination of sarcopenia and low bone mass are at a high risk for frailty, as measured by the KCL, and that a comprehensive approach to their care is required that includes not only physical, but also mental, psychological, and social aspects.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 3","pages":"307-315"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186986","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}

引用次数: 0