Japanese Journal of Geriatrics最新文献_第7页

[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

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[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

[Fall injuries among older employees working in nursing care facilities and characteristics of those workers in fall-related industrial accidents]. [在护理机构工作的老年雇员的跌倒伤害和与跌倒有关的工业事故中这些工人的特点]。

Japanese Journal of Geriatrics Pub Date : 2025-01-01 DOI: 10.3143/geriatrics.62.422

Hiromi Rakugi, Jiro Ohkochi, Ryutaro Matsugaki, Shuko Takeda, Hirochika Ryuno, Yuya Akagi, Kentaro Higashi

{"title":"[Fall injuries among older employees working in nursing care facilities and characteristics of those workers in fall-related industrial accidents].","authors":"Hiromi Rakugi, Jiro Ohkochi, Ryutaro Matsugaki, Shuko Takeda, Hirochika Ryuno, Yuya Akagi, Kentaro Higashi","doi":"10.3143/geriatrics.62.422","DOIUrl":"10.3143/geriatrics.62.422","url":null,"abstract":"Aim: The increased number of older workers correlates with an increased incidence of industrial accidents, particularly falls. This study investigated falls among workers in nursing care facilities that have already implemented resident fall prevention measures.Methods: From December 2, 2024, to January 23, 2025, a web-based survey was conducted targeting 3,547 member facilities of the Japan Association of Geriatric Health Services Facilities. The survey covered the number of facility staff, the number of fall accidents in the past year, and the age, gender, and occupation of individuals who suffered industrial fall accidents, as well as their return to work status after the accident.Results: Of the 844 responding facilities, 91 reported 110 fall-related industrial accidents in the past year (1.63 per 1,000 people). The incidence rate increased with facility size and was unrelated to the proportion of full-time staff. The most affected age group was those in their 60s. After adjusting for age stratification within facilities, the accident rate was higher for those in their 50s (3.8 times higher), 60s (9.1 times higher), and 70s and over (8.8 times higher) than for those under 50 years old. Care workers (47%) and nurses (31%) were most frequently affected. Approximately 80% returned to the same occupation, whereas 5% retired.Conclusions: Falls among workers in nursing care facilities increased from 50 years old, with varying incidence by occupation. To prevent fall-related industrial accidents among workers in nursing care facilities, the early detection of age-related physical and mental decline should be considered for each job type.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 4","pages":"422-428"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918631","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

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

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Japanese Journal of Geriatrics Pub Date : 2025-01-01 DOI: 10.3143/geriatrics.62.442

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

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[Follow-up of patients with nasogastric tube who were hospitalized in a long-term care hospital to analyze the current situation and role of nasogastric tube placement]. 【对某长期护理医院住院的鼻胃管患者进行随访，分析鼻胃管置入的现状及作用】。

Japanese Journal of Geriatrics Pub Date : 2025-01-01 DOI: 10.3143/geriatrics.62.390

Mototaka Niwano, Hayao Nakatani

{"title":"[Follow-up of patients with nasogastric tube who were hospitalized in a long-term care hospital to analyze the current situation and role of nasogastric tube placement].","authors":"Mototaka Niwano, Hayao Nakatani","doi":"10.3143/geriatrics.62.390","DOIUrl":"10.3143/geriatrics.62.390","url":null,"abstract":"Aims: We examined patients with nasogastric tube who were hospitalized in a long-term care hospital from 2018-2023 to analyze the current situation and role of nasogastric tube placement.Methods: Patients with nasogastric tube were divided into three groups; cured (n=75), transferred (n=61) and deceased (n=168).Sex, average age, length of stay, and history of aspiration pneumonia were compared between the transferred and deceased groups.Results: Younger patients were easier to treat and their length of hospital stay became shorter. In the cured and deceased groups, 8% and 50.6% of patients, respectively, had aspiration pneumonia, which amounted to a statistically significant difference.In the deceased group, aspiration pneumonia was the direct cause of death in 41.7% of cases.Conclusion: Although nasogastric tube placement does not involve surgery and is easy to interrupt and resume, it has many disadvantages.The enteral nutrition guidelines state that, \"If tube feeding is short-term, nasal access is chosen. If it is long-term for > 4 weeks, gastrostomy is the first choice, if possible.\" When there is a low risk of aspiration pneumonia, short-term nasogastric tube feeding must be attempted before proceeding to gastrostomy.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 4","pages":"390-398"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918582","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

[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