Japanese Journal of Geriatrics最新文献_第8页

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.495

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[The mind and skill to support eating at home]. [支持在家进食的思想和技能]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.291

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[The frequency of cachexia and its associated factors in elderly diabetic patients with chronic diseases: A study using the diagnostic criteria of the Asian Working Group for Cachexia]. [患有慢性疾病的老年糖尿病患者出现恶病质的频率及其相关因素：采用亚洲恶病质工作组诊断标准的研究]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.363

Satoshi Ida, Kanako Imataka, Masaki Morii, Keitaro Katsuki, Kazuya Murata

{"title":"[The frequency of cachexia and its associated factors in elderly diabetic patients with chronic diseases: A study using the diagnostic criteria of the Asian Working Group for Cachexia].","authors":"Satoshi Ida, Kanako Imataka, Masaki Morii, Keitaro Katsuki, Kazuya Murata","doi":"10.3143/geriatrics.61.363","DOIUrl":"https://doi.org/10.3143/geriatrics.61.363","url":null,"abstract":"Objective: To evaluate the frequency of cachexia and its associated factors using the Asian Working Group for Cachexia (AWGC) criteria in elderly patients with diabetes and chronic diseases.Methods: The subjects were diabetic outpatients of ≥65 years of age who were managed at Ise Red Cross Hospital. Patients with chronic disease (chronic heart failure, cancer, or chronic renal failure). Cachexia was evaluated based on the AWGC criteria and was defined as a body mass index (BMI) <21 kg/m2 and one or more of the following: anorexia, elevated C-reactive protein, and decreased grip strength. A logistic regression analysis was used to identify cachexia-related factors, with cachexia as the dependent variable, and various variables (basic attributes, blood glucose-related parameters, diabetic complications, comorbidities, and treatment) as explanatory variables.Results: Two hundred forty-two patients (male, n=164; female, n=78) were included in the study. Forty patients (16.5%) had cachexia. A logistic analysis revealed that age (odds ratio (OR), 1.16; P<0.001), type 1 diabetes (OR, 15.25; P=0.002), diabetic retinopathy (OR, 5.72; P=0.001), and physical frailty (OR, 7.06; P<0.001) were associated with cachexia.Conclusion: Elderly diabetics with chronic diseases were more likely to have cachexia. According to the AWGC criteria, the frequency of cachexia was 16.5% in elderly patients with diabetes and chronic diseases. Additionally, type 1 diabetes, diabetic retinopathy, age, and physical frailty were identified as factors associated with cachexia. In elderly diabetes patients with chronic diseases, it is therefore important to raise awareness regarding cachexia when these related factors are diagnosed.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"61 3","pages":"363-369"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297220","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}

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[Polypharmacy in older people]. [老年人的多重用药]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.13

Taro Kojima

{"title":"[Polypharmacy in older people].","authors":"Taro Kojima","doi":"10.3143/geriatrics.61.13","DOIUrl":"https://doi.org/10.3143/geriatrics.61.13","url":null,"abstract":"After the publication of the guidelines about the safe drug therapy for older people in 2015 by the Japan Geriatrics Society, the risk of polypharmacy has become popular. Older people are likely to have multimorbidity, resulting in the use of multiple drugs. This not only increases the frequency of side effects, but also increase confusion and difficulty in medication management and adherence. Polypharmacy is the problem related to these complicated drug therapies and will increase by age. It is necessary to review drugs and resolve polypharmacy without making comorbid conditions worth. To carry out effective medication reviews, the guidance established by the Ministry of Health, Labor and Welfare introduced that geriatric assessment is essential for those with polypharmacy, since not only all medical conditions, but also physical and cognitive functions, medications, living environment, and caregivers should be taken into consideration when discontinuing drugs. When tapering, potentially inappropriate medications (PIMs) should be always the targets, and PIMs drug lists such as the Beers criteria and STOPP/START became very popular in overseas. Even after the reductions, careful attention should be paid to changes in the patient's condition. For drugs that are continued, continuous checks are required to ensure compliance with patients' medication adherence. There are many possible reasons for poor medication adherence, and it will be difficult to improve unless we identify what the cause is in each patient, and making the prescriptions simple may be necessary.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"61 1","pages":"13-21"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871287","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}

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[The current status and outlook for specific medical acts by visiting nurses in home medical care]. [家庭医疗护理中巡回护士具体医疗行为的现状和前景]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.393

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[Current and future challenges of decision-making support for people living with dementia in diverse long-term care settings in Japan]. [日本各种长期护理机构对痴呆症患者决策支持的当前和未来挑战]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.402

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[Clinical ethics of eating in elderly patients with progressive neuromuscular degenerative diseases]. [患有进行性神经肌肉退行性疾病的老年患者的饮食临床伦理]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.296

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[Table of Contents]. [目录]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.Contents3

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[A case of intestinal myiasis in a bedridden elderly patient]. [一例卧床不起的老年患者的肠肌炎病例]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.80

Takuya Ono, Ritsu Sumiyoshi, Aya Takahashi, Keiko Ohara, Kazuhiko Fujiki, Kaoru Ogawa, Toru Miki, Kyoji Okazaki

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[The difference in effect between individual exercise and collective exercise in older adults with frailty-A randomized controlled trial]. [个体运动与集体运动对虚弱老年人的效果差异——一项随机对照试验]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.447

Mana Tateishi, Shoma Akaida, Yoshiaki Taniguchi, Yuto Kiuchi, Daijo Shiratsuchi, Hyuma Makizako

{"title":"[The difference in effect between individual exercise and collective exercise in older adults with frailty-A randomized controlled trial].","authors":"Mana Tateishi, Shoma Akaida, Yoshiaki Taniguchi, Yuto Kiuchi, Daijo Shiratsuchi, Hyuma Makizako","doi":"10.3143/geriatrics.61.447","DOIUrl":"10.3143/geriatrics.61.447","url":null,"abstract":"Aim: To examine the influence of exercises, including individual and collective exercises, on older adults with frail and prefrail.Methods: We enrolled 21 older adults with pre-frail and frail (77.1±3.3 years, 90.5% women). The participants were randomly divided into 2 groups: an individual group (n=11) and a collective group (n=10). They performed exercises for 90 minutes once a week for 12 weeks. The individual groups underwent a multi-component exercise program that included strength training using a training machine. The collective group underwent a multi-component exercise program that included strength training in a chair. We evaluated body composition and physical and cognitive functions. These functions were compared before and after the intervention in each group, and the rates of change in the evaluated items were compared between the 2 groups.Results: In the individual group, after the intervention, BMI (p=0.03) and fat mass (p<0.01) decreased, and the 5 Stand Test (p<0.01) and walking speed (p=0.02) improved. In the collective group, the intervention, 5 Stand Test (p<0.01) and information processing (p=0.03) improved after the intervention. Furthermore, the rate of improvement in the 5 Stand Test was higher in the individual group than in the collective group (p<0.01).Conclusions: In the individual exercise group, the physical function improved and fat mass decreased. The cognitive function improved in the collective exercise group. These findings could serve as the basis for formulating an effective exercise program for frail older adults.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"61 4","pages":"447-455"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796311","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