著者

小林 正義 佐野 隆一 藤井 豊 及川 真一 阿部 隆三 後藤 由夫 山内 祐一

出版者

一般社団法人 日本動脈硬化学会

雑誌

動脈硬化 (ISSN:03862682)

巻号頁・発行日

vol.14, no.5, pp.1155-1160, 1986-12-01 (Released:2011-09-21)

参考文献数

16

---

Lipids metabolism during prolonged fasting (10-days complete fasting) has been studied in 23 psychosomatic patients (9 male and 14 female, average 29.2 y. o.), who had no metabolic disease.During the fasting period, serum F.F.A. and Cholesterol levels significantly elevated (p<0.001).In the lipoprotein fraction, LDL-cholesterol and LDL-triglyceride (d: 1.006-1.063) significantly elevated by fasting (p<0.001), but VLDL-triglyceri de (d;<1.006) decreased (p<0.05).The increase of LDL reflected the increase of LDL2-fraction (d; 1.019-1.063), and this was related to thyroid hormone levels. T3 levels decreased during prolonged fasting (p<0.01).It was considered that increase of LDL was related to the decrease of LDL-receptor activity which was dependent on T3-levels.

著者

朝倉 俊成 清野 弘明 野崎 征支郎 阿部 隆三

出版者

一般社団法人 日本糖尿病学会

雑誌

糖尿病 (ISSN:0021437X)

巻号頁・発行日

vol.44, no.5, pp.423-427, 2001-05-30 (Released:2011-03-02)

参考文献数

9

被引用文献数

1

---

糖尿病患者が外食時にインスリン自己注射を行うことに関して, 飲食店はどのように捕らえているのかを調べるために太田西ノ内病院から半径約5km以内に位置する飲食店150店舗を対象にアンケート調査を実施した. 回収は89件 (59. 3%) であった. その結果, 料理の提供時間は最短で7. 1±9. 5分 (M±SD), 最長は20. 1±15. 0分であった. インスリン注射を患者自身が行なっていることは68. 5%が知っており, 店内でインスリン注射を見たことがあるとの回答は15.7%であった. 料理の量や提供時間などの客からの要望に対しては80%以上が対応できると答えた. また75. 0%がインスリン注射についての情報を知りたいと答えていた. インスリン療法に関する情報提供などを通じ, 患者のインスリン注射の環境改善に薬剤師が貢献できると考えた

著者

藤沼 宏彰 星野 武彦 吉田 忍 熱海 真希子 山崎 俊朗 清野 弘明 菊池 宏明 阿部 隆三

出版者

一般社団法人 日本糖尿病学会

雑誌

糖尿病 (ISSN:0021437X)

巻号頁・発行日

vol.43, no.9, pp.821-826, 2000-09-30 (Released:2011-03-02)

参考文献数

8

---

中高年層で広く実施されているゴルフ練習の, 糖尿病運動療法としての有効性について検討した. 男性2型糖尿病患者18例を対象に2つの調査を行った (調査1: 9例, 調査2: 9例), 調査1では練習場でのショットを実施して心拍数, 血圧, 血糖変動を測定し, 無酸素性作業閾値に相当する心拍数を強度の指標にした自転車運動と比較した. 調査2は研究室内で回転式の練習機によるショットを実施し, 酸素消費量を測定して自転車運動と比較した、ゴルフ練習中の心拍数は無酸素性作業閾値に相当する心拍数を超える者が多かった. しかし, 予測最大心拍数の74.6%と, 糖尿病運動療法に対する運動強度として適度な範囲にあった. ゴルフ練習直後の血圧は自転車運動中の血圧よりも低い傾向にあった. ゴルフ練習は自転車運動と同様に, 昼食後1時間から1時間30分にかけての血糖上昇を抑制したが, 運動終了30分後のリバウンドは大きい傾向にあった. ゴルフ練習の酸素消費量は, ピッチングショット時には自転車運動より少なかったが, ウッドでのショット時には自転車運動と同様の値を示した, 酸素消費量から推定した総工ネルギー消費量は自転車運動と同様であった.これらのことからゴルフの運動の糖尿病運動療法としての有効性が示唆された.

著者

後藤 由夫 阿部 隆三 及川 真一 佐野 隆一 藤井 豊

出版者

Japan Atherosclerosis Society

雑誌

動脈硬化 (ISSN:03862682)

巻号頁・発行日

vol.12, no.6, pp.1351-1357, 1985

著者

阿部 隆三 及川 真一 佐野 隆一 藤井 豊 義江 和子 後藤 由夫

出版者

Japan Atherosclerosis Society

雑誌

動脈硬化 (ISSN:03862682)

巻号頁・発行日

vol.12, no.4, pp.951-956, 1984

---

In the present study, effect of probucol (500mg×2, daily) on serum lipids and lipoproteins in S. F. family who showed typical familial hyper-cholesterolemia (FH) were investigated. The results were as follows:<br>1) The values of serum cholesterol (TC) before and after treatment of probucol were 348±14mg/dl and 220±12mg/dl, respectively. These data shows significant reduction of serum cholesterol after treatment of probucol. The percent of reduction of serum cholesterol was 36.4%. This value was significantly higher than the value (17%) in the other FH.<br>2) Though levels of LDL- and HDL-C were decreased after treatment of probucol, LDL-C level was markedly decrease in S. F family as compared with other FH. Reduction of HDL-C after treatment of probucol was not significant difference between in S. F family and other FH.<br>3) Total biliary lipids after treatment of probucol increased from 68.8μmol/ml to 141.9μmol/ml in a patient of S. F family. Level of bile acid increased after treatment of probucol, especially, in this case. On the other hand, the change of biliary lipids after treatment of probucol was not seen in other FH.<br>From these data, though mechanism of marked reduction of LDL-C in S. F family after treatment of probucol was still unclear, metabolism of cholesterol to synthesis of bile acid might have especially involved to marked reduction of serum LDL-C in S. F family.

著者

佐野 隆一 藤井 豊 義江 和子 及川 真一 阿部 隆三 豊田 隆謙 後藤 由夫

出版者

一般社団法人 日本動脈硬化学会

雑誌

動脈硬化 (ISSN:03862682)

巻号頁・発行日

vol.13, no.2, pp.349-353, 1985

---

Three dysbetalipoproteinemic subjects with the E 2/2 homozygous phenotype were analysed serum lipoproteins and serum apolipoprotein E and B levels. Two subjects were normocholesterolemic and one was hypercholesterolemic (type III hyperlipoproteinemia). A patient with type III phenotype had cholesterol-rich VLDL, although the other two normocholesterolemic subjects didn't have it. Both normo- and hypercholesterolemic subjects had elevated levels of serum apo E and a reduction in serum apo B. Therefore, serum apo E/apo B ratio of a patient with type III phenotype was extremely high as compared with other lipoprotein disorders. These ratio of normocholesterolemic dysbetalipoproteinemia was also high as compared with those except for type V hyperlipoproteinemia. It is suggested that dysbetalipoproteinemia might be easily caught in general population by screening examination of serum apo E/apo B ratio.

著者

佐野 隆一 阿部 隆三 平川 秀紀 金沢 義彦 小泉 勝 豊田 隆謙 後藤 由夫 及川 真一

出版者

Japan Atherosclerosis Society

雑誌

動脈硬化 (ISSN:03862682)

巻号頁・発行日

vol.11, no.3, pp.671-676, 1983

---

In the present study, the effect of probucol (500mg×2, daily) on serum lipids and lipoproteirs level were studied in 9 patients with familial hypercholesterolemia (FH) during 3-4 months. The diagnosis of FH was established according to the criteria both of Fredrickson et al and of Makuchi et al. Thickness of Achilles tendon was over 9mm in all patients and the xanthomas were observed in 4 of 9 patients.<br>Before and 3-4 months after treatment of probucol the measurement of serum triglyceride (TG), total cholesterol (TC) and apolipoprotein (Apo) A-I and A-II were made. At the same time, serum VLDL, LDL, HDL₂ and HDL₃ were separated by successive ultracentrifugation. Thereafter, TG, TC and protein of each lipoprotein fraction were measured.<br>TG and TC were determined by enzymatic method, Apo A-I and A-II were done by single immunodiffusion assay, and protein was done by dye-binding method.<br>All data were expressed as mean ±S.E. and statistically analized by Student's t-test.<br>The results were as follows:<br>1) VLDL-TG levels were slightly increased, although no significance was found between VLDL-TG level before and after treatment.<br>2) The levels of serum TC were 388±37mg/dl and 308±28mg/dl (-21%, p<0.05) before and after probucol administration, respectively. LDL-cholesterol (LDL-C) levels decreased from 325±37mg/dl before treatment to 262±32mg/dl (-19%, p<0.05) after treatment. HDL-C values significantly decreased from 42±5mg/dl to 26±4mg/dl (-38%, p<0.01), and especially HDL₂-C showed significant fall (-48%, p<0.01).<br>3) Serum Lecithin: Cholesterol Acyltransferase (LCAT) activities were not changed.<br>4) The concentrations of Apo LDL decreased from 139±18mg/dl to 106±17mg/dl (-29%), but it was not significant statistically. Apo A-I levels decreased significantly from 92±10mg/dl to 66±10mg/dl (-28%, p<0.01). On the other hand, Apo A-II levels were unchanged.<br>These observations suggested that probucol would be a useful drug to improve serum and LDL cholesterol levels in FH. However, we should take care to use this drug because of its effect on HDL metabolism.

著者

藤井 豊 鈴木 教敬 堀 三郎 佐野 隆一 及川 真一 阿部 隆三 豊田 隆謙 後藤 由夫

出版者

一般社団法人 日本動脈硬化学会

雑誌

動脈硬化

巻号頁・発行日

vol.13, no.6, pp.1385-1387, 1986

---

Diabetes mellitus is frequently complicated with atherosclerosis. PWV (pulse wave velocity) is an indicator for the sclerotic change of thoratic and abdominal aorta. We studied the relation between PWV and lipid metabolism in diabetics.<br>The subjects who took part in this study were 54 diabetics who were aged from 50 to 59 years old and had a duration of illness over 5 years. Fasting blood sugar level and the concentration of glycosylated hemoglobin (HbA₁) were measured. Serum total cholesterol (TC), triglyceride (TG), HDL-cholesterol (HDL-C), apo B and apo A-I were measured by enzymatic methods and SRID, respectively. PWV was measured by the methods of Hasegawa, et al.<br>We concluded that (1) PWV increased in poorly controlled diabetics (FBS 180mg/dl) more than in well controlled diabetics (FBS 119mg/dl), and (2) PWV had significant positive-relation to serum TC, TG, apo B, apo A-I and apo B/A-I ratio, and had significant negative-relation to HDL-C.<br>According to these data we should improve not only glucose metabolism but also derangement of lipid metabolism.

著者

及川 眞一 阿部 隆三 後藤 由夫

出版者

一般社団法人 日本動脈硬化学会

雑誌

動脈硬化 (ISSN:03862682)

巻号頁・発行日

vol.9, no.6, pp.1035-1039, 1982

被引用文献数

2

---

It is thought that multi-factors may relate to the occurence and exaggeration of arterial sclerosis in diabetes mellitus. We pointed out the calcification of peripheral arteries in the legs on X-ray photographs as a sign of arteriosclerosis, and studied its prevalence in diabetics and nondiabetics. Furthermore, in order to clarify what correlates with the arteriosclerosis, we analysed the laboratory data and studied the differences between the diabetics with or without the peripheral arterial calcification.<br>We concluded that the incidence of the peripheral arterial calcification in diabetics (32%) was twofold higher than that in non-diabetics (16%).<br>It was clarified that the incidence of the calcification increased significantly in diabetics who had insulin treatment as compared with those who had oral agents or only diet therapy. Similarly, it was significantly higher in diabetics who were complicated with proliferative retinopathy than those who had simple or no retinopathy. And also, diabetics with longer duration of illness had significantly high incidence of the calcification as compared with those with shorter duration.<br>It was relatively higher frequency in diabetics who had hypertention and were controled poorly than those who had normotention and were controled well, respectively, but there was no significance between them.<br>There were no relationships between the peripheral arterial calcification and obesity, serum concentration of lipids, ischemic changes on ECG and aortic arch-calcification in diabetics.<br>These results suggested that the peripheral arterial calcification might relate to the metabolic derangement in diabetes mellitus.

著者

山田 憲一 阿部 隆三 鈴木 進 及川 真一 後藤 由夫

出版者

Japan Atherosclerosis Society

雑誌

動脈硬化 (ISSN:03862682)

巻号頁・発行日

vol.10, no.3, pp.489-495, 1982

---

Diabetic autopsy cases were collected from the Annual Report of Pathological Autopsy Cases published by Japanese of Pathology for the year 1976-1978. 2089 primary diabetic cases were collected and the cause of death and pathoanatomical findings in various organs were analysed in these primary diabetic cases, and following results were obtained.<br>1) The main causes of death were cardiovascular diseases (43.1%), malignant neoplasma (22.6%), infections (16.2%), diabetic coma (1.9%) and hypoglycemia (0.3%).<br>2) In cardiovascular diseases, the leading cause was diabetic nephropathy (15.6%), followed by cerebral (14.6%) and coronary (10.5%) artery disease.<br>3) The frequency of arteriosclerotic cardiovascular diseases and malignant neoplasmas as cause of death increased with age. Diabetic nephropathy appeared as a cause of death in 3rd decade and the leading cause of death was diabetic nephropathy in 3rd decade (52%) and 4th decade (32%), and over 5th decade decreased with age. Cerebral vascular and coronary artery diseases increased with age and cerebral vascular disease was the leading cause of death over 6th decade.<br>4) In pathoanatomical findings, the frequencies of glomerulosclerosis, myocardial infarction, cerebral infarction and homorrhage were 40.9%. 17.2%, 15.6% and 7.0%, respectively. Myocrdial infarction and cerebral infarction were found in 4th decade and increased with age, while cerebral hemorrhage decreased over 6th decade with age. Diabetic glomerulosclerosis was found in the cases of 2nd decade and high frequencies of glomerulosclerosis were found in all decade and it was higher than those of other vascular lesions.<br>These results showed the characteristics in the causes of death of diabetics in Japan are a lower incidence of coronary artery disease and a high incidence of diabetic nephropathy.

著者

佐野 隆一 阿部 隆三 及川 真一 藤井 豊 後藤 由夫 高瀬 貞夫

出版者

Japan Atherosclerosis Society

雑誌

動脈硬化 (ISSN:03862682)

巻号頁・発行日

vol.15, no.4, pp.1005-1008, 1987

---

The lipid levels of serum and lipoproteins were examined in eleven patients with myotonic dystrophy (MD) and ten normal subjects. Hyperlipoproteinemia was seen in six patients, including type IIb of three patients, type IIa of two and type V of one. Total cholesterol (C) and triglyceride (TG) levels of serum and lipoproteins in MD were not significant. TG/C ratio of lipoproteins in MD were not so high compared with normals.<br>The mean age of the patients with hyperlipoproteinemia was significantly higher than that of normolipoproteinemia. The correlation coefficients between age and lipid levels of serum and lipoproteins were examined. The age was positively correlated to serum C and VLDL-TG levels. Further, in the MD patients except for case 1 with type V hyperlipoproteinemia, the age was positively correlated to LDL-TG and LDL-C levels, and negatively correlated to HDL-TG levels.<br>In conclusion, the LDL levels increased and the HDL levels decreased with age in MD. These results suggest that the abnormalities of serum lipid metabolism is one of the characteristic changes in MD.

著者

阿部 隆三 丸浜 喜亮 奥口 文宣 及川 真一 柿崎 正栄 鈴木 勃志 後藤 由夫

出版者

一般社団法人 日本内科学会

雑誌

日本内科学会雑誌 (ISSN:00215384)

巻号頁・発行日

vol.69, no.11, pp.1452-1457, 1980

---

30才,男性で5~6才頃から黄色腫を有し,著明な高コレステロール血症を呈した症例の家族検診,および培養線維芽細胞の検討成績から家族性高コレステロール血症ホモ接合体と診断した症例を報告する.家族検診の脂質検査では, 11例中9例に高コレステロール血症がみられ,そのうち, 8例にIIa型高脂血症がみられた.また,本症例の弟に著明な黄色腫が認められた.一方,心電図所見では, 1例に虚血性変化がみられた.培養線維芽細胞の検討では,本症のアセテートからステロールへの合成能が,正常人培養線維芽細胞に比べ約18倍高い.また,本症例細胞のHMG-CoA reductase活性は,正常人細胞と比べ約15倍高い.さらに,正常人細胞では,培養液をリポ蛋白deficient mediumにすると,細胞内HMG CoA-reductaseの酵素誘導がおこり増加するが,本症例では全く誘導がみられない.以上の結果から, LDLレセプターを直接測定していないが, Goldsteinらの提唱しているLDLレセプターの完全欠損症,すなわち,家族性高コレステロール血症ホモ接合体の症例であることを証明しえた.本症例の治療成績では,クロフィブレートやコレスチポールに全く抵抗を示し,他の強力な治療法を行なう必要があると考えられる.

著者

朝倉 俊成 野崎 征支郎 清野 弘明 阿部 隆三

出版者

一般社団法人 日本糖尿病学会

雑誌

糖尿病 (ISSN:0021437X)

巻号頁・発行日

vol.42, no.7, pp.537-540, 1999-07-30 (Released:2011-03-02)

参考文献数

6

被引用文献数

4

---

外食時のインスリン自己注射には, 心理的な要因等によるコンプライアンスの低下が予想される. そこで, 当院でインスリン自己注射している糖尿病患者716名を対象とし, アンケートにより外食時のインスリン注射の実態を検討した. 回答は501名 (年齢55.9±15.5歳: M±SD, 回収率70.0%) から得られた. 結果は, 「他の客が気になる」が63.1%, 「注射時間が気になる」が65.9%で, いすれも若年層で有意に高かった. 注射することを気にしている患者の56.7%が「注射場所の有無」について考慮していた. 注射場所はトイレが46.9%, 洗面所が32.1%, 食事する席が28.9%であった. 本調査により, 注射場所を具体的に想定したインスリン注射指導を取り入れる必要性があると思われた. さらに, 注射操作法の工夫や簡便な注射器の開発, そして自然に自己注射が行える社会的な環境整備を行うよう働きかける必要があると思われた.

著者

山口 日吉 清野 弘明 三崎 麻子 坂田 芳之 北川 昌之 山崎 俊朗 菊池 宏明 阿部 隆三

出版者

THE JAPAN DIABETES SOCIETY

雑誌

糖尿病 (ISSN:0021437X)

巻号頁・発行日

vol.46, no.3, pp.211-215, 2003

---

Imagawaらは, ケトアシドーシスにて発症し, 発症時のHbA1cが正常かもしくは軽度の上昇にとどまり, 膵β細胞の自己抗体が陰性で発症時にインスリン分泌能の著しく低下している例を非自己免疫性劇症1型糖尿病として疾患概念を提唱した. 当院において, この劇症1型糖尿病のスクリーニング基準を満たす7例の臨床像と6例のインスリン分泌能を経年的にグルカゴン負荷試験にて検討してきた. 発症時にグルカゴン負荷試験を検査しえた6例中5例で, グルカゴン負荷6分後の血清CPRは0.1ng/m<I>l</I>以下であり, 発症時に膵臓β細胞の完全破壊が示唆された. さらに, 発症後約6ヵ月ことにグルカゴン負荷試験を施行し, インスリン分泌能を経年的に最長7年間検討してきたが, 6例全例でグルカゴン負荷6分後の血清CPRは0.1ng/m<I>l</I>以下でありインスリン分泌能の回復を認めた例はいなかった.

著者

清野 弘明 大久保 健太郎 山口 日吉 木村 美奈子 宮口 修一 山崎 俊朗 三崎 麻子 菊池 宏明 阿部 隆三

出版者

THE JAPAN DIABETES SOCIETY

雑誌

糖尿病 (ISSN:0021437X)

巻号頁・発行日

vol.46, no.4, pp.333-335, 2003-04-30

参考文献数

8

被引用文献数

3

---

症例は31歳の男性, 2002年5月12日より口渇感, 全身倦怠感が出現し5月15日に初診した. 初診時血糖値778mgd<SUB>l</SUB>, 尿ケトン体強陽性, 動脈血分析ではpH7.249, HCO<SUB>3</SUB>13.6mmo<I>l</I>, 血中総ケトン体9800μmol<I>l</I>で糖尿病性ケトアシドーシスと診断した. 入院時のHbA<SUB>1c</SUB>は6.1%であった.入院中3回測定した尿中CPRは (3.4, <1.0, <1.0μg/day) でグルカゴン負荷試験でも負荷前・負荷6分後の血清CPRは検出限界の0.2ng/m<I>l</I>以下でβ 細胞の完全破壊が示唆された. 以上より本例は劇症1型糖尿病のスクリーニング基準を満たしたが, 2回測定した抗GAD抗体は, 11.6Um<I>l</I>, 10.2Um<I>l</I>と陽性であった. 本例は劇症1型糖尿病と考えられるが, 抗GAD抗体が陽性であったことより自己免疫の関与が示唆される劇症1型糖尿病であり, 興味ある症例である.