著者

Satoshi Ida Ryutaro Kaneko Kanako Imataka Kaoru Okubo Kentaro Azuma Kazuya Murata

出版者

The Japan Endocrine Society

雑誌

Endocrine Journal (ISSN:09188959)

巻号頁・発行日

pp.EJ22-0548, (Released:2023-03-01)

被引用文献数

3

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We used a consensus statement to diagnose sarcopenic obesity, evaluated incidence of sarcopenic obesity in older patients with diabetes, and examined whether sarcopenic obesity was associated with their higher-level functional capacity. Outpatients with diabetes (age, ≥65 years) undergoing treatment at Ise Red Cross Hospital were included. The Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC)—a self-administered questionnaire—was used to assess their higher-level functional capacity. Sarcopenic obesity was evaluated based on the consensus statement diagnostic criteria—i.e., presence or absence of decreased skeletal muscle mass was evaluated based on appendicular skeletal muscle mass/body weight and obesity was assessed based on body fat mass percentage. To calculate the adjusted β coefficient of sarcopenic obesity for higher-level functional capacity, multiple regression analyses were performed using TMIG-IC scores as the dependent variable and four categories (non-sarcopenia/non-obesity was used as a reference) that included sarcopenia and obesity as the predictor and moderator variables. Among the 310 patients included, the sarcopenic obesity incidence was 13.1% and 14.2% in men and women, respectively. When the non-sarcopenia/non-obesity group was used as a reference, the adjusted β coefficient of sarcopenic obesity for scores of the TMIG-IC was –2.09 (p = 0.014) in men. However, the women showed no relationship between sarcopenic obesity and TMIG-IC scores. In older men with diabetes, sarcopenic obesity was associated with a decline in higher-level functional capacity.

著者

東 賢太朗 Kentaro AZUMA

雑誌

宮崎公立大学人文学部紀要 = Bulletin of Miyazaki Municipal University Faculty of Humanities

巻号頁・発行日

vol.16, no.1, pp.1-11, 2009-03-06

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フィリピン・ボラカイ島は、美しいホワイトビーチが世界的に知られる観光リゾート地である。本稿では、今後のボラカイ島の観光文化に関する研究への予備的考察として、観光と環境、および観光と生活のそれぞれの関係性に注目する。フィールドワークによって得た資料や情報から、観光化や観光開発による環境の喪失という齟齬が生まれていること、また観光圏と生活圏が地理的かつ機能的に分化しながらアクターの往来によってコンタクトゾーンが生起していることを明らかにする。その上で、生活環境主義における「居住者の生活の便宜」について考察を行う。