著者
若林 秀隆
出版者
公益社団法人 日本リハビリテーション医学会
雑誌
The Japanese Journal of Rehabilitation Medicine (ISSN:18813526)
巻号頁・発行日
vol.48, no.4, pp.270-281, 2011-04-18 (Released:2011-05-09)
参考文献数
46
被引用文献数
6 1

Malnutrition often occurs in patients with disabilities. The prevalence of malnutrition in geriatric rehabilitation was higher than in hospital (50.5% vs 38.7%) according to MNA classification. Nutrition care management of patients with disabilities is often inappropriate. As nutritional status is associated with rehabilitation outcome, a combination of both rehabilitation and nutrition care management may be associated with a better outcome. This concept is defined as rehabilitation nutrition. Rehabilitation nutrition aims to assess patients according to the International Classification of Functioning, Disability and Health including nutrition status and to practice a rehabilitation nutrition care plan under adequate prognosis prediction. It is not enough for patients with disabilities to coordinate only their rehabilitation or clinical nutrition. Rehabilitation nutrition care management is important to improve their activities of daily living and quality of life. Sarcopenia is a syndrome characterized by progressive and generalized loss of skeletal muscle mass and strength. Primary sarcopenia is considered to be age-related when no other cause is evident, other than ageing itself. Secondary sarcopenia should be considered when one or more other causes are evident, such as activity-related sarcopenia, disease-related sarcopenia, or nutrition-related sarcopenia. Activity-related sarcopenia can result from bed rest, deconditioning, or zero-gravity conditions. Disease-related sarcopenia is associated with invasion (acute inflammatory diseases), cachexia (cancer, advanced organ failure, collagen diseases, etc.), and neuromuscular disease. Nutrition-related sarcopenia results from inadequate dietary intake of energy and/or protein. Treatment, including rehabilitation and nutrition care management, differs according to the causes of sarcopenia. No nutrition care, no rehabilitation. Nutrition is a vital sign for rehabilitation.

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質問があったので、シェアを。 ・各栄養値で筋増加は変動しますか? →変動します。アルブミンを用いた研究が多いです。 基本的には3.5〜3.0 g/dlを下回る場合は上記を目的とした筋トレ等は推奨されません。 若林先生の論文等はおす… https://t.co/I2Nn3BybEI
リハニュース56号か私のJJRMの総説あたりですね。https://t.co/hgzmmWg19q RT @black_reha やたらとリハ栄養の本がでているが、リハ栄養と、普通の栄養に関する知識と、何が違うのか分からない。どこかに簡潔に示唆しているホームページでもないものか。
リハビリテーション医学48(4):「リハビリテーションと臨床栄養」下記HPで全文見れます。 https://t.co/hgzmmWg19q
B! リハ栄養のペーパー http://t.co/LnnnEshv
リハ栄養に興味のある方、一読の価値ありです(>_<)若林先生の総説原稿です(>_<)http://t.co/LeAI1vUV
幕張の日本リハ医学会に参加しています。リハ学会関連ですがJJRN4月号に執筆した「リハビリテーションと臨床栄養」の総説原稿が、下記のURLで公開されました。査読ありの総説でしたので多少は意味があると思います。よろしければぜひ見てください。 http://t.co/5OuHJ8ke

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