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https://hdl.handle.net/20.500.14094/90005929
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2024-04-20
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90005929 (fulltext)
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メタデータID
90005929
アクセス権
open access
出版タイプ
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タイトル
Differences in nutritional status and activities of daily living and mobility in elderly hospitalized patients with heart failure
著者
Kitamura, Masahiro ; Izawa, P. Kazuhiro ; Yaekura, Masakazu ; Mimura, Yumi ; Nagashima, Hitomi ; Oka, Koichiro
著者名
Kitamura, Masahiro
著者ID
A1350
研究者ID
1000010736185
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=3330637c7f4d6307520e17560c007669
著者名
Izawa, P. Kazuhiro
井澤, 和大
イザワ, カズヒロ
所属機関名
保健学研究科
著者名
Yaekura, Masakazu
著者名
Mimura, Yumi
著者名
Nagashima, Hitomi
著者名
Oka, Koichiro
収録物名
ESC Heart Failure
巻(号)
6(2)
ページ
344-350
出版者
Wiley
刊行日
2019-04
公開日
2019-05-09
抄録
Aims This study aims to examine the effect of differences in nutritional status on activities of daily living (ADL) and mobility recovery of hospitalized elderly patients with heart failure (HF). Methods and results From among 377 consecutive HF patients who underwent rehabilitation at one acute‐care hospital from January 2013 to August 2015, those who were aged ≥ 65 years could walk with assistance before hospitalization and who were hospitalized for the first time were included in this retrospective cohort study. Exclusion criteria were pacemaker surgery during hospitalization, change to other departments, death during hospitalization, and unmeasured ADL. We investigated patient characteristics, basic attributes, Geriatric Nutritional Risk Index (GNRI), ADL [motor Functional Independence Measure (motor FIM)], and Rivermead Mobility Index (RMI). Of these 377 patients, 96 met the inclusion criteria and were divided into the low GNRI group (n = 38, 83.5 ± 8.3 years, 44.7% male) and high GNRI group (n = 58, 81.0 ± 6.6 years, 55.2%). Patient characteristics and the difference between motor ADL and motility recovery and nutrition data were analysed with unpaired t-test, χ2 test, and two-way analysis of covariance. In comparing the two groups, the following parameters were significantly lower in the low GNRI group than in the high GNRI group: body mass index (18.7 ± 2.2 vs. 23.2 ± 2.7 kg/m2, P < 0.01), albumin (3.4 ± 0.4 vs. 3.8 ± 0.4 g/dL, P < 0.01), diabetes mellitus ratio (21.1% vs. 50.0%, P < 0.01), RMI at discharge (6.8 ± 2.6 vs. 8.2 ± 2.2, P = 0.01), and motor FIM at discharge (67.2 ± 19.5 vs. 75.6 ± 13.3, P = 0.02). RMI showed a significant group and term main effect and interaction effect (P < 0.05). Motor FIM showed a significant main effect of group and term (P < 0.05), and no significant interaction effect. Conclusions Low nutritional status in hospitalized elderly HF patients affected their recovery of mobility but did not appear to affect the recovery of ADL.
キーワード
Activities of daily living
Elderly
Heart failure
Mobility
Nutritional
カテゴリ
保健学研究科
学術雑誌論文
権利
© 2019 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.
This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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資源タイプ
journal article
言語
English (英語)
eISSN
2055-5822
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関連情報
DOI
https://doi.org/10.1002/ehf2.12393
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