{"created":"2023-05-15T08:12:32.911804+00:00","id":11,"links":{},"metadata":{"_buckets":{"deposit":"76a9a00a-dac8-4a3b-a605-a818ff3b2029"},"_deposit":{"created_by":12,"id":"11","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"11"},"status":"published"},"_oai":{"id":"oai:unii.repo.nii.ac.jp:00000011","sets":["9:10:11"]},"author_link":[],"item_2_biblio_info_9":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"35","bibliographicPageStart":"25","bibliographicVolumeNumber":"9","bibliographic_titles":[{"bibliographic_title":"人間生活学研究","bibliographic_titleLang":"ja"}]}]},"item_2_description_17":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_2_description_45":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_2_description_6":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【目的】食事療法は2型糖尿病患者の自己管理に必須であるが、その経年的な実践状況についての検討は不足している。そこで本研究では、2型糖尿病患者における2年間の食事摂取状況の実態把握を行った。【方法】外来に通院する2型糖尿病患者60名 (平均年齢：66.8歳, 男性比率：65.0%) について、食物摂取頻度調査法を用い2014年とその2年後に把握した食品群・栄養素摂取状況を経年的に比較した。【結果】対象者の調査開始時の平均値は、罹病期間：10.2 ± 6.6 年，HbA1c：7.4 ± 1.1 %，BMI（Body Mass Index）：23.6 ± 4.4 kg/m2 であった。2年後は、BMI や血糖、血中脂質に有意差はみられず、収縮期血圧のみ調査開始時より高値であった(137.3 ± 13.6 vs. 132.8 ± 14.7 mmHg, p=0.031)。食事摂取状況は、2年間でエネルギー摂取量に有意差はみられなかったが、脂質エネルギー比が増加し(25.8 ± 5.3 vs. 27.3 ± 6.2 %, p= 0.030)、食物繊維摂取量が低下した(13.8 ± 4.6 vs.12.5 ± 3.6 g, p= 0.030)。食品群別では、野菜総量は摂取量が低下し(280 ± 132 vs. 229 ± 114 g, p=0.004)、肉類摂取量が増加した(45 ± 31 vs. 57 ± 48 g, p= 0.029)。調査開始時のHbA1c 値とBMI による層別解析では、HbA1c＜7%群で食物繊維と野菜類の総量摂取量が2年後に低値となり(p=0.048, 0.001)、HbA1c≧7%群で脂質摂取量が高値であるが( p= 0.042)、脂質エネルギー比でみると有意差は認められなかった。BMI 25kg/m2 未満群では、脂質エネルギー比が2年間で増加し(p= 0.043)、食物繊維と野菜類の総量摂取量が低下し(p= 0.003, 0.003)、乳類の摂取量が増加した(p= 0.022)。BMI 25kg/m2 以上群は、エネルギーや三大栄養素摂取に有意差は認められず、食品群別で、緑黄色野菜のみ2 年後の摂取量が低値となった(p= 0.008)。【結論】外来2型糖尿病患者の2年間の食事摂取状況の変化が明らかとなった。糖尿病療養状況を考慮した、各患者の食事摂取状況の経時的な把握を行う必要性が示唆された。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Objective: The dietary intake across the ages of patients with type 2 diabetes is sparse though nutritional therapy is essential for self-managing for diabetes. We aimed to clarify 2-year dietary intake among Japanese individuals with type 2 diabetes from a community hospital-based registry. Methods: This study was analyzed in 60 patients with type 2 diabetes (Men%:65.0%, Age: 66.8y, BMI: 23.6kg/m2, HbA1c:7.4%) using the food frequency questionnaire based on food groups using paired t-test and Wilcoxon signed-rank test. Results: BMI, HbA1c, and serum lipid revels did not show significant  difference over 2 years. Systolic blood pressure level in 2 years was significantly high than the value of baseline (137.3±13.6 vs. 132.8±14.7mmHg, p= 0.031). There was no significant difference in mean energy intake and proportions of protein and carbohydrate comprising total energy intake over 2 years. The proportion of fat intake increased (25.8±5.3 vs. 27.3±6.2%, p=0.030) and the fiber intake decreased in the 2 years (13.8±4.6 vs. 12.5±3.6g, p=0.030). As a dietary intake by food groups, vegetable intake was decreased (280±132 vs. 229±114g, p=0.004) and meat intake increased (45±31 vs. 57±48g, p= 0.029) in the 2 years. In addition, among patients who had HbA1c <7%, the intake of fiber and vegetable intakes in 2 years decreased compared with those at baseline (p= 0.048, 0.001), and patients with HbA1c ≥7% had higher fat intake value in 2 years than that of baseline (p= 0.043), though the proportion of fat intake did not show significant difference over 2 years. According to BMI, patients without overweight (BMI< 25kg/m2)raised the proportion of fat intake and milk/milk products intakes (p= 0.043 and 0.022, respectively) and reduced fiber and vegetable intakes (p= 0.003 and 0.003, respectively) in 2 years. The patients with overweight show higher green vegetable intake in 2 years, but the intakes of other nutrients and food group did not significantly changed. Conclusion: Our study clarified the characteristics and change of dietary intake of Japanese outpatients with type 2 diabetes and considering the treatment status would be useful for understanding each dietary intake of each patients with type 2 diabetes.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_2_publisher_36":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟人間生活学会"}]},"item_2_source_id_10":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1884-8591","subitem_source_identifier_type":"ISSN"}]},"item_2_source_id_12":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA12585279","subitem_source_identifier_type":"NCID"}]},"item_2_version_type_18":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"金胎, 芳子","creatorNameLang":"ja"},{"creatorName":"コンタイ, ヨシコ","creatorNameLang":"ja-Kana"}]},{"creatorNames":[{"creatorName":"堀川, 千嘉","creatorNameLang":"ja"},{"creatorName":"ホリカワ, チカ","creatorNameLang":"ja-Kana"}]},{"creatorNames":[{"creatorName":"鶴田, 恵","creatorNameLang":"ja"},{"creatorName":"ツルタ, メグミイイズカ ツカサ","creatorNameLang":"ja-Kana"}]},{"creatorNames":[{"creatorName":"飯塚, つかさ","creatorNameLang":"ja"},{"creatorName":"ヤマタニ, ケイイチ","creatorNameLang":"ja-Kana"}]},{"creatorNames":[{"creatorName":"山谷, 恵一","creatorNameLang":"ja"},{"creatorName":"カガワ, ヤスオ","creatorNameLang":"ja-Kana"}]},{"creatorNames":[{"creatorName":"香川, 靖雄","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"Kontai, Yoshiko","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Horikawa, Chika","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Tsuruta, Megumi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Iizuka, Tsukasa","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Yamatani, Keiichi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Kagawa, Yasuo","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-02-12"}],"displaytype":"detail","filename":"nsk_9_25_35.pdf","filesize":[{"value":"2.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"nsk_9_25_35.pdf","url":"https://unii.repo.nii.ac.jp/record/11/files/nsk_9_25_35.pdf"},"version_id":"ca1d99d9-9215-425c-bb9f-a2a832c2fd33"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"2型糖尿病","subitem_subject_scheme":"Other"},{"subitem_subject":"食事療法","subitem_subject_scheme":"Other"},{"subitem_subject":"食事摂取状況","subitem_subject_scheme":"Other"},{"subitem_subject":"縦断研究","subitem_subject_scheme":"Other"},{"subitem_subject":"Type 2 diabetes","subitem_subject_scheme":"Other"},{"subitem_subject":"Medical nutritional therapy","subitem_subject_scheme":"Other"},{"subitem_subject":"Dietary intakelongitudinal study","subitem_subject_scheme":"Other"},{"subitem_subject":"longitudinal study","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"外来2型糖尿病患者における2年間の食事摂取状況の実態把握","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"外来2型糖尿病患者における2年間の食事摂取状況の実態把握","subitem_title_language":"ja"},{"subitem_title":"Dietary intake in Japanese outpatients with type 2 diabetes: 2-year follow up study","subitem_title_language":"en"}]},"item_type_id":"2","owner":"12","path":["11"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2018-04-13"},"publish_date":"2018-04-13","publish_status":"0","recid":"11","relation_version_is_last":true,"title":["外来2型糖尿病患者における2年間の食事摂取状況の実態把握"],"weko_creator_id":"12","weko_shared_id":-1},"updated":"2023-06-19T05:38:42.380781+00:00"}