{"id":9765,"date":"2020-10-12T10:38:18","date_gmt":"2020-10-12T01:38:18","guid":{"rendered":"https:\/\/juntan.net\/newblog\/index.php\/2020\/10\/12\/sarcopenia-with-kidney-disease-that-is-surprisingly-scary-if-you-do-not-know\/"},"modified":"2023-10-11T12:59:21","modified_gmt":"2023-10-11T03:59:21","slug":"sarcopenia-with-kidney-disease-that-is-surprisingly-scary-if-you-do-not-know","status":"publish","type":"post","link":"https:\/\/juntan.net\/blog\/kidney-disease\/sarcopenia-with-kidney-disease-that-is-surprisingly-scary-if-you-do-not-know\/","title":{"rendered":"\u30102023\u5e74\u6700\u65b0\u7248\u3011\u4f4e\u305f\u3093\u3071\u304f\u98df\u3067\u814e\u6a5f\u80fd\u304c\u60aa\u5316\uff1f\u814e\u81d3\u75c5\u3068\u30b5\u30eb\u30b3\u30da\u30cb\u30a2"},"content":{"rendered":"\n

\u3053\u3093\u306b\u3061\u306f\u3002\u7d14\u70ad\u793e\u9577\u306e\u6a0b\u53e3\u3067\u3059\u3002<\/p>\n\n\n\n

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\"\u814e\u81d3\u75c5\u3068\u30b5\u30eb\u30b3\u30da\u30cb\u30a2\u306b\u95a2\u3059\u308b\u30bf\u30f3\u30d1\u30af\u8cea\u306e\u753b\u50cf\"
\u5148\u65e5\u3001\u98df\u3079\u308b\u7d14\u70ad\u304d\u3088\u3089\u306e\u8cfc\u5165\u3092\u691c\u8a0e\u3057\u3066\u3044\u308b\u65b9\u304b\u3089\u304a\u96fb\u8a71\u304c\u3042\u308a\u307e\u3057\u305f\u3002

\u305d\u306e\u6642\u306e\u96d1\u8ac7\u3067

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\u3068\u304a\u3063\u3057\u3083\u3063\u3066\u3044\u307e\u3057\u305f\u3002

80\u4ee3\u306e\u7537\u6027\u3067\u8eab\u9577\u306f160 cm\u3001eGFR\u306f38\u304f\u3089\u3044\u3002

\u3053\u306e\u3068\u3053\u308d\u4f53\u91cd\u304c\u6e1b\u3063\u3066\u4f53\u529b\u306e\u8870\u3048\u3092\u611f\u3058\u308b\u3068\u306e\u3053\u3068\u3067\u3057\u305f\u3002
<\/p>\n\n\n\n

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\"\"
eGFR 38\u3067\u3059\u3068\u6162\u6027\u814e\u81d3\u75c5\u306e\u30b9\u30c6\u30fc\u30b83b\u306b\u76f8\u5f53\u3057\u307e\u3059\u3002

2014\u5e74\u306b\u65e5\u672c\u814e\u81d3\u5b66\u4f1a\u304c\u767a\u8868\u3057\u305f\u300c\u6162\u6027\u814e\u81d3\u75c5\u306b\u5bfe\u3059\u308b\u98df\u4e8b\u7642\u6cd5\u57fa\u6e962014\u5e74\u7248\u300d\u3067\u306f1\u65e5\u306e\u305f\u3093\u3071\u304f\u8cea\u91cf\u3092\u3001\u4f53\u91cd1 kg\u3042\u305f\u308a0.6\uff5e0.8\u30b0\u30e9\u30e0\u306b\u5236\u9650\u3059\u308b\u3088\u3046\u306b\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002

\u304a\u96fb\u8a71\u306e\u65b9\u306e\u5834\u5408\u3001\u5927\u75c5\u9662\u3067\u306f\u4e0b\u9650\u5024\u306e0.6\u30b0\u30e9\u30e0\u3092\u63a1\u7528\u3057\u30661\u65e534\u30b0\u30e9\u30e0\u306e\u4f4e\u305f\u3093\u3071\u304f\u98df\u3092\u6307\u5c0e\u3057\u3001\u8ee2\u9662\u5148\u3067\u306f\u4e0a\u9650\u306e0.8\u3092\u63a1\u7528\u3057\u30661\u65e545\u30b0\u30e9\u30e0\u7a0b\u5ea6\u3068\u5224\u65ad\u3057\u305f\u306e\u3060\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u30102023.10\u8ffd\u8a18\u3011\u9069\u6b63\u306a\u305f\u3093\u3071\u304f\u8cea\u91cf\u306e\u57fa\u6e96\u306f\u523b\u3005\u3068\u5909\u5316\u3057\u3066\u3044\u308b\uff01<\/h2>\n\n\n\n

<\/p>\n\n\n\n

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<\/p>\n\n\n\n

\n
\n
\"\"
\u3010\u554f\u984c\u70b9\uff11\u3011<\/strong>
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\u3000\u30fb\u6442\u53d6\u30ab\u30ed\u30ea\u30fc\u306e\u4e0d\u8db3<\/strong>
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<\/figcaption><\/figure>\n<\/div>\n\n\n\n
\n
\"\u8a3a\u5bdf\"
\u3010\u554f\u984c\u70b9\uff12\u3011<\/strong>
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<\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n

2023\u5e74\u7248\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u9069\u5207\u306a\u305f\u3093\u3071\u304f\u8cea\u91cf\u306b\u5de1\u308a\u5408\u3048\u305f\u6642\u306b\u306f\u3001\u6162\u6027\u814e\u81d3\u75c5\u306e\u9032\u884c\u3092\u6291\u5236\u3059\u308b\u3053\u3068\u3082\u671f\u5f85\u3067\u304d\u308b\u304c\u3001\u4f4e\u305f\u3093\u3071\u304f\u98df\u54c1\u304c\u7f8e\u5473\u3057\u304f\u306a\u304b\u3063\u305f\u308a\u3001\u9ad8\u4fa1\u3067\u3042\u308b\u70b9\u3082\u542b\u3081\u3066\u3001\u9069\u5207\u306a\u4f4e\u305f\u3093\u3071\u304f\u98df\u3092\u7d9a\u3051\u308b\u3053\u3068\u306f\uff08\u5b9f\u969b\u306b\u306f\uff09\u96e3\u3057\u3044<\/mark><\/strong>\u3068\u6307\u6458\u3057\u3066\u3044\u307e\u3059\u3002

<\/p>\n\n\n\n

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<\/h2>\n\n\n\n

\"\"
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<\/p>\n\n\n\n

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\u3072\u3068\u3053\u3068\u3067\u8a00\u3046\u3068

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\u4f4e\u305f\u3093\u3071\u304f\u98df\u306e\u5371\u967a\u6027<\/h2>\n\n\n\n


\"\"<\/p>\n\n\n\n

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\u66f4\u306b\u306f\u3001\u300c\u305f\u3093\u3071\u304f\u8cea\u6442\u53d6\u3053\u305d\u304c\u814e\u6a5f\u80fd\u3092\u4fdd\u8b77\u3059\u308b\u300d\u3068\u3044\u3046\u5f93\u6765\u306e\u5e38\u8b58\u3092\u8986\u3059\u8ad6\u6587\u3082\u73fe\u308c\u307e\u3057\u305f\uff08Diabetes Care 2022; 45: 35-41\uff09\u3002<\/p>\n\n\n\n

<\/p>\n\n\n\n

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\u814e\u81d3\u75c5\uff1d\u4f4e\u305f\u3093\u3071\u304f\u98df\u3068\u3044\u3063\u305f\u753b\u4e00\u7684\u306a\u60c5\u5831\u304c\u3042\u3075\u308c\u3066\u3044\u307e\u3059\u3002

\u3057\u304b\u3057\u306a\u304c\u3089\u3001\u305d\u306e\u6839\u62e0\u306f\u660e\u78ba\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002

\u6709\u540d\u306aMDRD Study A\u3068\u3044\u3046\u81e8\u5e8a\u8a66\u9a13\u3067\u306f\u3001eGFR 22~55\u306e\u60a3\u8005\u30922\u7fa4\u306b\u5206\u3051\u3001\u7247\u65b9\u306b\u306f\u4f53\u91cd1 kg\u3042\u305f\u308a1.3\u30b0\u30e9\u30e0\u306e\u305f\u3093\u3071\u304f\u8cea\u3092\u98df\u3079\u308b\u3088\u3046\u306b\u6307\u5c0e\u3057\u3001\u3082\u3046\u7247\u65b9\u306f0.58\u30b0\u30e9\u30e0\u306b\u5236\u9650\u3059\u308b\u3088\u3046\u6307\u5c0e\u3057\u307e\u3057\u305f\u3002

3\u5e74\u9593\u89b3\u5bdf\u3057\u305f\u7d50\u679c\u3001\u4e21\u7fa4\u306eeGFR\u4f4e\u4e0b\u306b\u5dee\u306f\u306a\u304b\u3063\u305f\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002
<\/p>\n\n\n\n

\u305f\u3093\u3071\u304f\u8cea\u3092\u98df\u3079\u305f\u65b9\u304c\u814e\u6a5f\u80fd\u306f\u4fdd\u8b77\u3055\u308c\u308b\uff1f<\/h2>\n\n\n\n


\"\"
\u4e00\u65b9\u3067\u3001eGFR 30\u4ee5\u4e0a\u3067\u306f\u4f4e\u305f\u3093\u3071\u304f\u98df\u306e\u52b9\u679c\u306f\u8a8d\u3081\u3089\u308c\u306a\u3044\u304c\u3001eGFR 30\u672a\u6e80\u3067\u306f\u4f4e\u305f\u3093\u3071\u304f\u98df\u306e\u65b9\u304ceGFR\u306e\u4f4e\u4e0b\u306f\u6291\u5236\u3055\u308c\u305f\u3068\u3044\u3046\u5831\u544a\u3082\u3042\u308a\u307e\u3059\u3002
2019\u5e74\u306e\u63d0\u8a00\u5185\u5bb9\u3092\u307e\u3068\u3081\u3066\u307f\u308b\u3068\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\uff11\uff09<\/td>\u900f\u6790\u3092\u56de\u907f\u3059\u308b\u76ee\u7684\u3067\u4f4e\u305f\u3093\u3071\u304f\u98df\u3092\u63a8\u5968\u3059\u308b\u5bfe\u8c61\u306f\u3001
\u2460eGFR 30\u672a\u6e80
\u2461eGFR\u304c\uff11\u5e74\u9593\u306b3\u4ee5\u4e0a\u4f4e\u4e0b
\u2462\u5c3f\u86cb\u767d\u304c1.0 g\/gCr\u4ee5\u4e0a\u307e\u305f\u306f\u5c3f\u30a2\u30eb\u30d6\u30df\u30f3\u304c1000 mg\/gCr\u4ee5\u4e0a<\/td><\/tr>
\uff12\uff09<\/td>eGFR 30\u672a\u6e80\u306e\u60a3\u8005\u304c\u900f\u6790\u3092\u56de\u907f\u3057\u3064\u3064\u3001\u30b5\u30eb\u30b3\u30da\u30cb\u30a2\u3092\u4e88\u9632\u3059\u308b\u305f\u3093\u3071\u304f\u8cea\u91cf\u306f\u4f53\u91cd1 kg\u3042\u305f\u308a0.8\u30b0\u30e9\u30e0\/\u65e5\u3092\u4e0a\u9650\u3068\u3059\u308b\u3002
\uff08\u3057\u304b\u3057\u30010.55\u30680.8\u3067\u306f\u814e\u4fdd\u8b77\u52b9\u679c\u306f\u5909\u308f\u3089\u306a\u3044\u306e\u3067\u3001\u79c1\u306f0.8\u304c\u9069\u91cf\u3068\u89e3\u91c8\u3057\u307e\u3057\u305f\uff09\u3002<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

\u3068\u3053\u308d\u304c\u30012022\u5e74\u306b\u306a\u3063\u3066\u30aa\u30e9\u30f3\u30c0\u304b\u3089\u9a5a\u304f\u3079\u304d\u8ad6\u6587\u304c\u767a\u8868\u3055\u308c\u305f\u306e\u3067\u3059\u3002\uff08Diabetes Care 2022; 45: 35-41\uff09\u305d\u306e\u5185\u5bb9\u306f\u3001\u300c\u4f53\u91cd1 kg\u3042\u305f\u308a1.08\u30b0\u30e9\u30e0\/\u65e5\u3088\u308a\u3082\u305f\u3093\u3071\u304f\u8cea\u6442\u53d6\u304c\u5c11\u306a\u3044\u3068\u814e\u6a5f\u80fd\u304c\u60aa\u5316\u3059\u308b\u300d\u3068\u3044\u3046\u3082\u306e\uff01<\/p>\n\n\n\n

\u533b\u5b66\u3084\u79d1\u5b66\u306e\u4e16\u754c\u3067\u306f\u3001\u300c\u4eca\u65e5\u306e\u5e38\u8b58\u304c\u660e\u65e5\u306f\u975e\u5e38\u8b58\u306b\u5909\u308f\u308b\u300d\u3053\u3068\u304c\u591a\u3005\u3042\u308a\u307e\u3059\u3002
\u300c\u4f4e\u305f\u3093\u3071\u304f\u98df\u3067\u900f\u6790\u3092\u56de\u907f\u3067\u304d\u308b\u300d\u3068\u3044\u3046\u5e38\u8b58\u304c\u7591\u308f\u308c\u3064\u3064\u3042\u308b\u4e2d\u3067\u3001\u3088\u308a\u3088\u3044\u4eba\u751f\u3092\u904e\u3054\u3059\u305f\u3081\u306b\u306f\u4f55\u3092\u3069\u306e\u3088\u3046\u306b\u98df\u3079\u308b\u304b\uff1f\u304c\u898b\u76f4\u3055\u308c\u308b\u6642\u671f\u306b\u6765\u3066\u3044\u308b\u3068\u601d\u3046\u306e\u3067\u3059\u3002
<\/p>\n\n\n\n

\u4f4e\u305f\u3093\u3071\u304f\u98df\u306e\u753b\u4e00\u7684\u306a\u6307\u5c0e\u306f\u4e0d\u9069\u5207<\/h2>\n\n\n\n


\"\u814e\u81d3\u75c5\u306e\u30bf\u30f3\u30d1\u30af\u8cea\u5236\u9650\u306e\u5f0a\u5bb3\u306f\u3069\u3046\u3084\u3063\u3066\u9632\u3050\u3079\u304d\u304b\"
\u65e5\u672c\u814e\u81d3\u5b66\u4f1a\u306f\u300c\u500b\u3005\u306e\u60a3\u8005\u306e\u75c5\u614b\u3084\u30ea\u30b9\u30af\u3001\u30a2\u30c9\u30d2\u30a2\u30e9\u30f3\u30b9\uff08\u6cbb\u7642\u65b9\u91dd\u306b\u5bfe\u3059\u308b\u60a3\u8005\u306e\u7d0d\u5f97\u5ea6\uff09\u306a\u3069\u3092\u7dcf\u5408\u7684\u306b\u5224\u65ad\u3057\u3066\u3001\u305f\u3093\u3071\u304f\u8cea\u6442\u53d6\u91cf\u3092\u6307\u5c0e\u3059\u308b\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u308b\u3002\u300d\u3068\u3057\u3066\u3044\u307e\u3059\u3002

\u81ea\u5206\u306e\u72b6\u614b\u304c
\u30fb\u4f4e\u305f\u3093\u3071\u304f\u98df\u306b\u3088\u3063\u3066\u900f\u6790\u56de\u907f\u304c\u671f\u5f85\u3067\u304d\u308b\u72b6\u6cc1\u306a\u306e\u304b\uff1f
\u30fb\u4f4e\u305f\u3093\u3071\u304f\u98df\u306b\u3088\u308b\u30b5\u30eb\u30b3\u30da\u30cb\u30a2\u3067\u5bff\u547d\u3092\u7e2e\u3081\u308b\u53ef\u80fd\u6027\u306e\u65b9\u304c\u9ad8\u3044\u306e\u304b\uff1f

\u4e21\u65b9\u306e\u30e1\u30ea\u30c3\u30c8\u3001\u30c7\u30e1\u30ea\u30c3\u30c8\u3092\u8003\u3048\u3064\u3064\u3001\u98df\u4e8b\u6307\u5c0e\u3092\u53d7\u3051\u308b\u3088\u3046\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/p>\n\n\n\n

\u6b21\u56de\u306f\u300c\u81ea\u5206\u3067\u3082\u3067\u304d\u308b\u30b5\u30eb\u30b3\u30da\u30cb\u30a2\u8a3a\u65ad\u300d\u306b\u3064\u3044\u3066\u8aac\u660e\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

<\/p>\n\n\n\n

\uff08\u53c2\u8003\u6587\u732e\uff09
\u65e5\u814e\u4f1a\u8a8c 2019 ; 61(5) : 525-556
https:\/\/cdn.jsn.or.jp\/data\/CKD20191107.pdf<\/a><\/p>\n\n\n\n

\u3010\u7d14\u70ad\u7c89\u672b\u516c\u5f0f\u5c02\u9580\u5e97\u3011\u306f\u2192\u3053\u3061\u3089<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\u3053\u3093\u306b\u3061\u306f\u3002\u7d14\u70ad\u793e\u9577\u306e\u6a0b\u53e3\u3067\u3059\u3002 \u75c5\u9662\u304c\u5909\u308f\u3063\u305f\u3089\u98df\u4e8b\u6307\u5c0e\u3082\u5909\u308f\u3063\u3066\u3057\u307e\u3063\u305f\u2026\uff1f \u5148\u65e5\u3001\u98df\u3079\u308b\u7d14\u70ad\u304d\u3088\u3089\u306e\u8cfc\u5165\u3092\u691c\u8a0e\u3057\u3066\u3044\u308b\u65b9\u304b\u3089\u304a\u96fb\u8a71\u304c\u3042\u308a\u307e\u3057\u305f\u3002 \u305d\u306e\u6642\u306e\u96d1\u8ac7\u3067 \u300c\u4eca\u307e\u3067\u901a\u3063\u3066\u3044\u305f\u9060\u65b9\u306e\u5927\u75c5\u9662\u3067\u306f1\u65e534\u30b0\u30e9\u30e0\u306e\u305f […]<\/p>\n","protected":false},"author":2,"featured_media":15470,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5,21],"tags":[],"class_list":["post-9765","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kidney-disease","category-meal"],"acf":[],"_links":{"self":[{"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/posts\/9765","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/comments?post=9765"}],"version-history":[{"count":48,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/posts\/9765\/revisions"}],"predecessor-version":[{"id":50293,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/posts\/9765\/revisions\/50293"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/media\/15470"}],"wp:attachment":[{"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/media?parent=9765"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/categories?post=9765"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/tags?post=9765"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}