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correlation between postprandial hypotension (PPH) and autonomic\nnervous activity in elderly people with dementia.\nMethod : We examined the autonomic nervous activities of ambulatory patients by measuring their blood pressure, pulse and finger plethysmogram before and after meals for five days.\nResults : There were 11 male and 20 female subjects with a median age of 85.42 ± 6.36. 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認知症高齢者の食事性低血圧と自律神経活動との関連
https://jrckicn.repo.nii.ac.jp/records/869
https://jrckicn.repo.nii.ac.jp/records/8692b259edb-426b-47e4-97c9-76a0c264830c
名前 / ファイル | ライセンス | アクション |
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本文 (1.5 MB)
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本誌に掲載された論文の著作権は,一般社団法人日本認知症ケア学会に帰属します.https://ninchisyoucare.com/gakkaishi/gakkaishi/kitei.htm
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2022-08-31 | |||||
タイトル | ||||||
タイトル | 認知症高齢者の食事性低血圧と自律神経活動との関連 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Related autonomic nervous activity and dietary low blood pressure of elderly people with dementia | |||||
タイトルのヨミ | ||||||
その他のタイトル | ニンチショウ コウレイシャ ノ ショクジセイ テイケツアツ ト ジリツ シンケイ カツドウ ト ノ カンレン | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 認知症高齢者 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 食事性低血圧 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 自律神経活動 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 転倒 | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Person with dementia | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Postprandial hypotension | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Autonomic nervous activity | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Fall | |||||
資源タイプ | ||||||
資源タイプ | journal article | |||||
著者 |
西村, 伸子
× 西村, 伸子× 川﨑, 幹子× 藤枝, 史郎× 岡村, 美智子 |
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抄録 | ||||||
内容記述 | 【目的】認知症高齢者の食事性低血圧(PPH)と自律神経活動の関連と,PPHの発現頻度,自律神経活動との関連を明らかにする.【方法】歩行可能な入院中の認知症高齢者を対象に,食前と食後の血圧,脈拍,指尖脈波を用いた自律神経活動測定を,座位にて5日間実施した,【結果】対象者は男性11人,女性20人,合計31人で,平均年齢85.42±6.36歳であった.病名別ではアルツハイマー型認知症(AD)23人,レビー小体型認知症(DLB)6人,ウェルニッケ・コルサコフ症候群1人,脳血管性認知症1人であった.対象者の61%にPPHの発現があった.ADの70%にPPHの発現があった.PPH発現時のLn(LF/HF)は食前0.93±0.24,食後0.81±0.17(p<0.05)で有意差があった.PPHの発現なし時のLn(LF/HF)の平均値は食前0.93±0.28,食後0.92±0.26であり,有意差はなかった.【考察】PPH発現のケースでは食前・後のLn(LF/HF)に差があり,PPH発現なしではLn(LF/HF)に差がないことから,PPHの発現ケースには心臓交感神経活動が食前と比して食後に有意に減弱しており,交感神経活動にPPHが影響していることが示唆された. | |||||
内容記述 | ||||||
内容記述 | Purpose : This study aims to clarify the correlation between postprandial hypotension (PPH) and autonomic nervous activity in elderly people with dementia. Method : We examined the autonomic nervous activities of ambulatory patients by measuring their blood pressure, pulse and finger plethysmogram before and after meals for five days. Results : There were 11 male and 20 female subjects with a median age of 85.42 ± 6.36. We had 23 patients with AD, six with DLB, one with Wernicke-Korsakoff, and one with cerebrovascular dementia. 61 percent of the subjects showed symptoms of PPH. 70 percent of the patients with AD showed symptoms of PPH. The value of Ln (LF / HF)with PPH was 0.93 ± 0.24 before meal and 0.81 ± 0.17 (p<0.05) after meal, while the average value of Ln(LF / HF)without PPH was 0.93 ± 0.28 before meal and 0.92 ± 0.26 after meal. The comparison showed no significant differences. Discussion : No disparity was found in autonomic nervous activities among patients without PPH symptoms. It is suggested that PPH affects sympathetic nerve activity since we observed a significant decrease of sympathetic nerve activities after meals. |
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書誌情報 |
日本認知症ケア学会誌 = Journal of Japanese Society for Dementia Care en : 日本認知症ケア学会誌 = Journal of Japanese Society for Dementia Care 巻 18, 号 4, p. 840-846, 発行日 2020 |
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出版者 | ||||||
出版者 | 日本認知症ケア学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 18820255 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA12065508 | |||||
論文ID(NAID) | ||||||
内容記述 | http://ci.nii.ac.jp/naid/40022172208 | |||||
権利 | ||||||
権利情報 | ©2020 日本認知症ケア学会 | |||||
権利 | ||||||
権利情報 | 本文データは学協会の許諾に基づき冊子から複製したものである | |||||
フォーマット | ||||||
内容記述 | application/pdf | |||||
著者版フラグ | ||||||
出版タイプ | VoR |