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Cohort survey of lower extremity muscle strength and establishment of exercise therapy program to prevent for locomotive syndrome in elderly type 2 diabetic patients

Research Project

Project/Area Number 15K01440
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionKansai University of Welfare Sciences

Principal Investigator

Nomura Takuo  関西福祉科学大学, 保健医療学部, 教授 (30423479)

Co-Investigator(Kenkyū-buntansha) 河江 敏広  広島大学, 病院(医), 理学療法士 (00598948)
Research Collaborator Kataoka Hiroaki  KKR高松病院
Ikeda Yukio  高知記念病院
Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords高齢糖尿病患者 / 膝伸展筋力 / 糖尿病神経障害 / 眼圧 / 運動療法 / ロコモ / 理学療法
Outline of Final Research Achievements

①In elderly patients with type 2 diabetes, a significant decrease in knee extension force (KEF) due to Diabetic polyneuropathy was observed. ②Diabetic polyneuropathy can possibly accelerate decline in KEF in elderly diabetic patients on the basis of aging. ③Intraocular pressure during exercise does not change in a low-intensity exercise in young healthy people, but decreases at a medium- and a high-intensity exercise. On the other hand, in type 2 diabetes, a low intensity exercise showed the same response of intraocular pressure as normal subjects, but no decrease of intraocular pressure was observed at a moderate intensity exercise. ④Intensive exercise intervention by physical therapist may improve lower extremity muscle strength in elderly patients with type 2 diabetes.

Academic Significance and Societal Importance of the Research Achievements

現在,日本では糖尿病患者数は国民病といわれるほど膨大となり,全患者に等しく筋力低下予防のための集中的介入を行うのはコストやマンパワーの点で現実的ではない.増加の一途を辿る糖尿病患者の中でも,加齢による筋力低下のハイリスク者の臨床像を明らかにすることで,より効率的な医療資源の投入が可能になると思われる.本研究成果は超高齢社会における介護予防(運動器の機能向上)の観点からも極めて重要な意味を持つ.

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (20 results)

All 2019 2018 2017 2016 2015 Other

All Journal Article (7 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 3 results,  Open Access: 4 results) Presentation (6 results) (of which Int'l Joint Research: 2 results,  Invited: 3 results) Book (5 results) Remarks (2 results)

  • [Journal Article] Isometric knee extension force in Japanese type 2 diabetic patients without apparent diabetic polyneuropathy: Data from the Multicenter Survey of the Isometric Lower Extremity Strength in Type 2 Diabetes study2019

    • Author(s)
      Nomura Takuo, Ishiguro Tomoyasu, Ohira Masayoshi, Oka Hiroyuki, Ikeda Yukio
    • Journal Title

      SAGE Open Medicine

      Volume: 7 Pages: 1-1

    • DOI

      10.1177/2050312118823412

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Aging, physical activity, and diabetic complications related to loss of muscle strength in patients with type 2 diabetes2018

    • Author(s)
      Nomura Takuo, Kawae Toshihiro, Kataoka Hiroaki, Ikeda Yukio
    • Journal Title

      Physical Therapy Research

      Volume: 21 Issue: 2 Pages: 33-38

    • DOI

      10.1298/ptr.R0002

    • NAID

      130007536867

    • ISSN
      2189-8448
    • Year and Date
      2018-12-20
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Assessment of lower extremity muscle mass, muscle strength, and exercise therapy in elderly patients with diabetes mellitus2018

    • Author(s)
      Nomura Takuo、Kawae Toshihiro、Kataoka Hiroaki、Ikeda Yukio
    • Journal Title

      Environmental Health and Preventive Medicine

      Volume: 23 Issue: 1 Pages: 20-26

    • DOI

      10.1186/s12199-018-0710-7

    • NAID

      210000130276

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 有酸素・レジスタンス運動による生活習慣病対策2017

    • Author(s)
      野村卓生, 半田一登
    • Journal Title

      内分泌・糖尿病・代謝内科

      Volume: 45 Pages: 296-299

    • NAID

      40021372010

    • Related Report
      2017 Research-status Report
  • [Journal Article] Evidence of exercise therapy for patients with diabetes mellitus2016

    • Author(s)
      野村卓生
    • Journal Title

      総合リハビリテーション

      Volume: 44 Issue: 5 Pages: 377-381

    • DOI

      10.11477/mf.1552200584

    • ISSN
      0386-9822, 1882-1340
    • Year and Date
      2016-05-10
    • Related Report
      2016 Research-status Report
  • [Journal Article] 高齢糖尿病患者が実行・継続できる運動療法2016

    • Author(s)
      近藤寛, 野村卓生
    • Journal Title

      臨床老年看護

      Volume: 23 Pages: 39-44

    • Related Report
      2016 Research-status Report
  • [Journal Article] Possibility of Physical Therapists in Exercise Therapy for Patients with Diabetes Mellitus2015

    • Author(s)
      野村卓生
    • Journal Title

      Physical Therapy Japan

      Volume: 42 Issue: 8 Pages: 771-772

    • DOI

      10.15063/rigaku.42-8_082

    • NAID

      130005119674

    • ISSN
      0289-3770, 2189-602X
    • Related Report
      2015 Research-status Report
    • Open Access
  • [Presentation] Involvement of diabetic neuropathy in age-related lower extremity muscle weakness in elderly diabetic patients2019

    • Author(s)
      Nomura Takuo
    • Organizer
      WCPT Congress 2019
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 糖尿病患者における筋力評価の意義とレジスタンス運動2018

    • Author(s)
      野村卓生
    • Organizer
      第16回日本フットケア学会年次学術集会シンポジウム
    • Related Report
      2017 Research-status Report
  • [Presentation] 高齢糖尿病患者への運動療法指導の実践2017

    • Author(s)
      野村卓生
    • Organizer
      第51回糖尿病学の進歩 シンポジウム
    • Place of Presentation
      国立京都国際会館
    • Year and Date
      2017-02-17
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 超高齢社会における糖尿病運動療法の必要性と実際2016

    • Author(s)
      野村卓生
    • Organizer
      第21回日本糖尿病教育・看護学会学術集会 教育セッション
    • Place of Presentation
      山梨県立大学・池田キャンパス
    • Year and Date
      2016-09-19
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 糖尿病治療における理学療法の病態生理学的考察2016

    • Author(s)
      野村卓生
    • Organizer
      第26回日本病態生理学会大会 病態生理教育シンポジウム
    • Place of Presentation
      金沢医科大学・医学教育棟
    • Year and Date
      2016-08-07
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] THE ESTABLISHMENT OF REFERENCE STANDARD VALUES FOR THE LOWER EXTREMITY STRENGTH IN DIABETIC PATIENTS: STUDY DESIGN AND AN INTERIM REPORT2015

    • Author(s)
      TAKUO NOMURA
    • Organizer
      World Confederation for Physical Therapy Congress 2015 (WCPT 2015)
    • Place of Presentation
      Suntec Singapore, Singapore
    • Year and Date
      2015-05-01
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Book] プラクティス・セレクション 今度こそできる!糖尿病運動療法 サイエンス&プラクティス.疫学からみた糖尿病患者における筋肉量・筋力の意義2018

    • Author(s)
      野村卓生
    • Total Pages
      156
    • Publisher
      医歯薬出版
    • ISBN
      4263236548
    • Related Report
      2018 Annual Research Report
  • [Book] PTスタートガイド基礎理学療法概論.糖尿病2018

    • Author(s)
      野村卓生(分担執筆)
    • Total Pages
      215
    • Publisher
      メジカルビュー社
    • ISBN
      4758319219
    • Related Report
      2017 Research-status Report
  • [Book] 身体機能・歩行動作からみたフットケア2016

    • Author(s)
      野村卓生, 河辺信秀(編著)
    • Total Pages
      235
    • Publisher
      文光堂
    • Related Report
      2016 Research-status Report
  • [Book] よくわかる内部障害の運動療法 担当項:糖尿病・代謝疾患2016

    • Author(s)
      野村卓生(共著)
    • Total Pages
      282
    • Publisher
      医歯薬出版
    • Related Report
      2016 Research-status Report
  • [Book] 糖尿病治療における理学療法 戦略と実践2015

    • Author(s)
      野村卓生
    • Total Pages
      194
    • Publisher
      文光堂
    • Related Report
      2015 Research-status Report
  • [Remarks] 理学療法と糖尿病

    • URL

      http://ptdm.jp/

    • Related Report
      2018 Annual Research Report 2017 Research-status Report 2016 Research-status Report
  • [Remarks] 理学療法と糖尿病

    • URL

      http://www.ptdm.jp/

    • Related Report
      2015 Research-status Report

URL: 

Published: 2015-04-16   Modified: 2020-03-30  

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