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Effect of Dysphagia on the Nutritional Status in Patients with Neuromuscular Disorder

Research Project

Project/Area Number 17K12069
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Social dentistry
Research InstitutionFukuoka University

Principal Investigator

UMEMOTO GEORGE  福岡大学, 医学部, 准教授 (30320287)

Co-Investigator(Kenkyū-buntansha) 藤岡 伸助  福岡大学, 医学部, 准教授 (20735584)
坪井 義夫  福岡大学, 医学部, 教授 (90291822)
古谷 博和  高知大学, 教育研究部医療学系臨床医学部門, 教授 (60253415)
Project Period (FY) 2017-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords神経筋疾患 / 栄養障害 / 摂食嚥下障害 / 二重標識水 / エネルギー消費量 / 食事摂取量 / 嚥下障害 / 筋強直性ジストロフィー / 筋肉量 / 二重標識水法 / 服薬状況
Outline of Final Research Achievements

The present study aimed to determine the total energy expenditure (TEE) and dietary intake (DI) of patients with myotonic dystrophy type 1 (DM1). The participants in the present study were eight patients with DM1 (male: female, 4: 4; mean age, 49±6 years; mean body mass index, 20.8±4.0 kg/m). TEE under free-living conditions was measured using the doubly labeled water method. DI was evaluated based on the clinical chart during the measurement period.
The mean energy expenditure, 970±160.9 kcal/day, was inferior to the mean DI, 1350.1±252.4 kcal/day, while only one patient lacked DI. There were significant correlations between energy expenditure and fat-free mass (R=0.932, p=0.001), between the amount of body fat and TEE (R=-0.883, p=0.004). In conclusion, energy expenditure increased with fat-free mass or muscle mass, and TEE decreased with increasing the amount of body fat in patients with DM1.

Academic Significance and Societal Importance of the Research Achievements

筋強直性ジストロフィー患者において、筋肉量減少とともにエネルギー消費が減少し、体脂肪量増加に伴って総エネルギー消費量が減少することが示された。これらの結果から、筋強直性ジストロフィー患者は、筋組織が脂肪組織に置換されることにより、総エネルギー消費量が減少する可能性が示唆された。病状の進行に伴って、食事摂取量の調整により体重コントロールを行い、筋組織から脂肪組織への置換を予防する栄養管理方法を検討する必要性が明らかとなった。

Report

(7 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (22 results)

All 2022 2021 2020 2019 2018 2017

All Journal Article (8 results) (of which Peer Reviewed: 5 results,  Open Access: 5 results,  Acknowledgement Compliant: 1 results) Presentation (14 results) (of which Int'l Joint Research: 3 results,  Invited: 5 results)

  • [Journal Article] Longitudinal Changes of Tongue Thickness and Tongue Pressure in Neuromuscular Disorders2021

    • Author(s)
      George Umemoto, Shinsuke Fujioka, Hajime Arahata, Nobutaka Sakae, Naokazu Sasagasako, Mine Toda, Hirokazu Furuya and Yoshio Tsuboi
    • Journal Title

      BMC Neurol

      Volume: 21 Issue: 1 Pages: 302-302

    • DOI

      10.1186/s12883-021-02225-5

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Management of Dysphagia in Patients with Parkinson's Disease and Related Disorders2020

    • Author(s)
      G Umemoto, H Furuya
    • Journal Title

      Internal Medicine

      Volume: 59 Issue: 1 Pages: 7-14

    • DOI

      10.2169/internalmedicine.2373-18

    • NAID

      130007779272

    • ISSN
      0918-2918, 1349-7235
    • Year and Date
      2020-01-01
    • Related Report
      2020 Research-status Report 2019 Research-status Report 2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Relationship between tongue pressure and functional oral intake scale diet type in patients with neurological and neuromuscular disorders2020

    • Author(s)
      Umemoto George、Fujioka Shinsuke、Arahata Hajime、Kawazoe Miki、Sakae Nobutaka、Sasagasako Naokazu、Furuya Hirokazu、Tsuboi Yoshio
    • Journal Title

      Clinical Neurology and Neurosurgery

      Volume: 198 Pages: 106196-106196

    • DOI

      10.1016/j.clineuro.2020.106196

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 摂食嚥下リハビリテーションと食形態や栄養管理の調整方法について2019

    • Author(s)
      梅本丈二、野田雅子、近藤誠二
    • Journal Title

      J・JSMUFF

      Volume: 12 Pages: 1-5

    • Related Report
      2019 Research-status Report
  • [Journal Article] レビー小体型認知症(DLB)の食を守るケア2019

    • Author(s)
      梅本丈二
    • Journal Title

      Modern Physician

      Volume: 39 Pages: 374-377

    • Related Report
      2018 Research-status Report
  • [Journal Article] 神経筋疾患患者の舌圧と咽頭圧の特徴2018

    • Author(s)
      梅本丈二
    • Journal Title

      BIO Clinica

      Volume: 33 Pages: 51-54

    • Related Report
      2018 Research-status Report
  • [Journal Article] Dysphagia in Perry syndrome: pharyngeal pressure of two cases2017

    • Author(s)
      Umemoto G, Tsuboi Y, Furuya H, Mishima T, Fujioka S, Fujii N, Arahata H, Sugahara M, Sakai M
    • Journal Title

      Case report in Neurology

      Volume: 9 Issue: 2 Pages: 161-167

    • DOI

      10.1159/000457900

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Dysphagia in two cases of fibrodysplasia ossificans progressiva2017

    • Author(s)
      Umemoto G, Furuya H, Arahata H, Sugahara M, Mizuno Y, Miyoshi A, Fujii N, Sakai M.
    • Journal Title

      Journal of Neurology and Neurosurgery

      Volume: 4 Pages: 136-136

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Assessment of energy expenditure using doubly labeled water and reported dietary intake in patients with myotonic dystrophy type 1: A preliminary study2022

    • Author(s)
      George Umemoto, Hajime Arahata, Yoichi Hatamoto, and Yasukata Jun
    • Organizer
      The 13th International Myotonic Dystrophy Consortium Meeting
    • Related Report
      2022 Annual Research Report
    • Int'l Joint Research
  • [Presentation] パーキンソン病とその関連疾患の嚥下障害への長期的対応について2021

    • Author(s)
      梅本丈二
    • Organizer
      第26・27回 日本摂食嚥下リハビリテーション学会
    • Related Report
      2021 Research-status Report
    • Invited
  • [Presentation] パーキンソン病患者の嚥下障害と体重減少率の検討2021

    • Author(s)
      梅本 丈二、岩下由樹、芥川礼奈、道津友里子、佐野大成
    • Organizer
      第16回・第17回共催日本神経摂食嚥下・栄養学会学術集会 大阪大会
    • Related Report
      2021 Research-status Report
  • [Presentation] 摂食嚥下機能管理について ーパーキンソン病の調査結果からー2021

    • Author(s)
      梅本丈二
    • Organizer
      第8回日本サルコペニア・フレイル学会大会
    • Related Report
      2021 Research-status Report
    • Invited
  • [Presentation] パーキンソン病患者の嚥下障害と体重減少率の関連2021

    • Author(s)
      梅本丈二、道津友里子、佐野大成、藤岡伸助、坪井義夫
    • Organizer
      第14回 パーキンソン病・運動障害疾患コングレス
    • Related Report
      2020 Research-status Report
  • [Presentation] PDの嚥下2021

    • Author(s)
      梅本丈二
    • Organizer
      第14回 パーキンソン病・運動障害疾患コングレス PDナース研修会
    • Related Report
      2020 Research-status Report
    • Invited
  • [Presentation] 摂食嚥下障害患者に対する食形態調整や栄養管理方法について2020

    • Author(s)
      梅本丈二,野田雅子
    • Organizer
      第18回日本機能性食品医用学会総会
    • Related Report
      2020 Research-status Report
    • Invited
  • [Presentation] 加齢が嚥下障害および閉塞性睡眠時無呼吸に与える影響2019

    • Author(s)
      梅本丈二
    • Organizer
      日本睡眠学会第44回定期学術集会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 多系統萎縮症患者の睡眠時ブラキシズム2019

    • Author(s)
      梅本丈二、舩越駿介 、吉村 力
    • Organizer
      日本睡眠学会第44回定期学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] Relationship between dysphagia and wearing-offphenomenon in patients with Parkinson’s disease.2019

    • Author(s)
      G. Umemoto, Y. Iwasa, Y. Ozaki, et al.
    • Organizer
      9th European Society for Swallowing Disorders
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Longitudinal Change of Tongue Thickness and Tongue Pressure in Neuromuscular Disorders2018

    • Author(s)
      G. Umemoto; H. Furuya; H. Arahata; M. Sakai; S. Kondo
    • Organizer
      8th ESSD CONGRESS
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 神経筋疾患患者の舌厚みと舌圧の経時的変化2018

    • Author(s)
      梅本丈二、荒畑 創、酒井光明
    • Organizer
      日本神経筋疾患摂食嚥下栄養研究会2018 第14回学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] パーキンソン病患者の嚥下障害と服薬状況2018

    • Author(s)
      梅本丈二、岩佐康行、尾崎由衛
    • Organizer
      日本老年歯科医学会第29回学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] パーキンソン病患者の嚥下障害と服薬状況に関する実態調査2017

    • Author(s)
      梅本丈二、藤岡伸助、安高勇気、西村和美、古賀佳代子、坪井義夫
    • Organizer
      日本神経筋疾患摂食・嚥下・栄養研究会第13回学術集会
    • Related Report
      2017 Research-status Report

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Published: 2017-04-28   Modified: 2024-01-30  

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