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A Study on Energy Metabolism in Patients with Amyotrophic Lateral Sclerosis Using the Double-Labeled Water Method

Research Project

Project/Area Number 18K11098
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 59040:Nutrition science and health science-related
Research InstitutionShiga University of Medical Science

Principal Investigator

Kurihara Mika  滋賀医科大学, 医学部, 管理栄養士 (90467374)

Co-Investigator(Kenkyū-buntansha) 佐々木 雅也  滋賀医科大学, 医学部, 教授 (40242979)
海老根 直之  同志社大学, スポーツ健康科学部, 教授 (30404370)
檜垣 靖樹  福岡大学, スポーツ科学部, 教授 (10228702)
安方 惇  東亜大学, 人間科学部, 准教授 (20759253)
Project Period (FY) 2018-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2021: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2020: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
KeywordsALS / REE / エネルギー代謝 / 体組成 / 呼吸機能検査 / 代謝亢進 / NPPV / DLW / TEE / 筋萎縮性側索硬化症 / 二重標識水法
Outline of Final Research Achievements

This study aimed to investigate resting energy expenditure (REE), body composition, and respiratory function in 20 ALS patients who were not ventilated during hospitalization. The results revealed increased metabolic rate in all patients and males when compared to basal energy expenditure (BEE) calculated using the Harris-Benedict equation.
Parameters including BEE, height, weight (BW), lean mass (FFM), skeletal muscle index (SMI), and tidal volume (TV) were used to develop a prediction equation for REE in a stepwise analysis. BEE and tidal volume were found to be significant factors. The formula for predicting REE in non-ventilated ALS patients was derived as follows: REE (kcal/day) = 1.000251 x BEE (kcal/day) + 313.3507 x tidal volume (L) - 112.0360.

Academic Significance and Societal Importance of the Research Achievements

ALS患者のエネルギー代謝について、関連項目を明らかとした。また、REEの測定はどこの施設でも行えるわけではないため、予測式を作成した。死亡または気管切開に関連する要因は、%FVCおよびSMIであった。

Report

(6 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
  • Research Products

    (7 results)

All 2022 2021 2020

All Journal Article (3 results) (of which Peer Reviewed: 3 results,  Open Access: 3 results) Presentation (4 results)

  • [Journal Article] Investigation of the prognostic predictive value of serum lipid profiles in amyotrophic lateral sclerosis: roles of sex and hypermetabolism2022

    • Author(s)
      Nakamura Ryutaro、Kurihara Mika、Ogawa Nobuhiro、Kitamura Akihiro、Yamakawa Isamu、Bamba Shigeki、Sanada Mitsuru、Sasaki Masaya、Urushitani Makoto
    • Journal Title

      Scientific Reports

      Volume: 12 Issue: 1

    • DOI

      10.1038/s41598-022-05714-w

    • NAID

      120007192241

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Factors Affecting Energy Metabolism and Prognosis in Patients with Amyotrophic Lateral Sclerosis2021

    • Author(s)
      Kurihara Mika、Bamba Shigeki、Yasuhara Shoko、Itoh Akihiko、Nagao Taishi、Nakanishi Naoko、Nakamura Ryutaro、Ogawa Nobuhiro、Kitamura Akihiro、Yamakawa Isamu、Kim Hyou、Sanada Mitsuru、Urushitani Makoto、Sasaki Masaya
    • Journal Title

      Annals of Nutrition and Metabolism

      Volume: 77 Issue: 4 Pages: 236-243

    • DOI

      10.1159/000518908

    • NAID

      120007147811

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Prognostic prediction by hypermetabolism varies depending on the nutritional status in early amyotrophic lateral sclerosis2021

    • Author(s)
      Nakamura Ryutaro、Kurihara Mika、Ogawa Nobuhiro、Kitamura Akihiro、Yamakawa Isamu、Bamba Shigeki、Sanada Mitsuru、Sasaki Masaya、Urushitani Makoto
    • Journal Title

      Scientific Reports

      Volume: 11 Issue: 1

    • DOI

      10.1038/s41598-021-97196-5

    • NAID

      120007150321

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] リハビリテーションにおける至適栄養投与量の検討 間接熱量計を用いた疾患別エネルギー至適投与量の検討2022

    • Author(s)
      栗原美香
    • Organizer
      第44回日本臨床栄養学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 脳・神経疾患における栄養療法の工夫 筋萎縮性側索硬化症患者におけるエネルギー代謝2022

    • Author(s)
      栗原美香
    • Organizer
      第37回日本臨床栄養代謝学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 筋萎縮性側索硬化症患者におけるエネルギー代謝2022

    • Author(s)
      栗原美香
    • Organizer
      日本臨床栄養代謝学会学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] 筋萎縮性側索硬化症におけるエネルギー代謝における検討2020

    • Author(s)
      栗原美香
    • Organizer
      第35回日本臨床栄養代謝学会学術集会
    • Related Report
      2020 Research-status Report 2019 Research-status Report

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Published: 2018-04-23   Modified: 2024-01-30  

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