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Novel strategy of nutritional intervention for preventing progress and onset of COPD

Research Project

Project/Area Number 24591133
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Respiratory organ internal medicine
Research InstitutionNara Medical University

Principal Investigator

Yoshikawa Masanori  奈良県立医科大学, 医学部, 准教授 (80271203)

Co-Investigator(Kenkyū-buntansha) KIMURA Hiroshi  奈良県立医科大学, 医学部, 教授 (20195374)
TOMODA Koichi  奈良県立医科大学, 医学部, 准教授 (90364059)
Project Period (FY) 2012-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2012: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords慢性閉塞性肺疾患 / 栄養療法 / 腸内環境 / 食生活 / シンバイオティクス / 発病予防 / 発症予防
Outline of Final Research Achievements

Gut-lung axis may play a role in the development of chronic obstructive pulmonary disease (COPD) and it is assumed that the deterioration in gut environment is associated with the development of comorbidities of COPD. In the present study, we found that the deterioration in gut environment caused by discontinuous feeding with fiber-free diet accelerates not only emphysema but also malnutrition and osteoporosis by cigarette smoke in rats. In addition, it suggests that the changes in the gut environment by the synbiotics may attenuate not only pulmonary emphysema but also osteoporosis induced by cigarette smoke in rats. Feasibility of the synbiotics was confirmed and the intervention study in patients with COPD is ongoing.

Report

(5 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (54 results)

All 2016 2015 2014 2013 2012

All Journal Article (23 results) (of which Peer Reviewed: 10 results,  Open Access: 8 results,  Acknowledgement Compliant: 4 results) Presentation (24 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results) Book (7 results)

  • [Journal Article] RNA interference targeting carbohydrate sulfotransferase 3 diminishes macrophage accumulation, inhibits MMP-9 expression and promotes lung recovery in murine pulmonary emphysema.2015

    • Author(s)
      Kai Y, Tomoda K, Yoneyama H, Yoshikawa M, Kimura H.
    • Journal Title

      Respir.Res.

      Volume: 16 Issue: 1 Pages: 146-146

    • DOI

      10.1186/s12931-015-0310-7

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Nonrapid Eye Movement-Predominant Obstructive Sleep Apnea: Detection and Mechanism.2015

    • Author(s)
      Yamauchi M, Fujita Y, Kumamoto M, Yoshikawa M, Ohnishi Y, Nakano H, Strohl KP, Kimura H
    • Journal Title

      J Clin Sleep Med

      Volume: 11 Issue: 09 Pages: 987-993

    • DOI

      10.5664/jcsm.5010

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Whey peptide-based enteral diet attenuated elastase-induced emphysema with increase in short chain fatty acids in mice.2015

    • Author(s)
      Tomoda K, Kubo K, Dairiki K, Yamaji T, Yamamoto Y, Nishii Y, Nakamura A, Yoshikawa M, Hamada K, Kimura H.
    • Journal Title

      BMC Pulm Med

      Volume: 15 Issue: 1 Pages: 64-64

    • DOI

      10.1186/s12890-015-0059-2

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Ghrelin Administration for Chronic Respiratory Failure: A Randomized Dose-Comparison Trial. Lung2015

    • Author(s)
      Matsumoto N, Miki K, Tsubouchi H, Sakamoto A, Arimura Y, Yanagi S, Iiboshi H, Yoshida M, Souma R, Ishimoto H, Yamamoto Y, Yatera K, Yoshikawa M, Sagara H, Iwanaga T, Mukae H, Maekura R, Kimura H, Nakazato M, Kangawa K
    • Journal Title

      Lung

      Volume: 193 Issue: 2 Pages: 239-247

    • DOI

      10.1007/s00408-015-9685-y

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 身体活動性と全身性炎症.2015

    • Author(s)
      木村 弘, 福岡篤彦, 吉川雅則
    • Journal Title

      日呼吸誌

      Volume: 4 Pages: 15-22

    • Related Report
      2015 Annual Research Report
  • [Journal Article] COPDの全身併存症2015

    • Author(s)
      吉川雅則, 木村 弘
    • Journal Title

      診断と治療

      Volume: 103 Pages: 467-473

    • Related Report
      2015 Annual Research Report
  • [Journal Article] 【COPDの身体活動性をめぐるサイエンス】 身体活動性と全身性炎症2015

    • Author(s)
      木村 弘, 福岡 篤彦, 吉川 雅則
    • Journal Title

      日本呼吸器学会誌

      Volume: 4 Pages: 15-22

    • Related Report
      2014 Research-status Report
  • [Journal Article] The impact of obstructive sleep apnea and nasal CPAP on circulating adiponectin levels2014

    • Author(s)
      Yoshikawa M, Yamauchi M, Fujita Y, Koyama N, Fukuoka A, Tamaki S, Yamamoto Y, Tomoda K, Kimura H
    • Journal Title

      Lung

      Volume: 192(2) Issue: 2 Pages: 289-295

    • DOI

      10.1007/s00408-013-9550-9

    • Related Report
      2014 Research-status Report 2013 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Mini Nutritional Assessment Short-Form predicts exacerbation frequency in patients with chronic obstructive pulmonary disease.2014

    • Author(s)
      Yoshikawa M, Fujita Y, Yamamoto Y, Yamauchi M, Tomoda K, Koyama N, Kimura H.
    • Journal Title

      Respirology

      Volume: 19 Issue: 8 Pages: 1198-1203

    • DOI

      10.1111/resp.12380

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Distribution of bone mineral content is associated with body weight and exercise capacity in patients with COPD2014

    • Author(s)
      Yamamoto Y, Yoshikawa M, Tomoda K, Fujita Y, Yamauchi M, Fukuoka A, Tamaki S, Koyama N, Kimura H
    • Journal Title

      Respiration

      Volume: 87(2) Issue: 2 Pages: 158-164

    • DOI

      10.1159/000355095

    • Related Report
      2014 Research-status Report 2013 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Branched-chain amino acid-rich diet improves skeletal muscle wasting caused by cigarette smoke in rats2014

    • Author(s)
      Tomoda K, Kubo K, Hino K, Kondoh Y, Nishii Y, Koyama N, Yamamoto Y, Yoshikawa M, Kimura H.
    • Journal Title

      The Journal of Toxicological Sciences

      Volume: 39 Issue: 2 Pages: 331-337

    • DOI

      10.2131/jts.39.331

    • NAID

      130004903995

    • ISSN
      0388-1350, 1880-3989
    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 【最新情報をおさえる! 臨床栄養の活用ガイド】 さまざまな病態における栄養のポイント COPDにおける栄養障害と対策2014

    • Author(s)
      福岡 篤彦, 吉川 雅則, 木村 弘
    • Journal Title

      Medicina

      Volume: 51 Pages: 2341-2345

    • Related Report
      2014 Research-status Report
  • [Journal Article] 【すぐ役に立つ-呼吸器薬の標準的使い方】 COPD 【安定期の治療】 吸入薬以外の治療 テオフィリン,喀痰調整薬,マクロライド系抗菌薬,栄養療法2014

    • Author(s)
      山本 佳史, 吉川 雅則, 木村 弘
    • Journal Title

      Medicina

      Volume: 51 Pages: 1850-1853

    • Related Report
      2014 Research-status Report
  • [Journal Article] 【全身成人病としてのCOPD】 COPDの診断の実際と早期診断2014

    • Author(s)
      福岡 篤彦, 吉川 雅則, 木村 弘
    • Journal Title

      成人病と生活習慣病

      Volume: 44 Pages: 1019-1025

    • Related Report
      2014 Research-status Report
  • [Journal Article] COPDと全身併存症2014

    • Author(s)
      木村 弘, 吉川 雅則
    • Journal Title

      日本内科学会雑誌

      Volume: 103 Pages: 2314-2320

    • NAID

      10029748884

    • Related Report
      2014 Research-status Report
  • [Journal Article] 急性呼吸不全における栄養管理-人工呼吸患者を中心に-2014

    • Author(s)
      吉川雅則、木村 弘
    • Journal Title

      難病と在宅ケア

      Volume: 19 Pages: 26-29

    • NAID

      130005109096

    • Related Report
      2014 Research-status Report
  • [Journal Article] 急性呼吸不全における栄養管理―人工呼吸患者を中心に―2014

    • Author(s)
      吉川雅則、木村 弘
    • Journal Title

      日本呼吸ケア・リハビリテーション学会誌

      Volume: 24 Pages: 95-99

    • NAID

      130005109096

    • Related Report
      2014 Research-status Report
  • [Journal Article] 日本呼吸器学会COPDガイドライン第4版をめぐって-病因・病態生理・併存症・合併症2013

    • Author(s)
      木村 弘、吉川雅則
    • Journal Title

      日本胸部臨床

      Volume: 72 Pages: 1189-1200

    • Related Report
      2013 Research-status Report
  • [Journal Article] Current Opinion:COPDと栄養2013

    • Author(s)
      福岡篤彦、吉川雅則、木村 弘
    • Journal Title

      呼吸と循環

      Volume: 61 Pages: 484-490

    • Related Report
      2013 Research-status Report
  • [Journal Article] COPD-その病態と最新治療. COPDの病因と病態.COPDと栄養2013

    • Author(s)
      藤田幸男、吉川雅則,木村 弘
    • Journal Title

      カレントテラピー

      Volume: 31 Pages: 13-18

    • Related Report
      2013 Research-status Report
  • [Journal Article] 慢性閉塞性肺疾患(COPD)-病態解明から治療まで- 全身の併存疾患・合併疾患2013

    • Author(s)
      吉川雅則、木村 弘
    • Journal Title

      最新医学

      Volume: 68 Pages: 1092-1097

    • Related Report
      2013 Research-status Report
  • [Journal Article] Changes of ghrelin and leptin levels in plasma by cigarette smoke in rats2012

    • Author(s)
      Tomoda K, Kubo K, Nishii Y, Yamamoto Y, Yoshikawa M, Kimura H
    • Journal Title

      The Journal of Toxicological Sciences

      Volume: 37 Issue: 1 Pages: 131-138

    • DOI

      10.2131/jts.37.131

    • NAID

      10030037595

    • ISSN
      0388-1350, 1880-3989
    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Suppressed anti-oxidant capacity due to a cellulose-free diet declines further by cigarette smoke in mice2012

    • Author(s)
      Tomoda K, Kubo K, Asahara T, Nomoto K, Nishii Y, Yamamoto Y, Yoshikawa M, Kimura H
    • Journal Title

      The Journal of Toxicological Sciences

      Volume: 37 Issue: 3 Pages: 575-585

    • DOI

      10.2131/jts.37.575

    • NAID

      130004446978

    • ISSN
      0388-1350, 1880-3989
    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] COPD患者における骨格筋指数と呼吸機能および運動耐容能との関連2015

    • Author(s)
      藤田幸男,吉川雅則,寺本佳奈子,山本佳史,児山紀子,山内基雄,友田恒一,木村 弘
    • Organizer
      第52回日本臨床生理学会総会
    • Place of Presentation
      大宮ソニックシティ(埼玉県さいたま市)
    • Year and Date
      2015-10-31
    • Related Report
      2015 Annual Research Report
  • [Presentation] COPD患者における骨格筋指数と骨塩量および運動耐容能との関連2015

    • Author(s)
      山本佳史、吉川雅則、寺本佳奈子、藤田幸男、山内基雄、児山紀子、友田恒一、木村 弘
    • Organizer
      第25回日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      東京ベイ舞浜ホテルクラブリゾート(千葉県浦安市)
    • Year and Date
      2015-10-15
    • Related Report
      2015 Annual Research Report
  • [Presentation] COPDの栄養療法 up-to-date2015

    • Author(s)
      吉川雅則、木村 弘
    • Organizer
      第25回日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      東京ベイ舞浜ホテルクラブリゾート(千葉県浦安市)
    • Year and Date
      2015-10-15
    • Related Report
      2015 Annual Research Report
  • [Presentation] COPD患者におけるMini Nutritional Assessment Short-formによる栄養評価の意義2015

    • Author(s)
      澤田享子,吉川雅則,山口千影,中野奈央,早味 司,藤田幸男,山本佳史,木村 弘
    • Organizer
      第37回日本臨床栄養学会総会・第36回日本臨床栄養協会総会・第13回大連合大会
    • Place of Presentation
      都市センターホテル(東京都千代田区)
    • Year and Date
      2015-10-02
    • Related Report
      2015 Annual Research Report
  • [Presentation] COPDの栄養管理-現状と展望2015

    • Author(s)
      吉川雅則
    • Organizer
      第8回日本呼吸ケア・リハビリテーション学会北陸支部年次集会
    • Place of Presentation
      金沢大学(石川県金沢市)
    • Year and Date
      2015-06-13
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] Synbiotics attenuate not only pulmonary emphysema but also osteoporosis induced by cigarette smoke in rats.2015

    • Author(s)
      Tomoda K, Kubo K, Yamamoto Y, Koyama N, Yoshikawa M, Kimura H
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      デンバー(アメリカコロラド州)
    • Year and Date
      2015-05-15
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] わが国のCOPD患者を対象としたBODE indexの妥当性(中間報告)2015

    • Author(s)
      山本佳史、吉川雅則、藤田幸男、山内基雄、熊本牧子、児山紀子、友田恒一、木村 弘
    • Organizer
      第55回日本呼吸器学会学術講演会
    • Place of Presentation
      東京国際フォーラム(東京都・千代田区)
    • Year and Date
      2015-04-17
    • Related Report
      2015 Annual Research Report
  • [Presentation] 藤原京スタディーにおける高齢一般住民とCOPD患者の併存症の比較2015

    • Author(s)
      長 敬翁、吉川雅則、友田恒一、山本佳史、熊本牧子、児山紀子、山内基雄、岡本 希、車谷典男、木村 弘
    • Organizer
      第55回日本呼吸器学会学術講演会
    • Place of Presentation
      東京国際フォーラム(東京都千代田区)
    • Year and Date
      2015-04-17
    • Related Report
      2015 Annual Research Report
  • [Presentation] COPD患者における身体活動性の検討―藤原京スタディーにおける高齢一般住民との比較2015

    • Author(s)
      藤田幸男、吉川雅則、友田恒一、山本佳史、熊本牧子、児山紀子、山内基雄、岡本 希、車谷典男、木村 弘
    • Organizer
      第55回日本呼吸器学会学術講演会
    • Place of Presentation
      東京国際フォーラム(東京都・千代田区)
    • Year and Date
      2015-04-17
    • Related Report
      2015 Annual Research Report
  • [Presentation] New Targets for systemic effect of COPD.2015

    • Author(s)
      Koichi Tomoda, Masanori Yoshikawa, Hiroshi Kimura
    • Organizer
      第55回日本呼吸器学会学術講演会
    • Place of Presentation
      東京国際フォーラム(東京都千代田区)
    • Year and Date
      2015-04-17
    • Related Report
      2015 Annual Research Report
  • [Presentation] Acceleration in emphysema in rats discontinuously fed with fiber-free diet were related to alteration in the gut environment.2015

    • Author(s)
      Koichi Tomoda, Koru Kubo, Yoshifumi Yamamoto, Masanori Yoshikawa, Hiroshi Kimura
    • Organizer
      第55回日本呼吸器学会学術講演会
    • Place of Presentation
      東京国際フォーラム(東京都千代田区)
    • Year and Date
      2015-04-17
    • Related Report
      2015 Annual Research Report
  • [Presentation] COPD患者におけるサルコペニアと骨塩量および運動能との関連2015

    • Author(s)
      寺本佳奈子、吉川雅則、山本佳史、友田恒一、藤田幸男、山内基雄、児山紀子、熊本牧子、長 敬翁、鵜山広樹、木村 弘
    • Organizer
      第55回日本呼吸器学会学術講演会
    • Place of Presentation
      東京国際フォーラム(東京都千代田区)
    • Year and Date
      2015-04-17
    • Related Report
      2015 Annual Research Report
  • [Presentation] Acceleration in Emphysema in Rats Discontinuously Fed with Fiber-Free Diet were Related to Alteration in The Gut Environments.2014

    • Author(s)
      Tomoda K, Kubo K, Yamamoto Y, Yoshikawa M, Kimura H.
    • Organizer
      American Thoracic Society international conference
    • Place of Presentation
      San Diego Convention Center
    • Year and Date
      2014-05-16 – 2014-05-21
    • Related Report
      2014 Research-status Report
  • [Presentation] Discontinuous Feeding with Fiber-Free Diet Accelerates Emphysema, Malnutrition and Osteoporosis by Cigarette Smoke in Rats.2014

    • Author(s)
      Tomoda K, Kubo K, Yamamoto Y, Nishii Y, Nakamura A, Yoshikawa M, Hamada K, Kimura H.
    • Organizer
      第54回日本呼吸器学会学術講演会
    • Place of Presentation
      大阪国際会議場・リーガロイヤルホテル
    • Year and Date
      2014-04-25 – 2014-04-27
    • Related Report
      2014 Research-status Report
  • [Presentation] Discontinuous feeding with fiber-free diet accelerates emphysema, malnutrition and osteoporosis by cigarette smoke in rats2013

    • Author(s)
      Tomoda K, Kubo K, Yamamoto Y, Nakamura A, Yoshikawa M, Kimura H
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      Pennsylvania Convention Center (Philadelphia)
    • Related Report
      2013 Research-status Report
  • [Presentation] Workshop:early onset COPD in Asia. Case presentation 1:A patient with early onset, nonemphysematous COPD followed up over 10 years2013

    • Author(s)
      Yoshikawa M, Tomoda K, Kimura H
    • Organizer
      The 18th congress of the Asian Pacific Society of Respirology
    • Place of Presentation
      The Conference Center, Pacifico Yokohama
    • Related Report
      2013 Research-status Report
  • [Presentation] Decreased ant-oxidant capacity with fiber free diet during exposure to cigarette smoke was related with changes in proportion of cecal organic acids in mice2013

    • Author(s)
      Tomoda K, Kubo K, Yamamoto Y, Yoshikawa M, Kimura H
    • Organizer
      European Respiratory Society Annual Congress
    • Place of Presentation
      FIRA BARCELONA Convention Centre (Barcelona)
    • Related Report
      2013 Research-status Report
  • [Presentation] ホエイペプタイド含有補助食はエラスターゼ誘発肺気腫を抑制する2013

    • Author(s)
      友田恒一、久保薫、山本佳史、中村篤宏、吉川雅則、木村 弘
    • Organizer
      第53回日本呼吸器学会学術講演会
    • Place of Presentation
      東京国際フォーラム
    • Related Report
      2013 Research-status Report
  • [Presentation] 慢性閉塞性肺疾患(COPD)患者における骨粗鬆症とQOLおよび予後との関連2013

    • Author(s)
      山本佳史、吉川雅則、友田恒一、藤田幸男、山内基雄、児山紀子、熊本牧子、大屋貴広、中村篤宏、木村 弘
    • Organizer
      第53回日本呼吸器学会学術講演会
    • Place of Presentation
      東京国際フォーラム
    • Related Report
      2013 Research-status Report
  • [Presentation] 急性呼吸不全における栄養管理-人工呼吸患者を中心に (教育講演)2013

    • Author(s)
      吉川雅則、木村 弘
    • Organizer
      第23回日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      東京ドームホテル
    • Related Report
      2013 Research-status Report
  • [Presentation] Effect of cigarette smoke on branched chain amino acids levels in plasma and skeletal muscles in rats2012

    • Author(s)
      Tomoda K, Yoshikawa M, Kubo K, Koyama N, Yamamoto Y, Kimura H
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      Moscone Center(San Francisco)
    • Related Report
      2012 Research-status Report
  • [Presentation] COPDにおける栄養障害と増悪2012

    • Author(s)
      吉川雅則、木村 弘
    • Organizer
      第22回日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      福井フェニックスプラザ
    • Related Report
      2012 Research-status Report
  • [Presentation] COPD患者におけるMini Nutritional Assessment(MNA)を用いた栄養評価の意義2012

    • Author(s)
      藤田幸男、吉川雅則、山本佳史、大屋貴広、友田恒一、山内基雄、児山紀子、福岡篤彦、木村 弘
    • Organizer
      第22回日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      福井フェニックスプラザ
    • Related Report
      2012 Research-status Report
  • [Presentation] COPDアセスメントテスト(CAT)とMini Nutritional Assessment(MNA)による栄養評価との関連2012

    • Author(s)
      大屋貴広、吉川雅則、山本佳史、友田恒一、藤田幸男、山内基雄、児山紀子、福岡篤彦、木村 弘
    • Organizer
      第52回日本呼吸器学会学術講演会
    • Place of Presentation
      神戸コンベンションセンター
    • Related Report
      2012 Research-status Report
  • [Book] Annual Review 呼吸器 20162016

    • Author(s)
      木村 弘, 吉川雅則
    • Total Pages
      238
    • Publisher
      中外医学社
    • Related Report
      2015 Annual Research Report
  • [Book] 病態栄養専門医テキスト改訂第2版2015

    • Author(s)
      木村 弘, 吉川雅則
    • Total Pages
      357
    • Publisher
      南江堂
    • Related Report
      2015 Annual Research Report
  • [Book] 事例・症例に学ぶ栄養管理 改訂2版2014

    • Author(s)
      吉川雅則, 木村 弘
    • Total Pages
      236
    • Publisher
      南山堂
    • Related Report
      2014 Research-status Report
  • [Book] 慢性閉塞性肺疾患(COPD)のマネジメント改訂3版2013

    • Author(s)
      吉川雅則、木村 弘
    • Total Pages
      275
    • Publisher
      医薬ジャーナル社
    • Related Report
      2013 Research-status Report
  • [Book] 医学のあゆみ 呼吸器疾患 state of arts Ver.62013

    • Author(s)
      吉川雅則、木村 弘
    • Total Pages
      504
    • Publisher
      医歯薬出版
    • Related Report
      2013 Research-status Report
  • [Book] ビジュアル栄養療法-メカニズムからわかる治療戦略2012

    • Author(s)
      吉川政則、木村弘
    • Total Pages
      207
    • Publisher
      南江堂
    • Related Report
      2012 Research-status Report
  • [Book] 新臨床栄養学 第2版2012

    • Author(s)
      吉川政則、木村弘
    • Total Pages
      765
    • Publisher
      医学書院
    • Related Report
      2012 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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