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2004 Fiscal Year Final Research Report Summary

Prevention of pneumonia in the elderly

Research Project

Project/Area Number 13307021
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field Respiratory organ internal medicine
Research InstitutionTohoku University

Principal Investigator

SASAKI Hidetada  Tohoku University, Graduate School of Medicine, Professor, 大学院・医学系研究科, 教授 (20004731)

Co-Investigator(Kenkyū-buntansha) EBIHARA Satoru  Tohoku University, Hospital, Research Associate, 病院・助手 (90323013)
Project Period (FY) 2001 – 2004
Keywordspneumonia / aspiration / substance P / dopamine / Amantadine / ACEinhibitor
Research Abstract

Pneumonia in the elderly is caused by an in apparent swallowing disorder. Most suffer silent aspiration, which eventually causes pneumonia. This is due to t lack in substance P, which transmits in an antidromic way through the sensory branches, such as vagal and glossopharyngeal nerves, and deeps swallowing and cough reflex functioning. The synthesis of substance P is stimulated by dopamine that is released from the deep cortex in the cerebrum. When there is a shortage of dopamine, widely used in the treatment of Parkinson's disease as it induced the synthesis of dopamine. A clinical trial of amantadine administration for three years showed that the incidence rate of pneumonia decreased to about 20% compared with the control group. Substance P is increased by angiotensin-converting enzyme inhibitors (ACE inhibitors). Conventional drugs can be used and are available by prescription. The use of such drugs separately or in combination enables prevention of pneumonia to a considerable degree.

  • Research Products

    (12 results)

All 2003 2002 2001

All Journal Article (12 results)

  • [Journal Article] Care for Older Peopl2003

    • Author(s)
      T.Ohrui, H.Kubo, H.Sasaki.
    • Journal Title

      Internal Medicine 42

      Pages: 932-940

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Care for older people.2003

    • Author(s)
      T.Ohrui, H.Kubo, H.Sasaki.
    • Journal Title

      Internal Medicine 42

      Pages: 932-940

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Prevention of respiratory infections in the elderly2002

    • Author(s)
      M.Yamaya, T.Ohrui, H.Kubo, S.Ebihara, H.Arai, H.Sasaki.
    • Journal Title

      Geriatrics and Gerontology International 02

      Pages: 115-121

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Characteristics of Respiratory Diseases in Older People2002

    • Author(s)
      H.Sasaki, M, Yamaya, T.Ohrui, H.Kubo, M.Ebihara, H.Arai.
    • Journal Title

      JMAJ 45

      Pages: 231-236

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Bronchiectasis with Mycobacterium avium complex infection2002

    • Author(s)
      T.Ebihara, H.Sasaki.
    • Journal Title

      N Engl J Med 346

      Pages: 1372

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Prevention of respiratory infections in the elderly.2002

    • Author(s)
      M.Yamaya, T.Ohrui, H.Kubo, S.Ebihara, H.Aarai, H.Sasaki.
    • Journal Title

      Geriatrics and Gerontology International 2

      Pages: 115-121

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Characteristics of respiratory disease in older people.2002

    • Author(s)
      H.Sasaki, M.Yamaya, T.Ohrui, H.Kubo, M.Ebihara, H.Arai.
    • Journal Title

      JMAJ 45

      Pages: 231-236

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Bronchiectasis with mycobacterium avium complex infection.2002

    • Author(s)
      T.Ebihara, H.Sasaki.
    • Journal Title

      N Eagle J Med 346

      Pages: 1372

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Interventions to Prevento Pneumonia Among Older Adults2001

    • Author(s)
      M.Yamaya, M.Yanai, T.Ohrui, H.Arai, H.Sasaki.
    • Journal Title

      JAGS 49

      Pages: 85-90

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Risk factors of aspiration pneumonia in Alzheimer's disease Patients2001

    • Author(s)
      H.Wada, K.Nakajoh, T.Satoh-Nakagawa, T.Suzuki, T.Ohrui, H.Arai, H.Sasaki.
    • Journal Title

      Gerontology 47

      Pages: 271-276

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Interventions to Prevento Pneumonia Among older adults.2001

    • Author(s)
      M.Yamaya, M.Yanai, T.Ohrui, H.Arai, H.Sasaki.
    • Journal Title

      JAGS 49

      Pages: 85-90

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Risk factor of aspiration pneumonia in Alzheimer's disease patients.2001

    • Author(s)
      H.Wada, K.Nakajoh, T.Satoh-Nakagawa, T.Suzuki, T.Ohrui, H.Arai, H.Sasaki.
    • Journal Title

      Gerontology 47

      Pages: 271-276

    • Description
      「研究成果報告書概要(欧文)」より

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Published: 2006-07-11  

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