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Prognostic prediction by hypermetabolism varies depending on the nutritional status in early amyotrophic lateral sclerosis.
http://hdl.handle.net/10422/00013075
http://hdl.handle.net/10422/000130757dc90e72-8761-4d28-9a66-1e88163d641a
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2021-09-21 | |||||
タイトル | ||||||
タイトル | Prognostic prediction by hypermetabolism varies depending on the nutritional status in early amyotrophic lateral sclerosis. | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Amyotrophic lateral sclerosis | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Diseases | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Health care | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Medical research | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Neurology | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Predictive markers | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Prognostic markers | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
NAKAMURA, Ryutaro
× NAKAMURA, Ryutaro× KURIHARA, Mika× OGAWA, Nobuhiro× KITAMURA, Akihiro× YAMAKAWA, Isamu× BAMBA, Shigeki× SANADA, Mitsuru× SASAKI, Masaya× URUSHITANI, Makoto |
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著者別名 |
中村, 竜太郎
× 中村, 竜太郎× 栗原, 美香× 小川, 暢弘× 北村, 彰浩× 山川, 勇× 馬場, 重樹× 真田, 充× 佐々木, 雅也× 漆谷, 真 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | To examine whether hypermetabolism could predict the prognosis of early amyotrophic lateral sclerosis (ALS) patients with differing nutritional profiles. This single-center, retrospective study examined the prognosis of ALS patients with hypermetabolism in relation to their nutritional status at hospitalization. The metabolic state was estimated by the ratio of measured resting energy expenditure (mREE) to lean soft tissue mass (LSTM) (mREE/LSTM), wherein patients with ratios ≥ 38 were defined as hypermetabolic. Malnutrition was defined as %ideal body weight < 0.9. Forty-eight patients were enrolled in this study. The hypermetabolic group had shorter survival in the normal-weight group but more prolonged survival in the malnutrition group. Multiplication of nutritional and metabolic factors, such as [(body mass index (BMI) - 19.8) × (mREE/LSTM - 38)], designated as BMI-muscle metabolism index (BMM index), successfully predicted the prognosis in the group with a high BMM index (≥ 1), which showed shorter survival and a faster rate of weight loss and functional decline. Multivariate analysis using the Cox model showed high BMM index was an independent poor prognostic factor (hazard ratio: 4.05; p = 0.025). Prognostic prediction by hypermetabolism varies depending on the nutritional status in ALS, and the BMM index is a consistent prognostic factor. | |||||
書誌情報 |
en : Scientific Reports 巻 11, 号 1, 発行日 2021-09-09 |
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出版者 | ||||||
出版者 | Springer Nature | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 2045-2322 | |||||
PMID | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | PMID | |||||
関連識別子 | 34504168 | |||||
PMCID | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.ncbi.nlm.nih.gov/pmc/articles/pmc8429558/ | |||||
関連名称 | PMC8429558 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1038/s41598-021-97196-5 | |||||
関連名称 | 10.1038/s41598-021-97196-5 | |||||
権利 | ||||||
権利情報 | © 2021. The Author(s). | |||||
フォーマット | ||||||
内容記述タイプ | Other | |||||
内容記述 | ||||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
資源タイプ | ||||||
内容記述タイプ | Other | |||||
内容記述 | Journal Article |