栄養学雑誌
Online ISSN : 1883-7921
Print ISSN : 0021-5147
ISSN-L : 0021-5147
60 巻 , 5 号
選択された号の論文の5件中1~5を表示しています
  • 中村 正和
    2002 年 60 巻 5 号 p. 213-222
    発行日: 2002/10/01
    公開日: 2010/02/09
    ジャーナル フリー
    An overview is presented of the psychological theories and models that underlie the intervention used in many individual-based health behavior change programs to show theoretically based strategies for health behavior change.
    Reviewed are the stimulus response theory, social learning theory, health belief model, decisional balance model, and stages of change model. A number of psychobehavioral strategies based on these theories and models can be used by health promotion specialists to motivate clients toward healthier behavior changes and to guide the clients' actions while they make these changes. Theoretical frameworks can help health promotion specialists during the various stages of planning, implementing, and evaluating an intervention. All interventions for health behavior change need to be planned and evaluated according to proven theories and models.
    The theories and strategies discussed in this paper are focused on the individual-centered approach to health behavior change. Health promotion intervention must be integrated with the social environment-centered approach for influencing behavior at the group, organization, and community levels.
  • 足立 香代子
    2002 年 60 巻 5 号 p. 223-230
    発行日: 2002/10/01
    公開日: 2010/02/09
    ジャーナル フリー
    The medical cost in a year was analyzed for patients with hyperlipidemia according to the Mark method for analyzing cost-effectiveness. The patients were divided into groups undergoing nutritional therapy alone (N group: 83), nutritional therapy combined with drugs (N-D group: 17), and drug therapy (D group: 20). The medical cost of \42, 122 (337 at =\125) for each patient in the N group was \90, 000-\100, 000 less expensive than the costs for the N-D group and D group, being related to the types of drugs and the complications.
    Those patients with hypercholesterolemia (high TC) showed no difference in TC reduction among the groups. The patients in the N group with a TC level of more than 260mg/dl showed a greater TC reduction than those in the D group (-14.8±10.9% vs -4.7±9.7%, p<0.05). The total cost/patient in the N group was \61, 748 (494), this being \140, 000-\160, 000 less expensive than the treatment for the patients in the N-D and D groups.
    The patients in the N group with a TC level of less than 260mg/dl showed a greater TC reduction than those in the D group, while the patients with a triglyceride (TG) level of more than 150mg/dl (high TG) showed no difference in TG reduction among the groups. The annual total cost/patient for the N group was \54, 367 (435), compared with \80, 000 (640) and \180, 000 (1, 440) for the N-D and D groups, respectively.
    Nutritional therapy for the patients with a TC level of more than 260mg/dl and for those with high TG was more cost-effective than the treatments used for the N-D and D groups. Nutritional therapy should therefore be considered as the primary treatment in terms of reducing medical cost.
    The effectiveness of treating by nutritional therapy needs to be based on a diagnosic examination and physical measurement of each patient to provide the optimum treatment.
  • 薮添 朋子, 山本 由喜子, 灘井 城, 藤原 政嘉, 中村 志郎, 松本 誉之
    2002 年 60 巻 5 号 p. 231-237
    発行日: 2002/10/01
    公開日: 2010/02/09
    ジャーナル フリー
    クローン病 (CD) の緩解維持療法, 間欠的完全経腸栄養療法 (i-TEN療法) では, 完全な成分栄養剤 (ED) 摂取期間に消化管を安静に保つことにより, 通常食摂取期間に比較的自由な食品選択を可能とすることを期待している。本研究では, i-TEN療法による食事摂取状況ならびに患者のQOLへの影響を検討し, 従来の在宅経腸栄養療法 (HEN) を受けている患者や通常食を摂取している患者と比較した。調査対象者は, 各群の平均年齢, 推定発症年齢, 罹患歴などに有意な差は認められず, どの群も20歳代の男性に多く, 長期にわたって継続するという我が国のCD患者の特徴をよく反映していた。また, 緩解維持療法開始時において, 炎症の指標である白血球数やCRPの平均値はともに, i-TEN患者とHEN患者の間で有意差がなかった。
    食品摂取状況調査の結果, 50%以上の患者が摂取しない食品は, HEN患者では22種類あったが, i-TEN患者では16種類であった。また, i-TEN患者ではHEN患者に比べて日常食べている, かつ食べても症状がないなど安心と認識できる食品の種類がやや多い傾向にあった。さらにi-TEN患者では, たけのこ, レンコン, ごぼう, ぜんまいなどの食物繊維の多い食品や, ハンバーガー, フライドポテトなど, CD患者において禁忌食品とされている食品でも日常食べている, 食べても症状がないと認識している患者の割合が比較的高い傾向にあり, 幅広い食品選択が可能になっていることが推察された。また, i-TEN患者は, HEN患者と比較して外食や食品選び, 調理に対して過敏になっていないことなど, 食事療法継続の上でもストレスの少ないことがうかがわれた。
  • 鵜澤 昌好, 大森 正司
    2002 年 60 巻 5 号 p. 239-242
    発行日: 2002/10/01
    公開日: 2010/02/09
    ジャーナル フリー
    Gamma-amino butyric acid (GABA) is known as a substance for improving the blood pressure condition. The inhibiting effect on blood pressure elevation of vegetables with a high content of GABA was verified by applying pumpkin products, which contain a high GABA content, to spontaneously hypertensive rats (SHRs) and then studying the change in blood pressure under salt stress. During the four-week experimental period, the blood pressure of SHRs in the untreated control group initially increased from 142mm of Hg to 185mm of Hg and then increased further to 220mm of Hg under salt stress. In the pumpkin-administered group, the blood pressure increased from 190mm of Hg to 214mm of Hg under salt stress, indicating an inhibiting effect. A difference in the degree of inhibition was noted in different pumpkin products, even though they had the same GABA content.
  • 竹下 桂子, 鶴田 英子, 福岡 義之
    2002 年 60 巻 5 号 p. 243-247
    発行日: 2002/10/01
    公開日: 2010/02/09
    ジャーナル フリー
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