栄養学雑誌
Online ISSN : 1883-7921
Print ISSN : 0021-5147
ISSN-L : 0021-5147
65 巻 , 2 号
選択された号の論文の5件中1~5を表示しています
  • 杉山 みち子
    2007 年 65 巻 2 号 p. 55-66
    発行日: 2007/04/01
    公開日: 2010/02/09
    ジャーナル フリー
    介護保険制度施行5年目の改正の一環として, 2005年10月には, 介護保険施設において従来は給付の対象であった食費の自己負担化に伴い, 高齢者の低栄養状態の改善を目的とした栄養ケア・マネジメントが介護報酬として評価された。さらに, 2006年4月には, 介護予防の観点から, 要支援者に対する介護予防サービス及び中重度の要介護者に対する通所系及び訪問系サービスとして, 低栄養状態の改善を目的とした栄養ケア・マネジメントが制度化された。一方, 市町村が実施する地域支援事業特定高齢者施策においても予防重視型システムの一環として, ケアマネジメントと連携した包括的, 連続的な栄養ケア・マネジメント体制が整備された。このような介護保険制度における栄養ケア・マネジメントの導入に対しては, 1996年から4年間にわたって取り組まれた厚生労働省老人保健事業推進等補助金「高齢者の栄養管理サービスに関する研究」及び制度改正のための研究会であった厚生労働省老人保健事業推進等補助金「施設及び居宅高齢者に対する栄養・食事サービスのマネジメントに関する研究」が基盤となった。一方, 介護保険制度における栄養ケア・マネジメントの制度化にあたって, 管理栄養士としての業務活動の理念を初めて明確に掲げ, アウトカム評価に基づいた継続的な品質改善活動 (CQI) が導入された意義は大きい。管理栄養士は, 栄養ケア・マネジメントの理念のもとに, 高齢者の尊厳のある自己実現に向けて, 栄養ケア・マネジメントの根拠に基づいたCQI活動を推進していかなければならない。
  • 杉浦 令子, 坂本 元子, 村由 光範
    2007 年 65 巻 2 号 p. 67-73
    発行日: 2007/04/01
    公開日: 2010/02/09
    ジャーナル フリー
    A risk of life-style related diseases has recently been found in the younger generation. This study identifies the risk factors of life-style related diseases during the last 19 years in young children who have been living in the suburbs of Tokyo. The subjects were 5, 001 children aged 4 to 6 years who attended nursery schools in this city during the period 1984 to 2002. The indicators observed were weight and height, blood pressure, serum biochemical measurements and food intake. Obesity and a high level of serum total cholesterol (TC) were used as risk factors for lifestyle related diseases. The prevalence of obesity varied according to the year by±5-15%, while the prevalence of a high level of TC tended to increase. To assess the relationship between the primary factors for obesity, a principal component analysis was performed in respect of the food intake of meat and fish, while a similar analysis was performed on the primary factors for a high level of TC in respect of the food intake of vegetables and fruit. The results indicate that an excessive intake of saturated fatty acids and cholesterol and lack of antioxidative materials in foods would influence the prevalence of a high level of TC even in young children. It will be important to provide early care and support for children through nutritional education to prevent obesity and a high level of TC.
  • 遠藤 千鶴, 西堀 尚良, 後藤 月江, 光崎 龍子, 光崎 研一
    2007 年 65 巻 2 号 p. 75-79
    発行日: 2007/04/01
    公開日: 2010/02/09
    ジャーナル フリー
    This cooperative support activity was for improving children's nutritional intake in Zambia, and we have already reported on the inadequacy of nutrients in their dietary intake. We estimate in this present experiment the intake and content of polyamine from the dietary survey results.
    The results show that beans contained a large amount of spermine, and that small fish contained a large amount of putrescine. In terms of the intake of polyamines contained in food, 8-9-year-old children took in the most spermine contained in solweji beans, while 12-year-old children took in the most putrescine contained in kapenta.
    Dietary guidance should provide an increased Polyamine intake through an enhanced protein intake from such foods as solweji beans, soy beans, and kapenta.
  • 梅垣 敬三, 鍛冶木 いつ子
    2007 年 65 巻 2 号 p. 81-83
    発行日: 2007/04/01
    公開日: 2010/02/09
    ジャーナル フリー
    Few edible wild plants have their nutritional composition listed in Standard Tables of Food Composition in Japan (fifth revised and enlarged edition). Shi-o-de (Smilax riparia A. DC. var. ussuriensis (Regal) Hara et T. Koyama) is an edible wild plant distributed in various parts of Japan, and its composition is not clear, although it is generally assumed to be similar to that of raw shoots of asparagus, because the shape and taste are similar between the two. The nutritional composition of raw Shi-o-de was analyzed in this study, and the obtained data were compared with the reference data for raw asparagus and royal fern which are listed in the Standard Tables. It was verified that the composition of the three is similar. Although the food composition is influenced by various factors such as the harvest time and place of collection, the data for Shi-o-de found in this study will be helpful for calculating the nutritional value.
  • 佐藤 俊哉
    2007 年 65 巻 2 号 p. 85-89
    発行日: 2007/04/01
    公開日: 2010/02/09
    ジャーナル フリー
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