{"created":"2025-03-26T05:23:52.362009+00:00","id":2000369,"links":{},"metadata":{"_buckets":{"deposit":"0b26c9d0-a7ed-4552-ad5c-f23cb6dbac89"},"_deposit":{"created_by":4,"id":"2000369","owner":"4","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"2000369"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:02000369","sets":["1:11"]},"author_link":[],"control_number":"2000369","item_3_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"特集：CKD・透析患者の栄養指導方法と実践　1. 腎疾患患者の栄養指導とは?","subitem_alternative_title_language":"ja"}]},"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-11-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"12","bibliographicPageEnd":"1333","bibliographicPageStart":"1324","bibliographicVolumeNumber":"37","bibliographic_titles":[{"bibliographic_title":"臨牀透析","bibliographic_titleLang":"ja"},{"bibliographic_title":"The Japanese Journal of Clinical Dialysis","bibliographic_titleLang":"en"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"現在，CKD患者の目標摂取量は腎機能に基づいて設定されている．しかし，CKD患者は高齢化によって病態が複雑化（=multi-morbidity）しており，標準的な食事制限がむしろ生命予後に悪影響を及ぼす可能性が指摘されている．とくにサルコペニア・フレイルを合併した場合は，推算GFRの年間低下速度や蛋白尿の程度を評価したうえ，末期腎不全の進行リスクが低い患者群はたんぱく質摂取量の緩和を検討する．高カリウム血症についても，一律にカリウム摂取を制限せず，カリウムを上昇させる食事以外の要因を確認する必要がある．カリウムを多く含む野菜や果物はアルカリ食のため，腎保護的に作用する可能性がある．さらに，水溶性ミネラルや食物繊維を豊富に含む．透析患者においても，食事摂取量が全体的に少ないため，カリウム摂取制限や減塩は一律に指導せず，体重の変化，筋力，身体機能などの全体像（phenotype）を把握し，個別に対応することが求められる．","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本メディカルセンター","subitem_publisher_language":"ja"}]},"item_3_relation_27":{"attribute_name":"医中誌論文ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2022102816","subitem_relation_type_select":"ICHUSHI"}}]},"item_3_relation_28":{"attribute_name":"出版社DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.19020/CD.0000001943","subitem_relation_type_select":"DOI"}}]},"item_3_rights_7":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"(C) 2021 日本メディカルセンター","subitem_rights_language":"ja"},{"subitem_rights":"著者: 加藤明彦 / 論文名: 「腎疾患患者の栄養指導とは? 保存期・透析期CKD患者における⾷事・栄養療法の問題点」 / 臨牀透析 Vol.37 No.12, pp.1324-1333 (pp.12-21) 掲載の論文を日本メディカルセンターの許可を得て電子化","subitem_rights_language":"ja"}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0910-5808","subitem_source_identifier_type":"PISSN"}]},"item_3_source_id_20":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"2433-247X","subitem_source_identifier_type":"EISSN"}]},"item_3_source_id_23":{"attribute_name":"NII書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AN10042809","subitem_source_identifier_type":"NCID"}]},"item_3_version_type_32":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"0000000089376696","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"https://isni.org/isni/0000000089376696"}],"affiliationNames":[{"affiliationName":"浜松医科大学","affiliationNameLang":"ja"},{"affiliationName":"ハママツイカダイガク","affiliationNameLang":"ja-Kana"},{"affiliationName":"Hamamatsu University School of Medicine","affiliationNameLang":"en"}]}],"creatorNames":[{"creatorName":"加藤, 明彦","creatorNameLang":"ja","creatorNameType":"Personal"},{"creatorName":"カトウ, アキヒコ","creatorNameLang":"ja-Kana","creatorNameType":"Personal"},{"creatorName":"Kato, Akihiko","creatorNameLang":"en","creatorNameType":"Personal"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2025-03-26"}],"displaytype":"detail","filename":"臨牀透析37-1324.pdf","filesize":[{"value":"9.1 MB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/2000369/files/臨牀透析37-1324.pdf"},"version_id":"5313a6eb-b1c7-4ca9-8f45-0665964a3263"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"サルコペニア","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"食事摂取不足","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"カリウム摂取","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"食事パターン","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"植物性たんぱく質","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"sarcopenia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"insufficient dietary intake","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"potassium intake","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"dietary pattern","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"plant-derived protein","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"(2) 保存期・透析期CKD患者における食事・栄養療法の問題点","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"(2) 保存期・透析期CKD患者における食事・栄養療法の問題点","subitem_title_language":"ja"},{"subitem_title":"Assignment and support for dietary and nutritional therapy in pre-dialysis and dialysis CKD patients","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["11"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2025-04-15"},"publish_date":"2025-04-15","publish_status":"0","recid":"2000369","relation_version_is_last":true,"title":["(2) 保存期・透析期CKD患者における食事・栄養療法の問題点"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2025-04-22T00:49:54.012513+00:00"}