{"id":1626,"date":"2013-09-06T11:18:37","date_gmt":"2013-09-06T02:18:37","guid":{"rendered":"https:\/\/www.taiyou-clinic.jp\/blog\/?p=1626"},"modified":"2013-09-06T11:18:37","modified_gmt":"2013-09-06T02:18:37","slug":"%e3%83%93%e3%82%bf%e3%83%9f%e3%83%b3d%e3%81%ab%e3%82%88%e3%82%8b%e3%82%bf%e3%83%b3%e3%83%91%e3%82%af%e5%b0%bf%e3%81%ae%e6%94%b9%e5%96%84%ef%bc%a0%e6%85%a2%e6%80%a7%e8%85%8e%e8%87%93%e7%97%85","status":"publish","type":"post","link":"https:\/\/www.taiyou-clinic.jp\/blog\/archives\/1626","title":{"rendered":"\u30d3\u30bf\u30df\u30f3D\u306b\u3088\u308b\u30bf\u30f3\u30d1\u30af\u5c3f\u306e\u6539\u5584\uff20\u6162\u6027\u814e\u81d3\u75c5"},"content":{"rendered":"

\u30d3\u30bf\u30df\u30f3\uff24\u304c\u6162\u6027\u814e\u4e0d\u5168\u306e\u86cb\u767d\u5c3f\u3092\u6539\u5584\u3059\u308b\u306a\u3093\u3066\uff01\uff01<\/p>\n

\u4fe1\u3058\u3089\u308c\u306a\u3044\u30c7\u30fc\u30bf\u3067\u3042\u308b\u3002\u4e00\u822c\u306b\u8133\u7d30\u80de\u3068\u5fc3\u7b4b\u7d30\u80de\u3001\u305d\u3057\u3066\u814e\u81d3\u306e\u7d30\u80de\u306f\u518d\u751f\u4e0d\u53ef\u80fd\u3068\u3044\u308f\u308c\u3066\u3044\u308b\u3002<\/p>\n

\u4eca\u3067\u306f\uff29\uff30\uff33\u7d30\u80de\u3092\u5229\u7528\u3057\u3066\u518d\u751f\u3059\u308b\u3068\u3044\u3046\u6cbb\u7642\u6cd5\u304c\u5b9f\u9a13\u3055\u308c\u3066\u306f\u3044\u308b\u304c\u3001\u306a\u304b\u306a\u304b\u3053\u308c\u306f\u5b9f\u73fe\u306b\u306f\u9060\u3044\u3002<\/p>\n

\u305d\u306e\u4e00\u65b9\u3067\u30d3\u30bf\u30df\u30f3\uff24\u3067\u3082\u3057\u7d30\u80de\u6a5f\u80fd\u304c\u6539\u5584\u3059\u308b\u3068\u3057\u305f\u3089\u5927\u767a\u898b\u3060\u308d\u3046\u3002<\/p>\n

 <\/p>\n

\u540c\u3058\u3088\u3046\u306b\u7cbe\u795e\u7642\u6cd5\u3067\u814e\u4e0d\u5168\u304b\u3089\u7acb\u3061\u76f4\u308b\u4eba\u306e\u4f8b\u3082\u5728\u308b\u3088\u3046\u3060\u3002\u6bce\u65e5\u7791\u60f3\u3092\u884c\u3044\u3001\u7cbe\u795e\u306e\u6301\u3061\u65b9\u3092\u5909\u3048\u3066\u3086\u304f\u8a13\u7df4\u3067\u5c3f\u91cf\u304c1000\uff4d\uff4c\u8fd1\u304f\u306b\u5897\u3048\u3066\u304d\u305f\u75c7\u4f8b\u3092\u77e5\u3063\u3066\u3044\u308b\u3002<\/p>\n

 <\/p>\n

\u4eba\u9593\u306b\u306f\u81ea\u5df1\u6cbb\u7652\u529b\u304c\u3042\u308a\u3001\u305d\u306e\u5148\u306b\u306f\u81ea\u7136\u6cbb\u7652\u529b\u304c\u3042\u308b\u3053\u3068\u3092\u601d\u3044\u77e5\u3089\u3055\u308c\u308b\u767a\u8868\u3060\u3002<\/p>\n

\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a<\/p>\n

http:\/\/www.dhcblog.com\/kamohara\/<\/p>\n

\u814e\u81d3\u75c5\u5b66\u306e\u5c02\u9580\u30b8\u30e3\u30fc\u30ca\u30eb(\u96fb\u5b50\u7248)\u306b\u3001\u6162\u6027\u814e\u81d3\u75c5\u60a3\u8005\u306b\u304a\u3044\u3066\u3001\u30d3\u30bf\u30df\u30f3D\u6295\u4e0e\u306b\u3088\u308b\u30bf\u30f3\u30d1\u30af\u5c3f(\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f)\u306e\u6e1b\u5c11(\u6539\u5584)\u4f5c\u7528\u3092\u793a\u3057\u305f\u81e8\u5e8a\u7814\u7a76\u304c\u3001\u30b9\u30da\u30a4\u30f3\u306e\u30b0\u30eb\u30fc\u30d7\u304b\u3089\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002
\n(Nephrol Dial Transplant. <\/i>2013 Aug 24.)<\/p>\n

\u8fd1\u5e74\u306e\u7814\u7a76\u306b\u3088\u3063\u3066\u3001\u30d3\u30bf\u30df\u30f3D\u53d7\u5bb9\u4f53\u306e\u6d3b\u6027\u5316\u3092\u4ecb\u3057\u305f\u30b7\u30b0\u30ca\u30eb\u306b\u3088\u308b\u30bf\u30f3\u30d1\u30af\u5c3f\u6539\u5584\u52b9\u679c\u304c\u793a\u5506\u3055\u308c\u3066\u3044\u307e\u3059\u3002
\n\u305d\u3053\u3067\u3001\u4eca\u56de\u306e\u7814\u7a76\u3067\u306f\u3001\u6162\u6027\u814e\u81d3\u75c5\u60a3\u8005\u306b\u304a\u3051\u308b\u30d3\u30bf\u30df\u30f3D\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u6295\u4e0e\u306e\u30bf\u30f3\u30d1\u30af\u5c3f\u3078\u306e\u5f71\u97ff\u304c\u8abf\u3079\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n

\u5177\u4f53\u7684\u306b\u306f\u30016\u30f6\u6708\u9593\u306e\u524d\u5411\u304d\u5bfe\u7167\u7814\u7a76\u3068\u3057\u3066\u3001\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f\u3092\u5448\u3059\u308b\u6162\u6027\u814e\u81d3\u75c5(CKD)\u60a3\u8005101\u540d\u3092\u5bfe\u8c61\u3068\u3057\u3001(\u88ab\u9a13\u8005\u3067\u306f\u3001\u4eba\u5de5\u900f\u6790\u306f\u5c0e\u5165\u3055\u308c\u3066\u3044\u307e\u305b\u3093)
\n\u88ab\u9a13\u8005\u306e\u3046\u3061\u3001\u8840\u4e2d\u30d3\u30bf\u30df\u30f3D\u4f4e\u5024(25(OH)D\u4f4e\u5024)\u304a\u3088\u3073\u526f\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3(PTH)\u304c\u9ad8\u5024\u3092\u793a\u3059\u60a3\u800550\u540d(49\uff05)\u306b\u5bfe\u3057\u3066\u30011\u65e5\u3042\u305f\u308a666 IU\u306e\u30d3\u30bf\u30df\u30f3D3(\u30b3\u30ec\u30ab\u30eb\u30b7\u30d5\u30a7\u30ed\u30fc\u30eb)\u304c\u6295\u4e0e\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n

\u526f\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3\u9ad8\u5024\u3067\u306f\u306a\u3044\u88ab\u9a13\u800551\u540d(51\uff05)\u306b\u5bfe\u3057\u3066\u306f\u3001\u8840\u4e2d\u30d3\u30bf\u30df\u30f3D\u5024\u306b\u306f\u304b\u304b\u308f\u3089\u305a\u3001\u30d3\u30bf\u30df\u30f3D3\u306f\u6295\u4e0e\u3055\u308c\u305a\u3001\u5bfe\u7167\u7fa4\u3068\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n

\u89e3\u6790\u306e\u7d50\u679c\u3001\u307e\u305a\u3001\u30d3\u30bf\u30df\u30f3D3\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8(\u30b3\u30ec\u30ab\u30eb\u30b7\u30d5\u30a7\u30ed\u30fc\u30eb)\u6295\u4e0e\u306b\u3088\u3063\u3066\u3001\u8840\u4e2d\u30d3\u30bf\u30df\u30f3D\u5024\u306f\u3001\u6709\u610f\u306b\u5897\u52a0\u3057\u307e\u3057\u305f(53.0 \u00b1 41.6% (P < 0.001))\u3002<\/p>\n

\u6b21\u306b\u3001\u5c3f\u4e2d\u30a2\u30eb\u30d6\u30df\u30f3\/\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u6bd4(uACR)\u306f\u3001\u30d3\u30bf\u30df\u30f3D3\u6295\u4e0e\u7fa4\u306b\u304a\u3044\u3066\u3001\u6295\u4e0e\u524d\u306e284 (189-425)mg\/g\u304b\u3089\u30016\u30f6\u6708\u5f8c\u306b 167 mg\/g (105-266)\u3078\u3068\u6709\u610f\u306b\u6e1b\u5c11(\u6539\u5584)\u3057\u307e\u3057\u305f(P < 0.001)\u3002<\/p>\n

\u3053\u306e\u3068\u304d\u3001\u5bfe\u7167\u7fa4\u306b\u306f\u6709\u610f\u306a\u5909\u5316\u306f\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002
\n\u5c3f\u4e2d\u30a2\u30eb\u30d6\u30df\u30f3\/\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u6bd4(uACR)\u306e\u6e1b\u5c11(\u6539\u5584)\u306b\u3064\u3044\u3066\u3001\u540c\u69d8\u306e\u5f71\u97ff\u3092\u4e0e\u3048\u3046\u308b\u4ed6\u306e\u8981\u56e0(\u4f53\u91cd\u3084\u8840\u5727\u3001\u964d\u5727\u5264\u306e\u6295\u4e0e\u306a\u3069)\u306e\u5909\u5316\u306f\u8a8d\u3081\u3089\u308c\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n

\u5e74\u9f62\u3001\u6027\u5225\u3001BMI\u3001\u7cf8\u7403\u4f53\u6ffe\u904e\u7387\u3001\u8840\u5727\u3001\u30bf\u30f3\u30d1\u30af\u5c3f\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u3068\u3044\u3063\u305f\u4ea4\u7d61\u56e0\u5b50\u3067\u88dc\u6b63\u5f8c\u3001\u30d3\u30bf\u30df\u30f3D\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u306e6\u30f6\u6708\u6295\u4e0e\u7fa4\u3067\u306f\u3001
\n\u8840\u4e2d\u30d3\u30bf\u30df\u30f3D(25(OH)D)\u5024\u3068\u3001uACR\u3068\u306e\u6709\u610f\u306a\u8ca0\u306e\u76f8\u95a2\u304c\u898b\u51fa\u3055\u308c\u3066\u3044\u307e\u3059\u3002(P = 0.036)<\/p>\n

\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u6295\u4e0e\u7fa4\u3067\u306f\u3001\u526f\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3\u5024\u304c\u6709\u610f\u306b\u6e1b\u5c11\u3057\u3001(-13.8 \u00b1 20.3%, P = 0.039)
\n\u30ea\u30f3\u9178\u5869\u3084\u30ab\u30eb\u30b7\u30a6\u30e0\u30ea\u30f3\u7a4d\u306f\u3001\u305d\u308c\u305e\u308c\u6709\u610f\u306b\u5897\u52a0\u3057\u307e\u3057\u305f\u3002[7.0 \u00b1 14.7% (P = 0.002), 7.2 \u00b1 15.2% (P = 0.003)]<\/p>\n

\u4ee5\u4e0a\u306e\u30c7\u30fc\u30bf\u304b\u3089\u3001\u6162\u6027\u814e\u81d3\u75c5\u60a3\u8005\u5bfe\u3059\u308b\u30d3\u30bf\u30df\u30f3D\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u6295\u4e0e\u306b\u3088\u3063\u3066\u3001
\n\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f\u306e\u6e1b\u5c11\u3084\u526f\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3\u306e\u4f4e\u4e0b\u4f5c\u7528\u304c\u793a\u5506\u3055\u308c\u3001<\/p>\n

\u6162\u6027\u814e\u81d3\u75c5\u306e\u75c5\u614b\u9032\u5c55\u3092\u6291\u5236\u3059\u308b\u52b9\u679c\u304c\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n

\u4eca\u5f8c\u3001\u3055\u3089\u306b\u691c\u8a3c\u304c\u671f\u5f85\u3055\u308c\u308b\u5206\u91ce\u3067\u3059\u3002<\/p>\n

DHC\u3067\u306f\u3001\u30d3\u30bf\u30df\u30f3D3\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8<\/a>\u3092\u88fd\u54c1\u5316\u3057\u3066\u3044\u307e\u3059\u3002
\n\u30d3\u30bf\u30df\u30f3D\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u306b\u5bfe\u3059\u308b\u52b9\u679c\u306b\u306f\u500b\u4eba\u5dee\u304c\u3042\u308a\u307e\u3059\u304c\u3001
\n\u81e8\u5e8a\u7684\u306b\u306f\u3001\u30d3\u30bf\u30df\u30f3D\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u30921,000 IU\/\u65e5\u306e\u7528\u91cf\u3067\u6295\u4e0e\u3059\u308b\u3068\u3001\u8840\u4e2d25\u30d2\u30c9\u30ed\u30ad\u30b7\u30d3\u30bf\u30df\u30f3D\u5024\u304c10ng\/mL\u5897\u52a0\u3059\u308b\u3001\u3068\u3044\u3046\u5831\u544a\u3082\u3042\u308a\u307e\u3059\u3002
\n\u30de\u30eb\u30c1\u30d3\u30bf\u30df\u30f3\u306e\u30d3\u30bf\u30df\u30f3D\u306fRDA\u306e\u305f\u3081\u306e\u8a2d\u5b9a\u3067\u3059\u306e\u3067\u3001\u5225\u9014\u3001\u30d3\u30bf\u30df\u30f3D\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u306e\u5229\u7528\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

\u30d3\u30bf\u30df\u30f3\uff24\u304c\u6162\u6027\u814e\u4e0d\u5168\u306e\u86cb\u767d\u5c3f\u3092\u6539\u5584\u3059\u308b\u306a\u3093\u3066\uff01\uff01 \u4fe1\u3058\u3089\u308c\u306a\u3044\u30c7\u30fc\u30bf\u3067\u3042\u308b\u3002\u4e00\u822c\u306b\u8133\u7d30\u80de\u3068\u5fc3\u7b4b\u7d30\u80de\u3001\u305d\u3057\u3066\u814e\u81d3\u306e\u7d30\u80de\u306f\u518d\u751f\u4e0d\u53ef\u80fd\u3068\u3044\u308f\u308c\u3066\u3044\u308b\u3002 \u4eca\u3067\u306f\uff29\uff30\uff33\u7d30\u80de\u3092\u5229\u7528\u3057\u3066\u518d\u751f\u3059\u308b\u3068\u3044\u3046\u6cbb\u7642\u6cd5\u304c\u5b9f\u9a13\u3055\u308c\u3066\u306f\u3044\u308b\u304c\u3001\u306a\u304b […]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[4],"tags":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.taiyou-clinic.jp\/blog\/wp-json\/wp\/v2\/posts\/1626"}],"collection":[{"href":"https:\/\/www.taiyou-clinic.jp\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.taiyou-clinic.jp\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.taiyou-clinic.jp\/blog\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.taiyou-clinic.jp\/blog\/wp-json\/wp\/v2\/comments?post=1626"}],"version-history":[{"count":0,"href":"https:\/\/www.taiyou-clinic.jp\/blog\/wp-json\/wp\/v2\/posts\/1626\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.taiyou-clinic.jp\/blog\/wp-json\/wp\/v2\/media?parent=1626"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.taiyou-clinic.jp\/blog\/wp-json\/wp\/v2\/categories?post=1626"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.taiyou-clinic.jp\/blog\/wp-json\/wp\/v2\/tags?post=1626"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}