{"id":29439,"date":"2025-03-26T08:39:16","date_gmt":"2025-03-25T23:39:16","guid":{"rendered":"https:\/\/promea2014.com\/blog\/?p=29439"},"modified":"2025-03-26T08:39:16","modified_gmt":"2025-03-25T23:39:16","slug":"%e9%ab%98%e3%82%bf%e3%83%b3%e3%83%91%e3%82%af%e8%b3%aa%e6%91%82%e5%8f%96%e3%81%af2%e5%9e%8b%e7%b3%96%e5%b0%bf%e7%97%85%e3%81%ae%e8%85%8e%e6%a9%9f%e8%83%bd%e4%bd%8e%e4%b8%8b%e3%83%aa%e3%82%b9%e3%82%af","status":"publish","type":"post","link":"https:\/\/promea2014.com\/blog\/?p=29439","title":{"rendered":"\u9ad8\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u306f2\u578b\u7cd6\u5c3f\u75c5\u306e\u814e\u6a5f\u80fd\u4f4e\u4e0b\u30ea\u30b9\u30af\u3092\u6e1b\u5c11\u3055\u305b\u308b"},"content":{"rendered":"

\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf\u304c\u591a\u3044\u3068\u814e\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3059\u308b\u3068\u4fe1\u3058\u3066\u3044\u308b\u4eba\u304c\u3044\u307e\u3059\u3002\u7cd6\u5c3f\u75c5\u306f\u6162\u6027\u814e\u81d3\u75c5\u3067\u900f\u6790\u3068\u306a\u308b\u539f\u56e0\u3068\u3057\u3066\u6700\u3082\u591a\u3044\u306e\u3067\u3001\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u304c\u7cd6\u5c3f\u75c5\u306b\u3068\u3063\u3066\u826f\u3044\u306e\u304b\u60aa\u3044\u306e\u304b\u306f\u975e\u5e38\u306b\u6c17\u306b\u306a\u308b\u3067\u3057\u3087\u3046\u3002\u307e\u305f\u3001\u7cd6\u8cea\u5236\u9650\u3067\u306f\u8102\u8cea\u3060\u3051\u3067\u306a\u304f\u3001\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf\u3082\u591a\u304f\u306a\u308b\u306e\u3067\u3001\u7cd6\u8cea\u5236\u9650\u3092\u884c\u3063\u3066\u3044\u308b\u4eba\u3082\u4e0d\u5b89\u306b\u611f\u3058\u308b\u4eba\u3082\u3044\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n

\u6804\u990a\u306e\u6442\u53d6\u91cf\u306e\u7814\u7a76\u306e\u307b\u3068\u3093\u3069\u306f\u3001\u3044\u3064\u3082\u66f8\u3044\u3066\u3044\u308b\u3088\u3046\u306b\u3001\u98df\u4e8b\u30a2\u30f3\u30b1\u30fc\u30c8\u3092\u7528\u3044\u305f\u8cea\u306e\u975e\u5e38\u306b\u4f4e\u3044\u30c7\u30fc\u30bf\u306b\u3088\u3063\u3066\u8a55\u4fa1\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u4eca\u56de\u306e\u7814\u7a76\u3067\u306f\u3001\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf\u3092\u98df\u4e8b\u30a2\u30f3\u30b1\u30fc\u30c8\u3067\u306f\u306a\u304f\u300124\u6642\u9593\u306e\u5c3f\u4e2d\u5c3f\u7d20\u6392\u6cc4\u91cf\u304b\u3089\u30de\u30ed\u30cb\u306e\u5f0f\u3068\u3044\u3046\u3082\u306e\u3092\u4f7f\u3063\u3066\u8a08\u7b97\u3057\u3066\u3044\u307e\u3059\u3002\u81ea\u5df1\u7533\u544a\u306e\u8a18\u61b6\u306b\u983c\u308b\u98df\u4e8b\u30a2\u30f3\u30b1\u30fc\u30c8\u3088\u308a\u306f\u304b\u306a\u308a\u672c\u5f53\u306e\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf\u306b\u8fd1\u3044\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n

DIALECT\u7814\u7a76\u3068\u3044\u3046\u7814\u7a76\u306b\u53c2\u52a0\u3057\u305f18\u6b73\u4ee5\u4e0a\u306e2\u578b\u7cd6\u5c3f\u75c5382\u4eba\uff08\u5e73\u5747\u5e74\u9f6263\u6b73\uff09\u304c\u5bfe\u8c61\u3067\u3059\u3002\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306f\u3001\u814e\u4ee3\u66ff\u7642\u6cd5\u306e\u5fc5\u8981\u6027\u307e\u305f\u306f\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u306e50%\u4ee5\u4e0a\u306e\u6301\u7d9a\u7684\u306a\u5897\u52a0\u3068\u5b9a\u7fa9\u3055\u308c\u307e\u3057\u305f\u3002\u8ffd\u8de1\u671f\u9593\u306e\u4e2d\u592e\u5024\u306f6\u5e74\u3067\u3059\u3002\u305d\u306e\u9593\u306b\u300153\u4eba\u306e\u60a3\u8005\u3067\u814e\u6a5f\u80fd\u4f4e\u4e0b\u304c\u8a8d\u3081\u3089\u308c\u307e\u3057\u305f\u3002\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf\u306e\u5e73\u5747\u306f91g\/\u65e5\uff081.22 \u00b1 0.33 g\/kg \u7406\u60f3\u4f53\u91cd\/\u65e5\uff09\u3067\u3057\u305f\u3002\uff08\u56f3\u306f\u539f\u6587\u3088\u308a\u3001\u8868\u306f\u539f\u6587\u3088\u308a\u6539\u5909\uff09<\/p>\n

\"\"<\/a><\/p>\n

\u4e0a\u306e\u56f3\u306eA\u306f\u98df\u4e8b\u6027\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf (g\/\u65e5) \u3068\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306e\u30ea\u30b9\u30af\u3068\u306e\u95a2\u9023\u3067\u3059\u3002\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf\u306f\u814e\u6a5f\u80fd\u4f4e\u4e0b\u3068\u9006\u76f8\u95a2\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u3064\u307e\u308a\u3001\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf\u304c\u5897\u52a0\u3059\u308b\u307b\u3069\u3001\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306e\u30ea\u30b9\u30af\u306f\u6e1b\u5c11\u3059\u308b\u306e\u3067\u3059\u3002\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf\u304c92g\/\u65e5\u672a\u6e80\u306e\u60a3\u8005\u306f\u814e\u6a5f\u80fd\u4f4e\u4e0b\u30ea\u30b9\u30af\u304c1.44\u500d\u306b\u306a\u308a\u3001163g\/\u65e5\u3092\u8d85\u3048\u308b\u60a3\u8005\u306f\u814e\u6a5f\u80fd\u4f4e\u4e0b\u30ea\u30b9\u30af\u306f0.42\u500d\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n

B\u306e\u56f3\u306f\u4f4e\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u3068\u9ad8\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u306e\u30ea\u30b9\u30af\u306e\u5dee\u306e\u5927\u304d\u3055\u306e\u81e8\u5e8a\u7684\u89e3\u91c8\u3092\u5bb9\u6613\u306b\u3059\u308b\u305f\u3081\u306b\u3001\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf\u304c75 g\/\u65e5\u306e\u4eee\u60f3\u60a3\u8005\u3068180 g\/\u65e5\u306e\u4eee\u60f3\u60a3\u80052\u540d\u306b\u3064\u3044\u3066\u3001\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306e\u4e88\u60f3\u3055\u308c\u308b\u7d2f\u7a4d\u767a\u751f\u7387\u3092\u30b0\u30e9\u30d5\u3067\u793a\u3057\u305f\u3082\u306e\u3067\u3059\u3002\u30bf\u30f3\u30d1\u30af\u5c3f\u304c150mg\/24\u6642\u9593\u4ee5\u4e0a\u3067\u3001eGFR\u306e\u4e2d\u592e\u5024\u304c84 mL\/\u5206\/1.73 m 2\u306e65\u6b73\u306e\u7537\u6027\u3092\u60f3\u5b9a\u3057\u3066\u3044\u307e\u3059\u3002\u5727\u5012\u7684\u306b75g\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u306e\u65b9\u304c\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306e\u767a\u751f\u7387\u304c\u9ad8\u304f\u306a\u3063\u3066\u3044\u308b\u306e\u304c\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n

\"\"<\/a><\/p>\n

\u4e0a\u306e\u56f3\u306f\u4f53\u91cd1kg\u3042\u305f\u308a\u306e\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf\u3068\u814e\u6a5f\u80fd\u4f4e\u4e0b\u30ea\u30b9\u30af\u306e\u95a2\u9023\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf\u304c1.08g\/kg\/\u65e5\u672a\u6e80\u306e\u60a3\u8005\u3067\u306f\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306e\u30ea\u30b9\u30af\u304c1.63\u500d\u9ad8\u307e\u308a\u307e\u3057\u305f\u3002<\/p>\n

\u30a2\u30f3\u30b8\u30aa\u30c6\u30f3\u30b7\u30f3\u5909\u63db\u9175\u7d20\u963b\u5bb3\u85ac\uff08ACE\u963b\u5bb3\u85ac\uff09\u3068\u30a2\u30f3\u30b8\u30aa\u30c6\u30f3\u30b7\u30f3\u2161\u53d7\u5bb9\u4f53\u62ee\u6297\u85ac\uff08ARB\uff09\u306eRAS\uff08\u30ec\u30cb\u30f3-\u30a2\u30f3\u30b8\u30aa\u30c6\u30f3\u30b7\u30f3-\u30a2\u30eb\u30c9\u30b9\u30c6\u30ed\u30f3\u7cfb\uff09\u963b\u5bb3\u85ac\u306f\u814e\u4fdd\u8b77\u4f5c\u7528\u304c\u3042\u308b\u304b\u306e\u3088\u3046\u306b\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u3067RAS\u963b\u5bb3\u85ac\u3092\u4f7f\u7528\u3057\u3066\u3044\u306a\u304b\u3063\u305f\u60a3\u8005\u306b\u304a\u3051\u308b\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u89e3\u6790\u3092\u884c\u3063\u305f\u3068\u3053\u308d\u3001\u540c\u69d8\u306b\u3001\u3053\u308c\u3089\u306e\u60a3\u8005\u306b\u304a\u3044\u3066\u3082\u3001\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf\u306e\u5897\u52a0\u306f\u814e\u6a5f\u80fd\u60aa\u5316\u306e\u30ea\u30b9\u30af\u304c0.47\u500d\u3068\u4f4e\u4e0b\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u3064\u307e\u308a\u3001\u814e\u4fdd\u8b77\u306fRAS\u963b\u5bb3\u85ac\u306e\u4f7f\u7528\u3068\u306f\u7121\u95a2\u4fc2\u306b\u30bf\u30f3\u30d1\u30af\u8cea\u306e\u6442\u53d6\u91cf\u5897\u52a0\u306b\u3088\u3063\u3066\u9054\u6210\u3055\u308c\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u307e\u3059\u3002\uff08\u3053\u3053<\/a>\u53c2\u7167\uff09<\/p>\n

RAS\u963b\u5bb3\u85ac\u3092\u4f7f\u7528\u3057\u3066\u3044\u308b\u60a3\u8005\u3067\u3082\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u89e3\u6790\u3092\u884c\u3063\u305f\u3068\u3053\u308d\u3001\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf\u3068\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306e\u95a2\u9023\u306f\u7d71\u8a08\u7684\u306b\u6709\u610f\u3067\u306f\u306a\u304b\u3063\u305f\u3082\u306e\u306e\u3001RAS \u963b\u5bb3\u85ac\u3092\u4f7f\u7528\u3057\u3066\u3044\u306a\u3044\u60a3\u8005\u3068\u540c\u69d8\u306e\u50be\u5411\u3092\u793a\u3057\u3001\u30ea\u30b9\u30af\u306f0.75\u500d\u3067\u3057\u305f\u3002RAS\u963b\u5bb3\u85ac\u3092\u4f7f\u7528\u3057\u3066\u3044\u306a\u3044\u60a3\u8005\u3088\u308a\u3082\u52b9\u679c\u304c\u4f4e\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u304f\u3089\u3044\u3067\u3059\u3002\u305d\u3046\u3059\u308b\u3068\u3001RAS\u963b\u5bb3\u85ac\u306e\u814e\u4fdd\u8b77\u52b9\u679c\u306f\u672c\u5f53\u306a\u306e\uff1f\u3068\u3044\u3046\u7591\u554f\u3082\u51fa\u3066\u304d\u307e\u3059\u306d\u3002<\/p>\n

 <\/p>\n

\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u306f\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002\u98df\u4e8b\u30a2\u30f3\u30b1\u30fc\u30c8\u306e\u7814\u7a76\u3067\u3082\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf\u306e\u5897\u52a0\u306f\u69d8\u3005\u306a\u814e\u81d3\u3078\u306e\u6709\u76ca\u306a\u52b9\u679c\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002\uff08\u300c\u6162\u6027\u814e\u81d3\u75c5\u306e\u9ad8\u9f62\u8005\u3067\u3082\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u91cf\u304c\u591a\u3044\u307b\u3069\u6b7b\u4ea1\u7387\u306f\u4f4e\u4e0b\u3059\u308b<\/a>\u300d\u300c\u30bf\u30f3\u30d1\u30af\u8cea\u3092\u305f\u304f\u3055\u3093\u6442\u308b\u307b\u3069\u6162\u6027\u814e\u81d3\u75c5\u306e\u30ea\u30b9\u30af\u304c\u4f4e\u4e0b\u3059\u308b<\/a>\u300d\u300c\u7cd6\u8cea\u5236\u9650\u98df\u306f\u9ad8\u30bf\u30f3\u30d1\u30af\u8cea\u3067\u3082\u814e\u81d3\u3078\u306e\u5f71\u97ff\u306f\u306a\u3044<\/a>\u300d\u306a\u3069\u53c2\u7167\uff09<\/p>\n

\u7279\u306b\u7cd6\u5c3f\u75c5\u3067\u3042\u308c\u3070\u3001\u3057\u3063\u304b\u308a\u3068\u7cd6\u8cea\u5236\u9650\u3092\u3057\u3066\u3001\u305f\u3063\u3077\u308a\u3068\u30bf\u30f3\u30d1\u30af\u8cea\u6442\u53d6\u3092\u3057\u305f\u65b9\u304c\u814e\u81d3\u306b\u3082\u826f\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n

\u6162\u6027\u814e\u81d3\u75c5\u306f\u7cd6\u8cea\u904e\u5270\u75c7\u5019\u7fa4\u3067\u3059\u3002<\/p>\n

\u300cHigh-Normal Protein Intake Is Not Associated With Faster Renal Function Deterioration in Patients With Type 2 Diabetes: A Prospective Analysis in the DIALECT Cohort\u300d<\/span><\/p>\n

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