原著 小児がん経験者における日常生活の実際と踵骨の 骨梁面積率に関連する要因の検討 Life style of childhood cancer survivors and factors related to heel bone mass Kaz

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1 原著 小児がん経験者における日常生活の実際と踵骨の 骨梁面積率に関連する要因の検討 Life style of childhood cancer survivors and factors related to heel bone mass Kazue Endo Junko Ogawa Nobue Nakamura Tomoko Omata Naho Sato National College of Nursing - - Umezono, Kiyose-shi, Tokyo, -, Japan School of Nursing, Shukutoku University School of Nursing, Chiba University Faculty Humans Studies, Musashino University Abstract The purpose of this study is to investigate daily life of childhood cancer survivors and to analyze factors related to heel bone mass: dietary habit, lifestyle, concern about health, and past treatment. We analyzed childhood cancer survivors males and females. The average age was. range= - years. More than half of the subjects were highly concerned with their own life style and health, paying attention to dietary habit, and performing physical activities or regular sports in their daily life. The average heel bone mass standard deviation was... The numbers of subjects in the following designated bone mass groups were % in high,. % in normal,. % in slightly low, and. % in low groups, respectively. No significant relationships were found between bone mass and the following variables: the age of the first hospitalization with cancer, types of treatment, dietary habit, and life style. Positive and significant correlations were found between bone mass and weight r=., p=., and between bone mass and body mass index BMI r=., p=.. The study findings showed that the relevant factors affecting heel bone mass were body weight and BMI. Keywords childhood cancer survivor bone mass life style dietary habit Ⅰ. 緒言 Taskinen et al. O'Rourke et al. QOL ADL J Nurs Studies NCNJ Vol. No.

2 X DXA DXA a DXA Ⅱ. 研究目的 Ⅲ. 用語の定義 Ⅳ. 研究方法 1. 対象者 2. 調査期間 3. 調査方法 4. 調査内容 BMI body mass index Benus Cronbach α Cronbachα. Cronbachα. 5. 分析方法 Benus SD

3 SD SD SD SD. SD SD. SD SPSS Ver.. t Pearson p<. 6. 倫理的配慮 Ⅴ. 結果 1. 対象者の概要... BMI.. kg/m BMI. kg/m.. kg/m. kg/m Gy 生活習慣の実際と踵骨の骨梁面積率との関連.... J Nurs Studies NCNJ Vol. No.

4 図 1 毎日の食生活で気をつけていること ( 複数回答 ) 図 2 食生活以外の日常生活で気をつけていること ( 複数 回答 ) 表 1 健康や日常生活に対する関心の比較

5 3. 生活習慣 食習慣 健康への関心の状況と踵骨の骨梁面積率との関連 表 2 踵骨の骨梁面積率と測定値 調査項目との相関 p.. BMI Pearson 4. 踵骨の骨梁面積率と各測定値との関連 BMI BMI.p=..p=... Ⅵ. 考察 1. 小児がん経験者の食生活と日常生活について 2. 小児がん経験者の生活習慣 食習慣 健康への関心 表 3 治療内容による踵骨の骨梁面積率の比較 J Nurs Studies NCNJ Vol. No.

6 3. 小児がん経験者における踵骨の骨梁面積率の現状と骨梁面積率に関連がみられた要因について Miyoshi DXA Sala Sala g/m Taskinen et al. O'Rourke et al. Miyoshi BMI b BMI 4. 小児がん経験者の骨の健康維持および向上に必要な支援への示唆

7 Ness et al. c 5. 研究の限界と今後の課題 Ⅶ. 結論 BMI 文献 - QOL a - b - c - QOL - - Miyoshi, Y., Ohta, H., Hashii, Y., Tokimasa, S., Namba, N., & Mushiake, S.. Endocrinological analysis of Japanese childhood cancer survivors in a single hospital. Endocrine Journal,, -. Suppl Ness, K. K., Mertens, A. C., Hudson, M. M., Wall, M. M., Leisenring, W. M., Oeffinger, K. C., et al.. Limitations on physical performance and daily activities among long-term survivors of childhood cancer. Annals of Internal Medicine, 143, -. O'Rourke, M. E., & Ruble, K.. Addressing Bone Loss J Nurs Studies NCNJ Vol. No.

8 in the Cancer Survivor. Oncology, 23, -. Sala, A., Talsma, D., Webber, C., Posgate, S., Atkinson, S., & Barr, R.. Bone mineral status after treatment of malignant lymphoma in childhood and adolescence. European Journal of Cancer Care, 16, Taskinen, M., Saarinen-Pihkala, U. M., Hovi, L., Vettenranta, K., & Mäkitie, O. Bone health in children and adolescents after allogeneic stem cell transplantation: high prevalence of vertebral compression fractures. Cancer, 110, 要旨 body mass index BMI.p=..p=. BMI

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