The role of nutrition intervention for increasing body weight in college girls with BMI less than 18. Yukiko Miyake
BMI18 1
BMI18 1950 2 1/10 2007 1 14 NY DSMIV WHO ICD101992 2
17 20 BMI18.5 22.6 21 21 2010 15 2001 4) 2007 4 BMI 18 172 42 2 1 5)6)7)8)9) 10 3
6 12 7 (4 5 ) 56 157.2 52.78.2kgBMI 21.2 BMI18.5 242 14.4 BMI18 1674 BMI18 172 101 94 93.1 30 11 30 10 20 15 30 BMI BMI BMI 17.71.1 4
5 90 90 70 80 30 10 20 11 12 35 65 40 13 1 10 60 2005 40 30 14
6 60 15 EAT-26Eating Attitudes Test 26 50 16 [ ] 11)12) 1
[ ] 57.7 11.147.4 17 1 1 18 1 1920 3 1 21 [ ] [2005 ] 1829 13) 1 2050 2300kcal 50g 20 30 50 70 17g 10.5g BMIBody Mass Index 14) 27 7
18 1 BMI 30 6 37 7 3 39 20 52 BMI 2 22 4 8
23 2 3 4 24 Akselrod 1981 15 HF LF LF LF LF LF HF LF /HF 5 25 26 6 7 BMI 18 9
BMI 17.71.1 60 30 22 23 24 LF/HF LF/HF 26 21 LF/HF HPA CRH 10
BMI BMI GnRH 16 BMI NPY Y AgRH HPA TSH CRH HPA 11
10 12 BMI BMI 17 BMI 12
13
1) Becker AE, Grinspoon SK, Klibanski A, Herzog DB,. Eating disorder. New England Journal of Medicine. 340:1092-1098(1999) 2 17 http://www.mhlw.go.jp/2007 3 21 http://www.kenkounippon21.gr.jp/ ) Position of the American dietetic association: Nutrition intervention in the treatment of anorexia nervosa, bulmina nervosa, and eating disorders not otherwise specified(ednos). J. Amer. Dietetic Association. 101:810-819(2001) 5 46 5 388-3942006 6) No.1179-85(2004) 7) VOL.18No.196-1042000 8 VOL.18 No.1 105-1142000 9 2005 10) 1999 11) 2005 12) no.21 2004 13) [2005 ] 2007 14) 2005 15) Akselrod S, Gordon D, Ubel FA, et al. Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control. Science.213:220-222. (1981). 16) Chan JL, Heist K, Depaoli AM, et al. The role of falling leptin levels in the neuroendocrine and metabolic adaptation to short-term starvation in healthy men. 14
Journal of Clinical Investigation. 111:1409-1421.(2003) 17) Belmarker,RH and Agam G. Major depressive disorder. New England Journal of Medicine. 358:55-68. (2008) 15
eating disorder ; ED anorexia nervosa ; AN bulimia nervosa ; BN AN BN AN BN AN 1972 Feighner BN 1979 Russell DSM- 1994 WHO ICD-10 1992 AN 1979 1990 BN 5 AN DSM- 1994 A. 85 16
85 B. C. D. AN-R AN-BP WHO ICD-101992 17
15 BMI17.5 Garner Garfinkel1981 18
comorbidity DSM- ICD-10 DSM- restricting type ;AN-R binge-eatingpurging type ; AN-BP BN DSM- 1994 A. 1 B. C. D. E. 19
BN-P BN-NP WHO ICD-101992 DSM- BN 20
AN AN AN DSM- AN BN DSN- BN AN DSM- purging type ; BN-P non-purging type ; BN-NP AN BN DSM- eating disorder not otherwise specified ; ED-NOS ICD-10 atypical anorexia nervosa atypical bulimia nervosa eating disorder not otherwise specified ; ED-NOSDSM- 1994 1. 2. 3. 21
4. 5. 6. atypical anorexia nervosa atypical bulimia nervosaicd-101992 atypical anorexia nervosa atypical bulimia nervosa AN BN 22
23
24
25
1) 2005 2) 2005 3) no.21 2004 26
. 1. 2. 3. cm kg 4. 5. 6. 7. 8. 0 1 2 3 4 5 6 7 8 9 10 9. 10. 11. 27
12. 13. 14. kg 15. kg 16. 17. 18. 19. 20. 1 5 10 20 21. 28
22. 23. 5kg 610kg1115kg1620kg2125kg2630kg30kg 24. 25. 34 1 1 26. 27. 28. 29
29. 1 2 3 4 5 30. 31. 46 23 32. 46 23 33. 46 23 34. 35. 5 1020 3040 5060 1 36. 37. 38. 30
39. 40. 41. 42. 43. 31
44. 32
33
1. cm kgbmi 2. 3. mmhg 4. 5. 0 1 2 3 4 5 6 7 8 9 10 6. 7. 8. 9. 10. 11. 12. 34
35
36
37
38
* * * * BMI 39
16 BMI 18 0 1 2 3 4 5 6 7 8 9 10 40
BMI 41
10 42
11 12 13 43
14 15 44
16 45
17 21 17 46
18 47
48 19
0 1 2 3 4 5 6 7 8 9 10 20 49
21 50
* 22 * * 23 51
* * 24 52
25 LF/HF 53
* * 26LF/HF 54