{"id":676,"date":"2012-07-31T21:20:27","date_gmt":"2012-07-31T12:20:27","guid":{"rendered":"http:\/\/fujiitoshiki.com\/improvesociety\/?p=676"},"modified":"2017-04-27T08:38:16","modified_gmt":"2017-04-26T23:38:16","slug":"post-676","status":"publish","type":"post","link":"https:\/\/www.fujiitoshiki.com\/improvesociety\/?p=676","title":{"rendered":"\u5730\u4e2d\u6d77\u5f0f\u6599\u7406\u3068\u865a\u8840\u6027\u8133\u5352\u4e2d\uff0c\u5fc3\u7b4b\u6897\u585e\uff0c\u8840\u7ba1\u6b7b\u3068\u306e\u95a2\u9023\uff1athe Northern Manhattan Study"},"content":{"rendered":"<div class=\"theContentWrap-ccc\"><p>\u3000\u7c73\u56fd\u5185\u3067\u5730\u4e2d\u6d77\u6599\u7406\u3068\u5fc3\u8840\u7ba1\u75be\u60a3\u30fb\u8133\u8840\u7ba1\u75be\u60a3\u306b\u3064\u3044\u3066\u8abf\u67fb\u3057\u305f\u8a66\u9a13\u3067\u3059\uff0e\u75c7\u4f8b\u6570\u304c\u5c11\u306a\u304f\uff0c\u8133\u5352\u4e2d\u3068\u306e\u9593\u306b\u306f\u6709\u610f\u306a\u76f8\u95a2\u306f\u898b\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u304c\uff0c\u7c73\u56fd\u3067\u6700\u521d\u306e\u591a\u6c11\u65cf\u3092\u5bfe\u8c61\u306b\u524d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u8a66\u9a13\u3092\u884c\u3063\u305f\u3068\u3044\u3046\u610f\u7fa9\u304c\u3042\u308a\u307e\u3059\uff0e\u8003\u5bdf\u306e\u6587\u4e2d\u306e\u4e38\u62ec\u5f27\u306f\u53c2\u8003\u6587\u732e\u306e\u756a\u53f7\u3067\u3059\uff0e\u548c\u8a33\u306e\u7455\u75b5\u306e\u8cac\u4efb\u306f\u79c1\u306b\u3042\u308a\u307e\u3059\uff0e<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" border=\"0\" width=\"1\" height=\"1\" src=\"\/\/www11.a8.net\/0.gif?a8mat=2BTZJ1+CHIAIA+2T8G+62MDD\" alt=\"\"><\/p>\n<h1>Mediterranean-style diet and risk of ischemic stroke, myocardial infarction, and vascular death: the Northern Manhattan Study<\/h1>\n<p>Hannah Gardener, Clinton B Wright, Yian Gu, Ryan T Demmer, Bernadette Boden-Albala, Mitchell SV Elkind, Ralph L Sacco, and Nikolaos Scarmeas<\/p>\n<h2>\u8981\u7d04<\/h2>\n<p><strong>\u80cc\u666f<\/strong>\u3000\u5730\u4e2d\u6d77\u6cbf\u5cb8\u3067\u4e00\u822c\u7684\u306b\u307f\u3089\u308c\u308b\u98df\u4e8b\u30d1\u30bf\u30fc\u30f3\u306f\u5168\u3066\u306e\u6b7b\u4ea1\u304a\u3088\u3073\u865a\u8840\u6027\u5fc3\u75be\u60a3\u306e\u30ea\u30b9\u30af\u3092\u6e1b\u5c11\u3055\u305b\u3066\u3044\u308b\u3088\u3046\u306b\u898b\u3048\u308b\uff0e\u5408\u8846\u56fd\u306b\u304a\u3051\u308b\u9ed2\u4eba\u3068\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u7cfb\u3067\u306e\u30c7\u30fc\u30bf\u304c\u6b20\u640d\u3057\u3066\u304a\u308a\uff0c\u79c1\u305f\u3061\u306e\u77e5\u308b\u9650\u308a\u8133\u5352\u4e2d\u306b\u95a2\u9023\u3059\u308b\u5730\u4e2d\u6d77\u5f0f\u6599\u7406\u306e\u552f\u4e00\u306e\u8a66\u9a13\u304c\u884c\u308f\u308c\u305f\u306e\u307f\u3067\u3042\u308b\uff0e<\/p>\n<p><strong>\u5bfe\u8c61<\/strong>\u3000\u672c\u8a66\u9a13\u3067\u306f\u6211\u3005\u306f\u5730\u4e2d\u6d77\u5f0f\u6599\u7406\u3068\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u95a2\u9023\u306b\u3064\u3044\u3066\u8a66\u9a13\u3057\u305f\uff0e<\/p>\n<p><strong>\u30c7\u30b6\u30a4\u30f3<\/strong>\u3000The Northern Manhattan Study \u306f\u4eba\u53e3\u306b\u57fa\u304f\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u3067\uff0c\u8133\u5352\u4e2d\u767a\u751f\u7387\u3068\u5371\u967a\u56e0\u5b50\u3092\u5b9a\u7fa9\u3057\u305f\uff0e\u53c2\u52a0\u8005\u306e\u5e74\u9f62\u306e\u5e73\u5747\u5024\u3068\u6a19\u6e96\u504f\u5dee\u306f 69 \u00b1 10 \u6b73\u3067\u3042\u308a\uff0c64% \u304c\u5973\u6027\u3067\u3042\u308a\uff0c55% \u304c\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u7cfb\uff0c21% \u304c\u767d\u4eba\u3067 24% \u304c\u9ed2\u4eba\u3067\u3042\u3063\u305f\uff0e2568 \u540d\u306e\u53c2\u52a0\u8005\u304b\u3089\u98df\u4e8b\u983b\u5ea6\u306e\u30a2\u30f3\u30b1\u30fc\u30c8\u3092\u884c\u306a\u3063\u3066\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306e\u98df\u4e8b\u3092\u8a55\u4fa1\u3057\u305f\uff0e0-9 \u70b9\u3067\u8868\u73fe\u3059\u308b\u70b9\u6570\u304c\u9ad8\u3044\u307b\u3069\u5730\u4e2d\u6d77\u5f0f\u6599\u7406\u306e\u9075\u5b88\u7387\u304c\u9ad8\u3044\u3053\u3068\u3092\u793a\u3059\uff0e\u5730\u4e2d\u6d77\u5f0f\u6599\u7406\u3068\u865a\u8840\u6027\u8133\u5352\u4e2d\uff0c\u5fc3\u7b4b\u6897\u585e\uff0c\u5fc3\u8840\u7ba1\u6b7b\u3068\u306e\u9593\u306e\u95a2\u9023\u306f\uff0c\u793e\u4f1a\u4eba\u53e3\u7d71\u8a08\u5b66\u7684\u304b\u3064\u5fc3\u8840\u7ba1\u5371\u967a\u56e0\u5b50\u3067\u5236\u5fa1\u3057\u305f Cox \u30e2\u30c7\u30eb\u306b\u3088\u3063\u3066\u8a55\u4fa1\u3057\u305f\uff0e<\/p>\n<p><strong>\u7d50\u679c<\/strong>\u3000\u5730\u4e2d\u6d77\u5f0f\u6599\u7406\u30b9\u30b3\u30a2\u306e\u5206\u5e03\u306f\u4ee5\u4e0b\u306e\u3068\u304a\u308a\u3067\u3042\u308b\uff0e0-2 \u70b9 (14%), 3 \u70b9 (17%), 4 \u70b9 (22%), 5 \u70b9 (22%), 6-9 \u70b9 (25%). \u5e73\u5747\u89b3\u5bdf\u671f\u9593\u306f9\u5e74\u3092\u8d85\u3048\uff0c518 \u4ef6\u306e\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u304c\u767a\u751f\u3057\u305f\uff0e171 \u4ef6\u306e\u865a\u8840\u6027\u8133\u5352\u4e2d\uff0c133 \u4ef6\u306e\u5fc3\u7b4b\u6897\u585e\uff0c314 \u4ef6\u306e\u8840\u7ba1\u6b7b\uff0e\u5730\u4e2d\u6d77\u5f0f\u6599\u7406\u30b9\u30b3\u30a2\u306f\u865a\u8840\u6027\u8133\u5352\u4e2d\uff0c\u5fc3\u7b4b\u6897\u585e\uff0c\u5fc3\u8840\u7ba1\u6b7b\u306e\u8907\u5408\u8ee2\u5e30\u306e\u30ea\u30b9\u30af\u3068\u9006\u76f8\u95a2\u3057\u3066\u3044\u305f (P = 0.02)\uff0e\u4e2d\u7b49\u5ea6\u307e\u305f\u306f\u9ad8\u5ea6\u306e\u5730\u4e2d\u6d77\u5f0f\u6599\u7406\u30b9\u30b3\u30a2\u306f\u308f\u305a\u304b\u306b\u5fc3\u7b4b\u6897\u585e\u306e\u30ea\u30b9\u30af\u6e1b\u5c11\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\uff0e\u865a\u8840\u6027\u8133\u5352\u4e2d\u3068\u306f\u4f55\u306e\u95a2\u9023\u3082\u306a\u304b\u3063\u305f\uff0e<\/p>\n<p><strong>\u8003\u5bdf<\/strong>\u3000\u5730\u4e2d\u6d77\u5f0f\u6599\u7406\u306e\u6d88\u8cbb\u306e\u5927\u304d\u3055\u3068\u5fc3\u8840\u7ba1\u6b7b\u306e\u30ea\u30b9\u30af\u306e\u6e1b\u5c11\u306f\u95a2\u4fc2\u3057\u3066\u3044\u308b\uff0e\u305d\u306e\u7d50\u679c\u306f\u8c4a\u5bcc\u306a\u679c\u5b9f\u985e\uff0c\u91ce\u83dc\u985e\uff0c\u5168\u7c92\u7a40\u7269\uff0c\u9b5a\u985e\uff0c\u30aa\u30ea\u30fc\u30d6\u30aa\u30a4\u30eb\u3092\u7528\u3044\u305f\u6599\u7406\u304c\u5fc3\u8840\u7ba1\u306e\u5065\u5eb7\u306b\u3068\u3063\u3066\u7406\u60f3\u7684\u3067\u3042\u308b\u3053\u3068\u3092\u652f\u6301\u3057\u3066\u3044\u308b\uff0e<\/p>\n<p><a href=\"\/\/www.ajcn.org\/content\/94\/6\/1458.short\" target=\"_blank\">Am J Clin Nutr 2011; 94: 1458-64.<\/a><\/p>\n<h2>\u5c0e\u5165<\/h2>\n<p>\u3000AHA \u306f\u6700\u8fd1\uff0c\u7406\u60f3\u7684\u306a\u5fc3\u8840\u7ba1\u306e\u5065\u5eb7\u3092\u9054\u6210\u3059\u308b\u305f\u3081\u306e\u76ee\u7684\u3092\u5b9a\u7fa9\u3059\u308b\u56fd\u3092\u6319\u3052\u3066\u306e\u30ad\u30e3\u30f3\u30da\u30fc\u30f3\u3092\u958b\u59cb\u3057\u305f\uff0e\u305d\u308c\u306b\u306f\u63a8\u5968\u3055\u308c\u308b\u98df\u4e8b\u3092\u542b\u307f (1), \u5730\u4e2d\u6d77\u6599\u7406\u304c\u5fc3\u8840\u7ba1\u75be\u60a3\u306b\u5bfe\u3057\u3066\u5370\u8c61\u7684\u306a\u52b9\u679c\u3092\u6709\u3059\u308b\u3053\u3068\u3092\u793a\u3059\u79d1\u5b66\u7684\u52e7\u544a (2, 3) \u3092\u767a\u884c\u3057\u305f\uff0e\u5730\u4e2d\u6d77\u6599\u7406\u306f\uff0c\u5730\u4e2d\u6d77\u6cbf\u5cb8\u306e\u4eba\u3005\u306b\u3068\u3063\u3066\u306f\u5178\u578b\u7684\u306a\u98df\u7fd2\u6163\u3067\u3042\u308b\u304c\uff0c\u679c\u5b9f\u985e\uff0c\u91ce\u83dc\u985e\uff0c\u4e00\u4fa1\u4e0d\u98fd\u548c\u8102\u80aa\u9178\uff0c\u9b5a\u985e\uff0c\u5168\u7c92\u7a40\u7269\uff0c\u8c46\u985e\uff0c\u30ca\u30c3\u30c4\u985e\u3092\u6bd4\u8f03\u7684\u591a\u91cf\u306b\u6442\u53d6\u3057\uff0c\u4e2d\u7b49\u5ea6\u306e\u30a2\u30eb\u30b3\u30fc\u30eb\u3092\u6d88\u8cbb\u3057\uff0c\u8089\u3084\u98fd\u548c\u8102\u80aa\u9178\uff0c\u7cbe\u767d\u7a40\u7269\u306f\u307b\u3068\u3093\u3069\u6442\u53d6\u3057\u306a\u3044\uff0e\u6545\u306b\u5730\u4e2d\u6d77\u6599\u7406\u306e\u9806\u5b88\u306f AHA \u306e\u98df\u4e8b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3068\u6574\u5408\u6027\u304c\u3042\u308b\uff0e\u5730\u4e2d\u6d77\u6599\u7406\u306f\u305d\u306e\u591a\u304f\u306e\u5065\u5eb7\u4e0a\u306e\u7406\u7531\u304b\u3089\u5e83\u304f\u516c\u8868\u3055\u308c\u3066\u3044\u308b\uff0e\u591a\u304f\u306e\u8a66\u9a13\u304c\u5730\u4e2d\u6d77\u6599\u7406\u306e\u6d88\u8cbb\u306f\u5168\u3066\u306e\u539f\u56e0\u306e\u6b7b\u4ea1\u7387\u306b\u5bfe\u3059\u308b\u5f37\u3044\u9632\u5fa1\u56e0\u5b50\u3067\u3042\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u308b\uff0e\u5e7e\u3064\u304b\u306e\u764c\uff0c\u865a\u8840\u6027\u5fc3\u75be\u60a3\uff0c\u7cd6\u5c3f\u75c5\uff0c\u9ad8\u8840\u5727\uff0c\u80a5\u6e80\uff0c\u30a2\u30eb\u30c4\u30cf\u30a4\u30de\u30fc\u75c5\uff0c\u8102\u8cea\u7570\u5e38\u75c7 (4-14)\uff0e\u3057\u304b\u3057\u6211\u3005\u306e\u77e5\u308b\u9650\u308a\uff0c\u5730\u4e2d\u6d77\u6599\u7406\u3068\u8133\u5352\u4e2d\u306e\u30ea\u30b9\u30af\u306e\u9593\u306e\u95a2\u4fc2\u3092\u8abf\u3079\u305f\u306e\u306f\u904e\u53bb\u306b1\u3064\u306e\u8a66\u9a13\u304c\u3042\u308b\u3060\u3051\u3060\u3063\u305f\uff0e\u4e3b\u306b\u767d\u4eba\u5973\u6027\u306e\u770b\u8b77\u5e2b\u3092\u5bfe\u8c61\u306b\u3057\u305f\u5927\u898f\u6a21\u30b3\u30db\u30fc\u30c8\u8a66\u9a13\u306b\u304a\u3044\u3066\uff0c\u5730\u4e2d\u6d77\u6599\u7406\u306f\u8133\u5352\u4e2d\u3068\u865a\u8840\u6027\u5fc3\u75be\u60a3\u3068\u306b\u9006\u76f8\u95a2\u3059\u308b\u3068\u3044\u3046\u3082\u306e\u3067\u3042\u308b (15)\uff0e<\/p>\n<p>\u3000\u5408\u8846\u56fd\u306e\u4f4f\u6c11\uff0c\u7279\u306b\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u7cfb\u3068\u9ed2\u4eba\u306b\u304a\u3051\u308b\u5730\u4e2d\u6d77\u6599\u7406\u306e\u5065\u5eb7\u3078\u306e\u5f71\u97ff\u306b\u95a2\u3059\u308b\u30c7\u30fc\u30bf\u306f\u9650\u3089\u308c\u3066\u3044\u308b\uff0e\u9ed2\u4eba\u3068\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u7cfb\u4f4f\u6c11\u306b\u304a\u3044\u3066\u306f\u8840\u7ba1\u75be\u60a3\uff0c\u7279\u306b\u8133\u5352\u4e2d\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u3063\u3066\u3044\u308b\u305f\u3081\u306b (16)\uff0c\u4eba\u7a2e\u304a\u3088\u3073\u6c11\u65cf\u7684\u591a\u69d8\u6027\u3092\u6301\u3064\u7c73\u56fd\u306e\u4eba\u53e3\u306b\u304a\u3044\u3066\u306f\uff0c\u4fee\u98fe\u53ef\u80fd\u306a\u5371\u967a\u56e0\u5b50\u3092\u8a66\u9a13\u3057\u305f\u7814\u7a76\u306f\u91cd\u8981\u3067\u3042\u308b\uff0e\u672c\u8a66\u9a13\u306e\u76ee\u7684\u306f\u5730\u4e2d\u6d77\u6599\u7406\u3068\u865a\u8840\u6027\u8133\u5352\u4e2d\uff0c\u5fc3\u7b4b\u6897\u585e\uff0c\u8840\u7ba1\u6b7b\u3068\u306e\u95a2\u9023\u3092\u4eba\u53e3\u30d9\u30fc\u30b9\u306e\u524d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u3067\u8abf\u67fb\u3059\u308b\u3053\u3068\u3067\u3042\u308a\uff0c\u540c\u4e00\u30b3\u30df\u30e5\u30cb\u30c6\u30a3\u306b\u6e08\u3080\u7537\u6027\u3068\u5973\u6027\uff0c\u9ed2\u4eba\uff0c\u767d\u4eba\u3068\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u7cfb\u4f4f\u6c11\u3092\u542b\u3080\uff0e<\/p>\n<h2>\u5bfe\u8c61\u3068\u65b9\u6cd5<\/h2>\n<h3>\u8abf\u67fb\u5bfe\u8c61\u6bcd\u96c6\u56e3<\/h3>\n<p>\u3000NOMAS \u306f\u591a\u6c11\u65cf\u90fd\u5e02\u4eba\u53e3\u306b\u304a\u3044\u3066\u8133\u5352\u4e2d\u767a\u751f\u7387\uff0c\u5371\u967a\u56e0\u5b50\u3068\u4e88\u5f8c\u3092\u5b9a\u7fa9\u3057\u305f\u524d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u8a66\u9a13\u3067\u3042\u308b\uff0e\u30de\u30f3\u30cf\u30c3\u30bf\u30f3\u5317\u90e8\u306f\u30cb\u30e5\u30fc\u30e8\u30fc\u30af\u5e02\u306e\u4e2d\u3067\u3082\u4eba\u7a2e\u30fb\u6c11\u65cf\u306e\u5206\u5e03\u304c\u7406\u60f3\u7684\u306a\u5730\u57df\u3067\u3042\u308b\uff0e63% \u306e\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u7cfb\uff0c20% \u306e\u975e\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u7cfb\u9ed2\u4eba\uff0c15% \u306e\u975e\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u7cfb\u767d\u4eba\u304c\u4f4f\u3093\u3067\u3044\u308b\uff0e\u8a66\u9a13\u306e\u8a73\u7d30\u306f\u65e2\u306b\u51fa\u7248\u3055\u308c\u3066\u3044\u308b (17)\uff0e<\/p>\n<p>\u3000\u9069\u683c\u306a\u5bfe\u8c61\u3068\u306f 1) \u865a\u8840\u6027\u8133\u5352\u4e2d\u3068\u8a3a\u65ad\u3055\u308c\u305f\u3053\u3068\u304c\u306a\u304f\uff0c2) \u5e74\u9f62\u304c40\u6b73\u3088\u308a\u9ad8\u9f62\u3067\u3042\u308a\uff0c3) \u5317\u90e8\u30de\u30f3\u30cf\u30c3\u30bf\u30f3\u306b3\u30f6\u6708\u4ee5\u4e0a\u5c45\u4f4f\u3057\u3066\u3044\u3066\u96fb\u8a71\u3092\u6301\u3063\u3066\u3044\u308b\u4eba\u3005\u3067\u3042\u308b\uff0e\u5bfe\u8c61\u8005\u306f\u4e71\u6570\u5217\u306b\u3088\u308b\u96fb\u8a71\u3067\u540c\u5b9a\u3057\uff0c\u4e8c\u30f6\u56fd\u8a9e\u3092\u8a71\u3059\u8a13\u7df4\u3055\u308c\u305f\u8abf\u67fb\u54e1\u306b\u3088\u308a\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u3092\u5b9f\u65bd\u3057\u305f\uff0e\u96fb\u8a71\u306e\u5fdc\u7b54\u7387\u306f 91% \u3067\u3042\u3063\u305f\uff0e\u5bfe\u8c61\u8005\u306f\u96fb\u8a71\u3067\u306e\u6a19\u672c\u304b\u3089\uff0c\u5bfe\u9762\u3067\u306e\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u3068\u8a55\u4fa1\u306b\u9032\u3093\u3060\u5f8c\uff0c\u63a1\u7528\u3057\u305f\uff0e\u767b\u9332\u5fdc\u7b54\u7387\u306f 75% \u3067\u3042\u3063\u305f\u304c\uff0c\u5168\u4f53\u3067\u306e\u53c2\u52a0\u7387\u306f 69% \u3067\u3042\u308a\uff0c\u7dcf\u6570\u3067 3298 \u540d\u304c\u63a1\u7528\u3055\u308c\uff0c\u305d\u306e\u3046\u3061\u5b9a\u671f\u7684\u306a\u63a5\u89e6\u7387\u306f\u5e73\u5747\u3067 95% \u3067\u3042\u3063\u305f\uff0e\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u4ee5\u524d\u306b\u5fc3\u7b4b\u6897\u585e\u3092\u6301\u3064\u53c2\u52a0\u8005 (n=237) \u306f\u9664\u5916\u3057\u305f\uff0e\u672c\u8a66\u9a13\u306f\u30b3\u30ed\u30f3\u30d3\u30a2\u5927\u5b66\u3068\u30de\u30a4\u30a2\u30df\u5927\u5b66\u306e\u502b\u7406\u59d4\u54e1\u4f1a\u304c\u627f\u8a8d\u3057\uff0c\u5168\u5bfe\u8c61\u8005\u304b\u3089\u540c\u610f\u3092\u5f97\u305f\uff0e<\/p>\n<h3>\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u8a55\u4fa1<\/h3>\n<p>\u3000\u8a13\u7df4\u3055\u308c\u305f\u4e8c\u30f6\u56fd\u8a9e\u3092\u8a71\u3059\u8abf\u67fb\u54e1\u304c\u82f1\u8a9e\u304b\u30b9\u30da\u30a4\u30f3\u8a9e\u3067\u306e\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u3092\u901a\u3058\u3066\u30c7\u30fc\u30bf\u3092\u53ce\u96c6\u3057\u305f\uff0e\u8eab\u4f53\u6240\u898b\u3068\u795e\u7d4c\u5b66\u7684\u6240\u898b\u306f\u795e\u7d4c\u79d1\u533b\u304c\u5b9f\u65bd\u3057\u305f\uff0e\u4eba\u7a2e\u6c11\u65cf\u306f\uff0c\u7c73\u56fd\u69cb\u6210\u8abf\u67fb\u3092\u30e2\u30c7\u30eb\u306b\u3057\uff0c\u653f\u4ee415\u306b\u3088\u308b\u6a19\u6e96\u7684\u5b9a\u7fa9 (18 Stat Report 1977; 77-110: 450-4) \u306b\u6e96\u62e0\u3057\u305f\u4e00\u9023\u306e\u8cea\u554f\u3092\u901a\u3058\u305f\u81ea\u5df1\u8a8d\u8b58\u306b\u57fa\u3065\u3044\u3066\u3044\u305f\uff0e\u6a19\u6e96\u7684\u8cea\u554f\u306f\uff0c\u9ad8\u8840\u5727\u30fb\u7cd6\u5c3f\u75c5\u30fb\u55ab\u7159\u304a\u3088\u3073\u5fc3\u75be\u60a3\u306b\u95a2\u3059\u308b CDC \u306b\u3088\u308b\u884c\u52d5\u5371\u967a\u56e0\u5b50\u30b5\u30fc\u30d9\u30a4\u30e9\u30f3\u30b9\u30b7\u30b9\u30c6\u30e0\u3067\u63a1\u7528\u3055\u308c\u3066\u3044\u308b (19 JAMA 1999; 281:53-60)\uff0e\u8840\u5727\u306f\u9069\u5207\u306a\u5927\u304d\u3055\u306e\u30ab\u30d5\u3068\u6c34\u9280\u8840\u5727\u8a08\u3067\u6e2c\u5b9a\u3057\u305f\uff0e\u9ad8\u8840\u5727\u306f 140\/90 \u4ee5\u4e0a\uff08\u5ea7\u4f4d\u306b\u30662\u56de\u6e2c\u5b9a\u3057\u305f\u5e73\u5747\u5024\u306b\u57fa\u3065\u304f\uff09\u304b\uff0c\u60a3\u8005\u304c\u9ad8\u8840\u5727\u3068\u81ea\u5df1\u7533\u544a\u3059\u308b\u304b\uff0c\u964d\u5727\u85ac\u3092\u670d\u7528\u3057\u3066\u3044\u308b\u3068\u81ea\u5df1\u7533\u544a\u3057\u305f\u5834\u5408\u3068\u5b9a\u7fa9\u3057\u305f\uff0e\u7cd6\u5c3f\u75c5\u306e\u5b9a\u7fa9\u306f\uff0c\u60a3\u8005\u304c\u7cd6\u5c3f\u75c5\u3068\u81ea\u5df1\u7533\u544a\u3059\u308b\u304b\uff0c\u30a4\u30f3\u30b9\u30ea\u30f3\u304b\u7d4c\u53e3\u8840\u7cd6\u964d\u4e0b\u85ac\u3092\u4f7f\u7528\u3057\u3066\u3044\u308b\u3068\u81ea\u5df1\u7533\u544a\u3057\u305f\u304b\uff0c\u7a7a\u8179\u6642\u8840\u7cd6\u5024 126 mg\/dL \u4ee5\u4e0a\u306e\u5834\u5408\u3068\u3057\u305f\uff0e\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7\u306e\u5b9a\u7fa9\u306f\uff0c\u7dcf\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u5024\u304c 200 mg\/dL \u3088\u308a\u9ad8\u3044\u304b\uff0c\u30b9\u30bf\u30c1\u30f3\u3092\u670d\u7528\u3057\u3066\u3044\u308b\u304b\uff0c\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7\u306e\u65e2\u5f80\u304c\u3042\u308b\u3068\u81ea\u5df1\u7533\u544a\u3057\u305f\u5834\u5408\u3068\u3057\u305f\uff0e\u8eab\u4f53\u6d3b\u52d5\u306e\u5b9a\u7fa9\u306f\uff0c\u5148\u8ff0\u3057\u305f\u3088\u3046\u306b (20)\uff0c\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u524d\u306e2\u9031\u9593\u306714\u306e\u7570\u306a\u308b\u4f59\u6687\u6d3b\u52d5\u306e\u983b\u5ea6\u3068\u671f\u9593\u3068\u3057\u305f\uff0e<\/p>\n<h3>\u98df\u4e8b<\/h3>\n<p>\u3000\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u6642\u306b\u304a\u3044\u3066\uff0c\u8a13\u7df4\u3055\u308c\u305f\u8abf\u67fb\u54e1\u306b\u3088\u3063\u3066\u82f1\u8a9e\u304b\u30b9\u30da\u30a4\u30f3\u8a9e\u3067\uff0c\u53c2\u52a0\u8005\u306f\u30d6\u30ed\u30c3\u30af\u56fd\u7acb\u304c\u3093\u7814\u7a76\u6240\u306e\u5909\u6cd5\u306e\u98df\u54c1\u983b\u5ea6\u30a2\u30f3\u30b1\u30fc\u30c8\u3092\u53d7\u3051\u305f\uff0e\u3053\u306e\u98df\u4e8b\u983b\u5ea6\u30a2\u30f3\u30b1\u30fc\u30c8\u8abf\u67fb\u306f\u524d\u5e74\u306b\u6e21\u308b\u98df\u4e8b\u30d1\u30bf\u30fc\u30f3\u3092\u8a55\u4fa1\u3059\u308b\u3082\u306e\u3067\u3042\u308b\uff0e\u98df\u54c1\u306e\u5fdc\u7b54\u306f\u7279\u5fb4\u7684\u306a\u30b9\u30da\u30a4\u30f3\u6599\u7406\u306e\u9805\u76ee\u3092\u542b\u3093\u3067\u4fee\u98fe\u3055\u308c\u3066\u3044\u305f\uff0e\u6211\u3005\u306f\u4ee5\u524d\u306b\u8ff0\u3079\u305f\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u3092\u69cb\u7bc9\u3059\u308b\u65b9\u6cd5\u3092\u7d99\u7d9a\u3057\u305f (12, 22)\uff0e\u307e\u305a\u30ad\u30ed\u30ab\u30ed\u30ea\u30fc\u306e\u6442\u53d6\u91cf\u3092\u9664\u304d\uff0c\u6b21\u306e\u305d\u308c\u305e\u308c\u306e\u30ab\u30c6\u30b4\u30ea\u30fc\u306b\u5f93\u3063\u3066\u65e5\u3005\u306e\u6442\u53d6\u91cf\u3092\u30b0\u30e9\u30e0\u3067\u6d3e\u751f\u3057\u3066\u6b8b\u308a\u3092\u8a08\u7b97\u3057\u305f\uff0e\u4e73\u985e\uff0c\u8089\u985e\uff0c\u679c\u5b9f\u985e\uff0c\u91ce\u83dc\u985e\uff08\u3044\u3082\u985e\u3092\u9664\u304f\uff09\uff0c\u8c46\u985e\uff0c\u30b7\u30ea\u30a2\u30eb\uff08\u7cbe\u88fd\u307e\u305f\u306f\u5168\u7c92\u7a40\u7269\u3092\u3059\u3079\u3066\u542b\u3080\uff09\uff0c\u9b5a\u985e (22)\uff0e\u5404\u3005\u306f\u305d\u308c\u305e\u308c\u6709\u76ca\u306a\u8981\u7d20\uff08\u679c\u5b9f\u985e\uff0c\u91ce\u83dc\u985e\uff0c\u8c46\u985e\uff0c\u7a40\u7269\uff0c\u9b5a\u985e\uff09\u306e\u4e00\u3064\u306e\u5024\u306b\u5272\u308a\u5f53\u3066\u3089\u308c\u305f\uff0e\u305d\u306e\u6d88\u8cbb\u91cf\u306f\u6027\u5225\u306b\u7279\u7570\u7684\u306b\u4e2d\u592e\u5024\u4e0a\u304b\u305d\u308c\u3088\u308a\u591a\u304b\u3063\u305f\uff0e\u6709\u5bb3\u306a\u8981\u7d20\uff08\u8089\u985e\u3068\u4e73\u88fd\u54c1\u985e\uff09\u306f\u6d88\u8cbb\u91cf\u306e\u4e2d\u592e\u5024\u672a\u6e80\u3067\u3042\u3063\u305f\uff0e\u4e00\u4fa1\u4e0d\u98fd\u548c\u8102\u80aa\u9178\u306e\u98fd\u548c\u8102\u80aa\u9178\u306b\u5bfe\u3059\u308b\u6bd4\u7387\u306f\u4e2d\u592e\u5024\u3088\u308a\u4e0a\u3067\u3042\u3063\u305f\uff0e\u30a2\u30eb\u30b3\u30fc\u30eb\u6d88\u8cbb\u91cf\u306f\u8efd\u5ea6\u53c8\u306f\u4e2d\u7b49\u5ea6\uff08\u524d\u5e74\u5168\u4f53\u3067\uff0c\u9031\u306b0\u65e5\u3088\u308a\u591a\u304f2\u65e5\u4ee5\u4e0b\uff09\u3067\u3042\u3063\u305f (19)\uff0e\u98df\u4e8b\u30b9\u30b3\u30a2\u306f\u98df\u4e8b\u30ab\u30c6\u30b4\u30ea\u30fc\u306e\u70b9\u6570\u3092\u5408\u8a08\u3057\u305f\u3082\u306e\u3067\u3042\u308b(0-9\u70b9)\uff0e\u70b9\u6570\u304c\u9ad8\u3044\u307b\u3069\u5730\u4e2d\u6d77\u6599\u7406\u30d1\u30bf\u30fc\u30f3\u306b\u3088\u308a\u8fd1\u3044\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u308b\uff0e\u30b9\u30b3\u30a2\u306f\u4e94\u5206\u4f4d (0-2, 3, 4, 5, 6-9) \u306e\u9023\u7d9a\u5909\u6570\u3068\u3057\u3066\u89e3\u6790\u3057\u305f\uff0e\u98df\u4e8b\u983b\u5ea6\u30c7\u30fc\u30bf\u306f\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u3092\u8a08\u7b97\u3059\u308b\u306e\u306b\u5341\u5206\u3067\u3042\u308a\uff0cNOMAS \u306e\u53c2\u52a0\u8005\u306e 84% \u306b\u3068\u3063\u3066\u5229\u7528\u53ef\u80fd\u3067\u3042\u3063\u305f\uff0e<\/p>\n<h3>\u524d\u5411\u304d\u89b3\u5bdf<\/h3>\n<p>\u3000\u88ab\u9a13\u8005\u306f\u6bce\u5e74\u96fb\u8a71\u3067\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3055\u308c\u305f\uff0e\u305d\u306e\u76ee\u7684\u306f\u751f\u5b58\u72b6\u6cc1\u306e\u5909\u5316\u3092\u5b9a\u7fa9\u3057\uff0c\u795e\u7d4c\u5b66\u7684\u4e8b\u8c61\u3092\u691c\u51fa\u3057\uff0c\u5165\u9662\u9593\u9694\u3092\u6587\u66f8\u5316\u3057\uff0c\u5371\u967a\u56e0\u5b50\u306e\u72b6\u6cc1\uff0c\u670d\u85ac\u306e\u5909\u5316\uff0c\u8eab\u4f53\u80fd\u529b\u306e\u5909\u5316\u3092\u898b\u76f4\u3059\u3053\u3068\u3067\u3042\u308b\uff0e\u967d\u6027\u3068\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3055\u308c\u305f\u88ab\u9a13\u8005\u306b\u306f\u5bfe\u9762\u306b\u3088\u308b\u8a55\u4fa1\u306e\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u3092\u8a2d\u5b9a\u3057\u305f\uff0e\u305d\u308c\u306b\u306f\u30b0\u30e9\u30d5\u5316\u3057\u305f\u30ec\u30d3\u30e5\u30fc\u3068\u795e\u7d4c\u5185\u79d1\u533b\u306b\u3088\u308b\u691c\u67fb\u304c\u542b\u307e\u308c\u3066\u3044\u305f\uff0e\u5165\u9000\u9662\u60c5\u5831\u306e\u75c5\u9662\u8abf\u67fb\u3092\u7d99\u7d9a\u3057\u3064\u3064\uff0c\u305d\u308c\u306b\u306f\u56fd\u969b\u75be\u75c5\u5206\u985e\u7b2c9\u7248\u304c\u542b\u307e\u308c\u308b\u306e\u3060\u304c\uff0c\u81e8\u5e8a\u8ee2\u5e30\u4e8b\u8c61\u3092\u691c\u51fa\u3059\u308b\u306e\u306b\u30ec\u30d3\u30e5\u30fc\u3057\u305f\uff0e<\/p>\n<h3>\u8ee2\u5e30\u306e\u5b9a\u7fa9<\/h3>\n<p>\u3000\u4e3b\u8981\u306a\u8ee2\u5e30\u306f 1) \u7a81\u767a\u7684\u306a\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\uff08\u7a81\u767a\u7684\u306a\u865a\u8840\u6027\u8133\u5352\u4e2d\u3084\u5fc3\u7b4b\u6897\u585e\u307e\u305f\u306f\u8840\u7ba1\u6b7b\uff09\u540c\u69d8\u306b 2) \u7a81\u767a\u7684\u306a\u865a\u8840\u6027\u8133\u5352\u4e2d\uff0c3) \u7a81\u767a\u7684\u306a\u5fc3\u7b4b\u6897\u585e\uff0c4) \u8840\u7ba1\u6b7b\u3067\u3042\u308b\uff0e\u7d4c\u904e\u89b3\u5bdf\u306e\u63aa\u7f6e\u3068\u8ee2\u5e30\u306e\u5206\u985e\u306f\u4ee5\u524d\u306b\u8a73\u8ff0\u3055\u308c\u305f (23, 24)\uff0e\u5168\u3066\u306e\u5165\u9662\u30ab\u30eb\u30c6\u3092\u898b\u76f4\u3057\uff0c\u7591\u308f\u308c\u308b\u4e8b\u8c61\u3092\u691c\u8a3c\u3057\u305f\uff0e\u8ee2\u5e30\u4e8b\u8c61\u3092\u7279\u5225\u306b\u8a13\u7df4\u3057\u305f\u8abf\u67fb\u54e1\u306b\u3088\u308a\u898b\u76f4\u3057\uff0c\u53ef\u80fd\u306a\u5834\u5408\u306f\u30ab\u30eb\u30c6\u3092\u898b\u76f4\u3057\u305f\uff0891% \u306e\u8133\u5352\u4e2d\uff0c99% \u306e\u5fc3\u7b4b\u6897\u585e\uff09\uff0e2\u540d\u306e\u795e\u7d4c\u5185\u79d1\u533b\u304c\u5225\u3005\u306b\uff0c\u30c7\u30fc\u30bf\u306e\u898b\u76f4\u3057\u5f8c\u306b\u8133\u5352\u4e2d\u3092\u5206\u985e\u3057\uff0cRLS \u304b MSVE \u306e\u4e3b\u4efb\u7814\u7a76\u54e1\u306e\u4e00\u4eba\u304c\u610f\u898b\u306e\u76f8\u9055\u306b\u5224\u5b9a\u3092\u4e0b\u3057\u305f\uff0e<\/p>\n<h3>\u7d71\u8a08\u89e3\u6790<\/h3>\n<p>\u3000\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u30ab\u30c6\u30b4\u30ea\u30fc\u5168\u4f53\u306e\u95a2\u5fc3\u306e\u5171\u5909\u91cf\u5206\u5e03\u306f\uff0c\u30ab\u30c6\u30b4\u30ea\u30fc\u5909\u6570\u3092\u03c7\u4e8c\u4e57\u691c\u5b9a\u3092\u7528\u3044\u3066\u691c\u67fb\u3057\uff0c\u9023\u7d9a\u5909\u6570\u306f ANOVA \u306b\u3066\u691c\u67fb\u3057\u305f\uff0e\u305d\u308c\u305e\u308c\u306e\u8ee2\u5e30\u306e\u6307\u6a19\u3068\u3057\u3066HRs \u306895% \u4fe1\u983c\u533a\u9593\u3092\u63a8\u5b9a\u3059\u308b\u305f\u3081\uff0c\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u304b\u3089\u4e8b\u8c61\u307e\u3067\u306e\u671f\u9593\u3092\u6642\u9593\u4f9d\u5b58\u6027\u306e\u5909\u6570\u3068\u3057\u3066\u7528\u3044\u3066 COX \u6bd4\u4f8b\u30cf\u30b6\u30fc\u30c9\u30e2\u30c7\u30eb\u3092\u69cb\u7bc9\u3057\u305f\uff0e\u8ee2\u5e30\u4e8b\u8c61\u3092\u7d4c\u9a13\u3057\u306a\u304b\u3063\u305f\u53c2\u52a0\u8005\u306f\u7d4c\u904e\u89b3\u5bdf\u306e\u6700\u5f8c\u306b\u6253\u3061\u5207\u3089\u308c\u305f\uff0e\u6211\u3005\u306e\u89e3\u6790\u306e\u30d0\u30a4\u30a2\u30b9\u3092\u691c\u67fb\u3059\u308b\u305f\u3081\uff0c\u6211\u3005\u306f2\u5024\u5909\u6570\u3092\u4f5c\u6210\u3057\u3066\u98df\u4e8b\u30c7\u30fc\u30bf\u306e\u6b20\u843d (n=730) \u3092\u8868\u73fe\u3059\u308b\u3053\u3068\u306b\u3057\u305f\uff0e\u3053\u308c\u3092\u8ee2\u5e30\u306e\u6307\u6a19\u3068\u3057\u3066\u30e2\u30c7\u30eb\u3092\u4f5c\u6210\u3057\u305f\uff0e<\/p>\n<p>\u3000\u6211\u3005\u306f\u5730\u4e2d\u6d77\u6599\u7406\u3068\u8840\u7ba1\u8ee2\u5e30\u306e\u9593\u306e\u95a2\u4fc2\u30922\u3064\u306e\u30e2\u30c7\u30eb\u3067\u8a55\u4fa1\u3057\u305f\uff0e1) \u5e74\u9f62\uff0c\u6027\u5225\uff0c\u4eba\u7a2e\u6c11\u65cf\uff0c\u6559\u80b2\uff0c\u4e2d\u7b49\u5ea6\u53c8\u306f\u91cd\u5ea6\u306e\u8eab\u4f53\u6d3b\u52d5\uff0c\u65e5\u3005\u306e\u7dcf\u30ad\u30ed\u30ab\u30ed\u30ea\u30fc\u6d88\u8cbb\u306e\u5e73\u5747\u5024\uff0c\u55ab\u7159\u72b6\u6cc1\uff08\u5168\u304f\u55ab\u7159\u3057\u306a\u3044\uff0c\u904e\u53bb\u306b\u55ab\u7159\u3057\u3066\u3044\u305f\uff0c\u73fe\u5728\u55ab\u7159\u4e2d\uff09\u3067\u8abf\u6574\u3057\u305f\u3082\u306e\uff0e2) \u4ea4\u7d61\u56e0\u5b50\u306e\u3088\u3046\u306a\u6f5c\u5728\u7684\u30e1\u30c7\u30a3\u30a8\u30fc\u30bf\u30fc\u3067\u8abf\u6574\u3057\u305f\u3082\u306e\u3067\uff0c\u7cd6\u5c3f\u75c5\u3084\u9ad8\u8840\u5727\uff0c\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7\u3084\u81ea\u5df1\u7533\u544a\u306b\u3088\u308b\u5fc3\u81d3\u75c5\u306e\u65e2\u5f80\u306a\u3069\u3068\u3044\u3063\u305f\u30e2\u30c7\u30eb1\u306b\u304a\u3051\u308b\u5171\u5909\u91cf\u3092\u542b\u3080\uff0e\u89e3\u6790\u306e\u88dc\u8db3\u3068\u3057\u3066\uff0c\u6211\u3005\u306f\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u306e\u8981\u7d20\u3092\u8840\u7ba1\u8ee2\u5e30\u306e\u6307\u6a19\u3068\u3057\u3066\u30e2\u30c7\u30eb\u306b\u5165\u529b\u3057\u305f\uff0e500 kcal \u672a\u6e80\u3084 4000 kcal \u3088\u308a\u5927\u304d\u306a\u81ea\u5df1\u7533\u544a\u306f\u98df\u4e8b\u60c5\u5831\u306e\u4e0d\u6b63\u78ba\u306a\u5831\u544a\u3068\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\uff0c\u305d\u308c\u3089\u306e\u53c2\u52a0\u8005\u3092\u9664\u5916\u3057\u3066\u6ce8\u610f\u6df1\u304f\u89e3\u6790\u3092\u5b9f\u65bd\u3057\u305f\uff0e<\/p>\n<h2>\u7d50\u679c<\/h2>\n<p>\u3000NOMAS \u306e\u7dcf\u52e2 2568 \u540d\u306e\u53c2\u52a0\u8005\u304c\u672c\u8a66\u9a13\u306b\u542b\u307e\u308c\u305f\uff08\u5e73\u5747\u5024\u00b1\u6a19\u6e96\u504f\u5dee\u3067\u8868\u8a18\uff1a68.6 \u00b1 10.3 \u6b73\uff1b64% \u304c\u5973\u6027\uff1b55% \u304c\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u7cfb\uff1b24% \u304c\u9ed2\u4eba\uff1b21% \u304c\u767d\u4eba\uff09\uff0e\u4f8b\u306e\u30b9\u30b3\u30a2\u304c\u4f5c\u3089\u308c\u305f NOMAS \u30b3\u30db\u30fc\u30c8\u5168\u4f53\u3067\u306e\u5404\u3005\u306e\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u306e\u8981\u7d20\u306e\u65e5\u3005\u306e\u6d88\u8cbb\u91cf\u306e\u5e73\u5747\u5024\u3092 <strong>Table 1<\/strong> \u306b\u793a\u3059\uff0e\u5171\u5909\u91cf\u306e\u8abf\u6574\u5f8c\u306b\u304a\u3044\u3066\u3055\u3048\uff0c\u98df\u4e8b\u30c7\u30fc\u30bf\u306e\u6709\u7528\u6027\u306f\u8ee2\u5e30\u4e8b\u8c61\u306e\u8457\u660e\u306a\u6307\u6a19\u3068\u306f\u306a\u3089\u306a\u304b\u3063\u305f\uff08\u8907\u5408\u8840\u7ba1\u4e8b\u8c61\u306b\u304a\u3051\u308bHR: 1.12; 95% CI: 0.92, 1.36; P = 0.28\uff09\uff0e\u5e73\u5747\u89b3\u5bdf\u671f\u9593\u306e 9.0 \u00b1 3.5 \u5e74\u9593\u3092\u901a\u3058\u3066\uff0c518 \u4ef6\u306e\u7a81\u767a\u7684\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u304c\u767a\u751f\u3057\uff0c171 \u4ef6\u306e\u865a\u8840\u6027\u8133\u5352\u4e2d\uff0c133 \u4ef6\u306e\u5fc3\u7b4b\u6897\u585e\uff0c314 \u4ef6\u306e\u8840\u7ba1\u6b7b\u304c\u542b\u307e\u308c\u305f\uff0e<\/p>\n<p>\u3000\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u3067\u5c64\u5225\u5316\u3057\u305f\u672c\u8a66\u9a13\u306e\u4eba\u53e3\u7279\u6027\u3092 <strong>Table 2<\/strong> \u306b\u793a\u3059\uff0e\u4ee5\u4e0b\u306e\u7279\u6027\u306b\u306f\u5730\u4e2d\u6d77\u6599\u7406\u30d1\u30bf\u30fc\u30f3\u306e\u6d88\u8cbb\u306e\u5897\u52a0\u3068\u95a2\u9023\u304c\u3042\u3063\u305f\uff0e\u3059\u306a\u308f\u3061\uff0c\u9069\u5ea6\u306e\u30a2\u30eb\u30b3\u30fc\u30eb\u6442\u53d6\uff0c\u7537\u6027\uff0c\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u7cfb\uff0c\u4e2d\u7b49\u5ea6\u304b\u3089\u91cd\u5ea6\u306e\u8eab\u4f53\u6d3b\u52d5\u6027\u3067\u3042\u308b\uff0e<\/p>\n<p>\u3000\u9023\u7d9a\u5909\u6570\u3068\u3057\u3066\u30e2\u30c7\u30eb\u5316\u3055\u308c\uff0c\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u306f\u6b21\u306e\u8907\u5408\u8ee2\u5e30\u306e\u30ea\u30b9\u30af\u3068\u9006\u76f8\u95a2\u3057\u3066\u3044\u305f\uff0e\u3059\u306a\u308f\u3061\uff0c\u865a\u8840\u6027\u8133\u5352\u4e2d\uff0c\u5fc3\u7b4b\u6897\u585e\uff0c\u8eab\u4f53\u6d3b\u52d5\u6027\uff0c\u6442\u53d6\u30ab\u30ed\u30ea\u30fc\uff0c\u55ab\u7159 (<strong>Table 3<\/strong>)\uff0e\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u304c\u4e94\u5206\u4f4d\u6570\u306b\u30ab\u30c6\u30b4\u30ea\u30ab\u30eb\u306b\u30e2\u30c7\u30eb\u5316\u3055\u308c\u305f\u6642\uff0c\u6307\u793a\u5bfe\u8c61\u3068\u3057\u3066\u306e\u6700\u5c0f\u4e94\u5206\u4f4d\u6570\uff080\uff0d2\u70b9\uff09\u306b\u3088\u308b\u3068\uff0c\u50be\u5411\u691c\u5b9a\u306f\u8457\u660e\u306a\u9006\u306e\u6295\u4e0e\u53cd\u5fdc\u95a2\u4fc2\u3092\u793a\u5506\u3057\u305f (<strong>Table 3<\/strong>)\uff0c\u305d\u308c\u305e\u308c\u306e\u4e94\u5206\u4f4d\u6570\u306e\u52b9\u679c\u306e\u63a8\u5b9a\u5024\u3068\u4fe1\u983c\u533a\u9593\u306e\u691c\u67fb\u306f\uff0c\u7b2c3\u4e94\u5206\u4f4d\u6570 (4\u70b9\u4ee5\u4e0a) \u3088\u308a\u4e0a\u3067\u306f\u53ef\u80fd\u306a\u95be\u5024\u52b9\u679c\u3092\u793a\u5506\u3059\u308b\u306b\u3082\u95a2\u308f\u3089\u305a\uff0e\u671f\u5f85\u3055\u308c\u305f\u3088\u3046\u306b\uff0c\u305d\u306e\u50be\u5411\u306f\u6e1b\u8870\u3057\uff0c\u98df\u4e8b\u3068\u8840\u7ba1\u8ee2\u5e30\u306e\u9593\u306e\u5076\u7136\u306e\u7d4c\u8def\u306b\u304a\u3051\u308b\u6f5c\u5728\u7684\u306a\u5a92\u4ecb\u5909\u6570\uff0c\u3064\u307e\u308a\u9ad8\u8840\u5727\uff0c\u7cd6\u5c3f\u75c5\uff0c\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7\u3068\u5fc3\u75be\u60a3\u306e\u65e2\u5f80\u3092\u542b\u3080\u304c\uff0c\u305d\u308c\u3089\u3067\u306e\u8abf\u6574\u5f8c\u306f\uff0c\u5168\u304f\u8457\u660e\u3067\u306f\u306a\u304f\u306a\u3063\u305f\uff0e\u3057\u304b\u3057\u306a\u304c\u3089\uff0c\u7b2c3\u304a\u3088\u3073\u7b2c4\u4e94\u5206\u4f4d\u6570\uff08\u3064\u307e\u308a4\u70b9\u30685\u70b9\uff09\u306b\u304a\u3051\u308b\u500b\u4eba\u306f\uff0c\u6700\u5c0f\u4e94\u5206\u4f4d\u6570\u306e\u53c2\u52a0\u8005\u306b\u6bd4\u3079\u3066\uff0c\u307e\u3060\u8907\u5408\u7684\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u30ea\u30b9\u30af\u304c\u8457\u660e\u306b\u6e1b\u5c11\u3057\u3066\u3044\u305f\uff0e\u30e2\u30c7\u30eb2\u3078\u306e\u5171\u5909\u6570\u3068\u3057\u3066\u52a0\u3048\u3089\u308c\u305f BMI \u306b\u304a\u3051\u308b\u611f\u5ea6\u89e3\u6790\u306b\u304a\u3044\u3066\u306f\uff0c\u7d50\u679c\u7684\u306b\u672c\u8cea\u7684\u306b\u5909\u5316\u3057\u306a\u304b\u3063\u305f\uff08\u30c7\u30fc\u30bf\u306f\u793a\u3057\u3066\u3044\u306a\u3044\uff09\uff0e\u4eba\u7a2e\u6c11\u65cf\u3068\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u3068\u306e\u9593\u306b\u306f\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306b\u95a2\u9023\u3059\u308b\u76f8\u4e92\u4f5c\u7528\u306f\u5168\u304f\u307f\u3089\u308c\u306a\u304b\u3063\u305f\uff0e<\/p>\n<p>\u3000\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u3068\u865a\u8840\u6027\u8133\u5352\u4e2d\u3068\u306e\u9593\u306b\u306f\u4f55\u306e\u6709\u610f\u306a\u95a2\u9023\u3082\u307f\u3089\u308c\u306a\u304b\u3063\u305f (<strong>Table 4<\/strong>)\uff0e\u70b9\u63a8\u5b9a\u5024\u306f\u8907\u5408\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3088\u308a\u5fc3\u7b4b\u6897\u585e\u306b\u304a\u3044\u3066\u3088\u308a\u5f37\u529b\u3067\u3042\u3063\u305f\u306b\u3082\u95a2\u308f\u3089\u305a\uff0c\u793e\u4f1a\u4eba\u53e3\u5b66\u7684\u7279\u6027\uff0c\u8eab\u4f53\u6d3b\u52d5\uff0c\u500b\u4eba\uff0c\u55ab\u7159\u3067\u8abf\u6574\u3057\u305f\u5f8c\u306e\u4e0a\u4f4d3\u3064\u306e\u4e94\u5206\u4f4d\u6570\u306e\u500b\u4eba\u306b\u304a\u3051\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u4fdd\u8b77\u52b9\u679c\u306f\u7b2c1\u4e94\u5206\u4f4d\u6570\u306b\u6bd4\u3079\u3066\u7b2c2\u4e94\u5206\u4f4d\u6570\u306b\u304a\u3044\u3066\u306e\u307f\u6709\u610f\u306b\u30ea\u30b9\u30af\u3092\u6e1b\u5c11\u3055\u305b\u305f\u306e\u307f\u3067\u3042\u3063\u305f (P < 0.10)\uff0e\u70b9\u63a8\u5b9a\u5024\u306f\u6f5c\u5728\u7684\u5a92\u4ecb\u5909\u6570\u3067\u306e\u8abf\u6574\u5f8c\u306b\u308f\u305a\u304b\u306b\u6e1b\u8870\u3057\u305f (<strong>Table 4<\/strong>)\uff0e\u4e2d\u7b49\u91cf\u53c8\u306f\u9ad8\u7528\u91cf\u306e\u5730\u4e2d\u6d77\u6599\u7406\u306e\u6d88\u8cbb\u304c\u5fc3\u7b4b\u6897\u585e\u306e\u30ea\u30b9\u30af\u3092\u6e1b\u5c11\u3055\u305b\u308b\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u3066\u3044\u308b\u306b\u3082\u304b\u304b\u308f\u3089\u305a\uff08\u7b2c\uff11\u4e94\u5206\u4f4d\u6570\u306b\u6bd4\u3079\u3066\u7b2c2\u304b\u3089\u7b2c5\u4e94\u5206\u4f4d\u6570\uff09\uff0c\u3044\u304b\u306a\u308b\u7528\u91cf\u53cd\u5fdc\u95a2\u4fc2\u3082\u8a3c\u660e\u3067\u304d\u306a\u304b\u3063\u305f\uff0e\u307e\u305f\uff0cBMI \u3092\u7b2c2\u30e2\u30c7\u30eb\u306b\u52a0\u3048\u305f\u611f\u5ea6\u5206\u6790\u306b\u304a\u3044\u3066\u3082\uff0c\u7d50\u679c\u306f\u672c\u8cea\u7684\u306b\u5909\u5316\u3057\u306a\u304b\u3063\u305f\uff08\u30c7\u30fc\u30bf\u306f\u793a\u3055\u306a\u3044\uff09\uff0e<\/p>\n<p>\u3000\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u3068\u8840\u7ba1\u6b7b\u3068\u306e\u9593\u306b\u306f\u7528\u91cf\u53cd\u5fdc\u6027\u306b\u9006\u76f8\u95a2\u304c\u307f\u3089\u308c\u305f (<strong>Table 4<\/strong>)\uff0e\u793e\u4f1a\u4eba\u53e3\u5b66\u7684\u7279\u6027\uff0c\u8eab\u4f53\u6d3b\u52d5\uff0c\u500b\u4eba\uff0c\u55ab\u7159\u3067\u8abf\u6574\u3057\u305f\u5f8c\u3067\u306f\uff0c\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u304c1\u70b9\u5897\u52a0\u3059\u308b\u3054\u3068\u306b\u8840\u7ba1\u6b7b\u306e\u30ea\u30b9\u30af\u304c 9% \u6e1b\u5c11\u3057\u305f\uff0e\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u304c\u6700\u9ad8\uff086\uff0d9\u70b9\uff09\u306e\u4e94\u5206\u4f4d\u6570\u306e\u88ab\u9a13\u8005\u3067\u306f\u6700\u4f4e\uff080\uff0d2\u70b9\uff09\u306e\u4e94\u5206\u4f4d\u6570\u306e\u88ab\u9a13\u8005\u306b\u6bd4\u3079\u3066\u8840\u7ba1\u6b7b\u306e\u30ea\u30b9\u30af\u304c 33% \u6e1b\u5c11\u3057\u305f\uff0e\u4e88\u60f3\u901a\u308a\uff0c\u3053\u306e\u95a2\u4fc2\u306f\u7b2c2\u30e2\u30c7\u30eb\u306b\u304a\u3044\u3066\u306f\u50c5\u304b\u306b\u6e1b\u5c11\u3057\u305f (<strong>Table 4<\/strong>)\uff0e\u7b2c2\u30e2\u30c7\u30eb\u306b BMI \u3092\u5171\u5909\u6570\u3068\u3057\u3066\u52a0\u3048\u305f\u6642\uff0c\u52b9\u679c\u63a8\u5b9a\u5024\u306f\u308f\u305a\u304b\u306b\u6e1b\u8870\u3057\u305f\uff0e\u8840\u7ba1\u6b7b\u306e\u30ea\u30b9\u30af\u3068\u306f\u72ec\u7acb\u306b\u76f8\u95a2\u3057\u3066\u3044\u308b\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u306e\u8981\u7d20\u306f\uff0c\u4e2d\u7b49\u5ea6\u306e\u30a2\u30eb\u30b3\u30fc\u30eb\u6d88\u8cbb (P = 0.004)\uff0c\u9b5a\u985e\u306e\u591a\u91cf\u6d88\u8cbb (P = 0.03)\uff0c\u8c46\u985e\u306e\u5927\u91cf\u6d88\u8cbb (P = 0.06) \u3067\u3042\u3063\u305f (<strong>Table 5<\/strong>)\uff0e1\u65e5\u306e\u6d88\u8cbb\u30ab\u30ed\u30ea\u30fc\u304c 500 \u672a\u6e80\u307e\u305f\u306f 4000 \u3088\u308a\u591a\u3044\u3068\u5831\u544a\u3057\u305f 74 \u540d\u306e\u53c2\u52a0\u8005\u3092\u9664\u5916\u3057\u305f\u5f8c\u306e\u611f\u5ea6\u89e3\u6790\u306b\u304a\u3044\u3066\u3082\u7d50\u679c\u306f\u5909\u5316\u3057\u306a\u304b\u3063\u305f\uff08\u30c7\u30fc\u30bf\u306f\u793a\u3057\u3066\u3044\u306a\u3044\uff09\uff0e<\/p>\n<h2>\u8003\u5bdf<\/h2>\n<p>\u3000\u3053\u306e\u591a\u6c11\u65cf\u306e\u4eba\u53e3\u306b\u57fa\u3065\u304f\u524d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u8a66\u9a13\u306b\u304a\u3044\u3066\uff0c\u5730\u4e2d\u6d77\u6cbf\u5cb8\u3067\u89b3\u5bdf\u3055\u308c\u305f\u3082\u306e\u3068\u3088\u308a\u6574\u5408\u6027\u306e\u3042\u308b\u98df\u4e8b\u30d1\u30bf\u30fc\u30f3\u306f\uff0c\u793e\u4f1a\u4eba\u53e3\u5b66\u7684\u304a\u3088\u3073\u8840\u7ba1\u5371\u967a\u56e0\u5b50\u3067\u8abf\u6574\u5f8c\u306e\u865a\u8840\u6027\u8133\u5352\u4e2d\uff0c\u5fc3\u7b4b\u6897\u585e\uff0c\u8840\u7ba1\u6b7b\u306e\u8907\u5408\u8ee2\u5e30\u306b\u5bfe\u3057\u3066\u9632\u5fa1\u7684\u3067\u3042\u308b\u3053\u3068\u3092\u6211\u3005\u306f\u793a\u3057\u305f\uff0e\u8840\u7ba1\u6b7b\u3068\u306e\u95a2\u9023\u306f\u6709\u610f\u3067\u3042\u308a\uff0c\u7528\u91cf\u4f9d\u5b58\u7684\u306b\u898b\u3048\u305f\uff0e\u8840\u7ba1\u6b7b\u3068\u9006\u76f8\u95a2\u3059\u308b\u3088\u3046\u306b\u898b\u3048\u305f\u5730\u4e2d\u6d77\u6599\u7406\u306e\u8981\u7d20\u306f\u30a2\u30eb\u30b3\u30fc\u30eb\u985e\uff0c\u9b5a\u985e\uff0c\u304a\u3088\u3073\u8c46\u985e\u306e\u6d88\u8cbb\u3067\u3042\u3063\u305f\uff0e\u5730\u4e2d\u6d77\u6599\u7406\u3068\u5fc3\u7b4b\u6897\u585e\u3068\u306e\u9593\u306b\u306f\u5168\u304f\u7528\u91cf\u4f9d\u5b58\u6027\u306e\u95a2\u4fc2\u306f\u306a\u304b\u3063\u305f\uff0e\u3057\u304b\u3057\u306a\u304c\u3089\uff0c\u3059\u3079\u3066\u306e\u5171\u5909\u6570\u3067\u8abf\u6574\u5f8c\u306b\u306f\u6709\u610f\u306a\u76f8\u95a2\u304c\u306a\u304b\u3063\u305f\u304c\uff0c\u5730\u4e2d\u6d77\u6599\u7406\u3092\u4e2d\u7b49\u5ea6\u6d88\u8cbb\u3059\u308b\u4eba\u306b\u304a\u3044\u3066\u3055\u3048\uff08\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u4e94\u5206\u4f4d\u3067\u4e0a\u304b\u30894\u756a\u76ee\u306e\u5168\u54e1\uff09\u5fc3\u7b4b\u6897\u585e\u306b\u5bfe\u3059\u308b\u967d\u6027\u306e\u9632\u5fa1\u7684\u95a2\u9023\u304c\u793a\u5506\u3055\u308c\u305f\uff0e\u5fc3\u7b4b\u6897\u585e\u306b\u5bfe\u3059\u308b\u63a8\u5b9a\u5024\u306f\u8840\u7ba1\u6b7b\u3084\u8907\u5408\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u305d\u308c\u3088\u308a\u3082\u5f37\u304b\u3063\u305f\u304c\uff0c133 \u540d\u306e\u5fc3\u7b4b\u6897\u585e\u3092\u8d77\u3053\u3057\u305f\u4eba\u306b\u9650\u3063\u3066\u306f\uff0c\u3053\u306e\u8ee2\u5e30\u306b\u6709\u610f\u306b\u95a2\u9023\u3059\u308b\u691c\u51fa\u529b\u306f\u4f4e\u304b\u3063\u305f\uff0e\u5bfe\u7167\u7684\u306b\uff0c\u5730\u4e2d\u6d77\u6599\u7406\u306f\u865a\u8840\u6027\u8133\u5352\u4e2d\u306e\u30ea\u30b9\u30af\u306b\u306f\u95a2\u9023\u304c\u306a\u304b\u3063\u305f\uff0e<\/p>\n<p>\u3000\u5e7e\u3064\u304b\u306e\u8a66\u9a13\u306b\u304a\u3044\u3066\u5730\u4e2d\u6d77\u6599\u7406\u306e\u6d88\u8cbb\u3068\u5168\u6b7b\u4ea1\u7387\u306e\u6e1b\u5c11\uff0c\u865a\u8840\u6027\u5fc3\u75be\u60a3\u3084\u4e00\u822c\u7684\u306a\u5fc3\u8840\u7ba1\u75be\u60a3\u306b\u3088\u308b\u6b7b\u4ea1\u306e\u6e1b\u5c11\uff0c\u307e\u305f\u30a2\u30eb\u30c4\u30cf\u30a4\u30de\u30fc\u75c5\u306e\u6e1b\u5c11\u3068\u306e\u95a2\u9023\u304c\u793a\u3055\u308c\u3066\u3044\u308b (12-14, 22, 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(32)\uff0e\u8c46\u985e\u3082\u307e\u305f\u03c9-3\u8102\u80aa\u9178\u540c\u69d8\u86cb\u767d\u8cea\uff0c\u98df\u7269\u7e4a\u7dad\uff0c\u8449\u9178\u306b\u5bcc\u307f\uff0c\u8c46\u985e\u3092\u98df\u3079\u308b\u3053\u3068\u306f\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u6fc3\u5ea6\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u308b (33)\uff0e<\/p>\n<p>\u3000\u6211\u3005\u306f\u6b21\u306e\u4eee\u8aac\u3092\u7acb\u3066\u305f\uff0e\u3059\u306a\u308f\u3061\u7cd6\u5c3f\u75c5\uff0c\u9ad8\u8840\u5727\uff0c\u9ad8\u8102\u8840\u75c7\u306f\u5730\u4e2d\u6d77\u6599\u7406\u3068\u8840\u7ba1\u8ee2\u5e30\u3068\u306e\u95a2\u9023\u306e\u6f5c\u5728\u7684\u306a\u4e2d\u9593\u4f53\u3067\u306f\u306a\u3044\u304b\u3068\uff0e\u306a\u305c\u306a\u3089\u3053\u306e\u98df\u4e8b\u30d1\u30bf\u30fc\u30f3\u306f\u3053\u308c\u3089\u306e\u5371\u967a\u56e0\u5b50\u3092\u5909\u3048\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u304b\u3089\u3067\u3042\u308b\uff0e\u5730\u4e2d\u6d77\u6599\u7406\u3092\u6d88\u8cbb\u3059\u308b\u3053\u3068\u306f\u3053\u308c\u3089\u306e\u6761\u4ef6\u306e\u5371\u967a\u306b\u5f71\u97ff\u3059\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u305f\u304c\uff0c\u3053\u308c\u3089\u306e\u3044\u304b\u306a\u308b\u6761\u4ef6\u306e\u8a3a\u65ad\u3082\u500b\u4eba\u306e\u98df\u4e8b\u306b\u5f71\u97ff\u3057\u3046\u308b\uff0e\u6211\u3005\u306e\u98df\u4e8b\u3068\u5371\u967a\u56e0\u5b50\u306b\u304a\u3051\u308b\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u30c7\u30fc\u30bf\u306f\u540c\u6642\u306b\u53ce\u96c6\u3055\u308c\u305f\u305f\u3081\uff0c\u8840\u7ba1\u5371\u967a\u56e0\u5b50\u3068\u6211\u3005\u306e\u53c2\u52a0\u8005\u306e\u98df\u7fd2\u6163\u3068\u306e\u4e00\u6642\u7684\u306a\u95a2\u9023\u306f\u77e5\u3089\u308c\u3066\u304a\u3089\u305a\uff0c\u5730\u4e2d\u6d77\u6599\u7406\u3068\uff0c\u3053\u308c\u3089\u306e\u5371\u967a\u56e0\u5b50\u3092\u542b\u3080\u30e2\u30c7\u30eb\u304b\u3089\u306e\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u30ea\u30b9\u30af\u3068\u306e\u9593\u306b\u95a2\u9023\u304c\u3042\u308b\u3068\u307f\u306a\u3055\u308c\u3066\u3044\u308b\u3068\u614e\u91cd\u306b\u7d50\u8ad6\u4ed8\u3051\u3089\u308c\u308b\u3079\u304d\u3067\u3042\u308b\uff0e\u3057\u304b\u3057\u306a\u304c\u3089\uff0c\u6211\u3005\u306e\u6240\u898b\u306f\u3053\u308c\u3089\u306e\u5371\u967a\u56e0\u5b50\u304c\u8abf\u6574\u3055\u308c\u305f\u6642\uff0c\u5e7e\u3064\u304b\u306e\u95a2\u9023\u304c\u6e1b\u8870\u3057\u3066\u4ef2\u4ecb\u306e\u53ef\u80fd\u6027\u3092\u652f\u6301\u3057\u3066\u3044\u305f\uff0e<\/p>\n<p>\u3000\u5730\u4e2d\u6d77\u6599\u7406\u3068\u4eba\u7a2e\u6c11\u65cf\u3068\u306e\u9593\u3067\u306f\u8840\u7ba1\u8ee2\u5e30\u3068\u306e\u95a2\u9023\u306f\u8a8d\u3081\u306a\u304b\u3063\u305f\uff0e\u304a\u304a\u3088\u305d\uff0cNOMAS \u53c2\u52a0\u8005\u306e\u534a\u6570\u304c\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u7cfb\u3068\u81ea\u5df1\u8a8d\u8b58\u3057\u3066\u304a\u308a\uff0c\u5927\u534a\u304c\u30c9\u30df\u30cb\u30ab\u5171\u548c\u56fd\u304b\u3089\u5408\u8846\u56fd\u3078\u306e\u79fb\u6c11\u3067\u3042\u3063\u305f\uff0e\u5168\u4f53\u3068\u3057\u3066\uff0cNOMAS \u30b3\u30db\u30fc\u30c8\u306e\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306e\u98df\u7fd2\u6163\u306f\uff0c\u4ed6\u306e\u30e8\u30fc\u30ed\u30c3\u30d1\u3084\u30a2\u30e1\u30ea\u30ab\u306e\u30b3\u30db\u30fc\u30c8\u8a66\u9a13\u306b\u304a\u3044\u3066\u7814\u7a76\u3055\u308c\u305f\u5730\u4e2d\u6d77\u5f0f\u30d1\u30bf\u30fc\u30f3\u306e\u305d\u308c\u3068\u6bd4\u8f03\u3057\u3066\u3082\uff0c\u5730\u4e2d\u6d77\u5f0f\u30d1\u30bf\u30fc\u30f3\u4ee5\u4e0a\u306e\u4e00\u8cab\u6027\u306f\u306a\u3044 (15, 34, 35)\uff0e\u7279\u306b\uff0c\u679c\u5b9f\u985e\uff0c\u91ce\u83dc\u985e\uff0c\u9b5a\u985e\uff0c\u7a40\u985e\u306e\u6d88\u8cbb\u306f\u4ed6\u306e\u30b3\u30db\u30fc\u30c8\u3068\u6bd4\u8f03\u3057\u3066\u6211\u3005\u306e\u30b3\u30db\u30fc\u30c8\u3067\u306f\u5c11\u306a\u304b\u3063\u305f\uff0e\u305d\u308c\u6545\uff0cNOMAS \u30b3\u30db\u30fc\u30c8\u306e\u98df\u4e8b\u30d1\u30bf\u30fc\u30f3\u306f\u6b63\u78ba\u306a\u5730\u4e2d\u6d77\u6599\u7406\uff08\u3059\u306a\u308f\u3061\uff0c\u5730\u4e2d\u6d77\u6cbf\u5cb8\u5730\u57df\u306b\u4f4f\u3080\u4eba\u53e3\u306e\u98df\u4e8b\u30d1\u30bf\u30fc\u30f3\uff09\u3092\u53cd\u6620\u3057\u3066\u3044\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\uff0e\u4f8b\u3048\u3070\uff0c\u4e00\u4fa1\u4e0d\u98fd\u548c\u8102\u80aa\u9178\u306e\u6d88\u8cbb\u306f\uff0c\u5927\u90e8\u5206\u304c\u30aa\u30ea\u30fc\u30d6\u30aa\u30a4\u30eb\u306b\u7531\u6765\u3059\u308b\u306e\u3060\u304c\uff0c\u6211\u3005\u306e\u4eba\u53e3\u306b\u304a\u3044\u3066\u306f\u5730\u4e2d\u6d77\u6cbf\u5cb8\u306e\u4eba\u53e3\u306b\u6bd4\u8f03\u3057\u3066\u304b\u306a\u308a\u4f4e\u3044\uff0e\u3053\u306e\u6587\u8108\u306b\u304a\u3044\u3066\uff0c\u6211\u3005\u306e\u8a66\u9a13\u306e\u7d50\u679c\u306f\uff0c\u500b\u4eba\u304c\u5730\u4e2d\u6d77\u6599\u7406\u3092\u63a7\u3048\u3081\u306b\u9075\u5b88\u3059\u308b\u3053\u3068\u3055\u3048\uff08\u305d\u306e\u98df\u7fd2\u6163\u304c\u672c\u6765\u306e\u5730\u4e2d\u6d77\u6599\u7406\u3068\u304b\u3051\u96e2\u308c\u305f\u98df\u7fd2\u6163\u306e\u88ab\u9a13\u8005\u3068\u6bd4\u8f03\u3059\u308c\u3070\uff09\u8840\u7ba1\u8ee2\u5e30\u306b\u5bfe\u3057\u3066\u9632\u5fa1\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\uff0e\u3057\u304b\u3057\u306a\u304c\u3089\uff0c\u6211\u3005\u306e\u6240\u898b\u306f\u6b21\u306e\u70b9\u3082\u793a\u5506\u3057\u3066\u3044\u308b\uff0e\u3059\u306a\u308f\u3061 NOMAS \u30b3\u30db\u30fc\u30c8\u306b\u304a\u3044\u3066\u6d88\u8cbb\u3055\u308c\u305f\u5730\u4e2d\u6d77\u6599\u7406\u306e\u7528\u91cf\u306f\u6700\u4e0a\u4f4d\u306e\u4e94\u5206\u4f4d\u306b\u304a\u3044\u3066\u3055\u3048\u6709\u610f\u306b\u9ad8\u3044\u3068\u306f\u3044\u3048\u306a\u3044\u304b\u3082\u77e5\u308c\u305a\uff0c\u307e\u305f\u9632\u5fa1\u5b8c\u5168\u306b\u8abf\u6574\u3057\u305f\u30e2\u30c7\u30eb\u306b\u304a\u3051\u308b\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3068\u306e\u5f37\u529b\u306a\u95a2\u9023\u3092\u691c\u51fa\u3057\u3066\u3044\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\uff0e\u7279\u306b\u6709\u9650\u306e\u6570\u306e\u30a4\u30d9\u30f3\u30c8\u7279\u7570\u7684\u306a\u30a8\u30f3\u30c9\u30dd\u30a4\u30f3\u30c8\u306b\u5171\u5f79\u3057\u305f\u969b\u306b\u306f\uff0e<\/p>\n<p>\u3000\u6c11\u65cf\u7684\u306b\u591a\u69d8\u306a\u4eba\u53e3\u3067\u3042\u308b\u3053\u3068\u306b\u52a0\u3048\u3066\uff0c\u8a66\u9a13\u306e\u5f37\u5ea6\u306f\u9ad8\u3044\u8ffd\u8de1\u7387\u3092\u6709\u3057\uff0c\u4ed6\u306e\u78ba\u7acb\u3055\u308c\u305f\u8840\u7ba1\u75be\u60a3\u306e\u5371\u967a\u56e0\u5b50\u306b\u304a\u3051\u308b\u5305\u62ec\u7684\u30c7\u30fc\u30bf\u3092\u6709\u3057\u3066\u3044\u305f\uff0e\u3057\u304b\u3057\u306a\u304c\u3089\uff0c\u6211\u3005\u306e\u8a66\u9a13\u306b\u306f\u5e7e\u3064\u304b\u306e\u9650\u754c\u304c\u3042\u3063\u305f\uff0e\u7b2c\u4e00\u306b\uff0c\u6211\u3005\u306e\u4eba\u53e3\u3067\u767a\u751f\u3057\u305f\u865a\u8840\u6027\u8133\u5352\u4e2d\u4e8b\u6545\u306e\u6570\u3068\u5fc3\u7b4b\u6897\u585e\u306e\u6570\u304c\u76f8\u5bfe\u7684\u306b\u5c0f\u3055\u304b\u3063\u305f\u305f\u3081\uff0c\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u3068\u306e\u6709\u610f\u76f8\u95a2\u306e\u691c\u51fa\u529b\u3092\u5236\u9650\u3057\u305f\uff0e\u6211\u3005\u306f\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u3067\u306e\u98df\u4e8b\u983b\u5ea6\u3092\u8a08\u6e2c\u3057\u305f\u306b\u904e\u304e\u305a\uff0c\u6545\u306b\u53c2\u52a0\u8005\u306f\uff0c\u8a08\u6e2c\u3055\u308c\u305f\u8ee2\u5e30\u304c\u767a\u751f\u3059\u308b\u524d\u306b\u98df\u4e8b\u3092\u5909\u66f4\u3057\u305f\u304b\u3082\u3057\u308c\u306a\u3044\uff0e\u3057\u304b\u3057\uff0c\u98df\u4e8b\u30d1\u30bf\u30fc\u30f3\u306f\u4ed6\u306e\u4eba\u53e3\u30d9\u30fc\u30b9\u306e\u8a66\u9a13\u306b\u304a\u3044\u3066\u306f\u5b89\u5b9a\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u5224\u660e\u3057\u3066\u3044\u308b (13)\uff0e\u52a0\u3048\u3066\uff0c\u5730\u4e2d\u6d77\u6599\u7406\u30b9\u30b3\u30a2\u3092\u8a08\u7b97\u3059\u308b\u305f\u3081\u306b\u6709\u52b9\u304b\u3064\u4fe1\u983c\u51fa\u6765\u308b\u98df\u4e8b\u983b\u5ea6\u30a2\u30f3\u30b1\u30fc\u30c8 (21, 36, 37) \u3092\u4f7f\u7528\u3057\u3066\u3044\u308b\u306b\u3082\u304b\u304b\u308f\u3089\u305a\uff0c\u98df\u7fd2\u6163\u306e\u7121\u4f5c\u70ba\u306a\u8aa4\u5224\u5225\u3068 recall bias 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class=\"screen-reader-text\">&#8220;\u5730\u4e2d\u6d77\u5f0f\u6599\u7406\u3068\u865a\u8840\u6027\u8133\u5352\u4e2d\uff0c\u5fc3\u7b4b\u6897\u585e\uff0c\u8840\u7ba1\u6b7b\u3068\u306e\u95a2\u9023\uff1athe Northern Manhattan Study&#8221; 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