{"id":1444,"date":"2017-11-21T11:46:45","date_gmt":"2017-11-21T02:46:45","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1444"},"modified":"2017-11-21T11:46:45","modified_gmt":"2017-11-21T02:46:45","slug":"comparison-of-early-versus-late-orthostatic-hypotension-assessment-times-in-middle-age-adults","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1444","title":{"rendered":"Comparison of Early versus Late Orthostatic Hypotension Assessment Times in Middle-Age Adults"},"content":{"rendered":"

\uff0d\u6587\u732e\u540d\uff0d
\nJAMA Intern Med. 2017 September 01; 177(9): 1316\u20131323. doi:10.1001\/jamainternmed.2017.2937<\/p>\n

\uff0d\u8981\u7d04\uff0d
\nIntroduction\uff1a
\n\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u81e5\u4f4d\u304b\u3089\u7acb\u4f4d\u306b\u306a\u3063\u305f3\u5206\u5f8c\u306b\u8d77\u7acb\u6027\u4f4e\u8840\u5727\u3092\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u52e7\u3081\u3089\u308c\u3066\u3044\u308b\u3002\u7acb\u4f4d3\u5206\u5f8c\u306b\u8840\u5727\u3092\u6e2c\u5b9a\u3057\u305f\u6642\u3068\u7acb\u4f4d\u76f4\u5f8c\u306b\u6e2c\u5b9a\u3057\u305f\u6642\u3068\u3067\u3001\u3069\u3061\u3089\u304c\u3088\u308a\u5f37\u304f\u6709\u5bb3\u4e8b\u8c61\u3092\u4e88\u6e2c\u3059\u308b\u304b\u306f\u308f\u304b\u3063\u3066\u3044\u306a\u3044\u3002<\/p>\n

Objectives\uff1a
\n\u7acb\u4f4d\u76f4\u5f8c\u3068\u305d\u308c\u3088\u308a\u5f8c\u306b\u8a55\u4fa1\u3057\u305f\u8d77\u7acb\u6027\u4f4e\u8840\u5727\u3092\u6bd4\u8f03\u3057\u3001\u305d\u308c\u305e\u308c\u3068\u3081\u307e\u3044\u3084\u6709\u5bb3\u4e8b\u8c61\u3068\u306e\u95a2\u9023\u6027\u3092\u8abf\u3079\u308b<\/p>\n

Design\u3001setting\u3001and Participants\uff1a
\nAtherosclerosis Risk in Communities Study(1987-1989)\u306b\u53c2\u52a0\u3057\u3066\u3044\u305f44\u6b73\u301c66\u6b73\u306e\u4e2d\u5e74\u6210\u4eba<\/p>\n

Exposure\uff1a
\n\u8d77\u7acb\u6027\u4f4e\u8840\u5727\u306f\u53ce\u7e2e\u671f\u8840\u572720mmHg\u4ee5\u4e0a\u304b\u3001\u3042\u308b\u3044\u306f\u62e1\u5f35\u671f\u8840\u572710\u4ee5\u4e0a\u306e\u4f4e\u4e0b\u3068\u5b9a\u7fa9\u3002\u7acb\u4f4d\u76f4\u5f8c\u304b\u308925\u79d2\u304a\u304d\u306b\u5408\u8a085\u56de\u8840\u5727\u3092\u6e2c\u5b9a\u3002<\/p>\n

Main Outcomes and Measures\uff1a
\n5\u56de\u306e\u8840\u5727\u6e2c\u5b9a\u305d\u308c\u305e\u308c\u3068\u3001\u7acb\u4f4d\u3067\u306e\u3081\u307e\u3044\u306e\u65e2\u5f80\u3001\u8ee2\u5012\u3001\u9aa8\u6298\u3001\u5931\u795e\u3001\u81ea\u52d5\u8eca\u4e8b\u6545\u3001\u5168\u6b7b\u56e0\u6b7b\u4ea1\u3068\u306e\u95a2\u9023\u6027\u3092\u8abf\u3079\u305f\u3002
\n\u8ffd\u8de1\u671f\u9593\u306f\u4e2d\u592e\u5024\u306723\u5e74\u3002<\/p>\n

Results\uff1a
\n11429\u304c\u53c2\u52a0\u3002\u5e73\u574754\u6b73\u3002
\nMeasurement 1\uff08M1\u3001\u7acb\u4f4d\u304b\u3089\u5e73\u574728\u79d2\u5f8c\u306e\u6e2c\u5b9a\u3067\u8a8d\u3081\u3089\u308c\u305f\u4f4e\u8840\u5727\uff09\u306f\u3081\u307e\u3044\u306e\u3068\u306e\u95a2\u9023\u304c\u9ad8\u304b\u3063\u305f\u3002\u307b\u304b\u306b\u3082M1\u306f\u9aa8\u6298\u3001\u5931\u795e\u3001\u6b7b\u4ea1\u3068\u306e\u95a2\u9023\u304c\u4e00\u756a\u9ad8\u304b\u3063\u305f\u3002M2\uff08\u7acb\u4f4d\u304b\u3089\u5e73\u574753\u79d2\u5f8c\u306e\u6e2c\u5b9a\u3067\u8a8d\u3081\u3089\u308c\u305f\u4f4e\u8840\u5727\uff09\u306f\u8ee2\u5012\u3084\u81ea\u52d5\u8eca\u4e8b\u6545\u3068\u306e\u95a2\u9023\u304c\u4e00\u756a\u9ad8\u304b\u3063\u305f\u3002
\n\u5909\u6570\u3067\u8abf\u7bc0\u3059\u308b\u3068\u3001M1\uff5eM4\u3067\u8a8d\u3081\u3089\u308c\u305f\u8840\u5727\u4f4e\u4e0b\u306f\u5168\u3066\u8ee2\u5012\u3068\u6709\u610f\u306b\u95a2\u9023\u3057\u3001M2\u304c\u6700\u3082\u5f37\u3044\u95a2\u9023\u6027\u3092\u793a\u3057\u305f\u3002M1\uff5eM2\u3067\u8a8d\u3081\u3089\u308c\u305f\u4f4e\u8840\u5727\u306f\u9aa8\u6298\u30ea\u30b9\u30af\u3068\u6700\u3082\u5f37\u3044\u95a2\u9023\u3092\u793a\u3057\u305f\u3002M1~M5\u5168\u3066\u306e\u8840\u5727\u4f4e\u4e0b\u306f\u5931\u795e\u3068\u6709\u610f\u306b\u95a2\u9023\u3057\u305f\u304c\u3001M2\u306e\u307f\u304c\u81ea\u52d5\u8eca\u4e8b\u6545\u3068\u95a2\u9023\u3057\u305f\u3002\u7acb\u4f4d\u304b\u30891\u5206\u4ee5\u964d\u306b\u8a8d\u3081\u3089\u308c\u305f\u4f4e\u8840\u5727\u306f\u3081\u307e\u3044\u3084\u500b\u3005\u306e\u9577\u671f\u4e88\u5f8c\u3068\u95a2\u9023\u304c\u306a\u304b\u3063\u305f\u3002<\/p>\n

Conclusion and Relevance\uff1a
\n\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u63a8\u5968\u3068\u306f\u5bfe\u79f0\u7684\u306b\u3001\u7acb\u4f4d\u306b\u306a\u3063\u30661\u5206\u4ee5\u5185\u306b\u8a8d\u3081\u305f\u8d77\u7acb\u6027\u4f4e\u8840\u5727\u304c\u3081\u307e\u3044\u3084\u6709\u5bb3\u4e8b\u8c61\u3068\u5f37\u3044\u95a2\u9023\u304c\u3042\u3063\u305f\u3002\u8d77\u7acb\u6027\u4f4e\u8840\u5727\u3092\u8a3a\u65ad\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u7acb\u4f4d\u306b\u306a\u3063\u3066\u304b\u30891\u5206\u4ee5\u5185\u306b\u8840\u5727\u3092\u6e2c\u5b9a\u3059\u308b\u3053\u3068\u3092\u63a8\u5968\u3059\u308b\u3002<\/p>\n

\"\u5ddd\u5408\uff11\uff0820171115\uff09\"<\/a><\/p>\n

\"\u5ddd\u5408\uff12\uff0820171115\uff09\"<\/a><\/p>\n

\"\u5ddd\u5408\uff13\uff0820171115\uff09\"<\/a><\/p>\n

\"\u5ddd\u5408\uff14\uff0820171115\uff09\"<\/a><\/p>\n

Discussion\uff1a
\n\u5236\u9650\u306b\u3064\u3044\u3066\u3002\u9aa8\u6298\u3001\u8ee2\u5012\u3001\u5931\u795e\u3001\u81ea\u52d5\u8eca\u4e8b\u6545\u306fICD9\u306e\u30b3\u30fc\u30c9\u304bCMS claims\u3067\u8a55\u4fa1\u3057\u305f\u306e\u3067\u3001\u611f\u5ea6\u306b\u554f\u984c\u304c\u3042\u308b\u3002\u7acb\u4f4d\u3092\u6307\u793a\u3057\u3066\u304b\u3089\u5b9f\u969b\u306b\u7acb\u3061\u4e0a\u304c\u308b\u307e\u3067\u306b\u53c2\u52a0\u8005\u9593\u3067\u3070\u3089\u3064\u304d\u304c\u3042\u308b\u3002\u81ea\u52d5\u8eca\u4e8b\u6545\u306b\u3064\u3044\u3066\u306f\u904b\u8ee2\u624b\u3068\u3066\u306e\u6280\u91cf\u304c\u8a55\u4fa1\u3055\u308c\u3066\u3044\u306a\u3044\u3002<\/p>\n

\u3010\u958b\u50ac\u65e5\u3011
\n2017\u5e7411\u670815\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"

\uff0d\u6587\u732e\u540d\uff0d JAMA Intern Med. 2017 September 01; 177(9): 1316\u20131323. doi:10.1001\/jamainternmed.2017.2937 \uff0d\u8981\u7d04\uff0d Introduc … \u7d9a\u304d\u3092\u8aad\u3080 Comparison of Early versus Late Orthostatic Hypotension Assessment Times in Middle-Age Adults<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-1444","post","type-post","status-publish","format-standard","hentry","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1444","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1444"}],"version-history":[{"count":3,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1444\/revisions"}],"predecessor-version":[{"id":1455,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1444\/revisions\/1455"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1444"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1444"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1444"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}