再発生した脚気患者の食生活について

書誌事項

タイトル別名
  • Revival of Beriberi and Today's Food Life
  • サイ ハッセイシタ カッケ カンジャ ノ ショクセイカツ ニ ツイテ

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抄録

As people's food life has generally become rich, beriberi is today regarded as past desease with rare incidence in Japan. Recently, however, acute polyneuritis associated with edema in the lower extremity outbroke in many places of the western part of Japan including Sanin district where we had 103 patients.<BR>The food uptake survey in 58 out of 103 cases revealed that all patients had taken polished rice, with less uptake of vegitable, fruit, meat, milk and the processed products. Many of them had skipped breakfast. They had often taken instant foods, sugar-containing soft drinks or ice cream, which resulted in high sugar and low vitamins, especially B1 (0.18-0.28mg/1, 000 calories). It was also noted that many of the patients were adolescents who had taken hard exercise or labor. Decrease in vitamin B1 blood level and elevation of pyruvic acid and lactic acid were seen in some patients. Especially the urinary vitamin B1 exceretion both following and not following the vitamin B1 load test was apparently low. As clinical findings, edema, apical systolic murmur and polyneuritis were presented in all cases. Cardiac enlargement was observed in some cases. Administration of vitamin B1 was remarkably effective. Histological observation of the peripheral nerve revealed axonal degenerations. Based on all the data obtained from the aforementioned clinical findings, results of laboratory tests, therapeutic effect and patients' food life, the disease was diagnosed as beriberi neuropathy.<BR>We warned that today's way of food uptake should be reviewed from a variety of angles.

収録刊行物

  • 栄養と食糧

    栄養と食糧 30 (6), 411-417, 1977

    公益社団法人 日本栄養・食糧学会

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