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<\/p>\n

\u8981\u7d04<\/h2>\n

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\u4ecb\u5165<\/h3>\n

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1\u6b21\u304a\u3088\u30732\u6b21\u30a2\u30a6\u30c8\u30ab\u30e0\u6307\u6a19<\/h3>\n

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\u5c0e\u5165<\/h2>\n

\u3000\u4f4f\u5b85\u3068\u5065\u5eb7\u3068\u306e\u9593\u306e\u95a2\u9023\u306b\u3064\u3044\u3066\u306e\u6700\u8fd1\u306e\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\u306f\uff0c\u30a8\u30cd\u30eb\u30ae\u30fc\u52b9\u7387\u95a2\u9023\u306e\u6539\u4fee\u3068\u547c\u5438\u5668\u7cfb\u3092\u542b\u3080\u5065\u5eb7\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u5909\u52d5\u3068\u306e\u9593\u306e\u95a2\u9023\u306b\u306f\u5f37\u3044\u6839\u62e0\u304c\u3042\u308b\u3068\u7d50\u8ad6\u3065\u3051\u3066\u3044\u308b[1,2]\uff0e\u4e16\u754c\u306e\u6700\u521d\u306e\u56fd\u306b\u3068\u3063\u3066\u6bd4\u8f03\u7684\u8ca7\u5f31\u306a\u54c1\u8cea\u306e\u4f4f\u5b85\u3092\u6709\u3057\u3066\u3044\u308b[3]\u30cb\u30e5\u30fc\u30b8\u30fc\u30e9\u30f3\u30c9\u3067\u5b9f\u884c\u3055\u308c\u305f\u7121\u4f5c\u70ba\u5316\u6bd4\u8f03\u8a66\u9a13\u306f\uff0c\u65ad\u71b1\u6539\u4fee\u3068\u547c\u5438\u5668\u75c7\u72b6\u304a\u3088\u3073\u4ed5\u4e8b\u3084\u5b66\u6821\u3092\u4f11\u3080\u65e5\u306e\u6e1b\u5c11\u3068\u3092\u9023\u643a\u3057\u305f[4]\uff0e\u305d\u308c\u3089\u306f\u307e\u305f\uff0c\u6696\u623f\u306e\u6539\u4fee\u3068\u5598\u606f\u5c0f\u5150\u306e\u5598\u9cf4\u306e\u6e1b\u5c11\u304a\u3088\u3073\u4e00\u822c\u958b\u696d\u533b\u3078\u306e\u53d7\u8a3a\u7387\u306e\u6e1b\u5c11\u3068\u3092\u9023\u643a\u3057\u305f[5]\uff0e\u4eee\u8aac\u4e0a\u306e\u56e0\u679c\u7d4c\u8def\u306f\uff0c\u6e7f\u5ea6\u306e\u6e1b\u5c11\u306b\u3088\u308b\u30ab\u30d3\u304a\u3088\u3073\u30a4\u30a8\u30c0\u30cb\u306e\u7cde\u4fbf\u306a\u3069\u306e\u30a2\u30ec\u30eb\u30b2\u30f3\u3078\u306e\u66dd\u9732\u306e\u6e1b\u5c11\u3068\uff0c\u5c4b\u5185\u6e29\u5ea6\u306e\u4e0a\u6607\u306b\u3088\u308b\u6c17\u7ba1\u652f\u53ce\u7e2e\u306e\u6e1b\u5c11\u3068\u3067\u3042\u308b\uff0e\u5fc3\u8840\u7ba1\u75be\u60a3\u304a\u3088\u3073\u547c\u5438\u5668\u75be\u60a3\u306b\u3088\u308a\u99c6\u52d5\u3055\u308c\u308b\u30cb\u30e5\u30fc\u30b8\u30fc\u30e9\u30f3\u30c9\u3067\u89b3\u5bdf\u3055\u308c\u308b\u51ac\u5b63\u8d85\u904e\u6b7b\u4ea1\u7387\u304a\u3088\u3073\u7f79\u60a3\u7387\u306e\u30d1\u30bf\u30fc\u30f3\u3082\u307e\u305f\uff0c\u5f31\u8005\u7fa4\u306e\u4f4e\u3044\u5c4b\u5185\u6e29\u5ea6\u3078\u306e\u66dd\u9732\u306b\u3088\u308a\u69cb\u6210\u3055\u308c\u308b[6,7]\uff0e\u3057\u304b\u3057\uff0c\u3053\u308c\u307e\u3067\u30cb\u30e5\u30fc\u30b8\u30fc\u30e9\u30f3\u30c9\u3067\u4ee5\u524d\u306b\u884c\u308f\u308c\u305f\u8a66\u9a13\u3082\uff0c\u4ed6\u306e\u8af8\u56fd\u3067\u884c\u308f\u308c\u305f\u8a66\u9a13\u3082\u540c\u69d8\u306b\uff0c\u6b7b\u4ea1\u7387\u306e\u3088\u3046\u306a\u7a00\u306a\u4e8b\u8c61\u306b\u304a\u3051\u308b\u6539\u4fee\u306e\u5f71\u97ff\u306e\u7d71\u8a08\u7684\u306a\u6709\u610f\u5dee\u3092\u691c\u51fa\u3067\u304d\u308b\u307b\u3069\u5341\u5206\u306a\u898f\u6a21\u3067\u306f\u306a\u304b\u3063\u305f\uff0e<\/p>\n

\u30002009\u5e74\u306b\uff0c\u4e16\u754c\u91d1\u878d\u5371\u6a5f\u304a\u3088\u3073\uff0c\u4f4f\u5b85\u30b9\u30c8\u30c3\u30af\u6539\u5584\u306e\u516c\u8846\u885b\u751f\u4e0a\u306e\u5229\u76ca\u3068\u30a8\u30cd\u30eb\u30ae\u30fc\u52b9\u7387\u3068\u3092\u8003\u616e\u3057\u305f\u653f\u6cbb\u7684\u30b3\u30f3\u30bb\u30f3\u30b5\u30b9\u306e\u9ad8\u307e\u308a\u306b\u5bfe\u5fdc\u3057\u3066\uff0c\u30cb\u30e5\u30fc\u30b8\u30fc\u30e9\u30f3\u30c9\u653f\u5e9c\u306f\u4e00\u90e8\u8cc7\u91d1\u3092\u52a9\u6210\u3057\u3066\u500b\u4eba\u306e\u4f4f\u5b85\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u52b9\u7387\u8a08\u6e2c\u3092\u6539\u4fee\u3059\u308b\u5927\u898f\u6a21\u306a\u4ecb\u5165\u3092\u5b9f\u88c5\u3057\u305f\uff0eWarm Up New Zealand: Heat Smart (WUNZ: HS)\u306f\u8907\u6570\u5e74\u306e3.47\u5104\u30c9\u30eb\u306e\u30d7\u30ed\u30b0\u30e9\u30e0\uff082009\u5e747\u6708\u304b\u30892014\u5e74\u307e\u3067\uff09\u3067\uff0c\u4e3b\u306b\u5e8a\u3068\u5929\u4e95\u306e\u65ad\u71b1\u304a\u3088\u3073\u6696\u623f\uff08\u4e3b\u306b\u30d2\u30fc\u30c8\u30dd\u30f3\u30d7\uff09\u306e\u6539\u4fee\u306b\u4e00\u90e8\u8cc7\u91d1\u304c\u52a9\u6210\u3055\u308c\u305f\uff0e\u6696\u623f\u6539\u4fee\u304c\u5229\u7528\u53ef\u80fd\u3060\u3063\u305f\u306e\u306f\uff0c\u6700\u5c0f\u9650\u306e\u5e8a\u304a\u3088\u3073\u5929\u4e95\u65ad\u71b1\u57fa\u6e96\u306b\u5408\u81f4\u3057\u305f\u4f4f\u5b85\u306b\u9650\u3089\u308c\uff0c\u65e2\u5b58\u306e\u65ad\u71b1\u3092\u6709\u3059\u308b\u5834\u5408\u304b\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u3082\u3068\u3067\u65ad\u71b1\u6539\u4fee\u3092\u53d7\u3051\u305f\u5834\u5408\u306e\u3044\u305a\u308c\u304b\u3067\u3042\u3063\u305f\uff0e\u5b66\u8853\u30b3\u30f3\u30bd\u30fc\u30b7\u30a2\u30e0\u304a\u3088\u3073\u8abf\u67fb\u8005\u306f\u4e2d\u592e\u653f\u5e9c\u304b\u3089WUNZ: HS\u306e\u30b3\u30b9\u30c8\u30d9\u30cd\u30d5\u30a3\u30c3\u30c8\u8a55\u4fa1\u3092\u59d4\u8a17\u3055\u308c\uff0c\u305d\u308c\u306b\u306f\u5065\u5eb7\u3078\u306e\u5f71\u97ff\u306e\u5831\u544a[9,10]\u304a\u3088\u3073\u30a8\u30cd\u30eb\u30ae\u30fc\u5f71\u97ff\u3092\u8a18\u8ff0\u3057\u305f\u8ad6\u6587[11]\u304c\u542b\u307e\u308c\u3066\u3044\u305f\uff0e\u5065\u5eb7\u95a2\u9023\u306e\u6240\u898b\u306f\uff0c\u65ad\u71b1\u6539\u4fee\u5f8c\u306e\u4e16\u5e2f\u30ec\u30d9\u30eb\u306e\u5165\u9662\u8cbb\u7528\u3068\u533b\u85ac\u54c1\u4f7f\u7528\u8cbb\u7528\u306e\u7d71\u8a08\u7684\u6709\u610f\u306a\u6e1b\u5c11\u304a\u3088\u3073\u5c0f\u5150\u306e\u5165\u9662\u7387\u306e\u6e1b\u5c11\u3092\u542b\u3093\u3067\u3044\u305f[12]\uff0e<\/p>\n

\u3000\u672c\u7a3f\u3067\u306f2\u3064\u306e\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\uff08\u4ecb\u5165\u524d\u306b\u5fc3\u8840\u7ba1\u75be\u60a3(ICD-10 chapter 9)\u304b\u547c\u5438\u5668\u75be\u60a3(ICD-10 chapter 10)\u304b\u306e\u3044\u305a\u308c\u304b\u3067\u5165\u9662\u6b74\u306e\u3042\u308b\u9ad8\u9f62\u6210\u4eba\uff09\u306e\u6b7b\u4ea1\u7387\u306b\u304a\u3051\u308b\u5e8a\u304a\u3088\u3073\u5929\u4e95\u306e\u65ad\u71b1\u6539\u4fee\u304a\u3088\u3073\u6696\u623f\u6539\u4fee\u306e\u5f71\u97ff\u306e\u89e3\u6790\u3092\u63d0\u793a\u3059\u308b\uff0e\u3053\u308c\u3089\u306e\u7fa4\u306f\u4f4f\u5b85\u6539\u4fee\u5f8c\u306b\u6b7b\u4ea1\u7387\u306e\u6e1b\u5c11\u3092\u7d4c\u9a13\u3059\u308b\u53ef\u80fd\u6027\u304c\u7279\u306b\u9ad8\u3044\u3068\u3057\u3066\u8b58\u5225\u3055\u308c\u305f\uff0e\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u306e\u9078\u629e\u306f\uff0c\u4ee5\u524d\u306e\u30cb\u30e5\u30fc\u30b8\u30fc\u30e9\u30f3\u30c9\u306e\u7814\u7a76\u3067\u547c\u5438\u5668\u7cfb\u304a\u3088\u3073\u5faa\u74b0\u5668\u7cfb\u306e\u51ac\u5b63\u8d85\u904e\u6b7b\u4ea1\u7387\u306e\u30d1\u30bf\u30fc\u30f3\u3092\u540c\u5b9a\u3057\u305f\u3082\u306e\u304b\u3089\u60c5\u5831\u63d0\u4f9b\u3055\u308c\u3066\u304a\u308a[6]\uff0c\u4f4f\u5b85\u306e\u7a2e\u985e\u3068\u51ac\u5b63\u7f79\u60a3\u7387\u3068\u306e\u9593\u306b\u306f\u7d71\u8a08\u7684\u6709\u610f\u306a\u76f8\u95a2\u304c\u3042\u308a[7]\uff0c\u4f4e\u3044\u53ce\u5165\u304a\u3088\u3073\u5728\u8077\u72b6\u6cc1\u3068\u51ac\u5b63\u8d85\u904e\u6b7b\u4ea1\u7387\u3068\u306e\u9593\u306b\u3082\u7d71\u8a08\u7684\u6709\u610f\u306a\u76f8\u95a2\u304c\u3042\u308b\u3068\u3057\u3066\u3044\u308b[13]\uff0e\u4f4e\u3044\u5c4b\u5185\u6e29\u5ea6\u3068\u5fc3\u8840\u7ba1\u6b7b\u4ea1\u7387\u304a\u3088\u3073\u7f79\u60a3\u7387\u3068\u3092\u30ea\u30f3\u30af\u3059\u308b\u4eee\u8aac\u4e0a\u306e\u56e0\u679c\u7d4c\u8def\u306f\uff0c\u4f4e\u6e29\u306b\u3088\u308a\u5f15\u304d\u8d77\u3053\u3055\u308c\u308b\u8840\u5727\u4e0a\u6607\uff0c\u8840\u5c0f\u677f\uff0c\u30d5\u30a3\u30d6\u30ea\u30ce\u30fc\u30b2\u30f3\u304a\u3088\u3073\u8d64\u8840\u7403\u6570\u3068\u767d\u8840\u7403\u6570\u306e\u4e0a\u6607\u3092\u542b\u3093\u3067\u3044\u308b[7,14]\uff0e\u4f4e\u3044\u5c4b\u5185\u6e29\u5ea6\u3068\u547c\u5438\u5668\u6b7b\u4ea1\u7387\u304a\u3088\u3073\u7f79\u60a3\u7387\u3068\u3092\u30ea\u30f3\u30af\u3059\u308b\u4eee\u8aac\u4e0a\u306e\u56e0\u679c\u7d4c\u8def\u306f\uff0c\u5bd2\u51b7\u8a98\u767a\u6027\u306e\u547c\u5438\u5668\u7cfb\u306e\u708e\u75c7\uff0c\u6c17\u7ba1\u652f\u53ce\u7e2e\uff0c\u514d\u75ab\u53cd\u5fdc\u306e\u6291\u5236\u304a\u3088\u3073\u5bd2\u51b7\u74b0\u5883\u3067\u5ef6\u9577\u3057\u305f\u6db2\u6ef4\u306e\u751f\u5b58\u6642\u9593\u306b\u3088\u308b\u547c\u5438\u5668\u75be\u60a3\u3092\u5f15\u304d\u8d77\u3053\u3059\u5fae\u751f\u7269\u3078\u306e\u66dd\u9732\u6642\u9593\u306e\u5897\u52a0\u306b\u3088\u308b\u547c\u5438\u5668\u75be\u60a3\u306e\u983b\u5ea6\u306e\u4e0a\u6607\u3092\u542b\u3093\u3067\u3044\u308b[7,14]\uff0e<\/p>\n

\u65b9\u6cd5<\/h2>\n

\u3000WUNZ: HS\u306e\u8a55\u4fa1\u306fTelfar Barnard\u3089\u306b\u3088\u308b\u884c\u653f\u30c7\u30fc\u30bf\u30bb\u30c3\u30c8\u3092\u9023\u643a\u3059\u308b\u3053\u3068\u3067\u53ef\u80fd\u3068\u306a\u3063\u305f\u6e96\u5b9f\u9a13\u7684\u7814\u7a76\u3067\u3042\u3063\u305f[15]\uff0e\u884c\u653f\u30c7\u30fc\u30bf\u306e\u4f7f\u7528\u306f\u975e\u5e38\u306b\u5927\u898f\u6a21\u306a\u30b3\u30db\u30fc\u30c8\u304c\u4f5c\u6210\u3055\u308c\u305f\u3053\u3068\u3092\u610f\u5473\u3057\u3066\u304a\u308a\uff0c\u5165\u9662\u3084\u6b7b\u4ea1\u306e\u3088\u3046\u306a\u7a00\u306a\u4e8b\u8c61\u306b\u304a\u3051\u308b\u65ad\u71b1\u304a\u3088\u3073\u6696\u623f\u6539\u4fee\u306e\u5f71\u97ff\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306e\u7d71\u8a08\u7684\u691c\u51fa\u529b\u304c\u4ee5\u524d\u306e\u7814\u7a76\u3068\u6bd4\u8f03\u3057\u3066\u3088\u308a\u5927\u304d\u304f\u306a\u308b\u3068\u306e\u8a55\u4fa1\u3092\u4e0e\u3048\u308b\u3082\u306e\u3067\u3042\u308b\uff0e\u305d\u306e\u30b3\u30db\u30fc\u30c8\u3092\u4f5c\u6210\u3059\u308b\u904e\u7a0b\u3092\u6b21\u306b\u77ed\u304f\u8981\u7d04\u3059\u308b\uff0e<\/p>\n

\u30b3\u30db\u30fc\u30c8\u4f5c\u6210<\/h3>\n

\u3000\u502b\u7406\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u5f97\u3089\u308c\u305f\u5f8c\uff0c\u30a8\u30cd\u30eb\u30ae\u30fc\u52b9\u7387\u4fdd\u5168\u5e81(EECA)\u306f\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u6700\u521d\u306e8\u30f6\u6708\u9593\u306bWNUZ:HS\u306b\u53c2\u52a0\u3057\u305f\u6240\u6709\u8005\u306e\u4f4f\u5b85\u306e\u4f4f\u6240\u304a\u3088\u3073\u6539\u4fee\u30c7\u30fc\u30bf\u3092\u63d0\u4f9b\u3057\u305f\uff0e\u3053\u306e\u30ab\u30c3\u30c8\u30aa\u30d5\u306f\u59d4\u8a17\u8a55\u4fa1\u306b\u3088\u308a\u8ab2\u3055\u308c\u305f\u6642\u9593\u67a0\u3092\u53cd\u6620\u3057\u3066\u3044\u308b\uff0e\u305d\u306e\u30c7\u30fc\u30bf\u306fQuotable Value (QV)\uff0c\u30cb\u30e5\u30fc\u30b8\u30fc\u30e9\u30f3\u30c9\u306e\u4f4f\u5b85\u306e\u54c1\u8cea\u3068\u7279\u6027\u306b\u304a\u3044\u3066\u5e83\u7bc4\u304b\u3064\u9ad8\u54c1\u8cea\u306e\u30c7\u30fc\u30bf\u3092\u6709\u3059\u308b\u5546\u696d\u56e3\u4f53\u306b\u9001\u3089\u308c\u305f\uff0cQV\u306f\u53ef\u80fd\u306a\u9650\u308a10\u6238\u307e\u3067\u306e\u5bfe\u7167\u306b\u4e00\u81f4\u3057\u305f\u4f4f\u5b85\u3092\u8b58\u5225\u3057\uff0c\u4f4d\u7f6e\uff0c\u5efa\u7bc9\u5e74\u4ee3\uff0c\u54c1\u8cea\uff0c\u5927\u304d\u3055\u304a\u3088\u3073\u71b1\u52b9\u7387\u306b\u95a2\u308f\u308b\u591a\u304f\u306e\u4ed6\u306e\u56e0\u5b50\u3092\u7d50\u5408\u3057\u305f\u6211\u3005\u306e\u30de\u30c3\u30c1\u30f3\u30b0\u30d7\u30ed\u30c8\u30b3\u30eb\u306b\u57fa\u3065\u3044\u3066\u3044\u305f\uff0e\u4ecb\u5165\u3068\u5bfe\u7167\u306e\u5c45\u4f4f\u8005\u306e\u533f\u540d\u5316\u3055\u308c\u305f\u5065\u5eb7\u304a\u3088\u3073\u4eba\u53e3\u30c7\u30fc\u30bf\u304c\u6b21\u306b\u4fdd\u5065\u7701\u304b\u3089\u4e00\u610f\u306e\u56fd\u6c11\u5065\u5eb7\u6307\u6570(NHI)\uff0c\u305d\u308c\u305e\u308c\u306e\u4f4f\u6240\u306b\u30ea\u30f3\u30af\u3057\u305f\u8b58\u5225\u5b50\u306b\u57fa\u3065\u3044\u3066\u53d6\u5f97\u3055\u308c\uff0c\u533f\u540d\u5316\u3055\u308c\u305f\u500b\u4eba\u306e100\u4e07\u4eba\u8fd1\u3044\u6700\u521d\u306e\u30b3\u30db\u30fc\u30c8\u304c\u4f5c\u6210\u3055\u308c\u305f\uff0eNHI\u306b\u57fa\u3065\u304f\u884c\u653f\u30c7\u30fc\u30bf\u306e\u9023\u643a\u306f\u30b3\u30db\u30fc\u30c8\u500b\u4eba\u306e\u4eba\u53e3\u5b66\u7684\u304a\u3088\u3073\u5165\u9662\u30c7\u30fc\u30bf\u306e\u53d6\u5f97\u304c\u53ef\u80fd\u306b\u306a\u3063\u305f\u3053\u3068\u3092\u610f\u5473\u3059\u308b\uff0e\u533b\u7642\u30b5\u30fc\u30d3\u30b9\u5229\u7528\u30c7\u30fc\u30bf\u306f2008\u5e741\u6708\u304b\u30892012\u5e7412\u6708\u307e\u3067\u306e\u671f\u9593\u53ce\u96c6\u3055\u308c\uff0c\u4ecb\u5165\u524d\u304a\u3088\u3073\u4ecb\u5165\u5f8c\u306e\u5165\u9662\u304a\u3088\u3073\u533b\u85ac\u54c1\u4f7f\u7528\u7387\u306e\u8a08\u7b97\u304c\u53ef\u80fd\u306b\u306a\u3063\u305f\uff0e\u30c7\u30fc\u30bf\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306b\u306f\u3042\u308a\u3048\u306a\u3044\u307b\u3069\u9ad8\u9f62\u306e\u500b\u4eba\u3084\u3042\u308a\u3048\u306a\u3044\u307b\u3069\u904e\u5bc6\u3057\u305f\u4f4f\u5b85\u306e\u9664\u5916\u304c\u542b\u307e\u308c\u3066\u304a\u308a\uff0cNHI\u30c7\u30fc\u30bf\u30bb\u30c3\u30c8\u306e\u4f4f\u6240\u6b04\u306e\u5236\u7d04\u306e\u7d50\u679c\u3067\u3042\u308a\uff0c\u500b\u4eba\u306e\u6700\u65b0\u306e\u4f4f\u6240\u3092\u53cd\u6620\u3057\u3066\u304a\u308a\uff0c\u5178\u578b\u7684\u306b\u306f\u533b\u7642\u6a5f\u95a2\u3078\u306e\u63a5\u89e6\u5f8c\u306b\u767a\u751f\u3057\u305f\uff0e\u6700\u7d42\u7684\u306a\u8a66\u9a13\u30b3\u30db\u30fc\u30c8\u306b\u306f916504\u540d\u306e\u500b\u4eba\uff0c245778\u4e16\u5e2f\u304c\u542b\u307e\u308c\u3066\u3044\u305f\uff1a\u30b3\u30db\u30fc\u30c8\u69cb\u7bc9\u306fTelfar Barnard\u3089[10]\u304a\u3088\u3073Preval[16]\u306b\u3088\u308a\u5b8c\u5168\u306b\u8a18\u8ff0\u3055\u308c\u3066\u304a\u308a\uff0c\u30aa\u30f3\u30e9\u30a4\u30f3\u4ed8\u9332\uff11\u306b\u8981\u7d04\u3057\u3066\u3042\u308b\uff0e\u5404\u30b3\u30db\u30fc\u30c8\u30e1\u30f3\u30d0\u30fc\u306e\u5165\u624b\u53ef\u80fd\u306a\u30c7\u30fc\u30bf\u306f\u30aa\u30f3\u30e9\u30a4\u30f3\u4ed8\u9332\uff12\u306b\u8981\u7d04\u3057\u3066\u3042\u308b\uff0e<\/p>\n

\u3000\u672c\u8ad6\u6587\u3067\u63d0\u793a\u3057\u305f\u89e3\u6790\u306e\u305f\u3081\u306b\u69cb\u7bc9\u3055\u308c\u305f\uff12\u3064\u306e\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u306f\u3055\u3089\u306b\u500b\u4eba\u3092\u5236\u9650\u3057\u3066\u304a\u308a\uff0c\u4ecb\u5165\u524d\u306e\u671f\u9593\u306b\u5faa\u74b0\u5668\u7cfb\u304b\u547c\u5438\u5668\u7cfb\u306e\u5165\u9662\u6b74\u304c\u3042\u308a\uff0cWUNZ:HS\u306e\u3082\u3068\u3067\u6700\u521d\u306e\u4ecb\u5165\u3092\u53d7\u3051\u305f\u4f4f\u5b85\u306b\u4f4f\u3093\u3067\u3044\u308b\u6642\u306b\u751f\u304d\u3066\u3044\u306665\u6b73\u4ee5\u4e0a\u3067\u3042\u308b\u3053\u3068\uff0c\u3042\u308b\u3044\u306f\u4ecb\u5165\u7fa4\u306e\u4f4f\u5b85\u304c\u4ecb\u5165\u3092\u53d7\u3051\u308b\u4f4f\u5b85\u306b\u30de\u30c3\u30c1\u3057\u305f\u6642\u306e\u5bfe\u7167\u7fa4\u306e\u500b\u4eba\u306e\u5834\u5408\u3067\u3042\u308b\uff0e<\/p>\n

\u4ecb\u5165\u306e\u7279\u5fb4<\/h3>\n

3\u3064\u306e\u6539\u4fee\u306e\u4ecb\u5165\u306e\u7a2e\u985e\u304c\u89e3\u6790\u3055\u308c\u305f\uff0e1\u3064\u76ee\u306f\u65ad\u71b1\u306e\u307f\u3067\u3042\u308a\uff0c\u69d8\u3005\u306a\u7a2e\u985e\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u52b9\u7387\u4fdd\u5168\u5e81\u306e\u6307\u5b9a\u3057\u305f\u5e8a\u4e0b\u304a\u3088\u3073\u5929\u4e95\u65ad\u71b1\u6750\u304cEECA\u57fa\u6e96\uff08\u5178\u578b\u7684\u306b\u306fR\u5024\u3067\u3042\u308a\uff0c\u5929\u4e95\u65ad\u71b1\u306b\u306fR 2.9-R4\uff0c\u5e8a\u4e0b\u65ad\u71b1\u306b\u306fR1.4-R1.8\u3067\u3042\u308b\uff09\u306b\u5408\u81f4\u3059\u308b\u3088\u3046\u306b\u53d6\u308a\u4ed8\u3051\u3089\u308c\u305f\uff0e\u91ce\u5916\u306e\u30c7\u30fc\u30bf\u306f\u53ce\u96c6\u3055\u308c\u306a\u304b\u3063\u305f\u304c\uff0c\u3042\u308b\u30cb\u30e5\u30fc\u30b8\u30fc\u30e9\u30f3\u30c9\u306e\u7814\u7a76\u3067\u306f\u8fd1\u4f3c\u3057\u305f\u5909\u6570\u3092\u6709\u3059\u308b\u65ad\u71b1\u6539\u4fee\u304c\uff0c\u5bdd\u5ba4\u6e29\u5ea6\u30920.5\u00b0C\u4e0a\u6607\u3055\u305b\uff0c10\u00b0C\u4ee5\u4e0b\u306e\u6642\u9593\u30921\u65e5\u306b1.7\u6642\u9593\u6e1b\u5c11\u3055\u305b\uff0c\u76f8\u5bfe\u6e7f\u5ea6\u30922.3\uff05\u6e1b\u5c11\u3055\u305b\u305f\u3053\u3068\u3092\u5831\u544a\u3057\u3066\u3044\u308b[4]\uff0e<\/p>\n

2\u3064\u76ee\u306e\u4ecb\u5165\u306f\u6696\u623f\u306e\u307f\u3067\u3042\u308a\uff0cEECA\u6307\u5b9a\u306e\u30ea\u30b9\u30c8\uff08\u591a\u304f\u306e\u5bb6\u5ead\u306f\u30d2\u30fc\u30c8\u30dd\u30f3\u30d7\u3092\u9078\u629e\u3057\u305f\uff09\u304b\u3089\u7701\u30a8\u30cd\u6696\u623f\u3092\u53d6\u308a\u4ed8\u3051\u308b\u3053\u3068\u3092\u610f\u5473\u3057\u3066\u304a\u308a\uff0cEECA\u57fa\u6e96\u306b\u5408\u81f4\u3059\u308b\u65e2\u5b58\u306e\u5e8a\u4e0b\u304a\u3088\u3073\u5929\u4e95\u65ad\u71b1\u3092\u6709\u3059\u308b\u4f4f\u5b85\u306e\u307f\u304c\u53ef\u80fd\u3067\u3042\u3063\u305f\uff0e\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306e\u5e8a\u4e0b\u304a\u3088\u3073\u5929\u4e95\u65ad\u71b1\u306e\u3042\u308b\u8fd1\u4f3c\u3057\u305f\u6696\u623f\u53d6\u4ed8\u306e\u3042\u308b\u7121\u4f5c\u70ba\u5316\u6bd4\u8f03\u8a66\u9a13\u3067\u306f\u30ea\u30d3\u30f3\u30b0\u306e\u6e29\u5ea6\u304c1.1\u00b0C\u4e0a\u6607\u3057\u305f\u3053\u3068\u3092\u8a18\u9332\u3057\u3066\u3044\u308b[5]\uff0e<\/p>\n

\u6700\u5f8c\u306e\u4ecb\u5165\u306e\u7a2e\u985e\u306f\u65ad\u71b1\u304b\u3064\u6696\u623f\u3067\u3042\u308a\uff0c\u65ad\u71b1\u3068\u6696\u623f\u306e\u4e21\u8005\u3092\u4e0a\u8a18\u4ed5\u69d8\u3067\u540c\u6642\u306b\u6709\u3059\u308b\u3053\u3068\u3092\u610f\u5473\u3057\u3066\u3044\u308b\uff0e\u3053\u306e\u6539\u4fee\u306e\u6e29\u5ea6\u3068\u6e7f\u5ea6\u306e\u5229\u76ca\u306f\u4ed6\u306e\u7a2e\u985e\u306e\u6539\u4fee\u306e\u3044\u305a\u308c\u304b\u3088\u308a\u5897\u52a0\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\uff0e<\/p>\n

\u6b7b\u4ea1\u7387\u306e\u89e3\u6790<\/h3>\n

\u3000\u6b7b\u4ea1\u30ea\u30b9\u30af\u306b\u304a\u3051\u308b\u4e09\u7a2e\u985e\u306e\u4ecb\u5165\u306e\u5f71\u97ff\u3092\u89e3\u6790\u3059\u308b\u306e\u306b\u7528\u3044\u3089\u308c\u305f\u30e2\u30c7\u30eb\u306f\u6a19\u6e96Cox\u6bd4\u4f8b\u30cf\u30b6\u30fc\u30c9\u30e2\u30c7\u30eb\u3067\u3042\u308a\uff0cStata V.13\u3067\u5b9f\u884c\u3057\u305f\uff0e2\u3064\u306e\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u306e\u8fd1\u4f3c\u306b\u3082\u95a2\u308f\u3089\u305a\uff0c\u5168\u3066\u5229\u7528\u53ef\u80fd\u306a\u4eba\u53e3\u5b66\u7684\u304a\u3088\u3073\u4e16\u5e2f\u30ec\u30d9\u30eb\u306e\u7279\u6027\u3092\u6f5c\u5728\u7684\u306a\u4ea4\u7d61\u56e0\u5b50\u3068\u3057\u3066\u8003\u616e\u3059\u308b\u3053\u3068\u306b\u3088\u308a\uff0c\u30e2\u30c7\u30ea\u30f3\u30b0\u3067\u3055\u3089\u306b\u4ea4\u7d61\u3092\u6e1b\u5c11\u3055\u305b\u3088\u3046\u3068\u8a66\u307f\u305f\uff0e\u305d\u306e\u30e2\u30c7\u30eb\u306b\u306f\u5e74\u9f62\uff0c\u6027\u5225\uff0c\u4eba\u7a2e\uff0c\u5e74\u9593\u8cbb\u7528\u306e\u5e73\u5747\u306b\u3088\u308a\u8a08\u6e2c\u3055\u308c\u308b\u4ecb\u5165\u524d\u306e\u5165\u9662\u306e\u91cd\u75c7\u5ea6\uff0c\u4f4f\u5b85\u306e\u54c1\u8cea\u304a\u3088\u3073\u6c17\u5019\u533a\u5206\u304c\u542b\u307e\u308c\u305f\uff0e\u9023\u7d9a\u5909\u6570\u306f\u5206\u6570\u591a\u9805\u5f0f\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u7528\u3044\u3066\u5909\u63db\u3057\u305f[17]\uff0e\u5e74\u9f62\u3068\u6027\u5225\u306e\u751f\u7269\u5b66\u7684\u306b\u3042\u308a\u3048\u306a\u3044\u4ea4\u4e92\u4f5c\u7528\u306f\u30e2\u30c7\u30eb\u5185\u306b\u5305\u542b\u3059\u308b\u3053\u3068\u3092\u8003\u616e\u3057\u305f\uff0e\u4ecb\u5165\u4e16\u5e2f\u3068\u5bfe\u7167\u4e16\u5e2f\u3092\u30de\u30c3\u30c1\u3055\u305b\u305f\u968e\u5c64\u306b\u304a\u3051\u308b\u5c64\u5225\u5316\u306f\u6a19\u6e96\u8aa4\u5dee\u306e\u8a08\u7b97\u306b\u304a\u3044\u3066\u8abf\u6574\u3057\u305f\uff0e\u7d71\u8a08\u7684\u306b\u6709\u610f\u3067\u306a\u3044\u5171\u5909\u91cf\u3068\uff0c\u305d\u306e\u9664\u53bb\u304c\u610f\u5473\u306e\u3042\u308b\u5f71\u97ff\u3092\u306a\u3055\u306a\u3044\u95a2\u5fc3\u306e\u3042\u308b\u5909\u6570\u306e\u4fc2\u6570\u3068\u4fe1\u983c\u533a\u9593\u306f\uff0c\u30e2\u30c7\u30eb\u7bc0\u7d04\u306e\u305f\u3081\u306b\u5207\u308a\u6368\u3066\u3089\u308c\u305f\uff0e<\/p>\n

\u3000\u6b7b\u4ea1\u7387\u30c7\u30fc\u30bf\u306f\u4ecb\u5165\u5f8c\u306e\u671f\u9593\u306e\u307f\u306b\u30e2\u30c7\u30eb\u5316\u3055\u308c\u305f\uff0e\u4ecb\u5165\u524d\u306e\u671f\u9593\u306e\u30c7\u30fc\u30bf\u3092\u542b\u3081\u308b\u3053\u3068\u306f\u8aa4\u89e3\u3092\u62db\u304f\u63a8\u5b9a\u5024\u3092\u751f\u307f\u51fa\u3059\u53ef\u80fd\u6027\u304c\u9ad8\u304f\uff0cWUNZ:HS\u30d7\u30ed\u30b0\u30e9\u30e0\u306b\u53c2\u52a0\u3057\u3066\u3044\u308b\u4e16\u5e2f\u3092\u6392\u9664\u3059\u308b\u304c\uff0c\u5bfe\u7167\u7fa4\u306b\u304a\u3044\u3066\u306f\u5305\u542b\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3055\u306a\u3044\u3067\u3042\u308d\u3046\u3068\u306e\u7406\u7531\u3067\u3053\u306e\u6c7a\u5b9a\u306f\u306a\u3055\u308c\u305f\uff0e\u6b7b\u4ea1\u7387\u306e\u8a08\u7b97\u306fNHI\u306e\u6b7b\u4ea1\u6b04\u306e\u65e5\u4ed8\u306b\u57fa\u3065\u3044\u3066\u3044\u305f\uff0e\u6b7b\u56e0\u30c7\u30fc\u30bf\u306f\u30c7\u30fc\u30bf\u54c1\u8cea\u3068\u533f\u540d\u6027\u306e\u95a2\u4fc2\u3067\u53d6\u5f97\u3055\u308c\u306a\u304b\u3063\u305f\uff0e<\/p>\n

\u7d50\u679c<\/h2>\n

\u3000\u5faa\u74b0\u5668\u7cfb\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u306f3287\u540d\u306e\u9ad8\u9f62\u8005\u304b\u3089\u306a\u308a\uff0c\u65ad\u71b1\u306e\u307f\u3092\u53d7\u3051\u305f788\u540d\uff0c\u6696\u623f\u306e\u307f\u3092\u53d7\u3051\u305f78\u540d\uff0c\u4e21\u8005\u3092\u53d7\u3051\u305f131\u540d\uff0c\u5bfe\u7167\u7fa4\u306e2290\u540d\u3092\u542b\u3093\u3067\u3044\u305f\uff0e\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u671f\u9593\u4e2d\uff0c511\u540d\u304c\u6b7b\u4ea1\u3057\u305f\uff0e\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u671f\u9593\u306f\u5408\u8a082,195,452\u65e5\u9593\u306b\u304a\u3088\u3073\uff0c\u5e73\u5747\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u6642\u9593\u306f\u4e00\u4eba\u5f53\u305f\u308a668\u65e5\u9593\u3067\u3042\u3063\u305f\uff08\u6700\u5927\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u671f\u9593\u306f883\u65e5\u9593\uff09\uff0e\u547c\u5438\u5668\u7cfb\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u306f1561\u540d\u306e\u9ad8\u9f62\u8005\u304b\u3089\u306a\u308a\uff0c\u65ad\u71b1\u306e\u307f\u3092\u53d7\u3051\u305f401\u540d\uff0c\u6696\u623f\u306e\u307f\u3092\u53d7\u3051\u305f44\u540d\uff0c\u4e21\u8005\u3092\u53d7\u3051\u305f68\u540d\uff0c\u5bfe\u7167\u7fa4\u306e1048\u540d\u3092\u542b\u3093\u3067\u3044\u305f\uff0e\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u671f\u9593\u4e2d\uff0c379\u540d\u304c\u6b7b\u4ea1\u3057\u305f\uff0e\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u671f\u9593\u306f\u5408\u8a08984,895\u65e5\u9593\u306b\u304a\u3088\u3073\uff0c\u5e73\u5747\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u671f\u9593\u306f\u4e00\u4eba\u5f53\u305f\u308a631\u65e5\u9593\u3067\u3042\u3063\u305f\uff0e<\/p>\n

\u3000\u5e74\u9f62\u5206\u5e03\uff0c\u6027\u5225\u5206\u5e03\uff0c\u4eba\u7a2e\uff0c\u4ecb\u5165\u524d\u671f\u9593\u306e\u5165\u9662\u8cbb\u7528\u306e\u5e74\u9593\u5e73\u5747\uff0c\u4f4f\u5b85\u306e\u7279\u6027\u3068\u30cb\u30e5\u30fc\u30b8\u30fc\u30e9\u30f3\u30c9\u5265\u596a\u6307\u6570\u30b9\u30b3\u30a2\uff08\u5730\u57df\u30d9\u30fc\u30b9\u306e\u5265\u596a\u6307\u6570\u3067\u30bb\u30f3\u30b5\u30b9\u30c7\u30fc\u30bf\u306b\u7531\u6765\uff09\u3067\u8a08\u6e2c\u3055\u308c\u308b\u793e\u4f1a\u7d4c\u6e08\u5b66\u7684\u7279\u6027\u306b\u95a2\u3057\u3066\u5bfe\u7167\u7fa4\u3068\u4ecb\u5165\u7fa4\u3068\u306e\u6bd4\u8f03\u306f\u7d71\u8a08\u7684\u6709\u610f\u5dee\u3092\u793a\u3055\u306a\u304b\u3063\u305f\uff0e2\u3064\u306e\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u306e\u4e3b\u8981\u7279\u6027\u3092table 1\u306b\u793a\u3057\uff0c\u3059\u3079\u3066\u306e\u7279\u6027\u306e\u5b8c\u5168\u306a\u8981\u7d04\u3092\u30aa\u30f3\u30e9\u30a4\u30f3\u4ed8\u93323\u304a\u3088\u3073\u4ed8\u9332\uff14\u306b\u793a\u3059\uff0e<\/p>\n

\"Table<\/a>
Table 1. Key characteristics of the circulatory and respiratory subcohorts<\/figcaption><\/figure>\n

\u3000Figure 1 \u304a\u3088\u3073figure 2 \u306f2\u3064\u306e\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u306e\u30ab\u30d7\u30e9\u30f3\u30de\u30a4\u30e4\u30fc\u751f\u5b58\u66f2\u7dda\u3092\u793a\u3059\uff0e\u30ed\u30b0\u30e9\u30f3\u30af\u691c\u5b9a\u306f\u5faa\u74b0\u5668\u7cfb\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u306e\u4ecb\u5165\u7fa4\u306e\u751f\u5b58\u95a2\u6570\u9593\u306b\u7d71\u8a08\u7684\u6709\u610f\u5dee\u304c\u3042\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u308b\u304c\uff0c\u547c\u5438\u5668\u7cfb\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u306b\u304a\u3044\u3066\u306f\u305d\u3046\u3067\u306f\u306a\u304b\u3063\u305f\uff0e<\/p>\n

\"Figure<\/a>
Figure 1. Kaplan-Meier survival estimates for the circulatory subcohort.<\/figcaption><\/figure>\n
\"Figure<\/a>
Figure 2. Kaplan-Meier survival estimates for the respiratory subcohort.<\/figcaption><\/figure>\n

\u3000\u4e21\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u306e\u95a2\u5fc3\u306e\u3042\u308b\u5909\u6570\u306e\u4ecb\u5165\u306e\uff08\u5bfe\u7167\u7fa4\u306b\u95a2\u3059\u308b\uff09\u672a\u8abf\u6574\u30cf\u30b6\u30fc\u30c9\u6bd4\u3092table 2\u306b\u793a\u3059\uff0e\u8abf\u6574\u3057\u305f\u4fc2\u6570\u3092table 3\u306b\u793a\u3059\uff0e<\/p>\n

\"Table<\/a>
Table 2. Unadjusted Cox proportional hazards model results: circulatory and respiratory subcohorts<\/figcaption><\/figure>\n
\"Table<\/a>
Table 3. Adjusted Cox proportional hazards model results: circulatory and respiratory subcohorts<\/figcaption><\/figure>\n

\u3000\u305d\u306e\u8abf\u6574\u30e2\u30c7\u30eb\u306e\u7d50\u679c\u306f\uff0c\u65ad\u71b1\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u5faa\u74b0\u5668\u7cfb\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u306b\u3068\u3063\u3066\uff0c\u5bfe\u7167\u7fa4\u306b\u6bd4\u8f03\u3057\u3066\u4ecb\u5165\u7fa4\u3067\u306f\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a\u30cf\u30b6\u30fc\u30c9\u6bd40.673\u3068\u5f37\u3044\u4fdd\u8b77\u52b9\u679c\u3092\u6709\u3057\u3066\u304a\u308a\uff0c\u8a66\u9a13\u671f\u9593\u4e2d\u6b7b\u4ea1\u30ea\u30b9\u30af\u304c32.7\uff05\u6e1b\u5c11\u3057\u305f\u3068\u89e3\u91c8\u53ef\u80fd\u3067\u3042\u3063\u305f\uff0e\u65ad\u71b1\u304a\u3088\u3073\u6696\u623f\u3092\u53d7\u3051\u305f\u5faa\u74b0\u5668\u7cfb\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u5185\u306e\u500b\u4eba\u306f\u3055\u3089\u306b\u4f4e\u3044\u6b7b\u4ea1\u30cf\u30b6\u30fc\u30c9\u6bd4\u3092\u793a\u3057\uff0c\u30de\u30f3\u30db\u30a4\u30c3\u30c8\u30cb\u30fc\u691c\u5b9a\u3092\u7528\u3044\u308b\u3068\u65ad\u71b1\u306e\u307f\u306e\u7fa4\u3068\u533a\u5225\u304c\u3064\u304b\u306a\u304b\u3063\u305f\uff0e\u6696\u623f\u306e\u307f\u3092\u53d7\u3051\u305f\u5faa\u74b0\u5668\u7cfb\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u500b\u4eba\u306e\u7d50\u679c\u306f\u3044\u304b\u306a\u308b\u7d71\u8a08\u7684\u306b\u610f\u5473\u306e\u3042\u308b\u5f71\u97ff\u3092\u3082\u793a\u3055\u306a\u304b\u3063\u305f\uff0e\u547c\u5438\u5668\u7cfb\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u306e\u7d50\u679c\u306f\u65ad\u71b1\u3092\u53d7\u3051\u308b\u3053\u3068\u306b\u4fdd\u8b77\u7684\u306a\u5f71\u97ff\u3092\u793a\u5506\u3057\u3066\u304a\u308a\uff0c\u65ad\u71b1\u306e\u307f\u304a\u3088\u3073\u65ad\u71b1\u3068\u6696\u623f\u3092\u53d7\u3051\u305f\u500b\u4eba\u306e\u4e21\u65b9\u3092\u542b\u3093\u3067\u3044\u305f\uff0e\u3044\u305a\u308c\u306e\u7d50\u679c\u3082p<0.05\u306e\u6c34\u6e96\u3067\u306f\u7d71\u8a08\u7684\u6709\u610f\u3067\u306f\u306a\u304b\u3063\u305f\u304c\uff0c\u5bfe\u7167\u7fa4\u306b\u5bfe\u3057\u3066\u65ad\u71b1\u306e\u307f\u3067\u306e\u30cf\u30b6\u30fc\u30c9\u6bd4\u306fp<0.1\u306e\u6c34\u6e96\u3067\u7d71\u8a08\u7684\u6709\u610f\u306b\u8fd1\u3065\u3044\u305f(p=0.122)\uff0e\u547c\u5438\u5668\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u306e\u6b7b\u4ea1\u30cf\u30b6\u30fc\u30c9\u306b\u304a\u3044\u3066\u306f\u6696\u623f\u306e\u307f\u3067\u306f\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a\u6839\u62e0\u306f\u5168\u304f\u898b\u3089\u308c\u306a\u304b\u3063\u305f\uff0e<\/p>\n

\u3000\u30e2\u30c7\u30eb\u306e\u691c\u8a3c\u3067\u306f\u5faa\u74b0\u5668\u7cfb\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u5185\u306e\u65ad\u71b1\u5358\u72ec\u7fa4\u3067\u5831\u544a\u3055\u308c\u305f\u30cf\u30b6\u30fc\u30c9\u6bd4\u306f\u500b\u3005\u4eba\u306e\u5f71\u97ff\/\u6392\u9664\u306b\u5bfe\u3057\u3066\u5805\u7262\u3067\u3042\u3063\u305f\u304c\uff0c\u5c0f\u898f\u6a21\u306a\u6696\u623f\u5358\u72ec\u7fa4\u3084\u65ad\u71b1\u6696\u623f\u7fa4\u306b\u306f\u5f53\u3066\u306f\u307e\u3089\u305a\uff0c\u3053\u308c\u306f\u3053\u308c\u3089\u306e\u7fa4\u306e\u30b5\u30a4\u30ba\u304c\u5c0f\u3055\u3044\u3053\u3068\u3092\u53cd\u6620\u3057\u3066\u3044\u308b\u304c\uff0c\u65ad\u71b1\u6696\u623f\u7fa4\u3067\u89b3\u5bdf\u3055\u308c\u305f\u6b7b\u4ea1\u7387\u306e\u6709\u76ca\u306a\u6e1b\u5c11\u304c\u5805\u7262\u3067\u306f\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3092\u610f\u5473\u3057\u3066\u3044\u308b\uff0e\u547c\u5438\u5668\u7cfb\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u306b\u306f\u95a2\u5fc3\u306e\u3042\u308b\u5909\u6570\u306e\u4fc2\u6570\u306b\u904e\u5ea6\u306e\u5f71\u97ff\u3092\u6301\u3064\u500b\u4eba\u306f\u542b\u307e\u308c\u306a\u304b\u3063\u305f\uff0e<\/p>\n

\u3000\u305d\u306e\u30e2\u30c7\u30eb\u306e\u6bd4\u4f8b\u6027\u306e\u4eee\u5b9a\u3092\u7406\u89e3\u3059\u308b\u3053\u3068\u306f\u5404\u5171\u5909\u91cf\u306eSchoenfeld\u6b8b\u5dee\u3092\u8a55\u4fa1\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u691c\u8a3c\u3055\u308c\u305f\uff0e\u6bd4\u4f8b\u6027\u306e\u4eee\u5b9a\u306e\u9055\u53cd\u3092\u793a\u5506\u3059\u308b\u307b\u3069\u6b8b\u5dee\u304c\u5341\u5206\u306b\u5927\u304d\u3044\u5834\u5408\uff0c\u3053\u308c\u3089\u306e\u5909\u6570\u3068\u7814\u7a76\u671f\u9593\u306e\u95a2\u6570\u3068\u306e\u9593\u306e\u4ea4\u4e92\u4f5c\u7528\u9805\u304c\u305d\u306e\u30e2\u30c7\u30eb\u306b\u542b\u307e\u308c\u305f\uff0e\u305d\u306e\u30e2\u30c7\u30eb\u5185\u306b\u3053\u308c\u3089\u306e\u4ea4\u4e92\u4f5c\u7528\u9805\u3092\u5305\u542b\u3059\u308b\u3053\u3068\u306f\u95a2\u5fc3\u306e\u3042\u308b\u5909\u6570\u306e\u4fc2\u6570\u3068\u4fe1\u983c\u533a\u9593\u306b\u5909\u5316\u3092\u3082\u305f\u3089\u3055\u305a\uff08\u975e\u6bd4\u4f8b\u6027\u3092\u793a\u3059\u3082\u306e\u306f\u306a\u3044\uff09\uff0c\u3086\u3048\u306b\u305d\u306e\u9805\u306f\u30e2\u30c7\u30eb\u7bc0\u7d04\u306e\u7406\u7531\u304b\u3089\u6b8b\u3089\u306a\u304b\u3063\u305f\uff0e\u30e2\u30c7\u30eb\u306e\u9069\u5408\u5ea6\u306fRoyston \u304a\u3088\u3073 Sauerbrei\u306eR2<\/sup>D<\/sub>\u3092\u7528\u3044\u3066\u8a55\u4fa1\u3057\u305f\uff1a\u5faa\u74b0\u5668\u7cfb\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u30e2\u30c7\u30eb\u306f0.32\u306eR2<\/sup>D<\/sub>\u5024\u3092\u6709\u3057\uff0c\u547c\u5438\u5668\u7cfb\u30e2\u30c7\u30eb\u306f\u50240.27\u3067\u3042\u3063\u305f\uff0eHosmer\u3089[18]\u306b\u3088\u308a\u793a\u5506\u3055\u308c\u305f\u624b\u6cd5\u3092\u7528\u3044\u3066\u500b\u3005\u4eba\u306e\u30ea\u30b9\u30af\u30b9\u30b3\u30a2\u5206\u4f4d\u6570\u3092\u8a55\u4fa1\u3059\u308b\u3053\u3068\u306f\uff0c\u305d\u306e\u30e2\u30c7\u30eb\u304c\u826f\u304f\u9069\u5408\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u3057\uff0cCox-Snell\u6b8b\u5dee\u3068\u7814\u7a76\u671f\u9593\u3068\u306e\u9593\u306e\u95a2\u4fc2\u306e\u30b0\u30e9\u30d5\u30a3\u30ab\u30eb\u89e3\u6790\u3092\u6709\u3059\u308b\u307b\u3069\u3060\u3063\u305f\uff0e<\/p>\n

\u8003\u5bdf<\/h2>\n

\u3000\u672c\u7814\u7a76\u304b\u3089\u306e\u6700\u3082\u7d71\u8a08\u7684\u306b\u5805\u7262\u306a\u7d50\u679c\u306f\uff0c\u65e2\u5b58\u306e\u5faa\u74b0\u5668\u75be\u60a3\u3092\u6709\u3059\u308b\u9ad8\u9f62\u8005\u306b\u304a\u3051\u308b\u65ad\u71b1\u6539\u4fee\u306e\u7d4c\u904e\u3092\u8ffd\u3063\u305f\u969b\u306e\u6b7b\u4ea1\u7387\u306e\u6e1b\u5c11\u3067\u3042\u3063\u305f\uff0e\u6211\u3005\u306f\u6b7b\u56e0\u30c7\u30fc\u30bf\u3092\u6709\u3057\u3066\u3044\u306a\u3044\u304c\uff0c\u3053\u306e\u6240\u898b\u306f\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u7d50\u679c\u306e\u6b7b\u8005\u6570\u306e\u6e1b\u5c11\u3067\u3042\u308b\u3053\u3068\u306f\u5c24\u3082\u3089\u3057\u304f\uff0c\u3053\u308c\u307e\u3067\u8a18\u8ff0\u3055\u308c\u3066\u304d\u305f\u65ac\u65b0\u306a\u79d1\u5b66\u7684\u6240\u898b\u3067\u3042\u308b\u304c\uff0c\u5341\u5206\u306b\u63a2\u7d22\u3055\u308c\u3066\u3044\u306a\u304b\u3063\u305f\uff0e\u52b9\u679c\u306e\u4ee5\u524d\u306e\u8868\u793a\u306e\u6b20\u5982\u306f\u4e3b\u306b\u7814\u7a76\u306e\u30b5\u30f3\u30d7\u30eb\u30b5\u30a4\u30ba\u304c\u5c0f\u3055\u3044\u3053\u3068\u306b\u3088\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u304f\uff0c\u305d\u308c\u3089\u306e\u7814\u7a76\u3067\u306f\u7a00\u306a\u4e8b\u8c61\u306b\u304a\u3051\u308b\u65ad\u71b1\u6539\u4fee\u306e\u5f71\u97ff\u3092\u691c\u51fa\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u306a\u304b\u3063\u305f\u3053\u3068\u3092\u610f\u5473\u3057\u3066\u3044\u308b\uff0e\u305d\u306e\u6240\u898b\u306f\uff0c\u5c4b\u5185\u6e29\u5ea6\u304c\u9ad8\u3044\u307b\u3069\u8840\u5727\u3084\u5fc3\u8840\u7ba1\u5065\u5eb7\u306e\u4ed6\u306e\u30de\u30fc\u30ab\u30fc\u304c\u6e1b\u5c11\u3059\u308b\u3053\u3068\u306e\u9023\u643a\u306e\u5897\u5927\u3057\u3064\u3064\u3042\u308b\u6839\u62e0\u304b\u3089\u306a\u308b[19-24]\uff0e\u3053\u308c\u3089\u306e\u7d50\u679c\u3092\u4ed6\u306e\u7ba1\u8f44\u533a\u57df\u306b\u4e00\u822c\u5316\u3059\u308b\u306b\u306f\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3042\u308a\uff0c\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306e\u5c4b\u5185\u6e29\u5ea6\u304c\u985e\u4f3c\u3057\u3066\u3044\u308b\u3053\u3068\uff0c\u65ad\u71b1\u6750\u306eR\u5024\u306a\u3069\u306e\u4ecb\u5165\u7279\u6027\u304c\u985e\u4f3c\u3057\u3066\u3044\u308b\u3053\u3068\u306a\u3069\u591a\u304f\u306e\u6761\u4ef6\u3092\u6e80\u305f\u3059\u5fc5\u8981\u304c\u3042\u308b\u304b\u3089\u3067\u3042\u308b\uff0e<\/p>\n

\u3000\u6b7b\u4ea1\u7387\u6e1b\u5c11\u306e\u77e5\u898b\u3082\u307e\u305f\u653f\u7b56\u3078\u306e\u5927\u304d\u306a\u5f71\u97ff\u3092\u6709\u3059\u308b\uff0e\u300c\u7d71\u8a08\u7684\u751f\u547d\u5e74\u5024\u300d\u306e\u7b97\u51fa\u5024\u3068\u4fdd\u5b88\u7684\u306a\u4eee\u5b9a\u3092\u7528\u3044\u308b\u5834\u5408\uff0c\u5e74\u9593\u4e16\u5e2f\u3042\u305f\u308a\u306e\u5897\u52a0\u3059\u308b\u5229\u76ca\u306f750NZ\u30c9\u30eb\u3068\u63a8\u5b9a\u3055\u308c\uff0c\u3053\u308c\u306f\u65ad\u71b1\u6539\u4fee\u3055\u308c\u305f\u4f4f\u5b85\u3067\u306f\uff0c\u3053\u306e\u671f\u9593\u4e2d\u306b\u5065\u5eb7\u4e0a\u306e\u5229\u76ca\u3092\u5f97\u308b\u8106\u5f31\u306a\u5c45\u4f4f\u8005\u306e\u5272\u5408\u304c\u5408\u7406\u7684\u306b\u4e00\u5b9a\u306b\u4fdd\u305f\u308c\u308b\u3068\u3044\u3046\u4eee\u5b9a\u306b\u57fa\u3065\u304d\uff0c\u65ad\u71b1\u6539\u4fee\u306e\u8010\u7528\u5e74\u657030\u5e74\u9593\u306e\u5229\u76ca\uff1a\u8cbb\u7528\u30926.4\uff1a1\u3068\u975e\u5e38\u306b\u6709\u5229\u306b\u8a08\u7b97\u3057\u305f\u3082\u306e\u3067\u3042\u308b[16]\uff0e<\/p>\n

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304b\u3063\u305f\uff0e<\/p>\n

\u3000\u3053\u308c\u3089\u306e\u9650\u754c\u306b\u3082\u95a2\u308f\u3089\u305a\uff0c\u3053\u308c\u3089\u306e\u77e5\u898b\u306f\u6bd4\u8f03\u7684\u5927\u898f\u6a21\u306a2\u3064\u306e\u30b5\u30d6\u30b3\u30db\u30fc\u30c8\u304b\u3089\u5f97\u3089\u308c\u305f\u3082\u306e\u3067\u3042\u308a\uff0c\u3053\u306e\u7814\u7a76\u306b\u3088\u308a\uff0c\u6b7b\u4ea1\u7387\u306b\u5bfe\u3059\u308b\u65ad\u71b1\u6539\u4fee\u306e\u5f71\u97ff\u3092\u7279\u5b9a\u3059\u308b\u529b\u3092\u72ec\u81ea\u306b\u4e0e\u3048\u3066\u304a\u308a\uff0c\u3053\u308c\u307e\u3067\u306e\u7121\u4f5c\u70ba\u5316\u6bd4\u8f03\u8a66\u9a13\u3068\u306f\u4e00\u7dda\u3092\u753b\u3057\u3066\u3044\u308b\uff0e\u3053\u306e\u8abf\u67fb\u7d50\u679c\u306fWUNZ:HS\u306e\u7d99\u7d9a\u3068\uff0c\u305d\u306e\u5f8c\u7d99\u3067\u3042\u308bWarm Up New Zealand: Healthy Homes\u306e\u5275\u8a2d\u306b\u53cd\u6620\u3055\u308c\uff0c\u653f\u7b56\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u7d9a\u3051\u3066\u3044\u308b\uff0e\u3053\u308c\u3089\u306e\u77e5\u898b\u304c\u4ed6\u306e\u72b6\u6cc1\u306b\u4e00\u822c\u5316\u3067\u304d\u308b\u304b\u3069\u3046\u304b\u306f\uff0c\u4f4f\u5b85\u30b9\u30c8\u30c3\u30af\u306e\u985e\u4f3c\u6027\u3068\u5b9f\u65bd\u3055\u308c\u305f\u65ad\u71b1\u6539\u4fee\u306e\u985e\u4f3c\u6027\u3068\u306b\u4f9d\u5b58\u3057\u3066\u3044\u308b\uff0e<\/p>\n

\u53c2\u8003\u6587\u732e<\/h2>\n
    \n
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  20. Saeki K, Obayashi K, Iwamoto J, et al. Stronger association of indoor temperature than outdoor temperature with blood pressure in colder months. J Hypertens 2014;32:1582\u20139<\/a>.<\/li>\n
  21. Saeki K, Obayashi K, Iwamoto J, et al. Influence of room heating on ambulatory blood pressure in winter: a randomised controlled study. J Epidemiol Community Health 2013;67:484\u201390<\/a>.<\/li>\n
  22. Neild PJ, Syndercombe-Court D, Keatinge WR, et al. Cold-induced increases in erythrocyte count, plasma cholesterol and plasma fibrinogen of elderly people without a comparable rise in protein C or\u00a0 factor X. Clin Sci 1994;86:43\u20138<\/a>.<\/li>\n
  23. Mercer JB, Osterud B, Tveita T. The effect of short-term cold exposure on risk factors for cardiovascular disease. Thromb Res 1999;95:93\u2013104<\/a>.<\/li>\n
  24. Inoue Y, Nakao M, Araki T, et al. Thermoregulatory responses of young and older men to cold exposure. Eur J Appl Physiol Occup Physiol 1992;65:492\u20138<\/a>.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

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