Good Rehabilitation Outcomes and Improved Nutritional Status After Treatment With the Japanese Herbal Medicine Ninjin'yoeito in an Elderly Patient With Hip Fracture and Sarcopenia: A Case Report.

body composition frailty hip fracture malnutrition ninjin'yoeito rehabilitation sarcopenia

Journal

Frontiers in nutrition
ISSN: 2296-861X
Titre abrégé: Front Nutr
Pays: Switzerland
ID NLM: 101642264

Informations de publication

Date de publication:
2020
Historique:
received: 29 02 2020
accepted: 11 05 2020
entrez: 28 7 2020
pubmed: 28 7 2020
medline: 28 7 2020
Statut: epublish

Résumé

We report a case involving a 92-year-old man who successfully received treatment with ninjin'yoeito, a Japanese herbal medicine, during the rehabilitation phase after hip fracture surgery. The patient was diagnosed with a left femoral neck fracture and underwent surgery. Two weeks after surgery, he was admitted to a rehabilitation hospital. At that time, his height, weight, body fat percentage, muscle mass, and Functional Independence Measure (FIM) score were 167 cm, 61 kg, 34.1%, 38.2 kg, and 49, respectively. For 1 month after surgery (i.e., 2 weeks after admission to the rehabilitation facility), he received rikkunshito, a traditional Japanese herbal medicine also known as Kampo medicine, for appetite loss and underwent rehabilitation. However, his appetite loss showed no improvement, and rikkunshito (7.5 g/d) was replaced with ninjin'yoeito (7.5 g/d). Two months later, although the patient's body weight and body fat percentage decreased to 56.5 kg and 21.1%, respectively, his muscle mass increased to 38.9 kg. Nutritional status evaluation indicated an improvement in the level of proteins such as transferrin, prealbumin, and retinol-binding protein, which reflected an increase in food intake. The FIM score improved from 49 to 105. No side effects were observed. The findings from this case suggest that ninjin'yoeito, which includes

Identifiants

pubmed: 32714940
doi: 10.3389/fnut.2020.00085
pmc: PMC7344182
doi:

Types de publication

Case Reports

Langues

eng

Pagination

85

Informations de copyright

Copyright © 2020 Morinaga, Nakamura, Hattanmaru, Rokot, Kimura and Ito.

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Auteurs

Akinori Morinaga (A)

Institute of Oriental Medicine, Tokyo Women's Medical University, Tokyo, Japan.

Hiroki Nakamura (H)

Department of Rehabilitation, Hattanmaru Rehabilitation Hospital, Kagoshima, Japan.

Kenji Hattanmaru (K)

Department of Rehabilitation, Hattanmaru Rehabilitation Hospital, Kagoshima, Japan.

Natasya Trivena Rokot (NT)

Pharmacological Department of Herbal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.

Yoko Kimura (Y)

Institute of Oriental Medicine, Tokyo Women's Medical University, Tokyo, Japan.

Takashi Ito (T)

Institute of Oriental Medicine, Tokyo Women's Medical University, Tokyo, Japan.

Classifications MeSH