{"id":5341,"date":"2026-04-21T13:04:00","date_gmt":"2026-04-21T04:04:00","guid":{"rendered":"https:\/\/www.takeuchi-iin.jp\/blog\/?p=5341"},"modified":"2026-05-02T01:49:09","modified_gmt":"2026-05-01T16:49:09","slug":"%e3%80%8e%e7%b3%96%e5%b0%bf%e7%97%85%e5%88%9d%e6%9c%9f%e7%97%87%e7%8a%b6%e3%80%8f%e9%9a%a0%e3%82%8c%e7%b3%96%e5%b0%bf%e7%97%85%e3%81%ab%e3%81%84%e3%81%a1%e6%97%a9%e3%81%8f%e6%b0%97%e3%81%a5%e3%81%93","status":"publish","type":"post","link":"https:\/\/www.takeuchi-iin.jp\/blog\/%e3%80%8e%e7%b3%96%e5%b0%bf%e7%97%85%e5%88%9d%e6%9c%9f%e7%97%87%e7%8a%b6%e3%80%8f%e9%9a%a0%e3%82%8c%e7%b3%96%e5%b0%bf%e7%97%85%e3%81%ab%e3%81%84%e3%81%a1%e6%97%a9%e3%81%8f%e6%b0%97%e3%81%a5%e3%81%93\/","title":{"rendered":"\u3010\u533b\u5e2b\u76e3\u4fee\u3011\u96a0\u308c\u7cd6\u5c3f\u75c5\u306e\u521d\u671f\u75c7\u72b65\u9078\uff5c\u98df\u5f8c\u8840\u7cd6\u3068OGTT\u3067\u65e9\u671f\u767a\u898b\u3059\u308b\u65b9\u6cd5"},"content":{"rendered":"<p><!-- ==================== 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--><\/p>\n<p>\n\u539a\u751f\u52b4\u50cd\u7701\u300c\u4ee4\u548c5\u5e74\u56fd\u6c11\u5065\u5eb7\u30fb\u6804\u990a\u8abf\u67fb\u300d\u306b\u3088\u308c\u3070\u3001\u7cd6\u5c3f\u75c5\u304c\u5f37\u304f\u7591\u308f\u308c\u308b\u4eba\u306f<strong>\u7537\u602716.8\uff05\u3001\u5973\u60278.9\uff05<\/strong>\u3002\u7cd6\u5c3f\u75c5\u3092\u5f37\u304f\u7591\u308f\u308c\u308b\u65b9\u306f\u7d041,000\u4e07\u4eba\u3001\u305d\u3057\u3066\u7cd6\u5c3f\u75c5\u306e\u53ef\u80fd\u6027\u3092\u5426\u5b9a\u3067\u304d\u306a\u3044\u4eba\uff08\u3044\u308f\u3086\u308b<strong>\u7cd6\u5c3f\u75c5\u4e88\u5099\u7fa4\u30fb\u5883\u754c\u578b\u7cd6\u5c3f\u75c5<\/strong>\uff09\u304c\u3055\u3089\u306b\u7d041,000\u4e07\u4eba\u5b58\u5728\u3059\u308b\u3068\u63a8\u8a08\u3055\u308c\u3066\u3044\u307e\u3059\u3002<br \/>\n\u3064\u307e\u308a\u65e5\u672c\u4eba\u6210\u4eba\u306e\u7d045\u4eba\u306b1\u4eba\u306f\u300c\u7cd6\u5c3f\u75c5\u307e\u305f\u306f\u305d\u306e\u4e00\u6b69\u624b\u524d\u300d\u3068\u3044\u3046\u8a08\u7b97\u306b\u306a\u308a\u307e\u3059\u3002\n<\/p>\n<p>\n\u7cd6\u5c3f\u75c5\u306f\u5931\u660e\uff08\u7cd6\u5c3f\u75c5\u7db2\u819c\u75c7\uff09\u3001\u900f\u6790\uff08\u7cd6\u5c3f\u75c5\u814e\u75c7\uff09\u3001\u4e0b\u80a2\u5207\u65ad\uff08\u7cd6\u5c3f\u75c5\u8db3\u75c5\u5909\uff09\u3068\u3044\u3063\u305f\u91cd\u7be4\u306a\u5408\u4f75\u75c7\u3092\u5f15\u304d\u8d77\u3053\u3059\u6016\u3044\u75c5\u6c17\u3067\u3059\u304c\u3001<strong>\u8a3a\u65ad\u304c\u3064\u304f\u524d\u306e\u300c\u5883\u754c\u578b\uff08\u96a0\u308c\u7cd6\u5c3f\u75c5\uff09\u300d\u306e\u6bb5\u968e\u304b\u3089\u3001\u3059\u3067\u306b\u52d5\u8108\u786c\u5316\u3084\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u30ea\u30b9\u30af\u304c\u4e0a\u6607\u3057\u3066\u3044\u308b<\/strong>\u3053\u3068\u304c\u5927\u898f\u6a21\u7814\u7a76\u3067\u660e\u3089\u304b\u306b\u306a\u3063\u3066\u3044\u307e\u3059\uff08Cai X, <em>BMJ<\/em> 2020\uff09\u3002<br \/>\n\u3060\u304b\u3089\u3053\u305d\u3001\u660e\u3089\u304b\u306a\u7cd6\u5c3f\u75c5\u306b\u306a\u308b\u524d\u306b\u300c\u96a0\u308c\u7cd6\u5c3f\u75c5\u300d\u3092\u3044\u3061\u65e9\u304f\u898b\u3064\u3051\u3001\u4e88\u9632\u3059\u308b\u3053\u3068\u304c\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002\n<\/p>\n<p>\u3053\u306e\u30d6\u30ed\u30b0\u3067\u306f\u3001<\/p>\n<ul>\n<li>\u7cd6\u5c3f\u75c5\u306e\u521d\u671f\u75c7\u72b6\uff085\u3064\u306e\u30b5\u30a4\u30f3\uff09<\/li>\n<li>\u65e5\u672c\u4eba\u306e\u7cd6\u5c3f\u75c5\u306e\u7279\u5fb4 \u2015 \u300c\u3084\u305b\u578b\u3067\u3082\u306a\u308b\u300d\u75c5\u614b\u30e1\u30ab\u30cb\u30ba\u30e0<\/li>\n<li>\u96a0\u308c\u7cd6\u5c3f\u75c5\uff08\u5883\u754c\u578b\uff09\u306e\u8a3a\u65ad \u2015 OGTT\u304c\u306a\u305c\u91cd\u8981\u304b<\/li>\n<li>\u5883\u754c\u578b\u304b\u3089\u7cd6\u5c3f\u75c5\u3078\u9032\u3080\u78ba\u7387\u3068\u5fc3\u8840\u7ba1\u30ea\u30b9\u30af<\/li>\n<li>\u4e88\u9632\u30fb\u6539\u5584\u306e\u79d1\u5b66\u7684\u6839\u62e0\uff08\u65e5\u672c\u30fb\u6d77\u5916\u306e\u5927\u898f\u6a21\u8a66\u9a13\uff09<\/li>\n<li>\u7cd6\u5c3f\u75c5\u306b\u306a\u308a\u3084\u3059\u3044\u4eba\u306e\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8<\/li>\n<\/ul>\n<p>\u3092\u3001\u6700\u65b0\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u3044\u3066\u5fb9\u5e95\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n<p>\n\u672c\u30d6\u30ed\u30b0\u306e\u6982\u8981\u306fYouTube\u3067\u3082\u5206\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac\u3057\u3066\u3044\u307e\u3059\u3002<br \/>\n<br \/>\n<a href=\"https:\/\/youtu.be\/wqHXa4C7Ce8?si=qIdSC46dA4lHdGpf\"><img decoding=\"async\" src=\"https:\/\/www.takeuchi-iin.jp\/blog\/wp-content\/uploads\/2024\/04\/de2939f63a30e3754aab5d2cd4526660-1024x576.jpg\" alt=\"\u7cd6\u5c3f\u75c5\u521d\u671f\u75c7\u72b6 YouTube\u89e3\u8aac\"><\/a>\n<\/p>\n<p><!-- ==================== \u30bb\u30af\u30b7\u30e7\u30f31\uff1a\u7cd6\u5c3f\u75c5\u306e\u898f\u6a21\u3068\u6df1\u523b\u3055 ==================== --><\/p>\n<h2>1\uff0e\u65e5\u672c\u306e\u7cd6\u5c3f\u75c5 \u2015 \u300c\u56fd\u6c11\u75c5\u300d\u3068\u3057\u3066\u306e\u73fe\u5b9f<\/h2>\n<table style=\"width:100%; border-collapse:separate; border-spacing:0; background:#e8f5e9; border-left:6px solid #43a047; border-radius:8px; margin:16px 0;\">\n<tr>\n<td style=\"padding:16px 20px;\">\n<p style=\"margin:0 0 8px 0; color:#1b5e20; font-weight:bold; font-size:1.05em;\">\u3010\u30a8\u30d3\u30c7\u30f3\u30b9\u3011\u65e5\u672c\u306e\u7cd6\u5c3f\u75c5\u6709\u75c5\u7387<\/p>\n<p style=\"margin:0; color:#333; line-height:1.7;\">\n        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---- \u75c7\u72b6\u2461 ---- --><\/p>\n<h3 style=\"color:#01579b;\">\u2461 \u5c3f\u304c\u6ce1\u7acb\u3064<\/h3>\n<p>\n\u5c3f\u306e\u6ce1\u7acb\u3061\u306f\u3001\u2460\u5c3f\u306e\u6fc3\u5ea6\u304c\u6fc3\u3044\u3001\u2461\u5c3f\u306b\u7cd6\u304c\u542b\u307e\u308c\u3066\u3044\u308b\u3001\u2462\u5c3f\u306b\u30bf\u30f3\u30d1\u30af\u304c\u542b\u307e\u308c\u3066\u3044\u308b\u3001\u2463\u5c3f\u8def\u611f\u67d3\u3067\u7d30\u83cc\u30fb\u767d\u8840\u7403\u304c\u542b\u307e\u308c\u3066\u3044\u308b\u3001\u306a\u3069\u3067\u8d77\u3053\u308a\u307e\u3059\u3002<br \/>\n\u5c3f\u7cd6\u3060\u3051\u306a\u3089\u6ce1\u306f\u3059\u3050\u6d88\u3048\u307e\u3059\u304c\u3001<strong>\u305f\u3093\u3071\u304f\u5c3f\u3067\u306f\u6ce1\u304c\u306a\u304b\u306a\u304b\u6d88\u3048\u306a\u3044\uff0810\u79d2\u4ee5\u4e0a\u6b8b\u308b\uff09<\/strong>\u306e\u304c\u7279\u5fb4\u3002\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u521d\u671f\u3067\u306f\u5fae\u91cf\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f\uff08\u901a\u5e38\u306e\u8a66\u9a13\u7d19\u6cd5\u3067\u306f\u307e\u3060\u9670\u6027\uff09\u304c\u51fa\u59cb\u3081\u308b\u305f\u3081\u3001\u5065\u8a3a\u3067\u306e\u5c3f\u691c\u67fb\u306b\u52a0\u3048\u3001\u5c3f\u4e2d\u30a2\u30eb\u30d6\u30df\u30f3\uff0f\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u6bd4\u306e\u6e2c\u5b9a\u304c\u65e9\u671f\u767a\u898b\u306b\u6709\u7528\u3067\u3059\u3002\n<\/p>\n<p><!-- ---- \u75c7\u72b6\u2462 ---- --><\/p>\n<h3 style=\"color:#01579b;\">\u2462 \u8db3\u304c\u3064\u308b\u30fb\u3057\u3073\u308c\u308b<\/h3>\n<p>\n\u7cd6\u5c3f\u75c5\u795e\u7d4c\u969c\u5bb3\u306e\u5178\u578b\u75c7\u72b6\u3067\u3059\u3002\u9ad8\u8840\u7cd6\u306e\u6301\u7d9a\u306b\u3088\u3063\u3066\u672b\u68a2\u795e\u7d4c\u306e\u8ef8\u7d22\u5909\u6027\u3068\u30b7\u30e5\u30ef\u30f3\u7d30\u80de\u969c\u5bb3\u304c\u8d77\u3053\u308a\u3001\u5de6\u53f3\u5bfe\u79f0\u6027\u30fb\u4e21\u8db3\u5148\u304b\u3089\u59cb\u307e\u308b<strong>\u9060\u4f4d\u5bfe\u79f0\u6027\u591a\u767a\u30cb\u30e5\u30fc\u30ed\u30d1\u30c1\u30fc<\/strong>\u3068\u3057\u3066\u73fe\u308c\u307e\u3059\u3002\u60a3\u8005\u3055\u3093\u306f\u3057\u3070\u3057\u3070\u300c\u7802\u5229\u9053\u3092\u88f8\u8db3\u3067\u6b69\u3044\u3066\u3044\u308b\u3088\u3046\u306a\u9055\u548c\u611f\u300d\u300c\u9774\u4e0b\u3092\u91cd\u306d\u3066\u5c65\u3044\u3066\u3044\u308b\u3088\u3046\u306a\u611f\u899a\u300d\u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\n<\/p>\n<p>\n\u3053\u3080\u3089\u8fd4\u308a\uff08\u8db3\u304c\u3064\u308b\uff09\u306f\u795e\u7d4c\u969c\u5bb3\u306b\u52a0\u3048\u3066\u3001\u9ad8\u8840\u7cd6\u306b\u3088\u308b\u4f53\u6db2\u30d0\u30e9\u30f3\u30b9\u306e\u4e71\u308c\uff08\u8131\u6c34\u30fb\u96fb\u89e3\u8cea\u7570\u5e38\uff09\u3082\u95a2\u4e0e\u3057\u307e\u3059\u3002\u591c\u9593\u306e\u3053\u3080\u3089\u8fd4\u308a\u304c\u983b\u56de\u306a\u5834\u5408\u3001\u7cd6\u5c3f\u75c5\u306e\u30b5\u30a4\u30f3\u306e\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\n<\/p>\n<p><!-- ---- \u75c7\u72b6\u2463 ---- --><\/p>\n<h3 style=\"color:#01579b;\">\u2463 \u611f\u67d3\u3057\u3084\u3059\u304f\u306a\u308b\uff08\u6613\u611f\u67d3\u6027\uff09<\/h3>\n<p>\n\u9ad8\u8840\u7cd6\u306f\u767d\u8840\u7403\uff08\u7279\u306b\u597d\u4e2d\u7403\uff09\u306e\u904a\u8d70\u80fd\u30fb\u8caa\u98df\u80fd\u30fb\u6bba\u83cc\u80fd\u3092\u4f4e\u4e0b\u3055\u305b\u307e\u3059\u3002\u307e\u305f\u9ad8\u8840\u7cd6\u305d\u306e\u3082\u306e\u304c\u7d30\u83cc\u306e\u6804\u990a\u6e90\u3068\u306a\u308a\u3001\u76ae\u819a\u306e\u8840\u6d41\u4f4e\u4e0b\u3082\u52a0\u308f\u3063\u3066<strong>\u76ae\u819a\u611f\u67d3\u75c7\u30fb\u5c3f\u8def\u611f\u67d3\u75c7\u30fb\u6b6f\u5468\u75c5\u30fb\u80ba\u708e<\/strong>\u306a\u3069\u306b\u304b\u304b\u308a\u3084\u3059\u304f\u3001\u6cbb\u308a\u306b\u304f\u304f\u306a\u308a\u307e\u3059\u3002\u7279\u306b<strong>\u8180\u80f1\u708e\u3092\u7e70\u308a\u8fd4\u3059\u30fb\u6b6f\u5468\u75c5\u304c\u60aa\u5316\u3057\u3066\u304d\u305f\u30fb\u3068\u3073\u3072\u306e\u3088\u3046\u306a\u76ae\u819a\u611f\u67d3\u3092\u8d77\u3053\u3057\u305f<\/strong>\u7b49\u306f\u7cd6\u5c3f\u75c5\u306e\u30b5\u30a4\u30f3\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\n<\/p>\n<p><!-- ---- \u75c7\u72b6\u2464 ---- --><\/p>\n<h3 style=\"color:#01579b;\">\u2464 \u5026\u6020\u611f\u30fb\u4f53\u91cd\u6e1b\u5c11\uff08\u98df\u3079\u3066\u3044\u308b\u306e\u306b\u3084\u305b\u308b\uff09<\/h3>\n<p>\n\u3053\u308c\u306f\u521d\u671f\u3068\u3044\u3046\u3088\u308a\u3001<strong>\u3059\u3067\u306b\u7cd6\u5c3f\u75c5\u304c\u9032\u884c\u3057\u3066\u3044\u308b\u30b5\u30a4\u30f3<\/strong>\u3067\u3059\u3002\u30a4\u30f3\u30b9\u30ea\u30f3\u4f5c\u7528\u306e\u4e0d\u8db3\u306b\u3088\u3063\u3066\u3001\u98df\u4e8b\u304b\u3089\u6442\u53d6\u3057\u305f\u30d6\u30c9\u30a6\u7cd6\u3092\u7b4b\u8089\u3084\u8102\u80aa\u7d44\u7e54\u306b\u3046\u307e\u304f\u53d6\u308a\u8fbc\u3081\u306a\u304f\u306a\u308b\u3068\u3001\u4f53\u306f\u8102\u80aa\u3084\u7b4b\u8089\u3092\u5206\u89e3\u3057\u3066\u30a8\u30cd\u30eb\u30ae\u30fc\u3092\u5f97\u3088\u3046\u3068\u3057\u307e\u3059\u3002\u7d50\u679c\u3001\u98df\u4e8b\u91cf\u306f\u6e1b\u3063\u3066\u3044\u306a\u3044\u306e\u306b\u4f53\u91cd\u304c\u6e1b\u5c11\u3057\u307e\u3059\u3002\n<\/p>\n<table style=\"width:100%; border-collapse:separate; border-spacing:0; background:#ffebee; border-left:6px solid #e53935; border-radius:8px; margin:16px 0;\">\n<tr>\n<td style=\"padding:16px 20px;\">\n<p style=\"margin:0 0 8px 0; color:#b71c1c; font-weight:bold; font-size:1.05em;\">\u3010\u8b66\u544a\u3011\u6025\u6fc0\u306a\u4f53\u91cd\u6e1b\u5c11\u306f\u7dca\u6025\u53d7\u8a3a\u3092<\/p>\n<p style=\"margin:0; color:#333; line-height:1.7;\">\n        \u6570\u30ab\u6708\u30675kg\u4ee5\u4e0a\u306e\u610f\u56f3\u3057\u306a\u3044\u4f53\u91cd\u6e1b\u5c11\u3001\u5f37\u3044\u53e3\u6e07\u30fb\u591a\u98f2\u30fb\u591a\u5c3f\u3001\u5f37\u3044\u5026\u6020\u611f\u3092\u4f34\u3046\u5834\u5408\u306f\u3001<strong>\u30a4\u30f3\u30b9\u30ea\u30f3\u304c\u6975\u5ea6\u306b\u4e0d\u8db3\u3057\u305f\u72b6\u614b\uff08\u7cd6\u5c3f\u75c5\u30b1\u30c8\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u306e\u524d\u5146\uff09<\/strong>\u306e\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u653e\u7f6e\u3059\u308b\u3068\u610f\u8b58\u969c\u5bb3\u30fb\u660f\u7761\u306b\u81f3\u308b\u5371\u967a\u306a\u75c5\u614b\u3067\u3059\u3002\u65e9\u6025\u306b\u533b\u7642\u6a5f\u95a2\u3092\u53d7\u8a3a\u3057\u3066\u304f\u3060\u3055\u3044\u3002\u307e\u305f\u3001\u6025\u6fc0\u306a\u4f53\u91cd\u6e1b\u5c11\u306f\u300c\u5287\u75c71\u578b\u7cd6\u5c3f\u75c5\u300d\u300c\u81b5\u81d3\u304c\u3093\u300d\u306a\u3069\u306e\u91cd\u5927\u75be\u60a3\u306e\u30b5\u30a4\u30f3\u3067\u3082\u3042\u308a\u3001\u5fc5\u305a\u539f\u56e0\u691c\u7d22\u304c\u5fc5\u8981\u3067\u3059\u3002\n      <\/p>\n<\/td>\n<\/tr>\n<\/table>\n<p><!-- ==================== \u30bb\u30af\u30b7\u30e7\u30f33\uff1a\u65e5\u672c\u4eba\u306e\u7cd6\u5c3f\u75c5\u306e\u7279\u5fb4 ==================== --><\/p>\n<h2>3\uff0e\u65e5\u672c\u4eba\u306e\u7cd6\u5c3f\u75c5\u306e\u7279\u5fb4 \u2015 \u300c\u3084\u305b\u3066\u3044\u3066\u3082\u306a\u308b\u300d\u75c5\u614b<\/h2>\n<p>\n\u6b27\u7c73\u4eba\u306e2\u578b\u7cd6\u5c3f\u75c5\u306f\u4e3b\u306b<strong>\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\uff08\u5185\u81d3\u8102\u80aa\u80a5\u6e80\u306b\u3088\u308b\uff09<\/strong>\u304c\u4e3b\u4f53\u3067\u767a\u75c7\u3057\u307e\u3059\u3002\u4e00\u65b9\u3001\u65e5\u672c\u4eba\u3092\u542b\u3080\u6771\u30a2\u30b8\u30a2\u4eba\u3067\u306f\u3001\u81b5\u03b2\u7d30\u80de\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u304c\u6b27\u7c73\u4eba\u3088\u308a\u4f4e\u3044\u3053\u3068\u304c\u5206\u304b\u3063\u3066\u304a\u308a\u3001<strong>\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u4e0d\u5168\u304c\u4e3b\u4f53<\/strong>\u3068\u306a\u308b\u75c5\u614b\u304c\u591a\u3044\u306e\u304c\u7279\u5fb4\u3067\u3059\u3002\n<\/p>\n<table style=\"width:100%; border-collapse:separate; border-spacing:0; background:#e8f5e9; border-left:6px solid #43a047; border-radius:8px; margin:16px 0;\">\n<tr>\n<td style=\"padding:16px 20px;\">\n<p style=\"margin:0 0 8px 0; color:#1b5e20; font-weight:bold; font-size:1.05em;\">\u3010\u30a8\u30d3\u30c7\u30f3\u30b9\u3011\u65e5\u672c\u4eba\u306f\u6b27\u7c73\u4eba\u306e\u7d04\u534a\u5206\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd<\/p>\n<p style=\"margin:0; color:#333; line-height:1.7;\">\n        \u6e05\u91ce\u88d5\u5148\u751f\uff08\u4eac\u90fd\u5927\u5b66\u540d\u8a89\u6559\u6388\uff09\u3089\u306e\u53e4\u5178\u7684\u7814\u7a76\uff081975\u5e74\uff09\u4ee5\u964d\u306e\u591a\u6570\u306e\u5831\u544a\u3067\u3001<strong>\u5065\u5e38\u65e5\u672c\u4eba\u306e75g\u7d4c\u53e3\u30d6\u30c9\u30a6\u7cd6\u8ca0\u8377\u8a66\u9a13\uff08OGTT\uff09\u306b\u304a\u3051\u308b\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u91cf\u306f\u3001\u540c\u6761\u4ef6\u306e\u6b27\u7c73\u4eba\u306e\u7d041\/2<\/strong>\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\uff08Seino Y, <em>Proc Jpn Acad Ser B<\/em> 2025\uff09\u3002\u3055\u3089\u306b\u65e5\u672c\u4eba\u306e\u5883\u754c\u578b\u7cd6\u5c3f\u75c5\u3067\u306f\u3001IGT\uff08\u98df\u5f8c\u9ad8\u8840\u7cd6\u578b\uff09\u306e\u6bd4\u7387\u304c70\uff5e80\uff05\u3068\u9ad8\u304f\u3001IFG\uff08\u7a7a\u8179\u6642\u8840\u7cd6\u7570\u5e38\u578b\uff09\u306e\u6bd4\u7387\uff0820\uff5e30\uff05\uff09\u3092\u5927\u304d\u304f\u4e0a\u56de\u308a\u307e\u3059\u3002<br \/>\n        \u3053\u306e\u7d50\u679c\u306f\u3001<strong>\u65e5\u672c\u4eba\u306e\u5883\u754c\u578b\u7cd6\u5c3f\u75c5\u306f\u300c\u7a7a\u8179\u6642\u8840\u7cd6\u306f\u6b63\u5e38\u3067\u3082\u3001\u98df\u5f8c\u306b\u6025\u6fc0\u306b\u8840\u7cd6\u304c\u4e0a\u304c\u308b\u30bf\u30a4\u30d7\u300d\u304c\u5727\u5012\u7684\u306b\u591a\u3044<\/strong>\u3053\u3068\u3092\u610f\u5473\u3057\u3066\u304a\u308a\u3001\u5065\u8a3a\u306e\u7a7a\u8179\u6642\u8840\u7cd6\u306e\u307f\u3067\u306f\u898b\u9003\u3055\u308c\u3084\u3059\u3044\u306e\u3067\u3059\u3002\n      <\/p>\n<\/td>\n<\/tr>\n<\/table>\n<p>\nBMI 25\u672a\u6e80\u306e\u300c\u3084\u305b\u578b\u300d\u300c\u666e\u901a\u4f53\u578b\u300d\u3067\u3082\u7cd6\u5c3f\u75c5\u3092\u767a\u75c7\u3057\u3084\u3059\u3044\u306e\u306f\u3001\u3053\u306e\u5206\u6ccc\u4e0d\u5168\u306e\u907a\u4f1d\u7684\u80cc\u666f\u304c\u3042\u308b\u305f\u3081\u3067\u3059\u3002\u300c\u592a\u3063\u3066\u3044\u306a\u3044\u304b\u3089\u5927\u4e08\u592b\u300d\u3068\u306f\u6c7a\u3057\u3066\u8a00\u3048\u307e\u305b\u3093\u3002\n<\/p>\n<p><!-- ==================== \u30bb\u30af\u30b7\u30e7\u30f34\uff1a\u96a0\u308c\u7cd6\u5c3f\u75c5 ==================== --><\/p>\n<h2>4\uff0e\u96a0\u308c\u7cd6\u5c3f\u75c5\uff08\u5883\u754c\u578b\uff09\u3068\u306f \u2015 \u98df\u5f8c2\u6642\u9593\u5024\u304c\u30ab\u30ae<\/h2>\n<p><img decoding=\"async\" src=\"https:\/\/www.takeuchi-iin.jp\/blog\/wp-content\/uploads\/2024\/04\/image-57.png\" alt=\"\u96a0\u308c\u7cd6\u5c3f\u75c5\u3068\u306f\"><\/p>\n<p>\n\u4e00\u822c\u7684\u306a\u5065\u5eb7\u8a3a\u65ad\u3067\u306f<strong>\u7a7a\u8179\u6642\u306e\u8840\u6db2\u691c\u67fb<\/strong>\u304c\u884c\u308f\u308c\u307e\u3059\u3002\u3057\u304b\u3057\u524d\u8ff0\u306e\u3068\u304a\u308a\u3001\u65e5\u672c\u4eba\u306e\u5883\u754c\u578b\u7cd6\u5c3f\u75c5\u306f\u300c\u98df\u5f8c\u306b\u8840\u7cd6\u304c\u6025\u4e0a\u6607\u3059\u308b\u304c\u3001\u7a7a\u8179\u6642\u306f\u6b63\u5e38\u300d\u3068\u3044\u3046\u30d1\u30bf\u30fc\u30f3\u304c\u5927\u534a\u3092\u5360\u3081\u307e\u3059\u3002\u3053\u306e\u6bb5\u968e\u3067\u306f\u7a7a\u8179\u6642\u8840\u7cd6\u3082HbA1c\u3082\u30ae\u30ea\u30ae\u30ea\u57fa\u6e96\u5185\u306b\u53ce\u307e\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u5065\u8a3a\u3060\u3051\u3067\u306f\u767a\u898b\u3067\u304d\u306a\u3044 \u2015\u2015 \u3053\u308c\u304c<strong>\u300c\u96a0\u308c\u7cd6\u5c3f\u75c5\u300d<\/strong>\u3068\u547c\u3070\u308c\u308b\u6240\u4ee5\u3067\u3059\u3002\n<\/p>\n<p>\n\u96a0\u308c\u7cd6\u5c3f\u75c5\u3092\u78ba\u5b9f\u306b\u62fe\u3044\u4e0a\u3052\u308b\u306b\u306f\u3001<strong>75g\u7d4c\u53e3\u30d6\u30c9\u30a6\u7cd6\u8ca0\u8377\u8a66\u9a13\uff0875gOGTT\uff09\u3067\u98df\u5f8c2\u6642\u9593\u5024\u3092\u6e2c\u5b9a\u3059\u308b<\/strong>\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u98df\u5f8c2\u6642\u9593\u5024\u304c140 mg\/dL\u4ee5\u4e0a200 mg\/dL\u672a\u6e80\u3067\u300c\u5883\u754c\u578b\uff08IGT: \u8010\u7cd6\u80fd\u7570\u5e38\uff09\u300d\u3001200 mg\/dL\u4ee5\u4e0a\u3067\u300c\u7cd6\u5c3f\u75c5\u578b\u300d\u3068\u5224\u5b9a\u3055\u308c\u307e\u3059\u3002\n<\/p>\n<p><!-- ==================== \u30bb\u30af\u30b7\u30e7\u30f35\uff1a\u8a3a\u65ad\u57fa\u6e96 ==================== --><\/p>\n<h2>5\uff0e\u7cd6\u5c3f\u75c5\u306e\u8a3a\u65ad\u57fa\u6e96\uff08\u65e5\u672c\u7cd6\u5c3f\u75c5\u5b66\u4f1a2024\u5e74\u7248\uff09<\/h2>\n<p><img decoding=\"async\" src=\"https:\/\/www.takeuchi-iin.jp\/blog\/wp-content\/uploads\/2024\/04\/image-58.png\" alt=\"\u7cd6\u5c3f\u75c5\u306e\u8a3a\u65ad\u57fa\u6e96\"><\/p>\n<p>\n\u300c\u7cd6\u5c3f\u75c5\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32024\u300d\uff08\u65e5\u672c\u7cd6\u5c3f\u75c5\u5b66\u4f1a\uff09\u306b\u3088\u308b\u5206\u985e\u3092\u6574\u7406\u3057\u307e\u3059\u3002\u7e26\u8ef8\u304c\u7a7a\u8179\u6642\u8840\u7cd6\u5024\u3001\u6a2a\u8ef8\u304c75gOGTT 2\u6642\u9593\u5024\u3067\u3059\u3002\n<\/p>\n<p><!-- \u8a3a\u65ad\u57fa\u6e96\u30c6\u30fc\u30d6\u30eb --><\/p>\n<table style=\"width:100%; border-collapse:collapse; margin:16px 0; background:#fff;\">\n<thead>\n<tr style=\"background:#004d40; color:#fff;\">\n<th style=\"padding:10px; border:1px solid #004d40; width:24%;\">\u533a\u5206<\/th>\n<th style=\"padding:10px; border:1px solid #004d40;\">\u7a7a\u8179\u6642\u8840\u7cd6\u5024<\/th>\n<th style=\"padding:10px; border:1px solid #004d40;\">75gOGTT 2\u6642\u9593\u5024<\/th>\n<th style=\"padding:10px; border:1px solid #004d40;\">HbA1c<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px; border:1px solid #ccc; background:#e8f5e9; font-weight:bold;\">\u6b63\u5e38\u578b<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">110 mg\/dL \u672a\u6e80<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">140 mg\/dL \u672a\u6e80<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">5.6% \u672a\u6e80<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px; border:1px solid #ccc; background:#fff9c4; font-weight:bold;\">\u6b63\u5e38\u9ad8\u5024<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">100\uff5e109 mg\/dL<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u2015<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u2015<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px; border:1px solid #ccc; background:#ffe0b2; font-weight:bold;\">\u5883\u754c\u578b<br \/>\uff08\u4e88\u5099\u7fa4\uff09<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">110\uff5e125 mg\/dL<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">140\uff5e199 mg\/dL<br \/>\uff08IGT: \u8010\u7cd6\u80fd\u7570\u5e38\uff09<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">5.6\uff5e6.4%<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px; border:1px solid #ccc; background:#ffcdd2; font-weight:bold;\">\u7cd6\u5c3f\u75c5\u578b<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">126 mg\/dL \u4ee5\u4e0a<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">200 mg\/dL \u4ee5\u4e0a<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">6.5% \u4ee5\u4e0a<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table style=\"width:100%; border-collapse:separate; border-spacing:0; background:#e3f2fd; border-left:6px solid #1976d2; border-radius:8px; margin:16px 0;\">\n<tr>\n<td style=\"padding:16px 20px;\">\n<p style=\"margin:0 0 8px 0; color:#0d47a1; font-weight:bold; font-size:1.05em;\">\u3010\u30dd\u30a4\u30f3\u30c8\u3011\u7cd6\u5c3f\u75c5\u306e\u78ba\u5b9a\u8a3a\u65ad<\/p>\n<p style=\"margin:0; color:#333; line-height:1.7;\">\n        \u65e5\u672c\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u306e\u8a3a\u65ad\u57fa\u6e96\u3067\u306f\u3001<strong>\u7cd6\u5c3f\u75c5\u578b\u3092\u5225\u65e5\u306b2\u56de\u78ba\u8a8d\u3059\u308b<\/strong>\u3053\u3068\u3067\u7cd6\u5c3f\u75c5\u3068\u8a3a\u65ad\u3057\u307e\u3059\u3002\u305f\u3060\u3057\u3001\u2460\u7a7a\u8179\u6642\u8840\u7cd6\u2265126\u3001\u2461\u968f\u6642\u8840\u7cd6\u2265200\u3001\u2462OGTT 2\u6642\u9593\u5024\u2265200\u3001\u2463HbA1c\u22656.5% \u306e\u3046\u3061\u3001\u8840\u7cd6\u5024\uff08\u2460\u2461\u2462\uff09\u306e\u3044\u305a\u308c\u304b\u3068HbA1c\uff08\u2463\uff09\u304c<strong>\u540c\u4e00\u691c\u4f53\u3067\u540c\u6642\u306b\u7cd6\u5c3f\u75c5\u578b<\/strong>\u3067\u3042\u308c\u30701\u56de\u3067\u8a3a\u65ad\u53ef\u80fd\u3067\u3059\u3002\u307e\u305f\u660e\u3089\u304b\u306a\u7cd6\u5c3f\u75c5\u75c7\u72b6\uff08\u53e3\u6e07\u30fb\u591a\u98f2\u30fb\u591a\u5c3f\u30fb\u4f53\u91cd\u6e1b\u5c11\uff09\u3084\u7cd6\u5c3f\u75c5\u6027\u7db2\u819c\u75c7\u304c\u78ba\u8a8d\u3067\u304d\u308c\u3070\u30011\u56de\u306e\u691c\u67fb\u3067\u3082\u8a3a\u65ad\u3055\u308c\u307e\u3059\u3002\n      <\/p>\n<\/td>\n<\/tr>\n<\/table>\n<p><img decoding=\"async\" src=\"https:\/\/www.takeuchi-iin.jp\/blog\/wp-content\/uploads\/2024\/04\/image-59.png\" alt=\"\u5883\u754c\u578b\u7cd6\u5c3f\u75c5\"><\/p>\n<p><!-- ==================== \u30bb\u30af\u30b7\u30e7\u30f36\uff1a\u9032\u884c\u7387 ==================== --><\/p>\n<h2>6\uff0e\u5883\u754c\u578b\u304b\u3089\u7cd6\u5c3f\u75c5\u3078 \u2015 \u3069\u308c\u304f\u3089\u3044\u9032\u3080\u306e\u304b\uff1f<\/h2>\n<p><img decoding=\"async\" src=\"https:\/\/www.takeuchi-iin.jp\/blog\/wp-content\/uploads\/2024\/04\/d3ee180c1bc75d6e73d1a55204dd8f20-1024x724.jpg\" alt=\"Kendall\u306e\u7cd6\u5c3f\u75c5\u9032\u884c\u66f2\u7dda\"><\/p>\n<p>\n\u4e0a\u306e\u56f3\u306fKendall\u5148\u751f\u306e\u7dcf\u8aac\uff08Kendall DM, <em>Am J Med<\/em> 2009\uff09\u3092\u57fa\u306b\u3057\u305f\u3082\u306e\u3067\u3059\u3002\u7cd6\u5c3f\u75c5\u3068\u8a3a\u65ad\u3055\u308c\u308b5\uff5e10\u5e74\u524d\u304b\u3089\u3001<strong>\u98df\u5f8c\u8840\u7cd6\u5024\uff08\u8d64\u7dda\uff09\u304c\u3059\u3067\u306b\u4e0a\u6607\u3057\u3066\u3044\u308b\u300c\u5883\u754c\u578b\u300d\u306e\u6642\u671f<\/strong>\u304c\u5b58\u5728\u3057\u307e\u3059\u3002\u81b5\u03b2\u7d30\u80de\u306f\u98df\u5f8c\u9ad8\u8840\u7cd6\u3092\u6291\u3048\u308b\u305f\u3081\u306b\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u3092\u904e\u5270\u306b\u9811\u5f35\u308a\u7d9a\u3051\u3001\u3084\u304c\u3066\u75b2\u5f0a\u3057\u3066\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u304c\u4f4e\u4e0b\u3002\u7a7a\u8179\u6642\u8840\u7cd6\u3082\u4e0a\u6607\u3057\u3066\u7cd6\u5c3f\u75c5\u767a\u75c7\u306b\u81f3\u308b\u3001\u3068\u3044\u3046\u7d4c\u904e\u3092\u305f\u3069\u308a\u307e\u3059\u3002\n<\/p>\n<p><!-- TOPICS 3\u30a8\u30d3\u30c7\u30f3\u30b9\u30dc\u30c3\u30af\u30b9 --><\/p>\n<table style=\"width:100%; border-collapse:separate; border-spacing:0; background:#e8f5e9; border-left:6px solid #43a047; border-radius:8px; margin:16px 0;\">\n<tr>\n<td style=\"padding:16px 20px;\">\n<p style=\"margin:0 0 8px 0; color:#1b5e20; font-weight:bold; font-size:1.05em;\">\u3010\u30a8\u30d3\u30c7\u30f3\u30b9\u3011\u65e5\u672c\u4eba\u30c7\u30fc\u30bf\uff08TOPICS 3\uff09\u2015 \u5883\u754c\u578b\u306e\u7cd6\u5c3f\u75c5\u767a\u75c7\u30ea\u30b9\u30af<\/p>\n<p style=\"margin:0; color:#333; line-height:1.7;\">\n        \u864e\u306e\u9580\u75c5\u9662\u3067\u884c\u308f\u308c\u305f\u5927\u898f\u6a21\u524d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u7814\u7a76\uff08TOPICS 3: Heianza Y \u3089, <em>Lancet<\/em> 2011\uff09\u3067\u306f\u30016,241\u4eba\u306e\u65e5\u672c\u4eba\u3092\u5e73\u57474.7\u5e74\u8ffd\u8de1\u3057\u305f\u7d50\u679c\u3001<strong>\u7a7a\u8179\u6642\u8840\u7cd6\u7570\u5e38\uff08IFG\uff09\u3068HbA1c 5.7-6.4%\u306e\u4e21\u65b9\u3092\u6e80\u305f\u3059\u4eba\u306f\u3001\u6b63\u5e38\u8840\u7cd6\u306e\u4eba\u306b\u6bd4\u3079\u3066\u7cd6\u5c3f\u75c5\u767a\u75c7\u30ea\u30b9\u30af\u304c31.9\u500d\uff0895%CI 22.6-45.0\uff09<\/strong>\u306b\u5897\u52a0\u3059\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002IFG\u5358\u72ec\u3067\u30826.16\u500d\u3001HbA1c\u5358\u72ec\u3067\u30826.00\u500d\u306e\u30ea\u30b9\u30af\u3067\u3059\u3002<br \/>\n        \u3064\u307e\u308a\u3001<strong>\u7a7a\u8179\u6642\u8840\u7cd6\u3068HbA1c\u306e\u4e21\u65b9\u3067\u5883\u754c\u578b\u306a\u3089\u3001\u307b\u307c\u5fc5\u305a\u7cd6\u5c3f\u75c5\u306b\u9032\u5c55\u3059\u308b<\/strong>\u307b\u3069\u5f37\u529b\u306a\u4e88\u6e2c\u56e0\u5b50\u306a\u306e\u3067\u3059\u3002\n      <\/p>\n<\/td>\n<\/tr>\n<\/table>\n<p>\n\u4e00\u5ea6\u75b2\u5f0a\u3057\u3066\u3057\u307e\u3063\u305f\u81b5\u03b2\u7d30\u80de\u306f\u5143\u306b\u623b\u308a\u306b\u304f\u3044\u305f\u3081\u3001<strong>\u03b2\u7d30\u80de\u75b2\u52b4\u304c\u8d77\u3053\u308b\u524d\u306e\u300c\u5883\u754c\u578b\u300d\u306e\u6bb5\u968e\u3067\u3044\u304b\u306b\u4e88\u9632\u3059\u308b\u304b<\/strong>\u304c\u3001\u7cd6\u5c3f\u75c5\u767a\u75c7\u3092\u9632\u3050\u6700\u5927\u306e\u30ab\u30ae\u3067\u3059\u3002\n<\/p>\n<p><!-- ==================== \u30bb\u30af\u30b7\u30e7\u30f37\uff1a\u5fc3\u8840\u7ba1\u30ea\u30b9\u30af ==================== --><\/p>\n<h2>7\uff0e\u5883\u754c\u578b\u3067\u3082\u5fc3\u7b4b\u6897\u585e\u30fb\u8133\u5352\u4e2d\u306e\u30ea\u30b9\u30af\u306f\u4e0a\u304c\u308b<\/h2>\n<p>\n\u300c\u307e\u3060\u7cd6\u5c3f\u75c5\u3068\u8a3a\u65ad\u3055\u308c\u3066\u3044\u306a\u3044\u304b\u3089\u5927\u4e08\u592b\u300d\u2015\u2015 \u3053\u308c\u306f\u5927\u304d\u306a\u8aa4\u89e3\u3067\u3059\u3002<strong>\u5883\u754c\u578b\uff08\u96a0\u308c\u7cd6\u5c3f\u75c5\uff09\u306e\u6bb5\u968e\u3067\u3001\u3059\u3067\u306b\u52d5\u8108\u786c\u5316\u3084\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u30ea\u30b9\u30af\u304c\u4e0a\u6607\u3057\u3066\u3044\u308b<\/strong>\u3053\u3068\u304c\u8907\u6570\u306e\u5927\u898f\u6a21\u7814\u7a76\u3067\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\n<\/p>\n<table style=\"width:100%; border-collapse:separate; border-spacing:0; background:#e8f5e9; border-left:6px solid #43a047; border-radius:8px; margin:16px 0;\">\n<tr>\n<td style=\"padding:16px 20px;\">\n<p style=\"margin:0 0 8px 0; color:#1b5e20; font-weight:bold; font-size:1.05em;\">\u3010\u30a8\u30d3\u30c7\u30f3\u30b91\u3011\u821f\u5f62\u7814\u7a76\uff08\u65e5\u672c\uff09\u2015 IGT\u306f\u5fc3\u8840\u7ba1\u6b7b\u30ea\u30b9\u30af\u306e\u72ec\u7acb\u56e0\u5b50<\/p>\n<p style=\"margin:0; color:#333; line-height:1.7;\">\n        \u5c71\u5f62\u770c\u821f\u5f62\u753a\u306e\u4f4f\u6c112,651\u4eba\u30927\u5e74\u9593\u8ffd\u8de1\u3057\u305f\u300c\u821f\u5f62\u30b9\u30bf\u30c7\u30a3\u300d\uff08Tominaga M \u3089, <em>Diabetes Care<\/em> 1999\uff09\u3067\u306f\u3001<strong>IGT\uff08\u98df\u5f8c\u9ad8\u8840\u7cd6\u578b\u306e\u5883\u754c\u578b\uff09\u306f\u3001\u7a7a\u8179\u6642\u8840\u7cd6\u7570\u5e38\uff08IFG\uff09\u3068\u7570\u306a\u308a\u3001\u5fc3\u8840\u7ba1\u6b7b\u306e\u72ec\u7acb\u3057\u305f\u30ea\u30b9\u30af\u56e0\u5b50<\/strong>\u3067\u3042\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u3055\u3089\u306b\u7d9a\u5831\uff08Oizumi T \u3089, <em>Metabolism<\/em> 2008\uff09\u3067\u306f\u3001IGT\u306f\u8133\u5352\u4e2d\u30ea\u30b9\u30af\u30822\u500d\u4ee5\u4e0a\u306b\u9ad8\u3081\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\n      <\/p>\n<\/td>\n<\/tr>\n<\/table>\n<table style=\"width:100%; border-collapse:separate; border-spacing:0; background:#e8f5e9; border-left:6px solid #43a047; border-radius:8px; margin:16px 0;\">\n<tr>\n<td style=\"padding:16px 20px;\">\n<p style=\"margin:0 0 8px 0; color:#1b5e20; font-weight:bold; font-size:1.05em;\">\u3010\u30a8\u30d3\u30c7\u30f3\u30b92\u3011BMJ 2020\u30e1\u30bf\u89e3\u6790 \u2015 \u5883\u754c\u578b\u306f\u5fc3\u8840\u7ba1\u75c5\u30fb\u7dcf\u6b7b\u4ea1\u3092\u6709\u610f\u306b\u5897\u3084\u3059<\/p>\n<p style=\"margin:0; color:#333; line-height:1.7;\">\n        \u4e00\u822c\u96c6\u56e31,011\u4e07\u4eba\u3092\u5bfe\u8c61\u3068\u3057\u305f\u30e1\u30bf\u89e3\u6790\uff08Cai X \u3089, <em>BMJ<\/em> 2020; 370:m2297\uff09\u3067\u306f\u3001\u6b63\u5e38\u8840\u7cd6\u3068\u6bd4\u8f03\u3057\u3066\u5883\u754c\u578b\u3067\u306f\u3001<br \/>\n        \u30fb\u7dcf\u6b7b\u4ea1\u30ea\u30b9\u30af\uff1a\u76f8\u5bfe\u30ea\u30b9\u30af\uff08RR\uff091.13\uff08IFG-ADA\u57fa\u6e96\uff09\uff5e1.32\uff08IGT\u57fa\u6e96\uff09<br \/>\n        \u30fb\u5fc3\u8840\u7ba1\u75be\u60a3\uff08\u8907\u5408\uff09\uff1aRR 1.13\uff5e1.30<br \/>\n        \u30fb\u51a0\u52d5\u8108\u75be\u60a3\uff1aRR 1.10\uff5e1.20<br \/>\n        \u30fb\u8133\u5352\u4e2d\uff1aRR 1.06\uff5e1.20<br \/>\n        \u3068\u3001<strong>\u3044\u305a\u308c\u3082\u6709\u610f\u306b\u4e0a\u6607<\/strong>\u3002\u3059\u3067\u306b\u52d5\u8108\u786c\u5316\u6027\u5fc3\u8840\u7ba1\u75be\u60a3\u3092\u6301\u3064\u60a3\u8005\u3067\u306f\u3001\u5883\u754c\u578b\u304c\u5408\u4f75\u3059\u308b\u3053\u3068\u3067\u5fc3\u8840\u7ba1\u6b7b\u304c36\uff05\u5897\u52a0\u3057\u307e\u3057\u305f\u3002\n      <\/p>\n<\/td>\n<\/tr>\n<\/table>\n<p>\n\u300c\u5883\u754c\u578b\u3050\u3089\u3044\u306a\u3089\u7d4c\u904e\u89b3\u5bdf\u3067OK\u300d\u3067\u306f\u306a\u304f\u3001<strong>\u300c\u5883\u754c\u578b\u3053\u305d\u7a4d\u6975\u7684\u306b\u4ecb\u5165\u3059\u3079\u304d\u300d<\/strong>\u3068\u3044\u3046\u306e\u304c\u73fe\u5728\u306e\u79d1\u5b66\u7684\u30b3\u30f3\u30bb\u30f3\u30b5\u30b9\u3067\u3059\u3002\n<\/p>\n<p><!-- ==================== \u30bb\u30af\u30b7\u30e7\u30f38\uff1a\u4e88\u9632\u306e\u30a8\u30d3\u30c7\u30f3\u30b9 ==================== --><\/p>\n<h2>8\uff0e\u5883\u754c\u578b\u304b\u3089\u306e\u4e88\u9632 \u2015 \u751f\u6d3b\u6539\u5584\u306b\u306f\u3053\u308c\u3060\u3051\u306e\u52b9\u679c\u304c\u3042\u308b<\/h2>\n<p>\n\u300c\u751f\u6d3b\u6539\u5584\u3067\u672c\u5f53\u306b\u7cd6\u5c3f\u75c5\u304c\u4e88\u9632\u3067\u304d\u308b\u306e\uff1f\u300d\u3068\u3044\u3046\u7591\u554f\u306b\u3001\u4e16\u754c\u3068\u65e5\u672c\u306e\u5927\u898f\u6a21\u81e8\u5e8a\u8a66\u9a13\u304c\u660e\u78ba\u306a\u7b54\u3048\u3092\u51fa\u3057\u3066\u3044\u307e\u3059\u3002\n<\/p>\n<p><!-- DPP\u30a8\u30d3\u30c7\u30f3\u30b9 --><\/p>\n<table style=\"width:100%; border-collapse:separate; border-spacing:0; background:#e8f5e9; border-left:6px solid #43a047; border-radius:8px; margin:16px 0;\">\n<tr>\n<td style=\"padding:16px 20px;\">\n<p style=\"margin:0 0 8px 0; color:#1b5e20; font-weight:bold; font-size:1.05em;\">\u3010\u30a8\u30d3\u30c7\u30f3\u30b93\u3011\u7c73\u56fdDPP\u7814\u7a76 \u2015 \u751f\u6d3b\u6539\u5584\u3067\u767a\u75c7\u30ea\u30b9\u30af58\uff05\u6e1b<\/p>\n<p style=\"margin:0; color:#333; line-height:1.7;\">\n        \u7c73\u56fd\u306eDiabetes Prevention Program\uff08DPP, Knowler WC \u3089, <em>N Engl J Med<\/em> 2002\uff09\u3067\u306f\u3001\u5883\u754c\u578b3,234\u4eba\u3092\u751f\u6d3b\u6539\u5584\u7fa4\u30fb\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u7fa4\u30fb\u30d7\u30e9\u30bb\u30dc\u7fa4\u306b\u30e9\u30f3\u30c0\u30e0\u5316\u3002\u5e73\u57472.8\u5e74\u5f8c\u3001<strong>\u751f\u6d3b\u6539\u5584\u7fa4\uff08\u6e1b\u91cf7\uff05\uff0b\u9031150\u5206\u4ee5\u4e0a\u306e\u904b\u52d5\uff09\u3067\u306f\u7cd6\u5c3f\u75c5\u767a\u75c7\u30ea\u30b9\u30af\u304c58\uff05\u6e1b\u5c11\u3001\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u7fa4\u3067\u306f31\uff05\u6e1b\u5c11<\/strong>\u3057\u307e\u3057\u305f\u3002\u3055\u3089\u306b15\u5e74\u8ffd\u8de1\u3057\u305fDPPOS\uff08<em>Lancet Diabetes Endocrinol<\/em> 2015\uff09\u3067\u306f\u3001\u3053\u306e\u52b9\u679c\u306f\u9577\u671f\u306b\u308f\u305f\u308a\u6301\u7d9a\u3059\u308b\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u3066\u3044\u307e\u3059\u3002\n      <\/p>\n<\/td>\n<\/tr>\n<\/table>\n<p><!-- JDPP\u30a8\u30d3\u30c7\u30f3\u30b9 --><\/p>\n<table style=\"width:100%; border-collapse:separate; border-spacing:0; background:#e8f5e9; border-left:6px solid #43a047; border-radius:8px; margin:16px 0;\">\n<tr>\n<td style=\"padding:16px 20px;\">\n<p style=\"margin:0 0 8px 0; color:#1b5e20; font-weight:bold; font-size:1.05em;\">\u3010\u30a8\u30d3\u30c7\u30f3\u30b94\u3011\u65e5\u672c\u4eba\u30c7\u30fc\u30bf\uff08JDPP, J-DOIT1\uff09<\/p>\n<p style=\"margin:0; color:#333; line-height:1.7;\">\n        \u65e5\u672c\u7cd6\u5c3f\u75c5\u4e88\u9632\u30d7\u30ed\u30b0\u30e9\u30e0\uff08JDPP, Sakane N \u3089, <em>BMC Public Health<\/em> 2011\uff09\u3067\u306f\u3001\u5e73\u5747BMI 24.5kg\/m\u00b2\u306e\u65e5\u672c\u4ebaIGT\u60a3\u8005304\u540d\u3092\u5bfe\u8c61\u306b\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u73fe\u5834\u3067\u306e\u751f\u6d3b\u6307\u5c0e\u3092\u5b9f\u65bd\u30023\u5e74\u5f8c\u3001\u4ecb\u5165\u7fa4\u3067\u4f53\u91cd\u30fb\u8eab\u4f53\u6d3b\u52d5\u304c\u6709\u610f\u306b\u6539\u5584\u3057\u3001\u7cd6\u5c3f\u75c5\u767a\u75c7\u6291\u5236\u52b9\u679c\u304c\u78ba\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<br \/>\n        \u3055\u3089\u306b\u5168\u56fd\u898f\u6a21\u306e\u96fb\u8a71\u6307\u5c0e\u8a66\u9a13J-DOIT1\uff08Sakane N \u3089\uff09\u3067\u306f\u3001<strong>\u96fb\u8a71\u306b\u3088\u308b\u5b9a\u671f\u7684\u306a\u751f\u6d3b\u6307\u5c0e\u3067\u7cd6\u5c3f\u75c5\u767a\u75c7\u3092\u6700\u592741\uff05\u6291\u5236<\/strong>\u3067\u304d\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u300c\u3084\u305b\u578b\u4e3b\u4f53\u300d\u306e\u65e5\u672c\u4eba\u3067\u3082\u3001\u751f\u6d3b\u6539\u5584\u304c\u6709\u52b9\u306a\u306e\u3067\u3059\u3002\n      <\/p>\n<\/td>\n<\/tr>\n<\/table>\n<p><!-- DiRECT\u30a8\u30d3\u30c7\u30f3\u30b9 --><\/p>\n<table style=\"width:100%; border-collapse:separate; border-spacing:0; background:#e8f5e9; border-left:6px solid #43a047; border-radius:8px; margin:16px 0;\">\n<tr>\n<td style=\"padding:16px 20px;\">\n<p style=\"margin:0 0 8px 0; color:#1b5e20; font-weight:bold; font-size:1.05em;\">\u3010\u30a8\u30d3\u30c7\u30f3\u30b95\u3011DiRECT\u8a66\u9a13 \u2015 \u767a\u75c7\u521d\u671f\u306a\u3089\u7cd6\u5c3f\u75c5\u304c\u300c\u5bdb\u89e3\u300d\u3059\u308b<\/p>\n<p style=\"margin:0; color:#333; line-height:1.7;\">\n        \u82f1\u56fd\u306eDiRECT\u8a66\u9a13\uff08Lean MEJ \u3089, <em>Lancet<\/em> 2018\uff09\u306f\u3001\u767a\u75c76\u5e74\u4ee5\u5185\u306e2\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005306\u540d\u3092\u5bfe\u8c61\u306b\u30013\uff5e5\u30ab\u6708\u9593\u306e\u4f4e\u30ab\u30ed\u30ea\u30fc\u98df\uff08\u7d04830 kcal\/\u65e5\uff09\u306b\u3088\u308b\u96c6\u4e2d\u7684\u6e1b\u91cf\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u5b9f\u65bd\u3002\u7d50\u679c\u3001<strong>15kg\u4ee5\u4e0a\u306e\u6e1b\u91cf\u9054\u6210\u8005\u306e86\uff05\u304c\u7cd6\u5c3f\u75c5\u304b\u3089\u5bdb\u89e3<\/strong>\uff08HbA1c 6.5%\u672a\u6e80\u3001\u304b\u3064\u7cd6\u5c3f\u75c5\u85ac\u4e0d\u8981\uff09\u30025\u5e74\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3067\u3082\u52b9\u679c\u306f\u6301\u7d9a\u3057\u3066\u3044\u307e\u3059\uff08<em>Lancet Diabetes Endocrinol<\/em> 2024\uff09\u3002<br \/>\n        \u3064\u307e\u308a\u5883\u754c\u578b\u306f\u3082\u3061\u308d\u3093\u3001<strong>\u767a\u75c7\u65e9\u671f\u306e\u7cd6\u5c3f\u75c5\u3067\u3042\u3063\u3066\u3082\u3001\u5341\u5206\u306a\u6e1b\u91cf\u304c\u9054\u6210\u3067\u304d\u308c\u3070\u5143\u306e\u72b6\u614b\u306b\u623b\u305b\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b<\/strong>\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\n      <\/p>\n<\/td>\n<\/tr>\n<\/table>\n<p><!-- ==================== \u30bb\u30af\u30b7\u30e7\u30f39\uff1a\u30e1\u30ab\u30cb\u30ba\u30e0 ==================== --><\/p>\n<h2>9\uff0e\u306a\u305c\u65e9\u671f\u4ecb\u5165\u306a\u306e\u304b \u2015 \u81b5\u03b2\u7d30\u80de\u75b2\u52b4\u306e\u30e1\u30ab\u30cb\u30ba\u30e0<\/h2>\n<table style=\"width:100%; border-collapse:separate; border-spacing:0; background:#f3e5f5; border-left:6px solid #8e24aa; border-radius:8px; margin:16px 0;\">\n<tr>\n<td style=\"padding:16px 20px;\">\n<p style=\"margin:0 0 12px 0; color:#4a148c; font-weight:bold; font-size:1.05em;\">\u3010\u30e1\u30ab\u30cb\u30ba\u30e0\u56f3\u89e3\u3011\u5883\u754c\u578b \u2192 \u7cd6\u5c3f\u75c5 \u3078\u81f3\u308b4\u6bb5\u968e<\/p>\n<table style=\"width:100%; border-collapse:separate; border-spacing:0 8px;\">\n<tr>\n<td style=\"background:#8e24aa; color:#fff; font-weight:bold; padding:6px 10px; border-radius:50%; width:40px; text-align:center; vertical-align:top;\">1<\/td>\n<td style=\"padding:6px 12px; color:#333; line-height:1.6;\">\n            <strong>\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u306e\u5897\u5927<\/strong>\uff1a\u5185\u81d3\u8102\u80aa\u84c4\u7a4d\u3001\u904b\u52d5\u4e0d\u8db3\u3001\u7761\u7720\u4e0d\u8db3\u306a\u3069\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u304c\u52b9\u304d\u306b\u304f\u304f\u306a\u308b\u3002\u8840\u7cd6\u3092\u4e0b\u3052\u308b\u305f\u3081\u306b\u81b5\u03b2\u7d30\u80de\u306f\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u591a\u304f\u51fa\u3059\u5fc5\u8981\u306b\u8feb\u3089\u308c\u308b\u3002\n          <\/td>\n<\/tr>\n<tr>\n<td style=\"background:#8e24aa; color:#fff; font-weight:bold; padding:6px 10px; border-radius:50%; width:40px; text-align:center; vertical-align:top;\">2<\/td>\n<td style=\"padding:6px 12px; color:#333; line-height:1.6;\">\n            <strong>\u4ee3\u511f\u6027\u9ad8\u30a4\u30f3\u30b9\u30ea\u30f3\u8840\u75c7<\/strong>\uff1a\u03b2\u7d30\u80de\u304c\u30aa\u30fc\u30d0\u30fc\u30ef\u30fc\u30af\u3067\u8840\u7cd6\u3092\u6291\u3048\u8fbc\u3080\u3002\u7a7a\u8179\u6642\u8840\u7cd6\u30fbHbA1c\u306f\u6b63\u5e38\u7bc4\u56f2\u3060\u304c\u3001\u98df\u5f8c\u3060\u3051\u8840\u7cd6\u304c\u9ad8\u3044\u300cIGT\uff08\u96a0\u308c\u7cd6\u5c3f\u75c5\uff09\u300d\u306e\u6642\u671f\u3002\n          <\/td>\n<\/tr>\n<tr>\n<td style=\"background:#8e24aa; color:#fff; font-weight:bold; padding:6px 10px; border-radius:50%; width:40px; text-align:center; vertical-align:top;\">3<\/td>\n<td style=\"padding:6px 12px; color:#333; line-height:1.6;\">\n            <strong>\u03b2\u7d30\u80de\u75b2\u52b4\u30fb\u30a2\u30dd\u30c8\u30fc\u30b7\u30b9<\/strong>\uff1a\u65e5\u672c\u4eba\u306f\u907a\u4f1d\u7684\u306b\u03b2\u7d30\u80de\u306e\u4e88\u5099\u80fd\u304c\u4f4e\u3044\u305f\u3081\u3001\u6570\u5e74\uff5e10\u5e74\u7a0b\u5ea6\u3067\u03b2\u7d30\u80de\u304c\u75b2\u5f0a\u3002\u521d\u671f\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\uff0830\u5206\u5024\uff09\u304c\u3055\u3089\u306b\u4f4e\u4e0b\u3057\u3001\u98df\u5f8c\u9ad8\u8840\u7cd6\u304c\u9855\u5728\u5316\u3002\n          <\/td>\n<\/tr>\n<tr>\n<td style=\"background:#8e24aa; color:#fff; font-weight:bold; padding:6px 10px; border-radius:50%; width:40px; text-align:center; vertical-align:top;\">4<\/td>\n<td style=\"padding:6px 12px; color:#333; line-height:1.6;\">\n            <strong>\u7cd6\u5c3f\u75c5\u767a\u75c7<\/strong>\uff1a\u7a7a\u8179\u6642\u8840\u7cd6\u3082\u4e0a\u6607\u3057\u3001HbA1c\u22656.5%\u3067\u7cd6\u5c3f\u75c5\u578b\u3068\u8a3a\u65ad\u3002\u3053\u306e\u30b9\u30c6\u30fc\u30b8\u3067\u306f\u03b2\u7d30\u80de\u91cf\u304c\u3059\u3067\u306b\u6b63\u5e38\u306e50\uff5e60%\u7a0b\u5ea6\u307e\u3067\u6e1b\u5c11\u3057\u3066\u3044\u308b\u3068\u63a8\u5b9a\u3055\u308c\u308b\u3002\n          <\/td>\n<\/tr>\n<\/table>\n<\/td>\n<\/tr>\n<\/table>\n<p>\n\u4e0a\u8a18\u306e\u3046\u3061\u3001<strong>\u30b9\u30c6\u30fc\u30b81\uff5e2\uff08\u5883\u754c\u578b\u306e\u6642\u671f\uff09<\/strong>\u3067\u306e\u4ecb\u5165\u3067\u3042\u308c\u3070\u3001\u751f\u6d3b\u6539\u5584\u306b\u3088\u308b\u6e1b\u91cf\u30fb\u904b\u52d5\u7642\u6cd5\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u3092\u6539\u5584\u3057\u3001\u03b2\u7d30\u80de\u3078\u306e\u8ca0\u62c5\u3092\u8efd\u6e1b\u3059\u308b\u3053\u3068\u3067\u3001<strong>\u03b2\u7d30\u80de\u75b2\u52b4\u306e\u9032\u884c\u3092\u98df\u3044\u6b62\u3081\u3001\u6b63\u5e38\u578b\u3078\u306e\u9006\u623b\u308a\u3082\u53ef\u80fd<\/strong>\u3067\u3059\u3002\u4e00\u65b9\u3001\u30b9\u30c6\u30fc\u30b84\u306b\u81f3\u3063\u3066\u304b\u3089\u3067\u306f\u5b8c\u5168\u306a\u5bdb\u89e3\u306f\u96e3\u3057\u304f\u3001\u670d\u85ac\u30fb\u30a4\u30f3\u30b9\u30ea\u30f3\u7642\u6cd5\u304c\u5fc5\u8981\u306b\u306a\u3063\u3066\u304d\u307e\u3059\u3002\n<\/p>\n<p><!-- ==================== \u30bb\u30af\u30b7\u30e7\u30f310\uff1a\u30ea\u30b9\u30af\u56e0\u5b50 ==================== --><\/p>\n<h2>10\uff0e\u7cd6\u5c3f\u75c5\u306b\u306a\u308a\u3084\u3059\u3044\u4eba \u2015 \u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8<\/h2>\n<p><img decoding=\"async\" src=\"https:\/\/www.takeuchi-iin.jp\/blog\/wp-content\/uploads\/2024\/04\/image-60.png\" alt=\"\u7cd6\u5c3f\u75c5\u306b\u306a\u308a\u3084\u3059\u3044\u4eba\"><\/p>\n<p>\n\u4ee5\u4e0b\u306b\u5f53\u3066\u306f\u307e\u308b\u9805\u76ee\u304c\u591a\u3044\u65b9\u306f\u3001\u5065\u8a3a\u306e\u7a7a\u8179\u6642\u8840\u7cd6\u30fbHbA1c\u304c\u6b63\u5e38\u3067\u3082\u3001\u4e00\u5ea6<strong>75gOGTT\u3092\u53d7\u3051\u3066\u304a\u304f\u3053\u3068<\/strong>\u3092\u304a\u52e7\u3081\u3057\u307e\u3059\u3002\n<\/p>\n<table style=\"width:100%; border-collapse:collapse; margin:16px 0; background:#fff;\">\n<thead>\n<tr style=\"background:#004d40; color:#fff;\">\n<th style=\"padding:10px; border:1px solid #004d40; width:35%;\">\u30ea\u30b9\u30af\u56e0\u5b50<\/th>\n<th style=\"padding:10px; border:1px solid #004d40;\">\u57fa\u6e96\u30fb\u88dc\u8db3<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u2460 \u80a5\u6e80<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">BMI 25\u4ee5\u4e0a\uff08\u65e5\u672c\u80a5\u6e80\u5b66\u4f1a\u57fa\u6e96\uff09\u3002\u7279\u306b\u5185\u81d3\u8102\u80aa\u578b\uff08\u30a6\u30a8\u30b9\u30c8\uff1a\u7537\u602785cm\u4ee5\u4e0a\u3001\u5973\u602790cm\u4ee5\u4e0a\uff09\u306f\u8981\u6ce8\u610f\u3002<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u2461 \u5e74\u9f62<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">45\u6b73\u4ee5\u4e0a\u3067\u767a\u75c7\u7387\u304c\u660e\u78ba\u306b\u4e0a\u6607\u300265\u6b73\u4ee5\u4e0a\u3067\u306f\u7537\u602720\uff05\u4ee5\u4e0a\u304c\u7cd6\u5c3f\u75c5\u3002<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u2462 \u7cd6\u5c3f\u75c5\u306e\u5bb6\u65cf\u6b74<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u4e21\u89aa\u306e\u3044\u305a\u308c\u304b\u304c\u7cd6\u5c3f\u75c5\u306a\u3089\u767a\u75c7\u30ea\u30b9\u30af\u306f\u7d043\uff5e4\u500d\u3002\u4e21\u89aa\u3068\u3082\u7cd6\u5c3f\u75c5\u306a\u3089\u7d046\u500d\u3002<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u2463 \u904b\u52d5\u4e0d\u8db3<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">1\u65e530\u5206\u672a\u6e80\u306e\u8eab\u4f53\u6d3b\u52d5\u3002\u9031150\u5206\u4ee5\u4e0a\u306e\u4e2d\u7b49\u5ea6\u904b\u52d5\u304c\u63a8\u5968\u3002<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u2464 \u9ad8\u8840\u5727<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u8a3a\u5bdf\u5ba4\u8840\u5727 140\/90 mmHg\u4ee5\u4e0a\u3001\u307e\u305f\u306f\u5bb6\u5ead\u8840\u5727 135\/85 mmHg\u4ee5\u4e0a\u3002<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u2465 \u8102\u8cea\u7570\u5e38\u75c7<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u4e2d\u6027\u8102\u80aa\uff08TG\uff09150 mg\/dL\u4ee5\u4e0a\u3001HDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb 40 mg\/dL\u672a\u6e80\uff08\u7537\uff09\/50 mg\/dL\u672a\u6e80\uff08\u5973\uff09\u3001LDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb 140 mg\/dL\u4ee5\u4e0a\u306e\u3044\u305a\u308c\u304b\u3002<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u2466 \u7761\u7720\u4e0d\u8db3\u30fb\u4e0d\u898f\u5247\u306a\u751f\u6d3b<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u7761\u7720\u6642\u95935\u6642\u9593\u4ee5\u4e0b\u3001\u591c\u52e4\u30fb\u4ea4\u4ee3\u52e4\u52d9\u3001\u591c\u98df\u7fd2\u6163\u306f\u7cd6\u5c3f\u75c5\u30ea\u30b9\u30af\u3092\u6709\u610f\u306b\u4e0a\u6607\u3002<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u2467 \u598a\u5a20\u7cd6\u5c3f\u75c5\u306e\u65e2\u5f80<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u598a\u5a20\u7cd6\u5c3f\u75c5\u65e2\u5f80\u306e\u3042\u308b\u5973\u6027\u306f\u3001\u5c06\u6765\u306e2\u578b\u7cd6\u5c3f\u75c5\u767a\u75c7\u30ea\u30b9\u30af\u304c\u7d047.4\u500d\u306b\u5897\u52a0\uff08Bellamy L \u3089, <em>Lancet<\/em> 2009 \u30e1\u30bf\u89e3\u6790\uff09\u3002\u6bce\u5e74\u306e75gOGTT\u53d7\u8a3a\u304c\u5f37\u304f\u63a8\u5968\u3055\u308c\u308b\u3002<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u2468 \u591a\u56a2\u80de\u6027\u5375\u5de3\u75c7\u5019\u7fa4\uff08PCOS\uff09<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u304c\u80cc\u666f\u306b\u3042\u308a\u3001\u7cd6\u5c3f\u75c5\u767a\u75c7\u30ea\u30b9\u30af\u304c\u7d044\u500d\u3002<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u2469 \u55ab\u7159<\/td>\n<td style=\"padding:10px; border:1px solid #ccc;\">\u55ab\u7159\u306f\u7cd6\u5c3f\u75c5\u767a\u75c7\u30ea\u30b9\u30af\u309230\uff5e40\uff05\u5897\u52a0\u3055\u305b\u308b\u72ec\u7acb\u56e0\u5b50\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><!-- ==================== \u30bb\u30af\u30b7\u30e7\u30f311\uff1a\u5f53\u9662\u3067\u306e\u691c\u67fb ==================== --><\/p>\n<h2>11\uff0e\u7af9\u5185\u5185\u79d1\u5c0f\u5150\u79d1\u533b\u9662\u3067\u306e\u691c\u67fb\u30fb\u6307\u5c0e<\/h2>\n<table style=\"width:100%; border-collapse:separate; border-spacing:0; background:#e3f2fd; border-left:6px solid #1976d2; border-radius:8px; margin:16px 0;\">\n<tr>\n<td style=\"padding:16px 20px;\">\n<p style=\"margin:0 0 8px 0; color:#0d47a1; font-weight:bold; font-size:1.05em;\">\u3010\u30dd\u30a4\u30f3\u30c8\u3011\u5f53\u9662\u3067\u53d7\u3051\u3089\u308c\u308b\u7cd6\u5c3f\u75c5\u95a2\u9023\u691c\u67fb<\/p>\n<ul style=\"margin:4px 0 0 0; padding-left:22px; color:#333; line-height:1.9;\">\n<li><strong>75g\u7d4c\u53e3\u30d6\u30c9\u30a6\u7cd6\u8ca0\u8377\u8a66\u9a13\uff0875gOGTT\uff09<\/strong>\uff1a\u96a0\u308c\u7cd6\u5c3f\u75c5\u306e\u767a\u898b\u306b\u6700\u91cd\u8981\u3002\u6240\u8981\u6642\u95932\u6642\u9593\u4ee5\u4e0a\u306e\u305f\u3081<strong>\u4e88\u7d04\u5236<\/strong>\u3067\u3059\u3002\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\uff08IRI\uff09\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\uff08HOMA-IR\uff09\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u6307\u6570\uff08Insulinogenic index\uff09\u3082\u540c\u6642\u8a55\u4fa1\u53ef\u80fd\u3002<\/li>\n<li><strong>HbA1c\u30fb\u8840\u7cd6\u5024\u30fb\u5c3f\u691c\u67fb<\/strong>\uff1a\u9662\u5185\u8fc5\u901f\u691c\u67fb\u3067\u5f53\u65e5\u7d50\u679c\u3092\u304a\u4f1d\u3048\u3067\u304d\u307e\u3059\u3002<\/li>\n<li><strong>\u5c3f\u4e2d\u5fae\u91cf\u30a2\u30eb\u30d6\u30df\u30f3\u30fb\u5c3f\u4e2dC\u30da\u30d7\u30c1\u30c9<\/strong>\uff1a\u65e9\u671f\u7cd6\u5c3f\u75c5\u814e\u75c7\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3068\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u306e\u8a55\u4fa1\u3002<\/li>\n<li><strong>CAVI\/ABI\uff08\u52d5\u8108\u786c\u5316\u691c\u67fb\uff09\u30fb\u9838\u52d5\u8108\u30a8\u30b3\u30fc<\/strong>\uff1a\u7cd6\u5c3f\u75c5\u30fb\u5883\u754c\u578b\u3067\u3082\u9032\u884c\u3059\u308b\u52d5\u8108\u786c\u5316\u3092\u65e9\u671f\u767a\u898b\u3002\u8a73\u3057\u304f\u306f<a href=\"https:\/\/www.takeuchi-iin.jp\/blog\/%e3%80%8c%e8%a1%80%e7%ae%a1%e5%b9%b4%e9%bd%a2%e6%a4%9c%e6%9f%bb%e3%80%8d%e3%81%82%e3%81%aa%e3%81%9f%e3%81%ae%e8%a1%80%e7%ae%a1%e3%81%af%e4%bd%95%e6%ad%b3%e3%81%a7%e3%81%99%e3%81%8b\/\">\u8840\u7ba1\u5e74\u9f62\u691c\u67fb\u306e\u30d6\u30ed\u30b0<\/a>\u3092\u3054\u89a7\u304f\u3060\u3055\u3044\u3002<\/li>\n<li><strong>\u4f53\u5185\u7cd6\u5316\u5ea6\u691c\u67fb\uff08AGEs\uff09<\/strong>\uff1a\u9577\u671f\u7684\u306a\u8840\u7cd6\u30c0\u30e1\u30fc\u30b8\u306e\u84c4\u7a4d\u3092\u975e\u4fb5\u8972\u306b\u8a55\u4fa1\u3002<a href=\"https:\/\/www.takeuchi-iin.jp\/blog\/ages%ef%bc%9c%e4%bd%93%e5%86%85%e7%b3%96%e5%8c%96%e5%ba%a6%e6%a4%9c%e6%9f%bb%ef%bc%9e%e3%81%a7%e8%80%81%e5%8c%96%e7%89%a9%e8%b3%aa%e3%81%ae%e8%93%84%e7%a9%8d%e3%82%92%e3%83%81%e3%82%a7%e3%83%83\/\">AGEs\u691c\u67fb\u306e\u30d6\u30ed\u30b0<\/a>\u3082\u3042\u308f\u305b\u3066\u3054\u53c2\u7167\u304f\u3060\u3055\u3044\u3002<\/li>\n<li><strong>\u7ba1\u7406\u6804\u990a\u58eb\u306b\u3088\u308b\u6804\u990a\u6307\u5c0e<\/strong>\uff1a\u500b\u4eba\u306b\u5408\u308f\u305b\u305f\u98df\u4e8b\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\u3002\u5883\u754c\u578b\u30fb\u7cd6\u5c3f\u75c5\u30fb\u30e1\u30bf\u30dc\u30ea\u30c3\u30af\u30b7\u30f3\u30c9\u30ed\u30fc\u30e0\u306e\u65b9\u306b\u6709\u52b9\u3067\u3059\u3002<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/table>\n<p><!-- ==================== \u30bb\u30af\u30b7\u30e7\u30f312\uff1a\u307e\u3068\u3081 ==================== --><\/p>\n<h2>12\uff0e\u307e\u3068\u3081 \u2015 \u300c\u4e88\u5099\u7fa4\u300d\u3053\u305d\u52d5\u304f\u3079\u304d\u30bf\u30a4\u30df\u30f3\u30b0<\/h2>\n<ul>\n<li>\u65e5\u672c\u4eba\u306e\u7cd6\u5c3f\u75c5\u306f<strong>\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u4e0d\u5168\u304c\u4e3b\u4f53<\/strong>\u3067\u3001\u3084\u305b\u578b\u3067\u3082\u767a\u75c7\u3059\u308b\u3002<\/li>\n<li>\u5883\u754c\u578b\uff08\u96a0\u308c\u7cd6\u5c3f\u75c5\uff09\u306e\u591a\u304f\u306f<strong>\u98df\u5f8c\u9ad8\u8840\u7cd6\u578b\uff08IGT\uff09<\/strong>\u3067\u3001\u5065\u8a3a\u306e\u7a7a\u8179\u6642\u8840\u7cd6\u30fbHbA1c\u3067\u306f\u898b\u9003\u3055\u308c\u3084\u3059\u3044\u3002<\/li>\n<li>75gOGTT\u304c\u96a0\u308c\u7cd6\u5c3f\u75c5\u767a\u898b\u306e\u6700\u3082\u78ba\u5b9f\u306a\u691c\u67fb\u3002<\/li>\n<li>\u5883\u754c\u578b\u306e\u3046\u3061IFG\u3068HbA1c\u4e21\u65b9\u967d\u6027\u306a\u3089\u3001<strong>\u7cd6\u5c3f\u75c5\u767a\u75c7\u30ea\u30b9\u30af\u306f31.9\u500d<\/strong>\uff08TOPICS 3\uff09\u3002<\/li>\n<li>\u5883\u754c\u578b\u306e\u6642\u70b9\u3067<strong>\u3059\u3067\u306b\u5fc3\u8840\u7ba1\u6b7b\u30fb\u7dcf\u6b7b\u4ea1\u30ea\u30b9\u30af\u304c\u4e0a\u6607<\/strong>\uff08\u821f\u5f62\u30b9\u30bf\u30c7\u30a3\u3001BMJ 2020\u30e1\u30bf\u89e3\u6790\uff09\u3002<\/li>\n<li>\u751f\u6d3b\u6539\u5584\uff087\uff05\u6e1b\u91cf\u30fb\u9031150\u5206\u904b\u52d5\uff09\u3067\u7cd6\u5c3f\u75c5\u767a\u75c7\u3092<strong>58\uff05\u6291\u5236<\/strong>\u53ef\u80fd\uff08DPP\uff09\u3002<\/li>\n<li>\u767a\u75c7\u65e9\u671f\u306a\u3089<strong>15kg\u6e1b\u91cf\u306786\uff05\u304c\u5bdb\u89e3<\/strong>\uff08DiRECT\uff09\u3002<\/li>\n<li>\u300c\u307e\u3060\u7cd6\u5c3f\u75c5\u3058\u3083\u306a\u3044\u304b\u3089\u300d\u306f\u5927\u304d\u306a\u8aa4\u89e3\u3002<strong>\u5883\u754c\u578b\u3053\u305d\u4ecb\u5165\u306e\u30b4\u30fc\u30eb\u30c7\u30f3\u30bf\u30a4\u30e0<\/strong>\u3067\u3059\u3002<\/li>\n<\/ul>\n<p>\n\u5065\u8a3a\u3067\u300c\u8840\u7cd6\u304c\u5c11\u3057\u9ad8\u3081\u300d\u300cHbA1c\u304c5.6\uff5e6.4%\u300d\u300c\u7a7a\u8179\u6642\u8840\u7cd6100\uff5e125 mg\/dL\u300d\u3068\u6307\u6458\u3055\u308c\u305f\u65b9\u3001\u3054\u5bb6\u65cf\u306b\u7cd6\u5c3f\u75c5\u306e\u65b9\u304c\u3044\u3089\u3063\u3057\u3083\u308b\u65b9\u3001\u80a5\u6e80\u30fb\u9ad8\u8840\u5727\u30fb\u8102\u8cea\u7570\u5e38\u75c7\u3092\u304a\u6301\u3061\u306e\u65b9\u306f\u3001\u305c\u3072\u304a\u65e9\u3081\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002\u65e9\u304f\u6c17\u3065\u3044\u3066\u3001\u751f\u6d3b\u3092\u6b63\u3059\u3053\u3068\u3067\u3001\u7cd6\u5c3f\u75c5\u306f\u5341\u5206\u306b\u907f\u3051\u3089\u308c\u308b\u3001\u3042\u308b\u3044\u306f\u9045\u3089\u305b\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u75c5\u6c17\u3067\u3059\u3002\n<\/p>\n<p><!-- ==================== \u53c2\u8003\u6587\u732e ==================== --><\/p>\n<h2>\u53c2\u8003\u6587\u732e<\/h2>\n<ol style=\"line-height:1.8; font-size:0.95em;\">\n<li>\u65e5\u672c\u7cd6\u5c3f\u75c5\u5b66\u4f1a \u7de8: \u7cd6\u5c3f\u75c5\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32024. \u5357\u6c5f\u5802, 2024.<\/li>\n<li>\u539a\u751f\u52b4\u50cd\u7701: \u4ee4\u548c5\u5e74 \u56fd\u6c11\u5065\u5eb7\u30fb\u6804\u990a\u8abf\u67fb\u7d50\u679c\u306e\u6982\u8981. 2024.<\/li>\n<li>Heianza Y, et al. HbA1c 5\u00b77-6\u00b74% and impaired fasting plasma glucose for diagnosis of prediabetes and risk of progression to diabetes in Japan (TOPICS 3): a longitudinal cohort study. <em>Lancet<\/em> 2011; 378(9786):147-155.<\/li>\n<li>Tominaga M, et al. Impaired glucose tolerance is a risk factor for cardiovascular disease, but not impaired fasting glucose. The Funagata Diabetes Study. <em>Diabetes Care<\/em> 1999; 22(6):920-924.<\/li>\n<li>Oizumi T, et al. Impaired glucose tolerance is a risk factor for stroke in a Japanese sample \u2015 the Funagata study. <em>Metabolism<\/em> 2008; 57(3):333-338.<\/li>\n<li>Cai X, et al. Association between prediabetes and risk of all cause mortality and cardiovascular disease: updated meta-analysis. <em>BMJ<\/em> 2020; 370:m2297.<\/li>\n<li>Knowler WC, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. <em>N Engl J Med<\/em> 2002; 346(6):393-403.<\/li>\n<li>Diabetes Prevention Program Research Group. Long-term effects of lifestyle intervention or metformin on diabetes development and microvascular complications over 15-year follow-up: the Diabetes Prevention Program Outcomes Study. <em>Lancet Diabetes Endocrinol<\/em> 2015; 3(11):866-875.<\/li>\n<li>Sakane N, et al. Prevention of type 2 diabetes in a primary healthcare setting: Three-year results of lifestyle intervention in Japanese subjects with impaired glucose tolerance (JDPP). <em>BMC Public Health<\/em> 2011; 11:40.<\/li>\n<li>Lean MEJ, et al. Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial. <em>Lancet<\/em> 2018; 391(10120):541-551.<\/li>\n<li>Kendall DM, et al. Clinical application of incretin-based therapy: therapeutic potential, patient selection and clinical use. <em>Am J Med<\/em> 2009; 122(6 Suppl):S37-S50.<\/li>\n<li>Seino Y. Pathogenesis of type 2 diabetes in Japan and East Asian populations: Basic and clinical explorations. <em>Proc Jpn Acad Ser B Phys Biol Sci<\/em> 2025; 101(2):61-85.<\/li>\n<li>Bellamy L, et al. Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. <em>Lancet<\/em> 2009; 373(9677):1773-1779.<\/li>\n<\/ol>\n<p><!-- ==================== \u9662\u9577\u76e3\u4fee\u30af\u30ec\u30b8\u30c3\u30c8 ==================== --><\/p>\n<table style=\"width:100%; border-collapse:separate; border-spacing:0; background:#f5f5f5; border-left:4px solid #757575; border-radius:4px; margin:20px 0;\">\n<tr>\n<td style=\"padding:12px 16px; font-size:0.9em; color:#555; line-height:1.6;\">\n      <strong>\u76e3\u4fee\uff1a\u533b\u7642\u6cd5\u4eba\u793e\u56e3\u4e94\u826f\u4f1a \u7af9\u5185\u5185\u79d1\u5c0f\u5150\u79d1\u533b\u9662 \u9662\u9577\u3000\u4e94\u85e4 \u826f\u5c06\uff08\u3054\u3068\u3046 \u3088\u3057\u307e\u3055\uff09<\/strong><br \/>\n      \u9632\u885b\u533b\u79d1\u5927\u5b66\u6821\u5352\u3001\u81ea\u885b\u968a\u4e2d\u592e\u75c5\u9662\u3001\u81ea\u885b\u968a\u6a2a\u9808\u8cc0\u75c5\u9662\u3001\u5343\u8449\u4e2d\u592e\u30e1\u30c7\u30a3\u30ab\u30eb\u30bb\u30f3\u30bf\u30fc\u3001\u5343\u8449\u30e1\u30c7\u30a3\u30ab\u30eb\u30bb\u30f3\u30bf\u30fc\u3001\u6d25\u7530\u6cbc\u4e2d\u592e\u7dcf\u5408\u75c5\u9662\u3092\u7d4c\u3066\u73fe\u8077\u3002\u5185\u79d1\u30fb\u7cd6\u5c3f\u75c5\u30fb\u751f\u6d3b\u7fd2\u6163\u75c5\u3092\u5c02\u9580\u3068\u3057\u3001\u30c6\u30ec\u30d3\u30fb\u96d1\u8a8c\u7b49\u30e1\u30c7\u30a3\u30a2\u76e3\u4fee\u591a\u6570\u3002\u8457\u66f8\u306b\u300e\u8840\u6db2\u3068\u4f53\u306e\u300c\u3042\u3076\u3089\u300d\u3092\u843d\u3068\u3059\u30b9\u30fc\u30d7\u300f\uff08\u30a2\u30b9\u30b3\u30e0, 2024\uff09\u306a\u3069\u3002\n    <\/td>\n<\/tr>\n<\/table>\n<p><!-- ===== \u30af\u30ea\u30cb\u30c3\u30af\u7d39\u4ecb\u30d5\u30c3\u30bf\u30fc ===== --><\/p>\n<div style=\"border:1px solid #80cbc4; border-radius:12px; overflow:hidden; margin:32px 0;\">\n<div style=\"background:#004d40; padding:18px 24px;\">\n<div style=\"color:#80cbc4; font-size:0.85em; letter-spacing:2px; margin-bottom:4px;\">GORYOKAI GROUP<\/div>\n<div style=\"color:#ffffff; font-size:1.5em; font-weight:bold; line-height:1.3;\">\u7af9\u5185\u5185\u79d1\u5c0f\u5150\u79d1\u533b\u9662<\/div>\n<\/p><\/div>\n<div style=\"background:#ffffff; padding:24px;\">\n<table style=\"width:100%; border-collapse:separate; border-spacing:4px; margin-bottom:18px;\">\n<tr>\n<td style=\"background:#00796b; color:#fff; padding:8px 10px; border-radius:20px; text-align:center; font-size:0.9em; font-weight:bold;\">\u5185\u79d1<\/td>\n<td style=\"background:#00796b; color:#fff; padding:8px 10px; border-radius:20px; text-align:center; font-size:0.9em; font-weight:bold;\">\u5c0f\u5150\u79d1<\/td>\n<td style=\"background:#00796b; color:#fff; padding:8px 10px; border-radius:20px; text-align:center; font-size:0.9em; font-weight:bold;\">\u7cd6\u5c3f\u75c5\u5185\u79d1<\/td>\n<td style=\"background:#00796b; color:#fff; padding:8px 10px; border-radius:20px; text-align:center; font-size:0.9em; font-weight:bold;\">\u4ee3\u8b1d\u5185\u79d1<\/td>\n<td style=\"background:#00796b; color:#fff; padding:8px 10px; border-radius:20px; text-align:center; font-size:0.9em; font-weight:bold;\">\u30a2\u30ec\u30eb\u30ae\u30fc\u79d1<\/td>\n<\/tr>\n<tr>\n<td style=\"background:#00796b; color:#fff; padding:8px 10px; border-radius:20px; text-align:center; font-size:0.9em; font-weight:bold;\">\u76ae\u819a\u79d1<\/td>\n<td style=\"background:#00796b; color:#fff; padding:8px 10px; border-radius:20px; text-align:center; font-size:0.9em; font-weight:bold;\">\u751f\u6d3b\u7fd2\u6163\u75c5<\/td>\n<td style=\"background:#00796b; color:#fff; padding:8px 10px; border-radius:20px; text-align:center; font-size:0.9em; font-weight:bold;\">\u8a2a\u554f\u8a3a\u7642<\/td>\n<td style=\"background:#00796b; color:#fff; padding:8px 10px; border-radius:20px; text-align:center; font-size:0.9em; font-weight:bold;\">\u5fc3\u7642\u5185\u79d1<\/td>\n<td style=\"background:#00796b; color:#fff; padding:8px 10px; border-radius:20px; text-align:center; font-size:0.9em; font-weight:bold;\">\u5065\u5eb7\u8a3a\u65ad<\/td>\n<\/tr>\n<\/table>\n<p style=\"margin:12px 0 4px 0; line-height:1.6;\">\u3012145-0072 \u6771\u4eac\u90fd\u5927\u7530\u533a\u7530\u5712\u8abf\u5e03\u672c\u753a40-12 \u30b3\u30f3\u30c9\u7530\u5712\u8abf\u5e03\uff12\u968e<\/p>\n<p style=\"margin:0 0 12px 0; color:#00796b; font-weight:bold;\">\u6771\u6025\u6771\u6a2a\u7dda\u30fb\u76ee\u9ed2\u7dda\u3000\u591a\u6469\u5ddd\u99c5 \u5f92\u6b695\u5206<\/p>\n<div style=\"display:inline-block; background:#00796b; color:#fff; padding:6px 14px; border-radius:4px; font-size:0.9em; font-weight:bold; margin:8px 0 16px 0;\">\u571f\u66dc\u5348\u524d\u3082\u8a3a\u7642<\/div>\n<table style=\"width:100%; border-collapse:collapse; margin-bottom:18px; font-size:0.92em;\">\n<thead>\n<tr style=\"background:#004d40; color:#fff;\">\n<th style=\"padding:8px 4px; border:1px solid #004d40; text-align:center;\">\u8a3a\u7642\u6642\u9593<\/th>\n<th style=\"padding:8px 4px; border:1px solid #004d40; text-align:center;\">\u6708<\/th>\n<th style=\"padding:8px 4px; border:1px solid #004d40; text-align:center;\">\u706b<\/th>\n<th style=\"padding:8px 4px; border:1px solid #004d40; text-align:center;\">\u6c34<\/th>\n<th style=\"padding:8px 4px; border:1px solid #004d40; text-align:center;\">\u6728<\/th>\n<th style=\"padding:8px 4px; border:1px solid #004d40; text-align:center;\">\u91d1<\/th>\n<th style=\"padding:8px 4px; border:1px solid #004d40; text-align:center;\">\u571f<\/th>\n<th style=\"padding:8px 4px; border:1px solid #004d40; text-align:center;\">\u65e5\u795d<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; background:#f1f8f6;\">\u5348\u524d<br \/>9:00-12:00<\/td>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; color:#00796b; font-weight:bold; font-size:1.3em;\">\u25cb<\/td>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; color:#00796b; font-weight:bold; font-size:1.3em;\">\u25cb<\/td>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; color:#00796b; font-weight:bold; font-size:1.3em;\">\u25cb<\/td>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; color:#00796b; font-weight:bold; font-size:1.3em;\">\u25cb<\/td>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; color:#00796b; font-weight:bold; font-size:1.3em;\">\u25cb<\/td>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; color:#00796b; font-weight:bold; font-size:1.3em;\">\u25cb<\/td>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; color:#bbb; font-size:1.3em;\">\u4f11<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; background:#f1f8f6;\">\u5348\u5f8c<br \/>15:30-19:00<\/td>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; color:#00796b; font-weight:bold; font-size:1.3em;\">\u25cb<\/td>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; color:#00796b; font-weight:bold; font-size:1.3em;\">\u25cb<\/td>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; color:#00796b; font-weight:bold; font-size:1.3em;\">\u25cb<\/td>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; color:#00796b; font-weight:bold; font-size:1.3em;\">\u25cb<\/td>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; color:#00796b; font-weight:bold; font-size:1.3em;\">\u25cb<\/td>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; color:#bbb; font-size:1.3em;\">\u4f11<\/td>\n<td style=\"padding:8px 4px; border:1px solid #b2dfdb; text-align:center; color:#bbb; font-size:1.3em;\">\u4f11<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table style=\"width:100%; border-collapse:separate; border-spacing:8px 0;\">\n<tr>\n<td style=\"width:25%;\">\n          <a href=\"https:\/\/clinics-app.com\/clinic\/5e01b71c9e974d40c8a4c361\/reservation?method=visit\" style=\"display:block; background:#ffffff; border:2px solid #E53935; border-radius:8px; padding:14px 6px; text-align:center; text-decoration:none; color:#E53935; font-weight:bold;\"><br \/>\n            <img decoding=\"async\" src=\"https:\/\/www.medley.jp\/assets\/img\/logo\/clinics.svg\" alt=\"CLINICS\" style=\"height:28px; display:block; margin:0 auto 6px;\"><br \/>\n            <span style=\"display:block; font-size:1.05em;\">WEB\u4e88\u7d04<\/span><br \/>\n          <\/a>\n        <\/td>\n<td style=\"width:25%;\">\n          <a href=\"https:\/\/clinics-questionnaire.medley.life\/clinic\/639022194dc5ab531c90e7e8\" style=\"display:block; background:#ffffff; border:2px solid #E53935; border-radius:8px; padding:14px 6px; text-align:center; text-decoration:none; color:#E53935; font-weight:bold;\"><br \/>\n            <img decoding=\"async\" src=\"https:\/\/www.medley.jp\/assets\/img\/logo\/melmo.svg\" alt=\"melmo\" style=\"height:28px; display:block; margin:0 auto 6px;\"><br \/>\n            <span style=\"display:block; 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