Sawabe Motoji, Saito Mari, Naka Makiko, Kasahara Ichiro, Saito Yuko, Arai Tomio, Hamamatsu Akihiko, Shirasawa Takuji
Department of Pathology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan.
Pathol Int. 2006 Jun;56(6):315-23. doi: 10.1111/j.1440-1827.2006.01966.x.
The present study was conducted to determine standard organ weights among the elderly, because little has been reported on this subject. To analyze the human aging process in terms of organ weights, age-associated changes and correlations among organ weights and the contributions of age and nutrition to organ weights were also examined. The subjects included 1615 consecutive autopsy cases of patients aged 60-99 years who died between 1995 and 2003, and cases of 50 centenarians who died between 1973 and 2005. The weights of nine organs were measured before formalin fixation. If affected by serious diseases, such as cancer, the organs were excluded from the study. Values beyond 99% of the bilateral measurement limits were also excluded. In this manner the standard organ weights were obtained. The organ weights decreased significantly according to age in all organs except for the heart in men and the lungs in both genders. Undernutrition strongly contributed to organ weight except for the hypophysis, and was especially apparent in the heart and liver. In conclusion, the standard organ weights of elderly patients who died while hospitalized were determined. Undernutrition contributed significantly to a reduction in organ weights.
由于关于这一主题的报道较少,本研究旨在确定老年人的标准器官重量。为了从器官重量方面分析人类衰老过程,还研究了器官重量的年龄相关变化及相互关系,以及年龄和营养对器官重量的影响。研究对象包括1995年至2003年间死亡的1615例60 - 99岁连续尸检病例,以及1973年至2005年间死亡的50例百岁老人病例。在福尔马林固定前测量九个器官的重量。如果器官受严重疾病(如癌症)影响,则将其排除在研究之外。超出双侧测量范围99%的值也被排除。通过这种方式获得了标准器官重量。除男性的心脏和两性的肺脏外,所有器官的重量均随年龄显著下降。营养不良对除垂体外的器官重量有很大影响,在心脏和肝脏中尤为明显。总之,确定了住院期间死亡的老年患者的标准器官重量。营养不良对器官重量的减轻有显著影响。