{"id":23869,"date":"2023-12-28T08:34:00","date_gmt":"2023-12-27T23:34:00","guid":{"rendered":"http:\/\/jmsaas.or.jp.testrs.jp\/new_jmsaas\/?post_type=nl1&p=23869"},"modified":"2024-01-16T08:33:03","modified_gmt":"2024-01-15T23:33:03","slug":"nl1_81","status":"publish","type":"nl1","link":"http:\/\/jmsaas.or.jp.testrs.jp\/new_jmsaas\/nl1\/nl1_81\/","title":{"rendered":"8 - 1 \u53f7\u3000( 2023 \u5e74 12 \u6708 )"},"content":{"rendered":"\n
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\"PDF\"8-1\u53f7\u3000(2023\u5e7412\u6708)<\/figcaption><\/a>\n<\/figure>\n<\/div>\n\n\n\n
\n[\u76ee\u6b21]\n
    \n
  1. \u5dfb\u982d\u8a00\uff1a e - \u5065\u5eb7\u3065\u304f\u308a\u30cd\u30c3\u30c8\u306b\u95a2\u3059\u308b\u7d39\u4ecb\u3000\uff08\u5800\u6c5f\u7fa9\u5247\uff09<\/a><\/li>\n
  2. 2023 \u5e74\u5ea6\u5b66\u8853\u7dcf\u4f1a\u3092\u7d42\u3048\u3066\u3000\uff08\u795e\u7530\u79c0\u5e78\uff09<\/a><\/li>\n
  3. 2024 \u5e74\u5ea6\u5b66\u8853\u7dcf\u4f1a\u306e\u3054\u6848\u5185 \uff08\u5800\u6c5f\u7fa9\u5247\uff09<\/a><\/li>\n
  4. \u65bd\u8a2d\u7d39\u4ecb\uff1a\u6771\u4eac\u4fdd\u8b77\u89b3\u5bdf\u6240 \u7acb\u5ddd\u652f\u90e8\u3000(\u6709\u91ce\u96c4\u5927)<\/a><\/li>\n
  5. \u7814\u7a76\u5ba4\u7d39\u4ecb\uff1a\u79cb\u7530\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7814\u7a76\u79d1\uff08\u7c73\u5c71\u5948\u3005\u5b50\uff09<\/a><\/li>\n
  6. \u8aad\u307f\u7269\uff1a\u5185\u79d1\u5b66\u5206\u91ce\u304b\u3089 \uff08\u4eca\u3000\u4e00\u7fa9\uff09<\/a><\/li>\n
  7. \u4e8b\u52d9\u5c40\u304b\u3089\u306e\u3054\u9023\u7d61<\/a><\/li>\n
  8. \u7de8\u96c6\u5f8c\u8a18 \uff08\u4e0a\u6751\u516c\u4e00\uff09<\/a><\/li>\n<\/ol>\n<\/div>\n<\/div>\n\n\n\n

    1\uff0e\u300c e - \u5065\u5eb7\u3065\u304f\u308a\u30cd\u30c3\u30c8\u300d\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n
    \n
    <\/div>\n
    \u5800\u6c5f\u3000\u7fa9\u5247\n
    \n( \u533b\u7642\u6cd5\u4eba\u793e\u56e3\u3000\u6176\u6d0b\u4f1a\u3000\u30b1\u30a4\u30a2\u30a4\u30af\u30ea\u30cb\u30c3\u30af )<\/div>\n<\/div>\n\n\n\n

    \u539a\u751f\u52b4\u50cd\u7701\u306f\u3001\u65e5\u672c\u5168\u56fd\u306e\u5730\u65b9\u81ea\u6cbb\u4f53\u3084\u4f01\u696d\u30fb\u56e3\u4f53\u306a\u3069\u3067\u3001\u5065\u5eb7\u3065\u304f\u308a\u306e\u53d6\u308a\u7d44\u307f\u3092\u691c\u8a0e\u30fb\u5b9f\u65bd\u3055\u308c\u3066\u3044\u308b\u65b9\u3005\u306b\u5411\u3051\u305f\u3001\u5065\u5eb7\u3065\u304f\u308a\u652f\u63f4\u306e\u7dcf\u5408\u60c5\u5831\u30b5\u30a4\u30c8\u300c e -\u5065\u5eb7\u3065\u304f\u308a\u30cd\u30c3\u30c8\u300d\u3092\u7acb\u3061\u4e0a\u3052\u3066\u3044\u307e\u3059( https:\/\/e-kennet.mhlw.go.jp<\/a> \uff09\u3002\u5065\u5eb7\u3065\u304f\u308a\u652f\u63f4\u3092\u62c5\u5f53\u3055\u308c\u3066\u3044\u308b\u65b9\u306b\u77e5\u3063\u3066\u304a\u3044\u3066\u3082\u3089\u3044\u305f\u3044\u60c5\u5831\u3084\u3001\u5065\u5eb7\u3065\u304f\u308a\u65bd\u7b56\u306e\u53c2\u8003\u3068\u306a\u308b\u60c5\u5831\u3092\u5bfe\u8c61\u3084\u30b7\u30c1\u30e5\u30a8\u30fc\u30b7\u30e7\u30f3\u3054\u3068\u306b\u6d3b\u7528\u3067\u304d\u308b\u30d1\u30f3\u30d5\u30ec\u30c3\u30c8\u3001\u30d1\u30f3\u30d5\u30ec\u30c3\u30c8\u3054\u3068\u306e\u89e3\u8aac\u66f8\u3084\u3001\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584\u306b\u5f79\u7acb\u3064\u8a18\u9332\u30b7\u30fc\u30c8\u306a\u3069\u304c\u7528\u610f\u3055\u308c\u3066\u3044\u307e\u3059\u3002

    \u3053\u306e\u30b5\u30a4\u30c8\u306b\u304a\u3044\u3066\u3001\u80a5\u6e80\u4e88\u9632\u306a\u3069\u3068\u4e26\u3093\u3067\u3001\u300c\u751f\u6d3b\u7fd2\u6163\u75c5\u306e\u30ea\u30b9\u30af\u3092\u9ad8\u3081\u308b\u98f2\u9152\u91cf\u300d\u306b\u3064\u3044\u3066\u3001\u7537\u5973\u5225\u306b\u308f\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac\u3057\u305f\u5065\u5eb7\u3065\u304f\u308a\u652f\u63f4\u30c4\u30fc\u30eb\u3092\u4f5c\u6210\u3057\u307e\u3057\u305f\u3002\u307e\u305a\u30012023 \u5e74 3 \u6708\u306b\u3001\u6771\u4eac\u533b\u79d1\u6b6f\u79d1\u5927\u5b66\u3000\u516c\u8846\u885b\u751f\u770b\u8b77\u5b66\u5206\u91ce\u306e\u6708\u91ce\u6728\u30eb\u30df\u5148\u751f\u306e\u76e3\u4fee\u3067\u300c    \u7fd2\u6163\u3092\u5909\u3048\u308b\u3001\u672a\u6765\u306b\u5099\u3048\u308b \u3042\u306a\u305f\u304c\u6c7a\u3081\u308b\u3001\u304a\u9152\u306e\u305f\u3057\u306a\u307f\u65b9\uff08\u5973\u6027\u7de8\uff09<\/a>\u300d\u304c\u7acb\u3061\u4e0a\u304c\u308a\u307e\u3057\u305f\u3002\u98f2\u9152\u304c\u53ca\u307c\u3059\u5065\u5eb7\u969c\u5bb3\u306e\u89e3\u8aac\u306b\u52a0\u3048\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u4f9d\u5b58\u75c7\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u30c6\u30b9\u30c8\u3084\u30d6\u30ea\u30fc\u30d5\u30fb\u30a4\u30f3\u30bf\u30fc\u30d9\u30f3\u30b7\u30e7\u30f3\u306b\u3088\u308b\u6e1b\u9152\u652f\u63f4\u306b\u3064\u3044\u3066\u3082\u89e3\u8aac\u3055\u308c\u3066\u3044\u307e\u3059\u30022023 \u5e74 8 \u6708\u306b\u306f\u3001\u5c0f\u751f\u306e\u76e3\u4fee\u3067\u300c\u7fd2\u6163\u3092\u5909\u3048\u308b\u3001\u672a\u6765\u306b\u5099\u3048\u308b \u3042\u306a\u305f\u304c\u6c7a\u3081\u308b\u3001\u304a\u9152\u306e\u305f\u3057\u306a\u307f\u65b9\uff08\u7537\u6027\u7de8\uff09<\/a>\u300d\u3092\u7acb\u3061\u4e0a\u3052\u307e\u3057\u305f\u3002\u4eca\u56de\u306f\u5973\u6027\u7de8\u3068\u540c\u69d8\u306b\u98f2\u9152\u304c\u53ca\u307c\u3059\u5065\u5eb7\u969c\u5bb3\u306e\u89e3\u8aac\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u4f9d\u5b58\u75c7\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u30c6\u30b9\u30c8\u3084\u30d6\u30ea\u30fc\u30d5\u30fb\u30a4\u30f3\u30bf\u30fc\u30d9\u30f3\u30b7\u30e7\u30f3\u306b\u3088\u308b\u6e1b\u9152\u652f\u63f4\u3082\u89e3\u8aac\u3057\u307e\u3057\u305f\u304c\u3001\u8133\u3078\u306e\u5f71\u97ff\u3084\u809d\u81d3\u3067\u306e\u30a2\u30eb\u30b3\u30fc\u30eb\u4ee3\u8b1d\u306b\u3064\u3044\u3066\u3001\u7761\u7720\u3078\u306e\u5f71\u97ff\u306a\u3069\u3082\u9801\u6570\u3092\u5897\u3084\u3057\u3066\u89e3\u8aac\u3057\u3066\u3044\u307e\u3059\u3002

    \u3055\u3089\u306b\u300c\u8ab2\u984c\u306e\u80cc\u666f\u306b\u3042\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u60c5\u5831\u300d\u3068\u984c\u3057\u3066\u3001\u30d6\u30ea\u30fc\u30d5\u30fb\u30a4\u30f3\u30bf\u30fc\u30d9\u30f3\u30b7\u30e7\u30f3\u306e\u591a\u304f\u306b\u7d44\u307f\u8fbc\u307e\u308c\u3066\u3044\u308b\u30016 \u3064\u306e\u8981\u7d20\uff08 FRAMES\u3001\u2460 Feedback \u3001\u2461 Responsibility\u3001\u2462 Advice\u3001\u2463 Menu\u3001 \u2464 Empathy\u3001\u2465 Self - efficacy \uff09\u306a\u3069\u306e\u30b3\u30f3\u30c6\u30f3\u30c4\u306b\u3064\u3044\u3066\u3082\u89e3\u8aac\u3057\u3066\u3044\u307e\u3059\u3002\u52d5\u6a5f\u3065\u3051\u9762\u63a5\u306e5\u3064\u306e\u539f\u5247\u3084\u305d\u306e\u52b9\u679c\u306b\u3064\u3044\u3066\u3082\u89e3\u8aac\u3057\u3066\u3044\u307e\u3059\u3002\u6700\u8fd1\u306e\u8a71\u984c\u3067\u3042\u308b\u30b3\u30f3\u30d4\u30e5\u30fc\u30bf\u30fc\u3092\u4f7f\u3063\u305f\u6e1b\u9152\u4ecb\u5165\u306b\u3064\u3044\u3066\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u793a\u3057\u3001\u500b\u4eba\u306b\u3042\u308f\u305b\u305f\u898f\u7bc4\u7684\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u3084\u3001\u52d5\u6a5f\u4ed8\u3051\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u3001\u98f2\u9152\u3092\u65ad\u308b\u65b9\u6cd5\u306e\u4f1d\u6388\u304b\u3089\u3001\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u306e\u8981\u7d20\u3092\u76db\u308a\u8fbc\u3093\u3060\u4ecb\u5165\u307e\u3067\u5e45\u5e83\u3044\u4ecb\u5165\u304c\u5b58\u5728\u3059\u308b\u3053\u3068\u3082\u7d39\u4ecb\u3057\u3066\u3044\u307e\u3059\u3002

    FRAMES \u306b\u3042\u308b\u9805\u76ee\u4ee5\u5916\u306b\u3082\u3001\u98f2\u9152\u306e\u885d\u52d5\u3084\u6b32\u6c42\u3092\u751f\u307f\u51fa\u3059\u8981\u56e0\u3092\u56de\u907f\u3059\u308b\u305f\u3081\u306e\u5bfe\u7b56\u3092\u8b1b\u3058\u308b\u300c\u554f\u984c\u89e3\u6c7a\uff08 problem solving \uff09\u300d\u3001\u300c\u76ee\u6a19\u8a2d\u5b9a\uff08 goal - setting \uff09\u300d\u3001\u98f2\u9152\u65e5\u8a18\u306a\u3069\u306e\u300c\u30bb\u30eb\u30d5\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\uff08 self - monitoring \uff09\u300d\u3001\u300c\u884c\u52d5\u306e\u304d\u3063\u304b\u3051\u306b\u306a\u308b\u3082\u306e\u3092\u907f\u3051\u308b\/\u6e1b\u3089\u3059\uff08 avoidance \/ reducing exposure to cues for behavior \uff09\u300d\u3001\u30e1\u30ea\u30c3\u30c8\u3068\u30c7\u30e1\u30ea\u30c3\u30c8\u306e\u691c\u8a0e\uff08 pros and cons \uff09\u3001\u5831\u916c\u3068\u30da\u30ca\u30eb\u30c6\u30a3\u3092\u4f34\u3046\u884c\u52d5\u5951\u7d04\uff08 behavioral contracting with rewards and penalties \uff09\u306a\u3069\u3001\u305d\u306e\u4ed6\u306e\u884c\u52d5\u5909\u5bb9\u306e\u30c6\u30af\u30cb\u30c3\u30af\u3082\u7d39\u4ecb\u3057\u3066\u3044\u307e\u3059\u3002\u4eca\u56de\u306e\u60c5\u5831\u306f\u3001evidence - based \u306b\u3053\u3060\u308f\u3063\u3066\u304a\u308a\u3001\u5404\u60c5\u5831\u306b\u5bfe\u3059\u308b\u53c2\u8003\u6587\u732e\u3084\u6587\u732e\u8abf\u67fb\u306e\u8a73\u7d30\u60c5\u5831\u3082\u8a18\u8f09\u3057\u3066\u3044\u307e\u3059\u3002\u5f53\u5b66\u4f1a\u30db\u30fc\u30e0\u30da\u30fc\u30b8\u306b\u30ea\u30f3\u30af\u306e\u30d0\u30fc\u30ca\u30fc\u3082\u3042\u308a\u307e\u3059\u306e\u3067\u3001\u7814\u7a76\u3084\u81e8\u5e8a\u306b\u662f\u975e\u3054\u6d3b\u7528\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n

    2\uff0e\u7b2c 58 \u56de\u65e5\u672c\u30a2\u30eb\u30b3\u30fc\u30eb\u30fb\u30a2\u30c7\u30a3\u30af\u30b7\u30e7\u30f3\u533b\u5b66\n\u4f1a\u5ea6\u5b66\u8853\u7dcf\u4f1a\uff08\u5ca1\u5c71\uff09\u3092\u7d42\u3048\u3066<\/h2>\n\n\n\n
    \n
    <\/div>\n
    \u795e\u7530 \u79c0\u5e78\n
    \n( \u5ca1\u5c71\u5927\u5b66\u5b66\u8853\u7814\u7a76\u9662 \u533b\u6b6f\u85ac\u5b66\u57df\u516c\u8846\u885b\u751f\u5b66 )<\/div>\n<\/div>\n\n\n\n
    <\/div>\n\n\n\n

    \u7b2c 58 \u56de\u65e5\u672c\u30a2\u30eb\u30b3\u30fc\u30eb\u30fb\u30a2\u30c7\u30a3\u30af\u30b7\u30e7\u30f3\u533b\u5b66\u4f1a\u5b66\u8853\u7dcf\u4f1a\u3092\u3001\u4ee4\u548c 5 \u5e74 10 \u6708 13 \u65e5\uff08\u91d1\uff09\uff5e 15 \u65e5\uff08\u65e5\uff09\u306e\u4f1a\u671f\u306b\u3066\u7b2c 45 \u56de\u65e5\u672c\u30a2\u30eb\u30b3\u30fc\u30eb\u95a2\u9023\u554f\u984c\u5b66\u4f1a\u3068\u5171\u50ac\u3067\u958b\u50ac\u3057\u3001\u7121\u4e8b\u7d42\u4e86\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

    \u30c6\u30fc\u30de\u3092\u300c\u4f9d\u5b58\u75c7\u30fb\u30a2\u30c7\u30a3\u30af\u30b7\u30e7\u30f3\u306b\u5411\u304d\u5408\u3046\u672a\u6765 \u2015 \u30b3\u30ed\u30ca\u798d\u3092\u8d85\u3048\u3066 \u2015 \u300d\u3068\u3057\u3001\u305d\u306e\u30c6\u30fc\u30de\u306b\u6cbf\u3063\u305f\u5185\u5bb9\u306e\u4f01\u753b\u3068\u3044\u305f\u3057\u307e\u3057\u305f\u3002\u30b3\u30ed\u30ca\u798d\u660e\u3051\u306b\u5bfe\u5fdc\u3057\u3001\u5168\u9762\u5bfe\u9762\u5f62\u5f0f\u3067\u958b\u50ac\u3057\u307e\u3057\u305f\u3002\u5b66\u4f1a\u6e96\u5099\u3001\u904b\u55b6\u306b\u3064\u3044\u3066\u306f\u3001\u6e96\u5099\u59d4\u54e1\u306e\u5148\u751f\u65b9\u3092\u306f\u3058\u3081\u4f1a\u54e1\u306e\u30a2\u30c9\u30d0\u30a4\u30b9\u306a\u3069\u3092\u9802\u304d\u306a\u304c\u3089\u968f\u6642\u4fee\u6b63\u3057\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u95a2\u9023\u554f\u984c\u5b66\u4f1a\u306e\u5148\u751f\u65b9\u3068\u3082\u5bc6\u306b\u9023\u7d61\u30fb\u5354\u529b\u3092\u53d6\u308a\u306a\u304c\u3089\u4f01\u753b\u30fb\u904b\u55b6\u3092\u9032\u3081\u307e\u3057\u305f\u3002\u307e\u305f\u3001\u30d7\u30ed\u30b0\u30e9\u30e0\u59d4\u54e1\u306e\u7686\u3055\u3093\u306b\u306f\u5fd9\u3057\u3044\u696d\u52d9\u306b\u52a0\u3048\u3066\u3001\u8fc5\u901f\u306a\u5bfe\u5fdc\u3084\u8abf\u6574\u3092\u3044\u305f\u3060\u304d\u3001\u7d19\u9762\u3092\u501f\u308a\u3066\u539a\u304f\u5fa1\u793c\u7533\u3057\u4e0a\u3052\u307e\u3059\u3002\u4e00\u822c\u6f14\u984c\u306b\u306f\u60f3\u5b9a\u3092\u4e0a\u56de\u308b\u53e3\u6f14\u5e0c\u671b\u304c\u3042\u308a\u3001\u53e3\u6f14\u304b\u3089\u30dd\u30b9\u30bf\u30fc\u767a\u8868\u306b\u5909\u66f4\u3092\u3057\u3066\u9802\u3044\u305f\u6f14\u984c\u304c\u591a\u6570\u3042\u308a\u3001\u767a\u8868\u306e\u7686\u69d8\u306b\u306f\u3054\u8ff7\u60d1\u3092\u304a\u304b\u3051\u81f4\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

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    1\u65e5\u76ee\u306f\u3001\u958b\u4f1a\u5f0f\u3001\u5408\u540c\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0 2 \u4f01\u753b\u306e\u5f8c\u3001\u5f53\u5b66\u4f1a\u56fd\u969b\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0\u3068\u3057\u3066\u300c\u30d5\u30a3\u30ea\u30d4\u30f3\u306e\u85ac\u7269\u554f\u984c\u306b\u5bfe\u3059\u308b\u56fd\u969b\u652f\u63f4\u30d7\u30ed\u30b8\u30a7\u30af\u30c8\u4e2d\u9593\u5831\u544a\u300d\u3068\u984c\u3057\u3001\u30d5\u30a3\u30ea\u30d4\u30f3\u3067\u884c\u308f\u308c\u305f\u85ac\u7269\u4f7f\u7528\u8005\u306b\u5bfe\u3059\u308b\u8d85\u6cd5\u898f\u7684\u306a\u5236\u88c1\u653f\u7b56\u306b\u5bfe\u3057\u3066\u3001\u65e5\u672c\u653f\u5e9c\u304c\u56fd\u969b\u5354\u529b\u6a5f\u69cb ( JICA ) \u3092\u901a\u3057\u4eba\u9053\u7684\u89b3\u70b9\u304b\u3089\u85ac\u7269\u554f\u984c\u3078\u306e\u652f\u63f4\u3092\u884c\u3063\u3066\u3044\u308b\u53d6\u7d44\u307f\u304c\u5831\u544a\u3055\u308c\u307e\u3057\u305f\u3002\u30b7\u30f3\u30dd\u30b8\u30b9\u30c8\u306f\u3001\u65e5\u672c\u5074\u306e\u7814\u7a76\u8005\u3001\u30d5\u30a3\u30ea\u30d4\u30f3\u4fdd\u5065\u7701\u62c5\u5f53\u5b98\u304a\u3088\u3073 JICA \u30d5\u30a3\u30ea\u30d4\u30f3\u99d0\u5728\u54e1\u3082\u3042\u308a\u3001\u56fd\u969b\u7684\u8996\u91ce\u306b\u7acb\u3063\u305f\u8b70\u8ad6\u304c\u4ea4\u308f\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

    2 \u65e5\u76ee\u306f\u3001\u7279\u5225\u8b1b\u6f14\u3001\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0\u3001\u4e00\u822c\u6f14\u984c\u3001\u7523\u696d\u533b\u7814\u4fee\u3001\u5e02\u6c11\u516c\u958b\u8b1b\u5ea7\u3001\u30dd\u30b9\u30bf\u30fc\u767a\u8868\u306a\u3069\u3001\u4e00\u65e5\u3092\u901a\u3057\u3066\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u30fb\u85ac\u7269\u4f9d\u5b58\u306b\u95a2\u3059\u308b\u5b66\u969b\u7684\u306a\u4f01\u753b\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

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    3 \u65e5\u76ee\u5348\u5f8c\u306f2\u5b66\u4f1a\u5408\u540c\u3067\u306e\u5e02\u6c11\u516c\u958b\u8b1b\u5ea7\u3092\u958b\u50ac\u3057\u3001\u7279\u5225\u8b1b\u6f14\uff08 \u677e\u672c\u4fca\u5f66\u5148\u751f \uff09\u3068\u30a2\u30eb\u30b3\u30fc\u30eb\u4f9d\u5b58\u75c7\u5f53\u4e8b\u8005\u304b\u3089\u306e\u30e1\u30c3\u30bb\u30fc\u30b8\u3068\u8a0e\u8b70\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u30023 \u6642\u9593\u306b\u53ca\u3076\u4f01\u753b\u3067\u3057\u305f\u304c\u3001\u4e00\u822c\u5e02\u6c11\u306e\u53c2\u52a0\u306f 120 \u540d\u304c\u3042\u308a\u3001\u95a2\u5fc3\u306e\u9ad8\u3055\u304c\u4f3a\u3048\u307e\u3057\u305f\u3002 <\/p>\n\n\n\n

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    3\uff0e\u7b2c 59 \u56de\u65e5\u672c\u30a2\u30eb\u30b3\u30fc\u30eb\u30fb\u30a2\u30c7\u30a3\u30af\u30b7\u30e7\u30f3\n\u533b\u5b66\u4f1a\u5b66\u8853\u7dcf\u4f1a\u306e\u3054\u6848\u5185<\/h2>\n\n\n\n
    \n
    <\/div>\n
    \u5800\u6c5f \u7fa9\u5247\n
    \n( \u533b\u7642\u6cd5\u4eba\u793e\u56e3 \u6176\u6d0b\u4f1a\u30b1\u30a4\u30a2\u30a4\u30af\u30ea\u30cb\u30c3\u30af )<\/div>\n<\/div>\n\n\n\n
    <\/div>\n\n\n\n

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    \n
    <\/div>\n
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    \n
    \n

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    \n
    \"\"\/<\/figure>\n<\/div>\n<\/div>\n\n\n\n

    5\uff0e\u7814\u7a76\u5ba4\u7d39\u4ecb<\/h2>\n\n\n\n
    \n
    <\/div>\n
    \u7c73\u5c71 \u5948\u5948\u5b50\n
    \n( \u79cb\u7530\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7cfb\u7814\u7a76\u79d1
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    <\/div>\n\n\n\n

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    \u672c\u5b66\u306e\u7cbe\u795e\u4fdd\u5065\u770b\u8b77\u5b66\u5206\u91ce\u304c\u5927\u5207\u306b\u3057\u3066\u3044\u308b\u306e\u306f\u3001\u30d5\u30e9\u30c3\u30c8\u306a\u4eba\u9593\u95a2\u4fc2\u3001\u30a2\u30b5\u30fc\u30b7\u30e7\u30f3\u3092\u57fa\u672c\u3068\u3059\u308b\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u306e\u6d3b\u7528\u3068\u3001\u300e\u4eba\u3005\u306e\u751f\u6d3b\u306e\u4e2d\u306b\u7814\u7a76\u30c6\u30fc\u30de\u304c\u3042\u308b\u300f\u3053\u3068\u3092\u5fd8\u308c\u305a\u306b\u8b19\u865a\u306b\u53d6\u308a\u7d44\u3080\u59ff\u52e2\u3001\u3067\u3059\u3002<\/p>\n\n\n\n

    2023 \u5e74\u306f\u3001\u56f3\u3089\u305a\u3082\u6771\u5317\u30a2\u30eb\u30b3\u30fc\u30eb\u95a2\u9023\u554f\u984c\u5b66\u4f1a\u79cb\u7530\u5927\u4f1a\u3068\u7b2c33\u56de\u65e5\u672c\u55dc\u7656\u884c\u52d5\u5b66\u4f1a\u79cb\u7530\u5927\u4f1a\u306b\u304a\u3044\u3066\u3001\u7c73\u5c71\u304c\u5927\u4f1a\u9577\u3092\u52d9\u3081\u307e\u3057\u305f\u3002\u65e5\u672c\u55dc\u7656\u884c\u52d5\u5b66\u4f1a\u306f\u4eca\u56de\u3067\u9589\u4f1a\u3068\u306a\u308b\u305f\u3081\u3001\u6700\u5f8c\u306e\u5b66\u8853\u96c6\u4f1a\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u3053\u3061\u3089\u306f\u30aa\u30f3\u30c7\u30de\u30f3\u30c9\u914d\u4fe1\u4e2d\u3067\u30012024 \u5e74 1 \u6708 31 \u65e5\u307e\u3067\u53c2\u52a0\u7533\u3057\u8fbc\u307f\u304c\u53ef\u80fd\u3067\u3059\u3002\u3053\u306e\u5834\u3092\u501f\u308a\u3066\u306e\u5ba3\u4f1d\u3068\u306a\u308a\u307e\u3059\u304c\u3001\u305c\u3072\u3068\u3082 HP \u3092\u304a\u5c0b\u306d\u304f\u3060\u3055\u3044\u3002https:\/\/society.iff.or.jp\/ news23-11-20\/<\/a>\u3000\u591a\u304f\u306e\u7686\u69d8\u306b\u3054\u53c2\u52a0\u3044\u305f\u3060\u3051\u308b\u3068\u5927\u5909\u3042\u308a\u304c\u305f\u304f\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

    6\uff0e\u8aad\u307f\u7269
    \u79fb\u308a\u3086\u304f\u8102\u80aa\u809d\u306e\u540d\u79f0\u3068\u98f2\u9152\u306e\u95a2\u4fc2\n<\/h2>\n\n\n\n
    \n
    <\/div>\n
    \u4eca\u3000\u4e00\u7fa9\n
    \n( \u9806\u5929\u5802\u5927\u5b66 \u533b\u5b66\u90e8\u6d88\u5316\u5668\u5185\u79d1 )<\/div>\n<\/div>\n\n\n\n
    <\/div>\n\n\n\n

    \u304b\u3064\u3066\u306e\u809d\u75be\u60a3\u7814\u7a76\u306e\u4e2d\u5fc3\u3067\u3042\u3063\u305f\u30a6\u30a4\u30eb\u30b9\u6027\u809d\u708e\u304c\u8fd1\u5e74\u306f\u5927\u304d\u304f\u5f8c\u9000\u3057\u3001\u6628\u4eca\u306e\u809d\u81d3\u5b66\u3067\u306f\u8102\u80aa\u809d\u3068\u95a2\u9023\u75be\u60a3\u7fa4\u304c\u6700\u91cd\u8981\u30c6\u30fc\u30de\u3067\u3042\u308b\u3068\u8a00\u3063\u3066\u3082\u904e\u8a00\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3053\u306e\u8102\u80aa\u809d\u306e\u75be\u60a3\u6982\u5ff5\u304c\u3001\u3044\u307e\u98f2\u9152\u3068\u306e\u95a2\u4fc2\u3082\u542b\u3081\u3066\u5927\u304d\u304f\u5909\u308f\u308d\u3046\u3068\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

    \u307e\u305a 2020 \u5e74 5 \u6708\u306b\u4ee3\u8b1d\u969c\u5bb3\u95a2\u9023\u8102\u80aa\u6027\u809d\u75be\u60a3 Metabolic dysfunction - Associated fatty liver disease\uff08 MAFLD \uff09\u304c\u6b27\u5dde\u3092\u4e2d\u5fc3\u3068\u3057\u305f International Consensus Panel \u3067\u63d0\u5531\u3055\u308c\u307e\u3057\u305f\u3002MAFLD \u306f\u80a5\u6e80\u306a\u3044\u3057 2 \u578b\u7cd6\u5c3f\u75c5\u3001\u30e1\u30bf\u30dc\u30ea\u30c3\u30af\u75c7\u5019\u7fa4\u95a2\u9023\u75be\u60a3\u3068\u3044\u3063\u305f\u4ee3\u8b1d\u969c\u5bb3\u3092\u4f34\u3046\u8102\u80aa\u809d\u304c\u5168\u3066\u542b\u307e\u308c\u3001\u7d44\u307f\u5165\u308c\u57fa\u6e96\u3092\u91cd\u8996\u3057\u3066\u3044\u308b\u306e\u304c\u5f93\u6765\u306e\u975e\u30a2\u30eb\u30b3\u30fc\u30eb\u6027\u8102\u80aa\u6027\u809d\u75be\u60a3 NAFLD \u3068\u306e\u5927\u304d\u306a\u76f8\u9055\u70b9\u3067\u3059\u3002MAFLD \u306e\u8a3a\u65ad\u306b\u306f\u98f2\u9152\u6b74\u3084\u809d\u708e\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u306e\u6709\u7121\u3092\u554f\u308f\u306a\u3044\u305f\u3081\u5f93\u6765\u306e NAFLD \u3068\u30a2\u30eb\u30b3\u30fc\u30eb\u6027\u809d\u969c\u5bb3\u306e\u591a\u304f\u304c\u542b\u307e\u308c\u308b\u3053\u3068\u306b\u306a\u308a\u3001\u8a31\u5bb9\u5e45\u306e\u5927\u5909\u5927\u304d\u306a\u8a3a\u65ad\u57fa\u6e96\u3067\u3057\u305f\u3002\u4e00\u65b9\u3001\u3084\u305b\u578b\u306e NAFLD \u304a\u3088\u3073\u30a2\u30eb\u30b3\u30fc\u30eb\u6027\u809d\u969c\u5bb3\u306e\u60a3\u8005\u306e\u4e00\u90e8\u306f MAFLD \u306e\u8a3a\u65ad\u306b\u81f3\u3089\u306a\u3044\u5834\u5408\u304c\u3042\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

    \u6b21\u3044\u3067\u30012023 \u5e74 6 \u6708\u306b\u306f\u7c73\u56fd\u304a\u3088\u3073\u6b27\u5dde\u306e\u809d\u81d3\u5b66\u4f1a\u304c\u4e2d\u5fc3\u3068\u306a\u308a\u3001\u8102\u80aa\u809d\u5168\u4f53\u3092 Steatotic liver disease ( SLD ) \u3068\u547c\u79f0\u3059\u308b\u3053\u3068\u304c\u65b0\u305f\u306b\u63d0\u5531\u3055\u308c\u307e\u3057\u305f\u3002\u4f75\u305b\u3066\u3001\u6709\u610f\u306a\u98f2\u9152\u6b74\u304c\u306a\u3044\uff08 \u7d14\u30a8\u30bf\u30ce\u30fc\u30eb\u63db\u7b97\u3067\u5973\u6027 140 g \/ \u9031\u672a\u6e80\u3001\u7537\u6027 210 g \/ \u9031\u672a\u6e80\uff09\u3082\u306e\u3092 Metabolic Dysfunction Associated Steatotic Liver Disease ( MASLD ) \u3001\u904e\u5270\u306a\u98f2\u9152\u6b74\u3092\u6709\u3059\u308b\uff08 \u7d14\u30a8\u30bf\u30ce\u30fc\u30eb\u63db\u7b97\u3067\u5973\u6027 350 g \/ \u9031\u8d85\u3001\u7537\u6027 420 g \/ \u9031\u8d85 \uff09\u60a3\u8005\u3092 Alcohol - associated ( Alcohol - related ) Liver Disease ( ALD ) \u3068\u3057\u3001\u98f2\u9152\u91cf\u304c\u3061\u3087\u3046\u3069 MASLD \u3068 ALD \u306e\u4e2d\u9593\u5c64\u306b\u5165\u308b\u5834\u5408\u3092 Met - ALD \u3068\u547c\u79f0\u3059\u308b\u3053\u3068\u304c\u767a\u8868\u3055\u308c\u307e\u3057\u305f\u3002\u4eca\u56de\u306e\u65b0\u75be\u60a3\u6982\u5ff5\u306e\u80cc\u666f\u306b\u306f\u591a\u5206\u306b\u793e\u4f1a\u7684\u306a\u8981\u7d20\u304c\u542b\u307e\u308c\u3066\u304a\u308a\u3001\u300c Alcoholic \u300d\u304a\u3088\u3073\u300c Fatty \u300d\u304c\u5dee\u5225\u7684\u306a\u5358\u8a9e\u3067\u3042\u308b\u305f\u3081\u4f7f\u7528\u3057\u306a\u3044\u3088\u3046\u306b\u3059\u308b\u3001\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u65e5\u672c\u4eba\u304b\u3089\u3059\u308b\u3068\u3044\u305a\u308c\u306e\u5358\u8a9e\u3082\u3042\u307e\u308a\u5dee\u5225\u7684\u306a\u30a4\u30e1\u30fc\u30b8\u306f\u306a\u304f\u3001\u3044\u307e\u3072\u3068\u3064\u30d4\u30f3\u3068\u3053\u306a\u3044\u8a71\u306a\u306e\u3067\u3059\u304c\u3001SLD \u306e\u63d0\u5531\u306b\u306f\u65e5\u672c\u809d\u81d3\u5b66\u4f1a\u304a\u3088\u3073\u65e5\u672c\u6d88\u5316\u5668\u75c5\u5b66\u4f1a\u3082\u8cdb\u540c\u3057\u3066\u304a\u308a\u3001\u4eca\u5f8c\u3082\u3053\u306e\u6f6e\u6d41\u304c\u5909\u308f\u308b\u3053\u3068\u306f\u7121\u3055\u305d\u3046\u3067\u3059\u3002SLD \u3067\u306f\u85ac\u7269\u6027\u809d\u969c\u5bb3\u3084\u907a\u4f1d\u5b50\u75be\u60a3\u306b\u3088\u308b\u8102\u80aa\u809d\u306f\u5225\u306b\u7d30\u5206\u5316\u3055\u308c\u3066\u3044\u308b\u306e\u3082\u7279\u5fb4\u7684\u3067\u3059\u3002\u306a\u304a\u3001MASLD \u306e\u8a3a\u65ad\u57fa\u6e96\u306f\u307b\u307c\u5f93\u6765\u306e NAFLD \u3068\u540c\u4e00\u3067\u3059\u304c\u3001MASLD \u306e\u8a3a\u65ad\u57fa\u6e96\u306b\u300c 5 \u3064\u306e\u5fc3\u81d3\u4ee3\u8b1d\u5371\u967a\u56e0\u5b50\u306e\u3046\u3061 1 \u3064\u4ee5\u4e0a\u3092\u542b\u3080\u300d\u3053\u3068\u3068\u3042\u308b\u305f\u3081\u3001NAFLD \u60a3\u8005\u306e\u4e00\u90e8\u3067\u306fMASLD \u306b\u542b\u307e\u308c\u305a\u3001Cryptogenic\uff08 \u539f\u56e0\u4e0d\u660e\u306e \uff09SLD \u3068\u8a3a\u65ad\u3055\u308c\u308b\u5834\u5408\u304c\u3042\u308b\u3053\u3068\u306b\u3082\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n

    \u65e5\u672c\u8a9e\u8a33\u306b\u3064\u3044\u3066\u3082SLD\u306f\u8102\u80aa\u6027\u809d\u75be\u60a3\u3001ALD \u306f\u30a2\u30eb\u30b3\u30fc\u30eb\u95a2\u9023\u809d\u75be\u60a3\u3067\u826f\u3055\u305d\u3046\u3067\u3059\u304c\u3001MASLD \u3084Met - ALD \u3092\u3069\u3046\u3059\u308b\u306e\u304b\u3002\u8102\u80aa\u809d\u306e\u6982\u5ff5\u3001\u540d\u79f0\u306b\u3064\u3044\u3066\u306f\u3057\u3070\u3089\u304f\u843d\u3061\u7740\u304b\u306a\u3044\u72b6\u6cc1\u304c\u7d9a\u304d\u305d\u3046\u3067\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    7\uff0e\u4e8b\u52d9\u5c40\u304b\u3089\u306e\u3054\u9023\u7d61<\/h2>\n\n\n\n

    \u3010\u5e74\u4f1a\u8cbb\u306e\u6539\u5b9a\u306b\u3064\u3044\u3066\u3011<\/h3>\n\n\n\n

    \u5f53\u5b66\u4f1a\u3067\u306f\u30012024 \u5e74\u5ea6\u5206\uff082024 \u5e74 8 \u6708 1 \u65e5\u301c\uff09\u3088\u308a\u5e74\u4f1a\u8cbb\u3092\u6539\u5b9a\u3055\u305b\u3066\u3044\u305f\u3060\u304f\u3053\u3068\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u3054\u4e86\u627f\u3044\u305f\u3060\u3051\u307e\u3059\u3088\u3046\u304a\u9858\u3044\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n\n\n\n\n\n\n\n\n
    <\/td>\n\u6539\u8a02\u524d<\/td>\n<\/td>\n\u6539\u8a02\u5f8c<\/td>\n<\/tr>\n
    \u6b63 \u4f1a \u54e1<\/td>\n7,000 \u5186<\/td>\n\u2192<\/td>\n8,000 \u5186<\/td>\n<\/tr>\n
    \u5b66\u8853\u8a55\u8b70\u54e1<\/td>\n12,000 \u5186<\/td>\n\u2192<\/td>\n14,000 \u5186<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n

    \u3010\u5e74\u4f1a\u8cbb\u652f\u6255\u3044\u65b9\u6cd5\u306b\u3064\u3044\u3066\u3011<\/h3>\n\n\n\n

    \u5148\u306b\u304a\u9001\u308a\u3057\u305f\u6255\u8fbc\u53d6\u6271\u7968\u306b\u8a18\u8f09\u306e\u91d1\u984d\u306e\u7d0d\u5165\u3092\u304a\u9858\u3044\u3044\u305f\u3057\u307e\u3059\u3002\u6255\u8fbc\u53d6\u6271\u7968\u306e\u9001\u4ed8\u3092\u3054\u5e0c\u671b\u306e\u65b9\u306f\u3001\u4e8b\u52d9\u5c40\u307e\u3067\u3054\u9023\u7d61\u304f\u3060\u3055\u3044\u3002
    \u4e0b\u8a18\u306e\u53e3\u5ea7\u3078\u76f4\u63a5\u304a\u632f\u308a\u8fbc\u307f\u3044\u305f\u3060\u304f\u3053\u3068\u3082\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n\n