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A population-based study for the prognosis of hemodialysis patients as the high risk group of circulation disease

Research Project

Project/Area Number 15590557
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Public health/Health science
Research InstitutionIwate MedicalUniversity

Principal Investigator

LTAL Kazuyoshi (2004)  Iwate Medical University, Hygiene and Preventive medicine, associate professor, 医学部, 助教授 (10048572)

西 信雄 (2003)  岩手医科大学, 医学部, 助教授 (80243228)

Co-Investigator(Kenkyū-buntansha) HUJLOKA Tomoaki  Iwate Medical University, Urology, Professor, 医学部, 教授 (80173409)
ONODA Toshiyuki  Iwate Medical University, Hygiene and Preventive medicine, assistant professor, 医学部, 講師 (00254748)
OGURL Shigenori  Iwate Medical University, Hygiene and Preventive medicine, instructor, 医学部, 助手 (60316354)
板井 一好  岩手医大学, 医学部, 助教授 (10048572)
岡山 明  国立循環器病センター, 予防検診部, 部長 (60169159)
Project Period (FY) 2003 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥3,700,000 (Direct Cost: ¥3,700,000)
Fiscal Year 2004: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 2003: ¥2,500,000 (Direct Cost: ¥2,500,000)
KeywordsHemodialysis / Chronic glomerulonephritis / Diabetic nephropathy / Risk factor of arteriosclerosis / Blood pressure before dialysis / Blood pressure after dialysis / 慢性腎不全 / 高感度CRP / 脈波伝播速度
Research Abstract

The aim of this study is to reveal the risk factor of circulation disease mend-stage renal disease (ESRO) wing a population-based study. Written informed consent for participation in the study from 1,260 patients was obtained Data from 1,214(80.6% of the total patients, aged 22to 95 years, 779maIes and 435 females) were used far analysis.
The mean age of the 1,214 patients was 61.2± 13.0 years (male: 61.1±13.1 year, female: 61.4± 12.7 years). The mean age at the start of hemodialysis was 54.2±15.8 years, and the mean duration of hemodialysis was 7.0±6.7 years. The most common cause of ESRD was chronic glomerulonephritis (29.8 %), and the second-most common cause was diabetic nephrepathy (24.5 %). The etiology was unknown in 24.9% of the patients. The proportions of patients with myocardial infarction, stroke, peripheral arterial disease, and hypertension were 5%, 13%, 16%, and 87%, respectively In diabetic nephropathy patients, mean levels of total cholesterol, triglycerides, plasma glucose, HbAlc, and the number of leukocytes were higher, and plasma albumin, creatinine, plasma calcium, and HDL cholesterol were lower than chronic glomerulonephritis and unknown groups. Systolic blood pressure (SBP) and diastolic blood pressure (DPB) before dialysis were 155±23 and 85±14 in male, 155±25 and85±l3 in female. SPB and DPB after dialysis were 143±25and80±l4inmale and 140+28and79±l4infemale.

Report

(3 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • Research Products

    (7 results)

All 2005 2004 Other

All Journal Article (6 results) Publications (1 results)

  • [Journal Article] Cardiovascular Risk Factors in Hemodialysis Patients : Results from Baseline Data of Kaleidascopic Approaches to Patients with End-stage Renal Disease Study2005

    • Author(s)
      Masaki Ohsawa
    • Journal Title

      Journal of Epidemiology 15

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 慢性透析患者における透析前後の血圧と透析期間との関連性:慢性糸球体腎炎症例と糖尿病性腎症症例での検討2005

    • Author(s)
      加藤香廉
    • Journal Title

      岩手医学雑誌 57

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Cardiovascular Risk Factors in Hemodialysis Patients : Results from Baseline Data of Kaleidascopic Approaches to Patients with End-stage Renal Disease Study2005

    • Author(s)
      Masaki OHSAWA
    • Journal Title

      Journal of Epidemiology Vol.15 (in press)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Relationship between blood pressure and duration of hemodialysis in patients with end-stage renal disease due to chronic glomerulonephritis and diabetic nephropathy2005

    • Author(s)
      Karen KATO
    • Journal Title

      The Journal of The Iwate Medical Association Vol.17 (in press)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 末期腎不全患者の循環器疾患発症リスクを割り出すための多面的疫学調査(Kaleidoscopic Approaches to patients with end-stage RENnal disease, KAREN Study);KAREN研究のデザイン、原理、登録時横断調査結果2004

    • Author(s)
      大澤正樹
    • Journal Title

      岩手公衆衛生学雑誌 16

      Pages: 3-17

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Kaleidoscopic Approaches to Patients With End-stage Renal Disease (The KAREN Study) : Study Design, Rational and Results from Baseline Data

    • Author(s)
      Masaki ORSAWA
    • Journal Title

      Iwate Journal of Public Health Vol.16, No.2

      Pages: 3-17

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Publications] 加藤香廉: "人工透析患者における心血管疾患危険因子の重要性"岩手公衆衛生学雑誌. 15・1,2. 17-20 (2003)

    • Related Report
      2003 Annual Research Report

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Published: 2003-04-01   Modified: 2016-04-21  

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