Association of physical inactivity with decline in physical function and functional status in hemodialysis patients
Project/Area Number |
16K16466
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Research Category |
Grant-in-Aid for Young Scientists (B)
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Allocation Type | Multi-year Fund |
Research Field |
Rehabilitation science/Welfare engineering
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Research Institution | Hyogo University of Health Sciences (2019) Kitasato University (2016-2018) |
Principal Investigator |
Matsuzawa Ryota 兵庫医療大学, リハビリテーション学部, 講師 (20770184)
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Project Period (FY) |
2016-04-01 – 2020-03-31
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Project Status |
Completed (Fiscal Year 2019)
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Budget Amount *help |
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
|
Keywords | 身体活動 / リハビリテーション / 透析 / 腎不全 / フレイル / サルコペニア / 運動療法 / 理学療法 / 運動 / 身体機能 / 血液透析 / CKD / 腎臓リハビリテーション / 慢性腎臓病 / 慢性腎不全 / 身体的虚弱 / 予後 / 老化 / 臨床 |
Outline of Final Research Achievements |
Although the clinical importance of physical activity for patients on hemodialysis has already been emphasized in clinical practice guidelines published by academic society of the US and Europe, there is less recognition of it in the clinical care for Japanese patients. The main goals of this study were (1) to examine the association of a change in the functional status over a 1-year period with all-cause mortality, (2) to detect the minimum recommendation of habitual physical activity, and (3) to investigate the relationship between physical activity and decline in physical function and functional status of the dialysis populations. As a result, we showed the importance of physical activity in order to prevent the decline in physical function and functional status, and decrease mortality risk.
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Academic Significance and Societal Importance of the Research Achievements |
本研究は、透析患者の日常生活活動および身体活動量に焦点を当てて疫学調査を行い、その実態や生命予後との関連について検証した。各国の診療ガイドラインで強調されているにも関わらず、血液透析患者の日常生活活動レベルを維持・向上するための医学的管理は、未だ透析医療のルーチンケアには含まれていない。本研究は透析患者における身体活動量の臨床的意義を改めて見出し、日常生活活動レベルを維持・向上させるための医学的管理法の確立に貢献することができたと思われる。
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Report
(5 results)
Research Products
(89 results)
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[Journal Article] Prevalence and prognosis of respiratory muscle weakness in heart failure patients with preserved ejection fraction.2020
Author(s)
Nobuaki Hamazaki,Kentaro Kamiya,Ryota Matsuzawa,Kohei Nozaki,Takafumi Ichikawa,Shinya Tanaka,Takeshi Nakamura,Masashi Yamashita,Emi Maekawa,Chiharu Noda,Minako Yamaoka-Tojo,Atsuhiko Matsunaga,Takashi Masuda,Junya Ako
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Journal Title
Respiratory medicine
Volume: 161
Pages: 105834-105834
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Short-Term Change in Gait Speed and Clinical Outcomes in Older Patients With Acute Heart Failure2019
Author(s)
Shinya Tanaka,Kentaro Kamiya,Nobuaki Hamazaki,Ryota Matsuzawa,Kohei Nozaki,Takeshi Nakamura,Masashi Yamashita,Emi Maekawa,Chiharu Noda,Minako Yamaoka-Tojo,Atsuhiko Matsunaga,Takashi Masuda,Junya Ako
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Journal Title
Circulation Journal
Volume: 83
Issue: 9
Pages: 1860-1867
DOI
NAID
ISSN
1346-9843, 1347-4820
Year and Date
2019-08-23
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Effects of electrical muscle stimulation in frail elderly patients during haemodialysis (DIAL): rationale and protocol for a crossover randomised controlled trial.2019
Author(s)
Suzuki Y,Kamiya K,Tanaka S,Hoshi K,Watanabe T,Harada M,Matsuzawa R,Shimoda T,Yamamoto S,Matsunaga Y,Yoneki K,Yoshida A,Matsunaga A
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Journal Title
BMJ open
Volume: 9
Issue: 5
Pages: e025389-e025389
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Impact of Gait Speed on the Obesity Paradox in Older Patients With Cardiovascular Disease.2019
Author(s)
Takeshi Nakamura,Kentaro Kamiya,Atsuhiko Matsunaga,Nobuaki Hamazaki,Ryota Matsuzawa,Kohei Nozaki,Masashi Yamashita,Emi Maekawa,Chiharu Noda,Minako Yamaoka-Tojo,Junya Ako
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Journal Title
The American journal of medicine
Volume: 132
Issue: 12
Pages: 1458-1465
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Trajectory of Lean Body Mass Assessed Using the Modified Creatinine Index and Mortality in Hemodialysis Patients2019
Author(s)
Yuta Suzuki,Ryota Matsuzawa,Kentaro Kamiya,Keika Hoshi,Manae Harada,Takaaki Watanabe,Takahiro Shimoda,Shohei Yamamoto,Yusuke Matsunaga,Atsushi Yoshida,Atsuhiko Matsunaga
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Journal Title
American Journal of Kidney Diseases.
Volume: 75
Issue: 2
Pages: 195-203
DOI
Related Report
Peer Reviewed
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[Journal Article] Papillary light reflex as a new prognostic marker in patients with heart failure.2019
Author(s)
Nozaki K, Kamiya K, Matsue Y, Hamazaki N, Matsuzawa R, Tanaka S, Maekawa E, Kishi T, Matsunaga A, Masuda T, Izumi T, Ako J
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Journal Title
J Cardiac Fail
Volume: 25(3)
Issue: 3
Pages: 156-163
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] SARC-F Questionnaire: Rapid and Easy Tool for Identifying Physical Limitations in Hemodialysis Patients2019
Author(s)
Yamamoto Shohei, Matsuzawa Ryota, Harada Manae, Watanabe Takaaki, Shimoda Takahiro, Suzuki Yuta, Kamiya Kentaro, Osada Shiwori, Yoshida Atsushi, Matsunaga Atsuhiko
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Journal Title
Journal of Cachexia, Sarcopenia and Muscle
Volume: 4
Pages: 1-12
Related Report
Peer Reviewed / Open Access
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[Journal Article] Association between frailty and bone loss in patients undergoing maintenance hemodialysis2018
Author(s)
Kei Yoneki, Jun Kitagawa, Keika Hoshi, Manae Harada, Takaaki Watanabe, Takahiro Shimoda, Ryota Matsuzawa, Atsushi Yoshida, Yusuke Matsunaga, Yasuo Takeuchi, Kentaro Kamiya, Atsuhiko Matsunaga
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Journal Title
Journal of Bone and Mineral Metabolism
Volume: 2018 Jan 15
Issue: 1
Pages: 1-1
DOI
Related Report
Peer Reviewed
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[Journal Article] Gait speed has comparable prognostic capability to six-minute walk distance in older patients with cardiovascular disease.2017
Author(s)
Kamiya K, Hamazaki N, Matsue Y, Mezzani A, Corra U, Matsuzawa R, Nozaki K, Tanaka S, Maekawa E, Noda C, Yamaoka-Tojo M, Matsunaga A, Masuda T, Ako J.
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Journal Title
Eur J Prev Cardiol.
Volume: 印刷中
Issue: 2
Pages: 212-219
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Prognostic Value of Psoas Muscle Area and Density in Patients Who Undergo Cardiovascular Surgery2017
Author(s)
Masashi Yamashita, Kentaro Kamiya, Atsuhiko Matsunaga, Tadashi Kitamura, Nobuaki Hamazaki, Ryota Matsuzawa, Kohei Nozaki, Shinya Tanaka, Takeshi Nakamura, Emi Maekawa, Takashi Masuda, Junya Ako, Kagami Miyaji
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Journal Title
Canadian Journal of Cardiology
Volume: 33
Issue: 12
Pages: 1652-1659
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Effects of acute phase intensive electrical muscle stimulation in frail elderly patients with acute heart failure (ACTIVE-EMS)2017
Author(s)
Shinya Tanaka, Kentaro Kamiya, Yuya Matsue, Yonezawa R, Saito H, Nobuaki Hamazaki, Ryota Matsuzawa, Kohei Nozaki, Wakaume K, Endo Y, Emi Maekawa, Minako Yamaoka-Tojo, Shiono T, Inomata T, Takashi Masuda, Junya Ako
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Journal Title
Clin Cardiol
Volume: 40
Issue: 12
Pages: 1189-1196
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Book] 透析ケア2020
Author(s)
松沢 良太
Total Pages
96
Publisher
(株)メディカ出版
ISBN
9784840470308
Related Report
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[Book] 透析ケア2019
Author(s)
松沢 良太
Total Pages
102
Publisher
(株)メディカ出版
ISBN
9784840467025
Related Report
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