Self-management support using health equipment for rheumatism patients with low disease activity

• Project/Area Number: 18K10889
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 59020:Sports sciences-related
• Research Institution: Chiba Prefectural University of Health Sciences
• Principal Investigator: Shimada Mieko 千葉県立保健医療大学, 健康科学部, 教授 (70413036)
• Co-Investigator(Kenkyū-buntansha): 浅井 美千代 千葉県立保健医療大学, 健康科学部, 教授 (20212467) ; 岡村 太郎 千葉県立保健医療大学, 健康科学部, 教授 (30367429) ; 成田 悠哉 千葉県立保健医療大学, 健康科学部, 助教 (80897695)
• Project Period (FY): 2018-04-01 – 2023-03-31
• Project Status: Completed (Fiscal Year 2022)
• Budget Amount: ¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000); Fiscal Year 2020: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000); Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000); Fiscal Year 2018: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
• Keywords: 関節リウマチ / 高齢女性 / 握力 / 低栄養 / 身体活動量 / 歩数 / 日常身体活動量 / 筋力 / 意思決定支援 / 日常生活支援 / 体力 / 加齢変化 / セルフマネジメント / ライフスタイル

Outline of Final Research Achievements

The purpose of this study is to clarify the relationship between nutritional status, grip strength, and physical activity level in rheumatoid arthritis (RA) patients in comparison with general elderly people. provide basic data for constructing reasonable lifestyle guidance for RA patients.
Comparing the two groups, RA patients with low disease activity (9 females, average age 67.6 ± 8.6 years old) had significantly lower grip strength than 9 general females (75.1 ± 4.6 years old). RA patients had a high risk of malnutrition. There was no significant difference in physical activity (number of steps) between the two groups. It was suggested that nutrition guidance is more important than exercise guidance for RA patients. It was suggested that awareness of the current situation using devices such as a grip strength meter and activity meter may improve self-management ability.

Academic Significance and Societal Importance of the Research Achievements

超高齢社会となったわが国において、関節リウマチはじめ関節の痛みを訴える人口か増大することは、容易に想定される。関節リウマチはじめ薬物療法の効果は著しく、患者のQOLを高めたが、一方でオーバーユースを促す可能性もあり、筋肉にあたえる負荷が過度になる危険性がある。
患者も治療に責任をもつアドヒアランスや患者自身の生活習慣自己管理が求められる今日、健康機器を活用した支援が、どの程度患者の状態を把握でき、どのような支援が可能であるか確認できたことに、本研究の社会的意義が認められる。

Research Products

• [Journal Article] Lifestyle and health (2022)
  • Author(s): Mieko Shimada ，MIchiyo Asai, Taro Okamura, Yuya Narita, Nobuko Hongu
  • Journal Title: The Journal of Physical Fitness and Sports Medicine Volume: 11 Issue: 6 Pages: 401-414
  • DOI: 10.7600/jpfsm.11.401
  • ISSN: 2186-8123, 2186-8131
  • Year and Date: 2022-11-25
  • Peer Reviewed / Open Access
• [Presentation] Changes in grip strength and health status after one year of patients with rheumatoid arthritisdaily (2023)
  • Author(s): Mieko Shimada, Michiyo Asai , Taro Okamura, Yuya Narita, Masahiro Edo, Nobuko Hongu
  • Organizer: 2023 American College of Sports Medicine Annual Meeting & World Congresses
  • Int'l Joint Research
• [Presentation] 関節リウマチ患者の握力と体組成 (2022)
  • Author(s): 島田美恵子，浅井美千代，岡村太郎，成田悠哉, 江戸優裕, 本宮暢子
  • Organizer: 第77回日本体力医学会
• [Presentation] Association between nutritional status, physical function, and physical activity in patients with rheumatoid arthritis (2022)
  • Author(s): Mieko Shimada Michiyo Asai , Yuya Narita, Taro Okamura, Nobuko Hongu
  • Organizer: The 22nd International Congress of Nutrition (ICN) will be held in Tokyo, Japan
  • Int'l Joint Research