Exploration of multidisciplinary treatment for prevention aggravation of lifestyle-related disease through evaluation and verification of health-related behavioral change process
Project/Area Number |
18K11131
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Review Section |
Basic Section 59040:Nutrition science and health science-related
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Research Institution | Iwate Medical University |
Principal Investigator |
Asahi Koichi 岩手医科大学, 医学部, 教授 (60274966)
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Project Period (FY) |
2018-04-01 – 2023-03-31
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Project Status |
Completed (Fiscal Year 2022)
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Budget Amount *help |
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2021: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
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Keywords | 生活習慣病 / 慢性腎臓病 / 行動変容 / 特定健康診査 / 多因子治療 |
Outline of Final Research Achievements |
This study focused on the association between stages of change in lifestyle behavior and the incidence of CKD in the general Japanese population. A retrospective cohort study was conducted among 178,780 non-CKD participants aged 40-74 years who underwent annual health check-ups for two consecutive years. Health behavior change was determined using questionnaires based on the transtheoretical model (TTM), which consists of five stages of change (precontemplation, contemplation, preparation, action, and maintenance). Participants were categorized into three groups 'improved,' 'unchanged,' or 'deteriorated.' The deteriorated group showed a significantly higher risk of CKD incidence than the improved group. Promoting the stage of change for healthy lifestyle behaviors evaluated by the TTM was associated with a risk reduction for the incidence of CKD. Furthermore, we analyzed the relationship between lifestyle factors and various risks as intervention targets.
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Academic Significance and Societal Importance of the Research Achievements |
全国規模の特定健診受診者集団における個人の生活習慣や行動変容の経年的な観察に着目した解析は学術的に価値があり、このような知見の集積は,今後,地域の保健と医療の現場で均霑化可能な一次予防から重症化予防(保健から医療)まで切れ目のない効果的な介入法の創出や医療資源の連携の実践に資する更なる研究に展開する可能性があり、社会的にも大きな意義を有すると考えられる。
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Report
(6 results)
Research Products
(16 results)
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[Journal Article] The Effect of CKD on Associations between Lifestyle Factors and All-cause, Cancer, and Cardiovascular Mortality: A Population-based Cohort Study2021
Author(s)
Wakasugi M, Narita I, Iseki K, Asahi K, Yamagata K, Fujimoto S, Moriyama T, Konta T, Tsuruya K, Kasahara M, Shibagaki Y, Kondo M, Watanabe T
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Journal Title
Internal Medicine
Volume: 60
Issue: 14
Pages: 2189-2200
DOI
NAID
ISSN
0918-2918, 1349-7235
Year and Date
2021-07-15
Related Report
Peer Reviewed / Open Access
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[Journal Article] Impact of self-reported walking habit on slower decline in renal function among the general population in a longitudinal study: the Japan Specific Health Checkups (J-SHC) Study.2021
Author(s)
Nishimoto M, Murashima M, Yoshida H, Eriguchi M, Tasaki H, Fukata F, Kosugi T, Matsui M, Samejima KI, Iseki K, Asahi K, Yamagata K, Fujimoto S, Konta T, Narita I, Moriyama T, Kasahara M, Shibagaki Y, Kondo M, Watanabe T, Tsuruya K
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Journal Title
J Nephrol
Volume: 34
Issue: 6
Pages: 1845-1853
DOI
Related Report
Peer Reviewed
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[Journal Article] Weight loss reduces the incidence of dipstick proteinuria: a cohort study from the Japanese general population2021
Author(s)
Nagai K, Yamagata K, Iseki K, Moriyama T, Tsuruya K, Fujimoto S, Narita I, Konta T, Kondo M, Kasahara M, Shibagaki Y, Asahi K, Watanabe T.
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Journal Title
Clin Exp Nephrol
Volume: 25
Issue: 12
Pages: 1329-1335
DOI
Related Report
Peer Reviewed
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[Journal Article] Fast walking is a preventive factor against new-onset diabetes mellitus in a large cohort from a Japanese general population2021
Author(s)
Iwasaki M, Kudo A, Asahi K, Machii N, Iseki K, Satoh H, Moriyama T, Yamagata K, Tsuruya K, Fujimoto S, Narita I, Konta T, Kondo M, Shibagaki Y, Kasahara M, Watanabe T, Shimabukuro M
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Journal Title
Sci Rep
Volume: 11(1)
Issue: 1
Pages: 716-716
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Can Daily walking alone reduce pneumonia-related mortality among older people?2020
Author(s)
Ikeda T, Inoue S, Konta T, Murakami M, Fujimoto S, Iseki K, Moriyama T, Yamagata K, Tsuruya K, Narita I, Kondo M, Shibagaki Y, Kasahara M, Asahi K, Watanabe T.
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Journal Title
Sci Rep
Volume: 10(1)
Issue: 1
Pages: 8556-8556
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] A prediction model with lifestyle in addition to previously known risk factors improves its predictive ability for cardiovascular death.2019
Author(s)
Nishimoto M, Tagawa M, Matsui M, Eriguchi M, Samejima KI, Iseki K, Iseki C, Asahi K, Yamagata K, Konta T, Fujimoto S, Narita I, Kasahara M, Shibagaki Y, Moriyama T, Kondo M, Watanabe T,
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Journal Title
Sci Rep
Volume: 9
Pages: 12953-12953
Related Report
Peer Reviewed
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[Journal Article] New risk prediction model of coronary heart disease in participants with and without diabetes: Assessments of the Framingham risk and Suita scores in 3-year longitudinal database in a Japanese population2019
Author(s)
Hirai H, Asahi K, Yamaguchi S, Mori H, Satoh H, Iseki K, Moriyama T, Yamagata K, Tsuruya K, Fujimoto S, Narita I, Konta T, Kondo M, Shibagaki Y, Kasahara M, Watanabe T, Shimabukuro M.
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Journal Title
Sci Rep
Volume: 9
Pages: 2813-2813
Related Report
Peer Reviewed
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[Presentation] CKD患者の健康行動に対する行動変容ステージと生命予後の関連2022
Author(s)
木村 浩, 田中 健一, 旭 浩一, 井関 邦敏, 守山 敏樹, 山縣 邦弘, 鶴屋 和彦, 藤元 昭一, 成田 一衛, 今田 恒夫, 近藤 正英, 笠原 正登, 柴垣 有吾, 渡辺 毅, 風間 順一郎
Organizer
第65回日本腎臓学会学術総会
Related Report
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[Presentation] 慢性腎臓病の有無による朝食を抜く食習慣と死亡の関係2018
Author(s)
古澤彩美, 村澤昌, 内田大介, 木戸亮, 河原崎宏雄, 渡辺毅, 井関邦俊, 守山敏樹, 山縣邦弘, 鶴屋和彦, 今田恒夫, 成田一衛, 近藤正英, 笠原正登, 旭浩一, 柴垣有吾
Organizer
第61回日本腎臓学会学術総会
Related Report
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[Presentation] 慢性腎臓病の有無による歩行速度と死亡の関係2018
Author(s)
村澤昌, 古澤彩美, 内田大介, 木戸亮, 河原崎宏雄, 渡辺毅, 井関邦敏, 守山敏樹, 山縣邦弘, 鶴屋和彦, 藤元昭一, 今田恒夫, 成田一衛, 近藤正英, 笠原正登, 旭浩一, 柴垣有吾
Organizer
第61回日本腎臓学会学術総会
Related Report