Effects of periodic management of physical function and physical activity on renal function in pre-dialytic patients with chronic kidney disease
Project/Area Number |
26350631
|
Research Category |
Grant-in-Aid for Scientific Research (C)
|
Allocation Type | Multi-year Fund |
Section | 一般 |
Research Field |
Rehabilitation science/Welfare engineering
|
Research Institution | Kitasato University |
Principal Investigator |
|
Research Collaborator |
KUTSUNA toshiki
MATSUZAWA ryota
YONEKI kei
HARADA manae
WATANABE takaaki
SHIMODA takahiro
YAMAMOTO shohei
SUZUKI yuta
|
Project Period (FY) |
2014-04-01 – 2019-03-31
|
Project Status |
Completed (Fiscal Year 2018)
|
Budget Amount *help |
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
|
Keywords | 身体機能 / 身体活動量 / 歩行速度 / 運動指導 / 疾病管理 / 慢性腎臓病 / 透析 / リハビリテーション / 筋力 / 日常生活活動 / 生命予後 / 運動療法 / 疾患管理 |
Outline of Final Research Achievements |
Many studies have been reportedly available on the effects of exercise training for chronic kidney disease (CKD) patients receiving dialysis therapy. However, very few studies investigated the status of physical function and activity levels, and examined the effects of disease management for physical function on pre-dialytic CKD patients. The present study consisted of four investigations, in which Studies 1 and 2 verified the prognoses with relation to physical function levels and the effects of disease management (periodic physical function assessment) on mortality and clinical event rates in hemodialysis patients, and Studies 3 and 4 examined the status of physical function and activity levels, and the effects of disease management on changes in renal function (estimate glomerular filtration rate, CKD stages) in pre-dialytic CKD patients. These findings revealed that reduced physical function might be associated with subsequent changes in renal function in pre-dialytic CKD patients.
|
Academic Significance and Societal Importance of the Research Achievements |
本研究は、延べ600名以上にも及ぶ血液透析(HD)患者の身体機能等の評価データから、HD患者の身体機能レベルと生命予後の関連性、さらには定期的な身体機能評価からなる疾病管理システムの効果を検証し、透析治療を導入していない保存期の慢性腎臓病(CKD)患者の管理目標値と疾病管理として機能評価の有用性を検討したものである。特に、保存期CKD患者の身体機能に関するデータは極めて少なく、また腎機能(CKD重症度ステージ)への長期効果については未だ報告がないの現状である。このため、本研究の成果は、保存期CKD患者に対する運動療法の確立に極めて有用な情報になり得ると思われる。
|
Report
(6 results)
Research Products
(63 results)
-
-
-
-
-
-
[Journal Article] Asymptomatic peripheral artery disease and mortality in patients on hemodialysis2018
Author(s)
Harada, Manae. Matsuzawa, Ryota. Aoyama, Naoyoshi. Uemura, Kaoru. Horiguchi, Yoriko. Yoneyama, Junko. Hoshi, Keika. Yoneki, Kei. Watanabe, Takaaki. Shimoda, Takahiro. Takeuchi, Yasuo. Naito, Shokichi. Yoshida, Atsushi. Matsunaga, Atsuhiko.
-
Journal Title
Renal Replacement Therapy
Volume: 4
Issue: 1
Pages: 1-10
DOI
Related Report
Peer Reviewed / Open Access
-
-
[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
-
Journal Title
Journal of Bone and Mineral Metabolism
Volume: 2018 Jan 15
Issue: 1
Pages: 1-1
DOI
Related Report
Peer Reviewed
-
-
-
-
-
-
[Journal Article] Evaluating the association between walking speed and reduced cardio-cerebrovascular events in hemodialysis patients: a 7-year cohort study2016
Author(s)
Yoshifumi Abe, Atsuhiko Matsunaga, Ryota Matsuzawa, Kei Yoneki, Manae Harada, Takaaki Watanabe, Toshiki Kutsuna, Masahiko Kimura, Kyo Shigeta, Yasuo Takeuchi, Atsushi Yoshida
-
Journal Title
Renal Replacement Therapy
Volume: 2
Pages: 1-8
Related Report
Peer Reviewed / Open Access
-
[Journal Article] Determinants of Slow Walking Speed in Ambulatory Patients Undergoing Maintenance Hemodialysis2016
Author(s)
Abe, Y. Matsunaga, A. Matsuzawa, R. Kutsuna, T. Yamamoto, S. Yoneki, K. Harada, M. Ishikawa, R. Watanabe, T. Yoshida, A.
-
Journal Title
Related Report
Peer Reviewed / Open Access
-
[Presentation] 血液透析患者におけるModified Creatinine Indexを用いて評価した除脂肪量の経年変化と生命予後2019
Author(s)
鈴木裕太, 松沢良太, 神谷健太郎, 星佳芳, 原田愛永, 渡邊孝明, 下田隆大, 山本尚平, 磯部友祐, 今村慶吾, 松永祐輔, 吉田煦, 松永篤彦
Organizer
第9回日本腎臓リハビリテーション学会学術集会
Related Report
-
[Presentation] 血液透析患者において最大歩行速度および sit-to-stand test score は生命予後予測能を改善さ せる2019
Author(s)
下田隆大, 松沢良太, 原田愛永, 渡邊孝明, 鈴木裕太, 山本尚平, 磯部 友祐, 今村慶吾, 松永祐輔, 神谷健太郎, 吉田煦 , 松永篤彦
Organizer
第9回日本腎臓リハビリテーション学会学術集会
Related Report
-
[Presentation] Difficulties with activities of daily living and all-cause mortality in patients on maintenance hemodialysis2018
Author(s)
Watanabe T, Kutsuna T, Harada M, Shimoda T, Suzuki Y, Yamamoto S, Matsunaga Y, Isobe Y, Imamura K, Matsuzawa R, Kamiya K, Yoshida A, Matsunaga A
Organizer
12th International Society of Physical and Rehabilitation Medicine World Congress
Related Report
Int'l Joint Research
-
[Presentation] A cross-sectional study of physical activity on non-dialysis day and dialysis day: association with physical functioning2018
Author(s)
Shohei Yamamoto, Ryota Matsuzawa, Kei Yoneki, Manae Harada, Takaaki Watanabe, Takahiro Shimoda, Yuta Suzuki, Yusuke Matsunaga, Kentaro Kamiya, Atsushi Yoshida, Atsuhiko Matsunaga
Organizer
12th International Society of Physical and Rehabilitation Medicine World Congress
Related Report
Int'l Joint Research
-
[Presentation] Utility of Regular Management of Physical Activity and Physical Function in Hemodialysis Patients2018
Author(s)
Shohei Yamamoto, Ryota Matsuzawa, Yoshifumi Abe, Manae Harada, Takaaki Watanabe, Takahiro Shimoda, Yuta Suzuki, Yusuke Matsunaga, Kentaro Kamiya, Atsushi Yoshida, Atsuhiko Matsunaga
Organizer
Kidney Week 2018 (American Society of Nephrology)
Related Report
Int'l Joint Research
-
[Presentation] 血液透析患者におけるサルコペニアスクリーニング問診票(SARC-F)の有用性2018
Author(s)
山本尚平, 松沢良太, 原田愛永, 渡邊孝明, 下田隆大, 鈴木裕太, 松永祐輔, 磯部友祐, 今村慶吾, 神谷健太郎, 吉田煦, 松永篤彦
Organizer
第5回サルコペニア・フレイル学会
Related Report
-
-
[Presentation] 血液透析患者における定期的な身体機能評価システムへの参加度と規定因子2018
Author(s)
今村慶吾, 山本尚平, 原田愛永, 渡邊孝明, 下田隆大, 鈴木裕太, 磯部友祐, 松永祐輔, 神谷健太郎, 吉田煦, 松永篤彦
Organizer
第36回日本私立医科大学理学療法研究会
Related Report
-
-
-
[Presentation] Modified Creatinine Indexは 血液透析患者の予後予測に有用である2018
Author(s)
鈴木裕太, 松沢良太, 原田愛永, 渡邊孝明, 下田隆大, 山本尚平, 磯部友祐, 今村慶吾, 松永祐輔, 神谷健太郎, 吉田煦, 松永篤彦
Organizer
第2回日本リハビリテーション医学会秋季学術集会
Related Report
-
[Presentation] 血液透析患者の日常生活活動に影響を及ぼす因子:動作時の困難感と抑うつ症状ならびにアパシーの関連について2018
Author(s)
松永祐輔, 渡邊孝明, 山本尚平, 鈴木裕太, 磯部友祐, 今村慶吾, 神谷健太郎, 村山憲男, 松永篤彦, 田ヶ谷浩邦, 吉田煦
Organizer
日本心理学会 第82回大会
Related Report
-
[Presentation] 血液透析患者における Modified Creatinine Indexは GNRIの予後予測能を補完する2018
Author(s)
鈴木裕太, 神谷健太郎, 松沢良太, 原田愛永, 渡邊孝明, 下田隆大, 山本尚平, 磯部友祐, 今村慶吾, 松永祐輔, 吉田煦, 松永篤彦
Organizer
第5回日本サルコペニア・フレイル学会大会
Related Report
-
-
-
[Presentation] 透析患者の日常活動の実態2017
Author(s)
松永篤彦
Organizer
第7回日本腎臓リハビリテーション学会
Place of Presentation
つくば国際会議場(茨城県つくば市)
Year and Date
2017-02-18
Related Report
Invited
-
-
-
-
-
-
-
-
-
-
-
-
-
[Presentation] Detecting the minimum recommendation of physical activity level in hemodialysis patients: a 7-year retrospective cohort study2016
Author(s)
Matsuzawa R, Shimoda T, Mamorita N, Yoneki K, Harada M, Watanabe T, Matsumoto M, Yoshida A, Takeuchi Y, Matsunaga A
Organizer
American Society of Nephrology, Kidney Week 2016
Place of Presentation
McCormick Place (Chicago, Illinois, USA)
Year and Date
2016-11-15
Related Report
Int'l Joint Research
-
[Presentation] Association between physical activity and depression symptoms in maintenance hemodialysis outpatients2016
Author(s)
Shimoda T, Matsunaga A, Iwamitsu Y, Kimura M, Kamide N, Abe Y, Yoneki K, Harada M, Ishikawa R, Watanabe T, Matsumoto M, Yoshida A
Organizer
The Asian Confederation for Physical Therapy (ACPT)
Place of Presentation
Berjaya Times Square Hotel (Kuala Lumpur, Malaysia)
Year and Date
2016-10-07
Related Report
Int'l Joint Research
-
[Presentation] Characteristics of standing plantar pressure distribution in hemodialysis patients with peripheral neuropathy2016
Author(s)
Watanabe T, Matsunaga A, Sato H, Kimura M, Abe Y, Yoneki K, Harada M, Shimoda T, Matsumoto M, Yoshida A
Organizer
The Asian Confederation for Physical Therapy (ACPT)
Place of Presentation
Berjaya Times Square Hotel (Kuala Lumpur, Malaysia)
Year and Date
2016-10-07
Related Report
Int'l Joint Research
-
[Presentation] Physical performance and physical activity in hemodialysis patients with peripheral artery disease2016
Author(s)
Harada M, Matsunaga A, Abe Y, Yoneki K, Watanabe T, Shimoda T, Matsumoto M, Matsuzawa R, Kimura M, Aoyama N, Yoshida A
Organizer
The Asian Confederation for Physical Therapy (ACPT)
Place of Presentation
Berjaya Times Square Hotel (Kuala Lumpur, Malaysia)
Year and Date
2016-10-07
Related Report
Int'l Joint Research
-
-
-
-
-
-
-
-
-
-
-
-
[Presentation] Relationship between physical function and plantar pressure distribution in hemodialysis patients2015
Author(s)
Takaaki Watanabe, Atsuhiko Matsunaga, Yoshifumi Abe, Kei Yoneki, Manae Harada, Ryoma Ishikawa, Kyo Shigeta, Toshiki Kutsuna, Ryota Matsuzawa, Atsushi Yoshida
Organizer
World Confederation of Physical Therapy (WCPT) Congress 2015
Place of Presentation
Suntec City, Singapore, Suntec Singapore Convention & Exhibition Centre
Year and Date
2015-05-01
Related Report
Int'l Joint Research
-
[Presentation] Decreased physical activity is associated with an increased incidence or progression of peripheral artery disease in hemodialysis patients2015
Author(s)
Manae Harada, Atsuhiko Matsunaga, Naoyoshi Aoyama, Yoshifumi Abe, Kei Yoneki, Ryoma Ishikawa, Takaaki Watanabe, Kyo Shigeta, Yuki Miyako, Toshiki Kutsuna, Ryota Matsuzawa, and Atsushi Yoshida
Organizer
World Confederation of Physical Therapy (WCPT) Congress 2015
Place of Presentation
Suntec City, Singapore, Suntec Singapore Convention & Exhibition Centre
Year and Date
2015-05-01
Related Report
Int'l Joint Research
-
[Presentation] Association of habitual physical activity with bone metabolism in hemodialysis patients2015
Author(s)
Kei Yoneki, Atsuhiko Matsunaga, Jun Kitagawa, Yoshifumi Abe, Manae Harada, Ryoma Ishikawa, Takaaki Watanabe, Ryota Matsuzawa, Toshiki Kutsuna, Kyo Shigeta, Atsushi Yoshida
Organizer
World Confederation of Physical Therapy (WCPT) Congress 2015
Place of Presentation
Suntec City, Singapore, Suntec Singapore Convention & Exhibition Centre
Year and Date
2015-05-01
Related Report
Int'l Joint Research
-
[Presentation] Effects of chronic renal dysfunction on rehabilitation progress in patients undergoing inpatient rehabilitation2015
Author(s)
Kyo Shigeta, Atsuhiko Matsunaga, Naruaki Toda, Hiroshi Abe, Takuya Matsumoto, Yuki Miyako, Masahiko Kimura, Yasunori Tsukimura, Makoto Akaishi
Organizer
World Confederation of Physical Therapy (WCPT) Congress 2015
Place of Presentation
Suntec City, Singapore, Suntec Singapore Convention & Exhibition Centre
Year and Date
2015-05-01
Related Report
Int'l Joint Research
-