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2013 Fiscal Year Final Research Report

Renal rehabilitation: clarification of mechanism of effectiveness and clinical application

Research Project

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Project/Area Number 23240084
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionTohoku University

Principal Investigator

KOHZUKI Masahiro  東北大学, 医学(系)研究科(研究院), 教授 (70234698)

Co-Investigator(Kenkyū-buntansha) ITO Osamu  東北大学, 大学院医学系研究科, 准教授 (00361072)
MORI Nobuyoshi  東北大学, 大学院医学系研究科, 助教 (50463790)
ITO Sadayoshi  東北大学, 大学院医学系研究科, 教授 (40271613)
SAITO Takao  福岡大学, 医学研究科, 教授 (10125552)
Project Period (FY) 2011-04-01 – 2014-03-31
Keywordsリハビリテーション / 循環器・高血圧 / 腎臓 / 医療・福祉 / 細胞・組織
Research Abstract

Effect of exercise training on renal protection was examined, and mechanism was clarified in rats with renal disease. Clinical benefits of exercise training were examined in hemodialysis patients. In rats with chronic renal failure, a combination therapy with exercise training and angiotensin II receptor blocker had renal protective effects, and an alleviation of carbonyl stress might mediate the renal protective effects. In Dahl salt-sensitive rats, exercise training had renal protective effects with an independent manner of systemic blood pressure, and improvement of oxidative stress and nitric oxide system might mediate the renal protective effects. We developed a low-pried, light weight, work load-controllable bicycle ergometer for exercise training in the hemodialysis period, and recognize beneficial effects of physical functions and QOL in hemodialysis patients.

  • Research Products

    (57 results)

All 2014 2013 2012 2011

All Journal Article (8 results) (of which Peer Reviewed: 6 results) Presentation (44 results) Book (5 results)

  • [Journal Article] Exercise training upregulates nitric oxide synthases in the kidney of rats with chronic heart failure2013

    • Author(s)
      Ito D, Ito O, Mori N, Suda C, Hao K, Cao P, Muroya Y, Takashima K, Shimokawa H, Kohzuki M
    • Journal Title

      Clin Exp Pharma Physiol

      Volume: 40 Pages: 617-625

    • DOI

      10.1111/1440-1681.12130.

    • Peer Reviewed
  • [Journal Article] Effects of exercise training on nitric oxide synthase in the kidney of spontaneously hypertensive rats2013

    • Author(s)
      Ito D, Ito O, Cao P, Mori N, Suda T, Muroya Y, Takashima K, Ito S, Kohzuki M
    • Journal Title

      Clin Exp Pharma Physiol

      Volume: 40 Pages: 74-82

    • DOI

      10.1111/1440-1681.12040.

    • Peer Reviewed
  • [Journal Article] A paradigm shift in rehabilitation Medicine : From "adding life to years" to "adding life to years and years to life"2012

    • Author(s)
      Kohzuki M, Sakata Y, Kawamura T, Ebihara S, Ito O
    • Journal Title

      Asian Journal of Human Services

      Volume: 2 Pages: 1-7

    • Peer Reviewed
  • [Journal Article] Disorders of fatty acid metabolism in the kidney of puromycin aminonucleosideinduced nephrotic rats2012

    • Author(s)
      Muroya Y, Ito O, Rong R, Takashima K, Ito D, Cao P, Nakamura Y, Joh K, Kohzuki M
    • Journal Title

      Am J Physiol Renal Physiol

      Volume: 303 Pages: F1070-F1079

    • DOI

      10.1152/ajprenal.00365.2011.

    • Peer Reviewed
  • [Journal Article] PAN ネフローゼラットにおける腎内脂肪酸代謝異常に対するclofibrate とvalsartan の治療効果2012

    • Author(s)
      室谷嘉一,伊藤 修,戎 栄, 高島健太,曹 鵬宇, 伊藤大亮,上月正博
    • Journal Title

      Therapeutic Research

      Volume: 33 Pages: 170-172

    • Peer Reviewed
  • [Journal Article] Exercise training decreases the enhanced expression of soluble (pro)renin receptor in the kidney of spontaneously hypertensive rats2011

    • Author(s)
      Rong R, Ito O, Mori N, Cao P, Kohzuki M
    • Journal Title

      Proceedings of the 6th World Congress of the International Society of Physical and Rehabilitation Medicine

      Pages: 40-41

  • [Journal Article] Effects of exercise training on the expression of angiotensin-converting enzyme in the kidney of spontaneously hypertensive rats2011

    • Author(s)
      Sakuyama A, Ito O, Cao P, Ron R, Ito D, Kohzuki M
    • Journal Title

      Proceedings of the 6th World Congress of the International Society of Physical and Rehabilitation Medicine

      Pages: 143-144

  • [Journal Article] 5/6 腎摘除慢性腎不全モデルラットにおける長期的運動とG-CSF の併用療法による腎保護効果2011

    • Author(s)
      須田千尋, 金澤雅之, 姚 強, 高島健太,坂田佳子, 室谷嘉一, 森 信芳, 長坂誠, 海老原覚, 伊藤 修, 上月正博
    • Journal Title

      運動療法と物理療法

      Volume: 22 Pages: 78-84

    • Peer Reviewed
  • [Presentation] 重複障害時代における腎臓リハビリテーションの位置づけ2014

    • Author(s)
      上月正博
    • Organizer
      第4回日本腎臓リハビリテーション学会
    • Place of Presentation
      福岡
    • Year and Date
      2014-03-29
  • [Presentation] 腎不全への運動療法 : 基礎的な検討から2014

    • Author(s)
      伊藤 修,上月正博
    • Organizer
      第4回日本腎臓リハビリテーション学会
    • Place of Presentation
      福岡
    • Year and Date
      2014-03-29
  • [Presentation] Dahl 食塩感受性ラットにおける長期的運動の腎保護作用-酸化ストレスとNOの観点から2014

    • Author(s)
      坂田佳子, 伊藤 修, 作山晃裕, 戎 栄,伊藤大亮, 須田千尋, 室谷嘉一, 上月正博
    • Organizer
      第4回日本腎臓リハビリテーション学会
    • Place of Presentation
      福岡
    • Year and Date
      2014-03-29
  • [Presentation] 高血圧自然発症ラットの大動脈と腎における長期的運動によるNO 合成酵素の発現誘導に対するapocynin とallopurinol の影響2013

    • Author(s)
      伊藤 修, 曹 鵬宇, 作山晃裕, 伊藤大亮, 坂田佳子, 上月正博
    • Organizer
      第36回日本高血圧学会
    • Place of Presentation
      大阪
    • Year and Date
      2013-10-25
  • [Presentation] 食塩感受性Dahl ラットの腎機能に対する長期的運動の効果2013

    • Author(s)
      坂田佳子, 伊藤 修, 作山晃裕, 戎 栄,須田千尋, 室谷嘉一, 上月正博
    • Organizer
      第36回日本高血圧学会
    • Place of Presentation
      大阪
    • Year and Date
      2013-10-25
  • [Presentation] Renoprotective effects of exercise training in Dahl salt sensitive-rats2013

    • Author(s)
      Sakata Y, Ito O, Sakuyama A, Rong R, Ito D, Mori N, Kohzuki M
    • Organizer
      American Heart Association High Blood Pressure Research 2013 Scientific Sessions
    • Place of Presentation
      New Orleans, USA
    • Year and Date
      2013-09-12
  • [Presentation] Renal rehabilitation in Japan2013

    • Author(s)
      Kohzuki M, Ito O
    • Organizer
      7th World Congress of the International Society of Physical and Rehabilitation Medicine
    • Place of Presentation
      Beijing, China
    • Year and Date
      2013-06-19
  • [Presentation] SOD mimetic tempol enhances exercise training-induced nitric oxide synthases in the kidney of spontaneously hypertensive rats2013

    • Author(s)
      Cao P, Ito O, Ito D, Rong R, Muroya Y, Sakuyama A, Sakata Y, Mori N, Kohzuki M
    • Organizer
      7th World Congress of the International Society of Physical and Rehabilitation Medicine
    • Place of Presentation
      Beijing, China
    • Year and Date
      2013-06-16
  • [Presentation] Impacts of apocynin and allopurinol on exercise training-upregulated nitric oxide synthases in spontaneously hypertensive rats2013

    • Author(s)
      Cao P, Ito O, Sakuyama A, Ito D, Rong R, Muroya Y, Mori N, Kohzuki M
    • Organizer
      7th World Congress of the International Society of Physical and Rehabilitation Medicine
    • Place of Presentation
      Beijing, China
    • Year and Date
      2013-06-16
  • [Presentation] Effects of exercise training and statin on triglyceride content and xanthine oxidoreductase in the liver of obese Zucker rats2013

    • Author(s)
      Sakuyama A, Ito O, Tan L, Sakata Y, Rong R, Ito D, Kohzuki M
    • Organizer
      7th World Congress of the International Society of Physical and Rehabilitation Medicine
    • Place of Presentation
      Beijing, China
    • Year and Date
      2013-06-16
  • [Presentation] 長期的運動によるNO 合成酵素への影響(その8)-心筋梗塞後心不全ラットにおける検討2013

    • Author(s)
      伊藤 修, 伊藤大亮, 坂田佳子, 森 信芳, 長坂 誠, 海老原覚, 上月正博
    • Organizer
      第50回日本リハビリテーション医学会
    • Place of Presentation
      東京
    • Year and Date
      2013-06-13
  • [Presentation] 5/6 腎摘腎不全ラットの血圧降下作用とNO排泄2013

    • Author(s)
      森 信芳, 須田千尋, 長坂 誠, 坂田佳子, 鈴木文歌,高橋珠緒,海老原覚, 伊藤 修, 上月正博
    • Organizer
      第50回日本リハビリテーション医学会
    • Place of Presentation
      東京
    • Year and Date
      2013-06-13
  • [Presentation] 腎臓リハビリテーション2013

    • Author(s)
      上月正博
    • Organizer
      第50回日本リハビリテーション医学会
    • Place of Presentation
      東京
    • Year and Date
      2013-06-13
  • [Presentation] Effects of chronic exercise on the cytochrome P-450 4A metabolism of arachidonic acid in the kidney of Dahl salt-sensitive rats2013

    • Author(s)
      Sakata Y, Ito O, Sakuyama A, Rong R, Kohzuki M
    • Organizer
      WCN 2013 Satellite Symposium : Kidney and Lipids
    • Place of Presentation
      Fukuoka
    • Year and Date
      2013-06-06
  • [Presentation] Effects of atorvastatin and exercise on xanthine oxidase in the kidney and liver of Zucker fatty rats2013

    • Author(s)
      Sakuyama A, Ito O, Tan L, Sakata Y, Rong R, Kohzuki M
    • Organizer
      WCN 2013 Satellite Symposium : Kidney and Lipids
    • Place of Presentation
      Fukuoka
    • Year and Date
      2013-06-06
  • [Presentation] Impact of apocynin and allopurinol on exercise training-induced nitric oxide synthases in the kidney of Wistar-Kyoto and spontaneously hypertensive rats2013

    • Author(s)
      Cao P, Ito O, Sakuyama A, Ito D, Rong R, Sakata Y, Muroya Y, Mori N, Kohzuki M
    • Organizer
      7th World Congress of Nephrorogy
    • Place of Presentation
      Hong Kong, China
    • Year and Date
      2013-06-01
  • [Presentation] 高血圧自然発症ラットのNO合成酵素への長期的運動とtempolの併用効果2013

    • Author(s)
      伊藤 修, 曹 鵬宇, 伊藤大亮, 室谷嘉一, 上月正博
    • Organizer
      第56回日本腎臓学会
    • Place of Presentation
      東京
    • Year and Date
      2013-05-11
  • [Presentation] 長期的運動による腎nitric oxide合成酵素の発現誘導に対するapocyninとallopurinolの影響2013

    • Author(s)
      作山晃裕, 曹 鵬宇, 伊藤大亮, 坂田佳子, 伊藤 修, 上月正博
    • Organizer
      第3回日本腎臓リハビリテーション学会
    • Place of Presentation
      宇都宮
    • Year and Date
      2013-03-24
  • [Presentation] 5/6 腎摘除慢性腎不全モデルラットでの降圧とNO産生に対する長期的運動効果の検討2013

    • Author(s)
      金 鍾宇, 森 信芳, 田村由馬, 中村貴裕, 徐 斌, 山越聖子, 伊藤 修, 上月正博
    • Organizer
      第3回日本腎臓リハビリテーション学会
    • Place of Presentation
      宇都宮
    • Year and Date
      2013-03-24
  • [Presentation] 腎疾患・高血圧モデルラットにおける長期的運動の効果2013

    • Author(s)
      伊藤 修, 上月正博
    • Organizer
      第3回日本腎臓リハビリテーション学会
    • Place of Presentation
      宇都宮
    • Year and Date
      2013-03-23
  • [Presentation] 慢性心不全モデルラットにおける長期的運動の心・腎一酸化窒素合成酵素に対する影響2012

    • Author(s)
      伊藤大亮, 伊藤 修, 森 信芳, 羽尾清貴, 下川宏明, 上月正博
    • Organizer
      第16回日本心不全学会
    • Place of Presentation
      仙台
    • Year and Date
      2012-11-30
  • [Presentation] Effects of exercise training on nitric oxide synthases expresiion and phosphorylation in the kidney of spontaneously hypertensive rats2012

    • Author(s)
      Ito D, Ito O, Cao P, Mori N, Suda T, Muroya Y, Takashima K, Ito S, Kohzuki M
    • Organizer
      24th Scientific Meeting of International Society of Hypertension
    • Place of Presentation
      Sydney, Australia
    • Year and Date
      2012-10-01
  • [Presentation] SOD mimetic tempol enhances exercise training-induced nitric oxide synthases in the kidney of spontaneously hypertensive rats2012

    • Author(s)
      Cao P, Ito O, Ito D, Rong R, Muroya Y, Sakuyama A, Sakata Y, Mori N, Kohzuki M
    • Organizer
      24th Scientific Meeting of International Society of Hypertension
    • Place of Presentation
      Sydney, Australia
    • Year and Date
      2012-10-01
  • [Presentation] Impact of apocynin and allopurinol on exercise training-increased nitric oxide synthase activity and expression in the kidney of SHR and WKY2012

    • Author(s)
      Cao P, Ito O, Ito D, Sakuyama A, Rong R, Muroya Y, Sakata Y, Mori N, Kohzuki M
    • Organizer
      American Heart Association High Blood Pressure Research 2012 Scientific Sessions
    • Place of Presentation
      Washington DC, USA
    • Year and Date
      2012-09-20
  • [Presentation] 長期的運動が慢性心不全モデルラットの心・腎一酸化窒素合成酵素に及ぼす影響2012

    • Author(s)
      伊藤大亮, 伊藤 修, 森 信芳, 須田千尋, 羽尾清貴, 曹 鵬宇, 戎 栄, 下川宏明, 上月正博
    • Organizer
      第18回日本心臓リハビリテーション学会
    • Place of Presentation
      さいたま
    • Year and Date
      2012-07-14
  • [Presentation] CKD における運動の効用~これまでのエビデンスと可能性~2012

    • Author(s)
      上月正博
    • Organizer
      日本透析医学会
    • Place of Presentation
      札幌
    • Year and Date
      2012-06-22
  • [Presentation] 長期的運動によるNO合成酵素への影響(その6)-NADPH oxidase阻害薬との併用効果2012

    • Author(s)
      伊藤 修, 伊藤大亮, 坂田佳子, 室谷嘉一, 森 信芳, 長坂 誠, 海老原覚, 上月正博
    • Organizer
      第49回日本リハビリテーション医学会
    • Place of Presentation
      福岡
    • Year and Date
      2012-06-01
  • [Presentation] 長期的運動によるNO 合成酵素への影響(その7)-xanthine oxidase 阻害薬との併用効果2012

    • Author(s)
      伊藤 修, 伊藤大亮, 坂田佳子, 室谷嘉一, 森 信芳, 長坂 誠, 海老原覚, 上月正博
    • Organizer
      第49回日本リハビリテーション医学会
    • Place of Presentation
      福岡
    • Year and Date
      2012-06-01
  • [Presentation] 腎一酸化窒素系に対する長期的運動の影響2012

    • Author(s)
      伊藤大亮, 伊藤 修, 曹 鵬宇, 森 信芳, 須田千尋, 室谷嘉一, 高島健太, 上月正博
    • Organizer
      第2回日本腎臓リハビリテーション学会
    • Place of Presentation
      仙台
    • Year and Date
      2012-01-20
  • [Presentation] 高血圧自然発症ラット腎における長期的運動のNO産生と酸化ストレスへの効果2012

    • Author(s)
      曹 鵬宇, 伊藤 修, 伊藤大亮, 室谷嘉一, 戎 栄, 上月正博
    • Organizer
      第2回日本腎臓リハビリテーション学会
    • Place of Presentation
      仙台
    • Year and Date
      2012-01-20
  • [Presentation] 5/6 腎摘除慢性腎不全モデルラットにおける、長期的運動とG-CSF の併用療法が及ぼす腎保護効果2012

    • Author(s)
      須田千尋, 金澤雅之, 高島健太, 田村由馬, 坂田佳子, 森 信芳, 長坂 誠, 海老原覚, 伊藤 修, 上月正博
    • Organizer
      第2回日本腎臓リハビリテーション学会
    • Place of Presentation
      仙台
    • Year and Date
      2012-01-20
  • [Presentation] 高血圧自然発症ラットの腎におけるプロレニン受容体発現への長期的運動の効果2012

    • Author(s)
      戎 栄, 伊藤 修, 森 信芳, 作山晃裕,坂田佳子, 戸恒和人, 高橋和広, 上月正博
    • Organizer
      第2回日本腎臓リハビリテーション学会
    • Place of Presentation
      仙台
    • Year and Date
      2012-01-20
  • [Presentation] Impacts of apocynin and allopurinole on exercise training-induced nitric oxide synthases in the kidney of SHRs and WKYs2011

    • Author(s)
      Cao P, Ito O, Sakuyama A, Ito D, Rong R, Muroya Y, Mori N, Kohzuki M
    • Organizer
      13th China-Japan Joint Symposium on Hypertension
    • Place of Presentation
      Beijing, China
    • Year and Date
      2011-11-04
  • [Presentation] Exercise training decreases the enhanced soluble (pro)renin receptor in the kidney of spontaneously hypertensive rats2011

    • Author(s)
      Rong R, Ito O, Mori N, Cao P, Totsune K, Takahashi K, Kohzuki M
    • Organizer
      13th China-Japan Joint Symposium on Hypertension
    • Place of Presentation
      Beijing, China
    • Year and Date
      2011-11-04
  • [Presentation] 長期的運動によるNO合成酵素への影響(その5)-superoxidedismutase類似薬の併用効果2011

    • Author(s)
      伊藤 修, 伊藤大亮, 須田千尋, 坂田佳子, 室谷嘉一, 森 信芳, 長坂 誠, 海老原覚, 上月正博
    • Organizer
      第48回日本リハビリテーション医学会
    • Place of Presentation
      幕張
    • Year and Date
      2011-11-02
  • [Presentation] SHRの血圧とNO合成酵素に対する長期的運動とtempolの併用効果2011

    • Author(s)
      伊藤 修, 曹 鵬宇, 伊藤大亮, 室谷嘉一, 上月正博
    • Organizer
      第34回日本高血圧学会
    • Place of Presentation
      宇都宮
    • Year and Date
      2011-10-21
  • [Presentation] 5/6 腎摘除慢性腎不全モデルラットにおける長期的運動とG-CSF の併用療法による腎保護効果2011

    • Author(s)
      須田千尋、金澤雅之, 姚 強, 高島健太,坂田佳子, 室谷嘉一, 森 信芳, 長坂誠, 海老原覚, 伊藤 修, 上月正博
    • Organizer
      第34回日本高血圧学会
    • Place of Presentation
      宇都宮
    • Year and Date
      2011-10-21
  • [Presentation] Exercise training increases nitric oxide synthases in the kidney of rats with chronic heart failure2011

    • Author(s)
      Ito D, Ito O, Mori N, Suda C, Hao K, Cao P, Rong R, Muroya Y, Takashima K, Shimokawa H, Kohzuki M
    • Organizer
      65th Annual Fall Conference and Scientific Session of the Council for High Blood Pressure Research
    • Place of Presentation
      Orland, USA
    • Year and Date
      2011-09-22
  • [Presentation] SOD mimetic tempol enhances exercise training-induced nitric oxide synthases in the kidney of spontaneously hypertensive rats2011

    • Author(s)
      Cao P, Ito O, Ito D, Rong R, Muroya Y, Sakuyama A, Sakata Y, Mori N, Kohzuki M
    • Organizer
      65th Annual Fall Conference and Scientific Session of the Council for High Blood Pressure Research
    • Place of Presentation
      Orland, USA
    • Year and Date
      2011-09-22
  • [Presentation] 高血圧自然発症ラットにおける長期的運動による腎・脈管NO産生系の活性化 : 活性酸素生成系の関与2011

    • Author(s)
      伊藤 修, 司 法撃, 伊藤大輔, 須田千尋, 作山明寛, 坂田良子, 三浦ミサ, 上月正弘
    • Organizer
      第36回日本運動療法学会
    • Place of Presentation
      横浜
    • Year and Date
      2011-06-26
  • [Presentation] Effects of exercise training on hydrogen peroxide and NO production2011

    • Author(s)
      Cao P, Ito O, Ito D, Muroya Y, Rong R, Sakuyama A, Kohzuki M
    • Organizer
      6th World Congress of the International Society of Physical and Rehabilitation Medicine
    • Place of Presentation
      San Juan, Puerto Rico
    • Year and Date
      2011-06-13
  • [Presentation] Ebihara S, Ito O, Kohzuki M. Combination of chronic exercise and G-CSF protects renal function in chronic renal failure (CRF) rats2011

    • Author(s)
      Suda T, Kanazawa M, Yao Q, Takashima K, Sakata Y, Muroya Y, Mori N, Nagasaka M
    • Organizer
      6th World Congress of the International Society of Physical and Rehabilitation Medicine
    • Place of Presentation
      San Juan, Puerto Rico
    • Year and Date
      2011-06-13
  • [Presentation] Exercise training decreases the enhanced expression of soluble (pro)renin receptor in the kidney of spontaneously hypertensive rats2011

    • Author(s)
      Rong R, Ito O, Mori N, Cao P, Kohzuki M
    • Organizer
      6th World Congress of the International Society of Physical and Rehabilitation Medicine
    • Place of Presentation
      San Juan, Puerto Rico
    • Year and Date
      2011-06-13
  • [Presentation] Effects of exercise training on the expression of angiotensin-converting enzyme in the kidney of spontaneously hypertensive rats2011

    • Author(s)
      Sakuyama A, Ito O, Cao P, Rong R, Ito D, Kohzuki M
    • Organizer
      6th World Congress of the International Society of Physical and Rehabilitation Medicine
    • Place of Presentation
      San Juan, Puerto Rico
    • Year and Date
      2011-06-13
  • [Book] 腎疾患. 今日のリハビリテーション指針2013

    • Author(s)
      上月正博
    • Total Pages
      291-294
    • Publisher
      医学書院
  • [Book] 心臓リハビリテーション2013

    • Author(s)
      上月正博
    • Total Pages
      1-490
    • Publisher
      医歯薬出版
  • [Book] 腎臓リハビリテーションの有効性とその機序. Annual Review 腎臓 20132013

    • Author(s)
      上月正博, 長坂 誠
    • Total Pages
      247-253
    • Publisher
      中外医学社
  • [Book] 包括的呼吸リハビリテーション ポケットマニュアル2013

    • Author(s)
      上月正博,海老原覚
    • Total Pages
      1-252
    • Publisher
      診断と治療社
  • [Book] 腎臓リハビリテーション2012

    • Author(s)
      上月正博
    • Total Pages
      1-491
    • Publisher
      医歯薬出版

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Published: 2015-06-25  

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