Physical functioning in patients with chronic kidney disease stage G3b‐5 in Japan: The reach‐J CKD cohort study
Aim Chronic kidney disease (CKD) is an important public health problem. Recently, CKD has been found to be associated with poor physical functioning in community‐dwelling elderly individuals. However, the physical functioning of non‐dialysis (ND) patients with advanced CKD treated by nephrologists i...
Gespeichert in:
| Veröffentlicht in: | Nephrology (Carlton, Vic.) Vic.), 2021-12, Vol.26 (12), p.981-987 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 987 |
|---|---|
| container_issue | 12 |
| container_start_page | 981 |
| container_title | Nephrology (Carlton, Vic.) |
| container_volume | 26 |
| creator | Okubo, Reiko Kondo, Masahide Tsunoda, Ryoya Nagai, Kei Kai, Hirayasu Saito, Chie Hoshino, Junichi Okada, Hirokazu Narita, Ichiei Wada, Takashi Kashihara, Naoki Robinson, Bruce Yamagata, Kunihiro |
| description | Aim
Chronic kidney disease (CKD) is an important public health problem. Recently, CKD has been found to be associated with poor physical functioning in community‐dwelling elderly individuals. However, the physical functioning of non‐dialysis (ND) patients with advanced CKD treated by nephrologists is unknown.
Methods
Patients with ND‐CKD stage G3b‐5 who participated in a nationwide Reach‐J CKD cohort study were included in this study. Physical functioning and physical activity were assessed by the Katz Index, Lawton‐Body instrumental activities of daily living (IADL) scale, and Rapid Assessment of Physical Activity questionnaire of the international CKD Outcomes and Practice Patterns Study (CKDopps) questionnaires. Dichotomies between good and poor physical functioning and physical activity scores were explored.
Results
Among 1628 patients, 84.3% had good physical functioning. Poor physical functioning was more common with older age (p |
| doi_str_mv | 10.1111/nep.13955 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2555640759</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2555640759</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3135-f21e870dab71d4db183617e1bfa67238076add83e2ef59ddba57e4f84e3acfa13</originalsourceid><addsrcrecordid>eNp1kc9O3DAQxi1UxL9y4AUqS73QQ8CO7TjpDW23CwtqOWzPkWNPiGnWCXYilBuP0GfkSTAs9IDEXGY085tPo_kQOqLkhMY4ddCfUFYIsYX2KOckobKQn2LNUpIIJvJdtB_CLSFUphndQbuMM5oWLN9D4bqZgtWqxfXo9GA7Z90Ntg73arDghoDv7dBg3fg40fivNQ4mbGwAFQCHQd0AXrDq8eGfeN5aql6573jVAPagdBP7Szy7_IF113R-iAujmT6j7Vq1AQ5f8wH683O-mp0nV78XF7Ozq0QzykRSpxRySYyqJDXcVDRnGZVAq1plMmU5kZkyJmeQQi0KYyolJPA658CUrhVlB-h4o9v77m6EMJRrGzS0rXLQjaFMhRAZJ1IUEf36Dr3tRu_idZEqeM4ZyXikvm0o7bsQPNRl7-1a-amkpHx2ooxOlC9ORPbLq-JYrcH8J99eH4HTDXBvW5g-Vip_za83kk-Bn5P1</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2594843064</pqid></control><display><type>article</type><title>Physical functioning in patients with chronic kidney disease stage G3b‐5 in Japan: The reach‐J CKD cohort study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Okubo, Reiko ; Kondo, Masahide ; Tsunoda, Ryoya ; Nagai, Kei ; Kai, Hirayasu ; Saito, Chie ; Hoshino, Junichi ; Okada, Hirokazu ; Narita, Ichiei ; Wada, Takashi ; Kashihara, Naoki ; Robinson, Bruce ; Yamagata, Kunihiro</creator><creatorcontrib>Okubo, Reiko ; Kondo, Masahide ; Tsunoda, Ryoya ; Nagai, Kei ; Kai, Hirayasu ; Saito, Chie ; Hoshino, Junichi ; Okada, Hirokazu ; Narita, Ichiei ; Wada, Takashi ; Kashihara, Naoki ; Robinson, Bruce ; Yamagata, Kunihiro</creatorcontrib><description><![CDATA[Aim
Chronic kidney disease (CKD) is an important public health problem. Recently, CKD has been found to be associated with poor physical functioning in community‐dwelling elderly individuals. However, the physical functioning of non‐dialysis (ND) patients with advanced CKD treated by nephrologists is unknown.
Methods
Patients with ND‐CKD stage G3b‐5 who participated in a nationwide Reach‐J CKD cohort study were included in this study. Physical functioning and physical activity were assessed by the Katz Index, Lawton‐Body instrumental activities of daily living (IADL) scale, and Rapid Assessment of Physical Activity questionnaire of the international CKD Outcomes and Practice Patterns Study (CKDopps) questionnaires. Dichotomies between good and poor physical functioning and physical activity scores were explored.
Results
Among 1628 patients, 84.3% had good physical functioning. Poor physical functioning was more common with older age (p < .001), higher CKD stage (p < .05), and comorbid conditions such as diabetes (p < .001), cardiovascular disease (p < .05), cerebrovascular disease (p < .001), and cancer (non‐skin) (p < .05). Forty percent of the patients were inactive. Physical inactivity was more common with older age (p < .001) and higher CKD stage (p < .001).
Conclusion
A minority, but sizeable proportion of patients with advanced CKD treated by nephrologists in Japan have some disability in ADLs/IADLs. Nephrologists need to routinely assess the physical functioning and physical activity of patients with advanced CKD to provide individualized guidance and comprehensive support to these patients for their daily life.
SUMMARY AT A GLANCE
Among non‐dialysis stage G3b‐5 subjects, poor physical functioning was more common with older age, higher CKD stage, and comorbid conditions such as diabetes, cardiovascular disease, cerebrovascular disease, and cancer (non‐skin). The study stressed the need for nephrologists to routinely assess the physical functioning and physical activity of patients with advanced CKD to provide individualized guidance and comprehensive support for their daily life.]]></description><identifier>ISSN: 1320-5358</identifier><identifier>EISSN: 1440-1797</identifier><identifier>DOI: 10.1111/nep.13955</identifier><identifier>PMID: 34312938</identifier><language>eng</language><publisher>Melbourne: John Wiley & Sons Australia, Ltd</publisher><subject>Activities of Daily Living ; Aged ; Cardiovascular diseases ; Cerebrovascular diseases ; chronic kidney disease ; Cohort analysis ; Diabetes mellitus ; Dialysis ; disability ; Exercise - physiology ; Female ; Follow-Up Studies ; Glomerular Filtration Rate - physiology ; Humans ; Incidence ; Japan - epidemiology ; Kidney diseases ; Male ; Nephrology ; Physical activity ; physical functioning ; Physical training ; Prospective Studies ; Public health ; reach‐J study ; Renal Dialysis - methods ; Renal Insufficiency, Chronic - epidemiology ; Renal Insufficiency, Chronic - physiopathology ; Renal Insufficiency, Chronic - therapy</subject><ispartof>Nephrology (Carlton, Vic.), 2021-12, Vol.26 (12), p.981-987</ispartof><rights>2021 Asian Pacific Society of Nephrology.</rights><rights>2021 Asian Pacific Society of Nephrology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3135-f21e870dab71d4db183617e1bfa67238076add83e2ef59ddba57e4f84e3acfa13</cites><orcidid>0000-0002-0444-101X ; 0000-0001-9125-2040</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fnep.13955$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fnep.13955$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27911,27912,45561,45562</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34312938$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okubo, Reiko</creatorcontrib><creatorcontrib>Kondo, Masahide</creatorcontrib><creatorcontrib>Tsunoda, Ryoya</creatorcontrib><creatorcontrib>Nagai, Kei</creatorcontrib><creatorcontrib>Kai, Hirayasu</creatorcontrib><creatorcontrib>Saito, Chie</creatorcontrib><creatorcontrib>Hoshino, Junichi</creatorcontrib><creatorcontrib>Okada, Hirokazu</creatorcontrib><creatorcontrib>Narita, Ichiei</creatorcontrib><creatorcontrib>Wada, Takashi</creatorcontrib><creatorcontrib>Kashihara, Naoki</creatorcontrib><creatorcontrib>Robinson, Bruce</creatorcontrib><creatorcontrib>Yamagata, Kunihiro</creatorcontrib><title>Physical functioning in patients with chronic kidney disease stage G3b‐5 in Japan: The reach‐J CKD cohort study</title><title>Nephrology (Carlton, Vic.)</title><addtitle>Nephrology (Carlton)</addtitle><description><![CDATA[Aim
Chronic kidney disease (CKD) is an important public health problem. Recently, CKD has been found to be associated with poor physical functioning in community‐dwelling elderly individuals. However, the physical functioning of non‐dialysis (ND) patients with advanced CKD treated by nephrologists is unknown.
Methods
Patients with ND‐CKD stage G3b‐5 who participated in a nationwide Reach‐J CKD cohort study were included in this study. Physical functioning and physical activity were assessed by the Katz Index, Lawton‐Body instrumental activities of daily living (IADL) scale, and Rapid Assessment of Physical Activity questionnaire of the international CKD Outcomes and Practice Patterns Study (CKDopps) questionnaires. Dichotomies between good and poor physical functioning and physical activity scores were explored.
Results
Among 1628 patients, 84.3% had good physical functioning. Poor physical functioning was more common with older age (p < .001), higher CKD stage (p < .05), and comorbid conditions such as diabetes (p < .001), cardiovascular disease (p < .05), cerebrovascular disease (p < .001), and cancer (non‐skin) (p < .05). Forty percent of the patients were inactive. Physical inactivity was more common with older age (p < .001) and higher CKD stage (p < .001).
Conclusion
A minority, but sizeable proportion of patients with advanced CKD treated by nephrologists in Japan have some disability in ADLs/IADLs. Nephrologists need to routinely assess the physical functioning and physical activity of patients with advanced CKD to provide individualized guidance and comprehensive support to these patients for their daily life.
SUMMARY AT A GLANCE
Among non‐dialysis stage G3b‐5 subjects, poor physical functioning was more common with older age, higher CKD stage, and comorbid conditions such as diabetes, cardiovascular disease, cerebrovascular disease, and cancer (non‐skin). The study stressed the need for nephrologists to routinely assess the physical functioning and physical activity of patients with advanced CKD to provide individualized guidance and comprehensive support for their daily life.]]></description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Cardiovascular diseases</subject><subject>Cerebrovascular diseases</subject><subject>chronic kidney disease</subject><subject>Cohort analysis</subject><subject>Diabetes mellitus</subject><subject>Dialysis</subject><subject>disability</subject><subject>Exercise - physiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glomerular Filtration Rate - physiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Japan - epidemiology</subject><subject>Kidney diseases</subject><subject>Male</subject><subject>Nephrology</subject><subject>Physical activity</subject><subject>physical functioning</subject><subject>Physical training</subject><subject>Prospective Studies</subject><subject>Public health</subject><subject>reach‐J study</subject><subject>Renal Dialysis - methods</subject><subject>Renal Insufficiency, Chronic - epidemiology</subject><subject>Renal Insufficiency, Chronic - physiopathology</subject><subject>Renal Insufficiency, Chronic - therapy</subject><issn>1320-5358</issn><issn>1440-1797</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc9O3DAQxi1UxL9y4AUqS73QQ8CO7TjpDW23CwtqOWzPkWNPiGnWCXYilBuP0GfkSTAs9IDEXGY085tPo_kQOqLkhMY4ddCfUFYIsYX2KOckobKQn2LNUpIIJvJdtB_CLSFUphndQbuMM5oWLN9D4bqZgtWqxfXo9GA7Z90Ntg73arDghoDv7dBg3fg40fivNQ4mbGwAFQCHQd0AXrDq8eGfeN5aql6573jVAPagdBP7Szy7_IF113R-iAujmT6j7Vq1AQ5f8wH683O-mp0nV78XF7Ozq0QzykRSpxRySYyqJDXcVDRnGZVAq1plMmU5kZkyJmeQQi0KYyolJPA658CUrhVlB-h4o9v77m6EMJRrGzS0rXLQjaFMhRAZJ1IUEf36Dr3tRu_idZEqeM4ZyXikvm0o7bsQPNRl7-1a-amkpHx2ooxOlC9ORPbLq-JYrcH8J99eH4HTDXBvW5g-Vip_za83kk-Bn5P1</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Okubo, Reiko</creator><creator>Kondo, Masahide</creator><creator>Tsunoda, Ryoya</creator><creator>Nagai, Kei</creator><creator>Kai, Hirayasu</creator><creator>Saito, Chie</creator><creator>Hoshino, Junichi</creator><creator>Okada, Hirokazu</creator><creator>Narita, Ichiei</creator><creator>Wada, Takashi</creator><creator>Kashihara, Naoki</creator><creator>Robinson, Bruce</creator><creator>Yamagata, Kunihiro</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0444-101X</orcidid><orcidid>https://orcid.org/0000-0001-9125-2040</orcidid></search><sort><creationdate>202112</creationdate><title>Physical functioning in patients with chronic kidney disease stage G3b‐5 in Japan: The reach‐J CKD cohort study</title><author>Okubo, Reiko ; Kondo, Masahide ; Tsunoda, Ryoya ; Nagai, Kei ; Kai, Hirayasu ; Saito, Chie ; Hoshino, Junichi ; Okada, Hirokazu ; Narita, Ichiei ; Wada, Takashi ; Kashihara, Naoki ; Robinson, Bruce ; Yamagata, Kunihiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3135-f21e870dab71d4db183617e1bfa67238076add83e2ef59ddba57e4f84e3acfa13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Cardiovascular diseases</topic><topic>Cerebrovascular diseases</topic><topic>chronic kidney disease</topic><topic>Cohort analysis</topic><topic>Diabetes mellitus</topic><topic>Dialysis</topic><topic>disability</topic><topic>Exercise - physiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glomerular Filtration Rate - physiology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Japan - epidemiology</topic><topic>Kidney diseases</topic><topic>Male</topic><topic>Nephrology</topic><topic>Physical activity</topic><topic>physical functioning</topic><topic>Physical training</topic><topic>Prospective Studies</topic><topic>Public health</topic><topic>reach‐J study</topic><topic>Renal Dialysis - methods</topic><topic>Renal Insufficiency, Chronic - epidemiology</topic><topic>Renal Insufficiency, Chronic - physiopathology</topic><topic>Renal Insufficiency, Chronic - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okubo, Reiko</creatorcontrib><creatorcontrib>Kondo, Masahide</creatorcontrib><creatorcontrib>Tsunoda, Ryoya</creatorcontrib><creatorcontrib>Nagai, Kei</creatorcontrib><creatorcontrib>Kai, Hirayasu</creatorcontrib><creatorcontrib>Saito, Chie</creatorcontrib><creatorcontrib>Hoshino, Junichi</creatorcontrib><creatorcontrib>Okada, Hirokazu</creatorcontrib><creatorcontrib>Narita, Ichiei</creatorcontrib><creatorcontrib>Wada, Takashi</creatorcontrib><creatorcontrib>Kashihara, Naoki</creatorcontrib><creatorcontrib>Robinson, Bruce</creatorcontrib><creatorcontrib>Yamagata, Kunihiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Nephrology (Carlton, Vic.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okubo, Reiko</au><au>Kondo, Masahide</au><au>Tsunoda, Ryoya</au><au>Nagai, Kei</au><au>Kai, Hirayasu</au><au>Saito, Chie</au><au>Hoshino, Junichi</au><au>Okada, Hirokazu</au><au>Narita, Ichiei</au><au>Wada, Takashi</au><au>Kashihara, Naoki</au><au>Robinson, Bruce</au><au>Yamagata, Kunihiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physical functioning in patients with chronic kidney disease stage G3b‐5 in Japan: The reach‐J CKD cohort study</atitle><jtitle>Nephrology (Carlton, Vic.)</jtitle><addtitle>Nephrology (Carlton)</addtitle><date>2021-12</date><risdate>2021</risdate><volume>26</volume><issue>12</issue><spage>981</spage><epage>987</epage><pages>981-987</pages><issn>1320-5358</issn><eissn>1440-1797</eissn><abstract><![CDATA[Aim
Chronic kidney disease (CKD) is an important public health problem. Recently, CKD has been found to be associated with poor physical functioning in community‐dwelling elderly individuals. However, the physical functioning of non‐dialysis (ND) patients with advanced CKD treated by nephrologists is unknown.
Methods
Patients with ND‐CKD stage G3b‐5 who participated in a nationwide Reach‐J CKD cohort study were included in this study. Physical functioning and physical activity were assessed by the Katz Index, Lawton‐Body instrumental activities of daily living (IADL) scale, and Rapid Assessment of Physical Activity questionnaire of the international CKD Outcomes and Practice Patterns Study (CKDopps) questionnaires. Dichotomies between good and poor physical functioning and physical activity scores were explored.
Results
Among 1628 patients, 84.3% had good physical functioning. Poor physical functioning was more common with older age (p < .001), higher CKD stage (p < .05), and comorbid conditions such as diabetes (p < .001), cardiovascular disease (p < .05), cerebrovascular disease (p < .001), and cancer (non‐skin) (p < .05). Forty percent of the patients were inactive. Physical inactivity was more common with older age (p < .001) and higher CKD stage (p < .001).
Conclusion
A minority, but sizeable proportion of patients with advanced CKD treated by nephrologists in Japan have some disability in ADLs/IADLs. Nephrologists need to routinely assess the physical functioning and physical activity of patients with advanced CKD to provide individualized guidance and comprehensive support to these patients for their daily life.
SUMMARY AT A GLANCE
Among non‐dialysis stage G3b‐5 subjects, poor physical functioning was more common with older age, higher CKD stage, and comorbid conditions such as diabetes, cardiovascular disease, cerebrovascular disease, and cancer (non‐skin). The study stressed the need for nephrologists to routinely assess the physical functioning and physical activity of patients with advanced CKD to provide individualized guidance and comprehensive support for their daily life.]]></abstract><cop>Melbourne</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>34312938</pmid><doi>10.1111/nep.13955</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0444-101X</orcidid><orcidid>https://orcid.org/0000-0001-9125-2040</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1320-5358 |
| ispartof | Nephrology (Carlton, Vic.), 2021-12, Vol.26 (12), p.981-987 |
| issn | 1320-5358 1440-1797 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2555640759 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Activities of Daily Living Aged Cardiovascular diseases Cerebrovascular diseases chronic kidney disease Cohort analysis Diabetes mellitus Dialysis disability Exercise - physiology Female Follow-Up Studies Glomerular Filtration Rate - physiology Humans Incidence Japan - epidemiology Kidney diseases Male Nephrology Physical activity physical functioning Physical training Prospective Studies Public health reach‐J study Renal Dialysis - methods Renal Insufficiency, Chronic - epidemiology Renal Insufficiency, Chronic - physiopathology Renal Insufficiency, Chronic - therapy |
| title | Physical functioning in patients with chronic kidney disease stage G3b‐5 in Japan: The reach‐J CKD cohort study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T12%3A52%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Physical%20functioning%20in%20patients%20with%20chronic%20kidney%20disease%20stage%20G3b%E2%80%905%20in%20Japan:%20The%20reach%E2%80%90J%20CKD%20cohort%20study&rft.jtitle=Nephrology%20(Carlton,%20Vic.)&rft.au=Okubo,%20Reiko&rft.date=2021-12&rft.volume=26&rft.issue=12&rft.spage=981&rft.epage=987&rft.pages=981-987&rft.issn=1320-5358&rft.eissn=1440-1797&rft_id=info:doi/10.1111/nep.13955&rft_dat=%3Cproquest_cross%3E2555640759%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2594843064&rft_id=info:pmid/34312938&rfr_iscdi=true |