{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679656512640.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.4009/jsdt.50.241"}},{"identifier":{"@type":"HDL","@value":"https://hdl.handle.net/20.500.14094/0100494040"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"028191860"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/028191860"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I028191860"}},{"identifier":{"@type":"URI","@value":"https://www.jstage.jst.go.jp/article/jsdt/50/4/50_241/_pdf"}},{"identifier":{"@type":"NAID","@value":"130005628269"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2017223621"}}],"resourceType":"学術雑誌論文(journal article)","dc:title":[{"@language":"ja","@value":"末期腎不全患者における治療法別の身体機能の差異"},{"@language":"en","@value":"The differences in the physical function levels of end-stage kidney disease patients according to the therapeutic modalities employed"},{"@language":"ja-Kana","@value":"マッキ ジンフゼン カンジャ ニ オケル チリョウホウ ベツ ノ シンタイ キノウ ノ サイ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"<p>【Purpose】The purpose of this study was to investigate the differences in the physical function levels of patients with end-stage kidney disease (ESKD) according to the therapeutic modalities employed. 【Methods】The study population comprised 93 patients with ESKD (mean age, 66.1 years; 55 males). The patients were divided into three groups according to the therapeutic modality that they were treated with: the non-dialysis (ND) (36 patients), peritoneal dialysis (PD) (26 patients), and hemodialysis (HD) (31 patients) groups. The patients’ background data and physical function indices (knee extensor muscle strength, handgrip strength, one-leg standing time, and gait speed) were investigated and compared among the three groups. 【Results】In the ND, PD, and HD groups, knee extensor muscle strength values of 0.51±0.10, 0.46±0.11, and 0.43±0.12 kgf/kg; one-leg standing times of 40.7±21.0, 47.8±18.1, and 27.8±22.6 sec; and gait speeds of 1.85±0.28, 1.81±0.37, and 1.57±0.34 m/sec, respectively, were recorded. The HD patients exhibited significantly lower values for these indices compared with the other two groups (p<0.05). However, there was no significant difference in handgrip strength among the three groups (p=0.62). 【Conclusions】This study clearly showed that among patients with ESKD, only those undergoing HD displayed reduced physical function levels.</p>"},{"@language":"ja","@value":"<p>【目的】保存期 (ND), 腹膜透析 (PD), 血液透析 (HD) など異なる治療段階が混在する末期腎不全 (ESKD) 患者を対象に, その治療法別の身体機能の差異を明らかにする. 【方法】対象は外来通院中のESKD患者93例 (平均年齢66.1歳, 男性55例) である. 対象者は治療法別にND群 (36例), PD群 (26例), HD群 (31例) の3群に選別した. 患者背景および身体機能指標 (膝伸展筋力, 握力, 片脚立位時間, 歩行速度) を横断的に調査し, 各指標を3群間で比較した. 【結果】ND群, PD群, HD群の順に, 膝伸展筋力は0.51±0.10, 0.46±0.11, 0.43±0.12kgf/kg, 片脚立位時間は40.7±21.0, 47.8±18.1, 27.8±22.6秒, 歩行速度は1.85±0.28, 1.81±0.37, 1.57±0.34m/sであり, 3群間に主効果を認めた. さらにHD群は他の群と比し, これら指標が有意に低値を示した (p<0.05). 一方握力は, 3群間に有意差を認めなかった (p=0.62). 【結語】ESKD患者では, HD患者において身体機能が有意に低下していた.</p>"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410282679656512647","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000350631191"}],"foaf:name":[{"@language":"ja","@value":"堀田 千晴"},{"@language":"en","@value":"Hotta Chiharu"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Rehabilitation Medicine, St. Marianna University School of Medicine Hospital"},{"@language":"ja","@value":"聖マリアンナ医科大学病院リハビリテーション部"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679656512644","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000350631192"}],"foaf:name":[{"@language":"ja","@value":"平木 幸治"},{"@language":"en","@value":"Hiraki Koji"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Rehabilitation Medicine, St. Marianna University School of Medicine 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有吾"},{"@language":"en","@value":"Shibagaki Yugo"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine"},{"@language":"ja","@value":"聖マリアンナ医科大学腎臓・高血圧内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679656512646","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000350631199"}],"foaf:name":[{"@language":"ja","@value":"木村 健二郎"},{"@language":"en","@value":"Kimura Kenjiro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Japan Community Health care Organization Tokyo Takanawa 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