The effect of transportation modality to dialysis facilities on health-related quality of life among hemodialysis patients: results from the Japanese Dialysis Outcomes and Practice Pattern Study.

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Abstract

For hemodialysis (HD) patients, travel to the dialysis facility is an issue that can affect their quality of life (QOL), both physically and mentally. However, evidence on this association of transportation modality with health-related QOL (HRQOL) is scarce.

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Most cited references 22

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Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes.

I B Wilson, P D Cleary (1995)

Our model proposes a taxonomy or classification scheme for different measures of health outcome. We divide these outcomes into five levels: biological and physiological factors, symptoms, functioning, general health perceptions, and overall quality of life. In addition to classifying these outcome measures, we propose specific causal relationships between them that link traditional clinical variables to measures of HRQL. As one moves from left to right in the model, one moves outward from the cell to the individual to the interaction of the individual as a member of society. The concepts at each level are increasingly integrated and increasingly difficult to define and measure. AT each level, there are an increasing number of inputs that cannot be controlled by clinicians or the health care system as it is traditionally defined.

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Progress in development of the index of ADL.

S. Katz, T. Downs, H. Cash … (1970)

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Reallocating time to sleep, sedentary behaviors, or active behaviors: associations with cardiovascular disease risk biomarkers, NHANES 2005-2006.

Matthew P Buman, Elisabeth A. H. Winkler, Jonathan Kurka … (2014)

Sleep and sedentary and active behaviors are linked to cardiovascular disease risk biomarkers, and across a 24-hour day, increasing time in 1 behavior requires decreasing time in another. We explored associations of reallocating time to sleep, sedentary behavior, or active behaviors with biomarkers. Data (n = 2,185 full sample; n = 923 fasting subanalyses) from the cross-sectional 2005-2006 US National Health and Nutrition Examination Survey were analyzed. The amounts of time spent in sedentary behavior, light-intensity activity, and moderate-to-vigorous physical activity (MVPA) were derived from ActiGraph accelerometry (ActiGraph LLC, Pensacola, Florida), and respondents reported their sleep duration. Isotemporal substitution modeling indicated that, independent of potential confounders and time spent in other activities, beneficial associations (P < 0.05) with cardiovascular disease risk biomarkers were associated with the reallocation of 30 minutes/day of sedentary time with equal time of either sleep (2.2% lower insulin and 2.0% lower homeostasis model assessment of β-cell function), light-intensity activity (1.9% lower triglycerides, 2.4% lower insulin, and 2.2% lower homeostasis model assessment of β-cell function), or MVPA (2.4% smaller waist circumference, 4.4% higher high-density lipoprotein cholesterol, 8.5% lower triglycerides, 1.7% lower glucose, 10.7% lower insulin, and 9.7% higher homeostasis model assessment of insulin sensitivity. These findings provide evidence that MVPA may be the most potent health-enhancing, time-dependent behavior, with additional benefit conferred from light-intensity activities and sleep duration when reallocated from sedentary time.

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Author and article information

Journal

Journal ID (iso-abbrev): Clin Kidney J

Title: Clinical kidney journal

Publisher: Oxford University Press (OUP)

ISSN: 2048-8505

ISSN (Print): 2048-8505

Publication date (Electronic): Aug 2020

Volume: 13

Issue: 4

Affiliations

[1 ] Division of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.

[2 ] Department of Innovative Research and Education for Clinicians and Trainees, Fukushima Medical University Hospital, Fukushima, Japan.

[3 ] Department of Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan.

[4 ] Department of Nephrology, Nara Medical University, Kashihara, Nara, Japan.

[5 ] Department of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, Fukushima, Japan.

Article

Publisher Item ID: sfz110

DOI: 10.1093/ckj/sfz110

PMC ID: 7467582

PubMed ID: 32897276

SO-VID: 623f3559-58e3-4bf0-919a-9309f1e0ceed

History

Keywords: HRQOL,transportation modality,transportation,quality of life,hemodialysis,health-related quality of life,J-DOPPS

Data availability:

Keywords: HRQOL, transportation modality, transportation, quality of life, hemodialysis, health-related quality of life, J-DOPPS

The effect of transportation modality to dialysis facilities on health-related quality of life among hemodialysis patients: results from the Japanese Dialysis Outcomes and Practice Pattern Study.

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Abstract

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Asian Journal of Quality of Life (AjQoL)

Most cited references 22

Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes.

Progress in development of the index of ADL.

Reallocating time to sleep, sedentary behaviors, or active behaviors: associations with cardiovascular disease risk biomarkers, NHANES 2005-2006.

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