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8 0 0 0 OA Extended Sedentary Time Increases the Risk of All-Cause Death and New Cardiovascular Events in Patients With Diabetic Kidney Disease

著者
Hajime Tamiya Yuma Tamura Syusuke Mochi Yusuke Akazawa Yumi Mochi Nobuyuki Banba Yuki Nakatani Megumi Hoshiai Asuka Ueno Moeko Nagao Takashi Tomoe Masato Onozaki Atsuko Uema Atsuhiko Kawabe Takushi Sugiyama Takanori Yasu
出版者
The Japanese Circulation Society
雑誌
Circulation Journal (ISSN:13469843)
巻号頁・発行日
vol.84, no.12, pp.2190-2197, 2020-11-25 (Released:2020-11-25)
参考文献数
47
被引用文献数
5
Background:Sedentary behavior may be an independent risk factor for cardiovascular events. This study aimed to clarify the effects of extended sedentary time in patients with diabetic kidney disease (DKD) on the risk of all-cause death and new events.Methods and Results:A prospective cohort study was performed over 39 months. The study included 173 patients with DKD who completed the International Physical Activity Questionnaire (IPAQ) (101 men; mean age, 71±11 years); 37 patients (21.4%) were diagnosed with cardiovascular disease (CVD). New events were defined as all-cause death, cerebral stroke, or CVD requiring hospitalization or commencing hemodialysis (HD). Data were analyzed using a multivariate Cox proportional hazard regression model with variables, including sedentary time. There were 34 cases of new events during the observation period, including 4 cases of stroke, 20 cases of CVD, 4 cases of HD implementation, and 6 cases of death. Hazard ratio (HR) calculations for the new event onset group identified sedentary time as a significant independent variable. The independent variable that was identified as a significant predictor of new events was the sedentary time (60 min/day; HR: 1.23, 95% CI: 1.05–1.45, P=0.012).Conclusions:Extended sedentary time increased the risk of new cardiovascular or renal events and/or all-cause death in patients with DKD.

3 0 0 0 OA A Heart Failure Smartphone Application That Nudges Patients/Physicians Toward Optimal Medical Therapy ― Development and Usability Study ―

著者
Kosuke Hayashi Kenta Hachiya Keisuke Yonezu Naoyuki Otani Kenichi Furuya Iori Miura Takashi Tomoe Takushi Sugiyama Yasuaki Wada Naohiko Takahashi Naoto Uemura
出版者
The Japanese Circulation Society
雑誌
Circulation Reports (ISSN:24340790)
巻号頁・発行日
pp.CR-23-0088, (Released:2023-11-29)
参考文献数
12
Background: The low implementation rate of guideline-directed medical therapy for heart failure (HF) remains a problem worldwide. To address this issue, we hypothesized that a smartphone application (app) based on behavioral economics that nudges physicians and patients towards optimal medical therapy would be a scalable approach.Methods and Results: The app prototype was developed, and its usability was tested with 5 HF patients in the outpatient setting. Adherence to the app was outstanding, with a high usability rating from the patients.Conclusions: It appears feasible to further study our app in a larger cohort to evaluate its efficacy.