血液透析を受けている患者の認知機能と身体機能の関連性
Yu Shimano1,2, Masakazu Saitoh2,3, Hiroshi Matsuura1
1Department of Rehabilitation, Saiyu Clinic, Saitama, Japan.
Nephrology (Carlton, Vic.)
|February 17, 2026
まとめ
認知機能障害 (CI) と軽度の認知機能障害 (MCI) は,血液透析患者において一般的です. 認知障害は,軽度の認知障害とは異なり,身体機能に大きく影響します.
科学分野:
- ネフロロジーは腎臓科
- 神経学 神経学とは
- ゲリアトリクス ゲリアトリクス
背景:
- 認知機能障害は,血液透析 (HD) を受けている患者において,懸念が高まっている.
- HD患者の認知機能低下の流行と影響を理解することは,患者のアウトカムを改善するために不可欠です.
研究 の 目的:
- 血液透析 (HD) を受ける患者の軽度の認知障害 (MCI) と認知障害 (CI) の有病率を決定する.
- HD患者におけるMCIとCIに関連した身体機能の特徴を特定する.
主な方法:
- 147人のHDの外科医を対象とした横断的な研究.
- 認知機能は,MCIのモントリオール認知評価 (MoCA-J) とCIのミニメンタルステート試験 (MMSE) を使用して評価されました.
- 患者は正常,MCI,CIグループに分類され,多変量分析を用いて身体機能を比較した.
主要な成果:
- 罹患率:MCIでは40%,HD患者ではCIでは26%.
- CIの患者は,正常およびMCIのグループと比較して,身体機能 (握り力,短時間の身体能力バッテリー,歩行速度) が著しく低下しました.
- 身体機能の有意な差は,正常群とMCI群の間で見つかりませんでした.
結論:
- 軽度の認知機能障害と認知機能障害は,血液透析患者の中で非常に一般的です.
- 認知障害は,HD患者の身体機能の顕著な低下と強く関連しています.
- この脆弱なグループにおける認知機能と身体機能をターゲットにした介入を探るため,さらなる研究が必要である.
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