| Theme | Practical approach to improve physical and cognitive function of patients on chronic dialysis: Points of satisfaction for patients and their families | |
|---|---|---|
| Title | Relationship between cognitive and physical function in patients with chronic kidney disease | |
| Publish Date | 2018/05 | |
| Author | Yuhei Otobe | Department of Rehabilitation Medicine, St. Marianna University School of Medicine Hospital / Department of Rehabilitation Medicine, Kawasaki Municipal Tama Hospital |
| Author | Koji Hiraki | Department of Rehabilitation Medicine, St. Marianna University School of Medicine Hospital |
| Author | Yugo Shibagaki | Division of Nephrology and Hypertension, Department of Medicine, St. Marianna University School of Medicine |
| [ Summary ] | A decline in both, cognitive and physical function in patients with chronic kidney disease (CKD) occurs not only in those with end-stage kidney disease but also in the pre-dialysis stage. Notably, this decline in function worsens with progression of CKD. Therefore, prompt intervention is warranted in the early stages. Reportedly, cognitive and physical functions are interrelated in community-dwelling older people, and we observed this interrelationship even in patients with CKD in the pre-dialysis stage. It has been suggested that maintaining physical function can be an effective strategy to prevent cognitive decline in community-dwelling older people. However, whether maintaining physical activity and exercise are effective strategies to prevent cognitive decline in patients with CKD requires to be conclusively established. | |