{"created":"2025-01-14T01:16:26.374956+00:00","id":2012012,"links":{},"metadata":{"_buckets":{"deposit":"2fd7c70b-69a8-4e80-b66d-ce06ee3cb813"},"_deposit":{"created_by":7,"id":"2012012","owners":[7],"pid":{"revision_id":0,"type":"depid","value":"2012012"},"status":"published"},"_oai":{"id":"oai:tokushima-u.repo.nii.ac.jp:02012012","sets":["1713853213384:1713853296295:1716267878536:1716268699858"]},"author_link":["631"],"item_10001_alternative_title_1":{"attribute_name":"タイトル別表記","attribute_value_mlt":[{"subitem_alternative_title":"日本人血液透析患者におけるProtein-Energy Wasting（PEW）と高リン血症が予後に及ぼす影響 : 5年間の観察研究","subitem_alternative_title_language":"ja"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-02-04","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"138","bibliographicPageStart":"134","bibliographicVolumeNumber":"36","bibliographic_titles":[{"bibliographic_title":"Clinical Nutrition ESPEN","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background & aims: In dialysis patients, malnutrition is a poor prognostic factor. In patients with chronic kidney disease (CKD), malnutrition is qualitatively different from general malnutrition, which is defined as “Protein-Energy Wasting (PEW).” Dietary therapy for the enhancement of PEW requires the aggressive intake of protein. Conversely, as protein intake and phosphorus intake correlate positively, increasing the protein intake increases the phosphorus intake, which is a poor prognostic factor in dialysis patients. One of the treatments for hyperphosphatemia in dialysis patients is the intake restriction of phosphorus by dietary counseling. However, protein uptake to maintain and augment the nutritional status and the protein intake restriction to correct hyperphosphatemia are contradictory treatments. Hence, this study aims to investigate the effects of PEW and hyperphosphatemia on the prognosis in hemodialysis patients.\nMethods: We enrolled 60 outpatients who underwent maintenance hemodialysis for 6 months (May–November 2012) at Iga City General Hospital (Mie, Japan). In November 2012, we assessed the presence or absence of PEW and hyperphosphatemia in patients and evaluated the survival rate over the next 5 years.\nResults: Overall, 10 patients (17%) were diagnosed as PEW. While 17 patients (28%) exhibited average phosphorus level >6.0 mg/dL (hyperphosphatemia). The 5-year survival rate was 30% in the PEW group, 66% in the non-PEW group, 57% in the hyperphosphatemia group, and 61% in the non-hyperphosphatemia group. A statistically significant difference existed between the PEW and non-PEW groups (P = 0.021). However, we observed no significant difference between the hyperphosphatemia and non-hyperphosphatemia groups.\nConclusions: This study suggests that PEW affects the prognosis more than hyperphosphatemia in maintenance hemodialysis patients. The normalization of the serum phosphorus level by the protein intake restriction could prevent secondary hyperparathyroidism and vascular calcification. Conversely, restricting the protein intake poses a risk of malnutrition. In fact, early death occurred in patients with PEW in this study. Perhaps, patients with PEW should prioritize improving their nutritional status rather than controlling the serum phosphorus level.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"European Society for Clinical Nutrition and Metabolism","subitem_publisher_language":"en"},{"subitem_publisher":"Elsevier","subitem_publisher_language":"en"}]},"item_10001_source_id_9":{"attribute_name":"収録物ID","attribute_value_mlt":[{"subitem_source_identifier":"24054577","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_be7fb7dd8ff6fe43","subitem_version_type":"NA"}]},"item_1714461018643":{"attribute_name":"報告番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲第3787号"}]},"item_1714461102074":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士（栄養学）","subitem_degreename_language":"ja"}]},"item_1714461118377":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2024-03-14"}]},"item_1714461137393":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_language":"ja","subitem_degreegrantor_name":"徳島大学"}]}]},"item_1715043197608":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access"}]},"item_1718868208704":{"attribute_name":"備考","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"内容要旨・審査要旨・論文本文の公開\n本論文は，著者Arisa Inoueの学位論文として提出され，学位審査・授与の対象となっている。\n論文著者名はArisa Inoueだが、学位記には旧姓併記で濱野(井上) 愛莉沙と記載\n学位授与者所属 : 徳島大学大学院医科栄養学研究科（医科栄養学専攻）"}]},"item_1718868303842":{"attribute_name":"学位記番号","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"甲栄第305号"}]},"item_1722929371688":{"attribute_name":"出版社版DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_language":"ja","subitem_relation_name_text":"10.1016/j.clnesp.2020.01.004"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.1016/j.clnesp.2020.01.004","subitem_relation_type_select":"DOI"}}]},"item_1723180141928":{"attribute_name":"EID","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"376974"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"濱野(井上), 愛莉沙","creatorNameLang":"ja"},{"creatorName":"ハマノ イノウエ, アリサ","creatorNameLang":"ja-Kana"},{"creatorName":"Inoue, Arisa","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"イシカワ, エイジ","creatorNameLang":"ja"},{"creatorName":"イシカワ, エイジ","creatorNameLang":"ja-Kana"},{"creatorName":"Ishikawa, Eiji","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"シライ, ユミコ","creatorNameLang":"ja"},{"creatorName":"シライ, ユミコ","creatorNameLang":"ja-Kana"},{"creatorName":"Shirai, Yumiko","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"ムラタ, トモヒロ","creatorNameLang":"ja"},{"creatorName":"ムラタ, トモヒロ","creatorNameLang":"ja-Kana"},{"creatorName":"Murata, Tomohiro","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"ミキ, チカオ","creatorNameLang":"ja"},{"creatorName":"ミキ, チカオ","creatorNameLang":"ja-Kana"},{"creatorName":"Miki, Chikao","creatorNameLang":"en"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"濵田, 康弘","creatorNameLang":"ja"},{"creatorName":"ハマダ, ヤスヒロ","creatorNameLang":"ja-Kana"},{"creatorName":"Hamada, Yasuhiro","creatorNameLang":"en"}],"familyNames":[{"familyName":"濵田","familyNameLang":"ja"},{"familyName":"ハマダ","familyNameLang":"ja-Kana"},{"familyName":"Hamada","familyNameLang":"en"}],"givenNames":[{"givenName":"康弘","givenNameLang":"ja"},{"givenName":"ヤスヒロ","givenNameLang":"ja-Kana"},{"givenName":"Yasuhiro","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"631","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"261537/profile-ja.html","nameIdentifierScheme":"徳島大学 教育研究者総覧","nameIdentifierURI":"http://pub2.db.tokushima-u.ac.jp/ERD/person/261537/profile-ja.html"},{"nameIdentifier":"30397830","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/search/?qm=30397830"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2024-05-15"}],"displaytype":"detail","filename":"k3787_abstract_review.pdf","filesize":[{"value":"167 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"objectType":"abstract","url":"https://tokushima-u.repo.nii.ac.jp/record/2012012/files/k3787_abstract_review.pdf"},"version_id":"3718b6eb-c21d-4856-9df8-271005507c21"},{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2024-05-15"}],"displaytype":"detail","filename":"k3787_fulltext.pdf","filesize":[{"value":"319 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://tokushima-u.repo.nii.ac.jp/record/2012012/files/k3787_fulltext.pdf"},"version_id":"1168988d-2b35-4101-b29b-fa0d9730e5da"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Protein-energy wasting","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Hyperphosphatemia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Malnutrition","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Nutritional disorder","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Protein intake","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"Effects of Protein-Energy Wasting (PEW) and hyperphosphatemia on the prognosis in Japanese maintenance hemodialysis patients : A five-year follow-up observational study","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Effects of Protein-Energy Wasting (PEW) and hyperphosphatemia on the prognosis in Japanese maintenance hemodialysis patients : A five-year follow-up observational study","subitem_title_language":"en"}]},"item_type_id":"40001","owner":"7","path":["1716268699858"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-05-15"},"publish_date":"2024-05-15","publish_status":"0","recid":"2012012","relation_version_is_last":true,"title":["Effects of Protein-Energy Wasting (PEW) and hyperphosphatemia on the prognosis in Japanese maintenance hemodialysis patients : A five-year follow-up observational study"],"weko_creator_id":"7","weko_shared_id":-1},"updated":"2025-01-28T01:30:50.996592+00:00"}