The association between individual counselling and health behaviour change: the See Kidney Disease (SeeKD) targeted screening programme for chronic kidney disease

The objectives of this study are to determine the effectiveness of individual counselling sessions for eliciting behaviour change and to describe participant characteristics associated with behaviour change.DesignThis is a cross-sectional, descriptive study.SettingThe study setting is the National SeeKD targeted screening programme.PatientsThe participants are all ‘at risk’ patients who were screened for CKD and returned a follow-up health behaviour survey (n = 1129).MeasurementsHealth behaviour change was defined as a self-reported change in lifestyle, including dietary changes or medication adherence.MethodsAn individual counselling session was provided to participants by allied healthcare professionals to promote health behaviour change. A survey was mailed to all participants at risk of CKD within 2 –4 weeks following the screening event to determine if behaviour changes had been initiated. Descriptive statistics were used to describe respondent characteristics and self-reported behaviour change following screening events. Results were stratified by estimated glomerular filtration rate (eGFR ) (
Source: Canadian Journal of Kidney Health and Disease - Category: Urology & Nephrology Source Type: research

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CONCLUSIONS In middle-aged and elderly individuals without CKD, arterial stiffness determined by obesity, dyslipidemia and increased pulse pressure, was significantly associated with increased serum levels of cystatin C. PMID: 31793519 [PubMed - in process]
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
In conclusions, the present findings firstly supported that renal KLF4 played an important role in combating obesity-related nephropathy, and KLF4/mitochondrial function partially determined the energy homeostasis in chronic kidney diseases. PMID: 31800161 [PubMed - as supplied by publisher]
Source: J Cell Mol Med - Category: Molecular Biology Authors: Tags: J Cell Mol Med Source Type: research
Authors: Chen YY, Shen YC, Lai YJ, Wang CY, Lin KH, Feng SC, Liang CY, Wei LC, Chou P Abstract Purpose: This population-based, retrospective cohort study was to investigate whether metformin is associated with a lower risk of subsequent age-related macular degeneration (AMD) in patients with type 2 diabetes. Methods: Using the Taiwan National Health Insurance Research Database from 2001 to 2013, 68205 subjects with type 2 diabetes were enrolled in the study cohort. Among them, 45524 were metformin users and 22681 were nonusers. The metformin and nonmetformin groups were followed until the end of 2013. Cox regre...
Source: Journal of Ophthalmology - Category: Opthalmology Tags: J Ophthalmol Source Type: research
Purpose of review Plant-based diets have been used with growing popularity for the treatment of a wide range of lifestyle-related diseases, including diabetes, hypertension, and obesity. With the reinvigoration of the dietary management of chronic kidney disease (CKD) and the use of low protein diets for secondary prevention of CKD to delay or prevent dialysis therapy, there is an increasing interest in the potential role of plant-based diets for these patients. Recent findings Recently, a body of evidence related to the role of plant-based diets in preventing CKD has reemerged. Several observational studies have show...
Source: Current Opinion in Nephrology and Hypertension - Category: Urology & Nephrology Tags: NOVEL THERAPEUTIC APPROACHES IN NEPHROLOGY AND HYPERTENSION: Edited by Kamyar Kalantar-Zadeh and Ekamol Tantisattamo Source Type: research
The incidence and prevalence of diabetes has rapidly increased worldwide in recent decades, mainly due to the rise in obesity and other risk factors for type 2 diabetes [T2D] [1]. There has been an associated global increase in the incidence and prevalence of diabetic kidney disease (DKD) — a frequent complication of long standing and poorly controlled diabetes [2–4]. The incidence of DKD among patients with type 1 diabetes [T1D] has been decreasing, probably due to substantial improvements in the management of DKD risk factors [2].
Source: Primary Care Diabetes - Category: Primary Care Authors: Source Type: research
AbstractPurposeRenal cell carcinoma (RCC) incidence is higher among black than white Americans. The reasons for this disparity remain unclear.MethodsWe calculated race- and sex-specific population attributable risk percentages (PAR%) and their 95% confidence intervals (CI) for hypertension and chronic kidney disease (CKD) among black and white subjects  ≥  50 years of age from the US Kidney Cancer Study (USKC; 965 cases, 953 controls), a case–control study in Chicago and Detroit, and a nested case–control study in the Kaiser Permanente Northern California health care network (KPNC; 2,162 c...
Source: Cancer Causes and Control - Category: Cancer & Oncology Source Type: research
Authors: Rymarz A, Zajbt M, Jeznach-Steinhagen A, Woźniak-Kosek A, Niemczyk S Abstract The aim of this study was to examine the body composition in stages 3b to 5 of chronic kidney disease. There were 149 patients included in the study, with the mean age of 65.5 ± 16.5 years, body mass index (BMI) of 29.4 ± 5.6 kg/m2, and estimated glomerular filtration rate (eGFR) of 23.2 ± 9.3/min/1.73m2. They remained with dialysis. Body composition was measured using bioimpedance spectroscopy, and handgrip strength was measured with a hydraulic dynamometer. The main ...
Source: Advances in Experimental Medicine and Biology - Category: Research Tags: Adv Exp Med Biol Source Type: research
Introduction: Fat tissue produced inflammatory cytokines which have an impact on systemic diseases such as sarcoidosis(S). Treatment with corticosteroids(CS) can worsen metabolic disoders and patients’ life qualityAim: to assess the role of obesity in clinical aspect of SMethods: 142 patients with S were observed at pulmonology depratment Tareev Clinic. BMI was calculated before treatment was start. Patients were divided into 2groups:gr.1-with obesity(BMI≥30kg/m2)(n=84),gr.2-without obesity(n=58). Control group consisted of 35 patients with chonic bronchitis and obesityResults: There was prevelance of middle aged ...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Sarcoidosis and other granulomatous ILD/DPLD Source Type: research
Background: Altered sleep quality has been reported in chronic kidney disease (CKD). However, most studies focused on dialyzed patients or were based on subjective reports that did not consider possible coexistence of obstructive sleep apnea (OSA).Aim: To evaluate, with a case-control design, if objective sleep quality differs between patients with stage 3 CKD and subjects with normal estimated glomerular filtration rate (eGFR) independent of sleep disordered breathing.Methods: In the European Sleep Apnea Database (ESADA) cohort, 527 patients who had undergone full polysomnography and had an eGFR60.Results: CKD patients we...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Sleep and control of breathing Source Type: research
Achieving effective and safe diuresis without compromising renal function is a primary goal of acute decompensated heart failure (ADHF) management. Cardiorenal syndrome represents the interdependent relation between the heart and kidneys during disease onset and progression. This important link between cardiac and renal pathophysiology is demonstrated by the high prevalence of chronic kidney disease (CKD) in patients with HF and vice versa. Dysfunction in both organs is strongly associated with increased morbidity and mortality.
Source: Journal of Cardiac Failure - Category: Cardiology Authors: Tags: Brief Report Source Type: research
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