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Renal Health Benefits of Rural City Planning in Japan

Progression of chronic kidney disease (CKD) is a substantial threat because it is associated with reduced healthy life expectancy and quality of life, and increase in economic burden. Research indicates people with nondialysis CKD often have lower physical functioning and that improvement of physica...

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Autores principales: Nagai, Kei, Koo Yuk Cheong, Daniel, Ueda, Atsushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10479572/
https://www.ncbi.nlm.nih.gov/pubmed/37675024
http://dx.doi.org/10.3389/fneph.2022.916308
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author Nagai, Kei
Koo Yuk Cheong, Daniel
Ueda, Atsushi
author_facet Nagai, Kei
Koo Yuk Cheong, Daniel
Ueda, Atsushi
author_sort Nagai, Kei
collection PubMed
description Progression of chronic kidney disease (CKD) is a substantial threat because it is associated with reduced healthy life expectancy and quality of life, and increase in economic burden. Research indicates people with nondialysis CKD often have lower physical functioning and that improvement of physical activity may contribute to maintaining renal health. Another issue with the current treatment of CKD is that the synergistic effects of rural depopulation due to aging and uncontrolled rural city sprawling will increase the number of under-served healthcare areas. To ensure the quality of renal health care, hospital integration is desirable, under the condition of reconstruction of the public transport system for physically and socially vulnerable people. Recently, medical and non-medical scientists advocate the challenge of city planning for population health. The links between city design and health such as cardiovascular disease, obesity, type 2 diabetes and mental disorders, have been widely studied, except for renal health. Based on our experience in a Kidney and Lifestyle-related Disease Center, we propose the idea that city planning be prioritized to improve renal health through two main streams: 1) Improve physical status by use of public and active transportation including daily walking and cycling; and 2) Equal accessibility to renal health services. Many countries, including Japan, have enacted plans and public policy initiatives that encourage increased levels of physical activity. We should focus on the impact of such movement on renal as well as general health.
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spelling pubmed-104795722023-09-06 Renal Health Benefits of Rural City Planning in Japan Nagai, Kei Koo Yuk Cheong, Daniel Ueda, Atsushi Front Nephrol Nephrology Progression of chronic kidney disease (CKD) is a substantial threat because it is associated with reduced healthy life expectancy and quality of life, and increase in economic burden. Research indicates people with nondialysis CKD often have lower physical functioning and that improvement of physical activity may contribute to maintaining renal health. Another issue with the current treatment of CKD is that the synergistic effects of rural depopulation due to aging and uncontrolled rural city sprawling will increase the number of under-served healthcare areas. To ensure the quality of renal health care, hospital integration is desirable, under the condition of reconstruction of the public transport system for physically and socially vulnerable people. Recently, medical and non-medical scientists advocate the challenge of city planning for population health. The links between city design and health such as cardiovascular disease, obesity, type 2 diabetes and mental disorders, have been widely studied, except for renal health. Based on our experience in a Kidney and Lifestyle-related Disease Center, we propose the idea that city planning be prioritized to improve renal health through two main streams: 1) Improve physical status by use of public and active transportation including daily walking and cycling; and 2) Equal accessibility to renal health services. Many countries, including Japan, have enacted plans and public policy initiatives that encourage increased levels of physical activity. We should focus on the impact of such movement on renal as well as general health. Frontiers Media S.A. 2022-06-15 /pmc/articles/PMC10479572/ /pubmed/37675024 http://dx.doi.org/10.3389/fneph.2022.916308 Text en Copyright © 2022 Nagai, Koo Yuk Cheong and Ueda https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Nephrology
Nagai, Kei
Koo Yuk Cheong, Daniel
Ueda, Atsushi
Renal Health Benefits of Rural City Planning in Japan
title Renal Health Benefits of Rural City Planning in Japan
title_full Renal Health Benefits of Rural City Planning in Japan
title_fullStr Renal Health Benefits of Rural City Planning in Japan
title_full_unstemmed Renal Health Benefits of Rural City Planning in Japan
title_short Renal Health Benefits of Rural City Planning in Japan
title_sort renal health benefits of rural city planning in japan
topic Nephrology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10479572/
https://www.ncbi.nlm.nih.gov/pubmed/37675024
http://dx.doi.org/10.3389/fneph.2022.916308
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