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Stages of a Transtheoretical Model as Predictors of the Decline in Estimated Glomerular Filtration Rate: A Retrospective Cohort Study
Authors
Daisuke Takada, Susumu Kunisawa, Akira Kikuno, Tomoko Iritani, Yuichi Imanaka
J-Stage
PMC
https://pmc.ncbi.nlm.nih.gov/articles/PMC9189319/
Highlights
- Chronic kidney disease (CKD) progression can be caused by various pathophysiological factors, including diabetes, hypertension, and systemic immune disorders, but whether consciousness of healthy behaviors is also associated with CKD progression has not been fully examined.
- The transtheoretical model (TTM), also called the stages of change model, has been used to assess an individual’s readiness to adopt a new, healthier behavior, and we investigated connections between TTM-based stages and a decrease of 30% or more in estimated glomerular filtration rate (eGFR) in the future.
- Compared with the risk associated with the precontemplation stage (stage 1), the preparation, action, and maintenance stages (stages 3, 4, and 5), were associated with a lower risk of eGFR decline.
- Changing the TTM stages and their healthy behaviors might reduce the progression of eGFR reduction.
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