Kyoto University · Medicine
Professor Shingo Fukuma's research lab focuses on aging, cardiovascular health, and health systems resilience, particularly in the context of disaster response and chronic disease management. The lab investigates lifestyle interventions for obesity and cardiovascular risk factors, screening tools for acute aortic syndromes, and the impact of dialysis-related factors on patient outcomes. A key emphasis is on improving quality of life and survival in hemodialysis patients through psychosocial and functional health strategies, as well as identifying modifiable risk factors—such as visual impairment—for falls in older adults.
Figures are computed from collected data and may differ slightly.
Among working-age men in Japan, the national health guidance intervention was not associated with clinically meaningful weight loss or other cardiovascular risk factor reduction. Further research is warranted to understand the specific design of lifestyle interventions that are effective in improving obesity and cardiovascular risk factors.
ADD-RS alone or with D-dimer was a useful screening test with high sensitivity to exclude acute aortic syndrome. However, the optimal threshold of ADD-RS alone or with D-dimer may depend on the clinical setting.
Postdialysis hypokalemia was associated with mortality, but this association was not independent of predialysis potassium.
We analyze changes in indicators of health and health systems infrastructure in Fukushima before and five years following the disaster, and explored health systems' strengths and vulnerabilities. Spikes in mortality rates for selected non-infectious conditions common among older individuals were observed compared to the national trends. The results suggest that poorer reserves in the health care delivery system in Fukushima limited its capacity to effectively meet sudden unexpected increases in
Among hemodialysis patients, "problem-focused engagement" coping strategies were associated with longer survival and also with improvement in physical functioning and mental health. To achieve greater longevity and improve QOL in hemodialysis patients under ongoing stresses, problem-focused engagement should be encouraged.
We found that the composite score of the VFQ-J11 was associated with falls in community-dwelling older adults. Detecting individuals with visual impairments associated with falls using the VFQ-J11 and improvement in the score by interventions could prevent falls. We may consider adding self-reported visual function and vision-specific QOL to conventional risk factors for fall among older adults.
We developed a new risk model consisting of only six predictors. Our new model predicted CV events more accurately than the FRS.
Our findings indicate that family dynamics strongly influences burden experienced by caregiving family members, regardless of the care receiver's degree of cognitive impairment. These results underscore the importance of evaluating relationships between care receivers and their caregivers when discussing a care regimen for care receivers.
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