Correlates of habitual physical activity in chronic haemodialysis patients

Zamojska, Sylwia; Szklarek, Magdalena; Niewodniczy, Maciej; Nowicki, Michał

doi:10.1093/ndt/gfi323

Cited by 79 publications

(66 citation statements)

References 20 publications

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“…Belik et al 8 and Medina et al 21 rated the PAL of HD patients using the IPAQ and observed a prevalence of 74.5% and 72.3%, respectively, of sedentary and insufficiently active individuals. Although the studies have used other instruments 5,9,15 for the assessment of the PAL, the results obtained corroborate the low PAL found in this study.…”

Section: Discussionsupporting

confidence: 89%

“…The results of this study demonstrated a high prevalence of sedentary patients, which, according Zamojska et al 15 , is a common feature of HD patients, possibly due to the loss of strength, muscle atrophy and impaired muscle fibers. Belik et al 8 and Medina et al 21 rated the PAL of HD patients using the IPAQ and observed a prevalence of 74.5% and 72.3%, respectively, of sedentary and insufficiently active individuals.…”

Section: Discussionsupporting

confidence: 59%

“…According to Condé et al 14 , depressive symptoms favor lower adherence to physical exercises. In the long term, mental changes and inactivity contribute to low physical activity (PA) in dialysis patients 15 . Moreover, as demonstrated by Knight et al 16 , the presence of decline in physical function and mental health were independent risk factors for mortality in HD patients, with the possibility of being more aggravating if both would come associated to each other.…”

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confidence: 99%

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Physical activity level and depressive symptoms in patients undergoing hemodialysis: a cross-sectional study

Cavalcanti

Filho²,

Marinho

2014

Fisioter. Pesqui.

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This study aimed to evaluate the association between the presence of depressive symptoms and physical activity level (PAL) in patients with chronic kidney disease undergoing hemodialysis (HD). Cross-sectional study comprising 101 patients on HD, mean age 47.4±12.5 years. Sociodemographic data, economic, clinical, assessment of depressive symptoms (Beck Depression Scale - BDI), PAL (International Physical Activity Questionnaire - IPAQ), guidance for performing physical activity (PA) and time of HD. The prevalence of sedentary and depressive symptoms was 79.2% and 39.6%, respectively. Depressive symptoms were observed in 47.5% of sedentary patients (χ2=10.029, p=0.002), the ratio of prevalence of these symptoms five times higher in this group. 68.3% of patients on HD received no guidance for PA. Under 49 months of hemodialysis treatment, 63.8% of sedentary (χ2=3.011, p=0.083) and 57.5% of patients with depressive symptoms (χ2=0.100, p=0.752) already had these features. Although little is known about the relationship between depression and PA among patients undergoing HD, this study found that depressive symptoms were more prevalent among inactive. The results of this study demonstrate that patients undergoing HD have low PAL, relative presence of depressive symptoms and high lack of guidance on PA.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 59%

mentioning

confidence: 99%

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Physical activity level and depressive symptoms in patients undergoing hemodialysis: a cross-sectional study

Cavalcanti

Filho²,

Marinho

2014

Fisioter. Pesqui.

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“…This simple method, which is validated and widely used in sports and preventive medicine (13,15), accurately assesses habitual physical activity. Recent studies that measured the habitual physical activity of HD patients with accelerometers or pedometers (14,(16)(17)(18) have shown that physical activity is significantly lower in HD patients than in age-matched healthy controls (16,17) and that physical activity in HD patients declines gradually (19). Kutsuna et al reported that maintaining a high level of physical activity in daily living for HD patients is important for preventing the deterioration of walking ability (20).…”

Section: Introductionmentioning

confidence: 99%

Habitual Physical Activity Measured by Accelerometer and Survival in Maintenance Hemodialysis Patients

Matsuzawa

Matsunaga

Wang

et al. 2012

Clinical Journal of the American Society of Nephrology

128

100

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SummaryBackground and objectives The association between mortality and physical activity based on self-report questionnaire in hemodialysis patients has been reported previously. However, because self-report is a subjective assessment, evaluating true physical activity is difficult. This study investigated the prognostic significance of habitual physical activity on 7-year survival in a cohort of clinically stable and adequately dialyzed patients.Design, setting, participants, & measurements A total of 202 Japanese outpatients who were undergoing maintenance hemodialysis three times per week at the hemodialysis center of Sagami Junkanki Clinic (Japan) from October 2002 to February 2012 were followed for up to 7 years. Physical activity was evaluated using an accelerometer at study entry and is expressed as the amount of time a patient engaged in physical activity on nondialysis days. Cox proportional hazard regression was used to assess the contribution of habitual physical activity to all-cause mortality.Results The median patient age was 64 (25th, 75th percentiles, 57, 72) years, 52.0% of the patients were women, and the median time on hemodialysis was 40.0 (25th, 75th percentiles, 16.8, 119.3) months at baseline. During a median follow-up of 45 months, 34 patients died. On multivariable analysis, the hazard ratio for all-cause mortality per 10 min/d increase in physical activity was 0.78 (95% confidence interval, 0.66-0.92; P=0.002).Conclusions Engaging in habitual physical activity among outpatients undergoing maintenance hemodialysis was associated with decreased mortality risk.

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“…De fato, ao avaliar o nível de atividade física, definido pela razão entre GET/GER, mostrou-se que essa razão nos pacientes em HD (entre 1,3 e 1,4) era compatível com um estilo de vida sedentário 26,27 , segundo os pontos de corte propostos pela World Health Organization (WHO) 11 . Corroborando esses achados, trabalhos anteriores já apontavam essa reduzida atividade física nos pacientes em HD em relação a indivíduos saudáveis, quando estudados por métodos indiretos, como pedômetro e acelerômetro 29,30 . Dessa forma, não há dúvida de que o sedentarismo é um achado comum em pacientes em hemodiálise.…”

Section: Efeito Térmico Dos Alimentos E Gasto Energético Para Atividaunclassified

Estimativa das necessidades energéticas em pacientes com doença renal crônica

Rodrigues¹,

Lamarca²,

Oliveira

et al. 2013

Rev. Nutr.

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Estabelecer as necessidades energéticas de pacientes com doença renal crônica é importante para que se possam tratar os distúrbios nutricionais encontrados nessa população. Segundo os guias de condutas voltados ao cuidado nutricional de pacientes com essa doença, a recomendação energética pode variar entre 30 e 40kcal/kg/dia. Contudo, trabalhos que avaliaram os componentes do gasto energético nos pacientes com doença renal crônica sugerem que as necessidades energéticas dessa população podem diferir do valor recomendado acima, a depender da condição clínica (presença de comorbidades), da modalidade de tratamento empregado e do nível de atividade física. Dessa forma, o presente trabalho tem como objetivo fazer uma revisão dos estudos sobre o gasto energético de pacientes com doença renal crônica, com o intuito de abordar as seguintes questões: (1) as atuais recomendações de energia para pacientes com doença renal crônica estão adequadas? (2) qual equação de predição poderia ser empregada para estimar as necessidades energéticas desse grupo de pacientes? Assim, esta revisão busca auxiliar o nutricionista ao estimar as necessidades energéticas de pacientes com doença renal crônica.Palavras-chave: Doença renal crônica. Metabolismo energético. Necessidade energética. A B S T R A C TEstimating the energy requirement of patients with chronic kidney disease is highly important for treating the nutritional disorders often seen in this population. According to the specific guidelines for patients with chronic kidney disease, the currently recommended daily energy intake varies from 30 to 40kcal/kg/day. However,

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Correlates of habitual physical activity in chronic haemodialysis patients

Abstract: Low habitual physical activity assessed in HD patients with simple portable pedometers is strongly related to several factors of major clinical importance in this population.

Cited by 79 publications

References 20 publications

Physical activity level and depressive symptoms in patients undergoing hemodialysis: a cross-sectional study

Physical activity level and depressive symptoms in patients undergoing hemodialysis: a cross-sectional study

Habitual Physical Activity Measured by Accelerometer and Survival in Maintenance Hemodialysis Patients

Estimativa das necessidades energéticas em pacientes com doença renal crônica

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