Evaluation of physical activity and its relationship to health-related quality of life in patients on chronic hemodialysis

Katayama, Akihiko; Miyatake, Nobuyuki; Nishi, Hiroyuki; Uzike, Kazuhiro; Sakano, Noriko; Hashimoto, Hiroo; Koumoto, Kiichi

doi:10.1007/s12199-014-0380-z

Cited by 35 publications

(53 citation statements)

References 23 publications

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“…30) [48], an English and Welsh study with a mean of 0. 60 (SD = 0.28) [49], and a Japanese study with a mean of 0.75 (SD = 0.17) [50]. In the present study, we found a significant association between higher QoL and younger age.…”

Section: Discussionsupporting

confidence: 62%

Dialysis-related factors affecting self-efficacy and quality of life in patients on haemodialysis: a cross-sectional study from Palestine

et al. 2018

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Background: Chronic kidney disease (CKD) is one of the main public health issues. It increases the morbidity and mortality of patients. Treatment includes multiple aspects such as dialysis and lifestyle modifications. The primary goal of this study was to determine factors associated with self-efficacy and health-related quality of life (HRQoL) among haemodialysis (HD) patients. Methods: A cross-sectional descriptive correlation study was conducted on CKD patients undergoing HD at 12 different dialysis centres in Palestine. Self-efficacy was assessed by the Self-Efficacy for Managing Chronic Disease Six-Item Scale (SEMCD-6), and HRQoL was assessed using the Five-level EuroQol Five-Dimensions (EQ-5D-5L) tool. Multiple linear regression analysis was carried out to assess the association of factors with each of the SEMCD-6 and HRQoL scale scores. Results: A total of 283 HD patients were included in the study. A correlation test revealed moderately positive association between the EQ-5D and SEMCD-6 scores (r = 0.497, p value < 0.001). In multiple linear regression analysis, age, living status, and number of co-morbid diseases were negatively associated with SEMCD-6 scores (β = − 2.66, p = 0.016; β = − 5.71, p = 0.033; β = − 1.84, p = 0.006, respectively). Furthermore, there is a positive association between educational level and SEMCD-6 score with QoL score (β = 0.05, p = 0.017; β = 0.01, p < 0.001, respectively), while there is a negative association between the number of co-morbid diseases and QoL score (β = − 0.07, p = 0.001).Conclusions: This study assessed factors associated with impaired self-efficacy and HRQoL in HD patients. The results show that impaired self-efficacy was associated with the elderly, patients living with family, and patients with a high number of co-morbid diseases. Furthermore, this study found that the worst HRQoL was associated with patients with a low education level, lower levels of self-efficacy, and a high number of co-morbid diseases.

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Section: Discussionsupporting

confidence: 62%

Dialysis-related factors affecting self-efficacy and quality of life in patients on haemodialysis: a cross-sectional study from Palestine

et al. 2018

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“…There have been some reports that have used the EQ‐5D to measure HRQoL in dialysis patients. In one study, the EQ‐5D index score was 0.75 ± 0.17 in Japanese HD patients . In peritoneal dialysis patients, Sakthong et al .…”

Section: Discussionmentioning

confidence: 96%

“…In one study, the EQ-5D index score was 0.75 ± 0.17 in Japanese HD patients. 18 In peritoneal dialysis patients, Sakthong et al 30 reported that the EQ-5D index score was 0.65 ± 0.23 in Taiwan. We evaluated HRQoL using the EQ-5D in HD patients and the index score was 0.704 ± 0.199.…”

Section: Discussionmentioning

confidence: 99%

“…Low HRQoL scores in dialysis patients are strong independent predictors of hospitalization and mortality . Surprisingly, there are few studies that have evaluated the clinical and psychosocial factors that are associated with HRQoL in HD patients . Moreover, most studies have used SF‐36 as a measure of HRQoL.…”

Section: Introductionmentioning

confidence: 99%

“…[15][16][17] Surprisingly, there are few studies that have evaluated the clinical and psychosocial factors that are associated with HRQoL in HD patients. 18 Moreover, most studies have used SF-36 as a measure of HRQoL. Very few studies have evaluated the association between HRQoL and psychosocial factors in addition to clinical factors.…”

Section: Introductionmentioning

confidence: 99%

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Clinical and psychosocial factors predicting health‐related quality of life in hemodialysis patients

Kang

Lee

Ahn

et al. 2015

Hemodialysis International

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Many patients with end-stage renal disease have significant impairment in health-related quality of life (HRQoL). Most previous studies have focused on clinical factors; however, quality of life can also be affected by psychosocial factors. The aim of this study was to identify the possible predictors of HRQoL among clinical and psychosocial factors in hemodialysis (HD) patients. The study included 101 patients who were undergoing HD. Psychosocial factors were evaluated using the Hospital Anxiety and Depression Scale, Multidimensional Scale of Perceived Social Support, Montreal Cognitive Assessment, and Pittsburgh Sleep Quality Index. We also assessed laboratory and clinical factors, including albumin, Kt/V as a marker of dialysis adequacy, normalized protein catabolic rate, and duration of HD. The Euro Quality of Life Questionnaire 5-Dimensional Classification (EQ-5D) was used to evaluate HRQoL. The mean EQ-5D index score was 0.704 ± 0.199. The following variables showed a significant association with the EQ-5D index: age (P < 0.001), depression (P < 0.001), anxiety (P < 0.001), support from friends (P < 0.001), cognitive function (P < 0.001), duration of HD (P = 0.034), triglyceride (P = 0.031), total iron-binding capacity (P = 0.036), and phosphorus (P = 0.037). Multiple regression analysis showed that age (95% confidence interval [CI] -0.008 to -0.002), anxiety (95% CI -0.025 to -0.009), and support from friends (95% CI 0.004 to 0.018) were independent predictors of impaired HRQoL. This study explored determinants of impaired HRQoL in HD patients. We found that impaired HRQoL was independently associated with age, anxiety, and support from friends. We should consider psychosocial as well as clinical factors when evaluating ways to improve HRQoL in HD patients.

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New Perspectives on Activity/Disease Relationships Yielded by Objective Monitoring

Shephard

2016

The Objective Monitoring of Physical Activity: Contributions of Accelerometry to Epidemiology, Exercise Science and Rehabilitat

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Evaluation of physical activity and its relationship to health-related quality of life in patients on chronic hemodialysis

Abstract: Physical activity over 4 METs on non-hemodialysis treatment days might be associated with EQ-5D in patients on chronic hemodialysis, especially in women.

Cited by 35 publications

References 23 publications

Dialysis-related factors affecting self-efficacy and quality of life in patients on haemodialysis: a cross-sectional study from Palestine

Dialysis-related factors affecting self-efficacy and quality of life in patients on haemodialysis: a cross-sectional study from Palestine

Clinical and psychosocial factors predicting health‐related quality of life in hemodialysis patients

New Perspectives on Activity/Disease Relationships Yielded by Objective Monitoring

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