Higher Physical Activity Is Associated With Less Fatigue and Insomnia Among Patients on Hemodialysis

Sheshadri, Anoop; Kittiskulnam, Piyawan; Johansen, Kirsten L.

doi:10.1016/j.ekir.2018.10.014

Cited by 33 publications

(37 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a cross-sectional analysis of 48 adult HD patients, Sheshadri et al reported lower Vitality was associated to daily step counts measured by a pedometer. 12 We therefore confirm these results in a broader population using an accelerometer, which is known to be a reference method for measuring step counts. 9,20 Remarkably, we have shown Vitality scores associate only to the 24-hour period after HD, which suggests that post-HD fatigue may not be the main contributing factor to general fatigue in this population.…”

Section: Resultssupporting

confidence: 79%

“…The associations between fatigue, including vitality domains for KDQOL-36 and the DRT, and objectively measured physical activity have not been described until the present. 12 We hypothesized the patient perception of more fatigue associates with lower physical activity, specifically activity following HD treatments. The aim of this study was to describe associations between patient reported chronic and postdialysis fatigue and the patterns of physical activity in daily living.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Patient perception of vitality and measured physical activity in patients receiving haemodialysis

et al. 2020

View full text Add to dashboard Cite

Aim: Fatigue in haemodialysis (HD) patients can be captured in quality of life questionnaires and by the dialysis recovery time (DRT) question. The associations between fatigue and measured physical activity has not been explored until the present. We tested our hypothesis that the patient perception of chronic and post dialysis fatigue would be associated with lower physical activity. Methods: This study was a cross sectional evaluation of baseline data from HD patients recruited in the HDFIT trial. Vitality scores from the Kidney Disease Quality of Life (KDQOL-36) and the dialysis recovery time (DRT) question were used as indicators of chronic and post dialysis fatigue, respectively. Granular physical activity was measured by accelerometers as part of the study protocol. Results: Among 176 patients, Vitality score was 63 ± 21 and the DRT was ≤30 minutes in 57% of patients. The mean number of steps was 5288 ± 3540 in 24 hours after HD and 953 ± 617 in the 2-hour post-HD period. The multivariable analysis confirmed Vitality scores were associated with physical activity in the 24-hour post-HD period. In contrast, DRT was not associated with physical activity captured by the accelerometer in the period immediately (2 hours) after the HD session. Conclusion: Chronic fatigue was negatively associated with step counts, while patient perception of post-dialysis fatigue was not associated with physical activity. These patterns indicate limitations in interpretation of DRT. Since physical activity is an important component of a healthy life, our results may partially explain the associations between fatigue and poor outcomes in HD patients. K E Y W O R D S accelerometery, dialysis recovery time, end stage kidney disease, fatigue, HDFit, health related quality of life, patient reported outcomes, physical activity Refer to Appendix A for the details of the HDFIT Study Investigators.

show abstract

Section: Resultssupporting

confidence: 79%

mentioning

confidence: 99%

Patient perception of vitality and measured physical activity in patients receiving haemodialysis

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The latest international research suggests that low physical activity can lead to symptoms, such as depression [43] and physical discomfort [44], among patients on hemodialysis. Exercise therapy plays an important role in the clinical management of patients on MHD, improving physical disability [45] and long-term survival [46], as well as relieving symptoms of fatigue and insomnia [47]. An international multicenter study reported that exercise patterns [48] among patients on MHD could be standardized across different regions and countries, regardless of language barriers.…”

Section: Discussionmentioning

confidence: 99%

Physical activity and somatic symptoms among hemodialysis patients: a multi-center study in Zhejiang, China

Lou

Shen

et al. 2019

BMC Nephrol

View full text Add to dashboard Cite

BackgroundSomatic symptoms are commonly reported by patients on maintenance hemodialysis. Based on evidence that exercise can improve psychological state among the general population, we aimed to evaluate the effects of physical activity on somatic symptoms specifically in this clinical population.MethodsThis was a multicenter, cross-sectional study that included patients receiving hemodialysis treatment ≥3 times per week for > 3 months, aged 18 years or older, and who were willing to complete our study questionnaires and wear a pedometer; they were recruited from four hemodialysis centers in Zhejiang, China. Physical activity was quantified using pedometer data, with somatic symptoms quantified using the Symptom Checklist-90 (SCL-90). Hemodialysis information and blood laboratory tests were obtained from patients’ medical record. The score on the somatic dimension of the SCL-90 (S1-score) subdivided into tertiles for analysis: ≤1.17 (Q1), 1.17–1.58 (Q2) and ≥ 1.58 (Q3). A multivariate logistic regression analysis was performed to estimate the crude and adjusted odd ratios (ORs) and 95% confidence intervals (CIs) for the S1- somatic score according to the physical activity level during the last week. For this analysis, patients were stratified in a high and low exercise group using a cutoff of 3000 MET-min/week. Model 1 was adjusted for skinfold thickness of the triceps, upper arm circumference, grip strength, 5-m walking time, and 30-s sit-to-stand test. In model 2, we further adjusted for the leukocyte count, high-sensitivity C-reactive protein level, and albumin level.ResultsAfter screening, 320 patients were enrolled into the study group (37.50% male, average age of 58.60 ± 14.2 years and mean average number of steps per day of 3725.92 ± 2663.47). The S1-score (1.51 ± 0.39) was significantly higher for patients than for the normal reference population (P < 0.001). As the S1-score increased, the average number of steps per day decreased, both on dialysis and non-dialysis days. Total physical activity, measured by pedometry, showed the best correlation to S1 scores (r = − 0.813; P < 0.01). The OR of a high S1-score was 1.97 [95% CI, 0.63–4.08] for patients in the low physical activity group.ConclusionHigher S1 (somatic symptom) score was related to low physical activity among patients on maintenance hemodialysis.

show abstract

“…Beberapa faktor penyebab rendahnya aktifitas fisik pada pasien ESRD yang menjalani hemodialisis rutin adalah kekuatan otot yang berkurang akibat wasting energy protein (WEP), 9 insomnia, 10 Hasil analisis pada Tabel 2, diketahui bahwa skor BDI pada kelompok intervensi signifikan menurun setelah 3 bulan melakukan exercise (p = 0,000), sedangkan pada kelompok kontrol rata-rata skor BDI signifikan meningkat (p = 0,009). Skor ISI pada kelompok intervensi mengalami perbedaan ratarata yang signifikan menurun setelah 3 bulan dilakukan exercise (p = 0,035), sedangkan pada kelompok kontrol rata-rata skor ISI tidak didapatkan perbedaan yang signifikan (p = 0,382…”

Section: Pendahuluanunclassified

Pengaruh Intradialytic Range of Motion (ROM) Exercise terhadap Depresi, Insomnia dan Asupan Nutrisi pada Pasien Hemodialisis

Forwaty

Malini

Oktarina

2019

JKA

View full text Add to dashboard Cite

AbstrakPasien End Stage Renal Disesase (ESRD) yang menjalani hemodialisis rutin, masih mengalami masalah pada fungsi fisik, psikososial dan kualitas hidup. Aktivitas fisik yang rendah telah dikaitkan menjadi penyebab rendahnya kualitas hidup pada pasien hemodialisis. Tujuan: Menyelidiki dampak Intradialytic Range Of Motion (ROM) exercise terhadap depresi, insomnia dan asupan nutrisi pada pasien hemodialisis. Metode: Penelitian ini merupakan studi eksperimen dengan desain pre and post test with control group. Ada 23 pasien pada kelompok intervensi dan 24 pasien pada kelompok kontrol yang diambil menggunakan simple random sampling. Intervensi berupa intradialytic ROM exercise yang melibatkan gerakan aktif dari ekstremitas dilakukan selama tiga bulan, dua kali seminggu selama tiga puluh menit dengan intensitas latihan 12 sampai 14 pada skala Borg's Rating of Perceived Exertion (RPE). Hasil:Latihan memberikan dampak positif terhadap rerata skor Beck Depression Inventory (BDI) yang signifikan menurun (p < 0,001) dan juga terhadap skor Insomnia Severity Index (ISI) (p < 0,05), sedangkan terhadap asupan kalori dan protein tidak mengalami perubahan yang signifikan (p > 0,05). Simpulan: Intradialytic exercise dengan intensitas sedang sangat direkomendasikan untuk pasien yang sedang menjalani hemodialisis karena dapat menurunkan depresi dan insomnia sehingga meningkatkan kualitas hidup pasien yang menjalani hemodialisis. Kata kunci: intradialytic exercise, gerakan aktif, depresi, insomnia, asupan nutrisi Abstract The patients of end stage renal disease (ESRD) who undergo routine hemodialysis still experince problems with poor physical, psychosocial and quality of life. Low physical activity has been linked to the cause of low quality of life in hemodialysis patients. Objectives: to investigated the effect of intradialytic Range of Motion (ROM) exercise on depression, insomnia and nutritional intake in hemodialysis patients. Methods: This study was an experimental study with pre and posttest with control group design. There were twenty three patients in the intervention group and twenty four patients were taken by simple random sampling. The intervention in this study was in the form of ROM exercises involving active movements of the extremities was conducted for three months, twice a week for thirty minutes while undergoing hemodialysis with the intensity of exercises 12-14 on the Borg's scale Rating of Perceived Exertion (RPE).Results: Exercise had a positive impact on the average Beck Depression Inventory (BDI) score which significantly decreased (p < 0.001) and also on the Insomnia Severity Index (ISI) score (p < 0.05), while the calorie and protein intake did not change significantly (p > 0.05). Conclusions: The intradialytic exercise with medium intensity was highly recommended for patients who were underwent hemodialysis because it could reduce depression and insomnia thereby improving the quality of life of patients undergoing hemodialysis.

show abstract

Higher Physical Activity Is Associated With Less Fatigue and Insomnia Among Patients on Hemodialysis

Cited by 33 publications

References 46 publications

Patient perception of vitality and measured physical activity in patients receiving haemodialysis

Patient perception of vitality and measured physical activity in patients receiving haemodialysis

Physical activity and somatic symptoms among hemodialysis patients: a multi-center study in Zhejiang, China

Pengaruh Intradialytic Range of Motion (ROM) Exercise terhadap Depresi, Insomnia dan Asupan Nutrisi pada Pasien Hemodialisis

Contact Info

Product

Resources

About