Lower Physical Activity and Depression Are Associated with Hospitalization and Shorter Survival in CKD

Mafra, Denise; Fouque, Denis

doi:10.2215/cjn.08400814

Cited by 16 publications

(13 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Physical exercise is one among the non-pharmacological methods which is beneficial in reducing the stress and anxiety and prevents the depression [12]. Practicing physical exercise in routine day life style improves physical capacity, strength of muscles, cardiovascular function, and improves quality of life [13][14][15]. In the current study we have observed decrease in the depression, anxiety and stress levels and increased quality of life followed by the regular physical exercise.…”

Section: Discussionsupporting

confidence: 54%

See 1 more Smart Citation

Effectiveness of physical activity on depression, anxiety, stress and quality of life of patients on hemodialysis

S¹,

Samson²,

Srikanth³

et al. 2018

biomedicalresearch

View full text Add to dashboard Cite

Individuals diagnosed with Chronic Kidney Disease (CKD) usually develop psychiatric complications as the dialysis procedure causes changes in the physical health and social life. Though the literature supports beneficial effects of exercise programmes in dialysis patients, the implementation of exercise as a part of clinical care is very less. Hence, the present study was undertaken to provide further evidence for the effectiveness of physical activity depression, anxiety, stress and quality of life of patients on hemodialysis. A total of 14 patients including males and females who were undergoing hemodialysis at selected hospital and who fulfil the selection criteria were included in the present study. The quality of life of the participants was collected by interview method using modified Kidney Disease Quality of Life (KDQOL) scale and Depression, Anxiety and Stress Scale (DASS 21). In this study regular exercise program has reduced depression, anxiety and stress and improved quality of life in hemodialysis patients. Hence, it is suggested to perform more qualitative and quantitative studies in this area to support adoption of physical exercise in the routine care of hemodialysis patients.

show abstract

Section: Discussionsupporting

confidence: 54%

“…Higher depression levels are reported in the patients with CKD [10][11][12][13][14][15]. Depression and anxiety decreases the quality of life and increases morbidity and mortality in CKD patients [16][17][18].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of physical activity on depression, anxiety, stress and quality of life of patients on hemodialysis

S¹,

Samson²,

Srikanth³

et al. 2018

biomedicalresearch

View full text Add to dashboard Cite

show abstract

“…The foregoing considerations suggest the possibility that effective prevention or treatment of anxiety and depression in MHD patients may have major benefits for both their QOL and daily physical activity. Since depression, poor QOL scores, and low DPA are also associated with increased hospitalization and mortality rates in MHD patients, 10 , 11 , 12 , 13 , 14 , 15 prevention and treatment of depression and perhaps anxiety might reduce morbidity and mortality in these individuals.…”

Section: Discussionmentioning

confidence: 99%

“…This question may have important clinical implications, because reduced DPA and physical performance as well as depression are associated with increased hospitalizations and enhanced mortality rates. 10 , 11 , 12 , 13 , 14 , 15 As part of ongoing studies of the effects of altered physical capacity in MHD patients, we conducted a cross-sectional study of the frequency and severity of impaired QOL scores and their relationship with DPA and physical performance. We assessed the extent to which anxiety and depression in MHD patients may account for both their impaired QOL and to the interaction of DPA and physical performance with QOL.…”

Section: Introductionmentioning

confidence: 99%

Association between quality of life and anxiety, depression, physical activity and physical performance in maintenance hemodialysis patients

Shapiro

Kim

et al. 2016

Chronic Diseases and Translational Medicine

View full text Add to dashboard Cite

ObjectiveMaintenance hemodialysis (MHD) patients often have impaired quality of life (QOL), anxiety, depression, and reduced daily physical activity (DPA) and physical performance. The contributions of these latter factors to reduced QOL in MHD are poorly understood. We examined the association of QOL with anxiety, depression, DPA, and physical performance.MethodsSeventy-two relatively healthy adult MHD patients, vintage ≥6 months, and 39 normals of similar age range and gender distribution were studied. QOL was assessed using the Kidney Disease Quality of Life-Short Form (KDQOL-SF). Anxiety and depression were each evaluated with two questionnaires. DPA and physical performance were assessed with a physical activity monitor, Human Activity Profile, and 6-minute walk, sit-to-stand, and stair-climbing tests.ResultsMost KDQOL components were reduced in MHD patients versus normals. KDQOL components in patients were commonly inversely correlated with measures of anxiety and depression (P < 0.05) and were more reduced in patients with both anxiety and depression. KDQOL was often impaired in patients with either anxiety or depression. However, most KDQOL scores did not differ between patients and normals without anxiety or depression. DPA, Human Activity Profile, and physical performance often correlated with KDQOL scores in adjusted models, but after further adjustment for anxiety and depression, DPA, Human Activity Profile, and physical performance correlated less frequently with KDQOL scores. This reduction in significant correlations after adjustment for anxiety and depression was particularly pronounced for the association between KDQOL and DPA.ConclusionIn relatively healthy MHD patients, KDQOL scores are usually decreased in those with anxiety and/or depression but are usually normal in those without anxiety or depression. Lower DPA in MHD patients with reduced KDQOL scores often appears to be associated with anxiety and depression. The relationship between QOL and physical performance appears to be less influenced by anxiety and/or depression. These data suggest that treatment of anxiety and depression in MHD patients may improve their QOL, DPA, and possibly physical performance.

show abstract

“…Although we cannot compare the efficacy of these studies to our study, we believe that broad use of easy home exercises without any special equipment contributes to physical strength and better fitness. Moreover, lower physical activity is getting recognized as a risk factor for mortality in these patients, and deeply associated with poor outcomes [18]. Although there have been reported a limited number of study to access the direct association, some studies showed exercise training contribute shortening hospitalization [19,20] and longer survival [21] with better physical functions.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness and safety of modest exercise in Japanese patients with chronic kidney disease: a single-armed interventional study

et al. 2015

View full text Add to dashboard Cite

show abstract

Lower Physical Activity and Depression Are Associated with Hospitalization and Shorter Survival in CKD

Cited by 16 publications

References 11 publications

Effectiveness of physical activity on depression, anxiety, stress and quality of life of patients on hemodialysis

Effectiveness of physical activity on depression, anxiety, stress and quality of life of patients on hemodialysis

Association between quality of life and anxiety, depression, physical activity and physical performance in maintenance hemodialysis patients

The effectiveness and safety of modest exercise in Japanese patients with chronic kidney disease: a single-armed interventional study

Contact Info

Product

Resources

About