Use of pedometers to increase physical activity among children and adolescents with chronic kidney disease

Abstract

Background Children and adolescents with chronic kidney disease (CKD) are inactive relative to their peers. Methods Forty-four children and adolescents aged 7-20 years with CKD, end-stage renal disease (ESRD) on dialysis or a kidney transplant participated in a12-week pedometer-based intervention to increase physical activity. Patients recorded daily step counts and reported them weekly. Pediatric Quality of Life Inventory (PedsQL) and six-minute walk (6MW) were administered at baseline and after 12 weeks. Results Age was 15.1±3.4 years; 27% had CKD, 16% were receiving dialysis, and 57% had received a kidney transplant. Mean daily step count did not change significantly (+48, 95% CI −48 to +145 steps/day per week). Transplant recipients and patients with CKD increased their activity by 100 steps/day (95% CI −14 to 208) and 73 steps/day (95% CI −115 to 262) each week, respectively, and patients on dialysis decreased by 133 steps/day (95% CI −325 to 58; p-value for interaction 0.03) in multivariable analysis. Change in physical activity was associated with change in 6MW distance (r=0.74, p<0.001) and change in physical functioning (r=0.53, p=0.001). Conclusions Youths with CKD did not significantly increase their activity over 12 weeks of a pedometer-based intervention. However, changes in physical activity were associated with changes in physical functioning and performance.

<p>Physical Activity versus Sclerostin and Interleukin 6 Concentration in Patients Receiving Renal Replacement Therapy by Hemodialysis</p>

“…[34][35][36][37] There are many works in which, similarly to the conducted research project, pedometers or accelerometers were used in AF studies as well as tools for monitoring and motivating of renal replacement patients to exercise. 16,17,38,39 It is important that in the presented studies out of 53 patients qualified by a nephrologist only 43 persons entered the study. In the study group, there were no patients who stopped performing the intervention.…”

“…In the literature there are also publications describing ways of motivation and overcoming barriers by patients undergoing hemodialysis, such as: encouraging physical effort by discussing the benefits of regular physical activity, introduction of devices measuring physical activity or introduction of an element of competition between patients. [16][17][18][19] It is important to encourage patients undergoing hemodialysis to physical therapy and modification of their lifestyle by increasing the attractiveness of exercise, monitoring physical activity and highlighting the benefits of regular exercise. [20][21][22][23] The available literature lacks comparative studies on the relationship between regular physical activity and the value of interleukin 6 and sclerostin concentration in patients treated with hemodialysis.…”

Group-Based Care in Adults and Adolescents With Hypertension and CKD: A Feasibility Study

“…There was an increase in median steps per hour from 499 (IQR, 111-712) to 688 (IQR, 302-1,107) at 6 months; however, this is still well below the pediatric hypertension guidelines recommendation of 12,000 to 15,000 steps per day (860-1,070 steps per waking hour) for male and female children/adolescents, respectively. 32 Sodium intake as measured by 24-hour urinary excretion and pediatric quality-of-life metrics was largely unchanged at 6 months compared with baseline ( Table 4 ).…”

Six-Month Physical Activity Versus Sclerostin and Interleukin 6 Concentration in Patients Receiving Renal Replacement Therapy by Hemodialysis &ndash; Pilot Study

“…There are many works in which, similarly to the conducted research project, pedometers or accelerometers were used in AF studies as well as tools for monitoring and motivating of renal replacement patients to exercise [34][35][36][37]. It is important that in the presented studies out of 53 patients qualified by a nephrologist only 43 persons entered the study.…”