Physical activity level of patients on hemodialysis: a cross-sectional study
DOI:
https://doi.org/10.1590/1809-2950/14160723032016Abstract
The level of physical activity of patients under hemodialysis treatment was assessed, noting its relation with sociodemographic and laboratory variables. A cross-sectional study comprised of 108 individuals with chronic kidney disease under hemodialysis divided into "active" and "sedentary" groups was conducted. Socioeconomic data (semi-structured questionnaire), characteristics of kidney disease, level of physical activity (International Physical Activity Questionnaire - IPAQ) and laboratory data (hematocrit, hemoglobin, creatinine, albumin, urea) of past examinations taken from medical records were assessed. 8% of the patients in the sample were identified as sedentary and 70.4% did not receive guidance for performing physical activity (p=0.013). Correlations between the level of physical activity and socioeconomic, clinical data and biochemical parameters were not observed. It was concluded that individuals with chronic renal disease under hemodialysis therapy have low level of physical activity. This finding is related to the frequency of guidance in that regard for the population on dialysis, not being related to the demographic, clinical and biochemical data evaluated.Downloads
References
Reboredo MM, Henrique DMN, Bastos MG, De Paula RB.
Exercício físico em pacientes dialisados. Rev Bras Med
Esporte. 2007;13(6):427-30.
Sociedade Brasileira de Nefrologia – SBN. Censo de diálise
SBN 2011. [Internet]. 2011. [acesso 3 dez 2012]. Disponível em:
Levey AS, Eckhardt KU, Tsukamoto Y, Levin A, Coresh J,
Rossert J, et al. Definition and classification of chronic
kidney disease: a position statement from Kidney Disease
– Improving Global Outcomes (KDIGO). Kidney Int.
;67(6):2089-100.
Vassalotti JA, Stevens LA, Levey AS. Testing for chronic
kidney disease: a position statement from the National
Kidney Foundation. Am J Kidney Dis. 2007;50(2):169-80.
Longenecker JC, Coresh J, Powe RN, Levey AS, Fink NE,
Martin A, et al. Traditional cardiovascular disease risk
factors in dialysis patients compared with the general
population: the CHOICE study. J Am Soc Nephrol.
;13(7):1918-27.
Thomas-Hawkins C. Symptom distress and day-to-day
changes in functional status in chronic hemodialysis patients.
Nephrol Nurs J. 2000;27(4):369-80.
Curtin RB, Bultman DC, Thomas-Hawkins C, Walters BA,
Schatell D. Hemodialysis patients’ symptom experiences:
effects on physical and mental functioning. Nephrol Nurs J.
;29(6):562-74.
Johansen KL, Chertow GM, Ng AV, Mulligan K, Carey
S, Schoenfeld PY, et al. Physical activity levels on
hemodialysis and healthy sedentary controls. Kidney Int.
;57(6):2564-70.
Painter P, Carlson L, Carey S, Paul SM, Myll J. Low-functioning
hemodialysis patients improve with exercise training. Am J
Kidney Dis. 2000;36(3):600-8.
Jhamb M, Weisbord SD, Steel JL, Unruh M. Fatigue in
patients receiving maintenance dialysis: a review of
definitions, measures and contributing factors. Am J Kidney
Dis. 2008;52(2):353-65.
Desmeules S, Lévesque R, Jaussent I, Leray-Moragues
H, Chalabi L, Canaud B. Creatinine index and lean body
mass are excellent predictors of long-term survival in
haemodiafiltration patients. Nephrol Dial Transplant.
;19(5):1182-9.
Cheema B, Abas H, Smith B, O’Sullivan AJ, Chan M,
Patwardhan A, et al. Investigation of skeletal muscle quantity
and quality in end-stage renal disease. Nephrology (Carlton).
;15(4):454-63.
O’Hare AM, Tawney K, Bacchetti P, Johansen KL. Decreased
survival among sedentary patients undergoing dialysis:
results from the dialysis morbidity and mortality study wave
Am J Kidney Dis. 2003;41(2):447-54.
Stack AG, Molony DA, Rives T, Tyson J, Murthy BVR.
Association of physical activity with mortality in the US
dialysis population. Am J Kidney Dis. 2005;45(4):690-701.
Headley S, Germain M, Mailloux P, Mulhern J, Ashworth B,
Burris J, et al. Resistance training improves strength and
functional measures in patients with end-stage renal disease.
Am J Kidney Dis. 2002;40(2):355-64.
Kouidi E, Albani M, Natsis K, Megalopoulos A, Gigis P, GuibaTziampiri O, et al. The effects of exercise training on muscle
atrophy in haemodialysis patients. Nephrol Dial Transplant.
;13(3):685-99.
Storer TW, Casaburi R, Sawelson S, Kopple JD. Endurance
exercise training during haemodialysis improves strength,
power, fatigability and physical performance in maintenance
Fisioter Pesqui 2016;23(3):234-40
haemodialysis patients. Nephrol Dial Transplant.
;20(7):1429-37.
Segura-Orti E, Johansen KL. Exercise in end-stage renal
disease. Semin Dial. 2010;23(4):422-30.
Barros MVG, Nahas MV. Comportamentos de risco, autoavaliação do nível de saúde e percepção do estresse
entre trabalhadores da indústria. Rev Saude Publica.
;35(6):554-63.
Matsudo SM, Matsudo VR, Araújo T, Andrade D, Andrade
E, Oliveira, L, et al. Nível de atividade física da população
do Estado de São Paulo: análise de acordo com o gênero,
idade, nível socioeconômico, distribuição geográfica e de
conhecimento. Rev Bras Cienc Mov. 2002;10(4):41-50.
Reis HFC, Ladeia AMT, Passos EC, Santos FGO, Wasconcellos
LT, Correia LCL, et al. Prevalência e variáveis associadas
à inatividade física em indivíduos de alto e baixo nível
socioeconômico. Arq Bras Cardiol. 2009;92(3):203-8.
Stack AG, Murthy B. Exercise and limitations in physical activity
levels among new dialysis patients in the United States: an
epidemiologic study. Ann Epidemiol. 2008;18(12):880-8.
Bonner A, Wellard S, Caltabiano M. The impact of fatigue on
daily activity in people with chronic kidney disease. J Clin
Nurs. 2010;19(21-22):3006-15.
Painter P, Ward K, Nelson RD. Self-reported physical activity
in patients with end stage renal disease. Nephrol Nurs J.
;38(2):139-48.
Delgado C, Johansen KL. Barriers to exercise participation
among dialysis patients. Nephrol Dial Transplant.
;27(3):1152-7.
Johansen KL, Sakkas GK, Doyle J, Shubert T, Dudley RA.
Exercise counseling practices among nephrologists caring
for patients on dialysis. Am J Kidney Dis. 2003;41(1):171-8.
Delgado C, Johansen KL. Deficient counseling on physical
activity among nephrologists. Nephron Clin Pract.
;116(4):330-6.
Johansen KL, Painter P. Exercise in individuals with CKD. Am
J Kidney Dis. 2012;59(1):126-34.
National Kidney Foundation. K/DOQI clinical practice
guidelines for cardiovascular disease in dialysis patients. Am
J Kidney Dis. 2005;45(4 Suppl 3):S1-153.
Najas CS, Pissulin FDM, Pacagnelli FL, Betônico GN, Almeida
IC, Neder JA. Segurança e eficácia do treinamento físico
na insuficiência renal crônica. Rev Bras Med Esporte.
;15(5):384-8.
Kontos PC, Miller KL, Brooks D, Jassal SV, Spanjevic L, Devins
GM, et al. Factors influencing exercise participation by older
adults requiring chronic hemodialysis: a quantitative study.
Int Urol Nephrol. 2007;39(4):1303-11.
Bonfim RF. Prevalência de sedentarismo e fadiga entre os
portadores de doença renal crônica em hemodiálise e efeito
do exercício intradialíticos sobre a eficácia da hemodiálise
[dissertação]. Brasília: Universidade de Brasília; 2009.
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