Physical Activity in Hemodialysis Patients Measured by Triaxial Accelerometer

Overview

Journal Biomed Res Int

Publisher Wiley

Specialties Biomedical Engineering
Biotechnology
General Medicine

Date 2015 Jun 20

PMID 26090432

Citations 23

Authors

Edimar Pedrosa Gomes

Maycon Moura Reboredo

Erich Vidal Carvalho

Daniel Rodrigues Teixeira

Lais Fernanda Caldi dOrnellas Carvalho

Gilberto Francisco Ferreira Filho

Julio Cesar Abreu de Oliveira

Helady Sanders-Pinheiro

Julio Maria Fonseca Chebli

Rogerio Baumgratz de Paula

Bruno do Valle Pinheiro

Affiliations

Soon will be listed here.

Abstract

Different factors can contribute to a sedentary lifestyle among hemodialysis (HD) patients, including the period they spend on dialysis. The aim of this study was to evaluate characteristics of physical activities in daily life in this population by using an accurate triaxial accelerometer and to correlate these characteristics with physiological variables. Nineteen HD patients were evaluated using the DynaPort accelerometer and compared to nineteen control individuals, regarding the time spent in different activities and positions of daily life and the number of steps taken. HD patients were more sedentary than control individuals, spending less time walking or standing and spending more time lying down. The sedentary behavior was more pronounced on dialysis days. According to the number of steps taken per day, 47.4% of hemodialysis patients were classified as sedentary against 10.5% in control group. Hemoglobin level, lower extremity muscle strength, and physical functioning of SF-36 questionnaire correlated significantly with the walking time and active time. Looking accurately at the patterns of activity in daily life, HDs patients are more sedentary, especially on dialysis days. These patients should be motivated to enhance the physical activity.

Citing Articles

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References

Kosmadakis G, Bevington A, Smith A, Clapp E, Viana J, Bishop N . Physical exercise in patients with severe kidney disease. Nephron Clin Pract. 2010; 115(1):c7-c16. DOI: 10.1159/000286344. View

Sarnak M . Cardiovascular complications in chronic kidney disease. Am J Kidney Dis. 2003; 41(5 Suppl):11-7. DOI: 10.1016/s0272-6386(03)00372-x. View

Kohl 3rd H, Craig C, Lambert E, Inoue S, Alkandari J, Leetongin G . The pandemic of physical inactivity: global action for public health. Lancet. 2012; 380(9838):294-305. DOI: 10.1016/S0140-6736(12)60898-8. View

Johansen K, Chertow G, Kutner N, Dalrymple L, Grimes B, Kaysen G . Low level of self-reported physical activity in ambulatory patients new to dialysis. Kidney Int. 2010; 78(11):1164-70. PMC: 4170106. DOI: 10.1038/ki.2010.312. View

Johansen K, Chertow G, Ng A, Mulligan K, Carey S, Schoenfeld P . Physical activity levels in patients on hemodialysis and healthy sedentary controls. Kidney Int. 2000; 57(6):2564-70. DOI: 10.1046/j.1523-1755.2000.00116.x. View

van Hees V, van Lummel R, Westerterp K . Estimating activity-related energy expenditure under sedentary conditions using a tri-axial seismic accelerometer. Obesity (Silver Spring). 2009; 17(6):1287-92. DOI: 10.1038/oby.2009.55. View

Hallal P, Andersen L, Bull F, Guthold R, Haskell W, Ekelund U . Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012; 380(9838):247-57. DOI: 10.1016/S0140-6736(12)60646-1. View

Heiwe S, Jacobson S . Exercise training in adults with CKD: a systematic review and meta-analysis. Am J Kidney Dis. 2014; 64(3):383-93. DOI: 10.1053/j.ajkd.2014.03.020. View

Tudor-Locke C, Craig C, Thyfault J, Spence J . A step-defined sedentary lifestyle index: <5000 steps/day. Appl Physiol Nutr Metab. 2013; 38(2):100-14. DOI: 10.1139/apnm-2012-0235. View

10.

Johansen K, Kaysen G, Dalrymple L, Grimes B, Glidden D, Anand S . Association of physical activity with survival among ambulatory patients on dialysis: the Comprehensive Dialysis Study. Clin J Am Soc Nephrol. 2012; 8(2):248-53. PMC: 3562868. DOI: 10.2215/CJN.08560812. View

11.

Troiano R . A timely meeting: objective measurement of physical activity. Med Sci Sports Exerc. 2005; 37(11 Suppl):S487-9. DOI: 10.1249/01.mss.0000185473.32846.c3. View

12.

Pitta F, Troosters T, Probst V, Spruit M, Decramer M, Gosselink R . Quantifying physical activity in daily life with questionnaires and motion sensors in COPD. Eur Respir J. 2006; 27(5):1040-55. DOI: 10.1183/09031936.06.00064105. View

13.

OHare A, Tawney K, Bacchetti P, Johansen K . Decreased survival among sedentary patients undergoing dialysis: results from the dialysis morbidity and mortality study wave 2. Am J Kidney Dis. 2003; 41(2):447-54. DOI: 10.1053/ajkd.2003.50055. View

14.

Pitta F, Troosters T, Spruit M, Probst V, Decramer M, Gosselink R . Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2005; 171(9):972-7. DOI: 10.1164/rccm.200407-855OC. View

15.

van Hees V, Slootmaker S, De Groot G, van Mechelen W, van Lummel R . Reproducibility of a triaxial seismic accelerometer (DynaPort). Med Sci Sports Exerc. 2009; 41(4):810-7. DOI: 10.1249/MSS.0b013e31818ff636. View

16.

Painter P, Carlson L, Carey S, Paul S, Myll J . Physical functioning and health-related quality-of-life changes with exercise training in hemodialysis patients. Am J Kidney Dis. 2000; 35(3):482-92. DOI: 10.1016/s0272-6386(00)70202-2. View

17.

Mathiowetz V, Kashman N, Volland G, Weber K, Dowe M, Rogers S . Grip and pinch strength: normative data for adults. Arch Phys Med Rehabil. 1985; 66(2):69-74. View

18.

Daugirdas J, Depner T . A nomogram approach to hemodialysis urea modeling. Am J Kidney Dis. 1994; 23(1):33-40. DOI: 10.1016/s0272-6386(12)80809-2. View

19.

Avesani C, Trolonge S, Deleaval P, Baria F, Mafra D, Faxen-Irving G . Physical activity and energy expenditure in haemodialysis patients: an international survey. Nephrol Dial Transplant. 2011; 27(6):2430-4. DOI: 10.1093/ndt/gfr692. View

20.

. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002; 166(1):111-7. DOI: 10.1164/ajrccm.166.1.at1102. View