Assessment of habitual physical activity and energy expenditure in dialysis patients and relationships to nutritional parameters

Cupisti, Adamasco; Capitanini, Alessandro; Betti, G.; D’Alessandro, Claudia; Barsotti, Giovanni

doi:10.5414/cnp75218

Cited by 50 publications

(57 citation statements)

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“…Patients on dialysis are extremely inactive compared with individuals with normal kidney function (2)(3)(4)(5). However, the extent to which sedentary behavior contributes to mortality in the dialysis population is unknown.…”

Section: Introductionmentioning

confidence: 99%

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Association of Physical Activity with Survival among Ambulatory Patients on Dialysis

Johansen

Kaysen

Dalrymple

et al. 2013

Clinical Journal of the American Society of Nephrology

122

102

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SummaryBackground and objectives Despite high mortality and low levels of physical activity (PA) among patients starting dialysis, the link between low PA and mortality has not been carefully evaluated.Design, setting, participants, & measurements The Comprehensive Dialysis Study was a prospective cohort study that enrolled patients who started dialysis between June 2005 and June 2007 in a random sample of dialysis facilities in the United States. The Human Activity Profile (HAP) was administered to estimate PA among 1554 ambulatory enrolled patients in the Comprehensive Dialysis Study. Patients were followed until death or September 30, 2009, and the major outcome was all-cause mortality.Results The average age was 59.8 (14.2) years; 55% of participants were male, 28% were black, and 56% had diabetes mellitus. The majority (57.3%) had low fitness estimated from the HAP score. The median follow-up was 2.6 (interquartile range, 2.2-3.1) years. The association between PA and mortality was linear across the range of scores (1-94). After multivariable adjustment, lower adjusted activity score on the HAP was associated with higher mortality (hazard ratio, 1.30; 95% confidence interval, 1.23-1.39 per 10 points). Patients in the lowest level of fitness experienced a 3.5-fold (95% confidence interval, 2.54-4.89) increase in risk of death compared with those with average or above fitness.Conclusions Low levels of PA are strongly associated with mortality among patients new to dialysis. Interventions aimed to preserve or enhance PA should be prospectively tested.

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Section: Introductionmentioning

confidence: 99%

“…Other more comprehensive data describing physical activity among patients on dialysis were derived from small, singlecenter studies (3)(4)(5). To obtain detailed information about physical activity within a broader cohort, we administered the Human Activity Profile (HAP) to participants in the Comprehensive Dialysis Study (CDS) (7,8).…”

Section: Introductionmentioning

confidence: 99%

Association of Physical Activity with Survival among Ambulatory Patients on Dialysis

Johansen

Kaysen

Dalrymple

et al. 2013

Clinical Journal of the American Society of Nephrology

122

102

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“…(6) Over the years, evidence from published studies has emphasised the importance of exercise for improving the wellbeing of dialysis patients, even as several studies have suggested that physical inactivity in dialysis patients is often defined by a lack of health-enhancing moderate-to-vigorous activity. (2,5,(7)(8)(9) Chang et al reported that improvements in physical fitness and psychological function, which translated to improved quality of life, were noted in patients with chronic kidney disease who exercised. (10) Others have found that exercise programmes of mild-to-moderate intensity improved fatigue and quality of sleep, the two main factors that are believed to contribute to poor quality of life among patients with renal failure.…”

Section: Introductionmentioning

confidence: 99%

“…(5) According to Wong and Ong, fatigue not only impacts the quality of life but also increases the risk of cardiac disease in these patients, as it fosters a sedentary lifestyle. (6) Over the years, evidence from published studies has emphasised the importance of exercise for improving the wellbeing of dialysis patients, even as several studies have suggested that physical inactivity in dialysis patients is often defined by a lack of health-enhancing moderate-to-vigorous activity.…”

Section: Introductionmentioning

confidence: 99%

Preliminary study of an exercise programme for reducing fatigue and improving sleep among long-term haemodialysis patients

Maniam¹,

Subramanian

Singh³

et al. 2014

smedj

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“…Cupist et al (2011) (9) reported that regular physical exercise plays a pivotal role in patients' rehabilitation and improves aspects of their physical health, such as cardiovascular, metabolic and nutritional conditions. Pilates exercises, introduced by Joseph Pilates, are sets of activities that positively affect strength, posture, and flexibility of the body.…”

Section: Introductionmentioning

confidence: 99%

Effects of Pilates Exercise on Quality of Life of Patients on Hemodialysis

Kheirkhah¹,

Mirsane²,

Ajorpaz

et al. 2016

Crit Care Nurs J

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Background: It seems that using Pilates exercises can increase quality of life of patients on hemodialysis. Objectives: This study aimed to determine the effect of Pilates exercises on the quality of life of patients on hemodialysis. Methods: For this randomized controlled clinical trial, we enrolled 60 hemodialysis patients referred to Shahid Beheshti and Akhavan hospitals in Kashan city during 2014 and 2015. The subjects were randomly allocated to an experimental group (n = 30) and a control group (n = 30). Demographic information and quality of life short form (KDQOL SF) questionnaires were completed by the two groups at the beginning of the study. Then, modified Pilates exercises were carried out by the experimental group three times a week over a period of eight weeks. The KDQOL SF questionnaire was completed by all participants, at the beginning and two

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Assessment of habitual physical activity and energy expenditure in dialysis patients and relationships to nutritional parameters

Cited by 50 publications

References 0 publications

Association of Physical Activity with Survival among Ambulatory Patients on Dialysis

Association of Physical Activity with Survival among Ambulatory Patients on Dialysis

Preliminary study of an exercise programme for reducing fatigue and improving sleep among long-term haemodialysis patients

Effects of Pilates Exercise on Quality of Life of Patients on Hemodialysis

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