Factors associated with the leisure pratice of individuals on hemodialysis

Abstract

Introduction: Leisure practices are complex activities involving several dimensions of human life such as social, cultural, and health. Using them to increase well-being and in situations of chronic diseases help in the adaptation to the disease. Objective: This study analyzed factors associated with leisure practice in individuals on hemodialysis. Methods: Data were collected by interview during hemodialysis sessions in a cross-sectional, census, with 1024 individuals. Socioeconomic factors, lifestyle, clinical and treatment characteristics were associated with leisure practices and their magnitudes were evaluated by binary logistic regression. Results: We found that being 40 years of age or younger increased the odds of engaging in more leisure activities by 5.26 times (95% CI = 3.86-10.15), never having smoked increased the odds of engaging in more leisure activities by 2.12 (95% CI = 1.04-4.30). However, those who had eight years or less of education were 71.1% less likely to practice more leisure (OR = 0.289, 95%CI = 0.17-0.49). Conclusion: The factors associated with higher leisure practices of hemodialysis users are younger age, higher education, and absence of smoking, demonstrating the need to implement public policies to reduce health inequalities and increase leisure practices.

Complex multimorbidity in hemodialysis patients: Study in a metropolitan region in Brazil

“…Fukushima, Costa and Orlandi [ 41 ], in studying the physical activity level of chronic kidney disease patients undergoing hemodialysis, found that most individuals were insufficiently active, which may reflect the treatment routine and concern over fistula maintenance [ 41 – 44 ]. However, Da Cunha et al [ 45 ], in researching a similar population, found no association between leisure practices and clinical and treatment characteristics, indicating the need to strengthen public policy actions that allow greater access to physical activity by this population. Although there are no data to support the association between inadequate practice of physical activity and complex multimorbidity, Vancampfort et al [ 46 ], in studying a population of low-income countries, found an association between multimorbidity and low practice of physical activity.…”

Complexity theory in the management of patients with pain

“…For this reason, it is important to consider the approach to the patient with pain as a CS since it will offer additional therapeutic opportunities to manage pain and could be essential to improve the therapeutic efficacy of different interventions. In this approach, the Journal of Human Growth and Development (JHGD) brings to each edition discussions [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] , which can be enriched with this debate about CF and CS in different health conditions and epidemiological contexts.…”