Phenotypes Influencing Low Physical Activity in Maintenance Dialysis

Panaye, Marine; Labreuche, Julien; Lasseur, Catherine; Paillasseur, Jean-Louis; Guillodo, Marie Paule; Levannier, Martial; Teta, Daniel; Fouque, Denis

doi:10.1053/j.jrn.2014.07.010

Cited by 50 publications

(43 citation statements)

References 39 publications

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“…The main findings of our study are that (a) the proportion of HD patients who exceeded the WHO recommendation of 10,000 steps/day was greater than observed in other HD populations [3,15] ; (b) patients walked significantly less on Sundays compared to other days of the week; and (c) that patients in our population experience poor sleep quality, corroborating findings in other HD populations [16] . The feedback provided to the participants about their physical activity levels did not appear to make a difference in the number of steps walked ( table 1 ).…”

Section: Discussionsupporting

confidence: 86%

“…A possible explanation for this difference could be that our patients lived in an urban environment (New York, NY, USA), while the French study included patients from rural and suburban areas. Another possible reason could be that the average age of the patients in our study was almost 10 years younger than that of the sample studied by Panaye et al [3].…”

Section: Discussionmentioning

confidence: 55%

“…In a prospective national French epidemiological study, Panaye et al [3] found that 94% of the HD population walked <10,000 steps/day and 64% of the population were sedentary, walking <5,000 steps/day. In our HD population, 52% of patients walked <10,000 steps/day, and only 28% of patients walked <5,000 steps/day.…”

Section: Discussionmentioning

confidence: 99%

“…Another study in HD patients, which objectively measured physical activity using a pedometer, found that there are specific phenotypes of patients with low physical activity levels. These phenotypes include patients with inflammation, cardiovascular disease, protein energy wasting, obesity, and diabetes [3] . Sedentary HD patients are at a 62% greater risk of mortality than their non-sedentary counterparts.…”

Section: Introductionmentioning

confidence: 99%

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Quantifying Physical Activity Levels and Sleep in Hemodialysis Patients Using a Commercially Available Activity Tracker

et al. 2016

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Background/Aims: Hemodialysis (HD) patients are less active than their healthy counterparts and frequently experience poor sleep. Our aims were to objectively quantify activity and sleep quality in HD patients of an urban population and to determine the effect of providing feedback on activity. Methods: Activity parameters and sleep parameters were collected by a commercially available activity tracker in 29 chronic HD patients. Patients in the feedback group were provided with their activity and sleep data during each HD treatment. Questionnaires were administered at the beginning and at the end of the study. Results: On average, patients walked 8,454 steps/day and slept 349 min/night. Only 28% of the patients were sedentary, defined as walking <5,000 steps/day. Providing feedback did not increase the activity in this urban population. Patients walked significantly less on Sundays compared to other days of the week: 7,024 steps on Sundays vs. 8,633 steps on HD days and 8,732 on non-HD days. It was also found that patients experienced poor sleep quality. HD treatments during shift 1 (6 a.m. to 10 a.m.) interfered with sleep patterns. Most patients reported that physical activity became more important to them after the 5-week period. The tracking device was very well accepted. Conclusion: Interventions to increase physical activity on Sundays could improve physical activity levels overall. Prospective studies are necessary to further explore the use of tracking devices to identify patients at risk and to implement targeted interventions.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Quantifying Physical Activity Levels and Sleep in Hemodialysis Patients Using a Commercially Available Activity Tracker

et al. 2016

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“…Living a physically active life is recommended to reduce these risks [1, 2]. Hemodialysis (HD) patients have an increased cardiovascular mortality and it has been shown that they are less active than their healthy counterparts [2-7]. Some common morbidities in HD populations have been linked to physical inactivity, such as anemia, bone mineral disorders, cardiovascular abnormalities, inflammation, malnutrition, and depression [4-6, 8, 9].…”

Section: Introductionmentioning

confidence: 99%

Relationships between Neighborhood Walkability and Objectively Measured Physical Activity Levels in Hemodialysis Patients

Han

Preciado

et al. 2018

Blood Purif

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Background/Aims: Neighborhood walkability is associated with indicators of health in the general population. We explored the association between neighborhood walkability and daily steps in hemodialysis (HD) patients. Methods: We measured daily steps over 5 weeks using Fitbit Flex (Fitbit, San Francisco, CA, USA) and retrieved Walk Score® (WS) data by patient’s home ZIP code (www.walkscore.com; 0 = poorest walkability; 100 = greatest walkability). Results: HD patients took a mean of 6,393 ± 3,550 steps/day (n = 46). Median WS of the neighborhood where they resided was 28. Patients in an above-median WS (n = 27) neighborhood took significantly more daily steps compared to those (n = 19) in a below-median WS neighborhood (7,514 ± 3,900 vs. 4,800 ± 2,228 steps/day; p < 0.001, t test). Daily steps and WS were directly correlated (R = 0.425; p = 0.0032, parametric test; R = 0.359, p = 0.0143, non-parametric test). Conclusion: This is the first study conducted among HD patients to indicate a direct relationship between neighborhood walkability and the actual steps taken. These results should be considered when designing initiatives to increase and improvise exercise routines in HD populations.

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Physical Activity and Exercise in Chronic Kidney Disease

Meade

Wilund

2020

Nutrition in Kidney Disease

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Phenotypes Influencing Low Physical Activity in Maintenance Dialysis

Cited by 50 publications

References 39 publications

Quantifying Physical Activity Levels and Sleep in Hemodialysis Patients Using a Commercially Available Activity Tracker

Quantifying Physical Activity Levels and Sleep in Hemodialysis Patients Using a Commercially Available Activity Tracker

Relationships between Neighborhood Walkability and Objectively Measured Physical Activity Levels in Hemodialysis Patients

Physical Activity and Exercise in Chronic Kidney Disease

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