Physical activity level and depressive symptoms in patients undergoing hemodialysis: a cross-sectional study

Abstract

This study aimed to evaluate the association between the presence of depressive symptoms and physical activity level (PAL) in patients with chronic kidney disease undergoing hemodialysis (HD). Cross-sectional study comprising 101 patients on HD, mean age 47.4±12.5 years. Sociodemographic data, economic, clinical, assessment of depressive symptoms (Beck Depression Scale - BDI), PAL (International Physical Activity Questionnaire - IPAQ), guidance for performing physical activity (PA) and time of HD. The prevalence of sedentary and depressive symptoms was 79.2% and 39.6%, respectively. Depressive symptoms were observed in 47.5% of sedentary patients (χ2=10.029, p=0.002), the ratio of prevalence of these symptoms five times higher in this group. 68.3% of patients on HD received no guidance for PA. Under 49 months of hemodialysis treatment, 63.8% of sedentary (χ2=3.011, p=0.083) and 57.5% of patients with depressive symptoms (χ2=0.100, p=0.752) already had these features. Although little is known about the relationship between depression and PA among patients undergoing HD, this study found that depressive symptoms were more prevalent among inactive. The results of this study demonstrate that patients undergoing HD have low PAL, relative presence of depressive symptoms and high lack of guidance on PA.

Atividade física e a qualidade de vida de pacientes com doença renal crônica em hemodiálise

“…A study on the factors associated with HRQOL of dialysis patients, developed with 223 older adults undergoing HD 33 , found that the increase in the mentioned diseases and longer treatment periods were significantly associated with decreased HRQOL scores. In addition, from each IPAQ domain, the predominance of insufficiently active patients was observed, a finding that corroborates several other Brazilian and foreign studies developed with CKD patients undergoing a HD program 12,14,15,34 . Thus confirming that the profile of this population presents low adherence to the practice of PA, which may favor the reduction in mean HRQOL scores.…”

Comparação do nível de atividade física e força de preensão manual com o perfil bioquímico de doentes renais crônicos

“…Apesar dos dados discordantes na literatura sobre atividade física, FPM a dados laboratoriais 31 , existem trabalhos documentando que níveis de atividade física estão associados a menos sintomas depressivos e a maiores níveis cognitivos por parte do paciente 39,40 . Em relação às limitações do estudo, pode-se comentar que existem algumas variações entre protocolos posturais utilizados na mensuração da FPM.…”

Nível de atividade física e capacidade funcional de pacientes com doença renal crônica pré-dialítica e em hemodiálise

“…Concerning patients in HD, this data is also evidenced in the literature. Cavalcanti et al 1 showed that, of the 101 individuals in HD evaluated, 79.2% had a low level of physical activity. Stringuetta-Belik et al 24 evaluated the level of physical activity through the Ipaq questionnaire and concluded that 75% of the patients with CKD also presented a reduced physical activity.…”

“…Chronic Kidney Disease (CKD) consists of changes in the renal systems, leading to the progressive, slow and irreversible loss of kidney function, which are essential organs for metabolic the metabolic and water-electrolyte balance of the organism 1,2 . The Clinical guidelines for the care of the patient with chronic kidney disease -CKD in the Unified Health System 3 recommend the classification into stages according to the glomerular filtration rate (GFR), which range from 1 to 5.…”