The Relationship between Physical Activity Levels and Functional Capacity in Patients with Advanced Chronic Kidney Disease

Jiménez, Anna Junqué; Simó, Vicent Esteve; Périz, Lola Andreu; Segura‐Ortí, Eva

doi:10.1177/1054773820907757

Cited by 11 publications

(9 citation statements)

References 29 publications

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“…As expected, the findings revealed that lower HAP was a determinant of impaired body structure and function, and reduced activity and social participation in HD patients. These findings reinforce those of Jimenez et al, who showed an association between HAP and functional capacity [38]. However, the fact that we included body Fig.…”

Section: Discussionsupporting

confidence: 91%

Determining factors of functioning in hemodialysis patients using the international classification of functioning, disability and health

et al. 2022

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Background Hemodialysis (HD) treatment affects functioning, physical activity level, clinical biomarkers, and body composition. However, the association between these variables with functioning, considering International Classification of Functioning, Disability and Health (ICF) domains remains unclear. Thus, the aim of this study was to investigate the possible association between physical activity, biomarkers, and body composition with functioning in HD patients in reference to the ICF. Methods Eighty HD patients performed different tests grouped according to ICF domain: Body structure and function – handgrip strength (HS), 5-repetition sit-to-stand test, and 60-s sit-to-stand test (5-STS, 60-STS, respectively); Activity – short physical performance battery (SPPB); and Participation – participation scale questionnaire. Physical activity [Human Activity Profile questionnaire (HAP)], body composition (Dual-energy X-ray absorptiometry), Parathormone (PTH), and alkaline phosphatase were analyzed as possible variables associated with ICF domains. Data analyses were performed using simple and multiple regression models adjusted for age, duration of HD, and diuresis volume. Results In the body structure and function domain, appendicular lean mass, PTH level, and age were associated with HS (R2 = 0.558); HAP and PTH were associated with 5-STS (R2 = 0.263); and HAP, PTH, duration of HD, and age were associated with 60-STS (R2 = 0.337). In the activity domain, HAP, PTH, alkaline phosphatase, duration of HD, age, and body fat were associated with SPPB (R2 = 0.689). Finally, only HAP was associated with the participation scale (R2 = 0.067). Conclusion Physical activity and PTH levels are determinant protagonists of functioning in all ICF domains in hemodialysis patients.

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Section: Discussionsupporting

confidence: 91%

Determining factors of functioning in hemodialysis patients using the international classification of functioning, disability and health

et al. 2022

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“…It seems that the PA level also has an impact on physical function measured through physical performance tests (PPTs), as a study showed that patients on HD or PD with impaired PA measured through the adjusted activity score (AAS) of the Human Activity Profile (HAP) scale (<53 points) had worse physical function (walking capacity measured with the 6-min walking test, gait speed in 4 m, sit-to-stand-to-sit capacity, functional mobility as measured through the short physical performance battery) compared with patients who were moderately active or active (53–94 points) [ 9 ].…”

Section: Physical Inactivity Has An Important Negative Impact For Patientsmentioning

confidence: 99%

“…As a single tool, we would recommend the HAP (AAS) for dialysis patients, as it is inexpensive and simple to administer and it has proved to discriminate patients with worse physical function [ 9 ].…”

Section: What Measurement Tools To Measure Physical Activity?mentioning

confidence: 99%

“…This study also concluded that mortality risk tended to decrease as exercise frequency increased (1 time/week versus 6–7 times/week). Regarding the HAP (AAS), the threshold for any patient undertaking dialysis treatment would be to reach at least 53 points (moderately active) [ 9 ], since a recent cross-sectional study showed that patients with ˂53 points showed impaired functional capacity as measured with commonly used physical function tests.…”

Section: How Much Physical Activity?mentioning

confidence: 99%

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Bridging the gap from research to practice for enhanced health-related quality of life in people with chronic kidney disease

Segura‐Ortí

Koufaki

Kouidi

2021

Clinical Kidney Journal

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Improving the health status of people with chronic kidney disease (CKD) through physical activity (PA) or exercise interventions is challenging. One of the gaps in the process of translating the general public PA activity guidelines as well as the CKD-specific guidelines into routine clinical practice is the lack of systematic recording and monitoring of PA and physical function attributes, which can also be used to develop individualized and measurable plans of action to promote PA for health. We aim to present an overview of key considerations for PA, physical function and health-related quality of life (HRQoL) evaluation in people with CKD, with the aim of encouraging health professionals to integrate assessment of these outcomes in routine practices. Physical inactivity and impaired physical function, sometimes to the extent of physical and social disability levels, and subsequently lower perceived HRQoL, are highly prevalent in this population. Enhanced PA is associated with better physical function that also translates into multiple health benefits. Breaking the vicious circle of inactivity and physical dysfunction as early as possible in the disease trajectory may confer huge benefits and enhanced life satisfaction in the longer term. With this in mind, the importance of PA/exercise interventions in CKD to improve HRQoL is also summarized.

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“…PA level is lower in CKD patients at any stage compared to healthy counterparts 6 , 7 . It seems that PA level has also an impact on physical function since patients in HD or peritoneal dialysis with impaired PA had worst physical function compared with more active patients 8 , 9 . Several studies have recently been published which report the beneficial effects of exercise on the physical function of patients receiving HD 4 , 10 – 12 .…”

Section: Introductionmentioning

confidence: 99%

Impact of measurement timing on reproducibility of testing among haemodialysis patients

Jiménez¹,

Bernabeu²,

Périz³

et al. 2022

Sci Rep

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Accurate evaluation of physical function in patients undergoing haemodialysis is crucial in the analysis of the impact of exercise programs in this population. The aim of this study was to evaluate the reproducibility of several physical functional tests, depending on the timing of their implementation (before the HD session vs. non-HD days). This is a prospective, non-experimental, descriptive study. Thirty patients in haemodialysis were evaluated twice, 1 week apart. The test session was performed before the haemodialysis session started and a retest was performed in non-dialysis day. The testing battery included the short physical performance battery, sit-to-stand tests, 6 min walk test, one-leg stand test, timed up and go, and handgrip strength with and without forearm support. The intra-rater reproducibility was determined by the intraclass correlation coefficients and the agreement was assessed by Bland–Altman analysis. The intraclass correlation coefficients values ranged from 0.86 to 0.96, so that all tests showed good to very good relative reliability. The mean differences between trials of sit to stand 10 and 60, timed up and go and all the handgrip tests were close to zero, indicating no systematic differences between trials. Large range of values between trials was observed for the 6 min walk test, gait speed, one-leg stand test and short physical performance battery, indicating a systematic bias for these four tests. In conclusion, the sit to stand 10 and 60, timed up and go and handgrip tests had good to excellent test–retest reliability in measuring physical function in different dialysis days of patients undertaking haemodialysis. The minimal detectable change values are provided for this population. Bias were found for the 6 min walk test, gait speed, Short physical performance battery or one-leg stand test when the testing day changed.

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The Relationship between Physical Activity Levels and Functional Capacity in Patients with Advanced Chronic Kidney Disease

Cited by 11 publications

References 29 publications

Determining factors of functioning in hemodialysis patients using the international classification of functioning, disability and health

Determining factors of functioning in hemodialysis patients using the international classification of functioning, disability and health

Bridging the gap from research to practice for enhanced health-related quality of life in people with chronic kidney disease

Impact of measurement timing on reproducibility of testing among haemodialysis patients

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